Income Tax Disclosure [Abstract] Assets: Deferred Tax Assets, Gross [Abstract] Doubtful accounts Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Allowance for Doubtful Accounts Inventory related items Deferred Tax Assets, Inventory Tax credits Deferred Tax Assets, Tax Credit Carryforwards Accrued vacation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Vacation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Vacation Accrued bonus Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Bonuses Stock compensation Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost Deferred revenue Deferred Tax Assets, Deferred Income Net operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards Capitalization of research and development expenses Deferred Tax Assets, Tax Deferred Expense, Reserves And Accruals, Capitalized Research And Development Deferred Tax Assets, Tax Deferred Expense, Reserves And Accruals, Capitalized Research And Development Unrealized foreign exchange loss Deferred Tax Assets, Unrealized Currency Losses Charitable contributions carryforward Deferred Tax Assets, Charitable Contribution Carryforwards Others Deferred Tax Assets, Other Total deferred tax assets Deferred Tax Assets, Gross Less valuation allowance Deferred Tax Assets, Valuation Allowance Deferred tax assets after valuation allowance Deferred Tax Assets, Net Liabilities: Deferred Tax Liabilities, Gross [Abstract] Intangible and fixed assets Deferred Tax Liabilities, Goodwill and Intangible Assets Others Deferred Tax Liabilities, Other Total deferred tax liabilities Deferred Tax Liabilities, Gross Total net deferred tax liabilities Deferred Tax Liabilities, Net Organization, Consolidation and Presentation of Financial Statements [Abstract] BUSINESS Business Description and Basis of Presentation [Text Block] Share-based Payment Arrangement [Abstract] Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Outstanding at beginning of year (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures Exercised (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period Forfeited or Expired (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period Outstanding at end of year (in shares) Vested or expected to vest at end of year (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number Exercisable at end of year (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Roll Forward] Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Weighted Average Exercise Price, Outstanding at beginning of year (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Weighted Average Exercise Price, Granted (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Weighted Average Exercise Price, Exercised (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Weighted Average Exercise Price, Forfeited or Expired (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price Weighted Average Exercise Price, Outstanding at end of year (in dollars per share) Weighted Average Exercise Price, Vested or expected to vest at end of year (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Exercise Price Weighted Average Exercise Price, Exercisable at end of year (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price Weighted Average Contractual Term in Years, Outstanding at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term Weighted Average Contractual Term in Years, Vested or expected to vest at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Remaining Contractual Term Weighted Average Contractual Term in Years, Exercisable at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term Aggregate Intrinsic Value, Outstanding at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value Aggregate Intrinsic Value, Vested or expected to vest at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value Aggregate Intrinsic Value, Exercisable at end of year Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value Revenue from Contract with Customer [Abstract] Performance obligations expected to be satisfied Revenue, Remaining Performance Obligation, Amount 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, expected timing Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period 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] Award Type [Domain] Award Type [Domain] Restricted Stock Awards Restricted Stock [Member] Performance Stock and Contract Stock Awards Performance Stock and Contract Stock [Member] Performance Stock and Contract Stock [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, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward] Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward] Unvested beginning balance (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period Adjustments for performance achievement related to award target (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Shares Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Shares Cancellations (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period Performance stock awards vested in 2018 and released in 2019 (in shares) Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Vested Prior Period, Released In Period Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Vested Prior Period, Released In Period Released (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period Vested but not released (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period Unvested ending balance (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Roll Forward] Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Weighted Average Grant Date Fair Value Per Share, Unvested beginning balance (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Granted (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Adjustments for performance achievement related to award target (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Weighted