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Business Combinations - Additional Information (Detail)
$ in Thousands, € in Millions
3 Months Ended 9 Months Ended 10 Months Ended 12 Months Ended
Jan. 08, 2016
USD ($)
Nov. 20, 2015
USD ($)
Nov. 20, 2015
EUR (€)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Sep. 30, 2017
USD ($)
Jun. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Sep. 30, 2016
USD ($)
Dec. 31, 2018
EUR (€)
Nov. 20, 2015
EUR (€)
Business Acquisition [Line Items]                                    
Acquisition transaction, integration and other costs                               $ 3,187    
Business acquisition, revenue recognized       $ 23,038 $ 22,227 $ 19,058 $ 17,013 $ 20,058 $ 17,790 $ 17,503 $ 17,761     $ 81,336 $ 73,112 71,366    
Business acquisition, loss recognized       (1,753) $ (2,682) $ 1,534 $ (1,556) $ 400 $ 720 $ 506 $ 2,300     (4,457) $ 3,926 9,985    
Contingent payments upon achievement of strategic milestones                           925   305    
Creagh Medical Ltd [Member]                                    
Business Acquisition [Line Items]                                    
Outstanding common shares and voting shares percentage   100.00%                               100.00%
Payments to acquire business                           28,274        
Upfront payments   $ 19,300 € 18.0                     18,449        
Contingent milestone payments   12,800                               € 12.0
Contingent payments upon achievement of milestones       $ 11,100                   11,100        
Acquisition transaction, integration and other costs                               2,700    
Business acquisition, revenue recognized                         $ 3,300          
Business acquisition, loss recognized                         $ (2,700)          
Creagh Medical Ltd [Member] | Scenario Forecast [Member]                                    
Business Acquisition [Line Items]                                    
Contingent payments upon achievement of milestones | €                                 € 9.6  
Creagh Medical Ltd [Member] | Maximum [Member]                                    
Business Acquisition [Line Items]                                    
Payments to acquire business   $ 32,000 € 30.0                              
NorMedix, Inc. [Member]                                    
Business Acquisition [Line Items]                                    
Outstanding common shares and voting shares percentage 100.00%                                  
Payments to acquire business                           10,425        
Upfront payments $ 7,000                         6,905        
Contingent milestone payments 7,000                                  
Acquisition transaction, integration and other costs                               300    
Business acquisition, revenue recognized                       $ 900            
Business acquisition, loss recognized                       $ (400)            
Contingent payments upon achievement of strategic milestones                           $ 900        
NorMedix, Inc. [Member] | Maximum [Member]                                    
Business Acquisition [Line Items]                                    
Payments to acquire business $ 14,000                                  
Creagh Medical and NorMedix [Member] | Unaudited Pro Forma [Member]                                    
Business Acquisition [Line Items]                                    
Amortization expense on intangible assets                               2,800    
Contingent consideration accretion expense                               1,800    
Non-recurring professional fees                               3,200    
Tax effect impact                               $ 200