Passive 8 Ω sound field speakers with magnetic mounting assist, matched cone height and GSI or Interacoustics EVO adapter options. $750 a pair. Flex Speaker Tech specs Brochure See prices Flex Speaker No hassle speakers. A passive, high-performance speaker that takes the guesswork out of speaker installation and configuration. $750 a pair Mount it right the first time. Measured, matched and wired for your audiometer. Magnets hold it in place. Built-in magnets hold each speaker on the booth wall before final securing, so left and right sit at the same height and spacing. Measured and matched. The included measuring tape sets both cones at an equal height from the floor. Corner or flat wall. Pre-drilled holes allow corner or flat-wall mounting with no brackets. Frequency response. Output level, dB SPL. In the box ✓ Pair of Flex Speakers ✓ Measuring tape for cone height ✓ 10 m of speaker wire ✓ Built-in magnet mount assistance ✓ Adapter cable (GSI and EVO versions) Choose your speaker connection 2027 list prices in USD. Each is a pair of speakers. FLEX-SPEAKER Standard No adapter. Speaker wire to terminal connection. $750 FLEX-SPEAKER-GSI GSI AudioStar Pro 5-pin DIN to terminal $750 FLEX-SPEAKER-EVO Interacoustics EVO (2) mono 1/4 in to terminal $750 Get a quote About Flex Speaker. Flex Speaker is a passive sound field speaker for pediatric hearing testing and VRA sound booths. Built-in magnets hold each speaker on the wall while you position it, the included measuring tape sets both cones at the same height, and pre-drilled holes allow corner or flat-wall mounting without brackets. Each pair ships with 10 m of speaker wire, and the GSI AudioStar Pro and Interacoustics EVO versions include an adapter cable. Tech specs Speaker type Passive Speaker input Terminal connection Impedance 8 Ω Dimensions 12 in × 7 in × 14 in Weight 5 lb Magnet pull, vertical 35 lb Magnet pull, horizontal 25 lb Speakers per set 2 Speaker cord length 10 m (×2) GSI connection 5-pin DIN to terminal EVO connection (2) mono 1/4 in to terminal Warranty 1 year

Video, toy and transparent-display VRA equipment for pediatric audiology. Wireless, audiometer-integrated and used by 1,500+ clinics. See 2027 prices. 2027 prices are here. Order by December 31 to lock in 2026 pricing. View pricing › VRA SYSTEMS FOR PEDIATRIC AUDIOLOGY Flex Halo Video and toy VRA. One transparent display. Learn more Get a quote For years, audiologists had to choose. Toy? Video? Both? Now the choice is clear. Literally. Flex VRA Video. Toy. Lights. Your content. One remote. Learn more › From $2,525 › Flex Toy Traditional VRA, thoughtfully updated. Learn more › From $1,295 › Combo systems Toy or video? Both. Up to six reinforcers, same remote. Learn more › From $4,840 › Flex Mobile VRA wherever you need it. Learn more › $3,050 › Flex Speaker Mounted right the first time. Learn more › $750 a pair › Flex VRA Software 4.0 Rebuilt from the ground up More responsive, simpler and beautifully designed. SRT board, diagrams and play audiometry games, built in. Interactive Demo Combo Systems Accessories Pediatric tools for more effective testing Screen Mirror Audiograms, in the booth. Learn more › $825 › VROCA Button One press. Instant reward. Learn more › $825 › Flex Cover Be heard. Not seen. Learn more › $825 › Flex Cam You can see everything. Learn more › $500 › VRA Systems for Pediatric Audiology | Visual Reinforcement Audiometry Flex VRA makes visual reinforcement audiometry (VRA) equipment for pediatric hearing tests: video monitors, toy reinforcers, the transparent-display Flex Halo and combination systems, all run from one wireless remote. More than 1,500 clinics test with Flex VRA today. What is a VRA system? A VRA system is the equipment an audiologist uses to reward a baby or toddler for turning toward a sound. When the child hears a tone or speech through the sound field speakers and looks toward it, a reinforcer on that side lights up with a toy, a video or both. That reward teaches the child to keep listening, so the audiologist can find the quietest sounds they hear. A complete VRA setup usually has