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Select Condensed Consolidated Balance Sheet Details - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 71,253 $ 66,935
Less accumulated depreciation and amortization (52,530) (53,700)
Property and equipment, net $ 18,723 13,235
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful lives 4 years  
Property and equipment, gross $ 58,520 54,848
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 7 years  
Property and equipment, gross $ 6,015 5,971
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 3 years  
Property and equipment, gross $ 3,475 3,104
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 5 years  
Property and equipment, gross $ 1,289 1,155
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Various useful lives of leasehold improvements various  
Property and equipment, gross $ 1,761 1,765
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 193 $ 92