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Acquisition and Divestitures - Reddick Divestiture - Additional Information (Detail) - Specialty Surgical Instrumentation, Inc [Member] - Reddick Cholangiogram Catheter and Reddick Saye-Screw [Member] - USD ($)
9 Months Ended
Apr. 05, 2018
Sep. 30, 2018
Business Acquisition [Line Items]    
Proceeds from sale of assets $ 7,400,000  
Gain on sale of assets   $ 5,900,000
Purchase agreement period 2 years  
Balloon Supply Agreement [Member]    
Business Acquisition [Line Items]    
Purchase agreement period 6 years