Statement of Financial Position [Abstract] Trade accounts receivable, allowance Allowance for Doubtful Accounts Receivable, Current Preferred stock, authorized shares (in shares) Preferred Stock, Shares Authorized Preferred stock, outstanding shares (in shares) Preferred Stock, Shares Outstanding Common stock, par value (in dollars per share) Common Stock, Par or Stated Value Per Share Common stock, authorized shares (in shares) Common Stock, Shares Authorized Common stock, issued shares (in shares) Common Stock, Shares, Issued Treasury stock, shares (in shares) Treasury Stock, Shares Commitments and Contingencies Disclosure [Abstract] Loss Contingencies [Table] Loss Contingencies [Table] Business Acquisition [Axis] Business Acquisition [Axis] Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] TEI TEI [Member] TEI Confluent Surgical, Inc. Confluent Surgical, Inc. [Member] Confluent Surgical, Inc. [Member] Derma Sciences Derma Sciences [Member] Derma Sciences [Member] Subsequent Event Type [Axis] Subsequent Event Type [Axis] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Subsequent Event Subsequent Event [Member] Legal Entity [Axis] Legal Entity [Axis] Entity [Domain] Entity [Domain] Third Party Insurer Third Party Insurer [Member] Third Party Insurer [Member] Scenario [Axis] Scenario [Axis] Scenario, Unspecified [Domain] Scenario, Unspecified [Domain] Indemnification period - up to fifteen months after close Indemnification Period One [Member] Indemnification Period One [Member] Indemnification period - up to 3 years after close Indemnification Period Two [Member] Indemnification Period Two [Member] Contingent Consideration by Type [Axis] Contingent Consideration by Type [Axis] Contingent Consideration Type [Domain] Contingent Consideration Type [Domain] Cash Consideration One Cash Consideration One [Member] Cash Consideration One [Member] Cash Consideration Two Cash Consideration Two [Member] Cash Consideration Two [Member] BioD Earnout Payments BioD Earnout Payments [Member] BioD Earnout Payments [Member] Measurement Input Type [Axis] Measurement Input Type [Axis] Measurement Input Type [Domain] Measurement Input Type [Domain] Measurement Input, Discount Rate Measurement Input, Discount Rate [Member] Liability Class [Axis] Liability Class [Axis] Fair Value by Liability Class [Domain] Fair Value by Liability Class [Domain] Contingent Consideration Liability Contingent Consideration Liability [Member] Contingent Consideration Liability [Member] Supply Commitment [Axis] Supply Commitment [Axis] Supply Commitment Arrangement [Domain] Supply Commitment Arrangement [Domain] Supply Commitment, Current, Long-Term, and Above Market Supply Commitment, Current, Long-Term, and Above Market [Member] Supply Commitment, Current, Long-Term, and Above Market [Member] Loss Contingencies [Line Items] Loss Contingencies [Line Items] Number of active cases Loss Contingency, Pending Claims, Number Indemnification policy in place Business Combination, Indemnification Assets, Amount as of Acquisition Date Maximum indemnification from acquisition Business Combination, Indemnification Assets, Range of Outcomes, Value, High Period of indemnification Business Combination, Indemnification Assets, Period of Indemnification Business Combination, Indemnification Assets, Period of Indemnification Minimum indemnification from acquisition Business Combination, Indemnification Assets, Range of Outcomes, Value, Low Indemnification payments received Loss Contingency, Receivable, Proceeds Indemnification payments owed Loss Contingency, Receivable Maximum contingent consideration Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High Minimum contingent consideration (up to) Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Low Discounted cash flow model, measurement input Debt Instrument, Measurement Input Contingent consideration, liability Business Combination, Contingent Consideration, Liability Payment for contingent consideration Payment for Contingent Consideration Liability, Financing Activities Revenue from Contract with Customer [Abstract] Disaggregation of Revenue [Table] Disaggregation of Revenue [Table] Segments [Axis] Segments [Axis] Segments [Domain] Segments [Domain] Codman Specialty Surgical Codman Specialty Surgical [Member] Codman Specialty Surgical [Member] Orthopedics and Tissue Technologies Orthopedics and Tissue Technologies [Member] Orthopedics and Tissue Technologies [Member] Product and Service [Axis] Product and Service [Axis] Product and Service [Domain] Product and Service [Domain] Neurosurgery Neurosurgery [Member] Neurosurgery [Member] Precision Tools and Instruments Instruments [Member] Instruments [Member] Wound Reconstruction and Care Regenerative Skin And Wound [Member] Regenerative Skin And Wound [Member] Extremity Orthopedics Extremity Orthopedics [Member] Extremity Orthopedics [Member] Private Label Private Label [Member] Private Label [Member] Disaggregation of Revenue [Line Items] Disaggregation of Revenue [Line Items] Total Revenues Revenue from Contract with Customer, Excluding Assessed Tax Inventory, Net [Abstract] Finished goods Inventory, Finished Goods, Net of Reserves Work in process Inventory, Work in Process, Net of Reserves Raw materials Inventory, Raw Materials and Purchased Parts, Net of Reserves Inventories, net Inventory, Net Derivative Instruments and Hedging Activities Disclosure [Abstract] Derivative [Table] Derivative [Table] Hedging Relationship [Axis] Hedging Relationship [Axis] Hedging Relationship [Domain] Hedging Relationship [Domain] Cash Flow Hedging Cash Flow Hedging [Member] Hedging Designation [Axis] Hedging Designation [Axis] Hedging Designation [Domain] Hedging Designation [Domain] Designated as Hedging Instrument Designated as Hedging Instrument [Member] Variable Rate [Axis] Variable Rate [Axis] Variable Rate [Domain] Variable Rate [Domain] 3-Month USD LIBOR Three Month USD LIBOR [Member] Three Month USD LIBOR [Member] 1-Month USD LIBOR One Month USD LIBOR [Member] One Month USD LIBOR [Member] Derivative Instrument [Axis] Derivative Instrument [Axis] Derivative Contract [Domain] Derivative Contract [Domain] Interest Rate Swap Designated June 22, 2016 Tranche 1 Interest Rate Swap Designated June 22, 2016 Tranche 1 [Member] Interest Rate Swap Designated June 22, 2016 Tranche 1 [Member] Interest Rate Swap Designated June 22, 2016 Tranche 2 Interest Rate Swap Designated June 22, 2016 Tranche 2 [Member] Interest Rate Swap Designated June 22, 2016 Tranche 2 [Member] Interest Rate Swap Designated July 12, 2016 Interest Rate Swap Designated July 12, 2016 [Member] Interest Rate Swap Designated July 12, 2016 [Member] Interest Rate Swap Designated February 6, 2017 Tranche 1 Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member] Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member] Interest Rate Swap Designated February 6, 2017 Tranche 2 Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member] Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member] Interest Rate Swap Designated March 27, 2017 Interest Rate Swap Designated March 27, 2017 [Member] Interest