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Segment Reporting - Operating Income (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Segment Reporting Information [Line Items]        
Revenues $ 151,071 $ 138,082 $ 289,148 $ 267,659
Operating income 11,581 12,242 19,288 20,946
Cardiovascular Segment        
Segment Reporting Information [Line Items]        
Revenues 145,525 132,789 278,069 257,552
Operating income 10,880 11,258 17,529 19,327
Endoscopy Segment        
Segment Reporting Information [Line Items]        
Revenues 5,546 5,293 11,079 10,107
Operating income $ 701 $ 984 $ 1,759 $ 1,619