Loans payable - Madryn Credit Facility (Details)				12 Months Ended
	Jun. 14, 2023 USD ($)	Feb. 21, 2023	Jul. 14, 2022 USD ($) installment	Dec. 31, 2023 USD ($) tranche $ / shares	Dec. 31, 2022 USD ($)
Loans payable
Aggregate principal amount				$ 36,426,638
Credit Facility
Loans payable
Number of additional tranches | tranche				12
Carrying amount of Madryn Credit Agreement				$ 83,943,636	$ 52,850,965
Total deferred financing costs				3,832,309
Financing costs incurred during the year				757,850
Amortization of deferred financing costs				$ 671,904	$ 280,286
Effective interest rate				1.01%	1.14%
Conversion amount - Maximum				$ 5,000,000
Debt instrument - Conversion price per share | $ / shares				$ 1.90
Number of shares to be issued on conversion				3,910,604
Amendment fee paid	$ 1,000,000
Credit Facility | SOFR
Loans payable
Basis spread on variable rate		9.00%
Floor of Variable rate used		1.50%
Rate added to variable rate used		0.10%
Existing loans
Loans payable
Term Loan Principal Amount			$ 55,000,000
Term Loan Additional principal			$ 20,000,000
Maturity term			63 months
Interest only payment term			4 years
Number of 3-month installments | installment			5
Number of installments | installment			3
Existing loans | LIBOR
Loans payable
Basis spread on variable rate					9.00%
New Loans
Loans payable
Aggregate principal amount				$ 26,731,638
Conversion amount - Maximum				$ 2,430,149
Debt instrument - Conversion price per share | $ / shares				$ 1.90
New Loans | LIBOR
Loans payable
Floor of Variable rate used					1.50%