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Summary of Significant Accounting Policies and Recent Accounting Pronouncements - Additional Information (Detail)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
Sep. 30, 2018
Sep. 30, 2019
USD ($)
Segment
Sep. 30, 2018
Jan. 01, 2019
USD ($)
Summary Of Significant Accounting Policies [Line Items]          
Number of operating segments | Segment     1    
Right-of-use assets $ 39,493   $ 39,493    
Operating lease liabilities 57,337   57,337    
ASU No. 2016-02 [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Right-of-use assets 42,500   42,500   $ 42,500
Operating lease liabilities $ 60,100   $ 60,100   $ 60,100
Product Revenues [Member] | Customer One [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Concentration of credit risk percentage 43.00% 41.00% 42.00% 43.00%  
Product Revenues [Member] | Customer Two [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Concentration of credit risk percentage 40.00% 39.00% 41.00% 36.00%  
Product Revenues [Member] | Customer Three [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Concentration of credit risk percentage 11.00% 17.00% 13.00% 18.00%  
Accounts Receivable [Member] | Customer One [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Concentration of credit risk percentage     42.00% 55.00%  
Accounts Receivable [Member] | Customer Two [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Concentration of credit risk percentage     34.00% 24.00%  
Accounts Receivable [Member] | Customer Three [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Concentration of credit risk percentage     15.00% 12.00%  
Minimum [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Accounts receivable payment term     60 days    
Minimum [Member] | Outside of U.S. [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Accounts receivable payment term     45 days    
Maximum [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Accounts receivable payment term     91 days    
Maximum [Member] | Outside of U.S. [Member]          
Summary Of Significant Accounting Policies [Line Items]          
Accounts receivable payment term     150 days