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Flex Halo is a hybrid VRA reinforcer that combines video and toy stimulation in one unit. Replaces multi-unit setups. Built for pediatric audiology clinics. Video + Toy Reinforcement. One System. Brochure Patent Pending The choice is clear A transparent display for enhanced toy and video VRA The Flex Halo Effect Flex Halo Configurations R=Right L=Left C=Center FLEXHALO-C Single Center Monitor 2 Remote Controls Flex PC Audiometer Integration $3,500 FLEXHALO-RL Right and Left Monitor 2 Remote Controls Flex PC Audiometer Integration $6,500 FLEXHALO-RLC Right, Left, and Center Monitor 2 Remote Controls Flex PC Audiometer Integration $9,700 HYBRID Make any combination of Left, Right and Center reinforcers using the same remote control. (Maximum of 6 reinforcers) International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Get a Quote Brochure I used the Flex Halo system with a patient with autism where we have obtained VERY limited behavioral information and have only relied on ABRs for hearing updates. The patient conditioned to the transparent screen and we were able to obtain a speech threshold for the first time. Dr. Jenny Goehring, Au.D. Boystown Hospital The Remote Two Remote Controls Included With Every Flex VRA TOY VIDEO Display videos of cartoons and live-animals on the Flex Halo VRA display Display life-like digital toys spinning inside of the Flex Halo VRA box LIGHTS ON/OFF Turn on (top button) and off (bottom button) the 360 degree LED light bar while activating VRA stimuli LIGHTS ONLY Activate the 360 degree light bar only while an activation button is pressed down. Custom content comes standard with preloaded Hey Bear Sensory content, but any content can be loaded by the end user CUSTOM VOLUME CONTROL Volume up, down, and mute control of the Flex Halo VRA. DISTRACT Use Flex Halo as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. ACTIVATORS Left (Blue), Right (Red), and Center (Green) Included With Every Flex Halo Flex PC (Computerized Audiometers) Remote Controls (2) Audiometer Integration (GSI Audiostar and Interacoustics EVO) Welcome Videos Includes built-in content to help prepare and engage pediatric patients. FREE to download here . Conditioned Play Audiometry Games Built into every Flex VRA and available for FREE to download here. Toy In The Bucket Game Toy Bubble Game The Farm Game Interactive SRT Board Watch Demo Watch Demo Watch Demo Watch Demo Optional Accessories VROCA Button A wireless and battery-free visual reinforcement operant conditioning audiometry button $800 Learn More Screen Mirror Turn Flex VRA into an internal booth monitor for counseling, play audiometry or otoscopy. $800 GSI Audiostar Pro Any computerized audiometer Learn More Specifications Display 13.3 inch Remote/Flex PC/Audiometer Integration Transmission Wireless Zoned Radio Frequency .05 Seconds (Instantaneous) Activation Latency 18 months Remote Control Battery Life Input: 100-240V 50/60Hz 1.5A MAX Output: +12V, 5A, 60W Power Specifications Dimensions 14 inch (L) x 4.5 inch (W) x 9.5 inch (H) Operating System Windows 10 Professional Warranty 2 Years Accessories Optional Add-Ons To Enhance Workflow

Discover Flex VRA — a modern Visual Reinforcement Audiometry system designed for pediatric clinics. Flexible, clinician-led, and trusted in 1000+ clinics worldwide. Visual Reinforcement Audiometry Designed for kids. Built for audiologists. Flex Toy Flex Halo Flex VRA Standard Video Reinforcer Basic Physical Reinforcer All-in-one VRA system Flexible VRA systems that adapt to any child. Patent Pending Compare Systems "I absolutely love the Flex VRA system. Complete game changer." Kelly Jobe, Audiologist., Stephen F. Austin University Flex Halo For years, pediatric audiologists had to choose. Toy? Video? Both? Now the choice is clear. Literally. Starting at $3,750 See it in action Brochure Flex VRA Video. Lights. One System. Our most popular VRA system Starting at $2,450 Discover Flex VRA Brochure Flex Toy Simple VRA thoughtfully updated. Engagement through variation Starting at $1,250 Discover Flex Toy Brochure Used by leading pediatric clinics Flex Window Cover Visual control for sound booths. Keeps the visual environment controlled during testing. $800 Discover Flex Window Cover Brochure Accurate sound where it matters. Flex Speaker A reliable speaker option commonly used in VRA testing environments. $650 Discover Flex Speaker Brochure Welcome Videos Includes built-in content to help prepare and engage pediatric patients and parents. Free to download and share here Play Video Play Video Welcome To Audiology - Flex VRA Dog Play Video Play Video Listening Game (VRA Explainer) Play Video Play Video Toy in the Bucket Game (CPA Explainer) Flex Toy Flex Halo Flex VRA Which VRA system is right for you? Compare Flex VRA platforms Good Better Best Traditional Toy Reinforcement Video, Lights, and Custom Reinforcement All reinforcement modes in one system Video, 3D toy, lights, and custom content Ideal for clinics seeing a low amount of pediatric patients Ideal for a mix of pediatric and non-pediatric patients Ideal for high volume or exclusively pediatric patients Ideal for any booth size Starting at $1,250 See it in action Ideal for any booth size or mobile Starting at $2,450 See it in action Ideal for booths 6' x 6' or larger Starting at $3,750 See it in action Not sure which VRA system is right for you? You can mix up different reinforcers to accommodate your specific booth space and budget. Unsure what would be best for your clinic? Request a quick demo or Contact us to discuss . Compare VRA

