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Acquisition, Restructuring and Other Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Acquisition, Restructuring and Other Expense [Line Items]    
Legal Matters   $ 2,000
Cost of Sales [Member]    
Acquisition, Restructuring and Other Expense [Line Items]    
Restructuring costs $ 0 1,169
Selling and Administrative Expenses [Member]    
Acquisition, Restructuring and Other Expense [Line Items]    
Business acquisition costs 0 487
Legal Matters 0 14,249
Acquisition, restructuring and other expense included in selling and administrative expense 0 16,058
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]    
Acquisition, Restructuring and Other Expense [Line Items]    
Restructuring costs 0 1,322
SurgiQuestInc    
Acquisition, Restructuring and Other Expense [Line Items]    
Loss Contingency, Accrual, Current $ 12,200  
SurgiQuestInc | Selling and Administrative Expenses [Member]    
Acquisition, Restructuring and Other Expense [Line Items]    
Loss Contingency, Damages Awarded, Value   12,200
Compensatory damages [Member] | SurgiQuestInc | Selling and Administrative Expenses [Member]    
Acquisition, Restructuring and Other Expense [Line Items]    
Loss Contingency, Damages Awarded, Value   2,200
Punitive damages [Member] | SurgiQuestInc | Selling and Administrative Expenses [Member]    
Acquisition, Restructuring and Other Expense [Line Items]    
Loss Contingency, Damages Awarded, Value   $ 10,000