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Enhance VRA testing with the Flex Screen—Flex VRA's remote-controlled privacy screen for distraction-free audiology sessions. Custom sizes available. Block distractions. Improve results. Better visual control for more consistent pediatric testing. Get the Brochure Installation Guide Flex Cover configurations FLEX-WINDOWCOVER Electric rolling cover 3 ft x 3 ft Magnetic mounts Wireless remote control USB C charging cable $800 FLEX-DOORCOVER Electric rolling cover 6 ft x 18 in Magnetic mounts Wireless remote control USB C charging cable $800 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. Includes Includes Operator's Side Patient Side Be heard, not seen. Visual control during pediatric testing. Battery-powered window cover for placement anywhere No tools required — install in seconds Custom sizing for individual booths Rechargeable motor for long-term, hassle-free use Wireless control from anywhere in the booth Simple Installation Specifications Wireless Communication Protocol 433 MHz Radio Frequency Power Internal Battery Battery Life 6-12 Months depending on use Charging Power USB C Dimensions Window: 3ft x 3ft, Door: 5 ft x 18 in Warranty Period 2 years

Learn how Flex VRA was built to improve pediatric audiology testing through clinician collaboration, real-world feedback, and modern reinforcement methods. Steve Smith with his two assistant (to the) regional managers. We build solutions for the parents of the child being tested. If we provide tools for audiologists that help give those parents answers about their child’s hearing, we’ll always have a customer. Steve Smith, Founder About Flex VRA Listening to clinicians from the start Flex VRA was built to support how pediatric audiology is practiced today, not how it was practiced years ago. From the beginning, our focus has been on helping audiologists maintain attention, reduce distraction, and adapt testing environments to the needs of each child. Founded in 2017 by Steve Smith, Flex VRA began as a response to a simple question from the field: Is there a better way to control what appears on a VRA screen during testing? That question led to a prototype that allowed clinicians to tailor content and environment in real time to improve engagement and test efficiency. The positive response from audiologists shaped what Flex would become. Each request from clinicians became an opportunity to improve. Features like user-uploaded content, audiometer integration, and expanded testing modes were added in direct response to real-world use. That approach continues to guide how Flex VRA is designed today. Built through collaboration with clinicians Today, Flex VRA supports hearing tests in over 1,000 clinics. That growth has been driven by close collaboration with audiologists and a commitment to listening, adapting, and improving. Each feature added to Flex VRA reflects real-world feedback from clinicians working with pediatric patients every day. By focusing on usability, flexibility, and engagement, Flex VRA has evolved alongside the needs of the clinics it serves. Questions about Flex VRA? If you’d like to learn more or discuss how Flex VRA fits into your clinic, we’re happy to help. Contact Flex VRA