reinforcers to the left and right of the child (and often one in the center), sound field speakers, and a way to trigger the reward from the audiometer. Flex VRA builds every part of that setup as pediatric audiometry equipment that works together: reinforcers, audiometric speakers, window covers and audiometer integration. New to the test itself? Read our guide to visual reinforcement audiometry , try our free interactive VRA training , or compare VRA systems side by side. “I absolutely LOVE the Flex VRA system! Complete game-changer.” Kelly Jobe, Au.D. · Stephen F. Austin University FAQ What is VRA equipment? VRA equipment is the set of reinforcers (toys, video screens or both), speakers and controls used to run a visual reinforcement audiometry hearing test with babies and toddlers. What age is VRA for? VRA is typically used from about 6 months to about 3 years old. Older children usually move on to conditioned play audiometry. How much does a VRA system cost? Flex VRA 2027 list prices start at $1,295 for a single Flex Toy and go up to $10,195 for a full combination system. See every price on our pricing page . Does Flex VRA work with my audiometer? Yes. Every system works from its wireless remotes, includes an integration cable for the GSI AudioStar Pro and Interacoustics EVO, and includes Flex PC for computerized audiometers (Otometrics/Natus Astera, MedRx Avant and Inventis products). Where can I buy Flex VRA? Build a quote on our pricing page or order through your regional distributor, such as e3 Diagnostics in the United States. Flex VRA distributes products exclusively through our selected distributor network so all quote requests will be supplied to your local Flex VRA representative.

VROCA pairs a button press with a visual reward to test hearing in older children and adults. Who it's for, how to run it, and the Flex VROCA Button. Flex VROCA Button VROCA: Visual Reinforcement Operant Conditioning Audiometry VROCA is a behavioral hearing test for older children and adults who can’t reliably complete traditional VRA audiometry . It pairs a simple operant response, like a button press, with a visual reward to improve attention, compliance and response accuracy. Brochure VROCA Guide Wireless · Battery-free · Works with every Flex VRA How VROCA compares to VRA and CPA VRA, CPA and VROCA are all behavioral hearing tests. They differ in who they suit, how the patient responds, and how a correct response is rewarded. 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 Button press (operant) Visual video reinforcement Learn how VRA compares to CPA in pediatric audiology → Better engagement By reinforcing correct responses with visual content, VROCA keeps patients engaged without over-stimulating the test environment. Clinicians gain more confidence in responses, and patients get a clearer, more intuitive test. Built into every Flex VRA VROCA functionality is already built into every Flex VRA’s software . Plug in the wireless, battery-free Flex VROCA Button and it works. Plug and play, literally. How to conduct VROCA testing VROCA combines an operant response with visual reinforcement to support attention and response reliability. On a Flex VRA it works in three steps. 1 Instruct the patient Before testing begins, the patient is told to perform a simple action, such as pressing a response button, whenever they hear a sound. With the Flex VROCA Button, that press automatically triggers the Flex VRA. 2 Reinforce correct responses Once conditioning is established, each correct button press triggers a brief visual reinforcer. The clinician can suppress the reinforcer at any time, which preserves the conditioning relationship and prevents accidental reinforcement during setup or repositioning. 