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Commitments and Contingencies (Details) - USD ($)
$ in Thousands
1 Months Ended 12 Months Ended
Jan. 01, 2022
Dec. 31, 2020
Aug. 31, 2012
Dec. 31, 2022
Dec. 31, 2019
Dec. 31, 2018
Contingencies and Commitments            
Lease liability       $ 1,571    
Right-of-use assets       1,227    
Operating lease cost       300    
Operating lease payments made       300    
Operating Lease, Liability, Current       $ 340    
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]       Accrued Liabilities, Current    
Operating Lease, Liability, Noncurrent       $ 1,200    
Operating Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration]       Other Liabilities, Noncurrent    
Pennsylvania | Office and laboratory space            
Contingencies and Commitments            
Lessee, Operating Lease, Existence of Option to Extend [true false]   true        
Renewal term of operating lease   60 months        
Incremental borrowing rate 9.75%          
Remaining lease term       5 years 6 months    
Pennsylvania | Office and laboratory space | Cumulative Effect, Period of Adoption, Adjustment [Member] | ASU 2016-02            
Contingencies and Commitments            
Lease liability $ 1,800          
Right-of-use assets 1,400          
Deferred rent and tenant allowance netted off against right-of-use asset $ 400          
Umbrella Agreement with Aroa            
Contingencies and Commitments            
Payment for agreement     $ 4,000      
Milestone payments related to research and development arrangements       $ 2,200    
Fixed Cost Of Net Sales       27.00%    
Purchase commitments       $ 1,000    
Number of days for product supply       60 days    
Percentage of products ordered to be supplied       75.00%    
Royalty percentage of net sales       6.00%    
Umbrella Agreement with Aroa | European territory            
Contingencies and Commitments            
Sales milestone payments due       $ 1,000    
Purchase commitments due year Six       $ 1,000    
Umbrella Agreement with Aroa | North American territory            
Contingencies and Commitments            
Sales milestone payment         $ 2,000 $ 1,000
Transfer Price For Product Produced       200.00%    
Fixed Cost Of Net Sales       27.00%    
Purchase commitments due year Six       $ 5,000    
Other Suppliers for Exclusivity Rights [Member]            
Contingencies and Commitments            
Aggregate future payments       $ 20,700    
Next Science            
Contingencies and Commitments            
Term of Contract       10 years    
Collagen Matrix, Inc.            
Contingencies and Commitments            
Purchase commitments       $ 20,700    
Term of Contract       9 years