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Summary of Significant Accounting Policies - Patent Costs (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Patent Costs      
Selling, general and administrative $ 111,133 $ 140,003 $ 172,450
Patents      
Patent Costs      
Selling, general and administrative $ 1,700 $ 2,300 $ 7,800