Segment Reporting [Abstract]
Segment And Geographic Information
Segment Reporting Disclosure [Text Block]
Fair Value Disclosures [Abstract]
Fair Value Measurements
Fair Value Disclosures [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]
Common stock, par value
Common Stock, Par or Stated Value Per Share
Common stock, shares authorized
Common Stock, Shares Authorized
Common stock, shares issued
Common Stock, Shares, Issued
Common stock, shares outstanding
Common Stock, Shares, Outstanding
Fair Value, Assets Measured on Recurring Basis
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Payables and Accruals [Abstract]
Accrued Expenses
Accrued Liabilities Disclosure [Text Block]
The entire disclosure for accrued liabilities at the end of the reporting period.
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
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]
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.
Schedule of Revenue from External Customers by Geographical Area
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]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding
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
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
Number of shares exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
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
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
BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]
BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]
Background and Summary of Significant Accounting Policies
Business Description and Accounting Policies [Text Block]
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
Deferred income taxes
Deferred Income Tax Expense (Benefit)
(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 business
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]
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
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 and Preferred Stock
Proceeds From Issuance of Common and Preferred Stock
Excess tax benefit related to nonqualified stock options
Excess Tax Benefit from Share-based Compensation, Financing Activities
Net cash provided by 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
Intangible Assets, Net (Excluding Goodwill) [Abstract]
Intangible Assets Disclosure
Intangible Assets Disclosure [Text Block]
IPO [Abstract]
IPO [Abstract]
Statement [Table]
Statement [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]
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
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
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]
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]
Class of Stock [Axis]
Class of Stock [Axis]
Class of Stock [Domain]
Class of Stock [Domain]
Common Class A
Common Class A [Member]
IPO Transacation
Statement [Line Items]
Shares sold for initial public offering
Development Stage Entities, Stock Issued, Shares, Issued for Cash
Offering price per share (USD)
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
Conversion of stock, shares converted
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.
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.
Total sales
Revenue, Net
Debt Disclosure [Abstract]
Debt
Debt Disclosure [Text Block]
Accumulated Other Comprehenseive Income [Abstract]
Accumulated Other Comprehenseive Income [Abstract]
Other Comprehensive Income Location [Axis]
Other Comprehensive Income Location [Axis]
Other Comprehensive Income Location [Domain]
Other Comprehensive Income Location [Domain]
Foreign Currency Translation Adjustment
Accumulated Translation Adjustment [Member]
Unrealized Gain/(Loss) on Marketable Securities, Net of Tax
Accumulated Net Unrealized Investment Gain (Loss) [Member]
Statement
Accumulated other comprehensive loss, net of tax
Accumulated Other Comprehensive Income (Loss), Net of Tax
Other comprehensive income/(loss) before reclassifications
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax
Amounts reclassified from accumulated other comprehensive income/(loss), net of tax
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax
Other comprehensive income/(loss), net of tax
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Related Party Transactions [Abstract]
Accounts payable to related party
Accounts Payable, Related Parties, Current
Purchases from related-party supplier
Related Party Transaction, Purchases from Related Party
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
Business Combinations [Abstract]
Schedule of Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Acquisition [Axis]
Business Acquisition [Axis]
Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Acquisitions 2012
Acquisitions 2012 [Member]
Acquisitions 2012 [Member]
Acquisition
Business Acquisition [Line Items]
Aggregate purchase price paid for acquisitions at closing
Payments to Acquire Businesses, Gross
Goodwill
Goodwill
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
Accumulated Other Comprehensive Income [Abstract]
Accumulated Other Comprehensive Income
Accumulated Other Comprehensive Income (Loss), Net of Tax
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Income Tax Disclosure [Abstract]
Income Taxes
Income Tax Disclosure [Text Block]
Income Statement [Abstract]
Sales
Cost of goods sold
Cost of Goods Sold
Provision for litigation loss
Provision for litigation loss - cost of goods sold
Total costs of inventory written off related to a litigation loss during the period.
Gross profit
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 loss/(income)
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:
Earnings Per Share [Abstract]
Basic
Earnings Per Share, Basic
Diluted
Earnings Per Share, 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
Related Party Transactions
Related Party Transactions Disclosure [Text Block]
Marketable Securities [Abstract]
Marketable Securities
Available-for-sale Securities [Table Text Block]
Intangible Assets [Abstract]
Intangible Assets [Abstract]
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.
Fair Value Measurements, Recurring and Nonrecurring [Table]
Fair Value Measurements, Recurring and Nonrecurring [Table]
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]
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, Hierarchy [Axis]
Fair Value, Hierarchy [Axis]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy [Domain]
Estimate of Fair Value, Fair Value Disclosure
Estimate of Fair Value Measurement [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
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.
