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Choosing the Right VRA System for Your Clinic Not all VRA systems are designed the same. As pediatric hearing evaluations have evolved, the expectations for VRA equipment have changed as well. Clinics now look for systems that are reliable, flexible, and easy to use while supporting consistent patient responses. Here are the key factors to consider when selecting a VRA system. 1. Reliability and Timing A VRA system must respond instantly when the clinician triggers a reinforcer. Any lag or delay makes the test harder and can disrupt the child’s attention. Software driven systems tend to offer faster activation times compared to older mechanical VRA boxes. 2. Quality of Visual Reinforcers Children respond best to bright, engaging, but not overstimulating content. Look for a VRA system that allows you to customize content and adjust how exciting the reinforcer should be. Features like House Rules in Flex VRA let you control how the center monitor behaves so you get clearer head turns. 3. Integration With Audiology Equipment The best VRA equipment connects smoothly with your audiometer, remote, or clinic workflow. Consider whether the system supports: • Remote control activation • Audiometer integration • PC or software based triggering Seamless integration allows clinicians to stay focused on the patient instead of the equipment. 4. Durability and Build Quality VRA equipment is used daily in pediatric settings. Look for a system designed to withstand constant use, movement between rooms, and long clinical schedules. 5. Versatility and Future Features Clinics benefit from VRA systems that grow with them. Software based systems often release updates, new reinforcers, and feature improvements that extend the life of the system without requiring new hardware. 6. Support and Service Make sure the company behind your VRA system offers reliable support. Pediatric audiology depends on smooth daily operation, so access to fast assistance matters. By evaluating these factors, clinics can choose VRA equipment that improves workflow, supports accurate Visual Reinforcement Audiometry, and creates a better experience for both the child and family.

Does a VRA System Need Calibration? One of the most common questions in pediatric audiology is whether a VRA system needs to be calibrated. The answer depends on what the term “calibration” refers to. Audio Calibration VRA equipment itself does not generate calibrated sound. The audiometer is the device responsible for delivering calibrated signals. As long as the audiometer is calibrated according to ANSI standards, the audio portion of the VRA test remains accurate. The VRA system simply presents the visual reinforcement once the child responds. Visual Calibration There is no formal visual calibration standard in Visual Reinforcement Audiometry. However, consistency matters. Clinics should verify that: • The left and right reinforcers activate at the correct moment • The reinforcers are bright and visible from the child’s position • The timing of activation matches the audiologist’s expectations Modern software based systems make this easier because they remove the mechanical delays found in older VRA boxes. Positioning and Setup Although VRA systems do not require calibration in the same way an audiometer does, proper setup is essential. • Reinforcers should be placed at roughly 45 degrees to the child • The height should match eye level • The center reinforcer should help maintain attention without overpowering the side reinforcers New features like House Rules in Flex VRA allow clinics to keep the center screen simple and add consistency to the test. When to Recheck Your VRA Equipment You should review your VRA system if you notice: • Delayed activation • Dim or inconsistent displays • Loose mounts or shifted positions • Software not responding correctly These checks help maintain accurate and repeatable VRA sessions. Summary A VRA system does not require formal calibration, but proper setup, clean activation timing, and consistent visibility are essential for reliable Visual Reinforcement Audiometry. Using well designed VRA equipment ensures accurate responses and smooth pediatric hearing evaluations.

