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Summary of significant accounting policies (Details)
$ in Millions
1 Months Ended
Jan. 01, 2016
USD ($)
Aug. 31, 2014
state
Jun. 30, 2016
USD ($)
Minimum age of ambulatory patient   5 years  
Number of member states of the European Economic Area | state   31  
Capitalized inventory     $ 1.2
Accounting Standards Update 2015-03 | Deposits and other assets      
Debt issuance cost $ 2.8    
Accounting Standards Update 2015-03 | Long-term debt.      
Debt issuance cost $ 2.8    
Unamortized debt issuance cost     $ 2.6
Minimum      
Gross profit margin (as a percent)     90.00%