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Goodwill and Intangible Assets - Activity of Goodwill by Reportable Operating Segment (Detail) - USD ($)
$ in Millions
12 Months Ended
Sep. 29, 2017
Sep. 30, 2016
Goodwill [Roll Forward]    
Balance, beginning $ 220.0 $ 208.8
Business combinations   11.4
Foreign currency translation adjustments 2.6 (0.2)
Balance, ending 222.6 220.0
Varian Particle Therapy    
Goodwill [Roll Forward]    
Balance, beginning 49.8 50.0
Business combinations   0.0
Foreign currency translation adjustments 2.6 (0.2)
Balance, ending 52.4 49.8
Oncology Systems    
Goodwill [Roll Forward]    
Balance, beginning 170.2 158.8
Business combinations   11.4
Foreign currency translation adjustments 0.0 0.0
Balance, ending $ 170.2 $ 170.2