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Restructuring and other impairment charges - additional Information (Detail) $ in Thousands | 12 Months Ended |
--- | --- | ---
Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($) | Dec. 31, 2015 USD ($) | Apr. 02, 2017 property
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | $ 14,790 | $ 15,871 | $ 7,819 |
In-process research and development impairment charge | 0 | 41,000 | 0 |
Impairment charges |  | 43,356 |  |
In Process Research and Development And Wholly Owned Properties |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
In-process research and development impairment charge |  | 43,400 |  |
In-process research and development |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
In-process research and development impairment charge |  | 41,000 |  |
Wholly Owned Properties |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
In-process research and development impairment charge |  | 2,400 |  |
Number of properties sold | property |  |  |  | 2
Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 13,316 | 13,230 | 5,822 |
Impairment charges |  | 0 |  |
Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 671 | 1,725 | 1,376 |
Impairment charges |  | 0 |  |
2017 Vascular Solutions integration program |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 2,100 |  |  |
Restructuring charges | 5,495 |  |  |
2017 Vascular Solutions integration program | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 5,377 |  |  |
2017 Vascular Solutions integration program | Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 0 |  |  |
2017 Vascular Solutions integration program | Minimum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 6,500 |  |  |
2017 Vascular Solutions integration program | Minimum | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 5,500 |  |  |
2017 Vascular Solutions integration program | Minimum | Employee Relocation |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 1,000 |  |  |
2017 Vascular Solutions integration program | Minimum | Retention Bonuses |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 2,500 |  |  |
2017 Vascular Solutions integration program | Maximum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 8,000 |  |  |
2017 Vascular Solutions integration program | Maximum | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 6,200 |  |  |
2017 Vascular Solutions integration program | Maximum | Employee Relocation |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 1,800 |  |  |
2017 Vascular Solutions integration program | Maximum | Retention Bonuses |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 3,000 |  |  |
2017 EMEA restructuring program |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 5,000 |  |  |
Restructuring reserve | 4,900 |  |  |
Restructuring charges | 5,201 |  |  |
2017 EMEA restructuring program | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 4,921 |  |  |
2017 EMEA restructuring program | Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 0 |  |  |
2017 EMEA restructuring program | Minimum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 7,100 |  |  |
2017 EMEA restructuring program | Maximum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 8,500 |  |  |
2016 Manufacturing footprint realignment plan |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 7,665 | 8,895 | 0 |
Restructuring, costs incurred to date | 14,600 |  |  |
Restructuring charges | 2,097 | 12,510 |  |
2016 Manufacturing footprint realignment plan | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 7,296 | 8,135 | 0 |
Restructuring charges | 1,314 | 11,176 |  |
2016 Manufacturing footprint realignment plan | Accelerated Depreciation And Other Costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring expenses | 8,300 | 6,400 |  |
Restructuring, costs incurred to date | 14,700 |  |  |
2016 Manufacturing footprint realignment plan | Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 369 | 760 | 0 |
Restructuring charges | 363 | 866 |  |
2016 Manufacturing footprint realignment plan | Minimum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 34,000 |  |  |
Restructuring costs expected cash payment | 27,000 |  |  |
2016 Manufacturing footprint realignment plan | Minimum | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 14,000 |  |  |
2016 Manufacturing footprint realignment plan | Maximum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 44,000 |  |  |
Restructuring costs expected cash payment | 31,000 |  |  |
2016 Manufacturing footprint realignment plan | Maximum | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 15,000 |  |  |
Other 2016 restructuring programs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 700 |  |  |
Restructuring costs expected cash payment | 1,000 |  |  |
Restructuring charges | 878 | 3,214 |  |
Other 2016 restructuring programs | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 589 | 2,531 |  |
Other 2016 restructuring programs | Accelerated Depreciation And Other Costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 1,500 |  |  |
Other 2016 restructuring programs | Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 212 | 671 |  |
Other 2016 restructuring programs | Minimum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 3,800 |  |  |
Other 2016 restructuring programs | Maximum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 4,700 |  |  |
2014 Manufacturing footprint realignment plan |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 3,926 | 5,370 | 7,447 |
Restructuring, costs incurred to date | 11,800 |  |  |
Restructuring charges | 755 | 119 | 1,685 |
Accelerated depreciation | 26,900 |  |  |
2014 Manufacturing footprint realignment plan | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring reserve | 3,926 | 5,370 | 7,447 |
Restructuring charges | 687 | 81 | 1,007 |
2014 Manufacturing footprint realignment plan | Accelerated Depreciation And Other Costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 4,000 | 8,500 | 9,500 |
2014 Manufacturing footprint realignment plan | Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges | 0 | 0 | 389 |
2014 Manufacturing footprint realignment plan | Minimum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 46,000 | 43,000 |  |
Restructuring costs expected cash payment | 38,000 | 33,000 |  |
Restrcturing costs, expected | 24,000 |  |  |
2014 Manufacturing footprint realignment plan | Minimum | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 11,000 |  |  |
2014 Manufacturing footprint realignment plan | Maximum |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | 51,000 | 48,000 |  |
Restructuring costs expected cash payment | 43,000 | $ 38,000 |  |
Restrcturing costs, expected | 30,000 |  |  |
2014 Manufacturing footprint realignment plan | Maximum | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Expected restructuring charges | $ 12,000 |  |  |
2015 Restructuring programs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges |  |  | 6,304 |
2015 Restructuring programs | Termination benefits |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges |  |  | 5,009 |
2015 Restructuring programs | Contract termination costs |  |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |  |
Restructuring charges |  |  | $ 1,000 |

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