Segment Reporting and Foreign Operations - Assets, Depreciation, Amortization and Capital Expenditures (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	$ 2,325,244	$ 1,663,966	$ 1,648,294
Depreciation and amortization	89,985	81,804	84,066
Capital expenditures	34,290	45,029	27,939
Cardiovascular
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	2,308,217	1,652,145	1,635,676
Depreciation and amortization	88,960	80,777	83,000
Capital expenditures	33,985	44,925	27,557
Endoscopy
Segment Reporting, Asset Reconciling Item [Line Items]
Assets	17,027	11,821	12,618
Depreciation and amortization	1,025	1,027	1,066
Capital expenditures	$ 305	$ 104	$ 382