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v3.19.1

Revenues (Tables) | 3 Months Ended
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Mar. 31, 2019
Revenue from Contract with Customer [Abstract] |
Disaggregation of Revenue | The following tables present revenue disaggregated by primary geographic market where the products are sold, by product line and timing of revenue recognition:
| Three Months Ended |  | Three Months Ended
| March 31, 2019 |  | March 31, 2018
| Orthopedic Surgery |  | General Surgery |  | Total |  | Orthopedic Surgery |  | General Surgery |  | Total
Primary Geographic Markets |  |  |  |  |  |  |  |  |  |  |
United States | $ | 45,256 |  |  | $ | 71,770 |  |  | $ | 117,026 |  |  | $ | 43,152 |  |  | $ | 63,099 |  |  | $ | 106,251 |
Americas (excluding the United States) | 15,042 |  |  | 7,462 |  |  | 22,504 |  |  | 16,771 |  |  | 7,679 |  |  | 24,450 |
Europe, Middle East & Africa | 30,402 |  |  | 15,930 |  |  | 46,332 |  |  | 28,302 |  |  | 12,984 |  |  | 41,286 |
Asia Pacific | 22,737 |  |  | 9,779 |  |  | 32,516 |  |  | 20,637 |  |  | 9,440 |  |  | 30,077 |
Total sales from contracts with customers | $ | 113,437 |  |  | $ | 104,941 |  |  | $ | 218,378 |  |  | $ | 108,862 |  |  | $ | 93,202 |  |  | $ | 202,064 |
Timing of Revenue Recognition |  |  |  |  |  |  |  |  |  |  |
Goods transferred at a point in time | $ | 104,739 |  |  | $ | 104,425 |  |  | $ | 209,164 |  |  | $ | 100,791 |  |  | $ | 92,881 |  |  | $ | 193,672 |
Services transferred over time | 8,698 |  |  | 516 |  |  | 9,214 |  |  | 8,071 |  |  | 321 |  |  | 8,392 |
Total sales from contracts with customers | $ | 113,437 |  |  | $ | 104,941 |  |  | $ | 218,378 |  |  | $ | 108,862 |  |  | $ | 93,202 |  |  | $ | 202,064 |
Contract with Customer, Asset and Liability | Contract liability balances related to the sale of extended warranties to customers are as follows:
| March 31, 2019 |  | December 31, 2018
Contract liability | $ | 12,027 |  |  | $ | 11,043 |

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- Definition Tabular disclosure of disaggregation of revenue into categories depicting how nature, amount, timing, and uncertainty of revenue and cash flows are affected by economic factor. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=109196051&loc=SL49130545-203045 + Details
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