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Balance Sheet Components - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Property, Plant and Equipment [Line Items]          
Inventory, finished goods, gross $ 20,400   $ 20,400   $ 15,600
Inventory, work in process, gross 1,900   1,900   1,700
Property and equipment, gross 30,399   30,399   $ 25,771
Depreciation expense 1,500 $ 900 3,900 $ 2,400  
Construction in progress, surgical placement instrument set          
Property, Plant and Equipment [Line Items]          
Property and equipment, gross 3,400   3,400    
Construction in Progress, Santa Clara Lease          
Property, Plant and Equipment [Line Items]          
Property and equipment, gross $ 100   $ 100