Flex Mobile is a complete portable VRA system designed for mobile audiology, outreach clinics, and shared testing environments. Transparent pricing available. Designed for Portable VRA Testing A full featured portable VRA system built for mobile audiology, outreach clinics, and shared testing environments. It delivers the same Flex VRA experience clinicians rely on, in a compact kit designed to move with your practice. Built for mobile audiology. Flex Mobile VRA System A portable VRA system designed for mobile audiology. FLEX-MOBILE A complete, ready-to-use Flex VRA kit, including: Single Center Monitor 2 Remote Controls Flex PC Carrying Case Table Top Stand $2,950 International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here . Get A Quote for Flex Mobile Brochure Maintains children’s attention better than other VRA systems I've used. Brandi Murphey, Au.D. Owner, West Texas Mobile Audiology Set it down. Power on. Test. Dynamic SRT Pictured Words Board An SRT board that moves and has sound in response to touch! Watch Demo Diagrams Application Display diagrams of the ear for counseling or upload your own images! Frequently Asked Questions about Flex Mobile How would I activate the reinforcer in a mobile environment? Flex Mobile can be activated using the included wireless remote controls or directly from the Flex PC. What is the weight and dimensions of the fully packed Flex Mobile VRA case? Designed to be easy to transport and store, the case is 13" (L) x 4" (W) x 10" (H) and weights approximately 7 pounds fully loaded. Do I need to charge it before use? Flex Mobile is powered via a standard wall outlet to ensure uninterrupted, consistent performance during testing. Are there any features in Flex VRA that I wouldn't get in Flex Mobile? Flex Mobile includes the full Flex VRA feature set, including all applications, CPA games, and hardware controls. The only difference is the portable mounting and carrying configuration.

Discover Flex VRA’s cutting-edge Visual Reinforcement Audiometry system with enhanced performance, custom content, and dynamic features. Learn more today! Designed beautifully. Built to perform. "We love the new Flex VRA system and the flexibility it offers to keep children interested in the task. It has definitely improved patient engagement and reliability of results." Brooke Hammond, Au.D., Audiologist at Primary Children's Hospital, Salt Lake City, UT Flex VRA Configurations R=Right L=Left C=Center FLEX-C FLEX-RL Point of View Demonstration Single Center Monitor 2 Remote Controls Flex PC Audiometer Integration $2,450 Right and Left Monitor 2 Remote Controls Flex PC Audiometer Integration $4,750 FLEX-RLC (most popular) Point of View Demonstration Right, Left, and Center Monitor 2 Remote Controls Flex PC Audiometer Integration $6,950 FLEX COMBINATION SYSTEMS Make any combination of Left, Right and Center reinforcers using the same remote control. (Maximum of 6 reinforcers) Go To Combo Systems International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Flex VRA Brochure Get a Quote How Flex Works See Flex VRA in action or shedule an online demo The Remote Two Remote Controls Included With Every Flex VRA TOY VIDEO Display videos of cartoons of cartoons and live-animals while an activation button is held down. Display videos of toys while an activation button is held down. ACTIVATORS Left (Blue), Right (Red), and Center (Green) LIGHTS ON/OFF Turn on (top button) and off (bottom button) the 360 degree LED light bar while playing video content. LIGHTS ONLY Activate the 360 degree light bar only while an activation button is pressed down. Custom content comes standard with preloaded Hey Bear Sensory content, but any content can be loaded by the end user CUSTOM VOLUME CONTROL Volume up, down, and mute control of the VRA monitors. DISTRACT Use the VRA monitor as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. (No Additional Cost) Included With Every Flex VRA Flex PC (Computerized Audiometers) Remote Control (2) Audiometer Integration (GSI Audiostar Pro and Interacoustics EVO) Welcome Videos Includes built-in content to help prepare and engage pediatric patients. FREE to download here . Conditioned Play Audiometry Games Built into every Flex VRA and available for FREE to download here Toy In The Bucket