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Goodwill and Intangible Assets, Net - Components of Intangible Assets (Details) - USD ($) $ in Thousands | Sep. 30, 2019 | Dec. 31, 2018
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Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | $ 63,949 | $ 62,924
Accumulated Amortization | (43,462) | (38,554)
Net | 20,487 | 24,370
Gross value of fully amortized intangible assets | 7,300 | 7,100
Distribution rights |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | 314 | 329
Accumulated Amortization | (198) | (188)
Net | 116 | 141
Patents |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | 15,606 | 14,560
Accumulated Amortization | (6,253) | (5,704)
Net | 9,353 | 8,856
Trademarks and trade names |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | 2,786 | 2,786
Accumulated Amortization | (2,129) | (1,900)
Net | 657 | 886
Developed and core technology |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | 12,560 | 12,560
Accumulated Amortization | (9,597) | (8,087)
Net | 2,963 | 4,473
Capitalized software development costs |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | 0 | 155
Accumulated Amortization | 0 | 0
Net | 0 | 155
Customer relationships |  |
Finite-Lived Intangible Assets, Net [Abstract] |  |
Gross | 32,683 | 32,534
Accumulated Amortization | (25,285) | (22,675)
Net | $ 7,398 | $ 9,859

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