Inari Medical (NARI) 10-Q 1 Nov 23 2023 Q3 Quarterly report Financial data

Cover

Cover - shares	9 Months Ended
	Sep. 30, 2023	Oct. 27, 2023
Cover [Abstract]
Document Type	10-Q
Document Quarterly Report	true
Document Period End Date	Sep. 30, 2023
Document Transition Report	false
Entity File Number	001-39293
Entity Registrant Name	Inari Medical, Inc.
Entity Incorporation, State or Country Code	DE
Entity Tax Identification Number	45-2902923
Entity Address, Address Line One	6001 Oak Canyon
Entity Address, Address Line Two	Suite 100
Entity Address, City or Town	Irvine
Entity Address, State or Province	CA
Entity Address, Postal Zip Code	92618
City Area Code	877
Local Phone Number	923-4747
Title of 12(b) Security	Common stock, $0.001 par value per share
Trading Symbol	NARI
Security Exchange Name	NASDAQ
Entity Current Reporting Status	Yes
Entity Interactive Data Current	Yes
Entity Filer Category	Large Accelerated Filer
Entity Small Business	false
Entity Emerging Growth Company	false
Entity Shell Company	false
Entity Common Stock, Shares Outstanding		57,590,463
Entity Central Index Key	0001531048
Current Fiscal Year End Date	--12-31
Document Fiscal Year Focus	2023
Document Fiscal Period Focus	Q3
Amendment Flag	false

Condensed Consolidated Balance

Condensed Consolidated Balance Sheets - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Current assets
Cash and cash equivalents	$ 89,182	$ 60,222
Short-term investments in debt securities	262,113	266,179
Accounts receivable, net	69,595	58,611
Inventories, net	40,227	32,581
Prepaid expenses and other current assets	7,944	5,312
Total current assets	469,061	422,905
Property and equipment, net	21,243	21,655
Operating lease right-of-use assets	49,065	50,703
Deposits and other assets	9,466	8,889
Total assets	548,835	504,152
Current liabilities
Accounts payable	10,091	7,659
Payroll-related accruals	41,305	38,955
Accrued expenses and other current liabilities	13,040	8,249
Operating lease liabilities, current portion	1,630	1,311
Total current liabilities	66,066	56,174
Operating lease liabilities, noncurrent portion	30,627	30,976
Total liabilities	96,693	87,150
Commitments and contingencies (Note 7)
Stockholders' equity
Preferred stock, $0.001 par value, 10,000,000 shares authorized, no shares issued and outstanding as of September 30, 2023 and December 31, 2022	0	0
Common stock, $0.001 par value, 300,000,000 shares authorized as of September 30, 2023 and December 31, 2022; 57,506,462 and 54,021,656 shares issued and outstanding as of September 30, 2023 and December 31, 2022, respectively	58	54
Additional paid in capital	497,063	462,949
Accumulated other comprehensive (loss) income	(1,158)	849
Accumulated deficit	(43,821)	(46,850)
Total stockholders' equity	452,142	417,002
Total liabilities and stockholders' equity	$ 548,835	$ 504,152

Condensed Consolidated Balanc_2

Condensed Consolidated Balance Sheets (Parenthetical) - $ / shares	Sep. 30, 2023	Dec. 31, 2022
Statement of Financial Position [Abstract]
Preferred stock, par value (in dollars per share)	$ 0.001	$ 0.001
Preferred stock, authorized (in shares)	10,000,000	10,000,000
Preferred stock, issued (in shares)	0	0
Preferred stock, outstanding (in shares)	0	0
Common stock, par value (in dollars per share)	$ 0.001	$ 0.001
Common stock, authorized (in shares)	300,000,000	300,000,000
Common stock, issued (in shares)	57,506,462	54,021,656
Common stock, outstanding (in shares)	57,506,462	54,021,656

Condensed Consolidated Statemen

Condensed Consolidated Statements of Operations and Comprehensive Income (Loss) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Statement [Abstract]
Revenue	$ 126,366	$ 96,204	$ 361,538	$ 275,700
Cost of goods sold	14,477	11,064	42,062	31,378
Gross profit	111,889	85,140	319,476	244,322
Operating expenses
Research and development	21,492	19,105	64,641	53,809
Selling, general and administrative	88,284	75,833	259,570	212,721
Total operating expenses	109,776	94,938	324,211	266,530
Income (loss) from operations	2,113	(9,798)	(4,735)	(22,208)
Other income (expense)
Interest income	4,202	618	12,899	882
Interest expense	(43)	(74)	(127)	(220)
Other (expense) income	(682)	(59)	(617)	169
Total other income	3,477	485	12,155	831
Income (loss) before income taxes	5,590	(9,313)	7,420	(21,377)
Provision for income taxes	2,428	840	4,391	2,092
Net income (loss)	3,162	(10,153)	3,029	(23,469)
Other comprehensive income (loss)
Foreign currency translation adjustments	(68)	(406)	(138)	(814)
Unrealized gain (loss) on available-for-sale debt securities	91	644	(1,869)	271
Total other comprehensive income (loss)	23	238	(2,007)	(543)
Comprehensive income (loss)	$ 3,185	$ (9,915)	$ 1,022	$ (24,012)
Net income (loss) per share
Basic (in dollars per share)	$ 0.06	$ (0.19)	$ 0.05	$ (0.45)
Diluted (in dollars per share)	$ 0.05	$ (0.19)	$ 0.05	$ (0.45)
Weighted average common shares used to compute net income (loss) per share
Basic (in shares)	57,384,884	53,491,625	56,478,317	52,552,662
Diluted (in shares)	58,588,452	53,491,625	58,495,921	52,552,662

Condensed Consolidated Statem_2

Condensed Consolidated Statements Stockholders' Equity - USD ($) $ in Thousands	Total	Common Stock	Additional Paid In Capital	Accumulated Other Comprehensive Income (Loss)	Accumulated Deficit
Balance at beginning of period (in shares) at Dec. 31, 2021		50,313,452
Balance at beginning of period at Dec. 31, 2021	$ 239,209	$ 50	$ 257,144	$ (402)	$ (17,583)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Options exercised for common stock (in shares)		322,882
Options exercised for common stock	345	$ 1	344
Shares issued under Employee Stock Purchase Plan (in shares)		54,808
Shares issued under Employee Stock Purchase Plan	3,427		3,427
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes (in shares)		31,763
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes	(1,624)		(1,624)
Issuance of common stock in public offering, net of issuance costs (in shares)		2,300,000
Issuance of common stock in public offering, net of issuance costs	174,394	$ 2	174,392
Share-based compensation expense	6,555		6,555
Other comprehensive income (loss)	(365)			(365)
Net income (loss)	(3,129)				(3,129)
Balance at end of period (in shares) at Mar. 31, 2022		53,022,905
Balance at end of period at Mar. 31, 2022	418,812	$ 53	440,238	(767)	(20,712)
Balance at beginning of period (in shares) at Dec. 31, 2021		50,313,452
Balance at beginning of period at Dec. 31, 2021	239,209	$ 50	257,144	(402)	(17,583)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	(23,469)
Balance at end of period (in shares) at Sep. 30, 2022		53,595,277
Balance at end of period at Sep. 30, 2022	415,099	$ 53	457,043	(945)	(41,052)
Balance at beginning of period (in shares) at Mar. 31, 2022		53,022,905
Balance at beginning of period at Mar. 31, 2022	418,812	$ 53	440,238	(767)	(20,712)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Options exercised for common stock (in shares)		228,313
Options exercised for common stock	156		156
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes (in shares)		54,607
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes	(1,751)		(1,751)
Share-based compensation expense	7,164		7,164
Other comprehensive income (loss)	(416)			(416)
Net income (loss)	(10,187)				(10,187)
Balance at end of period (in shares) at Jun. 30, 2022		53,305,825
Balance at end of period at Jun. 30, 2022	413,778	$ 53	445,807	(1,183)	(30,899)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Options exercised for common stock (in shares)		167,102
Options exercised for common stock	109		109
Shares issued under Employee Stock Purchase Plan (in shares)		78,707
Shares issued under Employee Stock Purchase Plan	4,995		4,995
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes (in shares)		43,643
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes	(1,224)		(1,224)
Share-based compensation expense	7,356		7,356
Other comprehensive income (loss)	238			238
Net income (loss)	(10,153)				(10,153)
Balance at end of period (in shares) at Sep. 30, 2022		53,595,277
Balance at end of period at Sep. 30, 2022	$ 415,099	$ 53	457,043	(945)	(41,052)
Balance at beginning of period (in shares) at Dec. 31, 2022	54,021,656	54,021,656
Balance at beginning of period at Dec. 31, 2022	$ 417,002	$ 54	462,949	849	(46,850)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Options exercised for common stock (in shares)		209,966
Options exercised for common stock	226		226
Shares issued under Employee Stock Purchase Plan (in shares)		86,051
Shares issued under Employee Stock Purchase Plan	4,172		4,172
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes (in shares)		2,766,043
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes	(1,929)	$ 3	(1,932)
Share-based compensation expense	10,339		10,339
Other comprehensive income (loss)	(856)			(856)
Net income (loss)	(2,218)				(2,218)
Balance at end of period (in shares) at Mar. 31, 2023		57,083,716
Balance at end of period at Mar. 31, 2023	$ 426,736	$ 57	475,754	(7)	(49,068)
Balance at beginning of period (in shares) at Dec. 31, 2022	54,021,656	54,021,656
Balance at beginning of period at Dec. 31, 2022	$ 417,002	$ 54	462,949	849	(46,850)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income (loss)	$ 3,029
Balance at end of period (in shares) at Sep. 30, 2023	57,506,462	57,506,462
Balance at end of period at Sep. 30, 2023	$ 452,142	$ 58	497,063	(1,158)	(43,821)
Balance at beginning of period (in shares) at Mar. 31, 2023		57,083,716
Balance at beginning of period at Mar. 31, 2023	426,736	$ 57	475,754	(7)	(49,068)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Options exercised for common stock (in shares)		81,712
Options exercised for common stock	214		214
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes (in shares)		101,027
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes	(2,569)		(2,569)
Share-based compensation expense	10,353		10,353
Other comprehensive income (loss)	(1,174)			(1,174)
Net income (loss)	2,085				2,085
Balance at end of period (in shares) at Jun. 30, 2023		57,266,455
Balance at end of period at Jun. 30, 2023	435,645	$ 57	483,752	(1,181)	(46,983)
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Options exercised for common stock (in shares)		43,547
Options exercised for common stock	107		107
Shares issued under Employee Stock Purchase Plan (in shares)		118,494
Shares issued under Employee Stock Purchase Plan	5,749	$ 1	5,748
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes (in shares)		77,966
Issuance of common stock upon vesting of restricted stock units, net of shares withheld for taxes	(2,388)		(2,388)
Share-based compensation expense	9,844		9,844
Other comprehensive income (loss)	23			23
Net income (loss)	$ 3,162				3,162
Balance at end of period (in shares) at Sep. 30, 2023	57,506,462	57,506,462
Balance at end of period at Sep. 30, 2023	$ 452,142	$ 58	$ 497,063	$ (1,158)	$ (43,821)

Condensed Consolidated Statem_3

Condensed Consolidated Statements Stockholders' Equity (Parenthetical) - USD ($) $ in Millions	3 Months Ended	9 Months Ended
	Mar. 31, 2022	Sep. 30, 2022
Statement of Stockholders' Equity [Abstract]
Stock issuance cost	$ 11.9	$ 11.9

Condensed Consolidated Statem_4

Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows from operating activities
Net income (loss)	$ 3,029	$ (23,469)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Depreciation	4,186	3,430
Amortization of deferred financing costs	30	108
Amortization of right-of-use assets	3,099	1,799
Share-based compensation expense	30,536	21,075
Impairment loss on strategic investment	565	0
Allowance for credit losses, net	526	341
Loss on disposal of fixed assets	26	23
Amortization of premium and discount on marketable securities	(11,407)	0
Changes in:
Accounts receivable	(11,566)	(12,220)
Inventories	(7,797)	(8,706)
Prepaid expenses, deposits and other assets	4,294	(1,537)
Accounts payable	2,436	(441)
Payroll-related accruals, accrued expenses and other liabilities	7,218	(562)
Operating lease liabilities	(1,031)	(565)
Lease prepayments for lessor's owned leasehold improvements	(458)	(4,503)
Net cash provided by (used in) operating activities	23,686	(25,227)
Cash flows from investing activities
Purchases of property and equipment	(3,801)	(8,173)
Purchases of marketable securities	(394,496)	(332,103)
Maturities of marketable securities	400,560	184,000
Purchases of other investments	(565)	(5,693)
Net cash provided by (used in) investing activities	1,698	(161,969)
Cash flows from financing activities
Proceeds from issuance of common stock in public offering, net of issuance costs of $11.9 million	0	174,394
Proceeds from issuance of common stock under employee stock purchase plan	9,920	8,422
Proceeds from exercise of stock options	547	610
Payment of taxes related to vested restricted stock units	(6,886)	(4,599)
Net cash provided by financing activities	3,581	178,827
Effect of foreign exchange rate changes on cash and cash equivalents	(5)	(855)
Net increase (decrease) in cash and cash equivalents	28,960	(9,224)
Cash and cash equivalents beginning of period	60,222	92,752
Cash and cash equivalents end of period	$ 89,182	$ 83,528

Condensed Consolidated Statem_5

Condensed Consolidated Statements of Cash Flows (Parenthetical) - USD ($) $ in Millions	3 Months Ended	9 Months Ended
	Mar. 31, 2022	Sep. 30, 2022
Statement of Cash Flows [Abstract]
Stock issuance cost	$ 11.9	$ 11.9

Organization

Organization	9 Months Ended
	Sep. 30, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization	ORGANIZATION Description of Business Inari Medical, Inc. (the “Company”) was incorporated in Delaware in July 2011 and is headquartered in Irvine, California. The Company purpose builds minimally invasive, novel, catheter-based mechanical thrombectomy systems for the unique characteristics of specific disease states.

