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] Marketable Securities Marketable Securities, 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] Medical Device Excise Tax Medical Device Excise Tax [Policy Text Block] Accounting policy regarding the recognition of the Medical Device Excise Tax. Recently Issued Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Derivative Instruments and Hedging Activities Disclosure [Abstract] Intangible Assets Disclosure [Abstract] Intangible Assets Disclosure Schedule of Intangible Assets [Table] Schedule of Intangible Assets [Table] Schedule of Intangible Assets [Table] Indefinite-lived Intangible Assets [Axis] Indefinite-lived Intangible Assets [Axis] Indefinite-lived Intangible Assets, Major Class Name [Domain] Indefinite-lived Intangible Assets, Major Class Name [Domain] In-process Research and Development In Process Research and Development [Member] 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 & other intangibles Other Intangible Assets [Member] Patents Patents [Member] Acquired Intangible Assets 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 Intangible Assets, Gross Carrying Amount Intangible Assets, Gross Sum of the gross carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date. Accumulated Amortization Finite-Lived Intangible Assets, Accumulated Amortization Intangible asset amortization expense Amortization of Intangible Assets Intangible assets, net Intangible Assets, Net (Excluding Goodwill) Finite-lived intangible assets, net Finite-Lived Intangible Assets, Net Income Tax Disclosure [Abstract] 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, Increase Resulting from Current Period Tax Positions Additions related to prior year tax positions Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions Reductions related to prior year tax positions Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions Lapse of statute of limitations Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations 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 Intangible Assets Disclosure Intangible Assets Disclosure [Text Block] Equity [Abstract] Options Indexed to Issuer's Equity [Table] Option Indexed to Issuer's Equity [Table] 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 Put Option [Member] Option Indexed to Issuer's Equity [Line Items] Option Indexed to Issuer's Equity [Line Items] Defined Contribution Pension and Other Postretirement Plans Disclosure [Abstract] Retirement Benefit Plans Pension and Other Postretirement Benefits Disclosure [Text Block] Quarterly Financial Information Disclosure [Abstract] Quarterly Financial Data (unaudited) Quarterly Financial Information [Text Block] Schedule of Stock by Class [Table] Schedule of Stock by Class [Table] 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] Equity Ownership of Less Than Ten Percent Equity Ownership of Less Than Ten Percent [Member] Equity Ownership of Less Than Ten Percent [Member] Stock Conversion Description [Axis] Stock Conversion Description [Axis] Conversion of Stock, Name [Domain] Conversion of Stock, Name [Domain] Conversion of Class E to Class B Conversion of Series E Preferred Stock to Class B Common Stock [Member] Conversion of Series E Preferred Stock to Class B Common Stock [Member] Conversion of Class B to Class A 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 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 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] Stock Offering, Initial Public Offering, Transaction [Axis] Stock Offering, Initial Public Offering, Transaction [Axis] Stock Offering, Initial Public Offering, Transaction Type [Axis] Stock Offering, Initial Public Offering, Transaction [Domain] Stock Offering, Initial Public Offering, Transaction [Domain] Stock Offering, Initial Public Offering, Transaction Type [Domain] Issued by Company New Shares Issued by Company [Member] New Shares Issued by Company [Member] Class of Stock [Axis] Class of Stock [Axis] Class of Stock [Domain] Class of Stock [Domain] Common Class A Common Class A [Member] Common Class B Common Class B [Member] Common Class C Common Class C [Member] Series E Preferred Stock Series E Preferred Stock [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 Last Business Day of September 2014 [Member] First repurchase date based on the terms of the put agreement. Last Business Day of September 2015 Last Business Day of September 2015 [Member] Second repurchase date based on the terms of the put agreement. Last Business Day of September 2016 Last Business Day of September 2016 [Member] Third repurchase date based on the terms of the put agreement. Last Business Day of September 2017 Last Business Day of September 2017 [Member] Fourth repurchase date based on the terms of the put agreement. Class of Stock Class of Stock [Line Items] Common stock, shares outstanding Common Stock, Shares, Outstanding Preferred Stock, Shares Outstanding Preferred Stock, Shares Outstanding Reverse stock split, conversion