Geographic Concentration Risk
Geographic Concentration Risk [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Restatement [Axis]
Revision of Prior Period [Axis]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Schedule of Cash, Cash Equivalents and Restricted Cash
Schedule of Cash and Cash Equivalents [Table Text Block]
Pending claims, number
Loss Contingency, Pending Claims, Number
United Kingdom, Pounds
United Kingdom, Pounds
Deferred tax assets
Deferred Income Tax Assets, Net
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Schedule of Stockholders Equity
Schedule of Stockholders Equity [Table Text Block]
Convertible Notes Receivable
Notes Receivable [Member]
Discounted cash flow
Valuation Technique, Discounted Cash Flow [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Line of credit, maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Receivable [Domain]
Receivable [Domain]
Capital expenditures
Property, Plant and Equipment, Additions
Foreign Exchange Contract
Foreign Exchange Contract [Member]
Investments
Investment [Text Block]
2015 Plan
2015 Incentive Award Plan [Member]
2015 Incentive Award Plan
Amortization
Other Depreciation and Amortization
Debt instrument, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Business Acquisition, Payment [Axis]
Business Acquisition, Payment [Axis]
Business Acquisition, Payment
Other
Payments for (Proceeds from) Other Investing Activities
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Depreciation
Depreciation
Interest rate, stated percentage
Debt Instrument, Interest Rate, Stated Percentage
Valuation Approach and Technique [Axis]
Valuation Approach and Technique [Axis]
Schedule of Fair Value of Contingent Consideration Arrangements by Acquisition
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [Abstract]
Product remediation liability, net
Product Remediation Liability, Net
Product Remediation Liability, Net
Additional paid-in capital
Additional Paid in Capital, Common Stock
Schedule of Business Acquisitions, by Acquisition
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
Long-term portion at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Non-current Liability Value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Non-current Liability Value
Other
Other Noncash Income (Expense)
TandemLife
TandemLife [Member]
TandemLife [Member]
Net income (loss)
Net income (loss)
Net income
Net Income (Loss) Attributable to Parent
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share amount (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Equity Component [Domain]
Equity Component [Domain]
Long-term portion of litigation provisions liability at period end
Loss Contingency, Accrual, Noncurrent
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Discount rate
Measurement Input, Discount Rate [Member]
Scenario [Axis]
Scenario [Axis]
Redemption price, percentage
Debt Instrument, Redemption Price, Percentage
Redemption price, percentage of exchange price
Debt Instrument, Redemption Price, Percentage Of Exchange Price
Debt Instrument, Redemption Price, Percentage Of Exchange Price
Total assets
Assets, Fair Value Disclosure
Investment, Name [Domain]
Investment, Name [Domain]
Estimate of possible loss
Loss Contingency, Estimate of Possible Loss
Valuation Approach and Technique [Domain]
Valuation Approach and Technique [Domain]
Ownership percentage
Business Combination, Step Acquisition, Equity Interest in Acquiree, Percentage
Plan Name [Axis]
Plan Name [Axis]
2020 Cash Exchangeable Senior Notes
2020 Cash Exchangeable Senior Notes [Member]
2020 Cash Exchangeable Senior Notes
Hedging Designation [Domain]
Hedging Designation [Domain]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Plan Name [Domain]
Plan Name [Domain]
Surety Bond
Surety Bond [Member]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Borrowed funds
Long-Term Line of Credit
Schedule of Notional Amounts of Derivative Contracts Designated Cash Flow Hedges
Schedule of Notional Amounts of Outstanding Derivative Positions [Table Text Block]
Level 1
Fair Value, Inputs, Level 1 [Member]
Employee share purchase plan
Employee Stock [Member]
Risk-adjusted discount rate
Measurement Input, Risk-adjusted Discount Rate [Member]
Measurement Input, Risk-adjusted Discount Rate [Member]
Operating Activities [Domain]
Operating Activities [Domain]
Award Type [Axis]
Award Type [Axis]
Net cash provided by operating activities
Net cash used in operating activities
Net Cash Provided by (Used in) Operating Activities
Operating lease liabilities
Operating Lease, Liability, Current
Derivative asset
Derivative Asset
Payment
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Non-cash items included in net income (loss):
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Related Party Transaction [Domain]
Related Party Transaction [Domain]
All Currencies [Domain]
All Currencies [Domain]
Bridge Loan
Bridge Loan [Member]
Period One
Debt Instrument, Interest Rate Increase, Period One [Member]
Debt Instrument, Interest Rate Increase, Period One
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Operating expenses:
Costs and Expenses [Abstract]
Lender Name [Axis]
Lender Name [Axis]
Receivables [Abstract]
Schedule of Equity Method Investments [Line Items]
Schedule of Equity Method Investments [Line Items]
Debt instrument, maximum interest rate
Debt Instrument, Maximum Interest Rate
Debt Instrument, Maximum Interest Rate
Liability Class [Axis]
Liability Class [Axis]
Legal Entity [Axis]
Legal Entity [Axis]
Business Acquisition, Payment [Domain]
Business Acquisition, Payment [Domain]
Business Acquisition, Payment
Long-term debt obligations
Long-Term Debt, Excluding Current Maturities
Total Liabilities
Liabilities
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Gains (Losses) Reclassified from AOCI to Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Geographical [Axis]
