Stock Appreciation Rights (SARs)
Stock Appreciation Rights (SARs) [Member]
Capital expenditures
Property, Plant and Equipment, Additions
Variable Rate [Domain]
Variable Rate [Domain]
Changes in fair value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Pay vs Performance Disclosure [Line Items]
Accrued Liabilities
Schedule of Accrued Liabilities [Table Text Block]
Accrued liabilities and other
Accrued liabilities and other
Accrued Liabilities, Current
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Provision for obsolescence
Inventory Valuation Reserves
Line of credit, maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Research and development
Research and Development Expense
Changes in operating assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Underlying Security Market Price Change
Underlying Security Market Price Change, Percent
Royalty accrual
Accrued Royalties, Current
Award Type [Domain]
Award Type [Domain]
Fair Value as of Grant Date
Award Grant Date Fair Value
Financing Arrangements
Debt Disclosure [Text Block]
Cash to be paid at closing
Cash and other considerations
Payments to Acquire Businesses, Gross
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Revolving Credit Facility
Revolving Credit Facility [Member]
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
Deferred tax liabilities
Deferred Income Tax Liabilities, Net
MNPI Disclosure Timed for Compensation Value
MNPI Disclosure Timed for Compensation Value [Flag]
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Accounts payable
Accounts Payable, Current
Discontinued Operations and Disposal Groups [Abstract]
Discontinued Operations and Disposal Groups [Abstract]
Restatement Determination Date:
Restatement Determination Date [Axis]
As of beginning period
Total at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset Value
Pending claims, number
Loss Contingency, Pending Claims, Number
Commitments and contingencies (Note 8)
Commitments and Contingencies
Measurement Input, Price Volatility [Member]
Measurement Input, Price Volatility [Member]
Initial Fair Value of Consideration
Previously Reported [Member]
Insider Trading Policies and Procedures [Line Items]
Rule 10b5-1 Arrangement Terminated
Rule 10b5-1 Arrangement Terminated [Flag]
Restatement does not require Recovery
Restatement Does Not Require Recovery [Text Block]
Stockholders' Equity
Equity [Text Block]
Geographical [Axis]
Geographical [Axis]
Income Taxes
Income Tax Disclosure [Text Block]
Current Liabilities:
Liabilities, Current [Abstract]
Net leverage ratio, threshold for four consecutive fiscal quarters
Debt Instrument, Covenant, Consolidated Net Leverage Ratio, Threshold For Four Consecutive Fiscal Quarters
Debt Instrument, Covenant, Consolidated Net Leverage Ratio, Threshold For Four Consecutive Fiscal Quarters
Cumulative goodwill impairments
Goodwill, Impaired, Accumulated Impairment Loss
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Fair Value, Recurring and Nonrecurring
Fair Value, Recurring and Nonrecurring [Table]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Diluted (loss) income per share (in dollars per share)
Earnings Per Share, Diluted
Total liability derivatives
Derivative Liability, Subject to Master Netting Arrangement, before Offset
PEO Total Compensation Amount
PEO Total Compensation Amount
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Treasury stock at cost, 42,920 ordinary shares at September 30, 2023; 287,315 ordinary shares at December 31, 2022
Treasury Stock, Value
Accounts receivable, net of allowance of $11,628 at September 30, 2023 and $11,862 at December 31, 2022
Accounts Receivable, after Allowance for Credit Loss, Current
Goodwill
Goodwill [Roll Forward]
Net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent
Trading Arrangements, by Individual
Trading Arrangements, by Individual [Table]
Level 3
Fair Value, Inputs, Level 3 [Member]
Treasury stock (in shares)
Treasury Stock, Common, Shares
Line of Credit
Line of Credit [Member]
Redemption price, percentage of exchange price
Debt Instrument, Redemption Price, Percentage Of Exchange Price
Debt Instrument, Redemption Price, Percentage Of Exchange Price
Litigation Case [Axis]
Litigation Case [Axis]
Trading Symbol
Trading Symbol
Non-PEO NEO Average Compensation Actually Paid Amount
Non-PEO NEO Average Compensation Actually Paid Amount
Net (loss) income
Net (loss) income
Net Income (Loss)
Total Current Liabilities
Liabilities, Current
2020 Cash Exchangeable Senior Notes
2020 Cash Exchangeable Senior Notes [Member]
2020 Cash Exchangeable Senior Notes
Derivative Contract [Domain]
Derivative Contract [Domain]
Schedule of Notional Amounts of Derivative Contracts Designated Cash Flow Hedges
Schedule of Notional Amounts of Outstanding Derivative Positions [Table Text Block]
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Changed Peer Group, Footnote
Changed Peer Group, Footnote [Text Block]
Company Selected Measure Name
Company Selected Measure Name
Schedule of Cash, Cash Equivalents and Restricted Cash
Schedule of Cash and Cash Equivalents [Table Text Block]
LIABILITIES AND STOCKHOLDERS' EQUITY
Liabilities and Equity [Abstract]
Employee share purchase plan
Employee Stock [Member]
Prepaid and refundable taxes
Prepaid Taxes
Derivative Instruments, Gain (Loss)
Derivative Instruments, Gain (Loss) [Table]
Stockholders’ Equity:
Equity, Attributable to Parent [Abstract]
Reclassification of gain from accumulated other comprehensive loss, after tax
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Contract liability
Contract with Customer, Liability
Italian MedTech Payback
Italian MedTech Payback [Member]
Italian MedTech Payback