ratio Reverse Stock Split, Conversion Ratio Reverse Stock Split, Conversion Ratio Offering price per share (in usd per share) Share Price Common stock, shares authorized (in shares) Common Stock, Shares Authorized Common stock, votes per share Common Stock , Number of Votes, Per Share Number of votes per share of common stock. Shares sold for initial public offering (in shares) Development Stage Entities, Stock Issued, Shares, Issued for Cash Stock repurchased (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. Gross proceeds from issuance initial public offering Proceeds from Issuance Initial Public Offering Proceeds From Issuance Initial Public Offering, Net of Underwriting Fees and Offering 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. Net proceeds from issuance of common stock Proceeds from Issuance of Common Stock Conversion of stock, shares converted (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. Property, Plant and Equipment [Abstract] Schedule of Property and Equipment [Table] Property, Plant and Equipment [Table] Property and Equipment, Type [Axis] Property, Plant and Equipment, Type [Axis] Property and Equipment, Type [Domain] Property, Plant and Equipment, Type [Domain] Land Land [Member] Building and improvements Building and Building Improvements [Member] Equipment Equipment [Member] Instruments Instruments [Member] Instruments Modules and cases Modules and Cases [Member] Modules and Cases Other property and equipment Property, Plant and Equipment, Other Types [Member] Range [Axis] Range [Axis] Range [Domain] Range [Domain] Minimum Minimum [Member] Maximum Maximum [Member] Property and Equipment 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 Property, Plant and Equipment, Net 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] Statutory U.S. federal tax rate Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent State income taxes, net of federal benefit Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent Domestic production activities deduction Effective Income Tax Rate Reconciliation, Deduction, Qualified Production Activity, Percent Tax credits Effective Income Tax Rate Reconciliation, Tax Credit, Percent Nondeductible expenses and other Effective Income Tax Rate Reconciliation, Nondeductible Expense, Percent Effective tax rate Effective Income Tax Rate Reconciliation, Percent Income 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 Income before income taxes Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Extraordinary Items, Noncontrolling Interest Segment Reporting [Abstract] 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 Revenue from External Customer [Line Items] Total sales Revenue, Net Textuals [Abstract] Textuals [Abstract] Number of reportable segments Number of Reportable Segments Number of product categories Number of product categories Number of product categories. Business Combinations [Abstract] Business Acquisitions Business Combination Disclosure [Text Block] Inventory Disclosure [Abstract] Raw materials Inventory, Raw Materials, Gross Work in process Inventory, Work in Process, Gross Finished goods Inventory, Finished Goods, Net of Reserves Total Inventory, Net Related Party Transactions [Abstract] Related-Party Transactions Related Party Transactions Disclosure [Text Block] Fair Value Disclosures [Abstract] Statement [Table] Statement [Table] Statement [Line Items] Statement [Line Items] 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 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 Segment And Geographic Information Segment Reporting Disclosure [Text Block] 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 Other Assets [Member] Income Tax Examination Income Tax Examination [Line Items] Long term deferred tax asset Deferred Tax Assets, Net, Noncurrent Benefit recorded in 2013 for reinstated 2012 tax credit 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 Leases, Operating [Abstract] Rent expense Operating Leases, Rent Expense, Net Statement of Comprehensive Income [Abstract] Net income Net Income (Loss) Attributable to Parent Other comprehensive income/(loss): Other Comprehensive Income (Loss), Net of Tax [Abstract] Unrealized gain on marketable securities, net of tax Other Comprehensive Income (Loss), Unrealized Holding Gain (Loss) on Securities Arising During Period, Net of Tax Foreign currency translation gain/(loss) 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 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. Schedule of Finite-Lived Intangible Assets, Future Amortization Expense Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] 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] Geographical [Domain] United States UNITED STATES International International [Member] Group of countries excluding the United States and its territories/protectorates. Revenues from External Customers 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. Payables and Accruals [Abstract] Accrued Expenses Accrued Liabilities