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Business Segments and Geographic Areas (Tables)

12 Months Ended

Dec. 31, 2018

Segment Reporting [Abstract]

Revenue from External Customers by Geographic Areas and Product Line

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