Stock Appreciation Rights (SARs)
Stock Appreciation Rights (SARs) [Member]
Schedule of Accrued Liabilities
Schedule of Accrued Liabilities [Table Text Block]
Accrued liabilities and other
Total accrued liabilities and other
Accrued Liabilities, Current
Highlife S.A.S.
Highlife S.A.S. [Member]
Highlife S.A.S. [Member]
Provision for obsolescence
Inventory Valuation Reserves
Line of credit facility, 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]
Award Type [Domain]
Award Type [Domain]
Fair Value as of Grant Date
Award Grant Date Fair Value
Investment, Name [Domain]
Investment, Name [Domain]
Cash to be paid at closing
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]
Property, equipment & intangible assets
Deferred Tax Liabilities, Property, Plant And Equipment And Intangible Assets
Deferred Tax Liabilities, Property, Plant And Equipment And Intangible Assets
Deferred tax liabilities
Net deferred tax liabilities
Deferred Income Tax Liabilities, Net
Purchase of investments
Payments to Acquire Investments
As of beginning period
Total at period end
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset Value
Revenue volatility
Measurement Input, Price Volatility [Member]
Insider Trading Policies and Procedures [Line Items]
Fully vested and exercisable - end of year (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Number
Offering price (in USD per share)
Shares Issued, Price Per Share
Rule 10b5-1 Arrangement Terminated
Rule 10b5-1 Arrangement Terminated [Flag]
Current derivative assets
Derivative Asset, Current
2028
Lessee, Operating Lease, Liability, to be Paid, Year Five
Restatement does not require Recovery
Restatement Does Not Require Recovery [Text Block]
Stockholders' Equity
Equity [Text Block]
Fully vested and expected to vest — end of year
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value
Error Corrections and Prior Period Adjustments Restatement [Line Items]
Error Corrections and Prior Period Adjustments Restatement [Line Items]
ACS inventory obsolescence adjustment
Inventory obsolescence
Inventory Write-down
Dividend rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Dividend Rate
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
Schedule of Assumptions Used
Defined Benefit Plan, Assumptions [Table 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
Goodwill, accumulated impairments
Goodwill, Impaired, Accumulated Impairment Loss
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Diluted loss per share (in dollars per share)
Earnings Per Share, Diluted
2028-2042
Tax Years 2028-2042 [Member]
Tax Years 2028-2042
Intangible Assets, Other than Goodwill
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
Treasury stock at cost, 23,929 ordinary shares at December 31, 2023, 287,315 ordinary shares at December 31, 2022
Treasury Stock, Value
Accounts receivable, net of allowance of $12,019 at December 31, 2023 and $11,862 at December 31, 2022
Accounts Receivable, after Allowance for Credit Loss, Current
Tax positions related to prior years for settlement with tax authorities
Unrecognized Tax Benefits, Increase Resulting from Settlements with Taxing Authorities
Rate of compensation increase
Defined Benefit Plan, Assumptions Used Calculating Benefit Obligation, Rate of Compensation Increase
Termination of credit facility, amount
Extinguishment of Debt, Amount
Line of Credit
Line of Credit [Member]
Schedule of Net Periodic Benefit Cost of the Plans
Schedule of Net Benefit Costs [Table Text Block]
Litigation Case [Axis]
Litigation Case [Axis]
Trading Symbol
Trading Symbol
Restructuring Plan [Domain]
Restructuring Plan [Domain]
Granted (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Impairments of Long-Lived Assets and Goodwill
Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]
2020 Cash Exchangeable Senior Notes
2020 Cash Exchangeable Senior Notes [Member]
2020 Cash Exchangeable Senior Notes
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-Lived Intangible Assets, Major Class Name [Domain]
Schedule of Cash and Cash Equivalents
Schedule of Cash and Cash Equivalents [Table Text Block]
Benefits paid
Defined Benefit Plan, Plan Assets, Benefits Paid
Liabilities
Operating Lease Liabilities, Lessee [Abstract]
Operating Lease Liabilities, Lessee [Abstract]
Employee share purchase plan
Employee Stock [Member]
Schedule of Equity Method Investments [Table]
Schedule of Equity Method Investments [Table]
Prepaid and refundable taxes
Prepaid Taxes
Income (loss) before income taxes:
Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest [Abstract]
Stockholders’ Equity:
Equity, Attributable to Parent [Abstract]
Effect of changes in tax rate
Effective Income Tax Rate Reconciliation, Change in Enacted Tax Rate, Percent
Schedule of Unrecognized Tax Benefits Roll Forward
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Italian MedTech Payback
Italian MedTech Payback [Member]
Italian MedTech Payback
Risk-adjusted discount rate
Measurement Input, Risk-adjusted Discount Rate [Member]
Measurement Input, Risk-adjusted Discount Rate [Member]
Other intangible assets
Other Intangible Assets [Member]
Schedule of Earnings Per Share, Basic and Diluted
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Service cost
Defined Benefit Plan, Service Cost
Executive Category:
Executive Category [Axis]
Liabilities
Financial Liabilities Fair Value Disclosure [Abstract]
Basis of Presentation, Use of Accounting Estimates and Significant Accounting Policies
Significant Accounting Policies [Text Block]
Exercised (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Level 1
Fair Value, Inputs, Level 1 [Member]
ShiraTronics, Inc.
ShiraTronics,Inc [Domain]
ShiraTronics,Inc [Member]
Net deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Impaired Long-Lived Assets Held and Used by Type [Axis]
Impaired Long-Lived Assets Held and Used by Type [Axis]
Schedule of Property, Plant and Equipment
Property, Plant and Equipment [Table Text Block]
Equity Components [Axis]
Equity Components [Axis]
Research Tax Credit Carryforward
Research Tax Credit Carryforward [Member]
Additional 402(v) Disclosure
Additional 402(v) Disclosure [Text Block]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Number of shares available for grant (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant
2025
Long-Term Debt, Maturity, Year Two
Granted, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Gross
2028 - 2034
Tax Years 2028 - 2034 [Member]
Tax Years 2028 - 2034
Entity Small Business
Entity Small Business
2025 - 2030
Tax Period 2025 - 2030 [Member]
Tax Period 2025 - 2029 [Member]
2027
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Local Phone Number
Local Phone Number
Recovery of Erroneously Awarded Compensation Disclosure [Line Items]
Other
Other Asset Allocations [Member]
Other Asset Allocations [Member]
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table]
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table]
Notional amount
Derivative, Notional Amount
Other
Other Capitalized Property Plant and Equipment [Member]
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Tax Benefit
Deferred Tax Assets, Operating Loss Carryforwards, Domestic
Nature of Operations
Organization, Consolidation and Presentation of Financial Statements Disclosure and Significant Accounting Policies [Text Block]
Restricted cash
Restricted Cash and Cash Equivalents, Current
Retirement Plan Type [Domain]
Retirement Plan Type [Domain]
Reclassification of gain from accumulated other comprehensive income, before tax
Reclassification from AOCI, Current Period, before Tax, Attributable to Parent
Summary of Restricted Stock Service-Based Activity
Share-Based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block]
Forgone Recovery due to Violation of Home Country Law, Amount
Forgone Recovery due to Violation of Home Country Law, Amount
Cybersecurity incident related expenses
Cybersecurity Incident Related Expenses
Cybersecurity Incident Related Expenses
Depreciation
Depreciation
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Litigation provision liability
Increase (Decrease) In Litigation Reserve
Increase (Decrease) in Litigation Reserve
Schedule of Long-term Debt
Schedule of Long-Term Debt Instruments [Table Text Block]
Research and development tax credits
Effective Income Tax Rate Reconciliation, Tax Credit, Research, Percent
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
Total indefinite-lived intangible assets
Intangible Assets, Net (Including Goodwill)
Schedule of Business Acquisitions, by Acquisition
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
MD Start II
MD Start II [Member]
MD Start II [Member]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Aggregate Available
Trading Arrangement, Securities Aggregate Available Amount
Domestic Plan
Domestic Plan [Member]
Research and development
Research and Development Expense [Member]
Insider Trading Policies and Procedures Not Adopted
Insider Trading Policies and Procedures Not Adopted [Text Block]
Restructuring reserve
Beginning liability balance
Ending liability balance
Restructuring Reserve
Acquisition related costs
Business Combination, Acquisition Related Costs
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]
Granted (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Other
Contract Termination [Member]
Her Majesty's Revenue and Customs (HMRC)
Her Majesty's Revenue and Customs (HMRC) [Member]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Hedging Designation [Axis]
Hedging Designation [Axis]
Total gross property, plant and equipment
Property, Plant and Equipment, Gross
Goodwill [Line Items]
Goodwill [Line Items]
Operating lease assets obtained in exchange for lease liabilities
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Less: Amount representing interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Employer contributions
Employer contributions
Defined Benefit Plan, Plan Assets, Contributions by Employer
PEO Actually Paid Compensation Amount
PEO Actually Paid Compensation Amount
2023 - indefinte
Tax Years 2023 - Indefinite [Member]
Tax Years 2023 - Indefinite
Expected return on plan assets
Defined Benefit Plan, Expected Return (Loss) on Plan Assets
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Schedule of Components of and Provision for Income Taxes
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Percentage of fair value in excess of carrying amount
Reporting Unit, Percentage of Fair Value in Excess of Carrying Amount
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Operating Loss Carryforwards [Line Items]
Operating Loss Carryforwards [Line Items]
Provisions for agents, returns and other
Provision For Agents, Returns And Other
Provision For Agents, Returns And Other
Accrued liabilities and other
Operating lease liabilities
Operating Lease, Liability, Current
2026
Lessee, Operating Lease, Liability, to be Paid, Year Three
Impact of foreign currency exchange rates
Unrecognized Tax Benefits, Decrease Resulting from Foreign Currency Translation
Other comprehensive loss before reclassifications, net of tax
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Net finite-lived intangible assets
Finite-Lived Intangible Assets, Net
Adoption of New Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset
SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset [Member]
Estimated future contributions
Defined Benefit Plan, Expected Future Employer Contributions, Next Fiscal Year
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
Deferred compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits
Accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
2025
Lessee, Operating Lease, Liability, to be Paid, Year Two
Measurement period adjustments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Period Adjustments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Period Adjustments
Debt instrument, fair value
Debt Instrument, Fair Value Disclosure
Interest income
Investment Income, Interest
Rainbow Medical Ltd.