Summary of Significant Accounti

Summary of Significant Accounting Policies	9 Months Ended
	Sep. 30, 2023
Accounting Policies [Abstract]
Summary of Significant Accounting Policies	SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation The accompanying condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and include the Company and its wholly owned subsidiaries. All intercompany balances and transactions have been eliminated in consolidation. The interim condensed consolidated balance sheet as of September 30, 2023 and the condensed consolidated statements of operations and comprehensive income (loss), stockholders’ equity, and cash flows for the three and nine months ended September 30, 2023 and 2022 are unaudited. The consolidated balance sheet as of December 31, 2022 included herein was derived from the audited consolidated financial statements as of that date. The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the annual consolidated financial statements and reflect, in the opinion of management, all adjustments of a normal and recurring nature that are necessary for the fair presentation of the Company’s condensed consolidated financial position as of September 30, 2023 and its consolidated results of operations and cash flows for the three and nine months ended September 30, 2023 and 2022. The financial data and the other financial information disclosed in the notes to the condensed consolidated financial statements related to the three and nine months ended September 30, 2023 and 2022 are also unaudited. The condensed consolidated results of operations for any interim period are not necessarily indicative of the results to be expected for the full year or for any other future annual or interim period. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022. Management Estimates The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates and assumptions made in the accompanying condensed consolidated financial statements may include, but are not limited to, collectability of receivables, recoverability of long-lived assets, valuation of inventory, operating lease right-of-use (“ROU”) assets and liabilities, other investments, fair value of stock options, recoverability of net deferred tax assets and related valuation allowance, and certain accruals. Estimates are based on historical experience and on various assumptions that the Company believes are reasonable under current circumstances. Actual results could differ materially from those estimates. Management periodically evaluates such estimates and assumptions, and they are adjusted prospectively based upon such periodic evaluation. Revenue Recognition The Company recognizes revenue in accordance with ASC 606, Revenue from Contracts with Customers . Under ASC 606, revenue is recognized when a customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that are within the scope of ASC 606, the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the entity satisfies a performance obligation. The Company sells its products primarily to hospitals in the United States through its direct sales force. The Company recognizes revenue for arrangements where the Company has satisfied its performance obligation of shipping or delivering the product. For sales where the Company’s sales representatives hand-deliver products directly to the hospitals, control of the products transfers to the customers upon such hand- delivery. For sales where products are shipped, control of the products transfers either upon shipment or delivery of the products to the customer, depending on the shipping terms and conditions. Revenue from product sales is comprised of product revenue, net of product returns, discounts, administrative fees and sales rebates. Performance Obligation —The Company has revenue arrangements that consist of a single performance obligation, the shipping or delivery of the Company’s products. The satisfaction of this performance obligation occurs with the transfer of control of the Company’s product to its customers, either upon shipment or delivery of the product. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring goods. The amount of revenue recognized is based on the transaction price, which represents the invoiced amount, net of discounts, administrative fees and sales rebates, where applicable. The Company provides a standard 30-day unconditional right of return period. The Company establishes estimated provisions for returns at the time of sale based on historical experience. Historically, the actual product returns have been immaterial to the Company’s consolidated financial statements. As of September 30, 2023 and December 31, 2022, the Company recorded $1,324,000 and $1,218,000, respectively, of unbilled receivables, which are included in accounts receivable, net, in the accompanying condensed consolidated balance sheets. The Company disaggregates revenue by product. Revenue for ClotTriever and other systems and FlowTriever system as a percentage of total revenue is as follows: Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 ClotTriever and other systems 32 % 31 % 34 % 32 % FlowTriever system 68 % 69 % 66 % 68 % Revenue from the Company's products by geographic area, based on the location where title transfers, is as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 United States $ 119,825 $ 93,597 $ 345,473 $ 269,584 International 6,541 2,607 16,065 6,116 Total revenue $ 126,366 $ 96,204 $ 361,538 $ 275,700 The Company offers payment terms to its customers of less than three months and these terms do not include a significant financing component. The Company excludes taxes assessed by governmental authorities on revenue-producing transactions from the measurement of the transaction price. The Company offers its standard warranty to all customers. The Company does not sell any warranties on a standalone basis. The Company’s warranty provides that its products are free of material defects and conform to specifications, and includes an offer to repair, replace or refund the purchase price of defective products. This assurance does not constitute a service and is not considered a separate performance obligation. The Company estimates warranty liabilities at the time of revenue recognition and records it as a charge to cost of goods sold. The warranty expense recognized was $57,000 and $165,000 during the three months ended September 30, 2023 and 2022, respectively, and $411,000 and $374,000 for the nine months ended September 30, 2023 and 2022, respectively. Costs associated with product sales include commissions and are recorded in selling, general and administrative (“SG&A”) expenses. The Company applies the practical expedient and recognizes commissions as an expense when incurred because the amortization period is less than one year. Equity Investments The Company has strategic investments in certain privately-held companies, with no readily determinable fair value. The Company measures these investments at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for an identical or similar investment. The Company will monitor the information that becomes available from time to time and adjust the carrying values of these investments if there are identified events or changes in circumstances that have a significant adverse effect on the fair values. Impairment loss, which is generally the difference between the carrying value and the fair value of the investment, is recorded in other income (expense) in the Statements of Operations and Comprehensive Income. As of September 30, 2023 and December 31, 2022, the Company’s equity investments were $8.3 million and were included in deposits and other assets on the condensed consolidated balance sheets. Additionally, during the three and nine months ended September 30, 2023, the Company recorded an impairment loss of $0.6 million in other income (expense) in the Statement of Operations and Comprehensive Income. There was no impairment loss recorded during the three and nine months ended September 30, 2022. Supplemental Cash Flow Information Supplemental cash flow information includes the following: Nine Months Ended September 30, 2023 2022 Supplemental disclosures of cash flow information: Cash paid for income taxes $ 3,562 $ 3,085 Cash paid for interest $ 98 $ 112 Noncash investing and financing: Lease liabilities arising from obtaining new right-of-use assets $ 1,030 $ 2,334

Fair Value Measurements

Fair Value Measurements	9 Months Ended
	Sep. 30, 2023
Fair Value Disclosures [Abstract]
Fair Value Measurements	FAIR VALUE MEASUREMENTSInvestments in debt securities have been classified as available-for-sale and are carried at estimated fair value as determined based upon quoted market prices or pricing models for similar securities. As of September 30, 2023, all of the Company's investments in debt securities had maturities of less than 12 months and were classified as short-term investments on the condensed consolidated balance sheets. The following tables summarize the Company’s financial assets and liabilities measured at fair value on a recurring basis by level within the fair value hierarchy as of September 30, 2023 and December 31, 2022 (in thousands): September 30, 2023 Level 1 Level 2 Level 3 Aggregate Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 41,561 $ — $ — $ 41,561 Corporate debt securities and commercial paper — 3,489 — 3,489 Total included in cash and cash equivalents 41,561 3,489 — 45,050 Investments: U.S. Treasury securities 173,687 — — 173,687 U.S. Government agencies — 46,284 — 46,284 Corporate debt securities and commercial paper — 42,142 — 42,142 Total included in short-term investments 173,687 88,426 — 262,113 Total financial assets $ 215,248 $ 91,915 $ — $ 307,163 December 31, 2022 Level 1 Level 2 Level 3 Aggregate Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 20,329 $ — $ — $ 20,329 Total included in cash and cash equivalents 20,329 — — 20,329 Investments: U.S. Treasury securities 172,088 — — 172,088 U.S. Government agencies — 47,131 — 47,131 Corporate debt securities and commercial paper — 46,960 — 46,960 Total included in short-term investments 172,088 94,091 — 266,179 Total financial assets $ 192,417 $ 94,091 $ — $ 286,508 There were no transfers between Levels 1, 2 or 3 for the periods presented.

Cash Equivalents and Investment

Cash Equivalents and Investments	9 Months Ended
	Sep. 30, 2023
Investments, Debt and Equity Securities [Abstract]
Cash Equivalents and Investments	CASH EQUIVALENTS AND INVESTMENTS The following is a summary of the Company’s cash equivalents and investments in debt securities as of September 30, 2023 and December 31, 2022 (in thousands): September 30, 2023 Amortized Cost Basis Unrealized Gain Unrealized Loss Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 41,561 $ — $ — $ 41,561 Corporate debt securities and commercial paper 3,490 — (1) 3,489 Total included in cash and cash equivalents 45,051 — (1) 45,050 Investments: U.S. Treasury securities 173,690 9 (12) 173,687 U.S. Government agencies 46,309 7 (32) 46,284 Corporate debt securities and commercial paper 42,162 — (20) 42,142 Total included in short-term investments 262,161 16 (64) 262,113 Total financial assets $ 307,212 $ 16 $ (65) $ 307,163 December 31, 2022 Amortized Cost Basis Unrealized Gain Unrealized Loss Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 20,329 $ — $ — $ 20,329 Total included in cash and cash equivalents 20,329 — — 20,329 Investments: U.S. Treasury securities 171,006 1,120 (38) 172,088 U.S. Government agencies 46,777 354 — 47,131 Corporate debt securities and commercial paper 46,576 397 (13) 46,960 Total included in short-term investments 264,359 1,871 (51) 266,179 Total financial assets $ 284,688 $ 1,871 $ (51) $ 286,508 The Company regularly reviews any changes to the rating of its debt securities and reasonably monitors the surrounding economic conditions to assess the risk of expected credit losses. As of September 30, 2023, the risk of expected credit losses was not significant.

