9. Industry Segment and Geographic Information (Details - Revenues by product line ) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2015
Sep. 30, 2015
Jun. 30, 2015
Mar. 31, 2015
Dec. 31, 2014
Sep. 30, 2014
Jun. 30, 2014
Mar. 31, 2014
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Revenue from External Customer [Line Items]                      
Revenues $ 32,372 $ 37,381 $ 37,655 $ 38,324 $ 32,693 $ 36,625 $ 35,025 $ 36,419 $ 145,733 $ 140,762 $ 131,993
Fluid Delivery [Member]                      
Revenue from External Customer [Line Items]                      
Revenues                 60,630 57,905 51,289
Cardiovascular [Member]                      
Revenue from External Customer [Line Items]                      
Revenues                 46,463 43,001 40,182
Ophthalmology [Member]                      
Revenue from External Customer [Line Items]                      
Revenues                 18,253 19,329 20,736
Other Products [Member]                      
Revenue from External Customer [Line Items]                      
Revenues                 $ 20,387 $ 20,527 $ 19,786