XML 22 R43.htm IDEA: XBRL DOCUMENT v3.19.3
Acquisitions - Additional Information (Detail)
$ in Thousands
1 Months Ended 9 Months Ended 12 Months Ended
Aug. 07, 2019
shares
Oct. 31, 2018
USD ($)
shares
Oct. 31, 2018
Dec. 30, 2016
shares
Sep. 21, 2015
USD ($)
shares
Sep. 21, 2015
EUR (€)
shares
Jan. 31, 2017
EUR (€)
Sep. 30, 2019
USD ($)
Sep. 30, 2019
EUR (€)
Dec. 31, 2018
USD ($)
Sep. 30, 2019
EUR (€)
Business Acquisition [Line Items]                      
Cash consideration payable               $ 948   $ 10,637  
Medical Surgery Technologies Ltd.                      
Business Acquisition [Line Items]                      
Cash consideration   $ 5,800                  
Additional consideration payable in cash, stock or cash and stock                   10,600  
Stock consideration   $ 8,300                  
Unrestricted securities consideration               75.00% 75.00%    
Medical Surgery Technologies Ltd. | Ending on Twelve Month Anniversary | Maximum                      
Business Acquisition [Line Items]                      
Percentage of securities consideration     25.00%                
Medical Surgery Technologies Ltd. | Ending on Eighteen Month Anniversary | Maximum                      
Business Acquisition [Line Items]                      
Percentage of securities consideration   25.00%                  
Medical Surgery Technologies Ltd. | First Tranche                      
Business Acquisition [Line Items]                      
Cash consideration   $ 5,800                  
Common shares issued (in shares) | shares   3,150,000                  
Medical Surgery Technologies Ltd. | Second Tranche                      
Business Acquisition [Line Items]                      
Common shares issued (in shares) | shares 4,815,504                    
Additional consideration payable in cash, stock or cash and stock   $ 6,600                  
Stock consideration   $ 6,600                  
Senhance Surgical Robotic System Acquisition                      
Business Acquisition [Line Items]                      
Common shares issued (in shares) | shares         15,543,413 15,543,413          
Additional consideration payable in cash, stock or cash and stock               $ 900   $ 10,600  
Senhance Surgical Robotic System Acquisition | U.S. Dollars                      
Business Acquisition [Line Items]                      
Cash consideration         $ 25,000            
Senhance Surgical Robotic System Acquisition | Euro                      
Business Acquisition [Line Items]                      
Cash consideration | €           € 27,500,000          
Senhance Surgical Robotic System Acquisition | Second Tranche                      
Business Acquisition [Line Items]                      
Cash consideration | €                 € 15,100,000    
Common shares issued (in shares) | shares       3,722,685              
Aggregate fair market value | €             € 5,000,000.0        
Senhance Surgical Robotic System Acquisition | Second Tranche | U.S. Dollars                      
Business Acquisition [Line Items]                      
Cash consideration payable               $ 25,000      
Senhance Surgical Robotic System Acquisition | Second Tranche | Euro                      
Business Acquisition [Line Items]                      
Cash consideration payable | €                     € 22,500,000
Senhance Surgical Robotic System Acquisition | Third Tranche                      
Business Acquisition [Line Items]                      
Cash consideration payable | €                     15,000,000.0
Senhance Surgical Robotic System Acquisition | Third Tranche | Minimum                      
Business Acquisition [Line Items]                      
Target revenue to be achieved | €                     € 25,000,000.0