Discover Flex VRA’s cutting-edge Visual Reinforcement Audiometry system with enhanced performance, custom content, and dynamic features. Learn more today! Button Faster tests. Better Outcomes. One VRA System. "My 4-year-old son with Down Syndrome visited the audiologist today, and we were pleasantly surprised when the rewards for attending to sounds were little clips of @heybearsensory veggies. Such an improvement over the old animated toy VRA systems! He immediately became excited and attentive and signed for more when the clips ended. Definitely the most willing participation we've ever had from him at an audiology screening! 10/10 recommend." -Mother of child via Instagram @flexvra Brochure Contact Your Local Representative السمعيات ، جامعة ستيفن ف. أوستن أنا بالتأكيد أحب Flex VRA !!! لعبة تغيير كاملة. أشغل الشاشات قبل أن أحضر الطفل. إنه يخلق بيئة أفضل ويبقيهم مشتتًا أثناء تنظير الأذن وقياس الطبلة. العبقري!! السمعيات ، مركز للسمع والكلام الجميع يحبها حقًا! نحب حقًا مقاطع الفيديو الحديثة والتحكم في مستوى الصوت. السمعيات ، مستشفى أطفال تكساس أنا أحب هذا النظام. حتى أن ممرضاتي علقوا على مدى حداثته وجاذبيته مقارنة بنظامنا القديم. أنا عميل سعيد! السمعيات ، مستشفى أطفال تكساس أنا أحب هذا النظام. حتى أن ممرضاتي علقوا على مدى حداثته وجاذبيته مقارنة بنظامنا القديم. أنا عميل سعيد! السمعيات ، مركز للسمع والكلام الجميع يحبها حقًا! نحب حقًا مقاطع الفيديو الحديثة والتحكم في مستوى الصوت. السمعيات ، مركز للسمع والكلام الجميع يحبها حقًا! نحب حقًا مقاطع الفيديو الحديثة والتحكم في مستوى الصوت. You asked for it. We built it. The ability to tailor each VRA's sound and video options at your fingertips. On-Screen Touch Menu 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! Watch Demo Conditioned Play Auidometry Games 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. In 2025, 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. The Remote 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 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. CUSTOM Bubble Game "When you hear a tone, pop a bubble on the screen and see a character appear!" Watch Demo Farm Game "Pick a fruit out and feed it to one of the animals when you hear the tone." Watch Demo Bucket Game "Listen for the tone and when you hear the beep, touch one of the colored balls and drag it over into the bucket!" Watch Demo FLEX-RLC FLEX-RLC FLEX-RLC FLEX-RLC Three 13.5 inch monitors with illuminated LED bezel to test Reft, Light, and Center Includes GSI Audiostar Pro V2 Integration cable Compatible with Screen Mirror and Flex VROCA Button. FLEX-RL FLEX-RL FLEX-RL FLEX-RL Two 13.5 inch monitors with illuminated LED bezel to test Reft and Light. (NO CENTER) Includes GSI Audiostar Pro V2 Integration cable Compatible with Screen Mirror and Flex VROCA Button. FLEX-C FLEX-C FLEX-C FLEX-C One 13.5 inch monitor with illuminated LED bezel to test Center. Includes GSI Audiostar Pro V2 Integration cable Compatible with Screen Mirror and Flex VROCA Button. Configurations Contact Your Local Representative

What Is VRA in Pediatric Audiology Visual Reinforcement Audiometry, often called VRA, is a behavioral hearing test used for young children. It is one of the most important tools in pediatric audiology because it allows clinicians to assess hearing in infants and toddlers who are too young for traditional tests. A VRA system pairs a sound stimulus with a visual reward. When the child hears a sound from the left or right, they naturally turn toward it. When they do, the VRA system presents a visual reinforcer on that side. This reinforces the behavior and helps the audiologist measure hearing thresholds. How a VRA System Works: A complete VRA system includes three main components • A left reinforcer • A right reinforcer • A center monitor that keeps the child relaxed and in position Each reinforcer displays a short, engaging animation or light pattern when the audiologist activates it. In a modern clinic, VRA equipment is controlled through a dedicated remote or through integrated audiometer software. Why VRA Is So Effective VRA is effective because it uses natural child behavior. Infants instinctively orient toward interesting sounds. The visual reward keeps them motivated to respond again and again. A good VRA system helps the clinician collect reliable responses quickly, reduce test fatigue, and create a positive experience for the child and parent. Modern Advances in VRA Equipment Clinics today are choosing software based VRA systems because they offer: • Faster stimulus switching • More engaging and flexible content • Options for custom videos or clinic branding • Higher reliability compared to older mechanical boxes Systems like Flex VRA use software driven reinforcers to give audiologists more control, better timing, and more consistency than traditional hardware. If you are comparing VRA systems or upgrading your VRA equipment, understanding the basics of how Visual Reinforcement Audiometry Systems works will help you choose the right solution for your practice.

