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Debt - MidCap Facility Agreement (Details) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Aug. 08, 2016
Dec. 31, 2016
Sep. 30, 2016
Dec. 31, 2018
Dec. 31, 2017
Sep. 01, 2016
Mar. 11, 2016
Fifth amendment credit facility with MidCap | Revolving credit facility              
Line of Credit Facility [Line Items]              
Maximum borrowing capacity           $ 22,500,000  
Fifth amendment credit facility with MidCap | Term loan              
Line of Credit Facility [Line Items]              
Maximum borrowing capacity           5,000,000  
Debt instrument, prepayment fee           $ 600,000  
Amended credit facility with MidCap | Revolving credit facility              
Line of Credit Facility [Line Items]              
Line of credit     $ 12,200,000        
Interest rate     6.50%        
Amended credit facility with MidCap | Term loan              
Line of Credit Facility [Line Items]              
Line of credit     $ 4,900,000        
Floor on interest rate     9.50%        
Interest rate     9.50%        
Third amendment credit facility with MidCap              
Line of Credit Facility [Line Items]              
Amendment fee amount             $ 500,000
Debt issuance costs     $ 2,100,000        
Fourth Amendment to the amended credit facility with MidCap              
Line of Credit Facility [Line Items]              
Amendment fee amount $ 200,000            
Line of credit facility, increase in maximum borrowing capacity $ 2,200,000.0            
LIBOR | Amended credit facility with MidCap | Revolving credit facility              
Line of Credit Facility [Line Items]              
Interest rate description     LIBOR plus 6.0%        
Basis spread     6.00%        
LIBOR | Amended credit facility with MidCap | Term loan              
Line of Credit Facility [Line Items]              
Interest rate description     ("LIBOR") plus 8.0%        
Basis spread     8.00%        
Forecast | Amended credit facility with MidCap              
Line of Credit Facility [Line Items]              
Monthly term loan payments   $ 100,000   $ 300,000 $ 200,000    
Line of credit | Amended credit facility with MidCap | Maximum              
Line of Credit Facility [Line Items]              
Debt default, interest rate increase     5.00%