Commitments and Contingencies Contingencies (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022	Jan. 06, 2022	Dec. 31, 2021
Business Acquisition [Line Items]
Contingent Earn-out Liability	$ 0	$ 5,491	$ 25,572		$ 2,589
Short-term contingent consideration-gross	1,000		1,000
Long-term contingent consideration-gross	1,500
Product Liability Accrual, Period Expense	5,200	20,300
Product Liability Accrual, Component Amount	39,200
Long Term
Business Acquisition [Line Items]
Product Liability Accrual, Component Amount	6,401	26,056
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
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	$ 31,700