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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod" xlink:label="loc_us-gaap_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsExpirationsInPeriod_8F4654901C0BEF2815F2EDA9B7417373" xlink:type="locator" />
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    <link:label id="lab_astm_PreferredClassAAndClassBMember_68FC789DB4420ADE7DEFEDA9B712079C_documentation_en-US" xlink:label="lab_astm_PreferredClassAAndClassBMember_68FC789DB4420ADE7DEFEDA9B712079C" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Preferred Class A And Class B [Member]</link:label>
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    <link:label id="lab_us-gaap_ClassOfStockLineItems_0B4CB96B4B90BB78FEB5EDA9B71373A7_verboseLabel_en-US" xlink:label="lab_us-gaap_ClassOfStockLineItems_0B4CB96B4B90BB78FEB5EDA9B71373A7" xlink:role="http://www.xbrl.org/2003/role/verboseLabel" xlink:type="resource" xml:lang="en-US">Series B Convertible Preferred Stock</link:label>
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    <link:label id="lab_us-gaap_StockIssuedDuringPeriodSharesNewIssues_BB59FD334BD32A3FCA78EDA9B71350A4_terseLabel_en-US" xlink:label="lab_us-gaap_StockIssuedDuringPeriodSharesNewIssues_BB59FD334BD32A3FCA78EDA9B71350A4" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Number of common shares sold (in shares)</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_StockIssuedDuringPeriodSharesNewIssues" xlink:label="loc_us-gaap_StockIssuedDuringPeriodSharesNewIssues_BB59FD334BD32A3FCA78EDA9B71350A4" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_StockIssuedDuringPeriodSharesNewIssues_BB59FD334BD32A3FCA78EDA9B71350A4" xlink:to="lab_us-gaap_StockIssuedDuringPeriodSharesNewIssues_BB59FD334BD32A3FCA78EDA9B71350A4" xlink:type="arc" />
    <link:label id="lab_astm_StockIssuedDuringPeriodOfferingPricePerShare_1EB48F9CABB6C05DC6B0EDA9B71379AF_terseLabel_en-US" xlink:label="lab_astm_StockIssuedDuringPeriodOfferingPricePerShare_1EB48F9CABB6C05DC6B0EDA9B71379AF" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Offering price per share (in dollars per share)</link:label>
    <link:label id="lab_astm_StockIssuedDuringPeriodOfferingPricePerShare_1EB48F9CABB6C05DC6B0EDA9B71379AF_label_en-US" xlink:label="lab_astm_StockIssuedDuringPeriodOfferingPricePerShare_1EB48F9CABB6C05DC6B0EDA9B71379AF" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Stock Issued During Period Offering Price Per Share</link:label>
    <link:label id="lab_astm_StockIssuedDuringPeriodOfferingPricePerShare_1EB48F9CABB6C05DC6B0EDA9B71379AF_documentation_en-US" xlink:label="lab_astm_StockIssuedDuringPeriodOfferingPricePerShare_1EB48F9CABB6C05DC6B0EDA9B71379AF" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Represents the offering price per share of preferred stock issued during the period.</link:label>
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    <link:label id="lab_astm_PreferredStockPeriodOfClosingOfOfferingAfterWhichSharesAreConvertible_1FACFE731440B20CDDECEDA9B7133230_label_en-US" xlink:label="lab_astm_PreferredStockPeriodOfClosingOfOfferingAfterWhichSharesAreConvertible_1FACFE731440B20CDDECEDA9B7133230" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Preferred Stock, Period of Closing of Offering after which Shares are Convertible</link:label>
    <link:label id="lab_astm_PreferredStockPeriodOfClosingOfOfferingAfterWhichSharesAreConvertible_1FACFE731440B20CDDECEDA9B7133230_documentation_en-US" xlink:label="lab_astm_PreferredStockPeriodOfClosingOfOfferingAfterWhichSharesAreConvertible_1FACFE731440B20CDDECEDA9B7133230" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Represents the period of closing of offering after which shares are convertible.</link:label>
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    <link:label id="lab_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0_terseLabel_en-US" xlink:label="lab_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Conversion price per share (in dollars per share)</link:label>
    <link:label id="lab_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0_label_en-US" xlink:label="lab_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Preferred Stock Conversion Price Per Share</link:label>
    <link:label id="lab_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0_documentation_en-US" xlink:label="lab_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Represents the conversion price per share of convertible preferred stock.</link:label>
