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Selected Quarterly Financial Data (Unaudited) (Narrative) (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Quarterly Financial Information [Line Items]                      
Net sales $ 222,555 $ 190,117 $ 197,154 $ 186,567 $ 204,094 $ 184,792 $ 193,433 $ 181,201 $ 796,392 $ 763,520 $ 719,168
Gross Profit 123,958 102,547 104,652 99,885 106,959 101,209 102,422 97,740 431,041 408,330 381,702
Net income 46,696 $ 7,197 $ 6,139 $ (4,545) $ 6,708 7,337 $ 2,884 (2,265) 55,487 14,664 30,498
Legal Fees                 5,300 3,800  
Income tax benefit, 2017 Tax Cuts and Jobs Act $ 31,900               31,900    
Restructuring charges                 4,250 9,736 21,671
Debt Instrument, Financing Costs Expensed               2,700   2,700  
Gain (Loss) on Extinguishment of Debt               $ (300) 0 (254) 0
Proceeds from Sale of Buildings           $ 5,200       5,200  
Gain (Loss) on Sale of Properties                 $ 0 $ 1,890 $ 0
EPS:                      
Basic (in dollars per share) $ 1.67 $ 0.26 $ 0.22 $ (0.16) $ 0.24 $ 0.26 $ 0.10 $ (0.08) $ 1.99 $ 0.53 $ 1.10
Diluted (in dollars per share) $ 1.65 $ 0.26 $ 0.22 $ (0.16) $ 0.24 $ 0.26 $ 0.10 $ (0.08) $ 1.97 $ 0.52 $ 1.09
Selling and Administrative Expenses [Member]                      
Quarterly Financial Information [Line Items]                      
Legal Fees $ 400 $ 300 $ 2,500 $ 2,000 $ 1,000 $ 600 $ 1,400 $ 800 $ 17,480 $ 3,773 $ 0
Business and asset acquisition costs                 2,336 17,029 2,543
Gain (Loss) on Sale of Properties           1,900     0 1,890 0
Cost of Sales [Member]                      
Quarterly Financial Information [Line Items]                      
Restructuring charges                 2,903 7,612 8,016
SurgiQuestInc [Member]                      
Quarterly Financial Information [Line Items]                      
Net sales                   68,400  
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member]                      
Quarterly Financial Information [Line Items]                      
Loss Contingency, Damages Awarded, Value       12,200         12,200    
Business and asset acquisition costs 1,300 100 400 500 2,500 2,700 3,600 8,200      
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member] | Compensatory damages [Member]                      
Quarterly Financial Information [Line Items]                      
Loss Contingency, Damages Awarded, Value       2,200         2,200    
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member] | Punitive damages [Member]                      
Quarterly Financial Information [Line Items]                      
Loss Contingency, Damages Awarded, Value       10,000         10,000    
Administrative Restructuring [Member] | Selling and Administrative Expenses [Member]                      
Quarterly Financial Information [Line Items]                      
Restructuring charges       1,300 2,600 $ 400 1,000 2,800 1,347 6,670 13,655
Consolidation Costs [Member] | Cost of Sales [Member]                      
Quarterly Financial Information [Line Items]                      
Restructuring charges $ 100 $ 1,300 $ 300 $ 1,200 $ 2,100   100 $ 900 2,903 3,066 8,016
Termination of Product Offering [Member] | Cost of Sales [Member]                      
Quarterly Financial Information [Line Items]                      
Restructuring charges             $ 4,500   $ 0 $ 4,546 $ 0