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, opening balance Unrecognized Tax Benefits Gross increases in tax positions taken in a prior year Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions Gross increases in tax positions taken in the current year Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions Lapse of applicable statute of limitations Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations Unrecognized tax benefits, ending balance Goodwill and Intangible Assets Disclosure [Abstract] Schedule of Finite-Lived Intangible Assets by Major Class [Table] Schedule of Finite-Lived Intangible Assets [Table] Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets, Major Class Name [Domain] Finite-Lived Intangible Assets, Major Class Name [Domain] Other Other Intangible Assets [Member] Patents Patents [Member] Distribution agreements Distribution Rights [Member] License agreements Licensing Agreements [Member] Trademarks Trademarks [Member] Covenants not to compete Noncompete Agreements [Member] Customer lists Customer Lists [Member] Royalty agreements Royalty Agreements [Member] Finite-Lived Intangible Assets [Line Items] Finite-Lived Intangible Assets [Line Items] Gross Carrying Amount Finite-Lived Intangible Assets, Gross Accumulated Amortization Finite-Lived Intangible Assets, Accumulated Amortization Net Carrying Amount Finite-Lived Intangible Assets, Net Subsequent Events [Abstract] Subsequent Events Subsequent Events [Text Block] 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] Allowance for Doubtful Accounts Allowance for Doubtful Accounts [Member] Tax Valuation Allowance Valuation Allowance of Deferred Tax Assets [Member] Valuation and Qualifying Accounts Disclosure [Line Items] Valuation and Qualifying Accounts Disclosure [Line Items] Movement in Valuation Allowances and Reserves [Roll Forward] Movement in Valuation Allowances and Reserves [Roll Forward] Balance at Beginning of Year Valuation Allowances and Reserves, Balance Additions Charged to Costs and Expenses Valuation Allowances and Reserves, Additions for Charges to Cost and Expense Deduction Valuation Allowances and Reserves, Deductions Additions due to acquisitions Valuation Allowances and Reserves, Additions for Adjustments Balance at End of Year Business Combinations [Abstract] Schedule of Business Acquisitions, by Acquisition [Table] Schedule of Business Acquisitions, by Acquisition [Table] Related Party [Axis] Related Party [Axis] Related Party [Domain] Related Party [Domain] Investee Investee [Member] Limited Liability Company Limited Liability Company [Member] Segments [Axis] Segments [Axis] Segments [Domain] Segments [Domain] Cardiovascular Segment Cardiovascular Segment [Member] Cardiovascular Segment [Member] Receivable Type [Axis] Receivable Type [Axis] Receivable [Domain] Receivable [Domain] Loans Receivable Loans Receivable [Member] Investments by Category [Axis] Investments by Category [Axis] Marketable Securities and Investments Held at Cost [Domain] Marketable Securities and Investments Held at Cost [Domain] Cost-method Investments Cost-method Investments [Member] Counterparty Name [Axis] Counterparty Name [Axis] Counterparty Name [Domain] Counterparty Name [Domain] Bluegrass Vascular Technologies, Inc. Bluegrass Vascular Technologies, Inc. [Member] Bluegrass Vascular Technologies, Inc. [Member] Cagent Vascular, LLC Cagent Vascular, LLC [Member] Cagent Vascular, LLC [Member] Medical Company 1 Medical Company 1 [Member] Medical Company 1 [Member] Blockade Medical LLC Blockade Medical LLC [Member] Blockade Medical LLC [Member] LeMaitre Vascular, Inc. LeMaitre Vascular, Inc. [Member] LeMaitre Vascular, Inc. [Member] Catch Medical, LLC Catch Medical, LLC [Member] Catch Medical, LLC [Member] Distal Access, LLC Distal Access, LLC [Member] Distal Access, LLC [Member] Teleflex Incorporated Teleflex Incorporated [Member] Teleflex Incorporated [Member] Catheter Connections, Inc. Catheter Connections, Inc. [Member] Catheter Connections, Inc. [Member] Medical Company 2 Medical Company 2 [Member] Medical Company 2 [Member] Medical Company 3 Medical Company 3 [Member] Medical Company 3 [Member] Loss Contingency Nature [Axis] Loss Contingency Nature [Axis] Loss Contingency, Nature [Domain] Loss Contingency, Nature [Domain] Additional Payments for License Agreement Milestone Additional Payments for License Agreement Milestone [Member] Additional Payments for License Agreement Milestone [Member] Finite-Lived Intangible Assets by Major Class [Axis] Developed technology Developed Technology Rights [Member] Customer Lists Business Acquisition [Axis] Business Acquisition [Axis] Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] DFINE, Inc. DFINE, Inc. [Member] DFINE, Inc. [Member] HeRO®Graft HeRO®Graft [Member] HeRO®Graft [Member] Xablecath Inc. Xablecath Inc. [Member] Xablecath Inc. [Member] Quellent, LLC Quellent, LLC [Member] Quellent, LLC [Member] Limited Liability Company Limited Liability Company Acquisition [Member] Limited Liability Company Acquisition [Member] GMedix GMedix [Member] GMedix [Member] Business Acquisition [Line Items] Business Acquisition [Line Items] Payments to acquire investment Payments to Acquire Investments Number of units acquired Cost Method Investments, Interest Acquired, Number of Units Cost Method Investments, Interest Acquired, Number of Units Percent owned Cost Method Investments, Ownership Percentage Cost Method Investments, Ownership Percentage Cost method investment Cost Method Investments Intangible Assets Useful life Finite-Lived Intangible Asset, Useful Life Consideration paid Business Combination, Consideration Transferred Consideration paid related to net working capital adjustment Business Combination, Consideration Transferred, Other Reduction of purchase price Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred Measurement period adjustment, reduction in inventories Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Inventory Measurement period adjustment, reduction in property and equipment Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Property, Plant, and Equipment Measurement period adjustment, reduction in goodwill Goodwill, Purchase Accounting Adjustments Measurement period adjustment, reduction in accrued expenses Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Accrued Expenses Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Accrued Expenses Measurement period adjustment, increase in deferred tax liabilities Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities Acquisition-related costs Business Combination, Acquisition Related Costs Net sales related to acquisition Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual Trade receivables acquired, gross Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables Gross Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables Gross Trade receivables, expected to be uncollectible Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables, Allowance for Doubtful Accounts Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables, Allowance for Doubtful Accounts Weighted average useful life Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Income since acquisition date Business Combination, Pro Forma Information, Earnings or Loss of Acquiree since Acquisition Date, Actual Payments to acquire intangible assets Payments to Acquire Intangible Assets License agreements Finite-Lived License Agreements, Gross Accrued purchase obligation Acquisition Purchases in Accrued Expenses Acquisition Purchases in Accrued Expenses Noncurrent contingent consideration Business Combination, Contingent Consideration, Liability, Noncurrent Goodwill acquired Goodwill, Acquired During Period Acquired in-process research and development Research and Development Asset Acquired Other than Through Business Combination, Written-off Long term purchase obligations Acquisition Purchases in Long-term Obligations Acquisition Purchases in Long-term Obligations Future payments under agreement Future Payments Under Purchase Agreement Future Payments Under Purchase Agreement Contingent liability Business Combination, Contingent Consideration, Liability Liabilities incurred Finite-lived Intangible Assets Acquired, Liabilities Incurred Finite-lived Intangible Assets Acquired, Liabilities