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Revenues
3 Months Ended
Mar. 31, 2020
Revenue from Contract with Customer [Abstract]  
Revenues Revenues
    
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, 2020
 
March 31, 2019
 
Orthopedic Surgery
 
General Surgery
 
Total
 
Orthopedic Surgery
 
General Surgery
 
Total
Primary Geographic Markets
 
 
 
 
 
 
 
 
 
 
 
United States
$
37,039

 
$
81,808

 
$
118,847

 
$
45,256

 
$
71,770

 
$
117,026

Americas (excluding the United States)
15,802

 
7,979

 
23,781

 
15,042

 
7,462

 
22,504

Europe, Middle East & Africa
25,907

 
16,615

 
42,522

 
30,402

 
15,930

 
46,332

Asia Pacific
20,535

 
8,325

 
28,860

 
22,737

 
9,779

 
32,516

Total sales from contracts with customers
$
99,283

 
$
114,727

 
$
214,010

 
$
113,437

 
$
104,941

 
$
218,378

 
 
 
 
 
 
 
 
 
 
 
 
Timing of Revenue Recognition
 
 
 
 
 
 
 
 
 
 
 
Goods transferred at a point in time
$
90,553

 
$
113,901

 
$
204,454

 
$
104,739

 
$
104,425

 
$
209,164

Services transferred over time
8,730

 
826

 
9,556

 
8,698

 
516

 
9,214

Total sales from contracts with customers
$
99,283

 
$
114,727

 
$
214,010

 
$
113,437

 
$
104,941

 
$
218,378



Contract liability balances related to the sale of extended warranties to customers are as follows:
 
March 31, 2020
 
December 31, 2019
 
 
 
 
Contract liability
$
14,550

 
$
14,276



Revenue recognized during the three months ended March 31, 2020 and March 31, 2019 from amounts included in contract liabilities at the beginning of the period were $3.0 million and $2.3 million, respectively. There were no material contract assets as of March 31, 2020 and December 31, 2019.