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Acquisitions Text (Details) - USD ($) $ in Thousands | 12 Months Ended |  |
--- | --- | --- | ---
Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Business Acquisition [Line Items] |  |  |  |
Contingent Earn-out Liability | $ 2,589 | $ 26,300 | $ 17,300 | $ 47,400
Pursuit Vascular, Inc. [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Business Acquisition, Percentage of Voting Interests Acquired | 100.00% |  |  |
Payments to Acquire Businesses, Gross | $ 75,000 |  |  |
contingent consideration gross | 50,000 |  |  |
Foreign Distibutor [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Payments to Acquire Businesses, Gross |  | $ 4,600 |  |
contingent consideration gross | 6,000 |  |  |
Contingent Earn-out Liability | 2,600 |  |  |
Pursuit Vascular LLC |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Contingent Earn-out Liability | $ 26,300 |  |  |

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