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Intangible Assets and Goodwill - Goodwill (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Jun. 30, 2016
Dec. 31, 2016
Dec. 31, 2015
Goodwill [Roll Forward]      
Balance at beginning of period   $ 289,441 $ 286,532
Translation Adjustments   0 2,879
Balance at end of period   255,629 289,441
Discontinued operations, disposed of by sale [Member] | Hemostasis Business [Member]      
Goodwill [Roll Forward]      
Allocation of goodwill to sale   0 (24,500)
Not discontinued operations, disposed of by sale [Member] | Non-Core ACC Products [Member]      
Goodwill [Roll Forward]      
Allocation of goodwill to sale $ (33,800) (33,812) 0
Annovation [Member]      
Goodwill [Roll Forward]      
Goodwill resulting from acquisition   $ 0 $ 24,530