Game Watch Demo Toy Bubble Game The Farm Game Interactive SRT Board Watch Demo Watch Demo Watch Demo Accessories Optional Add-Ons To Enhance Workflow VROCA Button A wireless and battery-free visual reinforcement operant conditioning audiometry button $800 Learn More Screen Mirror Turn your Flex VRA into an internal booth monitor for counseling, play audiometry or otoscopy. $800 GSI Audiostar Pro Any computerized audiometer Learn More Who is Hey Bear Sensory? Learn More About Hey Bear! Hey Bear Sensory designs sensory-based content for children. Hey Bear has quickly gained popularity on YouTube, and within the last 10 years has amassed over 3 million subscribers, boasts approximately 2.5 billion views, and has a constant audience of thousands watching live every day. Flex VRA entered into an exclusive content licensing agreement with Hey Bear Sensory to provide the default custom content that will ship with every Flex VRA system. By combining Hey Bear's insanely popular content with the Flex VRA, we can provide the most engaging and positive VRA experience to audiologists and their patients. Specifications Display 13.3 inch Remote/Flex PC/Audiometer Integration Transmission Wireless Zoned Radio Frequency .05 Seconds (Instantaneous) Activation Latency 18 months Remote Control Battery Life Input: 100-240V 50/60Hz 1.5A MAX Output: +12V, 5A, 60W Power Specifications Dimensions 13.5 inch (L) x 2 inch (W) x 10 inch (H), 8 lbs Operating System Windows 10 Professional Warranty 2 Years

Flex Toy is a simple, clinic-ready VRA toy designed to maintain engagement through variation during pediatric visual reinforcement audiometry testing. Flex Toy Configurations FLEX COMBINATION SYSTEMS Make any combination of Left, Right and Center reinforcers using the same remote control. (Maximum of 6 reinforcers) Go To Combo Systems R=Right L=Left C=Center FLEXTOY-C Single Center Box 2 Remote Controls Flex PC Audiometer Integration $1,250 FLEXTOY-RL Point of View Demonstration Right and Left Boxes 2 Remote Controls Flex PC Audiometer Integration $2,250 FLEXTOY-RLC Right, Left, and Center Boxes 2 Remote Controls Flex PC Audiometer Integration $2,950 International customers: Prices shown are in USD and exclude shipping, duties, and taxes. Pricing does not include the cost of shipping, applicable taxes, and installation. Sold through authorized distributors . We believe pricing transparency saves clinicians time. You can read more about why we post prices online here. Get Flex Toy Quote Flex Toy Brochure Engagement Through Variation Flex Toy comes equipped with LED light panels that changes pattern on each activation. Included With Flex Toy Cat (Left) Flex PC Dog (Center) Remote Control (2) Bus (Right) Audiometer Integration Optional Character Packages Add additional character sets — $150 per package (5 characters) Flex Toy's lift up cover is designed to make swapping characters between tests easy. Toy Story Cars Mickey and Friends Princesses William Baron, Au.D. I absolutely love the new wireless system. It has been great in the clinic. It really gets the children’s attention, and has helped me perform even better in the clinic! Jack Hitchens, Au.D. The extra lights are very helpful during the initial conditioning to the task. I was unsure about the school bus toy, but our unscientific research shows they seem to be more interested in it than the Disney characters. The Remote Two Remote Controls Included With Every Flex Toy VRA TOY VIDEO For use with Flex VRA video systems For use with Flex VRA video systems ACTIVATORS Left (Blue), Right (Red), and Center (Green) LIGHTS ON/OFF Toggle the surrounding flashing LED light bar on/off LIGHTS ONLY For use with Flex VRA video systems For use with Flex VRA video systems. CUSTOM VOLUME CONTROL Volume up, down, and mute control of the VRA boxes DISTRACT Use the VRA box as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. Specifications Remote/Flex PC/Audiometer Integration Transmission Wireless Zoned Radio Frequency .05 Seconds (Instantaneous) Activation Latency 18 months Remote Control Battery Life Input: 100-240V 50/60Hz 1.5A MAX Output: +12V, 5A, 60W Power Specifications Dimensions 10 inch (L) x 8 inch (W) x 10 inch (H), 1 lbs Warranty 2 Years