Gains Recognized in OCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Net change in unrealized income (loss) on derivatives
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax, Parent
Risk-adjusted discount rate
Measurement Input, Risk-adjusted Discount Rate [Member]
Measurement Input, Risk-adjusted Discount Rate [Member]
Schedule of Basic and Diluted Weighted-Average Shares Outstanding
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Cost of sales
Cost of Goods and Services Sold
Share-based compensation arrangement, vesting period
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Litigation Status [Domain]
Litigation Status [Domain]
Executive Category:
Executive Category [Axis]
Useful life
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life
FX derivative contracts
Foreign Exchange Contract [Member]
Liabilities:
Financial Liabilities Fair Value Disclosure [Abstract]
Other Commitments
Other Commitments [Table]
Level 1
Fair Value, Inputs, Level 1 [Member]
Name
Measure Name
Name
Forgone Recovery, Individual Name
Goodwill
Goodwill, beginning
Goodwill, ending
Goodwill
Equity Components [Axis]
Equity Components [Axis]
Additional 402(v) Disclosure
Additional 402(v) Disclosure [Text Block]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
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
Underlying Securities
Award Underlying Securities Amount
Entity Small Business
Entity Small Business
Local Phone Number
Local Phone Number
Accounts receivable, net
Increase (Decrease) in Accounts Receivable
Recovery of Erroneously Awarded Compensation Disclosure [Line Items]
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table]
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table]
SG&A
Selling, General and Administrative Expenses [Member]
Notional amount
Derivative, Notional Amount
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Restricted cash
Restricted Cash and Cash Equivalents, Current
Reclassification of gain from accumulated other comprehensive loss, before tax
Reclassification from AOCI, Current Period, before Tax, Attributable to Parent
Forgone Recovery due to Violation of Home Country Law, Amount
Forgone Recovery due to Violation of Home Country Law, Amount
Debt instrument, term
Debt Instrument, Term
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Depreciation
Depreciation
Shares repurchased from employees for minimum tax withholding
Payments of Debt Issuance Costs
Liabilities Measured on Recurring Basis
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Litigation provision liability
Increase (Decrease) In Litigation Reserve
Increase (Decrease) in Litigation Reserve
Income Statement Location [Axis]
Income Statement Location [Axis]
Schedule of Long-term Debt
Schedule of Long-Term Debt Instruments [Table 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]
Long-term employee compensation and related benefits
Liability, Defined Benefit Plan, Noncurrent
Debt discounts and issuance costs
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net
Amortization percentage, year three
Debt Instrument, Amortization Percentage, Year Three
Debt Instrument, Amortization Percentage, Year Three
Measurement input
Business Combination, Contingent Consideration, Measurement Input
Business Combination, Contingent Consideration, Measurement Input
Judicial Ruling
Judicial Ruling [Member]
Schedule of Business Acquisitions, by Acquisition
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
Europe
Europe [Member]
Measurement Input, Risk Free Interest Rate [Member]
Measurement Input, Risk Free Interest Rate [Member]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Other Performance Measure, Amount
Other Performance Measure, Amount
Delayed Draw Term Facility
Delayed Draw Term Facility [Member]
Delayed Draw Term Facility
Aggregate Available
Trading Arrangement, Securities Aggregate Available Amount
Payment of debt issuance costs
Payments for Derivative Instrument, Financing Activities
Inventories
Increase (Decrease) in Inventories
Investing Activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Insider Trading Policies and Procedures Not Adopted
Insider Trading Policies and Procedures Not Adopted [Text Block]
Litigation Status [Axis]
Litigation Status [Axis]
Antidilutive securities excluded from computation of earnings per share amount (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Award Type [Axis]
Award Type [Axis]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Tax effect
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, Tax, Parent
Shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Plan Name [Domain]
Plan Name [Domain]
Heart Valves
Heart Valves [Member]
Heart Valves [Member]
Document Quarterly Report
Document Quarterly Report
SARs
Service-Based Stock Appreciation Rights [Member]
Service-Based Stock Appreciation Rights [Member]
Interest expense
Interest expense
Interest Expense
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
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
Hedging Designation [Axis]
Hedging Designation [Axis]
Supplemental Financial Information
Quarterly Financial Information [Text Block]
Stockholders' Equity Note [Abstract]
Stockholders' Equity Note [Abstract]
Trading Arrangement:
Trading Arrangement [Axis]
Sales-based earnout, measurement input
Business Combination, Contingent Consideration, Liability, Measurement Input
PEO Actually Paid Compensation Amount
PEO Actually Paid Compensation Amount
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Long-term Debt, Type [Domain]
Long-Term Debt, Type [Domain]
Percentage of fair value in excess of carrying amount
Reporting Unit, Percentage of Fair Value in Excess of Carrying Amount
