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Segment and Geographic Information (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 6 Months Ended
Oct. 25, 2013
Oct. 26, 2012
Oct. 25, 2013
Oct. 26, 2012
Apr. 26, 2013
Segment Reporting Information [Line Items]          
Net Sales $ 4,194 $ 4,095 $ 8,277 $ 8,103  
Earnings before Income Taxes by Reportable Segment          
Reportable segments' earnings before income taxes 1,308 1,221 2,560 2,448  
Special Charges 0 0 (40) 0  
Restructuring charges 0 0 (18) 0  
Certain litigation charges, net (24) (245) (24) (245)  
Acquisition-related items 0 (6) 96 (11)  
Interest expense, net (33) (24) (73) (57)  
Corporate (135) (92) (232) (193)  
Earnings before income taxes 1,116 854 2,269 1,942  
Net Assets by Reportable Segment          
Net assets of reportable segments 19,285   19,285   18,856
Short-term borrowings (2,647)   (2,647)   (910)
Long-term debt (9,637)   (9,637)   (9,741)
Corporate 11,743   11,743   10,466
Total net assets 18,744   18,744   18,671
United States
         
Segment Reporting Information [Line Items]          
Net Sales 2,327 2,289 4,523 4,516  
Europe and Canada
         
Segment Reporting Information [Line Items]          
Net Sales 1,035 970 2,081 1,978  
Asia Pacific
         
Segment Reporting Information [Line Items]          
Net Sales 632 655 1,288 1,266  
Other Foreign
         
Segment Reporting Information [Line Items]          
Net Sales 200 181 385 343  
Cardiac and Vascular Group
         
Segment Reporting Information [Line Items]          
Net Sales 2,199 2,137 4,359 4,252  
Earnings before Income Taxes by Reportable Segment          
Reportable segments' earnings before income taxes 758 668 1,514 1,406  
Net Assets by Reportable Segment          
Net assets of reportable segments 7,447   7,447   6,941
Restorative Therapies Group
         
Segment Reporting Information [Line Items]          
Net Sales 1,602 1,580 3,156 3,109  
Earnings before Income Taxes by Reportable Segment          
Reportable segments' earnings before income taxes 443 444 864 843  
Net Assets by Reportable Segment          
Net assets of reportable segments 10,031   10,031   10,058
Diabetes Group [Member]
         
Segment Reporting Information [Line Items]          
Net Sales 393 378 762 742  
Earnings before Income Taxes by Reportable Segment          
Reportable segments' earnings before income taxes 107 109 182 199  
Net Assets by Reportable Segment          
Net assets of reportable segments $ 1,807   $ 1,807   $ 1,857