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Commitments and Contingencies Contingencies (Details) - USD ($) $ in Thousands | 12 Months Ended |  |
--- | --- | --- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2019 | Jan. 06, 2022 | Dec. 31, 2020
Business Acquisition [Line Items] |  |  |  |  |  |
Contingent Earn-out Liability | $ 5,491 | $ 25,572 | $ 2,589 |  |  | $ 26,300
Short-term contingent consideration-gross | 1,000 |  | 1,000 |  |  |
Long-term contingent consideration-gross | 1,500 |  |  |  |  |
Contingent Consideration, Gross LT | 1,500 |  |  |  |  |
Product Liability Accrual, Period Expense | 20,300 | 5,300 |  |  |  |
Product Liability Accrual, Component Amount | 56,300 |  |  |  |  |
Long Term |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
Product Liability Accrual, Component Amount | 26,056 | 25,294 |  |  |  |
Pursuit Vascular, Inc. [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
contingent consideration gross | 50,000 |  |  | $ 50,000 |  |
Contingent Earn-out Liability | 26,300 |  |  | $ 26,300 |  |
Foreign Distibutor [Member] |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
contingent consideration gross | 6,000 |  |  |  |  |
Contingent Earn-out Liability | 3,400 |  |  |  |  |
Foreign Infusion System Supplier |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
contingent consideration gross | 2,500 |  | 2,500 |  |  |
Short-term contingent consideration-gross |  |  | 1,000 |  |  |
Long-term contingent consideration-gross |  |  | 1,500 |  |  |
Business Combination, Contingent Consideration, Liability | 1,500 |  | $ 1,500 |  |  |
Smiths Medical |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |
contingent consideration gross | 100,000 | $ 100,000 |  |  |  |
Business Combination, Contingent Consideration, Liability | 4,000 |  |  |  | $ 53,500 |
Product Liability Accrual, Component Amount | $ 53,600 |  |  |  |  |

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