Business Acquisition Business Combination Table (Details) $ in Thousands, € in Millions			6 Months Ended
	Jan. 15, 2015 USD ($)	Jan. 15, 2015 EUR (€)	Jun. 30, 2015 USD ($)	Jan. 15, 2015 EUR (€)	Dec. 31, 2014 USD ($)
Business Acquisition [Line Items]
Goodwill			$ 19,016		$ 13,091
Goodwill, Acquired During Period			(1,569)
Blue Ortho [Member]
Business Acquisition [Line Items]
Business Combination, Consideration Transferred	$ 2,329	€ 2.0	2,329
Contingent Consideration Fair Value	8,243		7,148
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Contingent Consideration			(1,095)
Business Combination, Consideration Recognized	10,572		9,477
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Recognized			(1,095)
Business Combination, Consideration Transferred, Other	3,080		3,080
Business Combination, Acquisition Related Costs			278
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets	1,024		1,316
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Current Assets Acquired			291
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment	127		164
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Property, Plant, and Equipment			37
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities	(389)		(417)
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Current Liabilities Assumed			(27)
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Noncurrent	(2,400)		(2,486)
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred tax Liability			(86)
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill	7,201		7,460
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Intangibles			259
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net	5,563		6,037
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net			474
Goodwill	8,089		6,520
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net	$ 13,652		12,557	€ 10.0
Business Combination, Provisional Information, Adjustment Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed			$ (1,095)