Geographical [Axis]
Investing Activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Agreement to acquire equity interests
Business Acquisition, Percentage of Voting Interests Acquired
Long-term employee compensation and related benefits
Liability, Defined Benefit Plan, Noncurrent
Accounts payable and accrued current and non-current liabilities
Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities
Current derivative liabilities
Derivative Liability, Current
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Revolving Credit Facility
Revolving Credit Facility [Member]
Less current portion of litigation liability at period end
Loss Contingency, Accrual, Current
Debt instrument, period of interest rate increase
Debt Instrument, Period of Interest Rate Increase
Debt Instrument, Period of Interest Rate Increase
Document Type
Document Type
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate
Secured Overnight Financing Rate (SOFR) Overnight Index Swap Rate [Member]
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Country Region
Country Region
Assets:
Assets, Fair Value Disclosure [Abstract]
Amortization percentage, year three
Debt Instrument, Amortization Percentage, Year Three
Debt Instrument, Amortization Percentage, Year Three
Segments [Axis]
Segments [Axis]
Weighted average grant date fair value (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Financing Arrangements
Debt Disclosure [Text Block]
Measurement input
Business Combination, Contingent Consideration, Measurement Input
Business Combination, Contingent Consideration, Measurement Input
Entity Shell Company
Entity Shell Company
Investments [Abstract]
Investments [Abstract]
Deferred tax expense
Deferred Income Tax Expense (Benefit)
Payment of debt issuance costs
Payments for Derivative Instrument, Financing Activities
MD Start II
MD Start II [Member]
MD Start II [Member]
Gains (Losses) Recognized in OCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Delayed Draw Term Facility
Delayed Draw Term Facility [Member]
Delayed Draw Term Facility
Changes in fair value (1)
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Gain (Loss) Included in Earnings
Consolidation Items [Domain]
Consolidation Items [Domain]
Subsequent Event
Subsequent Event [Member]
Revenue Benchmark
Revenue Benchmark [Member]
Document Period End Date
Document Period End Date
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table]
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table]
Heart Valves
Heart Valves [Member]
Heart Valves [Member]
Service-based stock appreciation rights (“SARs”)
Service-Based Stock Appreciation Rights [Member]
Service-Based Stock Appreciation Rights [Member]
Schedule of Accumulated Other Comprehensive Income (Loss)
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Derivative Instruments, Gain (Loss)
Derivative Instruments, Gain (Loss) [Table]
Total Assets
Assets
Assets
Foreign Exchange and Other Gains (Losses)
Schedule of Foreign Currency Transaction Gain (Loss) and Other Gains (Losses) [Table Text Block]
Schedule of Foreign Currency Transaction Gain (Loss) and Other Gains (Losses)
Conversion ratio
Debt Instrument, Exchangeable, Conversion Ratio
Debt Instrument, Exchangeable, Conversion Ratio
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Business Acquisition, Contingent Consideration [Line Items]
Business Acquisition, Contingent Consideration [Line Items]
Income Statement Location [Axis]
Income Statement Location [Axis]
Fair Value Measurements on a Recurring Basis
Fair Value Measurements, Recurring and Nonrecurring [Table Text Block]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Accrued liabilities and other
Accrued liabilities
Accrued Liabilities, Current
Less current portion of long-term debt
Long-Term Debt, Current Maturities
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Provisions for agents, returns and other
Provision For Agents, Returns And Other
Provision For Agents, Returns And Other
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Stockholders' Equity Note [Abstract]
Stockholders' Equity Note [Abstract]
Reclassification of gain from accumulated other comprehensive loss, after tax
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Line of Credit
Line of Credit [Member]
Carrying value of note receivable
Financing Receivable, before Allowance for Credit Loss
Stockholders’ Equity:
Stockholders' Equity Attributable to Parent [Abstract]
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Segments [Domain]
Segments [Domain]
Earnings Per Share
Earnings Per Share [Text Block]
Japan, Yen
Japan, Yen
Other Awards
Other Than Option, Awards [Member]
Other Than Option, Awards
10 percent decrease in stock price volatility, fair value
Sensitivity Analysis Of Fair Value, 10 Percent Decrease In Stock Price Volatility, Fair Value
Sensitivity Analysis Of Fair Value, 10 Percent Decrease In Stock Price Volatility, Fair Value
Number of settled claims
Loss Contingency, Claims Settled, Number
Schedule of Fair Value of Derivative Instruments in Statement of Financial Position
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Capped Call Derivative Asset
Derivative Financial Instruments, Assets [Member]
Award Type [Domain]
Award Type [Domain]
Redemption, threshold trading days
Debt Instrument, Redemption, Threshold Trading Days
Debt Instrument, Redemption, Threshold Trading Days
Cash to be paid at closing
Cash and other considerations
Payments to Acquire Businesses, Gross
Derivative Contract [Domain]
Derivative Contract [Domain]
Gross profit
Gross Profit
Entity Registrant Name
Entity Registrant Name
Period Three
Debt Instrument, Interest Rate Increase, Period Three [Member]
Debt Instrument, Interest Rate Increase, Period Three
Subsequent Event
Subsequent Events [Text Block]
Market performance-based restricted stock units
Market-based Performance Restricted Stock Units [Member]
