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Property and Equipment - Additional Information (Detail) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]      
Accumulated depreciation $ 18,251 $ 16,930  
Depreciation and amortization $ 4,900 4,000 $ 3,300
Lease and loaner instruments      
Property, Plant and Equipment [Line Items]      
Accumulated depreciation   $ 2,400