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Revenue (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Revenue:    
Products $ 65,874 $ 66,160
Rentals 4,052 11,824
Services 2,363 4,389
Total revenue 72,289 82,373
Cost of revenue:    
Products 42,474 45,624
Rentals 1,299 6,285
Services 2,096 2,042
Depreciation 1,491 1,895
Total cost of revenue $ 47,360 $ 55,846