Bullish flow in Intuitive Surgical August calls today, possibly indicating positioning for upside exposure into earnings, scheduled for next Wednesday. Shares little changed near $150 and August 150, 160 and 165s dominate the flow, with IVs lifting to the 60% range and sweep algorithms used to pay $7.60 and then 7.90 for a total of nearly 1000 Aug 160 calls at 10:15am. As of noon 4800 calls have traded, vs 850 puts, and most of the $3.9million of call premium has traded on the offer, suggesting significant capital allocated to the position.