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Restructuring and other impairment charges - restructuring program (Detail) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges $ 15,239 $ 60,120 $ 14,790
Asset impairment charges 6,966 19,110  
Total restructuring and impairment charges 22,205 79,230  
2019 Footprint realignment plan      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 13,753    
2018 Footprint realignment plan      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges (939) 54,993  
Other restructuring programs      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 2,425 5,127 4,094
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
Termination benefits      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 12,683 57,812 13,316
Asset impairment charges 0 0  
Total restructuring and impairment charges 12,683 57,812  
Termination benefits | 2019 Footprint realignment plan      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 13,683    
Termination benefits | 2018 Footprint realignment plan      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges (1,787) 53,992  
Termination benefits | Other restructuring programs      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 787 3,820 3,018
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
Other costs      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 2,556 2,308 1,474
Asset impairment charges 6,966 19,110  
Total restructuring and impairment charges 9,522 21,418  
Other costs | 2019 Footprint realignment plan      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 70    
Other costs | 2018 Footprint realignment plan      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges 848 1,001  
Other costs | Other restructuring programs      
Restructuring Cost and Reserve [Line Items]      
Total restructuring charges $ 1,638 $ 1,307 1,076
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