Nuwellis (NUWE) 10-K 21 Feb 19 2018 FY Annual report Financial data

Document and Entity Information

Document and Entity Information - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Feb. 15, 2019	Jun. 30, 2018
Document and Entity Information [Abstract]
Entity Registrant Name	CHF Solutions, Inc.
Entity Central Index Key	1,506,492
Current Fiscal Year End Date	--12-31
Entity Well-known Seasoned Issuer	No
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Shell Company	false
Entity Filer Category	Non-accelerated Filer
Entity Small Business	true
Entity Emerging Growth Company	false
Entity Ex Transition Period	false
Entity Public Float			$ 8.3
Entity Common Stock, Shares Outstanding		513,445
Document Type	10-K
Amendment Flag	false
Document Period End Date	Dec. 31, 2018
Document Fiscal Year Focus	2,018
Document Fiscal Period Focus	FY

Consolidated Balance Sheets

Consolidated Balance Sheets - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Current assets
Cash and cash equivalents	$ 5,480	$ 15,595
Accounts receivable	786	545
Inventories	1,658	1,588
Other current assets	203	136
Total current assets	8,127	17,864
Property, plant and equipment, net	536	570
Other assets	113	21
TOTAL ASSETS	8,776	18,455
Current liabilities
Accounts payable	1,133	862
Accrued compensation	1,498	1,021
Other current liabilities	209	208
Total current liabilities	2,840	2,091
Other liabilities	0	126
Total liabilities	2,840	2,217
Commitments and contingencies
Stockholders' equity
Preferred stock	0	0
Common stock as of December 31, 2018 and December 31, 2017, par value $0.0001 per share; authorized 100,000,000 shares, issued and outstanding 513,445 and 271,357, respectively	0	0
Additional paid-in capital	204,101	197,367
Accumulated other comprehensive income:
Foreign currency translation adjustment	1,223	1,227
Accumulated deficit	(199,388)	(182,356)
Total stockholders' equity	5,936	16,238
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY	8,776	18,455
Series A Junior Participating Preferred Stock [Member]
Stockholders' equity
Preferred stock	0	0
Series F Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock	$ 0	$ 0

Consolidated Balance Sheets (Pa

Consolidated Balance Sheets (Parenthetical) - $ / shares	Dec. 31, 2018	Dec. 31, 2017
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	39,969,465	39,966,220
Preferred stock, shares outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Common stock, shares authorized (in shares)	100,000,000	100,000,000
Common stock, shares issued (in shares)	513,445	271,357
Common stock, shares outstanding (in shares)	513,445	271,357
Series A Junior Participating Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	30,000	30,000
Preferred stock, shares outstanding (in shares)	0	0
Series F Convertible Preferred Stock [Member]
Stockholders' equity
Preferred stock, par value (in dollars per share)	$ 0.0001	$ 0.0001
Preferred stock, shares authorized (in shares)	535	3,780
Preferred stock, shares issued (in shares)	535	3,780
Preferred stock, shares outstanding (in shares)	535	3,780

Consolidated Statements of Oper

Consolidated Statements of Operations and Comprehensive Loss - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Consolidated Statements of Operations and Comprehensive Loss [Abstract]
Net sales	$ 4,998	$ 3,553
Costs and Expenses:
Cost of goods sold	3,670	2,763
Selling, general and administrative	15,311	10,170
Research and development	3,053	1,481
Goodwill and intangibles impairment	0	3,951
Total costs and expenses	22,034	18,365
Loss from operations	(17,036)	(14,812)
Other income (expense):
Other income, net	10	28
Warrant valuation expense	0	(67)
Change in fair value of warrant liability	0	1,475
Total other income, net	10	1,436
Loss before income taxes	(17,026)	(13,376)
Income tax expense	(6)	(6)
Net loss	$ (17,032)	$ (13,382)
Basic and diluted loss per share (in dollars per share)	$ (42.14)	$ (525.01)
Weighted average shares outstanding - basic and diluted (in shares)	404	48
Other comprehensive loss:
Foreign currency translation adjustment	$ (4)	$ (8)
Total comprehensive loss	$ (17,036)	$ (13,390)

Consolidated Statements of Stoc

Consolidated Statements of Stockholders' Equity - USD ($) $ in Thousands	Common Stock [Member]	Additional Paid in Capital [Member]	Accumulated Other Comprehensive Income [Member]	Accumulated Deficit [Member]	Total
Balance at Dec. 31, 2016	$ 0	$ 169,496	$ 1,235	$ (168,974)	$ 1,757
Balance (in shares) at Dec. 31, 2016	2,801
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(13,382)	(13,382)
Foreign currency translation adjustment	0	0	(8)	0	(8)
Stock-based compensation, net	$ 0	499	0	0	499
Stock-based compensation, net (in shares)	17
Issuance of common stock, net	$ 0	5,399	0	0	5,399
Issuance of common stock, net (in shares)	42,017
Issuance of preferred stock, net	$ 0	21,973	0	0	21,973
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	226,522
Balance at Dec. 31, 2017	$ 0	197,367	1,227	(182,356)	16,238
Balance (in shares) at Dec. 31, 2017	271,357
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net loss	$ 0	0	0	(17,032)	(17,032)
Foreign currency translation adjustment	0		(4)		(4)
Stock-based compensation, net	$ 0	2,087	0	0	2,087
Stock-based compensation, net (in shares)	12
Issuance of unregistered shares	$ 0	0	0	0	0
Issuance of unregistered shares (in shares)	7,116
Issuance of common stock, net	$ 0	4,647	0	0	4,647
Issuance of common stock, net (in shares)	181,941
Conversion of preferred stock into common stock	$ 0	0	0	0	0
Conversion of preferred stock into common stock (in shares)	53,019
Balance at Dec. 31, 2018	$ 0	$ 204,101	$ 1,223	$ (199,388)	$ 5,936
Balance (in shares) at Dec. 31, 2018	513,445

Consolidated Statements of Cash

Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Operating Activities
Net loss	$ (17,032)	$ (13,382)
Adjustments to reconcile net loss to cash flows from operating activities:
Depreciation and amortization	232	769
Stock-based compensation expense	2,087	499
Goodwill and intangibles impairment	0	3,951
Change in fair value of warrant liability	0	(1,475)
Warrant valuation expense	0	67
Changes in assets and liabilities:
Accounts receivable	(241)	(263)
Inventories	(70)	(911)
Other current assets	(67)	1
Other assets and liabilities	(14)	0
Accounts payable and accrued expenses	545	(1,176)
Net cash used in operations	(14,560)	(11,920)
Investing activities:
Purchase of property and equipment	(198)	(259)
Net cash used in investing activities	(198)	(259)
Financing activities:
Net proceeds from public stock offering	4,647	24,281
Net proceeds from exercise of warrants	0	1,989
Net proceeds from the sale of preferred stock, common stock and warrants	0	184
Net cash provided by financing activities	4,647	26,454
Effect of exchange rate changes on cash	(4)	(3)
Net increase (decrease) in cash and cash equivalents	(10,115)	14,272
Cash and cash equivalents - beginning of period	15,595	1,323
Cash and cash equivalents - end of period	5,480	15,595
Supplemental schedule of non-cash activities
Financing fees incurred for subsequent equity financing included in other assets and accounts payable	78	0
Warrants issued as inducement to warrant exercise	0	509
Conversion of temporary equity to permanent equity	0	485
Supplemental cash flow information
Cash paid for income taxes	$ 2	$ 6