Disclosure [Text Block] The entire disclosure for accrued liabilities at the end of the reporting period. Equity Stockholders' Equity Note Disclosure [Text Block] 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] Fair Value, Assets Measured on Recurring Basis Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block] Statement of Stockholders' Equity [Abstract] Equity Components [Axis] Equity Components [Axis] Equity Component [Domain] Equity Component [Domain] Convertible Preferred Stock Convertible Preferred Stock [Member] Common Stock Common Stock [Member] Additional Paid-in Capital Additional Paid-in Capital [Member] Accumulated Other Comprehensive Income Accumulated Other Comprehensive Income (Loss) [Member] Retained Earnings Retained Earnings [Member] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Balance, Shares Shares, Outstanding Total stockholders' equity, beginning of period Stockholders' Equity Attributable to Parent Stock-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) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period 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 preferred stock in conjunction with IPO, Converted (shares) Conversion of preferred stock in conjunction with IPO, Converted Conversion of Stock, Amount Converted Conversion of preferred stock in conjunction with IPO, Issued (shares) Conversion of Stock, Shares Issued Conversion of preferred stock in conjunction with IPO, Issued Conversion of Stock, Amount Issued Issuance of common stock from IPO, net of expenses (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 (shares) Purchase of common stock Stock Repurchased During Period, Value Comprehensive income Balance, Shares Total stockholders' equity, end of period Property And Equipment Property, Plant and Equipment [Table Text Block] Schedule Of Depreciation 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. Nondiscretionary employee contribution match rate Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay Maximum annual contribution match, per employee Defined Contribution Plan, Maximum Annual Contributions Per Employee, Amount Maximum annual contribution match, percent per employee Defined Contribution Plan, Maximum Annual Contributions Per Employee, Percent 401(k) and other retirement plan contributions Defined Contribution Plan, Cost Recognized Debt Disclosure [Abstract] 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 Mortgages [Member] Revolving Credit Facility Revolving Credit Facility [Member] Credit Facility [Axis] Credit Facility [Axis] Credit Facility [Domain] Credit Facility [Domain] Letter of Credit 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 Line of Credit, Variable Rate Per Annum [Member] Fluctuating interest rate, as determined by the terms of the credit agreement. Fixed Rate Line of Credit, Fixed Rate [Member] Fixed interest rate, as determined by the terms of the credit agreement. Debt Instruments Debt Instrument [Line Items] Mortgage loan, final balloon payment Debt Instrument, Periodic Payment Terms, Balloon Payment to be Paid Mortgage loan, term Term of Debt Instrument The period, from inception, over which the debt instrument will be repaid. Credit facility, basis spread on variable rate Debt Instrument, Basis Spread on Variable Rate Credit facility, current borrowing capacity Line of Credit Facility, Current Borrowing Capacity Credit facility, maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Credit facility, variable rate Debt Instrument, Description of Variable Rate Basis 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. Commitments and Contingencies Disclosure [Abstract] Commitments and Contingencies [Table] Commitments and Contingencies [Table] Commitments and Contingencies [Table] Litigation Case [Axis] Litigation Case [Axis] Litigation Case Type [Domain] Litigation Case [Domain] Warsaw Orthopedic, Inc Warsaw Orthopedic, Inc [Member] Warsaw Orthopedic, Inc [Member] Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation 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 NuVasive, Inc [Member] NuVasive, Inc [Member] Bianco Bianco [Member] Bianco Altus Partners, LLC Altus Partners LLC [Member] Altus Partners, LLC [Member] Loss Contingency Nature [Axis] Loss Contingency Nature [Axis] Loss Contingency, Nature [Domain] Loss Contingency, Nature [Domain] NUBONE NUBONE [Member] NUBONE [Member] PIVOT Systems PIVOT Systems [Member] Patent Infringement Litigation-PIVOT Systems [Member] Loss Contingencies Commitments and Contingencies [Line Items] Commitments and Contingencies [Line Items] Damages awarded Loss Contingency, Damages Awarded, Value Loss contingency accrual Loss Contingency Accrual Settlement agreement payment Payments for Legal Settlements Patent claims (number of claims) Loss Contingency, Pending Claims, Number Combined litigation loss Combined litigation loss Combined litigation loss. Provision for litigation loss - cost of goods sold Provision for litigation loss - cost of goods sold Total costs