Inventories, net

Inventories, net	9 Months Ended
	Sep. 30, 2023
Inventory Disclosure [Abstract]
Inventories, net	INVENTORIES, NET Inventories, net of reserves, consist of the following (in thousands): September 30, December 31, Raw materials $ 14,278 $ 13,943 Work-in-process 4,117 3,396 Finished goods 21,832 15,242 Total inventories, net $ 40,227 $ 32,581

Property and Equipment, net

Property and Equipment, net	9 Months Ended
	Sep. 30, 2023
Property, Plant and Equipment [Abstract]
Property and Equipment, net	PROPERTY AND EQUIPMENT, NET Property and equipment consist of the following (in thousands): September 30, December 31, Manufacturing equipment $ 15,827 $ 13,585 Computer hardware 5,522 5,123 Leasehold improvements 5,248 5,040 Furniture and fixtures 4,380 4,119 Assets in progress 2,041 2,516 Capitalized software 881 — Computer software — 100 Total property and equipment, gross 33,899 30,483 Accumulated depreciation (12,656) (8,828) Total property and equipment, net $ 21,243 $ 21,655 Depreciation expense of $1,141,000

Commitments and Contingencies

Commitments and Contingencies	9 Months Ended
	Sep. 30, 2023
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies	COMMITMENTS AND CONTINGENCIES Operating Leases The Company has operating leases for facilities and certain equipment. Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheet. Lease expense for operating leases is recognized on a straight-line basis over the lease term. For lease agreements, other than long-term real estate leases, the Company combines lease and non-lease components. The operating leases for facilities expire at various dates through July 2041 and some contain renewal options, the longest of which is for five years. The ROU asset and lease liability includes renewal options if the Company is reasonably certain to exercise such renewal options. As of September 30, 2023, the aggregate operating lease ROU assets and lease liabilities were $49.1 million and $32.3 million, respectively, with the weighted average remaining lease term of 18.2 years. As of December 31, 2022, the aggregate operating lease ROU asset and lease liabilities were $50.7 million and $32.3 million, respectively, with the weighted average remaining lease term of 17.1 years. As of September 30, 2023, the weighted average incremental borrowing rate used to measure operating lease liabilities was 6.05%. Cash paid for amounts included in the measurement of operating lease liabilities was $866,000 and $705,000 for the three months ended September 30, 2023 and 2022, respectively, and $2,564,000 and $2,030,000 for the nine months ended September 30, 2023 and 2022, respectively. Total lease costs are as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Operating lease cost $ 1,137 $ 1,039 $ 3,456 $ 3,139 Short-term lease cost 22 147 85 192 Variable lease cost 402 181 809 477 Total lease costs $ 1,561 $ 1,367 $ 4,350 $ 3,808 Future minimum lease payments under operating leases liabilities as of September 30, 2023 are as follows (in thousands): Year ending December 31: Amount Remainder of 2023 $ 877 2024 3,546 2025 3,032 2026 2,911 2027 2,978 Thereafter 38,507 Total lease payments 51,851 Less imputed interest (19,594) Total lease liabilities 32,257 Less: lease liabilities - current portion (1,630) Lease liabilities - noncurrent portion $ 30,627 The Company signed a ten-year lease for real estate in October 2023, with total undiscounted contractual payments for the three year term of the lease of $7.2 million, which are expected to commence in October 2024. Indemnification In the normal course of business, the Company enters into contracts and agreements that contain a variety of representations and warranties and may provide for general indemnifications. The Company’s exposure under these agreements is unknown because it involves claims that may be made against the Company in the future but have not yet been made. To date, the Company has not been subject to any claims or required to defend any action related to its indemnification obligations. The Company’s amended and restated certificate of incorporation contains provisions limiting the liability of directors, and its amended and restated bylaws provide that the Company will indemnify each of its directors to the fullest extent permitted under Delaware law. The Company’s amended and restated certificate of incorporation and amended and restated bylaws also provide its board of directors with discretion to indemnify its officers and employees when determined appropriate by the board. In addition, the Company has entered and expects to continue to enter into agreements to indemnify its directors and executive officers. Legal Proceedings From time to time, the Company may become involved in legal proceedings arising out of the ordinary course of its business. Management is currently not aware of any matters that will have a material adverse effect on the consolidated financial position, results of operations or cash flows of the Company. Licensed Technology In December 2021, the Company entered into an exclusive, perpetual, royalty free, technology license agreement for use in a particular research and development project that requires total payments of approximately $4.2 million payable in three installments due in 2022 and 2023. The Company accounted for the purchase as a research and development expense as it was determined to have no alternative future use. As of September 30, 2023, there was no outstanding balance as the Company satisfied its last installment payment during the three months ended September 30, 2023. As of December 31, 2022, the outstanding balance was approximately $1.3 million which was included in accrued expenses and other current liabilities on the condensed consolidated balance sheets. Sublicense Agreement In August 2019, the Company entered into a sublicense agreement with Inceptus Medical, LLC (“Inceptus”), pursuant to which Inceptus granted to the Company a non-transferable, worldwide, exclusive sublicense to its licensed intellectual property rights related to the tubular braiding for the non-surgical removal of clots and treatment of embolism and thrombosis in human vasculature other than carotid arteries, coronary vasculature and cerebral vasculature. Under the sublicense agreement, the Company was required to pay an ongoing quarterly administration fee, which amounted to nil and $29,000 for the three months ended September 30, 2023 and 2022 respectively, and $59,000 and $87,000 for the nine months ended September 30, 2023 and 2022 respectively. Additionally, the Company was obligated to pay an ongoing royalty ranging from 1.0% to 1.5% of the net sales of products utilizing the licensed intellectual property, subject to a minimum royalty quarterly fee of $1,500. In June 2023, the sublicense agreement was terminated and the Company is no longer required to pay any ongoing administration or royalty fees following the termination. The Company recorded royalty expense of $1,500 to cost of goods sold for both the three months ended September 30, 2023 and 2022, and recorded $5,000 and $215,000 for the nine months ended September 30, 2023 and 2022, respectively. Self-Insured Health Plan As of January 1, 2023, the Company implemented a self-insurance program to cover employees and their dependent health benefits, including medical, dental and vision. As part of the program, the Company also has stop-loss coverage from a third party which limits the exposure to large claims. The Company records a liability associated with these benefits that includes an estimate of both claims filed and losses incurred but not yet reported based on historical claims experience. In estimating this accrual, the Company utilizes an independent third-party broker to estimate a range of expected losses, which are based on analyses of historical data. The assumptions are closely monitored and adjusted when necessary by changing circumstances. If the liability generated from incurred claims exceeds the expense recorded, the Company may record an additional expense. As of September 30, 2023, the Company's self-insurance liability, inclusive of administrative fees, was $2.1 million, which is included in accrued expenses and other current liabilities on the condensed consolidated balance sheets.

Concentrations

Concentrations	9 Months Ended
	Sep. 30, 2023
Risks and Uncertainties [Abstract]
Concentrations	CONCENTRATIONS The Company’s revenue is derived primarily from the sale of catheter-based therapeutic devices in the United States. For the three and nine months ended September 30, 2023 and 2022, there were no customers which accounted for more than 10% of the Company’s revenue. As of September 30, 2023 and December 31, 2022, there were no customers that accounted for more than 10% of the Company’s accounts receivable. No vendor accounted for more than 10% of the Company’s purchases for the three and nine months ended September 30, 2023 and 2022. There were no vendors that accounted for more than 10% of the Company’s accounts payable as of September 30, 2023 and December 31, 2022. In early 2023, certain U.S. banks failed and the regulators appointed the Federal Deposit Insurance Corporation (“FDIC”) to act as receiver, which created significant market disruption and uncertainty with respect to the financial condition of the banking institutions in the U.S. While the Company does not have any direct exposure to these banks, the Company does maintain its cash and cash equivalents at multiple financial institutions in excess of the current FDIC insurance limits.

Related Party

Related Party	9 Months Ended
	Sep. 30, 2023
Related Party Transactions [Abstract]
Related Party	RELATED PARTYThe Company utilizes MRI The Hoffman Group (“MRI”), a recruiting services company owned by the brother of the former Chief Executive Officer and President and current member of the board of directors of the Company. The Company paid for recruiting services provided by MRI amounting to $67,000 and $70,000 for the three months ended September 30, 2023 and 2022, respectively, and $147,000 and $262,000 for the nine months ended September 30, 2023 and 2022, respectively, which was included in SG&A expenses on the condensed consolidated statements of operations and comprehensive income (loss). As of September 30, 2023 and December 31, 2022, there was no balance payable to MRI.

Credit Facility

Credit Facility	9 Months Ended
	Sep. 30, 2023
Debt Disclosure [Abstract]
Credit Facility	CREDIT FACILITY Bank of America Credit Facility On December 16, 2022, the Company amended its senior secured revolving credit facility with Bank of America (the “Amended Credit Agreement”) to, among other things, increase the amount available for borrowing to up to a maximum principal amount of $40.0 million and increase the optional accordion to $120.0 million. The Amended Credit Agreement matures on December 16, 2027. The amount available to borrow under the Amended Credit Agreement as of September 30, 2023 is approximately $37.6 million, comprised of: a) 90% of eligible accounts receivable, plus b) pledged cash (up to $10.0 million). Advances under the Amended Credit Agreement will bear interest at a base rate per annum (the “Base Rate”) plus an applicable margin (the “Margin”). The Base Rate equals the greater of (i) the Prime Rate, (ii) the Federal funds rate, plus 0.50%, or (iii) the Bloomberg Short-Term Bank Yield Index (“BSBY”) rate based upon an interest period of one month plus 1.00%, in any case has a floor of 0%. The Margin ranges, depending on average daily availability, from 0.50% to 1.00% in the case of Prime Rate and the Federal funds rate loans, and from 1.50% to 2.00% in the case of BSBY Rate loans. As a condition to entering into the Amended Credit Agreement, the Company was obligated to pay a nonrefundable fee of $10,000. The Company is also required to pay an unused line fee at an annual rate of 0.25% per annum of the average daily unused portion of the aggregate revolving credit commitments under the Amended Credit Agreement. The Amended Credit Agreement also includes a Letter of Credit subline facility (the “LC Facility”) of up to $5.0 million. In February 2023, the Company amended the LC Facility to increase the limit to up to $10.0 million. The aggregate stated amount outstanding of letters of credit reduces the total borrowing base available under the Amended Credit Agreement. The Company is required to pay the following fees under the LC Facility: (a) a fee equal to the applicable margin in effect for BSBY loans (currently 2.25%) times the average daily stated amount of outstanding letters of credit; and (b) a fronting fee equal to 0.125% per annum on the stated amount of each letter of credit outstanding. As of September 30, 2023, the Company had four letters of credit in the aggregated amount of $2.4 million outstanding under the LC Facility. The Amended Credit Agreement contains certain customary covenants subject to certain exceptions, including, among others, the following: a fixed charge coverage ratio covenant, and limitations of indebtedness, liens, investments, asset sales, mergers, consolidations, liquidations, dispositions, restricted payments, transactions with affiliates and prepayments of certain debt. The Amended Credit Agreement also contains certain events of default subject to certain customary grace periods, including, among others, payment defaults, breaches of any representation, warranty or covenants, judgment defaults, cross defaults to certain other contracts, bankruptcy and insolvency defaults, material judgment defaults and a change of control default. As of September 30, 2023, there was no principal amount outstanding and no cash was pledged under the Amended Credit Agreement, and the Company was in compliance with its covenant requirement. Obligations under the Credit Agreement are secured by substantially all of the Company’s assets, excluding intellectual property.

Stockholder's Equity

Stockholder's Equity	9 Months Ended
	Sep. 30, 2023
Equity [Abstract]
Stockholder's Equity	STOCKHOLDER'S EQUITY Common Stock In March 2022, the Company completed an underwritten public offering (“Follow-On Offering”) of 2,300,000 shares of its common stock, including 300,000 shares sold pursuant to the underwriters’ exercise of their option to purchase additional shares, at a public offering price of $81.00 per share. The Company received net proceeds of approximately $174.4 million, after deducting underwriters’ discounts and commissions of $11.2 million and offering costs of $0.7 million. Accumulated Other Comprehensive Income (Loss) The Company’s accumulated other comprehensive income (loss) includes $1.1 million loss on foreign currency translation adjustments and less than $0.1 million of unrealized loss on investments as of September 30, 2023, and $1.0 million loss on foreign currency translation adjustments and $1.8 million of unrealized gain on investments as of December 31, 2022. There were no reclassification adjustments from accumulated other comprehensive income (loss) during the nine months ended September 30, 2023 and 2022.

