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Pay vs Performance Disclosure - USD ($)

4 Months Ended

5 Months Ended

12 Months Ended

15 Months Ended

102 Months Ended

Oct. 03, 2021

May 31, 2021

Dec. 31, 2023

Dec. 31, 2022

Dec. 31, 2021

Dec. 31, 2020

Dec. 31, 2022

Jan. 11, 2021

Pay vs Performance Disclosure

Pay vs Performance Disclosure, Table

Year			Summary Compensation Table Total for Kevin King1 ($)			Summary Compensation Table Total for Michael Coyle2 ($)			Summary Compensation Table Total for Douglas Devine3,5 ($)			Summary Compensation Table Total for Quentin Blackford4 ($)			Compensation Actually Paid to Kevin King1,6 ($)			Compensation Actually Paid to Michael Coyle2,6 ($)			Compensation Actually Paid to Douglas Devine3,5,6 ($)			Compensation Actually Paid to Quentin Blackford4,6 ($)			Average Summary Compensation Table Total for Non-PEO NEOs5 ($)			Average Compensation Actually Paid to Non-PEO NEOs5,6 ($)
(a)			(b)			(b)			(b)			(b)			(c)			(c)			(c)			(c)			(d)			(e)
2023			—			—			—			16,595,149			—			—			—			16,262,069			5,424,319			4,909,386
2022			—			—			—			7,966,744			—			—			—			5,272,014			4,422,956			4,044,855
2021			30,709			461,422			5,699,043			9,246,384			(9,810,498)			461,422			2,902,001			18,170,537			3,360,713			136,903
2020			4,885,062			—			—			—			24,257,924			—			—			—			1,769,376			6,988,690

Year						Value of Initial Fixed $100 Investment based on:7																		Net Income ($ Millions)						Revenue8 ($ Millions)
						TSR ($)						Peer Group TSR ($)						Peer Group TSR ($)
(a)						(f)						(g)(1)						(g)(2)						(h)						(i)
2023						157.20						118.87						99.63						(123)						493
2022						137.57						113.65						105.61						(116)						411
2021						172.84						126.45						137.80						(101)						323
2020						348.38						126.42						133.15						(44)						265

Company Selected Measure Name

revenue

Named Executive Officers, Footnote

Kevin King was our President and Chief Executive Officer from July 2012 through January 11, 2021.Michael Coyle was our President and Chief Executive Officer from January 12, 2021, through June 1, 2021.Douglas Devine was our Interim Chief Executive Officer from June 1, 2021, through October 3, 2021. Mr. Devine also served as our Chief Financial Officer from June 2020 until August 2022. In accordance with Item 402(v) of Regulation S-K, this table and the accompanying narrative present Mr. Devine as a PEO for 2021 and a Non-PEO NEO for 2020 and 2022. Quentin Blackford has been our President and Chief Executive Officer since October 4, 2021. The individuals comprising the Non-PEO NEOs for each year are listed below. As described above, this table and the accompanying narrative present Mr. Devine as a PEO for 2021 and a Non-PEO NEO for 2020 and 2022.

2020			2021			2022			2023
Douglas Devine			Mark Day			Douglas Devine			Brice Bobzien
Mark Day			Daniel Wilson			Brice Bobzien			Patrick Murphy
Matthew Garrett			David Vort			Patrick Murphy			Chad Patterson
Daniel Wilson						Chad Patterson			Minang Turakhia
David Vort						Minang Turakhia

Peer Group Issuers, Footnote

.

Adjustment To PEO Compensation, Footnote

Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEO and the Non-PEO NEOs as set forth below. Equity values are calculated in accordance with FASB ASC Topic 718. Amounts in the Exclusion of Stock Awards column are the totals from the Stock Awards column set forth in the Summary Compensation Table.

Year						Summary Compensation Table Total for Quentin Blackford ($)						Exclusion of Stock Awards for Quentin Blackford ($)						Inclusion of Equity Values for Quentin Blackford ($)						Compensation Actually Paid to Quentin Blackford ($)
2023						16,595,149						(15,172,621)						14,839,541						16,262,069

The amounts in the Inclusion of Equity Values in the tables above are derived from the amounts set forth in the following tables:

Year						Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Quentin Blackford ($)						Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Quentin Blackford ($)						Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for Quentin Blackford ($)						Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Quentin Blackford ($)						Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Quentin Blackford ($)						Total - Inclusion of Equity Values for Quentin Blackford ($)
2023						14,876,834						338,758						—						(376,051)						—						14,839,541

Non-PEO NEO Average Total Compensation Amount

$ 5,424,319

$ 4,422,956

$ 3,360,713

$ 1,769,376

Non-PEO NEO Average Compensation Actually Paid Amount

$ 4,909,386

4,044,855

136,903

6,988,690

Adjustment to Non-PEO NEO Compensation Footnote

Compensation Actually Paid reflects the exclusions and inclusions of certain amounts for the PEO and the Non-PEO NEOs as set forth below. Equity values are calculated in accordance with FASB ASC Topic 718. Amounts in the Exclusion of Stock Awards column are the totals from the Stock Awards column set forth in the Summary Compensation Table.

