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Share Based Award Stock compensation and related tax benefits (Details) (USD $)
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Share-based Compensation $ 9,592,000us-gaap_ShareBasedCompensation $ 5,434,000us-gaap_ShareBasedCompensation $ 5,563,000us-gaap_ShareBasedCompensation
Employee Service Share-based Compensation, Tax Benefit from Compensation Expense 3,567,000us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense 2,052,000us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense 1,922,000us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitFromCompensationExpense
Indirect tax benefit from stock options 209,000icui_IndirectTaxBenefitFromStockOptions 866,000icui_IndirectTaxBenefitFromStockOptions 209,000icui_IndirectTaxBenefitFromStockOptions
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized 22,000,000us-gaap_EmployeeServiceShareBasedCompensationNonvestedAwardsTotalCompensationCostNotYetRecognized    
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition 1 year 6 months    
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant 2,763,243us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesAvailableForGrant    
Time-based stock option [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Options, Grants in Period, Gross 492,935us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
244,440us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
228,328us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Time based options grant date fair value 7,311,000icui_Timebasedoptionsgrantdatefairvalue
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
3,934,000icui_Timebasedoptionsgrantdatefairvalue
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
3,158,000icui_Timebasedoptionsgrantdatefairvalue
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Terms of Award 4 years 8 months 4 years 7 months 4 years 8 months
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate 26.70%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
29.20%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
33.60%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate 1.40%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
0.80%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
0.70%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate 0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Options, Grants in Period, Weighted Average Exercise Price $ 58.92us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
$ 62.12us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
$ 47.12us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Options, Grants in Period, Weighted Average Grant Date Fair Value $ 14.83us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
$ 16.09us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
$ 13.83us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
/ us-gaap_AwardTypeAxis
= icui_TimebasedstockoptionMember
Performance stock options [Member]      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Options, Grants in Period, Gross 699,625us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodGross
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember
   
Performance stock options total grant date fair value $ 13,344,000icui_Performancestockoptionstotalgrantdatefairvalue
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember
   
Terms of Award 4 years 0 months    
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate 31.70%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedVolatilityRate
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember
   
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate 2.90%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsRiskFreeInterestRate
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember
   
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate 0.00%us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardFairValueAssumptionsExpectedDividendRate
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember
   
Options, Grants in Period, Weighted Average Exercise Price $ 58.90us-gaap_ShareBasedCompensationArrangementsByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageExercisePrice
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember
   
Options, Grants in Period, Weighted Average Grant Date Fair Value $ 19.07us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsGrantsInPeriodWeightedAverageGrantDateFairValue
/ us-gaap_AwardTypeAxis
= icui_PerformancestockoptionsMember