Market-based Performance Restricted Stock Units [Member]
Foreign Currency Translation Adjustments Gain (Loss)
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Saluggia, Italy
Saluggia, Italy [Member]
Saluggia, Italy
Entity Address, City or Town
Entity Address, City or Town
Change in Unrealized Gain (Loss) on Derivatives
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Prior Period Reclassifications on the Condensed Consolidated Statements of Income (Loss)
Schedule of Error Corrections and Prior Period Adjustments [Table Text Block]
Asset Class [Domain]
Asset Class [Domain]
Minimum
Minimum [Member]
Restricted cash
Restricted Cash and Cash Equivalents, Current
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Entity Emerging Growth Company
Entity Emerging Growth Company
Ordinary shares, par value (in pounds per share)
Common Stock, Par or Stated Value Per Share
Raw materials
Inventory, Raw Materials, Net of Reserves
Developed technology - 15-year life
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Tax benefit
Other Comprehensive Income (Loss) before Reclassifications, Tax
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Debt issuance costs, net
Debt Issuance Costs, Net
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table]
Fair Value Measurements
Fair Value Disclosures [Text Block]
Investment, Name [Axis]
Investment, Name [Axis]
Trading Symbol
Trading Symbol
Entity File Number
Entity File Number
Treasury stock (in shares)
Treasury Stock, Common, Shares
Operating Activities [Axis]
Operating Activities [Axis]
Reclassification of tax benefit
Reclassification from AOCI, Current Period, Tax
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Research and development
Research and Development Expense
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Derivatives
Derivatives, Policy [Policy Text Block]
Shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Effective tax rate (percent)
Effective Income Tax Rate Reconciliation, Percent
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Risk-adjusted discount rate
Measurement Input, Risk Free Interest Rate [Member]
Bank of America, U.S.
Bank of America, U.S [Member]
Bank of America, U.S [Member]
Business Combinations
Business Combination Disclosure [Text Block]
First Payment
First Payment [Member]
First Payment [Member]
London Interbank Offered Rate (LIBOR)
London Interbank Offered Rate (LIBOR) [Member]
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Total at beginning period
Total at period end
Total fair value of Level 3 contingent consideration arrangements
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Subsequent Events [Abstract]
Subsequent Events [Abstract]
Concentration risk, percentage
Concentration Risk, Percentage
Contingent consideration
Business Combination, Consideration Transferred, Liabilities Incurred
Interest income
Investment Income, Net
Income Taxes
Income Tax Disclosure [Text Block]
Finished goods
Inventory, Finished Goods, Net of Reserves
Credit Facility [Domain]
Credit Facility [Domain]
Less current portion at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Current Asset Value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Current Asset Value
Accrued employee compensation and related benefits
Deferred Compensation Liability, Current
Schedule of Goodwill by Segment
Schedule of Goodwill [Table Text Block]
Basic loss per share (in dollars per share)
Earnings Per Share, Basic
Schedule of Equity Method Investments [Table]
Schedule of Equity Method Investments [Table]
Other
Corporate, Non-Segment [Member]
Sale and purchase deferral period
Disposal Group, Sale And Purchase Deferral Period
Disposal Group, Sale And Purchase Deferral Period
Schedule of Cash, Cash Equivalents and Restricted Cash
Restrictions on Cash and Cash Equivalents [Table Text Block]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Treasury Stock
Treasury Stock [Member]
Compensation sought
Loss Contingency, Damages Sought, Value
Total Stockholders’ Equity
Total Stockholders’ Equity
Beginning balance
Ending balance
Stockholders' Equity Attributable to Parent
Derivatives and Risk Management
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Outstanding loans
Financing Receivable, after Allowance for Credit Loss
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Entity Interactive Data Current
Entity Interactive Data Current
Maximum consideration
Business Combination, Maximum Consideration
Business Combination, Maximum Consideration
Prepaid Expenses and Other Current Assets
Prepaid Expenses and Other Current Assets [Member]
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Embedded Exchange Feature
Embedded Derivative Financial Instruments [Member]
Reconciliation of Beginning and Ending Balances of Recurring Fair Value Measurements
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Accumulated Deficit
Retained Earnings [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Number of geographic regions in which entity operates
Number Of Geographic Regions In which Entity Operates
Number Of Geographic Regions In which Entity Operates
Litigation Status [Domain]
Litigation Status [Domain]
Ordinary Shares
Common Stock [Member]
Total other comprehensive (loss) income
Other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Stock-based compensation plans
Shares Issued, Value, Share-Based Payment Arrangement, after Forfeiture
Receivable Type [Axis]
Receivable Type [Axis]
Other comprehensive loss before reclassifications, net of tax
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Reportable segments
Number of Reportable Segments
Share-based compensation arrangement, number of shares available for grant (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
Contingent consideration
Fair value at May 2, 2022
Business Combination, Contingent Consideration, Liability
