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Property, Plant and Equipment - Summary of Property, Plant and Equipment (Detail) - USD ($)
$ in Millions
Mar. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross $ 5,246.9 $ 5,083.7
Accumulated depreciation (3,215.6) (3,045.1)
Property, plant and equipment, net 2,031.3 2,038.6
Land [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 29.3 29.0
Buildings And Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 1,880.4 1,838.5
Capitalized Software Costs [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 433.9 421.6
Instruments [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 2,786.9 2,683.9
Construction in Progress [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross $ 116.4 $ 110.7