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Balance Sheet Details - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 66,935 $ 67,045
Less accumulated depreciation and amortization (53,700) (54,375)
Property and equipment, net $ 13,235 12,670
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful lives 4 years  
Property and equipment, gross $ 54,848 53,198
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 7 years  
Property and equipment, gross $ 5,971 5,503
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 3 years  
Property and equipment, gross $ 3,104 3,500
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 5 years  
Property and equipment, gross $ 1,155 2,794
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Various useful lives of leasehold improvements various  
Property and equipment, gross $ 1,765 1,714
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 92 $ 336