Fair Value Disclosures [Abstract]
Risk-free interest rate, minimum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Minimum
Risk-free interest rate, maximum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate, Maximum
Expected volatility, minimum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Minimum
Expected volatility, maximum
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Maximum
Expected term (years)
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term
Expected dividend yield
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Equity [Abstract]
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Class of Stock [Axis]
Class of Stock [Axis]
Class of Stock [Domain]
Class of Stock [Domain]
Class A Common [Member]
Common Class A [Member]
Class B Common [Member]
Common Class B [Member]
Class C Common [Member]
Common Class C [Member]
Class of Stock [Line Items]
Class of Stock [Line Items]
Common stock, shares outstanding
Common Stock, Shares, Outstanding
Common stock, shares issued
Common Stock, Shares, Issued
Valuation and Qualifying Accounts [Abstract]
Valuation Accounts and Qualifying Accounts
Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]
Statement of Financial Position [Abstract]
Current Assets:
Assets, Current [Abstract]
Allowance for doubtful accounts
Allowance for Doubtful Accounts Receivable, Current
Equity:
Stockholders' Equity Attributable to Parent [Abstract]
Convertible preferred stock, par value (in usd per share)
Preferred Stock, Par or Stated Value Per Share
Convertible preferred stock, shares authorized
Preferred Stock, Shares Authorized
Convertible preferred stock, shares issued
Preferred Stock, Shares Issued
Convertible preferred stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Common stock, par value (in usd per share)
Common Stock, Par or Stated Value Per Share
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Common stock, shares outstanding
BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]
BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Foreign Currency Translation
Foreign Currency Transactions and Translations Policy [Policy Text Block]
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Accounts Receivable and Allowance for Doubtful Accounts
Trade and Other Accounts Receivable, Policy [Policy Text Block]
Concentrations of Credit Risk
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Inventories
Inventory, Policy [Policy Text Block]
Property and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Goodwill and Intangible Assets
Goodwill and Intangible Assets, Policy [Policy Text Block]
Impairment of Long-Lived Assets
Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block]
Revenue Recognition
Revenue Recognition, Policy [Policy Text Block]
Research and Development
Research and Development Expense, Policy [Policy Text Block]
Stock-Based Compensation
Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block]
Income Taxes
Income Tax, Policy [Policy Text Block]
Derivatives
Derivatives, Policy [Policy Text Block]
Fair Value of Financial Instruments
Fair Value of Financial Instruments, Policy [Policy Text Block]
Advertising Expense
Advertising Costs, Policy [Policy Text Block]
Legal costs
Legal Costs, Policy [Policy Text Block]
Recently Issued Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Leases, Operating [Abstract]
Leases
Operating Leases of Lessee Disclosure [Table Text Block]
Related Party Transactions [Abstract]
Effect of inventory price differential due to previous consolidation
Effect of Inventory Price Differential Due to Previous Consolidation
Amount of gross profit recognized in net income resulting from the effect of inventory price differential due to previous consolidation.
Purchases from related-party supplier
Related Party Transaction, Purchases from Related Party
Accounts payable to related-party supplier
Accounts Payable, Related Parties
Payables and Accruals [Abstract]
Compensation and other employee-related costs
Employee-related Liabilities, Current
Royalties
Accrued Royalties, Current
Legal and other settlements and expenses
Accrued Liabilities, Legal and Other Settlements and Expenses
Carrying value as of the balance sheet date of obligations incurred through that date and payable for legal and other settlements. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer).
Other
Other Accrued Liabilities, Current
Total accrued expenses
Accrued Liabilities, Current
Business Combinations [Abstract]
Schedule of Intangible Assets [Table]
Schedule of Intangible Assets [Table]
Schedule of Intangible Assets [Table]
Indefinite-lived Intangible Assets by Major Class [Axis]
Indefinite-lived Intangible Assets by Major Class [Axis]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
In-process Research and Development [Member]
In process research and development [Member]
In process research and development.
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Customer Relationships [Member]
Customer Relationships [Member]
Patents [Member]
Patents [Member]
Non-compete Agreements [Member]
Noncompete Agreements [Member]
Acquired Intangible Assets [Line Items]
Acquired Intangible Assets [Line Items]
Acquired Intangible Assets [Line Items]
Weighted average amortization period
Finite-Lived Intangible Asset, Useful Life
Indefinite-lived intangible assets
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Gross carrying amount
Finite-Lived Intangible Assets, Gross
Accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Finite-lived intangible assets, net
Finite-Lived Intangible Assets, Net
Intangible assets, gross
Intangible Assets, Gross
Sum of the gross carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date.