Equity Incentive Plans

Equity Incentive Plans	9 Months Ended
	Sep. 30, 2023
Share-Based Payment Arrangement [Abstract]
Equity Incentive Plans	EQUITY INCENTIVE PLANS In 2011, the Company adopted the 2011 Equity Incentive Plan (the “2011 Plan”) to permit the grant of share-based awards, such as stock grants and incentives and non-qualified stock options to employees and directors. The Board has the authority to determine to whom awards will be granted, the number of shares, the term and the exercise price. In March 2020, the Company adopted the 2020 Incentive Award Plan (the “2020 Plan”), which became effective in connection with the Company’s initial public offering in May 2020 (“IPO”). As a result, the Company may not grant any additional awards under the 2011 Plan. The 2011 Plan will continue to govern outstanding equity awards granted thereunder. In addition, the number of shares of common stock reserved for issuance under the 2020 Plan will automatically increase on the first day of January for a period of up to ten years, commencing on January 1, 2021, in an amount equal to 3% of the total number of shares of the Company’s capital stock outstanding on the last day of the preceding year, or a lesser number of shares determined by the Company’s board of directors. As of September 30, 2023, there were 6,523,570 shares available for issuance under the 2020 Plan, including 1,620,650 additional shares reserved effective January 1, 2023. 2011 Equity Incentive Plan Restricted Stock Units In March 2019, the Company granted, under the 2011 Plan, restricted stock unit awards (“RSUs”) to certain employees that vest only upon the satisfaction of both a time-based service condition and a performance-based condition that was satisfied on the effective date of the IPO of the Company’s common stock. The RSUs were subject to four-year cliff vesting and vested in full in March 2023. The vesting was also subject to a market-based condition related to the value of the Company’s common stock as of the vesting date. As a result of exceeding the value of the Company's common stock as set forth in the grant agreement, the maximum amount of RSUs were earned and vested during the nine months ended September 30, 2023. RSU activity under the 2011 Plan is set forth below: Number of Weighted Outstanding, December 31, 2022 2,712,674 $ 0.17 Vested (2,712,674) (a) Outstanding, September 30, 2023 — $ — _____________ (a) The vested RSUs will be distributed to the employees in installments. The first installment was distributed in the quarter ended March 31, 2023 with a weighted average fair value of $64.34. The second installment was distributed in the quarter ended June 30, 2023 with a weighted average fair value of $71.17. The third installment was distributed in the quarter ended September 30, 2023 with a weighted average fair value of $68.33. The remaining shares will be distributed within the quarter ended December 31, 2023. The total fair value of RSUs vested under the 2011 Plan was $170.6 million for the nine months ended September 30, 2023. No RSUs had vested under the 2011 plan for the nine months ended September 30, 2022. Stock Options A summary of stock option activity under the 2011 Plan for the nine months ended September 30, 2023 is as follows (intrinsic value in thousands): Number of Weighted Weighted Intrinsic Outstanding, December 31, 2022 1,456,328 $ 1.93 6.20 $ 89,749 Exercised (334,351) $ 1.48 $ 20,583 Cancelled (3,324) $ 5.02 Outstanding, September 30, 2023 1,118,653 $ 2.06 5.40 $ 70,857 Vested and exercisable at September 30, 2023 1,091,976 $ 1.95 5.40 $ 69,283 Vested and expected to vest at September 30, 2023 1,118,415 $ 2.06 5.40 $ 70,843 The aggregate intrinsic values of options outstanding, vested and exercisable, and vested and expected to vest were calculated as the difference between the exercise price of the options and the market value of the Company’s common stock. 2020 Incentive Award Plan Restricted Stock Units RSUs are share awards that entitle the holder to receive freely tradable shares of the Company’s common stock upon vesting. The RSUs cannot be transferred and the awards are subject to forfeiture if the holder’s employment terminates prior to the release of the vesting restrictions. The RSUs generally vest either over a four-year period with straight-line vesting in equal amounts on a quarterly basis or a 25% one-year cliff vesting with remaining RSUs vest over a three-year period in equal amounts on a quarterly basis, provided the employee remains continuously employed with the Company. The fair value of the RSUs is equal to the closing price of the Company’s common stock on the grant date. RSU activity under the 2020 Plan is set forth below: Number of Weighted Outstanding, December 31, 2022 999,215 $ 79.16 Granted 778,398 58.56 Vested (343,689) 74.28 Cancelled (103,667) 73.67 Outstanding, September 30, 2023 1,330,257 $ 68.79 The total fair value of RSUs vested under the 2020 Plan was $6.9 million and $4.5 million for the three months ended September 30, 2023 and 2022, respectively, and $21.0 million and $15.3 million for the nine months ended September 30, 2023 and 2022, respectively. Stock options During the nine months ended September 30, 2023, the Company granted non-qualified stock options to certain employees with vesting over a four-year period on a quarterly basis. The fair value of the stock options was calculated using the Black-Scholes option pricing model, which requires valuation assumptions of expected term, expected volatility, risk-free interest rate, and expected dividend yield. For the purposes of the Black-Scholes valuation model, the Company used the simplified method for determining the expected term of the granted options. The simplified method was used since the Company does not have adequate historical data to utilize in calculating the expected term of options. The fair value for options granted was calculated using the following weighted average assumptions: Nine Months Ended September 30, 2023 Expected term (in years) 4.56 Expected volatility 50.35% Dividend yield 0.00% Risk free interest rate 4.05% Weighted-average fair value of options granted $25.98 per share A summary of stock option activities under the 2020 Plan for the nine months ended September 30, 2023 is as follows (intrinsic value in thousands): Number of Weighted Weighted Intrinsic Outstanding, December 31, 2022 — $ — — $ — Granted 181,870 $ 56.00 Exercised (916) $ 56.00 $ 9 Cancelled (9,428) $ 56.00 Outstanding, September 30, 2023 171,526 $ 56.00 6.40 $ 1,612 Vested and exercisable at September 30, 2023 21,429 $ 56.00 6.20 $ 201 Vested and expected to vest at September 30, 2023 158,495 $ 56.00 6.40 $ 1,490 Employee Stock Purchase Plan In May 2020, the Company adopted the 2020 Employee Stock Purchase Plan (“ESPP”), which was amended and restated in October 2020 by the Compensation Committee of the Company’s board of directors. Each offering to the employees to purchase stock under the ESPP will begin on each August 1 and February 1 and will end on the following January 31 and July 31, respectively. The first offering period began on August 1, 2020. On each purchase date, which falls on the last date of each offering period, ESPP participants will purchase shares of common stock at a price per share equal to 85% of the lesser of (1) the fair market value per share of the common stock on the offering date or (2) the fair market value of the common stock on the purchase date. The occurrence and duration of offering periods under the ESPP are subject to the determinations of the Compensation Committee, in its sole discretion. The number of shares available for issuance under the ESPP increases automatically on January 1 of each calendar year of the Company beginning in 2021 and ending in 2030, in an amount equal to the lesser of (i) 1% of the aggregate number of outstanding shares of the Company’s common stock on the final day of the immediately preceding calendar year and (ii) such smaller number of shares determined by the Company’s board of directors. The fair value of the ESPP shares is estimated using the Black-Scholes option pricing model with the following assumptions: Nine Months Ended September 30, 2023 2022 Expected term (in years) 0.5 0.5 Expected volatility 42.08% - 49.89% 56.09% - 72.78% Dividend yield 0.00 % 0.00 % Risk free interest rate 4.79% - 5.54% 0.48% - 2.96% As of September 30, 2023, a total of (i) 423,109 shares of common stock, including 118,494 shares purchased in July 2023 and 86,051 shares purchased in January 2023, have been purchased under the ESPP, and (ii) 2,103,629 shares of common stock are reserved under the ESPP for future purchases, including 540,217 additional shares, which were automatically added to the reserve on January 1, 2023 pursuant to the terms of the ESPP. Stock-based Compensation Expense Total compensation cost for all share-based payment arrangements recognized, including $0.7 million and $0.8 million for the three months ended September 30, 2023 and 2022, respectively, and $2.9 million and $2.5 million for nine months ended September 30, 2023 and 2022, respectively, of stock-based compensation expense related to the ESPP, was as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Cost of goods sold $ 393 $ 386 $ 1,232 $ 1,126 Research and development 1,587 1,051 4,981 3,143 Selling, general and administrative 7,864 5,919 24,323 16,806 $ 9,844 $ 7,356 $ 30,536 $ 21,075 Total stock-based compensation expense as of September 30, 2023 related to all non-vested awards to be recognized in future periods was $78.9 million and is expected to be recognized over the remaining weighted average period of 2.7 years.

Income Taxes

Income Taxes	9 Months Ended
	Sep. 30, 2023
Income Tax Disclosure [Abstract]
Income Taxes	INCOME TAXES The following table reflects the Company’s provision for income taxes for the periods indicated (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Income (loss) before income taxes $ 5,590 $ (9,313) $ 7,420 $ (21,377) Provision for income taxes 2,428 840 4,391 2,092 Net income (loss) $ 3,162 $ (10,153) $ 3,029 $ (23,469) Provision for income taxes as a percentage of income (loss) before income taxes 43.4% (9.0%) 59.2 % (9.8 %) The effective tax rate for all periods is driven by pre-tax income/(loss), business credits, equity compensation, state taxes, and the change in valuation allowance. The Company's income tax provision for interim reporting periods historically has been calculated by applying an estimate of the annual effective income tax rate for the full year to “ordinary” income (loss) for the interim reporting period. In addition, the tax effects of certain significant or unusual items are recognized discretely in the quarter in which they occur. For the nine months ended September 30, 2023, the Company calculated the income tax provision using this methodology. For the nine months ended September 30, 2022, a discrete effective income tax rate method was used as if the interim year to date period was an annual period. For tax years beginning after December 31, 2021, certain research and development costs are required to be capitalized and amortized over a five year period under the Tax Cuts and Jobs Act, which was signed into law December 22, 2017. The Company has reviewed and incorporated this change, which will impact the expected U.S. federal and state tax expense and cash taxes to be paid for the tax year ending December 31, 2023. Valuation Allowance ASC 740, Income Taxes requires that the tax benefit of net operating losses, or NOLs, temporary differences and credit carryforwards be recorded as an asset to the extent that management assesses that realization is “more likely than not.” Realization of the future tax benefits is dependent on the Company’s ability to generate sufficient taxable income within the carryback or carryforward periods. As of December 31, 2022, the Company maintained a full valuation allowance of $30.3 million against the Company's net deferred tax assets. As of September 30, 2023, the Company believes that the deferred tax assets are currently not considered more likely than not to be realized and, accordingly, has maintained a full valuation allowance against its deferred tax assets. The Company will continue to assess its position on the realizability of its deferred tax assets, until such time as sufficient positive evidence may become available to allow the Company to reach a conclusion that a significant portion of the valuation allowance will no longer be needed. Any release of the valuation allowance may result in a material benefit recognized in the quarter of release. Uncertain Tax Positions The Company has recorded uncertain tax positions related to its federal and California research and development credit carryforwards. No interest or penalties have been recorded related to the uncertain tax positions due to credit carryforwards that are available to offset the uncertain tax positions. It is not expected that there will be a significant change in the uncertain tax position in the next twelve months. The Company is subject to U.S. federal and state income tax as well as to income tax in various foreign jurisdictions. In the normal course of business, the Company is subject to examination by tax authorities. As of the date of the financial statements, there are no income tax examinations in progress. The statute of limitations for tax years ended after December 31, 2019, December 31, 2018, and December 31, 2017 are open for federal and state, and foreign tax purposes, respectively.

Retirement Plan

Retirement Plan	9 Months Ended
	Sep. 30, 2023
Retirement Benefits [Abstract]
Retirement Plan	RETIREMENT PLANIn December 2017, the Company adopted the Inari Medical, Inc. 401(k) Plan which allows eligible employees after one month of service to contribute pre-tax and Roth contributions to the plan, as allowed by law. The plan assets are held by Vanguard and the plan administrator is Ascensus Trust Company. Beginning in January 2021, the Company contributes a $1.00 match for every $1.00 contributed by a participating employee up to the greater of $3,000 or 4% of eligible compensation under the plan, with such Company's contributions becoming fully vested immediately. Matching contribution expense was $2.0 million and $1.7 million for the three months ended September 30, 2023 and 2022, respectively, and $6.9 million and $6.2 million for the nine months ended September 30, 2023 and 2022, respectively.