Entity File Number
Entity File Number
Loss Contingencies
Loss Contingencies [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Provisions for agents, returns and other
Provision For Agents, Returns And Other
Provision For Agents, Returns And Other
Unamortized discount
Debt Instrument, Unamortized Discount
Operating lease liabilities
Operating Lease, Liability, Current
Discount rate
Measurement Input, Discount Rate [Member]
Entity Shell Company
Entity Shell Company
Measurement Period Adjustments
Revision of Prior Period, Adjustment [Member]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Other comprehensive loss before reclassifications, net of tax
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Restatement Determination Date
Restatement Determination Date
Other Than Option, 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
Taxes payable
Increase (Decrease) in Income Taxes Payable
Rule 10b5-1 Arrangement Adopted
Rule 10b5-1 Arrangement Adopted [Flag]
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
Asset Class [Axis]
Asset Class [Axis]
Redemption, threshold trading days
Debt Instrument, Redemption, Threshold Trading Days
Debt Instrument, Redemption, Threshold Trading Days
Stock Price or TSR Estimation Method
Stock Price or TSR Estimation Method [Text Block]
Loans Payable
Loans Payable [Member]
Ordinary shares issued (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Issued
Fair value of consideration transferred
Business Combination, Consideration Transferred
Gross profit
Gross Profit
Country Region
Country Region
Contract liabilities
Contract with Customer, Liability, Current
Commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Security Exchange Name
Security Exchange Name
Total long-term facilities
Long-Term Debt
Total assets
Assets, Fair Value Disclosure
Selling, general and administrative
Selling, General and Administrative Expense
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Market performance-based restricted stock units
Market-based Performance Restricted Stock Units [Member]
Market-based Performance Restricted Stock Units [Member]
Options
Employee Stock Option [Member]
Foreign Currency Translation Adjustments Gain (Loss)
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Saluggia, Italy
Saluggia, Italy [Member]
Saluggia, Italy
Derivatives and Risk Management
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Other
Proceeds from (Payments for) Other Financing Activities
Maximum
Maximum [Member]
Total comprehensive loss
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Document Type
Document Type
Geographic Concentration Risk
Geographic Concentration Risk [Member]
Tabular List, Table
Tabular List [Table Text Block]
Entity Address, Address Line One
Entity Address, Address Line One
Embedded exchange feature
Embedded Derivative Financial Instruments [Member]
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Current derivative liabilities
Derivative Liability, Current
Stock-Based Incentive Plans
Share-Based Payment Arrangement [Text Block]
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
Other
Other Noncash Income (Expense)
Business Acquisition [Axis]
Business Acquisition [Axis]
Taxes payable
Taxes Payable, Current
Allowance for doubtful accounts
Accounts Receivable, Allowance for Credit Loss, Current
Subsequent Event
Subsequent Event [Member]
Derivative
Derivative [Table]
Variable Rate [Axis]
Variable Rate [Axis]
Income Statement [Abstract]
Income Statement [Abstract]
Raw materials
Inventory, Raw Materials, Net of Reserves
Operating expenses:
Costs and Expenses [Abstract]
Title of 12(b) Security
Title of 12(b) Security
Bank of America, U.S.
Bank of America, U.S [Member]
Bank of America, U.S [Member]
Valuation Approach and Technique [Axis]
Valuation Approach and Technique [Axis]
Insider Trading Policies and Procedures Adopted
Insider Trading Policies and Procedures Adopted [Flag]
Loss Contingency, Nature [Domain]
Loss Contingency, Nature [Domain]
Tax benefit
Other Comprehensive Income (Loss) before Reclassifications, Tax
Business Combinations
Business Combination Disclosure [Text Block]
Derivative liabilities
Derivative Liability
Aggregate Erroneous Compensation Not Yet Determined
Aggregate Erroneous Compensation Not Yet Determined [Text Block]
Operating Segments
Operating Segments [Member]
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
Stock-based compensation plans
Shares Issued, Value, Share-Based Payment Arrangement, after Forfeiture
Class of Stock [Line Items]
Class of Stock [Line Items]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Forgone Recovery due to Expense of Enforcement, Amount
Forgone Recovery due to Expense of Enforcement, Amount
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [Abstract]
Entity Tax Identification Number
Entity Tax Identification Number
Inventories
Inventory, Net
Inventory, Net
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Divestiture of Heart Valve Business
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Operating Activities [Domain]
Operating Activities [Domain]
Entity Interactive Data Current
Entity Interactive Data Current
Convertible notes receivable
Receivables, Fair Value Disclosure
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Total Shareholder Return Amount
Total Shareholder Return Amount
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Adjustment To PEO Compensation, Footnote
Adjustment To PEO Compensation, Footnote [Text Block]
Segments [Domain]
Segments [Domain]
Maximum consideration
Business Combination, Maximum Consideration
Business Combination, Maximum Consideration
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Schedule of Stockholders Equity