Long-term portion at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Non-current Asset Value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Non-current Asset Value
Interest rate
Debt Instrument, Interest Rate, Effective Percentage
Gain (loss) on investment
Investment revaluation
Equity Method Investment, Realized Gain (Loss) on Disposal
Euro Interbank Offered Rate (EURIBOR)
Euro Interbank Offered Rate (EURIBOR) [Member]
Euro Interbank Offered Rate (EURIBOR)
Document Quarterly Report
Document Quarterly Report
Product Liability
Product Liability [Member]
Product Liability [Member]
Discontinued Operations and Disposal Groups [Abstract]
Discontinued Operations and Disposal Groups [Abstract]
Current Assets:
Assets, Current [Abstract]
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Significant Unobservable Inputs Related to Contingent Consideration
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Foreign exchange and other income/(expense)
Foreign exchange and other income/(expense)
Foreign exchange and other income/(expense)
Foreign Currency Transaction Gain (Loss) And Other Nonoperating Income
Foreign Currency Transaction Gain (Loss) And Other Nonoperating Income
Payment of contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
Reimbursed legal fees
Reimbursed Legal Fees
Reimbursed Legal Fees
Line of Credit Facility, Lender [Domain]
Line of Credit Facility, Lender [Domain]
Related Party Transaction [Axis]
Related Party Transaction [Axis]
Revenue from External Customers by Geographic Areas
Revenue from External Customers by Geographic Areas [Table Text Block]
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Accounts receivable, net of allowance of $13,109 at June 30, 2022 and $13,512 at December 31, 2021
Accounts Receivable, after Allowance for Credit Loss, Current
Equity Components [Axis]
Equity Components [Axis]
Scenario [Domain]
Scenario [Domain]
Derivative, cap price per share
Derivative, Cap Price Per Share
Derivative, Cap Price Per Share
Fair Value, Recurring
Fair Value, Recurring [Member]
Litigation Case [Domain]
Litigation Case [Domain]
FDA Warning Letter
FDA Warning Letter [Member]
FDA Warning Letter [Member]
Restatement [Domain]
Revision of Prior Period [Domain]
Document Fiscal Year Focus
Document Fiscal Year Focus
Amortization percentage, year five
Debt Instrument, Amortization Percentage, Year Five
Debt Instrument, Amortization Percentage, Year Five
Probability of payment
Measurement Input, Probability of Payment [Member]
Measurement Input, Probability of Payment [Member]
Operating Activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Fair Value Adjustment, Derivative Liability
Derivative Financial Instruments, Liabilities [Member]
Consideration
Disposal Group, Including Discontinued Operation, Consideration
Contingent consideration
Business Combination, Contingent Consideration, Liability, Current
Variable Rate [Domain]
Variable Rate [Domain]
Convertible notes receivable
Receivables, Fair Value Disclosure
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Selling, general and administrative
Selling, General and Administrative Expense
Loss Contingencies
Loss Contingencies [Table]
Remeasurement of contingent consideration to fair value
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Operating lease assets
Operating Lease, Right-of-Use Asset
Accumulated Other Comprehensive (Loss) Income
Total
AOCI Attributable to Parent [Member]
Option to exchange, price per share
Debt Instrument, Option To Exchange, Price Per Share
Debt Instrument, Option To Exchange, Price Per Share
Capped Call Derivatives
Capped Call [Member]
Capped Call
Reclassification of loss from accumulated other comprehensive income, before tax
Reclassification from AOCI, Current Period, before Tax, Attributable to Parent
Environmental maintenance
Utilities Operating Expense, Environmental Maintenance
Utilities Operating Expense, Environmental Maintenance
Warranty, cap on claims
Standard Product Warranty, Cap On Claims
Standard Product Warranty, Cap On Claims
A Lung Technologies Inc
A Lung Technologies Inc [Member]
A Lung Technologies Inc
Document Transition Report
Document Transition Report
Equity Method Investment, Nonconsolidated Investee [Axis]
Equity Method Investment, Nonconsolidated Investee [Axis]
Local Phone Number
Local Phone Number
Purchase of investments
Purchases Of Investments
Purchases Of Investments
Schedule of Stock-based Incentive Plans
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Operating income (loss)
Operating loss
Operating income (loss)
Operating Income (Loss)
Inventories
Increase (Decrease) in Inventories
Unamortized discount (premium), net
Debt Instrument, Unamortized Discount (Premium), Net
Litigation Status [Axis]
Litigation Status [Axis]
Investments
Equity Securities without Readily Determinable Fair Value, Amount
Discontinued Operations, Disposed of by Sale
Discontinued Operations, Disposed of by Sale [Member]
Cardiopulmonary
Cardiopulmonary Segment [Member]
Cardiopulmonary Segment
Ordinary shares outstanding (in shares)
Common Stock, Shares, Outstanding
Goodwill
Goodwill, beginning
Goodwill, ending
Goodwill
ALung Acquisition
ALung Technologies, Inc. [Member]
ALung Technologies, Inc. [Member]
Balance Sheet Related Disclosures [Abstract]
Balance Sheet Related Disclosures [Abstract]
Prepaid and refundable taxes
Prepaid Taxes
Total liabilities
Liabilities, Fair Value Disclosure
Secured Overnight Financing Rate (SOFR)
Secured Overnight Financing Rate (SOFR) [Member]
Secured Overnight Financing Rate (SOFR)
Income tax expense
Income tax expense
Income Tax Expense (Benefit)
Geographical [Domain]
Geographical [Domain]
Deferred tax liabilities
Deferred Income Tax Liabilities, Net
Income Statement [Abstract]
Income Statement [Abstract]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Document Fiscal Period Focus
Document Fiscal Period Focus
Rest of World
Locations Excluding The United States And Europe [Member]