3 Match the attention span Reinforcement duration can be adjusted on the Flex VRA. Shorter intervals help maintain focus, while longer intervals help during initial conditioning or with patients who need more engagement. Watch VROCA testing on a Flex VRA In this example, incorrect button presses are not reinforced, and the patient is reminded to wait until they hear the tone. VROCA is especially useful when traditional audiometry or conditioned play audiometry (CPA) gives inconsistent responses. It helps clinicians obtain more reliable behavioral thresholds with fewer repeated instructions. Flex VROCA Button features A wireless, battery-free response button made for VROCA testing on the Flex VRA. Wireless A wireless button reduces distraction by eliminating cables that can interfere with posture, attention and engagement. It also protects your Flex VRA from being pulled on by a cable. For pediatric patients, this supports more natural responses and more consistent results. 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 until testing is ready to begin. Adjustable time Reinforcement duration can be set from 2 to 10 seconds in the Flex VRA service menu, so stimulus length matches the patient’s attention span and avoids over-engagement. See the Flex VROCA Button set up VROCA 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, such as a button press, 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. Do I need new software to run VROCA on a Flex VRA? No. VROCA is built into every Flex VRA’s software. Plug in the Flex VROCA Button and it’s ready to use. How long does the visual reinforcement last? Reinforcement time can be set from 2 to 10 seconds in the Flex VRA service menu. Add VROCA testing to your Flex VRA The Flex VROCA Button plugs into any Flex VRA. Get a quote, or email sales@flexvra.com with questions. Get a quote Brochure

Flex PC provides wireless control of Flex VRA systems, allowing audiologists to manage reinforcement and workflows directly from a computer. Compatibility Works with every PC‑based audiometer Flex PC fits right into the setup you already have. Interacoustics, Natus, Otometrics, MedRx and Inventis compatible. Any PC‑based audiometer. Flex PC is compatible across PC‑based audiometers, so there’s no new hardware to buy. Astera² buttons, built in. Use the Otometrics / Natus buttons on the Astera² Audiometer Control Panel to run Flex. Same workflow. Keep testing the way you already do. Flex PC works alongside it. Watch on YouTube › Your keyboard is the VRA remote. Flex PC triggers visual reinforcement straight from your keyboard, using hotkeys you choose, while your audiometry software stays in front. ✓ Included with every Flex VRA, Halo, Mobile and Toy system Download Flex PC Brochure User Guide Try Flex PC. This is Flex PC running over audiometry software. Hold Left, Center or Right on the bar, or use your hotkeys, and the monitors in the booth reward. Change the stimulus, volume and lights, or tap the gear to set your own hotkeys. Left, center and right Click the big buttons or use your hotkeys. Hold to reinforce for as long as you press, or use timed activation. The whole remote Choose Video, Toy, Lights Only or Custom, change the volume, mute, start Distract and switch the lights. Always ready Hotkeys keep working while your audiometry software is in front. Pause them with one click, and fade the bar with the slider. Camera View With the optional Flex Cam, see the booth on your screen and record a session with one click. Hands on the keyboard, eyes on the patient. No remote to reach for between presentations, so reinforcement lands the moment the child turns. Setting up takes a few minutes. 1 Plug in the transmitter The small USB transmitter sends each activation wirelessly to your Flex monitors and toys. 2 Install Flex PC Download it for Windows 10 or 11. A green light on the bar confirms the transmitter is connected. 3 Choose your keys Pick a key for left, center and right, and start testing from the software you already use. Download Flex PC Brochure The transmitter Two inches long, powered by the USB port, and paired to your Flex system. Operating system Windows 10 or later Connection USB-A Power 5 V from USB Range 15 m (49 ft) Signal Paired 433 MHz radio Response 0.25 seconds Warranty 1 year Works with computer-based audiometers. For the Otometrics Astera 2 by Natus, it allows for VRA activation from the physical VRA buttons on the Audiometer Control Panel.

