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Note 2 - Summary of Significant Accounting Policies (Details Textual) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2020
Mar. 31, 2020
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Jan. 01, 2020
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Total     $ 1,300 $ (400) $ (700)  
Foreign Currency Transaction Gain (Loss), before Tax, Total     300 (300) (400)  
Contract with Customer, Liability, Total $ 200   200 0    
Debt Securities, Available-for-sale, Noncurrent 0   $ 0 0    
Number of Reporting Units     2      
Goodwill, Impairment Loss $ 24,400 $ 18,100 $ 42,520 $ 0 $ 0  
Number of Operating Segments     1      
Accounting Standards Update 2016-13 [Member]            
Debt Securities, Available-for-sale, Allowance for Credit Loss, Ending Balance           $ 0
Minimum [Member]            
Property, Plant and Equipment, Useful Life (Year)     5 years      
Maximum [Member]            
Property, Plant and Equipment, Useful Life (Year)     16 years      
Revenue Benchmark [Member] | Customer Concentration Risk [Member] | DePuy Mitek Inc [Member]            
Concentration Risk, Percentage     49.00% 71.00%    
Accounts Receivable [Member] | Customer Concentration Risk [Member] | DePuy Mitek Inc [Member]            
Concentration Risk, Percentage     44.00% 70.00%    
DePuy Mitek Inc [Member]            
Revenues From Agreements as Percent of Total Revenue     49.00% 71.00%