Nature of Business and Signific

Nature of Business and Significant Accounting Policies	12 Months Ended
	Dec. 31, 2018
Nature of Business and Significant Accounting Policies [Abstract]
Nature of Business and Significant Accounting Policies	Note 1—Nature of Business and Significant Accounting Policies Nature of Business CHF Solutions, Inc. (the “Company”) is a medical device company focused on commercializing the Aquadex FlexFlow® system for aquapheresis therapy. The Aquadex FlexFlow system (Aquadex) is indicated for temporary (up to eight hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and extended (longer than 8 hours) ultrafiltration treatment of patients with fluid overload who have failed diuretic therapy and require hospitalization. CHF Solutions, Inc. is a Delaware corporation headquartered in Minneapolis with wholly owned subsidiaries in Australia, Ireland and Delaware. The Company has been listed on Nasdaq since February 2012. Prior to July 2016, the Company was focused on developing the C-Pulse® Heart Assist System for treatment of Class III and ambulatory Class IV heart failure. In August 2016, the Company acquired the Aquadex FlexFlow business from a subsidiary of Baxter International, Inc. (“Baxter”), a global leader in the hospital products and dialysis markets (herein referred to as the “Aquadex Business”). In September 2016, the Company announced a strategic refocus of its strategy that included halting all clinical evaluations of its C-Pulse related technology to fully focus all of its resources on its recently acquired Aquadex Business. On May 23, 2017, the Company announced it was changing its name from Sunshine Heart, Inc. to CHF Solutions, Inc. to more appropriately reflect the direction of its business. In December 2018, the Company’s stockholders approved a reverse split of its outstanding common stock at a ratio in the range of 1-for-2 to 1-for-14 and, in January 2019, the board of directors approved a 1-for-14 reverse split of the Company’s outstanding common stock that became effective after trading on January 2, 2019. In addition, during 2017, the Company’s stockholders and board of directors approved two reverse stock splits. The first reverse stock split was a 1-for-30 reverse split of the Company’s outstanding common stock that became effective after trading on January 12, 2017. The second reverse stock split was a 1-for-20 reverse split of the Company’s outstanding common stock that became effective after trading on October 12, 2017. These reverse stock splits did not change the par value of the Company’s common stock or the number of common or preferred shares authorized by the Company’s Fourth Amended and Restated Certificate of Incorporation. All share and per-share amounts have been retroactively adjusted to reflect the reverse stock splits for all periods presented. Going Concern The Company’s financial statements have been prepared and presented on a basis assuming it continues as a going concern. During the years ended December 31, 2018 and 2017, the Company incurred losses from operations and net cash outflows from operating activities as disclosed in the consolidated statements of operations and cash flows, respectively. At December 31, 2018, the Company had an accumulated deficit of $199.4 million and it expects to incur losses for the foreseeable future. To date, the Company has been funded by debt and equity financings, and although the Company believes that it will be able to successfully fund its operations, there can be no assurance that it will be able to do so or that it will ever operate profitably. These factors raise substantial doubt about the Company’s ability to continue as a going concern through at least twelve months from the report date. The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow system. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow system and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability. On April 24, 2017, November 27, 2017, and on July 3, 2018, Shareholder’s Equity). The Company will require additional funding to grow its Aquadex Business, which may not be available on terms favorable to the Company, or at all. The Company may receive those funds from the proceeds from future warrant exercises, issuances of equity securities, or other financing transactions. Should warrant exercises not materialize or future capital raising be unsuccessful, the Company may not be able to continue as a going concern. No adjustments have been made relating to the recoverability and classification of recorded asset amounts and classification of liabilities that might be necessary should the Company not continue as a going concern. Basis of Presentation The accompanying consolidated financial statements include the accounts of CHF Solutions, Inc. and its wholly-owned subsidiaries, CHF Solutions, LLC, Sunshine Heart Company Pty Limited, and Sunshine Heart Ireland Limited. All intercompany accounts and transactions between consolidated entities have been eliminated. Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts and disclosures in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. Cash and Cash Equivalents Cash and cash equivalents consist of cash and term deposits with original maturities of three months or less. The carrying value of these instruments approximate fair value. The balances, at times, may exceed federally insured limits. The Company has not experienced any losses on its cash and cash equivalents. Accounts Receivable Accounts receivable are unsecured, are recorded at net realizable value, and do not bear interest. The Company makes judgments as to its ability to collect outstanding receivables based upon significant patterns of uncollectability, historical experience, and managements’ evaluation of specific accounts and will provide an allowance for credit losses when collection becomes doubtful. The Company performs credit evaluations of its customers’ financial condition on an as-needed basis. Payment is generally due 30 days from the invoice date and accounts past 30 days are individually analyzed for collectability. When all collection efforts have been exhausted, the account is written off against the related allowance. To date the Company has not experienced any write-offs or significant deterioration of its accounts receivable aging, and therefore, no allowance for doubtful accounts was considered necessary as of December 31, 2018 or 2017. Inventories Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands): 2018 2017 Finished Goods $ 517 $ 902 Work in Process 34 217 Raw Materials 1,107 469 Total $ 1,658 $ 1,588 Other Current Assets Other current assets represent prepayments and deposits made by the Company. Property, Plant and Equipment Property and equipment is stated at cost less accumulated depreciation. Depreciation is computed based upon the estimated useful lives of the respective assets. Leasehold improvements and capital lease assets are amortized using the straight-line method over the shorter of the lease term or the estimated useful life of the assets. Repairs and maintenance costs are expensed as incurred. The cost and accumulated depreciation of property, plant and equipment retired, or otherwise disposed of are removed from the related accounts, and any residual values are charged to expense. Depreciation expense has been calculated using the following estimated useful lives: Office furniture and equipment 3-5 years Computer software and equipment 3-4 years Laboratory and research equipment 3-5 years Production equipment 3-7 years Leasehold improvements and capital lease asset 3-5 years Depreciation expense was $232,000 and $229,000 for the years ended December 31, 2018, and 2017, respectively. Property and equipment are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. If the impairment tests indicate that the carrying value of the asset, or asset group is greater than the expected undiscounted cash flows to be generated by such asset or asset group further analysis is performed to determine the fair value of the asset or asset group. To the extent the fair value of the asset or asset group is less than its carrying value, an impairment loss is recognized equal to the amount the fair value of the asset or asset group exceeds its carrying amount. The Company generally measures fair value by considering sale prices for similar assets or asset groups, or by discounting estimated future cash flows from such assets or asset groups using an appropriate discount rate. Assets to be disposed of are carried at the lower of their carrying value or fair value less costs to sell. Considerable management judgment is necessary to estimate the fair value of assets or asset groups, and accordingly, actual results could vary significantly from such estimates. The Company periodically reviews its property and equipment for potential impairment and determines if the fair value of property and equipment equals or exceeds its carrying value. There have been no impairment losses recognized for the years ended December 31, 2018 or 2017. Intangible assets The Company’s intangible assets consisted of customer relationships, developed technology, and trademarks and tradenames. All intangible assets recognized by the Company resulted from the acquisition of the Aquadex Business. All intangible assets were estimated to have a useful life of 7 years. The Company reviewed its definite lived intangible assets for impairment when impairment indicators existed. When impairment indicators existed, the Company determined if the carrying value of the intangible assets exceeded the related undiscounted cash flows. In cases where the carrying value exceeded the undiscounted cash flows, and the carrying amount was not considered recoverable, the carrying value was written down to its fair value, generally using a discounted cash flow analysis. An impairment loss was recognized for the amount that the intangible assets exceeded their fair value, generally based on discounted cash flow methods and other fair market value indicators. The Company’s review of its intangible assets during the year ended December 31, 2017 resulted in $3.8 million of impairment charges related to its definite lived intangible assets. The Company had a single reporting unit. The impairment charges were based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed above, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%. Amortization expense was $0 and $540,000 for the years ended December 31, 2018 and 2017, respectively. Goodwill Goodwill was the cost paid for the Aquadex Business in excess of the fair value of acquired assets and liabilities, and was recorded as an asset on the balance sheet. Goodwill was not subject to amortization but was to be tested for impairment at least annually. This test required the Company to determine if the implied fair value of the goodwill was less than its carrying amount. The Company evaluated its recorded goodwill for impairment annually on November 1 st Simplifying the Test for Goodwill Impairment The Company had a single reporting unit. The impairment charge was based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed above, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%. Contingent consideration In connection with the Company’s purchase of the Aquadex Business in August 2016, the Company has an obligation to pay additional consideration that is contingent upon the occurrence of certain future events (see Note 10- Commitments and Contingencies). Contingent consideration is recognized at the acquisition date at the estimated fair value of the contingent milestone payments. The fair value of the contingent consideration is remeasured to its estimated fair value at the end of each reporting period, with changes recorded to earnings. As of December 31, 2018, the contingent consideration was recorded in current liabilities in the accompanying balance sheet to reflect its maturity during 2019. Common stock warrant liability The Company recorded its common stock warrant liability at fair value at the date of issuance using primarily a Monte Carlo valuation model. The fair value was remeasured to its estimated fair value at the end of each reporting period with changes recorded to earnings. Revenue Recognition The Company recognizes revenue in accordance with Accounting Standards Codification (“ASC”), Topic 606, Revenue from Contracts with Customers Foreign Currency Translation Sales and expenses denominated in foreign currencies are translated at average exchange rates in effect throughout the year. Assets and liabilities of foreign operations are translated at period-end exchange rates with the impacts of foreign currency translation recognized to cumulative translation adjustment, a component of accumulated other comprehensive income other expense, net Stock-Based Compensation The Company recognizes all share-based payments to employees and directors, including grants of stock options, restricted stock units (RSUs) and common stock awards in the consolidated statements of operations and other comprehensive loss as an operating expense, based on their fair value. The Company’s stock awards use a graded vesting schedule. The Company recognizes the option expense over the requisite service period, which is generally the vesting period. The Company computes the estimated fair values of stock options and certain of its warrants using the Black-Scholes option pricing model. The closing market price of the Company’s common stock at the date of grant is used to calculate the fair value of restricted stock units and common stock awards. Stock-based compensation expense is based on awards ultimately expected to vest and is reduced for estimated forfeitures. Forfeitures are estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates. Equity instruments issued to non-employees include RSUs or warrants to purchase shares of the Company’s common stock. These RSUs or warrants are either fully-vested and exercisable at the date of grant or vest over a certain period during which services are provided. The Company expenses the fair market value of fully vested awards at the time of grant, and of unvested awards over the period in which the related services are received. Unvested awards are remeasured to fair value until they vest. See Note 7- Stock Based Compensation, for further information regarding the assumptions used to calculate the fair value of share-based compensation. Income Taxes Deferred income taxes are provided on a liability method, whereby deferred tax assets are recognized for deductible temporary differences and operating loss and tax credit carryforwards. Deferred tax liabilities are recognized for taxable temporary differences, which are the differences between the reported amounts of assets and liabilities and their tax bases. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that some portion or all the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in tax laws and rates on the date of enactment. The Tax Reform Act was enacted December 22, 2017. The new legislation made significant changes to U.S. tax law including a reduction in the corporate tax rates, changes to operating loss carry-forwards and carrybacks, and a repeal of the corporate alternative minimum tax. The legislation reduced the U.S corporate income tax rates from 34% to 21%. As a result of the enacted law, the Company was required to revalue its deferred tax assets and liabilities at the new enacted rate. There was no income tax impact from the re-measurement due to the 100% valuation allowance on the Company’s deferred tax assets. Loss per share Basic loss per share is computed based on the net loss for each period divided by the weighted average number of common shares outstanding. The net loss allocable to common stockholders for the year ended December 31, 2017, reflects increases for net deemed dividends to preferred stockholders provided in connection with the close of the public offering of Series E Convertible Preferred Stock in April of 2017, and the close of the public offering of Series F Convertible Preferred Stock in November of 2017, of $1.0 million and $8.7 million, respectively, representing the intrinsic value of the shares at the time of issuance. In addition, the net loss allocable to common stockholders for the year ended December 31, 2017, reflects an increase for net deemed dividends of $1.8 million to preferred stockholders provided in connection with the shareholder approval of the Series C and D Convertible Preferred Stock transactions in January of 2017, representing the intrinsic value of the shares at the time of issuance. (See Note 6). There were no deemed dividends during 2018. Diluted earnings per share is computed based on the net loss allocable to common stockholders for each period divided by the weighted average number of common shares outstanding, increased by the number of additional shares that would have been outstanding had the potentially dilutive common shares been issued, and reduced by the number of shares the Company could have repurchased from the proceeds from issuance of the potentially dilutive shares. Potentially dilutive shares of common stock include shares underlying outstanding convertible preferred stock, warrants, stock options and other stock-based awards granted under stock-based compensation plans. The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each year presented: December 31, 2018 2017 Stock options 140,546 2,766 Restricted stock units 3 15 Warrants to purchase common stock 599,293 608,787 Series F convertible preferred stock 18,190 60,480 Total 758,032 672,048 The following table reconciles reported net loss with reported net loss per share for the years ended December 31: (in thousands, except per share amounts) 2018 2017 Net loss $ (17,032 ) $ (13,382 ) Deemed dividend to preferred shareholders (see Note 6) — (11,590 ) Net loss after deemed dividend (17,032 ) (24,972 ) Weighted average shares outstanding 404 48 Basic and diluted loss per share $ (42.14 ) $ (525.01 ) Research and Development Research and development costs include activities related to research, development, design, and testing improvements of the Aquadex FlexFlow system and potential related products. Research and development costs also include expenses related to clinical research that the Company may sponsor or conduct to enhance understanding of the product and its use. Research and development expenses are expensed as incurred. Recent Accounting Pronouncements In May 2014, August 2015, March 2016, April 2016 and May 2016, the Financial Accounting Standards Board (“FASB”) issued amended revenue recognition guidance to clarify the principles for recognizing revenue from contracts with customers. The guidance requires an entity to recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration to which an entity expects to be entitled in exchange for those goods or services. The guidance also requires expanded disclosures relating to the nature, amount, timing, and uncertainty of revenue and cash flows arising from contracts with customers. Additionally, qualitative and quantitative disclosures are required about customer contracts, significant judgments and changes in judgments, and assets recognized from the costs to obtain or fulfill a contract. In January 2017, the FASB issued amended guidance to simplify the accounting for goodwill impairment by removing Step 2 of the goodwill impairment test. A goodwill impairment will now be measured as the amount by which a reporting unit’s carrying value exceeds its fair value, limited to the amount of goodwill allocated to that reporting unit. This guidance was to be applied on a prospective basis effective for the Company’s interim and annual periods beginning after January 1, 2019, with early adoption permitted for any impairment tests performed after January 1, 2017. The Company adopted this amended guidance during the year ended December 31, 2017, and recognized a $0.2 million impairment loss related to its goodwill. In February 2016, the FASB issued updated guidance to improve financial reporting about leasing transactions. This guidance will require organizations that lease assets to recognize on the balance sheet the assets and liabilities for the rights and obligations created by those leases. This guidance is effective for the Company’s annual and quarterly periods beginning January 1, 2019. T he Company has nearly completed evaluating the impact that the adoption of this standard will have on its consolidated financial statements. The Company additional qualitative and quantitative disclosures as required. The Company expects to use the effective date of this standard as the date of initial application, with no retrospective adjustments to prior comparative periods. The Company evaluates events through the date the consolidated financial statements are filed for events requiring adjustment to or disclosure in the consolidated financial statements.