Marketable Securities
Available-for-sale Securities
Contingent consideration
Financial and Nonfinancial Liabilities, Fair Value Disclosure
Equity [Abstract]
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Class A Common
Class B Common
Common Class B [Member]
Class of Stock
Class of Stock [Line Items]
Common stock, shares outstanding
Schedule of Marketable Securities [Table]
Schedule of Available-for-sale Securities [Table]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Short-term Marketable Securities
Short-term Investments [Member]
Long-term Marketable Securities
Other Long-term Investments [Member]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [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 Gains
Available-for-sale Securities, Gross Unrealized Gain
Marketable Securities, Gross Unrealized Losses
Available-for-sale Securities, Gross Unrealized Loss
Marketable Securities, Fair Value
ASSETS
Assets [Abstract]
Cash and cash equivalents
Short-term marketable securities
Available-for-sale Securities, Current
Accounts receivable, net of allowances of $1,238 and $961, 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
Long-term marketable securities
Available-for-sale Securities, Noncurrent
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
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 11)
Commitments and Contingencies
Common stock; $0.001 par value. Authorized 785,000 shares; issued and outstanding 93,225 and 91,270 shares at September 30, 2013 and December 31, 2012
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital
Accumulated other comprehensive loss
Retained earnings
Retained Earnings (Accumulated Deficit)
Total equity
Stockholders' Equity Attributable to Parent
Total liabilities and equity
Liabilities and Equity
Accrued Expenses
Schedule of Accrued Liabilities [Table Text Block]
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Marketable Securities
Investment, Policy [Policy Text Block]
Inventories
Inventory, Policy [Policy Text Block]
Revenue Recognition
Revenue Recognition, 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]
Schedule of Related Party Transactions
Schedule of Related Party Transactions [Table Text Block]
Increase (Decrease) in Stockholders' Equity
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Total stockholders' equity, beginning of period
Stock-based compensation
Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition
Exercise of stock options
Stock Issued During Period, Value, Stock Options Exercised
Excess tax benefit of nonqualified stock options
Adjustments to Additional Paid in Capital, Income Tax Benefit from Share-based Compensation
Other comprehensive income/(loss)
Total stockholders' equity, end of period
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Plan Name [Axis]
Plan Name [Axis]
Plan Name [Domain]
Plan Name [Domain]
2003 Stock Plan
2003 Stock Plan [Member]
Amended and Restated 2003 Stock Plan.
2003 and 2008 Stock Plans
2003 and 2008 Stock Plans [Member]
Combination of the Amended and Restated 2003 Stock Plan and the 2008 Stock Plan.
2012 Equity Incentive Plan
2012 Equity Incentive Plan [Member]
2012 Equity Incentive Plan.
Award Type [Axis]
Award Type [Axis]
Award Type [Domain]
Equity Award [Domain]
Stock Options
Employee Stock Option [Member]
Common Class B
Common Class C
Common Class C [Member]
Share-based Compensation Arrangement by Share-based Payment Award
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.
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
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 & 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
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
Finite-lived intangible assets, net
Finite-Lived Intangible Assets, Net
Marketable Securities
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
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]
Revolving Credit Facility [Member]
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 Instrument
Debt Instrument [Line Items]
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, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
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.
Statement of Comprehensive Income [Abstract]
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)
Comprehensive Income
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Effective income tax rate
Effective Income Tax Rate Reconciliation, Percent
Tax credit applicable to 2012 recognized in 2013 due to retroactive change in tax law
Effective Income Tax Rate Reconciliation, Change in Enacted Tax Rate, Amount
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]
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. Litigation
NuVasive, Inc [Member]
NuVasive, Inc [Member]
Altus Partners, LLC Litigation
Altus Partners LLC [Member]
Altus Partners, LLC [Member]
N-Spine and Synthes Litigation
N-Spine and Synthes Litigation [Member]
N-Spine and Synthes Litigation
Loss Contingencies
Commitments and Contingencies [Line Items]
Commitments and Contingencies [Line Items]
Loss Contingency, Pending Claims, Number
Loss Contingency, Pending Claims, Number
Monetary damanges (from jury verdict)
Loss Contingency, Damages Awarded, Value
Total damages and other litigation-related costs
Combined litigation loss
Combined litigation loss.
Provision for litigation loss (cost of goods sold)
Provision for litigation loss (operating expense)
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
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies [Table]
Adjustments for Error Corrections [Axis]
Adjustments for Error Corrections [Axis]
Adjustments for Error Correction [Domain]
Adjustments for Error Correction [Domain]
Adjustment for Immaterial Error Correction
Restatement Adjustment [Member]
Nature of Expense [Axis]
Nature of Expense [Axis]
Operating Costs [Domain]
Operating Costs [Domain]
Operating Costs [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]
Increase/(decrease) in income taxes payable
Excess tax benefit related to nonqualified stock options
Net cash provided by operating activities
Net cash provided by financing activities
Number of Products Launched Since Inception
Number of Products Launched Since Inception
Number of products launched since inception.
Reverse Stock Split Proposed Conversion Ratio
Reverse Stock Split Proposed Conversion Ratio
Proposed conversion ratio for the reverse stock split.
Board approved reverse stock split ratio
Reverse Stock Split, Conversion Ratio
Reverse Stock Split, Conversion 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.
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]
Textuals [Abstract]
Textuals [Abstract]
Number of reportable segments
Number of Reportable Segments
Number of product categories
Number of product categories
Number of product categories.
Acquisitions
Business Combination Disclosure [Text Block]
DEI [Abstract]
DEI [Abstract]
Document Information [Table]
Document Information [Table]
Document Information, Document [Axis]
Document Information, Document [Axis]
Document [Domain]
Document [Domain]
Document Information [Line Items]
Document Information [Line Items]
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
Schedule of Issued and Outstanding Shares by Class
Schedule of Stock by Class [Table Text Block]
Schedule of Stockholders Equity
Schedule of Stockholders Equity [Table Text Block]
Equity
Stockholders' Equity Note Disclosure [Text Block]
Stock-Based Compensation
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Common stock, votes per share
Common Stock , Number of Votes, Per Share
Number of votes per share of common stock.