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Consolidated Statements of Cash Flows (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities:      
Net loss $ (32,418)us-gaap_NetIncomeLoss $ (16,068)us-gaap_NetIncomeLoss $ (35,774)us-gaap_NetIncomeLoss
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:      
Bad debt expense 0us-gaap_ProvisionForDoubtfulAccounts 204us-gaap_ProvisionForDoubtfulAccounts 325us-gaap_ProvisionForDoubtfulAccounts
Depreciation and amortization 3,283us-gaap_DepreciationDepletionAndAmortization 2,351us-gaap_DepreciationDepletionAndAmortization 2,183us-gaap_DepreciationDepletionAndAmortization
Stock-based compensation 7,867us-gaap_ShareBasedCompensation 7,922us-gaap_ShareBasedCompensation 6,471us-gaap_ShareBasedCompensation
Change in fair value of contingent consideration related to acquisition (7,928)us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 8,500us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1 13,700us-gaap_BusinessCombinationContingentConsiderationArrangementsChangeInAmountOfContingentConsiderationLiability1
Common stock issued for business development 258us-gaap_BusinessDevelopment 752us-gaap_BusinessDevelopment 0us-gaap_BusinessDevelopment
Accretion of interest on convertible note 3,306us-gaap_AccretionExpense 175us-gaap_AccretionExpense 0us-gaap_AccretionExpense
Loss (Gain) on disposal of assets 180us-gaap_GainLossOnSaleOfPropertyPlantEquipment 0us-gaap_GainLossOnSaleOfPropertyPlantEquipment 0us-gaap_GainLossOnSaleOfPropertyPlantEquipment
Amortization of deferred financing costs 413us-gaap_AmortizationOfFinancingCostsAndDiscounts 21us-gaap_AmortizationOfFinancingCostsAndDiscounts 0us-gaap_AmortizationOfFinancingCostsAndDiscounts
Non-cash foreign exchange gain (loss) 5,740us-gaap_ForeignCurrencyTransactionGainLossUnrealized (1,731)us-gaap_ForeignCurrencyTransactionGainLossUnrealized 0us-gaap_ForeignCurrencyTransactionGainLossUnrealized
Changes in operating assets and liabilities:      
Accounts receivable and other receivables (2,009)us-gaap_IncreaseDecreaseInAccountsReceivable (2,440)us-gaap_IncreaseDecreaseInAccountsReceivable (8,319)us-gaap_IncreaseDecreaseInAccountsReceivable
Accretion on marketable securities 260us-gaap_AccretionAmortizationOfDiscountsAndPremiumsInvestments 0us-gaap_AccretionAmortizationOfDiscountsAndPremiumsInvestments 0us-gaap_AccretionAmortizationOfDiscountsAndPremiumsInvestments
Inventories (12,489)us-gaap_IncreaseDecreaseInInventories (1,046)us-gaap_IncreaseDecreaseInInventories 12us-gaap_IncreaseDecreaseInInventories
Prepaid expenses and other current assets (632)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (769)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets (408)us-gaap_IncreaseDecreaseInPrepaidDeferredExpenseAndOtherAssets
Accounts payable 2,727us-gaap_IncreaseDecreaseInAccountsPayable (196)us-gaap_IncreaseDecreaseInAccountsPayable 199us-gaap_IncreaseDecreaseInAccountsPayable
Accrued payroll 1,988us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities 3,546us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities 1,255us-gaap_IncreaseDecreaseInEmployeeRelatedLiabilities
Accrued expenses and other current liabilities 3,120us-gaap_IncreaseDecreaseInAccruedLiabilities 273us-gaap_IncreaseDecreaseInAccruedLiabilities 1,827us-gaap_IncreaseDecreaseInAccruedLiabilities
Net cash (used in) provided by operating activities (26,334)us-gaap_NetCashProvidedByUsedInOperatingActivities 1,494us-gaap_NetCashProvidedByUsedInOperatingActivities (18,529)us-gaap_NetCashProvidedByUsedInOperatingActivities
Cash flows from investing activities:      
Purchases of marketable securities (121,015)us-gaap_PaymentsToAcquireMarketableSecurities (31,313)us-gaap_PaymentsToAcquireMarketableSecurities 0us-gaap_PaymentsToAcquireMarketableSecurities
Maturity on marketable securities 92,197us-gaap_ProceedsFromSaleAndMaturityOfMarketableSecurities 0us-gaap_ProceedsFromSaleAndMaturityOfMarketableSecurities 0us-gaap_ProceedsFromSaleAndMaturityOfMarketableSecurities
Purchases of property and equipment (13,461)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (2,862)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (2,238)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Purchases of patent license 0us-gaap_LicenseCosts 0us-gaap_LicenseCosts (100)us-gaap_LicenseCosts