Revenue Recognition

Revenue Recognition	12 Months Ended
	Dec. 31, 2018
Revenue Recognition [Abstract]
Revenue Recognition	Note 2 – Revenue Recognition Net Sales The Company sells its products in the United States primarily through a direct sales force. Customers who purchase the Company’s products include hospitals and clinics throughout the United States. In countries outside the United States, the Company sells its products through a limited number of specialty healthcare distributors in the United Kingdom, Italy, Spain, Germany, Southeast Asia, Brazil and India. The majority of these distributors resell the Company’s products to hospitals and clinics in their respective geographies. Revenue from product sales are recognized when the customer or distributor obtains control of the product, which occurs at a point in time, most frequently upon shipment of the product or receipt of the product, depending on shipment terms. The Company’s standard shipping terms are FOB shipping point, unless the customer requests that control and title to the inventory transfer upon delivery. Revenue includes shipment and handling fees charged to customers. Revenue is measured as the amount of consideration the Company expects to receive, adjusted for any applicable estimates of variable consideration and other factors affecting the transaction price, which is based on the invoiced price, in exchange for transferring products. All revenue is recognized when the Company satisfies its performance obligations under the contract. The majority of the Company’s contracts have a single performance obligation and are short-term in nature. The Company has entered into extended service plans with customers that are recognized over time. Revenue from extended service plans represented less than 1% of net sales during each of the years ended December 31, 2018 and 2017. The unfulfilled performance obligations related to these extended service plans is included in deferred revenue in the amount of $43,000 and $38,000 as of December 31, 2018 and 2017, respectively. Deferred revenue is included in other current liabilities on the consolidated balance sheets. The majority of the deferred revenue is expected to be recognized within one year. Sales taxes and value added taxes in foreign jurisdictions that are collected from customers and remitted to governmental authorities are accounted for on a net basis and therefore are excluded from net sales. Revenue includes shipment and handling fees charged to customers. Shipping and handling costs associated with outbound freight after control over a product has transferred to a customer are accounted for as a fulfillment cost and are included in cost of goods sold. Product Returns: believes that future returns of its products will be minimal. Therefore, revenue recognized is not currently impacted by variable consideration related to product returns.

Property, Plant and Equipment

Property, Plant and Equipment	12 Months Ended
	Dec. 31, 2018
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment	Note 3—Property, Plant and Equipment Property, plant and equipment were as follows: (in thousands) December 31, 2018 December 31, 2017 Office Furniture & Fixtures $ 291 $ 287 Leasehold Improvements 224 224 Software 142 129 Production Equipment 991 926 Computer Equipment 357 277 Capital Lease Asset 309 307 Total 2,314 2,150 Accumulated Depreciation (1,778 ) (1,580 ) $ 536 $ 570

Intangible Assets

Intangible Assets	12 Months Ended
	Dec. 31, 2018
Intangible Assets [Abstract]
Intangible Assets	Note 4—Intangible Assets The Company’s review of its intangible assets during the year ended December 31, 2017, resulted in $3.8 million of impairment charges related to its definite-lived intangible assets. The impairment charges were based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed in Note 1, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%.

Debt

Debt	12 Months Ended
	Dec. 31, 2018
Debt [Abstract]
Debt	Note 5—Debt On August 5, 2016, the Company entered into a loan and security agreement with Silicon Valley Bank (the Bank). Under the agreement, the Bank agreed to provide the Company with up to $5.0 million in debt financing, consisting of a term loan in an aggregate original principal amount not to exceed $4.0 million (the “Term Loan”) and a revolving line of credit in an aggregate principal amount not to exceed $1.0 million outstanding at any time (the “Revolving Line”; together with the Term Loan, the “Loans”). Proceeds from the Loans were to be used for general corporate and working capital purposes. The Term Loan expired unused on November 30, 2016. Advances under the Revolving Line, if any, are available to the Company until March 31, 2020 and accrue interest at a floating annual rate equal to 1.75% or 1.0% above the prime rate, depending on liquidity factors. Outstanding borrowings, if any, are collateralized by all of the Company’s assets, excluding intellectual property which is subject to a negative pledge. There were no borrowings outstanding under this facility as of December 31, 2018 or 2017. Warrants:

Shareholder's Equity

Shareholder's Equity	12 Months Ended
	Dec. 31, 2018
Shareholder's Equity [Abstract]
Shareholder's Equity	Note 6—Shareholder’s Equity Series B/B-1 Convertible Preferred Stock Series C and D Convertible Preferred Stock . Series E Convertible Preferred Stock The Series E Convertible Preferred Stock included a beneficial conversion amount of $1.0 million, representing the intrinsic value of the shares at the time of issuance. This amount is reflected as an increase to the loss per share allocable to common stockholders in the year ended December 31, 2017 . Series F Convertible Preferred Stock The offering was comprised of Series F preferred stock, convertible into shares of the Company’s common stock at an initial conversion price of $63.00 per share. Each share of Series F preferred stock was accompanied by a Series 1 warrant, which was to expire on the first anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share, and a Series 2 warrant, which expires on the seventh anniversary of its issuance, to purchase 16 shares of the Company’s common stock at an exercise price of $63.00 per share. The Series F preferred stock and the warrants were immediately separable and were issued separately . . As noted below, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price to public in the July 2018 Offering described below, and now each share of the remaining Series F preferred stock is convertible into 34 shares of the Company’s common stock. As of December 31, 2018, and 2017, 17,465 and 14,220 shares of the Series F Convertible Preferred Stock had been converted into an aggregate of 279,526 and 226,504 shares of common stock and 535 and 3,780 remained outstanding, respectively. July 2018 Offering: In connection with the July 2018 Offering, and to induce certain institutional investors who hold warrants issued by the Company in November 2017 (“November 2017 Warrants”) to participate in the July 2018 Offering, the Company entered into letter agreements with such institutional investors. Pursuant to the terms of these agreements, the Company agreed, effective July 3, 2018, to reduce the per share exercise price of the November 2017 Warrants held by such institutional investors to $29.68 and to extend the expiration date of the warrants that were to expire on November 27, 2018 to November 27, 2019. The number of common shares underlying the warrants that were repriced did not change. The repriced warrants are exercisable for 554,322 shares of common stock in the aggregate, of which, following such amendment, half expire on November 27, 2019 and half expire on November 27, 2024. The repricing of the warrants was accounted as an equity financing cost, with no impact to net proceeds from the offering. As noted above, the Company’s outstanding Series F preferred stock is subject to full-ratchet anti-dilution protection in the event the Company sells any common stock at a price lower than the then-conversion price of the Series F preferred stock. As a result of the July 2018 Offering, effective July 3, 2018, the conversion price of the Series F preferred stock was reduced from $63.00 to $29.68, the per share price to public in the July 2018 Offering. Placement Agent Fees Investor Warrants In connection with the issuance of the Series C and D Convertible Preferred Stock in November 2016, the Company issued the investor, at no additional cost, warrants to purchase 2,522 shares of common stock at an exercise price of $1,512 per share. In connection with the issuance of the Series D Convertible Preferred Stock at the second closing in January 2017, the Company issued the investor, at no additional cost, warrants to purchase 141 shares of common stock at an exercise price of $1,512 per share. The warrants were exercisable for 60 months commencing on the earlier of the day of the receipt of approval of the Company’s stockholders of a proposal to approve the issuance of the shares of common stock underlying the warrants, or the six-month anniversary of the date of issuance. These warrants were subject to a reduction of the exercise price if the Company subsequently issued common stock or equivalents at an effective price less than the current exercise price of such warrants. Warrant Exercise Agreement: The Company entered into the letter agreement with the investors to incent the exercise of the Original Warrants in order to receive the cash proceeds from the exercise of the Original Warrants and because the exercise of the Original Warrants would allow the Company to remove the warrant liability from its balance sheet and avoid future fair value adjustments and associated volatility in its consolidated financial statements, as the Replacement Warrants are not accounted for as liabilities based on their terms. As of December 31, 2018, and 2017, there were no Original Warrants outstanding and all Replacement Warrants under the letter agreement had been issued. Warrant Valuation The Replacement Warrants were valued at $0.5 million using the Black Scholes option pricing model with the following assumptions: an expected dividend yield of 0%, expected stock price volatility of 49.65%-50.38%, risk-free interest rates of 1.95%-1.97% and an expected life of 5 years. The warrants have a five-year life and were fully vested at the date of grant. The terms of the Replacement Warrants do not require them to be accounted for as liabilities and are therefore recorded in equity. As in incentive to early exercise the Original Warrants, the fair value provided to investors through the Replacement Warrants exceeded the fair value of the Original Warrants that was relinquished by the warrant holders by approximately $0.1 million, which has been reflected as an expense in the consolidated statement of operations for the year ended December 31, 2017.