Download brochures, manuals, quick guides, and support documents from Flex VRA. Downloads 2026 Catalog Flex Halo Brochure - Product overview and specs for clinic decision makers Flex VRA VROCA Button Brochure -Product overview for clinic decision makers Installation and User Manual -Guide for installers and end users Brochure - Product overview and specs for clinic decision makers Installation and User Manual - Guide for installers and end users Remote Control Pairing Guide - Guide for Installers Integration Cable Pairing Guide (Audiostar Pro and EVO) - Technician Support Flex VRA Video Monitor Cleaning and Caring Guidelines- Guide for End Users Screen Mirror Brochure - Product overview and specs for clinic decision makers Installation and User Manual -Guide for installers Flex PC Download Flex PC (For use on installation of new VRA with Flex PC transmitter. Contact us if adding Flex PC on to an existing system) Brochure Installation Instructions - Installation guide for technicians and end users PC Pairing Guide Flex Integration Cable Integration Cable Pairing Guide and Setup - Guide for installers and end users Setting Up Interacoustics Suite to Work with Flex VRA - Guide for installers and end users Flex Toy Brochure - Product overview and specs for clinic decision makers Installation and User Manual -Guide for installers and end users Remote Control Pairing Guide Integration Cable Pairing Guide and Setup - Guide for installers and end users Flex Mobile Brochure - Product overview and specs for clinic decision makers Installation and User Manual Remote Control Pairing Guide - Guide for Installers Flex Speaker Brochure - Product overview and specs for clinic decision makers Installation and User Manual - Guide for installers and end users Installation Video Demo - Short video demo for Flex Speaker installers Flex Window Cover Brochure - Product overview and specs for clinic decision makers Installation Manual - Installation guide for technicians and end users. Remote Control Pairing Guide Video Tutorial: Installing Flex Window or Door Cover Video Tutorial: Setting Upper and Lower Limits on Window Cover

Learn about what Visual Reinforcement is and why it is so important in audologic testing. Visual Reinforcement Audiometry (VRA) What is it and how does it work? Visual Reinforcement Audiometry (VRA) is a behavioral hearing test used to evaluate hearing sensitivity in infants and young children, typically between 6 months and 2–3 years of age, by conditioning a head-turn response to sound using visual reinforcement. Rather than asking a child to respond verbally or press a button, VRA relies on a natural behavioral response. When a child hears a sound, they learn that turning toward it results in something visually interesting. Over time, that association allows clinicians to estimate hearing thresholds based on consistent responses. VRA is most often used with children between approximately 6 months and 2 to 3 years of age, although developmental level is often a more important factor than age alone. Why is VRA used in pediatric audiology ? Standard hearing tests require cooperation, instruction following, and sustained attention. For very young children, that expectation simply is not realistic. Visual Reinforcement Audiometry was developed to bridge that gap. By pairing sound with visual reinforcement, clinicians can collect meaningful hearing information during a critical window for speech and language development. For many children, VRA provides the first reliable behavioral data in the diagnostic process. How Visual Reinforcement Audiometry Works At its core, VRA is a conditioning task. A sound is presented, typically through speakers or earphones. When the child responds appropriately, a visual reinforcer is activated. Over repeated trials, the child learns that responding to sound leads to a visual reward. From there, the clinician can adjust stimulus levels and frequencies to estimate hearing sensitivity. VRA being performed at the University of North Carolina A Typical VRA Session includes: Presentation of calibrated auditory stimuli Conditioning the child to associate sound with visual reinforcement Observing head turns or eye movements toward the sound source Reinforcing correct responses Gradually reducing stimulus levels to identify response thresholds The process is flexible and adapts to the child’s attention span and engagement on a given day. Types of VRA Testing Sound-field VRA Sound-field testing uses speakers positioned to the left and right of the child. This approach measures the response of the better-hearing ear and is commonly used early in the evaluation process. Ear-Specific VRA When a child tolerates earphones or insert phones, ear-specific information can be obtained. This allows clinicians to evaluate each ear independently and is preferred whenever possible. Below is a real-world example of visual reinforcement audiometry performed in a pediatric clinic. Equipment used in Visual Reinforcement Audiometry Visual reinforcement may take different forms: Animated or video-based displays Mechanical or illuminated toys Modern VRA systems often allow clinicians to choose or adjust reinforcement types based on the child’s age, preferences, or attention level. A VRA setup typically includes: An audiometer Speakers or earphones Visual reinforcers positioned to the left and right A control interface or remote Appropriate cabling and accessories Many newer systems use software-based control, allowing clinicians to customize how reinforcement behaves during a session rather than relying on fixed hardware responses. Does VRA Require Calibration? Yes and no. The actual VRA reinforcers do not