Revenue Recognition - Disaggregated Sales Analysis (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]
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
United States
Disaggregation of Revenue [Line Items]
Net sales									15,257,000	13,638,000	12,321,000
International
Disaggregation of Revenue [Line Items]
Net sales									5,241,000	4,811,000	4,787,000
MedSurg and Neurotechnology
Disaggregation of Revenue [Line Items]
Net sales									11,836,000	10,611,000	9,538,000
MedSurg and Neurotechnology \| United States
Disaggregation of Revenue [Line Items]
Net sales									9,067,000	8,024,000	7,026,000
MedSurg and Neurotechnology \| International
Disaggregation of Revenue [Line Items]
Net sales									2,769,000	2,587,000	2,512,000
MedSurg and Neurotechnology \| Instruments
Disaggregation of Revenue [Line Items]
Net sales									2,569,000	2,279,000	2,111,000
MedSurg and Neurotechnology \| Instruments \| United States
Disaggregation of Revenue [Line Items]
Net sales									2,051,000	1,810,000	1,637,000
MedSurg and Neurotechnology \| Instruments \| International
Disaggregation of Revenue [Line Items]
Net sales									518,000	469,000	474,000
MedSurg and Neurotechnology \| Endoscopy
Disaggregation of Revenue [Line Items]
Net sales									3,033,000	2,725,000	2,418,000
MedSurg and Neurotechnology \| Endoscopy \| United States
Disaggregation of Revenue [Line Items]
Net sales									2,478,000	2,211,000	1,943,000
MedSurg and Neurotechnology \| Endoscopy \| International
Disaggregation of Revenue [Line Items]
Net sales									555,000	514,000	475,000
MedSurg and Neurotechnology \| Medical
Disaggregation of Revenue [Line Items]
Net sales									3,459,000	3,031,000	2,607,000
MedSurg and Neurotechnology \| Medical \| United States
Disaggregation of Revenue [Line Items]
Net sales									2,785,000	2,422,000	2,007,000
MedSurg and Neurotechnology \| Medical \| International
Disaggregation of Revenue [Line Items]
Net sales									674,000	609,000	600,000
MedSurg and Neurotechnology \| Neurovascular
Disaggregation of Revenue [Line Items]
Net sales									1,226,000	1,200,000	1,188,000
MedSurg and Neurotechnology \| Neurovascular \| United States
Disaggregation of Revenue [Line Items]
Net sales									483,000	446,000	451,000
MedSurg and Neurotechnology \| Neurovascular \| International
Disaggregation of Revenue [Line Items]
Net sales									743,000	754,000	737,000
MedSurg and Neurotechnology \| Neuro Cranial
Disaggregation of Revenue [Line Items]
Net sales									1,549,000	1,376,000	1,214,000
MedSurg and Neurotechnology \| Neuro Cranial \| United States
Disaggregation of Revenue [Line Items]
Net sales									1,270,000	1,135,000	988,000
MedSurg and Neurotechnology \| Neuro Cranial \| International
Disaggregation of Revenue [Line Items]
Net sales									279,000	241,000	226,000
Orthopaedics and Spine
Disaggregation of Revenue [Line Items]
Net sales									8,662,000	7,838,000	7,570,000
Orthopaedics and Spine \| United States
Disaggregation of Revenue [Line Items]
Net sales									6,190,000	5,614,000	5,295,000
Orthopaedics and Spine \| International
Disaggregation of Revenue [Line Items]
Net sales									2,472,000	2,224,000	2,275,000
Orthopaedics and Spine \| Other
Disaggregation of Revenue [Line Items]
Net sales									509,000	475,000	549,000
Orthopaedics and Spine \| Other \| United States
Disaggregation of Revenue [Line Items]
Net sales									346,000	354,000	425,000
Orthopaedics and Spine \| Other \| International
Disaggregation of Revenue [Line Items]
Net sales									163,000	121,000	124,000
Orthopaedics and Spine \| Knees
Disaggregation of Revenue [Line Items]
Net sales									2,273,000	1,997,000	1,848,000
Orthopaedics and Spine \| Knees \| United States
Disaggregation of Revenue [Line Items]
Net sales									1,676,000	1,493,000	1,351,000
Orthopaedics and Spine \| Knees \| International
Disaggregation of Revenue [Line Items]
Net sales									597,000	504,000	497,000
Orthopaedics and Spine \| Hips
Disaggregation of Revenue [Line Items]
Net sales									1,544,000	1,413,000	1,342,000
Orthopaedics and Spine \| Hips \| United States
Disaggregation of Revenue [Line Items]
Net sales									988,000	896,000	822,000
Orthopaedics and Spine \| Hips \| International
Disaggregation of Revenue [Line Items]
Net sales									556,000	517,000	520,000
Orthopaedics and Spine \| Trauma and Extremities
Disaggregation of Revenue [Line Items]
Net sales									3,147,000	2,807,000	2,664,000
Orthopaedics and Spine \| Trauma and Extremities \| United States
Disaggregation of Revenue [Line Items]
Net sales									2,297,000	2,035,000	1,866,000
Orthopaedics and Spine \| Trauma and Extremities \| International
Disaggregation of Revenue [Line Items]
Net sales									850,000	772,000	798,000
Orthopaedics and Spine \| Spine
Disaggregation of Revenue [Line Items]
Net sales									1,189,000	1,146,000	1,167,000
Orthopaedics and Spine \| Spine \| United States
Disaggregation of Revenue [Line Items]
Net sales									883,000	836,000	831,000
Orthopaedics and Spine \| Spine \| International
Disaggregation of Revenue [Line Items]
Net sales									$ 306,000	$ 310,000	$ 336,000