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Acquisition, Restructuring and Other Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Acquisition, Restructuring and Other Expense [Line Items]                  
Restructuring charges     $ 100 $ 1,300 $ 300 $ 2,500      
Proceeds from Sale of Buildings                 $ 5,200
Impairment charges             $ 4,212 $ 0 0
Legal Fees               5,300  
Gain on sale of facility             0 0 (1,890)
Other expense             0 0 2,942
Debt Instrument, Financing Costs Expensed                 2,700
Loss on early extinguishment of debt                 254
Cost of Sales [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Restructuring charges             0 2,903 7,612
Cost of Sales [Member] | Consolidation Costs [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Restructuring charges             0 2,903 3,066
Cost of Sales [Member] | Product Offering Consolidation [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Restructuring charges               1,300  
Cost of Sales [Member] | Termination of Product Offering [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Restructuring charges             0 0 4,546
Selling and Administrative Expenses [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Business and asset acquisition costs $ 1,300 $ 1,100 1,300 100 400 500 2,372 2,336 17,029
Legal Fees     $ 400 $ 300 $ 2,500 $ 14,200 0 17,480 3,773
Gain on sale of facility             0 0 (1,890)
Acquisition, restructuring and other expense             2,372 21,163 25,582
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Restructuring charges             0 1,347 6,670
Research and Development Expense [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Impairment charges   $ 4,200         4,212 0 0
Other Expense [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Other expense             0 0 2,942
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Business and asset acquisition costs             1,100 2,300 $ 17,000
Loss Contingency, Damages Awarded, Value               12,200  
Buffalo Filter LLC [Member] | Selling and Administrative Expenses [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Business and asset acquisition costs             $ 1,300    
Compensatory damages [Member] | SurgiQuestInc [Member] | Selling and Administrative Expenses [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Loss Contingency, Damages Awarded, Value               2,200  
Punitive damages [Member] | SurgiQuestInc [Member] | Selling and Administrative Expenses [Member]                  
Acquisition, Restructuring and Other Expense [Line Items]                  
Loss Contingency, Damages Awarded, Value               $ 10,000