Leases [Abstract]
Operating lease cost
Operating Lease, Expense
Sublease (income)
Sublease Income
Net lease cost
Lease, Cost
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Risk-free interest rate
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Risk-free interest rate
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term
Expected option term
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Expected price volatility
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate
Fair Value Disclosures [Abstract]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Other long-term obligations
Other Long-term Obligations [Member]
Other Long-term Obligations [Member]
Accrued expenses
Accrued Liabilities [Member]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Contingent receivable
Other Payments [Member]
Other Payments [Member]
Contingent Receivable
Contingent Receivable [Member]
Contingent Receivable [Member]
Liability Class [Axis]
Liability Class [Axis]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Contingent Consideration
Contingent Consideration [Member]
Contingent Consideration [Member]
Asset Class [Axis]
Asset Class [Axis]
Asset Class [Domain]
Asset Class [Domain]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Contingent consideration liability, noncurrent
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Noncurrent
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Noncurrent
Contingent consideration liability, current
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Current
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Current
Contingent receivable asset
Business Combination, Contingent Consideration, Asset
Gain (loss) on contingent receivable
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Gain (Loss) Included in Earnings
Payment received on contingent receivable
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Settlements
Impairment of other assets
Other Asset Impairment Charges
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Goodwill balance at January 1
Goodwill
Effect of foreign exchange
Goodwill, Foreign Currency Translation Gain (Loss)
Purchase price adjustments as the result of acquisitions
Goodwill, Purchase Accounting Adjustments
Goodwill balance at March 31
Debt Disclosure [Abstract]
Schedule of Long-term Debt Instruments
Schedule of Long-term Debt Instruments [Table Text Block]
Schedule of Long-term Debt Covenants
Schedule of Long-term Debt Covenants Table [Table Text Block]
Schedule of Long-term Debt Covenants Table [Table Text Block]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Compensation cost not yet recognized
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized
Compensation cost not yet recognized, period of recognition
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition
Options granted in period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table Text Block]
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Schedule of Consolidated Balance Sheet Information and Supplemental Information
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee [Table Text Block]
Components of Lease Costs
Lease, Cost [Table Text Block]
Maturities of Operating Lease Liabilities
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Schedule of Minimum Payments Under Operating Lease Agreements
Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]
Accumulated impairment loss
Goodwill, Impaired, Accumulated Impairment Loss
Aggregate amortization expense
Amortization of Intangible Assets
Statement of Financial Position [Abstract]
Statement [Table]
Statement [Table]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Developed technology — net of accumulated amortization — 2019 — $113,765 and 2018 — $102,357
Developed Technology Rights [Member]
Other — net of accumulated amortization — 2019 — $52,469 and 2018 — $49,136
Other Intangible Assets [Member]
Statement [Line Items]
Statement [Line Items]
ASSETS
Assets [Abstract]
CURRENT ASSETS:
Assets, Current [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Trade receivables — net of allowance for uncollectible accounts — 2019 — $2,406 and 2018 — $2,355
Accounts Receivable, Net, Current
Other receivables
Nontrade Receivables, Current
Inventories
Inventory, Net
Prepaid expenses and current other assets
Prepaid Expense and Other Assets, Current
Prepaid income taxes
Prepaid Taxes
Income tax refund receivables
Income Taxes Receivable, Current
Total current assets
Assets, Current
PROPERTY AND EQUIPMENT:
Property, Plant and Equipment, Net [Abstract]
Land and land improvements
Land
Buildings
Buildings and Improvements, Gross
Manufacturing equipment
Machinery and Equipment, Gross
Furniture and fixtures
Furniture and Fixtures, Gross
Leasehold improvements
Leasehold Improvements, Gross
Construction-in-progress
Construction in Progress, Gross
Total property and equipment
Property, Plant and Equipment, Gross
Less accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Property and equipment — net
Property, Plant and Equipment, Net
OTHER ASSETS:
Intangible Assets Net Goodwill and Other Assets Noncurrent [Abstract]
Intangible assets
Finite-Lived Intangible Assets, Net
Goodwill
Deferred income tax assets
Deferred Income Tax Assets, Net
Right-of-use operating lease assets
Operating Lease, Right-of-Use Asset
Other assets
Other Assets, Noncurrent
Total other assets
Intangible Assets Net Goodwill and Other Assets Noncurrent
This element represents sum of the carrying amounts of all intangible assets and goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. Also includes aggregate carrying amount, as of the balance sheet date, of noncurrent assets not separately disclosed in the balance sheet due to materiality considerations.
