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Pay vs Performance Disclosure - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure [Line Items]      
Pay vs Performance [Table Text Block]

Value of Initial Fixed $100 Investment Based On:

Year

Summary Compensation Table Total for PEO(1)
($)

Compensation Actually Paid to PEO(1)(3)
($)

Average Summary Compensation Table Total for Non-PEO Named Executive Officers(2)
($)

Average Compensation Actually Paid to Non-PEO Named Executive Officers(2)(3)
($)

Total Shareholder Return(4)
($)

Peer Group Total Shareholder Return(4)
($)

Net Loss(5)
($)

Revenue(6)
($)

2022

15,277,073 

22,207,540 

5,333,659 

6,659,604 

131 

124 

(55,010,000)

138,638,000 

2021

3,315,913 

(1,634,263)

2,301,706 

(61,260)

106 

153 

(49,811,000)

101,475,000 

2020

2,157,780 

11,624,424 

2,203,657 

4,396,738 

156 

123 

(47,365,000)

75,227,000 

_________________

(1)Our PEO for each of 2022, 2021 and 2020 was Ms. Rogers.

(2)Our non-PEO Named Executive Officers for 2022 were Mr. Buchanan, Mr. Davis, Mr. Klemz (effective August 15, 2022) and Mr. Ruedy, and for

2021 and 2020 were Mr. Buchanan, Mr. Davis and Mr. Ruedy.

(3)The amounts reported as compensation actually paid was computed in accordance with the Pay versus Performance rules under Item 402(v) of Regulation S-K, as described in more detail below. The dollar amounts do not reflect the actual amount of compensation earned or paid to our PEO or non-PEO Named Executive Officers during the applicable year.

(4)Total shareholder return is calculated by assuming that a $100 investment was made at the close of trading on December 31, 2019 and reinvesting all dividends until the last day of each reported fiscal year. The total shareholder return of our peer group is based on the NASDAQ US Benchmark Medical Equipment Index, as used in the Company’s performance graph in our annual report.

(5)The dollar amounts reported are the Company’s net loss reflected in the Company’s audited financial statements.

(6)Our company-selected measure is Revenue, which is a GAAP measure. The dollar amounts reported are reflected in our audited financial statements.

   
PEO Total Compensation Amount $ 15,277,073 $ 3,315,913 $ 2,157,780
PEO Actually Paid Compensation Amount 22,207,540 (1,634,263) 11,624,424
Non-PEO NEO Average Total Compensation Amount 5,333,659 2,301,706 2,203,657
Non-PEO NEO Average Compensation Actually Paid Amount 6,659,604 (61,260) 4,396,738
Total Shareholder Return Amount 131 106 156
Peer Group Total Shareholder Return Amount 124 153 123
Net Income (Loss) $ (55,010,000) $ (49,811,000) $ (47,365,000)
Company Selected Measure Amount 138,638,000 101,475,000 75,227,000
Company Selected Measure Name Revenue    
PEO Name Ms. Rogers    
Adjustment To PEO Compensation, Footnote [Text Block]

2022

2021

2020

Compensation Actually Paid Calculation Reconciliation

PEO Amount
($)

Average Non-PEO Named Executive Officers Amount
($)

PEO Amount
($)

Average Non-PEO Named Executive Officers Amount
($)

PEO Amount
($)

Average Non-PEO Named Executive Officers Amount
($)

Summary Compensation Table Total

15,277,073 

5,333,659 

3,315,913 

2,301,706 

2,157,780 

2,203,657 

Deduction for "Stock Awards" and "Option Awards" amounts reported in the Summary Compensation Table

(14,110,692)

(4,677,208)

(2,328,629)

(1,629,315)

(1,660,655)

(1,603,546)

Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Year

1,129,846 

161,455 

213,631 

88,365 

473,269 

169,781 

Year End Fair Value of Equity Awards Granted During the Year That are Outstanding and Unvested at Fiscal Year End

18,889,848 

5,447,237 

1,574,220 

668,705 

3,778,600 

1,806,424 

Year over Year Change in Fair Value of Outstanding and Unvested Equity Awards

1,076,522 

388,483 

(2,816,101)

(898,695)

5,648,095 

1,584,081 

Year over Year Change in Fair Value of Equity Awards Granted in Prior Years that Vested in the Year

(55,057)

5,978 

(1,593,297)

(592,025)

1,227,335 

236,341 

Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Year

Compensation Actually Paid

22,207,540 

6,659,604 

(1,634,263)

(61,260)

11,624,424 

4,396,738 

   
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]

2022

2021

2020

Compensation Actually Paid Calculation Reconciliation

PEO Amount
($)

