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Basis of Presentation (Details 2) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Total Revenue $ 3,689 $ 4,049 $ 11,286 $ 10,952
Product sales [Member]        
Total Revenue 1,299 1,750 4,940 3,970
Royalties [Member]        
Total Revenue $ 2,390 $ 2,299 $ 6,346 $ 6,982