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Revenue Recognition - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended								12 Months Ended
	Dec. 31, 2023	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Disaggregation of Revenue [Line Items]
Percentage of sales recognized as services over time (less than)									10.00%
Contract liabilities	$ 860,000				$ 741,000				$ 860,000	$ 741,000
Net sales	$ 5,815,000	$ 4,909,000	$ 4,996,000	$ 4,778,000	$ 5,202,000	$ 4,479,000	$ 4,493,000	$ 4,275,000	20,498,000	18,449,000	$ 17,108,000
Other MedSurg And Neurotechnology
Disaggregation of Revenue [Line Items]
Net sales									$ 343,000	$ 302,000	$ 277,000

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Amount of obligation to transfer good or service to customer for which consideration has been received or is receivable.

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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