Document And Entity information. Document and Entity Information Statement [Table] Statement [Line Items] Document Type Amendment Flag Document Period End Date Document Fiscal Year Focus Document Fiscal Period Focus Entity Filer Category Entity Registrant Name Entity Central Index Key Current Fiscal Year End Date Entity Common Stock, Shares Outstanding Condensed Consolidated Statements Of Operations Sales Revenue, Goods, Net Sales Revenue, Goods, Net, Total Total revenues Costs and Expenses [Abstract] Costs And Expenses: Cost of Goods Sold Cost of Goods Sold, Total Cost of product revenues Research and Development Expense Research and Development Expense, Total Research and development Selling, General and Administrative Expense Selling, General and Administrative Expense, Total Selling, general and administrative Amortization of Intangible Assets Intangible asset amortization Intangible asset amortization Costs and Expenses Total costs and expenses Operating Income (Loss) Operating income Operating income Investment Income, Interest Interest income Interest Expense Interest expense Interest Expense, Total Interest expense Other Nonoperating Income (Expense) Other income (expense), net Other income (expense), net Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Extraordinary Items, Cumulative Effects of Changes in Accounting Principles, Noncontrolling Interest Income before income taxes Income before income taxes Income Tax Expense (Benefit) Income tax expense (benefit) Income tax expense Income tax expense Net Income (Loss) Attributable to Parent Net income Net income Net Income Earnings Per Share, Basic Earnings Per Share, Basic, Total Basic net income per common share Earnings Per Share, Diluted Diluted net income per share Earnings Per Share, Diluted, Total Diluted net income per common share Weighted Average Number of Shares Outstanding, Diluted [Abstract] Weighted Average Common Shares Outstanding (See Note 11): Weighted average common shares outstanding - Basic Basic Weighted Average Number of Shares Outstanding, Basic, Total Weighted average common shares outstanding - Basic Weighted Average Number of Shares Outstanding, Diluted Diluted Weighted Average Number of Shares Outstanding, Diluted, Total Weighted average common shares for diluted earnings per share Condensed Consolidated Balance Sheets Assets [Abstract] ASSETS Assets, Current [Abstract] Current Assets: Cash and Cash Equivalents, at Carrying Value Cash and cash equivalents at end of period Cash and cash equivalents at beginning of period Cash and Cash Equivalents, at Carrying Value, Total Cash and cash equivalents Accounts Receivable, Net, Current Accounts Receivable, Net, Current, Total Trade accounts receivable, net of allowances of $6,825 and $7,322 Inventory, Net Inventories, net Inventories, net Deferred Tax Assets, Net, Current Deferred Tax Assets, Net, Current, Ending Balance Deferred Tax Assets, Net, Current, Beginning Balance Deferred Tax Assets, Net, Current, Total Deferred tax assets The total of the amounts paid in advance for capitalized costs that will be expensed with the passage of time or the occurrence of a triggering event, and will be charged against earnings within one year or the normal operating cycle, if longer, and the aggregate carrying amount of current assets, as of the balance sheet date, not separately presented elsewhere in the balance sheet. Current assets are expected to be realized or consumed within one year (or the normal operating cycle, if longer). Prepaid Expense and Other Assets, Current Prepaid expenses and other current assets Prepaid expenses and other current assets Assets, Current Total current assets Total current assets Property, Plant and Equipment, Net Property, Plant and Equipment, Net, Ending Balance Property, Plant and Equipment, Net, Beginning Balance Property, Plant and Equipment, Net, Total Property, plant and equipment, net Intangible Assets, Net (Excluding Goodwill) Net Intangible Assets, Net (Excluding Goodwill), Total Intangible assets, net Goodwill Goodwill at June 30, 2011 Goodwill at December 31, 2010 Goodwill Deferred Tax Assets, Net, Noncurrent Deferred tax asset-long term Deferred Tax Assets, Net, Noncurrent, Total Deferred tax assets Other Assets, Noncurrent Other assets Other assets Assets Total assets Liabilities and Stockholders' Equity [Abstract] LIABILITIES AND STOCKHOLDERS' EQUITY Liabilities, Current [Abstract] Current Liabilities: Short-term borrowings under senior credit facility Borrowings under senior credit facility Accounts Payable, Trade, Current Accounts payable, trade Deferred Revenue, Current Deferred Revenue, Current, Total Deferred revenue Employee-related Liabilities, Current Employee-related Liabilities, Current, Total Accrued compensation Accrued Liabilities, Current Accrued expenses and other current liabilities Accrued Liabilities, Current, Total Liabilities, Current Total current liabilities Total current liabilities Long-term borrowings under senior credit facility Amount of long-term loan in total term loan Long-term borrowings under senior credit facility Convertible Debt, Noncurrent Carrying amount of liability Carrying amount of liability Long-term convertible securities Deferred Tax Liabilities, Noncurrent Deferred tax liabilities Other Liabilities, Noncurrent Other liabilities Other