Locations Excluding The United States And Europe [Member]
Cost of sales
Cost of sales
Cost of Goods and Services Sold
Proceeds from sale of Respicardia investment and loan
Proceeds from Sale of Equity Method Investments
Derivative [Line Items]
Derivative [Line Items]
Shares used in computing diluted loss per share (in shares)
Diluted weighted average shares outstanding (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Derivative liabilities
Derivative Liability
Loss Contingency, Nature [Domain]
Loss Contingency, Nature [Domain]
Inventories
Schedule of Inventory, Current [Table Text Block]
10 percent increase in stock price volatility, fair value
Sensitivity Analysis Of Fair Value, 10 Percent Increase In Stock Price Volatility, Fair Value
Sensitivity Analysis Of Fair Value, 10 Percent Increase In Stock Price Volatility, Fair Value
Total liability derivatives
Derivative Liability, Subject to Master Netting Arrangement, before Offset
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Investments
Investments
Redemption, threshold consecutive trading days
Debt Instrument, Redemption, Threshold Consecutive Trading Days
Debt Instrument, Redemption, Threshold Consecutive Trading Days
Ordinary Shares, £1.00 par value: unlimited shares authorized; 53,810,418 shares issued and 53,506,408 shares outstanding at June 30, 2022; 53,761,510 shares issued and 53,263,297 shares outstanding at December 31, 2021
Common Stock, Value, Issued
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Senior Notes
Senior Notes [Member]
Goldman Sachs Bank USA
Goldman Sachs Bank USA [Member]
Goldman Sachs Bank USA
Credit risk discount rate
Measurement Input, Credit Risk Discount Rate [Member]
Measurement Input, Credit Risk Discount Rate [Member]
Other operating expenses
Other Operating Income (Expense), Net
Conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
Schedule of Cash Flow Hedges Included in AOCI
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Operating Segments
Operating Segments [Member]
After-Tax Net Loss in AOCI as of June 30, 2022 Expected to be Reclassified to Earnings in Next 12 Months
Cash Flow Hedge Gain (Loss) to be Reclassified within 12 Months
Liabilities:
Financial Liabilities Fair Value Disclosure [Abstract]
Discount rate
Debt Instrument, Discount Rate
Debt Instrument, Discount Rate
Unrecognized tax benefits, potential decrease amount
Decrease in Unrecognized Tax Benefits is Reasonably Possible
Amortization percentage, year four
Debt Instrument, Amortization Percentage, Year Four
Debt Instrument, Amortization Percentage, Year Four
Cash, cash equivalents and restricted cash at beginning of period
Cash, cash equivalents and restricted cash at end of period
Cash, cash equivalents and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents
Loans Payable
Loans Payable [Member]
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Current Liabilities:
Liabilities, Current [Abstract]
Non-privileged creditor, amount
Bankruptcy Claims, Non-Privileged Creditor, Amount
Bankruptcy Claims, Non-Privileged Creditor, Amount
SNIA s.p.a
SNIA s.p.a [Member]
SNIA s.p.a [Member]
Debt Instrument, Interest Rate Increase, Period [Axis]
Debt Instrument, Interest Rate Increase, Period [Axis]
Debt Instrument, Interest Rate Increase, Period
Proceeds from long-term debt obligations
Proceeds from Issuance of Long-Term Debt
Adjustments
Loss Contingency Accrual, Adjustments
Loss Contingency Accrual, Adjustments
Ordinary shares issued (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Issued
Additions
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases
Contract liabilities
Contract with Customer, Liability, Current
Foreign exchange rate fluctuations
Foreign Currency Transaction Gain (Loss), before Tax
Amortization percentage, year two
Debt Instrument, Amortization Percentage, Year Two
Debt Instrument, Amortization Percentage, Year Two
Income Statement Location [Domain]
Income Statement Location [Domain]
Legal and valuation expense
Business Combination, Acquisition Related Costs
Debt Instrument, Covenant, Interest Coverage Ratio
Debt Instrument, Covenant, Interest Coverage Ratio
Debt Instrument, Covenant, Interest Coverage Ratio
Cash Flow Hedging
Cash Flow Hedging [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Amendment Flag
Amendment Flag
Research and development costs
Research And Development Costs Payable, Current
Research And Development Costs
Net cash (used in) provided by investing activities
Net Cash Provided by (Used in) Investing Activities
Debt instrument, face amount
Debt Instrument, Face Amount
Total comprehensive loss
Total comprehensive loss
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Litigation Case [Axis]
Litigation Case [Axis]
Goodwill as a result of acquisition
Goodwill, Acquired During Period
Embedded Exchange Feature Derivative Liability
Embedded Exchange Feature Liability [Member]
Embedded Exchange Feature Liability
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Entity Current Reporting Status
Entity Current Reporting Status
LIBOR floor rate
Debt Instrument, LIBOR Floor Rate
Debt Instrument, LIBOR Floor Rate
Other assets
Other Assets, Noncurrent
Tax effect
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, Tax, Parent
Convertible Notes Receivable
Convertible Notes Receivable [Member]
Convertible Notes Receivable
Foreign currency adjustments
Goodwill, Translation and Purchase Accounting Adjustments
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Advanced Circulatory Support
Advanced Circulatory Support Segment [Member]
Advanced Circulatory Support Segment
Derivative
Derivative [Table]
Accumulated Other Comprehensive Income (Loss)
Accumulated Other Comprehensive Income (Loss) [Table]
Debt discounts and issuance costs
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net
Litigation Provision Liabilities
Schedule of Loss Contingencies by Contingency [Table Text Block]