Stock-Based Compensation

Stock-Based Compensation	12 Months Ended
	Dec. 31, 2018
Stock-Based Compensation [Abstract]
Stock-Based Compensation	Note 7— Stock-Based Compensation Stock Options and Restricted Stock Awards The Company has various share-based compensation plans, including the Amended and Restated 2002 Stock Plan, the Third Amended and Restated 2017 Equity Incentive Plan, the 2013 Non-Employee Directors’ Equity Incentive Plan and the New-Hire Equity Incentive Plan (collectively, the “Plans” The Company recognized stock-based compensation expense related to grants of stock options, RSUs and common stock awards to employees, directors and consultants of $2.1 million, and $0.5 million during the years ended December 31, 2018 and 2017, respectively. The following table summarizes the stock-based compensation expense which was recognized in the consolidated statements of operations for the years ended December 31, (Dollars in thousands) 2018 2017 Selling, general and administrative $ 1,958 $ 452 Research and development 129 50 Total $ 2,087 $ 502 The majority of the RSUs and options to purchase common stock vest on the anniversary of the date of grant, which ranges from one to four years. Stock-based compensation expense related to these awards is recognized on a straight-line basis over the related vesting term in most cases, which generally is the service period. It is the Company’s policy to issue new shares upon the exercise of options. Stock Options 2018 2017 Options Outstanding Weighted Average Exercise Price Options Outstanding Weighted Average Exercise Price Beginning Balance 2,562 $ 1,049.93 272 $ 31,021.57 Granted 163,997 45.76 2,461 167.30 Exercised — — — — Forfeited/expired (26,013 ) 61.01 (171 ) 36,429.90 Outstanding at December 31 140,546 $ 61.25 2,562 $ 1,049.93 Vested at December 31 16,206 $ 169.07 148 $ 11,338.37 For options outstanding and vested at December 31, 2018, the weighted average remaining contractual life was 9.12 years and 9.07 years, respectively. There were no option exercises in 2018 or 2017. The total fair value of options that vested in 2018 and 2017 was $0.9 million, and $0.7 million, respectively, at the fair value of the options as of the date of grant. Valuation Assumptions The Company has not historically paid cash dividends to its stockholders, and currently does not anticipate paying any cash dividends in the foreseeable future. As a result, the Company has assumed a dividend yield of 0%. The risk-free interest rate is based upon the rates of U.S. Treasury bills with a term that approximates the expected life of the option. Since the Company has limited historical exercise data to reasonably estimate the expected life of its option awards, the expected life is calculated using a simplified method. Expected volatility is based on historical volatility of the Company’s stock. The following table provides the weighted average assumptions used in the Black-Scholes option pricing model for the years ended December 31: 2018 2017 Expected dividend yield 0 % 0 % Risk-free interest rate 2.49 % 1.97 % Expected volatility 120.54 % 103 % Expected life (in years) 6.23 6.25 The weighted-average fair value of stock options granted in 2018 and 2017 was $41.04 and $167.3, respectively. As of December 31, 2018, the total compensation cost related to all non-vested stock option awards not yet recognized was approximately $3.9 and is expected to be recognized over the remaining weighted-average period of 3.1 years. Restricted Stock Awards 2018 2017 RSUs Weighted Average Grant Price RSUs Weighted Average Grant Price Nonvested, beginning balance 15 $ 7,297.22 33 $ 9,052.37 Granted — — 11 1,514.80 Vested (12 ) 7,297.22 (29 ) 1,854.56 Forfeited — — - - Nonvested at December 31 3 $ 7,297.22 15 $ 7,297.22 Warrants Warrants to purchase 599,293, and 608,764 shares of common stock were outstanding at December 31, 2018 and 2017, respectively. As of December 31, 2018, warrants outstanding were exercisable at prices ranging from $29.68 to $43,848 per share, and are exercisable over a period ranging from eleven months to 6.5 years.

Fair Value of Financial Instrum

Fair Value of Financial Instruments	12 Months Ended
	Dec. 31, 2018
Fair Value of Financial Instruments [Abstract]
Fair Value of Financial Instruments	Note 8 - Fair Value of Financial Instruments The Company’s financial instruments consist of cash and cash equivalents, warrants, and contingent consideration. Pursuant to the requirements of ASC Topic 820 “Fair Value Measurement,” · Level 1 · Level 2 · Level 3 The fair value of the Company’s common stock warrant liability related to the investor warrants was calculated using a Monte Carlo valuation model and was classified as Level 3 in the fair value hierarchy. The fair value of the Company’s common stock warrant liability related to the placement agent warrants is calculated using a Black Scholes option pricing model and was classified as Level 3 in the fair value hierarchy. The following is a rollforward of the fair value of Level 3 warrants: (in thousands) Balance December 31, 2016 $ 1,843 Change in fair value (1,475 ) Exercise of warrants (368 ) Balance as of December 31, 2017 $ - A significant change in the inputs used for the Monte Carlo and Black Scholes option pricing models such as the expected volatility, bond yield of equivalent securities, or probability of future equity financings, in isolation, would result in significantly higher or lower fair value measurements. In combination, changes in these inputs could result in a significantly higher or lower fair value measurement if the input changes were to be aligned or could result in a minimally higher or lower fair value measurement if the input changes were of a compensating nature. The fair value of the Company's contingent consideration, was initially measured based on the consideration expected to be transferred (probability-weighted), discounted back to present value, and it is considered a Level 3 instrument. The discount rate used was determined at the time of measurement in accordance with accepted valuation methods. The Company measures the liability on a recurring basis using Level 3 inputs including probabilities of payment and projected payment dates. Changes to any of the inputs may result in significantly higher or lower fair value measurements. There were no changes in the fair value of the contingent consideration subsequent to the initial measurement. All cash equivalents are considered Level 1 measurements for all periods presented. The Company does not have any financial instruments classified as Level 2 or any other classified as Level 3 and there were no movements between these categories during the periods ended December 31, 2018 and 2017. The Company believes that the carrying amounts of all remaining financial instruments approximate their fair value due to their relatively short maturities.

Income Taxes

Income Taxes	12 Months Ended
	Dec. 31, 2018
Income Taxes [Abstract]
Income Taxes	Note 9—Income Taxes Domestic and foreign loss before income taxes, consists of the following for the years ended December 31: (in thousands) 2018 2017 Domestic $ (17,027 ) $ (13,367 ) Foreign 1 (9 ) Loss before income taxes $ (17,026 ) $ (13,376 ) The components of income tax expense consist of the following for the years ended December 31: (in thousands) 2018 2017 Current: United States and state $ — $ — Foreign, net (6 ) (6 ) Deferred: United States and state — — Foreign — — Total income tax expense $ (6 ) $ (6 ) Actual income tax expense differs from statutory federal income tax expense as follows for the years ended December 31: (in thousands) 2018 2017 Statutory federal income tax benefit $ 3,578 $ 4,548 State tax benefit, net of federal taxes 45 48 Foreign tax (2 ) - Foreign deferred exchange rate adjustments (1,112 ) 899 Nondeductible/nontaxable items (259 ) (114 ) New federal rate adjustment — (16,081 ) Other (72 ) (1,085 ) Valuation allowance decrease (increase) (2,184 ) 11,779 Total income tax benefit expense $ (6 ) $ (6 ) Deferred taxes consist of the following as of December 31: (in thousands) 2018 2017 Deferred tax assets: Noncurrent: Accrued leave $ 50 $ 32 Other accrued expenses — 28 Stock based compensation 483 336 Net operating loss carryforward 41,032 38,947 Other 125 115 Intangibles 847 895 R&D credit carryforward 531 531 Total deferred tax assets 43,068 40,884 Less: valuation allowance (43,068 ) (40,884 ) Total $ — $ — As of December 31, 2017, the Company had federal net operating loss (“NOLs”) The Company provides for a valuation allowance when it is more likely than not that it will not realize a portion of the deferred tax assets. The Company has established a valuation allowance for U.S. and foreign deferred tax assets due to the uncertainty that enough taxable income will be generated in those taxing jurisdictions to utilize the assets. Therefore, the Company has not reflected any benefit of such deferred tax assets in the accompanying consolidated financial statements. During 2017 and 2018, the Company believes it experienced an ownership change as defined in Section 382 of the Internal Revenue Code which will limit the ability to utilize the Company’s net operating losses (NOLs). The Company may have experienced additional ownership changes in earlier years further limiting the NOL carry-forwards that may be utilized. The Company has not yet completed a formal Section 382 analysis. The general limitation rules allow the Company to utilize its NOLs subject to an annual limitation that is determined by multiplying the federal long-term tax-exempt rate by the Company’s value immediately before the ownership change. The accounting guidance related to uncertain tax positions prescribes a recognition threshold and measurement attribute for recognition and measurement of a tax position taken or expected to be taken in a tax return. It also provides guidance on de-recognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Company had no material uncertain tax positions as of December 31, 2018 or 2017. The Company recognizes interest and penalties on unrecognized tax benefits as well as interest received from favorable tax settlements within income tax expense. At December 31, 2018 and 2017, the Company recorded no accrued interest or penalties related to uncertain tax positions. The tax years ended December 31, 2015 through December 31, 2018 remain open to examination by the Internal Revenue Service and for the various states where we are subject to taxation. Additionally, the returns of the Company’s Australian and Irish subsidiary are subject to examination by tax authorities of those jurisdictions for the tax years ended and subsequent to June 30, 2013 and December 31, 2014, respectively.

Commitments and Contingencies

Commitments and Contingencies	12 Months Ended
	Dec. 31, 2018
Commitments and Contingencies [Abstract]
Commitments and Contingencies	Note 10—Commitments and Contingencies Leases The Company leases office space under a non-cancelable operating lease that expires in March 2022. In August 2018, the Company entered into a Third Amendment to the lease, extending the term of the lease from March 31, 2019 to March 31, 2022. Beginning on April 1, 2019, the annual base rent shall be $9.00 per square foot, subject to annual increases of $0.25 per square foot. Rent expense is recognized using the straight-line method over the term of the lease The Company leases office equipment under non-cancelable operating leases that expire at various times through September 2020. Rent expense related to operating leases was approximately $ Employee Retirement Plan The Company has a 401(k)-profit sharing plan that provides retirement benefit to substantially all full-time U.S. employees. Eligible employees may contribute a percentage of their annual compensation, subject to Internal Revenue Service limitations, with the Company matching a portion of the employee’s contributions at the discretion of the Company. Matching contributions totaled $197,000 and $138,000 for the years ended December 31, 2018 and 2017, respectively. Contingent Consideration The Company agreed that if it disposes of any of the Aquadex assets for a price that exceeds $4.0 million within three years of the closing of the purchase of the Aquadex Business, it will pay Baxter 40% of the amount of such excess. In addition, it also agreed that if shares of its common stock cease to be publicly traded on Nasdaq, Baxter has the option to require the Company to repurchase, in cash, all or any part of the common shares held by Baxter at a price equal to their fair market value, as determined by a third-party appraiser.

Segment and Geographic Informat

Segment and Geographic Information	12 Months Ended
	Dec. 31, 2018
Segment and Geographic Information [Abstract]
Segment and Geographic Information	Note 11—Segment and Geographic Information The Company has one reportable segment, cardiac and coronary disease products. At December 31, 2018, long-lived assets were located primarily in the United States.

Subsequent Event

Subsequent Event	12 Months Ended
	Dec. 31, 2018
Subsequent Event [Abstract]
Subsequent Event	Note 12 – Subsequent Event The Company filed an S-1 on December 31, 2018, which was amended January 22, 2019, to raise additional capital. Changing circumstances may cause the Company to consume capital significantly faster than it currently anticipates and could adversely affect the Company’s ability to raise additional capital. Additional financing may not be available when the Company needs it or may not be available on favorable terms.