TOTAL
Assets
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
CURRENT LIABILITIES:
Liabilities, Current [Abstract]
Trade payables
Accounts Payable, Trade, Current
Accrued expenses
Accrued Liabilities, Current
Current portion of long-term debt
Long-term Debt, Current Maturities
Short-term operating lease liability
Operating Lease, Liability, Current
Income taxes payable
Accrued Income Taxes, Current
Total current liabilities
Liabilities, Current
LONG-TERM DEBT
Long-term Debt, Excluding Current Maturities
DEFERRED INCOME TAX LIABILITIES
Deferred Income Tax Liabilities, Net
LONG-TERM INCOME TAXES PAYABLE
Accrued Income Taxes, Noncurrent
LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS
Liability for Uncertainty in Income Taxes, Noncurrent
DEFERRED COMPENSATION PAYABLE
Deferred Compensation Liability, Classified, Noncurrent
DEFERRED CREDITS
Contract with Customer, Liability, Noncurrent
LONG-TERM OPERATING LEASE LIABILITY
Operating Lease, Liability, Noncurrent
OTHER LONG-TERM OBLIGATIONS
Other Liabilities, Noncurrent
Total liabilities
Liabilities
COMMITMENTS AND CONTINGENCIES (Notes 5, 10, 11, 14 and 15)
Commitments and Contingencies
STOCKHOLDERS’ EQUITY:
Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest [Abstract]
Preferred stock — 5,000 shares authorized as of March 31, 2019 and December 31, 2018; no shares issued
Preferred Stock, Value, Issued
Common stock, no par value; shares authorized — 2019 and 2018 - 100,000; issued and outstanding as of March 31, 2019 - 54,995 and December 31, 2018 - 54,893
Common Stock, Value, Issued
Retained earnings
Retained Earnings (Accumulated Deficit)
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Total stockholders’ equity
Stockholders' Equity Attributable to Parent
TOTAL
Liabilities and Equity
Business Combinations [Abstract]
As Reported
Net Income (Loss) Attributable to Parent [Abstract]
Net sales
Revenue from Contract with Customer, Excluding Assessed Tax
Net income
Net Income (Loss) Attributable to Parent
Basic (in dollars per share)
Earnings Per Share, Basic
Diluted (in dollars per share)
Earnings Per Share, Diluted
Pro Forma
Business Acquisition, Pro Forma Information [Abstract]
Net sales
Business Acquisition, Pro Forma Revenue
Net income
Business Acquisition, Pro Forma Net Income (Loss)
Basic, Pro Forma (in dollars per share)
Business Acquisition, Pro Forma Income (Loss) from Continuing Operations, Net of Tax, Per Share, Basic
Diluted, Pro Forma (in dollars per share)
Business Acquisition, Pro Forma Income (Loss) from Continuing Operations, Net of Tax, Per Share, Diluted
Changes in carrying amount of goodwill
Schedule of Goodwill [Table Text Block]
Other intangible assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Estimated amortization expense
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative [Table]
Derivative [Table]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as hedging instrument
Designated as Hedging Instrument [Member]
Not designated as hedging instrument
Not Designated as Hedging Instrument [Member]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Derivatives designated as cash flow hedges
Cash Flow Hedging [Member]
Foreign currency forward contracts
Foreign Exchange Forward [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Derivative [Line Items]
Derivative [Line Items]
Notional amount of derivative
Derivative, Notional Amount
Revenue from Contract with Customer [Abstract]
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Remaining 2019
Lessee, Operating Lease, Liability, Payments, Remainder of Fiscal Year
2020
Lessee, Operating Lease, Liability, Payments, Due Year Two
2021
Lessee, Operating Lease, Liability, Payments, Due Year Three
2022
Lessee, Operating Lease, Liability, Payments, Due Year Four
2023
Lessee, Operating Lease, Liability, Payments, Due Year Five
Thereafter
Lessee, Operating Lease, Liability, Payments, Due after Year Five
Total lease payments
Lessee, Operating Lease, Liability, Payments, Due
Less: Imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Less: Imputed interest
Operating Lease, Liability
ROU operating lease assets
Short-term operating lease liabilities
Long-term operating lease liabilities
Total operating lease liabilities
Measurement Basis [Axis]
Measurement Basis [Axis]
Fair Value Measurement [Domain]
Fair Value Measurement [Domain]
Portion at Fair Value Measurement
Portion at Fair Value Measurement [Member]
Estimate of Fair Value, Fair Value Disclosure
Estimate of Fair Value Measurement [Member]
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Fair Value, Measurement Frequency [Domain]
Fair Value, Measurement Frequency [Domain]
Fair Value, Measurements, Recurring
Fair Value, Measurements, Recurring [Member]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy and NAV [Domain]
Fair Value, Inputs, Level 1
Fair Value, Inputs, Level 1 [Member]
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Interest rate contracts
Interest Rate Cash Flow Hedge Asset at Fair Value
Foreign currency contract liabilities, current and long-term
Foreign Currency Contract, Asset, Fair Value Disclosure