Incurred Intangible assets Intangible Assets, Net (Excluding Goodwill) Cash paid in acquisitions, net of cash acquired Payments to Acquire Businesses, Net of Cash Acquired Schedule of Income before Income Tax, Domestic and Foreign Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block] Schedule of Components of Income Tax Expense (Benefit) Schedule of Components of Income Tax Expense (Benefit) [Table Text Block] Schedule of Effective Income Tax Rate Reconciliation Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] Schedule of Deferred Tax Assets and Liabilities Schedule of Deferred Tax Assets and Liabilities [Table Text Block] Summary of Income Tax Contingencies Summary of Income Tax Contingencies [Table Text Block] Organization, Consolidation and Presentation of Financial Statements [Abstract] Use of Estimates in Preparing Financial Statements Use of Estimates, Policy [Policy Text Block] Principles of Consolidation Consolidation, Policy [Policy Text Block] Cash and Cash Equivalents Cash and Cash Equivalents, Policy [Policy Text Block] Receivables Receivables, Policy [Policy Text Block] Inventories Inventory, Policy [Policy Text Block] Goodwill and Intangible Assets Goodwill and Intangible Assets, Policy [Policy Text Block] Long-Lived Assets Impairment or Disposal of Long-Lived Assets, Policy [Policy Text Block] Property and Equipment Property, Plant and Equipment, Policy [Policy Text Block] Deferred Compensation Deferred compensation policy text block [Policy Text Block] Disclosure of accounting policy for deferred compensation plan. Other Assets Other Assets Policy Text Block [Policy Text Block] Disclosure of accounting policy for other assets which are expected to be realized or consumed after on year (or the normal operating cycle, if longer). Deferred Credits Deferred credits [Policy Text Block] Disclosure of accounting policy for deferred credits consisting of grant money received. Revenue Recognition Revenue Recognition, Policy [Policy Text Block] Shipping and Handling Shipping and Handling Cost, Policy [Policy Text Block] Cost of Sales Cost of Sales, Policy [Policy Text Block] Research and Development Research and Development Expense, Policy [Policy Text Block] Income Taxes Income Tax, Policy [Policy Text Block] Earnings per Common Share Earnings Per Share, Policy [Policy Text Block] Fair Value Measurements Fair Value of Financial Instruments, Policy [Policy Text Block] Stock-Based Compensation Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block] Concentration of Credit Risk Concentration of Credit Risk [Policy Text Block] Disclosure of accouting policy for concentration of credit risk. Foreign Currency Foreign Currency Transactions and Translations Policy [Policy Text Block] Derivatives Derivatives, Policy [Policy Text Block] Recently Issued Financial Accounting Standards New Accounting Pronouncements and Changes in Accounting Principles [Text Block] Segment Reporting [Abstract] Schedule of Revenues from External Customers and Long-Lived Assets [Table] Schedule of Revenues from External Customers and Long-Lived Assets [Table] Geographical [Axis] Geographical [Axis] Geographical [Domain] Geographical [Domain] United States UNITED STATES Ireland IRELAND Other Foreign Countries Non-US Excluding Ireland [Member] Non-US Countries Excluding Ireland Revenues from External Customers and Long-Lived Assets [Line Items] Revenues from External Customers and Long-Lived Assets [Line Items] Long-lived assets Long-Lived Assets Debt Disclosure [Abstract] 2017 Long-term Debt, Maturities, Repayments of Principal in Next Twelve Months 2018 Long-term Debt, Maturities, Repayments of Principal in Year Two 2019 Long-term Debt, Maturities, Repayments of Principal in Year Three 2020 Long-term Debt, Maturities, Repayments of Principal in Year Four 2021 Long-term Debt, Maturities, Repayments of Principal in Year Five Total long-term debt Long-term Debt, Gross Disclosure of Compensation Related Costs, Share-based Payments [Abstract] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Award Type [Axis] Award Type [Axis] Award Type [Domain] Equity Award [Domain] Stock Options Employee Stock Option [Member] Performance Shares Performance Shares [Member] Range [Axis] Range [Axis] Range [Domain] Range [Domain] Minimum Minimum [Member] Maximum Maximum [Member] Plan Name [Axis] Plan Name [Axis] Plan Name [Domain] Plan Name [Domain] 2006 Incentive Plan Long Term Incentive Plan 2006 [Member] 2006 Long Term Incentive Plan Employee Stock Purchase Plan Qualified Employee Stock Purchase Plan Qualified [Member] Employee Stock Purchase Plan - Qualified Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Award vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Option contractual life Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period Shares available for grant (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant Purchase price for ESPP, percent of market price Share Based Compensation Arrangement Employee Stock Purchase Plan Percentage of Market Price Purchase Date Share Based Compensation Arragement Employee Stock Purchase Plan, Percentage of Market Price. Purchase Date Compensation cost not yet recognized Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized Compensation cost not yet recognized, period of recognition Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition Options granted in period (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures Fair value of options, net of forfeitures Fair Value Of Stock Option On Grant Date Net Of Forfeitures Fair Value Of Stock Option On Grant Date Net Of Forfeitures Options granted in period, weighted average grant date fair value (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value 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] Cash Flow Hedges Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, before Tax Less income tax benefit (expense) Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, Tax Foreign currency translation adjustment Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Gain (Loss), before Reclassification and Tax Less income tax benefit (expense) Other Comprehensive Income (Loss), Foreign Currency Translation Gain (Loss) Arising During Period, Tax Total other comprehensive income (loss) Other Comprehensive Income (Loss), Net of Tax Total comprehensive income Comprehensive Income (Loss), Net of Tax, Including Portion Attributable to Noncontrolling Interest Line of Credit Facility [Table] Line of Credit Facility [Table] Credit Facility [Axis] Credit Facility [Axis] Credit Facility [Domain] Credit Facility [Domain] Term Loan Term Loan [Member] Term Loan [Member] Revolving Credit Facility Revolving Credit Facility [Member] Line of Credit Facility [Line Items] Line of Credit Facility [Line Items] Total long-term debt Long-term Debt Less debt issuance costs Debt Issuance Costs, Net Less current portion Long-term Debt, Current Maturities Long-term portion Long-term Debt, Excluding Current Maturities Quarterly Financial Information Disclosure [Abstract] Net sales Sales Revenue, Goods, Net Gross profit Gross Profit Income from operations Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest Income tax expense Income Tax Expense (Benefit) Basic (in dollars per share) Earnings Per Share, Basic Diluted (in dollars per share) Earnings Per Share, Diluted Derivative Instruments and Hedging Activities Disclosure [Abstract] Derivatives Derivative Instruments and Hedging Activities Disclosure [Text Block] Computed federal income tax expense at statutory rate of 35% Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount State income taxes Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount Tax credits Effective Income Tax Rate Reconciliation, Tax Credit, Research, Amount Production activity deduction Effective Income Tax Rate Reconciliation, Deduction, Qualified Production Activity, Amount Foreign tax rate differential Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount Uncertain tax positions Effective Income Tax Rate Reconciliation, Tax Contingency, Amount Deferred compensation insurance assets Effective Income Tax Rate Reconciliation, Tax Exempt Income, Amount Transaction-related expenses Effective Income Tax Rate Reconciliation, Nondeductible Expense, Amount Other — including the