Summary of Fair Values of Assets Acquired and Liabilities Assumed Purchase Price Allocation (Details) $ in Thousands, € in Millions			3 Months Ended	9 Months Ended
	Jul. 31, 2019 USD ($)	Jul. 31, 2019 EUR (€)	Sep. 27, 2019 USD ($)	Sep. 27, 2019 USD ($)	Jul. 31, 2019 EUR (€)	Dec. 31, 2018 USD ($)
Business Acquisition [Line Items]
Goodwill			$ 268,741	$ 268,741		$ 217,662
Businesses combination in common shares			10,900	10,900
Less: deferred cash consideration			27,027	27,027
ARGES GmbH
Business Acquisition [Line Items]
Cash	$ 3,159
Accounts receivable	1,542
Inventories	8,295
Property, plant and equipment	13,884
Intangible assets	24,713
Goodwill	42,355
Other assets	1,990
Total assets acquired	95,938
Accounts payable	2,598
Deferred tax liabilities	7,457
Other liabilities	12,954
Total liabilities assumed	23,009
Total assets acquired, net of liabilities assumed	72,929				€ 65.5
Less: cash acquired	3,159
Total purchase price, net of cash acquired	69,770
Less: contingent consideration	7,870				€ 7.1
Businesses combination in common shares	10,900	€ 9.8
Less: deferred cash consideration	27,442
Net cash used for acquisition of business	$ 23,558
Med X Change, Inc and Ingenia-CAT, S.L.
Business Acquisition [Line Items]
Cash			1,000	1,000
Accounts receivable			1,739	1,739
Inventories			2,372	2,372
Property, plant and equipment			496	496
Intangible assets			22,376	22,376
Goodwill			13,539	13,539
Other assets			601	601
Total assets acquired			42,123	42,123
Accounts payable			604	604
Deferred tax liabilities			2,550	2,550
Other liabilities			910	910
Total liabilities assumed			4,064	4,064
Total assets acquired, net of liabilities assumed			38,059	38,059
Less: cash acquired				1,000
Total purchase price, net of cash acquired				37,059
Less: contingent consideration			6,569	6,569
Less: purchase price holdback			$ 905	905
Net cash used for acquisition of business				$ 29,585