of inventory written off related to a litigation loss during the period. Provision for litigation litigation loss/(income) Loss Contingency Accrual, Provision Marketable Securities [Abstract] Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block] Fair Value Disclosures - Valuation [Abstract] Fair Value Disclosures - Valuation [Abstract] Fair Value Inputs, Liabilities, Quantitative Information [Table] Fair Value Inputs, Liabilities, Quantitative Information [Table] Fair Value, Hierarchy [Axis] Fair Value, Hierarchy [Axis] Fair Value Hierarchy [Domain] Fair Value Hierarchy [Domain] Level 3 Fair Value, Inputs, Level 3 [Member] Fair Value Inputs, Liabilities, Quantitative Information Fair Value Inputs, Liabilities, Quantitative Information [Line Items] Discount rate Fair Value Inputs, Discount Rate Disclosure of Compensation Related Costs, Share-based Payments [Abstract] 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 Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross Number of shares exercised 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 [Abstract] 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 Accounts payable to related-party Accounts Payable, Related Parties, Current Purchases from related-party supplier Related Party Transaction, Purchases from Related Party Marketable Securities Available-for-sale Securities [Table Text Block] Expected Future Amortization of Acquired Intangible Assets [Abstract] Expected Future Amortization of Acquired Intangible Assets [Abstract] Finite-Lived Intangible Assets Acquired as Part of Business Combination [Table] Finite-Lived Intangible Assets Acquired as Part of Business Combination [Table] Business Acquisition [Axis] Business Acquisition [Axis] Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] Acquired Finite-Lived Intangible Assets [Line Items] Acquired Finite-Lived Intangible Assets [Line Items] Finite-Lived Intangible Assets, Amortization Expense, Maturity Schedule [Abstract] Finite-Lived Intangible Assets, Amortization Expense, Maturity Schedule [Abstract] Year ending December 31, 2014 Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months Year ending December 31, 2015 Finite-Lived Intangible Assets, Amortization Expense, Year Two Year ending December 31, 2016 Finite-Lived Intangible Assets, Amortization Expense, Year Three Year ending December 30, 2017 Finite-Lived Intangible Assets, Amortization Expense, Year Four Year ending December 31, 2018 Finite-Lived Intangible Assets, Amortization Expense, Year Five Thereafter Finite-Lived Intangible Assets, Amortization Expense, after Year Five Finite-lived intangible assets, net 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 Reassessment Fair Value of Common Stock [Member] Reassessed fair value of common stock. Original Fair Value of Common Stock 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 2012 Equity Incentive Plan [Member] 2012 Equity Incentive Plan. February 2, 2012 Grant February 2, 2012 Grant [Member] February 2, 2012 Grant. March 28, 2012 Grant March 28, 2012 Grant [Member] March 28, 2012 Grant. Award Type [Axis] Award Type [Axis] Award Type [Domain] Equity Award [Domain] Stock Options Employee Stock Option [Member] Share-based Compensation Arrangement by Share-based Payment Award Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Shares reserved under the 2012 Equity Incentive 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, Compensation Cost Not yet Recognized Weighted average period of recognition, unvested stock options Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition Debt Debt Disclosure [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 Class A Common Class B Common Class C Common Common stock, shares outstanding Common stock, shares issued Common Stock, Shares, Issued Schedule of Issued and Outstanding Shares by Class Schedule of Stock by Class [Table Text Block] Contingent Consideration Payment [Roll Forward] Contingent Consideration Payment [Roll Forward] Contingent Consideration Payment [Roll Forward] Business Combination, Contingent Consideration, Liability Business Combination, Contingent Consideration, Liability 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 Contingent payments Business Acquisition, Contingent Consideration, Milestone Payment Contingent payments resulting from business acquisition transactions. 