Revenue Recognition - Disaggregated Sales Analysis (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2022	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Dec. 31, 2021	Sep. 30, 2021	Jun. 30, 2021	Mar. 31, 2021	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Disaggregation of Revenue [Line Items]
Net sales	$ 5,202,000	$ 4,479,000	$ 4,493,000	$ 4,275,000	$ 4,701,000	$ 4,160,000	$ 4,294,000	$ 3,953,000	$ 18,449,000	$ 17,108,000	$ 14,351,000
United States
Disaggregation of Revenue [Line Items]
Net sales									13,638,000	12,321,000	10,455,000
International
Disaggregation of Revenue [Line Items]
Net sales									4,811,000	4,787,000	3,896,000
MedSurg and Neurotechnology
Disaggregation of Revenue [Line Items]
Net sales									10,611,000	9,538,000	8,345,000
MedSurg and Neurotechnology \| United States
Disaggregation of Revenue [Line Items]
Net sales									8,024,000	7,026,000	6,218,000
MedSurg and Neurotechnology \| International
Disaggregation of Revenue [Line Items]
Net sales									2,587,000	2,512,000	2,127,000
MedSurg and Neurotechnology \| Instruments
Disaggregation of Revenue [Line Items]
Net sales									2,279,000	2,111,000	1,863,000
MedSurg and Neurotechnology \| Instruments \| United States
Disaggregation of Revenue [Line Items]
Net sales									1,810,000	1,637,000	1,471,000
MedSurg and Neurotechnology \| Instruments \| International
Disaggregation of Revenue [Line Items]
Net sales									469,000	474,000	392,000
MedSurg and Neurotechnology \| Endoscopy
Disaggregation of Revenue [Line Items]
Net sales									2,423,000	2,141,000	1,763,000
MedSurg and Neurotechnology \| Endoscopy \| United States
Disaggregation of Revenue [Line Items]
Net sales									1,914,000	1,670,000	1,408,000
MedSurg and Neurotechnology \| Endoscopy \| International
Disaggregation of Revenue [Line Items]
Net sales									509,000	471,000	355,000
MedSurg and Neurotechnology \| Medical
Disaggregation of Revenue [Line Items]
Net sales									3,031,000	2,607,000	2,524,000
MedSurg and Neurotechnology \| Medical \| United States
Disaggregation of Revenue [Line Items]
Net sales									2,422,000	2,007,000	1,910,000
MedSurg and Neurotechnology \| Medical \| International
Disaggregation of Revenue [Line Items]
Net sales									609,000	600,000	614,000
MedSurg and Neurotechnology \| Neurovascular
Disaggregation of Revenue [Line Items]
Net sales									1,200,000	1,188,000	973,000
MedSurg and Neurotechnology \| Neurovascular \| United States
Disaggregation of Revenue [Line Items]
Net sales									446,000	451,000	381,000
MedSurg and Neurotechnology \| Neurovascular \| International
Disaggregation of Revenue [Line Items]
Net sales									754,000	737,000	592,000
MedSurg and Neurotechnology \| Neuro Cranial
Disaggregation of Revenue [Line Items]
Net sales									1,376,000	1,214,000	972,000
MedSurg and Neurotechnology \| Neuro Cranial \| United States
Disaggregation of Revenue [Line Items]
Net sales									1,135,000	988,000	801,000
MedSurg and Neurotechnology \| Neuro Cranial \| International
Disaggregation of Revenue [Line Items]
Net sales									241,000	226,000	171,000
MedSurg and Neurotechnology \| Other
Disaggregation of Revenue [Line Items]
Net sales									302,000	277,000	250,000
MedSurg and Neurotechnology \| Other \| United States
Disaggregation of Revenue [Line Items]
Net sales									297,000	273,000	247,000
MedSurg and Neurotechnology \| Other \| International
Disaggregation of Revenue [Line Items]
Net sales									5,000	4,000	3,000
Orthopaedics and Spine
Disaggregation of Revenue [Line Items]
Net sales									7,838,000	7,570,000	6,006,000
Orthopaedics and Spine \| United States
Disaggregation of Revenue [Line Items]
Net sales									5,614,000	5,295,000	4,237,000
Orthopaedics and Spine \| International
Disaggregation of Revenue [Line Items]
Net sales									2,224,000	2,275,000	1,769,000
Orthopaedics and Spine \| Other
Disaggregation of Revenue [Line Items]
Net sales									475,000	549,000	464,000
Orthopaedics and Spine \| Other \| United States
Disaggregation of Revenue [Line Items]
Net sales									354,000	425,000	387,000
Orthopaedics and Spine \| Other \| International
Disaggregation of Revenue [Line Items]
Net sales									121,000	124,000	77,000
Orthopaedics and Spine \| Knees
Disaggregation of Revenue [Line Items]
Net sales									1,997,000	1,848,000	1,567,000
Orthopaedics and Spine \| Knees \| United States
Disaggregation of Revenue [Line Items]
Net sales									1,493,000	1,351,000	1,170,000
Orthopaedics and Spine \| Knees \| International
Disaggregation of Revenue [Line Items]
Net sales									504,000	497,000	397,000
Orthopaedics and Spine \| Hips
Disaggregation of Revenue [Line Items]
Net sales									1,413,000	1,342,000	1,206,000
Orthopaedics and Spine \| Hips \| United States
Disaggregation of Revenue [Line Items]
Net sales									896,000	822,000	777,000
Orthopaedics and Spine \| Hips \| International
Disaggregation of Revenue [Line Items]
Net sales									517,000	520,000	429,000
Orthopaedics and Spine \| Trauma and Extremities
Disaggregation of Revenue [Line Items]
Net sales									2,807,000	2,664,000	1,722,000
Orthopaedics and Spine \| Trauma and Extremities \| United States
Disaggregation of Revenue [Line Items]
Net sales									2,035,000	1,866,000	1,139,000
Orthopaedics and Spine \| Trauma and Extremities \| International
Disaggregation of Revenue [Line Items]
Net sales									772,000	798,000	583,000
Orthopaedics and Spine \| Spine
Disaggregation of Revenue [Line Items]
Net sales									1,146,000	1,167,000	1,047,000
Orthopaedics and Spine \| Spine \| United States
Disaggregation of Revenue [Line Items]
Net sales									836,000	831,000	764,000
Orthopaedics and Spine \| Spine \| International
Disaggregation of Revenue [Line Items]
Net sales									$ 310,000	$ 336,000	$ 283,000