Schedule of Stock by Class
Schedule of Stock by Class [Table]
Current litigation provision liability
Estimated Litigation Liability, Current
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
Effect of exchange rate changes on cash, cash equivalents and restricted cash
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Continuing Operations
Property, plant and equipment, net
Property, Plant and Equipment, Net
Currency [Axis]
Currency [Axis]
FX and other
Loss Contingency, Accrual, Foreign Currency Adjustments, And Other
Loss Contingency, Accrual, Foreign Currency Adjustments, And Other
Repayment of long-term debt obligations
Repayments of Long-Term Debt
Supplemental Financial Information
Quarterly Financial Information [Text Block]
After-tax Net Loss in AOCI as of period end
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, after Tax
Changes in fair value (1)
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Employee share purchase plan
Share-Based Payment Arrangement, Option [Member]
Treasury stock at cost, 304,010 ordinary shares at June 30, 2022; 498,213 ordinary shares at December 31, 2021
Treasury Stock, Value
Contingent consideration
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Allowance for doubtful accounts
Accounts Receivable, Allowance for Credit Loss, Current
Dividends
Proceeds from Dividends Received
Other
Other Nonoperating Income (Expense)
Total long-term facilities
Long-Term Debt
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Maximum
Maximum [Member]
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Amortization percentage, year one
Debt Instrument, Amortization Percentage, Year One
Debt Instrument, Amortization Percentage, Year One
Current derivative assets
Derivative Assets, Current [Member]
Derivative Assets, Current
Schedule of Business Acquisitions, by Acquisition
Schedule of Business Acquisitions, by Acquisition [Table]
Restricted Cash
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]
Stock Compensation Plan
Share-Based Payment Arrangement [Member]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Total Current Assets
Assets, Current
Derivatives Designated as Hedging Instruments
Designated as Hedging Instrument [Member]
Taxes payable
Taxes Payable, Current
Payments for legal settlements
Payments for Legal Settlements
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Entity Small Business
Entity Small Business
Net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent
Other Commitments
Other Commitments [Table]
Stockholders' Equity
Stockholders' Equity Note Disclosure [Text Block]
Measurement Frequency [Domain]
Measurement Frequency [Domain]
Amortization of operating lease assets
Operating Lease, Right-of-Use Asset, Amortization Expense
Second Payment
Second Payment [Member]
Second Payment [Member]
SNIA
SNIA [Member]
SNIA [Member]
Business Combination, Consideration, Tranche Two
Business Combination, Consideration, Tranche Two [Member]
Business Combination, Consideration, Tranche Two
Short-term debt
Short-Term Debt
Accounts receivable, net
Increase (Decrease) in Accounts Receivable
Title of 12(b) Security
Title of 12(b) Security
Redemption, threshold par value
Debt Instrument, Redemption, Threshold Par Value
Debt Instrument, Redemption, Threshold Par Value
Contingent Consideration Liability Arrangements
Contingent Consideration Liability [Member]
Contingent Consideration Liability
Unaudited Condensed Consolidated Financial Statements
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Less current portion at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Current Liability Value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Current Liability Value
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Business Combination and Asset Acquisition [Abstract]
Long-term derivative assets
Derivative Asset, Noncurrent
Stock-based compensation plans (in shares)
Shares Issued, Shares, Share-Based Payment Arrangement, after Forfeiture
Class of Stock [Line Items]
Class of Stock [Line Items]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Shares repurchased from employees for minimum tax withholding
Payments of Debt Issuance Costs
Geographic and Segment Information
Segment Reporting Disclosure [Text Block]
Revenue volatility
Measurement Input, Price Volatility [Member]
SG&A
Selling, General and Administrative Expenses [Member]
Equity Method Investment, Nonconsolidated Investee [Domain]
Equity Method Investment, Nonconsolidated Investee [Domain]
Entity Address, Country
Entity Address, Country
As Previously Reported
Previously Reported [Member]
Gain (loss) on derivative
Derivative, Gain (Loss) on Derivative, Net
Cost Method Investee
Cost Method Investee [Member]
Cost Method Investee [Member]
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities and Equity [Abstract]
Debt Instrument, Interest Rate Increase, Period [Domain]
Debt Instrument, Interest Rate Increase, Period [Domain]
Debt Instrument, Interest Rate Increase, Period [Domain]
Other assets and liabilities, net
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Other Assets And Liabilities, Net
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Other Assets And Liabilities, Net
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Fair Value, Recurring and Nonrecurring
Fair Value, Recurring and Nonrecurring [Table]
Litigation settlement, amount awarded to other party
Litigation Settlement, Amount Awarded to Other Party
Total reportable segment income (loss)
Other Operating Income (Loss) Included In Segment Income (Loss) From Continuing Operations
Other Operating Income (Loss) Included In Segment Income (Loss) From Continuing Operations
Other comprehensive loss before reclassifications, before tax
OCI, before Reclassifications, before Tax, Attributable to Parent
Remeasurement of derivative instruments
Remeasurement Of Capped Call And Embedded Exchange Feature