Schedule of Stockholders Equity [Table Text Block]
Consolidation Items [Domain]
Consolidation Items [Domain]
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Measure:
Measure [Axis]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Name
Outstanding Recovery, Individual Name
Additional liability recorded
Loss Contingency Accrual, Provision
Number of geographic regions in which entity operates
Number Of Geographic Regions In which Entity Operates
Number Of Geographic Regions In which Entity Operates
Other
Other Debt Obligations [Member]
Debt instrument, face amount
Debt Instrument, Face Amount
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Current Assets:
Assets, Current [Abstract]
Other Commitments [Line Items]
Other Commitments [Line Items]
Business Acquisition, Contingent Consideration [Line Items]
Business Acquisition, Contingent Consideration [Line Items]
Equity Method Investment, Nonconsolidated Investee [Domain]
Equity Method Investment, Nonconsolidated Investee [Domain]
Compensation Actually Paid vs. Total Shareholder Return
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
Derivatives
Derivatives, Policy [Policy Text Block]
Operating Activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Product Liability
Product Liability [Member]
Product Liability [Member]
Ordinary shares outstanding (in shares)
Common Stock, Shares, Outstanding
Conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
Disposal Group Name [Domain]
Disposal Group Name [Domain]
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
PEO
PEO [Member]
Italian medical device payback law
Loss Contingency, Estimate of Possible Loss
Reimbursed legal fees
Reimbursed Legal Fees
Reimbursed Legal Fees
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Derivative, cap price per share
Derivative, Cap Price Per Share
Derivative, Cap Price Per Share
Asset Class [Domain]
Asset Class [Domain]
Total asset derivatives
Derivative Asset, Subject to Master Netting Arrangement, before Offset
Litigation Provision Liabilities
Schedule of Loss Contingencies by Contingency [Table Text Block]
Ordinary shares, par value (in pounds per share)
Common Stock, Par or Stated Value Per Share
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Current litigation provision liability
Estimated Litigation Liability, Current
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Amortization percentage, year five
Debt Instrument, Amortization Percentage, Year Five
Debt Instrument, Amortization Percentage, Year Five
Gains (Losses) Reclassified from AOCI to Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Probability of payment
Measurement Input, Probability of Payment [Member]
Measurement Input, Probability of Payment [Member]
Inventories
Schedule of Inventory, Current [Table Text Block]
Number of settled claims
Loss Contingency, Claims Settled, Number
Interest rate swap contracts
Interest Rate Swap [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Long-term derivative liabilities
Derivative Liability, Noncurrent
Outstanding Aggregate Erroneous Compensation Amount
Outstanding Aggregate Erroneous Compensation Amount
Effective tax rate (percent)
Effective Income Tax Rate Reconciliation, Percent
Noncash consideration
Business Combination, Noncash Consideration
Business Combination, Noncash Consideration
A&R 2022 Plan
A&R 2022 Plan [Member]
A&R 2022 Plan
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Credit Facility [Axis]
Credit Facility [Axis]
Total Liabilities
Liabilities
Unaudited Condensed Consolidated Financial Statements
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Total Shareholder Return Vs Peer Group
Total Shareholder Return Vs Peer Group [Text Block]
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
Consideration
Disposal Group, Including Discontinued Operation, Consideration
Accumulated Other Comprehensive Loss
Total
AOCI Attributable to Parent [Member]
Balance Sheet Related Disclosures [Abstract]
Balance Sheet Related Disclosures [Abstract]
Aggregate Erroneous Compensation Amount
Aggregate Erroneous Compensation Amount
Ownership percentage
Business Combination, Step Acquisition, Equity Interest in Acquiree, Percentage
Warranty, cap on claims
Standard Product Warranty, Cap On Claims
Standard Product Warranty, Cap On Claims
Environmental maintenance
Utilities Operating Expense, Environmental Maintenance
Utilities Operating Expense, Environmental Maintenance
Measurement Frequency [Domain]
Measurement Frequency [Domain]
All Executive Categories
All Executive Categories [Member]
Accumulated Other Comprehensive Income (Loss)
Accumulated Other Comprehensive Income (Loss) [Table]
Non-Rule 10b5-1 Arrangement Adopted
Non-Rule 10b5-1 Arrangement Adopted [Flag]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Operating Activities [Axis]
Operating Activities [Axis]
Purchase of investments
Purchases Of Investments
Purchases Of Investments
Plan Name [Axis]
Plan Name [Axis]
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Reportable segments
Number of Reportable Segments
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Cardiopulmonary
Cardiopulmonary Segment [Member]
Cardiopulmonary Segment
Ordinary Shares, £1.00 par value: unlimited shares authorized; 53,903,564 shares issued and 53,860,644 shares outstanding at September 30, 2023; 53,851,979 shares issued and 53,564,664 shares outstanding at December 31, 2022
Common Stock, Value, Issued
Redemption price, percentage
Debt Instrument, Redemption Price, Percentage
ALung Acquisition
ALung Technologies, Inc. [Member]
ALung Technologies, Inc. [Member]
Legal and professional costs
Accrued Professional Fees, Current