Foreign currency contract liabilities, current and long-term
Foreign Currency Contracts, Liability, Fair Value Disclosure
Contingent consideration liabilities
Business Combination, Contingent Consideration, Liability
Weighted average remaining lease term
Operating Lease, Weighted Average Remaining Lease Term
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Interest rate swap
Interest Rate Swap [Member]
Other assets (long-term)
Other Noncurrent Assets [Member]
Prepaid expenses and other assets
Prepaid Expenses and Other Current Assets [Member]
Other long-term obligations
Other Noncurrent Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Total Asset Derivatives
Derivative Asset, Fair Value, Gross Asset
Total Liability Derivatives
Derivative Liability, Fair Value, Gross Liability
Statement of Comprehensive Income [Abstract]
Net income
Other comprehensive income (loss):
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Cash flow hedges
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax, Parent
Income tax benefit (expense)
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, Tax, Parent
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Gain (Loss), before Reclassification and Tax
Income tax benefit
Other Comprehensive Income (Loss), Foreign Currency Translation Gain (Loss) Arising During Period, Tax
Total other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax
Total comprehensive income
Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest
Segment Reporting [Abstract]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Discount rate
Measurement Input, Discount Rate [Member]
Probability of milestone payment
Milestone Payment Probability [Member]
Milestone Payment Probability [Member]
Revenue-based royalty
Revenue-based Payments [Member]
Revenue-based Payments [Member]
Supply chain milestone
Supply Chain Milestone [Member]
Supply Chain Milestone [Member]
Revenue milestones
Revenue Milestones [Member]
Revenue Milestones [Member]
Valuation Approach and Technique [Axis]
Valuation Approach and Technique [Axis]
Valuation Approach and Technique [Domain]
Valuation Approach and Technique [Domain]
Discounted Cash Flow
Valuation, Income Approach [Member]
Fair Value Inputs, Liabilities, Quantitative Information [Line Items] (Deprecated 2018-01-31)
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Contingent consideration liabilities
Contingent consideration asset
Unobservable inputs, contingent liability
Business Combination, Contingent Consideration, Liability, Measurement Input
Unobservable inputs, contingent receivable asset
Contingent Consideration, Asset, Measurement Input
Contingent Consideration, Asset, Measurement Input
Statement of Stockholders' Equity [Abstract]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Common Stock
Common Stock [Member]
Retained Earnings
Retained Earnings [Member]
Accumulated Other Comprehensive Income (Loss)
AOCI Attributable to Parent [Member]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning balance
Beginning balance (in shares)
Common Stock, Shares, Outstanding
Reclassify deferred gain on sale-leaseback upon adoption of ASC 842
Cumulative Effect of New Accounting Principle in Period of Adoption
Other comprehensive income/loss
Stock-based compensation expense
Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition
Options exercised
Stock Issued During Period, Value, Stock Options Exercised
Options exercised (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Issuance of common stock under Employee Stock Purchase Plans
Stock Issued During Period, Value, Employee Stock Purchase Plan
Issuance of common stock under Employee Stock Purchase Plans (in shares)
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Ending balance
Ending balance (in shares)
Developed technology
Other
Trade receivables, allowances
Allowance for Doubtful Accounts Receivable, Current
Intangibles, accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Preferred stock shares authorized (in shares)
Preferred Stock, Shares Authorized
Preferred stock shares issued (in shares)
Preferred Stock, Shares Issued
Common stock par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Common stock shares authorized (in shares)
Common Stock, Shares Authorized
Common stock shares issued (in shares)
Common Stock, Shares, Issued
Common stock shares outstanding (in shares)
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Investment, Name [Axis]
Investment, Name [Axis]
Investment, Name [Domain]
Investment, Name [Domain]
Fluidx
Fluidx Medical Technology, LLC [Member]
Fluidx Medical Technology, LLC [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Vascular Insights
Vascular Insights, LLC and VI Management, Inc. [Member]
Vascular Insights, LLC and VI Management, Inc. [Member]
Cianna Medical
Cianna Medical [Member]
Cianna Medical [Member]
DirectACCESS Medical, LLC
DirectACCESS Medical, LLC [Member]
DirectACCESS Medical, LLC [Member]
Becton, Dickinson and Company
Becton, Dickinson and Company [Member]
Becton, Dickinson and Company [Member]
Trademarks
