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Business Combinations - Contingent Consideration (Details) - USD ($) $ in Thousands | Apr. 04, 2018 | Jan. 16, 2018 | Jun. 30, 2018 | Dec. 31, 2017
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Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Contingent consideration |  |  | $ 178,449 | $ 33,973
ImThera Medical, Inc. |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Contingent consideration |  | $ 112,744 |  |
ImThera Medical, Inc. | Discounted Cash Flow |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Regulatory milestone-based payment |  | $ 50,429 |  |
ImThera Medical, Inc. | Discounted Cash Flow | Minimum |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Discount rate |  | 4.30% |  |
Probability of payment |  | 85.00% |  |
ImThera Medical, Inc. | Discounted Cash Flow | Maximum |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Discount rate |  | 4.70% |  |
Probability of payment |  | 95.00% |  |
ImThera Medical, Inc. | Monte Carlo Simulation |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Sales-based earnout |  | $ 62,315 |  |
Risk adjusted discount rate |  | 11.50% |  |
Revenue volatility |  | 29.30% |  |
ImThera Medical, Inc. | Monte Carlo Simulation | Minimum |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Probability of payment |  | 85.00% |  |
Credit risk rate |  | 5.00% |  |
ImThera Medical, Inc. | Monte Carlo Simulation | Maximum |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Probability of payment |  | 95.00% |  |
Credit risk rate |  | 6.00% |  |
TandemLife |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Contingent consideration | $ 50,000 |  |  |
TandemLife | Discounted Cash Flow |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Regulatory milestone-based payment | $ 40,190 |  |  |
TandemLife | Discounted Cash Flow | Minimum |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Discount rate | 4.20% |  |  |
Probability of payment | 75.00% |  |  |
TandemLife | Discounted Cash Flow | Maximum |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Discount rate | 4.80% |  |  |
Probability of payment | 95.00% |  |  |

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