Commitments and Contingencies Contingencies (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Jan. 06, 2022	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Business Acquisition [Line Items]
Contingent Earn-out Liability	$ 25,572		$ 2,589	$ 26,300	$ 17,300
Short-term contingent consideration-gross	1,000
Long-term contingent consideration-gross	1,500
Contingent Consideration, Gross LT	1,500
Product Liability Accrual, Component Amount	49,800
Pursuit Vascular, Inc. [Member]
Business Acquisition [Line Items]
contingent consideration gross	50,000
Pursuit Vascular LLC
Business Acquisition [Line Items]
Contingent Earn-out Liability	26,300
Foreign Distibutor [Member]
Business Acquisition [Line Items]
contingent consideration gross	6,000
Contingent Earn-out Liability	2,600
Foreign Infusion System Supplier
Business Acquisition [Line Items]
contingent consideration gross	2,500
Short-term contingent consideration-gross	1,000
Long-term contingent consideration-gross	1,500
Smiths Medical
Business Acquisition [Line Items]
contingent consideration gross	100,000
Business Combination, Contingent Consideration, Liability	$ 21,000	$ 53,500