Segment Reporting and Foreign Operations - Narrative (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2023 USD ($) item segment	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)
Segment Reporting Information [Line Items]
Number of operating segments | segment	2
Number of product categories | item	5
Net sales	$ 1,257,366	$ 1,150,981	$ 1,074,751
International
Segment Reporting Information [Line Items]
Net sales	$ 530,377	$ 500,422	$ 465,873
International | Sales Revenue | Geographic Concentration
Segment Reporting Information [Line Items]
Concentration for geographic sales	42.00%	43.00%	43.00%
CHINA
Segment Reporting Information [Line Items]
Net sales	$ 147,300	$ 149,300	$ 138,200
Cardiovascular
Segment Reporting Information [Line Items]
Number of product categories | item	4
Net sales	$ 1,220,560	1,118,224	1,043,227
Cardiovascular | International
Segment Reporting Information [Line Items]
Net sales	$ 527,957	$ 498,264	$ 463,812