effect of graduated rates Effective Income Tax Rate Reconciliation, Other Adjustments, Amount Total income tax expense Revolving Credit Facility and Long-Term Debt Debt Disclosure [Text Block] Revenue from External Customers by Products and Services [Table] Revenue from External Customers by Products and Services [Table] Endoscopy Segment Endoscopy Segment [Member] Endoscopy Segment Products and Services [Axis] Products and Services [Axis] Products and Services [Domain] Products and Services [Domain] Stand Alone Devices Stand Alone Devices [Member] Stand Alone Devices [Member] Custom Kit And Procedures Trays Custom Kit And Procedures Trays [Member] Custom Kit And Procedures Trays [Member] Inflation Devices Inflation Devices [Member] Inflation Devices [Member] Catheters Catheters [Member] Catheters [Member] Embolization Devices Embolization Devices [Member] Embolization Devices [Member] Electrophysiology Electrophysiology [Member] Electrophysiology [Member] Endoscopy Devices Endoscopy Devices [Member] Endoscopy Devices [Member] Revenue from External Customer [Line Items] Revenue from External Customer [Line Items] % Change Sales By Business Segment % Change Current Year vs Prior Year Sales By Business Segment % Change Current Year vs Prior Year Net Sales Reconciliation of Assets from Segment to Consolidated [Table] Reconciliation of Assets from Segment to Consolidated [Table] Segment Reporting, Asset Reconciling Item [Line Items] Segment Reporting, Asset Reconciling Item [Line Items] Assets Assets Depreciation and amortization Depreciation, Depletion and Amortization Capital expenditures Payments to Acquire Property, Plant, and Equipment Employee Stock Purchase Plan Stock Options and Warrants Disclosure of Compensation Related Costs, Share-based Payments [Text Block] Acquisitions Business Combination Disclosure [Text Block] Defined Contribution Pension and Other Postretirement Plans Disclosure [Abstract] Defined Contribution Plan [Table] Defined Contribution Plan [Table] Title of Individual [Axis] Title of Individual [Axis] Relationship to Entity [Domain] Relationship to Entity [Domain] Management Management [Member] Non-US Non-US [Member] Defined Contribution Plan Disclosure [Line Items] Defined Contribution Plan Disclosure [Line Items] Minimum age for participation Defined Contribution Plan, Minimum Age Requirement US Full Time Employees Minimum Years Of Age Minimum time at the company for participation Defined Contribution Plan, Minimum Service Requirement The Plan has a 90 day minimum service requirement Total paid into 401(k) Defined Contribution Plan, Cost Recognized Employer matching, percent of gross pay Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay Schedule of Segment Reporting Information, by Segment [Table] Schedule of Segment Reporting Information, by Segment [Table] Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Operating expenses Operating Expenses Operating income (loss) Operating Income (Loss) Total other expense - net Nonoperating Income (Expense) NET INCOME Fair Value Disclosures [Abstract] Fair Value Measurements, Recurring and Nonrecurring [Table] Fair Value Measurements, Recurring and Nonrecurring [Table] Asset Class [Axis] Asset Class [Axis] Asset Class [Domain] Asset Class [Domain] Contingent Consideration Contingent Consideration [Member] Contingent Consideration [Member] Contingent Consideration by Type [Axis] Contingent Consideration by Type [Axis] Contingent Consideration Type [Domain] Contingent Consideration Type [Domain] Other Payments Other Payments [Member] Other Payments [Member] Contingent Receivable Contingent Receivable [Member] Contingent Receivable [Member] Liability Class [Axis] Liability Class [Axis] Fair Value by Liability Class [Domain] Fair Value by Liability Class [Domain] Balance Sheet Location [Axis] Balance Sheet Location [Axis] Balance Sheet Location [Domain] Balance Sheet Location [Domain] Other Long-term Obligations Other Long-term Obligations [Member] Other Long-term Obligations [Member] Accrued Expenses Accrued Liabilities [Member] Other Assets (long-term) Other Noncurrent Assets [Member] Other Current Assets Other Current Assets [Member] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] Contingent consideration liability Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Noncurrent Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Noncurrent Contingent consideration liability Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Current Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability, Current Impairment of other assets Other Asset Impairment Charges Contingent receivable asset Fair Value, Measurement with Unobservable Inputs Reconciliations, Recurring Basis, Liability Value Loss on contingent receivable Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Gain (Loss) Included in Earnings Remaining contingent receivable asset Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset Value Payables and Accruals [Abstract] Schedule of Accrued Liabilities Schedule of Accrued Liabilities [Table Text Block] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Beginning balance Contingent consideration liability recorded as the result of acquisitions Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases Fair value adjustments recorded to income during the period Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings Contingent payments made Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements Ending balance Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block] Fair Value Inputs, Liabilities, Quantitative Information Fair Value Inputs, Liabilities, Quantitative Information [Table Text Block] Accumulated other comprehensive income (loss), interest rate swaps, net of tax Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Effect Net of Tax Accumulated other comprehensive income (loss), interest rate swap, tax benefit Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Tax Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Tax Accumulated other comprehensive income (loss) related to foreign currency translation, net of tax Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax Accumulated other comprehensive income (loss), foreign currency translation, tax benefit Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax Schedule of Long-term Debt Instruments [Table] Schedule of Long-term Debt Instruments [Table] Debt Covenant Period [Axis] Debt Covenant Period [Axis] Debt Covenant Period [Axis] Debt Covenant Period [Domain] Debt Covenant Period [Domain] [Domain] for Debt Covenant Period [Axis] Through March 31, 2017 [Member] Through March 31, 2017 [Member] Through March 31, 2017 [Member] April 1, 2017 through June 30, 2017 [Member] April 1, 2017 through June 30, 2017 [Member] April 1, 2017 through June 30, 2017 [Member] July 1, 2017 through December 31, 2017 [Member] July 1, 2017 through December 31, 2017 [Member] July 1, 2017 through December 31, 2017 [Member] January 1, 2018 through March 31, 2018 [Member] January 1, 2018 through March 31, 2018 [Member] January 1, 2018 through March 31, 2018 [Member] April 1, 2018 and thereafter [Member] April 1, 2018 and thereafter [Member] April 1, 2018 and thereafter [Member] Debt Instrument [Axis] Debt Instrument [Axis] Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Credit Agreement Credit Agreement [Member] Credit Agreement Debt Instrument [Line Items] Debt Instrument [Line Items] Consolidated Total Leverage Ratio Line of Credit Facility, Covenant Terms, Consolidated Total Leverage Ratio, Maximum Line of Credit Facility, Covenant Terms, Consolidated Total Leverage Ratio, Maximum Consolidated EBITDA Line of Credit Facility, Covenant Terms, Consolidated Ebitda To Fixed Charges Ratio, Minimum1 Line of Credit Facility, Covenant Terms, Consolidated Ebitda To Fixed Charges Ratio, Minimum1 Consolidated Net Income Line of Credit Facility, Covenant Terms, Consolidated Net Income, Minimum Line of Credit Facility, Covenant Terms, Consolidated Net Income, Minimum Number of consecutive quarters for EBITDA to fixed charges ratio covenants Line of Credit Facility, Covenant Terms, Consolidated EBITDA to Fixed Charges Ratio, Number of Consecutive Quarters Line of Credit Facility, Covenant Terms, Consolidated EBITDA to Fixed Charges Ratio, Number of