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Fair Value Measurement (Tables)
 12 Months Ended
Dec. 31, 2020
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block] The following table provides a reconciliation of our Level 3 earn-out liabilities measured at estimated fair value based on an initial valuation and updated quarterly for the years ended December 31, 2020, 2019 and 2018 (in thousands):
Earn-out Liability
Contingent earn-out liability, January 1, 2018$27,000 
Change in fair value of contingent earn-out (included in income from operations as a separate line item)(1)
20,400 
Contingent earn-out liability, December 31, 2018$47,400 
Acquisition date fair value estimate of earn-out(2)
17,300 
Change in fair value of contingent earn-out (included in income from operations as a separate line item)(3)
(47,400)
Contingent earn-out liability, December 31, 201917,300 
Change in fair value of contingent earn-out (included in income from operations as a separate line item)(4)
9,000 
Contingent earn-out liability, December 31, 2020$26,300 
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block] Our assets and liabilities measured at fair value on a recurring basis consisted of the following (Level 1, 2 and 3 inputs as defined above) (in thousands): 
 Fair value measurements as of December 31, 2020
 Total carrying
value		Quoted prices
in active
markets for
identical
assets (level 1)		Significant
other
observable
inputs (level 2)		Significant
unobservable
inputs (level 3)
Assets:
Available for sale debt securities:
Short-term$14,687 $— $14,687 $— 
Long-term12,974 — 12,974 — 
Foreign exchange forwards:
Prepaid expenses and other current assets3,555 — 3,555 — 
Total Assets$31,216 $— $31,216 $— 
Liabilities:
Earn-out liability$26,300 $— $— $26,300 
Total Liabilities$26,300 $— $— $26,300 
  
 Fair value measurements as of December 31, 2019
 Total carrying
value		Quoted prices
in active
markets for
identical
assets (level 1)		Significant
other
observable
inputs (level 2)		Significant
unobservable
inputs (level 3)
Assets:
Available for sale debt securities:
Short-term$23,967 $— $23,967 $— 
Foreign exchange forwards:
Prepaid expenses and other current assets2,366 — 2,366 — 
Total Assets$26,333 $— $26,333 $— 
Liabilities:
Earn-out liability$17,300 $— $— $17,300 
Total Liabilities$17,300 $— $— $17,300 
Hospira [Member]  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block] The following tables provide quantitative information about Level 3 inputs for fair value measurement of our earn-out liabilities as of the acquisition date to December 31, 2020. Significant increases or decreases in these inputs in isolation could result in a significant impact on our fair value measurement.
HIS Earn-out
Simulation InputAs of
December 31, 2018		At January 1, 2018
Adjusted EBITDA Volatility30.00 %26.00 %
WACC8.25 %8.75 %
20-year risk free rate2.87 %2.58 %
Market price of risk5.24 %5.99 %
Cost of debt5.25 %4.08 %
Pursuit Vascular, Inc. [Member]  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]
Pursuit Earn-out
As of December 31,At Acquisition
Simulation Input20202019November 2, 2019
Revenue/Gross Profit Volatility25.00 %20.00 %20.00 %
Discount Rate12.50 %15.00 %15.00 %
Risk free rate0.09 %1.55 %1.55 %
Counter Party Risk3.10 %6.00 %6.00 %