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Basis of Presentation (Details 2) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Sep. 30, 2021
Sep. 30, 2020
Total Revenue $ 3,272 $ 3,750 $ 10,039 $ 10,296
Product sales [Member]        
Total Revenue 805 1,538 3,273 3,760
Royalties [Member]        
Total Revenue $ 2,467 $ 2,212 $ 6,766 $ 6,536