Less current portion of litigation liability at period end
Loss Contingency, Accrual, Current
Amortization of operating lease assets
Operating Lease, Right-of-Use Asset, Periodic Reduction
Secured Overnight Financing Rate (SOFR)
Secured Overnight Financing Rate (SOFR) [Member]
Secured Overnight Financing Rate (SOFR)
Awards Close in Time to MNPI Disclosures, Table
Awards Close in Time to MNPI Disclosures [Table Text Block]
Senior Notes
Senior Notes [Member]
Total Current Assets
Assets, Current
Interest income
Investment Income, Net
Other comprehensive income (loss):
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract]
Contingent consideration
Sales-based earnout
Business Combination, Contingent Consideration, Liability
All Individuals
All Individuals [Member]
Rest of World
Locations Excluding The United States And Europe [Member]
Locations Excluding The United States And Europe [Member]
Other
Other Nonoperating Income (Expense)
Litigation Case [Domain]
Litigation Case [Domain]
Entity Filer Category
Entity Filer Category
Non-PEO NEO Average Total Compensation Amount
Non-PEO NEO Average Total Compensation Amount
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
Current Fiscal Year End Date
Current Fiscal Year End Date
Goodwill and Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
Schedule of Cash Flow Hedges Included in AOCI
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Unrecognized tax benefits
Unrecognized Tax Benefits
PEO Name
PEO Name
Concentration risk, percentage
Concentration Risk, Percentage
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
Schedule of Accumulated Other Comprehensive Income (Loss)
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Redemption, threshold consecutive trading days
Debt Instrument, Redemption, Threshold Consecutive Trading Days
Debt Instrument, Redemption, Threshold Consecutive Trading Days
Investments
Investments
Schedule of Goodwill by Segment
Schedule of Goodwill [Table Text Block]
Loss Contingency Accrual [Roll Forward]
Loss Contingency Accrual [Roll Forward]
Foreign currency adjustments
Goodwill, Translation and Purchase Accounting Adjustments
Goldman Sachs Bank USA
Goldman Sachs Bank USA [Member]
Goldman Sachs Bank USA
Proceeds from share issuances under ESPP
Proceeds, Issuance of Shares, Share-Based Payment Arrangement, Excluding Option Exercised
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Credit risk discount rate
Measurement Input, Credit Risk Discount Rate [Member]
Measurement Input, Credit Risk Discount Rate [Member]
Erroneously Awarded Compensation Recovery
Erroneously Awarded Compensation Recovery [Table]
Other accrued expenses
Other Accrued Liabilities, Current
Other Revenue
Other
Corporate, Non-Segment [Member]
Discount rate
Debt Instrument, Discount Rate
Debt Instrument, Discount Rate
Litigation settlement, amount awarded to other party
Litigation Settlement, Amount Awarded to Other Party
Amortization percentage, year four
Debt Instrument, Amortization Percentage, Year Four
Debt Instrument, Amortization Percentage, Year Four
Proceeds from deferred consideration from sale of Heart Valves, net of working capital adjustments
Proceeds From Deferred Compensation From Divestiture Of Businesses
Proceeds From Deferred Compensation From Divestiture Of Businesses
Other operating expense
Other Operating Income (Expense), Net
Interest rate, stated percentage
Debt Instrument, Interest Rate, Stated Percentage
Award Timing, How MNPI Considered
Award Timing, How MNPI Considered [Text Block]
Statement of Financial Position [Abstract]
Statement of Financial Position [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]
Adjustments
Loss Contingency Accrual, Adjustments
Loss Contingency Accrual, Adjustments
Business Combination and Asset Acquisition [Abstract]
Total Stockholders’ Equity
Beginning balance
Ending balance
Equity, Attributable to Parent
Consolidation Items [Axis]
Consolidation Items [Axis]
Impairment of goodwill
Goodwill, Impairment Loss
Schedule of Share-based Compensation Arrangements by Share-based Payment Award
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Amortization percentage, year two
Debt Instrument, Amortization Percentage, Year Two
Debt Instrument, Amortization Percentage, Year Two
Significant Unobservable Inputs Related to Contingent Consideration
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]
Research and development costs
Research And Development Costs Payable, Current
Research And Development Costs
Schedule of Stock by Class
Schedule of Stock by Class [Table]
Change in Unrealized Gain (Loss) on Derivatives
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Restatement [Domain]
Revision of Prior Period [Domain]
Derivatives Not Designated as Hedging Instruments:
Not Designated as Hedging Instrument [Member]
Embedded Exchange Feature Derivative Liability
Embedded Exchange Feature Liability [Member]
Embedded Exchange Feature Liability
Other comprehensive loss before reclassifications, before tax
OCI, before Reclassifications, before Tax, Attributable to Parent
Hedging Designation [Domain]
Hedging Designation [Domain]
Level 2
Fair Value, Inputs, Level 2 [Member]
Term Loan
Term Loan [Member]
Term Loan
LIBOR floor rate
Debt Instrument, LIBOR Floor Rate
Debt Instrument, LIBOR Floor Rate
Entity Emerging Growth Company
Entity Emerging Growth Company
Long-lived Assets by Geographic Areas
Long-Lived Assets by Geographic Areas [Table Text Block]
Debt issuance costs, net
Debt Issuance Costs, Net
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Continuing Operations
Continuing Operations [Member]
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Interest rate
Debt Instrument, Interest Rate, Effective Percentage