Consecutive Quarters Facility Capital Expenditures Line of Credit Facility, Covenant Terms, Facility Capital Expenditures, Next Twelve Months, Maximum Line of Credit Facility, Covenant Terms, Facility Capital Expenditures, Next Twelve Months, Maximum Income Statement [Abstract] NET SALES COST OF SALES Cost of Goods Sold GROSS PROFIT OPERATING EXPENSES: Operating Expenses [Abstract] Selling, general and administrative Selling, General and Administrative Expense Research and development Research and Development Expense Intangible asset impairment charges Goodwill and Intangible Asset Impairment Contingent consideration expense (benefit) Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit Business Combination, Contingent Consideration Arrangements, Contingent Consideration Benefit Total operating expenses INCOME FROM OPERATIONS OTHER INCOME (EXPENSE): Nonoperating Income (Expense) [Abstract] Interest income Investment Income, Interest Interest expense Interest Expense Other income (expense) — net Other Nonoperating Income (Expense) Other expense — net INCOME BEFORE INCOME TAXES INCOME TAX EXPENSE EARNINGS PER COMMON SHARE: Earnings Per Share [Abstract] AVERAGE COMMON SHARES: Weighted Average Number of Shares Outstanding, Diluted [Abstract] Basic (in shares) Weighted Average Number of Shares Outstanding, Basic Diluted (in shares) Weighted Average Number of Shares Outstanding, Diluted Payroll taxes Accrued Payroll Taxes, Current Payroll Accrued Salaries, Current Bonuses Accrued Bonuses, Current Commissions Accrued Sales Commission Vacation Accrued Vacation Royalties Accrued Royalties Value-added tax Sales and Excise Tax Payable, Current Other accrued expenses Other Accrued Liabilities, Current Total Accrued Liabilities, Current Number of operating segments Number of Operating Segments Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Table] Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Table] Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Line Items] Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Line Items] Federal statutory rate Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent Increase in valuation allowance Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount U.S federal net operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards, Domestic Period to utilize the net operating loss carryforwards Net Operating Loss Carryforwards Utilization The Number Of Years That Net Operating Loss Carryforwards Are Expected To Be Utilizated NOL carryforward used in period Net Operating Loss Carryforwards Used In The Current Period US Federal Net Operating Loss Carryforwards Used In The Current Period. Foreign operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards, Foreign Unrecognized tax benefts including interest and penalties Unrecognized Tax Benefits Gross Including Interest and Penalties The gross amount of unrecognized tax benefits (tax reductions recognized in financial reports but excluded from tax returns) pertaining to uncertain tax positions taken in tax returns as of the balance sheet date including Interest and Penalties. Unrecognized tax benefits that would impact effective rate Unrecognized Tax Benefits that Would Impact Effective Tax Rate Reduction in valuation allowance Deferred Tax Asset, Reduction in Valuation Allowance, Noncurrent Deferred Tax Asset, Reduction in Valuation Allowance, Noncurrent Accrued interest and penalties Unrecognized Tax Benefits, Income Tax Penalties and Interest Accrued Income tax penalties and interest expense Unrecognized Tax Benefits, Income Tax Penalties and Interest Expense Estimated change in unrecognized tax benefit in next twelve months, lower bound Decrease in Unrecognized Tax Benefits is Reasonably Possible Allocated share-based compensation Allocated Share-based Compensation Expense Measurement Basis [Axis] Measurement Basis [Axis] Fair Value Measurement [Domain] Fair Value Measurement [Domain] Portion at Fair Value Measurement Portion at Fair Value Measurement [Member] Estimate of Fair Value, Fair Value Disclosure Estimate of Fair Value Measurement [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] Fair Value, Inputs, Level 1 Fair Value, Inputs, Level 1 [Member] Fair Value, Inputs, Level 2 Fair Value, Inputs, Level 2 [Member] Fair Value, Inputs, Level 3 Fair Value, Inputs, Level 3 [Member] Interest rate contracts Interest Rate Cash Flow Hedge Asset at Fair Value Foreign currency contract liabilities, current and long-term Foreign Currency Contract, Asset, Fair Value Disclosure Foreign currency contract liabilities, current and long-term Foreign Currency Contracts, Liability, Fair Value Disclosure Foreign Currency Derivative Instruments Not Designated as Hedging Instruments, Liability at Fair Value Foreign Currency Derivative Instruments Not Designated as Hedging Instruments, Liability at Fair Value Derivative Instrument [Axis] Derivative Instrument [Axis] Derivative Contract [Domain] Derivative Contract [Domain] Interest Rate Swap 1 Interest Rate Swap 1 [Member] Interest Rate Swap 1 [Member] Interest Rate Swap 2 Interest Rate Swap 2 [Member] Interest Rate Swap 2 [Member] Bridge Loan Bridge Loan [Member] Lender Name [Axis] Lender Name [Axis] Line of Credit Facility, Lender [Domain] Line of Credit Facility, Lender [Domain] Variable Rate [Axis] Variable Rate [Domain] Variable Rate [Domain] Variable Rate 1 Variable Rate 1 [Member] Variable Rate 1 Variable Rate 2 Variable Rate 2 [Member] Variable Rate 2 Outstanding borrowings Debt instrument, face amount Debt Instrument, Face Amount Maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Interest rate increase if in event of default Debt Instrument, Debt Default, Increase in Interest Rate Debt Instrument, Debt Default, Increase in Interest Rate Commitment fee percentage Line of Credit Facility, Unused Capacity, Commitment Fee Percentage Maximum facility capital expenditures in the next 12 months Remaining borrowing capacity on line of credit Line of Credit Facility, Remaining Borrowing Capacity Fixed interest rate percent Long-term Debt, Percentage Bearing Fixed Interest, Percentage Rate Debt subject to fixed interest rate Long-term Debt, Percentage Bearing Fixed Interest, Amount Variable interest rate percent Long-term Debt, Percentage Bearing Variable Interest, Percentage Rate Debt subject to variable interest rate Long-term Debt, Percentage Bearing Variable Interest, Amount Commitments and Contingencies Disclosure [Abstract] 2016 Operating Leases, Future Minimum Payments Due, Next Twelve Months 2017 Operating Leases, Future Minimum Payments, Due in Two Years 2018 Operating Leases, Future Minimum Payments, Due in Three Years 2019 Operating Leases, Future Minimum Payments, Due in Four Years 2020 Operating Leases, Future Minimum Payments, Due in Five Years Thereafter Operating Leases, Future Minimum Payments, Due Thereafter Total minimum lease payments Operating Leases, Future Minimum Payments Due Employee Benefit Plans Compensation and Employee Benefit Plans [Text Block] Statement of Financial Position [Abstract] Statement [Table] Statement [Table] Statement [Line Items] Statement [Line Items] CURRENT ASSETS: Assets, Current [Abstract] Trade receivables, allowances Allowance for Doubtful Accounts Receivable, Current OTHER ASSETS: Intangible Assets Net Goodwill and Other Assets Noncurrent [Abstract] Intangibles, accumulated amortization STOCKHOLDERS’ EQUITY: Stockholders' Equity, Including Portion Attributable to Noncontrolling Interest [Abstract] Preferred stock shares authorized (in shares) Preferred Stock, Shares Authorized Preferred stock shares issued (in shares) Preferred Stock, Shares Issued Common stock par value (in USD per share) Common Stock, Par or Stated Value Per Share Common stock shares authorized (in shares) Common Stock, Shares Authorized Common stock shares issued (in shares) Common Stock, Shares, Issued Common stock shares outstanding (in shares) Common Stock, Shares, Outstanding Ostial Solutions, LLC Ostial Solutions, LLC [Member] Ostial Solutions, LLC [Member] Accumulated impairment loss Goodwill, Impaired, Accumulated Impairment Loss Aggregate amortization expense Amortization of Intangible Assets Contingent consideration benefit Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability Schedule of Share-based