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Note 13 - Commitments and Contingencies (Details Textual)
$ in Thousands, € in Millions
Dec. 30, 2016
EUR (€)
shares
Sep. 21, 2015
shares
Sep. 30, 2020
USD ($)
Jul. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Business Combination, Contingent Consideration, Liability, Total     $ 2,780   $ 1,084
Restricted Cash Held with Silicon Valley Bank [Member]          
Restricted Cash, Total       $ 500  
Silicon Valley Bank [Member]          
Letters of Credit Outstanding, Amount       $ 500  
Office, Lab and Warehouse Space in Durham, North Carolina [Member]          
Lessee, Operating Lease, Lease Not yet Commenced, Term of Contract (Month)       125 months  
Lessee, Operating Lease, Lease Not yet Commenced, Renewal Term (Year)       5 years  
Lessee, Operating Lease, Liability, to be Paid, Total       $ 5,000  
Senhance Surgical Robotic System Acquisition [Member]          
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares (in shares) | shares 286,360 1,195,647      
Business Combination, Contingent Consideration, Liability, Total     $ 2,800   $ 1,100
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable | € € 5