Goodwill and Other Intangible Assets - Additional Information (Detail)	3 Months Ended		12 Months Ended
	Dec. 31, 2017 USD ($)	Sep. 30, 2017 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)	Dec. 31, 2015 USD ($)
Finite Lived Intangible Assets [Line Items]
Goodwill impairment charge			$ 304,700,000
Goodwill	$ 10,668,400,000		$ 10,668,400,000	$ 10,643,900,000	$ 9,934,200,000
Reporting units with goodwill assigned to them			5
Minimum [Member]
Finite Lived Intangible Assets [Line Items]
Percentage of fair value in excess of carrying amount	10.00%		10.00%
Product Category Operating Segments [Member] | ASU 2017-04 [Member]
Finite Lived Intangible Assets [Line Items]
Goodwill impairment charge	$ 272,000,000
Product Category Operating Segments [Member] | Office Based Technologies [Member]
Finite Lived Intangible Assets [Line Items]
Goodwill impairment charge		$ 32,700,000	$ 32,700,000
Goodwill		$ 0
Product Category Operating Segments [Member] | Spine Less Asia Pacific [Member]
Finite Lived Intangible Assets [Line Items]
Goodwill impairment charge			$ 272,000,000