Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Cash flows from operating activities:    
Net loss $ (17,160,000) $ (27,709,000)
Adjustments to reconcile net loss to net cash used in operating activities:    
Provision for doubtful accounts and write off of accounts receivable 335,000 260,000
Depreciation and amortization 965,000 819,000
Stock-based compensation 2,009,000 1,634,000
Non-cash interest expense 394,000 1,266,000
Amortization of operating lease right-of-use assets and accretion of operating lease liabilities 3,000 4,000
Loss from minority interest in limited liability company 323,000 431,000
Loss on disposal of property and equipment 14,000 93,000
Modification of Series A and B warrants 1,838,000
Changes in assets and liabilities:    
Accounts receivable 549,000 2,638,000
Inventory 233,000 (236,000)
Prepaid expenses and other current assets 683,000 (493,000)
Other noncurrent assets 444,000 40,000
Accounts payable (913,000) (2,203,000)
Accrued and other liabilities (2,918,000) (2,566,000)
Other noncurrent liabilities 265,000 160,000
Net cash used in operating activities (12,936,000) (25,862,000)
Cash flows from investing activities:    
Purchase of property and equipment (403,000) (848,000)
Net cash used in investing activities (403,000) (848,000)
Cash flows from financing activities:    
Proceeds from exercise of common warrants 8,407,000
Transaction costs in connection with 2020 Warrant Offering (333,000)
Proceeds from Paycheck Protection Program loan 1,343,000
Proceeds from intial purchase of common shares under Purchase Agreement with LPC 341,000
Proceeds from sale of common shares, net of issuance cost 6,322,000
Proceeds from issuance of common shares from employee stock purchase plan 56,000
Transaction costs in connection with note payable (100,000)
Reverse stock split - cancellation and payout of fractional shares (5,000)
Net cash provided by financing activities 9,231,000 6,273,000
Net decrease in cash and cash equivalents (4,108,000) (20,437,000)
Cash and cash equivalents - beginning of period 13,308,000 29,523,000
Cash and cash equivalents - end of period 9,200,000 9,086,000
Supplemental disclosure:    
Cash paid for interest 2,067,000
Cash paid for income taxes
Supplemental disclosure of cash flow information as of end of period:    
Issuance of Series B convertible preferred stock in settlement of dividends 3,057,000
Issuance of note payable in settlement of accrued interest 392,000 973,000
Net transfer of equipment between inventory and property and equipment 37,000 214,000
Operating cash outflows from operating leases 226,000 220,000
Right-of-use assets obtained in exchange for operating lease liabilities (upon adoption of ASC 842) 629,000
November 2019 Offering [Member]    
Cash flows from financing activities:    
Transaction costs in connection with November 2019 Offering (33,000)
Purchase Agreement with LPC [Member]    
Cash flows from financing activities:    
Transaction costs in connection with November 2019 Offering $ (494,000)