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Acquisition, Restructuring and Other Expense (Tables)
 3 Months Ended
Mar. 31, 2017
Acquisition, Restructuring and Other Expense [Abstract]  
Schedule of Acquisition, Restructuring and Other Expense
Acquisition, restructuring and other expense consists of the following:
 
 
Three Months Ended March 31,
 
2017
 
2016
 
 
 
 
Restructuring costs included in cost of sales
$
1,169

 
$
864

 
 
 
 
Restructuring costs
$
1,322

 
$
2,791

Business acquisition costs
1,488

 
9,045

SurgiQuest litigation verdict
12,200

 
—

Patent settlement costs and other
1,048

 
—

Acquisition, restructuring and other expense included in selling and administrative expense
$
16,058

 
$
11,836

 
 
 
 
Debt refinancing costs included in other expense
$
—

 
$
2,942
Schedule of Restructuring Accrual
Below is a roll forward of the costs incurred and cash expenditures associated with these activities during the three months ended March 31, 2017 and 2016:
 
2017
 
2016
Balance as of January 1,
$
2,643

 
$
7,175

 
 
 
 
Expenses incurred
2,515

 
3,655

 
 
 
 
Payments made
(3,401
)
 
(6,955
)
 
 
 
 
Balance at March 31,
$
1,757

 
$
3,875