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Composition of Accrued Liability (Detail) (USD $)
In Thousands, unless otherwise specified
Sep. 30, 2013
Dec. 31, 2012
Dec. 31, 2011
Other Liabilities Disclosure [Abstract]      
Salaries and bonuses $ 2,755 $ 2,071 $ 1,725
Clinical study costs 217 847  
Accounting and legal 1,527 491 107
Other accrued liabilities 1,920 1,072 719
Accrued liabilities $ 6,419 $ 4,481 $ 2,551