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Goodwill and Other Intangible Assets Goodwill (Tables) | 9 Months Ended
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Sep. 30, 2024
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Intangible Assets and Goodwill | The gross carrying amount of goodwill and other intangible assets and the related accumulated amortization for intangible assets subject to amortization and accumulated goodwill impairment charges are as follows:
| As of September 30, 2024 |  | As of December 31, 2023
(in millions) | Gross Carrying Amount |  | Accumulated Amortization/ Write-offs |  | Gross Carrying Amount |  | Accumulated Amortization/ Write-offs
Technology-related | $ | 13,431 |  |  | $ | (8,555) |  |  | $ | 13,207 |  |  | $ | (8,101) |
Patents | 480 |  |  | (381) |  |  | 480 |  |  | (387) |
Other intangible assets | 2,270 |  |  | (1,584) |  |  | 2,130 |  |  | (1,500) |
Amortizable intangible assets | $ | 16,181 |  |  | $ | (10,521) |  |  | $ | 15,817 |  |  | $ | (9,988) |
Goodwill | $ | 24,933 |  |  | $ | (9,900) |  |  | $ | 24,287 |  |  | $ | (9,900) |
IPR&D | $ | 94 |  |  |  |  | $ | 54 |  |  |
Technology-related | — |  |  |  |  | 120 |  |  |
Indefinite-lived intangible assets | $ | 94 |  |  |  |  | $ | 174 |  |  |
The increase in our balance of goodwill and amortizable intangible assets is related primarily to our acquisition of Silk Road Medical in the third quarter of 2024.
Schedule of Goodwill | The following represents a roll-forward of our goodwill balance by reportable segment:
(in millions) | MedSurg |  | Cardiovascular |  |  |  | Total
As of December 31, 2023 | $ | 5,347 |  |  | $ | 9,041 |  |  |  |  | $ | 14,387 |
Goodwill acquired | 24 |  |  | 609 |  |  |  |  | 633 |
Impact of foreign currency fluctuations and purchase price and other adjustments | (22) |  |  | 34 |  |  |  |  | 12 |
As of September 30, 2024 | $ | 5,349 |  |  | $ | 9,684 |  |  |  |  | $ | 15,033 |

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