Segment Reporting and Foreign Operations - Operating Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Segment Reporting Information [Line Items]
Net sales	$ 1,150,981	$ 1,074,751	$ 963,875
Income (loss) from operations	87,563	60,916	(1,562)
Total other expense - net	(4,934)	(6,999)	(11,669)
Income tax expense (benefit)	8,113	5,463	(3,388)
Net income (loss)	74,516	48,454	(9,843)
Cardiovascular
Segment Reporting Information [Line Items]
Net sales	1,118,224	1,043,227	934,202
Income (loss) from operations	80,946	53,415	(7,042)
Endoscopy
Segment Reporting Information [Line Items]
Net sales	32,757	31,524	29,673
Income (loss) from operations	$ 6,617	$ 7,501	$ 5,480