Trademarks [Member]
Customer Lists
Customer Lists [Member]
Achievement of Supply Chain and Scalability Metrics
Achievement of Supply Chain and Scalability Metrics [Member]
Achievement of Supply Chain and Scalability Metrics [Member]
Annual Net Sales Milestone
Annual Net Sales Milestone [Member]
Annual Net Sales Milestone [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Payments to acquire shares
Payments to Acquire Equity Method Investments
Ownership percentage
Equity Method Investment, Ownership Percentage
Purchase consideration, upfront payment
Payments to Acquire Businesses, Gross
Contingent liability
Net sales related to acquisition
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual
Useful life
Finite-Lived Intangible Asset, Useful Life
Weighted average useful life
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Working capital adjustment
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred
Earn-out payments
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Acquisition-related costs
Business Combination, Acquisition Related Costs
Total purchase price
Business Combination, Consideration Transferred
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Remaining lease term
Lessee, Operating Lease, Remaining Lease Term
Lessee, Operating Lease, Remaining Lease Term
Renewal term (up to)
Lessee, Operating Lease, Renewal Term
Termination option (within)
Lessee, Operating Lease, Termination Period
Lessee, Operating Lease, Termination Period
Sale and leaseback transaction
Sale Leaseback Transaction, Amount Due under Financing Arrangement
Deferred gain from sale and leaseback transaction
Sale Leaseback Transaction, Deferred Gain, Net
Revolving Credit Facility and Long-Term Debt
Debt Disclosure [Text Block]
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Fair Value Inputs, Liabilities, Quantitative Information
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]
Inventory Disclosure [Abstract]
Finished goods
Inventory, Finished Goods, Net of Reserves
Work-in-process
Inventory, Work in Process, Net of Reserves
Raw materials
Inventory, Raw Materials, Net of Reserves
Total Inventories
Remaining 2019
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
2020
Finite-Lived Intangible Assets, Amortization Expense, Year Two
2021
Finite-Lived Intangible Assets, Amortization Expense, Year Three
2022
Finite-Lived Intangible Assets, Amortization Expense, Year Four
2023
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Statement of Cash Flows [Abstract]
Net capitalized interest
Interest Paid, Capitalized, Investing Activities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Beginning balance
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Fair value adjustments recorded to income during the period
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Contingent payments made
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Ending balance
Schedule of Notional Amounts of Outstanding Derivative Positions
Schedule of Notional Amounts of Outstanding Derivative Positions [Table Text Block]
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss)
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Derivative Instruments, Gain (Loss)
Derivative Instruments, Gain (Loss) [Table Text Block]
Schedule of Finite-Lived Intangible Assets by Major Class [Table]
Schedule of Finite-Lived Intangible Assets [Table]
Patents
Patents [Member]
Distribution agreements
Distribution Rights [Member]
License agreements
Licensing Agreements [Member]
Covenants not to compete
Noncompete Agreements [Member]
Customer lists
In-process technology
In Process Technology [Member]
In Process Technology [Member]
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount
Finite-Lived Intangible Assets, Gross
Accumulated Amortization
Net Carrying Amount
Inventories
Inventory Disclosure [Text Block]
Goodwill and Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Number of operating segments
Number of Operating Segments
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
Revenue and cost of sales
Revenue and Cost of Sales [Member]
Revenue and Cost of Sales [Member]
Interest expense
Interest Expense [Member]
Fixed rate
Derivative, Fixed Interest Rate
Deferred taxes used to offset fair value of interest rate swap
Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Tax
Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Tax
Maturity of derivative contract (up to)
Derivative, Term of Contract
Average number of contracts entered into per month
Derivative, Average Number of Contracts Entered Into Per Month
Derivative, Average Number of Contracts Entered Into Per Month
Amount expected to be reclassified from accumulated other comprehensive income to earnings in next twelve months, gross
Cash Flow Hedge Gain (Loss) To Be Reclassified Within Twelve Months, Gross
Cash Flow Hedge Gain (Loss) To Be Reclassified Within Twelve Months, Gross
Amount expected to be reclassified from accumulated other comprehensive income to earnings in next twelve months, net of tax
Cash Flow Hedge Gain (Loss) to be Reclassified within Twelve Months
