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Segment Reporting and Foreign Operations - Narrative (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2022 USD ($) segment item | Dec. 31, 2021 USD ($) | Dec. 31, 2020 USD ($)
Segment Reporting Information [Line Items] |  |  |
Number of operating segments | segment | 2 |  |
Number of Product Categories | item | 5 |  |
Net sales | $ 1,150,981 | $ 1,074,751 | $ 963,875
International |  |  |
Segment Reporting Information [Line Items] |  |  |
Net sales | $ 500,422 | $ 465,873 | $ 413,814
International | Sales Revenue | Geographic Concentration |  |  |
Segment Reporting Information [Line Items] |  |  |
Concentration for geographic sales | 43.00% | 43.00% | 43.00%
CHINA |  |  |
Segment Reporting Information [Line Items] |  |  |
Net sales | $ 149,300 | $ 138,200 | $ 113,200
Cardiovascular |  |  |
Segment Reporting Information [Line Items] |  |  |
Number of Product Categories | item | 4 |  |
Net sales | $ 1,118,224 | 1,043,227 | 934,202
Cardiovascular | International |  |  |
Segment Reporting Information [Line Items] |  |  |
Net sales | $ 498,264 | $ 463,812 | $ 411,999

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