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Other Financial Information - Accrued and other current liabilities (Details) - USD ($)
$ in Thousands
Jun. 30, 2020
Dec. 31, 2019
Other Financial Information [Abstract]    
Accrued payroll and related expenses $ 2,534 $ 2,362
Accrued interest 141 145
Accrued purchases of goods and services 318 319
Accrued royalties 193 727
Accrued clinical study activity 93 40
Capital lease obligations, current portion 242 238
Other accrued liabilities 796 588
Accrued and other current liabilities $ 4,317 $ 4,419