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Restructuring and other impairment charges - restructuring program (Detail) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | $ 60,120 | $ 14,790 | $ 15,871
Asset impairment charges | 19,110 |  | 43,356
Total restructuring and impairment charges | 79,230 |  | 59,227
2016 Footprint realignment plan |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 2,861 | 2,097 | 12,510
Other restructuring programs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 2,266 | 1,997 | 147
2017 Vascular Solutions integration program |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  | 5,495 |
2017 EMEA restructuring program |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  | 5,201 |
Other 2016 restructuring programs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  |  | 3,214
Termination benefits |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 57,812 | 13,316 | 13,230
Asset impairment charges | 0 |  | 0
Total restructuring and impairment charges | 57,812 |  | 13,230
Termination benefits | 2018 Footprint realignment plan |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 53,992 |  |
Termination benefits | 2016 Footprint realignment plan |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 2,318 | 1,314 | 11,176
Termination benefits | Other restructuring programs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 1,502 | 1,704 | (477)
Termination benefits | 2017 Vascular Solutions integration program |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  | 5,377 |
Termination benefits | 2017 EMEA restructuring program |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  | 4,921 |
Termination benefits | Other 2016 restructuring programs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  |  | 2,531
Other Costs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 2,308 | 1,474 | 2,641
Asset impairment charges | 19,110 |  | 43,356
Total restructuring and impairment charges | 21,418 |  | 45,997
Other Costs | 2018 Footprint realignment plan |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 1,001 |  |
Other Costs | 2016 Footprint realignment plan |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | 543 | 783 | 1,334
Other Costs | Other restructuring programs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges | $ 764 | 293 | 624
Other Costs | 2017 Vascular Solutions integration program |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  | 118 |
Other Costs | 2017 EMEA restructuring program |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  | $ 280 |
Other Costs | Other 2016 restructuring programs |  |  |
Restructuring Cost and Reserve [Line Items] |  |  |
Total restructuring charges |  |  | $ 683

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