Long term Debt - Schedule of long term debt (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022	Sep. 30, 2022	May 26, 2022
Long term Debt
End of term charge	$ 2,000	$ 2,000
Unamortized end of term charge and issuance costs	(1,637)	(2,084)
Longterm debt	40,363	39,916
MidCap Term Loan
Long term Debt
Long Term Debt	$ 40,000	$ 40,000		$ 50,000
OrbiMed Term Loans (related party)
Long term Debt
End of term charge			$ 3,000