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Business Segments and Geographic Areas | 12 Months Ended
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Dec. 31, 2018
Segment Reporting [Abstract] |
Business Segments and Geographic Areas | Business Segments and Geographic Areas We are accounting and reporting for our business as a single operating segment entity engaged in the development, manufacturing and sale on a global basis of surgical devices and related equipment. Our chief operating decision maker (the CEO) evaluates the various global product portfolios on a net sales basis and evaluates profitability, investment, cash flow metrics and allocates resources on a consolidated worldwide basis due to shared infrastructure and resources. Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgery procedures including 2DHD and 3DHD vision technologies and fees related to sales representation, promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2018, 2017 and 2016:
| 2018
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 172,462 |  |  | $ | 276,186 |  |  | $ | 448,648 |
Americas (excluding the United States) | 66,519 |  |  | 31,009 |  |  | 97,528 |
Europe, Middle East & Africa | 112,998 |  |  | 53,565 |  |  | 166,563 |
Asia Pacific | 94,749 |  |  | 52,146 |  |  | 146,895 |
Total sales from contracts with customers | $ | 446,728 |  |  | $ | 412,906 |  |  | $ | 859,634 |
| 2017
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 167,602 |  |  | $ | 243,439 |  |  | $ | 411,041 |
Americas (excluding the United States) | 60,439 |  |  | 30,730 |  |  | 91,169 |
Europe, Middle East & Africa | 106,921 |  |  | 48,928 |  |  | 155,849 |
Asia Pacific | 93,982 |  |  | 44,351 |  |  | 138,333 |
Total sales from contracts with customers | $ | 428,944 |  |  | $ | 367,448 |  |  | $ | 796,392 |
| 2016
| Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |
United States | $ | 171,158 |  |  | $ | 227,949 |  |  | $ | 399,107 |
Americas (excluding the United States) | 56,773 |  |  | 30,759 |  |  | 87,532 |
Europe, Middle East & Africa | 103,709 |  |  | 44,276 |  |  | 147,985 |
Asia Pacific | 90,463 |  |  | 38,433 |  |  | 128,896 |
Total sales from contracts with customers | $ | 422,103 |  |  | $ | 341,417 |  |  | $ | 763,520 |
Sales are attributed to countries based on the location of the customer. There were no significant investments in long-lived assets located outside the United States at December 31, 2018 and 2017. No single customer represented over 10% of our consolidated net sales for the years ended December 31, 2018, 2017 and 2016.

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- Definition The entire disclosure for reporting segments including data and tables. Reportable segments include those that meet any of the following quantitative thresholds a) it's reported revenue, including sales to external customers and intersegment sales or transfers is 10 percent or more of the combined revenue, internal and external, of all operating segments b) the absolute amount of its reported profit or loss is 10 percent or more of the greater, in absolute amount of 1) the combined reported profit of all operating segments that did not report a loss or 2) the combined reported loss of all operating segments that did report a loss c) its assets are 10 percent or more of the combined assets of all operating segments. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -URI http://asc.fasb.org/topic&trid=2134510 + Details
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