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Summary of Significant Accounting Policies (Details Textual) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Summary of Significant Accounting Policies Details [Line Items]          
Product sales, net $ 16,375 $ 9,436 $ 44,288 $ 37,556  
Assets 192,882 190,666 192,882 190,666 $ 184,585
Domestic          
Summary of Significant Accounting Policies Details [Line Items]          
Product sales, net 13,300 8,700 34,900 36,500  
Assets 131,900 121,200 131,900 121,200  
Foreign          
Summary of Significant Accounting Policies Details [Line Items]          
Product sales, net 5,000 2,600 14,200 8,900  
Assets $ 61,000 $ 69,500 $ 61,000 $ 69,500  
Sales Revenue | Customer concentration risk | Three Customers          
Summary of Significant Accounting Policies Details [Line Items]          
Concentration risk 49.00% 54.00% 54.00% 52.00%  
Sales Revenue | Customer concentration risk | Customer One          
Summary of Significant Accounting Policies Details [Line Items]          
Concentration risk 25.00% 33.00% 32.00% 28.00%  
Sales Revenue | Customer concentration risk | Customer Two          
Summary of Significant Accounting Policies Details [Line Items]          
Concentration risk 12.00% 11.00% 12.00% 12.00%  
Sales Revenue | Customer concentration risk | Customer Three          
Summary of Significant Accounting Policies Details [Line Items]          
Concentration risk 12.00% 10.00% 10.00% 12.00%  
Accounts Receivable          
Summary of Significant Accounting Policies Details [Line Items]          
Concentration risk     56.00% 74.00%  
Convertible Notes Payable          
Summary of Significant Accounting Policies Details [Line Items]          
Net carrying value of notes $ 117,800   $ 117,800    
Face value of notes 143,750   143,750    
Term Loan 2021 | Convertible Notes Payable          
Summary of Significant Accounting Policies Details [Line Items]          
Net carrying value of notes 24,200   24,200    
Face value of notes $ 25,000   $ 25,000    
London Interbank Offered Rate (LIBOR) | Term Loan 2021 | Convertible Notes Payable          
Summary of Significant Accounting Policies Details [Line Items]          
Basis spread on variable rate 9.00%   9.00%