Intuitrak Shonin (1,000)us-gaap_PaymentsToAcquireIntangibleAssets 0us-gaap_PaymentsToAcquireIntangibleAssets 0us-gaap_PaymentsToAcquireIntangibleAssets
Business acquisition 0us-gaap_PaymentsToAcquireBusinessesGross 0us-gaap_PaymentsToAcquireBusinessesGross (1,156)us-gaap_PaymentsToAcquireBusinessesGross
Net cash used in investing activities (43,279)us-gaap_NetCashProvidedByUsedInInvestingActivities (34,175)us-gaap_NetCashProvidedByUsedInInvestingActivities (3,494)us-gaap_NetCashProvidedByUsedInInvestingActivities
Cash flows from financing activities:      
Deferred financing costs 0us-gaap_AmortizationOfFinancingCosts (3,657)us-gaap_AmortizationOfFinancingCosts 0us-gaap_AmortizationOfFinancingCosts
Proceeds from sale of common stock under secondary offering, net of expenses 0us-gaap_ProceedsFromIssuanceOfCommonStock 0us-gaap_ProceedsFromIssuanceOfCommonStock 40,069us-gaap_ProceedsFromIssuanceOfCommonStock
Proceeds from sale of common stock under employee stock purchase plan 2,613us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlans 2,444us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlans 2,369us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlans
Proceeds from exercise of stock options 1,776us-gaap_ProceedsFromStockOptionsExercised 4,875us-gaap_ProceedsFromStockOptionsExercised 4,992us-gaap_ProceedsFromStockOptionsExercised
Funding of restricted cash account 0us-gaap_IncreaseInRestrictedCash 5,395us-gaap_IncreaseInRestrictedCash 0us-gaap_IncreaseInRestrictedCash
Release of restricted cash account 0us-gaap_DecreaseInRestrictedCash (5,395)us-gaap_DecreaseInRestrictedCash 0us-gaap_DecreaseInRestrictedCash
Proceeds from convertible debt 0us-gaap_ProceedsFromConvertibleDebt 86,250us-gaap_ProceedsFromConvertibleDebt 0us-gaap_ProceedsFromConvertibleDebt
Purchase of treasury shares (2,328)us-gaap_TreasuryStockValueAcquiredCostMethod 0us-gaap_TreasuryStockValueAcquiredCostMethod 0us-gaap_TreasuryStockValueAcquiredCostMethod
Purchase of capped call 0us-gaap_ProceedsFromRepaymentsOfOtherLongTermDebt (7,418)us-gaap_ProceedsFromRepaymentsOfOtherLongTermDebt 0us-gaap_ProceedsFromRepaymentsOfOtherLongTermDebt
Net cash provided by financing activities 2,061us-gaap_NetCashProvidedByUsedInFinancingActivities 82,494us-gaap_NetCashProvidedByUsedInFinancingActivities 47,430us-gaap_NetCashProvidedByUsedInFinancingActivities
Effect of exchange rate changes on cash and cash equivalents (802)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 221us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (324)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Net increase (decrease) in cash and cash equivalents (68,354)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 50,034us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 25,083us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of period 95,152us-gaap_CashAndCashEquivalentsAtCarryingValue 45,118us-gaap_CashAndCashEquivalentsAtCarryingValue 20,035us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of period 26,798us-gaap_CashAndCashEquivalentsAtCarryingValue 95,152us-gaap_CashAndCashEquivalentsAtCarryingValue 45,118us-gaap_CashAndCashEquivalentsAtCarryingValue
Supplemental disclosure of cash flow information:      
Cash paid for interest 2,018us-gaap_InterestPaid 16us-gaap_InterestPaid 10us-gaap_InterestPaid
Cash paid for income taxes 258us-gaap_IncomeTaxesPaid 171us-gaap_IncomeTaxesPaid 16us-gaap_IncomeTaxesPaid
Supplemental disclosure of cash flow information:      
Landlord funded leasehold improvements 5,265us-gaap_OtherRealEstateImprovements 1,485us-gaap_OtherRealEstateImprovements 0us-gaap_OtherRealEstateImprovements
Fair Value of OUS Milestone Shares (note 9) 38,372us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1 0us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1 0us-gaap_OtherSignificantNoncashTransactionValueOfConsiderationGiven1
Acquisition of property and equipment included in accounts payable $ 2,612us-gaap_NoncashOrPartNoncashAcquisitionOtherAssetsAcquired1 $ 0us-gaap_NoncashOrPartNoncashAcquisitionOtherAssetsAcquired1 $ 0us-gaap_NoncashOrPartNoncashAcquisitionOtherAssetsAcquired1