Segment Reporting and Foreign Operations - Assets, Depreciation, Amortization and Capital Expenditures (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Segment Reporting, Asset Reconciling Item [Line Items]
Depreciation and amortization	$ 102,709	$ 89,985	$ 81,804
Cardiovascular
Segment Reporting, Asset Reconciling Item [Line Items]
Depreciation and amortization	97,749	88,960	80,777
Endoscopy
Segment Reporting, Asset Reconciling Item [Line Items]
Depreciation and amortization	$ 4,960	$ 1,025	$ 1,027