Annual report pursuant to Section 13 and 15(d)

Property and Equipment - Schedule of Components of Property and Equipment (Details)

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Property and Equipment - Schedule of Components of Property and Equipment (Details) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Property, Plant and Equipment [Line Items]    
Property and equipment gross $ 8,864 $ 7,800
Less: accumulated depreciation (7,418) (6,911)
Property and equipment, net 1,446 889
Manufacturing and Lab Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment gross 223 223
Surgical Instruments [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment gross 6,398 5,269
Leasehold Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment gross 863 863
Software and Computer Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment gross 745 816
Furniture and Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment gross $ 635 $ 629