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Note 4 - Intangible Assets and Goodwill - Summary of Intangible Assets (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Gross Carrying Amount $ 1,355,000 $ 1,445,000
Accumulated Amortization 891,000 829,000
Net 448,000 616,000
Impairment 16,000  
Gross Carrying Amount 22,368,000 22,458,000
Impairment of Intangible Assets (Excluding Goodwill), Total 19,886,000  
Net 1,591,000 21,629,000
In Process Techonology [Member]    
Gross Carrying Amount 1,143,000 1,143,000
Impairment  
Net 1,143,000  
Clinical Protocols [Member]    
Gross Carrying Amount 19,870,000 $ 19,870,000
Impairment 19,870,000  
Net  
Trade Names [Member]    
Finite-Lived Intangible Asset, Useful Life 3 years 7 years
Gross Carrying Amount $ 54,000 $ 56,000
Accumulated Amortization 38,000 21,000
Net $ 16,000 $ 35,000
Developed Technology Rights [Member]    
Finite-Lived Intangible Asset, Useful Life 10 years 10 years
Gross Carrying Amount $ 318,000 $ 318,000
Accumulated Amortization 48,000 16,000
Net $ 270,000 $ 302,000
Licensing Agreements [Member]    
Finite-Lived Intangible Asset, Useful Life 7 years 7 years
Gross Carrying Amount $ 448,000 $ 489,000
Accumulated Amortization 307,000 271,000
Net $ 141,000 $ 218,000
Device Registration [Member]    
Finite-Lived Intangible Asset, Useful Life 7 years 7 years
Gross Carrying Amount $ 84,000 $ 92,000
Accumulated Amortization 68,000 65,000
Net $ 27,000
Impairment $ 16,000  
Customer Relationships [Member]    
Finite-Lived Intangible Asset, Useful Life 3 years 3 years
Gross Carrying Amount $ 451,000 $ 490,000
Accumulated Amortization 430,000 456,000
Net 21,000 $ 34,000
Impairment