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Restructuring and other impairment charges - by segment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2015	Dec. 31, 2014	Dec. 31, 2013
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	$ 7,819	$ 17,869	$ 38,452
Vascular North America
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	3,742	8,057	5,348
Anesthesia North America
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	384	1,379	2,959
Surgical North America
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	397	0	6,525
EMEA
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	4	6,375	16,122
Asia
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	313	1,305	603
OEM
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	61	0	588
All other
Restructuring Cost and Reserve [Line Items]
Restructuring and other impairment charges	$ 2,918	$ 753	$ 6,307

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Restructuring and other impairment charges excluding goodwill impairments.

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