Average Non-PEO Named Executive Officers Amount
($)

PEO Amount
($)

Average Non-PEO Named Executive Officers Amount
($)

PEO Amount
($)

Average Non-PEO Named Executive Officers Amount
($)

Summary Compensation Table Total

15,277,073 

5,333,659 

3,315,913 

2,301,706 

2,157,780 

2,203,657 

Deduction for "Stock Awards" and "Option Awards" amounts reported in the Summary Compensation Table

(14,110,692)

(4,677,208)

(2,328,629)

(1,629,315)

(1,660,655)

(1,603,546)

Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Year

1,129,846 

161,455 

213,631 

88,365 

473,269 

169,781 

Year End Fair Value of Equity Awards Granted During the Year That are Outstanding and Unvested at Fiscal Year End

18,889,848 

5,447,237 

1,574,220 

668,705 

3,778,600 

1,806,424 

Year over Year Change in Fair Value of Outstanding and Unvested Equity Awards

1,076,522 

388,483 

(2,816,101)

(898,695)

5,648,095 

1,584,081 

Year over Year Change in Fair Value of Equity Awards Granted in Prior Years that Vested in the Year

(55,057)

5,978 

(1,593,297)

(592,025)

1,227,335 

236,341 

Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Year

Compensation Actually Paid

22,207,540 

6,659,604 

(1,634,263)

(61,260)

11,624,424 

4,396,738 

   
Named Executive Officers, Footnote [Text Block] Our PEO for each of 2022, 2021 and 2020 was Ms. Rogers.

(2)Our non-PEO Named Executive Officers for 2022 were Mr. Buchanan, Mr. Davis, Mr. Klemz (effective August 15, 2022) and Mr. Ruedy, and for

2021 and 2020 were Mr. Buchanan, Mr. Davis and Mr. Ruedy.

   
Peer Group Issuers, Footnote [Text Block] Total shareholder return is calculated by assuming that a $100 investment was made at the close of trading on December 31, 2019 and reinvesting all dividends until the last day of each reported fiscal year. The total shareholder return of our peer group is based on the NASDAQ US Benchmark Medical Equipment Index, as used in the Company’s performance graph in our annual report.    
Compensation Actually Paid vs. Total Shareholder Return [Text Block] PEO and Average Non-PEO NEO Compensation Actually Paid versus TSR

(12/31/2019 Indexed to $100)

Chart, line chart

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Compensation Actually Paid vs. Net Income [Text Block] PEO and Average Non-PEO NEO Compensation Actually Paid

Versus Net Loss

Chart, bar chart

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 . 
   
Compensation Actually Paid vs. Company Selected Measure [Text Block]

Chart, waterfall chart

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Tabular List [Table Text Block]

Most Important Performance Measures

Revenue

Gross Margin

Operating Expense

   
Deduction For "Stock Awards" And "Option Awards" Amounts Reported In The Summary Compensation Table [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount $ (14,110,692) $ (2,328,629) $ (1,660,655)
PEO [Member] | Fair Value As Of Vesting Date Of Equity Awards Granted And Vested In The Year [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount 1,129,846 213,631 473,269
PEO [Member] | Year End Fair Value Of Equity Awards Granted During The Year That Are Outstanding And Unvested At Fiscal Year End [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount 18,889,848 1,574,220 3,778,600
PEO [Member] | Year Over Year Change In Fair Value Of Outstanding And Unvested Equity Awards [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount 1,076,522 (2,816,101) 5,648,095
PEO [Member] | Year Over Year Change In Fair Value Of Equity Awards Granted In Prior Years That Vested In The Year [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount (55,057) (1,593,297) 1,227,335
Non-PEO NEO [Member] | Deduction For "Stock Awards" And "Option Awards" Amounts Reported In The Summary Compensation Table [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount (4,677,208) (1,629,315) (1,603,546)
Non-PEO NEO [Member] | Fair Value As Of Vesting Date Of Equity Awards Granted And Vested In The Year [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount 161,455 88,365 169,781
Non-PEO NEO [Member] | Year End Fair Value Of Equity Awards Granted During The Year That Are Outstanding And Unvested At Fiscal Year End [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount 5,447,237 668,705 1,806,424
Non-PEO NEO [Member] | Year Over Year Change In Fair Value Of Outstanding And Unvested Equity Awards [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount 388,483 (898,695) 1,584,081
Non-PEO NEO [Member] | Year Over Year Change In Fair Value Of Equity Awards Granted In Prior Years That Vested In The Year [Member]      
Pay vs Performance Disclosure [Line Items]      
Adjustment to Compensation Amount $ 5,978 $ (592,025) $ 236,341