liabilities Liabilities Total liabilities Total liabilities Commitments and Contingenciess Commitments and contingencies Commitments and contingencies Stockholders' Equity Attributable to Parent [Abstract] Stockholders' Equity: Preferred Stock, Value, Issued Preferred Stock, Value, Issued, Ending Balance Preferred Stock, Value, Issued, Beginning Balance Preferred Stock, Value, Issued, Total Preferred Stock; no par value; 15,000 authorized shares; none outstanding Common Stock, Value, Issued Common Stock, Value, Issued, Ending Balance Common Stock, Value, Issued, Beginning Balance Common Stock, Value, Issued, Total Common stock; $0.01 par value; 60,000 authorized shares; 35,860 and 35,745 issued at June 30, 2011 and December 31, 2010, respectively Additional Paid in Capital, Common Stock Additional Paid in Capital, Common Stock, Ending Balance Additional Paid in Capital, Common Stock, Beginning Balance Additional paid-in capital Treasury Stock, Value Treasury stock, at cost; 8,425 shares and 7,212 shares at June 30, 2011 and December 31, 2010, respectively Treasury Stock, Value, Ending Balance Treasury Stock, Value, Beginning Balance Treasury stock, at cost; 7,212 shares at September 30, 2010 and 6,354 shares at December 31, 2009 Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract] Accumulated Other Comprehensive (Loss) Income: Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax, Ending Balance Accumulated Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Net of Tax, Beginning Balance Foreign currency translation adjustment Accumulated Other Comprehensive Income (Loss), Defined Benefit Pension and Other Postretirement Plans, Net of Tax Pension liability adjustment, net of tax Accumulated Other Comprehensive Income (Loss), Defined Benefit Pension and Other Postretirement Plans, Net of Tax, Ending Balance Accumulated Other Comprehensive Income (Loss), Defined Benefit Pension and Other Postretirement Plans, Net of Tax, Beginning Balance Accumulated Other Comprehensive Income (Loss), Defined Benefit Pension and Other Postretirement Plans, Net of Tax, Total Pension liability adjustment, 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), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Effect Net of Tax, Ending Balance Accumulated Other Comprehensive Income (Loss), Cumulative Changes in Net Gain (Loss) from Cash Flow Hedges, Effect Net of Tax, Beginning Balance Unrealized loss on derivatives, net of tax Retained Earnings (Accumulated Deficit) Retained Earnings (Accumulated Deficit), Ending Balance Retained Earnings (Accumulated Deficit), Beginning Balance Retained earnings Retained earnings Stockholders' Equity Attributable to Parent Stockholders' Equity Attributable to Parent, Ending Balance Stockholders' Equity Attributable to Parent, Beginning Balance Total stockholders' equity Liabilities and Stockholders' Equity Total liabilities and stockholders' equity Allowance for Doubtful Accounts Receivable, Current Allowance for Doubtful Accounts Receivable, Current, Ending Balance Allowance for Doubtful Accounts Receivable, Current, Beginning Balance Trade accounts receivable, allowances Preferred stock, par value Preferred Stock, par value Preferred Stock, Shares Authorized Preferred Stock, authorized shares Preferred Stock, Shares Outstanding Preferred Stock, Shares Outstanding, Ending Balance Preferred Stock, Shares Outstanding, Beginning Balance Preferred Stock, outstanding Common Stock, Par or Stated Value Per Share Common stock, par value Common Stock, Shares Authorized Common stock, shares authorized Common Stock, Shares, Issued Common Stock, shares, issued Common stock, shares issued Treasury Stock, Shares Treasury Stock, Shares, Ending Balance Treasury Stock, Shares, Beginning Balance Treasury stock, shares Condensed Consolidated Statements of Cash Flows Net Cash Provided by (Used in) Operating Activities [Abstract] OPERATING ACTIVITIES: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Adjustments to reconcile net income to net cash provided by operating activities: Depreciation, Depletion and Amortization Depreciation, Depletion and Amortization, Total Depreciation and amortization Deferred Income Tax Expense (Benefit) Deferred Income Tax Expense (Benefit), Total Deferred income tax benefit Amortization of Financing Costs Amortization of debt issuance costs Non-cash interest expense related to convertible debt instruments that does not result in cash outflows in the period in which they occur, but affect net income and thus is added back when calculating net cash flow from operating activities using the indirect cash flow method. Non Cash Interest Expense Cash Flow Non-cash interest expense The accreted interest component paid related to repurchases of convertible debt and thus is deducted when calculating net cash flows from operating activities using the indirect cash flow method. Payment Of Accreted Interest Cash Flow Payment of accreted interest Gain (Loss) on Sale of Property Plant Equipment Loss on disposal of property and equipment Gain (Loss) on Sale of Property Plant Equipment, Total Loss on disposal of property and equipment Share-based Compensation Share-based Compensation, Total Share-based compensation Excess Tax Benefit from Share-based Compensation, Operating Activities Excess tax benefits from stock-based compensation