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Business Segments and Geographic Areas (Tables)
12 Months Ended
Dec. 31, 2023
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, 2023, 2022 and 2021:
 
2023
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$199,568 $500,592 $700,160 
Europe, Middle East & Africa127,637 98,616 226,253 
Asia Pacific123,043 74,358 197,401 
Americas (excluding the United States)82,910 38,020 120,930 
Total sales from contracts with customers$533,158 $711,586 $1,244,744 
2022
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$173,176 $405,777 $578,953 
Europe, Middle East & Africa113,649 84,288 197,937 
Asia Pacific103,353 59,124 162,477 
Americas (excluding the United States)71,350 34,755 106,105 
Total sales from contracts with customers$461,528 $583,944 $1,045,472 
2021
 Orthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$158,553 $393,980 $552,533 
Europe, Middle East & Africa108,457 81,238 189,695 
Asia Pacific107,590 63,628 171,218 
Americas (excluding the United States)63,824 33,365 97,189 
Total sales from contracts with customers$438,424 $572,211 $1,010,635