Compensation, Shares Authorized under Stock Option Plans, by Exercise Price Range [Table] Schedule of Share-based Compensation, Shares Authorized under Stock Option Plans, by Exercise Price Range [Table] Share-based Compensation, Shares Authorized under Stock Option Plans, by Exercise Price Range [Axis] Exercise Price Range [Axis] Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Domain] Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Domain] $9.95 - $13.16 Range One [Member] Range One $13.75 - $16.05 Range Two [Member] Range Two $16.41 - $20.27 Range Three [Member] Range Three $21.71 - $22.00 Range Four [Member] Range Four Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range [Line Items] Range of exercise, lower (in dollars per share) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Lower Range Limit Range of exercise, upper (in dollars per share) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Upper Range Limit Number outstanding (in shares) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Number of Outstanding Options Weighted Average Remaining Contractual Life (in years) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Outstanding Options, Weighted Average Remaining Contractual Term Weighted average exercise price (in dollars per share) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Outstanding Options, Weighted Average Exercise Price Number exercisable (in shares) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Number of Exercisable Options Weighted average exercise price (in dollars per share) Share-based Compensation, Shares Authorized under Stock Option Plans, Exercise Price Range, Exercisable Options, Weighted Average Exercise Price As Reported Net Income (Loss) Attributable to Parent [Abstract] Net income Pro Forma Business Acquisition, Pro Forma Information [Abstract] Net Sales, Pro Forma Business Acquisition, Pro Forma Revenue Net Income, Pro Forma Business Acquisition, Pro Forma Net Income (Loss) Basic, Pro Forma (in dollars per share) Business Acquisition, Pro Forma Income (Loss) from Continuing Operations, Net of Tax, Per Share, Basic Diluted, Pro Forma (in dollars per share) Business Acquisition, Pro Forma Income (Loss) from Continuing Operations, Net of Tax, Per Share, Diluted Changes in carrying amount of goodwill Schedule of Goodwill [Table Text Block] Other intangible assets Schedule of Finite-Lived Intangible Assets [Table Text Block] Estimated amortization expense Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] Fair Value Inputs, Liabilities, Quantitative Information [Table] Fair Value Inputs, Liabilities, Quantitative Information [Table] Revenue-based Payments Revenue-based Payments [Member] Revenue-based Payments [Member] Valuation Technique [Axis] Valuation Technique [Axis] Valuation Technique [Domain] Valuation Technique [Domain] Discounted Cash Flow Income Approach Valuation Technique [Member] Fair Value Inputs, Liabilities, Quantitative Information [Line Items] Fair Value Inputs, Liabilities, Quantitative Information [Line Items] Contingent consideration liability Contingent consideration asset Probability of milestone payment Fair Value Inputs, Probability of Milestone Payment Fair Value Inputs, Probability of Milestone Payment Discount rate Fair Value Inputs, Discount Rate Statement of Stockholders' Equity [Abstract] Equity Components [Axis] Equity Components [Axis] Equity Component [Domain] Equity Component [Domain] Common Stock Common Stock [Member] Retained Earnings Retained Earnings [Member] Accumulated Other Comprehensive Income (Loss) AOCI Attributable to Parent [Member] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Beginning balance Stockholders' Equity Attributable to Parent Beginning balance (in shares) Other comprehensive income (loss) Excess tax benefits from stock-based compensation Adjustments to Additional Paid in Capital, Income Tax Benefit from Share-based Compensation Stock-based compensation expense Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition Options exercised Stock Issued During Period, Value, Stock Options Exercised Options exercised (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period Issuance of common stock under Employee Stock Purchase Plans Stock Issued During Period, Value, Employee Stock Purchase Plan Issuance of common stock under Employee Stock Purchase Plans (in shares) Stock Issued During Period, Shares, Employee Stock Purchase Plans Shares surrendered in exchange for payment of payroll tax liabilities Stock Surrendered During Period Value Payroll Tax Liabilities Stock Options Exercised This element represents value of shares that have been surrendered during the period in exchange for payroll tax liabilities related to stock options exercised. Shares surrendered in exchange for payment of payroll tax liabilities (in shares) Stock Surrendered During Period Shares Payroll Tax Liabilities Stock Options Exercised This element represents number of shares that have been surrendered during the period in exchange for payroll tax liabilities related to stock options exercised. Shares surrendered in exchange for the exercise of stock options Stock Surrendered During Period Value Stock Options Exercised This element represents value of shares that have been surrendered during the period in exchange for stock options exercised. Shares surrendered in exchange for the exercise of stock options (in shares) Stock Surrendered During Period Shares Stock Options Exercised This element represents number of shares that have been surrendered during the period in exchange for stock options exercised. Ending balance Ending balance (in shares) Domestic Income (Loss) from Continuing Operations before Income Taxes, Domestic Foreign Income (Loss) from Continuing Operations before Income Taxes, Foreign Schedule of Product Information [Table] Schedule of Product Information [Table] Concentration Risk Type [Axis] Concentration Risk Type [Axis] Concentration Risk Type [Domain] Concentration Risk Type [Domain] Customer concentration risk Customer Concentration Risk [Member] Concentration Risk Benchmark [Axis] Concentration Risk Benchmark [Axis] Concentration Risk Benchmark [Domain] Concentration Risk Benchmark [Domain] Sales Sales Revenue, Net [Member] Product Information [Line Items] Product Information [Line Items] Concentration for largest customer Concentration Risk, Percentage Segment Reporting and Foreign Operations Segment Reporting Disclosure [Text Block] Organization and Summary of Significant Accounting Policies Organization, Consolidation and Presentation of Financial Statements Disclosure and Significant Accounting Policies [Text Block] Derivative [Table] Derivative [Table] Hedging Designation [Axis] Hedging Designation [Axis] Hedging Designation [Domain] Hedging Designation [Domain] Not designated as hedging instrument Not Designated as Hedging Instrument [Member] Foreign currency forward contracts Foreign Exchange Forward [Member] Income Statement Location [Axis] Income Statement Location [Axis] Income Statement Location [Domain] Income Statement Location [Domain] Other expense Other Expense [Member] Derivative [Line Items] Derivative [Line Items] Gain (loss) on derivative Derivative, Gain (Loss) on Derivative, Net Royalty Agreements [Abstract] Royalty Agreements [Abstract] Royalty Agreements Royalty Agreements [Text Block] Royalty Agreements [Text Block] Schedule of Revenue by Major Customers, by Reporting Segments [Table] Schedule of Revenue by Major Customers, by Reporting Segments [Table] Foreign Sales Revenue Revenue, Net Foreign sales as a percent of total sales Foreign Sales Percent of Total Sales Foreign Sales Percent of Total Sales Foreign sales Foreign Sales Foreign Sales Earnings Per Share, Basic and Diluted [Abstract] Net income, basic Net Income (Loss) Available to Common Stockholders, Basic Effect of dilutive stock options and warrants (in shares) Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements Net income, diluted Net Income (Loss) Available to Common Stockholders, Diluted Diluted (in shares) Antidilutive securities excluded from EPS (in shares) Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Earnings Per Common Share (EPS) Earnings Per Share [Text Block] Accrued Expenses Accounts Payable and Accrued Liabilities Disclosure [Text Block] Current expense (benefit): Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Current Federal Tax Expense (Benefit) State Current State and Local Tax Expense (Benefit) Foreign Current Foreign Tax Expense (Benefit) Total current expense Current Income Tax Expense (Benefit) Deferred expense (benefit): Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Federal Deferred Federal Income Tax Expense (Benefit) State Deferred State and Local Income Tax Expense (Benefit) Foreign Deferred Foreign Income Tax Expense (Benefit) Total deferred (benefit) expense Deferred Income Tax Expense (Benefit) Schedule of Future Minimum Rental Payments for Operating Leases Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block] Assets Acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets [Abstract] Trade receivables Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Trade Receivables Other receivables Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other Receivables Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other Receivables Inventories Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory Prepaid expenses Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets Property and equipment Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Other long-term assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets Intangibles Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Goodwill Goodwill Total assets acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets, Including Goodwill Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets, Including Goodwill Liabilities Assumed Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities [Abstract] Trade payables Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Accrued expenses Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other Deferred income tax liabilities - current Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities, Current Deferred income tax liabilities - noncurrent Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Noncurrent Total liabilities assumed Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities Net assets acquired, net of cash received of $1,327 Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net Cash received Cash Acquired from Acquisition 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, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Losses (gains) on sales and/or abandonment of property and equipment Loss On Sale And Or Abandonment Of Property And Equipment The losses included in results of operations resulting from the sale of property and equipment. Also includes the expense charged against earnings to eliminate property and equipment abandoned during the reporting period. As a noncash expense, this element is added back to net income when calculating cash provided by (used in) operations using the indirect method. Write-off of patents and intangible assets Impairment of Intangible Assets, Finite-lived Fair value changes in contingent liabilities/assets Amortization of deferred credits Amortization of Other Deferred Charges Amortization of long-term debt issuance costs Amortization of Debt Issuance Costs Deferred income taxes Excess tax benefits from stock-based compensation Excess Tax Benefit from Share-based Compensation, Operating Activities Stock-based compensation expense Share-based Compensation Changes in operating assets and liabilities, net of effects from acquisitions: Increase (Decrease) in Operating Capital [Abstract] Trade receivables Increase (Decrease) in Accounts Receivable Employee receivables Increase (Decrease) in Due from Employee, Current Other receivables Increase (Decrease) in Other Receivables Inventories Increase (Decrease) in Inventories Prepaid expenses Increase (Decrease) in Prepaid Expense and Other Assets Prepaid income taxes Increase (Decrease) in Prepaid Taxes Income tax refund receivables Increase (Decrease) in Income Taxes Receivable Other assets Increase (Decrease) in Other Operating Assets Trade payables Increase (Decrease) in Accounts Payable, Trade Accrued expenses Increase (Decrease) in Accrued Liabilities Advances from employees Increase (Decrease) in Due to Employees, Current Income taxes payable Increase (Decrease) in Income Taxes Payable Liabilities related to unrecognized tax benefits Increase (Decrease) Liability for Uncertain Tax Positions Increase (Decrease) Liability for Uncertain Tax Positions Deferred compensation payable Increase (Decrease) in Deferred Compensation Other long-term obligations Increase (Decrease) in Other Operating Liabilities Total adjustments Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities 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] Capital expenditures for: Payments to Acquire Productive Assets [Abstract] Property and equipment Intangible assets Proceeds from sale-leaseback transactions Sale Leaseback Transaction, Gross Proceeds, Investing Activities Proceeds from Sale of Other Assets, Investing Activities Proceeds from Sale of Other Assets, Investing Activities Proceeds from the sale of property and equipment Proceeds from Sale of Property, Plant, and Equipment Cash paid in acquisitions, 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] Proceeds from issuance of common stock Proceeds from Issuance of Common Stock Proceeds from issuance of long-term debt Proceeds from Issuance of Long-term Debt Payments on long-term debt Repayments of Long-term Debt Excess tax benefits from stock-based compensation Excess Tax Benefit from Share-based Compensation, Financing Activities Long-term debt issuance costs Payments of Debt Issuance Costs Contingent payments related to acquisitions Proceeds from (Payments for) Other Financing Activities Payment of taxes related to an exchange of common stock Payment of Taxes Exchange of Common Stock This element represents the total of the cash outflow during the period for taxes related to an exchange of common stock. Net cash provided by (used in) financing activities Net Cash Provided by (Used in) Financing Activities EFFECT OF EXCHANGE RATES 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: Cash and Cash Equivalents, at Carrying Value [Abstract] Beginning of year Cash and Cash Equivalents, at Carrying Value End of year SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION Supplemental Cash Flow Information [Abstract] Interest (net of capitalized interest of $460, $325 and $389, respectively) Interest Paid, Net Income taxes Income Taxes Paid, Net SUPPLEMENTAL DISCLOSURES OF NON-CASH INVESTING AND FINANCING ACTIVITIES Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract] Property and equipment purchases in accounts payable Capital Expenditures Incurred but Not yet Paid Receivable due for sale of equipment Receivable from Sale of Property, Plant and Equipment Receivable from Sale of Property, Plant and Equipment Cost method investment converted to intangible asset in acquisition in lieu of additional cash payment Acquisition of Intangible Asset in Exchange for Conversion of Equity Method Investment Acquisition of Intangible Asset in Exchange for Conversion of Equity Method Investment Contingent receivable in exchange for sale of cost method investment Contingent Receivable Received in Exchange For Sale of Cost Method Investment Contingent Receivable Received in Exchange For Sale of Cost Method Investment Acquisition purchases in accrued expenses and other long-term obligations Acquisition of Developed Technology in Accrued Expenses This element represents future cash outflow to pay for acquisition of developed technology in a non cash investing and financing activity. Merit common stock surrendered (14, 185 and 127 shares, respectively) in exchange for exercise of stock options Commitments and Contingencies Commitments and Contingencies Disclosure [Text Block] Intangible Assets Schedule of Acquired Finite-Lived Intangible Assets by Major Class [Table Text Block] Property and Equipment Property, Plant and Equipment [Table Text Block] Inventory Disclosure [Abstract] Schedule of Inventory Schedule of Inventory, Current [Table Text Block] Royalty Agreements [Table] Royalty Agreements [Table] Royalty Agreements [Axis] Royalty Agreements [Axis] Royalty Agreements Royalty Agreements [Domain] Royalty Agreements [Domain] Royalty