Rate Swap Designated March 27, 2017 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 1 Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 2 Interest Rate Swap Designated December 13, 2017 Tranche 2 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 2 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 3 Interest Rate Swap Designated December 13, 2017 Tranche 3 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 3 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 4 Interest Rate Swap Designated December 13, 2017 Tranche 4 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 4 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 5 Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member] Derivative [Line Items] Derivative [Line Items] Current Notional Amount Derivative, Notional Amount Fixed Interest Rate Derivative, Fixed Interest Rate Estimated Fair Value, Assets (Liabilities) Derivative, Fair Value, Net COMMITMENTS AND CONTINGENCIES Commitments and Contingencies Disclosure [Text Block] Income Tax Disclosure [Abstract] Reported tax rate Effective Income Tax Rate Reconciliation, Percent Retirement Benefits [Abstract] DEFINED BENEFIT PLANS Pension and Other Postretirement Benefits Disclosure [Text Block] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] Performance obligations expected to be satisfied Revenue, Remaining Performance Obligation, Amount Performance obligations expected to be satisfied, expected timing Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period Disclosure of Compensation Related Costs, Share-based Payments [Abstract] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Award Type [Axis] Award Type [Axis] Equity Award [Domain] Equity Award [Domain] Stock options Employee Stock Option [Member] Performance stock and Restricted stock awards Performance Stock And Restricted Stock Awards [Member] Performance Stock And Restricted Stock Awards [Member] Restricted stock awards/stock units Restricted Stock Awards And Units [Member] Restricted Stock Awards And Units [Member] Performance shares Performance Shares [Member] Title of Individual [Axis] Title of Individual [Axis] Relationship to Entity [Domain] Relationship to Entity [Domain] Directors Director [Member] Employees Employee [Member] Employee [Member] Directors and Certain Executive Officers Directors and Certain Executive Officers [Member] Directors and Certain Executive Officers [Member] Range [Axis] Range [Axis] Range [Domain] Range [Domain] Minimum Minimum [Member] Maximum Maximum [Member] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based compensation arrangement by share-based payment award, number of plans Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans Stock options exercisable, vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Expiration period Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period Total unrecognized compensation costs Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized Weighted-average period for cost recognition Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition Grants in period, net of forfeitures (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures Requisite service periods of awards Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period Awards granted during the period (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract] Stock repurchase program, authorized amount (up to) Stock Repurchase Program, Authorized Amount Amount available for share repurchase under this latest authorization Stock Repurchase Program, Remaining Authorized Repurchase Amount Treasury stock (in shares) Treasury Stock, Common, Shares Treasury stock Treasury Stock, Common, Value Treasury stock, average cost per share (in dollars per share) Treasury Stock Acquired, Average Cost Per Share Stock repurchased during period (in shares) Stock Repurchased During Period, Shares Goodwill and Intangible Assets Disclosure [Abstract] Schedule of Changes in Carrying Amount of Goodwill Schedule of Goodwill [Table Text Block] Components of Company's Identifiable Intangible Assets Schedule Of Definite And Indefinite Lived Intangible Assets Table [Table Text Block] Schedule Of Definite And Indefinite Lived Intangible Assets [Table Text Block] Schedule of Goodwill [Table] Schedule of Goodwill [Table] Codman Codman [Member] Codman [Member] Goodwill [Line Items] Goodwill [Line Items] Goodwill [Roll Forward] Goodwill [Roll Forward] Goodwill at December 31, 2017 Goodwill Codman acquisition measurement period adjustments Goodwill, Purchase Accounting Adjustments Foreign currency translation Goodwill, Foreign Currency Translation Gain (Loss) Goodwill at September 30, 2018 STOCK-BASED COMPENSATION Disclosure of Compensation Related Costs, Share-based Payments [Text Block] Equity [Abstract] Accumulated Other Comprehensive Income (Loss) [Table] Accumulated Other Comprehensive Income (Loss) [Table] Equity Components [Axis] Equity Components [Axis] Equity Component [Domain] Equity Component [Domain] Cash Flow Hedges Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member] Defined Benefit Pension Items Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member] Foreign Currency Items Accumulated Foreign Currency Adjustment Attributable to Parent [Member] Total AOCI Attributable to Parent [Member] Accumulated Other Comprehensive Income (Loss) [Line Items] Accumulated Other Comprehensive Income (Loss) [Line Items] Accumulated Other Comprehensive Income (Loss) [Roll Forward] AOCI Attributable to Parent, Net of Tax [Roll Forward] Balance, Beginning of Period Stockholders' Equity Attributable to Parent Reclassification of stranded tax effect Tax Cuts And Jobs Act Of 2017, Reclassification From AOCI To Retained Earnings Amount of increase (decrease) in accumulated other comprehensive income (AOCI) for reclassification to retained earnings of tax effect from remeasurement of deferred tax pursuant to Tax Cuts and Jobs Act of 2017. Other comprehensive income (loss) OCI, before Reclassifications, Net of Tax, Attributable to Parent Amounts reclassified from accumulated other comprehensive income Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent Net current-period other comprehensive income (loss) Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent Balance, End of Period Earnings Per Share [Abstract] Basic and Diluted Net Income Per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Metasurg Metasurg [Member] Metasurg [Member] Tarsus Tarsus Medical, Inc. [Member] Tarsus Medical, Inc. [Member] Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets, Major Class Name [Domain] Finite-Lived Intangible Assets, Major Class Name [Domain] Completed technology Completed Technology [Member] Completed technology. Number of reporting units Number of Reporting Units Reporting unit, discount rate percentage Reporting Unit, Discount Rate Percentage Reporting Unit, Discount Rate Percentage Goodwill, impairment Goodwill, Impairment Loss Intangible assets, indefinite life, discount rate percentage Intangible Assets, Indefinite Life, Discount Rate Percentage Intangible Assets, Indefinite Life, Discount