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Components of Intangible Assets (Detail) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2013
Dec. 31, 2012
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount $ 1,327,494 $ 1,310,464
Accumulated Amortization (274,649) (251,672)
In Process Research and Development
   
Finite-Lived Intangible Assets [Line Items]    
In-process research and development 68,376 53,157
Customer Relationships
   
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 584,064 580,151
Accumulated Amortization (154,456) (141,520)
Intellectual property
   
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 277,155 276,458
Accumulated Amortization (103,639) (95,967)
Distribution rights
   
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 16,532 16,567
Accumulated Amortization (14,093) (13,880)
Trade Names
   
Finite-Lived Intangible Assets [Line Items]    
Gross Carrying Amount 381,367 384,131
Accumulated Amortization $ (2,461) $ (305)