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Property, Plant, and Equipment (Details) - USD ($)
$ in Thousands
Sep. 30, 2022
Dec. 31, 2021
Dec. 31, 2020
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   $ 36,521 $ 30,298
Less accumulated depreciation   22,373 18,689
Total property, plant and equipment, net $ 16,645 14,148 11,609
Land      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   64 64
Leasehold improvements      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   4,113 4,187
Instruments and equipment      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   26,627 21,735
Vehicles      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   71 58
Office Equipment and furniture      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   1,590 1,347
Other      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   728 544
Construction in progress      
Property, Plant and Equipment [Line Items]      
Property, plant and equipment, gross   $ 3,328 $ 2,363