Remeasurement Of Capped Call And Embedded Exchange Feature
Other expenses
Other Expenses
Inventories
Inventory, Net
Inventory, Net
Operating performance-based restricted stock units
Performance Based Restricted Share And Restricted Share Unit [Member]
Performance Based Restricted Share And Restricted Share Unit [Member]
Accounts payable
Accounts Payable, Current
Other current and non-current assets
Increase (Decrease) in Other Operating Assets
Unamortized discount
Debt Instrument, Unamortized Discount
Freestanding Instrument
Freestanding Instrument [Member]
Freestanding Instrument
2022 Plan
2022 Incentive Award Plan [Member]
2022 Incentive Award Plan
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Hedging Designation [Axis]
Hedging Designation [Axis]
Proceeds from sales of business, affiliate and productive assets
Proceeds from Sales of Business, Affiliate and Productive Assets
Entity Filer Category
Entity Filer Category
Shares used in computing basic loss per share (in shares)
Basic weighted average shares outstanding (in shares)
Weighted Average Number of Shares Outstanding, Basic
United States
UNITED STATES
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Estimated provision
Loss Contingency Accrual, Estimated Provision
Loss Contingency Accrual, Estimated Provision
Litigation provision liability
Total litigation provision liability at beginning of period
Total litigation provision liability at end of period
Loss Contingency Accrual
Loss Contingency Accrual [Roll Forward]
Loss Contingency Accrual [Roll Forward]
Stock-based compensation expense
Share-Based Payment Arrangement, Expense
Commitments and contingencies (Note 8)
Commitments and Contingencies
Security Exchange Name
Security Exchange Name
Useful life
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life
Notional amount
Derivative, Notional Amount
Zoll Medical Corporation
Zoll Medical Corporation [Member]
Zoll Medical Corporation
Net sales
Revenue from Contract with Customer, Excluding Assessed Tax
Taxes payable
Increase (Decrease) in Income Taxes Payable
Number of national repository sites
Number Of National Repository Sites
Number Of National Repository Sites
Current debt obligations
Debt, Current
Cover [Abstract]
Cover [Abstract]
Pending Litigation
Pending Litigation [Member]
Schedule of Long-term Debt Instruments
Schedule of Long-Term Debt Instruments [Table]
Level 3
Fair Value, Inputs, Level 3 [Member]
Income (loss) before tax
Income (loss) before tax
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Stock-Based Incentive Plans
Share-Based Payment Arrangement [Text Block]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Net change in unrealized loss on derivatives
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax, Parent
Work-in-process
Inventory, Work in Process, Net of Reserves
Neuromodulation
Neuromodulation Segment [Member]
Neuromodulation Segment [Member]
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Forecast
Forecast [Member]
Current derivative assets
Derivative Asset, Current
Measurement Input, Stock Price Volatility
Measurement Input, Stock Price Volatility [Member]
Measurement Input, Stock Price Volatility
Estimated liability
Loss Contingency Accrual, Provision
Total Liabilities and Stockholders’ Equity
Liabilities and Equity
Debt instrument, term
Debt Instrument, Term
Litigation provision liability
Increase (Decrease) in Litigation Reserve
Increase (Decrease) in Litigation Reserve
Proceeds from share issuances under ESPP
Proceeds, Issuance of Shares, Share-Based Payment Arrangement, Excluding Option Exercised
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
Goodwill
Goodwill [Roll Forward]
Long-term Debt, Type [Axis]
Long-Term Debt, Type [Axis]
Dividend Income
Investment Income, Dividend
Add effects of share-based compensation instruments (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements
Utilized as business combination consideration
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Settlements
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Derivatives Not Designated as Hedging Instruments
Not Designated as Hedging Instrument [Member]
Schedule of Error Corrections and Prior Period Adjustment Restatement [Table]
Schedule of Error Corrections and Prior Period Adjustment Restatement [Table]
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Acquisition, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Level 2
Fair Value, Inputs, Level 2 [Member]
Gain (loss) on sale
Gain (Loss) On Revaluation Of Long-Lived Assets To Be Disposed Of
Gain (Loss) On Revaluation Of Long-Lived Assets To Be Disposed Of
Current Fiscal Year End Date
Current Fiscal Year End Date
Additions
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Purchases
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Diluted loss per share (in dollars per share)
Earnings Per Share, Diluted
Business Combination, Consideration, Tranche One
Business Combination, Consideration, Tranche One [Member]
Business Combination, Consideration, Tranche One
Share-based compensation arrangement, vesting period
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
ImThera
ImThera Medical, Inc. [Member]
ImThera Medical, Inc.
Assets Measured on Recurring Basis
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Consolidation Items [Axis]
Consolidation Items [Axis]
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Total Current Liabilities
Liabilities, Current
Long-term derivative liabilities
Derivative Liabilities, Noncurrent [Member]
Derivative Liabilities, Noncurrent
Share-based compensation arrangement, compensation cost
Share-Based Payment Arrangement, Expensed and Capitalized, Amount
Unrecognized tax benefits
Unrecognized Tax Benefits
Carrying value of investments
Equity Securities, FV-NI and without Readily Determinable Fair Value
Mitral
Mitral Holdco S.a.r.l. [Member]
Mitral Holdco S.a.r.l.
