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Note 15 - Product Revenue by Geographic Location (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
UNITED STATES        
Total Revenue $ 21,895 $ 19,218 $ 39,906 $ 31,809
Percentage of Revenue 82.00% 84.00% 82.00% 83.00%
Europe [Member]        
Total Revenue $ 2,977 $ 2,331 $ 5,542 $ 4,317
Percentage of Revenue 11.00% 10.00% 11.00% 11.00%
Other Location [Member]        
Total Revenue $ 1,709 $ 1,355 $ 3,416 $ 2,298
Percentage of Revenue 7.00% 6.00% 7.00% 6.00%
Total Revenue $ 26,581 $ 22,904 $ 48,864 $ 38,424
Percentage of Revenue 100.00% 100.00% 100.00% 100.00%