Fair Value Measurement Text Pursuit (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2021	Dec. 31, 2019	Dec. 31, 2022	Dec. 31, 2020
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Contingent Earn-out Liability	$ 5,491	$ 2,589		$ 25,572	$ 26,300
Short-term contingent consideration-gross	1,000	1,000
Long-term contingent consideration-gross	1,500
Pursuit Vascular, Inc. [Member]
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
contingent consideration gross	50,000		$ 50,000
Contingent Earn-out Liability	26,300		$ 26,300
Foreign Distibutor [Member]
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
contingent consideration gross	6,000
Contingent Earn-out Liability	3,400
Foreign Infusion System Supplier
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
contingent consideration gross	$ 2,500	2,500
Short-term contingent consideration-gross		1,000
Long-term contingent consideration-gross		$ 1,500