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Business Combinations - Additional Information (Detail) - USD ($)
shares in Thousands, $ in Thousands
1 Months Ended 12 Months Ended
Sep. 30, 2015
Aug. 31, 2015
Apr. 30, 2015
Jul. 31, 2014
Apr. 30, 2014
Oct. 02, 2015
Sep. 26, 2014
Sep. 27, 2013
Business Acquisition [Line Items]                
Goodwill acquired           $ 283,452 $ 240,626 $ 225,300
Common stock, shares outstanding (in shares)           98,070 100,942  
Other payments           $ 3,300 $ 700  
Karl Otto                
Business Acquisition [Line Items]                
Cash consideration $ 27,000              
Goodwill acquired 9,900              
Amortizable intangible assets acquired $ 8,300              
Claymount Investments B.V.                
Business Acquisition [Line Items]                
Cash and cash equivalents   $ 1,900            
Cash consideration   58,000            
Goodwill acquired   30,500            
Amortizable intangible assets acquired   $ 16,200            
Mevis                
Business Acquisition [Line Items]                
Cash and cash equivalents     $ 13,900          
Cash consideration     25,500          
Goodwill acquired     8,200          
Amortizable intangible assets acquired     $ 5,800          
Percentage of voting interests acquired     73.50%          
Transpire Inc                
Business Acquisition [Line Items]                
Total purchase price       $ 19,300        
Cash consideration       16,000        
Goodwill acquired       8,700        
Amortizable intangible assets acquired       8,700        
Liabilities incurred     $ 3,300          
Velocity Medical Solutions LLC                
Business Acquisition [Line Items]                
Total purchase price         $ 19,900      
Cash consideration         17,000      
Goodwill acquired         9,800      
Amortizable intangible assets acquired         10,600      
Cash consideration held back         $ 2,600      
Liabilities incurred     $ 2,900          
Noncontrolling Interests | Mevis                
Business Acquisition [Line Items]                
Common stock, shares outstanding (in shares)           482    
Noncontrolling interest (as a percent)           26.50%    
Oncology Systems                
Business Acquisition [Line Items]                
Goodwill acquired           $ 158,800 $ 148,300 $ 132,000
Oncology Systems | Transpire Inc                
Business Acquisition [Line Items]                
Goodwill acquired       5,900        
Amortizable intangible assets acquired       6,000        
Security and Inspection Products Reporting Unit | Transpire Inc                
Business Acquisition [Line Items]                
Goodwill acquired       2,800        
Amortizable intangible assets acquired       $ 2,700