Rainbow Medical Ltd [Member]
Rainbow Medical Ltd [Member]
Stock Price or TSR Estimation Method
Stock Price or TSR Estimation Method [Text Block]
UK and Non-US
Income (Loss) from Continuing Operations before Income Taxes, Foreign
Weighted-average assumptions used to determine benefit obligation:
Defined Benefit Plan, Weighted Average Assumptions Used in Calculating Benefit Obligation [Abstract]
Disallowable professional fees
Effective Income Tax Rate Reconciliation, Disallowable Professional Fees, Percent
Effective Income Tax Rate Reconciliation, Disallowable Professional Fees, Percent
Fair value of consideration transferred
Business Combination, Consideration Transferred
Gross profit
Gross Profit
Contract liabilities
Contract with Customer, Liability, Current
Commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Schedule of Stock Options Valuation Assumptions
Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Security Exchange Name
Security Exchange Name
Stock-Based Compensation
Share-Based Payment Arrangement [Policy Text Block]
Retirement Benefit Plan Assumptions
Pension and Other Postretirement Plans, Pensions, Policy [Policy Text Block]
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]
Share-Based Payment Arrangement, Option
Employee Stock Option [Member]
Saluggia, Italy
Saluggia, Italy [Member]
Saluggia, Italy
Derivatives and Risk Management
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Settlement and curtailment loss
Defined Benefit Plan, Net Periodic Benefit Cost (Credit), Gain (Loss) Due to Settlement
Restructuring charges incurred to date
Restructuring and Related Cost, Cost Incurred to Date
Maximum
Maximum [Member]
Reconciliation of Accruals and Other Reserves Related to Restructuring
Restructuring and Related Costs [Table Text Block]
Unrecognized Compensation Cost
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Document Type
Document Type
Goodwill as a result of acquisition
Goodwill, Acquired During Period
Tabular List, Table
Tabular List [Table Text Block]
Equity method investments, required funding
Equity Method Investments, Required Funding
Equity Method Investments, Required Funding
Ceribell, Inc.
Ceribell, Inc. [Member]
Ceribell, Inc. [Member]
Thereafter
Long-Term Debt, Maturity, after Year Five
Inventories
Inventory, Policy [Policy Text Block]
Embedded exchange feature
Embedded Derivative Financial Instruments [Member]
Measurement Period Adjustments
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustments [Abstract]
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Current derivative liabilities
Derivative Liability, Current
Stock-Based Incentive Plans
Share-Based Payment Arrangement [Text Block]
US
Current Federal Tax Expense (Benefit)
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
Other
Other Noncash Income (Expense)
Business Acquisition [Axis]
Business Acquisition [Axis]
Allowance for doubtful accounts
Accounts Receivable, Allowance for Credit Loss, Current
Derivative [Table]
Derivative [Table]
Variable Rate [Axis]
Variable Rate [Axis]
Raw materials
Inventory, Raw Materials, Net of Reserves
Operating expenses:
Costs and Expenses [Abstract]
Forfeited, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period
Title of 12(b) Security
Title of 12(b) Security
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
Actuarial (gain)/loss
Defined Benefit Plan, Benefit Obligation, Actuarial Gain (Loss)
Loss Contingency, Nature [Domain]
Loss Contingency, Nature [Domain]
Business Combinations
Business Combination Disclosure [Text Block]
IPR&D
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Aggregate Erroneous Compensation Not Yet Determined
Aggregate Erroneous Compensation Not Yet Determined [Text Block]
Fair Value, Liability, Recurring Basis, Unobservable Input Reconciliation, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]
Fair Value, Liability, Recurring Basis, Unobservable Input Reconciliation, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration]
Operating Segments
Operating Segments [Member]
Balance beginning of year (in dollars per share)
Balance end of year (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
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
Foreign currency adjustments
Goodwill, Foreign Currency Translation Gain (Loss)
Total lease cost
Lease, Cost
Inventories
Deferred Tax Assets, Inventory
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Entity Interactive Data Current
Entity Interactive Data Current
Schedule of Foreign Exchange and Other Gains/(Losses)
Schedule of Realized Gain (Loss) [Table Text Block]
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]
Number of Shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Nonvested, Number of Shares [Roll Forward]
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
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]
Measure:
Measure [Axis]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Name
Outstanding Recovery, Individual Name
Revenue Recognition
Revenue from Contract with Customer [Policy Text Block]
Other Debt Obligations
Other Debt Obligations [Member]
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Goodwill
Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]
Business Acquisition, Contingent Consideration [Line Items]
Business Acquisition, Contingent Consideration [Line Items]
Schedule of Significant Components of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Derivatives and Risk Management
Derivatives, Policy [Policy Text Block]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Plan settlement
Defined Benefit Plan, Plan Assets, Payment for Settlement
2024
Finite-Lived Intangible Asset, Expected Amortization, Year One
Operating cash flows for operating leases
Operating Lease, Payments
Schedule of Allocation of Share-Based Compensation Costs by Type of Arrangement
Share-Based Payment Arrangement, Cost by Plan [Table Text Block]
Ordinary shares outstanding (in shares)
Common Stock, Shares, Outstanding
Operating lease assets
Operating Lease, Impairment Loss
Interest cost
Interest cost
Defined Benefit Plan, Interest Cost
Foreign exchange and other income/(expense)
Foreign exchange and other income/(expense)
Total foreign exchange and other gains/(losses)
Foreign Currency Transaction Gain (Loss) And Other Nonoperating Income
Foreign Currency Transaction Gain (Loss) And Other Nonoperating Income
PEO
PEO [Member]
Reimbursed legal fees
Reimbursed Legal Fees
Reimbursed Legal Fees
Estimate of possible loss
Loss Contingency, Estimate of Possible Loss
Auditor Location
Auditor Location
Defined Benefit Plan Disclosure [Line Items]
Defined Benefit Plan Disclosure [Line Items]
Change in plan assets:
Defined Benefit Plan, Change in Fair Value of Plan Assets [Roll Forward]
Net operating loss carryforwards
Tax Benefit
Deferred Tax Assets, Operating Loss Carryforwards, Foreign
Derivative, cap price per share (in dollars per share)
Derivative, Cap Price Per Share
Derivative, Cap Price Per Share
Schedule of Loss Contingencies by Contingency
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
South America
South America [Member]
Current litigation provision liability
Estimated Litigation Liability, Current
Net cash (used in) provided by 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
Gain Reclassified from AOCI to Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
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
Repayments of debt
Repayments of Debt
Noncash consideration
Business Combination, Noncash Consideration
Business Combination, Noncash Consideration
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Amounts recognized on the consolidated balance sheets consist of:
Liability, Defined Benefit Plan [Abstract]
Schedule of long term investments
Equity Securities without Readily Determinable Fair Value [Table Text Block]
Credit Facility [Axis]
Credit Facility [Axis]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-Term Debt [Table Text Block]
Total Liabilities
Liabilities
Current income tax expense
Current Income Tax Expense (Benefit)
Expected volatility at grant date
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Volatility Rate
Capped call derivatives
Capped Call [Member]
Capped Call
Measurement Frequency [Domain]
Measurement Frequency [Domain]
Non-Rule 10b5-1 Arrangement Adopted
Non-Rule 10b5-1 Arrangement Adopted [Flag]
Capitalized/Deferred R&D
Deferred Tax Assets, in Process Research and Development
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
Weighted-average assumptions used to determine net periodic benefit cost:
Defined Benefit Plan, Weighted Average Assumptions Used in Calculating Net Periodic Benefit Cost [Abstract]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
2025
Defined Benefit Plan, Expected Future Benefit Payment, Year Two
Legal and professional costs
Accrued Professional Fees, Current
Less current portion of litigation provision liability
Loss Contingency, Accrual, Current
Awards Close in Time to MNPI Disclosures, Table
Awards Close in Time to MNPI Disclosures [Table Text Block]
Total Current Assets
Assets, Current
Total investments
Investments in and Advance to Affiliates, Subsidiaries, Associates, and Joint Ventures
Other comprehensive income (loss):
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract]
Net periodic benefit cost
Defined Benefit Plan, Net Periodic Benefit Cost (Credit)
Write-off/impairment of investments
Effective Income Tax Reconciliation, Write-off/Impairment of Investments, Percent
Effective Income Tax Reconciliation, Write-off/Impairment of Investments, Percent
Contingent consideration
Fair value at May 2, 2022
Business Combination, Contingent Consideration, Liability
Supplementary Disclosures of Cash Flow Information:
Supplemental Cash Flow Information [Abstract]
Rest of World
Locations Excluding The United States And Europe [Member]
Locations Excluding The United States And Europe [Member]
Equity securities
Defined Benefit Plan, Equity Securities [Member]
Cardiopulmonary
Cardiovascular Segment [Member]
Cardiovascular Segment
Dividend income
Investment Income, Dividend
Restructuring Type [Axis]
Restructuring Type [Axis]
Short-term Debt, Type [Domain]
Short-Term Debt, Type [Domain]
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
Goodwill and Intangible Assets
Goodwill and Intangible Assets Disclosure [Text Block]
New Accounting Pronouncements
Accounting Standards Update and Change in Accounting Principle [Text Block]
Mitral Demand Letter
Mitral Demand Letter [Member]
Mitral Demand Letter
Contingent consideration, beginning
Contingent consideration, ending
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Current:
Current Income Tax Expense (Benefit), Continuing Operations [Abstract]
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
US state and local tax expense, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent
Investments
Investments
Granted (in dollars per share)
Weighted average grant date fair value of performance-based restricted share units granted during the year (per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
2028
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Expired, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Expirations in Period
Goldman Sachs Bank USA
Goldman Sachs Bank USA [Member]
Goldman Sachs Bank USA
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Fully vested and exercisable — end of year
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value
Contingent consideration
Business Combination, Contingent Consideration, Liability, Current
Erroneously Awarded Compensation Recovery
Erroneously Awarded Compensation Recovery [Table]
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 expenses
Other Operating Income (Expense), Net
Award Timing, How MNPI Considered
Award Timing, How MNPI Considered [Text Block]
SNIA s.p.a
SNIA s.p.a [Member]
SNIA s.p.a [Member]
Business Combination and Asset Acquisition [Abstract]
Consolidation Items [Axis]
Consolidation Items [Axis]
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Settlements
Impairment of goodwill
Impairment of goodwill
Impairment
Goodwill, Impairment Loss
Valuation allowance
Valuation allowance
Deferred Tax Assets, Valuation Allowance
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-Based Compensation Arrangements by Share-Based Payment Award [Table]
Cash paid for amounts included in the measurement of lease liabilities:
Operating Cash Flows, Lease Payments [Abstract]
Operating Cash Flows, Lease Payments [Abstract]
Research and development costs
Research And Development Costs Payable, Current
Research And Development Costs
Change in Unrealized Gain (Loss) on Cash Flow Hedges
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Schedule of Fair Value of Retirement Benefit Plan Assets
Changes in Projected Benefit Obligations, Fair Value of Plan Assets, and Funded Status of Plan [Table Text Block]
Carrying value
Equity Securities without Readily Determinable Fair Value, Amount
Embedded Exchange Feature Derivative Liability
Embedded Exchange Feature Liability [Member]
Embedded Exchange Feature Liability
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
Tax Benefit
Deferred Tax Assets, Operating Loss Carryforwards And Tax Credits Carryforwards
Deferred Tax Assets, Operating Loss Carryforwards And Tax Credits Carryforwards
Other comprehensive loss before reclassifications, before tax
OCI, before Reclassifications, before Tax, Attributable to Parent
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
Accounting Standards Update and Change in Accounting Principle [Abstract]
Exchangeable Notes fair value adjustment
Liabilities, Fair Value Adjustment
Term Loan
Term Loan [Member]
Term Loan
Entity Emerging Growth Company
Entity Emerging Growth Company
United Kingdom
UNITED KINGDOM
Debt issuance costs, net
Debt Issuance Costs, Net
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Gross deferred tax assets
Deferred Tax Assets, Gross
Warranty Obligation
Standard Product Warranty, Policy [Policy Text Block]
Advanced Circulatory Support
Advanced Circulatory Support Segment [Member]
Advanced Circulatory Support Segment
2024
Lessee, Operating Lease, Liability, to be Paid, Year One
Pay vs Performance Disclosure, Table
Pay vs Performance [Table Text Block]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Title
Trading Arrangement, Individual Title
Ordinary Shares
Common Stock [Member]
Europe, Excluding UK
Europe, Excluding UK [Member]
Europe, Excluding UK
Individual:
Individual [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
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
Tax positions related to prior years for lapses of statute of limitations
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations
Income Statement Location [Domain]
Income Statement Location [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
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
Schedule of Fair Value of Assets and Liabilities Measured on a Recurring Basis
Fair Value Measurements, Recurring and Nonrecurring [Table Text Block]
Schedule of Recurring Fair Value Measurements Using Significant Unobservable Inputs
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Investments [Abstract]
Investments [Abstract]
Minimum
Minimum [Member]
Property, plant and equipment, net
Total property, plant and equipment, net
Property, Plant and Equipment, Net
2023 - 2042
Tax Years 2023 - 2042 [Member]
Tax Years 2023 - 2042
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]
Projected benefit obligation at beginning of year
Projected benefit obligation at end of year
Defined Benefit Plan, Benefit Obligation
ASSETS
Assets [Abstract]
Award Timing MNPI Disclosure
Award Timing MNPI Disclosure [Text Block]
Proceeds from long-term debt obligations
Proceeds from Issuance of Long-Term Debt
2026
Defined Benefit Plan, Expected Future Benefit Payment, Year Three
Amortization percentage, year one
Debt Instrument, Amortization Percentage, Year One
Debt Instrument, Amortization Percentage, Year One
Foreign exchange rate fluctuations
Gain (Loss), Foreign Currency Transaction, before Tax
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]
Shares repurchased from employees for minimum tax withholding
Payment, Tax Withholding, Share-Based Payment Arrangement
Other
Deferred Tax Assets, Other
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Deferred tax assets
Net deferred tax assets
Deferred Income Tax Assets, Net
Retirement Plan Type [Axis]
Retirement Plan Type [Axis]
Base erosion anti-abuse tax
Effective Income Tax Rate Reconciliation, BEAT, Percent
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Other
Payments for (Proceeds from) Other Investing Activities
Percentage of voting interests acquired
Business Acquisition, Percentage of Voting Interests Acquired
Accumulated Deficit
Retained Earnings [Member]
Less current portion of long-term debt
Long-Term Debt, Current Maturities
Adjustment to Non-PEO NEO Compensation Footnote
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
Foreign currency exchange rate changes and other
Defined Benefit Plan, Benefit Obligation, Foreign Currency Translation Gain (Loss)
