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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Cash flows from operating activities    
Net loss and comprehensive loss $ (49,075,000) $ (52,600,000)
Adjustments to reconcile net loss and comprehensive loss to net cash used in operating activities:    
Amortization of debt issuance costs, debt discount, and non-cash interest expense 11,758,000 5,171,000
Stock-based compensation, vested and released restricted stock units and exercised stock options 3,318,000 3,974,000
Loss on extinguishment of debt 2,187,000 753,000
Depreciation and amortization expense 1,981,000 1,719,000
Shares issued in exchange for services 823,000 16,000
Amortization of operating lease - right-of-use-asset 311,000 94,000
Change in fair value of financial instruments and hybrid instrument designated at Fair Value Option 21,000 1,953,000
Series 3 warrants inducement expense   1,462,000
ELOC warrants inducement expense   172,000
Derecognition of debt discount on settlement of receivables secured borrowing   49,000
Changes in assets and liabilities    
Accounts receivable (170,000) 2,823,000
Other receivable (251,000) (407,000)
Inventory (2,124,000) (2,118,000)
Prepaid expenses and other current assets (1,560,000) (796,000)
Other assets (550,000) (408,000)
Accounts payable 902,000 158,000
Accrued liabilities (360,000) 3,034,000
Operating lease liability (315,000) (19,000)
Total cash used in operating activities (33,104,000) (34,970,000)
Cash flows from investing activity    
Purchase of equipment (77,000) (6,000)
Costs incurred in software development activities (1,598,000)  
Total cash used in investing activity (1,675,000) (6,000)
Cash flows from financing activities    
Proceeds from issuance of shares in At the Market offering, net of issuance and offering costs of $103 and $465 in 2022 and 2021, respectively 20,462,000 8,595,000
Payment of Tempesta Note (100,000)  
Repayment of insurance financing (1,156,000) (943,000)
Proceeds from issuance of shares in registered public offering, net of issuance and offering costs of $2,550   23,232,000
Proceeds from issuance of notes payable, net of issuance costs of $50   10,975,000
Proceeds from issuance of shares in PIPE financing   1,751,000
Noncontrolling interest   247,000
Proceeds from exercise of stock options   3,000
Repayment of receivables secured borrowing   (1,822,000)
Payment of ELOC warrants offering costs   (35,000)
Repayment of notes payable   (100,000)
Total cash provided by financing activities 23,181,000 43,937,000
Effects of foreign exchange rate changes on assets and liabilities 16,000  
Net (decrease) increase in cash (11,582,000) 8,961,000
Cash at beginning of the year 17,051,000 8,090,000
Cash at end of the year 5,469,000 17,051,000
Supplemental schedule of cash flow information    
Cash paid for interest 23,000 28,000
Supplemental schedule of non-cash financing and investing activities    
Insurance financing 1,056,000 1,183,000
Recognition of operating lease - right-of-use asset and operating lease liability 365,000 1,087,000
Shares issued in exchange of partial settlement of royalty interest   1,776,000
Lease modification 0 91,000
Offering costs included in accounts payable and accrued liabilities   13,000
Streeterville    
Cash flows from financing activities    
Proceeds from notes payable with Streeterville 3,975,000  
Supplemental schedule of non-cash financing and investing activities    
Shares issued in exchange of notes payable and accrued interest 792,000  
Iliad    
Supplemental schedule of non-cash financing and investing activities    
Shares issued in exchange of notes payable and accrued interest $ 10,472,000  
Series 1, Series 2 and Bridge warrant    
Cash flows from financing activities    
Proceeds from issuance of shares on conversion of Series 1, Series 2, and 2019 Bridge Note warrants   $ 2,034,000