Segment Reporting and Foreign Operations - Assets, Depreciation, Amortization and Capital Expenditures (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	$ 1,663,966	$ 1,648,294	$ 1,664,396
Depreciation and amortization	81,804	84,066	94,070
Capital expenditures	45,029	27,939	45,988
Cardiovascular
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	1,652,145	1,635,676	1,654,866
Depreciation and amortization	80,777	83,000	93,160
Capital expenditures	44,925	27,557	45,803
Endoscopy
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	11,821	12,618	9,530
Depreciation and amortization	1,027	1,066	910
Capital expenditures	$ 104	$ 382	$ 185