Acquisition and Divestitures - Applied Medical - Additional Information (Detail) - USD ($) $ in Thousands		9 Months Ended
	Sep. 20, 2018	Sep. 30, 2018
Business Acquisition [Line Items]
Weighted average useful life		9 years 4 months 24 days
United States [Member]
Business Acquisition [Line Items]
Percentage of products sold	60.00%
Foreign [Member]
Business Acquisition [Line Items]
Percentage of products sold	40.00%
Applied Medical [Member]
Business Acquisition [Line Items]
Purchase price for acquisition of assets and rights	$ 14,200
Deferred cost	3,200
Acquisition-date fair value	$ 3,043
Discount rate	3.75%
Maximum goodwill deductible for tax purposes	15 years
Weighted average useful life		13 years
Applied Medical [Member] | Closing Date [Member]
Business Acquisition [Line Items]
Purchase price for acquisition of assets and rights	$ 11,000
Applied Medical [Member] | 12 Months Following the Closing Date [Member]
Business Acquisition [Line Items]
Purchase price for acquisition of assets and rights	2,000
Applied Medical [Member] | 24 Months Following the Closing Date [Member]
Business Acquisition [Line Items]
Purchase price for acquisition of assets and rights	$ 1,200