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Revenues
9 Months Ended
Sep. 30, 2023
Revenue from Contract with Customer [Abstract]  
Revenues Revenues
    
The following tables present revenue disaggregated by primary geographic market where the products are sold, by product line and timing of revenue recognition:
Three Months EndedThree Months Ended
September 30, 2023September 30, 2022
 Orthopedic SurgeryGeneral SurgeryTotalOrthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$46,273 $124,250 $170,523 $45,688 $110,033 $155,721 
Europe, Middle East & Africa28,001 23,436 51,437 26,914 20,300 47,214 
Asia Pacific29,995 23,289 53,284 28,242 17,223 45,465 
Americas (excluding the United States)20,398 8,936 29,334 17,774 8,914 26,688 
Total sales from contracts with customers$124,667 $179,911 $304,578 $118,618 $156,470 $275,088 
Timing of Revenue Recognition
Goods transferred at a point in time$115,722 $177,915 $293,637 $108,875 $154,856 $263,731 
Services transferred over time8,945 1,996 10,941 9,743 1,614 11,357 
Total sales from contracts with customers$124,667 $179,911 $304,578 $118,618 $156,470 $275,088 

Nine Months EndedNine Months Ended
September 30, 2023September 30, 2022
Orthopedic SurgeryGeneral SurgeryTotalOrthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$147,557 $362,223 $509,780 $124,097 $312,034 $436,131 
Europe, Middle East & Africa93,703 72,032 165,735 88,955 63,093 152,048 
Asia Pacific93,365 58,632 151,997 79,333 46,379 125,712 
Americas (excluding the United States)62,008 28,179 90,187 53,932 26,782 80,714 
Total sales from contracts with customers$396,633 $521,066 $917,699 $346,317 $448,288 $794,605 
Timing of Revenue Recognition
Goods transferred at a point in time$367,118 $515,529 $882,647 $317,140 $443,629 $760,769 
Services transferred over time29,515 5,537 35,052 29,177 4,659 33,836 
Total sales from contracts with customers$396,633 $521,066 $917,699 $346,317 $448,288 $794,605 

Contract liability balances related to the sale of extended warranties to customers are as follows:

September 30, 2023December 31, 2022
Contract liability$18,645 $19,114 
    
Revenue recognized during the nine months ended September 30, 2023 and September 30, 2022 from amounts included in contract liabilities at the beginning of the period were $10.4 million and $9.5 million, respectively. There were no material contract assets as of September 30, 2023 and December 31, 2022.