Average Grant Date Fair Value Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Cancellations (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Performance stock awards vested in 2018 and released in 2019 (in dollars per share) Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Vested Prior Period, Released In Period, Weighted Average Grant Date Fair Value Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Vested Prior Period, Released In Period, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Released (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Vested but not released (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period, Weighted Average Grant Date Fair Value Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period, Weighted Average Grant Date Fair Value Weighted Average Grant Date Fair Value Per Share, Unvested ending balance (in dollars per share) Accounting Policies [Abstract] Schedule of Inventories Schedule of Inventory, Current [Table Text Block] Schedule of Property, Plant and Equipment Balances and Corresponding Lives Property, Plant and Equipment [Table Text Block] Leases [Abstract] Lessee, Lease, Description [Table] Lessee, Lease, Description [Table] Property, Plant and Equipment by Type [Axis] Property, Plant and Equipment, Type [Axis] Property, Plant and Equipment, Type [Domain] Property, Plant and Equipment, Type [Domain] Leased facilities Building [Member] Leased vehicles Vehicles [Member] Lessee, Lease, Description [Line Items] Lessee, Lease, Description [Line Items] Right of use asset - operating leases Operating Lease, Right-of-Use Asset Current portion of lease liability - operating leases Operating Lease, Liability, Current Lease liability - operating leases Operating Lease, Liability, Noncurrent Total lease liabilities Operating Lease, Liability Weighted average remaining lease term (in years) Operating Lease, Weighted Average Remaining Lease Term Weighted average discount rate Operating Lease, Weighted Average Discount Rate, Percent Cash paid for amounts included in the measurement of lease liabilities: Cash Flow, Lessee [Abstract] Cash Flow, Lessee [Abstract] Operating cash flows from operating leases Operating Lease, Payments ROU assets obtained in exchange for lease liabilities: Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract] Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract] Operating leases Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Commitments and Contingencies Disclosure [Abstract] COMMITMENTS AND CONTINGENCIES Commitments and Contingencies Disclosure [Text Block] Stockholders' Equity Note [Abstract] ACCUMULATED OTHER COMPREHENSIVE LOSS Comprehensive Income (Loss) Note [Text Block] Goodwill and Intangible Assets Disclosure [Abstract] Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] 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. 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] Codman trade name Trade Names [Member] IPR&D In Process Research and Development [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. Other Indefinite-lived Intangible Assets Other Indefinite-lived Intangible Assets Income Tax [Table] Income Tax [Table] Income Tax [Table] Income Tax Authority [Axis] Income Tax Authority [Axis] Income Tax Authority [Domain] Income Tax Authority [Domain] Federal Domestic Tax Authority [Member] Foreign Tax Authority Foreign Tax Authority [Member] State and Local Jurisdiction State and Local Jurisdiction [Member] Income Tax Authority, Name [Axis] Income Tax Authority, Name [Axis] Income Tax Authority, Name [Domain] Income Tax Authority, Name [Domain] Switzerland Swiss Federal Tax Administration (FTA) [Member] Tax Period [Axis] Tax Period [Axis] Tax Period [Domain] Tax Period [Domain] Expire Through 2024 Up Through Tax Year 2024 [Member] Up Through Tax Year 2024 [Member] Expire Through 2025 Up Through Tax Year 2025 [Member] Up Through Tax Year 2025 [Member] Income Tax [Line Items] Income Tax [Line Items] Income Tax [Line Items] Final toll tax expense, Tax Cuts and Jobs Act of 2017 Tax Cuts And Jobs Act Of 2017, Transition Tax For Accumulated Foreign Earnings, Provisional Income Tax Expense Tax Cuts And Jobs Act Of 2017, Transition Tax For Accumulated Foreign Earnings, Provisional Income Tax Expense Tax benefit, re-measurement of net deferred tax liabilities, Tax Cuts and Jobs Act of 2017 Tax Cuts and Jobs Act, Incomplete Accounting, Change in Tax Rate, Deferred Tax Liability, Provisional Income Tax Benefit Effective tax rate Effective Income Tax Rate Reconciliation, Percent Effective income tax rate reconciliation, nondeductible in-process research and development, amount Effective Income Tax Rate Reconciliation, Nondeductible Expense, Research and Development, Amount Effective income tax rate reconciliation, tax effect on U.S. federal rate, from Rebound acquisition Effective Income Tax Rate Reconciliation, Expense, Research And Development, From Acquisition, Amount Effective Income Tax Rate Reconciliation, Expense, Research And Development, From Acquisition, Amount Effective income tax rate reconciliation, tax benefit, federal tax holiday Effective Income Tax Rate Reconciliation, Tax Holiday, Amount Effective income tax rate reconciliation, tax benefit, federal tax holiday (in dollars per share) Effective Income Tax Rate Reconciliation, Tax Holiday, Per Share Effective Income Tax Rate Reconciliation, Tax Holiday, Per Share Effective income tax reconciliation, tax benefit, excess stock-based compensation deductions Effective Income Tax Rate Reconciliation, Tax Expense (Benefit), Share-based Payment Arrangement, Amount Tax benefit, net operating loss carryback, Tax Cuts and Jobs Act of 2017 Tax Cuts and Jobs Act of 2017, Incomplete Accounting, Net Operating Loss Carryback, Provisional Income Tax Benefit Tax