Revenue from Contracts with Customers (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2019	Dec. 31, 2018
Contract assets [Line Items]
Contract with Customer, Asset, Reclassified to Receivable	$ 12,259
Accounts Receivable, Net		$ 20,655
Contract with Customer, Asset, Net	3,512	2,595
Non ASC 606 revenue	5,200	7,300
Contract with Customer, Liability	4,024	8,938
Medical devices [Member]
Contract assets [Line Items]
Contract with Customer, Asset, Reclassified to Receivable	0
Contract with Customer, Asset, Net	0	0
Contract with Customer, Liability	1,075	1,167
Revenue from Contract with Customer, Excluding Assessed Tax	25,562	17,389
Pharmaceutical [Member]
Contract assets [Line Items]
Contract with Customer, Asset, Reclassified to Receivable	12,259
Contract with Customer, Asset, Net	3,512	2,595
Contract with Customer, Liability	2,949	7,771
Revenue from Contract with Customer, Excluding Assessed Tax	55,093	80,796
Pharmaceutical [Member] \| North America [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	26,034	41,900
Pharmaceutical [Member] \| Europe [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	22,816	25,259
Pharmaceutical [Member] \| Asia [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	6,243	13,637
Pharmaceutical [Member] \| Other [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	0	0
Medical devices [Member] \| North America [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	10,155	7,425
Medical devices [Member] \| Europe [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	3,438	2,451
Medical devices [Member] \| Asia [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	11,536	7,136
Medical devices [Member] \| Other [Member]
Contract assets [Line Items]
Revenue from Contract with Customer, Excluding Assessed Tax	$ 433	$ 377

[Line Items] for Contract assets [Table]

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Non ASC 606 revenue

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For an unclassified balance sheet, the amount due from customers or clients for goods or services that have been delivered or sold in the normal course of business, reduced to their estimated net realizable fair value by an allowance established by the entity of the amount it deems uncertain of collection.

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Amount, after allowance for credit loss, of right to consideration in exchange for good or service transferred to customer when right is conditioned on something other than passage of time.

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Amount of obligation to transfer good or service to customer for which consideration has been received or is receivable.

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