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License and Supply Agreements (Details) (USD $)
3 Months Ended 9 Months Ended 1 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2013
Sep. 30, 2012
Sep. 30, 2013
Sep. 30, 2012
Jan. 31, 2010
Distribution Agreement with Parcell Spine, LLC [Member]
Sep. 30, 2013
Distribution Agreement with Parcell Spine, LLC [Member]
Sep. 30, 2010
Distribution Agreement with Parcell Spine, LLC [Member]
Sep. 30, 2013
Distribution Agreement with Parcell Spine, LLC [Member]
Research and Development Arrangement, Contract to Perform for Others [Line Items]                
Cash Payments         $ 500,000   $ 500,000  
Milestone Payments         1,000,000      
Issuance Of Common Stock         1,000,000      
Addition To Intangible Assets             1,500,000  
Number Of Shares Of Common Stock For Issuance             476,190  
Amortization of acquired intangible assets 741,000 491,000 2,255,000 1,574,000   900,000   900,000
Provision for excess and obsolete inventory     $ 10,842,000 $ 3,980,000   $ 2,600,000   $ 2,600,000