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Business Combinations Business Combinations - Pro Forma (Details) - Cynosure - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Sep. 30, 2017
Sep. 24, 2016
Business Acquisition [Line Items]    
Revenue $ 3,241.4 $ 3,244.6
Net income $ 768.5 $ 252.3
Basic earnings per common share (in dollars per share) $ 2.75 $ 0.90
Diluted earnings per common share (in dollars per share) $ 2.69 $ 0.88