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Note 14 - Product Sale and Purchase Commitments (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Royalty income   $ 76 $ 86 $ 91
Contractual Obligation   $ 1,638    
CooperSurgical Inc        
Finite-lived Intangible Assets Acquired $ 21,000