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Geographic and Segment Information (Segment Info) (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
USD ($)
geographic_region
Jun. 30, 2018
USD ($)
Jun. 30, 2019
USD ($)
segment
geographic_region
Jun. 30, 2018
USD ($)
Dec. 31, 2018
USD ($)
Segment Reporting Information [Line Items]          
Reportable segments | segment     2    
Number of geographic regions in which entity operates | geographic_region 3   3    
Net sales $ 277,169 $ 287,498 $ 527,970 $ 537,896  
Total reportable segment (loss) income from continuing operations (14,938) 36,309 (20,617) 62,481  
Merger and integration expenses 4,378 4,409 7,629 7,369  
Charges 1,332 476 3,865 2,357  
Amortization of intangibles 9,228 9,817 18,544 18,618  
Operating (loss) income from continuing operations (29,876) 21,607 (50,655) 34,137  
Interest income 224 232 473 679  
Interest expense (4,054) (3,006) (5,716) (5,117)  
Gain on acquisition 0 0 0 11,484  
Foreign exchange and other losses (1,851) (70) (1,122) (343)  
(Loss) income from continuing operations before tax (35,557) 18,763 (57,020) 40,840  
Impairment of intangible assets 50,295 0 50,295 0  
Assets 2,621,659   2,621,659   $ 2,549,701
Capital expenditures 5,913 6,350 10,796 12,196  
Operating Segments          
Segment Reporting Information [Line Items]          
Net sales 277,169 287,498 527,970 537,896  
Operating Segments | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 172,244 176,456 327,735 332,628  
Charges 316 398 738 1,739  
Operating Segments | Neuromodulation          
Segment Reporting Information [Line Items]          
Net sales 104,269 110,653 198,918 204,497  
Charges 53 11 485 17  
Other          
Segment Reporting Information [Line Items]          
Charges 963 67 2,642 601  
Continuing Operations | Operating Segments | Cardiovascular          
Segment Reporting Information [Line Items]          
Total reportable segment (loss) income from continuing operations 10,120 16,337 11,109 26,595  
Assets 1,571,953   1,571,953   1,532,825
Capital expenditures 4,835 4,594 8,386 7,725  
Continuing Operations | Operating Segments | Neuromodulation          
Segment Reporting Information [Line Items]          
Total reportable segment (loss) income from continuing operations 619 57,211 22,250 95,945  
Assets 716,531   716,531   731,840
Capital expenditures 127 500 530 847  
Continuing Operations | Other          
Segment Reporting Information [Line Items]          
Total reportable segment (loss) income from continuing operations (25,677) (37,239) (53,976) (60,059)  
Assets 333,175   333,175   $ 285,036
Capital expenditures 951 1,256 1,880 2,699  
Discontinued Operations          
Segment Reporting Information [Line Items]          
Capital expenditures 0 0 0 925  
United States | Operating Segments          
Segment Reporting Information [Line Items]          
Net sales 134,576 143,149 262,974 266,122  
United States | Operating Segments | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 54,025 53,754 105,537 98,735  
United States | Operating Segments | Neuromodulation          
Segment Reporting Information [Line Items]          
Net sales 80,551 89,395 157,437 167,387  
Europe | Operating Segments          
Segment Reporting Information [Line Items]          
Net sales 58,180 60,075 115,032 119,352  
Europe | Operating Segments | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 45,184 48,132 91,377 97,118  
Europe | Operating Segments | Neuromodulation          
Segment Reporting Information [Line Items]          
Net sales 12,996 11,943 23,655 22,234  
Rest of world | Operating Segments          
Segment Reporting Information [Line Items]          
Net sales 84,413 84,274 149,964 152,422  
Rest of world | Operating Segments | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 73,035 74,570 130,821 136,775  
Rest of world | Operating Segments | Neuromodulation          
Segment Reporting Information [Line Items]          
Net sales 10,722 9,315 17,826 14,876  
Rest of world | Other          
Segment Reporting Information [Line Items]          
Net sales 656 389 1,317 771  
Cardiopulmonary | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 130,579 136,639 252,149 261,769  
Cardiopulmonary | United States | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 41,403 42,139 80,526 80,584  
Cardiopulmonary | Europe | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 34,320 35,916 69,881 72,786  
Cardiopulmonary | Rest of world | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 54,856 58,584 101,742 108,399  
Heart Valves | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 33,351 33,802 59,024 64,844  
Heart Valves | United States | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 4,678 6,147 9,034 12,683  
Heart Valves | Europe | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 10,672 11,863 21,185 23,979  
Heart Valves | Rest of world | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 18,001 15,792 28,805 28,182  
Advanced Circulatory Support | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 8,314 6,015 16,562 6,015  
Advanced Circulatory Support | United States | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 7,944 5,468 15,977 5,468  
Advanced Circulatory Support | Europe | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales 192 353 311 353  
Advanced Circulatory Support | Rest of world | Cardiovascular          
Segment Reporting Information [Line Items]          
Net sales $ 178 $ 194 $ 274 $ 194