CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Total revenue, net	$ 19,333,000	$ 19,866,000
Cost of goods sold	4,860,000	4,687,000
Total gross profit	14,473,000	15,179,000
Operating expenses:
Selling and marketing	18,895,000	24,024,000
General and administrative	20,407,000	18,383,000
Research and development	1,400,000	2,050,000
Total operating expenses	40,702,000	44,457,000
Loss from operations	(26,229,000)	(29,278,000)
Other expense:
Loss on extinguishment of debt	(8,380,000)
Interest expense and other financing costs	(14,412,000)	(10,227,000)
Other income, net		122,000
Total other expense, net	(22,792,000)	(10,105,000)
Loss before income taxes	(49,021,000)	(39,383,000)
Provision for income taxes	0	0
Net loss	$ (49,021,000)	$ (39,383,000)
Loss per common share, basic and diluted	$ (5.69)	$ (5.67)
Weighted average common shares, basic and diluted	8,614	6,945
Comprehensive loss:
Net loss	$ (49,021,000)	$ (39,383,000)
Comprehensive loss	(49,021,000)	(39,383,000)
Product [Member]
Total revenue, net	18,914,000	19,632,000
License and Service [Member]
Total revenue, net	$ 419,000	$ 234,000