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Commitments and Contingencies (Details) (USD $)
6 Months Ended 1 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jul. 31, 2010
Baxter Healthcare Corporation recall
Jun. 30, 2012
Baxter Healthcare Corporation recall
item
Jul. 13, 2010
Baxter Healthcare Corporation recall
item
Jun. 30, 2012
Baxter Healthcare Corporation recall
Minimum
Jun. 30, 2012
Baxter Healthcare Corporation recall
Maximum
Commitments and Contingencies              
Cash refund for single channel pumps         $ 1,500    
Cash refund for triple channel pumps         3,000    
Period for providing a replacement pump (in years)     2 years        
Applicable infusion pumps owned, number       1,460 11,900    
Recalled equipments net gains expected to be recognized           2,000,000 4,000,000
Recalled equipment net gains       15,400,000      
Non-cash gain on trade-in of recalled equipment $ 14,122,000 $ 3,292,000   $ 14,100,000