Quarterly report pursuant to Section 13 or 15(d)

Commitments and Contingencies - Additional Information (Details)

v3.8.0.1
Commitments and Contingencies - Additional Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 9 Months Ended
Nov. 03, 2017
Sep. 30, 2017
Sep. 30, 2016
Sep. 30, 2017
Sep. 30, 2016
Dec. 31, 2017
Dec. 31, 2016
Commitments And Contingencies [Line Items]              
Rent expense   $ 289 $ 263 $ 829 $ 766    
Outstanding purchase orders with its outside vendors and suppliers   36,800   36,800      
Intangible   1,650   1,650     $ 241
Subsequent Event              
Commitments And Contingencies [Line Items]              
Amount paid after finalizing the payment of settlement $ 3,000            
Patents | Scenario Forecast              
Commitments And Contingencies [Line Items]              
Intangible           $ 2,400  
General and Administrative              
Commitments And Contingencies [Line Items]              
Loss from settlement   600          
MedSupport Systems B.V.              
Commitments And Contingencies [Line Items]              
Rent expense   $ 8   $ 13      
Offices and Certain Equipment              
Commitments And Contingencies [Line Items]              
Operating leases expiration date       Sep. 30, 2024