arrangements Excess tax benefits from stock-based compensation arrangements Increase (Decrease) in Operating Capital [Abstract] Changes in assets and liabilities, net of business acquisitions: Increase (Decrease) in Accounts Receivable Accounts receivable Accounts receivable Increase (Decrease) in Inventories Inventories Increase (Decrease) in Inventories, Total Inventories Increase (Decrease) in Prepaid, Deferred Expense and Other Assets Prepaid expenses and other current assets Increase (Decrease) in Prepaid, Deferred Expense and Other Assets, Total Prepaid expenses and other current assets Increase (Decrease) in Other Operating Assets Other non-current assets Other non-current assets Increase (Decrease) in Accounts Payable and Accrued Liabilities Increase (Decrease) in Accounts Payable and Accrued Liabilities, Total Accounts payable, accrued expenses and other current liabilities Increase (Decrease) in Deferred Revenue Deferred revenue Increase (Decrease) in Other Operating Liabilities Other non-current liabilities Other non-current liabilities Net Cash Provided by (Used in) Operating Activities Net cash provided by operating activities Net cash provided by operating activities Net Cash Provided by (Used in) Investing Activities [Abstract] INVESTING ACTIVITIES: Payments to Acquire Businesses, Net of Cash Acquired Cash used in business acquisition, net of cash acquired Payments to Acquire Businesses, Net of Cash Acquired, Total Cash used in business acquisition, net of cash acquired Payments to Acquire Property, Plant, and Equipment Purchases of property and equipment Purchases of property and equipment Purchases of property and equipment Purchases of property and equipment Net Cash Provided by (Used in) Investing Activities Net cash used in investing activities Net Cash Provided by (Used in) Financing Activities [Abstract] FINANCING ACTIVITIES: ProceedsFromIssuanceOfSecuredDebt Borrowings under senior credit facility RepaymentsOfSecuredDebt Repayments under senior credit facility Repayments under senior credit facility Proceeds from Convertible Debt Proceeds from liability component of convertible notes issuance Proceeds from issuance of convertible notes Represents the equity portion of convertible notes issued which was bifurcated from the loan proceeds based on the effective interest rate implicit in the liability component. Equity Component Of Convertible Notes Proceeds from equity component of convertible notes issuance Repayments of Convertible Debt Repurchase of liability component of convertible notes Repayment of Convertible Debt Proceeds from Issuance of Warrants Proceeds from sale of stock purchase warrants Proceeds from the warrant transactions Purchase of call options for the Company's own stock, in connection with the convertible debt offering. Purchase Of Option Hedge On Convertible Notes Purchase of option hedge on convertible notes Purchase of option hedge on convertible notes Payments of Debt Issuance Costs Debt issuance costs Payments For Repurchase Of Common Stock Purchases of treasury stock Proceeds from Stock Options Exercised Proceeds from stock options exercises Proceeds from exercised stock options Excess Tax Benefit from Share-based Compensation, Financing Activities Excess tax benefits from stock-based compensation arrangements Excess tax benefits from stock-based compensation arrangements Net Cash Provided by (Used in) Financing Activities Net cash provided by (used in) financing activities Effect of Exchange Rate on Cash and Cash Equivalents Effect of exchange rate changes on cash and cash equivalents Effect of exchange rate changes on cash and cash equivalents Cash and Cash Equivalents, Period Increase (Decrease) Net change in cash and cash equivalents Net change in cash and cash equivalents Basis of Presentation. Basis Of Presentation Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] Basis Of Presentation BASIS OF PRESENTATION Business and asset acquisitions. Business And Asset Acquisitions Business Combination Disclosure [Text Block] Business And Asset Acquisitions Inventory Disclosure [Abstract] Inventories Inventory Disclosure [Text Block] Inventories INVENTORIES Goodwill And Intangible Assets Disclosure [Abstract] Goodwill And Other Intangible Assets Goodwill and Intangible Assets Disclosure [Text Block] Goodwill And Other Intangible Assets Debt Disclosure [Abstract] Debt Debt Disclosure [Text Block] Debt Derivative Instruments Derivative Instruments and Hedging Activities Disclosure [Text Block] Derivative Instruments Stock-Based Compensation. Stock-Based Compensation Disclosure of Compensation Related Costs, Share-based Payments [Text Block] Stock-Based Compensation STOCK-BASED COMPENSATION Treasury Stock The entire disclosure for an entity's treasury stock, including the average cost per share, carrying basis for each class of treasury stock, description of share repurchase program authorized by an entity's board of directors, the number of shares repurchased, the cost of the shares repurchased, the remaining maximum dollar value of shares available for repurchase under the program, the treatment of the purchase price in excess of the current market value, number of shares held for each class of treasury stock, and other information necessary to a fair presentation. Treasury Stock [Text Block] Treasury Stock Retirement