Cuts and Jobs Act of 2017, Incomplete Accounting, Net Operating Loss Carryback, Provisional Income Tax Benefit Effective income tax rate reconciliation, foreign income tax rate differential, increase (decrease), amount Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount Effective foreign income tax rate Effective Foreign Income Tax Rate Reconciliation, Continuing Operations Effective Foreign Income Tax Rate Reconciliation, Continuing Operations Increase (decrease) in effective foreign income tax rate during period Effective Foreign Income Tax Rate Reconciliation, Increase (Decrease) During Period, Percent Effective Foreign Income Tax Rate Reconciliation, Increase (Decrease) During Period, Percent Federal tax credit Effective Income Tax Rate Reconciliation, Tax Credit, Foreign, Amount Federal tax credit (in dollars per share) Effective Income Tax Rate Reconciliation, Tax Credit, Foreign, Per Share Effective Income Tax Rate Reconciliation, Tax Credit, Foreign, Per Share Operating loss carryforwards Operating Loss Carryforwards Operating loss carryforwards, not subject to expiration Deferred Tax Assets, Operating Loss Carryforwards, Not Subject to Expiration Operating loss carryforwards, subject to expiration Deferred Tax Assets, Operating Loss Carryforwards, Subject to Expiration Deferred tax assets, valuation allowance Deferred tax assets, gross Valuation allowance, period increase (decrease) SEC Schedule, 12-09, Valuation Allowances and Reserves, Period Increase (Decrease) Tax impact of repatriating foreign earnings Foreign Earnings Repatriated Unrecognized tax benefits that would impact effective tax rate Unrecognized Tax Benefits that Would Impact Effective Tax Rate Amount of unrecorded benefit reasonably possible to be recognized (less than) Significant Change in Unrecognized Tax Benefits is Reasonably Possible, Amount of Unrecorded Benefit Penalties and interest expense Unrecognized Tax Benefits, Income Tax Penalties and Interest Expense Penalties and interest accrued Income Tax Examination, Penalties and Interest Accrued Statement of Comprehensive Income [Abstract] Net income Net Income (Loss) Attributable to Parent Other comprehensive income (loss), before tax: Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract] Change in foreign currency translation adjustments Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, before Tax, Portion Attributable to Parent Unrealized gain (loss) on derivatives Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax [Abstract] Unrealized derivative (loss) gain arising during period Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax Less: Reclassification adjustments for gains included in net income Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax Unrealized loss on derivatives Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax, Parent Defined benefit pension plan - net (loss) arising during period Other Comprehensive Income (Loss), Defined Benefit Plan, Gain (Loss) Arising During Period, before Tax Total other comprehensive income (loss), before tax Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent Income tax benefit (expense) related to items in other comprehensive loss Other Comprehensive Income (Loss), Tax Total other comprehensive income (loss), net of tax Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent Comprehensive income, net of tax Comprehensive Income (Loss), Net of Tax, Attributable to Parent Income Statement [Abstract] Total revenue, net Revenue from Contract with Customer, Excluding Assessed Tax Costs and expenses: Costs and Expenses [Abstract] Cost of goods sold Cost of Goods and Services Sold Research and development Research and Development Expense (Excluding Acquired in Process Cost) In-process research and development Research and Development in Process Selling, general and administrative Selling, General and Administrative Expense Intangible asset amortization Amortization of Intangible Assets Total costs and expenses Costs and Expenses Operating income Operating Income (Loss) Interest income Investment Income, Interest Interest expense Interest Expense Other income, net Other Nonoperating Income (Expense) Income before income taxes Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest Provision (benefit) for income taxes Income Tax Expense (Benefit) Net income per share Basic (in dollars per share) Earnings Per Share, Basic Diluted (in dollars per share) Earnings Per Share, Diluted Weighted average common shares outstanding (See Note 13): Weighted Average Number of Shares Outstanding, Diluted [Abstract] Basic (in shares) Weighted Average Number of Shares Outstanding, Basic Diluted (in shares) Weighted Average Number of Shares Outstanding, Diluted Cover page. Document Type Document Type Document Annual Report Document Annual Report Document Period End Date Document Period End Date Document Transition Report Document Transition Report Entity File Number Entity File Number Entity Registrant Name Entity Registrant Name Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code Entity Tax Identification Number Entity Tax Identification Number Entity Address, Address Line One Entity Address, Address Line One Entity Address, Postal Zip Code Entity Address, Postal Zip Code Entity Address, City or Town Entity Address, City or Town Entity Address, State or Province Entity Address, State or Province City Area Code City Area Code Local Phone Number Local Phone Number Title of 12(b) Security Title of 12(b) Security Trading Symbol Trading Symbol Security Exchange Name Security Exchange Name Entity Well-known Seasoned Issuer Entity Well-known Seasoned Issuer Entity Voluntary Filers Entity Voluntary Filers Entity Current Reporting Status Entity Current Reporting Status Entity Interactive Data Current Entity Interactive Data Current Entity Filer Category Entity Filer