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Goodwill, In-Process Research and Development and Intellectual Property - Additional Information (Detail) - USD ($)
3 Months Ended 12 Months Ended
Oct. 31, 2018
Mar. 31, 2020
Dec. 31, 2019
Sep. 30, 2019
Dec. 31, 2019
Sep. 21, 2015
Sep. 30, 2013
Goodwill And Intangible Assets [Line Items]              
Goodwill impairment       $ 79,000,000.0 $ 0    
In-Process Research and Development              
Goodwill And Intangible Assets [Line Items]              
Discount rate 15.00%            
Impairment of intangible assets     $ 0 $ 7,900,000      
Developed Technology              
Goodwill And Intangible Assets [Line Items]              
Weighted average remaining useful life   2 years 10 months 24 days          
Technology and Patents Purchased              
Goodwill And Intangible Assets [Line Items]              
Weighted average remaining useful life   7 years 1 month 6 days          
Safe Stitch Medical Inc              
Goodwill And Intangible Assets [Line Items]              
Goodwill             $ 93,800,000
Senhance Surgical Robotic System Acquisition              
Goodwill And Intangible Assets [Line Items]              
Goodwill           $ 38,300,000  
Medical Surgery Technologies Ltd.              
Goodwill And Intangible Assets [Line Items]              
Goodwill $ 9,600,000            
Medical Surgery Technologies Ltd. | In-Process Research and Development              
Goodwill And Intangible Assets [Line Items]              
In-process research and development $ 10,600,000