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Named Executive Officers, Footnote
Named Executive Officers, Footnote [Text Block]
Document Fiscal Period Focus
Document Fiscal Period Focus
Advanced Circulatory Support
Advanced Circulatory Support Segment [Member]
Advanced Circulatory Support Segment
Accounts payable and accrued current and non-current liabilities
Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities
Pay vs Performance Disclosure, Table
Pay vs Performance [Table Text Block]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Italian medical device payback law
Medical Device Payback, Current
Medical Device Payback, Current
Stock Compensation Plan
Share-Based Payment Arrangement [Member]
Title
Trading Arrangement, Individual Title
Stock-based compensation
Share-Based Payment Arrangement, Noncash Expense
Revenue from External Customers by Geographic Areas
Revenue from External Customers by Geographic Areas [Table Text Block]
Ordinary Shares
Common Stock [Member]
Individual:
Individual [Axis]
City Area Code
City Area Code
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Interest coverage ratio, threshold for four consecutive fiscal quarters
Debt Instrument, Covenant, Interest Coverage Ratio, Threshold For Four Consecutive Fiscal Quarters
Debt Instrument, Covenant, Interest Coverage Ratio, Threshold For Four Consecutive Fiscal Quarters
Earnings Per Share
Earnings Per Share [Text Block]
Income Statement Location [Domain]
Income Statement Location [Domain]
FX and other
Loss Contingency, Accrual, Foreign Currency Adjustments, And Other
Loss Contingency, Accrual, Foreign Currency Adjustments, And Other
Unamortized discount (premium), net
Debt Instrument, Unamortized Discount (Premium), Net
Discounted cash flow
Valuation Technique, Discounted Cash Flow [Member]
Long-term derivative assets
Derivative Asset, Noncurrent
Fair Value Measurements on a Recurring Basis
Fair Value Measurements, Recurring and Nonrecurring [Table Text Block]
Reconciliation of Beginning and Ending Balances of Recurring Fair Value Measurements
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Document Fiscal Year Focus
Document Fiscal Year Focus
Geographical [Domain]
Geographical [Domain]
Minimum
Minimum [Member]
Property, plant and equipment, net
Property, Plant and Equipment, Net
Receivables [Abstract]
Schedule of Stock-based Incentive Plans
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Exercise Price
Award Exercise Price
Contingent consideration
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
ASSETS
Assets [Abstract]
Award Timing MNPI Disclosure
Award Timing MNPI Disclosure [Text Block]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Proceeds from long-term debt obligations
Proceeds from Issuance of Long-Term Debt
Amortization percentage, year one
Debt Instrument, Amortization Percentage, Year One
Debt Instrument, Amortization Percentage, Year One
Total liabilities
Liabilities, Fair Value Disclosure
Foreign exchange rate fluctuations
Gain (Loss), Foreign Currency Transaction, before Tax
Prepaid expenses and other current assets
Derivative Assets, Current [Member]
Derivative Assets, Current
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]
2015 Plan
2015 Plan [Member]
2015 Plan
Interest payable
Interest Payable, Current, Net
Interest Payable, Current, Net
Net cash provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Deferred tax assets
Deferred Income Tax Assets, Net
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Other
Payments for (Proceeds from) Other Investing Activities
Agreement to acquire equity interests
Business Acquisition, Percentage of Voting Interests Acquired
Accumulated Deficit
Retained Earnings [Member]
Less current portion of long-term debt
Long-Term Debt, Current Maturities
Other income and expense
Other Operating Income (Expense)
Other Operating Income (Expense)
Adjustment to Non-PEO NEO Compensation Footnote
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
Total Liabilities and Stockholders’ Equity
Liabilities and Equity
Other assets
Other Assets, Noncurrent
Peer Group Total Shareholder Return Amount
Peer Group Total Shareholder Return Amount
SNIA
SNIA [Member]
SNIA [Member]
Operating lease assets
Operating Lease, Right-of-Use Asset
Basic (loss) income per share (in dollars per share)
Earnings Per Share, Basic
Schedule of Long-term Debt Instruments
Schedule of Long-Term Debt Instruments [Table]
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Equity Valuation Assumption Difference, Footnote
Equity Valuation Assumption Difference, Footnote [Text Block]
Percent decrease in sales
Revenues From Contracts With Customers, Percent Increase (Decrease) In Sales
Revenues From Contracts With Customers, Percent Increase (Decrease) In Sales
Erroneous Compensation Analysis
Erroneous Compensation Analysis [Text Block]
Redemption, threshold par value (in pounds per share)
Debt Instrument, Redemption, Threshold Par Value
Debt Instrument, Redemption, Threshold Par Value
Contingent Consideration Liability Arrangements
Contingent Consideration Liability [Member]
Contingent Consideration Liability
Arrangement Duration
Trading Arrangement Duration
Entity Address, City or Town
Entity Address, City or Town
Award Timing MNPI Considered
Award Timing MNPI Considered [Flag]
Schedule of Cash, Cash Equivalents and Restricted Cash
Restrictions on Cash and Cash Equivalents [Table Text Block]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Pending Litigation
Pending Litigation [Member]
Discontinued Operations, Disposed of by Sale
Discontinued Operations, Disposed of by Sale [Member]
Schedule of Fair Value of Contingent Consideration Arrangements by Acquisition