Net Income (Loss) Per Share

Net Income (Loss) Per Share	9 Months Ended
	Sep. 30, 2023
Earnings Per Share [Abstract]
Net Income (Loss) Per Share	NET INCOME (LOSS) PER SHARE Basic net income (loss) per share is computed by dividing the net income (loss) attributable to common stockholders by the weighted average number of shares of common stock outstanding during the period, without consideration for potential dilutive common shares. Diluted net income (loss) per share is computed using the treasury stock method by dividing the net income (loss) attributable to common stockholders by the weighted average number of shares of common stock and potentially dilutive securities outstanding for the period. For purposes of the diluted net income (loss) per share calculation, shares from common stock options, RSUs and ESPP are potentially dilutive securities. For the periods the Company is in a net loss position, basic net loss per share is the same as diluted net loss per share as the inclusion of all potential dilutive common shares would have been anti-dilutive. The components of net income (loss) per share are as follows (in thousands, except per share amounts): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Numerator: Net income (loss) $ 3,162 $ (10,153) $ 3,029 $ (23,469) Denominator: Weighted average number of common shares outstanding - basic 57,384,884 53,491,625 56,478,317 52,552,662 Common stock equivalents from outstanding options 1,102,642 — 1,173,190 — Common stock equivalents from unvested RSUs 94,531 — 832,873 — Common stock equivalents from ESPP 6,395 — 11,541 — Weighted average number of common shares outstanding - diluted 58,588,452 53,491,625 58,495,921 52,552,662 Net income (loss) per share: Basic $ 0.06 $ (0.19) $ 0.05 $ (0.45) Diluted $ 0.05 $ (0.19) $ 0.05 $ (0.45) The following outstanding potentially dilutive common stock equivalents have been excluded from the calculation of diluted net income (loss) per share due to their anti-dilutive effect: Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Common stock options 171,526 1,838,562 1,290,179 1,838,562 RSUs 555,468 3,694,930 1,332,500 3,694,930 726,994 5,533,492 2,622,679 5,533,492

Subsequent Events

Subsequent Events	9 Months Ended
	Sep. 30, 2023
Subsequent Events [Abstract]
Subsequent Events	SUBSEQUENT EVENTS On November 1, 2023, the Company announced that it entered into a share purchase agreement (the “Purchase Agreement”) to acquire LimFlow, S.A. (“LimFlow”), a medical device company focused on limb salvage for patients with chronic limb-threatening ischemia (the “LimFlow Acquisition”). Under the terms of the Purchase Agreement, the Company will pay $250 million in cash at closing, subject to adjustment based on the working capital, indebtedness, cash and transaction expenses of LimFlow. Additional contingent payments of up to $165 million will be payable depending on the achievement of certain commercial and reimbursement milestones. The Company expects to fund this acquisition via its existing cash and the availability under its credit facility. The LimFlow Acquisition is expected to close in the fourth quarter of the year ended December 31, 2023 and is subject to certain customary closing conditions set forth in the Purchase Agreement. On November 1, 2023, the Company amended its credit facility to, among other things, increase the amount available for borrowing to up to a maximum principal amount of $75.0 million. Additionally, advances under this amended credit agreement will bear interest at a base rate per annum (“the Base Rate”) or the Bloomberg Short-Term Bank Yield Index (“the BSBY”) rate, plus an applicable margin (“the Margin”). The Margin ranges from 0.60% to 1.10% in the case of the Base Rate loans and 1.60% to 2.10% in the case of the BSBY rate loans depending on average daily availability, in each case with a floor of 0%. As a condition of entering into this amended credit agreement, the Company was obligated to pay a nonrefundable fee of $88,000. Lastly, the Company amended the LC Facility to increase the limit to up to $18.8 million.

Pay vs Performance Disclosure

Pay vs Performance Disclosure - USD ($) $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2023	Sep. 30, 2022
Pay vs Performance Disclosure
Net Income (Loss)	$ 3,162	$ 2,085	$ (2,218)	$ (10,153)	$ (10,187)	$ (3,129)	$ 3,029	$ (23,469)

Insider Trading Arrangements

Insider Trading Arrangements	3 Months Ended
	Sep. 30, 2023
Trading Arrangements, by Individual
Rule 10b5-1 Arrangement Adopted	false
Non-Rule 10b5-1 Arrangement Adopted	false
Rule 10b5-1 Arrangement Terminated	false
Non-Rule 10b5-1 Arrangement Terminated	false

Summary of Significant Accoun_2

Summary of Significant Accounting Policies (Policies)	9 Months Ended
	Sep. 30, 2023
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation The accompanying condensed consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and include the Company and its wholly owned subsidiaries. All intercompany balances and transactions have been eliminated in consolidation. The interim condensed consolidated balance sheet as of September 30, 2023 and the condensed consolidated statements of operations and comprehensive income (loss), stockholders’ equity, and cash flows for the three and nine months ended September 30, 2023 and 2022 are unaudited. The consolidated balance sheet as of December 31, 2022 included herein was derived from the audited consolidated financial statements as of that date. The unaudited interim condensed consolidated financial statements have been prepared on the same basis as the annual consolidated financial statements and reflect, in the opinion of management, all adjustments of a normal and recurring nature that are necessary for the fair presentation of the Company’s condensed consolidated financial position as of September 30, 2023 and its consolidated results of operations and cash flows for the three and nine months ended September 30, 2023 and 2022. The financial data and the other financial information disclosed in the notes to the condensed consolidated financial statements related to the three and nine months ended September 30, 2023 and 2022 are also unaudited. The condensed consolidated results of operations for any interim period are not necessarily indicative of the results to be expected for the full year or for any other future annual or interim period. These interim condensed consolidated financial statements should be read in conjunction with our audited consolidated financial statements included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2022.
Management Estimates	Management Estimates The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates and assumptions made in the accompanying condensed consolidated financial statements may include, but are not limited to, collectability of receivables, recoverability of long-lived assets, valuation of inventory, operating lease right-of-use (“ROU”) assets and liabilities, other investments, fair value of stock options, recoverability of net deferred tax assets and related valuation allowance, and certain accruals. Estimates are based on historical experience and on various assumptions that the Company believes are reasonable under current circumstances. Actual results could differ materially from those estimates. Management periodically evaluates such estimates and assumptions, and they are adjusted prospectively based upon such periodic evaluation.
Revenue Recognition	Revenue Recognition The Company recognizes revenue in accordance with ASC 606, Revenue from Contracts with Customers . Under ASC 606, revenue is recognized when a customer obtains control of promised goods or services, in an amount that reflects the consideration which the Company expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that are within the scope of ASC 606, the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and (v) recognize revenue when (or as) the entity satisfies a performance obligation. The Company sells its products primarily to hospitals in the United States through its direct sales force. The Company recognizes revenue for arrangements where the Company has satisfied its performance obligation of shipping or delivering the product. For sales where the Company’s sales representatives hand-deliver products directly to the hospitals, control of the products transfers to the customers upon such hand- delivery. For sales where products are shipped, control of the products transfers either upon shipment or delivery of the products to the customer, depending on the shipping terms and conditions. Revenue from product sales is comprised of product revenue, net of product returns, discounts, administrative fees and sales rebates. Performance Obligation —The Company has revenue arrangements that consist of a single performance obligation, the shipping or delivery of the Company’s products. The satisfaction of this performance obligation occurs with the transfer of control of the Company’s product to its customers, either upon shipment or delivery of the product. Revenue is measured as the amount of consideration the Company expects to receive in exchange for transferring goods. The amount of revenue recognized is based on the transaction price, which represents the invoiced amount, net of discounts, administrative fees and sales rebates, where applicable. The Company provides a standard 30-day unconditional right of return period. The Company establishes estimated provisions for returns at the time of sale based on historical experience. Historically, the actual product returns have been immaterial to the Company’s consolidated financial statements. The Company offers payment terms to its customers of less than three months and these terms do not include a significant financing component. The Company excludes taxes assessed by governmental authorities on revenue-producing transactions from the measurement of the transaction price. The Company offers its standard warranty to all customers. The Company does not sell any warranties on a standalone basis. The Company’s warranty provides that its products are free of material defects and conform to specifications, and includes an offer to repair, replace or refund the purchase price of defective products. This assurance does not constitute a service and is not considered a separate performance obligation. The Company estimates warranty liabilities at the time of revenue recognition and records it as a charge to cost of goods sold. The warranty expense recognized was $57,000 and $165,000 during the three months ended September 30, 2023 and 2022, respectively, and $411,000 and $374,000 for the nine months ended September 30, 2023 and 2022, respectively. Costs associated with product sales include commissions and are recorded in selling, general and administrative (“SG&A”) expenses. The Company applies the practical expedient and recognizes commissions as an expense when incurred because the amortization period is less than one year.

Summary of Significant Accoun_3

Summary of Significant Accounting Policies (Tables)	9 Months Ended
	Sep. 30, 2023
Accounting Policies [Abstract]
Schedule of Concentration Risk	Revenue for ClotTriever and other systems and FlowTriever system as a percentage of total revenue is as follows: Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 ClotTriever and other systems 32 % 31 % 34 % 32 % FlowTriever system 68 % 69 % 66 % 68 %
Schedule of Disaggregation of Revenue	Revenue from the Company's products by geographic area, based on the location where title transfers, is as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 United States $ 119,825 $ 93,597 $ 345,473 $ 269,584 International 6,541 2,607 16,065 6,116 Total revenue $ 126,366 $ 96,204 $ 361,538 $ 275,700
Schedule of Cash Flow, Supplemental Disclosures	Supplemental cash flow information includes the following: Nine Months Ended September 30, 2023 2022 Supplemental disclosures of cash flow information: Cash paid for income taxes $ 3,562 $ 3,085 Cash paid for interest $ 98 $ 112 Noncash investing and financing: Lease liabilities arising from obtaining new right-of-use assets $ 1,030 $ 2,334

Fair Value Measurements (Tables

Fair Value Measurements (Tables)	9 Months Ended
	Sep. 30, 2023
Fair Value Disclosures [Abstract]
Schedule of Financial Assets and Liabilities Measured at Fair Value	The following tables summarize the Company’s financial assets and liabilities measured at fair value on a recurring basis by level within the fair value hierarchy as of September 30, 2023 and December 31, 2022 (in thousands): September 30, 2023 Level 1 Level 2 Level 3 Aggregate Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 41,561 $ — $ — $ 41,561 Corporate debt securities and commercial paper — 3,489 — 3,489 Total included in cash and cash equivalents 41,561 3,489 — 45,050 Investments: U.S. Treasury securities 173,687 — — 173,687 U.S. Government agencies — 46,284 — 46,284 Corporate debt securities and commercial paper — 42,142 — 42,142 Total included in short-term investments 173,687 88,426 — 262,113 Total financial assets $ 215,248 $ 91,915 $ — $ 307,163 December 31, 2022 Level 1 Level 2 Level 3 Aggregate Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 20,329 $ — $ — $ 20,329 Total included in cash and cash equivalents 20,329 — — 20,329 Investments: U.S. Treasury securities 172,088 — — 172,088 U.S. Government agencies — 47,131 — 47,131 Corporate debt securities and commercial paper — 46,960 — 46,960 Total included in short-term investments 172,088 94,091 — 266,179 Total financial assets $ 192,417 $ 94,091 $ — $ 286,508

Cash Equivalents and Investme_2

Cash Equivalents and Investments (Tables)	9 Months Ended
	Sep. 30, 2023
Investments, Debt and Equity Securities [Abstract]
Summary of Cash Equivalents and Investments	The following is a summary of the Company’s cash equivalents and investments in debt securities as of September 30, 2023 and December 31, 2022 (in thousands): September 30, 2023 Amortized Cost Basis Unrealized Gain Unrealized Loss Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 41,561 $ — $ — $ 41,561 Corporate debt securities and commercial paper 3,490 — (1) 3,489 Total included in cash and cash equivalents 45,051 — (1) 45,050 Investments: U.S. Treasury securities 173,690 9 (12) 173,687 U.S. Government agencies 46,309 7 (32) 46,284 Corporate debt securities and commercial paper 42,162 — (20) 42,142 Total included in short-term investments 262,161 16 (64) 262,113 Total financial assets $ 307,212 $ 16 $ (65) $ 307,163 December 31, 2022 Amortized Cost Basis Unrealized Gain Unrealized Loss Fair Value Financial Assets Cash and cash equivalents: Money market mutual funds $ 20,329 $ — $ — $ 20,329 Total included in cash and cash equivalents 20,329 — — 20,329 Investments: U.S. Treasury securities 171,006 1,120 (38) 172,088 U.S. Government agencies 46,777 354 — 47,131 Corporate debt securities and commercial paper 46,576 397 (13) 46,960 Total included in short-term investments 264,359 1,871 (51) 266,179 Total financial assets $ 284,688 $ 1,871 $ (51) $ 286,508

Inventories, net (Tables)

Inventories, net (Tables)	9 Months Ended
	Sep. 30, 2023
Inventory Disclosure [Abstract]
Schedule of Inventories, Net	Inventories, net of reserves, consist of the following (in thousands): September 30, December 31, Raw materials $ 14,278 $ 13,943 Work-in-process 4,117 3,396 Finished goods 21,832 15,242 Total inventories, net $ 40,227 $ 32,581