Benefit Plans Pension and Other Postretirement Benefits Disclosure [Text Block] Retirement Benefit Plans RETIREMENT BENEFIT PLANS Income Taxes Income Tax Disclosure [Text Block] Income Taxes INCOME TAXES Net Income Per Share Earnings Per Share [Text Block] Net Income Per Share NET INCOME PER SHARE Comprehensive (Loss) Income Comprehensive income Comprehensive Income Note [Text Block] Comprehensive (Loss) Income COMPREHENSIVE INCOME Segment and Geographic Information. Segment And Geographic Information This element is used to document the Company's segment disclosure, and revenues by product category and geographic location. Segment And Geographic Reporting Disclosure Text Block Segment And Geographic Information SEGMENT AND GEOGRAPHIC INFORMATION Commitments And Contingencies Disclosure [Abstract] Commitments And Contingencies Commitments and Contingencies Disclosure [Text Block] Commitment And Contingencies COMMITMENTS AND CONTINGENCIES Consolidation Policy [Text Block] General IART Description Of New Accounting Pronouncements Not Yet Adopted Recently Issued Accounting Standards Schedule Of Business Acquisitions By Acquisition [Table] Schedule Of Business Acquisitions By Acquisition [Text Block] Final Purchase Price Of Net Assets Acquired Final purchase price of net assets acquired Schedule of inventory current table. Schedule Of Inventory Current Table [Text Block] Inventories Inventories, net Schedule of Goodwill [Text Block] Changes In The Carrying Amount Of Goodwill Schedule of definite and indefinite lived intangible assets table. Schedule Of Definite And Indefinite Lived Intangible Assets Table [Text Block] Components Of The Company's Identifiable Intangible Assets Components Of Interest Expense [Table Text Block] Components Of Interest Expense [Table Text Block] Components Of Interest Expense Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Text Block] Summary Of Fair Value In Balance Sheet For Derivatives Designated As Hedging Instruments Schedule of Derivative Instruments, Gain (Loss) in Statement of Financial Performance [Text Block] Effect Of Derivative Instruments Designated As Cash Flow Hedges On Statements Of Operations [ScheduleOfTreasuryStockByClassTextBlock] Treasury Stock Activity TREASURY STOCK Tabular disclosure of the components of net benefit costs for pension plans and/or other employee benefit plans including service cost, interest cost, expected return on plan assets, gain (loss), prior service cost or credit, transition asset or obligation, and gain (loss) recognized due to settlements or curtailments. Schedule Of Net Benefit Cost Table [Text Block] Defined Benefit Pension Plans Defined benefit pension plans Summary of company's effective tax rate table. Summary Of Companys Effective Tax Rate Table [Text Block] Summary Of The Company's Effective Tax Rate Schedule of earnings per share basic and diluted table. Schedule Of Earnings Per Share Basic And Diluted Table [Text Block] Basic And Diluted Net Income Per Share Basic and diluted net income per common share Schedule of comprehensive income loss table. Schedule Of Comprehensive Income Loss Table [Text Block] Comprehensive (Loss) Income Schedule Of Entity Wide Information Revenue From External Customers By Products And Services [Text Block] Revenues By Market Category Revenues by market category Schedule of revenue from external customers attributed to countries by geography area. Schedule Of Revenue From External Customers Attributed To Countries By Geography Area [Text Block Total Revenue By Geographic Area Total revenue by geographic area Number of stock options exercised during the period that were not paid for in cash. Non-Cash Stock Options Exercised Stock options exercised Number of shares tendered by the option holder in lieu of paying for options in cash. Number Of Shares Tendered Number of shares of Company stock tendered The fair value of shares tendered by the option holder which were then immediately retired. Fair Value Of Shares Tendered Fair market value of Company approximately Fair market value of shares tendered to the Company Business Acquisition [Axis] Business Acquisition Acquiree [Domain] Integra Neurosciences Pty Ltd. [Member] Integra Neurosciences Pty Ltd. [Member] Theken. Theken [Member] Business Acquisition, Cost of Acquired Entity, Cash Paid Company acquired in cash The portion of the selling price that has not yet been paid to the seller pending the final working capital allocation and certain indemnifications being resolved. Holdback And Working Capital Working capital and indemnification holdback Business Combination Acquisition Related Costs And Working Capital Adjustments Business Combination Acquisition Related Costs And Working Capital Adjustments Acquisitions expenses and working capital adjustments Maximum future payout based on revenue performance in the years following the acquisition. Maximum Future Payments Based On Performance Maximum future payments based on performance Maximum future payments for prior acquisition(s) Business Acquisition Cost Of Acquired Entity Transaction Costs Acquisition expenses Additional purchase price for working capital adjustments. Working Capital Adjustments Due To Acquisition Working capital adjustments due to acquisition The amount paid to the seller for the year one revenue performance earnout. Year