require any formal calibration because they are not putting out any kind of calibrated stimuli utilized for testing hearing threshold. They are simply the reward stimulus for after the patient has heard oand recognized a calibrated stimuli from the audiometer. It is important to remember that although the VRA does not require acoustic calibration, consistent placement and predictable behavior are important to reliable testing. With that said, in order to properly perform VRA testing, a calibrated audiometer is required to ensure accurate threshold detection. Benefits of Visual Reinforcement Audiometery VRA allows clinicians to: Obtain behavioral hearing information in very young children Perform testing in a non-invasive, child-friendly way Estimate frequency-specific thresholds Adapt testing strategies based on engagement and development For many pediatric patients, VRA represents the most practical balance between accuracy and cooperation. Limitations to keep in mind Like all behavioral tests, VRA has limitations. Results depend on the child’s attention, motivation, and conditioning. Sound-field testing does not provide ear-specific data, and fatigue or loss of interest can limit session length. For these reasons, clinicians often combine VRA with other test methods using combinations systems and emphasize flexible system design. For patients who struggle with traditional visual reinforcement audiometry, VROCA testing offers an operant, visually reinforced alternative. When VRA is the preferred approach Visual Reinforcement Audiometry is typically used when: A child is too young for conditioned play audiometry Behavioral observation alone is insufficient Behavioral data is needed to cross-check objective results Ear-specific thresholds are possible but not guaranteed Professional organizations such as the American Academy of Audiology and the American Speech-Language-Hearing Association recognize VRA as a standard behavioral assessment method in pediatric audiology. Choosing a VRA System When evaluating VRA equipment, clinicians often look beyond basic functionality. Considerations commonly include: Ease of setup and room integration Flexibility of reinforcement options Compatibility with existing audiometers Consistency and reliability during testing Ability to adapt to different patient behaviors Systems that allow customization during the session can reduce frustration and improve efficiency for both clinicians and families. In Summary Visual Reinforcement Audiometry plays a critical role in pediatric hearing assessment. By pairing sound with visual reinforcement, VRA allows clinicians to collect meaningful behavioral data during early stages of development when traditional testing is not possible. As VRA technology continues to evolve, modern systems increasingly focus on flexibility, adaptability, and clinician control, all with the goal of improving test reliability and the overall experience for children and parents alike. FAQ Review What age is visual reinforcement audiometry used for? Visual reinforcement audiometry is typically used for infants and young children between approximately 6 months and 2.5 years of age. It is most effective once a child is developmentally able to localize sound and turn their head toward a visual stimulus. The exact age range may vary depending on the child’s developmental level and attention skills. How does visual reinforcement audiometry work? During visual reinforcement audiometry, a child is conditioned to turn toward a visual stimulus, such as a lighted display or animated image, when a sound is presented. When the child correctly responds to the sound, the visual reinforcement is activated as a reward. Clinicians observe these head-turn responses to determine hearing sensitivity across frequencies and ears. Is visual reinforcement audiometry reliable? Yes, visual reinforcement audiometry is considered a reliable and widely accepted behavioral hearing test when performed correctly. Reliability depends on factors such as patient engagement, clinician experience, and proper test setup. VRA is commonly used in pediatric audiology as part of comprehensive hearing assessment. How long does a VRA hearing test take? A typical visual reinforcement audiometry session lasts 15 to 30 minutes, depending on the child’s cooperation and the information being gathered. Testing may be shorter or longer based on attention span, age, and whether additional assessments are needed. Breaks are often incorporated to maintain engagement. What is the difference between VRA and play audiometry? Visual reinforcement audiometry is generally used for younger children and relies on head-turn responses reinforced by visual stimuli. Play audiometry is used for older toddlers and preschool-aged children who can perform a task, such as placing a block in a bucket, when they hear a sound. Both are behavioral tests, but they are matched to different developmental stages.

