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Restructuring and other impairment charges - by segment (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges $ 15,871 $ 7,819 $ 17,869
Vascular North America      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 5,906 3,742 8,057
Anesthesia North America      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 1,839 384 1,379
Surgical North America      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 151 397 0
EMEA      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 4,423 4 6,375
Asia      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 0 313 1,305
OEM      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 795 61 0
All other      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges $ 2,757 $ 2,918 $ 753