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Property and Equipment (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2023
Dec. 31, 2022
Property and equipment    
Total property and equipment $ 43,050 $ 42,223
Accumulated depreciation (34,990) (34,069)
Property and equipment, net 8,060 8,154
Equipment    
Property and equipment    
Total property and equipment $ 20,490 20,490
Equipment | Minimum    
Property and equipment    
Estimated useful life 5 years  
Equipment | Maximum    
Property and equipment    
Estimated useful life 7 years  
Furniture and fixtures    
Property and equipment    
Total property and equipment $ 765 765
Furniture and fixtures | Minimum    
Property and equipment    
Estimated useful life 5 years  
Furniture and fixtures | Maximum    
Property and equipment    
Estimated useful life 7 years  
Computer and software    
Property and equipment    
Estimated useful life 3 years  
Total property and equipment $ 11,090 11,037
Leasehold improvements    
Property and equipment    
Total property and equipment $ 2,445 2,295
Leasehold improvements | Minimum    
Property and equipment    
Estimated useful life 3 years  
Leasehold improvements | Maximum    
Property and equipment    
Estimated useful life 7 years  
Reusable instruments    
Property and equipment    
Estimated useful life 5 years  
Total property and equipment $ 7,771 7,147
Molding and Tooling    
Property and equipment    
Estimated useful life 5 years  
Total property and equipment $ 489 $ 489