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Property and Equipment - Additional Information (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Property, Plant and Equipment [Line Items]      
Accumulated depreciation $ 14,816 $ 12,435  
Depreciation and amortization 2,900 2,300 $ 1,500
Lease and loaner instruments      
Property, Plant and Equipment [Line Items]      
Accumulated depreciation $ 1,500 $ 900