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Acquisition, Restructuring and Other Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended 6 Months Ended
Jun. 30, 2017
Jun. 30, 2016
Jun. 30, 2017
Jun. 30, 2016
Dec. 31, 2016
Dec. 31, 2015
Acquisition, Restructuring and Other Expense [Line Items]            
Restructuring costs     $ 2,820 $ 4,735    
Legal Matters $ 2,500 $ 1,400 4,500 2,200    
Debt Related Commitment Fees and Debt Issuance Costs       2,700    
Loss on early extinguishment of debt     0 254    
Debt refinancing costs included in other expense 0 0 0 2,942    
Restructuring reserve 1,546 2,155 1,546 2,155 $ 2,643 $ 7,175
Cost of Sales [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
Restructuring costs 303 4,673 1,472 5,537    
Cost of Sales [Member] | Facility Consolidation Costs [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
Restructuring costs 303 127 1,472 991    
Cost of Sales [Member] | Termination of Product Offering [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
Restructuring costs 0 4,546 0 4,546    
Selling and Administrative Expenses [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
Business acquisition costs 405 3,624 892 11,852    
Legal Matters 2,465 1,372 16,714 2,189    
Acquisition, restructuring and other expense included in selling and administrative expense 2,896 5,949 18,954 17,785    
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
Restructuring costs 26 953 1,348 3,744    
Other Expense [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
Debt refinancing costs included in other expense $ 0 $ 0 0 $ 2,942    
SurgiQuestInc | Selling and Administrative Expenses [Member]            
Acquisition, Restructuring and Other Expense [Line Items]            
SurgiQuest litigation verdict     12,200      
Compensatory damages awarded     2,200      
Punitive damages awarded     $ 10,000