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Commitments and Contingencies - Narrative (Detail) $ in Thousands, € in Millions |  | 1 Months Ended | 3 Months Ended | 9 Months Ended |  |  |  |
--- | --- | --- | --- | --- | --- | --- | --- | ---
Mar. 07, 2024 USD ($) | Oct. 31, 2023 USD ($) | Sep. 30, 2023 USD ($) | May 31, 2022 USD ($) | Sep. 30, 2021 USD ($) | Aug. 31, 2020 USD ($) | Nov. 30, 2009 USD ($) | Sep. 30, 2024 USD ($) renewal_term | Mar. 31, 2024 USD ($) | Sep. 30, 2023 USD ($) | Sep. 30, 2024 USD ($) renewal_term | Sep. 30, 2023 USD ($) | Sep. 30, 2024 EUR (€) renewal_term | Feb. 22, 2024 ft² | Dec. 31, 2023 USD ($) | May 31, 2021 USD ($)
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of successive terms | renewal_term |  |  |  |  |  |  |  | 2 |  |  | 2 |  | 2 |  |  |
Renewal term |  |  |  |  |  |  |  | 5 years |  |  | 5 years |  | 5 years |  |  |
Lease area | ft² |  |  |  |  |  |  |  |  |  |  |  |  |  | 75,662 |  |
Termination of sublease agreement |  |  |  |  |  |  |  |  | $ 3,500 |  | $ 3,500 |  |  |  |  |
Write-off of accrued balance | $ 4,800 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Collection of termination payment | $ 1,300 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Sublease (expense) income (Note 5) |  |  |  |  |  |  |  | $ 2,200 |  | $ 2,000 | $ 2,800 | $ 5,600 |  |  |  |
Percentage of excess rent paid |  |  |  |  |  |  |  |  |  |  | 0.50 |  |  |  |  |
Cash paid for amounts included in the measurement of operating lease liabilities |  |  |  |  |  |  |  |  |  |  | $ 5,700 | $ 5,300 |  |  |  |
Aggregate minimum commitment |  |  |  |  |  |  |  | 700 |  |  | 700 |  |  |  | $ 7,400 |
Long-term debt, net of debt discount |  |  |  |  |  |  |  | 1,939 |  |  | 1,939 |  |  |  | 2,802 |
Symphony Dynamo Holdings LLC |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
License arrangement contingent consideration percentage |  |  |  |  |  |  | 50.00% |  |  |  |  |  |  |  |  |
License arrangement upfront payment |  |  |  |  |  |  | $ 50,000 |  |  |  |  |  |  |  |  |
TriSalus |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment to holdings |  |  |  |  |  | $ 2,500 |  |  |  |  |  |  |  |  |  |
Payment received for pre-commercialization milestone |  |  | $ 1,000 | $ 1,000 | $ 1,000 |  |  |  |  |  |  |  |  |  |  |
TriSalus | Asset Purchase Agreement |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment made for pre-commercialization milestone |  | $ 500 |  | $ 500 | $ 500 |  |  |  |  |  |  |  |  |  |  |
Deutsche Bank Securities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Letter of credit | € |  |  |  |  |  |  |  |  |  |  |  |  | € 0.2 |  |  |
Deutsche Bank Securities | Letter of credit |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Letter of credit | € |  |  |  |  |  |  |  |  |  |  |  |  | € 0.2 |  |  |
2.50% Convertible Senior Notes Due 2026 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate principal amount |  |  |  |  |  |  |  | 225,500 |  |  | 225,500 |  |  |  |  | $ 225,500
Long-term debt, net of debt discount |  |  |  |  |  |  |  | 1,900 |  |  | 1,900 |  |  |  |  |
HEPLISAV-B |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Non-cancelable purchase and other commitments |  |  |  |  |  |  |  | $ 34,000 |  |  | $ 34,000 |  |  |  | $ 43,400 |
Minimum | Emeryville, California (Premises) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Lease term |  |  |  |  |  |  |  | 3 years |  |  | 3 years |  | 3 years |  |  |
Maximum | Emeryville, California (Premises) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Loss Contingencies [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Lease term |  |  |  |  |  |  |  | 12 years |  |  | 12 years |  | 12 years |  |  |

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