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Document Transition Report
Document Transition Report
Award Timing Predetermined
Award Timing Predetermined [Flag]
Interest expense
Interest Expense [Member]
Schedule of Business Acquisitions, by Acquisition
Schedule of Business Acquisitions, by Acquisition [Table]
Termination Date
Trading Arrangement Termination Date
Derivative liability, measurement input
Derivative Liability, Measurement Input
Amortization
Other Depreciation and Amortization
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
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
Short-term debt
Short-Term Debt
Line of Credit Facility, Lender [Domain]
Line of Credit Facility, Lender [Domain]
Remeasurement of derivative instruments
Remeasurement Of Capped Call And Embedded Exchange Feature
Remeasurement Of Capped Call And Embedded Exchange Feature
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]
Operating performance-based restricted stock units
Performance Based Restricted Share And Restricted Share Unit [Member]
Performance Based Restricted Share And Restricted Share Unit [Member]
Entity Address, Country
Entity Address, Country
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Freestanding Instrument
Freestanding Instrument [Member]
Freestanding Instrument
2022 Incentive Award Plan
2022 Incentive Award Plan [Member]
2022 Incentive Award Plan
Liability Class [Axis]
Liability Class [Axis]
All Trading Arrangements
All Trading Arrangements [Member]
Convertible Notes Receivable
Notes Receivable [Member]
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Bridge Loan
Bridge Loan [Member]
All Adjustments to Compensation
All Adjustments to Compensation [Member]
Reclassification of tax benefit
Reclassification from AOCI, Current Period, Tax
Derivative [Line Items]
Derivative [Line Items]
Award Timing Disclosures [Line Items]
Compensation Amount
Outstanding Recovery Compensation Amount
Estimated provision
Loss Contingency Accrual, Estimated Provision
Loss Contingency Accrual, Estimated Provision
Repayments of short-term borrowings (maturities greater than 90 days)
Repayments of Short-Term Debt, Maturing in More than Three Months
Equity Method Investment, Nonconsolidated Investee [Axis]
Equity Method Investment, Nonconsolidated Investee [Axis]
Russian Federation
RUSSIAN FEDERATION
Litigation provision liability
Loss Contingency, Accrual, Noncurrent
Derivative asset
Derivative Asset
Measurement Input, Entity Credit Risk [Member]
Measurement Input, Entity Credit Risk [Member]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Contingent consideration
Business Combination, Consideration Transferred, Liabilities Incurred
Restructuring liabilities
Restructuring Related Liabilities
Restructuring Related Liabilities
Surety Bond
Surety Bond [Member]
Current debt obligations
Debt, Current
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Insider Trading Arrangements [Line Items]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Neuromodulation
Neuromodulation Segment [Member]
Neuromodulation Segment [Member]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table]
Stock-based compensation plans (in shares)
Shares Issued, Shares, Share-Based Payment Arrangement, after Forfeiture
Entity Registrant Name
Entity Registrant Name
Material Terms of Trading Arrangement
Material Terms of Trading Arrangement [Text Block]
Award Timing Method
Award Timing Method [Text Block]
Add effects of share-based compensation instruments (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements
Other current and non-current assets
Increase (Decrease) in Other Operating Assets
Measurement Input, Stock Price Volatility
Measurement Input, Stock Price Volatility [Member]
Measurement Input, Stock Price Volatility
Adjustment to Compensation, Amount
Adjustment to Compensation Amount
Accrued employee compensation and related benefits
Deferred Compensation Liability, Current
Remeasurement of contingent consideration to fair value
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Document Period End Date
Document Period End Date
Compensation Actually Paid vs. Net Income
Compensation Actually Paid vs. Net Income [Text Block]
Adoption Date
Trading Arrangement Adoption Date
Peer Group Issuers, Footnote
Peer Group Issuers, Footnote [Text Block]
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Repayment of long-term debt obligations
Repayments of Long-Term Debt
Treasury Stock
Treasury Stock, Common [Member]
Entity Central Index Key
Entity Central Index Key
Litigation provision liability
Total litigation provision liability at beginning of period
Total litigation provision liability at end of period
Loss Contingency Accrual
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Gain (loss) on derivative
Derivative, Gain (Loss) on Derivative, Net
Changes in fair value
Changes in fair value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Gain (Loss) Included in Earnings
Stock-based compensation expense
Share-Based Payment Arrangement, Expense
Non-Rule 10b5-1 Arrangement Terminated
Non-Rule 10b5-1 Arrangement Terminated [Flag]
Loss Contingency Nature [Axis]
Loss Contingency Nature [Axis]
Income tax expense
Income Tax Expense (Benefit)
Finished goods
Inventory, Finished Goods, Net of Reserves
Derivatives Designated as Hedging Instruments:
Designated as Hedging Instrument [Member]
Valuation Approach and Technique [Domain]
Valuation Approach and Technique [Domain]
Fair Value Measurements
Fair Value Disclosures [Text Block]
Revenue Benchmark
Revenue Benchmark [Member]
Name
Trading Arrangement, Individual Name
ImThera
ImThera Medical, Inc. [Member]
ImThera Medical, Inc.