One Performance Obligation Year 1 revenue performance obligation Business Acquisition Contingent Consideration Cash Payment Business Acquisition Contingent Consideration Cash Payment Business acquisition contingent consideration cash payment Accrued additional contingent consideration for disputed settlement amount. Accrued Additional Contingent Consideration For Disputed Settlement Amount Expense accrued by company in the estimate of settlement Accrued additional for disputed settlement amount Acquired Finite Lived Intangible Assets By Major Class [Axis] Finite Lived Intangible Assets Major Class Name [Domain] Technology. Technology [Member] Customer Relationships [Member] Business Acquisition, Purchase Price Allocation, Current Assets, Cash and Cash Equivalents Cash Business Acquisition Purchase Price Allocation Current Assets Inventory Business Acquisition, Purchase Price Allocation, Current Assets, Inventory, Total Inventory Business Acquisition Purchase Price Allocation Current Assets Receivables Accounts receivable Business Acquisition, Purchase Price Allocation, Current Assets, Prepaid Expense and Other Assets Other current assets Business Acquisition Purchase Price Allocation Property Plant And Equipment Business Acquisition, Purchase Price Allocation, Property, Plant and Equipment, Total Property, plant and equipment Business Acquisition, Purchase Price Allocation, Deferred Income Taxes, Asset (Liability), Net Deferred tax asset-long term Business Acquisition Purchase Price Allocation Amortizable Intangible Assets Intangible assets Business Acquisition Purchase Price Allocation Goodwill Amount Goodwill Goodwill Business Acquisition, Purchase Price Allocation, Assets Acquired Total assets acquired Total assets acquired Business Acquisition, Purchase Price Allocation, Current Liabilities Business Acquisition, Purchase Price Allocation, Current Liabilities, Total Accounts payable and other current liabilities Acquired Finite-lived Intangible Asset, Weighted Average Useful Life Weighted average life in years Wtd. Avg. Life, years Business Acquisition, Purchase Price Allocation, Assets Acquired (Liabilities Assumed), Net Total net assets acquired Total net assets acquired Net assets acquired Inventory, Finished Goods Inventory, Finished Goods, Total Finished goods Inventory, Work in Process Work-in process Inventory, Raw Materials Raw materials Raw materials Companys Identifiable Intangible Assets. Schedule Of Companys Identifiable Intangible Assets [Table] Companys Identifiable Intangible Assets. Schedule Of Companys Identifiable Intangible Assets [Axis] Companys Identifiable Intangible Assets. Schedule Of Companys Identifiable Intangible Assets [Domain] Trademarks Brand Names. Trademarks/ Brand Names [Member] Impairment Of Intangible Assets Excluding Goodwill Impairment charge Impairment of Intangible Assets (Excluding Goodwill), Total Impairment charge related to several brand names Future Amortization Expense Year One Annual amortization expense expected to approximate in 2011 Future Amortization Expense Year Two Annual amortization expense expected to approximate in 2012 Future Amortization Expense Year Three Annual amortization expense expected to approximate in 2013 Future Amortization Expense Year Four Annual amortization expense expected to approximate in 2014 Future Amortization Expense Year Five Annual amortization expense expected to approximate in 2015 "Gross amount, as of the beginning of the year, of the cumulative amount paid and (if applicable) the fair value of any noncontrolling interest in the acquiree, adjusted for any amortization recognized prior to the adoption of any changes in generally accepted accounting principles (as applicable), in excess of the fair value of net assets acquired in one or more business combination transactions. Goodwill Gross Beginning Of year Goodwill The accumulated impairment losses related to goodwill as of the beginning of the year Goodwill Impaired Accumulated Impairment Loss Accumulated impairment losses Goodwill impaired accumulated impairment loss Beginning balance of current year goodwill rollforward Goodwill Net Beginning Of Year Goodwill at December 31, 2010 Goodwill, Acquired During Period goodwill acquired during the period Welch Allyn, Inc. acquisition SeaSpine acquisition The increase (decrease) to the recorded value of goodwill for foreign currency translation adjustments. Goodwill Translation Adjustments Foreign currency translation Gross amount, as of the balance sheet date, of the cumulative amount paid and (if applicable) the fair value of any noncontrolling interest in the acquiree, adjusted for any amortization recognized prior to the adoption of any changes in generally accepted accounting principles (as applicable), in excess of the fair value of net assets acquired in one or more business combination transactions. Goodwill Gross Goodwill at June 30, 2011 Goodwill Completed technology. Completed Technology [Member] Trademarks/brand names indefinite. Trademarks /Brand Names Indefinite [Member] Supplier relationships. Supplier Relationships [Member] All other. All Other [Member] Weighted Average Useful Life. Weighted Average Useful Life Weighted Average Life Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill. Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill Cost Finite Lived Intangible Assets Accumulated Amortization Accumulated Amortization Accumulated Amortization Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill. Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill Net Indefinite lived in process research and development. Indefinite Lived In Process Research And Development All other included in-process research and development which is indefinite lived Schedule of Long-term Debt Instruments [Table] Senior Credit Facility [Axis] Senior Credit Facility [Axis] Senior Credit Facility [Domain] Senior Credit Facility [Domain] Option i [Member] Option i [Member] Option ii [Member] Option ii [Member] Option Under Senior Credit Facility [Axis] Option Under Senior Credit Facility [Axis] Option Under Senior Credit Facility [Domain] Option Under Senior Credit Facility [Domain] Option X [Member] Option X [Member] Option Y [Member] Option Y [Member] Option Z [Member] Option Z [Member] Components Of Interest Expense [Axis] Components Of Interest Expense [Axis] Components Of Interest Expense [Domain] Components Of Interest Expense [Domain] Non-cash Interest [Member] Non-cash Interest [Member] Cash Interest [Member] Cash Interest [Member] Debt Instrument [Axis] Debt Instrument, Name [Domain] Senior Credit Facility. Senior Credit Facility [Member] December 31, 2010 Term Loan. Term Loan December 31, 2010 [Member] Term Loan December 31, 2010 2010 Senior Convertible Notes. 2010 Senior Convertible Notes [Member] 2010 Senior Convertible Notes [Member] 2012 Senior Convertible Notes. 2012 Senior Convertible Notes [Member] 2012 Senior Convertible Notes [Member] Two Thousand Sixteen Senior Convertible Notes [Member] 2016 Senior Convertible Notes [Member] 2016 Senior Convertible Notes [Member] Revolving Credit Component [Member] Revolving Credit Component [Member] Line Of Credit Facility Maximum Borrowing Capacity Borrowed under revolving credit facility Senior credit facility size increased to Debt Instrument, Convertible, Carrying Amount of Equity Component Portion of the debt proceeds that was classified as equity at the time of the offering Debt Instrument, Convertible, Effective Interest Rate Effective interest rate implicit in the liability component Deferred Finance Costs, Gross Financing fees Debt Instrument, Unamortized Discount Unamortized discount Debt Instrument, Face Amount Principal amount outstanding Convertible notes issued Borrowing capacity of the line of credit prior to the second amendment. Old Borrowing Capacity Prior revolving credit component Amount of term loan reallocated to revolving credit facility in connection with the second amendment to the agreement. Reallocated Term Loan Reallocated term loan The maturity date of the previous senior credit facility. Debt Instruments Maturity Date Prior revolving and senior credit facility's maturity date Line of Credit Facility, Remaining Borrowing Capacity Available borrowings under senior secured revolving credit facility Line of Credit Facility, Expiration Date Under interest option i - the percentage points added to the Eurodollar reference rate to compute the variable rate on the debt instrument. Debt Instrument Basis Spread On Variable Rate Interest rates available to the Company at it's option Interest rates descriptions Interest Rates Descriptions Interest rates descriptions Consolidated total leverage ratio - defined as the ratio of a) consolidated funded indebtedness less cash in excess of $40 million that is not subject to any restrictions. Leverage Ratio Consolidated funded indebtedness The potential increase in the total borrowing capacity with further commitments from the lending syndicate. Additional Commitments Additional commitments Line of Credit Facility, Collateral Line of credit, collateral Line of Credit Facility, Covenant Terms Line of credit, covenant terms The fee, expressed as a percentage of the line of credit facility, for the line of credit facility regardless of whether the facility has been used. Line of Credit Facility, Commitment Fee Percentage Line of credit, commitment fee percentage Debt Instrument, Interest Rate, Stated Percentage Interest rate on debt Debt Instrument, Fair Value Senior note fair value Fair value of outstanding borrowings Debt Instrument, Principal Outstanding Principal amount outstanding Outstanding term loan Debt instrument convertible number of shares Debt Instrument Convertible Number Of Shares Common stock based on initial conversion rate Principal amount of notes for each initial conversion into common shares. Principal amount to be considered for conversion purpose Principal amount to be considered for conversion purpose Debt Instrument Convertible Conversion Price Initial conversion price The cost of the call transactions entered into in connection with the convertible debt. Cost Of Call Transactions Cost of call transactions The proceeds received from the warrant transactions entered into in connection with the convertible debt. Proceeds From Warrant Transactions Proceeds from warrant transactions Derivative price of the call transaction, strike price. Derivative Price Of Call Transaction Strike Price Strike price of the call transaction Strike price of the warrant transactions entered into with affiliates of the initial purchasers of the 2012 Notes. Strike Price Of The Warrant Transactions Strike price of