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Selected Consolidated Financial Statement Information - Accrued Expenses (Details) - USD ($)
$ in Thousands
6 Months Ended
Jul. 01, 2016
Jun. 28, 2016
Dec. 31, 2017
Jun. 30, 2017
Accrued Expenses        
Salaries and bonus     $ 6,064 $ 8,247
Commissions     5,600 8,217
Accrued vacation     3,552 3,436
Accrued excise, sales and other taxes     3,407 3,497
Accrued legal       2,600
Legal settlement     1,831 1,814
Clinical studies     456 657
Other accrued expenses     1,770 1,768
Accrued expenses     $ 22,680 $ 30,236
Litigation Settlement, Amount Awarded to Other Party   $ 8,000    
Payments for Legal Settlements $ 3,000      
Settlement Payable in Installments $ 5,000      
Litigation Settlement Interest, Percentage     1.80%  
Litigation Settlement, Number of Quarterly Installment Payment     11  
Department Of Justice Non Insurance Settlement Maximum Payment Amount     $ 2,000