Property and Equipment, net (Ta

Property and Equipment, net (Tables)	9 Months Ended
	Sep. 30, 2023
Property, Plant and Equipment [Abstract]
Schedule of Property and Equipment, Net	Property and equipment consist of the following (in thousands): September 30, December 31, Manufacturing equipment $ 15,827 $ 13,585 Computer hardware 5,522 5,123 Leasehold improvements 5,248 5,040 Furniture and fixtures 4,380 4,119 Assets in progress 2,041 2,516 Capitalized software 881 — Computer software — 100 Total property and equipment, gross 33,899 30,483 Accumulated depreciation (12,656) (8,828) Total property and equipment, net $ 21,243 $ 21,655

Commitments and Contingencies (

Commitments and Contingencies (Tables)	9 Months Ended
	Sep. 30, 2023
Commitments and Contingencies Disclosure [Abstract]
Schedule of Total Lease Cost	Total lease costs are as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Operating lease cost $ 1,137 $ 1,039 $ 3,456 $ 3,139 Short-term lease cost 22 147 85 192 Variable lease cost 402 181 809 477 Total lease costs $ 1,561 $ 1,367 $ 4,350 $ 3,808
Schedule of Future Minimum Lease Payments Under Operating Leases Liabilities	Future minimum lease payments under operating leases liabilities as of September 30, 2023 are as follows (in thousands): Year ending December 31: Amount Remainder of 2023 $ 877 2024 3,546 2025 3,032 2026 2,911 2027 2,978 Thereafter 38,507 Total lease payments 51,851 Less imputed interest (19,594) Total lease liabilities 32,257 Less: lease liabilities - current portion (1,630) Lease liabilities - noncurrent portion $ 30,627

Equity Incentive Plans (Tables)

Equity Incentive Plans (Tables)	9 Months Ended
	Sep. 30, 2023
Share-Based Payment Arrangement [Abstract]
Summary of RSU Activity	RSU activity under the 2011 Plan is set forth below: Number of Weighted Outstanding, December 31, 2022 2,712,674 $ 0.17 Vested (2,712,674) (a) Outstanding, September 30, 2023 — $ — _____________ (a) The vested RSUs will be distributed to the employees in installments. The first installment was distributed in the quarter ended March 31, 2023 with a weighted average fair value of $64.34. The second installment was distributed in the quarter ended June 30, 2023 with a weighted average fair value of $71.17. The third installment was distributed in the quarter ended September 30, 2023 with a weighted average fair value of $68.33. The remaining shares will be distributed within the quarter ended December 31, 2023. RSU activity under the 2020 Plan is set forth below: Number of Weighted Outstanding, December 31, 2022 999,215 $ 79.16 Granted 778,398 58.56 Vested (343,689) 74.28 Cancelled (103,667) 73.67 Outstanding, September 30, 2023 1,330,257 $ 68.79
Schedule of Estimated Fair Value of Option Grant and ESPP	The fair value for options granted was calculated using the following weighted average assumptions: Nine Months Ended September 30, 2023 Expected term (in years) 4.56 Expected volatility 50.35% Dividend yield 0.00% Risk free interest rate 4.05% Weighted-average fair value of options granted $25.98 per share The fair value of the ESPP shares is estimated using the Black-Scholes option pricing model with the following assumptions: Nine Months Ended September 30, 2023 2022 Expected term (in years) 0.5 0.5 Expected volatility 42.08% - 49.89% 56.09% - 72.78% Dividend yield 0.00 % 0.00 % Risk free interest rate 4.79% - 5.54% 0.48% - 2.96%
Summary of Stock Option Activity	A summary of stock option activity under the 2011 Plan for the nine months ended September 30, 2023 is as follows (intrinsic value in thousands): Number of Weighted Weighted Intrinsic Outstanding, December 31, 2022 1,456,328 $ 1.93 6.20 $ 89,749 Exercised (334,351) $ 1.48 $ 20,583 Cancelled (3,324) $ 5.02 Outstanding, September 30, 2023 1,118,653 $ 2.06 5.40 $ 70,857 Vested and exercisable at September 30, 2023 1,091,976 $ 1.95 5.40 $ 69,283 Vested and expected to vest at September 30, 2023 1,118,415 $ 2.06 5.40 $ 70,843 A summary of stock option activities under the 2020 Plan for the nine months ended September 30, 2023 is as follows (intrinsic value in thousands): Number of Weighted Weighted Intrinsic Outstanding, December 31, 2022 — $ — — $ — Granted 181,870 $ 56.00 Exercised (916) $ 56.00 $ 9 Cancelled (9,428) $ 56.00 Outstanding, September 30, 2023 171,526 $ 56.00 6.40 $ 1,612 Vested and exercisable at September 30, 2023 21,429 $ 56.00 6.20 $ 201 Vested and expected to vest at September 30, 2023 158,495 $ 56.00 6.40 $ 1,490
Schedule of Total Compensation Cost for All Share-Based Payment Arrangements Recognized	Total compensation cost for all share-based payment arrangements recognized, including $0.7 million and $0.8 million for the three months ended September 30, 2023 and 2022, respectively, and $2.9 million and $2.5 million for nine months ended September 30, 2023 and 2022, respectively, of stock-based compensation expense related to the ESPP, was as follows (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Cost of goods sold $ 393 $ 386 $ 1,232 $ 1,126 Research and development 1,587 1,051 4,981 3,143 Selling, general and administrative 7,864 5,919 24,323 16,806 $ 9,844 $ 7,356 $ 30,536 $ 21,075

Income Taxes (Tables)

Income Taxes (Tables)	9 Months Ended
	Sep. 30, 2023
Income Tax Disclosure [Abstract]
Schedule of Provision for Income Taxes	The following table reflects the Company’s provision for income taxes for the periods indicated (in thousands): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Income (loss) before income taxes $ 5,590 $ (9,313) $ 7,420 $ (21,377) Provision for income taxes 2,428 840 4,391 2,092 Net income (loss) $ 3,162 $ (10,153) $ 3,029 $ (23,469) Provision for income taxes as a percentage of income (loss) before income taxes 43.4% (9.0%) 59.2 % (9.8 %)

Net Income (Loss) Per Share (Ta

Net Income (Loss) Per Share (Tables)	9 Months Ended
	Sep. 30, 2023
Earnings Per Share [Abstract]
Components of Net Income per Share	The components of net income (loss) per share are as follows (in thousands, except per share amounts): Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Numerator: Net income (loss) $ 3,162 $ (10,153) $ 3,029 $ (23,469) Denominator: Weighted average number of common shares outstanding - basic 57,384,884 53,491,625 56,478,317 52,552,662 Common stock equivalents from outstanding options 1,102,642 — 1,173,190 — Common stock equivalents from unvested RSUs 94,531 — 832,873 — Common stock equivalents from ESPP 6,395 — 11,541 — Weighted average number of common shares outstanding - diluted 58,588,452 53,491,625 58,495,921 52,552,662 Net income (loss) per share: Basic $ 0.06 $ (0.19) $ 0.05 $ (0.45) Diluted $ 0.05 $ (0.19) $ 0.05 $ (0.45)
Schedule of Outstanding Potentially Dilutive Common Stock Equivalents Excluded from Calculation of Diluted Net Loss Per Share	The following outstanding potentially dilutive common stock equivalents have been excluded from the calculation of diluted net income (loss) per share due to their anti-dilutive effect: Three Months Ended September 30, Nine Months Ended September 30, 2023 2022 2023 2022 Common stock options 171,526 1,838,562 1,290,179 1,838,562 RSUs 555,468 3,694,930 1,332,500 3,694,930 726,994 5,533,492 2,622,679 5,533,492

Summary of Significant Accoun_4

Summary of Significant Accounting Policies - Narrative (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Accounting Policies [Abstract]
Unbilled receivables	$ 1,324,000		$ 1,324,000		$ 1,218,000
Warranty expense	57,000	$ 165,000	411,000	$ 374,000
Equity securities without readily determinable fair value, amount	8,300,000		8,300,000		$ 8,300,000
Impairment loss	$ 600,000	$ 0	$ 600,000	$ 0

Summary of Significant Accoun_5

Summary of Significant Accounting Policies - Schedule of Concentration Risk (Details) - Product Concentration Risk - Revenue from Contract with Customer, Product and Service Benchmark	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
ClotTriever and other systems
Revenue from External Customer [Line Items]
Concentration risk	32%	31%	34%	32%
FlowTriever system
Revenue from External Customer [Line Items]
Concentration risk	68%	69%	66%	68%

Summary of Significant Accoun_6

Summary of Significant Accounting Policies - Schedule of Disaggregation of Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Disaggregation of Revenue [Line Items]
Revenue	$ 126,366	$ 96,204	$ 361,538	$ 275,700
United States
Disaggregation of Revenue [Line Items]
Revenue	119,825	93,597	345,473	269,584
International
Disaggregation of Revenue [Line Items]
Revenue	$ 6,541	$ 2,607	$ 16,065	$ 6,116

Summary of Significant Accoun_7

Summary of Significant Accounting Policies - Schedule of Cash Flow, Supplemental Disclosures (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Supplemental disclosures of cash flow information:
Cash paid for income taxes	$ 3,562	$ 3,085
Cash paid for interest	98	112
Noncash investing and financing:
Lease liabilities arising from obtaining new right-of-use assets	$ 1,030	$ 2,334

Fair Value Measurements (Detail

Fair Value Measurements (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Assets
Total included in short-term investments	$ 307,163	$ 286,508
Fair Value, Recurring
Assets
Total included in cash and cash equivalents	45,050	20,329
Total included in short-term investments	262,113	266,179
Total financial assets	307,163	286,508
Fair Value, Recurring | U.S. Treasury securities
Assets
Total included in short-term investments	173,687	172,088
Fair Value, Recurring | U.S. Government agencies
Assets
Total included in short-term investments	46,284	47,131
Fair Value, Recurring | Corporate debt securities and commercial paper
Assets
Total included in short-term investments	42,142	46,960
Fair Value, Recurring | Money market mutual funds
Assets
Total included in cash and cash equivalents	41,561	20,329
Fair Value, Recurring | Corporate debt securities and commercial paper
Assets
Total included in cash and cash equivalents	3,489
Fair Value, Recurring | Level 1
Assets
Total included in cash and cash equivalents	41,561	20,329
Total included in short-term investments	173,687	172,088
Total financial assets	215,248	192,417
Fair Value, Recurring | Level 1 | U.S. Treasury securities
Assets
Total included in short-term investments	173,687	172,088
Fair Value, Recurring | Level 1 | U.S. Government agencies
Assets
Total included in short-term investments	0	0
Fair Value, Recurring | Level 1 | Corporate debt securities and commercial paper
Assets
Total included in short-term investments	0	0
Fair Value, Recurring | Level 1 | Money market mutual funds
Assets
Total included in cash and cash equivalents	41,561	20,329
Fair Value, Recurring | Level 1 | Corporate debt securities and commercial paper
Assets
Total included in cash and cash equivalents	0
Fair Value, Recurring | Level 2
Assets
Total included in cash and cash equivalents	3,489	0
Total included in short-term investments	88,426	94,091
Total financial assets	91,915	94,091
Fair Value, Recurring | Level 2 | U.S. Treasury securities
Assets
Total included in short-term investments	0	0
Fair Value, Recurring | Level 2 | U.S. Government agencies
Assets
Total included in short-term investments	46,284	47,131
Fair Value, Recurring | Level 2 | Corporate debt securities and commercial paper
Assets
Total included in short-term investments	42,142	46,960
Fair Value, Recurring | Level 2 | Money market mutual funds
Assets
Total included in cash and cash equivalents	0	0
Fair Value, Recurring | Level 2 | Corporate debt securities and commercial paper
Assets
Total included in cash and cash equivalents	3,489
Fair Value, Recurring | Level 3
Assets
Total included in cash and cash equivalents	0	0
Total included in short-term investments	0	0
Total financial assets	0	0
Fair Value, Recurring | Level 3 | U.S. Treasury securities
Assets
Total included in short-term investments	0	0
Fair Value, Recurring | Level 3 | U.S. Government agencies
Assets
Total included in short-term investments	0	0
Fair Value, Recurring | Level 3 | Corporate debt securities and commercial paper
Assets
Total included in short-term investments	0	0
Fair Value, Recurring | Level 3 | Money market mutual funds
Assets
Total included in cash and cash equivalents	0	$ 0
Fair Value, Recurring | Level 3 | Corporate debt securities and commercial paper
Assets
Total included in cash and cash equivalents	$ 0

