Annual report pursuant to Section 13 and 15(d)

Commitments and Contingencies - Additional Information (Details)

v3.8.0.1
Commitments and Contingencies - Additional Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Jan. 17, 2018
Nov. 03, 2017
Dec. 31, 2017
Sep. 30, 2017
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Commitments And Contingencies [Line Items]              
Rent expense         $ 1,148 $ 1,028 $ 900
Outstanding purchase orders with its outside vendors and suppliers     $ 48,900   48,900    
Intangible asset     4,717   4,717 $ 241  
Amount paid after finalizing the payment of settlement   $ 3,000          
CAIRE | Subsequent Event              
Commitments And Contingencies [Line Items]              
Amount paid after finalizing the payment of settlement $ 1,000            
Patents              
Commitments And Contingencies [Line Items]              
Intangible asset     2,400   2,400    
Patents | CAIRE              
Commitments And Contingencies [Line Items]              
Intangible asset     900   900    
General and Administrative              
Commitments And Contingencies [Line Items]              
Loss from settlement       $ 600      
General and Administrative | CAIRE              
Commitments And Contingencies [Line Items]              
Loss from settlement     $ 100        
MedSupport Systems B.V.              
Commitments And Contingencies [Line Items]              
Rent expense         $ 21    
Offices and Certain Equipment              
Commitments And Contingencies [Line Items]              
Operating leases expiration date         Sep. 30, 2024