Pay vs Performance Disclosure - USD ($)
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Pay vs Performance Disclosure [Table]      
Pay vs Performance [Table Text Block]
Value of Initial Fixed $100 Investment Based on:
Year
Summary Compensation Table Total for PEO (1)
Compensation Actually Paid to PEO (2)
Summary Compensation Table Total for Non-PEO NEOs (1)
Average Compensation Actually Paid to Non-PEO NEOs (1) (2)
Total Shareholder Return (3)
Peer Group Total Shareholder Return (3)
Net Loss (thousands)
Revenue (9) (thousands)
2022$2,577,107 $5,598,317 $1,431,876 $1,804,293 $237 $130 $(75,209)$161,700 
2021$2,283,091 $5,862,847 $3,377,966 $4,191,258 $244 $125 $(41,139)$126,682 
2020$598,158 $2,725,698 $474,503 $1,794,592 $136 $100 $(38,121)$84,676 
    
Company Selected Measure Name revenue    
Named Executive Officers, Footnote [Text Block] Mr. Chacón Quirós was the PEO for each of 2022, 2021 and 2020. For 2022, the Non-PEO NEOs were Messrs. Denhoy, Rodio, Mansbach and Dastidar. For 2021, the non-PEO NEOs were Messrs. Denhoy and Dastidar. For 2020, the Non-PEO NEOs were Mr. Dada Santos and Ms. Gaeta.    
Peer Group Issuers, Footnote [Text Block] Total Shareholder Return is determined based on the value of an initial fixed investment of  $100 at the close of trading on the last trading day of 2019 through the end of the applicable fiscal year, and is calculated assuming the reinvestment of dividends before consideration of income taxes. The amounts for Peer Group Total Shareholder Return consists of the NASDAQ Health Services Index. Information used in this column was obtained from the Nasdaq Stock Market, LLC, a financial data provider and a source believed to be reliable.    
PEO Total Compensation Amount $ 2,577,107 $ 2,283,091 $ 598,158
PEO Actually Paid Compensation Amount $ 5,598,317 5,862,847 2,725,698
Adjustment To PEO Compensation, Footnote [Text Block] SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine “compensation actually paid” as reported in the Pay versus Performance Table. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under applicable SEC rules. In general, “compensation actually paid” is calculated as Summary Compensation Table total compensation adjusted to include the fair market value of equity awards as of December 31 of the applicable year or, if earlier, the vesting date (rather than the grant date). NEOs do not participate in a defined benefit plan so no adjustment for pension benefits is included in the table below. The following table details these adjustments:
YearExecutive(s)Summary Compensation
Table Total
($)
Subtract Grant Date Value of Equity
Awards
($) (4)
Add Year- End
Equity Value of Awards at Year-End
($) (5)
Add Change in
Value of Prior Equity Awards Outstanding at Year-End
($) (6)
Add
Change in Value of Vested Equity Awards
($) (7)
Subtract
Value of Equity Awards that Failed to Meet Vesting Conditions
($) (8)
Average Compensation
Actually Paid ($)
2022PEO$2,577,107 $1,663,742 $4,501,822 $238,857 $(55,727)$— $5,598,317 
Non-PEO NEOs$1,431,876 $1,053,108 $1,741,392 $184,195 $(51,051)$449,011 $1,804,293 
2021PEO$2,283,091 $1,441,771 $3,670,133 $1,351,394 $— $— $5,862,847 
Non-PEO NEOs$3,377,966 $3,019,590 $2,830,233 $901,886 $100,763 $— $4,191,258 
2020PEO$598,158 $— $1,667,521 $460,019 $— $— $2,725,698 
Non-PEO NEOs$474,503 $— $1,112,862 $312,123 $(104,896)$— $1,794,592 
    
Non-PEO NEO Average Total Compensation Amount $ 1,431,876 3,377,966 474,503
Non-PEO NEO Average Compensation Actually Paid Amount $ 1,804,293 4,191,258 1,794,592
Adjustment to Non-PEO NEO Compensation Footnote [Text Block] SEC rules require certain adjustments be made to the Summary Compensation Table totals to determine “compensation actually paid” as reported in the Pay versus Performance Table. “Compensation actually paid” does not necessarily represent cash and/or equity value transferred to the applicable NEO without restriction, but rather is a value calculated under applicable SEC rules. In general, “compensation actually paid” is calculated as Summary Compensation Table total compensation adjusted to include the fair market value of equity awards as of December 31 of the applicable year or, if earlier, the vesting date (rather than the grant date). NEOs do not participate in a defined benefit plan so no adjustment for pension benefits is included in the table below. The following table details these adjustments:
YearExecutive(s)Summary Compensation
Table Total
($)
Subtract Grant Date Value of Equity
Awards
($) (4)
Add Year- End
Equity Value of Awards at Year-End
($) (5)
Add Change in
Value of Prior Equity Awards Outstanding at Year-End
($) (6)
Add
Change in Value of Vested Equity Awards
($) (7)
Subtract
Value of Equity Awards that Failed to Meet Vesting Conditions
($) (8)
Average Compensation
Actually Paid ($)
2022PEO$2,577,107 $1,663,742 $4,501,822 $238,857 $(55,727)$— $5,598,317 
Non-PEO NEOs$1,431,876 $1,053,108 $1,741,392 $184,195 $(51,051)$449,011 $1,804,293 
2021PEO$2,283,091 $1,441,771 $3,670,133 $1,351,394 $— $— $5,862,847 
Non-PEO NEOs$3,377,966 $3,019,590 $2,830,233 $901,886 $100,763 $— $4,191,258 
2020PEO$598,158 $— $1,667,521 $460,019 $— $— $2,725,698 
Non-PEO NEOs$474,503 $— $1,112,862 $312,123 $(104,896)$— $1,794,592 
    