Privacy Policy Flex VRA (“Flex VRA,” “we,” “us,” or “our”) values your privacy. This Privacy Policy explains what information we collect when you visit our website (the “Site”), contact us, or purchase our products and services, how we use it, and the choices you have. If you have questions, contact us at sales@flexvra.com . 1) Information We Collect Information you provide to us We may collect information you choose to share, including: Contact details (name, email, phone number, organization, job title) Inquiry details (messages submitted through forms, emails, or chat) Order and shipping details (billing/shipping address, purchase history) Support details (device information you share with support, troubleshooting notes, photos/videos you provide, and related communications) Marketing preferences (newsletter signups, communication preferences) Information collected automatically When you use the Site, we may automatically collect: Device and browser data (IP address, browser type, operating system, device identifiers) Usage data (pages visited, time on site, referring page, clicks) Approximate location (derived from IP address) Cookies and similar technologies We use cookies and similar technologies to operate the Site and understand usage. You can control cookies through your browser settings. Some features may not work properly if cookies are disabled. 2) How We Use Information We use the information we collect to: Provide and improve the Site and our products and services Respond to requests, questions, and customer support needs Process orders, payments, shipping, and returns Send service-related messages (order confirmations, updates, support communications) Send marketing communications (where permitted), and measure marketing performance Monitor, prevent, and investigate fraud, abuse, or security incidents Comply with legal obligations and enforce our terms and policies 3) How We Share Information We do not sell your personal information. We may share information in these situations: Service providers We may share information with vendors that help us run our business, such as: Website hosting and analytics providers Payment processors Shipping and logistics partners Customer support tools Email and marketing platforms These providers are authorized to use your information only as needed to provide services to us. Distributors and fulfillment partners If you purchase Flex VRA products through an authorized distributor (for example, E3 Diagnostics), or if fulfillment/support involves a partner, we may share information needed to process your request, fulfill the order, and support you. Legal and safety reasons We may disclose information if required by law, subpoena, or similar legal process, or if we believe disclosure is necessary to protect rights, safety, and security, or to investigate fraud. Business transfers If Flex VRA is involved in a merger, acquisition, financing, reorganization, or sale of assets, information may be transferred as part of that transaction. 4) Analytics, Advertising, and Tracking We may use analytics tools (such as Google Analytics or similar services) to understand how people use the Site. These tools may use cookies and collect usage data. We may also use advertising and conversion tracking tools (such as a Meta pixel, Google Ads, LinkedIn insight tag, or similar) to measure the effectiveness of our marketing. Depending on how your Site is configured, these tools may collect information about your visits and interactions. Your choices: You can disable cookies in your browser settings. You can opt out of certain interest-based advertising through industry opt-out tools (availability varies by region). 5) Email and Marketing Preferences You can opt out of marketing emails at any time by using the unsubscribe link in the email or by contacting us at [privacy@flexvra.com ]. Even if you opt out of marketing, we may still send non-promotional messages, such as order updates or support communications. 6) Data Retention We keep personal information as long as needed for the purposes described in this Policy, including to provide services, comply with legal obligations, resolve disputes, and enforce agreements. Retention periods vary depending on the type of information and why we collected it. 7) Security We use reasonable administrative, technical, and physical safeguards designed to protect personal information. No method of transmission or storage is 100% secure, and we cannot guarantee absolute security. 8) Children’s Privacy The Site is intended for a general audience and is not directed to children under 13. We do not knowingly collect personal information from children under 13. If you believe a child has provided personal information to us, contact us and we will take appropriate steps to delete it. 9) Your Privacy Rights Depending on where you live, you may have rights regarding your personal information, such as: Accessing the personal information we hold about you Requesting correction of inaccurate information Requesting deletion of certain information Objecting to or restricting certain processing Withdrawing consent (where processing is based on consent) To make a request, contact [privacy@flexvra.com ]. We may need to verify your identity before fulfilling certain requests. “Do Not Track” Some browsers offer “Do Not Track” signals. Because there is no consistent industry standard, our Site may not respond to these signals. 10) International Visitors If you access the Site from outside the United States, your information may be processed in the United States or other locations where we or our service providers operate. These locations may have different data protection laws than your jurisdiction. 11) Third-Party Links The Site may link to third-party websites or services. This Privacy Policy does not apply to those third parties. We encourage you to review their privacy policies. 12) Changes to This Policy We may update this Privacy Policy from time to time. The “Last updated” date above shows when it was last revised. Changes take effect when posted on this page. 13) Contact Us Flex VRA 100 E. Whitestone Blvd., #160 Cedar Park, TX 78613 Email: sales@flexvra.com Phone: 512-254-9953

