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Fair value measurements - Financial Assets and Liabilities at Fair Value (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 29, 2024
Dec. 31, 2023
Jan. 01, 2023
Jun. 20, 2024
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets $ 2,144      
Derivatives designated as hedging instruments : Liabilities 4,547      
Equity investments 451 $ 4,473    
Debt securities 7,216 8,874    
Contingent Consideration 1,217 1,092    
Total Gross Assets 2,194 1,591    
Credit Support Agreements (CSA) $ (2,172) $ (1,575)    
Derivative Asset, Statement Of Financial Position, Extensible Enumeration, Not Disclosed Flag Total Net Asset Total Net Asset    
Total Net Asset $ 22 $ 16    
Total Gross Liabilities 4,564 6,037    
Credit Support Agreements (CSA) $ (4,412) $ (5,604)    
Derivative Liability, Statement Of Financial Position, Extensible Enumeration, Not Disclosed Flag Total Net Liabilities Total Net Liabilities    
Total Net Liabilities $ 152 $ 433    
Beginning Balance 1,092 1,120 $ 533  
Changes in estimated fair value 88 29 (194)  
Additions 112 0 792  
Payments/Other (75) (57) (11)  
Ending Balance 1,217 1,092 1,120  
Other Noncurrent Liabilities        
Financial assets and liabilities at fair value        
Contingent Consideration 1,217 1,092 1,116  
Other Current Liabilities        
Financial assets and liabilities at fair value        
Contingent Consideration     4  
Abiomed        
Financial assets and liabilities at fair value        
Contingent Consideration 700   $ 704  
Proteologix        
Financial assets and liabilities at fair value        
Contingent Consideration 105     $ 100
Level 1        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 0      
Derivatives designated as hedging instruments : Liabilities 0      
Equity investments 451 4,473    
Debt securities 0      
Level 2        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 2,144 1,527    
Derivatives designated as hedging instruments : Liabilities 4,547 5,962    
Equity investments 0      
Debt securities 7,216      
Level 3        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 0      
Derivatives designated as hedging instruments : Liabilities 0      
Equity investments 0      
Debt securities 0      
Contingent Consideration 1,217 1,092    
Foreign exchange contracts        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 660      
Derivatives designated as hedging instruments : Liabilities 794      
Derivatives not designated as hedging instruments : Assets 50      
Derivatives not designated as hedging instruments : Liabilities 17      
Foreign exchange contracts | Level 1        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 0      
Derivatives designated as hedging instruments : Liabilities 0      
Derivatives not designated as hedging instruments : Assets 0      
Derivatives not designated as hedging instruments : Liabilities 0      
Foreign exchange contracts | Level 2        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 660 539    
Derivatives designated as hedging instruments : Liabilities 794 624    
Derivatives not designated as hedging instruments : Assets 50 64    
Derivatives not designated as hedging instruments : Liabilities 17 75    
Foreign exchange contracts | Level 3        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 0      
Derivatives designated as hedging instruments : Liabilities 0      
Derivatives not designated as hedging instruments : Assets 0      
Derivatives not designated as hedging instruments : Liabilities 0      
Interest rate swaps contracts:        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 1,484      
Derivatives designated as hedging instruments : Liabilities 3,753      
Interest rate swaps contracts: | Level 1        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 0      
Derivatives designated as hedging instruments : Liabilities 0      
Interest rate swaps contracts: | Level 2        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 1,484 988    
Derivatives designated as hedging instruments : Liabilities 3,753 $ 5,338    
Interest rate swaps contracts: | Level 3        
Financial assets and liabilities at fair value        
Derivatives designated as hedging instruments : Assets 0      
Derivatives designated as hedging instruments : Liabilities $ 0