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Acquisitions and Strategic Investments - Narrative (Details)
shares in Thousands, $ in Thousands
3 Months Ended 9 Months Ended
Jul. 06, 2016
USD ($)
Feb. 04, 2016
USD ($)
Jan. 20, 2016
USD ($)
shares
Dec. 04, 2015
USD ($)
Jul. 14, 2015
USD ($)
installment
Sep. 30, 2016
USD ($)
Jun. 30, 2016
USD ($)
shares
Dec. 31, 2015
USD ($)
Mar. 31, 2015
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2015
USD ($)
Business Acquisition [Line Items]                      
Payments to acquire investment     $ 2,000       $ 500        
Number of units acquired | shares     2,000       500        
Percent owned           18.60%       18.60%  
Payments to acquire intangible assets               $ 500   $ 1,594 $ 1,385
Accrued purchase obligation                   293 $ 1,300
Goodwill acquired                   28,584  
DFINE, Inc.                      
Business Acquisition [Line Items]                      
Consideration paid $ 97,500                    
Consideration paid related to net working capital adjustment 578                    
Net sales related to acquisition           $ 7,000       7,000  
Trade receivables acquired, gross 4,300                    
Trade receivables, expected to be uncollectible $ 224                    
Weighted average useful life 14 years 9 months 21 days                    
HeRO®Graft                      
Business Acquisition [Line Items]                      
Consideration paid   $ 18,500                  
Weighted average useful life   9 years 9 months 26 days                  
Income since acquisition date                 $ 1,900 5,200  
Quellent, LLC                      
Business Acquisition [Line Items]                      
Consideration paid         $ 1,000            
Payments to acquire intangible assets               500      
Number of installments | installment         2            
Accrued purchase obligation               500      
Noncurrent contingent consideration               270      
Goodwill acquired               60      
License agreements                      
Business Acquisition [Line Items]                      
Intangible assets           17,335   16,671   17,335  
Developed technology                      
Business Acquisition [Line Items]                      
Intangible assets           139,613   69,861   139,613  
Developed technology | DFINE, Inc.                      
Business Acquisition [Line Items]                      
Useful life 15 years                    
Developed technology | HeRO®Graft                      
Business Acquisition [Line Items]                      
Useful life   10 years                  
Developed technology | Quellent, LLC                      
Business Acquisition [Line Items]                      
Useful life         13 years            
Intangible assets               1,210      
Customer Lists                      
Business Acquisition [Line Items]                      
Intangible assets           7,142   5,770   7,142  
Customer Lists | DFINE, Inc.                      
Business Acquisition [Line Items]                      
Useful life 9 years                    
Customer Lists | HeRO®Graft                      
Business Acquisition [Line Items]                      
Useful life   12 years                  
Trademarks                      
Business Acquisition [Line Items]                      
Intangible assets           9,289   4,705   9,289  
Trademarks | DFINE, Inc.                      
Business Acquisition [Line Items]                      
Useful life 15 years                    
Trademarks | HeRO®Graft                      
Business Acquisition [Line Items]                      
Useful life   5 years 6 months                  
ArraVasc Limited | License agreements                      
Business Acquisition [Line Items]                      
Useful life       12 years              
ArraVasc Limited | Additional Payments for License Agreement Milestone | License agreements                      
Business Acquisition [Line Items]                      
Payments to acquire intangible assets               $ 1,250      
Potential payments on license agreement       $ 250              
Cardiovascular Segment | DFINE, Inc.                      
Business Acquisition [Line Items]                      
Acquisition-related costs           $ 1,600       $ 1,600