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Intangible asset amortization expense
Amortization of Intangible Assets
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies [Table]
Commitments and Contingencies [Table]
Commitments and Contingencies [Table]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum [Member]
Minimum [Member]
Litigation Case [Axis]
Litigation Case [Axis]
Litigation Case Type [Domain]
Litigation Case Type [Domain]
Warsaw Orthopedic, Inc [Member]
Warsaw Orthopedic, Inc [Member]
Warsaw Orthopedic, Inc [Member]
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation [Member]
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation [Member]
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation [Member]
NuVasive, Inc [Member]
NuVasive, Inc [Member]
NuVasive, Inc [Member]
Altus Partners, LLC [Member]
Altus Partners LLC [Member]
Altus Partners, LLC [Member]
Loss Contingency Nature [Axis]
Loss Contingency Nature [Axis]
Loss Contingency, Nature [Domain]
Loss Contingency, Nature [Domain]
Patent Infringement [Member]
Patent Infringement [Member]
Patent Infringement [Member]
NUBONE [Member]
NUBONE [Member]
NUBONE [Member]
PIVOT Systems [Member]
PIVOT Systems [Member]
Patent Infringement Litigation-PIVOT Systems [Member]
COALITION INDEPENDENCE and INTERCONTINENTAL [Member]
COALITION INDEPENDENCE and INTERCONTINENTAL [Member]
COALITION INDEPENDENCE and INTERCONTINENTAL [Member]
MARS 3V, TRANSCONTINENTAL, INTERCONTINENTAL, and CALIBER-L [Member]
MARS 3V, TRANSCONTINENTAL, INTERCONTINENTAL, and CALIBER-L [Member]
MARS 3V, TRANSCONTINENTAL, INTERCONTINENTAL, and CALIBER-L [Member]
Compliance [Member]
Compliance [Member]
Compliance [Member]
Loss Contingencies [Line Items]
Commitments and Contingencies [Line Items]
Commitments and Contingencies [Line Items]
Damages awarded
Loss Contingency, Damages Awarded, Value
Loss contingency accrual
Loss Contingency Accrual, at Carrying Value
Settlement agreement payment
Payments for Legal Settlements
Patent claims (number of claims)
Loss Contingency, Pending Claims, Number
Year ending December 31, 2013
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months
Year ending December 31, 2014
Finite-Lived Intangible Assets, Amortization Expense, Year Two
Year ending December 31, 2015
Finite-Lived Intangible Assets, Amortization Expense, Year Three
Year ending December 31, 2016
Finite-Lived Intangible Assets, Amortization Expense, Year Four
Year ending December 31, 2017
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Thereafter
Finite-Lived Intangible Assets, Amortization Expense, after Year Five
Common Class A [Member]
Common Class B [Member]
Common Class C [Member]
Option to Cause Repurchase Date [Axis]
Option to Cause Repurchase Date [Axis]
Information by repurchase date.
Option to Cause Repurchase Date [Domain]
Option to Cause Repurchase Date [Domain]
Repurchase dates based on the terms of the put agreement.
Last Business Day of September 2014 [Member]
Last Business Day of September 2014 [Member]
First repurchase date based on the terms of the put agreement.
Last Business Day of September 2015 [Member]
Last Business Day of September 2015 [Member]
Second repurchase date based on the terms of the put agreement.
Last Business Day of September 2016 [Member]
Last Business Day of September 2016 [Member]
Third repurchase date based on the terms of the put agreement.
Last Business Day of September 2017 [Member]
Last Business Day of September 2017 [Member]
Fourth repurchase date based on the terms of the put agreement.
Option Indexed to Issuer's Equity [Axis]
Option Indexed to Issuer's Equity [Axis]
Option Indexed to Issuer's Equity, Type [Domain]
Option Indexed to Issuer's Equity, Type [Domain]
Put Option [Member]
Put Option [Member]
Convertible Preferred Stock, Minimum Conversion Price Ratio
Convertible Preferred Stock, Minimum Conversion Price Ratio
Convertible Preferred Stock, Minimum Conversion Price Ratio
Common stock, votes per share
Common Stock , Number of Votes, Per Share
Number of votes per share of common stock.
Stock repurchased, (in shares)
Stock Repurchased During Period, Shares
Percentage of securities authorized for repurchase at shareholder's request under Put Agreement
Percentage Of Securities Authorized for Repurchase at Shareholders Request under Put Agreement
Percentage of stockholders' shares at period end, which the Company would be required to repurchase at the stockholders' option, pursuant to the Put Agreement.
Accrued Expenses
Schedule of Accrued Liabilities [Table Text Block]
Quarterly Financial Information Disclosure [Abstract]
Schedule of Quarterly Financial Information
Schedule of Quarterly Financial Information [Table Text Block]
IPO [Abstract]
IPO [Abstract]
Statement [Table]
Statement [Table]
IPO Transaction [Axis]
Stock Offering, Initial Public Offering, Transaction [Axis]
Stock Offering, Initial Public Offering, Transaction Type [Axis]
IPO Transaction [Domain]
Stock Offering, Initial Public Offering, Transaction [Domain]
Stock Offering, Initial Public Offering, Transaction Type [Domain]
Issued by Company [Member]
New Shares Issued by Company [Member]
New Shares Issued by Company [Member]
Conversion [Axis]
Stock Conversion Description [Axis]
Conversion of Stock, Name [Domain]
Conversion of Stock, Name [Domain]
Conversion of Class B to Class A [Member]
Conversion of Class B Common Stock to Class A Common Stock [Member]
Conversion of Class B Common Stock to Class A Common Stock [Member]
Conversion of Class C to Class A [Member]
Conversion of Class C Common Stock to Class A Common Stock [Member]
Conversion of Class C Common Stock to Class A Common Stock [Member]
Conversion of Class B to Class A, Selling Stockholders [Member]
Conversion of Class B Common Stock to Class A Common Stock, Selling Stockholders [Member]
Conversion of Class B Common Stock to Class A Common Stock, Selling Stockholders [Member]
Conversion of Class E to Class B [Member]
Conversion of Series E Preferred Stock to Class B Common Stock [Member]
Conversion of Series E Preferred Stock to Class B Common Stock [Member]
Equity Ownership by Amount [Axis]
Equity Ownership by Amount [Axis]
Equity Ownership by Amount [Axis]
Equity Ownership Amount [Domain]
Equity Ownership Amount [Domain]
Equity Ownership Amount [Domain]
Less than 10 Percent [Member]
Equity Ownership of Less Than Ten Percent [Member]
Equity Ownership of Less Than Ten Percent [Member]
Series E Preferred Stock [Member]
Series E Preferred Stock [Member]
IPO Transacation [Line Items]
Statement [Line Items]
Preferred stock, shares outstanding (in shares)
Reverse stock split, conversion ratio
Reverse Stock Split, Conversion Ratio
Reverse Stock Split, Conversion Ratio
Convertible preferred stock maximum price to trigger increase in conversion ratio (in usd per share)
Convertible Preferred Stock, Terms of Conversion, Maximum Price to Trigger Increase in Conversion Ratio
Convertible Preferred Stock, Terms of Conversion, Maximum Price to Trigger Increase in Conversion Ratio
Shares sold for initial public offering (in shares)
Stock Issued During Period, Shares, Issued for Cash
Series E original issue price
Series E original issue price
Original issue price of a single share of Series E preferred stock.