Rate Percentage Impairment charge Impairment of Intangible Assets, Finite-lived Impairment charge, out of period adjustment included in original impairment Impairment of Intangible Assets, Finite-lived, Out Of Period Adjustment Included In Original Impairment Impairment of Intangible Assets, Finite-lived, Out Of Period Adjustment Included In Original Impairment Remaining net book value Finite-Lived Intangible Assets, Net Expected annual amortization expense, 2018 Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year Expected annual amortization expense, 2019 Finite-Lived Intangible Assets, Amortization Expense, Year Two Expected annual amortization expense, 2020 Finite-Lived Intangible Assets, Amortization Expense, Year Three Expected annual amortization expense, 2021 Finite-Lived Intangible Assets, Amortization Expense, Year Four Expected annual amortization expense, 2022 Finite-Lived Intangible Assets, Amortization Expense, Year Five Expected annual amortization expense, 2023 Finite-Lived Intangible Assets, Amortization Expense, Year Six Finite-Lived Intangible Assets, Amortization Expense, Year Six Expected annual amortization expense, thereafter Finite-Lived Intangible Assets, Amortization Expense, After Year Six Finite-Lived Intangible Assets, Amortization Expense, After Year Six Investment, Name [Axis] Investment, Name [Axis] Investment, Name [Domain] Investment, Name [Domain] Swap One Swap One [Member] Swap One [Member] Swap Two Swap Two [Member] Swap Two [Member] Swap Three Swap Three [Member] Swap Three [Member] Cross-currency swap Cross Currency Interest Rate Contract [Member] Position [Axis] Position [Axis] Position [Domain] Position [Domain] Long Long [Member] Short Short [Member] Fixed Rate Aggregate Notional Amount Fair Value Liability Derivative Liability Segment Reporting [Abstract] Schedule of Segment Reporting Information, by Segment [Table] Schedule of Segment Reporting Information, by Segment [Table] Consolidation Items [Axis] Consolidation Items [Axis] Operating Activities [Domain] Consolidation Items [Domain] Operating Segments Operating Segments [Member] Segment Reconciling Items Segment Reconciling Items [Member] Corporate and other Corporate, Non-Segment [Member] Codman Specialty Surgical Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Segment Net Sales Segment Reporting Information, Operating Income (Loss) [Abstract] Segment Profit Segment Reporting Information, Profit (Loss) [Abstract] Operating income Operating Income (Loss) Amortization Amortization of Intangible Assets Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table] Derivative Instruments, Gain (Loss) [Table] Cash Flow Accumulated Gain (Loss), Gross, Cash Flow Hedge, Parent [Member] Accumulated Gain (Loss), Gross, Cash Flow Hedge, Parent [Member] Derivative, by Nature [Axis] Derivative, Name [Domain] Interest rate swap Interest Rate Swap [Member] Income Statement Location [Axis] Income Statement Location [Axis] Income Statement Location [Domain] Income Statement Location [Domain] Interest (expense) Interest Expense [Member] Other income (expense) Other Nonoperating Income (Expense) [Member] Derivative Instruments, Gain (Loss) [Line Items] Derivative Instruments, Gain (Loss) [Line Items] Derivative Instruments, Gain (Loss) [Roll Forward] Amount of Gain (Loss) Recognized in AOCI OCI, before Reclassifications, before Tax, Attributable to Parent Amount of Gain (Loss) Reclassified from AOCI into Earnings Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax Statement of Cash Flows [Abstract] OPERATING ACTIVITIES: Net Cash Provided by (Used in) Operating Activities [Abstract] Net income Net Income (Loss) Attributable to Parent Adjustments to reconcile net income to net cash provided by operating activities: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Depreciation and amortization Depreciation, Depletion and Amortization Non-cash impairment charges Deferred income tax Deferred Income Tax Expense (Benefit) Amortization of debt issuance costs Amortization of Debt Issuance Costs Realized loss on sale of short-term investment Available-for-sale Securities, Gross Realized Gain (Loss) Loss on disposal of property and equipment Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property Change in fair value of contingent consideration and other Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability Share-based compensation Share-based Compensation Changes in assets and liabilities, net of business acquisitions: Increase (Decrease) in Operating Capital [Abstract] Accounts receivable Increase (Decrease) in Accounts Receivable Inventories Increase (Decrease) in Inventories Prepaid expenses and other current assets Increase (Decrease) in Prepaid Expense and Other Assets Other non-current assets Increase (Decrease) in Other Operating Assets Accounts payable, accrued expenses and other current liabilities Increase (Decrease) in Accounts Payable and Accrued Liabilities Deferred revenue Increase (Decrease) in Contract with Customer, Liability Other non-current liabilities Increase (Decrease) in Other Noncurrent Liabilities Net cash provided by operating activities Net Cash Provided by (Used in) Operating Activities INVESTING ACTIVITIES: Net Cash Provided by (Used in) Investing Activities [Abstract] Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Proceeds from sale of short-term investments Payments for (Proceeds from) Short-term Investments Proceeds from note receivable Proceeds from Collection of Notes Receivable Proceeds from sale of property and equipment Proceeds from Sale of Property, Plant, and Equipment Cash provided by business acquisitions Proceeds from Previous Acquisition Cash used in business acquisitions Payments to Acquire Businesses, Gross Net cash used in investing activities Net Cash Provided by (Used in) Investing Activities FINANCING ACTIVITIES: Net Cash Provided by (Used in) Financing Activities [Abstract] Borrowings under senior credit facility Proceeds from Issuance of Secured Debt Repayments under senior credit facility Repayments of Secured Debt Payment of debt issuance costs Payments of Debt Issuance Costs Proceeds from the issuance of common stock, net of issuance costs Proceeds from Issuance of Common Stock Net cash paid for financing liabilities from business acquisitions Payment for Contingent Consideration Liability, Net Miscellaneous Acquisition Expenses, Financing Activities Payment for Contingent Consideration Liability, Net Miscellaneous Acquisition Expenses, Financing Activities Proceeds from exercised stock options Proceeds from Stock Options Exercised Cash taxes paid in net equity settlement Excess Tax Benefit from Share-based Compensation, Financing Activities Net cash (used in) provided by financing activities Net Cash Provided by (Used in) Financing Activities Effect of exchange rate changes on cash and cash equivalents Effect of Exchange Rate on Cash and Cash Equivalents Net increase in cash and cash equivalents Cash and Cash Equivalents, Period Increase (Decrease) Cash and cash equivalents at beginning of period Cash and Cash Equivalents, at Carrying Value Cash and cash