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Related Party Transactions (Details) - USD ($) $ in Thousands |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | ---
Jun. 10, 2025 | Sep. 30, 2025 | Sep. 30, 2024 | Sep. 30, 2025 | Sep. 30, 2024 | Dec. 31, 2024
Related Party Transaction [Line Items] |  |  |  |  |  |
Accounts payable |  | $ 8,877 |  | $ 8,877 |  | $ 4,860
Shoulder Innovations, Inc. | Genesis Investment Holdings, LLC |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Ownership percentage (more than) |  | 5.00% |  | 5.00% |  |
Shoulder Innovations, Inc. | Cultivate(MD) Capital Accelerator Fund L.P. |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Ownership percentage (more than) |  | 5.00% |  | 5.00% |  |
Genesis Software | Software Licensing Agreement |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Agreement term | 5 years |  |  |  |  |
Transaction amount | $ 7,000 | $ 433 | $ 325 | $ 1,174 | $ 877 |
Royalties, percent of net sales price | 4.00% |  |  |  |  |
Genesis Software | Software Licensing Agreement | Related party |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Payments for software development |  | 302 | 506 | 1,326 | 1,649 |
Accounts payable |  | 445 |  | 445 |  | 276
Genesis Software | Upfront payment |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Transaction amount | $ 1,000 |  |  |  |  |
Genesis Software | Incremental payments |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Transaction amount | $ 500 |  |  |  |  |
Genesis Innovation Group | Consulting Agreement |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Transaction amount |  | 1,093 | $ 1,136 | 3,388 | 2,983 |
Genesis Innovation Group | Consulting Agreement | Related party |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Accounts payable |  | $ 588 |  | $ 588 |  | $ 537
RMD | RMD Supply Agreement |  |  |  |  |  |
Related Party Transaction [Line Items] |  |  |  |  |  |
Transaction amount |  |  |  |  | $ 859 |

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