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Property and Equipment - Additional Information (Detail) - USD ($)
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Property, Plant and Equipment [Line Items]      
Accumulated depreciation $ 12,435,000 $ 10,281,000  
Depreciation and amortization 2,377,000 1,590,000 $ 1,990,000
Lease and Loaner Instruments [Member]      
Property, Plant and Equipment [Line Items]      
Accumulated depreciation $ 867,000 $ 128,000