Agreements BioSphere APHP Royalty BioSphere APHP Royalty [Member] BioSphere APHP Royalty Royalty Agreements [Line Items] [Line Items] for Royalty Agreements [Table] Current royalty rate Current Royalty Rate Current Royalty Rate Future royalty rate Future Royalty Rate Future Royalty Rate Royalty expense Royalty Expense Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table Text Block] Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block] Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding and Exercisable Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding and Exercisable [Table Text Block] Schedule of Share-based Compensation, Stock Options, Activity Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block] Schedule of Share-based Compensation, Shares Authorized under Stock Option Plans, by Exercise Price Range Schedule of Share-based Compensation, Shares Authorized under Stock Option Plans, by Exercise Price Range [Table Text Block] 2016 Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months 2017 Finite-Lived Intangible Assets, Amortization Expense, Year Two 2018 Finite-Lived Intangible Assets, Amortization Expense, Year Three 2019 Finite-Lived Intangible Assets, Amortization Expense, Year Four 2020 Finite-Lived Intangible Assets, Amortization Expense, Year Five Interest rate swap Swap [Member] Revenue and cost of sales Revenue and Cost of Sales [Member] Revenue and Cost of Sales [Member] Interest expense Interest Expense [Member] Notional amount of derivative Derivative, Notional Amount Fixed rate Derivative, Fixed Interest Rate Quarterly reduction of notional amount Derivative, Quarterly Reduction of Notional Amount Derivative, Quarterly Reduction of Notional Amount Derivative Asset, Fair Value, Gross Asset Derivative Asset, Fair Value, Gross Asset Interest rate asset Amount expected to be reclassified from accumulated other comprehensive income to earnings in next twelve months, gross Cash Flow Hedge Gain (Loss) To Be Reclassified Within Twelve Months, Gross Cash Flow Hedge Gain (Loss) To Be Reclassified Within Twelve Months, Gross Amount expected to be reclassified from accumulated other comprehensive income to earnings in next twelve months, net of tax Cash Flow Hedge Gain (Loss) to be Reclassified within Twelve Months Finished goods Inventory, Finished Goods, Net of Reserves Work-in-process Inventory, Work in Process, Net of Reserves Raw materials Inventory, Raw Materials, Net of Reserves Total Inventory, Net Inventories Inventory Disclosure [Text Block] Derivative Instruments, Gain (Loss) [Table] Derivative Instruments, Gain (Loss) [Table] Hedging Relationship [Axis] Hedging Relationship [Axis] Hedging Relationship [Domain] Hedging Relationship [Domain] Derivatives designated as cash flow hedges Cash Flow Hedging [Member] Interest rate swap Interest Rate Swap [Member] Interest Expense Revenue Cost of goods sold Cost of Goods, Total [Member] Derivative Instruments, Gain (Loss) [Line Items] Derivative Instruments, Gain (Loss) [Line Items] Amount of Gain/(Loss) recognized in OCI Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income (Loss), Effective Portion, Net Amount of Gain/(Loss) reclassified from AOCI Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net Schedule of Long-term Debt Instruments Schedule of Long-term Debt Instruments [Table Text Block] Schedule of Long-term Debt Covenants Schedule of Long-term Debt Covenants Table [Table Text Block] Schedule of Long-term Debt Covenants Table [Table Text Block] Schedule of Maturities of Long-term Debt Schedule of Maturities of Long-term Debt [Table Text Block] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Designated as hedging instrument Designated as Hedging Instrument [Member] Prepaid expenses and other assets Prepaid Expenses and Other Current Assets [Member] Other Long-term Obligations Other Noncurrent Liabilities [Member] Other receivables Other Receivables [Member] Other Receivables [Member] Derivatives, Fair Value [Line Items] Derivatives, Fair Value [Line Items] Total Asset Derivatives Total Liability Derivatives Derivative Liability, Fair Value, Gross Liability Developed technology — net of accumulated amortization — 2016 — $52,694 and 2015 — $38,497 Other — net of accumulated amortization — 2016 — $30,048 and 2015 — $26,603 ASSETS Assets [Abstract] Cash and cash equivalents Trade receivables — net of allowance for uncollectible accounts — 2016 — $1,587 and 2015 — $1,297 Accounts Receivable, Net, Current Employee receivables Due from Employees, Current Other receivables Nontrade Receivables, Current Inventories Prepaid expenses and other assets Prepaid Expense and Other Assets, Current Prepaid income taxes Prepaid Taxes Deferred income tax assets Deferred Tax Assets, Net of Valuation Allowance, Current Income tax refund receivables Income Taxes Receivable, Current Total current assets Assets, Current PROPERTY AND EQUIPMENT: Property, Plant and Equipment, Net [Abstract] Land and land improvements Land Buildings Buildings and Improvements, Gross Manufacturing equipment Machinery and Equipment, Gross Furniture and fixtures Furniture and Fixtures, Gross Leasehold improvements Leasehold Improvements, Gross Construction-in-progress Construction in Progress, Gross Total property and equipment Property, Plant and Equipment, Gross Less accumulated depreciation Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Property and equipment — net Property, Plant and Equipment, Net Deferred income tax assets Deferred Tax Assets, Net of Valuation Allowance, Noncurrent Other assets Other Assets, Noncurrent Total other assets Intangible Assets Net Goodwill and Other Assets Noncurrent This element represents sum of the carrying amounts of all intangible assets and goodwill, as of the balance sheet date, net of accumulated amortization and impairment charges. Also includes aggregate carrying amount, as of the balance sheet date, of noncurrent assets not separately disclosed in the balance sheet due to materiality considerations. TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY Liabilities and Equity [Abstract] CURRENT LIABILITIES: Liabilities, Current [Abstract] Trade payables Accounts Payable, Trade, Current Accrued expenses Current portion of long-term debt Advances from employees Due to Employees, Current Income taxes payable Accrued Income Taxes, Current Total current liabilities Liabilities, Current LONG-TERM DEBT DEFERRED INCOME TAX LIABILITIES Deferred Tax Liabilities, Net, Noncurrent LIABILITIES RELATED TO UNRECOGNIZED TAX BENEFITS Liability for Uncertainty in Income Taxes, Noncurrent DEFERRED COMPENSATION PAYABLE Deferred Compensation Liability, Classified, Noncurrent DEFERRED CREDITS Other Deferred Credits, Noncurrent OTHER LONG-TERM OBLIGATIONS Other Liabilities, Noncurrent Total liabilities Liabilities COMMITMENTS AND CONTINGENCIES (Notes 2, 7, 8, 9 and 13) Commitments and Contingencies Preferred stock — 5,000 shares authorized as of December 31, 2016 and 2015; no shares issued Preferred Stock, Value, Issued Common stock, no par value; shares authorized — 2016 and 2015 - 100,000; issued and outstanding as of December 31, 2016 - 44,645 and December 31, 2015 - 44,267 Common Stock, Value, Issued Retained earnings Retained Earnings (Accumulated Deficit) Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Total stockholders’ equity TOTAL Liabilities and Equity Fair Value Measurements Fair Value Disclosures [Text Block] Revenue from External Customers by Products and Services Revenue from External Customers by Products and Services [Table Text Block] Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas [Table Text Block] Schedule of Segment Reporting Information, by Segment Schedule of Segment Reporting Information, by Segment [Table Text Block] Reconciliation of Assets from Segment to Consolidated Reconciliation of Assets from Segment to Consolidated [Table Text Block] Deferred income tax assets: Deferred Tax Assets, Gross [Abstract] Allowance for uncollectible accounts receivable Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Returns and Allowances Accrued compensation expense Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Compensation Inventory differences Deferred Tax Assets, Inventory Net operating loss carryforwards Deferred Tax Assets, Operating