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Revenue - Revenue Disaggregated by Types and Geography (Details) - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2020 | Sep. 30, 2020 | Jun. 30, 2020 | Mar. 31, 2020 | Dec. 31, 2019 | Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue | $ 1,329.1 | $ 1,077.7 | $ 852.1 | $ 1,099.5 | $ 1,277.7 | $ 1,128.2 | $ 1,098.9 | $ 973.7 | $ 4,358.4 | $ 4,478.5 | $ 3,724.2
Instruments and accessories |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 2,455.7 | 2,408.2 | 1,962.0
Systems |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 1,178.9 | 1,346.1 | 1,127.1
Services |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 723.8 | 724.2 | 635.1
U.S. |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 2,962.7 | 3,129.5 | 2,633.5
U.S. | Instruments and accessories |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 1,785.1 | 1,790.4 | 1,485.2
U.S. | Systems |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 695.0 | 830.7 | 692.2
U.S. | Services |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 482.6 | 508.4 | 456.1
Outside of U.S. (“OUS”) |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 1,395.7 | 1,349.0 | 1,090.7
Outside of U.S. (“OUS”) | Instruments and accessories |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 670.6 | 617.8 | 476.8
Outside of U.S. (“OUS”) | Systems |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | 483.9 | 515.4 | 434.9
Outside of U.S. (“OUS”) | Services |  |  |  |  |  |  |  |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |  |  |  |  |  |  |  |
Total revenue |  |  |  |  |  |  |  |  | $ 241.2 | $ 215.8 | $ 179.0

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