Annual report pursuant to Section 13 and 15(d)

Summary of Significant Accounting Policies - Summary of Property Plant and Equipment and Rental Equipment with Associated Accumulated Depreciation (Details)

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Summary of Significant Accounting Policies - Summary of Property Plant and Equipment and Rental Equipment with Associated Accumulated Depreciation (Details) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Property Plant And Equipment [Line Items]    
Property and equipment $ 64,568 $ 67,215
Accumulated depreciation 44,465 42,016
Property and equipment, net 20,103 25,199
Equipment    
Property Plant And Equipment [Line Items]    
Property and equipment 49,349 54,582
Accumulated depreciation 34,754 33,937
Property and equipment, net 14,595 20,645
Other property and equipment    
Property Plant And Equipment [Line Items]    
Property and equipment 15,219 12,633
Accumulated depreciation 9,711 8,079
Property and equipment, net $ 5,508 $ 4,554