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The Company and Basis of Presentation - Additional Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Mar. 27, 2019
Dec. 31, 2018
Nov. 06, 2018
Company And Basis Of Presentation [Line Items]              
Working capital $ 44,900   $ 44,900        
Cash 18,570   18,570     $ 29,054  
Minimum liquidity covenant amount 5,000   $ 5,000        
Latest effective date of minimum liquidity covenant     2020-03        
Depreciation $ 1,500 $ 1,500 $ 3,100 $ 3,000      
Reclassification | Surgical instruments              
Company And Basis Of Presentation [Line Items]              
Depreciation   $ 1,300   $ 2,600      
Term Loan | Squadron Credit Agreement              
Company And Basis Of Presentation [Line Items]              
Secured debt agreement         $ 20,000   $ 35,000