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Debt - Perceptive Term Loan and MidCap Term Loan (Details) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 12 Months Ended
Nov. 14, 2025
May 31, 2022
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Long-term Debt          
Common stock, Par value (in dollars per share)     $ 0.001 $ 0.001  
Number of warrants exercised     (700,000)    
Loss on extinguishment of debt     $ (888)    
Maximum          
Long-term Debt          
Prepayment premium 10.00%        
Minimum          
Long-term Debt          
Prepayment premium 2.00%        
MidCap term loan          
Long-term Debt          
Debt amount   $ 40,000   $ 40,000  
Interest Rate (as a percent)   6.25%      
Variable Interest Rate (as a percent)   1.00%      
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration]   tela:SecuredOvernightFinancingRateSofrOneMonthTermMember      
Interest expenses     4,100 5,300 $ 5,200
Amortization of debt issuance costs     400 $ 600 $ 600
Loss on extinguishment of debt     (900)    
Perceptive term loan          
Long-term Debt          
Debt amount     60,000    
Variable Interest Rate (as a percent) 7.85%        
Interest expenses     1,100    
Amortization of debt issuance costs     $ 100    
Maximum borrowing capacity $ 70,000        
Initial loan capacity 60,000        
Additional loan capacity $ 10,000        
Maturity date Nov. 14, 2030        
Interest rate, floor (as a percent) 4.25%        
Applicable margin increase 3.00%        
Common stock, Par value (in dollars per share) $ 0.001        
Additional debt issuance cost $ 1,400        
Minimum liquidity $ 5,000        
Perceptive term loan | Initial loan warrants          
Long-term Debt          
Warrants to purchase shares of the company 2,000,000        
Warrants exercise price $ 1.11        
Perceptive term loan | Perceptive additional warrants          
Long-term Debt          
Warrants to purchase shares of the company 333,333        
Warrants exercise price $ 1.11        
Number of warrants exercised     0