Discover how Flex VRA revolutionizes audiology with innovative solutions. Learn about our growth and commitment to audiology excellence. Flex VRA's primary focus is to serve the parents who walks through the booth door. When we help a child feel comfortable and engaged, the audiologist can deliver a fast and accurate evaluation, and the parent can clearly understand their child’s hearing needs. In serving that moment, trust flows from the family to the audiologist, from the audiologist to the distributor who recommended our solution, and finally from the distributor to Flex for delivering the best VRA system we can create. Every link in that chain is important, but the most important piece is the parents.” Steve Smith, Owner About Flex VRA Innovative Audiology Solutions, Tailored for the Modern Clinic At Flex VRA, we believe in transforming the way audiologists conduct hearing tests on pediatric and difficult to test patients. Founded by Steve Smith in 2017, Flex VRA began as a response to a simple but important question posed by a colleague in the audiology field: “Is there a way to completely control what shows up on my VRA screens while testing a child? It would be a much better way to maintain their attention during the test.” At that time, the answer was no. But Steve, a former audiometric equipment representative, was determined to change that. His experience in the field combined with a passion for creating better solutions led him to design a prototype that not only met this challenge but exceeded expectations. The prototype allowed users to tailor the video content and environment on the VRA screens, ensuring a more engaging and productive hearing test for children. This innovation was a success and the positive feedback led to more requests from audiologists. People wanted additional features like remote control functionality, the ability to upload their own videos, and integration with audiometers. Flex VRA’s response was simple: Yes, let’s try it. Each request was turned into an opportunity to improve and innovate. Whether it was adding games for Conditioned Play Audiometry or creating an always-on mode for distraction during testing, Flex VRA continuously adapted its system to meet the unique needs of audiologists and their patients. Our Growth: From Prototype to Industry Leader Fast forward to today, and Flex VRA is proud to serve over 1,000 clinics. We've worked tirelessly to ensure our VRA systems are the most functional, flexible, and fun VRA we can possibly make. By focusing on collaboration with audiologists, listening to their feedback, and integrating the best features, we’ve created a product that has changed the game in visual reinforcement audiometry testing. We are more than just a provider of audiometric equipment; we are partners in the audiology community, constantly striving to make every testing experience better. سمات We understand that every audiology clinic is different, which is why Flex VRA provides customized solutions. Our VRA systems offer: Complete Control Tailor video content and sound to keep children engaged during tests. User-Friendly Features Upload your own video clips, control the sound remotely, and integrate seamlessly with your audiometer. Partnership with Hey Bear Sensory With custom content from Hey Bear Sensory, we ensure you have familiar and fun custom content day 1. Follow Up Services and Customer Support An obsessive devotion to making sure every single Flex customer absolutely loves their VRA. We love customizations! Every request for custom features helps continue to build out new and exciting features. No request is too crazy! We'd love to try it. Simply put, you are going to delight patients Every video, flashing light, and toy is designed in-house and pilot tested to ensure parents and kids will love it. Our Commitment to Innovation Flex VRA started as an idea to improve how audiologists engage with their younger patients, and we are proud to say that our products continue to exceed expectations. We are committed to advancing the audiology field with cutting-edge technology, backed by years of experience, and continuous collaboration with industry professionals. Join Our Mission We encourage you to explore our products, talk to your colleagues who have already experienced the Flex VRA difference, and reach out to us for a remote demonstration. If you have suggestions or ideas on how we can make our systems even better for your clinic, we welcome the challenge. Our mission is to provide the most functional and fun VRA system possible—and we’re just getting started. We'd love to hear from you If you’d like to learn more or discuss how Flex VRA can help your clinic, don’t hesitate to reach out! Our team is always here to assist you and answer any questions. Contact Us Now!

Download various apps and support tools from Flex VRA Download Download Flex Farm Game This application was developed for the Flex VRA but can be used on any Windows PC. This application will display various fruits on the screen that can be dragged to an animal to eat. When the task is completed, the animal will move and make a noise in response as a reward. This can be used during play audiometry so that when a child hears the sound, they can feed the animal of their choice. Download Bubble Game This application was developed for the Flex VRA but can be used on any Windows PC. This application will float bubbles on the screen and when "popped" (touched or clicked with a mouse), an animated cat will appear and music will play as a reward. Download Flex Ball Game Download SRT Board This application was developed for the Flex VRA but can be used on any Windows PC. This provides a visually reinforced SRT board that will move and play sound when correct selections are made by the patient. This application provides a "drop the ball in the bucket" game for pediatric patients to play during play audiometry. The application works both with a drag and drop mouse interface or a touch screen interface.

