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Note 1 - Summary of Significant Accounting Policies (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months   $ 2,047
Finite-Lived Intangible Assets, Amortization Expense, Year Two   2,047
Finite-Lived Intangible Assets, Amortization Expense, Year Three   2,041
Finite-Lived Intangible Assets, Amortization Expense, Year Four   2,041
CooperSurgical Inc    
Finite-lived Intangible Assets Acquired $ 21,000  
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months   4,053
Finite-Lived Intangible Assets, Amortization Expense, Year Two   4,421
Finite-Lived Intangible Assets, Amortization Expense, Year Three   4,421
Finite-Lived Intangible Assets, Amortization Expense, Year Four   $ 4,421