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
The following chart illustrates the Compensation Actually Paid for our PEO and the average Compensation Actually Paid for our Non-PEO NEOs as presented in the table above for each of the last three fiscal years against our total shareholder return and the total shareholder return of the NASDAQ Health Services Index (each calculated as described above in footnote (4) of the table above) over that period of time.
2023 Proxy - Total Return Chart.jpg
    
Compensation Actually Paid vs. Net Income [Text Block] The following chart illustrates the Compensation Actually Paid for our PEO and the average Compensation Actually Paid for our Non-PEO NEOs as presented in the table above for each of the last three fiscal years against our net loss in each of those years.2023 Proxy - Net Loss Chart.jpg    
Compensation Actually Paid vs. Company Selected Measure [Text Block]
The following chart illustrates the Compensation Actually Paid for our PEO and the average Compensation Actually Paid for our Non-PEO NEOs as presented in the table above for each of the last three fiscal years against our revenue in each of those years.
2023 Proxy - Revenue Chart.jpg
    
Total Shareholder Return Vs Peer Group [Text Block]
The following chart illustrates the Compensation Actually Paid for our PEO and the average Compensation Actually Paid for our Non-PEO NEOs as presented in the table above for each of the last three fiscal years against our total shareholder return and the total shareholder return of the NASDAQ Health Services Index (each calculated as described above in footnote (4) of the table above) over that period of time.
2023 Proxy - Total Return Chart.jpg
    
Tabular List [Table Text Block] Revenue
•Operating expenses
•Cash flow from operating activities
•Regulatory progress.
    
Total Shareholder Return Amount $ 237 244 136
Peer Group Total Shareholder Return Amount 130 125 100
Net Income (Loss) $ (75,209,000) $ (41,139,000) $ (38,121,000)
Company Selected Measure Amount 161,700,000 126,682,000 84,676,000
PEO Name Chacón Quirós Chacón Quirós Chacón Quirós
Additional 402(v) Disclosure [Text Block] Value of equity awards from Grants of Plan-Based Awards table valued at grant date.
(5)Value of unvested outstanding equity awards at the applicable fiscal year-end.
(6)Change in value of unvested equity awards outstanding at the beginning of the applicable fiscal year.
(7)Change in value of equity awards vested during the applicable fiscal year.
(8)Value of any cancelled/forfeited equity awards during the applicable fiscal year.
(9)In the Company's assessment, revenue is the financial performance measure that is the most important financial performance measure used by the Company in 2022 to link compensation actually paid to performance. Please see the Compensation Discussion and Analysis section above for a further discussion of revenue and how it is utilized in our executive compensation program.
    
Measure [Axis]: 1      
Pay vs Performance Disclosure [Table]      
Measure Name Revenue    
Measure [Axis]: 2      
Pay vs Performance Disclosure [Table]      
Measure Name Operating expenses    
Measure [Axis]: 3      
Pay vs Performance Disclosure [Table]      
Measure Name Cash flow from operating activities    
Measure [Axis]: 4      
Pay vs Performance Disclosure [Table]      
Measure Name Regulatory progress.    
PEO [Member] | Equity Awards Granted During the Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ 1,663,742 $ 1,441,771 $ 0
PEO [Member] | Equity Awards Outstanding During the Year, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 4,501,822 3,670,133 1,667,521
PEO [Member] | Equity Awards Outstanding in Prior Years, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 238,857 1,351,394 460,019
PEO [Member] | Equity Awards Vested During the Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (55,727) 0 0
PEO [Member] | Equity Awards that Failed to Meet Vesting Conditions [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Non-PEO NEO [Member] | Equity Awards Granted During the Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 1,053,108 3,019,590 0
Non-PEO NEO [Member] | Equity Awards Outstanding During the Year, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 1,741,392 2,830,233 1,112,862
Non-PEO NEO [Member] | Equity Awards Outstanding in Prior Years, Unvested [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 184,195 901,886 312,123
Non-PEO NEO [Member] | Equity Awards Vested During the Year [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (51,051) 100,763 (104,896)
Non-PEO NEO [Member] | Equity Awards that Failed to Meet Vesting Conditions [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ 449,011 $ 0 $ 0