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Derivative Instruments - Changes In Accumulated Comprehensive Income (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Gains (losses) of derivative instruments designated as cash flow hedges in other comprehensive income    
Gain to be transferred to the statement of operations in the next twelve months $ 300  
Net derivative settlement termination payment amount 3,000  
Cash flow hedges | Derivatives designated as hedging instruments | Foreign currency exchange forward contracts | Product sales.    
Gains (losses) of derivative instruments designated as cash flow hedges in other comprehensive income    
Amount of Gain (Loss) in Other Comprehensive Income on Derivative (Effective Portion) (1,325) $ (230)
Amount of Gain (Loss) Recognized in Income on Derivative (Ineffective Portion and Amount Excluded from Effectiveness Testing) (1) (2)
Cash flow hedges | Derivatives designated as hedging instruments | Foreign currency exchange forward contracts | Other revenue    
Gains (losses) of derivative instruments designated as cash flow hedges in other comprehensive income    
Amount of Gain (Loss) in Other Comprehensive Income on Derivative (Effective Portion)   19
Cash flow hedges | Derivatives designated as hedging instruments | Foreign currency exchange purchased option contracts | Product sales.    
Gains (losses) of derivative instruments designated as cash flow hedges in other comprehensive income    
Amount of Gain (Loss) in Other Comprehensive Income on Derivative (Effective Portion) (323) (511)
Cash flow hedges | Derivatives designated as hedging instruments | Interest rate swap contracts | Other income    
Gains (losses) of derivative instruments designated as cash flow hedges in other comprehensive income    
Amount of Gain (Loss) in Other Comprehensive Income on Derivative (Effective Portion) 320 60
Amount of Gain (Loss) Recognized in Income on Derivative (Ineffective Portion and Amount Excluded from Effectiveness Testing) 1 11
Cash flow hedges | Derivatives designated as hedging instruments | Interest rate swap contracts | Other expense    
Gains (losses) of derivative instruments designated as cash flow hedges in other comprehensive income    
Amount of Gain (Loss) Reclassified from Accumulated Other Comprehensive Income into Income $ (1) $ (57)