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Summary of Significant Accounting Policies - Additional Information (Details)
1 Months Ended 3 Months Ended 12 Months Ended
Mar. 08, 2018
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Mar. 31, 2019
USD ($)
Mar. 31, 2019
USD ($)
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Sep. 30, 2018
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Jun. 30, 2018
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Mar. 31, 2018
USD ($)
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Dec. 31, 2019
USD ($)
customer
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Dec. 31, 2018
USD ($)
customer
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Sep. 30, 2019
USD ($)
Significant Accounting Policies [Line Items]                  
Accounts receivable payment terms             30 days    
Accounts receivable related to products and services             $ 16,150,000 $ 15,095,000  
Operating lease, ROU asset   $ 2,400,000 $ 2,400,000       1,860,000    
Operating lease liability   2,900,000 $ 2,900,000       2,239,000    
Removal of deferred rent                 $ 600,000
Goodwill and intangible asset impairment charge             0    
Impairment charges of Long-lived assets disposition             0 0  
Impairment charges of Long-lived assets held for use             0 0  
Sales, general and administrative             101,714,000 72,640,000  
Preferred stock convertible to common stock | shares           14,300,000      
Recognition of beneficial conversion feature series B preferred stock           $ 13,500,000   13,488,000  
Recognition of beneficial conversion feature SafeOp convertible notes   $ 200,000              
Product Shipment                  
Significant Accounting Policies [Line Items]                  
Sales, general and administrative             $ 4,000,000 $ 2,500,000  
SafeOp Surgical, Inc.                  
Significant Accounting Policies [Line Items]                  
Preferred stock convertible to common stock | shares 987,578                
SafeOp Surgical, Inc. | Common Stock                  
Significant Accounting Policies [Line Items]                  
Stock issued for acquisition | shares 2,975,209   886,843 174,302 115,621   886,843 443,421  
Fair value, inputs, level 3                  
Significant Accounting Policies [Line Items]                  
Vesting period             4 years    
Fair value of the cash settled award             $ 1,700    
Minimum                  
Significant Accounting Policies [Line Items]                  
Estimated useful lives of property and equipment             3 years    
Minimum | Acquired Technology, Customer Relationships, Manufacturing Know-how, Licensed Technology, Supply Agreements and Certain Trade Names and Trademarks                  
Significant Accounting Policies [Line Items]                  
Intangible assets, amortization period             1 year    
Maximum                  
Significant Accounting Policies [Line Items]                  
Estimated useful lives of property and equipment             7 years    
Maximum | Acquired Technology, Customer Relationships, Manufacturing Know-how, Licensed Technology, Supply Agreements and Certain Trade Names and Trademarks                  
Significant Accounting Policies [Line Items]                  
Intangible assets, amortization period             20 years    
Sales | Customer Concentration Risk                  
Significant Accounting Policies [Line Items]                  
Concentration risk, number of customers | customer             0 0  
Accounts Receivable | Customer Concentration Risk                  
Significant Accounting Policies [Line Items]                  
Concentration risk, number of customers | customer             0 0