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Debt - MidCap Facility Agreement (Details) - USD ($)
3 Months Ended
Nov. 06, 2018
Mar. 08, 2018
Mar. 31, 2019
Line of Credit Facility [Line Items]      
Minimum liquidity covenant amount     $ 5,000,000
Amended credit facility with MidCap      
Line of Credit Facility [Line Items]      
Unamortized debt discount     $ 1,200,000
Minimum liquidity covenant amount   $ 5,000,000  
Latest date of minimum liquidity covenant 2020-03 2019-03  
Amended credit facility with MidCap | Maximum      
Line of Credit Facility [Line Items]      
Effective date of financial covenants of amended credit facility 2020-04 2019-04  
Amended credit facility with MidCap | Minimum      
Line of Credit Facility [Line Items]      
Effective date of financial covenants of amended credit facility 2019-04 2018-04  
Amended credit facility with MidCap | Line of credit | Maximum      
Line of Credit Facility [Line Items]      
Debt default, interest rate increase     5.00%
Amended credit facility with MidCap | Revolving credit facility      
Line of Credit Facility [Line Items]      
Maximum borrowing capacity     $ 22,500,000
Line of credit     $ 10,600,000
Line of credit, expiration month and year     2022-12
Interest rate     8.50%
Amended credit facility with MidCap | Revolving credit facility | LIBOR      
Line of Credit Facility [Line Items]      
Interest rate description     (“LIBOR”) plus 6.0%,
Basis spread     6.00%
Amended credit facility with MidCap | Term Loan      
Line of Credit Facility [Line Items]      
Maximum borrowing capacity     $ 5,000,000