SNIA
SNIA [Member]
SNIA [Member]
Employee Retirement Plans
Compensation and Employee Benefit Plans, Other than Share-Based Compensation [Text Block]
Basic loss per share (in dollars per share)
Earnings Per Share, Basic
Accounting Policies [Abstract]
Accounting Policies [Abstract]
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]
Payment of make-whole premium on long-term debt obligations
Payment of make-whole premium on long-term debt obligations
Repayments of Long-term Debt, Premium Payment
Repayments of Long-term Debt, Premium Payment
Net deferred tax assets (liabilities)
Deferred Tax Assets, Net
Fair value of plan assets at beginning of year
Fair value of plan assets at end of year
Fair value of plan assets
Defined Benefit Plan, Plan Assets, Amount
Aggregate intrinsic value of SARs and stock options exercised during the year (in thousands)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period, Intrinsic Value
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
Restrictions on Cash and Cash Equivalents
Restrictions on Cash and Cash Equivalents [Table Text Block]
Benefits paid
Defined Benefit Plan, Benefit Obligation, Benefits Paid
Pending Litigation
Pending Litigation [Member]
Discontinued Operations, Disposed of by Sale
Discontinued Operations, Disposed of by Sale [Member]
Non-current liabilities
Liability, Defined Benefit Pension Plan, Noncurrent
Consolidation
Consolidation, Policy [Policy Text Block]
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Document Transition Report
Document Transition Report
Award Timing Predetermined
Award Timing Predetermined [Flag]
Measurement period adjustments
Goodwill, Purchase Accounting Adjustments
Interest expense
Interest Expense [Member]
Schedule of Business Acquisitions, by Acquisition
Schedule of Business Acquisitions, by Acquisition [Table]
Proceeds from sales of business, affiliate and productive assets
Proceeds from Sales of Business, Affiliate and Productive Assets
Derivative liability, measurement input
Derivative Liability, Measurement Input
Amortization
Other Depreciation and Amortization
Entity Public Float
Entity Public Float
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 [Member]
2024 Restructuring Plan
2024 Restructuring Plan [Member]
2024 Restructuring Plan
Decrease in valuation allowance
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount
Total long-term facilities
Long-Term Debt, Gross
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]
All Adjustments to Compensation
All Adjustments to Compensation [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Restricted Cash
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]
Period to demonstrate financial capacity
Loss Contingency, Financial Capacity To Meet Obligations, Period
Loss Contingency, Financial Capacity To Meet Obligations, Period
Compensation Amount
Outstanding Recovery Compensation Amount
Estimated litigation 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]
Long-term portion of litigation provision liability
Loss Contingency, Accrual, Noncurrent
Total derivatives
Total derivatives
Derivative Asset
Forfeited (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Credit risk discount rate
Measurement Input, Entity Credit Risk [Member]
Costs Associated with Exit or Disposal Activities or Restructurings, Policy
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Deferred tax expense
Deferred Income Tax Expense (Benefit)
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Restructuring related liabilities
Restructuring Related Liabilities
Restructuring Related Liabilities
Forfeited (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Document Financial Statement Error Correction [Flag]
Document Financial Statement Error Correction [Flag]
Number of national repository sites
Number Of National Repository Sites
Number Of National Repository Sites
Forfeited, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Indefinite
Indefinite Tax Years [Member]
Indefinite Tax Years [Member]
Accumulated benefit obligations at year end
Defined Benefit Plan, Accumulated Benefit Obligation
Schedule of Finite-lived and Indefinite-lived Intangible Assets
Schedule of Intangible Assets and Goodwill [Table Text Block]
2024
Long-Term Debt, Maturity, Year One
Performance adjustments (in shares)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Adjustments
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Adjustments
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Neuromodulation
Neuromodulation Segment [Member]
Neuromodulation Segment [Member]
Add effects of stock-based compensation instruments (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements
Measurement Input, Stock Price Volatility
Measurement Input, Stock Price Volatility [Member]
Measurement Input, Stock Price Volatility
2025 - 2032
Tax Year 2025 - 2032 [Member]
Tax Year 2025 - 2032
Accrued employee compensation and related benefits
Deferred Compensation Liability, Current
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Cash payments
Payments for Restructuring
Document Period End Date
Document Period End Date
Adoption Date
Trading Arrangement Adoption Date
Treasury Stock
Treasury Stock, Common [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Loss contingency accrual
Beginning liability
Ending liability
Loss Contingency Accrual
Loss Contingency Nature [Axis]
Loss Contingency Nature [Axis]
Income tax (benefit) expense
Total income tax (benefit) expense
Income Tax Expense (Benefit)
Non-U.S.
Non-US [Member]
Tax Benefit
Deferred Tax Assets, Tax Credit Carryforwards, Foreign
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Gain on sale of intellectual property
Deferred Tax Liabilities, Gain On Sale Of Intellectual Property
Deferred Tax Liabilities, Gain On Sale Of Intellectual Property
Valuation Approach and Technique [Domain]
Valuation Approach and Technique [Domain]
Fair Value Measurements
Fair Value Disclosures [Text Block]
ImThera
ImThera Medical, Inc. [Member]
ImThera Medical, Inc.
Property, plant and equipment
Impairment of Long-Lived Assets to be Disposed of
Write off of unamortized debt issuance costs
Deferred Debt Issuance Cost, Writeoff
Lender Name [Axis]
Lender Name [Axis]
Weighted Average Remaining Lease Term
Operating Lease, Weighted Average Remaining Lease Term
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Compensation Actually Paid vs. Company Selected Measure
Compensation Actually Paid vs. Company Selected Measure [Text Block]
Money market funds and cash
Money Market Funds [Member]
Remeasurement of derivative instruments
Unrealized Gain (Loss) on Derivatives
Amortization of net actuarial loss
Defined Benefit Plan, Amortization of Gain (Loss)
Capped call fair value adjustment
Assets, Fair Value Adjustment
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Expected return on plan assets
Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Expected Long-Term Rate of Return on Plan Assets
Credit Facility [Domain]
Credit Facility [Domain]
Lives in Years
Property, Plant and Equipment, Useful Life
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
Deferred tax valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Percent
Discount rate
Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Discount Rate
Proceeds from sale of Respicardia investment and loan
Proceeds from Sale of Equity Method Investments
Developed technology - 15-year life
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Reconciliation of Deferred Tax Asset Valuations
Summary of Valuation Allowance [Table Text Block]
Revenue Recognition
Revenue from Contract with Customer [Text Block]
Tax positions related to prior years for settlement with tax authorities
Unrecognized Tax Benefits, Decrease Resulting from Settlements with Taxing Authorities
Additional paid-in capital
Additional Paid in Capital, Common Stock
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax
Document Annual Report
Document Annual Report
Noctrix Health, Inc.
Noctrix Health, Inc. [Member]
Noctrix Health, Inc.
Mediocredito Italiano
Mediocredito Italiano [Member]
Mediocredito Italiano [Member]
Losses 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]
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
Subsequent Event
Subsequent Events [Text Block]
Tax Period [Axis]
Tax Period [Axis]
Redemption, maximum number of trading days to redeem
Debt Instrument, Redemption, Threshold Maximum Number Of Trading Days
Debt Instrument, Redemption, Threshold Maximum Number Of Trading Days
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
U.S.