Enhance Audiometry Testing with Screen Mirror. Wirelessly transmit HDMI video for real-time audiogram review and operation of testing equipment in the booth. Screen Mirror Turn your VRA into an in-booth display Screen Mirror wirelessly transmits any HDMI video source to Flex VRA. This allows audiologists to do the following: Review a completed audiogram in the booth to counsel the patient. Operate the audiometer in the booth with a wireless mouse/keyboard. Operate computerized tympanometry and Otoacoustic Emissions in the booth with a wireless mouse/keyboard. Screen Mirror is a $750 add-on option to any new or existing Flex VRA. For more information, contact your local Flex VRA representative here . Screen Mirror will work on any PC with an HDMI video out and any audiometric device with an HDMI out. Not sure if your device is compatible? Contact sales@flexvra.com

These are frequently asked questions about the Flex Visual Reinforcement Audiometry (VRA) System. Frequently asked questions Questions of Purchasing Flex VRA Questions about the Flex VRA How much does Flex VRA cost? We offer a variety of price points depending on your needs in the clinic. Depending on if you need toy, video, a combination and how many monitors you might need (Left, Right, or Center). Our most popular flagship product, the Flex VRA, can start as low as $2,700 for a single center monitor setup (FLEX-C) up to $7,500 for a three monitor Left, Right, and Center setup (FLEX-RLC) pictured below. For clinics looking for a less robust setup, we offer FLEX-TOY as low as $1,300 for a single toy box setup (FLEXTOY-C) up to $3,300 for a three box Left, Right, and Center setup (FLEXTOY-RLC). If you have questions which setup might work best for your clinic, please feel free to reach out to us at sales@flexvra.com for various options which might need your clinical needs and budget. How do I purchase Flex VRA? To facilitate installation, training, and follow up support, Flex VRA is sold through authorized audiometric equipment distributors in select countries. In instances where there is not a preferred local distributor in your area, please reach out to us at sales@flexvra.com to see if we can assist you needs directly. What is the warranty policy? Flex VRA is guaranteed to be free from manufacturer defect for the first year (12 months) from the date of shipment. Should any defects occur in that time period, Flex will remedy the defect at no additional charge to the end user.

Enhance VRA testing with the Flex Screen—Flex VRA's remote-controlled privacy screen for distraction-free audiology sessions. Custom sizes available. كراسة أن تسمع، لم يرى. شاشة خصوصية فورية يتم التحكم فيها عن بُعد تقضي على مصادر التشتيت غير المرغوب فيها للمريض أثناء الاختبار. جانب المشغل صبور الجانب بحجم يناسب غالبية نوافذ كابينة الصوت حجم مخصص متاح مقابل رسوم إضافية 3 قدم 3 قدم *** يستخدم Flex Cover جهاز تحكم عن بعد منفصل من جهاز التحكم عن بعد Flex Visual Reinforcement Audiometry (VRA)

