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Income Taxes - Additional Information (Detail) - USD ($)
9 Months Ended 12 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Dec. 31, 2018
Dec. 31, 2017
Income Tax Contingency [Line Items]        
Estimates annual effective tax rate 2.30%      
Deferred tax benefit $ 2,549,000 $ 2,572,000    
Effective tax rate 1.80% 4.40%    
Unrecognized tax benefits that would affect effective tax rate $ 0      
GILTI deferred amounts       $ 0
GILTI income tax 0   $ 0  
Foreign Tax Authority | TransEnterix Italia        
Income Tax Contingency [Line Items]        
Net deferred tax asset 0      
Valuation allowance $ 0