Consolidated Statements of Operations - USD ($) shares in Thousands, $ in Thousands	12 Months Ended
	Dec. 31, 2021	Dec. 31, 2020
Revenue
Revenues	$ 105,622	$ 78,014
Cost of goods sold
Cost of goods and services sold	31,528	26,623
Gross profit	74,094	51,391
Operating expenses:
Selling and marketing	37,438	26,203
General and administrative	45,940	57,882
Research and development	8,258	7,754
Goodwill impairment	0	27,450
Total operating expenses	88,861	119,289
Loss from operations	(14,767)	(67,898)
Other expenses:
Foreign exchange loss (gain)	2,559	(68)
Finance expenses	4,955	8,343
Loss on disposal of subsidiaries	567	2,526
Loss before income taxes	(22,848)	(81,637)
Income tax (benefit) expense	(707)	1,181
Net loss	(22,141)	(82,818)
Deemed dividend (Note 15)	0	3,564
Net loss attributable to stockholders of the Company	(23,013)	(85,270)
Net income (loss) attributable to non-controlling interest	$ 872	$ (1,112)
Net loss per share:
Basic (in dollars per share)	$ (0.42)	$ (2.33)
Diluted (in dollars per share)	$ (0.42)	$ (2.33)
Weighted-average number of shares used in per share calculation:
Basic (in shares)	54,466	36,626
Diluted (in shares)	54,466	36,626
Government Assistance Loans [Member]
Operating expenses:
Gain (loss) on debt extinguishment	$ (2,775)	$ 0
Other expenses:
Gain (loss) on debt extinguishment	(2,775)	0
Secured Subordinated Convertible Notes [Member] | Madryn Noteholders [Member]
Operating expenses:
Gain (loss) on debt extinguishment	0	2,938
Other expenses:
Gain (loss) on debt extinguishment	0	2,938
Leases [Member]
Revenue
Revenues	45,094	33,428
Cost of goods sold
Cost of goods and services sold	10,459	7,899
Products and Services [Member]
Revenue
Revenues	60,528	44,586
Cost of goods sold
Cost of goods and services sold	$ 21,069	$ 18,724