Learn how to select a reliable, flexible VRA system for pediatric audiology. Flex VRA supports integration, visual reinforcers, & seamless clinic workflows. 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. For instance, Flex VRA utilizes a paired zoned 433 MHz radio frequency wireless transmission protocol to send signal from the remote control to the reinforcer. This means that the lag time between button press to activation would be similar to that of a lag time of a wireless keyboard to your computer...instantaneous. Moreover, because each system's transmission is zoned between paired reinforcers, there is no overlap from other systems or interference from any higher frequency RF signals. 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 present. Features like House Rules in Flex VRA let you control how the center monitor behaves so you get clearer head turns, and more focus on the left and right reinforcers. 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 (GSI Audiostar Pro, Interacoustics EVO and Affinity) • PC or software-based triggering (Madsen Astera by Natus, MedRx Avant, Inventis) Seamless integration allows clinicians to stay focused on the patient instead of the equipment. And Flex VRA includes all three of those options with every Flex VRA shipped at no extra cost . 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. Choosing the Right VRA System for Your Clinic

The site exists to show Flex VRA customers how to select the appropriate boot device on older Flex VRA systems. Flex VRA Tech Note: Not booting to proper boot device Download Tech Note Overview Issue Flex VRA turning on to a black screen that says the VRA cannot find the proper boot device. Cause The VRA is not booting to the correct boot device and it cannot find the correct Solid State Drive to launch the operating system. Resolution Confirm the user is using a Generation 2 remote control by having them identify the QR code on the bottom of the remote. Have them turn the device off by pressing the silver power button under the left-hand side of the screen behind the screen bezel. Find the “Toy” button on the remote control (the VRA sees this button as an ESC key). Press the power button again to turn the monitor on and immediately start tapping the “Toy” button until they see a blue and gray BIOS screen. Use the red right arrow on the remote control to navigate to “Boot” in the menu. Use the lights off button (icon on the bottom of the white circle on the remote control) to arrow down to “Boot Option 1”. Press the center green circle on the remote control (ENTER) to see your boot options and scroll to the “Windows Boot Manager” device and press the green circle again. Arrow over to Save and Exit and press the green circle button on the remote control to reboot. Note: If you do not see an option for “Boot Manager Device”, there is an issue with SSD card and it would need to be replaced. Please contact Flex VRA directly to coordinate a resolution.

Build a quote request for Flex VRA systems and accessories, see 2027 price ranges, and find your authorized distributor. 2027 prices are here. Order by December 31 to lock in 2026 pricing. Flex VRA Pricing We publish our VRA system prices so you can plan without waiting for a call back. Add the systems and accessories you want to the quote builder below, and our sales team will connect you with your authorized Flex VRA distributor for quotation, including shipping and installation for your location. Buy Flex VRA Flex VRA is sold all over the world through authorized distribution partners For pricing, quotes, and local support, please contact the distributor for your region United States e3 Diagnostics Canada Electro-Medical Instruments (EMI) Australia Sonic Equipment New Zealand Diatec United Arab Emirates AMICO Group Hong Kong / Macau KAM Healthcare Group / PHONAK HEARING CENTRE HONG KONG LIMITED FAQ How much does a VRA system cost? From $1,295 for a single Flex Toy to $10,195 for a full combination system (2027 list prices). Is installation included? No. Installation will be added by your local authorized representative once we send them your quote request. What comes with every system? Two remote controls, an audiometer integration cable, Flex PC, all hardware needed for installation and a 1-year warranty. How do I get a formal quote? Build your list in the quote builder above and send it. Our team replies within one business day with confirmation that your request has been sent to your authorized Flex VRA representative.

