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Segment Reporting - Operating Income (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Segment Reporting Information [Line Items]    
Net sales $ 203,035 $ 171,069
Operating income 8,781 5,609
Cardiovascular    
Segment Reporting Information [Line Items]    
Net sales 195,855 164,754
Operating income 6,397 3,981
Endoscopy    
Segment Reporting Information [Line Items]    
Net sales 7,180 6,315
Operating income $ 2,384 $ 1,628