ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Accrued Expenses And Other Current Liabilities [Line Items]
Accrued salaries and commissions	$ 1,840,457	$ 1,009,913
Clinical studies	822,085	111,394
Accrued accounts payable	479,783	310,227
Accrued royalties	433,589	334,335
Professional fees	280,381	300,351
Travel and entertainment	187,047	164,985
Sales, payroll and income taxes payable	182,753	178,592
Interest	76,726	78,585
Congresses	51,549	72,291
Board of director fees	31,350	28,500
Customer Deposits	0	14,747
Accrued Expenses And Other Current Liabilities	$ 4,385,720	$ 2,603,920