Acquisition, Restructuring and Other Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2017	Sep. 30, 2016	Sep. 30, 2017	Sep. 30, 2016	Dec. 31, 2016	Dec. 31, 2015
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs			$ 4,125	$ 5,096
Proceeds from sale of a facility		$ 5,178	0	5,178
Gain on sale of facility		(1,890)	0	(1,890)
Legal Matters	$ 300	600	4,800	2,800
Debt Related Commitment Fees and Debt Issuance Costs				2,700
Loss on early extinguishment of debt			0	254
Debt refinancing costs included in other expense	0	0	0	2,942
Restructuring reserve	1,340	1,824	1,340	1,824	$ 2,643	$ 7,175
Cost of Sales [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	1,306	0	2,778	5,537
Cost of Sales [Member] | Facility consolidation and other costs [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	1,306	0	2,778	991
Cost of Sales [Member] | Termination of Product Offering [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	0	0	0	4,546
Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Gain on sale of facility		(1,890)		(1,890)
Business acquisition costs	128	2,695	1,020	14,547
Legal Matters	327	619	17,041	2,808
Acquisition, restructuring and other expense included in selling and administrative expense	455	1,785	19,408	19,570
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	0	361	1,347	4,105
Other Expense [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Debt refinancing costs included in other expense	$ 0	$ 0	0	$ 2,942
SurgiQuestInc | Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Loss Contingency, Damages Awarded, Value			12,200
Compensatory damages [Member] | SurgiQuestInc | Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Loss Contingency, Damages Awarded, Value			2,200
Punitive damages [Member] | SurgiQuestInc | Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Loss Contingency, Damages Awarded, Value			$ 10,000