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Note 4 - Acquisitions and Divestitures - Assets Acquired and Liabilities Assumed (Details)
€ in Thousands, $ in Thousands
Sep. 30, 2019
USD ($)
Jul. 12, 2019
USD ($)
Dec. 31, 2018
USD ($)
Oct. 22, 2018
EUR (€)
Sep. 20, 2018
USD ($)
Goodwill $ 32,102   $ 29,868    
Tru-Incise Valve Cutter [Member]          
Inventory   $ 827      
Equipment and supplies   70      
Intangible assets   4,727      
Goodwill   2,314      
Purchase price   $ 7,938      
Cardial [Member]          
Inventory | €       € 2,419  
Equipment and supplies | €       94  
Intangible assets | €       623  
Purchase price | €       1,940  
Land and building | €       750  
Bargain purchase gain | €       € (1,946)  
Applied Medical [Member]          
Inventory         $ 739
Equipment and supplies         416
Intangible assets         6,527
Goodwill         6,361
Purchase price         $ 14,043