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 Business Combination, Contingent Consideration, Liability Schedule of Business Acquisitions, by Acquisition [Table] Schedule of Business Acquisitions, by Acquisition [Table] Customer Relationships Customer Relationships [Member] Non-compete Agreements Noncompete Agreements [Member] Acquisition 2013 Acquisitions 2013 [Member] Acquisitions 2013 Acquisition 2012 Acquisitions 2012 [Member] Acquisitions 2012 [Member] Acquisitions 2011 Acquisitions 2011 [Member] Acquisitions 2011 [Member] Business Acquisition Business Acquisition [Line Items] Inventory Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory Identifiable intangible assets: Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Current liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other Contingent consideration Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability Other noncurrent liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities Total identifiable net assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net Goodwill Goodwill Net assets acquired Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net Background and Summary of Significant Accounting Policies Business Description and Accounting Policies [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 Derivative [Table] Derivative [Table] Derivative Instrument Risk [Axis] Derivative Instrument [Axis] Derivative Contract Type [Domain] Derivative Contract [Domain] Derivative [Line Items] Derivative [Line Items] Summary of Significant Accounting Policies [Table] Summary of Significant Accounting Policies [Table] Summary of Significant Accounting Policies [Table] Nature of Expense [Axis] Nature of Expense [Axis] Interim Period, Costs Not Allocable [Domain] Interim Period, Costs Not Allocable [Domain] Cost of Goods, Total Cost of Goods, Total [Member] Summary of Significant Accounting Policies 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 Estimated useful life of finite-lived intangible assets Advertising expense Advertising Expense Board approved reverse stock split ratio Medical Device Excise Tax Percentage Medical Device Excise Tax Percentage The percentage of Medical Device Excise Tax applied to domestic sales of certain medical devices. Medical Device Excise Tax Medical Device Excise Tax The dollar amount of the Medical Device Excise Tax recognized in the statement of income. Leases Operating Leases of Lessee Disclosure [Table Text Block] Schedule of Assets Acquired and Liabilities Assumed Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Contingent Consideration Rollforward Activity Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block] Income Taxes Income Tax Disclosure [Text Block] Accrued Expenses Schedule of Accrued Liabilities [Table Text Block] Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] 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. Current Income Tax Expense Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Current income tax provision, federal Current Federal Tax Expense (Benefit) Current income tax provision, state 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) Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Deferred income tax provision/(benefit), federal Deferred Federal Income Tax Expense (Benefit) Deferred income tax (benefit), state Deferred State and Local Income Tax Expense (Benefit) Deferred income tax provision/(benefit), foreign Deferred Foreign Income Tax Expense (Benefit) Deferred income tax provision/(benefit) Deferred Income Tax Expense (Benefit) Income tax provision, total Income Tax Expense (Benefit) Fair Value Measurements Fair Value Disclosures [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, Intrinsic Value Valuation and Qualifying Accounts [Abstract] 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] Valuation and Qualifying Accounts Disclosure Valuation and Qualifying Accounts Disclosure [Line Items] Summary of Valuation Allowance [Table Text Block] Summary of Valuation Allowance [Table Text Block] Sales Gross Profit Gross Profit Net earnings per common share - basic Earnings Per Share, Basic Net earnings per common share - dilutive Earnings Per Share, Diluted Schedule of Marketable Securities [Table] Schedule of Available-for-sale Securities [Table] Short-term Marketable Securities Short-term Investments [Member] Long-term Marketable Securities Other Long-term Investments [Member] Major Types of Debt and Equity Securities [Axis] Major Types of Debt and Equity Securities [Axis] Major Types of Debt and Equity Securities [Domain] Major Types of Debt and Equity Securities [Domain] Municipal Bonds Municipal Bonds [Member] Corporate Debt Securities Corporate Debt Securities [Member] Commercial Paper Commercial Paper [Member] Asset-backed Securities Asset-backed Securities [Member] Schedule of Marketable Securities Schedule of Available-for-sale Securities [Line Items] Marketable Securities, Contractual Maturity Available For Sale Securities Contractual Maturity Contractual maturity (in years) of available for sale debt securities. Marketable Securities, Amortized Cost Basis Available-for-sale Securities, Amortized Cost Basis Marketable Securities, Gross Unrealized Gain Available-for-sale Securities, Gross Unrealized Gain Marketable Securities, Gross Unrealized Loss Available-for-sale Securities, Gross Unrealized Loss Marketable Securities, Fair Value Available-for-sale Securities Schedule of Inventory Schedule of Inventory, Current [Table Text Block] Company Contributions To Retirement Benefit Plans Schedule of Costs of Retirement Plans [Table Text Block] Schedule of Related Party Transactions