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Note 3 - Business Combinations (Details Textual) - USD ($) $ in Thousands |  |  |  | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | --- | ---
Jul. 01, 2021 | Feb. 03, 2020 | Jan. 24, 2020 | Jul. 31, 2021 | Oct. 31, 2020 | Mar. 31, 2020 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Business Combination, Contingent Consideration, Liability, Current |  |  |  |  |  |  | $ 4,315 | $ 13,090 |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  |  |  |  | 13 years | 13 years |
Payment for Contingent Consideration Liability, Financing Activities |  |  |  |  |  |  | $ 7,220 | $ 4,478 | $ (0)
Developed Technology Rights [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  |  |  |  | 15 years | 15 years |
Customer Relationships [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  |  |  |  | 10 years | 10 years |
Trade Names [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  |  |  |  |  | 5 years | 5 years |
Parcus Medical [Member] |  |  |  |  |  |  |  |  |
Business Combination, Consideration Transferred, Total |  |  | $ 75,136 |  |  |  |  |  |
Business Combination, Contingent Consideration Arrangements, Change in Range of Outcomes, Contingent Consideration, Liability, Value, High |  |  | 60,000 |  |  |  |  |  |
Business Combination, Contingent Consideration, Liability, Current |  |  |  |  |  |  | $ 4,300 |  |
Business Combination, Acquisition Related Costs |  |  |  |  |  | $ 1,900 |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles |  |  | $ 44,000 |  |  |  |  |  |
Parcus Medical [Member] | Developed Technology Rights [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  | 15 years |  |  |  |  |  |
Parcus Medical [Member] | Customer Relationships [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  | 10 years |  |  |  |  |  |
Parcus Medical [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  |  | 5 years |  |  |  |  |  |
Arthrosurface [Member] |  |  |  |  |  |  |  |  |
Business Combination, Consideration Transferred, Total |  | $ 90,285 |  |  |  |  |  |  |
Business Combination, Contingent Consideration Arrangements, Change in Range of Outcomes, Contingent Consideration, Liability, Value, High |  | 40,000 |  |  |  |  |  |  |
Business Combination, Acquisition Related Costs |  |  |  |  |  | $ 2,200 |  |  |
Payment for Contingent Consideration Liability, Financing Activities | $ 10,000 |  |  | $ 10,000 | $ 5,000 |  |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles |  | $ 48,900 |  |  |  |  |  |  |
Arthrosurface [Member] | Developed Technology Rights [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  | 15 years |  |  |  |  |  |  |
Arthrosurface [Member] | Customer Relationships [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  | 10 years |  |  |  |  |  |  |
Arthrosurface [Member] | Trade Names [Member] |  |  |  |  |  |  |  |  |
Finite-Lived Intangible Asset, Useful Life (Year) |  | 5 years |  |  |  |  |  |  |
Arthrosurface [Member] | In Process Research and Development [Member] |  |  |  |  |  |  |  |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles |  |  |  |  |  |  | $ 600 |  |

X
- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 23 -URI http://asc.fasb.org/extlink&oid=123586518&loc=d3e1043-128460 + Details
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X
- Definition Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 8 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6613-128477 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=120321790&loc=d3e6927-128479 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 30 -Paragraph 7 -URI http://asc.fasb.org/extlink&oid=116859721&loc=d3e6578-128477 + Details
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X
- Definition This element represents the amount of any change recognized during the period in the high-end of the estimated range of outcomes (undiscounted) of a liability assumed in a business combination arising from an item of contingent consideration. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 50 -Paragraph 4 -Subparagraph (a)(2) -URI http://asc.fasb.org/extlink&oid=120321790&loc=d3e7008-128479 + Details
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- Definition Amount of liability recognized arising from contingent consideration in a business combination, expected to be settled within one year or the normal operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 25 -Paragraph 6 -URI http://asc.fasb.org/extlink&oid=6911189&loc=d3e6408-128476 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 30 -Section 35 -Paragraph 1 -Subparagraph b -URI http://asc.fasb.org/extlink&oid=116859824&loc=d3e6819-128478 + Details
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- Definition Amount of intangible assets, excluding goodwill, acquired at the acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 20 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=123413009&loc=d3e4845-128472 + Details
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- Definition Useful life of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days. + References No definition available. + Details
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- Definition Amount of cash outflow, not made soon after acquisition date of business combination, to settle contingent consideration liability up to amount recognized at acquisition date, including, but not limited to, measurement period adjustment and less amount paid soon after acquisition date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (f) -URI http://asc.fasb.org/extlink&oid=123570139&loc=d3e3291-108585 + Details
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