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Property and Equipment - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Property Plant And Equipment [Line Items]        
Depreciation and amortization expense $ 2,489 $ 2,366 $ 4,885 $ 4,668
Trial Systems        
Property Plant And Equipment [Line Items]        
Transfers into inventory into (from) property and equipment     (352) (13)
Equipment        
Property Plant And Equipment [Line Items]        
Transfers into inventory into (from) property and equipment     $ (322) $ 201