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Note 13 - Stock-based Compensation (Details Textual) - USD ($)
$ in Millions
12 Months Ended
Jul. 22, 2021
Dec. 31, 2022
Share-Based Payment Arrangement, Option [Member]    
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount, Total   $ 2.1
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition (Year)   1 year 6 months
Restricted Stock Units (RSUs) [Member]    
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount, Total   $ 4.2
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition (Year)   1 year 4 months 24 days
Asensus Surgical, Inc. Amended and Restated Incentive Compensation Plan [Member]    
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Additional Shares Authorized (in shares) 22,000,000  
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Authorized (in shares)   32,072,308
Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant (in shares)   11,038,824
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period (Year)   10 years