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Segment and Geographic Data (Sales And Other Financial Information By Business Segment) (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2022
USD ($)
Sep. 30, 2022
USD ($)
Jun. 30, 2022
USD ($)
Mar. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Sep. 30, 2021
USD ($)
Jun. 30, 2021
USD ($)
Mar. 31, 2021
USD ($)
Dec. 31, 2022
USD ($)
segment
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Segment Reporting [Abstract]                      
Number of reportable segments | segment                 2    
Segment Reporting Information [Line Items]                      
Number of reportable segments | segment                 2    
Net sales $ 5,202,000 $ 4,479,000 $ 4,493,000 $ 4,275,000 $ 4,701,000 $ 4,160,000 $ 4,294,000 $ 3,953,000 $ 18,449,000 $ 17,108,000 $ 14,351,000
Depreciation and amortization                 1,278,000 1,272,000 1,076,000
Segment net earnings (loss)                 2,841,000 2,584,000 2,223,000
Amortization of intangible assets                 (627,000) (619,000) (472,000)
Goodwill impairment                 (216,000) 0 0
Net earnings (loss) $ 563,000 $ 816,000 $ 656,000 $ 323,000 $ 662,000 $ 438,000 $ 592,000 $ 302,000 2,358,000 1,994,000 1,599,000
MedSurg and Neurotechnology                      
Segment Reporting Information [Line Items]                      
Net sales                 10,611,000 9,538,000 8,345,000
Goodwill impairment                 0    
Orthopaedics and Spine                      
Segment Reporting Information [Line Items]                      
Net sales                 7,838,000 7,570,000 6,006,000
Goodwill impairment                 (216,000)    
Operating Segments                      
Segment Reporting Information [Line Items]                      
Depreciation and amortization                 1,154,000 1,147,000 954,000
Segment operating income                 5,033,000 4,987,000 4,002,000
Operating Segments | MedSurg and Neurotechnology                      
Segment Reporting Information [Line Items]                      
Net sales                 10,611,000 9,538,000 8,345,000
Depreciation and amortization                 540,000 518,000 496,000
Segment net earnings (loss)                 2,737,000 2,807,000 2,414,000
Operating Segments | Orthopaedics and Spine                      
Segment Reporting Information [Line Items]                      
Net sales                 7,838,000 7,570,000 6,006,000
Depreciation and amortization                 614,000 629,000 458,000
Segment net earnings (loss)                 2,296,000 2,180,000 1,588,000
Corporate                      
Segment Reporting Information [Line Items]                      
Depreciation and amortization                 124,000 125,000 122,000
Segment Reconciling Items                      
Segment Reporting Information [Line Items]                      
Segment operating income                 (649,000) (605,000) (503,000)
Acquisition and integration-related charges                 (150,000) (585,000) (242,000)
Amortization of intangible assets                 (627,000) (619,000) (472,000)
Restructuring-related and other charges                 (349,000) (386,000) (458,000)
Goodwill impairment                 (216,000) 0 0
Medical device regulations                 (140,000) (107,000) (81,000)
Recall-related matters                 15,000 (103,000) (17,000)
Regulatory and legal matters                 (76,000) 2,000 (6,000)
Net earnings (loss)                 $ 2,841,000 $ 2,584,000 $ 2,223,000