Nature of Business and Signif_2

Nature of Business and Significant Accounting Policies (Policies)	12 Months Ended
	Dec. 31, 2018
Nature of Business and Significant Accounting Policies [Abstract]
Going Concern	Going Concern The Company’s financial statements have been prepared and presented on a basis assuming it continues as a going concern. During the years ended December 31, 2018 and 2017, the Company incurred losses from operations and net cash outflows from operating activities as disclosed in the consolidated statements of operations and cash flows, respectively. At December 31, 2018, the Company had an accumulated deficit of $199.4 million and it expects to incur losses for the foreseeable future. To date, the Company has been funded by debt and equity financings, and although the Company believes that it will be able to successfully fund its operations, there can be no assurance that it will be able to do so or that it will ever operate profitably. These factors raise substantial doubt about the Company’s ability to continue as a going concern through at least twelve months from the report date. The Company became a revenue generating company after acquiring the Aquadex Business in August 2016. The Company expects to incur additional losses in the near-term as it grows the Aquadex Business, including investments in expanding its sales and marketing capabilities, purchasing inventory, manufacturing components, and complying with the requirements related to being a U.S. public company. To become and remain profitable, the Company must succeed in expanding the adoption and market acceptance of the Aquadex FlexFlow system. This will require the Company to succeed in training personnel at hospitals and effectively and efficiently manufacturing, marketing and distributing the Aquadex FlexFlow system and related components. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability. On April 24, 2017, November 27, 2017, and on July 3, 2018, Shareholder’s Equity). The Company will require additional funding to grow its Aquadex Business, which may not be available on terms favorable to the Company, or at all. The Company may receive those funds from the proceeds from future warrant exercises, issuances of equity securities, or other financing transactions. Should warrant exercises not materialize or future capital raising be unsuccessful, the Company may not be able to continue as a going concern. No adjustments have been made relating to the recoverability and classification of recorded asset amounts and classification of liabilities that might be necessary should the Company not continue as a going concern.
Basis of Presentation	Basis of Presentation The accompanying consolidated financial statements include the accounts of CHF Solutions, Inc. and its wholly-owned subsidiaries, CHF Solutions, LLC, Sunshine Heart Company Pty Limited, and Sunshine Heart Ireland Limited. All intercompany accounts and transactions between consolidated entities have been eliminated.
Use of Estimates	Use of Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts and disclosures in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.
Cash and Cash Equivalents	Cash and Cash Equivalents Cash and cash equivalents consist of cash and term deposits with original maturities of three months or less. The carrying value of these instruments approximate fair value. The balances, at times, may exceed federally insured limits. The Company has not experienced any losses on its cash and cash equivalents.
Accounts Receivable	Accounts Receivable Accounts receivable are unsecured, are recorded at net realizable value, and do not bear interest. The Company makes judgments as to its ability to collect outstanding receivables based upon significant patterns of uncollectability, historical experience, and managements’ evaluation of specific accounts and will provide an allowance for credit losses when collection becomes doubtful. The Company performs credit evaluations of its customers’ financial condition on an as-needed basis. Payment is generally due 30 days from the invoice date and accounts past 30 days are individually analyzed for collectability. When all collection efforts have been exhausted, the account is written off against the related allowance. To date the Company has not experienced any write-offs or significant deterioration of its accounts receivable aging, and therefore, no allowance for doubtful accounts was considered necessary as of December 31, 2018 or 2017.
Inventories	Inventories Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands): 2018 2017 Finished Goods $ 517 $ 902 Work in Process 34 217 Raw Materials 1,107 469 Total $ 1,658 $ 1,588
Other Current Assets	Other Current Assets Other current assets represent prepayments and deposits made by the Company.
Property, Plant and Equipment	Property, Plant and Equipment Property and equipment is stated at cost less accumulated depreciation. Depreciation is computed based upon the estimated useful lives of the respective assets. Leasehold improvements and capital lease assets are amortized using the straight-line method over the shorter of the lease term or the estimated useful life of the assets. Repairs and maintenance costs are expensed as incurred. The cost and accumulated depreciation of property, plant and equipment retired, or otherwise disposed of are removed from the related accounts, and any residual values are charged to expense. Depreciation expense has been calculated using the following estimated useful lives: Office furniture and equipment 3-5 years Computer software and equipment 3-4 years Laboratory and research equipment 3-5 years Production equipment 3-7 years Leasehold improvements and capital lease asset 3-5 years Depreciation expense was $232,000 and $229,000 for the years ended December 31, 2018, and 2017, respectively. Property and equipment are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. If the impairment tests indicate that the carrying value of the asset, or asset group is greater than the expected undiscounted cash flows to be generated by such asset or asset group further analysis is performed to determine the fair value of the asset or asset group. To the extent the fair value of the asset or asset group is less than its carrying value, an impairment loss is recognized equal to the amount the fair value of the asset or asset group exceeds its carrying amount. The Company generally measures fair value by considering sale prices for similar assets or asset groups, or by discounting estimated future cash flows from such assets or asset groups using an appropriate discount rate. Assets to be disposed of are carried at the lower of their carrying value or fair value less costs to sell. Considerable management judgment is necessary to estimate the fair value of assets or asset groups, and accordingly, actual results could vary significantly from such estimates. The Company periodically reviews its property and equipment for potential impairment and determines if the fair value of property and equipment equals or exceeds its carrying value. There have been no impairment losses recognized for the years ended December 31, 2018 or 2017.
Intangible Assets	Intangible assets The Company’s intangible assets consisted of customer relationships, developed technology, and trademarks and tradenames. All intangible assets recognized by the Company resulted from the acquisition of the Aquadex Business. All intangible assets were estimated to have a useful life of 7 years. The Company reviewed its definite lived intangible assets for impairment when impairment indicators existed. When impairment indicators existed, the Company determined if the carrying value of the intangible assets exceeded the related undiscounted cash flows. In cases where the carrying value exceeded the undiscounted cash flows, and the carrying amount was not considered recoverable, the carrying value was written down to its fair value, generally using a discounted cash flow analysis. An impairment loss was recognized for the amount that the intangible assets exceeded their fair value, generally based on discounted cash flow methods and other fair market value indicators. The Company’s review of its intangible assets during the year ended December 31, 2017 resulted in $3.8 million of impairment charges related to its definite lived intangible assets. The Company had a single reporting unit. The impairment charges were based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed above, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%. Amortization expense was $0 and $540,000 for the years ended December 31, 2018 and 2017, respectively.
Goodwill	Goodwill Goodwill was the cost paid for the Aquadex Business in excess of the fair value of acquired assets and liabilities, and was recorded as an asset on the balance sheet. Goodwill was not subject to amortization but was to be tested for impairment at least annually. This test required the Company to determine if the implied fair value of the goodwill was less than its carrying amount. The Company evaluated its recorded goodwill for impairment annually on November 1 st Simplifying the Test for Goodwill Impairment The Company had a single reporting unit. The impairment charge was based on fair values determined using market value indicators such as the quoted market prices of the Company’s common stock on Nasdaq, as well discounted cash flow models. Discounted cash flow models included assumptions related to the Company’s product revenues, gross margins, and operating margins, under varying assumptions about the Company’s ability to either achieve profitability or obtain the necessary financings to realize such projections. As discussed above, the Company became a revenue generating company after acquiring the Aquadex Business in August 2016 and expects to incur losses in the near-term as it grows the Aquadex Business. To become and remain profitable, and to generate cash flows from operations, the Company must succeed in expanding the adoption and market acceptance of its products. This will require that the Company succeed in training personnel at hospitals and in effectively and efficiently manufacturing, marketing, and distributing its products. There can be no assurance that the Company will succeed in these activities, and it may never generate revenues sufficient to achieve profitability or positive cash flows. The discounted cash flow models reflected these uncertainties by assigning future cash flow estimations probability factors and an overall discount rate of 30%.
Contingent Consideration	Contingent consideration In connection with the Company’s purchase of the Aquadex Business in August 2016, the Company has an obligation to pay additional consideration that is contingent upon the occurrence of certain future events (see Note 10- Commitments and Contingencies). Contingent consideration is recognized at the acquisition date at the estimated fair value of the contingent milestone payments. The fair value of the contingent consideration is remeasured to its estimated fair value at the end of each reporting period, with changes recorded to earnings. As of December 31, 2018, the contingent consideration was recorded in current liabilities in the accompanying balance sheet to reflect its maturity during 2019.
Common Stock Warrant Liability	Common stock warrant liability The Company recorded its common stock warrant liability at fair value at the date of issuance using primarily a Monte Carlo valuation model. The fair value was remeasured to its estimated fair value at the end of each reporting period with changes recorded to earnings.
Revenue Recognition	Revenue Recognition The Company recognizes revenue in accordance with Accounting Standards Codification (“ASC”), Topic 606, Revenue from Contracts with Customers
Foreign Currency Translation	Foreign Currency Translation Sales and expenses denominated in foreign currencies are translated at average exchange rates in effect throughout the year. Assets and liabilities of foreign operations are translated at period-end exchange rates with the impacts of foreign currency translation recognized to cumulative translation adjustment, a component of accumulated other comprehensive income other expense, net
Stock-Based Compensation	Stock-Based Compensation The Company recognizes all share-based payments to employees and directors, including grants of stock options, restricted stock units (RSUs) and common stock awards in the consolidated statements of operations and other comprehensive loss as an operating expense, based on their fair value. The Company’s stock awards use a graded vesting schedule. The Company recognizes the option expense over the requisite service period, which is generally the vesting period. The Company computes the estimated fair values of stock options and certain of its warrants using the Black-Scholes option pricing model. The closing market price of the Company’s common stock at the date of grant is used to calculate the fair value of restricted stock units and common stock awards. Stock-based compensation expense is based on awards ultimately expected to vest and is reduced for estimated forfeitures. Forfeitures are estimated at the time of grant and revised, if necessary, in subsequent periods if actual forfeitures differ from those estimates. Equity instruments issued to non-employees include RSUs or warrants to purchase shares of the Company’s common stock. These RSUs or warrants are either fully-vested and exercisable at the date of grant or vest over a certain period during which services are provided. The Company expenses the fair market value of fully vested awards at the time of grant, and of unvested awards over the period in which the related services are received. Unvested awards are remeasured to fair value until they vest. See Note 7- Stock Based Compensation, for further information regarding the assumptions used to calculate the fair value of share-based compensation.
Income Taxes	Income Taxes Deferred income taxes are provided on a liability method, whereby deferred tax assets are recognized for deductible temporary differences and operating loss and tax credit carryforwards. Deferred tax liabilities are recognized for taxable temporary differences, which are the differences between the reported amounts of assets and liabilities and their tax bases. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that some portion or all the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in tax laws and rates on the date of enactment. The Tax Reform Act was enacted December 22, 2017. The new legislation made significant changes to U.S. tax law including a reduction in the corporate tax rates, changes to operating loss carry-forwards and carrybacks, and a repeal of the corporate alternative minimum tax. The legislation reduced the U.S corporate income tax rates from 34% to 21%. As a result of the enacted law, the Company was required to revalue its deferred tax assets and liabilities at the new enacted rate. There was no income tax impact from the re-measurement due to the 100% valuation allowance on the Company’s deferred tax assets.
Loss per Share	Loss per share Basic loss per share is computed based on the net loss for each period divided by the weighted average number of common shares outstanding. The net loss allocable to common stockholders for the year ended December 31, 2017, reflects increases for net deemed dividends to preferred stockholders provided in connection with the close of the public offering of Series E Convertible Preferred Stock in April of 2017, and the close of the public offering of Series F Convertible Preferred Stock in November of 2017, of $1.0 million and $8.7 million, respectively, representing the intrinsic value of the shares at the time of issuance. In addition, the net loss allocable to common stockholders for the year ended December 31, 2017, reflects an increase for net deemed dividends of $1.8 million to preferred stockholders provided in connection with the shareholder approval of the Series C and D Convertible Preferred Stock transactions in January of 2017, representing the intrinsic value of the shares at the time of issuance. (See Note 6). There were no deemed dividends during 2018. Diluted earnings per share is computed based on the net loss allocable to common stockholders for each period divided by the weighted average number of common shares outstanding, increased by the number of additional shares that would have been outstanding had the potentially dilutive common shares been issued, and reduced by the number of shares the Company could have repurchased from the proceeds from issuance of the potentially dilutive shares. Potentially dilutive shares of common stock include shares underlying outstanding convertible preferred stock, warrants, stock options and other stock-based awards granted under stock-based compensation plans. The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each year presented: December 31, 2018 2017 Stock options 140,546 2,766 Restricted stock units 3 15 Warrants to purchase common stock 599,293 608,787 Series F convertible preferred stock 18,190 60,480 Total 758,032 672,048 The following table reconciles reported net loss with reported net loss per share for the years ended December 31: (in thousands, except per share amounts) 2018 2017 Net loss $ (17,032 ) $ (13,382 ) Deemed dividend to preferred shareholders (see Note 6) — (11,590 ) Net loss after deemed dividend (17,032 ) (24,972 ) Weighted average shares outstanding 404 48 Basic and diluted loss per share $ (42.14 ) $ (525.01 )
Research and Development	Research and Development Research and development costs include activities related to research, development, design, and testing improvements of the Aquadex FlexFlow system and potential related products. Research and development costs also include expenses related to clinical research that the Company may sponsor or conduct to enhance understanding of the product and its use. Research and development expenses are expensed as incurred.
Recent Accounting Pronouncements	Recent Accounting Pronouncements In May 2014, August 2015, March 2016, April 2016 and May 2016, the Financial Accounting Standards Board (“FASB”) issued amended revenue recognition guidance to clarify the principles for recognizing revenue from contracts with customers. The guidance requires an entity to recognize revenue to depict the transfer of goods or services to customers in an amount that reflects the consideration to which an entity expects to be entitled in exchange for those goods or services. The guidance also requires expanded disclosures relating to the nature, amount, timing, and uncertainty of revenue and cash flows arising from contracts with customers. Additionally, qualitative and quantitative disclosures are required about customer contracts, significant judgments and changes in judgments, and assets recognized from the costs to obtain or fulfill a contract. In January 2017, the FASB issued amended guidance to simplify the accounting for goodwill impairment by removing Step 2 of the goodwill impairment test. A goodwill impairment will now be measured as the amount by which a reporting unit’s carrying value exceeds its fair value, limited to the amount of goodwill allocated to that reporting unit. This guidance was to be applied on a prospective basis effective for the Company’s interim and annual periods beginning after January 1, 2019, with early adoption permitted for any impairment tests performed after January 1, 2017. The Company adopted this amended guidance during the year ended December 31, 2017, and recognized a $0.2 million impairment loss related to its goodwill. In February 2016, the FASB issued updated guidance to improve financial reporting about leasing transactions. This guidance will require organizations that lease assets to recognize on the balance sheet the assets and liabilities for the rights and obligations created by those leases. This guidance is effective for the Company’s annual and quarterly periods beginning January 1, 2019. T he Company has nearly completed evaluating the impact that the adoption of this standard will have on its consolidated financial statements. The Company additional qualitative and quantitative disclosures as required. The Company expects to use the effective date of this standard as the date of initial application, with no retrospective adjustments to prior comparative periods. The Company evaluates events through the date the consolidated financial statements are filed for events requiring adjustment to or disclosure in the consolidated financial statements.

