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Contractual Commitments and Contingencies - Narrative (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Jun. 30, 2017
claim
Aug. 18, 2015
claim
Jul. 10, 2015
claim
Jun. 29, 2015
claim
Loss Contingencies [Line Items]                
Lease expiration period     6 years          
Rent expense | $ $ 403 $ 453 $ 1,244 $ 1,311        
Pending Litigation                
Loss Contingencies [Line Items]                
Number of patent challenged grounds (claim)         4      
Pending Litigation | Bone Bank Action                
Loss Contingencies [Line Items]                
Number of patent challenged grounds (claim)             5 7
Opinion allowing a review of patent (claim)             2  
Pending Litigation | Liventa Action, 701 Patent                
Loss Contingencies [Line Items]                
Number of patent challenged grounds (claim)           6    
Pending Litigation | Liventa Action, 437 Patent                
Loss Contingencies [Line Items]                
Number of patent challenged grounds (claim)           7    
Opinion allowing a review of patent (claim)           1    
Standby Letters of Credit                
Loss Contingencies [Line Items]                
Standby letters of credit | $ $ 52   $ 52