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Note 9 - Intangible Assets and Goodwill - Intangible Assets (Details) - USD ($)
12 Months Ended
Dec. 31, 2014
Sep. 30, 2015
Developed Technology Rights [Member]    
Gross Value   $ 16,700,000
Current Period Completed Projects   400,000
Accumulated Currency Translation Adjustment   (2,963,427)
Accumulated Amortization   (5,706,488)
Net Book Value $ 9,409,937 8,430,085
Useful Life 15 years  
In Process Research and Development [Member]    
Gross Value   5,502,686
Current Period Completed Projects   (400,000)
Accumulated Currency Translation Adjustment   (1,202,735)
Net Book Value $ 4,652,874 3,899,951
Distribution Rights [Member]    
Gross Value   4,700,000
Accumulated Currency Translation Adjustment   (415,344)
Accumulated Amortization   (4,284,656)
Useful Life 5 years  
Patents [Member]    
Gross Value   1,000,000
Accumulated Currency Translation Adjustment   (178,071)
Accumulated Amortization   (320,968)
Net Book Value $ 581,199 500,961
Useful Life 16 years  
Elevess Trade Name [Member]    
Gross Value   1,000,000
Accumulated Amortization   (843,314)
Net Book Value $ 250,700 156,686
Useful Life 9 years  
Gross Value   28,902,686
Accumulated Currency Translation Adjustment   (4,759,577)
Accumulated Amortization   (11,155,426)
Net Book Value $ 14,894,710 $ 12,987,683