Commitments and Contingencies Disclosure [Abstract]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
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 [Axis]
Fair Value, Hierarchy [Axis]
Fair Value Hierarchy [Domain]
Fair Value Hierarchy [Domain]
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
Confluent Surgical, Inc.
Confluent Surgical, Inc. [Member]
Confluent Surgical, Inc. [Member]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Accrued expenses and other short-term liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
Other Long-term Liabilities
Other Noncurrent Liabilities [Member]
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
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 Reconciliations, Recurring Basis, Liability Value
Additions from acquisition of Derma Sciences
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 Long-Term to Current
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers From Long-Term to Current
Loss from change in fair value of contingent consideration liabilities
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Balance, End of Period
Income Tax Disclosure [Abstract]
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Income Statement [Abstract]
Total revenue, net
Sales Revenue, Goods, Net
Costs and expenses:
Costs and Expenses [Abstract]
Cost of goods sold
Cost of Goods Sold
Research and development
Research and Development Expense
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 (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
Income Tax Expense (Benefit)
Net income
Net Income (Loss) Attributable to Parent
Net income per share
Earnings Per Share [Abstract]
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 12):
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
Comprehensive income (See Note 13)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Business Combinations [Abstract]
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]
Codman Specialty Surgical
Codman Specialty Surgical [Member]
Codman Specialty Surgical [Member]
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
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
STOCK-BASED COMPENSATION
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
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]
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]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Codman
Codman [Member]
Codman [Member]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Cross-currency swap
Cross Currency Interest Rate Contract [Member]
Position [Axis]
Position [Axis]
Position [Domain]
Position [Domain]
Long
Long [Member]
Short
Short [Member]
Derivative [Line Items]
Derivative [Line Items]
Fixed Rate
Derivative, Fixed Interest Rate
Aggregate Notional Amount
Derivative, Notional Amount
Fair Value Liability
Derivative Liability
Revenue from Contract with Customer [Abstract]
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]
Loss Contingencies [Table]
Loss Contingencies [Table]
TEI
TEI [Member]
TEI
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]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [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]
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
Fair value, discount rate
Fair Value Inputs, Discount Rate
Contingent consideration, liability
Business Combination, Contingent Consideration, Liability
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]
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
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
3-month BBA LIBOR
Three month BBA LIBOR [Member]
Three month BBA LIBOR [Member]
1-Month USD LIBOR
One Month USD LIBOR [Member]
One Month USD LIBOR [Member]
3-Month USD LIBOR
Three Month USD LIBOR [Member]
Three Month USD LIBOR [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]
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]
Current Notional Amount
Fixed Interest Rate
Estimated Fair Value, Assets (Liabilities)
Derivative, Fair Value, Net
BUSINESS ACQUISITIONS AND DIVESTITURE
Business Combination Disclosure [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 Net Gain (Loss) from Cash Flow Hedges Attributable to 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]
Short-term Investment
Accumulated Net Investment Gain (Loss) 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 at December 31, 2017
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 at March 31, 2018
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
Performance obligations expected to be satisfied, expected timing
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
TREASURY STOCK
Treasury Stock [Text Block]
Segment Reporting [Abstract]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
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
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.
Total Revenues
Revenues
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]
Trade Names
Trade Names [Member]
In Process Research and Development
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
Retirement Benefits [Abstract]
DEFINED BENEFIT PLANS
Pension and Other Postretirement Benefits Disclosure [Text Block]
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
Debt Disclosure [Abstract]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
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]
December 31, 2016 through before the first fiscal quarter after the delayed draw date of Term Loan A-1
Debt Covenant Period 1 [Member]
Debt Covenant Period 1 [Member]
First fiscal quarter ended after the delayed draw date of Term Loan A-1 through September 30, 2018
Debt Covenant Period 2 [Member]
Debt Covenant Period 2 [Member]
October 1, 2018 through September 30, 2019
Debt Covenant Period 3 [Member]
Debt Covenant Period 3 [Member]
October 1, 2019 through September 30, 2020
Debt Covenant Period 4 [Member]
Debt Covenant Period 4 [Member]
October 1, 2020 and thereafter
Debt Covenant Period 5 [Member]
Debt Covenant Period 5 [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.
