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Business Segments (Details) (USD $) In Thousands, unless otherwise specified | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2014 | Sep. 30, 2013 | Sep. 30, 2014 | Sep. 30, 2013
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 174,961 | $ 179,255 | $ 545,052 | $ 559,262
Orthopedic Surgery [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | 92,750 | 95,559 | 301,059 | 302,427
General Surgery [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | 69,735 | 69,886 | 203,941 | 209,918
Surgical Visualization [Member] |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Net sales | $ 12,476 | $ 13,810 | $ 40,052 | $ 46,917

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- Definition Total revenue from sale of goods and services rendered during the reporting period, in the normal course of business, reduced by sales returns and allowances, and sales discounts. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=26872669&loc=d3e20235-122688 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 1 -Article 5 + Details
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Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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- Details
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Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration