Acquisitions Text (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Business Acquisition [Line Items]
Contingent Earn-out Liability	$ 2,589	$ 26,300	$ 17,300	$ 47,400
Pursuit Vascular, Inc. [Member]
Business Acquisition [Line Items]
Business Acquisition, Percentage of Voting Interests Acquired	100.00%
Payments to Acquire Businesses, Gross	$ 75,000
contingent consideration gross	50,000
Foreign Distibutor [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross		$ 4,600
contingent consideration gross	6,000
Contingent Earn-out Liability	2,600
Pursuit Vascular LLC
Business Acquisition [Line Items]
Contingent Earn-out Liability	$ 26,300