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Note 10 - Goodwill, In-process Research and Development and Intellectual Property (Details Textual)
$ in Thousands
3 Months Ended 12 Months Ended
Oct. 31, 2018
USD ($)
Sep. 21, 2015
USD ($)
Dec. 31, 2019
USD ($)
Sep. 30, 2019
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Sep. 23, 2018
USD ($)
Sep. 03, 2013
USD ($)
Goodwill, Ending Balance     $ 0     $ 0 $ 80,131    
Number of Reporting Units         1        
Goodwill, Impairment Loss     $ 79,000 $ 79,000 $ 0 78,969      
Impairment of Intangible Assets, Finite-lived         0 7,912      
Intellectual Property [Member]                  
Impairment of Intangible Assets, Finite-lived         $ 0 $ 0      
Developed Technology Rights [Member] | Weighted Average [Member]                  
Finite-Lived Intangible Assets, Remaining Amortization Period (Year)         2 years 2 months 12 days        
Technology-Based Intangible Assets [Member] | Weighted Average [Member]                  
Finite-Lived Intangible Assets, Remaining Amortization Period (Year)         6 years 3 months 18 days        
In Process Research and Development [Member]                  
Impairment of Intangible Assets, Finite-lived       $ 7,900          
Safe Stitch Medical Inc [Member]                  
Goodwill, Ending Balance                 $ 93,800
Senhance Surgical Robotic System Acquisition [Member]                  
Goodwill, Ending Balance   $ 38,300              
Senhance Surgical Robotic System Acquisition [Member] | Intellectual Property [Member]                  
Intangible Assets, Net (Excluding Goodwill), Total   $ 17,100              
Discount Rate Used in Discounted Cash Flows   45.00%              
Medical Surgery Technologies Limited [Member]                  
Goodwill, Ending Balance               $ 9,600  
Medical Surgery Technologies Limited [Member] | In Process Research and Development [Member]                  
Intangible Assets, Net (Excluding Goodwill), Total $ 10,600                
Discount Rate Used in Discounted Cash Flows 15.00%