2019
Operating Leases, Future Minimum Payments Due, Next Twelve Months
2020
Operating Leases, Future Minimum Payments, Due in Two Years
2021
Operating Leases, Future Minimum Payments, Due in Three Years
2022
Operating Leases, Future Minimum Payments, Due in Four Years
2023
Operating Leases, Future Minimum Payments, Due in Five Years
Thereafter
Operating Leases, Future Minimum Payments, Due Thereafter
Total
Operating Leases, Future Minimum Payments Due
Fair Value Measurements
Fair Value Disclosures [Text Block]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Business Acquisition, Pro Forma Information
Business Acquisition, Pro Forma Information [Table Text Block]
Earnings Per Share, Basic and Diluted [Abstract]
Earnings Per Common Share (EPS)
Earnings Per Share [Text Block]
Income Statement [Abstract]
NET SALES
COST OF SALES
Cost of Goods and Services Sold
GROSS PROFIT
Gross Profit
OPERATING EXPENSES:
Operating Expenses [Abstract]
Selling, general and administrative
Selling, General and Administrative Expense
Research and development
Research and Development Expense
Contingent consideration expense
Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit
Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit
Acquired in-process research and development
Research and Development Asset Acquired Other than Through Business Combination, Written-off
Total operating expenses
Operating Expenses
INCOME FROM OPERATIONS
Operating Income (Loss)
OTHER INCOME (EXPENSE):
Nonoperating Income (Expense) [Abstract]
Interest income
Investment Income, Interest
Interest expense
Interest Expense
Other expense - net
Other Nonoperating Income (Expense)
Total other expense — net
Nonoperating Income (Expense)
INCOME BEFORE INCOME TAXES
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
INCOME TAX EXPENSE
Income Tax Expense (Benefit)
NET INCOME
EARNINGS PER COMMON SHARE:
Earnings Per Share [Abstract]
AVERAGE COMMON SHARES:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Product and Service [Axis]
Product and Service [Axis]
Product and Service [Domain]
Product and Service [Domain]
Stand-alone devices
Stand Alone Devices [Member]
Stand Alone Devices [Member]
Custom kits and procedure trays
Custom Kit And Procedures Trays [Member]
Custom Kit And Procedures Trays [Member]
Inflation devices
Inflation Devices [Member]
Inflation Devices [Member]
Catheters
Catheters [Member]
Catheters [Member]
Embolization devices
Embolization Devices [Member]
Embolization Devices [Member]
CRM/EP
CRM/EP [Member]
CRM/EP [Member]
Endoscopy devices
Endoscopy Devices [Member]
Endoscopy Devices [Member]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Cardiovascular
Cardiovascular Segment [Member]
Cardiovascular Segment [Member]
Endoscopy
Endoscopy Segment [Member]
Endoscopy Segment
Geographical [Axis]
Geographical [Axis]
Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
International
Non-US [Member]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table]
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table]
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs, by Report Line [Axis]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs, Report Line [Domain]
Cost of sales
Cost of Sales [Member]
Research and development
Research and Development Expense [Member]
Selling, general and administrative
Selling, General and Administrative Expenses [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Allocated share-based compensation
Allocated Share-based Compensation Expense
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis of Presentation
Organization, Consolidation and Presentation of Financial Statements Disclosure and Significant Accounting Policies [Text Block]
Derivatives
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Loss Contingencies [Table]
Loss Contingencies [Table]
Litigation Case [Axis]
Litigation Case [Axis]
Litigation Case [Domain]
Litigation Case [Domain]
U.S. Department of Justice Matter
United States Department of Justice Matter [Member]
United States Department of Justice Matter [Member]
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Legal expenses
Legal Fees
Schedule of Earnings Per Share, Basic and Diluted
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Acquisitions
Business Combination Disclosure [Text Block]
Segment Reporting
Segment Reporting Disclosure [Text Block]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Operating income
Nonoperating Income (Expense)
Income tax expense
Income Tax Disclosure [Abstract]
Income Taxes
Income Tax Disclosure [Text Block]
Accounting Policies [Abstract]
Recently Issued Financial Accounting Standards
Description of New Accounting Pronouncements Not yet Adopted [Text Block]
Stock-Based Compensation Expense
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Cash paid for amounts included in the measurement of lease liabilities
Operating Lease, Payments
Right-of-use operating lease assets obtained in exchange for operating lease liabilities
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Term Loan
Term Loan [Member]
