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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 AUDIÓLOGO, UNIVERSIDAD STEPHEN F. AUSTIN ¡Me encanta Flex VRA! Cambiador de juego completo. Enciendo las pantallas antes de traer al niño. Crea un mejor ambiente y los mantiene distraídos durante la otoscopia y la timpanometría. ¡¡Genio!! AUDIÓLOGO, CENTRO DE AUDICIÓN Y HABLA ¡A todos les gusta mucho! Nos gustan mucho los videoclips actualizados y tener el control de volumen. AUDIÓLOGO, HOSPITAL DE NIÑOS DE TEXAS AMO este sistema. Mis enfermeras incluso comentaron lo moderno y atractivo que es en comparación con nuestro sistema anterior. ¡Soy un cliente feliz! AUDIÓLOGO, HOSPITAL DE NIÑOS DE TEXAS AMO este sistema. Mis enfermeras incluso comentaron lo moderno y atractivo que es en comparación con nuestro sistema anterior. ¡Soy un cliente feliz! AUDIÓLOGO, CENTRO DE AUDICIÓN Y HABLA ¡A todos les gusta mucho! Nos gustan mucho los videoclips actualizados y tener el control de volumen. AUDIÓLOGO, CENTRO DE AUDICIÓN Y HABLA ¡A todos les gusta mucho! Nos gustan mucho los videoclips actualizados y tener el control de volumen. 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. Características 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!

Discover Flex VRA's VROCA system—enhancing VRA audiology with wireless, battery-free buttons for controlled patient interaction during hearing assessments. Brochure Folleto Especificaciones técnicas Pulsa reproducir. Flex VROCA le permite al paciente activar los estímulos de audiometría de refuerzo visual (VRA), pero le da al audiólogo el control de cuándo se permite la activación. How it works Características Ligero Una luz intermitente en cada botón agrega diversión adicional y compromiso por parte del paciente. *La luz se puede desactivar si se desea . Detener El botón "Detener" en su control remoto VRA suprimirá cualquier activación hasta que la prueba esté lista para continuar. Hora Personalice la activación de 2 segundos a 10 segundos dependiendo directamente del menú de servicio Flex VRA.

Enhance VRA testing with the Flex Screen—Flex VRA's remote-controlled privacy screen for distraction-free audiology sessions. Custom sizes available. Folleto Ser escuchado, No visto. Pantalla de privacidad instantánea controlada a distancia que elimina las distracciones no deseadas del paciente durante la prueba. Lado del operador Paciente Lado Tamaño para adaptarse a la mayoría de las ventanas de las cabinas de sonido. Tamaño personalizado disponible por una tarifa adicional 3 pies 3 pies ***Flex Cover usa un control remoto separado del control remoto Flex Visual Reinforcement Audiometry (VRA)

Streamline audiometric testing with Flex PC—control VRA video & toy systems from one interface. Designed for efficient, distraction-free hearing assessments. Folleto Haga clic en el icono de sonido Flex PC ofrece a los audiólogos un control completo de los sistemas de audiometría de refuerzo visual (VRA) de video y de juguete desde su computadora. 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!

Engage pediatric patients with the Flex Toy, a Visual Reinforcement Audiometry (VRA) system with customizable lights, sound, and seamless audiology integration. Folleto Haga clic en la nota musical para escuchar sonidos VRA > Flex Toy es una audiometría de refuerzo visual (VRA) tradicional independiente que se integra en Flex video VRA para un control completo de todos los estímulos desde el control remoto. Características Los altavoces internos proporcionan un sonido que se reproduce durante la activación. ¡Use nuestro sonido de caja de música estándar o cargue su propia música en la caja! Con solo presionar un botón, active cualquier casilla en un modo "siempre encendido" mientras realiza una timpanometría u OAE en la cabina. Cada caja está diseñada para acceder fácilmente a los juguetes e intercambiarlos cuando se desee. Nuestro motor giratorio silencioso combinado con nuestros juguetes diseñados a medida garantizan el deleite de sus pacientes pediátricos. Flex Toy funciona a la perfección con FlexPC (control VRA mientras se realiza una audiometría computarizada) y GSI Audiostar Pro Integration. Personaliza el borde claro durante la activación desde el control remoto. Elija entre luces LED intermitentes rojas, verdes y azules. Sonar Modo de distracción Intercambiar juguete Borde de luz LED Startle Free Integrar La pareja perfecta. ¡Elige entre juguete, video o activación simultánea desde tu control remoto! El mando a distancia Algunos audiólogos quieren una variedad de opciones para elegir. Algunos quieren simplicidad. Te damos los dos. Juguete flexible con luces/acción Color de luz LED de juguete flexible Activación Distraer Silencio Acción de juguete flexible solamente Básico Ideal para sistemas autónomos Flex Toy o para audiólogos que no necesitan cambiar los estímulos con frecuencia Avanzado Ideal para sistemas combinados Flex Toy y Video, y audiólogos que deseen cambiar rápidamente los estímulos durante las pruebas.

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.