Schedule of Related Party Transactions [Table Text Block] 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] Stock-Based Compensation Disclosure of Compensation Related Costs, Share-based Payments [Text Block] Statement of Cash Flows [Abstract] Cash flows from operating activities: Net Cash Provided by (Used in) Operating Activities [Abstract] 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 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] Purchases of marketable securities Payments to Acquire Investments Maturities of marketable securities Proceeds from Maturities, Prepayments and Calls of Available-for-sale Securities Sales of marketable securities Proceeds from Sale of Available-for-sale Securities 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 Purchase of common stock Payments for Repurchase of Common Stock Excess tax benefit related to nonqualified stock options Excess Tax Benefit 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/(decrease) 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 Other Noncurrent Liabilities Other Noncurrent Liabilities [Member] 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. 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 Net assets acquired 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 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] Common stock, par value (in usd per share) Common Stock, Par or Stated Value Per Share Deferred Tax Assets, Net, Noncurrent 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 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 Fair Value, Measurements, Recurring [Member] Fair Value, Measurements, Fair Value Hierarchy [Domain] Estimate of Fair Value Measurement Estimate of Fair Value Measurement [Member] Level 1 Fair Value, Inputs, Level 1 [Member] Level 2 Fair Value, Inputs, Level 2 [Member] Fair Value, Assets and Liabilities Measured on Recurring Basis 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 Financial and Nonfinancial Liabilities, Fair Value Disclosure ASSETS Assets [Abstract] Cash and cash equivalents Short-term marketable securities Available-for-sale Securities, Current Accounts receivable, net of allowances of $1,581 and $961, respectively Accounts Receivable, Net, Current Inventories 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 Long-term marketable securities Available-for-sale Securities, Noncurrent Other assets Other Assets, Noncurrent Total assets Assets LIABILITIES AND EQUITY Liabilities and Equity [Abstract] Accounts payable Accounts Payable, Current Accrued expenses Accrued Liabilities, Current 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 Common stock; $0.001 par value. Authorized 785,000 shares; issued and outstanding 93,443 and 91,270 shares at December 31, 2013 and 2012, 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 Total liabilities and equity Liabilities and Equity Allowance for doubtful accounts Allowance for Doubtful Accounts [Member] Deferred tax valuation allowance Valuation Allowance of Deferred Tax Assets [Member] 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 Valuation Accounts and Qualifying Accounts Schedule of Valuation and Qualifying Accounts Disclosure [Text Block] Year ending December 31, 2014 Operating Leases, Future Minimum Payments Due, Next Twelve Months Year ending December 31, 2015 Operating Leases, Future Minimum Payments, Due in Two Years Year ending December 31, 2016 Operating Leases, Future Minimum Payments, Due in Three Years Year ending December 31, 2017 Operating Leases, Future Minimum Payments, Due in Four Years Year ending December 31, 2018 Operating Leases, Future Minimum Payments, Due in Five Years Thereafter Operating Leases, Future Minimum Payments, Due Thereafter Total Operating Leases, Future Minimum Payments Due 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 Total operating expenses Operating Expenses Operating income Operating Income (Loss) Other income/(expense), net Other Nonoperating Income (Expense) Income tax provision Net income Earnings per share: Earnings Per Share [Abstract] Basic Diluted Weighted average shares outstanding: Weighted Average Number of Shares Outstanding, Diluted [Abstract] Basic Weighted Average Number of Shares Outstanding, Basic Dilutive stock options Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements Diluted Weighted Average Number of Shares Outstanding, Diluted Anti-dilutive stock equivalents excluded from weighted average calculation Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Property And Equipment Property, Plant and Equipment Disclosure [Text Block] Compensation and other employee-related costs Employee-related Liabilities, 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). Accrued non-income taxes Sales and Excise Tax Payable, Current Other Other Accrued Liabilities, Current Total accrued expenses Inventories Inventory Disclosure [Text Block] Schedule of Quarterly Financial Information Schedule of Quarterly Financial Information [Table Text Block]