equivalents at end of period Net periodic benefit costs Defined Benefit Plan, Net Periodic Benefit Cost (Credit) Service cost component Defined Benefit Plan, Service Cost Expected future employer contributions, next fiscal year Defined Benefit Plan, Expected Future Employer Contributions, Next Fiscal Year Employer contributions Defined Benefit Plan, Plan Assets, Contributions by Employer Expected additional employer contributions Defined Benefit Plan, Expected Future Employer Contributions, Remainder of Fiscal Year Expected employer contributions, this fiscal year Defined Benefit Plan, Expected Future Employer Contributions, Current Fiscal Year Estimated fair value of plan assets Defined Benefit Plan, Plan Assets, Amount Debt Disclosure [Abstract] Remainder of 2018 Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year 2019 Long-term Debt, Maturities, Repayments of Principal in Year Two 2020 Long-term Debt, Maturities, Repayments of Principal in Year Three 2021 Long-term Debt, Maturities, Repayments of Principal in Year Four 2022 Long-term Debt, Maturities, Repayments of Principal in Year Five 2023 Long-term Debt, Maturities, Repayments of Principal after Year Five Principal Repayment Long-term Debt Business Combinations [Abstract] Schedule of Recognized Identified Assets Acquired and Liabilities Assumed Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Schedule of Assets and Liabilities Divested Disposal Groups, Including Discontinued Operations [Table Text Block] Schedule of Pro Forma Information Business Acquisition, Pro Forma Information [Table Text Block] Schedule of Long-term Debt Maximum Leverage Ratios Schedule of Long-term Debt Instruments [Table Text Block] Schedule of Maturities of Long-term Debt Schedule of Maturities of Long-term Debt [Table Text Block] COMPREHENSIVE INCOME Comprehensive Income (Loss) Note [Text Block] Revenue, Initial Application Period Cumulative Effect Transition [Table] Revenue, Initial Application Period Cumulative Effect Transition [Table] Adjustments for New Accounting Pronouncements [Axis] Adjustments for New Accounting Pronouncements [Axis] Type of Adoption [Domain] Type of Adoption [Domain] Accounting Standards Update 2014-09 Accounting Standards Update 2014-09 [Member] Initial Application Period Cumulative Effect Transition [Axis] Initial Application Period Cumulative Effect Transition [Axis] Initial Application Period Cumulative Effect Transition [Domain] Initial Application Period Cumulative Effect Transition [Domain] Adjustment Resulting from Adoption of Topic 606 Difference between Revenue Guidance in Effect before and after Topic 606 [Member] Timing of Transfer of Good or Service [Axis] Timing of Transfer of Good or Service [Axis] Timing of Transfer of Good or Service [Domain] Timing of Transfer of Good or Service [Domain] Transferred over Time Transferred over Time [Member] Revenue, Initial Application Period Cumulative Effect Transition [Line Items] Revenue, Initial Application Period Cumulative Effect Transition [Line Items] Manufacturing period for products shipped with no alternative use and right of payment for performance Revenue From Contract With Customer, Products Shipped With No Alternative Use And Right Of Payment For Performance, Manufacturing Period Revenue From Contract With Customer, Products Shipped With No Alternative Use And Right Of Payment For Performance, Manufacturing Period Number of days from shipment to issue a credit Return Policy, Issue of Credit, Number of Days from Shipment Return Policy, Issue of Credit, Number of Days from Shipment Short-term portion of contract liability Contract with Customer, Liability, Current Long-term portion of contract liability Contract with Customer, Liability, Noncurrent Product warranty period (up to) Revenue, Product Warranty Period Revenue, Product Warranty Period Increase to opening retained earnings Retained Earnings (Accumulated Deficit) Increase to total assets Assets Increase to total liabilities Liabilities Disposal Groups, Including Discontinued Operations [Table] Disposal Groups, Including Discontinued Operations [Table] Disposal Group Name [Axis] Disposal Group Name [Axis] Disposal Group Name [Domain] Disposal Group Name [Domain] Disposal Group Classification [Axis] Disposal Group Classification [Axis] Disposal Group Classification [Domain] Disposal Group Classification [Domain] Disposal Group, Held-for-sale, Not Discontinued Operations Disposal Group, Held-for-sale, Not Discontinued Operations [Member] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] Inventories Disposal Group, Including Discontinued Operation, Inventory, Current Prepaid expenses and other current assets Disposal Group, Including Discontinued Operation, Prepaid and Other Assets, Current Assets held for sale Disposal Group, Including Discontinued Operation, Assets Held-For-Sale Disposal Group, Including Discontinued Operation, Assets Held-For-Sale Property, plant and equipment, net Disposal Group, Including Discontinued Operation, Property, Plant and Equipment, Current Goodwill Disposal Group, Including Discontinued Operation, Goodwill Total assets divested Disposal Group, Including Discontinued Operation, Assets Deferred revenue Disposal Group, Including Discontinued Operation, Deferred Revenue, Current Accrued compensation Disposal Group, Including Discontinued Operation, Accrued Liabilities, Current Total liabilities divested Disposal Group, Including Discontinued Operation, Liabilities, Current Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Customer relationships Customer Relationships [Member] Trademarks/brand names Trademarks Brand Names [Member] Trademarks Brand Names. Supplier relationships Supplier Relation Ships [Member] Supplier Relation Ships [Member] All other All Other [Member] All Other [Member] Indefinite-lived Intangible Assets [Axis] Indefinite-lived Intangible Assets [Axis] Indefinite-lived Intangible Assets, Major Class Name [Domain] Indefinite-lived Intangible Assets, Major Class Name [Domain] Trade Names Trade Names [Member] Acquired Finite-Lived Intangible Assets [Line Items] Acquired Finite-Lived Intangible Assets [Line Items] Weighted Average Life Finite-Lived Intangible Asset, Useful Life Cost Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill. Accumulated Amortization Finite-Lived Intangible Assets, Accumulated Amortization Net Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill. SEGMENT AND GEOGRAPHIC INFORMATION Segment Reporting Disclosure [Text Block] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Debt Instrument [Axis] Debt Instrument [Axis] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] 2016 Senior Convertible Notes Two Thousand Sixteen Senior Convertible Notes [Member] Two Thousand Sixteen Senior Convertible Notes [Member] Long-term Debt, Type [Axis] Long-term Debt, Type [Axis] Long-term Debt, Type [Domain] Long-term Debt, Type [Domain] Convertible Debt Convertible Debt [Member] Vested Restricted Units and Vested Performance Units Vested Performance Shares and Vested Restricted Units [Member] Vested Performance Shares and Vested Restricted Units [Member] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Shares excluded from computation as their effect would be anti-dilutive (in shares) Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Interest rate on debt Debt Instrument, Interest Rate, Stated Percentage Warrants exercised (in shares) Class of Warrant or Right, Exercised Class of Warrant or Right, Exercised Common stock from the exercise of warrants (in shares) Stock Issued During Period, Shares, Exercise Of Warrants Stock Issued During Period, Shares, Exercise Of Warrants Warrants outstanding (in shares) Class of Warrant or Right, Outstanding Weighted average number of shares outstanding, basic and diluted (in shares) Weighted Average Number of Shares Outstanding, Basic and Diluted Contract Asset Change In Contract With Customer, Asset [Roll Forward] Change In Contract With Customer, Asset [Roll Forward] Contract asset, Beginning of period Contract with Customer, Asset, Net Transferred to trade receivable of contract asset included in beginning of the year contract asset Contract with Customer, Asset, Reclassified to Receivable Contract asset, net of transferred to trade receivables on contracts during the period Contract With Customer, Asset, Net Of Reclassified To Receivable Contract With Customer, Asset, Net Of Reclassified To Receivable Contract asset, End of Period Contract Liability Change In Contract With Customer, Liability [Roll Forward] Change In Contract With Customer, Liability [Roll Forward] Contract liability, Beginning of Period Contract with Customer, Liability Recognition of revenue included in beginning of year contract liability Contract with Customer, Liability, Revenue Recognized Contract liability, net of revenue recognized on contracts during the period Contract With Customer, Liability, Net Of Revenue Recognized And Foreign Currency Translation Contract With Customer, Liability, Net Of Revenue Recognized And Foreign Currency Translation Foreign currency translation Contract With Customer, Liability, Increase From Foreign Currency Translation Contract With Customer, Liability, Increase From Foreign Currency Translation Contract liability, End of Period Interest Expense Other Expense Other Expense [Member] Accumulated Net Investment Gain (Loss) Attributable to Parent Accumulated Net Investment Gain (Loss) Attributable to Parent [Member] Gain reclassified from accumulated other comprehensive income Total revenue Business Acquisition, Pro Forma Revenue Net income Business Acquisition, Pro Forma Net Income (Loss) Basic income per share (in dollars per share) Business Acquisition, Pro Forma Earnings Per Share, Basic Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Interest Rate Swap Balance Sheet Location [Axis] Balance Sheet Location [Axis] Balance Sheet Location [Domain] Balance Sheet Location [Domain] Prepaid expenses and other current assets Prepaid Expenses and Other Current Assets [Member] Other assets Other Assets [Member] Accrued expenses and other current liabilities Accrued Expenses And Other Current Liabilities [Member] Accrued expenses and other current liabilities. Other liabilities Other Liabilities [Member] Derivatives, Fair Value [Line Items] Derivatives, Fair Value [Line Items] Derivatives designated as hedges — Assets Derivative Asset, Fair Value, Gross Asset Derivatives designated as hedges — Liabilities Derivative Liability, Fair Value, Gross Liability Notional amount Expected reduction to notional amount in June 2019 Expected Reduction In Notional Amount Of Interest Rate Derivatives Expected Reduction In Notional Amount Of Interest Rate Derivatives NET INCOME PER SHARE Earnings Per Share [Text Block] GOODWILL AND OTHER INTANGIBLE ASSETS Goodwill and Intangible Assets Disclosure [Text Block] ASSETS Assets [Abstract] Current assets: Assets, Current [Abstract] Cash and cash equivalents Trade accounts receivable, net of allowances of $3,897 and $8,882 Accounts Receivable, Net, Current Inventories, net Prepaid expenses and other current assets Prepaid Expense and Other Assets, Current Total current assets Assets, Current Property, plant and equipment, net Property, Plant and Equipment, Net Intangible assets, net Intangible Assets, Net (Excluding Goodwill) Goodwill Deferred tax assets, net Deferred Income Tax Assets, Net Other assets Other Assets, Noncurrent Total assets LIABILITIES AND STOCKHOLDERS’ EQUITY Liabilities and Equity [Abstract] Current liabilities: Liabilities, Current [Abstract] Short-term portion of borrowings under senior credit facility Secured Debt, Current Accounts payable, trade Accounts Payable, Trade, Current Accrued compensation Employee-related Liabilities, Current Short-term portion of contingent consideration Business Combination, Contingent Consideration, Liability, Current Accrued expenses and other current liabilities Accrued Liabilities, Current Total current liabilities Liabilities, Current Long-term borrowings under senior credit facility Secured Long-term Debt, Noncurrent Deferred tax liabilities Deferred Income Tax Liabilities, Net Other liabilities Other Liabilities, Noncurrent Total liabilities Commitments and contingencies Commitments and Contingencies Stockholders’ equity: Stockholders' Equity Attributable to Parent [Abstract] Preferred stock; no par value; 15,000 authorized shares; none outstanding Preferred Stock, Value, Issued Common stock; $0.01 par value; 240,000 authorized shares; 88,016 and 81,306 issued at September 30, 2018 and December 31, 2017, respectively Common Stock, Value, Issued Additional paid-in capital Additional Paid in Capital, Common Stock Treasury stock, at cost; 2,883 shares and 2,912 shares at September 30, 2018 and December 31, 2017, respectively Treasury Stock, Value Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Retained earnings Total stockholders’ equity Total liabilities and stockholders’ equity Liabilities and Equity Schedule of Effective Income Tax Rate Reconciliation Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] INCOME TAXES Income Tax Disclosure [Text Block] Schedule of Contingent Consideration Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block] Organization, Consolidation and Presentation of Financial Statements [Abstract] New Accounting Pronouncement, Early Adoption [Table] New Accounting Pronouncement, Early Adoption [Table] Sale of Stock [Axis] Sale of Stock [Axis] Sale of Stock [Domain] Sale of Stock [Domain] Public Offering Public Offering [Member] Public Offering [Member] Accounting Standards Update 2018-02 Accounting Standards Update 2018-02 [Member] Accounting Standards Update 2018-02 [Member] New Accounting Pronouncement, Early Adoption [Axis] New Accounting Pronouncement, Early Adoption [Axis] New Accounting Principles, Early Adoption [Domain] New Accounting Principles, Early Adoption [Domain] New Accounting Pronouncement, Early Adoption, Effect New Accounting Pronouncement, Early Adoption, Effect [Member] New Accounting Pronouncement, Early Adoption [Line Items] New Accounting Pronouncement, Early Adoption [Line Items] Stock issued during the period (in shares) Sale of Stock, Number of Shares Issued in Transaction