United States
UNITED STATES
Tax Credit Carryforward, Name [Domain]
Tax Credit Carryforward, Name [Domain]
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
Total lease payments
Lessee, Operating Lease, Liability, to be Paid
Additions
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Purchases
Cash Flow Hedging
Cash Flow Hedging [Member]
Geographic and Segment Information
Segment Reporting Disclosure [Text Block]
Net increase (decrease) in cash, cash equivalents and restricted cash
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Income Tax Authority, Name [Domain]
Income Tax Authority, Name [Domain]
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]
Secured Debt
Secured Debt [Member]
Equity Component [Domain]
Equity Component [Domain]
Work-in-process
Inventory, Work in Process, Net of Reserves
U.S. State
State and Local Jurisdiction [Member]
Non-GAAP Measure Description
Non-GAAP Measure Description [Text Block]
Other
Deferred Tax Liabilities, Other
Entity Current Reporting Status
Entity Current Reporting Status
Operating loss
Operating loss
Operating Income (Loss)
Rate of compensation increase
Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Rate of Compensation Increase
Various Tax Expiration Years
Various Tax Expiration Years [Member]
Various Tax Expiration Years [Member]
Gross deferred tax liabilities:
Deferred Tax Liabilities, Gross
Segments [Axis]
Segments [Axis]
PP&E
Property, Plant and Equipment, Policy [Policy Text Block]
Wtd. Avg. Remaining Contractual Term (years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Additional Disclosures [Abstract]
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
Customer relationships
Customer Relationships [Member]
Foreign Exchange and Other
Foreign exchange and other income/(expense)
Foreign Exchange and Other [Member]
Foreign Exchange and Other [Member]
Summary Of Asset Impairments
Summary Of Asset Impairments [Table Text Block]
Summary Of Asset Impairments
Type of Restructuring [Domain]
Type of Restructuring [Domain]
2020 Restructuring Plan
Reorganization Plan 2020 [Member]
Reorganization Plan 2020
Assets
Operating Lease Assets, Lessee [Abstract]
Operating Lease Assets, Lessee [Abstract]
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]
Entity Voluntary Filers
Entity Voluntary Filers
Impaired Long-Lived Assets Held and Used, Asset Name [Domain]
Impaired Long-Lived Assets Held and Used, Asset Name [Domain]
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Underlying Security Market Price Change
Underlying Security Market Price Change, Percent
Royalty accrual
Accrued Royalties, Current
Components of Operating Lease Assets and Liabilities
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee
Non-vested shares, beginning of year (in shares)
Non-vested shares, end of year (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Remaining lease term
Lessee, Operating Lease, Remaining Lease Term
Financing Arrangements
Debt Disclosure [Text Block]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Research and Development
Research and Development Expense, Policy [Policy 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
Impairment of long-lived assets
Impairment of intangible assets
Impairment of Intangible Assets, Finite-Lived
MNPI Disclosure Timed for Compensation Value
MNPI Disclosure Timed for Compensation Value [Flag]
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Accounts payable
Accounts Payable, Current
Fully vested and exercisable — end of year
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Discontinued Operations and Disposal Groups [Abstract]
Discontinued Operations and Disposal Groups [Abstract]
Restatement Determination Date:
Restatement Determination Date [Axis]
Investment, Name [Axis]
Investment, Name [Axis]
Statutory tax rate at UK Rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Number of claims
Loss Contingency, Pending Claims, Number
Commitments and contingencies (Note 13)
Commitments and Contingencies
Initial Fair Value of Consideration
Previously Reported [Member]
Total impairment of long-lived assets
Total impairment of long-lived assets
Other Asset Impairment Charges
Capital expenditures
Segment, Expenditure, Addition to Long-Lived Assets
Debt securities
Defined Benefit Plan, Debt Security [Member]
Proceeds from issuance of ordinary shares, net
Proceeds from Issuance of Common Stock
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Geographical [Axis]
Geographical [Axis]
Non-U.S.
Foreign Plan [Member]
Income Taxes
Income Tax Disclosure [Text Block]
2028
Defined Benefit Plan, Expected Future Benefit Payment, Year Five
Leases
Lessee, Leases [Policy Text Block]
Product Liability Accruals
Product Liability Accruals [Policy Text Block]
Product Liability Accruals [Policy Text Block]
TandemLife
TandemLife [Member]
TandemLife [Member]
Initial Fair Value of consideration
Business Acquisition [Line Items]
Far East
Far East [Member]
Far East [Member]
Wtd. Avg. Grant Date Fair Value
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Fair Value, Recurring and Nonrecurring [Table]
Fair Value, Recurring and Nonrecurring [Table]
Payment of contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
Payment period
Loss Contingency, Payment Period
Loss Contingency, Payment Period
PEO Total Compensation Amount
PEO Total Compensation Amount
Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Fully vested and expected to vest - end of year (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Exercise Price
Schedule of Target Asset Allocation
Schedule of Allocation of Plan Assets [Table Text Block]
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
2024
Defined Benefit Plan, Expected Future Benefit Payment, Year One
Redemption price, percentage of exchange price
Debt Instrument, Redemption Price, Percentage Of Exchange Price
Debt Instrument, Redemption Price, Percentage Of Exchange Price
Outstanding - beginning of period, shares (in shares)
Outstanding - end of period, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Number
Building and building improvements
Building and Building Improvements [Member]
Non-PEO NEO Average Compensation Actually Paid Amount
Non-PEO NEO Average Compensation Actually Paid Amount
Weighted average grant date fair value of SARs granted during the year (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Net income (loss)
Net income (loss)
Net (loss) income
Net income (loss)
Net Income (Loss)
Total Current Liabilities
Liabilities, Current
Derivative Contract [Domain]
Derivative Contract [Domain]
Schedule of Notional Amounts of Outstanding Derivative Positions
Schedule of Notional Amounts of Outstanding Derivative Positions [Table Text Block]
Foreign Currency
Foreign Currency Transactions and Translations Policy [Policy Text Block]
Changed Peer Group, Footnote
Changed Peer Group, Footnote [Text Block]
Company Selected Measure Name
Company Selected Measure Name
Leases
Lessee, Operating Leases [Text Block]
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Finite-lived intangible assets:
Finite-Lived Intangible Assets [Line Items]
Foreign currency exchange rate changes and other
Defined Benefit Plan, Plan Assets, Foreign Currency Translation Gain (Loss)
Derivative Instruments, Gain (Loss) [Table]
Derivative Instruments, Gain (Loss) [Table]
Reclassification of gain from accumulated other comprehensive income, after tax
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Exercised, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercises in Period
Net change in unrealized (loss) gain on derivatives
Loss Recognized in OCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
US
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Accounts Receivable
Receivable [Policy Text Block]
Cost of sales
Cost of Goods and Services Sold
Recognized liability
Defined Benefit Plan, Amounts for Asset (Liability) Recognized in Statement of Financial Position
Schedule of Income Tax Examinations by Jurisdiction
Summary of Income Tax Examinations [Table Text Block]
Award vesting period (in years)
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period
Litigation Status [Domain]
Litigation Status [Domain]
Useful life
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life
FX derivative contracts
Foreign Exchange Contract [Member]
Other Commitments [Table]
Other Commitments [Table]
Name
Measure Name
Name
Forgone Recovery, Individual Name
Goodwill
Goodwill, starting balance
Goodwill, ending balance
Goodwill
Underlying Securities
Award Underlying Securities Amount
Accounts receivable, net
Increase (Decrease) in Accounts Receivable
Selling, general and administrative
Selling, General and Administrative Expenses [Member]
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Long-term operating lease liabilities
Long-term operating lease liabilities
Operating Lease, Liability, Noncurrent
Debt instrument, term
Debt Instrument, Term
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Restructuring and related cost, severance costs, number of employees
Restructuring And Related Cost, Severance Costs, Number Of Employees
Restructuring And Related Cost, Severance Costs, Number Of Employees
Fair Value Measurement Inputs and Valuation Techniques [Table]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Debt issuance costs
Payments of Debt Issuance Costs
Liabilities Measured on Recurring Basis
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Income Statement Location [Axis]
Income Statement Location [Axis]
Equity mutual funds
Equity Mutual Funds [Member]
Equity Mutual Funds [Member]
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
Total expense, net of income tax benefit
Share-Based Payment Arrangement, Expense, after Tax
Debt discounts and issuance costs
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net
Contingencies
Commitments and Contingencies, Policy [Policy Text Block]
Judicial Ruling
Judicial Ruling [Member]
Contractual Maturities of Lease Liabilities
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]
Change in projected benefit obligation:
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Aggregate Intrinsic Value (in thousands)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures, Intrinsic Value [Abstract] [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures, Intrinsic Value [Abstract] [Abstract]
Europe
Europe
Europe [Member]
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Risk-adjusted discount rate
Measurement Input, Risk Free Interest Rate [Member]
Product and Service [Domain]
Product and Service [Domain]
Other Performance Measure, Amount
