Quarterly report pursuant to Section 13 or 15(d)

Summary of Significant Accounting Policies - Narrative (Details)

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Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Cost of goods sold increase (decrease) $ 12,206 $ 9,567 $ 33,531 $ 26,242
General and administrative 10,834 9,870 30,206 30,481
Decrease in research and development (6,996) (6,694) (21,063) (20,164)
Reduction to sales and marketing expense (18,924) (19,165) (58,437) (57,471)
Cash and cash equivalents balance outside of FDIC limit 18,162   18,162  
Grants receivable $ 378 0 $ 544 155
Revision of Prior Period, Reclassification, Adjustment        
Cost of goods sold increase (decrease)   63   58
General and administrative   1,035   3,019
Decrease in research and development   295   867
Reduction to sales and marketing expense   803   2,209
Shipping and Handling | Revision of Prior Period, Change in Accounting Principle, Adjustment        
Cost of goods sold increase (decrease)   $ 1,460   $ 4,204