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Note 15 - Revenue by Product Group, by Significant Customer and by Geographic Location; Geographic Information (Tables)
12 Months Ended
Dec. 31, 2017
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
    Years Ended December 31,
    2017   2016   2015
    Revenue   Percentage of Product Revenue   Revenue   Percentage of Product Revenue   Revenue   Percentage of Product Revenue
Orthobiologics   $
93,816
     
87
%   $
89,695
     
87
%   $
73,247
     
84
%
Dermal    
2,755
     
3
%    
2,759
     
3
%    
2,266
     
2
%
Surgical    
5,262
     
5
%    
5,427
     
5
%    
5,812
     
7
%
Other    
5,950
     
5
%    
5,051
     
5
%    
6,371
     
7
%
    $
107,783
     
100
%   $
102,932
     
100
%   $
87,696
     
100
%
Schedule of Revenue and Operating Income by Geographical Areas [Table Text Block]
    Years Ended December 31,
    2017   2016   2015
    Total   Percentage of   Total   Percentage of   Total   Percentage of
    Revenue   Revenue   Revenue   Revenue   Revenue   Revenue
Geographic Location:                                                
United States   $
92,905
     
82
%   $
83,972
     
81
%   $
76,621
     
82
%
Europe    
12,435
     
11
%    
10,953
     
11
%    
8,756
     
9
%
Other    
8,080
     
7
%    
8,454
     
8
%    
7,622
     
9
%
Total   $
113,420
     
100
%   $
103,379
     
100
%   $
92,999
     
100
%
Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas [Table Text Block]
    Years Ended December 31,
    2017   2016
United States   $
52,828
    $
49,140
 
Italy    
3,355
     
3,156
 
Total   $
56,183
    $
52,296