Segment Reporting and Foreign Operations - Narrative (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2024 USD ($) item segment	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Segment Reporting Information [Line Items]
Number of operating segments | segment	2
Number of Product Categories | item	5
Net sales	$ 1,356,514	$ 1,257,366	$ 1,150,981
International
Segment Reporting Information [Line Items]
Net sales	$ 555,734	$ 530,377	$ 500,422
International | Sales Revenue | Geographic Concentration
Segment Reporting Information [Line Items]
Concentration for geographic sales	41.00%	42.20%	43.50%
CHINA
Segment Reporting Information [Line Items]
Net sales	$ 149,800	$ 147,300	$ 149,300
Cardiovascular
Segment Reporting Information [Line Items]
Number of Product Categories | item	4
Net sales	$ 1,301,744	1,220,560	1,118,224
Cardiovascular | International
Segment Reporting Information [Line Items]
Net sales	$ 552,800	$ 527,957	$ 498,264