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Note 11 - Debt (Details Textual) - USD ($) |  |  | 12 Months Ended |
--- | --- | --- | --- | ---
Nov. 07, 2024 | Nov. 08, 2023 | Dec. 31, 2027 | Dec. 31, 2026 | Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023 | Feb. 17, 2023
Common Stock, Par or Stated Value Per Share (in dollars per share) |  |  |  |  |  | $ 0.001 | $ 0.001 |
Debt Instrument, Variable Interest Rate, Type [Extensible Enumeration] |  |  |  |  |  | Secured Overnight Financing Rate (SOFR) [Member] |  |
Midcap Financial Warrants [Member] |  |  |  |  |  |  |  |
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) |  |  |  |  |  | 250,000 |  |
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) |  |  |  |  |  | $ 3.4 |  |
Warrants and Rights Outstanding, Term (Year) |  |  |  |  |  | 10 years |  |
Perceptive Warrants [Member] | Perceptive Credit Agreement [Member] |  |  |  |  |  |  |  |
Class of Warrant or Right, Number of Securities Called by Warrants or Rights (in shares) |  |  |  |  |  | 1,250,000 |  |
Class of Warrant or Right, Exercise Price of Warrants or Rights (in dollars per share) |  |  |  |  |  | $ 2.43 |  |
Warrants and Rights Outstanding, Term (Year) |  |  |  |  |  | 10 years |  |
Secured Debt [Member] |  |  |  |  |  |  |  |
Amortization of Debt Issuance Costs |  |  |  |  |  | $ 516,000 | $ 214,000 |
Amortization of Debt Issuance Costs and Discounts |  |  |  |  |  | $ 641,000 | $ 331,000 |
Line of Credit [Member] | Perceptive Credit Agreement [Member] |  |  |  |  |  |  |  |
Debt Instrument, Interest Rate Floor, Percent |  |  |  |  |  | 5.00% |  |
Debt Instrument, Basis Spread on Variable Rate |  |  |  |  |  | 7.00% |  |
Line of Credit Facility, Interest Rate at Period End |  |  |  |  |  | 12.00% |  |
Debt Instrument, Covenant, Twelve Month Net Revenue Target, Year One |  |  |  |  |  | $ 34,400,000 |  |
Debt Instrument, Minimum Cash Balance | $ 3,000,000 |  |  |  |  |  |  |
Line of Credit [Member] | Perceptive Credit Agreement [Member] | Forecast [Member] |  |  |  |  |  |  |  |
Debt Instrument, Covenant, Twelve Month Net Revenue Target, Year Two |  |  |  |  | $ 37,000,000 |  |  |
Debt Instrument, Covenant, Twelve Month Net Revenue Target, Year Three |  |  |  | $ 52,400,000 |  |  |  |
Debt Instrument, Covenant, Twelve Month Net Revenue Target, Year Four |  |  | $ 60,300,000 |  |  |  |  |
Debt Instrument, Maximum Operating Expense Covenant |  |  |  | $ 45,000,000 | $ 40,000,000 |  |  |
MidCap Credit Agreement [Member] |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  |  |  |  |  |  |  | $ 35,000,000
MidCap Credit Agreement [Member] | Secured Debt [Member] |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  |  |  |  |  |  |  | 25,000,000
Debt Issuance Costs, Gross |  |  |  |  |  |  |  | 1,600,000
Repayments of Lines of Credit |  | $ 11,000,000 |  |  |  |  |  |
MidCap Credit Agreement First Tranche [Member] | Secured Debt [Member] |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  |  |  |  |  |  |  | 10,000,000
MidCap Credit Agreement Second Tranche [Member] | Secured Debt [Member] |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  |  |  |  |  |  |  | 5,000,000
MidCap Credit Agreement Third Tranche [Member] | Secured Debt [Member] |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  |  |  |  |  |  |  | 10,000,000
Revolving Credit Facility [Member] | Secured Debt [Member] |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  |  |  |  |  |  |  | $ 10,000,000
Perceptive Credit Agreement [Member] | Secured Debt [Member] |  |  |  |  |  |  |  |
Line of Credit Facility, Maximum Borrowing Capacity |  | 45,000,000 |  |  |  |  |  |
Debt Instrument, Face Amount |  | 37,500,000 |  |  |  |  |  |
Prepayment Penalties and Exit Fees |  | 1,000,000 |  |  |  |  |  |
Transaction Fees and Other Expenses |  | $ 2,700,000 |  |  |  |  |  |
Facility Payable Fee, Percent |  | 2.00% |  |  |  |  |  |
Debt Instrument, Interest Rate, Effective Percentage |  |  |  |  |  | 14.70% |  |
Interest Only Period (Month) |  |  |  |  |  | 48 months |  |
Outstanding Loan Payments, Percent |  |  |  |  |  | 3.00% |  |
Debt Instrument, Covenant, Prepayment Fee Percentage, Year One |  |  |  |  |  | 10.00% |  |
Debt Instrument, Covenant, Prepayment Fee Percentage, Year Two |  |  |  |  |  | 9.00% |  |
Debt Instrument, Covenant, Prepayment Fee Percentage, Year Three |  |  |  |  |  | 6.00% |  |
Debt Instrument, Covenant, Prepayment Fee Percentage, Year Four |  |  |  |  |  | 4.00% |  |
Debt Instrument, Covenant, Prepayment Fee Percentage, Thereafter |  |  |  |  |  | 2.00% |  |
Debt Instrument, Minimum Cash Balance | $ 3,000,000 |  |  |  |  |  |  |
Debt Instrument, Interest Rate In Event of Default |  |  |  |  |  | 3.00% |  |
Perceptive Credit Agreement [Member] | Secured Debt [Member] | Perceptive [Member] |  |  |  |  |  |  |  |
Stock Issued During Period, Shares, New Issues (in shares) | 150,000 |  |  |  |  |  |  |
Perceptive Credit Agreement Delayed Draw Loan Member | Secured Debt [Member] |  |  |  |  |  |  |  |
Debt Instrument, Face Amount |  | $ 7,500,000 |  |  |  |  |  |
Debt Issuance Costs, Gross |  |  |  |  |  | $ 1,500,000 |  |
Payment of Lender Fees |  |  |  |  |  | $ 11,000 |  |
Perceptive Credit Agreement Delayed Draw Loan Member | Secured Debt [Member] | Perceptive [Member] |  |  |  |  |  |  |  |
Stock Issued During Period, Shares, New Issues (in shares) |  |  |  |  |  | 150,000 |  |

X
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