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Note 6 - Acquired Intangible Assets, Net - Summary of Intangible Assets (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Gross Value $ 28,206    
Accumulated Currency Translation Adjustment (4,759) $ (4,576)  
Impairment (389)
Accumulated Amortization (15,473) (14,439)  
Intangible assets, net 7,585 9,191  
Developed Technology Rights [Member]      
Gross Value 17,100    
Accumulated Currency Translation Adjustment (2,934) (2,824)  
Impairment (389)    
Accumulated Amortization (9,657) (8,672)  
Intangible assets, net $ 4,120 5,604  
Useful life (Year) 15 years    
In Process Research and Development [Member]      
Gross Value $ 4,406    
Accumulated Currency Translation Adjustment (1,234) (1,168)  
Impairment    
Accumulated Amortization  
Intangible assets, net 3,172 3,238  
Distribution Rights [Member]      
Gross Value 4,700    
Accumulated Currency Translation Adjustment (415) (415)  
Impairment    
Accumulated Amortization (4,285) (4,285)  
Intangible assets, net  
Useful life (Year) 5 years    
Patents [Member]      
Gross Value $ 1,000    
Accumulated Currency Translation Adjustment (176) (169)  
Impairment    
Accumulated Amortization (531) (482)  
Intangible assets, net $ 293 349  
Useful life (Year) 16 years    
Elevess Trade Name [Member]      
Gross Value $ 1,000    
Accumulated Currency Translation Adjustment  
Impairment    
Accumulated Amortization (1,000) (1,000)  
Intangible assets, net  
Useful life (Year) 9 years