Engage pediatric patients with the Flex Toy, a Visual Reinforcement Audiometry (VRA) system with customizable lights, sound, and seamless audiology integration. كراسة انقر فوق النوتة الموسيقية ل سماع أصوات VRA> Flex Toy هي أداة قياس سمع تقوية بصرية تقليدية قائمة بذاتها (VRA) تتكامل مع Flex video VRA للتحكم الكامل في جميع المحفزات من جهاز التحكم عن بعد. سمات توفر مكبرات الصوت الداخلية الصوت الذي يتم تشغيله أثناء التنشيط. استخدم صوت صندوق الموسيقى القياسي الخاص بنا أو قم بتحميل الموسيقى الخاصة بك إلى الصندوق! بضغطة زر واحدة ، قم بتنشيط أي صندوق في وضع "التشغيل الدائم" أثناء إجراء قياس الطبلة أو OAE في الكابينة. تم تصميم كل صندوق للوصول إلى الألعاب ومبادلتها بسهولة عند الرغبة في ذلك. يضمن محركنا الدوار الصامت جنبًا إلى جنب مع ألعابنا المصممة خصيصًا إسعاد مرضاك من الأطفال. تعمل لعبة Flex بسلاسة مع FlexPC (التحكم في VRA أثناء إجراء قياس السمع المحوسب) و GSI Audiostar Pro Integration. قم بتخصيص حد الضوء أثناء التنشيط من جهاز التحكم عن بعد. اختر من بين مصابيح LED الوامضة باللون الأحمر والأخضر والأزرق. يبدو وضع صرف الانتباه لعبة المبادلة LED ضوء الحدود Startle Free دمج الزوج المثالي. اختر من بين اللعبة أو الفيديو أو التنشيط المتزامن من جهاز التحكم عن بُعد! جهاز التحكم عن بعد يريد بعض علماء السمع مجموعة متنوعة من الخيارات للاختيار من بينها. البعض يريد البساطة. نقدم لك كلاهما. لعبة فليكس مع أضواء / أكشن لعبة فليكس الصمام الخفيفة اللون التنشيط يصرف صامت لعبة فليكس للعمل فقط أساسي مثالية لأنظمة Flex Toy المستقلة أو لأخصائيي السمع الذين لا يحتاجون إلى تغيير المحفزات كثيرًا متقدم مثالية لأنظمة دمج الألعاب والفيديو وأخصائيي السمع الذين يرغبون في تغيير المحفزات بسرعة أثناء الاختبار.

Streamline audiometric testing with Flex PC—control VRA video & toy systems from one interface. Designed for efficient, distraction-free hearing assessments. كراسة انقر فوق رمز الصوت يوفر Flex PC لعلماء السمع تحكمًا كاملاً في أنظمة قياس السمع المقوى المرئي (VRA) للفيديو واللعبة من أجهزة الكمبيوتر الخاصة بهم. 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—keeping 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. Want to see a demo? Schedule Now!

Flex VRA's FlexMobile delivers a portable audiometry exam solution, perfect for mobile clinics and remote hearing screenings—accurate, flexible, & easy to use. كراسة User Manual VRA wherever you need it. You asked for it. We built it. The ability to tailor each VRA's sound and video options at your fingertips. On-Screen Touch Menu Zoned Wireless Remote Control Simplifed in design with increased functionality Response Time (from button press to activation): .25 seconds Battery: 2 AAA Batteries Battery Life: 1-1.5 years Number of Remotes that can pair to each system: 2 Number of Remotes that come with each system: 2 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! 5 years ago, Flex VRA was made to address one audiologist's simple request: "It would be really cool if someone made a VRA that would let me control what stimuli is displayed." So, we built it. Then she told her colleague about it and we built it again. And again. Now, over 500 systems later, Flex has become one of the most sought-after tools utilized by pediatric audiologists. And in the last five years, there have been more "It would be really cool if..." requests from all over the world. So, we built it. VRA Reinvented, again. السمعيات ، جامعة ستيفن ف. أوستن أنا بالتأكيد أحب Flex VRA !!! لعبة تغيير كاملة. أشغل الشاشات قبل أن أحضر الطفل. إنه يخلق بيئة أفضل ويبقيهم مشتتًا أثناء تنظير الأذن وقياس الطبلة. العبقري!! السمعيات ، مستشفى أطفال تكساس أنا أحب هذا النظام. حتى أن ممرضاتي علقوا على مدى حداثته وجاذبيته مقارنة بنظامنا القديم. أنا عميل سعيد! السمعيات ، مركز للسمع والكلام الجميع يحبها حقًا! نحب حقًا مقاطع الفيديو الحديثة والتحكم في مستوى الصوت. Video Credit to e3 Med-Acoustics for the amazing installation! كيف تعمل تكامل GSI Audiostar Pro تحكم في تنشيط Flex VRA مباشرة من الأزرار الموجودة على جهاز Grason-Stadler (GSI) Audiostar Pro. مرآة الشاشة استخدم شاشة VRA لمضاعفة كشاشة داخل الكابينة. هذا يساعد في تقديم المشورة أو إجراء قياس السمع في الكابينة. محتوى مخصص قم بتحميل أي محتوى مخصص في أي تنسيق فيديو بسهولة للاستفادة منه أثناء اختبار التعزيز المرئي فليكس فروكا قم بأداء VRA الذي يتم التحكم فيه عن طريق التشغيل بضغطة زر إضاءة لدينا! يتعلم أكثر