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Intangible Assets (Details Textual) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Dec. 31, 2016
Jun. 15, 2017
Nov. 17, 2016
Intangible Assets [Line Items]                
Amortization of Intangible Assets $ 208 $ 256 $ 669 $ 409 $ 639 $ 305    
Debt Instrument, Interest Rate, Stated Percentage               7.00%
Additional Fixed Consideration Payable             $ 3,000  
Additional Fixed Consideration Payable Due in Year Four             1,500  
Initial Achievement of Revenue in Year Four             12,000  
Additional Fixed Consideration Payable Due in Year Five             1,500  
Initial Achievement of Revenue in Year Five             15,000  
Financial Obligations Contemplated by Asset Purchase Agreement             5,000  
Impairment of Intangible Assets (Excluding Goodwill) 0 $ 0 653 $ 0        
Meda Pharma SARL [Member]                
Intangible Assets [Line Items]                
Fixed Consideration Payable in Installments over Three Year Period             5,000  
Present Value of Future Payments Due, Patents         $ 4,200   $ 4,200  
Debt Instrument, Interest Rate, Stated Percentage         15.00%   15.00%  
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Long-term Debt 3,700   3,700   $ 3,000      
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Long-term Debt $ 900   $ 900   $ 1,400      
Maximum [Member]                
Intangible Assets [Line Items]                
Finite-Lived Intangible Asset, Useful Life         15 years      
Minimum [Member]                
Intangible Assets [Line Items]                
Finite-Lived Intangible Asset, Useful Life         7 years