Segment Reporting and Foreign Operations - Narrative (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($) segment item	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Segment Reporting Information [Line Items]
Number of operating segments | segment	2
Number of Product Categories | item	5
Net sales	$ 1,150,981	$ 1,074,751	$ 963,875
International
Segment Reporting Information [Line Items]
Net sales	$ 500,422	$ 465,873	$ 413,814
International | Sales Revenue | Geographic Concentration
Segment Reporting Information [Line Items]
Concentration for geographic sales	43.00%	43.00%	43.00%
CHINA
Segment Reporting Information [Line Items]
Net sales	$ 149,300	$ 138,200	$ 113,200
Cardiovascular
Segment Reporting Information [Line Items]
Number of Product Categories | item	4
Net sales	$ 1,118,224	1,043,227	934,202
Cardiovascular | International
Segment Reporting Information [Line Items]
Net sales	$ 498,264	$ 463,812	$ 411,999