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The Company and Basis of Presentation - Additional Information (Details)
$ in Thousands
12 Months Ended
Mar. 08, 2018
USD ($)
Dec. 31, 2018
USD ($)
segment
Dec. 31, 2017
USD ($)
Mar. 27, 2019
USD ($)
Nov. 06, 2018
USD ($)
Company And Basis Of Presentation [Line Items]          
Number of reportable segments | segment   1      
Working capital   $ 44,900      
Cash   29,054 $ 22,466    
Net proceeds from equity offering $ 51,900        
Minimum liquidity covenant amount   $ 5,000      
Latest effective date of minimum liquidity covenant   2020-03      
Depreciation   $ 6,000 6,600    
Reclassification | Surgical instruments          
Company And Basis Of Presentation [Line Items]          
Depreciation   $ 5,300 $ 5,900    
Percentage of total cost of revenues   15.00% 15.00%    
Term Loan | Squadron Credit Agreement          
Company And Basis Of Presentation [Line Items]          
Secured debt agreement   $ 35,000     $ 35,000
Term Loan | Squadron Credit Agreement | Subsequent Event          
Company And Basis Of Presentation [Line Items]          
Secured debt agreement       $ 30,000