Nature of Business and Signif_3

Nature of Business and Significant Accounting Policies (Tables)	12 Months Ended
	Dec. 31, 2018
Nature of Business and Significant Accounting Policies [Abstract]
Inventories	Inventories are recorded at the lower of cost or net realizable value using the first-in, first out method. Inventories consisted of the following as of December 31 (in thousands): 2018 2017 Finished Goods $ 517 $ 902 Work in Process 34 217 Raw Materials 1,107 469 Total $ 1,658 $ 1,588
Estimated Useful Lives	Depreciation expense has been calculated using the following estimated useful lives: Office furniture and equipment 3-5 years Computer software and equipment 3-4 years Laboratory and research equipment 3-5 years Production equipment 3-7 years Leasehold improvements and capital lease asset 3-5 years
Potential Shares of Common Stock not Included in Diluted Net Loss Per Share	The following table sets forth the potential shares of common stock that are not included in the calculation of diluted net loss per share because to do so would be anti-dilutive as of the end of each year presented: December 31, 2018 2017 Stock options 140,546 2,766 Restricted stock units 3 15 Warrants to purchase common stock 599,293 608,787 Series F convertible preferred stock 18,190 60,480 Total 758,032 672,048
Reconciles Reported Net Loss with Reported Net Loss Per Share	The following table reconciles reported net loss with reported net loss per share for the years ended December 31: (in thousands, except per share amounts) 2018 2017 Net loss $ (17,032 ) $ (13,382 ) Deemed dividend to preferred shareholders (see Note 6) — (11,590 ) Net loss after deemed dividend (17,032 ) (24,972 ) Weighted average shares outstanding 404 48 Basic and diluted loss per share $ (42.14 ) $ (525.01 )

Property, Plant and Equipment (

Property, Plant and Equipment (Tables)	12 Months Ended
	Dec. 31, 2018
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment	Property, plant and equipment were as follows: (in thousands) December 31, 2018 December 31, 2017 Office Furniture & Fixtures $ 291 $ 287 Leasehold Improvements 224 224 Software 142 129 Production Equipment 991 926 Computer Equipment 357 277 Capital Lease Asset 309 307 Total 2,314 2,150 Accumulated Depreciation (1,778 ) (1,580 ) $ 536 $ 570

Stock-Based Compensation (Table

Stock-Based Compensation (Tables)	12 Months Ended
	Dec. 31, 2018
Stock-Based Compensation [Abstract]
Summary of Stock-Based Compensation Expense	The following table summarizes the stock-based compensation expense which was recognized in the consolidated statements of operations for the years ended December 31, (Dollars in thousands) 2018 2017 Selling, general and administrative $ 1,958 $ 452 Research and development 129 50 Total $ 2,087 $ 502
Summary of Plan Stock Option Activity	The following is a summary of the Plans’ stock option activity during the years ended December 31: 2018 2017 Options Outstanding Weighted Average Exercise Price Options Outstanding Weighted Average Exercise Price Beginning Balance 2,562 $ 1,049.93 272 $ 31,021.57 Granted 163,997 45.76 2,461 167.30 Exercised — — — — Forfeited/expired (26,013 ) 61.01 (171 ) 36,429.90 Outstanding at December 31 140,546 $ 61.25 2,562 $ 1,049.93 Vested at December 31 16,206 $ 169.07 148 $ 11,338.37
Weighted Average Assumptions used in Black-Scholes Option Pricing Model	The following table provides the weighted average assumptions used in the Black-Scholes option pricing model for the years ended December 31: 2018 2017 Expected dividend yield 0 % 0 % Risk-free interest rate 2.49 % 1.97 % Expected volatility 120.54 % 103 % Expected life (in years) 6.23 6.25
Summary of Restricted Stock Award Activity	The following table summarizes restricted stock award activity during 2018 and 2017: 2018 2017 RSUs Weighted Average Grant Price RSUs Weighted Average Grant Price Nonvested, beginning balance 15 $ 7,297.22 33 $ 9,052.37 Granted — — 11 1,514.80 Vested (12 ) 7,297.22 (29 ) 1,854.56 Forfeited — — - - Nonvested at December 31 3 $ 7,297.22 15 $ 7,297.22

Fair Value of Financial Instr_2

Fair Value of Financial Instruments (Tables)	12 Months Ended
	Dec. 31, 2018
Fair Value of Financial Instruments [Abstract]
Fair Value of Common Stock Warrant Liability Calculated Using a Monte Carlo Valuation Model Classified as Level 3 in Fair Value Hierarchy	The following is a rollforward of the fair value of Level 3 warrants: (in thousands) Balance December 31, 2016 $ 1,843 Change in fair value (1,475 ) Exercise of warrants (368 ) Balance as of December 31, 2017 $ -

Income Taxes (Tables)

Income Taxes (Tables)	12 Months Ended
	Dec. 31, 2018
Income Taxes [Abstract]
Domestic and Foreign Loss Before Income Taxes	Domestic and foreign loss before income taxes, consists of the following for the years ended December 31: (in thousands) 2018 2017 Domestic $ (17,027 ) $ (13,367 ) Foreign 1 (9 ) Loss before income taxes $ (17,026 ) $ (13,376 )
Components of Income Tax Expense	The components of income tax expense consist of the following for the years ended December 31: (in thousands) 2018 2017 Current: United States and state $ — $ — Foreign, net (6 ) (6 ) Deferred: United States and state — — Foreign — — Total income tax expense $ (6 ) $ (6 )
Actual Income Tax Expense Differs from Statutory Federal Income Tax Expense	Actual income tax expense differs from statutory federal income tax expense as follows for the years ended December 31: (in thousands) 2018 2017 Statutory federal income tax benefit $ 3,578 $ 4,548 State tax benefit, net of federal taxes 45 48 Foreign tax (2 ) - Foreign deferred exchange rate adjustments (1,112 ) 899 Nondeductible/nontaxable items (259 ) (114 ) New federal rate adjustment — (16,081 ) Other (72 ) (1,085 ) Valuation allowance decrease (increase) (2,184 ) 11,779 Total income tax benefit expense $ (6 ) $ (6 )
Deferred Taxes	Deferred taxes consist of the following as of December 31: (in thousands) 2018 2017 Deferred tax assets: Noncurrent: Accrued leave $ 50 $ 32 Other accrued expenses — 28 Stock based compensation 483 336 Net operating loss carryforward 41,032 38,947 Other 125 115 Intangibles 847 895 R&D credit carryforward 531 531 Total deferred tax assets 43,068 40,884 Less: valuation allowance (43,068 ) (40,884 ) Total $ — $ —

