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Stockholder's Equity Schedule of Stock Based Compensation Expense (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment $ 1,033 $ 739 $ 1,907 $ 1,592
Cost of product sales        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment 61 11 102 82
Research and development        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment 196 149 368 319
Sales, marketing and support        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment 212 166 394 347
General and administrative        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Share-based payment $ 564 $ 413 $ 1,043 $ 844