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Consolidated Statements of Operations - USD ($)
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Revenue:    
Total revenue $ 8,906,828 $ 8,548,864
Operating expenses:    
Cost of product and product-related services revenue $ 4,094,980 $ 3,991,532
Cost, Product and Service [Extensible Enumeration] us-gaap:ProductAndServiceOtherMember us-gaap:ProductAndServiceOtherMember
Selling, general and administrative $ 16,546,740 $ 18,063,064
Research and development 6,088,934 6,079,907
Total operating expenses 26,730,654 28,134,503
Operating loss (17,823,826) (19,585,639)
Other income (expense):    
Interest expense (1,064,545) (1,024,774)
Interest income 29,884 254,736
Other income   22,268
Gain on forgiveness of PPP Loan 1,735,792  
Loss on extinguishment of MidCap Credit Facility and QNAH Convertible Note   (522,394)
Total other income (expense) 701,131 (1,270,164)
Net loss before income taxes (17,122,695) (20,855,803)
Provision for income taxes (22,475) (14,415)
Net loss $ (17,145,170) $ (20,870,218)
Net loss per share, basic and diluted $ (2.47) $ (4.51)
Shares used in computing net loss per share, basic and diluted 6,936,131 4,627,918
Product and Product-related Services    
Revenue:    
Total revenue $ 8,906,828 $ 7,890,854
Collaborative Development Services    
Revenue:    
Total revenue   $ 658,010