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Select Condensed Consolidated Balance Sheet Details - Property and Equipment, Net (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2020
Dec. 31, 2019
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 81,783 $ 71,688
Less accumulated depreciation and amortization (54,102) (51,966)
Property and equipment, net $ 27,681 19,722
Surgical instruments    
Property, Plant and Equipment [Line Items]    
Useful lives 4 years  
Property and equipment, gross $ 67,012 58,502
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 7 years  
Property and equipment, gross $ 6,562 6,038
Computer equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 3 years  
Property and equipment, gross $ 4,206 3,594
Office furniture and equipment    
Property, Plant and Equipment [Line Items]    
Useful lives 5 years  
Property and equipment, gross $ 1,380 1,297
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Various useful lives of leasehold improvements various  
Property and equipment, gross $ 1,761 1,761
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 862 $ 496