As Revised
As Revised [Member]
As Revised
Russian Federation
RUSSIAN FEDERATION
Divestiture of Heart Valve Business
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Current derivative liabilities
Derivative Liabilities, Current [Member]
Derivative Liabilities, Current
Total asset derivatives
Derivative Asset, Subject to Master Netting Arrangement, before Offset
Entity Address, Address Line One
Entity Address, Address Line One
Other
Proceeds from (Payments for) Other Financing Activities
Contract liability
Contract with Customer, Liability
Days to maturity
Debt Instrument, Term, Days To Maturity
Debt Instrument, Term, Days To Maturity
Remeasurement of Respicardia investment and loan
Unrealized Gain (Loss) on Investments
Europe
Europe [Member]
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Interest expense
Interest Expense
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Percentage of cash collateral required as guarantee
Loss Contingency Accrual, Percentage of Cash Collateral Required as Guarantee
Loss Contingency Accrual, Percentage of Cash Collateral Required as Guarantee
Credit Facility [Axis]
Credit Facility [Axis]
Accrued Liabilities
Schedule of Accrued Liabilities [Table Text Block]
Provision for obsolescence
Inventory Valuation Reserves
Schedule of Long-term Debt
Schedule of Long-Term Debt Instruments [Table Text Block]
Subsequent Event [Table]
Subsequent Event [Table]
Entity Tax Identification Number
Entity Tax Identification Number
Long-lived Assets by Geographic Areas
Long-Lived Assets by Geographic Areas [Table Text Block]
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Credit risk discount rate
Measurement Input, Entity Credit Risk [Member]
Mediocredito Italiano
Mediocredito Italiano [Member]
Mediocredito Italiano [Member]
Reclassifications
Reclassification, Comparability Adjustment [Policy Text Block]
Monte Carlo simulation
Valuation Technique, Monte Carlo Simulation [Member]
Valuation Technique, Monte Carlo Simulation [Member]
Payment for working capital and indebtedness adjustments
Disposal Group, Payment For Working Capital And Indebtedness Adjustments
Disposal Group, Payment For Working Capital And Indebtedness Adjustments
Other comprehensive (loss) income:
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract]
Liabilities Measured on Recurring Basis
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Net increase in cash, cash equivalents and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Unobservable Input
Business Combination, Contingent Consideration, Liability, Measurement Input
Entity Central Index Key
Entity Central Index Key
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Initial Term Facility
Initial Term Facility [Member]
Initial Term Facility
Amount payable to Gyrus Capital S.A.
Disposal Group, Other Accrued Expenses
Disposal Group, Other Accrued Expenses
Bank of America Merrill Lynch Banco Múltiplo S.A.
Bank of America Merrill Lynch Banco Multiplo S.A. [Member]
Bank of America Merrill Lynch Banco Multiplo S.A. [Member]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Derivative liability, measurement input
Derivative Liability, Measurement Input
Fair value of consideration transferred
Business Combination, Consideration Transferred
Period Two
Debt Instrument, Interest Rate Increase, Period Two [Member]
Debt Instrument, Interest Rate Increase, Period Two
Other accrued expenses
Other Accrued Liabilities, Current
Revenue volatility
Measurement Input, Revenue Volatility [Member]
Measurement Input, Revenue Volatility [Member]
Fair value of embedded derivative liability
Embedded Derivative, Fair Value of Embedded Derivative Liability
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Entity [Domain]
Entity [Domain]
Loss Contingency Nature [Axis]
Loss Contingency Nature [Axis]
City Area Code
City Area Code
Legal and other administrative costs
Accrued Professional Fees, Current
ASSETS
Assets [Abstract]
Adjustments
Revision of Prior Period, Adjustment [Member]
Long-term Debt, Type [Domain]
Long-Term Debt, Type [Domain]
Other
Other Debt Obligations [Member]
Other Commitments [Line Items]
Other Commitments [Line Items]
Euro Member Countries, Euro
Euro Member Countries, Euro
Debt instrument, increase in basis spread on variable rate
Debt Instrument, Increase in Basis Spread on Variable Rate
Debt Instrument, Increase in Basis Spread on Variable Rate
As of beginning period
Total at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset Value
Financing Activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Net leverage ratio
Debt Instrument, Covenant, Consolidated Net Leverage Ratio
Debt Instrument, Covenant, Consolidated Net Leverage Ratio
Asset Class [Axis]
Asset Class [Axis]
Judicial Ruling
Judicial Ruling [Member]
Stock-based compensation
Share-Based Payment Arrangement, Noncash Expense
Variable Rate [Axis]
Variable Rate [Axis]
Other long-term liabilities
Other Liabilities, Noncurrent
Losses from equity method investments
Income (Loss) from Equity Method Investments
First demand bank guarantee
Payments
Loss Contingency Accrual, Payments
Continuing Operations
Continuing Operations [Member]
Number of observed non-conformities
Loss Contingency, Number Of Observed Non-Conformities
Loss Contingency, Number Of Observed Non-Conformities
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Purchases of property, plant and equipment
Payments to Acquire Property, Plant, and Equipment
Long-term derivative assets
Derivative Assets, Noncurrent [Member]
Derivative Assets, Noncurrent
Proceeds from sale of Heart Valves, net of cash disposed
Proceeds from Divestiture of Businesses, Net of Cash Divested
Schedule of Basic and Diluted Weighted-Average Shares Outstanding
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Service-based restricted stock units (“RSUs”)
Service-Based Restricted Stock Units [Member]
Service-Based Restricted Stock Units [Member]
Foreign exchange and other income/(expense)
Foreign Exchange and Other [Member]
Foreign Exchange and Other [Member]
Long-term derivative liabilities
Derivative Liability, Noncurrent