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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Dec. 31, 2016
Operating Activities      
Net loss $ (15,414) $ (12,913)  
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:      
Depreciation 532 565  
Amortization of intangible assets 1,636 1,817  
Amortization of debt discount and debt issuance costs 31 52  
Stock-based compensation 2,139 1,428  
Deferred tax benefit (858) (2,645)  
Change in fair value of contingent consideration 1,227 856  
Changes in operating assets and liabilities, net of effect of acquisition:      
Accounts receivable (753)    
Interest receivable 2 (6)  
Inventories (320) (1,735)  
Other current and long term assets (251) (132)  
Accounts payable (759) (1,391)  
Accrued expenses (1,161) (765)  
Net cash and cash equivalents used in operating activities (13,949) (14,869)  
Investing Activities      
Purchase of property and equipment (501) (153)  
Net cash and cash equivalents (used in) provided by investing activities (501) (153)  
Financing Activities      
Payment of debt (1,966) (1,219)  
Proceeds from issuance of common stock, net of issuance costs 5,304 31,391  
Taxes paid related to net share settlement of vesting of restricted stock units   (130)  
Proceeds from exercise of stock options and warrants   8  
Net cash and cash equivalents provided by financing activities 3,338 30,050  
Effect of exchange rate changes on cash and cash equivalents 40 34  
Net (decrease) increase in cash, cash equivalents and restricted cash (11,072) 15,062  
Cash, cash equivalents and restricted cash, beginning of period 34,590 38,449 $ 38,449
Cash, cash equivalents and restricted cash, end of period 23,518 53,511 $ 34,590
Supplemental Disclosure for Cash Flow Information      
Interest paid 233 373  
Supplemental Schedule of Noncash Investing Activities      
Transfer of inventory to property and equipment   $ 1,823  
Issuance of common stock as contingent consideration $ 5,227