Term Loan [Member]
Revolving Credit Facility
Revolving Credit Facility [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
Total long-term debt
Long-term Debt
Collateralized debt facility
Short-term Debt
Less unamortized debt issuance costs
Debt Issuance Costs, Net
Less current portion
Long-term portion
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Credit Agreement
Credit Agreement [Member]
Credit Agreement
Bridge Loan
Bridge Loan [Member]
Interest Rate Swap 2
Interest Rate Swap 2 [Member]
Interest Rate Swap 2 [Member]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
Variable Rate 1
Variable Rate 1 [Member]
Variable Rate 1
LIBOR
London Interbank Offered Rate (LIBOR) [Member]
Increase to revolving credit commitment
Line of Credit Facility, Increase to Maximum Borrowing Capacity
Line of Credit Facility, Increase to Maximum Borrowing Capacity
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Debt instrument, face amount
Debt Instrument, Face Amount
Interest rate increase if in event of default
Debt Instrument, Debt Default, Increase in Interest Rate
Debt Instrument, Debt Default, Increase in Interest Rate
Commitment fee percentage
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Outstanding borrowings
Long-term Debt, Gross
Remaining borrowing capacity on line of credit
Line of Credit Facility, Remaining Borrowing Capacity
Fixed interest rate percent
Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate
Debt subject to fixed interest rate
Long-term Debt, Percentage Bearing Fixed Interest, Amount
Variable interest rate percent
Long-term Debt, Percentage Bearing Variable Interest, Percentage Rate
Debt subject to variable interest rate
Long-term Debt, Percentage Bearing Variable Interest, Amount
Debt instrument, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Variable rate on loan
Short-term Debt, Percentage Bearing Variable Interest Rate
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Revenue from Contracts with Customers
Revenue from Contract with Customer [Policy Text Block]
Recently Issued Financial Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Derivatives
Derivatives, Policy [Policy Text Block]
Remaining 2019
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
2020
Long-term Debt, Maturities, Repayments of Principal in Year Two
2021
Long-term Debt, Maturities, Repayments of Principal in Year Three
Total future minimum principal payments
CASH FLOWS FROM OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Depreciation and amortization
Depreciation, Depletion and Amortization
Loss on sales and/or abandonment of property and equipment
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Amortization of right-of-use operating lease assets
Operating Lease, Right-of-Use Asset, Amortization
Operating Lease, Right-of-Use Asset, Amortization
Write-off of patents and intangible assets
Impairment of Intangible Assets, Finite-lived
Acquired in-process research and development
Amortization of deferred credits
Contract with Customer, Liability, Revenue Recognized
Amortization of long-term debt issuance costs
Amortization of Debt Issuance Costs
Stock-based compensation expense
Share-based Compensation
Changes in operating assets and liabilities, net of effects from acquisitions:
Increase (Decrease) in Operating Capital [Abstract]
Trade receivables
Increase (Decrease) in Accounts Receivable
Other receivables
Increase (Decrease) in Other Receivables
Inventories
Increase (Decrease) in Inventories
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Prepaid income taxes
Increase (Decrease) in Prepaid Taxes
Income tax refund receivables
Increase (Decrease) in Income Taxes Receivable
Other assets
Increase (Decrease) in Other Operating Assets
Trade payables
Increase (Decrease) in Accounts Payable, Trade
Accrued expenses
Increase (Decrease) in Accrued Liabilities
Income taxes payable
Increase (Decrease) in Income Taxes Payable
Deferred compensation payable
Increase (Decrease) in Deferred Compensation
Operating lease liabilities
Increase (Decrease) in Operating Lease, Liability
Increase (Decrease) in Operating Lease, Liability
Other long-term obligations
Increase (Decrease) in Other Operating Liabilities
Total adjustments
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
CASH FLOWS FROM INVESTING ACTIVITIES:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Capital expenditures for:
Payments to Acquire Productive Assets [Abstract]
Property and equipment
Payments to Acquire Property, Plant, and Equipment
Intangible assets
Payments to Acquire Intangible Assets
Proceeds from the sale of property and equipment
Proceeds from Sale of Property, Plant, and Equipment
Cash paid in acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
CASH FLOWS FROM FINANCING ACTIVITIES:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Proceeds from issuance of common stock
Proceeds from Issuance of Common Stock
Proceeds from issuance of long-term debt
Proceeds from Issuance of Long-term Debt
Payments on long-term debt
Repayments of Long-term Debt
Contingent payments related to acquisitions
