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Summary of Significant Accounting Policies - Summary of Product Revenue by Geographical Locations of Customers (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]                      
Total product revenue                 $ 76,051 $ 51,326 $ 39,275
Product                      
Disaggregation Of Revenue [Line Items]                      
Total product revenue $ 16,525 $ 15,399 $ 15,420 $ 13,564 $ 16,240 $ 10,797 $ 9,525 $ 7,006 60,908 43,568 37,183
Product | North America                      
Disaggregation Of Revenue [Line Items]                      
Total product revenue                 12,696 6,325 4,569
Product | Europe, Middle East and Africa                      
Disaggregation Of Revenue [Line Items]                      
Total product revenue                 46,974 36,241 30,716
Product | Other                      
Disaggregation Of Revenue [Line Items]                      
Total product revenue                 $ 1,238 $ 1,002 $ 1,898