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Business Segments and Geographic Areas (Tables)
12 Months Ended
Dec. 31, 2020
Segment Reporting [Abstract]  
Revenue from External Customers by Geographic Areas and Product Line These product lines' net sales and primary geographic market where the products are sold, are as follows for the years ended December 31, 2020, 2019 and 2018:
 
2020
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$139,715 $342,349 $482,064 
Americas (excluding the United States)50,356 28,358 78,714 
Europe, Middle East & Africa90,998 70,086 161,084 
Asia Pacific93,636 46,961 140,597 
Total sales from contracts with customers$374,705 $487,754 $862,459 
2019
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$179,419 $337,246 $516,665 
Americas (excluding the United States)64,269 31,004 95,273 
Europe, Middle East & Africa118,301 64,248 182,549 
Asia Pacific101,333 59,277 160,610 
Total sales from contracts with customers$463,322 $491,775 $955,097 
2018
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$172,462 $276,186 $448,648 
Americas (excluding the United States)66,519 31,009 97,528 
Europe, Middle East & Africa112,998 53,565 166,563 
Asia Pacific94,749 52,146 146,895 
Total sales from contracts with customers$446,728 $412,906 $859,634