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Commitments and Contingencies Contingencies (Details) - USD ($) $ in Thousands | 12 Months Ended |  |  |  |
--- | --- | --- | --- | --- | ---
Dec. 31, 2022 | Jan. 06, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Business Acquisition [Line Items] |  |  |  |  |
Contingent Earn-out Liability | $ 25,572 |  | $ 2,589 | $ 26,300 | $ 17,300
Short-term contingent consideration-gross | 1,000 |  |  |  |
Long-term contingent consideration-gross | 1,500 |  |  |  |
Contingent Consideration, Gross LT | 1,500 |  |  |  |
Product Liability Accrual, Component Amount | 49,800 |  |  |  |
Pursuit Vascular, Inc. [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
contingent consideration gross | 50,000 |  |  |  |
Pursuit Vascular LLC |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Contingent Earn-out Liability | 26,300 |  |  |  |
Foreign Distibutor [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
contingent consideration gross | 6,000 |  |  |  |
Contingent Earn-out Liability | 2,600 |  |  |  |
Foreign Infusion System Supplier |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
contingent consideration gross | 2,500 |  |  |  |
Short-term contingent consideration-gross | 1,000 |  |  |  |
Long-term contingent consideration-gross | 1,500 |  |  |  |
Smiths Medical |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
contingent consideration gross | 100,000 |  |  |  |
Business Combination, Contingent Consideration, Liability | $ 21,000 | $ 53,500 |  |  |

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