Goodwill and Intangible Assets - Other Intangible Assets (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Other
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	$ 120,753	$ 108,130
Accumulated Amortization	(76,909)	(69,780)
Net Carrying Amount	43,844	38,350
Patents
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	30,969	29,445
Accumulated Amortization	(12,657)	(10,203)
Net Carrying Amount	18,312	19,242
Distribution agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	3,250	3,250
Accumulated Amortization	(2,868)	(2,715)
Net Carrying Amount	382	535
License agreements
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	11,128	11,109
Accumulated Amortization	(8,076)	(7,250)
Net Carrying Amount	3,052	3,859
Trademarks
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	35,119	30,221
Accumulated Amortization	(19,998)	(17,863)
Net Carrying Amount	15,121	12,358
Customer Lists
Finite-Lived Intangible Assets [Line Items]
Gross Carrying Amount	40,287	34,105
Accumulated Amortization	(33,310)	(31,749)
Net Carrying Amount	$ 6,977	$ 2,356