Revenues (Details 1) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Revenues	$ 41,911	$ 44,631	$ 125,742	$ 140,651
Fluid Delivery [Member]
Revenues	17,717	19,303	52,591	64,973
Cardiovascular [Member]
Revenues	17,170	16,780	51,568	50,165
Ophthalmology [Member]
Revenues	2,700	1,607	6,849	4,495
Other [Member]
Revenues	$ 4,324	$ 6,941	$ 14,734	$ 21,018