Category Smaller Reporting Company Entity Small Business Emerging Growth Company Entity Emerging Growth Company Shell Company Entity Shell Company Entity Public Float Entity Public Float Entity Common Stock, Shares Outstanding (in shares) Entity Common Stock, Shares Outstanding Documents Incorporated by Reference Documents Incorporated by Reference [Text Block] Amendment Flag Amendment Flag Document Fiscal Year Focus Document Fiscal Year Focus Document Fiscal Period Focus Document Fiscal Period Focus Entity Central Index Key Entity Central Index Key Current Fiscal Year End Date Current Fiscal Year End Date Derivative Instruments and Hedging Activities Disclosure [Abstract] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Hedging Designation [Axis] Hedging Designation [Axis] Hedging Designation [Domain] Hedging Designation [Domain] Designated as Hedging Instrument Designated as Hedging Instrument [Member] Derivative Instrument [Axis] Derivative Instrument [Axis] Derivative Contract [Domain] Derivative Contract [Domain] Interest rate swap Interest Rate Swap [Member] Cross-currency swap Cross Currency Interest Rate Contract [Member] Hedging Relationship [Axis] Hedging Relationship [Axis] Hedging Relationship [Domain] Hedging Relationship [Domain] Cash Flow Hedges Cash Flow Hedging [Member] Net Investment Hedges Net Investment Hedging [Member] 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] Total Derivatives designated as hedges — Assets Derivative Asset, Fair Value, Gross Asset Total Derivative designated as hedges — Liabilities Derivative Liability, Fair Value, Gross Liability Notional amount Derivative, Notional Amount Selected Quarterly Financial Information [Abstract] SELECTED QUARTERLY INFORMATION - UNAUDITED Quarterly Financial Information [Text Block] Reconciliation of Uncertain Tax Benefits [Roll Forward] Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] Balance, beginning of year Unrecognized Tax Benefits Gross increases: Unrecognized Tax Benefits, Increases During Period [Abstract] Unrecognized Tax Benefits, Increases During Period [Abstract] Current year tax positions Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions Prior years' tax positions Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions Gross decreases: Unrecognized Tax Benefits, Decreases During Period [Abstract] Unrecognized Tax Benefits, Decreases During Period [Abstract] Prior years' tax positions Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions Statute of limitations lapses Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations Other Unrecognized Tax Benefits, Reductions Resulting From Other Unrecognized Tax Benefits, Reductions Resulting From Other Balance, end of year Business Combinations [Abstract] Total revenue from continuing operations Business Acquisition, Pro Forma Revenue Net income from continuing operations Business Acquisition, Pro Forma Net Income (Loss) Basic earnings per share from continuing operations (in dollars per share) Business Acquisition, Pro Forma Earnings Per Share, Basic Statement of Stockholders' Equity [Abstract] Statement [Table] Statement [Table] Equity Components [Axis] Equity Components [Axis] Equity Component [Domain] Equity Component [Domain] Common Stock Common Stock [Member] Treasury Stock Treasury Stock [Member] Additional Paid-In Capital Additional Paid-in Capital [Member] Accumulated Other Comprehensive Income (Loss) AOCI Attributable to Parent [Member] Retained Earnings Retained Earnings [Member] 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] Accounting Standards Update 2018-02 Accounting Standards Update 2018-02 [Member] Statement [Line Items] Statement [Line Items] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Balance in AOCL Beginning of Year Stockholders' Equity Attributable to Parent Beginning Balance, shares (in shares) Shares, Issued Beginning Balance, Treasury Stock, shares (in shares) Treasury Stock, Shares Adoption of Update Cumulative Effect of New Accounting Principle in Period of Adoption Other comprehensive income (loss), net of tax Issuance of common stock through employee stock purchase plan Stock Issued During Period, Value, Employee Stock Purchase Plan Issuance of common stock through employee stock purchase plan (in shares) Stock Issued During Period, Shares, Employee Stock Purchase Plans Issuance of common stock for vesting of share-based awards, net of shares withheld for taxes Shares Issued, Value, Share-based Payment Arrangement, after Forfeiture Issuance of common stock for vesting of share-based awards, net of shares withheld for taxes (in shares) Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture Equity offering Stock Issued During Period, Value, New Issues Equity offering (in shares) Stock Issued During Period, Shares, New Issues Exercise of warrants Adjustments to Additional Paid in Capital, Warrant Issued Exercise of warrants (in shares) Stock Issued During Period, Shares, Exercise Of Warrants Stock Issued During Period, Shares, Exercise Of Warrants Share-based compensation APIC, Share-based Payment Arrangement, Increase for Cost Recognition Balance in AOCL End of Year Ending Balance, shares (in shares) Ending Balance, Treasury Stock, shares (in shares) Schedule of Property, Plant and Equipment [Table] Property, Plant and Equipment [Table] Land Land [Member] Buildings and building improvements Building and Building Improvements [Member] Leasehold improvements Leasehold Improvements [Member] Machinery and production equipment Machinery and Equipment [Member] Surgical instrument kits Surgical Instrument Kits [Member] Surgical Instrument Kits [Member] Information systems and hardware Information Systems and Hardware [Member] Information Systems and Hardware [Member] Furniture, fixtures, and office equipment Furniture and Fixtures [Member] Construction-in-progress Construction in Progress [Member] Statistical Measurement [Axis] Statistical Measurement [Axis] Statistical Measurement [Domain] Statistical Measurement [Domain] Minimum Minimum [Member] Maximum Maximum [Member] Property, Plant and Equipment [Line Items] Property, Plant and Equipment [Line Items] Property, plant, and equipment, gross Property, Plant and Equipment, Gross Less: Accumulated depreciation Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Property, plant and equipment, net Property, Plant and Equipment, Net Property, plant and equipment, useful life Property, Plant and Equipment, Useful Life Disposal Groups, Including Discontinued Operations [Table] Disposal Groups, Including Discontinued Operations [Table] 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] Disposal Group Name [Axis] Disposal Group Name [Axis] Disposal Group Name [Domain] Disposal Group Name [Domain] Codman Specialty Surgical Codman Specialty Surgical [Member] Codman Specialty Surgical [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 of discontinued operations 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 Current liabilities of discontinued operations Disposal Group, Including Discontinued Operation, Liabilities, Current Schedule of Contingent Consideration Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block] Retirement Benefits [Abstract] Schedule of Defined Benefit Plans Disclosures [Table] Schedule of Defined Benefit Plans Disclosures [Table] Retirement Plan Sponsor Location [Axis] Retirement Plan Sponsor Location [Axis] Retirement Plan Sponsor Location [Domain] Retirement Plan Sponsor Location [Domain] Foreign Plan Foreign Plan [Member] Austria, France, and Germany Austria, France, And Germany [Member] Austria, France, And Germany [Member] Defined Benefit Plan Disclosure [Line Items] Defined Benefit Plan Disclosure [Line Items] Losses recognized within accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Defined Benefit Plan, Gain (Loss), after Tax Accumulated benefit obligation Defined Benefit Plan, Accumulated Benefit Obligation Fair value of plan assets Defined Benefit Plan, Plan Assets, Amount Plan assets expected to be returned next twelve months Defined Benefit Plan, Plan Assets, Expected to be Returned to Employer, Amount Contributions expected to be paid to plan Defined Benefit Plan, Expected Future Employer Contributions, Next Fiscal Year Total contributions made Defined Contribution Plan, Cost Accumulated Other Comprehensive Income (Loss) [Table] Accumulated Other Comprehensive Income (Loss) [Table] Gains and Losses on Derivatives 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 Accumulated Other Comprehensive Income (Loss) [Line Items] Accumulated Other Comprehensive Income (Loss) [Line Items] Accumulated Other Comprehensive Income (Loss) [Roll Forward] Accumulated Other Comprehensive Income (Loss) [Roll Forward] Accumulated Other Comprehensive Income (Loss) [Roll Forward] Other comprehensive loss, net OCI, before Reclassifications, Net of Tax, Attributable to Parent Less: Amounts reclassified from accumulated other comprehensive income, net Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent Employee Stock Purchase Plan Employee Stock [Member] Employee Stock Option Share-based Payment Arrangement, Option [Member] Restricted Stock Units (RSUs) Restricted Stock Units (RSUs) [Member] Performance Shares Units Performance Shares [Member] Restricted Stock, Performance Stock and Contract Stock Restricted Stock, Performance Stock, And Contract Stock [Member] Restricted stock, performance stock and contract stock member Plan Name [Axis] Plan Name [Axis] Plan Name [Domain] Plan Name [Domain] 2003 Plan Two Thousand Three Plan [Member] Two thousand three Plan [Member] 2000 Plan Two Thousand Plan [Member] Two Thousand Plan [Member] 2001 Plan Two Thousand One Plan [Member] Two Thousand One Plan [Member] Title of Individual [Axis] Title of Individual [Axis] Title of Individual [Domain] Title of Individual [Domain] Director Director [Member] Employee Employee [Member] Employee [Member] Directors and Certain Executive Officers Directors and Certain Executive Officers [Member] Directors and Certain Executive Officers [Member] Common stock reserved for issuance (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized Shares available for purchase (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant Shares issued (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period ESPP proceeds received Employee Stock Purchase Plan Proceeds Proceeds received from employees in connection with the employee stock purchase plan. Number of stock-based compensation 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 Increase in authorized shares (in shares) Increase In Authorized Shares The increase in the number of authorized shares under the Plan. Award vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Expiration period, in years Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period Dividend yield Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate Share-based compensation expense recognized Share-based Payment Arrangement, Expense Intrinsic value, options exercised Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value Weighted average grant date fair value of options granted (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Cash received from option exercises and employee stock purchase plan Proceeds, Issuance of Shares, Share-based Payment Arrangement, Including Option Exercised Tax benefit realized from stock options exercised Share-based Payment Arrangement, Exercise of Option, Tax Benefit Total unrecognized compensation costs related to unvested awards Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount Weighted-average period for cost recognition, in years Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition Fair value of shares vested Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value Requisite service periods of performance stock, restricted stock and contract stock awards, in years Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period Vested but not issued (in shares) Share-based Compensation Arrangement By Share-based Payment Award, Equity Instruments Other Than Options, Vested But Not Issued In Period Share-based Compensation Arrangement By Share-based Payment Award, Equity Instruments Other Than Options, Vested But Not Issued In Period Capitalized share-based compensation cost Share-based Payment Arrangement, Amount Capitalized STOCK-BASED COMPENSATION Share-based Payment Arrangement [Text Block] Discount rate Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Discount Rate Expected return on plan assets Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Expected Long-term Rate of Return on Plan Assets Rate of compensation increase Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Rate of Compensation Increase Schedule Of Asset Acquisition [Table] Schedule Of Asset Acquisition [Table] Schedule Of Asset Acquisition [Table] Asset Acquisition [Axis] Asset Acquisition [Axis] Asset Acquisition [Axis] Asset Acquisition [Domain] Asset Acquisition [Domain] [Domain] for Asset Acquisition [Axis] Rebound Rebound Therapeutics Corporation [Member] Rebound Therapeutics Corporation [Member] ISC Integrated Shoulder Collaboration, Inc. [Member] Integrated Shoulder Collaboration, Inc. 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10, 2018 Tranche 3 Interest Rate Swap Designated October 10, 2018 Tranche 3 [Member] Interest Rate Swap Designated October 10, 2018 Tranche 3 [Member] Interest Rate Swap Designated December 18, 2018 Tranche 1 Interest Rate Swap Designated December 18, 2018 Tranche 1 [Member] Interest Rate Swap Designated December 18, 2018 Tranche 1 [Member] Interest Rate Swap Designated December 18, 2018 Tranche 2 Interest Rate Swap Designated December 18, 2018 Tranche 2 [Member] Interest Rate Swap Designated December 18, 2018 Tranche 2 [Member] 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] Current Notional Amount Estimated Fair Value Schedule of Changes in Carrying Amount of Goodwill Schedule of Goodwill [Table Text Block] Schedule of Indefinite-Lived Intangible Assets Schedule of Indefinite-Lived Intangible Assets [Table Text Block] Schedule of Finite-Lived Intangible Assets Schedule of Finite-Lived Intangible Assets [Table Text Block] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Other Noncurrent Liabilities Other Noncurrent Liabilities [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] Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Domain] Fair Value Hierarchy and NAV [Domain] Level 3 Fair Value, Inputs, Level 3 [Member] Arkis Arkis BioSciences Inc. [Member] Arkis BioSciences Inc. [Member] Derma Sciences Derma Sciences [Member] Derma Sciences [Member] Confluent Surgical, Inc. Confluent Surgical, Inc. [Member] Confluent Surgical, Inc. [Member] Research and development Research and Development Expense [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 Additions from acquisition of Arkis Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Issuances Transfers from long-term to current portion Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers From 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Plan, Service Cost Interest cost Defined Benefit Plan, Interest Cost Expected return on plan assets Defined Benefit Plan, Expected Return (Loss) on Plan Assets Amortization of prior service cost (credit) Defined Benefit Plan, Amortization of Prior Service Cost (Credit) Recognized actuarial losses Defined Benefit Plan, Amortization of Gain (Loss) Settlements Defined Benefit Plan, Net Periodic Benefit Cost (Credit), Gain (Loss) Due to Settlement Net period benefit cost Defined Benefit Plan, Net Periodic Benefit Cost (Credit) Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract] Treasury stock outstanding (in shares) Treasury Stock, Common, Shares Treasury stock, cost Treasury Stock, Common, Value Treasury stock, weighted average cost per share (in dollars per share) Treasury Stock Acquired, Average Cost Per Share Stock repurchase program, authorized amount (up to) Stock Repurchase Program, Authorized Amount Stock repurchased during period (in shares) Stock Repurchased During Period, Shares SEGMENT AND GEOGRAPHIC INFORMATION Segment Reporting Disclosure [Text Block] Schedule of Operating Leased Assets [Table] Schedule of Operating Leased Assets [Table] Counterparty Name [Axis] Counterparty Name [Axis] Counterparty Name [Domain] Counterparty Name [Domain] Related Parties Related Parties [Member] Related Parties [Member] Third Parties Third Parties [Member] Third Parties [Member] Operating Leased Assets [Line Items] Operating Leased Assets [Line Items] 2020 Lessee, Operating Lease, Liability, Payments, Due Next Twelve Months 2021 Lessee, Operating Lease, Liability, Payments, Due Year Two 2022 Lessee, Operating Lease, Liability, Payments, Due Year Three 2023 Lessee, Operating Lease, Liability, Payments, Due Year Four 2024 Lessee, Operating Lease, Liability, Payments, Due Year Five Thereafter Lessee, Operating Lease, Liability, Payments, Due after Year Five Total minimum lease payments Lessee, Operating Lease, Liability, Payments, Due Less: Imputed interest Lessee, Operating Lease, Liability, Undiscounted Excess Amount Less: Current lease liabilities Long-term lease liabilities Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table] Derivative Instruments, Gain (Loss) [Table] Derivative, by Nature [Axis] Interest expense Interest Expense [Member] Other income, net Other Nonoperating Income (Expense) [Member] Interest income Interest Income [Member] Derivative