Nature of Business and Signif_4

Nature of Business and Significant Accounting Policies, Nature of Business, Going Concern, Accounts Receivable and Inventory (Details) $ in Thousands	Oct. 12, 2017	Jan. 12, 2017	Jan. 31, 2019	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)StockSplit	Jul. 03, 2018USD ($)
Nature of Business [Abstract]
Number of reverse stock split | StockSplit					2
Reverse stock split ratio	0.050	0.033
Going Concern [Abstract]
Accumulated deficit				$ (199,388)	$ (182,356)
Net proceeds from issuance of convertible preferred stock						$ 28,800
Accounts Receivable [Abstract]
Accounts receivables maximum credit period from invoice date				30 days
Allowance for doubtful accounts				$ 0	0
Inventories [Abstract]
Finished Goods				517	902
Work in Process				34	217
Raw Materials				1,107	469
Total				$ 1,658	$ 1,588
Subsequent Event [Member]
Nature of Business [Abstract]
Reverse stock split ratio			0.0714
Minimum [Member]
Nature of Business [Abstract]
Reverse stock split ratio				0.500
Maximum [Member]
Nature of Business [Abstract]
Reverse stock split ratio				0.0714

Nature of Business and Signif_5

Nature of Business and Significant Accounting Policies, Property, Plant and Equipment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment [Abstract]
Depreciation expense	$ 232	$ 229
Impairment losses recognized	$ 0	$ 0
Office Furniture and Equipment [Member] | Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Office Furniture and Equipment [Member] | Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	5 years
Computer Software and Equipment [Member] | Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Computer Software and Equipment [Member] | Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	4 years
Laboratory and Research Equipment [Member] | Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Laboratory and Research Equipment [Member] | Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	5 years
Production Equipment [Member] | Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Production Equipment [Member] | Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	7 years
Leasehold Improvements and Capital Lease Asset [Member] | Minimum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	3 years
Leasehold Improvements and Capital Lease Asset [Member] | Maximum [Member]
Property, Plant and Equipment [Abstract]
Estimated useful lives	5 years

Nature of Business and Signif_6

Nature of Business and Significant Accounting Policies, Intangible assets and Goodwill (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)
Finite-lived Intangible Assets [Roll Forward]
Impairment charges related to definite-lived intangible assets		$ 3,800
Amortization expense	$ 0	$ 540
Goodwill [Abstract]
Goodwill impairment loss	$ 200
Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3
Customer Relationships [Member]
Finite-lived Intangible Assets [Roll Forward]
Estimated useful life	7 years
Customer Relationships [Member] | Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3
Developed Technology [Member]
Finite-lived Intangible Assets [Roll Forward]
Estimated useful life	7 years
Developed Technology [Member] | Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3
Trade Names and Trademarks [Member]
Finite-lived Intangible Assets [Roll Forward]
Estimated useful life	7 years
Trade Names and Trademarks [Member] | Discount Rate [Member]
Finite-lived Intangible Assets [Roll Forward]
Overall discount rate	0.3

Nature of Business and Signif_7

Nature of Business and Significant Accounting Policies, Income Taxes and Loss Per Share (Details) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Effective Income Tax Rate Reconciliation, Percent [Abstract]
U.S. corporate income tax rate	21.00%	34.00%
Percentage of valuation allowance on deferred tax assets	100.00%
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)	758,032	672,048
Reported net loss with reported net loss per share [Abstract]
Net loss	$ (17,032,000)	$ (13,382,000)
Deemed dividend to preferred shareholders (see Note 6)	0	(11,590,000)
Net loss after deemed dividend	$ (17,032,000)	$ (24,972,000)
Weighted average shares outstanding (in shares)	404,000	48,000
Basic and diluted loss per share (in dollars per share)	$ (42.14)	$ (525.01)
Recent Accounting Pronouncements [Abstract]
Goodwill impairment loss	$ 200,000
Series E Convertible Preferred Stock [Member]
Reported net loss with reported net loss per share [Abstract]
Deemed dividend to preferred shareholders (see Note 6)		$ (1,000,000)
Series F Convertible Preferred Stock [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)	18,190	60,480
Reported net loss with reported net loss per share [Abstract]
Deemed dividend to preferred shareholders (see Note 6)		$ (8,700,000)
Series C and D Convertible Preferred Stock [Member]
Reported net loss with reported net loss per share [Abstract]
Deemed dividend to preferred shareholders (see Note 6)		$ (1,800,000)
Stock Options [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)	140,546	2,766
Restricted Stock Units [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)	3	15
Warrants to Purchase Common Stock [Member]
Potential shares of common stock that are not included in the calculation of diluted net loss per share [Abstract]
Potential shares of common stock that are not included in the calculation of diluted net loss per share (in shares)	599,293	608,787
ASU 2016-02 [Member] | Plan [Member] | Minimum [Member]
Recent Accounting Pronouncements [Abstract]
Right of use assets	$ 575,000
Lease liabilities	575,000
ASU 2016-02 [Member] | Plan [Member] | Maximum [Member]
Recent Accounting Pronouncements [Abstract]
Right of use assets	625,000
Lease liabilities	$ 625,000

Revenue Recognition (Details)

Revenue Recognition (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2019-01-01
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Abstract]
Deferred revenue	$ 43	$ 38
Expected timing of satisfaction, period	1 year	1 year
Sales Revenue [Member] | Maximum [Member] | ASC 606 [Member]
Revenue, Performance Obligation [Abstract]
Percentage of net sales	1.00%	1.00%

Property, Plant and Equipment_2

Property, Plant and Equipment (Details) - USD ($) $ in Thousands	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	$ 2,314	$ 2,150
Accumulated Depreciation	(1,778)	(1,580)
Property, Plant and Equipment, Net	536	570
Office Furniture & Fixtures [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	291	287
Leasehold Improvements [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	224	224
Software [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	142	129
Production Equipment [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	991	926
Computer Equipment [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	357	277
Capital Lease Asset [Member]
Property, Plant and Equipment, Gross [Abstract]
Property, Plant and Equipment, Gross	$ 309	$ 307

Intangible Assets (Details)

Intangible Assets (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2017USD ($)	Dec. 31, 2018
Finite-Lived Intangible Assets, Net [Abstract]
Impairment charges related to definite-lived intangible assets	$ 3,800
Discount Rate [Member]
Finite-Lived Intangible Assets, Net [Abstract]
Overall discount rate		0.3

Debt, New Loan Agreement (Detai

Debt, New Loan Agreement (Details) - Silicon Valley Bank [Member] - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Sep. 30, 2016
Line of Credit Facility [Abstract]
Maximum borrowing capacity	$ 5
Term Loan [Member]
Line of Credit Facility [Abstract]
Maximum borrowing capacity			$ 4
Maturity date	Nov. 30, 2016
Revolving Line [Member]
Line of Credit Facility [Abstract]
Maximum borrowing capacity	$ 1
Maturity date	Mar. 31, 2020
Total borrowings outstanding	$ 0	$ 0
Revolving Line [Member] | Floating Annual Rate [Member]
Line of Credit Facility [Abstract]
Interest rate	1.75%
Revolving Line [Member] | Prime Rate [Member]
Line of Credit Facility [Abstract]
Interest rate	1.00%

Debt, Warrants (Details)

Debt, Warrants (Details)	Dec. 31, 2018$ / sharesshares
Affiliates [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants issued (in shares) | shares	4
Exercise price of warrants (in dollars per share)	$ 30,912
Value of warrants (in dollars per share)	$ 22,764
Affiliates [Member] | Expected Dividend Yield [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	0
Affiliates [Member] | Expected Stock Price Volatility [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	0.8704
Affiliates [Member] | Risk-Free Interest Rate [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	0.0220
Affiliates [Member] | Expected Warrant Option Life [Member]
Warrants and Rights Note Disclosure [Abstract]
Expected warrant option life	6 years 3 months
Silicon Valley Bank [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants issued (in shares) | shares	9
Exercise price of warrants (in dollars per share)	$ 43,848
Value of warrants (in dollars per share)	$ 32,424
Silicon Valley Bank [Member] | Expected Dividend Yield [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	0
Silicon Valley Bank [Member] | Expected Stock Price Volatility [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	0.8807
Silicon Valley Bank [Member] | Risk-Free Interest Rate [Member]
Warrants and Rights Note Disclosure [Abstract]
Warrants measurement input	0.0186
Silicon Valley Bank [Member] | Expected Warrant Option Life [Member]
Warrants and Rights Note Disclosure [Abstract]
Expected warrant option life	6 years 3 months

Shareholder's Equity, Convertib

Shareholder's Equity, Convertible Preferred Stock (Details) - USD ($) $ / shares in Units, $ in Thousands	Jul. 03, 2018	Nov. 27, 2017	Apr. 24, 2017	Jan. 10, 2017	Nov. 03, 2016	Oct. 30, 2016	Jul. 20, 2016	Dec. 31, 2018	Dec. 31, 2017	Jul. 03, 2018
Class of Stock Disclosures [Abstract]
Proceeds from issuance of convertible preferred stock and Warrants				$ 200	$ 3,600	$ 3,800	$ 3,500
Preferred stock, shares outstanding (in shares)								0	0
Net proceeds from issuance of convertible preferred stock										$ 28,800
Warrants [Member] | Minimum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)								$ 29.68
Warrants [Member] | Maximum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)								$ 43,848
Series B Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Proceed from issuance of preferred stock							$ 1,600
Series C Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Beneficial conversion amount				1,300
Preferred stock, shares outstanding (in shares)								0	0
Series D Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Beneficial conversion amount				$ 500
Preferred stock, shares outstanding (in shares)								0	0
Series B and B-1 Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Preferred stock, shares outstanding (in shares)								0	0
Series B, C And D Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Aggregate cash placement fee								6.00%
Series E Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Proceed from issuance of preferred stock			$ 9,200
Beneficial conversion amount			1,000
Preferred stock, shares outstanding (in shares)								0	0
Net proceeds from issuance of convertible preferred stock			$ 8,000
Series E Convertible Preferred Stock [Member] | Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issued to the placement agent (in shares)								0
Series F Convertible Preferred Stock [Member]
Class of Stock Disclosures [Abstract]
Proceed from issuance of preferred stock		$ 18,000
Beneficial conversion amount		8,700
Preferred stock, shares outstanding (in shares)								535	3,780
Net proceeds from issuance of convertible preferred stock		$ 16,200
Conversion price (in dollars per share)	$ 29.68	$ 63
Number of consecutive trading days considered for expiration								20 days
Number of consecutive trading days								30 days
Number of preferred shares converted to common stock (in shares)	34	286,714						279,526	226,504
Preferred stock, shares issued (in shares)		18,000						535	3,780
Common stock issued (in shares)	181,941
Number of convertible preferred shares converted (in shares)								17,465	14,220
Aggregate cash placement fee	8.00%	8.00%	9.00%
Public offering price (in dollars per share)	$ 29.68									$ 29.68
Gross proceeds from public stock offering	$ 5,400
Warrants exercisable (in shares)	554,322									554,322
Series F Convertible Preferred Stock [Member] | Minimum [Member]
Class of Stock Disclosures [Abstract]
Percentage of volume weighted average price of common stock		300.00%
Trading volume for each trading day		$ 200
Series F Convertible Preferred Stock [Member] | Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares)		573,310
Warrants issued to the placement agent (in shares)								0
Series F Convertible Preferred Stock [Member] | Warrant Series 1 [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)		$ 63
Number of preferred shares converted to common stock (in shares)		16
Series F Convertible Preferred Stock [Member] | Warrant Series 2 [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share)		$ 63
Number of preferred shares converted to common stock (in shares)		16