Offering price per share (in usd per share)
Share Price
Gross proceeds from issuance initial public offering
Proceeds from Issuance Initial Public Offering
Proceeds from issuance initial public offering, net of fees and expenses
Proceeds From Issuance Initial Public Offering, Net of Underwriting Fees and Offering Expenses
Proceeds from initial public offering, after deducting underwriting and other offering fees and expenses.
Conversion of stock, shares converted (in shares)
Conversion of Stock, Shares Converted
Conversion of stock, requirements, maximum ownership percentage
Conversion of Stock, Requirements, Maximum Ownership Percentage
Individual stockholder limit, as a percentage of the aggregate number of all outstanding shares of common stock, to qualify for conversion from Class B to Class A.
Statement of Cash Flows [Abstract]
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Net income
Net Income (Loss) Attributable to Parent
Adjustments to reconcile net income to net cash provided by operating activities
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Depreciation and amortization
Depreciation, Depletion and Amortization
Provision for excess and obsolete inventories
Inventory Write-down
Stock-based compensation
Share-based Compensation
Allowance for doubtful accounts
Provision for Doubtful Accounts
Change in fair value of interest rate swap
Unrealized Gain (Loss) on Derivatives
Change in fair value of contingent consideration
Unrealized Gain Loss on Contingent Consideration
The net change in the difference between the comparative fair values of contingent consideration, held at each balance sheet date, that was included in earnings for the period.
Change in deferred income taxes
Deferred Income Taxes and Tax Credits
(Increase) decrease in:
Increase (Decrease) in Operating Assets [Abstract]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Inventories
Increase (Decrease) in Inventories
Prepaid expenses and other assets
Increase (Decrease) in Prepaid Expense and Other Assets
Increase (decrease) in:
Increase (Decrease) in Operating Liabilities [Abstract]
Accounts payable
Increase (Decrease) in Accounts Payable
Accounts payable to related party
Increase (Decrease) in Accounts Payable, Related Parties
Accrued expenses and other liabilities
Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities
Income taxes payable/receivable
Increase (Decrease) in Income Taxes Payable
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Sales of short-term investments
Proceeds from Sale of Short-term Investments
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Acquisition of businesses
Payments to Acquire Businesses, Net of Cash Acquired
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Repayments of long-term debt
Repayments of Long-term Debt
Payment of business acquisition liabilities
Payment of Business Acquisition Liabilities
The cash outflow during the reporting period for obligations arising from the acquisition of a business, including but not limited to contractual milestone payments and contingent performance payments.
Net proceeds from initial public offering
Net proceeds from issuance of common stock
Proceeds from Issuance of Common Stock
Purchase of common stock
Payments for Repurchase of Common Stock
Excess tax benefit related to nonqualified stock options
Excess Tax Benefit (Tax Deficiency) from Share-based Compensation, Financing Activities
Net cash provided by/(used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Effect of foreign exchange rate on cash
Effect of Exchange Rate on Cash and Cash Equivalents
Net increase in cash and cash equivalents
Cash and Cash Equivalents, Period Increase (Decrease)
Cash and cash equivalents, beginning of period
Cash and Cash Equivalents, at Carrying Value
Cash and cash equivalents, end of period
Supplemental disclosures of cash flow information:
Supplemental Cash Flow Information [Abstract]
Interest paid
Interest Paid
Income taxes paid
Income Taxes Paid
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Common Stock Valuation [Axis]
Common Stock Valuation [Axis]
Information by type of valuation an entity uses for stock based compensation.
Common Stock Valuation [Domain]
Common Stock Valuation [Domain]
Activities the entity engages in to value its stock based compensation.
Reassessment Fair Value of Common Stock [Member]
Reassessment Fair Value of Common Stock [Member]
Reassessed fair value of common stock.
Original Fair Value of Common Stock [Member]
Original Fair Value of Common Stock [Member]
Fair value of common stock at grant date.
Plan Name [Axis]
Plan Name [Axis]
Plan Name [Domain]
Plan Name [Domain]
2012 Equity Incentive Plan [Member]
2012 Equity Incentive Plan [Member]
2012 Equity Incentive Plan.
February 2, 2012 Grant [Member]
February 2, 2012 Grant [Member]
February 2, 2012 Grant.
March 28, 2012 Grant [Member]
March 28, 2012 Grant [Member]
March 28, 2012 Grant.
Award Type [Axis]
Award Type [Axis]
Award Type [Domain]
Award Type [Domain]
Stock Options [Member]
Stock Options [Member]
Maximum [Member]
Maximum [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of stock plans
Share-based Compensation, Number of Stock Plans
Share-based Compensation, Number of Stock Plans
Shares reserved under the Amended and Restated 2003 Stock Plan and the 2008 Stock Plan
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized
Number of shares available for grant
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant
Maximum contractual term
Share Based Compensation By Share Based Payment Maximum Contractual Term
Maximum term of stock options under the plan (years).