    <link:loc xlink:href="astm-20181231.xsd#astm_PreferredStockConversionPricePerShare" xlink:label="loc_astm_PreferredStockConversionPricePerShare_1382AAEC9D30FD8A1C57EDA9B71363D0" xlink:type="locator" />
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    <link:label id="lab_astm_ConvertiblePreferredStockConversionRatioShares_D50C4542DE9AFB88C292EDA9B71412F5_terseLabel_en-US" xlink:label="lab_astm_ConvertiblePreferredStockConversionRatioShares_D50C4542DE9AFB88C292EDA9B71412F5" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Conversion ratio, the number of shares of common stock received per share of convertible preferred stock (in shares)</link:label>
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    <link:label id="lab_astm_ConvertiblePreferredStockConversionRatioShares_D50C4542DE9AFB88C292EDA9B71412F5_documentation_en-US" xlink:label="lab_astm_ConvertiblePreferredStockConversionRatioShares_D50C4542DE9AFB88C292EDA9B71412F5" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Represents, in the form of a ratio, the number of shares of common stock received in conversion per share of convertible preferred stock.</link:label>
    <link:loc xlink:href="astm-20181231.xsd#astm_ConvertiblePreferredStockConversionRatioShares" xlink:label="loc_astm_ConvertiblePreferredStockConversionRatioShares_D50C4542DE9AFB88C292EDA9B71412F5" xlink:type="locator" />
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    <link:label id="lab_us-gaap_ConversionOfStockSharesConverted1_56F7DEAE1E1D6F1F2718EDA9B714F251_terseLabel_en-US" xlink:label="lab_us-gaap_ConversionOfStockSharesConverted1_56F7DEAE1E1D6F1F2718EDA9B714F251" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Shares converted (in shares)</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConversionOfStockSharesConverted1" xlink:label="loc_us-gaap_ConversionOfStockSharesConverted1_56F7DEAE1E1D6F1F2718EDA9B714F251" xlink:type="locator" />
    <link:labelArc order="1" xlink:arcrole="http://www.xbrl.org/2003/arcrole/concept-label" xlink:from="loc_us-gaap_ConversionOfStockSharesConverted1_56F7DEAE1E1D6F1F2718EDA9B714F251" xlink:to="lab_us-gaap_ConversionOfStockSharesConverted1_56F7DEAE1E1D6F1F2718EDA9B714F251" xlink:type="arc" />
    <link:label id="lab_astm_AccumulatedUndeclaredDividendsShares_49296FBCA41727F5423FEDA9B7143C00_terseLabel_en-US" xlink:label="lab_astm_AccumulatedUndeclaredDividendsShares_49296FBCA41727F5423FEDA9B7143C00" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Accumulated shares but undeclared dividends (in shares)</link:label>
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    <link:label id="lab_astm_AccumulatedUndeclaredDividendsShares_49296FBCA41727F5423FEDA9B7143C00_documentation_en-US" xlink:label="lab_astm_AccumulatedUndeclaredDividendsShares_49296FBCA41727F5423FEDA9B7143C00" xlink:role="http://www.xbrl.org/2003/role/documentation" xlink:type="resource" xml:lang="en-US">Represents the accumulated shares but undeclared dividends related to convertible preferred stock.</link:label>
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    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_ConversionOfStockSharesIssued1" xlink:label="loc_us-gaap_ConversionOfStockSharesIssued1_B3AFE8E82BE08E2A4584EDA9B71401F2" xlink:type="locator" />
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    <link:label id="lab_us-gaap_AirlineProductsAndServicesTable_7A3A33AACBD6CE6B1E7A25FA73F6E7DA_terseLabel_en-US" xlink:label="lab_us-gaap_AirlineProductsAndServicesTable_7A3A33AACBD6CE6B1E7A25FA73F6E7DA" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Products and Services [Table]</link:label>
    <link:label id="lab_us-gaap_AirlineProductsAndServicesTable_7A3A33AACBD6CE6B1E7A25FA73F6E7DA_label_en-US" xlink:label="lab_us-gaap_AirlineProductsAndServicesTable_7A3A33AACBD6CE6B1E7A25FA73F6E7DA" xlink:role="http://www.xbrl.org/2003/role/label" xlink:type="resource" xml:lang="en-US">Products and Services [Table]</link:label>
    <link:loc xlink:href="http://xbrl.fasb.org/us-gaap/2018/elts/us-gaap-2018-01-31.xsd#us-gaap_AirlineProductsAndServicesTable" xlink:label="loc_us-gaap_AirlineProductsAndServicesTable_7A3A33AACBD6CE6B1E7A25FA73F6E7DA" xlink:type="locator" />
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    <link:label id="lab_us-gaap_DebtDisclosureTextBlock_EA1FBC111827BD665E6C58BDB9D61B5A_terseLabel_en-US" xlink:label="lab_us-gaap_DebtDisclosureTextBlock_EA1FBC111827BD665E6C58BDB9D61B5A" xlink:role="http://www.xbrl.org/2003/role/terseLabel" xlink:type="resource" xml:lang="en-US">Debt</link:label>
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