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Business segments and other information - segment result (Detail)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2016
USD ($)
Sep. 25, 2016
USD ($)
Jun. 26, 2016
USD ($)
Mar. 27, 2016
USD ($)
Dec. 31, 2015
USD ($)
Sep. 27, 2015
USD ($)
Jun. 28, 2015
USD ($)
Mar. 29, 2015
USD ($)
Dec. 31, 2016
USD ($)
segment
Dec. 31, 2015
USD ($)
Dec. 31, 2014
USD ($)
Revenues From External Customers And Long Lived Assets [Line Items]                      
Number of reportable segments | segment                 6    
Revenue $ 513,933 $ 455,648 $ 473,553 $ 424,893 $ 484,501 $ 443,714 $ 452,045 $ 429,430 $ 1,868,027 $ 1,809,690 $ 1,839,832
Operating Profit                 319,453 315,891 284,862
Depreciation and Amortization                 128,346 125,334 127,030
Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 422,827 387,855 365,164
Segment Reconciling Items                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 (103,374) (71,964) (80,302)
Vascular North America                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 350,486 334,938 311,163
Depreciation and Amortization                 36,260 37,159 35,701
Vascular North America | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 97,088 73,284 53,807
Anesthesia North America                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 198,772 189,297 183,909
Depreciation and Amortization                 10,932 7,089 11,815
Anesthesia North America | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 55,544 48,311 34,566
Surgical North America                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 172,223 161,230 150,121
Depreciation and Amortization                 10,459 12,289 6,316
Surgical North America | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 56,608 52,529 49,592
EMEA                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 510,934 514,443 593,065
Depreciation and Amortization                 30,505 32,178 38,062
EMEA | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 84,392 92,326 114,650
Asia                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 249,416 241,726 237,696
Depreciation and Amortization                 11,275 11,382 8,515
Asia | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 75,770 67,887 62,152
OEM                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 160,990 149,399 143,966
Depreciation and Amortization                 8,404 6,834 6,175
OEM | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 33,641 33,162 30,635
All Other                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Revenue                 225,206 218,657 219,912
Depreciation and Amortization                 20,511 18,403 20,446
All Other | Operating Segments                      
Revenues From External Customers And Long Lived Assets [Line Items]                      
Operating Profit                 $ 19,784 $ 20,356 $ 19,762