Acquisitions and Assets Held for Sale - Narrative (Details) - USD ($)				1 Months Ended		3 Months Ended
	Dec. 17, 2021	Feb. 02, 2021	Jan. 19, 2021	Jan. 31, 2022	Jan. 19, 2021	Apr. 30, 2022	Jan. 31, 2022	Jan. 31, 2021	Oct. 31, 2021	Feb. 01, 2021
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life							14 years
Goodwill				$ 3,835,700,000			$ 3,835,700,000		$ 2,574,000,000
Contingent consideration paid							0
Privately-Held Medical Device Company, Developed Mara Water Vapor Ablation System
Business Acquisition [Line Items]
Goodwill										$ 0
Disposal Group, Held-for-sale, Not Discontinued Operations | Equity Interest In Wholly-Owned Subsidiary
Business Acquisition [Line Items]
Percentage of voting interests sold		50.00%
Ownership interest retained after sale of business		50.00%
Asset impairment							$ 0
Customer relationships
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life							13 years
Trademarks
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life							14 years
Term Loan Facility 2021 | Line of Credit
Business Acquisition [Line Items]
Proceeds from line of credit	$ 1,500,000,000
Generate Life Sciences
Business Acquisition [Line Items]
Equity interests acquired	100.00%
Payments to acquire business	$ 1,666,000,000
Revenue of acquiree since acquisition date				33,800,000
Net income of acquiree since acquisition date				$ 1,600,000
Goodwill	$ 1,292,600,000
Generate Life Sciences | Customer relationships
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life							13 years
Generate Life Sciences | Trademarks
Business Acquisition [Line Items]
Finite-lived intangible asset, useful life							14 years
Cook Medical's Reproductive Health Business | Subsequent Event | Forecast
Business Acquisition [Line Items]
Payments to acquire business						$ 675,000,000
Aggregate consideration						875,000,000
Payables incurred in acquisition						200,000,000
Cook Medical's Reproductive Health Business | Subsequent Event | Forecast | Payables, First Installment
Business Acquisition [Line Items]
Payables incurred in acquisition						50,000,000
Cook Medical's Reproductive Health Business | Subsequent Event | Forecast | Payables, Second Installment
Business Acquisition [Line Items]
Payables incurred in acquisition						50,000,000
Cook Medical's Reproductive Health Business | Subsequent Event | Forecast | Payables, Third Installment
Business Acquisition [Line Items]
Payables incurred in acquisition						50,000,000
Cook Medical's Reproductive Health Business | Subsequent Event | Forecast | Payables, Fourth Installment
Business Acquisition [Line Items]
Payables incurred in acquisition						$ 50,000,000
Privately-Held Medical Device Company
Business Acquisition [Line Items]
Payments to acquire business			$ 40,900,000
Equity investment gain realized before acquisition of remaining equity interest					$ 11,500,000
Contingent consideration			37,900,000		37,900,000
Increase in contingent liability							$ 3,500,000	$ 56,800,000
Privately-Held Medical Device Company, Portion Attributable To Former Equity Interest Owners
Business Acquisition [Line Items]
Undiscounted range of the contingent consideration, minimum			0		0
Undiscounted range of the contingent consideration, maximum			139,100,000		139,100,000
Contingent consideration			$ 30,200,000		$ 30,200,000