Award vesting period (in years)
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Base number of shares that may be issuable under stock plan
Share Based Compensation Arrangement By Share Based Payment Award Base Number Of Shares Issuable
Base number of aggregate shares that may be issued subject to options and other awards.
Annual percentage limit for incremental shares that may be issued
Share Based Compensation Arrangement By Share Based Payment Award Annual Percentage Increase In Shares Available For Issuance
Annual percentage limit, based on the previous year end outstanding shares, of the annual increase in shares that may be issued subject to options and other awards.
Exercise price per share granted
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants, Exercise Price
Exercise price per share for stock grant.
Unrecognized compensation expense, unvested stock options
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized
Weighted average period of recognition, unvested stock options
Employee Service Share-based Compensation, Nonvested Awards, Total Compensation Cost Not yet Recognized, Period for Recognition
Income Tax Disclosure [Abstract]
Components of Deferred Tax Assets [Abstract]
Components of Deferred Tax Assets [Abstract]
Inventory reserve
Deferred Tax Assets, Inventory
Accruals, reserves, and other currently not deductible
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals
Stock-based compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost
Foreign net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards, Foreign
Total deferred tax assets
Deferred Tax Assets, Gross
Valuation allowance
Deferred Tax Assets, Valuation Allowance
Total deferred tax assets, net of valuation allowance
Deferred Tax Assets, Net of Valuation Allowance
Components of Deferred Tax Liabilities [Abstract]
Components of Deferred Tax Liabilities [Abstract]
Depreciation and amortization
Deferred Tax Liabilities, Depreciation and Amortization
Deferred Tax Liabilities, Depreciation and Amortization
Other
Deferred Tax Liabilities, Other
Total deferred tax liabilities
Deferred Tax Liabilities, Gross
Net deferred tax assets
Deferred Tax Assets, Net
Income Tax Examination [Table]
Income Tax Examination [Table]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Other Assets [Member]
Other Assets [Member]
Income Tax Examination [Line Items]
Income Tax Examination [Line Items]
Long term deferred tax asset
Deferred Tax Assets, Net, Noncurrent
Estimated benefit related to enacted legislation, expected to be recorded in next fiscal year
Income Tax Benefit, Enacted Legislation, Estimated Benefit Expected to be Recorded in Next Fiscal Year
Income Tax Benefit, Enacted Legislation, Expected to be Recorded in Next Fiscal Year
Year ending December 31, 2013
Operating Leases, Future Minimum Payments Due, Next Twelve Months
Year ending December 31, 2014
Operating Leases, Future Minimum Payments, Due in Two Years
Year ending December 31, 2015
Operating Leases, Future Minimum Payments, Due in Three Years
Year ending December 31, 2016
Operating Leases, Future Minimum Payments, Due in Four Years
Year ending December 31, 2017
Operating Leases, Future Minimum Payments, Due in Five Years
Thereafter
Operating Leases, Future Minimum Payments, Due Thereafter
Total
Operating Leases, Future Minimum Payments Due
Fair Value Measurements
Fair Value Disclosures [Text Block]
Stock-Based Compensation
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Quarterly Financial Data (unaudited)
Quarterly Financial Information [Text Block]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Change in Fair Value of Interetst Rate Swap
Schedule of Derivative Liabilities at Fair Value [Table Text Block]
Earnings Per Share [Abstract]
Schedule of Earnings Per Share, Basic and Diluted
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Schedule of Anti-dilutive Securities Excluded from Computation of Earnings Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
Statutory U.S. federal tax rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate
State income taxes, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes
Domestic production activities deduction
Effective Income Tax Rate Reconciliation, Deductions, Qualified Production Activities
Tax credits
Effective Income Tax Rate Reconciliation, Tax Credits
Nondeductible expenses and other
Effective Income Tax Rate Reconciliation, Nondeductible Expense
Effective tax rate
Effective Income Tax Rate, Continuing Operations
Defined Benefit Pension Plans and Defined Benefit Postretirement Plans Disclosure [Abstract]
Nondiscretionary employee contribution match rate
Defined Contribution Plan, Employer Matching Contribution, Percent
Maximum annual contribution match, per employee
Defined Contribution Plan, Maximum Annual Contribution Per Employee, Amount
Maximum annual contribution match, percent per employee
Defined Contribution Plan, Maximum Annual Contribution Per Employee, Percent
401(k) matching contributions
Defined Contribution Plan, Cost Recognized
Company Matching Contributions
Schedule of Costs of Retirement Plans [Table Text Block]
Options Indexed to Issuer's Equity [Table]
Option Indexed to Issuer's Equity [Table]
Option Indexed to Issuer's Equity [Line Items]
Option Indexed to Issuer's Equity [Line Items]
Shares of common stock subject to the Put Agreement
Option Indexed to Issuer's Equity, Shares
Value of the put option
Option Indexed to Issuer's Equity, Value
The fair value of the put option.