Other Performance Measure, Amount
Accruals and reserves
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals
Delayed Draw Term Facility
Delayed Draw Term Facility [Member]
Delayed Draw Term Facility
Components of Operating Lease Costs
Schedule of Lease Terms, Discount Rates, and Cash Flow Information
Lease, Cost [Table Text Block]
Inventories
Increase (Decrease) in Inventories
Investments in Equity Securities
Equity Securities without Readily Determinable Fair Value [Policy Text Block]
Investing Activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Litigation Status [Axis]
Litigation Status [Axis]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Plan Name [Domain]
Plan Name [Domain]
Heart Valves
Heart Valves [Member]
Heart Valves [Member]
SARs
Service-Based Stock Appreciation Rights [Member]
Service-Based Stock Appreciation Rights [Member]
Interest expense
Interest Expense
Measurement period adjustments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Period Adjustments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Period Adjustments
2024-2034
Tax Year 2024-2034 [Member]
Tax Year 2024-2034
Supplemental Financial Information
Additional Financial Information Disclosure [Text Block]
Loss on debt extinguishment
Loss on debt extinguishment
Gain (Loss) on Extinguishment of Debt
Conversion ratio
Debt Instrument, Exchangeable, Conversion Ratio
Debt Instrument, Exchangeable, Conversion Ratio
Outstanding — as of December 31, 2023
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Stockholders' Equity Note [Abstract]
Stockholders' Equity Note [Abstract]
Trading Arrangement:
Trading Arrangement [Axis]
Operating Loss Carryforwards [Table]
Operating Loss Carryforwards [Table]
Unobservable Input
Business Combination, Contingent Consideration, Liability, Measurement Input
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Long-term Debt, Type [Domain]
Long-Term Debt, Type [Domain]
Entity File Number
Entity File Number
Loss Contingencies [Table]
Loss Contingencies [Table]
Unamortized discount
Debt Instrument, Unamortized Discount
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Discount rate
Measurement Input, Discount Rate [Member]
2026
Long-Term Debt, Maturity, Year Three
Senior Loans
Senior Loans [Member]
Auditor Firm ID
Auditor Firm ID
Entity Shell Company
Entity Shell Company
Measurement Period Adjustments
Revision of Prior Period, Adjustment [Member]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Restatement Determination Date
Restatement Determination Date
Taxes payable
Increase (Decrease) in Income Taxes Payable
Rule 10b5-1 Arrangement Adopted
Rule 10b5-1 Arrangement Adopted [Flag]
Schedule of Restructuring and Related Costs [Table]
Schedule of Restructuring and Related Costs [Table]
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
Variable lease cost
Variable Lease, Cost
Loans Payable
Loans Payable [Member]
Operating lease cost
Operating Lease, Cost
Ordinary shares issued (in shares)
Beginning balance (in shares)
Ending balance (in shares)
Common Stock, Shares, Issued
Vested, shares (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period
Country Region
Country Region
Total long-term facilities
Total long-term facilities
Long-Term Debt
Total assets
Assets, Fair Value Disclosure
Cash and other considerations
Payments To Acquire Business, Cash And Other Consideration
Payments To Acquire Business, Cash And Other Consideration
2027
Long-Term Debt, Maturity, Year Four
Foreign Currency Translation Adjustments
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Schedule of Finite-lived Intangible Assets Estimated Future Amortization Expense
Finite-Lived Intangible Assets Amortization Expense [Table Text Block]
Balance at beginning of year
Balance at end of year
SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount
Compensation related items
Effective Income Tax Rate Reconciliation, Compensation Related Items, Percent
Effective Income Tax Rate Reconciliation, Compensation Related Items, Percent
Weighted Average Remaining Vesting Period (in years)
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Other
Proceeds from (Payments for) Other Financing Activities
Total comprehensive income (loss)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Schedule of Expected Benefit Payments
Schedule of Expected Benefit Payments [Table Text Block]
Underfunded status of the plan
Defined Benefit Plan, Funded (Unfunded) Status of Plan
U.S. Federal
Domestic Tax Authority [Member]
Short-term lease cost
Short-Term Lease, Cost
Entity Address, Address Line One
Entity Address, Address Line One
Deferred tax assets:
Components of Deferred Tax Assets and Liabilities [Abstract]
Wtd. Avg. Exercise Price
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Taxes payable
Taxes Payable, Current
Subsequent Event
Subsequent Event [Member]
Income tax penalties and interest accrued
Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued
Gross Amount
Operating Loss Carryforwards
Interest expense carryforward
Deferred Tax Asset, Interest Carryforward
Income Statement [Abstract]
Income Statement [Abstract]
Developed technology - 15-year life
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Intangibles
Issuance of shares (in shares)
Stock Issued During Period, Shares, New Issues
Defined Benefit Plan, Plan Assets, Category [Axis]
Defined Benefit Plan, Plan Assets, Category [Axis]
Bank of America, US
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]
Schedule of Restructuring Expense by Reportable Segment
Schedule of Restructuring Reserve by Type of Cost [Table Text Block]
Tax expense (benefit)
Other Comprehensive Income (Loss) before Reclassifications, Tax
Total derivatives
Total derivatives
Derivative Liability
Performance adjustments (in dollars per share)
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Adjustments, Weighted Average Grant Date Fair Value
Share-Based Compensation Arrangement By Share-Based Payment Award, Equity Instruments Other Than Options, Adjustments, 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]
Equity method investments
Equity Method Investments
Inventories
Inventories
Inventory, Net
Land
Land [Member]
Sale and purchase deferral period
Disposal Group, Sale And Purchase Deferral Period
Disposal Group, Sale And Purchase Deferral Period
Divestiture of Heart Valve Business
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Convertible notes receivable
Receivables, Fair Value Disclosure
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred
Net assets acquired
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred
FX and other
Loss Contingency, Accrual, Foreign Currency Adjustments
Loss Contingency, Accrual, Foreign Currency Adjustments
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]
UK and Non-US
Deferred Foreign Income Tax Expense (Benefit)
Fixed income mutual funds
Fixed Income Funds [Member]
Segments [Domain]
Segments [Domain]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Consolidation Items [Domain]
Consolidation Items [Domain]
Revenue Recognition and Deferred Revenue [Abstract]
Revenue Recognition and Deferred Revenue [Abstract]
Accumulated deficit
Retained Earnings (Accumulated Deficit)
Loss contingency accrual provision
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
Debt instrument, face amount
Debt Instrument, Face Amount
Deferred tax liabilities:
Deferred Tax Liabilities, Net [Abstract]
Current Assets:
Assets, Current [Abstract]
Leases [Abstract]
Leases [Abstract]
Other Commitments [Line Items]
Other Commitments [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]
Schedule of Revenues from External Customers and Long-Lived Assets [Table]
Schedule of Revenues from External Customers and Long-Lived Assets [Table]
Operating Activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Product Liability
Product Liability [Member]
Product Liability [Member]
Conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Audit Information [Abstract]
Audit Information [Abstract]
Asset Class [Axis]
Asset Class [Domain]
2022 Restructuring Plan
2022 Restructuring Plan [Member]
2022 Restructuring Plan
Foreign currency translation adjustment, net of tax
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Other, net
Effective Income Tax Rate Reconciliation, Other Adjustments, Percent
Probability of payment
Measurement Input, Probability of Payment [Member]
Measurement Input, Probability of Payment [Member]
Schedule of Inventories
Schedule of Inventory, Current [Table Text Block]
Revenues from External Customers and Long-Lived Assets [Line Items]
Revenues from External Customers and Long-Lived Assets [Line Items]
Number of Optioned Shares
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward]
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
Other assets and liabilities, net
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Other Assets And Liabilities, Assets And Liabilities, Net
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Other Assets And Liabilities, Net
A&R 2022 Plan
A&R 2022 Plan [Member]
A&R 2022 Plan
Total lease liabilities
Operating Lease, Liability
Total Shareholder Return Vs Peer Group
Total Shareholder Return Vs Peer Group [Text Block]
Employee Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Option to exchange, price per share (in dollars per share)
Debt Instrument, Option To Exchange, Price Per Share
Debt Instrument, Option To Exchange, Price Per Share
Consideration
Disposal Group, Including Discontinued Operation, Consideration
Accumulated Other Comprehensive Income (Loss)
Total
AOCI Attributable to Parent [Member]
Aggregate Erroneous Compensation Amount
Aggregate Erroneous Compensation Amount
2023-2043
Tax Year 2023-2043 [Member]
Tax Year 2023-2043
Ownership percentage
Business Combination, Step Acquisition, Equity Interest in Acquiree, Percentage
Additions
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Cost and Expense
Standard product warranty, cap on claims
Standard Product Warranty, Cap On Claims
Standard Product Warranty, Cap On Claims
Annual environmental maintenance
Utilities Operating Expense, Environmental Maintenance
Utilities Operating Expense, Environmental Maintenance
Defined contribution plan expense
Defined Contribution Plan, Cost
All Executive Categories
All Executive Categories [Member]
Contract liabilities
Contract with Customer, Liability, Noncurrent
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Plan Name [Axis]
Plan Name [Axis]
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Income tax benefit
Share-Based Payment Arrangement, Expense, Tax Benefit
