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Segment and Geographic Data (Sales And Other Financial Information By Business Segment) (Details) $ in Thousands | 3 Months Ended | 12 Months Ended
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Dec. 31, 2024 USD ($) | Sep. 30, 2024 USD ($) | Jun. 30, 2024 USD ($) | Mar. 31, 2024 USD ($) | Dec. 31, 2023 USD ($) | Sep. 30, 2023 USD ($) | Jun. 30, 2023 USD ($) | Mar. 31, 2023 USD ($) | Dec. 31, 2024 USD ($) segment | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($)
Segment Reporting [Abstract] |  |  |  |  |  |  |  |  |  |  |
Number of reportable segments | segment |  |  |  |  |  |  |  |  | 2 |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Number of reportable segments | segment |  |  |  |  |  |  |  |  | 2 |  |
Net sales | $ 6,436,000 | $ 5,494,000 | $ 5,422,000 | $ 5,243,000 | $ 5,815,000 | $ 4,909,000 | $ 4,996,000 | $ 4,778,000 | $ 22,595,000 | $ 20,498,000 | $ 18,449,000
Cost of sales |  |  |  |  |  |  |  |  | 8,155,000 | 7,440,000 | 6,871,000
Research, development and engineering expenses |  |  |  |  |  |  |  |  | 1,466,000 | 1,388,000 | 1,454,000
Selling, general and administrative expenses |  |  |  |  |  |  |  |  | 7,685,000 | 7,111,000 | 6,386,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 1,426,000 | 1,341,000 | 1,278,000
Amortization of intangible assets |  |  |  |  |  |  |  |  | (623,000) | (635,000) | (627,000)
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 3,689,000 | 3,888,000 | 2,841,000
Sale of inventory stepped up to fair value at acquisition |  |  |  |  |  |  |  |  | (46,000) | 0 | (12,000)
Goodwill and other impairments |  |  |  |  |  |  |  |  | (977,000) | (36,000) | (270,000)
Net earnings | $ 546,000 | $ 834,000 | $ 825,000 | $ 788,000 | $ 1,143,000 | $ 692,000 | $ 738,000 | $ 592,000 | 2,993,000 | 3,165,000 | 2,358,000
MedSurg and Neurotechnology |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 13,518,000 | 12,163,000 | 10,893,000
Operating Segments |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 22,595,000 | 20,498,000 | 18,449,000
Cost of sales |  |  |  |  |  |  |  |  | 7,720,000 | 7,130,000 | 6,557,000
Research, development and engineering expenses |  |  |  |  |  |  |  |  | 1,324,000 | 1,210,000 | 1,159,000
Selling, general and administrative expenses |  |  |  |  |  |  |  |  | 6,314,000 | 5,856,000 | 5,172,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 641,000 | 567,000 | 528,000
Amortization of intangible assets |  |  |  |  |  |  |  |  | (623,000) | (635,000) | (627,000)
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 6,595,000 | 5,735,000 | 5,033,000
Operating Segments | MedSurg and Neurotechnology |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 13,518,000 | 12,163,000 | 10,893,000
Cost of sales |  |  |  |  |  |  |  |  | 5,320,000 | 4,876,000 | 4,637,000
Research, development and engineering expenses |  |  |  |  |  |  |  |  | 784,000 | 702,000 | 682,000
Selling, general and administrative expenses |  |  |  |  |  |  |  |  | 3,203,000 | 2,934,000 | 2,564,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 208,000 | 181,000 | 178,000
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 4,004,000 | 3,470,000 | 2,831,000
Operating Segments | Orthopaedics |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 9,077,000 | 8,335,000 | 7,556,000
Cost of sales |  |  |  |  |  |  |  |  | 2,400,000 | 2,254,000 | 1,920,000
Research, development and engineering expenses |  |  |  |  |  |  |  |  | 540,000 | 508,000 | 477,000
Selling, general and administrative expenses |  |  |  |  |  |  |  |  | 3,111,000 | 2,922,000 | 2,608,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 433,000 | 386,000 | 350,000
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 2,591,000 | 2,265,000 | 2,202,000
Corporate and Other |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  |  |  |  |  | 162,000 | 139,000 | 123,000
Segment operating income |  |  |  |  |  |  |  |  | (880,000) | (780,000) | (649,000)
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Sale of inventory stepped up to fair value at acquisition |  |  |  |  |  |  |  |  | (46,000) | 0 | 0
Acquisition and integration-related charges |  |  |  |  |  |  |  |  | (108,000) | (20,000) | (138,000)
Structural optimization and other special charges |  |  |  |  |  |  |  |  | (138,000) | (170,000) | (295,000)
Medical device regulation |  |  |  |  |  |  |  |  | (58,000) | (96,000) | (140,000)
Recall-related matters |  |  |  |  |  |  |  |  | (40,000) | (18,000) | 15,000
Regulatory and legal matters |  |  |  |  |  |  |  |  | (36,000) | (92,000) | (76,000)
Net earnings |  |  |  |  |  |  |  |  | $ 3,689,000 | $ 3,888,000 | $ 2,841,000

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