Board approved reverse stock split ratio
Statement of Other Comprehensive Income [Abstract]
Other comprehensive income/(loss), net of tax:
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Foreign currency translation
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Total other comprehensive income/(loss)
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Comprehensive income
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Inventory Disclosure [Abstract]
Schedule of Inventory
Schedule of Inventory, Current [Table Text Block]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Fair Value, Measurement Frequency [Domain]
Fair Value, Measurement Frequency [Domain]
Fair Value, Measurements, Recurring [Member]
Fair Value, Measurements, Recurring [Member]
Fair Value, Hierarchy [Axis]
Fair Value, Hierarchy [Axis]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Estimate of Fair Value, Fair Value Disclosure [Member]
Level 1
Fair Value, Inputs, Level 1 [Member]
Level 2
Fair Value, Inputs, Level 2 [Member]
Level 3
Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring Basis [Line Items]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents
Cash Equivalents, Fair Value Disclosure
Fair value of cash equivalents as of the balance sheet date.
Contingent consideration
Liabilities, Fair Value Disclosure
Discount rate
Fair Value Inputs, Discount Rate
Earnings Per Common Share
Earnings Per Share [Text Block]
Contingent Consideration Payment [Roll Forward]
Contingent Consideration Payment [Roll Forward]
Contingent Consideration Payment [Roll Forward]
Contingent consideration at beginning of period
Business Acquisition, Contingent Consideration, at Fair Value
Purchase price contingent consideration
Business Combination, Contingent Consideration Arrangements, Fair Value, Additions for Current Period Acquisitions
Business Combination, Contingent Consideration Arrangements, Fair Value, Additions for Current Period Acquisitions
Changes in fair value of contingent consideration classified in operating expenses
Business Combination, Contingent Consideration Arrangements, Fair Value, Change in Fair Value, Liability
Business Combination, Contingent Consideration Arrangements, Fair Value, Change in Fair Value, Liability
Contingent consideration at end of the period
401(k) Plan
Pension and Other Postretirement Benefits Disclosure [Text Block]
ASSETS
Assets [Abstract]
Cash and cash equivalents
Accounts receivable, net of allowances of $961 and $602, respectively
Accounts Receivable, Net, Current
Inventories
Inventory, Net
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Income taxes receivable
Income Taxes Receivable, Current
Deferred income taxes
Deferred Tax Assets, Net of Valuation Allowance, Current
Total current assets
Assets, Current
Property and equipment, net
Property, Plant and Equipment, Net
Intangible assets, net
Goodwill
Goodwill
Other assets
Other Assets, Noncurrent
Total assets
Assets
LIABILITIES AND EQUITY
Liabilities and Equity [Abstract]
Accounts payable
Accounts Payable, Current
Accounts payable to related party
Accounts Payable, Related Parties, Current
Accrued expenses
Income taxes payable
Accrued Income Taxes, Current
Business acquisition liabilities, current
Business Acquisition Liabilities, Current
Current portion, as of the balance sheet date, of carrying value of the obligations incurred and payable pertaining to business acquisitions, including but not limited to contractual milestone payments and contingent performance payments.
Total current liabilities
Liabilities, Current
Business acquisition liabilities, net of current portion
Business Acquisition Liabilities, Noncurrent
Noncurrent portion, as of the balance sheet date, of carrying value of the obligations incurred and payable pertaining to business acquisitions, including but not limited to contractual milestone payments and contingent performance payments.
Deferred income taxes
Deferred Tax Liabilities, Net, Noncurrent
Other liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies (Note 14)
Commitments and Contingencies
Convertible preferred stock; $0.001 par value. Authorized 50,961 shares; issued and outstanding 0 and 50,961 shares at December 31, 2012 and 2011, respectively
Preferred Stock, Value, Issued
Common stock; $0.001 par value. Authorized 785,000 and 679,178 shares; issued and outstanding 91,270 and 72,529 shares at December 31, 2012 and 2011, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Retained earnings
Retained Earnings (Accumulated Deficit)
Total equity
Stockholders' Equity Attributable to Parent
Total liabilities and equity
Liabilities and Equity
Schedule of Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Intangible Assets Acquired as Part of Business Combination
Intangible Assets Acquired as Part of Business Combination [Table Text Block]
Tabular disclosure of the major classes of acquired intangible assets showing the amount, any significant residual value, weighted average amortization period (if any), and other characteristics. A major class is composed of intangible assets that can be grouped together because they are similar, either by nature or by their use in the operations of the company.
Schedule of intangible asset amortization expense
Schedule of intangible asset amortization expense [Table Text Block]
Schedule of intangible asset amortization expense.
Intangible Assets Acquired as Part of Business Combination, Future Amortization Expense
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Contingent Consideration Rollforward Activity
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Segment Reporting [Abstract]
Schedule of Revenue from External Customers By Geographical Area International and Domestic
Schedule of Revenue from External Customers By Geographical Area International and Domestic [Table Text Block]
Tabular disclosure of information concerning the amount of revenue from external customers attributed to that geographic region from which revenue is material. An entity may also provide subtotals of geographic information about groups of countries.
Revenue from External Customers by Products and Services
Revenue from External Customers by Products and Services [Table Text Block]
DEI [Abstract]
DEI [Abstract]
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Document Type
Document Type
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Amendment Flag
Amendment Flag
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Entity Voluntary Filers
Entity Voluntary Filers
Entity Current Reporting Status
Entity Current Reporting Status
Entity Public Float
Entity Public Float
Rent expense
Operating Leases, Rent Expense, Net
Derivative Financial Instruments
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Weighted average grant date per share fair value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Number of shares granted
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross
Income Taxes
Income Tax Disclosure [Text Block]
Sales
Revenue, Net
Gross Profit
Gross Profit
Net earnings per common share - basic (in usd per share)
Earnings Per Share, Basic
Net earnings per common share - dilutive (in usd per share)
Earnings Per Share, Diluted
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Other Noncurrent Liabilities [Member]
Other Noncurrent Liabilities [Member]
Other Noncurrent Liabilities [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Acquisitions 2011 [Member]
Acquisitions 2011 [Member]
Acquisitions 2011 [Member]
Acquisitions 2012 [Member]
Acquisitions 2012 [Member]
Acquisitions 2012 [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Milestone payment, number of days due subsequent to FDA approval
Milestone Payment, Number of Days Due Subsequent to FDA Approval
Maximum number of days after FDA approval whereby milestone payment would be required to be paid under certain contractual terms.