Year						Average Summary Compensation Table Total for Non-PEO NEOs ($)						Average Exclusion of Stock Awards for Non-PEO NEOs ($)						Average Inclusion of Equity Values for Non-PEO NEOs ($)						Average Compensation Actually Paid to Non-PEO NEOs ($)
2023						5,424,319						(4,657,347)						4,142,414						4,909,386

Year						Average Year-End Fair Value of Equity Awards Granted During Year That Remained Unvested as of Last Day of Year for Non-PEO NEOs ($)						Average Change in Fair Value from Last Day of Prior Year to Last Day of Year of Unvested Equity Awards for Non-PEO NEOs ($)						Average Vesting-Date Fair Value of Equity Awards Granted During Year that Vested During Year for Non-PEO NEOs ($)						Average Change in Fair Value from Last Day of Prior Year to Vesting Date of Unvested Equity Awards that Vested During Year for Non-PEO NEOs ($)						Average Fair Value at Last Day of Prior Year of Equity Awards Forfeited During Year for Non-PEO NEOs ($)						Total - Average Inclusion of Equity Values for Non-PEO NEOs ($)
2023						4,575,928						(469,753)						—						36,239						—						4,142,414

Compensation Actually Paid vs. Total Shareholder Return

The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our Non-PEO NEOs, and the Company’s cumulative TSR over the four most recently completed fiscal years.

Compensation Actually Paid vs. Net Income

Description of Relationship Between PEO and Non-PEO NEO Compensation Actually Paid and Net Income

The following chart sets forth the relationship between Compensation Actually Paid to our PEOs, the average of Compensation Actually Paid to our Non-PEO NEOs, and our net income during the four most recently completed fiscal years.

Compensation Actually Paid vs. Company Selected Measure

Description of Relationship Between PEO and Non-PEO NEO Compensation Actually Paid and Revenue

The following chart sets forth the relationship between Compensation Actually Paid to our PEO, the average of Compensation Actually Paid to our Non-PEO NEOs, and our revenue during the four most recently completed fiscal years.

Total Shareholder Return Vs Peer Group

Description of Relationship Between Company TSR and Peer Group TSR

The following chart compares our cumulative TSR over the four most recently completed fiscal years to that of the NASDAQ Biotechnology Index and S&P Healthcare Equipment Select Industry Index.

Tabular List, Table

Revenue

Adjusted EBITDA

Unit volume growth

Total Shareholder Return Amount

$ 157.20

137.57

172.84

348.38

Peer Group Total Shareholder Return Amount

99.63

105.61

137.80

133.15

Net Income (Loss)

$ (123,000,000)

$ (116,000,000)

$ (101,000,000)

$ (44,000,000)

Company Selected Measure Amount

493,000,000

411,000,000

323,000,000

265,000,000

PEO Name

Douglas Devine

Michael Coyle

Quentin Blackford

Kevin King

Additional 402(v) Disclosure

In accordance with rules adopted by the Securities and Exchange Commission pursuant to the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010, we provide the following disclosure regarding executive compensation for our principal executive officers (“PEOs”) and Non-PEO NEOs and Company performance for the fiscal years listed below. The Committee did not consider the pay versus performance disclosure below in making its pay decisions for any of the years shown. The amounts shown for Compensation Actually Paid have been calculated in accordance with Item 402(v) of Regulation S-K and do not reflect compensation actually earned, realized, or received by the Company’s NEOs; these amounts reflect the Summary Compensation Table total with certain adjustments as described in the following table and footnotes.

We determined revenue to be the most important financial performance measure used to link Company performance to Compensation Actually Paid to our PEO and Non-PEO NEOs in 2023 and 2022. This performance measure may not have been the most important financial performance measure for years 2021 and 2020 we may determine a different financial performance measure to be the most important financial performance measure in future years.

Peer Group Total Shareholder Return Amount, Two

$ 118.87

$ 113.65

$ 126.45

$ 126.42

Measure:: 1

Pay vs Performance Disclosure

Name

Revenue

Measure:: 2

Pay vs Performance Disclosure

Name

Adjusted EBITDA

Measure:: 3

Pay vs Performance Disclosure

Name

Unit volume growth

Quentin Blackford [Member]

Pay vs Performance Disclosure

PEO Total Compensation Amount

$ 16,595,149

7,966,744

9,246,384

PEO Actually Paid Compensation Amount

16,262,069

$ 5,272,014

18,170,537

Kevin King [Member]

Pay vs Performance Disclosure

PEO Total Compensation Amount

30,709

4,885,062

PEO Actually Paid Compensation Amount

(9,810,498)

$ 24,257,924

Michael Coyle [Member]

Pay vs Performance Disclosure

PEO Total Compensation Amount

461,422

PEO Actually Paid Compensation Amount

461,422

Douglas Devine [Member]

Pay vs Performance Disclosure

PEO Total Compensation Amount

5,699,043

PEO Actually Paid Compensation Amount

$ 2,902,001

PEO | Quentin Blackford [Member] | Equity Awards Reported Value [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

(15,172,621)

PEO | Quentin Blackford [Member] | Equity Award Adjustments [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

14,839,541

PEO | Quentin Blackford [Member] | Equity Awards Granted During the Year, Unvested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

14,876,834

PEO | Quentin Blackford [Member] | Equity Awards Granted in Prior Years, Unvested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

338,758

PEO | Quentin Blackford [Member] | Equity Awards Granted During the Year, Vested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

0

PEO | Quentin Blackford [Member] | Equity Awards Granted in Prior Years, Vested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

(376,051)

PEO | Quentin Blackford [Member] | Equity Awards that Failed to Meet Vesting Conditions [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

0

Non-PEO NEO | Equity Awards Reported Value [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

(4,657,347)

Non-PEO NEO | Equity Award Adjustments [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

4,142,414

Non-PEO NEO | Equity Awards Granted During the Year, Unvested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

4,575,928

Non-PEO NEO | Equity Awards Granted in Prior Years, Unvested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

(469,753)

Non-PEO NEO | Equity Awards Granted During the Year, Vested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

0

Non-PEO NEO | Equity Awards Granted in Prior Years, Vested [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

36,239

Non-PEO NEO | Equity Awards that Failed to Meet Vesting Conditions [Member]

Pay vs Performance Disclosure

Adjustment to Compensation, Amount

$ 0

X

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