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v3.19.3.a.u2

Business Segments and Geographic Areas (Details) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2019 USD ($) Customers | Dec. 31, 2018 USD ($) Customers | Dec. 31, 2017 USD ($) Customers
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 955,097 | $ 859,634 | $ 796,392
Number of customer representing over 10% of consolidated net sales | Customers | 0 | 0 | 0
United States [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 516,665 | $ 448,648 | $ 411,041
Americas (excluding the United States) [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 95,273 | 97,528 | 91,169
EMEA [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 182,549 | 166,563 | 155,849
Asia Pacific [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 160,610 | 146,895 | 138,333
Orthopedic Surgery [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 463,322 | 446,728 | 428,944
Orthopedic Surgery [Member] | United States [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 179,419 | 172,462 | 167,602
Orthopedic Surgery [Member] | Americas (excluding the United States) [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 64,269 | 66,519 | 60,439
Orthopedic Surgery [Member] | EMEA [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 118,301 | 112,998 | 106,921
Orthopedic Surgery [Member] | Asia Pacific [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 101,333 | 94,749 | 93,982
General Surgery [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 491,775 | 412,906 | 367,448
General Surgery [Member] | United States [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 337,246 | 276,186 | 243,439
General Surgery [Member] | Americas (excluding the United States) [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 31,004 | 31,009 | 30,730
General Surgery [Member] | EMEA [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | 64,248 | 53,565 | 48,928
General Surgery [Member] | Asia Pacific [Member] |  |  |
Segment Reporting Information [Line Items] |  |  |
Net Sales | $ 59,277 | $ 52,146 | $ 44,351

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- Definition Amount, excluding tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value added and excise. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130543-203045 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 606 -SubTopic 10 -Section 50 -Paragraph 5 -URI http://asc.fasb.org/extlink&oid=118956577&loc=SL49130545-203045 + Details
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