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Acquisitions and divestments - Text details (Detail) € in Millions | 1 Months Ended | 5 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | --- | ---
Aug. 31, 2017 EUR (€) | Dec. 31, 2017 EUR (€) | Dec. 31, 2017 EUR (€) | Dec. 31, 2016 EUR (€) | Dec. 31, 2015 EUR (€) | Aug. 09, 2017 EUR (€) | Aug. 09, 2017 $ / shares | Dec. 31, 2014 EUR (€)
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Purchase of businesses, net of cash acquired |  |  |  | € (2,344) | € (197) | € (1,118) |  |  |
Aggregated net cash outflow for acquisitions |  |  |  | 2,333 | 168 |  |  |  |
Aggregated impact on goodwill |  |  |  | 1,548 |  |  |  |  |
Aggregated impact on other intangible assets |  |  |  | 926 |  |  |  |  |
Goodwill |  |  | € 7,731 | 7,731 | 8,898 |  |  |  |
Overall cash position (cash and cash equivalents) |  |  | 1,939 | 1,939 | 2,334 | 1,766 |  |  | € 1,873
Sales | [1] |  |  | 17,780 | 17,422 | 16,806 |  |  |
Income (loss) from operations |  |  |  | 1,517 | 1,464 | 658 |  |  |
Profit (loss) of acquiree |  |  | (37) |  |  |  |  |  |
Divestments [Abstract] |  |  |  |  |  |  |  |  |
Aggregated net cash consideration for divestments |  |  |  | 54 | 43 |  |  |  |
Proceeds from sale of interests in businesses, net of cash disposed of |  |  |  | € 64 | € 0 | € 71 |  |  |
The Spectranetics Corporation [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Purchase of businesses, paid in cash, per share | $ / shares |  |  |  |  |  |  |  | $ 38.50 |
Net cash outflow for acquisitions |  | € 1,908 |  |  |  |  |  |  |
Number of employees |  |  |  |  |  |  | 900 |  |
Countries of presence |  | 11 |  |  |  |  |  |  |
Cash transferred |  |  |  |  |  |  | € 1,441 |  |
Payoff of certain debt |  | € 378 |  |  |  |  |  |  |
Settlement of various other items |  | 48 |  |  |  |  |  |  |
Settlement of outstanding stock options |  | € 94 |  |  |  |  |  |  |
Goodwill |  |  |  |  |  |  | 1,255 |  |
Cash and cash equivalents recognised as of acquisition date |  |  |  |  |  |  | 53 |  |
Receivable and other current assets value adjustment |  |  |  |  |  |  | € 3 |  |
Acquisition-related costs |  |  | 25 |  |  |  |  |  |
Revenue (loss) of acquiree |  |  | € 114 |  |  |  |  |  |
The Spectranetics Corporation [Member] | Customer relationships [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Cash flows associated with incremental profits related to excess earnings, discount rate |  |  |  | 10.50% |  |  |  |  |
The Spectranetics Corporation [Member] | Technology-based [Member] | Bottom of range [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Discount rate applied to cashflows |  |  |  | 11.50% |  |  |  |  |
The Spectranetics Corporation [Member] | Technology-based [Member] | Top of range [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Discount rate applied to cashflows |  |  |  | 13.00% |  |  |  |  |
Remaining nine acquisitions [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Aggregated net cash outflow for acquisitions |  |  |  | € 425 |  |  |  |  |
Aggregated impact on goodwill |  |  |  | 293 |  |  |  |  |
Aggregated impact on other intangible assets |  |  |  | 252 |  |  |  |  |
Remaining nine acquisitions [Member] | Bottom of range [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Individual net cash outflow for acquisitions |  |  |  | 3 |  |  |  |  |
Remaining nine acquisitions [Member] | Top of range [Member] |  |  |  |  |  |  |  |  |
Acquisitions [Abstract] |  |  |  |  |  |  |  |  |
Individual net cash outflow for acquisitions |  |  |  | € 117 |  |  |  |  |
[1] | The sales are reported based on country of destination.

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