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Note 19 - Fair Value of Financial Instruments (Details Textual) € in Thousands, $ in Thousands |  |  |  | 12 Months Ended |  |  |
--- | --- | --- | --- | --- | --- | --- | ---
Dec. 22, 2022 | Mar. 16, 2022 USD ($) | Dec. 22, 2021 USD ($) | Dec. 31, 2024 USD ($) | Dec. 31, 2024 EUR (€) | Dec. 31, 2023 USD ($) | Jul. 15, 2024 USD ($) | Jun. 24, 2024 USD ($) | Dec. 31, 2022 USD ($)
Present Value of Non-competition Agreement |  |  |  | $ 0 |  | $ 0 |  |  | $ 350
Welch Fluorocarbon, Inc [Member] |  |  |  |  |  |  |  |  |
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High |  |  |  | 6,000 |  |  |  |  |
Business Combination, Contingent Consideration, Liability |  |  |  | 800 |  |  | $ 800 |  |
Marble Medical, Inc [Member] |  |  |  |  |  |  |  |  |
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High |  |  |  | 500 |  |  |  |  |
Business Combination, Contingent Consideration, Liability |  |  |  | 400 |  |  |  | $ 400 |
DAS Medical [Member] |  |  |  |  |  |  |  |  |
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High |  |  |  | 20,000 |  |  |  |  |
Business Combination, Contingent Consideration, Liability |  |  |  | 5,200 |  |  |  |  |
Present Value of Non-competition Agreement |  |  |  | 6,900 |  |  |  |  |
DAS Medical [Member] | Non-Competition Agreements [Member] |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  |  | $ 10,000 | 1,800 |  |  |  |  |
Business Combination, Agreement Term | 10 years |  |  |  |  | 10 years |  |  |
Marble Medical and DAS Medical [Member] |  |  |  |  |  |  |  |  |
Business Combination, Contingent Consideration, Liability |  |  |  | 10,200 |  |  |  |  |
Business Combination, Consideration Transferred, Liabilities Incurred |  |  |  | $ 14,500 |  |  |  |  |
Advant Medical [Member] |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross |  | $ 21,200 |  |  |  |  |  |  |
Advant Medical [Member] | Non-Competition Agreements [Member] |  |  |  |  |  |  |  |  |
Payments to Acquire Businesses, Gross | € |  |  |  |  | € 375 |  |  |  |
Business Combination, Agreement Term |  |  |  | 5 years | 5 years |  |  |  |

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