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Commitments and Contingencies - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2020
Jun. 30, 2020
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2018
Lessee, Lease, Description [Line Items]          
Operating lease right-of-use assets $ 17,076   $ 14,627 $ 17,076 $ 10,049
Total Operating lease liabilities $ 18,210   15,902 18,210  
Option granted to purchase leased system, period 12 months        
Revenue for sales-type leases     0 700  
Proceeds from purchase option     400    
Lease receivable     300    
Estimated product liability $ 400   $ 700 $ 400  
Former Executive VP and CFO          
Lessee, Lease, Description [Line Items]          
Arbitration settlement   $ 400      
Arbitration settlement (in shares)   15,408      
Accounting Standards Update 2016-02          
Lessee, Lease, Description [Line Items]          
Operating lease right-of-use assets         10,200
Total Operating lease liabilities         $ 10,100
Minimum          
Lessee, Lease, Description [Line Items]          
Remaining lease terms of operating leases     1 year    
Maximum          
Lessee, Lease, Description [Line Items]          
Remaining lease terms of operating leases     10 years    
Remaining lease terms of finance leases     5 years