Loss Carryforwards Deferred revenue Deferred Tax Assets, Deferred Income Stock-based compensation expense Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost Federal research and development credit carryforward Deferred Tax Assets, Tax Credit Carryforwards, Research Foreign tax credits Deferred Tax Assets, Tax Credit Carryforwards, Foreign Other Deferred Tax Assets, Other Total deferred income tax assets Deferred Tax Assets, Gross Deferred income tax liabilities: Deferred Tax Liabilities, Gross [Abstract] Prepaid expenses Deferred Tax Liabilities, Deferred Expense Property and equipment Deferred Tax Liabilities, Property, Plant and Equipment Intangible assets Deferred Tax Liabilities, Intangible Assets Other Deferred Tax Liabilities, Other Total deferred income tax liabilities Deferred Tax Liabilities, Gross Valuation allowance Deferred Tax Assets, Valuation Allowance Net deferred income tax liabilities Deferred Tax Liabilities, Net Reported as: Components of Deferred Tax Assets and Liabilities [Abstract] Deferred income tax assets - Current Deferred income tax assets - Long-term Deferred income tax liabilities - Current Deferred Tax Liabilities, Net, Current Deferred income tax liabilities - Long-term Schedule of Earnings Per Share, Basic and Diluted Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Quarterly Results of Operations (Unaudited) Quarterly Financial Information [Text Block] Document Information [Abstract] Document Information [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 Other Commitments [Table] Other Commitments [Table] Other Commitments [Line Items] Other Commitments [Line Items] Rent expense Operating Leases, Rent Expense Term of lease Lessee Leasing Arrangements, Operating Leases, Term of Contract Deferred credits Deferred Credits and Other Liabilities Property, plant, and equipment grants from Ireland Decrease in Operating Expense, Grants for Property Plant and Equipment Grants Related to Purchased Property Plant and Equipement Grant period Other Commitment, Foreign Government, Grant Liability Period Other Commitment, Foreign Government, Grant Liability Period Irish grants refundable if operations discontinued Grant Refundable for Discontinued Operations Grant Refundable for Discontinued Operations Remaining grant liability period Other Commitment, Foreign Government, Grant Liability Remaining Period Other Commitment, Foreign Government, Grant Liability Remaining Period Total intrinsic value of stock options exercised Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value Cash received from stock option exercises Employee Service Share-based Compensation, Cash Received from Exercise of Stock Options Excess tax benefit from the exercise of stock options Employee Service Share-based Compensation, Tax Benefit Realized from Exercise of Stock Options Number of Shares Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Beginning balance (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number Granted (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross Exercised (in shares) Forfeited/expired (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures and Expirations in Period Outstanding at December 31 (in shares) Exercisable (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number Ending vested and expected to vest (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number Weighted Average Exercise Price Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract] Beginning balance (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price Granted (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price Exercised (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Forfeited/expired (in dollars per share) Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price Outstanding at December 31 (in dollars per share) Exercisable (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price Ending vested and expected to vest (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Exercise Price Outstanding, remaining contractual term Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term Exercisable, remaining contractual term Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term Ending vested and expected to vest, remaining contractual term Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Remaining Contractual Term Outstanding, intrinsic value Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value Exercisable, intrinsic value Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value Ending vested and expected to vest, intrinsic value Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value Cash surrender value of life insurance Cash Surrender Value of Life Insurance Deferred compensation cost Schedule of Quarterly Financial Information Quarterly Financial Information [Table Text Block] Impairment of PPE Impairment of Long-Lived Assets Held-for-use Schedule of Property, Plant and Equipment [Table] Property, Plant and Equipment [Table] Property, Plant and Equipment by Type [Axis] Property, Plant and Equipment, Type [Axis] Property, Plant and Equipment, Type [Domain] Property, Plant and Equipment, Type [Domain] Building Building [Member] Manufacturing equipment Equipment [Member] Furniture and fixtures Furniture and Fixtures [Member] Land improvements Land Improvements [Member] Leasehold improvements Leasehold Improvements [Member] Property, Plant and Equipment [Line Items] Property, Plant and Equipment [Line Items] Useful life Property, Plant and Equipment, Useful Life Depreciation Depreciation Covenant not to compete Net capitalized interest Interest Paid, Capitalized Company's common stock surrendered in exchange for the exercise of stock options (in shares) Income Taxes Income Tax Disclosure [Text Block] Goodwill and Intangible Assets Goodwill and Intangible Assets Disclosure [Text Block] Schedule II - Valuation and qualifying accounts Schedule of Valuation and Qualifying Accounts Disclosure [Text Block] Schedule of Notional Amounts of Outstanding Derivative Positions Schedule of Notional Amounts of Outstanding Derivative Positions [Table Text Block] Schedule of Derivative Instruments in Statement of Financial Position, Fair Value Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block] Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block] Derivative Instruments, Gain (Loss) Derivative Instruments, Gain (Loss) [Table Text Block] 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 option life 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 Expected price volatility, minimum Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Minimum Expected price volatility, maximum Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate, Maximum Subsequent Event [Table] Subsequent Event [Table] Argon Medical Devices and Catheter Connections, Inc. Argon Medical Devices and Catheter Connections, Inc. [Member] Argon Medical Devices and Catheter Connections, Inc. [Member] Subsequent Event Type [Axis] Subsequent Event Type [Axis] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Subsequent Event Subsequent Event [Member] Subsequent Event [Line Items] Subsequent Event [Line Items] Payments to acquire certain products Payments to Acquire Productive Assets Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table] Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table] Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs, by Report Line [Axis] Employee Service Share-based Compensation, Allocation of Recognized Period Costs, Report Line [Domain] Cost of goods sold Cost of Sales [Member] Research and development Research and Development Expense [Member] Selling, general, and administrative Selling, General and Administrative Expenses [Member] Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items] Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items] Goodwill [Roll Forward] Goodwill [Roll Forward] Goodwill balance at January 1 Effect of foreign exchange Goodwill, Foreign Currency Translation Gain (Loss) Additions as the result of acquisitions Goodwill balance at December 31 Schedule of Recognized Identified Assets Acquired and Liabilities Assumed Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Business Acquisition, Pro Forma Information Business Acquisition, Pro Forma Information [Table Text Block]