Segment Reporting and Foreign Operations - Operating Income (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Segment Reporting Information [Line Items]
Net sales	$ 1,257,366	$ 1,150,981	$ 1,074,751
Income from operations	123,944	87,563	60,916
Total other expense - net	(11,855)	(4,934)	(6,999)
Income tax expense	17,678	8,113	5,463
Net income	94,411	74,516	48,454
Cardiovascular
Segment Reporting Information [Line Items]
Net sales	1,220,560	1,118,224	1,043,227
Income from operations	114,440	80,946	53,415
Endoscopy
Segment Reporting Information [Line Items]
Net sales	36,806	32,757	31,524
Income from operations	$ 9,504	$ 6,617	$ 7,501