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Commitments and Contingencies (Details) - USD ($)
$ in Thousands
12 Months Ended
Oct. 29, 2018
Aug. 31, 2018
Feb. 27, 2017
Dec. 31, 2018
Dec. 31, 2017
Mar. 31, 2019
Apr. 27, 2018
Recorded Unconditional Purchase Obligation [Line Items]              
Contractual obligation, due in next twelve months       $ 8,653      
Contractual obligation       14,743      
Initial term of lease     63 months        
Lease commencement date     Jan. 01, 2018        
Buy-out of obligations lease     $ 600        
Common stock, aggregate amount       $ 0 $ 0 $ 0  
Lorem Vascular [Member]              
Recorded Unconditional Purchase Obligation [Line Items]              
Percentage of common stock to be purchased             5.00%
Common stock, aggregate amount             $ 5,000
Amended complaint dismissal date       Oct. 01, 2018      
Bimini Technologies LLC | Demand for Arbitration [Member] | Sale and Exclusive License/Supply Agreement [Member]              
Recorded Unconditional Purchase Obligation [Line Items]              
Potential milestone payment due upon acheivement of gross profit   $ 1,000          
Gross profit from sale of company’s puregraft product line   10,000          
Potential milestone payment claimed   $ 1,000          
Proceeds from milestone payment $ 1,000            
Pre-clinical Research Study Obligations [Member]              
Recorded Unconditional Purchase Obligation [Line Items]              
Contractual obligation, due in next twelve months       $ 1,800   1,800  
Contractual obligation       3,000   $ 2,500  
Operating Lease Obligations [Member]              
Recorded Unconditional Purchase Obligation [Line Items]              
Rent expense       $ 1,400 $ 1,600