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Goodwill and Other Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Carrying Values of Indefinite Lived Intangible Assets
The carrying values of our indefinite lived intangible assets were as follows (in thousands):
December 31,
20242023
Goodwill$240,958 $247,337 
In-process R&D$2,026 $2,154 
Procurement contracts and agreements$2,013 $2,013 
Schedule of Goodwill by Reportable Segment
Changes in the carrying value of our goodwill, all of which was related to our Medical Devices segment, was as follows (in thousands):
Year Ended December 31,
20242023
Balance as of January 1, $247,337 $243,631 
Foreign currency translation(6,379)3,706 
Balance as of December 31, $240,958 $247,337 
Schedule of Gross Carrying Values, Accumulated Amortization, and Approximate Amortization Period of Definite Lived Intangible Assets The major intangible asset classes consist of the following (in thousands, except weighted average useful life):
December 31, 2024Gross Carrying
Value		Accumulated
Amortization		Net Carrying
Value 		Weighted Average
Useful Life
(Years)
Acquired technology$195,912 $67,861 $128,051 18.3
Other intangibles:
Customer lists and relationships$28,611 $11,617 $16,994 21.6
Distribution and manufacturing rights and know-how9,033 9,033 — 5.0
Patents4,428 3,460 968 17.0
Other11,776 5,445 6,331 5.0
Other intangibles, net$53,848 $29,555 $24,293 9.4
December 31, 2023Gross Carrying
Value		Accumulated
Amortization		Net Carrying
Value		Weighted Average
Useful Life
(Years)
Acquired technology$201,897 $59,304 $142,593 18.2
Other intangibles:
Customer lists and relationships$28,729 $10,334 $18,395 21.6
Distribution and manufacturing rights and know-how9,608 7,807 1,801 5.0
Patents4,365 3,225 1,140 17.0
Other7,815 3,680 4,135 5.0
Other intangibles, net$50,517 $25,046 $25,471 10.0
Schedule of Amortization Expense
Amortization expense recorded in General, administrative, and marketing expenses in our Consolidated Statements of Operations and Comprehensive Loss was as follows (in thousands):
Year Ended December 31,
202420232022
Amortization expense$15,855 $15,198 $15,310 
Schedule of Amortization of Intangible Assets For Next Five Years
The estimated future amortization expense of intangible assets with definite lives as of December 31, 2024 for the next five years is as follows (in thousands):
20252026202720282029Total
Amortization expense$13,190 $12,833 $12,730 $12,542 $12,342 $63,637