Instruments, Gain (Loss) [Line Items] Derivative Instruments, Gain (Loss) [Line Items] Derivative Instruments, Gain (Loss) [Roll Forward] AOCI Attributable to Parent, Net of Tax [Roll Forward] Amount of Gain (Loss) Recognized in AOCL Amount of Gain (Loss) Reclassified from AOCL into Earnings Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax Accumulated Net Investment Gain (Loss) Attributable to Parent AOCI, Accumulated Gain (Loss), Debt Securities, Available-for-sale, Parent [Member] Other Income, net Other Income [Member] Interest Expense Gains reclassified from AOCL Basic And Diluted Net Income Per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Significant Accounting Policies [Text Block] SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract] SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS SEC Schedule, 12-09, Schedule of Valuation and Qualifying Accounts Disclosure [Text Block] 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] Fixed Rate Summary Of Significant Accounting Policies [Table] Summary Of Significant Accounting Policies [Table] Summary Of Significant Accounting Policies [Table] Accounting Standards Update 2016-02 Accounting Standards Update 2016-02 [Member] Product and Service [Axis] Product and Service [Axis] Product and Service [Domain] Product and Service [Domain] Private Label Private Label [Member] Private Label [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] Segments [Axis] Segments [Axis] Segments [Domain] Segments [Domain] Orthopedics and Tissue Technologies Orthopedics and Tissue Technologies [Member] Orthopedics and Tissue Technologies [Member] 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contributions Charitable contributions Foreign currency transaction loss Foreign Currency Transaction Gain (Loss), Realized Increase to opening retained earnings Retained Earnings (Accumulated Deficit) Increase to total assets Assets Increase to total liabilities Liabilities 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 Concentration risk, number of customers over benchmark Concentration Risk, Number of Customers Over Benchmark Concentration Risk, Number of Customers Over Benchmark Concentration risk, percentage Concentration Risk, Percentage Lease liabilities Interest paid Interest Paid, Including Capitalized Interest, Operating and Investing Activities Interest paid, capitalized into construction in progress Interest Paid, Capitalized, Investing Activities Income taxes paid Income Taxes Paid Property and equipment purchases included in liabilities Capital Expenditures Incurred but Not yet Paid Stock issued, exercise of warrants (in shares) Warrants exercised (in shares) Class of Warrant or Right, Exercised Class of Warrant or Right, Exercised Subsequent Event [Table] Subsequent Event [Table] Subsequent Event Type [Axis] Subsequent Event Type [Axis] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Subsequent Event Subsequent Event [Member] Debt Instrument [Axis] Debt Instrument [Axis] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Senior Credit Facility Senior Credit Facility [Member] Senior Credit Facility. 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March 31, 2021 June 30, 2021 and thereafter Debt Covenant Period 4 [Member] Debt Covenant Period 4 [Member] Debt Instrument [Line Items] Debt Instrument [Line Items] Reconciliation Of Funded Status Defined Benefit Plan, Funded (Unfunded) Status of Plan [Abstract] Benefit obligations Defined Benefit Plan, Benefit Obligation Unfunded benefit obligations Defined Benefit Plan, Funded (Unfunded) Status of Plan Schedule of Goodwill [Table] Schedule of Goodwill [Table] Goodwill [Line Items] Goodwill [Line Items] Goodwill [Roll Forward] Goodwill [Roll Forward] Beginning of period Goodwill Codman acquisition measurement period adjustments Goodwill, Purchase Accounting Adjustments Arkis Acquisition Goodwill, Acquired During Period Foreign currency translation Goodwill, Foreign Currency Translation Gain (Loss) End of period Revenue, Initial Application Period Cumulative Effect Transition [Table] Revenue, Initial Application Period Cumulative Effect Transition [Table] Excluding Impact of Topic 606 Calculated under Revenue Guidance in Effect before Topic 606 [Member] Revenue, Initial Application Period Cumulative Effect Transition [Line Items] Revenue, Initial Application Period Cumulative Effect Transition [Line Items] Statement of Operations Income tax benefit Current: Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Current Federal Tax Expense (Benefit) State Current State and Local Tax Expense (Benefit) Foreign Current Foreign Tax Expense (Benefit) Total current Current Income Tax Expense (Benefit) Deferred: Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Deferred Federal Income Tax Expense (Benefit) State Deferred State and Local Income Tax Expense (Benefit) Foreign Deferred Foreign Income Tax Expense (Benefit) Total deferred Deferred Income Tax Expense (Benefit) Provision for income taxes Statement of Financial Position [Abstract] ASSETS Assets [Abstract] Current Assets: Assets, Current [Abstract] Cash and cash equivalents Cash and Cash Equivalents, at Carrying Value Trade accounts receivable, net of allowances of $4,303 and $3,719 Accounts Receivable, after Allowance for Credit Loss, Current Inventories, net Inventory, Net Prepaid expenses and other current assets Prepaid Expense and Other Assets, Current Total current assets Assets, Current Property, plant and equipment, net Intangible assets, net Intangible Assets, Net (Excluding Goodwill) Goodwill Deferred tax assets 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] Current portion of borrowings under senior credit facility Secured Debt, Current Accounts payable, trade Accounts Payable, Trade, Current Contract liabilities Contract with Customer, Liability, Current