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1. Basis of Presentation and Use of Estimates Organization, Consolidation and Presentation of Financial Statements (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Jun. 30, 2022
Mar. 31, 2022
Dec. 31, 2021
Jun. 30, 2021
Mar. 31, 2021
Dec. 31, 2020
Organization, Consolidation and Presentation of Financial Statements [Line Items]                    
Net sales $ 680,800 $ 747,049 $ 2,071,961 $ 2,189,776            
Cost of goods sold 307,008 309,614 898,628 950,116            
Deferred Revenue 76,600   76,600       $ 71,000      
Retained earnings 9,046,530   9,046,530       13,507,241      
Accumulated other comprehensive loss (845,214)   (845,214)       (175,553)      
Total stockholders' equity $ 8,453,605 $ 15,332,378 $ 8,453,605 $ 15,332,378 $ 8,922,597 $ 10,182,916 13,667,134 $ 11,594,880 $ 10,609,059 $ 9,879,940
Revenue Allocation Percent To Lease Elements 3.00% 2.00% 3.00% 2.00%            
Additional paid-in-capital $ 430,547   $ 430,547       441,733      
Selling, general and administrative expense 211,047 $ 216,150 617,371 $ 655,428            
Research and Development Expense 69,949 64,481 199,526 201,784            
Interest expense 11,663 426 26,431 1,187            
Other Nonoperating Income (Expense) 3,062 (579) 42,369 16,732            
Deferred Revenue, Current 58,000   58,000       $ 50,900      
Europe [Member]                    
Organization, Consolidation and Presentation of Financial Statements [Line Items]                    
Net sales 200,100 221,500 636,300 698,200            
Asia Pacific [Member]                    
Organization, Consolidation and Presentation of Financial Statements [Line Items]                    
Net sales 156,800 171,200 470,300 512,200            
UNITED STATES                    
Organization, Consolidation and Presentation of Financial Statements [Line Items]                    
Net sales 284,100 315,400 848,200 861,400            
Americas [Member]                    
Organization, Consolidation and Presentation of Financial Statements [Line Items]                    
Net sales $ 39,800 $ 38,900 $ 117,200 $ 118,000