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Acquisitions Smiths Medical 2020 Limited Intangible (Details) - Smiths Medical 2020 Limited - USD ($) $ in Thousands | 12 Months Ended |
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Dec. 31, 2022 | Dec. 31, 2023
Acquired Finite-Lived Intangible Assets [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles |  | $ 945,000
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 9 years |
Customer Relationships [Member] |  |
Acquired Finite-Lived Intangible Assets [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | $ 510,000 |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 8 years |
Developed Technology Rights [Member] |  |
Acquired Finite-Lived Intangible Assets [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | $ 400,000 |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 10 years |
Software Development |  |
Acquired Finite-Lived Intangible Assets [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | $ 30,000 |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 5 years |
Trademarks [Member] |  |
Acquired Finite-Lived Intangible Assets [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | $ 5,000 |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 6 months |

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