Proceeds from (Payments for) Other Financing Activities
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
EFFECT OF EXCHANGE RATES ON CASH
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
CASH AND CASH EQUIVALENTS:
Cash and Cash Equivalents, at Carrying Value [Abstract]
Beginning of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
End of period
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
Supplemental Cash Flow Information [Abstract]
Interest (net of capitalized interest of $241 and $146, respectively)
Interest Paid, Excluding Capitalized Interest, Operating Activities
Income taxes
Income Taxes Paid, Net
SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract]
Property and equipment purchases in accounts payable
Capital Expenditures Incurred but Not yet Paid
Net income, Basic EPS
Net Income (Loss) Available to Common Stockholders, Basic
Basic EPS (in shares)
Basic EPS (in dollars per share)
Effect of dilutive stock options (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Net income, Diluted EPS
Net Income (Loss) Available to Common Stockholders, Diluted
Diluted EPS (in shares)
Diluted EPS (in dollars per share)
Stock options excluded from the calculation of common stock equivalents as the impact was anti-dilutive (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Schedule of Inventory
Schedule of Inventory, Current [Table Text Block]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Domain]
Debt Covenant Period [Domain]
[Domain] for Debt Covenant Period [Axis]
January 1, 2018 and thereafter
January 1, 2018 and thereafter [Member]
January 1, 2018 and thereafter [Member] [Member]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Consolidated Total Leverage Ratio
Line of Credit Facility, Covenant Terms, Consolidated Total Leverage Ratio, Maximum
Line of Credit Facility, Covenant Terms, Consolidated Total Leverage Ratio, Maximum
Consolidated EBITDA
Line of Credit Facility, Covenant Terms, Consolidated Ebitda To Fixed Charges Ratio, Minimum2
Line of Credit Facility, Covenant Terms, Consolidated Ebitda To Fixed Charges Ratio, Minimum2
Consolidated Net Income
Line of Credit Facility, Covenant Terms, Consolidated Net Income, Minimum
Line of Credit Facility, Covenant Terms, Consolidated Net Income, Minimum
Facility Capital Expenditures
Line of Credit Facility, Covenant Terms, Facility Capital Expenditures, Next Twelve Months, Maximum
Line of Credit Facility, Covenant Terms, Facility Capital Expenditures, Next Twelve Months, Maximum
Revenue from Contract with Customers
Revenue from Contract with Customer [Text Block]
Derivative Instruments, Gain (Loss) [Table]
Derivative Instruments, Gain (Loss) [Table]
Interest expense
Revenue
Revenue from Contract with Customer [Member]
Cost of sales
Cost of Goods, Total [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Amount of Gain/(Loss) recognized in OCI
Amount of Gain/(Loss) recognized in OCI
Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, before Tax
Amount of Gain/(Loss) recognized in income
Derivative, Gain (Loss) on Derivative, Net
Amount of Gain/(Loss) reclassified from AOCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Amount of Gain/(Loss) reclassified from AOCI
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net
Document Information [Abstract]
Document Information [Abstract]
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Document Type
Document Type
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Amendment Flag
Amendment Flag
Entity Emerging Growth Company
Entity Emerging Growth Company
Entity Small Business
Entity Small Business
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Other expense
Other Expense [Member]
Gain (loss) on derivative
Leases
Lessee, Operating Leases [Text Block]
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
In-process technology
In Process Research and Development [Member]
Assets Acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract]
Trade receivables
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables
Inventories
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Prepaid expenses and other assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets
Property and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Other long-term assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets
Intangibles
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Total assets acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets, Including Goodwill
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets, Including Goodwill
Liabilities Assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities [Abstract]
Trade payables
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable
Accrued expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other
Other long-term liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities
Deferred income tax liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities
Total liabilities assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities
Total net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net