Balance Sheet Details - Property and Equipment Net (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2021	Dec. 31, 2020
Property and equipment net
Property and equipment, gross	$ 806,179	$ 739,448
Less: accumulated depreciation and amortization	(502,515)	(453,079)
Property and equipment, net	$ 303,664	286,369
Minimum [Member]
Property and equipment net
Property and equipment, useful life	3 years
Maximum [Member]
Property and equipment net
Property and equipment, useful life	20 years
Instrument sets [Member]
Property and equipment net
Property and equipment, useful life	4 years
Property and equipment, gross	$ 472,247	424,696
Machinery and equipment [Member]
Property and equipment net
Property and equipment, gross	$ 73,086	71,616
Machinery and equipment [Member] \| Minimum [Member]
Property and equipment net
Property and equipment, useful life	5 years
Machinery and equipment [Member] \| Maximum [Member]
Property and equipment net
Property and equipment, useful life	7 years
Computer equipment and software [Member]
Property and equipment net
Property and equipment, gross	$ 188,960	173,364
Computer equipment and software [Member] \| Minimum [Member]
Property and equipment net
Property and equipment, useful life	3 years
Computer equipment and software [Member] \| Maximum [Member]
Property and equipment net
Property and equipment, useful life	10 years
Leasehold improvements [Member]
Property and equipment net
Property and equipment, gross	$ 38,987	35,372
Leasehold improvements [Member] \| Minimum [Member]
Property and equipment net
Property and equipment, useful life	2 years
Leasehold improvements [Member] \| Maximum [Member]
Property and equipment net
Property and equipment, useful life	15 years
Furniture and fixtures [Member]
Property and equipment net
Property and equipment, gross	$ 8,941	9,916
Furniture and fixtures [Member] \| Minimum [Member]
Property and equipment net
Property and equipment, useful life	3 years
Furniture and fixtures [Member] \| Maximum [Member]
Property and equipment net
Property and equipment, useful life	7 years
Building and improvements [Member]
Property and equipment net
Property and equipment, gross	$ 22,681	23,207
Building and improvements [Member] \| Minimum [Member]
Property and equipment net
Property and equipment, useful life	10 years
Building and improvements [Member] \| Maximum [Member]
Property and equipment net
Property and equipment, useful life	20 years
Land [Member]
Property and equipment net
Property and equipment, gross	$ 1,277	$ 1,277

Amount of accumulated depreciation, depletion and amortization for physical assets used in the normal conduct of business to produce goods and services.

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