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Acquisitions and divestitures (Details) - USD ($)
$ in Millions
 1 Months Ended
Jun. 29, 2024
Dec. 29, 2024
Jun. 20, 2024
May 31, 2024
Dec. 31, 2023
Jan. 01, 2023
Assets acquired:            
Goodwill   $ 44,200     $ 36,558 $ 36,047
Shockwave Medical, Inc.            
Assets acquired:            
Cash and equivalents   1,100   $ 1,100    
Goodwill   7,600   7,500    
Amortizable intangibles   5,300   5,300    
Intangible assets assumed   600   600    
Inventory   500   500    
Other assets   400   500    
Other assets assumed   15,500   15,500    
Liabilities assumed:            
Deferred taxes   1,500   1,500    
Notes payable   1,000   1,000    
Accrued liabilities   400   400    
Total liabilities assumed   2,900   2,900    
Net assets acquired   12,600 $ 13,100 12,600    
Less: Cash acquired   $ 1,100   $ 1,100    
Equity awards settled $ 600          
Settlement of notes payable $ 1,000