Commitments and Contingencies Contingencies (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2019	Jan. 06, 2022	Dec. 31, 2020
Business Acquisition [Line Items]
Contingent Earn-out Liability	$ 5,491	$ 25,572	$ 2,589			$ 26,300
Short-term contingent consideration-gross	1,000		1,000
Long-term contingent consideration-gross	1,500
Contingent Consideration, Gross LT	1,500
Product Liability Accrual, Period Expense	20,300	5,300
Product Liability Accrual, Component Amount	56,300
Long Term
Business Acquisition [Line Items]
Product Liability Accrual, Component Amount	26,056	25,294
Pursuit Vascular, Inc. [Member]
Business Acquisition [Line Items]
contingent consideration gross	50,000			$ 50,000
Contingent Earn-out Liability	26,300			$ 26,300
Foreign Distibutor [Member]
Business Acquisition [Line Items]
contingent consideration gross	6,000
Contingent Earn-out Liability	3,400
Foreign Infusion System Supplier
Business Acquisition [Line Items]
contingent consideration gross	2,500		2,500
Short-term contingent consideration-gross			1,000
Long-term contingent consideration-gross			1,500
Business Combination, Contingent Consideration, Liability	1,500		$ 1,500
Smiths Medical
Business Acquisition [Line Items]
contingent consideration gross	100,000	$ 100,000
Business Combination, Contingent Consideration, Liability	4,000				$ 53,500
Product Liability Accrual, Component Amount	$ 53,600