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Supplemental Balance Sheet Information - Additional Information (Detail) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended 12 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Supplemental Balance Sheet Information [Line Items]          
Raw materials and work-in-process inventory $ 1,000   $ 1,000   $ 300
Depreciation and amortization 600 $ 600 1,172 $ 1,224  
Property and equipment, gross 19,595   19,595   18,622
Accumulated depreciation and amortization $ 12,333   12,333   11,307
Transfer from other liabilities to accrued expenses and other current liabilities related to fee from debt     1,900   1,400
T2 Owned Instruments in Service [Member]          
Supplemental Balance Sheet Information [Line Items]          
Estimated useful lives (in years) 5 years        
T2 Owned Instruments in Service [Member] | Product [Member]          
Supplemental Balance Sheet Information [Line Items]          
Depreciation expense recorded as a component of cost of product revenue $ 200 $ 200 400 $ 500  
Assets Held under Finance Leases [Member]          
Supplemental Balance Sheet Information [Line Items]          
Property and equipment, gross 3,600   3,600   3,600
Accumulated depreciation and amortization $ 2,800   $ 2,800   $ 2,600