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Note 16 - Product Revenue by Geographic Location (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
UNITED STATES    
Total Revenue $ 18,011 $ 12,591
Percentage of Revenue 81.00% 81.00%
Europe [Member]    
Total Revenue $ 2,565 $ 1,986
Percentage of Revenue 11.00% 13.00%
Other Location [Member]    
Total Revenue $ 1,707 $ 943
Percentage of Revenue 8.00% 6.00%
Total Revenue $ 22,283 $ 15,520
Percentage of Revenue 100.00% 100.00%