Accessories for Flex VRA systems: VROCA wireless button for play audiometry, Screen Mirror for in-booth audiograms, Flex Speaker and Flex Cover. Accessories Everything around the booth, made to work with Flex VRA VROCA Button Better engagement. Better results. $825. Details below Screen Mirror Skip the external monitor. $825. Details below Flex Cam Bring the window to the computer. $500 Details below FLEX-BUTTON · $825 VROCA Button Visual reinforcement operant conditioning audiometry. One press by the child triggers visual reinforcement on the Flex VRA monitor . Wireless and battery-free, so you can test anytime and anywhere. Designed to support more consistent responses and greater confidence in behavioral test results. Brochure Designed for fast, reliable clinical use ✓ Wireless and battery-free; each press powers the signal ✓ Plug-in USB receiver for Flex VRA video systems ✓ Suppress the button until the child is ready ✓ Includes button, USB receiver and instruction guide ✓ 1-year warranty VROCA Button Specs Signal transmission Radio frequency RF frequency 915 MHz Activation latency 0.25 seconds (instantaneous) USB receiver power USB, 5 V Button power Kinetic, no batteries Button dimensions 4 in × 4 in × 4 in Weight 0.25 lb Warranty 1 year FLEX-SCREENMIRROR · $825 Screen Mirror View and interact with audiometric data directly inside the booth, on a Flex VRA monitor . Includes the Flex video input, a 15 ft HDMI cable and a combination keyboard and trackpad for use in the booth. Reduce room exits, improve counseling flow, and keep the patient engaged. Brochure In-booth access to audiometric tools ✓ 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 the included wireless keyboard Screen Mirror Specs Video input HDMI Latency Instantaneous Connection HDMI video capture to USB HDMI cable 15 ft (included) Software Flex VRA software 2.0 or higher Warranty 1 year FLEX-CAM · $500 Flex Cam Keep your eyes on the computer screen while monitoring your patient or get a better view of the response. A magnetic in-booth camera that can record sessions, flip the viewing angle, and even adjust transparency to see the testing screen while monitoring the patient. Never lose sight of the patient. Bring the booth window onto the computer screen ✓ Magnetic rotating camera allowing for positioning and repositioning of the viewing angle as needed. ✓ On top mode with transparency to keep the patient in view while computerized audiometry is being performed. ✓ Record sessions for playback. ✓ Flip the video feed as needed to match testing setup. (patient right/left, operator right/left) Flex Cam Specs Operating System Requirements Windows 10 & 11 Viewing Latency Instantaneous Connection USB Camera Cable Length 6 ft. Mounting Magnetic Warranty 1 year Accessories For Flex VRA Systems Round out your pediatric audiology booth with accessories designed for Flex VRA. The VROCA Button for visual reinforcement operant conditioning audiometry and play audiometry, Screen Mirror for showing audiograms and video otoscopy on a Flex VRA monitor inside the booth, Flex Cam to monitor the patient directly on the computer, and Flex Cover sound booth window covers. Add to your system See every accessory on the price list View pricing

Practice visual reinforcement audiometry on a virtual baby. Condition, bracket and plot thresholds with live coaching from BSA and AAA guidelines. Free. Free VRA training Visual Reinforcement Audiometry (VRA) Training Simulator Practice visual reinforcement audiometry before you test a real child. This free simulator puts you in the sound booth with a virtual baby, so you can condition, present tones, reinforce head turns and bracket to threshold while the audiogram builds beside you. Start the simulator Download for Windows Free · Works in your browser · Based on BSA and AAA guidelines What you can practice Built for audiology students, clinical fellows and audiologists new to pediatric testing. 1 Condition and bracket Condition the child, present tones, watch for head turns, reinforce correct responses and bracket to threshold. 2 Live coaching Coaching based on BSA and AAA guidelines explains each step as you go. 3 Babies from easy to hard Harder babies tire of the reward sooner and give false responses, just like real patients. 4 Simple controls Step dB up and down and change frequency with arrow buttons. 5 Watch the audiogram build The audiogram fills in as you mark each threshold. 