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Stock-Benefit Plans and Equity Transactions - Additional Information (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 9 Months Ended
Aug. 11, 2023
Apr. 19, 2023
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Warrants outstanding     8,226,000   8,226,000    
Common stock, par value     $ 0.0001   $ 0.0001   $ 0.0001
Proceeds from common stock offering         $ 67,428    
At the Market Offering              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Number of shares issued in transaction 668,484            
Common stock, par value $ 0.0001            
Proceeds from common stock offering $ 9,900            
Registered Securities Offering              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Common stock, par value   $ 0.0001          
Proceeds from common stock offering   $ 57,500          
Registered Securities Offering | Common Stock              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Number of shares issued in transaction   4,285,715          
Shares offering price per share   $ 14.00          
Mr. Miles              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Warrant expiration period         5 years    
Warrant extended term         7 years    
Number of warrants exercised         0    
Safe Op Surgical Inc              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Warrant expiration period         5 years    
Number of warrants exercised       0 937,000 257,000  
Warrants outstanding     0   0    
2018 Common Stock Warrants              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Warrant expiration period         5 years    
Proceeds from exercise of warrant         $ 400 $ 400  
Number of warrants exercised       14,000,000 6,311,000,000 140,000,000  
Warrants outstanding     0   0    
Squadron Medical | Participant Lender              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Number of warrants exercised         0    
RSU's and PRSUs              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Unamortized compensation expense     $ 70,500   $ 70,500    
Unamortized compensation expense to be recognized over weighted average period         1 year 8 months 8 days    
Shares of common stock issued before net settlement     789,000 563,000 5,714,000 3,103,000  
ESPP              
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]              
Shares issued under ESPP     0 0 247,000,000 222,000,000