the warrant transactions The notes are convertible if the closing price of the Company's stock price exceeds this percentage of the conversion price during a period as defined in the indenture. Maximum selling price of companys common stock Maximum selling price of company's common stock Principal amount of notes for determining if the average trading price is in excess of this percentage of the conversion value. Principal Amount Of Notes Per Average Trading Price Principal amount of notes per average trading price The notes are convertible if the average trading price per $1000 principal amount of notes is less than or equal to this percentage of the average conversion value of the notes during a period as defined in the indenture. Maximum average conversion value of the Notes Maximum average conversion value of the Notes Date upon which the Convertible debt matures. Maturities Of Convertible Debt Convertible debt maturity date Debt Instrument, Convertible, Associated Derivative Transactions, Description Debt instrument, description "Debt instrument, call and warrant transactions descriptions Interest recognized Debt Related Commitment Fees and Debt Issuance Costs Expensed incremental financing costs Write off of Deferred Debt Issuance Cost Expensed previously capitalized financing costs Warrants and calls issued in connection with the hedge transactions. Warrant And Call Transactions Warrant and call transactions Interest Expense, Debt Interest expense Interest Expense, Debt, Total Derivative [Table] Schedule of Trading Securities and Other Trading Assets, Major Types of Trading Securities and Assets [Axis] Major Types of Trading Securities and Assets [Domain] Forward Contracts [Member] Derivative By Nature [Axis] Derivative Name [Domain] Interest Rate Swap [Member] Derivative instruments gain loss reclassified from accumulated OCI to income estimated net amount to be transferred. Derivative Instruments Gain Loss Reclassified From Accumulated Oci To Income Estimated Net Amount To Be Transferred Net pre-tax losses recorded in OCI Derivative, Net Hedge Ineffectiveness Gain (Loss) Foreign currency hedge contracts Derivative, Description of Terms Interest rate swap expiration date The time period estimated for the anticipated transfer of gains (losses), net from accumulated other comprehensive income into earnings. Derivative Instruments, Gain (Loss) Reclassification from Accumulated OCI to Income, Estimate of Time to Transfer Period for interest rate hedge to be reclassified to earnings Derivative instruments. Derivative Instruments [Table] Derivatives Fair Value By Balance Sheet Location [Axis] Balance Sheet Location [Domain] Accrued expenses and other current liabilities. Accrued Expenses and Other Current Liabilities [Member] Derivative Fair Value Of Derivative Asset Derivative Assets, Fair Value Derivative Fair Value Of Derivative Liability Derivative Liabilities, Fair Value Notional Amount of Interest Rate Derivatives Notional amount of interest rate derivatives Notional amount related to the interest rate swap Reduction in Notional Amount of Interest Rate Derivatives in the next twelve months. Reduction In Notional Amount Of Interest Rate Derivatives In the next twelve months Reduction in notional amount of interest rate derivatives in next twelve months Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table] Derivative Instruments, Gain (Loss) by Income Statement Location [Axis] Income Statement and Other Comprehensive Income Location [Domain] Other income (expense). Other Income (Expense) [Member] Interest (Expense) [Member] Currency hedge contracts. Currency Hedge Contracts [Member] Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income, Effective Portion, Net Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income, Effective Portion, Net, Total Amount of Gain (Loss) Recognized in AOCI Effective Portion Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net, Total Amount of Gain (Loss) Reclassified from AOCI Into Earnings-Effective Portion Schedule of Share-Based Compensation, Arrangements by Share-Based Payment Award [Table] Schedule of Share-Based Compensation Arrangement by Share-Based Payment Award, Award Type and Plan Name [Axis] Share-Based Compensation Arrangements by Share-Based Payment Award, Award Type and Plan Name [Domain] Employee Stock Option [Member] Restricted Stock [Member] Employee Service Share-based Compensation, Unrecognized Compensation Costs on Nonvested Awards Total unrecognized compensation costs Employee Service Share-based Compensation, Unrecognized Compensation Costs on Nonvested Awards, Weighted Average Period of Recognition Weighted-average period for cost recognition, years Share Based Compensation Arrangement By Share Based Payment Award Options Grants In Period Stock options granted Stock Options Granted Share Based Compensation Arrangement By Share Based Payment Award Award Requisite Service Period Requisite service periods of Performance stock, restricted stock and contract stock awards The number of shares granted to the CEO in connection with his employment contract extension CEO Contract Stock Grant Contract Stock / Stock units granted to CEO The compensation expense assiociated with the shares granted to the CEO in connection with his employment contract extension. CEO Contract Stock Expense Expense