shares of intuitive surgical inc isrg fell more than 4 in the extended session thursday after the health care company reported fourthquarter earnings and sales slightly above expectations but said the pandemic continues to lead to fewer procedures done with its main robotic surgical system intuitive said it earned 381 million or 104 a share in the quarter compared with 365 million or 101 a share in the fourth quarter of 2020 adjusted for onetime items the company earned 130 a share sales rose 17 to 155 billion the company said analysts polled by factset expected intuitive to report an adjusted eps of 128 a share on sales of 152 billion during 2021 covid19 resurgences continued to impact da vinci procedure volumes the company said in a statement covid19 has had and will likely continue to have an adverse impact on the companys procedure volumes shares of intuitive ended the regular trading day down 03