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Segment Information - Operating Results Information for Each Reportable Segment (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 29, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 30, 2016
Sep. 30, 2016
Jul. 01, 2016
Apr. 01, 2016
Jan. 01, 2016
Sep. 29, 2017
Sep. 30, 2016
Oct. 02, 2015
Segment Reporting Information [Line Items]                      
Revenues $ 739.0 $ 662.4 $ 655.0 $ 611.8 $ 747.2 $ 642.9 $ 615.2 $ 615.8 $ 2,668.2 $ 2,621.1 $ 2,490.7
Operating Earnings                 341.9 435.0 395.7
Depreciation & Amortization                 76.9 79.8 68.5
Total Assets 3,179.4       3,814.8       3,179.4 3,814.8 3,578.7
Discontinued Operations                      
Segment Reporting Information [Line Items]                      
Depreciation & Amortization                 6.6 16.0 13.2
Total Assets 11.1       628.5       11.1 628.5 595.3
Corporate                      
Segment Reporting Information [Line Items]                      
Operating Earnings                 (83.1) (33.4) (19.0)
Depreciation & Amortization                 24.8 28.3 28.5
Total Assets 1,361.2       1,325.2       1,361.2 1,325.2 1,275.9
Operating Segments | Oncology Systems                      
Segment Reporting Information [Line Items]                      
Revenues                 2,485.7 2,458.0 2,346.8
Operating Earnings                 520.7 518.6 447.4
Depreciation & Amortization                 39.4 28.5 21.8
Total Assets 1,452.7       1,491.2       1,452.7 1,491.2 1,411.3
Operating Segments | Varian Particle Therapy                      
Segment Reporting Information [Line Items]                      
Revenues                 182.5 162.6 143.5
Operating Earnings                 (95.7) (44.6) (26.5)
Depreciation & Amortization                 6.1 6.8 4.8
Total Assets 354.4       367.8       354.4 367.8 294.0
Operating Segments | Total reportable segments                      
Segment Reporting Information [Line Items]                      
Revenues                 2,668.2 2,620.6 2,490.3
Operating Earnings                 425.0 474.0 420.9
Depreciation & Amortization                 45.5 35.3 26.6
Total Assets 1,807.1       1,859.0       1,807.1 1,859.0 1,705.3
Operating Segments | Other                      
Segment Reporting Information [Line Items]                      
Revenues                 0.0 0.5 0.4
Operating Earnings                 0.0 (5.6) (6.2)
Depreciation & Amortization                 0.0 0.2 0.2
Total Assets $ 0.0       $ 2.1       0.0 2.1 2.2
Operating Segments | Corporate                      
Segment Reporting Information [Line Items]                      
Operating Earnings                 (83.1) (33.4) (19.0)
Operating Segments | Product | Oncology Systems                      
Segment Reporting Information [Line Items]                      
Revenues                 1,383.0 1,430.3 1,359.2
Operating Segments | Product | Varian Particle Therapy                      
Segment Reporting Information [Line Items]                      
Revenues                 172.5 153.1 137.9
Operating Segments | Service | Oncology Systems                      
Segment Reporting Information [Line Items]                      
Revenues                 1,102.7 1,027.7 987.6
Operating Segments | Service | Varian Particle Therapy                      
Segment Reporting Information [Line Items]                      
Revenues                 $ 10.0 $ 9.5 $ 5.6