VROCA is a pediatric VRA response button designed to support consistent, child-initiated responses during visual reinforcement audiometry testing. Comparison of VRA, CPA, and VROCA testing Test Type Typical Age Patient Response Reinforcement VRA Infants, toddlers Head turn Lighted toy or animation CPA Young children Play task Game-based reward VROCA Older children, adults Operant response Visual video reinforcement Learn how VRA compares to CPA in pediatric audiology. Better engagement. Better data. By reinforcing correct responses with visual content, VROCA keeps patients engaged without over-stimulating the test environment. Clinicians gain greater confidence in responses while patients experience a clearer, more intuitive testing process. Every Flex VRA's software is built-in with VROCA functionality once a wireless and battery-free VROCA button is plugged into it. Plug and play, literally. Flex VROCA Button VROCA Audiology Testing (Visual Reinforcement Operant Conditioning Audiometry) Brochure Visual Reinforcement Operant Conditioning Audiometry (VROCA) is a behavioral hearing test used for older children and adults who are unable to reliably complete traditional VRA audiometry . Instead of requiring a simple hand raise or button press alone, VROCA combines an operant response with a visual reward, improving attention, compliance, and response accuracy. How to Conduct VROCA Testing VROCA testing combines an operant response with visual reinforcement to support attention and response reliability. Before testing begins, the patient is instructed to perform a simple action, such as pressing a response button, whenever they hear a sound. With the Flex VROCA button, that button press will automatically trigger the Flex VRA to activate. Once conditioning is established, each correct button press response triggers a brief visual reinforcer. The clinician can suppress the reinforcer at any time to ensure reinforcement occurs only when appropriate. This helps preserve the conditioning relationship and prevents accidental reinforcement during setup or repositioning. Below is an example of VROCA being conducted on a Flex VRA system. Note how when incorrect button presses are made, the VRA does not reinforce, and the patient is instructed to wait until they hear the tone. Throughout testing, reinforcement duration can be adjusted on the Flex VRA to match the patient’s attention span. Shorter reinforcement intervals help maintain focus, while longer intervals may be useful during initial conditioning or with patients who require additional engagement. In audiology, VROCA is particularly useful when traditional audiometry or conditioned play testing results in inconsistent responses, allowing clinicians to obtain more reliable behavioral thresholds with fewer repeated instructions. Features Wireless A wireless button reduces distraction during VROCA testing by eliminating cables that can interfere with posture, attention, and engagement. It also protects your Flex VRA from being pulled on by an attached cable. For pediatric patients, this supports more natural responses and improves consistency throughout the test session. Suppression Holding down the Custom button temporarily suppresses stimulus activation, giving clinicians precise control over when reinforcement is delivered. This prevents accidental or premature reinforcement and helps preserve the conditioning relationship until testing is ready to begin. Time Reinforcement duration can be customized from 2 to 10 seconds through the Flex VRA service menu, giving clinicians control over stimulus length to match patient attention span and reduce over-engagement. Frequently Asked Questions What does VROCA stand for in audiology? VROCA stands for Visual Reinforcement Operant Conditioning Audiometry. What age is VROCA used for? VROCA is typically used for older children and adults who are unable to reliably complete traditional audiometry or conditioned play testing. Is VROCA the same as VRA? No. VROCA requires an operant response, while VRA relies on a head-turn response to sound. Is VROCA appropriate for neurodivergent patients? Yes. VROCA is commonly used with patients who have attention, developmental, or sensory challenges, where traditional testing methods may be difficult to complete reliably.