Aggregate purchase price paid for acquisitions at closing
Business Acquisition, Cost of Acquired Entity, Cash Paid
Current portion of purchase price consideration
Business Acquisitions, Cost Of Acquired Entity, Purchase Price Consideration, Current
Purchase price consideration due within 12 months of acquisition.
Range of aggregate undiscounted contingent consideration from acquisitions, maximum
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Noncurrent portion of purchase price consideration, discounted
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Purchase Price Consideration
Noncurrent portion of purchase price consideration.
Purchase price consideration due 2013
Business Combination, Purchase Price Consideration, Cash Payments Due 2013
Purchase price consideration payable during 2013 in accordance with the purchase agreement.
Purchase price consideration due 2014
Business Combination, Purchase Price Consideration, Cash Payments Due 2014
Purchase price consideration payable during 2014 in accordance with the purchase agreement.
Purchase price consideration due 2015
Business Combination, Purchase Price Consideration, Cash Payments Due 2015
Purchase price consideration payable during 2015 in accordance with the purchase agreement.
Purchase price consideration due 2016
Business Combination, Purchase Price Consideration, Cash Payments Due 2016
Purchase price consideration payable during 2016 in accordance with the purchase agreement.
Put Agreement value
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Put Agreement
Value of put agreement executed in connection with acquisition.
Liabilities assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Pre tax royalty rate
Fair Value Inputs, Pre Tax Royalty Rate
Fair Value Inputs, Pre-Tax Royalty Rate
In process research and development, cost to complete
In Process Research and Development, Cost to Complete
In Process Research and Development, Cost to Complete
Debt Disclosure [Abstract]
Debt
Debt Disclosure [Text Block]
Property, Plant and Equipment [Abstract]
Property And Equipment
Property, Plant and Equipment [Table Text Block]
Schedule Of Depreciation And Amortization Of Property And Equipment
Schedule Of Depreciation And Amortization Of Property And Equipment [Table Text Block]
Schedule of depreciation and amortization of property equipment and leasehold improvements.
Fair Value, Assets Measured on Recurring Basis
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
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]
Unrecognized tax benefits at the beginning of the year
Unrecognized Tax Benefits
Additions related to current year tax positions
Unrecognized Tax Benefits, Increases Resulting from Current Period Tax Positions
Additions related to prior year tax positions
Unrecognized Tax Benefits, Increases Resulting from Prior Period Tax Positions
Reductions related to current year tax positions
Unrecognized Tax Benefits, Decreases Resulting from Current Period Tax Positions
Reductions related to prior year tax positions
Unrecognized Tax Benefits, Decreases Resulting from Prior Period Tax Positions
Unrecognized tax benefit at the end of the year
Portion of total unrecognized tax benefits that, if recognized, that would affect the effective income tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Schedule of Anti-dilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Anti-dilutive Securities [Axis]
Antidilutive Securities [Axis]
Anti-dilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
Anti-dilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Anti-dilutive stock equivalents excluded from weighted average calculation (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Revenue from External Customers by Products and Services [Table]
Revenue from External Customers by Products and Services [Table]
Products and Services [Axis]
Products and Services [Axis]
Products and Services [Domain]
Products and Services [Domain]
Innovative Fusion
Innovative Fusion [Member]
Innovative Fusion [Member]
Disruptive Technology
Disruptive Technology [Member]
Disruptive Technology [Member]
Revenue from External Customer [Line Items]
Revenue from External Customer [Line Items]
Total sales
Textuals [Abstract]
Textuals [Abstract]
Number of reportable segments
Number of Reportable Segments
Number of product categories
Number of product categories
Number of product categories.
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Schedule of Related Party Transactions
Schedule of Related Party Transactions [Table Text Block]
Schedule of Income (loss) before Income Tax, Domestic and Foreign
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Schedule of Components Provision for Income Taxes
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
U.S. Federal Tax Rate To Effective Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Schedule of Components of Deferred Income Taxes
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Reconciliation of Beginning and Ending Amount of Unrecognized Tax Benefits
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Impact of Unrecognized Tax Benefits to Effective Income Tax Rate
Impact of Unrecognized Tax Benefits to Effective Income Tax Rate [Table Text Block]
Impact of Unrecognized Tax Benefits to Effective Income Tax Rate [Table Text Block]
Equity
Stockholders' Equity Note Disclosure [Text Block]
Property And Equipment
Property, Plant and Equipment Disclosure [Text Block]
Related-Party Transactions
Related Party Transactions Disclosure [Text Block]
Business Acquisitions
Business Combination Disclosure [Text Block]
Income Statement [Abstract]
Cost of goods sold
Cost of Goods Sold
Gross profit
Operating expenses:
Operating Expenses [Abstract]
Research and development
Research and Development Expense
Selling, general and administrative
Selling, General and Administrative Expense
Provision for litigation settlements
Gain (Loss) Related to Litigation Settlement
Total operating expenses
Operating Expenses
Operating Income
Operating Income (Loss)
Other income/(expense), net
Other Nonoperating Income (Expense)
Income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Extraordinary Items, Noncontrolling Interest
Income tax provision
Income Tax Expense (Benefit)
Net Income
Earnings per share:
Basic
Diluted
Weighted average shares outstanding:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic
Weighted Average Number of Shares Outstanding, Basic
Diluted
Weighted Average Number of Shares Outstanding, Diluted
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Mortgages [Member]
Mortgages [Member]
Revolving Credit Facility [Member]
Revolving Credit Facility [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Letter of Credit [Member]
Letter of Credit [Member]
Line of Credit Facility, Interest Rate Options [Axis]
Line of Credit Facility, Interest Rate Options [Axis]
Information by type of interest rate option.
