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Stockholders' Equity (Details Narrative) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 05, 2018
Apr. 10, 2018
Mar. 17, 2017
Jul. 24, 2015
Mar. 31, 2019
Sep. 30, 2018
Mar. 31, 2018
Sep. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Class of Stock [Line Items]                    
Proceeds from issuance of common stock           $ 854   $ 3,778 $ 1,179
Number of shares issued in transaction, value                 $ 3,000
Preferred stock, shares outstanding              
Proceeds from warrants exercised             $ 138 $ 100
Series A Preferred Stock [Member]                    
Class of Stock [Line Items]                    
Number of shares issued in transaction, value         $ 1,900       $ 2,300  
Preferred stock, shares outstanding 150,000                  
Proceeds from indebtedness $ 250                  
Securities Purchase Agreement [Member] | Lincoln Park Capital Fund LLC [Member]                    
Class of Stock [Line Items]                    
Number of shares issued during period             1,900,000   1,900,000 300,000
Stock issued during period, value, new issues       $ 10,000            
Proceeds from issuance of common stock             $ 854   $ 854 $ 113
Limited liability company description for purchase shares level       The Company had the right to sell to Lincoln Park, and Lincoln Park was obligated to purchase, up to $10.0 million in shares of the Company's common stock, subject to certain limitations, from time to time, over the 36-month period commencing on September 4, 2015.            
Series A Preferred Stock Purchase Agreement [Member] | Specialty Renal Products, Inc. [Member]                    
Class of Stock [Line Items]                    
Sale of stock, price per share $ 5.00                  
Equity interest 62.50%                  
Ownership percentage 100.00%                  
Dividends per share rate $ 0.40                  
Series A Preferred Stock Purchase Agreement [Member] | Specialty Renal Products, Inc. [Member] | Holders of Series A Preferred [Member]                    
Class of Stock [Line Items]                    
Equity interest 37.50%                  
Ownership percentage 100.00%                  
Series A Preferred Stock Purchase Agreement [Member] | Specialty Renal Products, Inc. [Member] | Entities Controlled by Member of Management [Member]                    
Class of Stock [Line Items]                    
Number of shares issued during period 18,000                  
Series A Preferred Stock Purchase Agreement [Member] | Specialty Renal Products, Inc. [Member]                    
Class of Stock [Line Items]                    
Number of shares sold during the period 600,000                  
Number of shares issued in transaction 600,000                  
Number of shares issued in transaction, value $ 3,000                  
Transaction-related expenses $ 30         $ 30   $ 30    
Series A Preferred Stock Purchase Agreement [Member] | Specialty Renal Products, Inc. [Member] | Lambda, Majority Shareholder [Member]                    
Class of Stock [Line Items]                    
Number of shares issued during period 400,000                  
Warrant Agreement [Member]                    
Class of Stock [Line Items]                    
Number of shares issued during period                 456,666 333,332
Exercise price per share                 $ 0.38 $ 0.37
Number of warrants exercised                 456,666 333,332
Proceeds from warrants exercised                 $ 138,000 $ 100,000
Private Placement [Member] | Stock Purchase Agreement [Member]                    
Class of Stock [Line Items]                    
Number of shares sold during the period   6,540,669                
Gross proceeds from issuance of private placement   $ 2,943                
Shares issued price per share   $ 0.45                
Proceeds of equity issuance costs net   $ 19                
Proceeds from private placement   $ 2,924                
Number of shares issued during period   219,000                
Proceeds from issuance of common stock   $ 98                
Number of shares issued in transaction   6,540,669                
Private Placement [Member] | Securities Purchase Agreement [Member]                    
Class of Stock [Line Items]                    
Number of shares sold during the period     4,059,994              
Gross proceeds from issuance of private placement     $ 1,218              
Shares issued price per share     $ 0.30              
Proceeds of equity issuance costs net     $ 152              
Proceeds from private placement     $ 1,066              
Warrants description     Each unit consisted of one share of the Company's common stock and a five-year warrant to purchase one additional share of the Company's common stock.              
Proceeds received from certain members of management and existing shareholders     $ 315              
Number of warrants to placement agent     81,199              
Exercise price per share     $ 0.33              
Number of shares issued in transaction     4,059,994