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Stockholders Equity - Narrative (Details) - USD ($)
 1 Months Ended 8 Months Ended 9 Months Ended 12 Months Ended 13 Months Ended
Aug. 12, 2022
Aug. 12, 2021
Dec. 31, 2020
Jul. 31, 2017
Aug. 31, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Dec. 31, 2017
Aug. 31, 2022
Class of Stock [Line Items]                    
Common stock, par value (in dollars per share)           $ 0.001   $ 0.001    
Preferred stock, par value (in dollars per share)           $ 0.001   $ 0.001    
Common stock, shares issued           12,642,822   9,422,089    
July 2017 - Underwritten Public Offering [Member]                    
Class of Stock [Line Items]                    
Warrants, exercise price per share           $ 40.00        
Percentage Of Outstanding Common Stock           4.99%        
Outstanding common stock at election of purchaser           9.99%        
Warrants outstanding           374,525        
Warrants exercised           0 0      
Cantor Fitzgerald & Co. [Member]                    
Class of Stock [Line Items]                    
Aggregate offering price   $ 10,000,000.0                
Proceeds from issuance of common stock, net of issuance costs $ 2,721,187       $ 4,494,496         $ 7,600,000
Number of share sold under the sales agreement 3,117,100       1,987,100         3,281,067
Acorn Bioventures, LP [Member]                    
Class of Stock [Line Items]                    
Warrants to purchase shares           669,854        
Warrant outstanding Term           5 years        
Warrants, exercise price per share           $ 4.13        
Warrants exercised           0 0      
Co-Placement Agents [Member]                    
Class of Stock [Line Items]                    
Warrants, exercise price per share           $ 5.00        
Number of common shares called by each warrant           1        
Warrant Exercises (in shares)           0 0      
Warrants outstanding           2,190,000        
Fractional shares issued           0        
Co-Placement Agents [Member] | Common Stock Warrants                    
Class of Stock [Line Items]                    
Percentage Of Outstanding Common Stock           4.99%        
Outstanding common stock at election of purchaser           9.99%        
Notice period from the holder to increase the percentage of ownership of outstanding common stock after exercise of warrants           61 days        
Series B Convertible Preferred Stock                    
Class of Stock [Line Items]                    
Preferred stock, par value (in dollars per share)           $ 0.001   $ 0.001    
Preferred stock, shares issued     237,745     237,745   237,745    
Preferred stock, shares outstanding           237,745   237,745    
Outstanding common stock at election of purchaser           9.99%        
Number of shares converted     5              
Series A Convertible Preferred Stock                    
Class of Stock [Line Items]                    
Measurement period of consecutive trading days used in determining whether specified triggers are met which would allow the entity to require the conversion of all or part of outstanding preferred stock           30 days        
Preferred stock, par value (in dollars per share)           $ 0.001   $ 0.001    
Number of common shares issued upon conversion       215,200            
Effective Conversion price per share       $ 40.00            
Preferred stock, shares issued       8,872   264   264    
Preferred stock, shares outstanding           264   264    
Number of shares converted           6,600     8,608  
Price per share used to determine number of shares of common stock       $ 1,000            
Percentage of blocker provision       4.99%            
Conversion percentage       9.99%            
Series A Convertible Preferred Stock | Minimum                    
Class of Stock [Line Items]                    
Percentage by which the weighted average price of common stock during the measurement period exceeds the initial conversion price which triggers the right of the entity to cause all or part of the outstanding preferred stock to be converted           300.00%        
Threshold amount of daily trading volume on each trading day during the measurement period which triggers the right of the entity to cause all or part of the outstanding preferred stock to be converted           $ 500,000        
6% convertible exchangeable preferred stock                    
Class of Stock [Line Items]                    
Share issue price per share           $ 10.00        
Preferred stock, shares issued           335,273   335,273    
Preferred stock, shares outstanding           335,273   335,273    
Dividend rate on convertible exchangeable preferred stock (in percent)           6.00%   6.00%    
Accrued and unpaid dividends           $ 50,291        
Convertible Preferred Stock, Terms of Conversion           The Company may automatically convert the 6% Preferred Stock into common stock if the per share closing price of the Company’s common stock has exceeded $59,220, which is 150% of the conversion price of the 6% Preferred Stock, for at least 20 trading days during any 30 day trading period, ending within five trading days prior to notice of automatic conversion.        
Redemption price per share (in dollars per share)           $ 10.00        
Debt principal amount per share, basis for exchange (in dollars per share)           $ 10.00        
Debt Instrument, Term           25 years        
Liquidation preference (in dollars per share)           $ 10.00