Free videos to help children prepare for hearing tests. Improve cooperation for VRA and CPA. Download and use in your clinic instantly. Free Audiology Videos for Pediatric Testing Professionally produced, clinic-ready videos designed to improve pediatric testing outcomes. Used in audiology clinics. Built into every Flex VRA. What Happens At A Child's Hearing Test Helps children understand exactly what will happen during a pediatric hearing test, reducing fear and improving cooperation during audiology appointments. Get Video File The Listening Game: Preparing for VRA Introduces the listening game so children are ready to respond during Visual Reinforcement Audiometry (VRA) testing. Get Video File Toy in the Bucket Game: Preparing for CPA Prepares children for Conditioned Play Audiometry (CPA) by showing the exact task they’ll perform during testing. Get Video File Why Preparing Children for Hearing Tests Matters A pediatric hearing test can be unfamiliar and sometimes overwhelming for young children. When a child doesn't know what's going to happen, it can lead to hesitation, inconsistent responses, or an incomplete test. When children know what to expect, they participate more readily, respond more consistently, and stay engaged throughout the appointment. For Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA) especially, a child's responses directly impact the accuracy of the results. A few minutes of preparation can mean fewer delays, a smoother session, and clearer answers for everyone involved. These videos are used in audiology clinics, and built directly into Flex VRA. Download a clinic-ready poster patients can scan to watch these videos

Peer-reviewed research and published literature referencing modern, software-enabled visual reinforcement audiometry approaches, including Flex VRA. Relevant Research and Literature If you are conducting or planning research related to visual reinforcement audiometry, conditioned play audiometry, or operant control approaches, and would like to discuss resources or technical considerations, you are welcome to get in touch . Concepts related to modern, software-enabled visual reinforcement audiometry have been referenced in published research, including: Bonino AY, Hemann A, Mood D, Kay E, Pancoast ES, Sommerfeldt KK. Visual reinforcers designed for children with developmental disabilities. Journal of Early Hearing Detection and Intervention. 2021 Apr 22;6(1):69–76. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC8061901/ This scoping review examines factors that influence the effectiveness and optimization of visual reinforcement audiometry in pediatric hearing assessment. Visram, A., Jackson, I., Almufarrij, I., Stone, M., & Munro, K. (2024). Optimisation of visual reinforcement audiometry: a scoping review. International Journal of Audiology. Optimisation of visual reinforcement audiometry: a scoping review This document presents the British Society of Audiology’s recommended procedure for visual reinforcement audiometry, outlining clinical standards for test setup, execution, and interpretation. British Society of Audiology. Recommended Procedure: Visual Reinforcement Audiometry. Visual Reinforcement Audiometry RP by the BSA, January 2024. https://www.thebsa.org.uk/wp-content/uploads/2024/01/OD104-37-BSA-RP-Visual-Reinforcement-Audiometry-v2.pdf This presentation hosted by Audiology Online covers the new tools and strategies for Visual Reinforcement Audiometry available from Flex VRA. New Tools and Strategies for Visual Reinforcement Audiometry | 39687 Course 39687

Discover how Flex VRA modernizes pediatric audiometry with flexible, software-based visual reinforcement to improve hearing assessments for infants & children. Flex VRA: A Modern Visual Reinforcement Audiometry System Overview Flex VRA is a modern visual reinforcement audiometry system used in pediatric audiology clinics to assess hearing in infants and young children through visual reinforcement. The system is designed to support reliable behavioral responses during hearing evaluations by presenting engaging visual stimuli when an auditory response is detected. What problem visual reinforcement audiometry solves Visual reinforcement audiometry is commonly used to assess hearing in children who are too young for conditioned play audiometry or standard behavioral testing. Traditional VRA systems often present challenges such as: Limited stimulus variety, which can reduce engagement over repeated trials Fixed or mechanical reinforcers that cannot adapt to different patients Rigid room layouts that restrict monitor placement or test configuration Flex VRA was developed to address these limitations while preserving the core clinical principles of VRA testing. How Flex VRA differs from traditional VRA