Shareholder's Equity, Warrants

Shareholder's Equity, Warrants (Details) $ / shares in Units, $ in Thousands	Jan. 10, 2017USD ($)$ / sharesshares	Nov. 03, 2016USD ($)$ / sharesshares	Jul. 31, 2016USD ($)$ / sharesshares	Mar. 31, 2017USD ($)$ / sharesshares	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)
Class of Stock Disclosures [Abstract]
Proceeds from exercise of warrants					$ 0	$ 1,989
Warrants outstanding					0	0
Change in fair value of warrant liability					0	1,475
Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants outstanding					$ 500
Expected Dividend Yield [Member] | Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0
Expected Stock Price Volatility [Member] | Replacement Warrants [Member] | Minimum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.4965
Expected Stock Price Volatility [Member] | Replacement Warrants [Member] | Maximum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.5038
Risk-Free Interest Rate [Member] | Replacement Warrants [Member] | Minimum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.0195
Risk-Free Interest Rate [Member] | Replacement Warrants [Member] | Maximum [Member]
Class of Stock Disclosures [Abstract]
Warrants measurement input					0.0197
Expected Warrant Option Life [Member] | Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Expected warrant option life					5 years
Series B Convertible Preferred Stock [Member] | Investor Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issuance cost			$ 0
Warrants to purchase shares of common stock (in shares) | shares			440
Exercise price of warrants (in dollars per share) | $ / shares			$ 7,896
Warrants exercisable period					36 months
Period warrants became exercisable from closing date					6 months
Series D Convertible Preferred Stock [Member] | Investor Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issuance cost	$ 0
Warrants to purchase shares of common stock (in shares) | shares	141
Exercise price of warrants (in dollars per share) | $ / shares	$ 1,512
Warrants exercisable period					60 months
Period warrants became exercisable from closing date					6 months
Series C and D Convertible Preferred Stock [Member] | Investor Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants issuance cost		$ 0
Warrants to purchase shares of common stock (in shares) | shares		2,522
Exercise price of warrants (in dollars per share) | $ / shares		$ 1,512
Adjusted exercise price of warrants (in dollars per share) | $ / shares		$ 1,428
Warrant Exercise Agreement [Member] | Original Warrants [Member]
Class of Stock Disclosures [Abstract]
Proceeds from exercise of warrants				$ 2,000
Warrants outstanding					$ 0	0
Relinquished amount of warrants						$ 100
Warrant Exercise Agreement [Member] | Replacement Warrants [Member]
Class of Stock Disclosures [Abstract]
Warrants to purchase shares of common stock (in shares) | shares				3,105
Warrant Exercise Agreement [Member] | Replacement Warrants [Member] | Minimum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) | $ / shares				$ 484.4
Warrant Exercise Agreement [Member] | Replacement Warrants [Member] | Maximum [Member]
Class of Stock Disclosures [Abstract]
Exercise price of warrants (in dollars per share) | $ / shares				$ 1,397.2

Stock-Based Compensation, Stock

Stock-Based Compensation, Stock Options and Restricted Stock Awards (Details) - USD ($) $ / shares in Units, $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 2,087	$ 502
Minimum [Member]
Additional Disclosures [Abstract]
Award vesting period	1 year
Maximum [Member]
Additional Disclosures [Abstract]
Award vesting period	4 years
Selling, General and Administrative [Member]
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 1,958	452
Research and Development [Member]
Stock-Based Compensation Expense Items [Abstract]
Stock-based compensation expense	$ 129	$ 50
Stock Options [Member]
Stock Options Activity [Roll Forward]
Outstanding, beginning balance (in shares)	2,562	272
Granted (in shares)	163,997	2,461
Exercised (in shares)	0	0
Forfeited/expired (in shares)	(26,013)	(171)
Outstanding, ending balance (in shares)	140,546	2,562
Vested at the end of the year (in shares)	16,206	148
Weighted Average Exercise Price [Abstract]
Outstanding, beginning balance (in dollars per share)	$ 1,049.93	$ 31,021.57
Granted (in dollars per share)	45.76	167.30
Exercised (in dollars per share)	0	0
Forfeited/expired (in dollars per share)	61.01	36,429.90
Outstanding, ending balance (in dollars per share)	61.25	1,049.93
Vested at the end of the year (in dollars per share)	$ 169.07	$ 11,338.37
Weighted Average Remaining Contractual Term [Abstract]
Options outstanding, weighted average remaining contractual life	9 years 1 month 13 days
Options vested, weighted average remaining contractual life	9 years 25 days
Aggregate Intrinsic Value [Abstract]
Fair value of options, vested	$ 900	$ 700
Weighted Average Assumptions used in Black-Scholes Option Pricing Model [Abstract]
Expected dividend yield	0.00%	0.00%
Risk-free interest rate	2.49%	1.97%
Expected volatility	120.54%	103.00%
Expected life	6 years 2 months 23 days	6 years 3 months
Additional Disclosures [Abstract]
Weighted-average fair value of options granted (in dollars per share)	$ 41.04	$ 167.30
Total unrecognized compensation costs related to non-vested stock option awards	$ 3,900
Unrecognized compensation costs related to non-vested stock option awards, recognition period	3 years 1 month 6 days
Restricted Stock Units [Member]
Restricted Stock Awards [Roll Forward]
Nonvested, beginning balance (in shares)	15	33
Granted (in shares)	0	11
Vested (in shares)	(12)	(29)
Forfeited (in shares)	0	0
Nonvested, ending balance (in shares)	3	15
Weighted Average Grant Price [Abstract]
Nonvested, beginning balance (in dollars per share)	$ 7,297.22	$ 9,052.37
Granted (in dollars per share)	0	1,514.80
Vested (in dollars per share)	7,297.22	1,854.56
Forfeited (in dollars per share)	0	0
Nonvested, ending balance (in dollars per share)	$ 7,297.22	$ 7,297.22

Stock-Based Compensation, Warra

Stock-Based Compensation, Warrants (Details) - Warrants [Member] - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Class of Warrant or Right [Abstract]
Warrants outstanding (in shares)	599,293	608,764
Minimum [Member]
Class of Warrant or Right [Abstract]
Exercise price of warrants (in dollars per share)	$ 29.68
Warrants exercisable period	11 months
Maximum [Member]
Class of Warrant or Right [Abstract]
Exercise price of warrants (in dollars per share)	$ 43,848
Warrants exercisable period	6 years 6 months

Fair Value of Financial Instr_3

Fair Value of Financial Instruments (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Fair value of Level 3 warrants [Roll Forward]
Beginning balance	$ 0
Change in fair value	0	$ 1,475
Ending balance	0	0
Fair Value Transfers between levels [Abstract]
Level 1 to Level 2 asset transfers	0	0
Level 2 to Level 1 asset transfers	0	0
Level 1 to Level 2 liability transfers	0	0
Level 2 to Level 1 liability transfers	0	0
Level 3 [Member]
Fair value of Level 3 warrants [Roll Forward]
Beginning balance	$ 0	1,843
Change in fair value		(1,475)
Exercise of warrants		(368)
Ending balance		$ 0

Income Taxes, Domestic and Fore

Income Taxes, Domestic and Foreign Loss Before Income Taxes (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Loss before income taxes [Abstract]
Domestic	$ (17,027)	$ (13,367)
Foreign	1	(9)
Loss before income taxes	$ (17,026)	$ (13,376)

Income Taxes, Components of Inc

Income Taxes, Components of Income Tax Expense (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Current [Abstract]
United States and state	$ 0	$ 0
Foreign, net	(6)	(6)
Deferred [Abstract]
United States and state	0	0
Foreign	0	0
Total income tax benefit expense	$ (6)	$ (6)

Income Taxes, Effective Income

Income Taxes, Effective Income Tax Rate Reconciliation (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Effective income tax rate reconciliation [Abstract]
Statutory federal income tax benefit	$ 3,578	$ 4,548
State tax benefit, net of federal taxes	45	48
Foreign tax	(2)	0
Foreign deferred exchange rate adjustments	(1,112)	899
Nondeductible/nontaxable items	(259)	(114)
New federal rate adjustment	0	(16,081)
Other	(72)	(1,085)
Valuation allowance decrease (increase)	(2,184)	11,779
Total income tax benefit expense	$ (6)	$ (6)

Income Taxes, Deferred Taxes an

Income Taxes, Deferred Taxes and Other Information (Details) $ in Thousands, $ in Millions	12 Months Ended
	Dec. 31, 2018USD ($)	Dec. 31, 2018AUD ($)	Dec. 31, 2017USD ($)
Noncurrent [Abstract]
Accrued leave	$ 50		$ 32
Other accrued expenses	0		28
Stock based compensation	483		336
Net operating loss carryforward	41,032		38,947
Other	125		115
Intangibles	847		895
R&D credit carryforward	531		531
Total deferred tax assets	43,068		40,884
Less: valuation allowance	(43,068)		(40,884)
Total	0		0
Unrecognized Tax Benefits [Abstract]
Uncertain tax positions	0		0
Penalties and Interest Accrued [Abstract]
Interest and penalties accrued on uncertain tax positions	$ 0		0
Earliest Tax Year [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards, expiration date	Dec. 31, 2024
Latest Tax Year [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards, expiration date	Dec. 31, 2037
Federal [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards			135,200
Net operating loss (NOL) carryforwards with expiration date			120,100
Net operating loss (NOL) carryforwards with no expiration date			15,100
State [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards			$ 29,500
Australian [Member]
Operating Loss Carryforwards [Abstract]
Net operating loss (NOL) carryforwards		$ 49

Commitments and Contingencies -

Commitments and Contingencies - (Details)	12 Months Ended
	Mar. 31, 2020$ / ft²	Dec. 31, 2018USD ($)	Dec. 31, 2017USD ($)
Leases [Abstract]
Rent expense related to operating leases		$ 293,000	$ 290,000
Future minimum lease payments [Abstract]
2,019		217,000
2,020		220,000
2,021		219,000
2,022		55,000
2,023		0
Employee Retirement Plan [Abstract]
Employer's matching contribution		197,000	$ 138,000
Plan [Member]
Leases [Abstract]
Annual base rent (in dollars per square foot) | $ / ft²	9
Annual base rent increase (in dollars per square foot) | $ / ft²	0.25
Aquadex Product Line [Member]
Contingent Consideration [Abstract]
Sale or disposal of business assets threshold for contingent consideration		$ 4,000,000
Percentage of additional payments on disposal of business assets		40.00%
Aquadex Product Line [Member] | Maximum [Member]
Contingent Consideration [Abstract]
Contingent consideration period		3 years

Segment and Geographic Inform_2

Segment and Geographic Information (Details)	12 Months Ended
	Dec. 31, 2018Segment
Segment and Geographic Information [Abstract]
Number of reportable segments	1