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 Flex Mobile is a fully featured portable VRA system built for mobile audiology programs, 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! Zoned Wireless Remote Control for Mobile VRA Simplifed in design with increased functionality Response Time (from button press to activation): instantaneous (.5 ms) 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 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 Single Center Monitor 2 Remote Controls Flex PC Audiometer Integration $2,450 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-RL Right and Left Monitor 2 Remote Controls Flex PC Audiometer Integration $4,750 Point of View Demonstration Flex VRA Brochure Get a Quote How Flex Works See Flex VRA in action or shedule an online demo Audiometer Integrations Included with every Flex VRA Universal Audiometer Integration Cable Directly interfaces with the GSI Audiostar Pro and the Interacoustics EVO and wirelessly activate with the Flex VRA on the audiometer keys. Flex PC Control Flex VRA with hotkeys while performing audiometric testing on a computerized audiometer Brochure Learn More 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. 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 New Features Included with every Flex VRA Otoscopy View Using Screen Mirror, view your video otoscope directly on a Flex VRA screen inside of your booth. Compatible with most video Otoscopes (GSI Video Otoscope demoed). Not sure if your otoscope is compatible? Email us at sales@flexvra.com to check. Targeted Content Targeted Content is a feature in Flex VRA that lets the clinician pre-select exactly what video or stimulus will play when a specific button is pressed, before the test even begins. Instead of choosing content on the fly and hoping it connects with the child, Targeted Content flips the model. The child comes first, and the stimulus is chosen specifically for them. House Rules House Rules is a software feature in Flex VRA that lets clinicians set fixed behavior rules for a VRA monitor, most commonly the center screen, so it behaves exactly the way the audiologist wants during testing regardless of what stimuli are changed on the left and right monitors. House Rules reflects how Flex VRA approaches software driven VRA design. Instead of forcing clinicians to adapt to the system, the system adapts to how clinicians choose to run the test. Anchor 2 Conditioned Play Audiometry Games Included with every Flex VRA Anchor 1 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 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 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. Play Video Play Video 01:01 Distract Mode in Visual Reinforcement Audiometry | Flex VRA Feature Explained This video explains Distract Mode within the Flex Visual Reinforcement Audiometry (VRA) system and how it can be used during pediatric hearing testing. Distract Mode allows clinicians to momentarily redirect a child’s attention during Otoacoustic Emissions, Tymanometry, or Otoscopy without changing standard VRA operation. Learn more about Flex VRA: https://www.flexvra.com Play Video Play Video 03:19 VROCA Button for Visual Reinforcement Audiometry | Wireless, Battery-Free by Flex VRA VROCA allows children to actively participate in audiometric testing by providing a simple, physical response option when a sound is heard. The button is designed to integrate with Flex VRA workflows and may be useful in specific testing scenarios where operant conditioning is preferred. This video shows a quick overview of how the VROCA Button functions during testing. Learn more at https://www.flexvra.com/vroca For details or questions, email: sales@flexvra.com Play Video Play Video 02:31 Wireless Flex PC for Visual Reinforcement Audiometry | Flex VRA Control Accessory This video demonstrates the Wireless Flex PC accessory for the Flex Visual Reinforcement Audiometry (VRA) system and how it supports remote control during pediatric hearing testing. Wireless Flex PC allows clinicians to control VRA reinforcement from a computer without physical cables or line-of-sight limitations. Wireless Flex PC integrates with the Flex VRA system to provide computer-based control of visual reinforcement stimuli, offering flexibility in booth layout and clinician positioning. It is designed to support efficient pediatric audiology workflows while maintaining familiar VRA operation. Wireless Flex PC is an optional accessory within the Flex VRA ecosystem. Learn more about Flex VRA: https://www.flexvra.com Play Video Play Video 00:51 FlexInstall

Flex Cover is a wireless privacy screen for audiology sound booths, helping reduce visual distractions during pediatric VRA testing with simple installation and custom sizing. Button Flex Speaker $650 a pair 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. Brochure Installation Guide High Performance Audiometry Speakers Passive Speakers Magnetic backing for easy placement and installation Included speaker adapters for all amplified audiometers Included tape measure to ensure consistent height placement Low profile mounting (no brackets needed) 30 meters of speaker cable included Designed to fit for corner mount or flat mount Mount. Secure. Align. Wire. Connect. A clean, repeatable speaker installation every time. Flex Speaker Installation Walkthrough Compatibility Out Of The Box Taking the guess work out of audiometer connections Flex Speaker ships with the needed adapters to connect speaker wire to the GSI Audiostar Pro and Interacoustics EVO Interacoustics EVO Speaker Adapter (2 1/4" mono to terminal) GSI Audiostar Pro Speaker Adapter (5 pin DIN to terminal) Designed For Audiology Purpose-built to match Flex VRA dimensions, creating a clean, intentional sound booth environment. Integrated with Flex VRA monitor Side-profile, flush-mounted Front view, clean clinical install