systems Flex VRA is designed as a software-driven alternative to traditional toy-based or mechanically reinforced VRA systems. Key differences include: Visual reinforcement delivered through digital stimuli rather than fixed toys Multiple stimulus options available within a single test session Greater flexibility in system configuration and room layout Consistent stimulus presentation without mechanical wear or maintenance The goal is not to replace established VRA methodology, but to modernize how visual reinforcement is delivered in the clinic. Who uses Flex VRA Flex VRA is used by clinicians and institutions that perform pediatric hearing evaluations, including: Pediatric audiologists Children’s hospitals University audiology clinics ENT practices offering pediatric diagnostic services The system is designed to integrate into standard audiometric workflows without changing how clinicians conduct testing. Clinical considerations Flex VRA functions as a visual reinforcer and does not perform sound generation, calibration, or audiometric measurement. The system: Does not replace an audiometer Does not require independent calibration Is used alongside existing audiometric equipment This allows clinics to adopt Flex VRA without altering established testing protocols. Adaptability and workflow Flex VRA supports a wide range of patient behaviors and attention levels by allowing clinicians to vary visual reinforcement during a session. This flexibility can be especially useful for: Patients with reduced attention span Children who habituate quickly to static reinforcers Clinics that test a wide range of ages and developmental levels Optional advanced features may be used when appropriate, but the system is designed to function effectively without them. Summary Flex VRA is a modern visual reinforcement audiometry system designed to support pediatric hearing assessments through flexible, software-based visual reinforcement. By modernizing how visual stimuli are delivered, Flex VRA helps clinics maintain engagement while preserving the core principles of VRA testing. About Flex VRA Flex VRA systems are used in pediatric audiology clinics and medical centers worldwide and are distributed through established audiology suppliers . The system is designed to evolve with clinical needs while remaining compatible with standard audiometric practices.

Flex Screen Mirror allows audiologists to view and interact with audiometric data inside the booth during pediatric VRA testing. Flex Screen Mirror In-booth access to audiometric tools Brochure Installation Manual Screen Mirror allows audiologists to view and interact with audiometric data directly inside the booth. Review completed audiograms with patients inside the booth View a video otoscope directly on a Flex VRA monitor Support counseling with on-screen annotation, drawings, and visuals Control audiometric software during testing with a wireless keyboard How It Works Demonstration of screen mirror being used on a computerized audiometer Screen Mirror works on PCs and audiometers with HDMI video out. Not sure if your device is compatible? Contact sales@flexvra.com Demonstration of screen mirror being used with a GSI Video Otoscope Screen Mirror works with most video otoscopes that act as camera devices in Windows. Not sure if your device is compatible? Contact sales@flexvra.com

Flex PC provides wireless control of Flex VRA systems, allowing audiologists to manage reinforcement and workflows directly from a computer. Flex PC Included with any Flex VRA System Brochure Installation Instructions Download Flex PC Flex PC offers audiologists complete control of Flex VRA systems directly from a computer Click Icon For Sound Click For Demo Why Is Flex PC important? Flex PC enhances workflow efficiency in visual reinforcement audiometry, especially for clinics using computerized clinical audiometers. When testing pediatric patients, every second counts. Moving between the audiometer, keyboard, mouse, and VRA remote can interrupt focus and delay results. Flex PC eliminates that back-and-forth by putting full VRA control directly on your computer. Audiologists can assign custom hotkeys to activate visual reinforcers instantly, and keep attention on the child, not the controls. Even if you don’t use a computerized audiometer, Flex PC is still valuable as a standalone controller or reliable backup in case your VRA remote is ever misplaced. In any setup, Flex PC ensures your clinic can always perform visual reinforcement audiometry smoothly and without interruption. Specifications Required Operating System Windows 10 or Higher Transmitter Connection USB-A Transmitter Power Requirements 5V USB Transmitter Range 15 Meters Signal Transmission Paired 433 MHz Radio Frequency Warranty Period 2 years