Cash Equivalents and Investme_3

Cash Equivalents and Investments (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	$ 307,212	$ 284,688
Unrealized Gain	16	1,871
Unrealized Loss	(65)	(51)
Short-term investments in debt securities	307,163	286,508
Cash and Cash Equivalents
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	45,051	20,329
Unrealized Gain	0	0
Unrealized Loss	(1)	0
Short-term investments in debt securities	45,050	20,329
Cash and Cash Equivalents | Money market mutual funds
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	41,561	20,329
Unrealized Gain	0	0
Unrealized Loss	0	0
Short-term investments in debt securities	41,561	20,329
Cash and Cash Equivalents | Corporate debt securities and commercial paper
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	3,490
Unrealized Gain	0
Unrealized Loss	(1)
Short-term investments in debt securities	3,489
Short-Term Investments
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	262,161	264,359
Unrealized Gain	16	1,871
Unrealized Loss	(64)	(51)
Short-term investments in debt securities	262,113	266,179
Short-Term Investments | U.S. Treasury securities
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	173,690	171,006
Unrealized Gain	9	1,120
Unrealized Loss	(12)	(38)
Short-term investments in debt securities	173,687	172,088
Short-Term Investments | U.S. Government agencies
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	46,309	46,777
Unrealized Gain	7	354
Unrealized Loss	(32)	0
Short-term investments in debt securities	46,284	47,131
Short-Term Investments | Corporate debt securities and commercial paper
Schedule of Investment Income Reported Amounts by Category [Line Items]
Amortized Cost Basis	42,162	46,576
Unrealized Gain	0	397
Unrealized Loss	(20)	(13)
Short-term investments in debt securities	$ 42,142	$ 46,960

Inventories, net (Details)

Inventories, net (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Inventory Disclosure [Abstract]
Raw materials	$ 14,278	$ 13,943
Work-in-process	4,117	3,396
Finished goods	21,832	15,242
Total inventories, net	$ 40,227	$ 32,581

Property and Equipment, net - S

Property and Equipment, net - Schedule of Property and Equipment, net (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Property Plant And Equipment [Line Items]
Total property and equipment, gross	$ 33,899	$ 30,483
Accumulated depreciation	(12,656)	(8,828)
Total property and equipment, net	21,243	21,655
Manufacturing equipment
Property Plant And Equipment [Line Items]
Total property and equipment, gross	15,827	13,585
Computer hardware
Property Plant And Equipment [Line Items]
Total property and equipment, gross	5,522	5,123
Leasehold improvements
Property Plant And Equipment [Line Items]
Total property and equipment, gross	5,248	5,040
Furniture and fixtures
Property Plant And Equipment [Line Items]
Total property and equipment, gross	4,380	4,119
Assets in progress
Property Plant And Equipment [Line Items]
Total property and equipment, gross	2,041	2,516
Capitalized software
Property Plant And Equipment [Line Items]
Total property and equipment, gross	881	0
Computer software
Property Plant And Equipment [Line Items]
Total property and equipment, gross	$ 0	$ 100

Property and Equipment, net - N

Property and Equipment, net - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Property Plant And Equipment [Line Items]
Depreciation expense			$ 4,186	$ 3,430
Operating expenses
Property Plant And Equipment [Line Items]
Depreciation expense	$ 1,141	$ 947	3,367	2,774
Cost of goods sold
Property Plant And Equipment [Line Items]
Depreciation expense	$ 291	$ 223	$ 819	$ 656

Commitments and Contingencies -

Commitments and Contingencies - Narrative (Details)	1 Months Ended	3 Months Ended		9 Months Ended
	Dec. 31, 2021 USD ($)	Sep. 30, 2023 USD ($) installment	Sep. 30, 2022 USD ($)	Sep. 30, 2023 USD ($) installment	Sep. 30, 2022 USD ($)	Oct. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Lessee Lease Description [Line Items]
Operating lease, term of contract		12 months		12 months
Operating lease right-of-use assets		$ 49,065,000		$ 49,065,000			$ 50,703,000
Total lease liabilities		$ 32,257,000		$ 32,257,000			$ 32,300,000
Operating lease, weighted average remaining lease term		18 years 2 months 12 days		18 years 2 months 12 days			17 years 1 month 6 days
Weighted average incremental borrowing rate		6.05%		6.05%
Cash paid for amounts included in the measurement of lease liabilities		$ 866,000	$ 705,000	$ 2,564,000	$ 2,030,000
Contract to perform for others, costs incurred	$ 4,200,000
Contract to perform for others, costs incurred, number of installments | installment		3		3
Accrued expenses and other current liabilities, licensed technology		$ 13,040,000		$ 13,040,000			$ 8,249,000
Administration fee		0	29,000	59,000	87,000
Self insurance liability		2,100,000		2,100,000
Subsequent Event
Lessee Lease Description [Line Items]
Lease not yet commenced, term of contract						10 years
Purchase Option Term | Subsequent Event
Lessee Lease Description [Line Items]
Lease not yet commenced, undiscounted term						3 years
Lease, liability to be paid						$ 7,200,000
Inceptus
Lessee Lease Description [Line Items]
Royalty expense		1,500	$ 1,500	5,000	$ 215,000
Research and development
Lessee Lease Description [Line Items]
Accrued expenses and other current liabilities, licensed technology		$ 0		$ 0			$ 1,300,000
Maximum
Lessee Lease Description [Line Items]
Operating lease, term of contract		5 years		5 years
Maximum | Inceptus
Lessee Lease Description [Line Items]
Related party transaction, rate				1.50%
Minimum | Inceptus
Lessee Lease Description [Line Items]
Related party transaction, rate				1%
Royalty quarterly fee				$ 1,500

Commitments and Contingencies_2

Commitments and Contingencies - Schedule of Total Lease Cost (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Commitments and Contingencies Disclosure [Abstract]
Operating lease cost	$ 1,137	$ 1,039	$ 3,456	$ 3,139
Short-term lease cost	22	147	85	192
Variable lease cost	402	181	809	477
Total lease costs	$ 1,561	$ 1,367	$ 4,350	$ 3,808

Commitments and Contingencies_3

Commitments and Contingencies - Schedule of Future Minimum Lease Payments Under Operating Leases Liabilities (Details) - USD ($) $ in Thousands	Sep. 30, 2023	Dec. 31, 2022
Commitments and Contingencies Disclosure [Abstract]
Remainder of 2023	$ 877
2024	3,546
2025	3,032
2026	2,911
2027	2,978
Thereafter	38,507
Total lease payments	51,851
Less imputed interest	(19,594)
Total lease liabilities	32,257	$ 32,300
Less: lease liabilities - current portion	(1,630)	(1,311)
Lease liabilities - noncurrent portion	$ 30,627	$ 30,976

Related Party (Details)

Related Party (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022	Dec. 31, 2022
Related Party Transaction [Line Items]
Development expenses incurred	$ 67	$ 70	$ 147	$ 262
Accounts payable	10,091		10,091		$ 7,659
Related Party
Related Party Transaction [Line Items]
Accounts payable	$ 0		$ 0		$ 0

Credit Facility (Details)

Credit Facility (Details) - Line of Credit		9 Months Ended
	Dec. 16, 2022 USD ($)	Sep. 30, 2023 USD ($) LetterOfCredit	Feb. 28, 2023 USD ($)
Debt Instrument [Line Items]
Number of letter of credit | LetterOfCredit		4
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility
Debt Instrument [Line Items]
Line of credit facility, maximum borrowing capacity	$ 40,000,000
Line of credit facility, accordion feature, higher borrowing capacity option	120,000,000
Line of credit facility, remaining borrowing capacity		$ 37,600,000
Line of credit facility, collateral, accounts receivable, percentage		90%
Line of credit facility, collateral		$ 10,000,000
Debt instrument, fee amount	$ 10,000
Unused line fee at annual rate	0.25%
Principal amount outstanding		0
Cash pledged under credit agreement		$ 0
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Federal Funds Rate
Debt Instrument [Line Items]
Term loan variable interest rate	0.50%
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Federal Funds Rate | Minimum
Debt Instrument [Line Items]
Term loan variable interest rate	0.50%
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Federal Funds Rate | Maximum
Debt Instrument [Line Items]
Term loan variable interest rate	1%
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | BSBY
Debt Instrument [Line Items]
Term loan variable interest rate	1%
Basis spread on variable rate, floor	0%
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | BSBY | Minimum
Debt Instrument [Line Items]
Term loan variable interest rate	1.50%
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | BSBY | Maximum
Debt Instrument [Line Items]
Term loan variable interest rate	2%
Letter of Credit Subline Facility | Bank of America Credit Facility
Debt Instrument [Line Items]
Percentage of fee on average daily stated amount of outstanding letter of credit		2.25%
Percentage of fronting fee on stated amount of each letter of credit outstanding		0.125%
Letters of credit outstanding amount		$ 2,400,000
Letter of Credit Subline Facility | Amended Credit Agreement | Bank of America Credit Facility
Debt Instrument [Line Items]
Line of credit facility, maximum borrowing capacity	$ 5,000,000
Line of credit facility, accordion feature, higher borrowing capacity option			$ 10,000,000

Stockholder's Equity (Details)

Stockholder's Equity (Details) - USD ($)	1 Months Ended	9 Months Ended
	Mar. 31, 2022	Sep. 30, 2023	Sep. 30, 2022	Jun. 30, 2023	Mar. 31, 2023	Dec. 31, 2022	Jun. 30, 2022	Dec. 31, 2021
Class Of Stock [Line Items]
Net proceeds from IPO	$ 174,400,000	$ 0	$ 174,394,000
Underwriters' discounts and commissions	11,200,000
Offering costs	700,000
Accumulated other comprehensive (loss) income	$ 418,812,000	452,142,000	415,099,000	$ 435,645,000	$ 426,736,000	$ 417,002,000	$ 413,778,000	$ 239,209,000
Reclassification adjustment from AOCI		0	$ 0
Foreign Currency Translation Adjustment
Class Of Stock [Line Items]
Accumulated other comprehensive (loss) income		(1,100,000)				(1,000,000)
Unrealized Gain (Loss) on Investments
Class Of Stock [Line Items]
Accumulated other comprehensive (loss) income		$ (100,000)				$ 1,800,000
IPO
Class Of Stock [Line Items]
Stock issued	2,300,000
Public offering price (in dollars per share)	$ 81
Over-allotment Option
Class Of Stock [Line Items]
Sale of stock, shares issued	300,000

Equity Incentive Plans - Narrat

Equity Incentive Plans - Narrative (Details) - USD ($) $ in Thousands

1 Months Ended

3 Months Ended

9 Months Ended

41 Months Ended

Jan. 01, 2021

Jul. 31, 2023

Jan. 31, 2023

May 31, 2020

Mar. 31, 2020

Sep. 30, 2023

Mar. 31, 2023

Sep. 30, 2022

Mar. 31, 2022

Sep. 30, 2023

Sep. 30, 2022

Sep. 30, 2023

Jan. 01, 2023

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Shares of common stock reserved for future issuance (in shares)

540,217

Shares issued under Employee Stock Purchase Plan (in shares)

118,494

86,051

Compensation cost

$ 9,844

$ 7,356

$ 30,536

$ 21,075

Nonvested award, cost not yet recognized, amount

$ 78,900

$ 78,900

$ 78,900

Nonvested award, cost not yet recognized, period

2 years 8 months 12 days

Common Stock

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Shares issued under Employee Stock Purchase Plan (in shares)

118,494

86,051

78,707

54,808

Restricted Stock Units | Vesting, Option One

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Award vesting period

4 years

Restricted Stock Units | Vesting, Option Two

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Award vesting period

3 years

Employee Stock Purchase Plan

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Compensation cost

$ 700

$ 800

$ 2,900

2,500

Common stock options

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Award vesting period

4 years

2020 Incentive Award Plan

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Percentage of annual increase in shares reserved for issuance on capital stock outstanding at year end

3%

Number of shares available for issuance (in shares)