Flex VRA combo systems combine video and toy reinforcement in a single pediatric audiology setup, offering flexible engagement options for visual reinforcement audiometry testing. The Perfect Pair Control up to 6 reinforcers with one remote control We have a couple Flex VRA systems and find that they work really well with our kiddos! Chelsea Blankenship, Au.D., PH.D., Cincinnati Children's Hospital Flex VRA Combo System Configurations R=Right L=Left C=Center FLEX-RLC-FLEXTOY-RLC Right, Left, and Center Monitor Right, Left, and Center Toy 2 Remote Controls Flex PC Audiometer Integration $9,900 Point of View Demonstration Point of View Demonstration FLEX-RLC-FLEXTOY-RL (most popular) Right, Left, and Center Monitor Right and Left Toy 2 Remote Controls Flex PC Audiometer Integration $9,200 FLEX-RL-FLEXTOY-RLC Right and Left Monitor Right, Left, and Center Toy 2 Remote Controls Flex PC Audiometer Integration $7,700 Point of View Demonstration FLEX-RL-FLEXTOY-C Right and Left Monitor Center Toy 2 Remote Controls Flex PC Audiometer Integration $6,000 Point of View Demonstration FLEX-C-FLEXTOY-RL Center Monitor Right and Left Toy 2 Remote Controls Flex PC Audiometer Integration $4,700 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. Point of View Demonstration Get a Quote Brochure Audiometer Integrations Included with every Flex VRA Combo System Universal Audiometer Integration Cable Directly interfaces with the GSI Audiostar Pro and the Interacoustics EVO and wirelessly activate with the Flex VRA on the audiometer keys. Flex PC Control Flex VRA with hotkeys while performing audiometric testing on a computerized audiometer Brochure Learn More The Remote Two Remote Controls Included With Every Flex VRA Combo System TOY Toggles to physical toy mode so that only toys respond to activators DISTRACT Use the VRA monitor as a focal point to keep patients still during tympanometry, otoscopy, or OAE testing. LIGHTS ON/OFF Turn on (top button) and off (bottom button) the 360 degree LED light bar while playing video content. ACTIVATORS Left (Blue), Right (Red), and Center (Green) LIGHTS ONLY Activate the 360 degree light bar only while an activation button is pressed down. Toggles video mode on. VIDEO Display videos of cartoons of cartoons and live-animals while an activation button is held down. Toggles video on VOLUME CONTROL Volume up, down, and mute control of the VRA monitors. Custom content comes standard with preloaded Hey Bear Sensory content, but any content can be loaded by the end user. Toggles video on. CUSTOM New Features Targeted Content Targeted Content is a feature in Flex VRA that lets the clinician pre-select exactly what video or stimulus will play when a specific button is pressed, before the test even begins. Instead of choosing content on the fly and hoping it connects with the child, Targeted Content flips the model. The child comes first, and the stimulus is chosen specifically for them. House Rules House Rules is a software feature in Flex VRA that lets clinicians set fixed behavior rules for a VRA monitor, most commonly the center screen, so it behaves exactly the way the audiologist wants during testing regardless of what stimuli are changed on the left and right monitors. House Rules reflects how Flex VRA approaches software driven VRA design. Instead of forcing clinicians to adapt to the system, the system adapts to how clinicians choose to run the test. Conditioned Play Audiometry Games Included with every Flex VRA Combo System 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 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 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. Play Video Play Video 01:01 Distract Mode in Visual Reinforcement Audiometry | Flex VRA Feature Explained This video explains Distract Mode within the Flex Visual Reinforcement Audiometry (VRA) system and how it can be used during pediatric hearing testing. Distract Mode allows clinicians to momentarily redirect a child’s attention during Otoacoustic Emissions, Tymanometry, or Otoscopy without changing standard VRA operation. Learn more about Flex VRA: https://www.flexvra.com Play Video Play Video 03:19 VROCA Button for Visual Reinforcement Audiometry | Wireless, Battery-Free by Flex VRA VROCA allows children to actively participate in audiometric testing by providing a simple, physical response option when a sound is heard. The button is designed to integrate with Flex VRA workflows and may be useful in specific testing scenarios where operant conditioning is preferred. This video shows a quick overview of how the VROCA Button functions during testing. Learn more at https://www.flexvra.com/vroca For details or questions, email: sales@flexvra.com Play Video Play Video 02:31 Wireless Flex PC for Visual Reinforcement Audiometry | Flex VRA Control Accessory This video demonstrates the Wireless Flex PC accessory for the Flex Visual Reinforcement Audiometry (VRA) system and how it supports remote control during pediatric hearing testing. Wireless Flex PC allows clinicians to control VRA reinforcement from a computer without physical cables or line-of-sight limitations. Wireless Flex PC integrates with the Flex VRA system to provide computer-based control of visual reinforcement stimuli, offering flexibility in booth layout and clinician positioning. It is designed to support efficient pediatric audiology workflows while maintaining familiar VRA operation. Wireless Flex PC is an optional accessory within the Flex VRA ecosystem. Learn more about Flex VRA: https://www.flexvra.com Play Video Play Video 00:51 FlexInstall

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.

Download brochures, manuals, quick guides, and support documents from Flex VRA. Downloads 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

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

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