Line of Credit, Interest Rate Options [Domain]
Line of Credit, Interest Rate Options [Domain]
Type of interest rate option, as determined by the Company based on the terms of the credit agreement.
Fluctuating Rate Per Annum [Member]
Line of Credit, Variable Rate Per Annum [Member]
Fluctuating interest rate, as determined by the terms of the credit agreement.
Fixed Rate [Member]
Line of Credit, Fixed Rate [Member]
Fixed interest rate, as determined by the terms of the credit agreement.
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Mortgage loan, term
Term of Debt Instrument
The period, from inception, over which the debt instrument will be repaid.
Revolving credit facility, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Mortgage loan, final balloon payment
Mortgage Loans on Real Estate, Periodic Payment Terms, Balloon Payment Amount
Revolving credit facility, current borrowing capacity
Line of Credit Facility, Current Borrowing Capacity
Revolving credit facility, maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Revolving credit facility, variable rate
Debt Instrument, Description of Variable Rate Basis
Revolving credit facility, period of variable rate
Line of Credit, Period of Variable Rate
The period over which the applicable interest rate option is applied for the debt instrument.
Revolving credit facility, unused commitment fee percentage
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Revolving credit facility, minimum termination notice period
Line of Credit, Termination Period Without Penalty
Minimum notice period of intent to terminate line of credt agreement without premium or penalty.
Grants in Period, Weighted Average Grant Date Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value [Table Text Block]
Fair Value of Options, Assumptions Schedule
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Summary of Stock Option Activity
Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block]
Stock Option Compensation Expense and Intrinsic Value Schedule
Stock Option Compensation Expense and Intrinsic Value Schedule [Table Text Block]
Tabluar disclosure of the compensation expense related to stock options and the intrinsic value of stock options exercised.
Net income available to common stockholders
Number of shares used for basic EPS computation (in shares)
Net income available to common stockholders, diluted
Net Income (Loss) Available to Common Stockholders, Diluted
Dilutive stock options (in shares)
Incremental Common Shares Attributable to Share-based Payment Arrangements
Number of shares used for dilutive EPS computation (in shares)
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies [Table]
Common Stock [Member]
Common Stock [Member]
Summary of Significant Accounting Policies [Line Items]
Summary of Significant Accounting Policies [Line Items]
Summary of Significant Accounting Policies [Line Items]
Number of Products Launched Since Inception
Number of Products Launched Since Inception
Number of products launched since inception.
Foreign exchange gain/(loss)
Foreign Currency Transaction Gain (Loss), before Tax
Advertising expense
Advertising Expense
Reverse stock split, proposed conversion ratio
Reverse Stock Split, Proposed Conversion Ratio
Proposed conversion ration for the reverse stock split.
Schedule of Minimum Future Rental Payments Under Operating Leases
Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]
Schedule of Rent Expense for Operating Leases
Schedule of Rent Expense [Table Text Block]
Compensation expense related to stock options
Allocated Share-based Compensation Expense
Intrinsic value of stock options exercised
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Total Intrinsic Value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Number of shares outstanding beginning balance
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number
Number of shares granted
Number of shares exercised
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Number of shares forfeited
Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period
Number of shares outstanding ending balance
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Roll Forward]
Weighted average exercise price per share outstanding beginning balance
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Weighted average exercise price per share granted
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Weighted average exercise price per share exercised
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Weighted average exercise price per share forfeited
Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Weighted average exercise price per share outstanding ending balance
Number of shares exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number
Weighted average exercise price per share exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Weighted average remaining contractual life outstanding
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Weighted average remaining contractual life exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Aggregate intrinsic value outstanding
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value
Aggregate intrinsic value exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value
Schedule of Revenues from External Customers [Table]
Schedule of Sales By Geographic Area [Table]
Tabular disclosure of information concerning the amount of revenue from external customers attributed to that geographic region from which revenue is material. An entity may also provide subtotals of geographic information about groups of countries.
Geographical [Axis]
Geographical [Axis]
Segment, Geographical [Domain]
Segment, Geographical [Domain]
United States [Member]
UNITED STATES
International [Member]
Segment, Geographical, Groups of Countries, Group One [Member]
Revenues from External Customers [Line Items]
Schedule of Sales By Geographic Area [Line Items]
Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.
Income (loss) before taxes, domestic
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Income (loss) before taxes, foreign
Income (Loss) from Continuing Operations before Income Taxes, Foreign
Derivative [Table]
Derivative [Table]
Derivative Instrument Risk [Axis]
Derivative Instrument Risk [Axis]
Derivative Contract Type [Domain]
Derivative Contract Type [Domain]
Interest Rate Swap [Member]
Interest Rate Swap [Member]
Derivative [Line Items]
Derivative [Line Items]
Interest rate swap, fixed interest rate
Derivative, Fixed Interest Rate
Change in fair value of interest rate swap
Inventories
Inventory Disclosure [Text Block]
Option Indexed to Issuer's Equity, Equity [Table]
Option Indexed to Issuer's Equity, Equity [Table]
Schedule of Issued and Outstanding Shares by Class
Schedule of Stock by Class [Table Text Block]
Schedule of Options Indexed to Issuer's Equity
Schedule of Options Indexed to Issuer's Equity [Table Text Block]
Accrued Expenses
Accrued Liabilities Disclosure [Text Block]
The entire disclosure for accrued liabilities at the end of the reporting period.