Total other comprehensive loss
Other comprehensive loss
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Payments for legal settlements
Payments for Legal Settlements
Lender Name [Axis]
Lender Name [Axis]
Long-term derivative liabilities
Derivative Liabilities, Noncurrent [Member]
Derivative Liabilities, Noncurrent
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Net revenue
Revenue from Contract with Customer, Excluding Assessed Tax
Entity [Domain]
Entity [Domain]
Compensation Actually Paid vs. Company Selected Measure
Compensation Actually Paid vs. Company Selected Measure [Text Block]
Long-term Debt, Type [Axis]
Long-Term Debt, Type [Axis]
Amendment Flag
Amendment Flag
Mitral
Mitral Holdco S.a.r.l. [Member]
Mitral Holdco S.a.r.l.
Legal Entity [Axis]
Legal Entity [Axis]
Accrued liabilities and other
Derivative Liabilities, Current [Member]
Derivative Liabilities, Current
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Acquisition, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Assets:
Assets, Fair Value Disclosure [Abstract]
Credit Facility [Domain]
Credit Facility [Domain]
Days to maturity
Debt Instrument, Term, Days To Maturity
Debt Instrument, Term, Days To Maturity
Debt instrument, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Compensation Actually Paid vs. Other Measure
Compensation Actually Paid vs. Other Measure [Text Block]
Compensation sought
Loss Contingency, Damages Sought, Value
Long-term debt obligations
Total long-term debt obligations
Long-Term Debt, Excluding Current Maturities
Shares used in computing diluted (loss) income per share (in shares)
Diluted weighted average shares outstanding (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Forgone Recovery, Explanation of Impracticability
Forgone Recovery, Explanation of Impracticability [Text Block]
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
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Purchases of property, plant and equipment
Payments to Acquire Property, Plant, and Equipment
Company Selected Measure Amount
Company Selected Measure Amount
Additional paid-in capital
Additional Paid in Capital, Common Stock
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Total Assets
Assets
Assets
Name
Awards Close in Time to MNPI Disclosures, Individual Name
Mediocredito Italiano
Mediocredito Italiano [Member]
Mediocredito Italiano [Member]
(Loss) income from equity method investments
Income (Loss) from Equity Method Investments
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Restatement [Axis]
Revision of Prior Period [Axis]
Cover [Abstract]
Cover [Abstract]
Monte Carlo simulation
Valuation Technique, Monte Carlo Simulation [Member]
Valuation Technique, Monte Carlo Simulation [Member]
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
United States
UNITED STATES
Fair Value, Recurring
Fair Value, Recurring [Member]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair value of embedded derivative liability
Embedded Derivative, Fair Value of Embedded Derivative Liability
Other long-term liabilities
Other Liabilities, Noncurrent
Non-NEOs
Non-NEOs [Member]
Cash Flow Hedging
Cash Flow Hedging [Member]
First demand bank guarantee
Payments
Loss Contingency Accrual, Payments
Geographic and Segment Information
Segment Reporting Disclosure [Text Block]
Assets Measured on Recurring Basis
Fair Value, Assets 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
Financing Activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
(Loss) income before tax
(Loss) income before tax
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Initial Term Facility
Initial Term Facility [Member]
Initial Term Facility
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]
Non-PEO NEO
Non-PEO NEO [Member]
Equity Component [Domain]
Equity Component [Domain]
Adjustment to Compensation:
Adjustment to Compensation [Axis]
Revenue volatility
Measurement Input, Revenue Volatility [Member]
Measurement Input, Revenue Volatility [Member]
Work-in-process
Inventory, Work in Process, Net of Reserves
Non-GAAP Measure Description
Non-GAAP Measure Description [Text Block]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Shares used in computing basic (loss) income per share (in shares)
Basic weighted average shares outstanding (in shares)
Weighted Average Number of Shares Outstanding, Basic
Entity Current Reporting Status
Entity Current Reporting Status
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Operating income (loss)
Operating income (loss)
Operating Income (Loss)
Reclassifications
Reclassification, Comparability Adjustment [Policy Text Block]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Pay vs Performance Disclosure
Pay vs Performance Disclosure [Table]
Segments [Axis]
Segments [Axis]
Long-term derivative assets
Derivative Assets, Noncurrent [Member]
Derivative Assets, Noncurrent
Share-based compensation arrangement, compensation cost
Share-Based Payment Arrangement, Expensed and Capitalized, Amount
Forgone Recovery due to Disqualification of Tax Benefits, Amount
Forgone Recovery due to Disqualification of Tax Benefits, Amount
Awards Close in Time to MNPI Disclosures
Awards Close in Time to MNPI Disclosures [Table]
RSUs
Service-Based Restricted Stock Units [Member]
Service-Based Restricted Stock Units [Member]
Borrowed funds
Long-Term Line of Credit
Foreign exchange and other income/(expense)
Foreign Exchange and Other [Member]
Foreign Exchange and Other [Member]
Proceeds from line of credit
Proceeds from Long-Term Lines of Credit