6,523,570

6,523,570

6,523,570

Shares of common stock reserved for future issuance (in shares)

1,620,650

1,620,650

1,620,650

2020 Incentive Award Plan | Restricted Stock Units

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Award cliff vesting period

1 year

Total fair value of RSUs vested

$ 6,900

$ 4,500

$ 21,000

$ 15,300

Restricted stock units, vested (in shares)

343,689

2020 Incentive Award Plan | Restricted Stock Units | Vesting, Option One | Share Based Compensation Award Tranche One

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Cliff vesting, percentage

25%

2020 Incentive Award Plan | Restricted Stock Units | Vesting, Option One | Share-Based Payment Arrangement, Tranche Two

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Cliff vesting, percentage

25%

2020 Incentive Award Plan | Restricted Stock Units | Vesting, Option One | Share-Based Payment Arrangement, Tranche Three

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Cliff vesting, percentage

25%

2020 Incentive Award Plan | Restricted Stock Units | Vesting, Option One | Share-Based Payment Arrangement, Tranche Four

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Cliff vesting, percentage

25%

2011 Equity Incentive Plan | Restricted Stock Units

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Award cliff vesting period

4 years

Total fair value of RSUs vested

$ 170,600

Restricted stock units, vested (in shares)

2,712,674

0

2020 Employee Share Purchase Plan

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Shares of common stock reserved for future issuance (in shares)

2,103,629

2,103,629

2,103,629

Percentage of purchase price on fair market value of common stock

85%

Annual increase in number of shares available for issuance percentage

1%

2020 Employee Share Purchase Plan | Common Stock

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Shares issued under Employee Stock Purchase Plan (in shares)

423,109

Maximum | 2020 Incentive Award Plan

Share Based Compensation Arrangement By Share Based Payment Award [Line Items]

Term of award

10 years

Equity Incentive Plans - Summar

Equity Incentive Plans - Summary of RSU Activity (Details) - Restricted Stock Units - $ / shares	3 Months Ended			9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2023	Sep. 30, 2022
2011 Equity Incentive Plan
Number of Awards
Balance at beginning of period (in shares)			2,712,674	2,712,674
Vested (in shares)				(2,712,674)	0
Balance at end of period (in shares)	0			0
Weighted Average Fair Value
Balance at beginning of period (in dollars per share)			$ 0.17	$ 0.17
Vested (in dollars per share)	$ 68.33	$ 71.17	$ 64.34
Balance at end of period (in dollars per share)	$ 0			$ 0
2020 Incentive Award Plan
Number of Awards
Balance at beginning of period (in shares)			999,215	999,215
Granted (in shares)				778,398
Vested (in shares)				(343,689)
Cancelled (in shares)				(103,667)
Balance at end of period (in shares)	1,330,257			1,330,257
Weighted Average Fair Value
Balance at beginning of period (in dollars per share)			$ 79.16	$ 79.16
Granted (in dollars per share)				58.56
Vested (in dollars per share)				74.28
Cancelled (in dollars per share)				73.67
Balance at end of period (in dollars per share)	$ 68.79			$ 68.79

Equity Incentive Plans - Summ_2

Equity Incentive Plans - Summary of Stock Option Activity (Details) $ / shares in Units, $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2023 USD ($) $ / shares shares	Dec. 31, 2022 USD ($) $ / shares shares
2011 Equity Incentive Plan
Number of Awards
Balance at beginning of period (in shares) | shares	1,456,328
Exercised (in shares) | shares	(334,351)
Cancelled (in shares) | shares	(3,324)
Balance at end of period (in shares) | shares	1,118,653	1,456,328
Number of Awards, Vested and exercisable (in shares) | shares	1,091,976
Number of Awards, Vested and expected to vest (in shares) | shares	1,118,415
Weighted Average Exercise Price
Balance at beginning of period (in dollars per share) | $ / shares	$ 1.93
Exercised (in dollars per share) | $ / shares	1.48
Cancelled (in dollars per share) | $ / shares	5.02
Balance at end of period (in dollars per share) | $ / shares	2.06	$ 1.93
Weighted Average Exercise Price, Vested and exercisable (in dollars per share) | $ / shares	1.95
Weighted Average Exercise Price, Vested and expected to vest (in dollars per share) | $ / shares	$ 2.06
Weighted Average Remaining Contractual Life (in years)
Outstanding	5 years 4 months 24 days	6 years 2 months 12 days
Vested and exercisable	5 years 4 months 24 days
Vested and expected to vest	5 years 4 months 24 days
Intrinsic Value
Balance at beginning of period | $	$ 89,749
Exercised | $	20,583
Balance at end of period | $	70,857	$ 89,749
Intrinsic Value, Vested and exercisable | $	69,283
Intrinsic Value, Vested and expected to vest | $	$ 70,843
2020 Incentive Award Plan
Number of Awards
Balance at beginning of period (in shares) | shares	0
Granted (in shares) | shares	181,870
Exercised (in shares) | shares	(916)
Cancelled (in shares) | shares	(9,428)
Balance at end of period (in shares) | shares	171,526	0
Number of Awards, Vested and exercisable (in shares) | shares	21,429
Number of Awards, Vested and expected to vest (in shares) | shares	158,495
Weighted Average Exercise Price
Balance at beginning of period (in dollars per share) | $ / shares	$ 0
Granted (in dollars per share) | $ / shares	56
Exercised (in dollars per share) | $ / shares	56
Cancelled (in dollars per share) | $ / shares	56
Balance at end of period (in dollars per share) | $ / shares	56	$ 0
Weighted Average Exercise Price, Vested and exercisable (in dollars per share) | $ / shares	56
Weighted Average Exercise Price, Vested and expected to vest (in dollars per share) | $ / shares	$ 56
Weighted Average Remaining Contractual Life (in years)
Outstanding	6 years 4 months 24 days
Vested and exercisable	6 years 2 months 12 days
Vested and expected to vest	6 years 4 months 24 days
Intrinsic Value
Balance at beginning of period | $	$ 0
Exercised | $	9
Balance at end of period | $	1,612	$ 0
Intrinsic Value, Vested and exercisable | $	201
Intrinsic Value, Vested and expected to vest | $	$ 1,490

Equity Incentive Plans - Schedu

Equity Incentive Plans - Schedule of Estimated Fair Value of Option Grant and ESPP on Date of Grant (Details) - $ / shares	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
2020 Incentive Award Plan | Common stock options
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Expected term	4 years 6 months 21 days
Expected volatility	50.35%
Dividend yield	0%
Risk free interest rate	4.05%
Weighted-average fair value of options granted (in dollars per share)	$ 25.98
2020 Employee Share Purchase Plan
Share Based Compensation Arrangement By Share Based Payment Award [Line Items]
Expected term	6 months	6 months
Expected volatility - minimum	42.08%	56.09%
Expected volatility - maximum	49.89%	72.78%
Dividend yield	0%	0%
Risk free interest rate- minimum	4.79%	0.48%
Risk free interest rate - maximum	5.54%	2.96%

Equity Incentive Plans - Sche_2

Equity Incentive Plans - Schedule of Total Compensation Cost for All Share-Based Payment Arrangements Recognized (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Stock-based compensation expense	$ 9,844	$ 7,356	$ 30,536	$ 21,075
Cost of goods sold
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Stock-based compensation expense	393	386	1,232	1,126
Research and development
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Stock-based compensation expense	1,587	1,051	4,981	3,143
Selling, general and administrative
Share-Based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Stock-based compensation expense	$ 7,864	$ 5,919	$ 24,323	$ 16,806

Income Taxes - Schedule of Prov

Income Taxes - Schedule of Provision (Benefit) for Income Taxes (Details) - USD ($) $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2023	Sep. 30, 2022
Income Tax Disclosure [Abstract]
Income (loss) before income taxes	$ 5,590			$ (9,313)			$ 7,420	$ (21,377)
Provision for income taxes	2,428			840			4,391	2,092
Net income (loss)	$ 3,162	$ 2,085	$ (2,218)	$ (10,153)	$ (10,187)	$ (3,129)	$ 3,029	$ (23,469)
Provision for income taxes as a percentage of income (loss) before income taxes	43.40%			(9.00%)			59.20%	(9.80%)

Income Taxes - Narrative (Detai

Income Taxes - Narrative (Details) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Dec. 31, 2022
Income Tax Disclosure [Abstract]
Deferred tax assets, valuation allowance		$ 30,300
Interest or penalties related to uncertain tax positions	$ 0

Retirement Plan (Details)

Retirement Plan (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Retirement Benefits [Abstract]
Minimum employee service period			1 month
Employer matching contribution, percent of match			100%
Maximum participating employee annual contributions			$ 3,000
Participating employee eligible compensation			4%
Matching contribution expense recognized	$ 2,000,000	$ 1,700,000	$ 6,900,000	$ 6,200,000

Net Income (Loss) Per Share - C

Net Income (Loss) Per Share - Computation of Net Income per Share (Details) - USD ($) $ / shares in Units, $ in Thousands	3 Months Ended						9 Months Ended
	Sep. 30, 2023	Jun. 30, 2023	Mar. 31, 2023	Sep. 30, 2022	Jun. 30, 2022	Mar. 31, 2022	Sep. 30, 2023	Sep. 30, 2022
Numerator:
Net income (loss)	$ 3,162	$ 2,085	$ (2,218)	$ (10,153)	$ (10,187)	$ (3,129)	$ 3,029	$ (23,469)
Denominator:
Weighted average number of common shares outstanding - basic (in shares)	57,384,884			53,491,625			56,478,317	52,552,662
Weighted average number of common shares outstanding - diluted (in shares)	58,588,452			53,491,625			58,495,921	52,552,662
Net income (loss) per share:
Basic (in dollars per share)	$ 0.06			$ (0.19)			$ 0.05	$ (0.45)
Diluted (in dollars per share)	$ 0.05			$ (0.19)			$ 0.05	$ (0.45)
Common stock options
Denominator:
Common stock equivalents (in shares)	1,102,642			0			1,173,190	0
Unvested RSUs
Denominator:
Common stock equivalents (in shares)	94,531			0			832,873	0
ESPP
Denominator:
Common stock equivalents (in shares)	6,395			0			11,541	0

Net Income (Loss) Per Share - S

Net Income (Loss) Per Share - Schedule of Outstanding Potentially Dilutive Common Stock Equivalents Excluded from Calculation of Diluted Net Loss Per Share (Details) - shares	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Antidilutive Securities Excluded From Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share (in shares)	726,994	5,533,492	2,622,679	5,533,492
Common stock options
Antidilutive Securities Excluded From Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share (in shares)	171,526	1,838,562	1,290,179	1,838,562
RSUs
Antidilutive Securities Excluded From Computation of Earnings Per Share [Line Items]
Antidilutive securities excluded from computation of earnings per share (in shares)	555,468	3,694,930	1,332,500	3,694,930

Subsequent Events (Details)

Subsequent Events (Details) - USD ($)	Nov. 01, 2023	Dec. 16, 2022
Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Line of credit facility, maximum borrowing capacity		$ 40,000,000
Debt instrument, fee amount		10,000
Letter of Credit Subline Facility | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Line of credit facility, maximum borrowing capacity		$ 5,000,000
BSBY | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate		1%
Basis spread on variable rate, floor		0%
Maximum | BSBY | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate		2%
Minimum | BSBY | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate		1.50%
Subsequent Event | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Line of credit facility, maximum borrowing capacity	$ 75,000,000
Debt instrument, fee amount	88,000
Subsequent Event | Letter of Credit Subline Facility | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Line of credit facility, maximum borrowing capacity	$ 18,800,000
Subsequent Event | BSBY | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Basis spread on variable rate, floor	0%
Subsequent Event | Maximum | Base Rate | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate	1.10%
Subsequent Event | Maximum | BSBY | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate	2.10%
Subsequent Event | Minimum | Base Rate | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate	0.60%
Subsequent Event | Minimum | BSBY | Revolving Line of Credit | Amended Credit Agreement | Bank of America Credit Facility | Line of Credit
Subsequent Event [Line Items]
Term loan variable interest rate	1.60%
Subsequent Event | LimFlow
Subsequent Event [Line Items]
Payments to acquire businesses, gross	$ 250,000,000
Subsequent Event | LimFlow | Maximum
Subsequent Event [Line Items]
Business combination, contingent consideration, liability	$ 165,000,000