Current Income Tax Expense (Benefit) [Abstract]
Current Income Tax Expense (Benefit) [Abstract]
Current income tax provision, federal
Current Federal Tax Expense (Benefit)
Current income tax provision, state (Benefit)
Current State and Local Tax Expense (Benefit)
Current income tax provision, foreign
Current Foreign Tax Expense (Benefit)
Current income tax provision
Current Income Tax Expense (Benefit)
Deferred Income Tax Expense (Benefit) [Abstract]
Deferred Income Tax Expense (Benefit) [Abstract]
Deferred income tax provision, federal
Deferred Federal Income Tax Expense (Benefit)
Deferred income tax provision, state
Deferred State and Local Income Tax Expense (Benefit)
Deferred income tax provision, foreign
Deferred Foreign Income Tax Expense (Benefit)
Deferred income tax provision
Deferred Income Tax Expense (Benefit)
Income tax provision, total
Valuation and Qualifying Accounts Disclosure [Table]
Valuation and Qualifying Accounts Disclosure [Table]
Valuation Allowances and Reserves Type [Axis]
Valuation Allowances and Reserves Type [Axis]
Valuation Allowances and Reserves [Domain]
Valuation Allowances and Reserves [Domain]
Allowance for doubtful accounts [Member]
Allowance for Doubtful Accounts [Member]
Deferred tax valuation allowance [Member]
Valuation Allowance of Deferred Tax Assets [Member]
Valuation and Qualifying Accounts Disclosure [Line Items]
Valuation and Qualifying Accounts Disclosure [Line Items]
Movement in Valuation Allowances and Reserves [Roll Forward]
Movement in Valuation Allowances and Reserves [Roll Forward]
Beginning of period
Valuation Allowances and Reserves, Balance
Additions
Valuation Allowances and Reserves, Charged to Cost and Expense
Write-offs
Valuation Allowances and Reserves, Deductions
End of period
Background and Summary of Significant Accounting Policies
Business Description and Accounting Policies [Text Block]
Segment And Geographic Information
Segment Reporting Disclosure [Text Block]
Inventory
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Identifiable intangible assets:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangibles
Current liabilities
Business Acquisition, Purchase Price Allocation, Current Liabilities, Other Liabilities
Contingent consideration
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Other noncurrent liabilities
Business Acquisition, Purchase Price Allocation, Other Noncurrent Liabilities
Total identifiable net assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net
Net assets acquired
Schedule of Property, Plant and Equipment [Table]
Schedule of Property, Plant and Equipment [Table]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Domain]
Property, Plant and Equipment, Type [Domain]
Land [Member]
Land [Member]
Building and improvements [Member]
Building and Building Improvements [Member]
Equipment [Member]
Equipment [Member]
Instruments [Member]
Instruments [Member]
Instruments
Modules and cases [Member]
Modules and Cases [Member]
Modules and Cases
Other property and equipment [Member]
Property, Plant and Equipment, Other Types [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Depreciation
Depreciation
Useful Life
Property, Plant and Equipment, Useful Life
Property and equipment, gross
Property, Plant and Equipment, Gross
Less: accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Total
Statement of Stockholders' Equity [Abstract]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Convertible Preferred Stock [Member]
Convertible Preferred Stock [Member]
Additional Paid-in Capital [Member]
Additional Paid-in Capital [Member]
Accumulated Other Comprehensive Income [Member]
Accumulated Other Comprehensive Income (Loss) [Member]
Retained Earnings [Member]
Retained Earnings [Member]
Statement [Line Items]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Balance, Shares
Shares, Outstanding
Total stockholders' equity, beginning of period
Share-based compensation
Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition
Exercise of deemed stock options
Stock Issued During Period Value Deemed Stock Options Exercised
The exercis of deemed stock options (repayment of promissory notes, whose origination was for the purchase of common stock, but without contemporaneous documentation of the borrowers' ability to pay, the notes were considered an issuance of a deemed option, not the sale of stock)
Exercise of stock options, shares
Exercise of stock options
Stock Issued During Period, Value, Stock Options Exercised
Tax benefit related to nonqualified stock options excercised
Adjustments to Additional Paid in Capital, Income Tax Benefit from Share-based Compensation
Conversion of perferred stock in conjuction with IPO, Converted (in shares)
Conversion of preferred stock in conjuction with IPO, Converted
Conversion of Stock, Amount Converted
Conversion of preferred stock in conjuction with IPO, Issued (in shares)
Conversion of Stock, Shares Issued
Conversion of preferred stock in conjuction with IPO, Issued
Conversion of Stock, Amount Issued
Issuance of common stock from IPO, net of expenses (in shares)
Stock Issued During Period, Shares, New Issues
Issuance of common stock from IPO, net of expenses
Stock Issued During Period, Value, New Issues
Purchase of common stock, (in shares)
Purchase of common stock
Stock Repurchased During Period, Value
Comprehensive income
Balance, Shares
Total stockholders' equity, end of period
Raw materials
Inventory, Raw Materials, Gross
Work in process
Inventory, Work in Process, Gross
Finished goods
Inventory, Finished Goods, Net of Reserves
Total