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Debt - Narrative (Details) - Line of Credit - Madryn Credit Agreement - USD ($)
1 Months Ended 3 Months Ended 12 Months Ended
Jun. 17, 2019
Aug. 31, 2020
Aug. 31, 2019
Jun. 30, 2019
Dec. 31, 2017
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2017
Aug. 05, 2020
Aug. 31, 2017
Debt Instrument [Line Items]                      
Maximum borrowing capacity                   $ 65,000,000  
Effective interest rate           18.40%          
Weighted average interest rate           10.60%          
Interest expense   $ 700,000   $ 300,000   $ 6,900,000 $ 7,600,000 $ 6,200,000      
Fair value of options                     $ 15,100,000
Debt discount     $ 1,600,000   $ 5,000,000       $ 5,000,000    
Borrowings on credit facility         $ 10,000,000            
Proceeds from issuance of debt     $ 25,000,000         $ 25,000,000 $ 10,000,000    
London Interbank Offered Rate (LIBOR)                      
Debt Instrument [Line Items]                      
Credit agreement interest rate 8.00%                    
Default interest rate 4.00%