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Maximum Consolidated Total Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Interest Expense
Interest Expense [Member]
Other Expense
Other Expense [Member]
Accumulated Net Investment Gain (Loss) Attributable to Parent
Reclassification from accumulated other comprehensive income
Income tax benefit
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, Tax
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Total Revenue By Major Geographic Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Term Loan A
Term Loan A Facility [Member]
Term Loan A Facility [Member]
Term Loan A-1
Term Loan A-1 [Member]
Term Loan A-1 [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 Loan
Swingline Loan [Member]
Swingline Loan [Member]
Eurodollar
Eurodollar [Member]
Federal Funds
Federal Funds Effective Swap Rate [Member]
One Month Eurodollar Rate
One Month Eurodollar Rate [Member]
One Month Eurodollar Rate [Member]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
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
Cash balance threshold above which excess amount is not subject to any restriction of use or investment
Cash Balance Threshold Above Which Excess Cash Is Not Subject To Restriction Of Use
Cash Balance Threshold Above Which Excess Cash Is Not Subject to Restriction of Use
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
Notional amount
Net income
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 on derivatives, net of tax
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, Net of Tax, Portion Attributable to Parent
Unrealized gain on short-term investments
Other Comprehensive Income (Loss), Unrealized Holding Gain (Loss) on Securities Arising During Period, Net of 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
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
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Orthopedics and Tissue Technologies
Orthopedics and Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Goodwill at December 31, 2017
Goodwill
Codman acquisition purchase price allocation adjustments
Goodwill, Purchase Accounting Adjustments
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
Balance, March 31, 2018
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
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Customer relationship
Trademarks/brand names
Trademarks and Trade Names [Member]
Completed technology
Technology-Based Intangible Assets [Member]
Non-compete agreement
Noncompete Agreements [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
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
Goodwill
Deferred tax assets
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, 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
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]
Products and Services [Axis]
Products and Services [Axis]
Products and Services [Domain]
Products and Services [Domain]
Private Label
Private Label [Member]
Private Label [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
Increase to opening retained earnings
Retained Earnings (Accumulated Deficit)
Increase to total assets
Assets
Increase to total liabilities
Liabilities
Supply Commitments
Commitments [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
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Transfer from long-term to current portion
Gain (Loss) from change in fair value
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
COMPREHENSIVE INCOME
Comprehensive Income (Loss) Note [Text Block]
REVENUES FROM CONTRACT WITH CUSTOMERS
Revenue from Contract with Customer [Text Block]
Effect of Topic 606
Excluding Impact of Topic 606
Calculated under Revenue Guidance in Effect before Topic 606 [Member]
Statement of Operations
Total revenue, net
Cost of goods sold
Income tax benefit
Net income
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
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]
Award Type [Axis]
Award Type [Axis]
Equity Award [Domain]
Equity Award [Domain]
Restricted Units and Performance Units
Performance Shares and Restricted Units [Member]
Performance Shares and Restricted Units
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
Effective income tax rate
Effective Income Tax Rate Reconciliation, Percent
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
Excess tax benefit from share-based compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-based Compensation Cost, Amount
Effective income tax rate reduction, excess tax benefits share-based compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-based Compensation Cost, Percent
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
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Basic and Diluted Net Income Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
INVENTORIES
Inventory Disclosure [Text Block]
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
Deferred income tax
Deferred Income Tax Expense (Benefit)
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
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
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 (used in) business acquisition
Proceeds from Divestiture of Businesses, Net of Cash Divested
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
Net cash paid for financing liability from business acquisition
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
Organization, Consolidation and Presentation of Financial Statements [Abstract]
New Accounting Pronouncement, Early Adoption [Table]
New Accounting Pronouncement, Early Adoption [Table]
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]
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 Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Total Revenues
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Operating income
Amortization
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
