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Note 15 - Segment and Geographic Information (Tables)
6 Months Ended
Jun. 30, 2016
Notes Tables  
Schedule of Segment Reporting Information, by Segment [Table Text Block]
    Three Months Ended June 30,   Six Months Ended June 30,
    2016   2015   2016   2015
Orthobiologics   $ 23,304     $ 19,283     $ 42,891     $ 31,255  
Surgical     1,433       1,647       2,751       3,037  
Dermal     582       303       963       719  
Other     1,256       1,665       2,248       3,402  
Product Revenue   $ 26,575     $ 22,898     $ 48,853     $ 38,413  
Schedule of Revenue and Operating Income by Geographical Areas [Table Text Block]
    Three Months Ended June 30,
    2016   2015
    Total   Percentage of   Total   Percentage of
    Revenue   Revenue   Revenue   Revenue
Geographic Location:                                
United States   $ 21,895       82 %   $ 19,218       84 %
Europe     2,977       11 %     2,331       10 %
Other     1,709       7 %     1,355       6 %
Total Revenue   $ 26,581       100 %   $ 22,904       100 %
    Six Months Ended June 30,
    2016   2015
    Total   Percentage of   Total   Percentage of
    Revenue   Revenue   Revenue   Revenue
Geographic Location:                                
United States   $ 39,906       82 %   $ 31,809       83 %
Europe     5,542       11 %     4,317       11 %
Other     3,416       7 %     2,298       6 %
Total   $ 48,864       100 %   $ 38,424       100 %