Commitments and Contingencies - Additional Information (Detail) $ in Thousands	12 Months Ended
	Sep. 30, 2023 USD ($) lawsuit plaintiff claim	Sep. 30, 2022 USD ($) claim	Sep. 30, 2021 USD ($)
Loss Contingencies [Line Items]
Aggregate future purchase commitments	$ 1,621,000
Loss Contingency Accrual	$ 1,900,000	$ 2,100,000
GEORGIA
Loss Contingencies [Line Items]
Number of EtO Sterilization Lawsuits | lawsuit	230
Number of plaintiffs | plaintiff	340
Number of lawsuits, allege injury from unrelated defendants | lawsuit	45
GEORGIA | Maximum
Loss Contingencies [Line Items]
Loss Contingency, Damages Sought, Value	$ 250
Other Operating Income (Expense)
Loss Contingencies [Line Items]
Product Liability Accrual, Period Expense	$ 26,000	$ 21,000	$ 361,000
HerniaProductClaims
Loss Contingencies [Line Items]
Loss Contingency, Pending Claims, Number | claim	34,845	31,445