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Goodwill and Other Intangible Assets (Intangible Assets) (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Intangible assets, gross carrying amount | $ 582,556 | $ 566,288 |
Intangible assets, accumulated amortization | (167,616) | (146,739) |
Amortization of Intangible Assets | 21,300 | 20,000 | $ 12,600
Future amortization expense [Abstract] |  |  |
2018 | 23,117 |  |
2019 | 22,825 |  |
2020 | 22,838 |  |
2021 | 21,730 |  |
2022 | 20,413 |  |
Trademarks and Trade Names [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Unamortized intangible assets, gross carrying amount | 86,544 | 86,544 |
Customer Relationships [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Amortized intangible assets, gross carrying amount | 214,685 | 213,259 |
Intangible assets, accumulated amortization | (86,137) | (75,164) |
Promotional, Marketing and Distribution Rights [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Amortized intangible assets, gross carrying amount | 149,376 | 149,376 |
Intangible assets, accumulated amortization | $ (36,000) | (30,000) |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 25 years |  |
Patents and Other Intangible Assets [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Amortized intangible assets, gross carrying amount | $ 69,668 | 67,509 |
Intangible assets, accumulated amortization | (42,127) | (40,335) |
Technology-Based Intangible Assets [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Amortized intangible assets, gross carrying amount | 62,283 | 49,600 |
Intangible assets, accumulated amortization | (3,352) | (1,240) |
Finite-lived Intangible Assets Acquired | $ 12,700 |  |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 15 years |  |
Expense [Member] |  |  |
Future amortization expense [Abstract] |  |  |
2018 | $ 17,117 |  |
2019 | 16,825 |  |
2020 | 16,838 |  |
2021 | 15,730 |  |
2022 | 14,413 |  |
Reduction of Revenue [Member] |  |  |
Future amortization expense [Abstract] |  |  |
2018 | 6,000 |  |
2019 | 6,000 |  |
2020 | 6,000 |  |
2021 | 6,000 |  |
2022 | $ 6,000 |  |
SurgiQuestInc [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Finite-lived Intangible Assets Acquired |  | $ 130,800 |
Weighted Average [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Finite-Lived Intangible Asset, Useful Life | 25 years |  |
Weighted Average [Member] | Customer Relationships [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Finite-Lived Intangible Asset, Useful Life | 29 years |  |
Weighted Average [Member] | Promotional, Marketing and Distribution Rights [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Finite-Lived Intangible Asset, Useful Life | 25 years |  |
Weighted Average [Member] | Patents and Other Intangible Assets [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Finite-Lived Intangible Asset, Useful Life | 14 years |  |
Weighted Average [Member] | Technology-Based Intangible Assets [Member] |  |  |
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items] |  |  |
Finite-Lived Intangible Asset, Useful Life | 17 years |  |

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- Definition Weighted average amortization period of finite-lived intangible assets acquired either individually or as part of a group of assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (a)(3) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16265-109275 + Details
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- Definition Amount of amortization expense for assets, excluding financial assets and goodwill, lacking physical substance with a finite life expected to be recognized during the fifth fiscal year following the latest fiscal year. Excludes interim and annual periods when interim periods are reported on a rolling approach, from latest balance sheet date. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 30 -Section 50 -Paragraph 2 -Subparagraph (a)(3) -URI http://asc.fasb.org/extlink&oid=66006027&loc=d3e16323-109275 + Details
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