of Contract Stock / Stock units granted to CEO Board Approved Buyback Program [Member] Board Approved Buyback Program [Member] Treasury Stock Value Acquired Cost Method Shares repurchased Treasury Stock Shares Acquired Shares repurchased Stock Repurchase Program Authorized Amount. Stock Repurchase Program Authorized Amount Stock repurchase program, authorized amount The remaining repurchase amount authorized by an entity's Board of Directors under a stock repurchase plan. Stock Repurchase Program, Remaining Authorized Repurchase Amount Amount available for share repurchase under this latest authorization Defined Benefit Plan, Service Cost Service cost Defined Benefit Plan, Interest Cost Interest cost Defined Benefit Plan, Expected Return on Plan Assets Expected return on plan assets Expected return on plan assets Defined Benefit Plan Amortization Of Gains Losses Recognized net actuarial loss Recognized net actuarial loss Recognized net actuarial loss Defined Benefit Plan, Net Periodic Benefit Cost Net period benefit cost Defined Benefit Plan Contributions By Employer Contribution to defined benefit pension plans Defined Benefit Plan, Curtailments Reduction in projected benefit obligation Reduction in projected benefit obligation Effective Income Tax Rate Continuing Operations Effective Income Tax Rate, Continuing Operations, Total Reported tax rate The income tax impact of a NJ state tax change on the effective tax rate Inpact From New State Tax Law Deferred tax assets The tax impact of a reversals of uncertain tax positions. Uncertain Taxes Uncertain tax positions The tax impact of a correction recorded to deferred tax assets that was recorded during the period. DTA correction Correction to a deferred tax asset Incremental Common Shares Attributable To Share Based Payment Arrangements Incremental Common Shares Attributable to Share-based Payment Arrangements, Total Stock options and restricted stock The participating securities had an insignificant impact on the calculation of EPS. Impact of participating securities on rounding of earning or loss per share Impact of participating securities on rounding of earning or loss per share Share Based Compensation Arrangement By Share Based Payment Award Options Outstanding Number Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number, Ending Balance Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number, Beginning Balance Outstanding stock options Antidilutive Securities Excluded From Computation Of Earnings Per Share Amount Anti-dilutive stock options Other Comprehensive Income, Foreign Currency Transaction and Translation Adjustment, Net of Tax Other Comprehensive Income, Foreign Currency Transaction and Translation Adjustment, Net of Tax, Total Foreign currency translation adjustment Other Comprehensive Income Unrealized Gain Loss On Derivatives Arising During Period Net Of Tax Change in unrealized gain (loss) on derivatives, net of tax Change in unrealized gain on derivatives, net of tax Other Comprehensive Income, Minimum Pension Liability Net Adjustment, Net of Tax Pension liability adjustment, net of tax Pension liability adjustment, net of tax Comprehensive Income Net Of Tax Comprehensive income (loss) Schedule Of Entity Wide Information Revenue From External Customers By Products And Services [Table] Product Or Service [Axis] Product Or Service Name [Domain] Orthopedics. Orthopedics [Member] Neurosurgery. Neurosurgery [Member] Instruments. Instruments [Member] Entity Wide Disclosure On Geographic Areas Revenue From External Customers Attributed To Individual Foreign Countries [Table] Entity Wide Disclosure On Geographic Areas Revenue From External Customers Attributed To Individual Foreign Countries [Axis] Segment Geographical [Domain] United States [Member] United States [Member] Revenues from Europe. Europe [Member] Revenues from Asia Pacific. Asia Pacific [Member] Revenues from Other Foreign. Other Foreign [Member] Entity Wide Disclosure On Geographic Areas Revenue From External Customers Attributed To Foreign Countries Revenue from foreign countries The Company allegedly owes an additional payment related to revenue performance of trade sales. Company Allegedly Owes Additional Payment Related To Revenue Performance Of Trade Sales The Company allegedly owes an additional payment related to revenue performance of trade sales Original accrual amount for settlement. Original Accrual Amount For Settlement Original accrual amount for settlement Additional amount due under the asset purchase agreement for the second performance year. Additional amount due under the asset purchase agreement Additional amount due under the asset purchase agreement The alleged amount owed had been reduced subsequent to the most recent year-end. Company Owes Reduced Additional Payment Related To Revenue Performance Of Trade Sales Alleged amount owed reduced Product Liability Accrual, Component Amount Product liability accrual Sea Spine [Member] SeaSpine [Member] Non-Compete Agreements [Member] Brand Name [Member] Integra Spine [Member] Integra Spine [Member] Short Term Debt Type [Axis] Short Term Debt Type [Domain] Greater than (or equal to) the amount. Minimum [Member] Less than (or equal to) the amount. Maximum [Member] Other Assets [Member] Legal Entity [Axis] Entity [Domain] New Jersey [Member] New Jersey [Member]