Number of principal business franchises
Number of reportable segments
Number of Reportable Segments
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Cardiopulmonary
Cardiopulmonary Segment [Member]
Cardiopulmonary Segment
Ordinary Shares, £1.00 par value: unlimited shares authorized; 53,942,151 shares issued and 53,918,222 shares outstanding at December 31, 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
ALung Technologies, Inc. [Member]
ALung Technologies, Inc. [Member]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Trade names
Trade Names [Member]
Retirement Plan Sponsor Location [Domain]
Retirement Plan Sponsor Location [Domain]
Summary of Performance-Based Restricted Stock and Restricted Stock Unit Activity
Summary Of Performance-Based Restricted Stock And Restricted Stock Unit Activity [Table Text Block]
Summary Of Performance-Based Restricted Stock And Restricted Stock Unit Activity
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)
Senior Notes
Senior Notes [Member]
Deferred:
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Schedule of New Accounting Pronouncements and Changes in Accounting Principles
Accounting Standards Update and Change in Accounting Principle [Table Text Block]
Schedule of Defined Benefit Plans Disclosures [Table]
Schedule of Defined Benefit Plans Disclosures [Table]
All Individuals
All Individuals [Member]
Litigation Case [Domain]
Litigation Case [Domain]
Entity Filer Category
Entity Filer Category
Schedule of Equity Method Investments [Line Items]
Schedule of Equity Method Investments [Line Items]
Non-PEO NEO Average Total Compensation Amount
Non-PEO NEO Average Total Compensation Amount
Statement [Table]
Statement [Table]
Contingent consideration
Business Combination, Contingent Consideration, Liability, Noncurrent
Current Fiscal Year End Date
Current Fiscal Year End Date
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table 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]
Balance at beginning of year
balance at end of year
Unrecognized Tax Benefits
Income Tax Authority [Axis]
Income Tax Authority [Axis]
PEO Name
PEO Name
2029 - 2033
Defined Benefit Plan, Expected Future Benefit Payment, after Year Five for Next Five Years
Schedule of Goodwill Carrying Amounts
Schedule of Goodwill [Table Text Block]
Tax credit carryforwards
Tax Benefit
Deferred Tax Assets, Tax Credit Carryforwards
Loss Contingency Accrual [Roll Forward]
Loss Contingency Accrual [Roll Forward]
Deductions
SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction
Credit risk discount rate
Measurement Input, Credit Risk Discount Rate [Member]
Measurement Input, Credit Risk Discount Rate [Member]
Other accrued expenses
Other Accrued Liabilities, Current
Services income
Other Income
Other
Corporate, Non-Segment [Member]
Discount rate
Debt Instrument, Discount Rate
Debt Instrument, Discount Rate
Interest rate, stated percentage
Debt Instrument, Interest Rate, Stated Percentage
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
Gain (Loss) on Disposition of Business
Gain (Loss) on Disposition of Business
Adjustments
Loss Contingency Accrual, Adjustments
Loss Contingency Accrual, Adjustments
Schedule of Amortization Periods for Finite-lived Intangible Assets
Schedule of Weighted Average Amortization Period [Table Text Block]
Schedule of Weighted Average Amortization Period [Table Text Block]
Total Stockholders’ Equity
Beginning balance
Ending balance
Equity, Attributable to Parent
Unrecognized tax benefits that would impact effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Schedule of Finite-Lived Intangible Assets [Table]
Schedule of Finite-Lived Intangible Assets [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]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Expected term
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Expected Term
Schedule of Change in Benefit Obligations and Funded Status
Schedule of Defined Benefit Plans Disclosures [Table Text Block]
Restatement [Domain]
Revision of Prior Period [Domain]
Subsequent Events [Abstract]
Subsequent Events [Abstract]
Fair Value Measurements
Fair Value Measurement, Policy [Policy Text Block]
Not Designated as Hedging Instrument
Not Designated as Hedging Instrument [Member]
Restructuring
Restructuring and Related Activities Disclosure [Text Block]
Hedging Designation [Domain]
Hedging Designation [Domain]
Level 2
Fair Value, Inputs, Level 2 [Member]
Long-lived Assets by Geographic Areas
Long-Lived Assets by Geographic Areas [Table Text Block]
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Effective interest rate (percent)
Debt Instrument, Interest Rate, Effective Percentage
Impact of foreign currency exchange rates
Unrecognized Tax Benefits, Increase Resulting from Foreign Currency Translation
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
Useful life
Finite-Lived Intangible Asset, Useful Life
Accounts payable and accrued current and non-current liabilities
Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities
Italian medical device payback law
Medical Device Payback, Current
Medical Device Payback, Current
Share-based Payment Arrangement
Share-Based Payment Arrangement [Member]
2027
Lessee, Operating Lease, Liability, to be Paid, Year Four
Beginning of period (in dollars per share)
End of period (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Stock-based compensation
Share-Based Payment Arrangement, Noncash Expense
City Area Code
City Area Code
Product and Service [Axis]
Product and Service [Axis]
Earnings Per Share
Earnings Per Share [Text Block]
Document Fiscal Year Focus
Document Fiscal Year Focus
Geographical [Domain]
Geographical [Domain]
Tax effect
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax
Schedule of Stock Option Activity
Share-Based Payment Arrangement, Option, Activity [Table Text Block]
Exercise Price
Award Exercise Price
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Total liabilities
Liabilities, Fair Value Disclosure
Capped Call Derivative Asset
Derivative Financial Instruments, Assets [Member]
Interest payable
Interest Payable, Current, Net
Interest Payable, Current, Net
Less: Debt issuance costs
Debt Issuance Costs, Gross
Cash paid for income taxes, net
Income Taxes Paid, Net
Additions
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases
Developed technology
Developed Technology Rights [Member]
Schedule of Allocation of Share Based Compensation Costs by Expense Category
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table 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
Risk-free interest rate
Share-Based Compensation Arrangement by Share-Based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Operating lease assets
Operating lease right-of-use assets
Operating Lease, Right-of-Use Asset
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-Term Debt Instruments [Table]
Equity Valuation Assumption Difference, Footnote
Equity Valuation Assumption Difference, Footnote [Text Block]
UK and Non-US
Current Foreign Tax Expense (Benefit)
Indefinite-lived intangible assets:
Indefinite-Lived Intangible Assets [Line Items]
Discount rate
Defined Benefit Plan, Assumptions Used Calculating Benefit Obligation, Discount Rate
Redemption, threshold par value (in GBP 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
Expected cost
Restructuring and Related Cost, Expected Cost
Arrangement Duration
Trading Arrangement Duration
In-process research and development
In Process Research and Development [Member]
Entity Address, City or Town
Entity Address, City or Town
Award Timing MNPI Considered
Award Timing MNPI Considered [Flag]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Present value of lease liabilities
Operating Lease, Liability, Including Leases Held-for-sale
Operating Lease, Liability, Including Leases Held-for-sale
Fully vested and expected to vest - end of year
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Remaining Contractual Term
Charges
Restructuring Charges
Schedule of Fair Value of Contingent Consideration by Acquisition
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Termination Date
Trading Arrangement Termination Date
Short-term debt
Short-Term Debt
Line of Credit Facility, Lender [Domain]
Line of Credit Facility, Lender [Domain]
Indefinite-lived Intangible Assets [Axis]
Indefinite-Lived Intangible Assets [Axis]
Other assets and liabilities, net
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Other Assets And Liabilities, Net
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Other Assets And Liabilities, Net
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Bridge Loan
Bridge Loan [Member]
Reclassification of tax expense (benefit)
Reclassification from AOCI, Current Period, Tax
Derivative [Line Items]
Derivative [Line Items]
Award Timing Disclosures [Line Items]
Investments
Investment [Text Block]
SOFR floor rate
Debt Instrument, SOFR Floor Rate
Debt Instrument, SOFR Floor Rate
Aggregate fair value of performance-based restricted share units that vested during the year (in thousands)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Investment revaluation
Gain (Loss) on Investments
Restructuring Plan [Axis]
Restructuring Plan [Axis]
Contingent consideration
Business Combination, Consideration Transferred, Liabilities Incurred
Derivative Financial Instruments, Liabilities
Derivative Financial Instruments, Liabilities [Member]
Impairment of disposal group and loss on sale
Impairment of Disposal Group and Loss on Sale
Impairment of Disposal Group and Loss on Sale
Surety Bond
Surety Bond [Member]
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table]
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Table]
Short-term Debt, Type [Axis]
Short-Term Debt, Type [Axis]
Income Taxes
Income Tax, Policy [Policy Text Block]
Current debt obligations
Debt, Current
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
2026
Finite-Lived Intangible Asset, Expected Amortization, Year Three
Insider Trading Arrangements [Line Items]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Equipment, software, furniture and fixtures
Equipment Software Furniture And Fixtures [Member]
Equipment, software furniture and fixtures [Member]
Proceeds from sale of Heart Valves, net of cash disposed
Proceeds from Divestiture of Businesses, Net of Cash Divested
Outstanding — as of December 31, 2023
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value
Accounting Changes and Error Corrections [Abstract]
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]
Cadence Neuroscience, Inc.
