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Note 4 - Intangible Assets and Goodwill (Tables)
12 Months Ended
Dec. 31, 2018
Notes Tables  
Schedule of Intangible Assets and Goodwill [Table Text Block]
   
Intangible Assets
   
Goodwill
 
Balance at December 31, 2017, net
  $
21,629,000
    $
13,976,000
 
                 
Amortization and foreign exchange (current year)
   
(152,000
)    
--
 
                 
Impairment loss
   
(19,886,000
)    
(13,195,000
)
                 
Balance at December 31, 2018, net
  $
1,591,000
    $
781,000
 
Schedule of Finite-Lived Intangible Assets [Table Text Block]
As of December 31, 2018
 
   
Weighted Average
Amortization
Period
(in Years)
   
Gross
Carrying
Amount
   
Accumulated
Amortization
   
Impairment
   
Net
 
Trade names
   
3
    $
54,000
    $
38,000
     
 
    $
16,000
 
Developed technology
   
10
     
318,000
     
48,000
     
 
     
270,000
 
Licenses
   
7
     
448,000
     
307,000
     
 
     
141,000
 
Device registration
   
7
     
84,000
     
68,000
    $
16,000
     
--
 
Customer relationships
   
3
     
451,000
     
430,000
     
--
     
21,000
 
Amortizable intangible assets
   
 
     
1,355,000
     
891,000
     
16,000
     
448,000
 
In process technology
   
 
     
1,143,000
     
--
     
--
     
1,143,000
 
Clinical protocols
   
 
     
19,870,000
     
--
     
19,870,000
     
--
 
Total
   
 
    $
22,368,000
    $
891,000
    $
19,886,000
    $
1,591,000
 
As of December 31, 2017
 
   
Weighted Average
Amortization
Period
(in Years)
   
Gross
Carrying
Amount
   
Accumulated
Amortization
   
Net
 
Trade names
   
7
    $
56,000
    $
21,000
    $
35,000
 
Developed technology
   
10
     
318,000
     
16,000
     
302,000
 
Licenses
   
7
     
489,000
     
271,000
     
218,000
 
Customer relationships
   
3
     
490,000
     
456,000
     
34,000
 
Device registration
   
7
     
92,000
     
65,000
     
27,000
 
Amortizable intangible assets
   
 
     
1,445,000
     
829,000
     
616,000
 
In process technology
   
 
     
1,143,000
     
--
     
1,143,000
 
Clinical protocols
   
 
     
19,870,000
     
--
     
19,870,000
 
Total
   
 
    $
22,458,000
    $
829,000
    $
21,629,000
 
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Year Ended December 31,
       
2019
  $
122,000
 
2020
   
111,000
 
2021
   
40,000
 
2022
   
32,000
 
2023
   
32,000
 
Thereafter
   
111,000
 
Total
  $
448,000