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Goodwill and Other Intangible Assets - Additional Information (Detail) (USD $)
3 Months Ended 12 Months Ended
Mar. 31, 2012
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Finite Lived Intangible Assets [Line Items]        
Amortization expense of intangible assets   $ 50,608,000 $ 44,264,000 $ 42,634,000
Goodwill impairment charges 332,100,000    332,128,000  
Vascular Reporting Unit
       
Finite Lived Intangible Assets [Line Items]        
Goodwill impairment charges 220,000,000      
Anesthesia/Respiratory Reporting Unit
       
Finite Lived Intangible Assets [Line Items]        
Goodwill impairment charges 107,000,000      
Cardiac Reporting Unit
       
Finite Lived Intangible Assets [Line Items]        
Goodwill impairment charges 5,000,000      
Trade Names
       
Finite Lived Intangible Assets [Line Items]        
Indefinite lived intangible assets   371,600,000    
In-process Research and Development Asset
       
Finite Lived Intangible Assets [Line Items]        
Indefinite lived intangible assets   $ 68,800,000