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Business Segments and Geographic Areas
12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Business Segments and Geographic Areas Business Segments and Geographic Areas
    
We are accounting and reporting for our business as a single operating segment entity engaged in the development, manufacturing and sale on a global basis of surgical devices and related equipment. Our chief operating decision maker (the CEO) evaluates the various global product portfolios on a net sales basis and evaluates profitability, investment, cash flow metrics and allocates resources on a consolidated worldwide basis due to shared infrastructure and resources. Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgery procedures including 2DHD and 3DHD vision technologies and fees related to sales representation, promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2020, 2019 and 2018:
 
2020
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$139,715 $342,349 $482,064 
Americas (excluding the United States)50,356 28,358 78,714 
Europe, Middle East & Africa90,998 70,086 161,084 
Asia Pacific93,636 46,961 140,597 
Total sales from contracts with customers$374,705 $487,754 $862,459 
2019
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$179,419 $337,246 $516,665 
Americas (excluding the United States)64,269 31,004 95,273 
Europe, Middle East & Africa118,301 64,248 182,549 
Asia Pacific101,333 59,277 160,610 
Total sales from contracts with customers$463,322 $491,775 $955,097 
2018
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$172,462 $276,186 $448,648 
Americas (excluding the United States)66,519 31,009 97,528 
Europe, Middle East & Africa112,998 53,565 166,563 
Asia Pacific94,749 52,146 146,895 
Total sales from contracts with customers$446,728 $412,906 $859,634 

Sales are attributed to countries based on the location of the customer. There were no significant investments in long-lived assets located outside the United States at December 31, 2020 and 2019.  No single customer represented over 10% of our consolidated net sales for the years ended December 31, 2020, 2019 and 2018.