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Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets (USD $)
 9 Months Ended 12 Months Ended
Sep. 30, 2014
Dec. 31, 2013
Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets [Line Items]    
Gross Value $ 28,902,686  
Currency Translation Adjustment (3,015,503)  
Accumulated Amortization (9,853,239)  
Net Book Value 16,033,944 18,998,409
Developed Technology Rights [Member]
    
Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets [Line Items]    
Gross Value 16,700,000  
Currency Translation Adjustment (1,828,214)  
Accumulated Amortization (4,779,123)  
Net Book Value 10,092,663 11,753,003
Useful Life   15 years
In Process Research and Development [Member]
    
Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets [Line Items]    
Gross Value 5,502,686  
Currency Translation Adjustment (638,426)  
Net Book Value 4,864,260 5,286,127
Useful Life     
Distribution Rights [Member]
    
Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets [Line Items]    
Gross Value 4,700,000  
Currency Translation Adjustment (440,953)  
Accumulated Amortization (4,084,944)  
Net Book Value 174,103 863,655
Useful Life   5 years
Patents [Member]
    
Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets [Line Items]    
Gross Value 1,000,000  
Currency Translation Adjustment (107,910)  
Accumulated Amortization (271,208)  
Net Book Value 620,882 719,574
Useful Life   16 years
Elevess Trade Name [Member]
    
Note 8 - Intangible Assets and Goodwill (Details) - Intangible Assets [Line Items]    
Gross Value 1,000,000  
Accumulated Amortization (717,964)  
Net Book Value $ 282,036 $ 376,050
Useful Life   9 years