v3.25.1

Note 11 - Madryn Long-term Debt and Convertible Notes (Details Textual) - USD ($)							12 Months Ended
	Dec. 05, 2024	Oct. 30, 2024	Sep. 11, 2024	Jul. 26, 2024	Oct. 04, 2023	Dec. 09, 2020	Dec. 31, 2024	Dec. 31, 2023	Nov. 26, 2024	Jul. 29, 2024	Apr. 23, 2024
Gain (Loss) on Extinguishment of Debt							$ (11,355,000)	$ (2,040,000)
Series X Convertible Preferred Stock [Member][
Preferred Stock, Par or Stated Value Per Share (in dollars per share)					$ 0.0001
Shares Issued, Price Per Share (in dollars per share)					$ 221.1
Madryn Noteholders [Member] | Conversion from Madryn Noteholders, Outstanding Debt Converted to Convertible Instruments [Member] | Series X Convertible Preferred Stock [Member][
Debt Conversion, Original Debt, Amount					$ 26,695,000
Debt Conversion, Converted Instrument, Amount					$ 22,792,000
Convertible Preferred Stock, Shares Issued upon Conversion (in shares)					248,755
Gain (Loss) on Extinguishment of Debt					$ (2,000,000)
Madryn Credit Agreement [Member]
Repayments of Debt						$ 42,500,000
Secured Subordinated Convertible Notes [Member] | Madryn Noteholders [Member]
Preferred Stock, Par or Stated Value Per Share (in dollars per share)					$ 8.5
Debt Instrument, Default, Increase in Interest Rate					4.00%
Long-Term Debt, Gross							27,100,000
Interest Expense, Operating and Nonoperating							3,502,000	2,438,000
Long-Term Debt							35,176,000
Repayments of Long-Term Debt							0	$ 0
Debt Instrument, Maturity Date					Dec. 09, 2025
Bridge Financing [Member] | Madryn Noteholders [Member]
Repayments of Debt							0
Long-Term Debt							$ 8,519,000
Debt Instrument, Face Amount											$ 2,238,000
Debt Instrument, Maximum Additional Principal									$ 6,000,000	$ 3,000,000	$ 2,762,000
Debt Instrument, Interest Rate, Stated Percentage											12.00%
Debt Instrument, Default Interest Rate											15.00%
Proceeds from Issuance of Debt	$ 1,500,000	$ 1,000,000	$ 1,000,000	$ 1,000,000
Loan and Security Agreement [Member] | Madryn Noteholders [Member]
Debt Instrument, Maximum Additional Principal									$ 1,200,000

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