Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets (USD $)	9 Months Ended	12 Months Ended
	Sep. 30, 2013	Dec. 31, 2012
Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets [Line Items]
Gross Value	$ 28,902,686
Currency Translation Adjustment	(1,979,977)
Accumulated Amortization	(7,725,483)
Net Book Value	19,197,226	20,334,636
Developed Technology Rights [Member]
Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets [Line Items]
Gross Value	16,700,000
Currency Translation Adjustment	(1,161,777)
Accumulated Amortization	(3,731,121)
Net Book Value	11,807,102	12,370,042
Useful Life		15 years
In Process Research and Development [Member]
Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets [Line Items]
Gross Value	5,502,686
Currency Translation Adjustment	(310,550)
Net Book Value	5,192,136	4,980,574
Distribution Rights [Member]
Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets [Line Items]
Gross Value	4,700,000
Currency Translation Adjustment	(440,316)
Accumulated Amortization	(3,189,671)
Net Book Value	1,070,013	1,733,453
Useful Life		5 years
Patents [Member]
Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets [Line Items]
Gross Value	1,000,000
Currency Translation Adjustment	(67,334)
Accumulated Amortization	(212,079)
Net Book Value	720,587	749,166
Useful Life		16 years
Elevess Trade Name [Member]
Note 8 - Intangible Assets and Goodwill (Details) - Intangible assets [Line Items]
Gross Value	1,000,000
Accumulated Amortization	(592,612)
Net Book Value	$ 407,388	$ 501,401
Useful Life		9 years