Stock issued during period, value Sale of Stock, Consideration Received on Transaction Document and Entity Information [Abstract] Document and Entity Information [Abstract] Document Type Document Type Amendment Flag Amendment Flag Document Period End Date Document Period End Date Document Fiscal Year Focus Document Fiscal Year Focus Document Fiscal Period Focus Document Fiscal Period Focus Trading Symbol Trading Symbol Entity Registrant Name Entity Registrant Name Entity Central Index Key Entity Central Index Key Current Fiscal Year End Date Current Fiscal Year End Date Entity Filer Category Entity Filer Category Smaller Reporting Company Entity Small Business Emerging Growth Company Entity Emerging Growth Company Entity Common Stock, Shares Outstanding (in shares) Entity Common Stock, Shares Outstanding Schedule of Changes in Contract Assets and Contract Liabilities Contract with Customer, Asset and Liability [Table Text Block] Schedule of Disaggregation of Revenue Disaggregation of Revenue [Table Text Block] Schedule of Impact on Statement of Operations Schedule of New Accounting Pronouncements and Changes in Accounting Principles [Table Text Block] Schedule of Long-term Debt Instruments [Table] Schedule of Long-term Debt Instruments [Table] Term Loan Facility Term Loan Facility [Member] Term Loan Facility [Member] Senior Credit Facility Senior Credit Facility [Member] Senior Credit Facility. Term Loan A-1 Term Loan A-1 [Member] Term Loan A-1 [Member] Term Loan A Term Loan A Facility [Member] Term Loan A Facility [Member] Credit Facility [Axis] Credit Facility [Axis] Credit Facility [Domain] Credit Facility [Domain] Secured Debt Secured Debt [Member] Revolving Credit Facility Revolving Credit Facility [Member] Standby Letters of Credit Standby Letters of Credit [Member] Swingline Loans Swingline Loan [Member] Swingline Loan [Member] Secured Debt, Current Secured Debt, Current [Member] Secured Debt, Current [Member] Eurodollar Eurodollar [Member] Federal Funds Federal Funds Effective Swap Rate [Member] Prime Rate Prime Rate [Member] One Month Eurodollar Rate One Month Eurodollar Rate [Member] One Month Eurodollar Rate [Member] Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Domain] Fair Value Hierarchy and NAV [Domain] Fair Value, Inputs, Level 2 Fair Value, Inputs, Level 2 [Member] Debt Instrument [Line Items] Debt Instrument [Line Items] Maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Interest rates available to the Company at its option Debt Instrument, Basis Spread on Variable Rate Line of credit, commitment fee percentage Line of Credit Facility, Commitment Fee Percentage Incremental financing costs capitalized Debt Issuance Costs, Gross Previously capitalized financing costs, written-off Write off of Deferred Debt Issuance Cost Line of credit facility outstanding Long-term Line of Credit Weighted average interest rate on debt Debt, Weighted Average Interest Rate Available borrowings under senior secured revolving credit facility Line of Credit Facility, Remaining Borrowing Capacity Line of credit facility, fair value of amount outstanding Line of Credit Facility, Fair Value of Amount Outstanding Letters of credit outstanding Letters of Credit Outstanding, Amount Foreign currency translation adjustment Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent Change in unrealized gain (loss) on derivatives, net of tax Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax Pension liability adjustment, net of tax Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent Comprehensive income, net Comprehensive Income (Loss), Net of Tax, Attributable to Parent Effective income tax rate Excess tax benefit from share-based compensation Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-based Compensation Cost, Amount Foreign tax credit Effective Income Tax Rate Reconciliation, Tax Credit, Foreign, Amount Provisional income tax expense, Tax Cuts and Jobs Act of 2017 Tax Cuts And Jobs Act Of 2017, Incomplete Accounting, Transition Tax For Accumulated Foreign Earnings, Provisional Income Tax Expense Tax Cuts And Jobs Act Of 2017, Incomplete Accounting, Transition Tax For Accumulated Foreign Earnings, Provisional Income Tax Expense GILTI foreign tax credit Effective Income Tax Rate Reconciliation, Global Intangible Low-Taxed Income Tax Credit, Foreign, Amount Effective Income Tax Rate Reconciliation, Global Intangible Low-Taxed Income Tax Credit, Foreign, Amount Income tax expense, to be paid within one year, Tax Cuts and Jobs Act of 2017 Tax Cuts And Jobs Act Of 2017, Incomplete Accounting, Transition Tax For Accumulated Foreign Earnings, Provisional Income Tax Expense, To Be Paid Next Twelve Months Tax Cuts And Jobs Act Of 2017, Incomplete Accounting, Transition Tax For Accumulated Foreign Earnings, Provisional Income Tax Expense, To Be Paid Next Twelve Months Tax benefit, re-measurement of net deferred tax liabilities, Tax Cuts and Jobs Act of 2017 Tax Cuts and Jobs Act of 2017, Incomplete Accounting, Change in Tax Rate, Deferred Tax Liability, Provisional Income Tax Benefit Tax Cuts and Jobs Act of 2017, Incomplete Accounting, Change in Tax Rate, Deferred Tax Liability, Provisional Income Tax Benefit DEBT Debt Disclosure [Text Block] Schedule of Business Acquisitions, by Acquisition [Table] Schedule of Business Acquisitions, by Acquisition [Table] Completed technology Technology-Based Intangible Assets [Member] Nonrecurring Adjustment [Axis] Nonrecurring Adjustment [Axis] Nonrecurring Adjustment [Domain] Nonrecurring Adjustment [Domain] Fair Value Adjustment to Inventory Fair Value Adjustment to Inventory [Member] Interest Expense, Intangible Asset Amortization, and External Expenses Related to Acquisition Interest Expense, Intangible Asset Amortization, and External Expenses Related to Acquisition [Member] Interest Expense, Intangible Asset Amortization, and External Expenses Related to Acquisition [Member] BioD Morselized Amniotic Membrane Based Products BioD Morselized Amniotic Membrane Based Products [Member] BioD Morselized Amniotic Membrane Based Products [Member] Concentration Risk Type [Axis] Concentration Risk Type [Axis] Concentration Risk Type [Domain] Concentration Risk Type [Domain] Product Concentration Risk Product Concentration Risk [Member] Product Payment Contingent Consideration Product Payment Contingent Consideration [Member] Product Payment Contingent Consideration [Member] Medihoney Earnout Payments Medihoney Earnout Payments [Member] Medihoney Earnout Payments [Member] Business Acquisition [Line Items] Business Acquisition [Line Items] Consideration for acquisition Business Combination, Consideration Transferred Amount drawn from loan Revenue of acquired company Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual Cash received from working capital adjustment related to business acquisition Purchase price adjustment Purchase price, working capital adjustments Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred Purchase price, inventory adjustments Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Inventory Purchase price, property, plant and equipment