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Debt - MidCap Facility Agreement (Details) - Amended credit facility with MidCap
9 Months Ended
Sep. 30, 2019
USD ($)
Line of Credit Facility [Line Items]  
Unamortized debt discount $ 1,100,000
Revolving credit facility  
Line of Credit Facility [Line Items]  
Maximum borrowing capacity 22,500,000
Line of credit $ 11,600,000
Line of credit, expiration month and year 2022-12
Interest rate 8.10%
Revolving credit facility | LIBOR  
Line of Credit Facility [Line Items]  
Interest rate description (“LIBOR”) plus 6.0%,
Basis spread 6.00%
Term Loan  
Line of Credit Facility [Line Items]  
Maximum borrowing capacity $ 5,000,000