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The Company (Details) - USD ($)
$ / shares in Units, $ in Thousands
1 Months Ended 9 Months Ended 12 Months Ended
Feb. 28, 2025
Jan. 31, 2025
Nov. 30, 2022
Sep. 30, 2025
Sep. 30, 2024
Mar. 31, 2030
Dec. 31, 2024
Finite-Lived Intangible Assets [Line Items]              
Shares repurchased, at cost $ 49,500            
Shares repurchases (in shares) 5,270,845            
Repurchase share price (in dollars per share) $ 9.40            
Accumulated deficit       $ 549,686     $ 530,950
Net cash used in operating activities       11,512 $ 13,152    
Cash, cash equivalents, and short-term investments       60,000      
RNS System              
Finite-Lived Intangible Assets [Line Items]              
Minimum annual net revenue in next twelve months       90,000      
Minimum annual net revenue thereafter       35,000      
Maximum annual net revenue       69,200      
Minimum annual net revenue       70,100      
Annual net revenue       77,000      
Minimum liquidity threshold balance       25,000      
RNS System | Forecast              
Finite-Lived Intangible Assets [Line Items]              
Maximum annual net revenue           $ 87,300  
MidCap Agreement              
Finite-Lived Intangible Assets [Line Items]              
Covenant liquidity threshold amount in next two years       60,000      
Covenant liquidity threshold amount in thereafter       40,000      
At-the-Market Equity Offering              
Finite-Lived Intangible Assets [Line Items]              
Proceeds from issuance of preferred stock, preference stock, and warrants     $ 150,000        
Proceeds from issuance or sale by company of common stock     $ 50,000        
Percentage of shares of common stock sold under sales agreement     3.00%        
Number of shares issued in transaction (in shares)   18,590         444,555
Proceeds from issuance of common stock   $ 200   232 2,932   $ 3,400
Aggregate net proceeds   $ 200         $ 3,200
Amount remaining under ATM program $ 38,300            
Follow-on Offering              
Finite-Lived Intangible Assets [Line Items]              
Number of shares issued in transaction (in shares) 7,475,000            
Proceeds from issuance of common stock       $ 69,654 $ 0    
Sale of stock (in dollars per share) $ 10.00            
Consideration received on transaction $ 69,700            
Over-Allotment Option              
Finite-Lived Intangible Assets [Line Items]              
Number of shares issued in transaction (in shares) 975,000