adjustment Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Property, Plant, and Equipment Purchase price, intangible asset adjustment Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Intangibles Cost of good sold related to fair value inventory purchase accounting adjustments Cost of Goods and Services Sold Write off of construction in progress Impairment of Long-Lived Assets to be Disposed of Aggregate purchase price received Disposal Group, Including Discontinued Operation, Consideration Assets provided upon termination of transitional supply agreement liability Disposal Group, Including Discontinued Operation, Assets Provided Upon Termination Of Transitional Supply Agreement Liabilities Disposal Group, Including Discontinued Operation, Assets Provided Upon Termination Of Transitional Supply Agreement Liabilities Pretax gain on sale of business, included in other income, net Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal Payment of closing expenses Business Combination, Consideration Transferred, Other, Closing Expenses Business Combination, Consideration Transferred, Other, Closing Expenses Settlement of stock compensation plan Business Combination, Consideration Transferred, Other, Stock Plan Settlement Business Combination, Consideration Transferred, Other, Stock Plan Settlement Cash payment to former shareholders Recognized loss on sale of short-term investment Acquired deferred taxes Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets Deferred tax asset, federal net operating loss Deferred Tax Assets, Operating Loss Carryforwards, Domestic Deferred tax asset, intangibles Deferred Tax Assets, Goodwill and Intangible Assets Deferred tax liabilities, intangibles Deferred Tax Liabilities, Intangible Assets Deferred tax asset, various Deferred Tax Assets, Other Deferred tax liabilities, adjustment to estimated fair value Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities Deferred tax assets, adjustment to estimated fair value Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Assets Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Assets Percentage of revenue to product (less than) Concentration Risk, Percentage Revenue volatility percentage Fair Value Inputs, Revenue Volatility Fair Value Inputs, Revenue Volatility Contingent consideration maximum payout Estimated fair value of the remaining portion of the contingent consideration, liability Product payment rate Fair Value Inputs, Product Payment Rate Fair Value Inputs, Product Payment Rate Change in fair value of contingent consideration Payment for the product payment Payment for Contingent Consideration Liability, Investing Activities Statement of Stockholders' Equity [Abstract] Statement [Table] Statement [Table] Common Stock Common Stock [Member] Treasury Stock Treasury Stock [Member] Additional Paid-In Capital Additional Paid-in Capital [Member] Accumulated Other Comprehensive Income (Loss) Retained Earnings Retained Earnings [Member] Statement [Line Items] Statement [Line Items] Balance Beginning of Period, Shares (in shares) Shares, Issued Balance, Beginning of Period, Treasury Stock, shares (in shares) Net income Adoption of ASC 606 Cumulative Effect of New Accounting Principle in Period of Adoption Other comprehensive income (loss), net of tax Issuance of common stock (in shares) Stock Issued During Period, Shares, New Issues Issuance of common stock Stock Issued During Period, Value, New Issues Issuance of common stock through employee stock purchase plan (in shares) Stock Issued During Period, Shares, Employee Stock Purchase Plans Issuance of common stock through employee stock purchase plan Stock Issued During Period, Value, Employee Stock Purchase Plan Issuance of common stock for vesting of share based awards, net of shares withheld for taxes (in shares) Stock Issued During Period, Shares, Share-based Compensation, Net of Forfeitures Issuance of common stock for vesting of share based awards, net of shares withheld for taxes Stock Issued During Period, Value, Share-based Compensation, Net of Forfeitures Share-based compensation Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition Equity offering (in shares) Stock Issued During Period, Shares, Equity Offering Stock Issued During Period, Shares, Equity Offering Equity offering Stock Issued During Period, Value, Equity Offering Stock Issued During Period, Value, Equity Offering Exercise of warrants (in shares) Exercise of warrants Stock Issued During Period, Value, New Issues For Exercise Of Warrants Stock Issued During Period, Value, New Issues For Exercise Of Warrants Balance End of Period, Shares (in shares) Balance, End of Period, Treasury Stock, shares (in shares) Recently Issued Accounting Standards New Accounting Pronouncements, Policy [Policy Text Block] Goodwill and Intangible Assets with Indefinite Lives and Definite Lived Intangible Assets Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block] Summary of Accounting Policies on Revenue Recognition and Shipping and Handling Fees Revenue from Contract with Customer [Policy Text Block] Product Warranties Extended Product Warranty, Policy [Policy Text Block] Taxes Collected from Customers Revenue, Transaction Price Measurement, Tax Exclusion [Policy Text Block] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Supply Commitments Commitments [Member] Fair Value, Inputs, Level 3 Fair Value, Inputs, Level 3 [Member] Accrued expenses and other short-term liabilities Other Long-term Liabilities Other Noncurrent Liabilities [Member] Supply Agreement Liability - Short-term Supply Commitment [Member] Above Market Supply Agreement Liability - Short- Term Supply Commitment, Above Market [Member] Supply Commitment, Above Market [Member] Above Market Supply Agreement Liability - Long-term Supply Commitment, Above Market, Long-Term [Member] Supply Commitment, Above Market, Long-Term [Member] Selling, general and administrative Selling, General and Administrative Expenses [Member] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Balance, Beginning of Period Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value Payments Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements Transfer from long-term to current portion Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers From Long-Term to Current Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers From Long-Term to Current (Gain)/loss from change in fair value Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings Transfer to accounts payable Fair Value, Measurement With Unobservable Inputs Reconciliation, Recurring Basis, Liability, Transfer To Accounts Payable Fair Value, Measurement With Unobservable Inputs Reconciliation, Recurring Basis, Liability, Transfer To Accounts Payable Balance, End of Period Total Revenue By Major Geographic Area Schedule of Segment Reporting Information, by Segment [Table Text Block] Customer relationship Trademarks/brand names Trademarks and Trade Names [Member] Non-compete agreement Noncompete Agreements [Member] Cash and cash equivalents Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents Short-term