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Commitment & Contingencies - Additional Information (Detail) (USD $)
1 Months Ended 9 Months Ended 12 Months Ended 24 Months Ended
Jul. 01, 2010
Sep. 29, 2012
LegalMatter
Plaintiff
Dec. 31, 2011
LegalMatter
Plaintiff
Dec. 31, 2010
Dec. 31, 2009
Sep. 29, 2012
LegalMatter
Dec. 31, 2011
LegalMatter
Commitments and Contingencies Disclosure [Line Items]              
Rental expense under operating leases     $ 14,300,000 $ 12,000,000 $ 13,400,000    
Number of plaintiffs   60 87        
Law suits damages   10,000,000 10,000,000        
Number of cases dismissed   400 350        
Number of lawsuits pending   25 60     25 60
Number of cases settled           70 60
Indemnity and Insurance coverage 25,000,000            
Additional Insurance coverage 10,000,000 25,000,000 25,000,000        
Product Liability Contingency Insurance coverage   50,000,000 50,000,000        
Utility liability insurance deductible   250,000 300,000        
Self insured retention amount   2,000,000 2,000,000     2,000,000 2,000,000
Supplemental extended reporting period coverage   80,000,000 80,000,000        
Future claims total limit   105,000,000 105,000,000        
Primary and excess policies coverage   5,000,000 5,000,000        
Aggregate deductible insurance coverage   3,000,000 4,000,000        
Pain Pump Litigation
             
Commitments and Contingencies Disclosure [Line Items]              
One excess insurance carrier rescinded policy, notification date   2010-08 2010-08        
Cold Therapy Litigation
             
Commitments and Contingencies Disclosure [Line Items]              
Number of plaintiffs   210 210        
Number of lawsuits   9 9     9 9
Initial plaintiffs selected by court for trial   10 10        
Number of initial plaintiffs expected to go to trial   4 4        
Expected trial commencement for the initial cases   2013-04 2012-09        
Bone Growth Stimulators BGS Qui Tam Action
             
Commitments and Contingencies Disclosure [Line Items]              
Lawsuit notification date   Aug. 15, 2009 Apr. 15, 2009        
Lawsuit court filing date   2005-03 2005-03        
Lawsuit amendment date   2007-12 2007-12        
Number of other bone growth stimulation companies named in the lawsuit   1 1        
Lawsuit unsealed date   2009-03 2009-03        
Lawsuit motion to dismiss filing date   Dec. 04, 2009 Dec. 04, 2009        
Lawsuit second amended complaint filing date   2010-05 2010-05        
Bone Growth Stimulators HIPAA Subpoena
             
Commitments and Contingencies Disclosure [Line Items]              
Investigation subpoena date   Apr. 10, 2009 Apr. 10, 2009        
Investigation second subpoena date   Sep. 21, 2009 Sep. 21, 2009        
Manufacturing One
             
Commitments and Contingencies Disclosure [Line Items]              
Number of cases settled           40 34
Manufacturing Two
             
Commitments and Contingencies Disclosure [Line Items]              
Number of cases settled           30 26
Invasive Products
             
Commitments and Contingencies Disclosure [Line Items]              
Utility liability insurance deductible   500,000 500,000        
Other Covered Products
             
Commitments and Contingencies Disclosure [Line Items]              
Utility liability insurance deductible   $ 50,000 $ 50,000