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Property and Equipment (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]      
Total property and equipment $ 17,770 $ 16,014  
Accumulated depreciation (9,865) (8,711)  
Net property and equipment 7,905 7,303  
Instruments reclassified from inventory   1,900  
Depreciation expense 2,300 2,500 $ 2,200
Inventory transfers      
Property, Plant and Equipment [Line Items]      
Instruments reclassified from inventory   100  
Computer equipment      
Property, Plant and Equipment [Line Items]      
Total property and equipment 2,477 2,700  
Technical equipment      
Property, Plant and Equipment [Line Items]      
Total property and equipment 3,681 3,868  
Facilities      
Property, Plant and Equipment [Line Items]      
Total property and equipment 3,883 4,037  
Instruments      
Property, Plant and Equipment [Line Items]      
Total property and equipment 7,491 5,318  
Capital projects in progress      
Property, Plant and Equipment [Line Items]      
Total property and equipment 238 $ 91  
Assets leased to others      
Property, Plant and Equipment [Line Items]      
Total property and equipment 4,600    
Accumulated depreciation $ (800)