Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows from operating activities
Net loss	$ (15,626,883)	$ (26,748,113)
Adjustments to reconcile net loss to net cash used in operating activities
Depreciation and amortization	1,070,581	1,307,590
Noncash interest expense	1,261,495	1,973,437
Loss on disposal of equipment		15,988
Stock compensation expense	138,168	727,389
Change in inventory reserve	535,755	1,447,626
Cash bonus taken in the form of stock compensation	283,554
Change in fair value of derivative liabilities	(65,800)	(54,623)
Goodwill impairment charge		6,975,520
Changes in operating assets and liabilities
Accounts receivable	91,522	386,704
Inventory	290,366	(600,186)
Other assets	86,516	(326,820)
Accounts payable	399,197	(519,625)
Accrued compensation and other liabilities	(1,161,958)	(1,250,476)
Deferred revenue	54,388	210,735
Net cash used in operating activities	(12,643,099)	(16,454,854)
Cash flows from investing activities
Purchases of property and equipment	(799,498)	(186,556)
Net cash used in investing activities	(799,498)	(186,556)
Cash flows from financing activities
Proceeds from issuance of common stock and pre-funded warrants, net of issuance costs	10,188,158
Proceeds from at the market offering, net of issuance costs		989,704
Payments on debt	(3,910,010)	(8,697,587)
Payments on finance lease obligations	(2,523)	(38,925)
Net cash provided by (used in) financing activities	6,275,625	(7,746,808)
Effects of exchange rates on cash	15,977	(1,548,819)
Net decrease in cash and cash equivalents and restricted cash	(7,150,995)	(25,937,037)
Cash and cash equivalents and restricted cash at beginning of period	7,935,659	36,632,186
Cash and cash equivalents and restricted cash at end of period	784,664	10,695,149
Supplemental disclosure of cash flow information
Cash paid for interest	1,422,343	976,324
Supplemental disclosures of noncash investing and financing activities
Right-of-use assets acquired through operating leases	801,321
Property and equipment transferred to inventory		152,243
Purchased equipment not yet paid for	$ 94,784