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Segment and Geographic Information (Details) - USD ($)
$ in Millions
3 Months Ended
Jul. 26, 2019
Jul. 27, 2018
Segment Reporting Information [Line Items]    
Net sales $ 7,493 $ 7,384
Income before Income Taxes by Reportable Segment    
Segment operating profit 1,485 1,236
Interest expense (609) (242)
Amortization of intangible assets (440) (446)
Restructuring and associated costs (47) (62)
Certain litigation charges (47) (103)
Income (loss) before income taxes 977 1,180
Ireland    
Segment Reporting Information [Line Items]    
Net sales 20 22
United States    
Segment Reporting Information [Line Items]    
Net sales 3,918 3,864
Rest of world    
Segment Reporting Information [Line Items]    
Net sales 3,555 3,498
Total other countries, excluding Ireland    
Segment Reporting Information [Line Items]    
Net sales 7,473 7,362
Operating Segments    
Income before Income Taxes by Reportable Segment    
Segment operating profit 2,768 2,763
Segment Reconciling Items    
Income before Income Taxes by Reportable Segment    
Interest expense (609) (242)
Other non-operating income, net 101 186
Amortization of intangible assets (440) (446)
Corporate (307) (303)
Centralized distribution costs (345) (446)
Restructuring and associated costs (124) (113)
Acquisition-related items (19) (36)
Certain litigation charges (47) (103)
Exit of businesses 0 (80)
Debt tender premium and other charges 7 0
Medical device regulations (8) 0
Cardiac and Vascular Group    
Segment Reporting Information [Line Items]    
Net sales 2,790 2,811
Cardiac and Vascular Group | United States    
Segment Reporting Information [Line Items]    
Net sales 1,361 1,389
Cardiac and Vascular Group | Operating Segments    
Income before Income Taxes by Reportable Segment    
Segment operating profit 1,055 1,049
Minimally Invasive Therapies Group    
Segment Reporting Information [Line Items]    
Net sales 2,100 2,052
Minimally Invasive Therapies Group | United States    
Segment Reporting Information [Line Items]    
Net sales 913 857
Minimally Invasive Therapies Group | Operating Segments    
Income before Income Taxes by Reportable Segment    
Segment operating profit 771 776
Restorative Therapies Group    
Segment Reporting Information [Line Items]    
Net sales 2,012 1,949
Restorative Therapies Group | United States    
Segment Reporting Information [Line Items]    
Net sales 1,338 1,294
Restorative Therapies Group | Operating Segments    
Income before Income Taxes by Reportable Segment    
Segment operating profit 793 766
Diabetes Group    
Segment Reporting Information [Line Items]    
Net sales 592 572
Diabetes Group | United States    
Segment Reporting Information [Line Items]    
Net sales 306 324
Diabetes Group | Operating Segments    
Income before Income Taxes by Reportable Segment    
Segment operating profit $ 149 $ 172