Cadence Neuroscience, Inc. [Member]
Cadence Neuroscience, Inc.
Other current and non-current assets
Increase (Decrease) in Other Operating Assets
Foreign tax rate differential
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Percent
2025
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Schedule of Stock-Based Compensation Costs Unrecognized
Share-Based Payment Arrangement, Nonvested Award, Cost [Table Text Block]
Adjustment to Compensation, Amount
Adjustment to Compensation Amount
Cost of goods sold
Cost of Sales [Member]
Remeasurement of contingent consideration to fair value
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Employee Severance and Termination Costs
Employee Severance [Member]
Auditor Name
Auditor Name
Compensation Actually Paid vs. Net Income
Compensation Actually Paid vs. Net Income [Text Block]
Peer Group Issuers, Footnote
Peer Group Issuers, Footnote [Text Block]
Accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Fully vested and exercisable - end of year (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Repayment of long-term debt obligations
Repayment of long-term debt obligations
Repayments of Long-Term Debt
Entity Central Index Key
Entity Central Index Key
Plan settlement
Defined Benefit Plan, Benefit Obligation, Payment for Settlement
(Loss) gain on derivative
Derivative, Gain (Loss) on Derivative, Net
Changes in fair value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Gain (Loss) Included in Earnings
Stock-based compensation expense
Total stock-based compensation expense
Total stock-based compensation expense
Share-Based Payment Arrangement, Expense
Non-Rule 10b5-1 Arrangement Terminated
Non-Rule 10b5-1 Arrangement Terminated [Flag]
Finite-lived intangible assets, gross
Finite-Lived Intangible Assets, Gross
Finished goods
Inventory, Finished Goods, Net of Reserves
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Summary of Operating Loss Carryforwards
Summary of Operating Loss Carryforwards [Table Text Block]
Name
Trading Arrangement, Individual Name
Total other comprehensive income (loss)
Other comprehensive (loss) income
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Issuance of shares
Stock Issued During Period, Value, New Issues
Net revenue
Revenue from Contract with Customer, Excluding Assessed Tax
Entity [Domain]
Entity [Domain]
Long-term Debt, Type [Axis]
Long-Term Debt, Type [Axis]
Amendment Flag
Amendment Flag
Legal Entity [Axis]
Legal Entity [Axis]
Tax Period [Domain]
Tax Period [Domain]
Weighted Average Discount Rate
Operating Lease, Weighted Average Discount Rate, Percent
Valuation Allowance [Roll Forward]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Cash paid for interest
Interest Paid, Excluding Capitalized Interest, Operating Activities
Assets
Assets, Fair Value Disclosure [Abstract]
Days to maturity
Debt Instrument, Term, Days To Maturity
Debt Instrument, Term, Days To Maturity
Estimated remaining cost
Restructuring and Related Cost, Expected Cost Remaining
Long-term debt obligations
Total long-term debt obligations
Long-Term Debt, Excluding Current Maturities
Net deferred tax assets (liabilities)
Deferred Tax Liabilities, Net
Actual return on plan assets
Defined Benefit Plan, Plan Assets, Increase (Decrease) for Actual Return (Loss)
Shares used in computing diluted loss 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
Income Tax Authority, Name [Axis]
Income Tax Authority, Name [Axis]
2030 - 2042
Tax Year 2030 - 2042 [Member]
Tax Year 2030 - 2042
Purchases of property, plant and equipment
Payments to Acquire Property, Plant, and Equipment
Company Selected Measure Amount
Company Selected Measure Amount
2027
Defined Benefit Plan, Expected Future Benefit Payment, Year Four
Expired (in dollars per share)
Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Expirations in Period, Weighted Average Exercise Price
Total Assets
Assets
Assets
Name
Awards Close in Time to MNPI Disclosures, Individual Name
Monte Carlo simulation
Valuation Technique, Monte Carlo Simulation [Member]
Valuation Technique, Monte Carlo Simulation [Member]
2028
Long-Term Debt, Maturity, Year Five
Restructuring and Related Activities [Abstract]
Restructuring and Related Activities [Abstract]
Vested (in dollars per share)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Non-NEOs
Non-NEOs [Member]
Capital investment in process
Construction in Progress [Member]
Other
Other Nonoperating Gains (Losses)
Defined Benefit Plan, Plan Assets, Category [Domain]
Defined Benefit Plan, Plan Assets, Category [Domain]
Pension Plan
Pension Plan [Member]
Bond required to be posted
Payments
Loss Contingency Accrual, Payments
Assets Measured on Recurring Basis
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Schedule of Error Corrections and Prior Period Adjustment Restatement [Table]
Schedule of Error Corrections and Prior Period Adjustment Restatement [Table]
Financing Activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Loss 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
Non-PEO NEO
Non-PEO NEO [Member]
Target allocation percentage
Defined Benefit Plan, Plan Assets, Target Allocation, Percentage
Adjustment to Compensation:
Adjustment to Compensation [Axis]
Revenue volatility
Measurement Input, Revenue Volatility [Member]
Measurement Input, Revenue Volatility [Member]
Deferred tax asset, operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Shares used in computing basic loss per share (in shares)
Basic weighted average shares outstanding (in shares)
Weighted Average Number of Shares Outstanding, Basic
Reclassifications
Reclassification, Comparability Adjustment [Policy Text Block]
Schedule of Indefinite-Lived Intangible Assets [Table]
Schedule of Indefinite-Lived Intangible Assets [Table]
Funded status at end of year:
Defined Benefit Plan, Plan with Accumulated Benefit Obligation in Excess of Plan Assets [Abstract]
Pay vs Performance Disclosure
Pay vs Performance Disclosure [Table]
Statement [Line Items]
Statement [Line Items]
Fully vested and expected to vest - end of period (shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number
Proceeds from line of credit
Proceeds from Long-Term Lines of Credit
Tax Credit Carryforward [Axis]
Tax Credit Carryforward [Axis]