Business Combinations and Asset Acquisitions (Details) - USD ($) shares in Thousands	3 Months Ended	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022	[1]
Business Acquisition [Line Items]
Contingent Earn-Out Liability	$ 7,061,000	$ 7,061,000		$ 25,572,000
Minimum Stock Price Target for Earn-out Payment	$ 300.00	$ 300.00
Required Share Holding Of Stock Issued At Acquisition	0.500	0.500
Related Party Transaction, Purchases from Related Party	$ 300,000	$ 8,300,000
related party open payables	$ 0	$ 0
SmithsMedical
Business Acquisition [Line Items]
Business Acquisition, Percentage of Voting Interests Acquired	100.00%	100.00%
Business Combination, Consideration Transferred, Cash	$ 1,900,000,000	$ 1,900,000,000
Contingent Earn-Out Liability	$ 100,000,000	$ 100,000,000
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares		2,500	2,500

[1] December 31, 2022 balances were derived from audited consolidated financial statements.