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Goodwill and other intangible assets (Tables) | 12 Months Ended
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Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract] |
Changes in Carrying Amount of Goodwill, by Reporting Segment | Changes in the carrying amount of goodwill, by reportable operating segment, for the years ended December 31, 2017 and 2016 are as follows:
| Vascular North America |  | Interventional North America |  | Anesthesia North America |  | Surgical North America |  | EMEA |  | Asia |  | OEM |  | All other |  | Total
| (Dollars in thousands)
Balance as of December 31, 2015 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill | $ | 485,986 |  |  | $ | 84,615 |  |  | $ | 225,653 |  |  | $ | 250,912 |  |  | $ | 306,009 |  |  | $ | 141,067 |  |  | $ | 1,194 |  |  | $ | 132,544 |  |  | $ | 1,627,980 |
Accumulated impairment losses | (219,527 | ) |  | (5,528 | ) |  | (84,531 | ) |  | — |  |  | — |  |  | — |  |  | — |  |  | (22,542 | ) |  | (332,128 | )
| 266,459 |  |  | 79,087 |  |  | 141,122 |  |  | 250,912 |  |  | 306,009 |  |  | 141,067 |  |  | 1,194 |  |  | 110,002 |  |  | 1,295,852 |
Goodwill related to acquisitions | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | — |  |  | 3,689 |  |  | — |  |  | 3,689 |
Translation adjustment | — |  |  | — |  |  | 131 |  |  | — |  |  | (15,968 | ) |  | (2,882 | ) |  | — |  |  | (4,102 | ) |  | (22,821 | )
Balance as of December 31, 2016 | $ | 266,459 |  |  | $ | 79,087 |  |  | $ | 141,253 |  |  | $ | 250,912 |  |  | $ | 290,041 |  |  | $ | 138,185 |  |  | $ | 4,883 |  |  | $ | 105,900 |  |  | $ | 1,276,720 |
Goodwill related to acquisitions | — |  |  | 342,901 |  |  | 15,599 |  |  | — |  |  | 161,543 |  |  | 59,954 |  |  | — |  |  | 313,714 |  |  | 893,711 |
Translation and other adjustments | (1,590 | ) |  | 11,061 |  |  | 437 |  |  | — |  |  | 42,964 |  |  | 11,061 |  |  | — |  |  | 1,228 |  |  | 65,161 |
Balance as of December 31, 2017 | $ | 264,869 |  |  | $ | 433,049 |  |  | $ | 157,289 |  |  | $ | 250,912 |  |  | $ | 494,548 |  |  | $ | 209,200 |  |  | $ | 4,883 |  |  | $ | 420,842 |  |  | $ | 2,235,592 |
Components of Intangible Assets | Intangible assets at December 31, 2017 and 2016 consisted of the following:
| Gross Carrying Amount |  | Accumulated Amortization
| 2017 |  | 2016 |  | 2017 |  | 2016
| (Dollars in thousands)
Customer relationships | $ | 1,023,837 |  |  | $ | 622,428 |  |  | $ | (281,263 | ) |  | $ | (239,055 | )
In-process research and development | 34,672 |  |  | 16,532 |  |  | — |  |  | — |
Intellectual property | 1,287,487 |  |  | 519,962 |  |  | (258,580 | ) |  | (203,390 | )
Distribution rights | 23,697 |  |  | 23,021 |  |  | (16,996 | ) |  | (15,239 | )
Trade names | 571,510 |  |  | 379,724 |  |  | (22,069 | ) |  | (13,974 | )
Non-compete agreements | 23,429 |  |  | 2,692 |  |  | (1,976 | ) |  | (1,038 | )
| $ | 2,964,632 |  |  | $ | 1,564,359 |  |  | $ | (580,884 | ) |  | $ | (472,696 | )
Estimated Annual Amortization Expense | Amortization expense related to intangible assets was $98.8 million, $63.5 million, and $62.4 million for the years ended December 31, 2017, 2016 and 2015, respectively. Estimated annual amortization expense for each of the five succeeding years is as follows:
| (Dollars in thousands)
2018 | $ | 145,300 |
2019 | 144,400 |
2020 | 143,600 |
2021 | 142,800 |
2022 | 140,900 |

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