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Revenues (Disaggregated Revenues) (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | $ 233,590 | $ 202,307 | $ 690,232 | $ 617,191
Goods transferred at a point in time |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 224,074 | 193,632 | 661,936 | 591,292
Services transferred over time |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 9,516 | 8,675 | 28,296 | 25,899
Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 110,328 | 102,929 | 339,522 | 321,923
Orthopedic Surgery | Goods transferred at a point in time |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 101,454 | 94,640 | 312,964 | 297,096
Orthopedic Surgery | Services transferred over time |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 8,874 | 8,289 | 26,558 | 24,827
General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 123,262 | 99,378 | 350,710 | 295,268
General Surgery | Goods transferred at a point in time |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 122,620 | 98,992 | 348,972 | 294,196
General Surgery | Services transferred over time |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 642 | 386 | 1,738 | 1,072
United States |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 128,182 | 107,529 | 374,143 | 323,435
United States | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 42,530 | 39,574 | 131,120 | 123,782
United States | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 85,652 | 67,955 | 243,023 | 199,653
Americas (excluding the United States) |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 24,425 | 22,296 | 70,534 | 71,681
Americas (excluding the United States) | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 17,069 | 14,949 | 47,890 | 48,307
Americas (excluding the United States) | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 7,356 | 7,347 | 22,644 | 23,374
Europe, Middle East & Africa |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 38,831 | 34,698 | 132,025 | 119,371
Europe, Middle East & Africa | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 24,692 | 23,206 | 86,199 | 80,951
Europe, Middle East & Africa | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 14,139 | 11,492 | 45,826 | 38,420
Asia Pacific |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 42,152 | 37,784 | 113,530 | 102,704
Asia Pacific | Orthopedic Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | 26,037 | 25,200 | 74,313 | 68,883
Asia Pacific | General Surgery |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Net Sales | $ 16,115 | $ 12,584 | $ 39,217 | $ 33,821

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