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]
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]
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
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 Inventory, Net
Schedule of Inventory, Current [Table Text Block]
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, Fair Value of Plan Assets
DEBT
Debt 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]
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]
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]
Derivative, Name [Domain]
Interest rate swap
Interest Rate Swap [Member]
Interest (expense)
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]
Balance in AOCI Beginning of Quarter
Accumulated Other Comprehensive Income Loss Cumulative Changes In Net Gain Loss From Cash Flow Hedge Effect Before Tax
Accumulated Other Comprehensive Income Loss Cumulative Changes in Net Gain Loss from Cash Flow Hedge Effect Before Tax
Amount of Gain (Loss) Recognized in AOCI
Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income (Loss), Effective Portion, Net
Amount of Gain (Loss) Reclassified from AOCI into Earnings
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net
Balance in AOCI End of Quarter
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Recently Issued Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Summary of Accounting Policies on Revenue Recognition
Revenue Recognition, Policy [Policy Text Block]
Shipping and Handling Fees
Shipping and Handling Cost, Policy [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]
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
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
Total Principal Repayment
Long-term Debt
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
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]
Total revenue, as reported
Total revenue, pro forma
Business Acquisition, Pro Forma Revenue
Net income, as reported
Net income, pro forma
Business Acquisition, Pro Forma Net Income (Loss)
Basic income per share, as reported (in dollars per share)
Basic income per share, pro forma (in dollars per share)
Business Acquisition, Pro Forma Earnings Per Share, Basic
Tarsus
Tarsus Medical, Inc. [Member]
Tarsus Medical, Inc. [Member]
Impairment charge
Impairment of Intangible Assets, Finite-lived
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
Revenue Recognition, Multiple-deliverable Arrangements [Table]
Revenue Recognition, Multiple-deliverable Arrangements [Table]
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]
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]
Revenue Recognition, Multiple-deliverable Arrangements [Line Items]
Total revenue
Revenue from Contract with Customer, Excluding Assessed Tax
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
Prepaid expenses and other current assets
Prepaid Expenses and Other Current Assets [Member]
Other assets
Other Assets [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
Reduction In notional amount of interest rate derivatives In next twelve months
Reduction In Notional Amount Of Interest Rate Derivatives In Next Twelve Months
Reduction in Notional Amount of Interest Rate Derivatives in the next twelve months.
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Product Concentration Risk
Product Concentration Risk [Member]
BioD Morselized Amniotic Membrane Based Products
BioD Morselized Amniotic Membrane Based Products [Member]
BioD Morselized Amniotic Membrane Based Products [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]
Nonrecurring Adjustment [Axis]
Nonrecurring Adjustment [Axis]
Nonrecurring Adjustment [Domain]
Nonrecurring Adjustment [Domain]
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]
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
Purchase price adjustments
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
Cash received from working capital adjustment related to business acquisition
Proceeds from Previous Acquisition
Payment for contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
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
Payments to Acquire Businesses, Gross
Realized loss on sale of short-term investment
Available-for-sale Securities, Gross Realized Gain (Loss)
Acquired deferred taxes
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
Fair value inputs, discount rate
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
Reported tax rate
Basic net income per share:
Earnings Per Share, Basic [Abstract]
Weighted average common shares outstanding - Basic (in shares)
Basic net income per common share (in dollars per share)
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)
Diluted net income per common share (in dollars per share)
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Not Designated as Hedging Instrument
Not Designated as Hedging Instrument [Member]
Foreign Exchange Forward
Foreign Exchange Forward [Member]
Loss from the change in fair value
Gain (Loss) on Foreign Currency Fair Value Hedge Derivatives
Derivative liability, fair value
Loss, reclassification from AOCI, foreign currency rate translation, intercompany loan
Other Comprehensive Income (Loss), Reclassification Adjustment from AOCI on Derivatives, before Tax
Loss recorded to AOCI
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
ASSETS
Assets [Abstract]
Current assets:
Assets, Current [Abstract]
Cash and cash equivalents
Trade accounts receivable, net of allowances of $4,596 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)
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; 81,711 and 81,306 issued at March 31, 2018 and December 31, 2017, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Treasury stock, at cost; 2,890 shares and 2,912 shares at March 31, 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
INCOME TAXES
Income Tax Disclosure [Text Block]