Commitments and Contingencies - Additional Information (Detail) $ in Thousands	1 Months Ended		12 Months Ended
	Aug. 31, 2022 USD ($)	Apr. 30, 2022 USD ($)	Sep. 30, 2022 USD ($) lawsuit plaintiff claim	Sep. 30, 2021 USD ($)	Sep. 30, 2020 USD ($)
Loss Contingencies [Line Items]
Aggregate future purchase commitments			$ 1,521,000
Damages awarded	$ 4,800	$ 255
Number of plaintiffs | plaintiff			310
Product Liability Accrual, Period Expense			$ 21,000
Loss Contingency Accrual			$ 2,100,000	$ 2,500,000
Gwinnett County, Georgia
Loss Contingencies [Line Items]
Number of EtO Sterilization Lawsuits | lawsuit			210
Number of lawsuits, allege injury from unrelated defendants | lawsuit			44
Gwinnett County, 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			$ 21,000	$ 361,000	$ 378,000
HerniaProductClaims
Loss Contingencies [Line Items]
Loss Contingency, Pending Claims, Number | claim			31,445