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Summary of Disaggregation of Product Revenues from Contracts with Customers by Major Product Line (Detail) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Disaggregation of Revenue [Line Items]                      
Revenue $ 51,942 $ 49,529 $ 47,731 $ 44,830 $ 41,611 $ 36,580 $ 32,455 $ 30,590 $ 194,032 $ 141,236 $ 104,541
Products                      
Disaggregation of Revenue [Line Items]                      
Revenue                 193,891 141,089 104,441
Royalty and Other Revenue                      
Disaggregation of Revenue [Line Items]                      
Revenue                 $ 141 $ 147 $ 100