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Note 9 - Intangible Assets - Summary of Intangible Assets (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Mar. 31, 2019
Jun. 30, 2019
Jun. 30, 2018
Dec. 31, 2018
Gross Value   $ 28,206    
Accumulated Currency Translation Adjustment   (4,642)   $ (4,576)
Impairment   (281)  
Accumulated Amortization   (14,980)   (14,439)
Intangible assets, net   8,303   9,191
In Process Research and Development [Member]        
Gross Value   4,406    
Accumulated Currency Translation Adjustment   (1,191)   (1,168)
Impairment      
Accumulated Amortization    
Intangible assets, net   3,215   3,238
Developed Technology Rights [Member]        
Gross Value   17,100    
Accumulated Currency Translation Adjustment   (2,864)   (2,824)
Impairment   (281)    
Accumulated Amortization   (9,189)   (8,672)
Intangible assets, net   4,766   5,604
Useful life (Year) 15 years      
Distribution Rights [Member]        
Gross Value   4,700    
Accumulated Currency Translation Adjustment   (415)   (415)
Impairment      
Accumulated Amortization   (4,285)   (4,285)
Intangible assets, net    
Useful life (Year) 5 years      
Patents [Member]        
Gross Value   1,000    
Accumulated Currency Translation Adjustment   (172)   (169)
Impairment      
Accumulated Amortization   (506)   (482)
Intangible assets, net   322   349
Useful life (Year) 16 years      
Elevess Trade Name [Member]        
Gross Value   1,000    
Accumulated Currency Translation Adjustment    
Impairment      
Accumulated Amortization   (1,000)   (1,000)
Intangible assets, net    
Useful life (Year) 9 years