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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Operating activities    
Net loss $ (28,703) $ (22,534)
Adjustments to reconcile net loss to net cash used in operating activities:    
Depreciation of property and equipment 600 660
Change in right-of-use assets 145  
Amortization of financing costs 13 9
Noncash interest expense 1,476 2,007
Share-based compensation expense 1,882 2,040
Obsolete inventory reserve 636 196
Change in fair value of derivative liabilities 0 4
Impairment of assets 0 20
Sales return provision 175 (158)
Changes in:    
Accounts receivable 648 (870)
Inventories (2,421) 870
Prepaid expense and other current assets (269) (538)
Other assets (151) (175)
Accounts payable (176) (1,473)
Accrued expense 2,199 166
Operating lease liabilities (127)  
Deferred rent liability 0 39
Net cash used in operating activities (24,073) (19,737)
Investing activities    
Acquisition of property and equipment (1,026) (813)
Net cash used in investing activities (1,026) (813)
Financing activities    
Repayment of finance lease (59) (46)
Proceeds from issuance of common stock and exercise of warrants, net of fees 4,659 27,542
Proceeds from issuance of common stock through ESPP 0 137
Net cash provided by financing activities 4,600 27,633
Net increase (decrease) in cash and cash equivalents (20,499) 7,083
Cash and cash equivalents-beginning of period 27,259 33,044
Cash and cash equivalents-end of period 47,758 25,961
Supplemental disclosures of cash flow information    
Right-of-use assets 2,592  
Operating lease liability 2,700 0
Deferred rent 109  
Cash interest payment on long-term debt 764 0
Commitment fee for Second Purchase Agreement 0 429
Deferred revenue reduction 0 1,638
Sales return reserve 0 778
Deferred cost of goods sold reduction (Note 3) 0 539
Accrued distribution fees and managed care costs 0 343
Noncash investing and financing    
Capital lease obligation 0 315
Accrued offering costs 0 298
Property and equipment additions included in accounts payable $ 190 $ 0