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Long-term Debt - Additional Information (Detail) (USD $)
9 Months Ended 1 Months Ended 9 Months Ended 0 Months Ended 3 Months Ended 9 Months Ended 9 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2014
May 31, 2011
MidCap Financial SBIC, LP [Member]
Sep. 30, 2014
MidCap Financial SBIC, LP [Member]
May 13, 2013
Comerica Bank [Member]
Sep. 30, 2014
Comerica Bank [Member]
Sep. 30, 2013
Comerica Bank [Member]
Sep. 30, 2014
Comerica Bank [Member]
Sep. 30, 2013
Comerica Bank [Member]
May 13, 2013
Comerica Bank [Member]
Sep. 30, 2014
Comerica Bank [Member]
Tranche Two [Member]
Sep. 30, 2014
Comerica Bank [Member]
Series E Convertible Preferred Stock [Member]
Sep. 30, 2014
Comerica Bank [Member]
Common Stock [Member]
Sep. 30, 2014
MidCap Loan [Member]
Sep. 30, 2013
MidCap Loan [Member]
Sep. 30, 2014
MidCap Loan [Member]
Sep. 30, 2013
MidCap Loan [Member]
Debt Instrument [Line Items]                                
Loan and security agreement, borrowed amount   $ 6,000,000             $ 4,500,000              
Loan and security agreement, floor interest rate   2.00%                            
Loan and security agreement, interest rate spread   8.00%         4.00%                  
Loan and security agreement, variable interest rate basis     LIBOR                          
Loan and security agreement, interest rate description     The stated rate of LIBOR, at a 2% rate floor, plus 8% spread per annum.                          
Final payment of loan and security agreement, percentage   3.00%                            
Final payment of loan and security agreement   180,000                            
Loan and security agreement, repayment description     The loan was payable in monthly installments beginning September 2013 through August 2014.       The terms allow for an interest only period of 15 months, and the remaining principal and interest will be repaid starting September 2014 over a nine-month period (24 months in total).                  
Loan and security agreement, repayment start date   2013-09                            
Loan and security agreement, repayment end date   2014-08                            
Venture debt loan, LIBOR period             30 days                  
Venture debt loan, basis points         2.50%   2.50%                  
Debt instrument term       24 months                        
Venture debt loan, interest period       15 months                        
Venture debt loan, interest rate         7.25%   7.25%                  
Due period for repayment of principal and interest       9 months                        
Debt instrument maturity amount in 2014             4,500,000                  
Debt instrument maturity amount in 2015             0                  
Venture debt loan, Description             Upon (i) Comerica’s receipt of evidence satisfactory to Comerica that the 1,000 patient interim analysis in the REGULATE-PCI study is successful and performed by April 30, 2014 and (ii) our completion of the IPO and receipt of net proceeds of at least $50.0 million prior to June 30, 2013, we had the option to borrow an additional $4.0 million in the second tranche, or (“Tranche Two”). Since the latter of the Tranche Two conditions was not satisfied, Tranche Two is solely at the discretion of Comerica.                  
Debt security, option to borrow additional loans                   4,000,000            
Loan and security agreement, interest expense         82,000 138,000 245,000 211,000         0 0 0 325,000
Issuance of warrants to purchase of stock                     156,250 9,356        
Warrant price per share                     $ 0.72 $ 12.02        
Transaction costs attributable to debt $ 85,000