investments Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Short-term Investments Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Short-term Investments Accounts receivable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables Inventory Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory Prepaid expenses and other current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets Assets held for sale Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Assets Held-For-Sale Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Assets Held-For-Sale Other current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other Property, plant and equipment Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Intangible assets: Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill [Abstract] Intangible assets, indefinite-lived Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Indefinite-Lived Intangible Assets Intangible assets, definite-lived Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Deferred tax assets Other assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets Total assets acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Accrued expenses Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Accrued Expenses Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Accrued Expenses Pension liabilities Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Accrued Pension Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Accrued Pension Accounts payable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Accrued expenses and other current liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other Contingent liability Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability Other liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other Net assets acquired Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net Weighted Average Life Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Number of reportable segments Number of Reportable Segments Number of products offered (more than) Segment Reporting Information, Number of Products Offered Number of products sold by a segment Foreign Exchange Forward Foreign Exchange Forward [Member] Not Designated as Hedging Instrument Not Designated as Hedging Instrument [Member] Net Investment Hedging Net Investment Hedging [Member] Loss from the change in fair value Gain (Loss) on Foreign Currency Fair Value Hedge Derivatives Gain (loss), reclassification from AOCI, foreign currency rate translation, intercompany loan Change in Unrealized Gain (Loss) on Foreign Currency Fair Value Hedging Instruments Gain (loss) recorded to AOCI Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, before Tax Gain reclassified into income Gain (Loss) on Derivative Instruments, Net, Pretax Pre-tax income recorded in AOCI related to cash flow hedges to be reclassified to earnings in the next twelve months Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net Selling, general and administrative Additions from acquisition of Derma Sciences Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Issuances Transfers from long-term to current portion Payments (Gain)/Loss from change in fair value of contingent consideration liabilities Schedule of Inventory, Net Schedule of Inventory, Current [Table Text Block] Schedule of Comprehensive Income Comprehensive Income (Loss) [Table Text Block] Schedule of Changes in Accumulated Other Comprehensive Income by Component Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block] Basic net income per share: Earnings Per Share, Basic [Abstract] Weighted average common shares outstanding - Basic (in shares) Weighted Average Number of Shares Outstanding, Basic Basic net income per common share (in dollars per share) Earnings Per Share, Basic Diluted net income per share: Earnings Per Share, Diluted [Abstract] Effect of dilutive securities: Dilutive Securities, Effect on Basic Earnings Per Share [Abstract] Warrants (in shares) Incremental Common Shares Attributable to Dilutive Effect of Call Options and Warrants Stock options and restricted stock (in shares) Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements Weighted average common shares for diluted earnings per share (in shares) Weighted Average Number of Shares Outstanding, Diluted Diluted net income per common share (in dollars per share) Earnings Per Share, Diluted INVENTORIES Inventory Disclosure [Text Block] Schedule of Derivative Instruments Schedule of Derivative Instruments [Table Text Block] Schedule of Fair Value and Presentation of Derivatives Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block] Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations Derivative Instruments, Gain (Loss) [Table Text Block] Geographical [Axis] Geographical [Axis] Geographical [Domain] Geographical [Domain] United States UNITED STATES Europe Europe [Member] Asia Pacific Asia Pacific [Member] Rest of World Rest Of World [Member] Revenues from rest of the world. REVENUES FROM CONTRACTS WITH CUSTOMERS Revenue from Contract with Customer [Text Block] Debt Covenant Period [Axis] Debt Covenant Period [Axis] Debt Covenant Period [Axis] Debt Covenant Period [Domain] Debt Covenant Period [Domain] [Domain] for Debt Covenant Period [Axis] Execution of May 2018 Amendment through March 31, 2019 Debt Covenant Period 1 [Member] Debt Covenant Period 1 [Member] June 30, 2019 through March 31, 2020 Debt Covenant Period 2 [Member] Debt Covenant Period 2 [Member] June 30, 2020 through March 31, 2021 Debt Covenant Period 3 [Member] Debt Covenant Period 3 [Member] June 30, 2021 and thereafter Debt Covenant Period 4 [Member] Debt Covenant Period 4 [Member] Maximum Consolidated Total Leverage Ratio Debt Instrument, Covenant, Maximum Leverage Ratio Debt Instrument, Covenant, Maximum Leverage Ratio DERIVATIVE INSTRUMENTS Derivative Instruments and Hedging Activities Disclosure [Text Block] Excluding Impact of Topic 606 Calculated under Revenue Guidance in Effect before Topic 606 [Member] Statement of Operations Income Statement [Abstract] Total revenue, net Cost of goods sold Income tax benefit Income Tax Expense (Benefit) Costs and expenses: Costs and Expenses [Abstract] Research and development Research and Development Expense Selling, general and administrative Selling, General and Administrative Expense Intangible asset amortization Total costs and expenses Costs and Expenses Operating income Interest income Investment Income, Interest Interest expense Interest Expense Other income (expense), net Other Nonoperating Income (Expense) Income before income taxes Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest Income tax (benefit) expense Net income Net income per share Basic (in dollars per share) Diluted (in dollars per share) Weighted average common shares outstanding (See Note 12): Weighted Average Number of Shares Outstanding, Diluted [Abstract] Basic (in shares) Diluted (in shares) Comprehensive income (See Note 13) TREASURY STOCK Treasury Stock [Text Block] BUSINESS ACQUISITIONS AND DIVESTITURE Business Combination Disclosure [Text Block] BASIS OF PRESENTATION Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]