Accrued compensation Employee-related Liabilities, 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 Long-term borrowings under securitization facility Secured Long-Term Debt, Securitization Program, Noncurrent Secured Long-Term Debt, Securitization Program, Noncurrent Deferred tax liabilities Deferred Income Tax Liabilities, Net Other liabilities Other Liabilities, Noncurrent Total liabilities Commitments and contingencies (Refer to Note 15) 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; 88,735 and 88,044 issued at December 31, 2019 and 2018, respectively Common Stock, Value, Issued Additional paid-in capital Additional Paid in Capital, Common Stock Treasury stock, at cost; 2,865 and 2,881 shares at December 31, 2019 and 2018, 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 2020 Defined Benefit Plan, Expected Future Benefit Payment, Next Twelve Months 2021 Defined Benefit Plan, Expected Future Benefit Payment, Year Two 2022 Defined Benefit Plan, Expected Future Benefit Payment, Year Three 2023 Defined Benefit Plan, Expected Future Benefit Payment, Year Four 2024 Defined Benefit Plan, Expected Future Benefit Payment, Year Five Next five years Defined Benefit Plan, Expected Future Benefit Payment, Five Fiscal Years Thereafter Expected volatility Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Weighted Average Volatility Rate Risk free interest rate Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate Expected life of option from grant date Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term Statement of Cash Flows [Abstract] OPERATING ACTIVITIES: Net Cash Provided by (Used in) Operating Activities [Abstract] 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 in-process research and development expense Noncash Or Part Noncash, In Process Research And Development Noncash Or Part Noncash, In Process Research And Development Non-cash impairment charges Impairment of Intangible Assets, Finite-lived Deferred income tax benefit Share-based compensation Share-based Payment Arrangement, Noncash Expense Amortization of debt issuance costs Amortization of Debt Issuance Costs Non-cash lease expense Operating Lease, Right-Of-Use Asset, Amortization Expense Operating Lease, Right-Of-Use Asset, Amortization Expense Non-cash lease expense Noncash Lease Expense Noncash Lease Expense Realized loss on sale of short-term investments 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 Gain on divestiture of business Gain (Loss) on Disposition of Business Change in fair value of contingent consideration and others Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability 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 Contract liabilities 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] Proceeds from sale of short-term investments Payments for (Proceeds from) Short-term Investments Proceeds from note receivable Proceeds from Collection of Notes Receivable Cash used in business acquisitions, net of cash acquired Payments to Acquire Businesses, Net of Cash Acquired Acquired in-process research and development Payments to Acquire in Process Research and Development Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Proceeds from sales of property and equipment Proceeds from Sale of Property, Plant, and Equipment Proceeds from divestiture of business Proceeds from Divestiture of Businesses Net proceeds on swaps designated as net investment hedges Proceeds from Derivative Instrument, Investing Activities 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] Proceeds from borrowings of long-term indebtedness Proceeds from Issuance of Secured Debt Payments on debt Repayments of Secured Debt Net cash paid for contingent consideration Payment for Contingent Consideration Liability, Financing Activities Proceeds from the issuance of common stock, net of issuance costs Proceeds from Issuance of Common Stock Debt issuance costs Payments of Debt Issuance Costs Proceeds from exercised stock options Proceeds from Stock Options Exercised Cash taxes paid in net equity settlement Payment, Tax Withholding, Share-based Payment Arrangement Net cash provided by (used in) 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, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Net increase (decrease) in cash and cash equivalents Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect Cash and cash equivalents at beginning of period Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Cash and cash equivalents at end of period Schedule of Net Periodic Benefit Costs Schedule of Net Benefit Costs [Table Text Block] Schedule of Weighted Average Assumptions Used Defined Benefit Plan, Assumptions [Table Text Block] Schedule of Benefit Obligations and Plan Assets Defined Benefit Plan, Plan with Projected Benefit Obligation in Excess of Plan Assets [Table Text Block] 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plan settlement Business Combination, Consideration Transferred, Other, Stock Plan Settlement Business Combination, Consideration Transferred, Other, Stock Plan Settlement Payments to acquire business Payments to Acquire Businesses, Gross Realized loss, included in other income, net Debt And Equity Securities, Available-for-sale, Realized Gain (Loss) Debt And Equity Securities, Available-for-sale, Realized Gain (Loss) Deferred taxes Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets Deferred tax assets, operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards, Domestic Deferred tax assets, goodwill and intangible assets Deferred Tax Assets, Goodwill and Intangible Assets Deferred tax liabilities, intangible assets Deferred Tax Liabilities, Intangible Assets Deferred tax assets, other Adjustment, deferred tax assets Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, 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