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Acquisitions and investments - Components of intangible assets acquired (Details) - USD ($)
$ in Thousands
Jul. 12, 2022
Oct. 29, 2021
CartiHeal Ltd    
Business Acquisition [Line Items]    
Intangible assets $ 408,600  
CartiHeal Ltd | Intellectual property | US Segment    
Business Acquisition [Line Items]    
Useful Life (in years) 20 years  
Intangible assets $ 351,500  
CartiHeal Ltd | Intellectual property | International Segment    
Business Acquisition [Line Items]    
Useful Life (in years) 8 years  
Intangible assets $ 57,100  
Misonix, Inc    
Business Acquisition [Line Items]    
Intangible assets   $ 486,500
Misonix, Inc | Intellectual property    
Business Acquisition [Line Items]    
Intangible assets   $ 477,000
Misonix, Inc | Customer relationships    
Business Acquisition [Line Items]    
Useful Life (in years)   12 years
Intangible assets   $ 9,500
Minimum | Misonix, Inc | Intellectual property    
Business Acquisition [Line Items]    
Useful Life (in years)   15 years
Maximum | Misonix, Inc | Intellectual property    
Business Acquisition [Line Items]    
Useful Life (in years)   20 years