6 Compare reinforcers Try different reinforcer types, including Flex Halo . VRA simulator Try the VRA simulator It runs right here in your browser. Prefer to practice offline? Download the Windows app . VRA simulator questions Who is the VRA simulator for? Audiology students, clinical fellows and audiologists who are new to pediatric testing and want to practice VRA before working with real children. Is the VRA simulator free? Yes. It’s free to use in your browser, and the Windows app is a free download. Can I practice offline? Yes. Download the Windows app to practice without an internet connection. What is the coaching based on? The live coaching follows BSA and AAA guidelines for visual reinforcement audiometry. What is visual reinforcement audiometry? VRA is a behavioral hearing test for infants and toddlers. A child turns toward a sound and is rewarded with a visual reinforcer. Learn more about VRA . Suggestion to make training better? First name(Required) Last name Email(Required) Write a message Submit Ready to test real patients? Flex VRA systems bring the same reinforcers to your sound booth, with published pricing. See Flex Halo View pricing

Flex Screen Mirror allows audiologists to view and interact with audiometric data inside the booth during pediatric VRA testing. Flex VRA accessory · $825 Flex Screen Mirror: In-Booth Audiology Display Screen Mirror lets audiologists view and interact with audiometric data directly inside the booth. Show your audiometer, PC or video otoscope on the Flex VRA monitor, right where the patient is. Brochure Installation Manual Includes 15 ft HDMI cable and wireless keyboard What you can do with Screen Mirror Bring the tools you use outside the booth to the screen inside it. 1 Review audiograms in the booth Review completed audiograms with patients and families without leaving the booth. 2 Show a video otoscope View a live video otoscope image directly on the Flex VRA monitor. 3 Support counseling Use on-screen annotation, drawings and visuals to explain results. 4 Control software during testing Control your audiometric software from inside the booth with the included wireless keyboard and trackpad. Good to know: Screen Mirror sends the picture only Touching the Flex VRA monitor doesn’t control your audiometer or computer. To control the source from inside the booth, use the included wireless keyboard and trackpad. How to set up Screen Mirror Setup uses the video input and HDMI cable that come in the box. Nothing is installed on your audiometer or computer. INSIDE THE BOOTH OPERATOR SIDE Flex VRA monitor In the booth Video input USB capture card Jack panel Booth pass-through Audiometer or PC HDMI video out USB HDMI · 15 ft HDMI 1 Plug in the video input Choose the Flex VRA monitor for Screen Mirror and plug the capture card’s USB cable into an open port on that monitor. 2 Connect the HDMI cable Plug one end of the 15 ft HDMI cable into the capture card. 3 Run it out of the booth Pass the HDMI cable through the jack panel’s pass-through hole to the operator side. 4 Plug in the video source Plug the other end into the HDMI port of your audiometer, such as a GSI AudioStar Pro, or your computer. Then tap the Flex VRA monitor and select Screen Mirror from the on-screen menu. Use Draw to mark up the picture, Freeze to hold it, and Close to go back to VRA. Price and what’s included $825 FLEX-SCREENMIRROR · 1-year warranty Get a quote See all Flex VRA accessories → In the box ✓ Flex video input (HDMI to USB capture card) ✓ 15 ft HDMI cable ✓ Wireless keyboard and trackpad for use in the booth Requirements ✓ Flex VRA software 2.0 or higher ✓ An audiometer or computer with HDMI video out, or a USB video otoscope How Screen Mirror works Connect a device to Screen Mirror and its display appears on the Flex VRA monitor inside the booth. Screen Mirror with a computerized audiometer Screen Mirror works on PCs and audiometers with HDMI video out. Screen Mirror with a video otoscope Screen Mirror works with most video otoscopes that act as camera devices in Windows. Shown here with a GSI Video Otoscope . Not sure if your device is compatible? Email sales@flexvra.com and we’ll check for you. Screen Mirror frequently asked questions What does Flex Screen Mirror do? It shows your audiometer, computer or video otoscope on a Flex VRA monitor inside the booth, so you can review audiograms and counsel patients without leaving the room. How much does Screen Mirror cost? Screen Mirror is $825. It includes the Flex video input, a 15 ft HDMI cable and a wireless keyboard and trackpad, with a 1-year warranty. Can I use the Flex VRA touchscreen to control my audiometer? No. Screen Mirror sends the picture only, so touching the Flex VRA monitor doesn’t control the audiometer or computer. Use the included wireless keyboard and trackpad to control the source from inside the booth. Which audiometers work with Screen Mirror? Audiometers and computers with HDMI video out, such as the GSI AudioStar Pro. It needs Flex VRA software 2.0 or higher. Which video otoscopes work with Screen Mirror? Most video otoscopes that act as camera devices in Windows, such as the GSI Video Otoscope. How do I start mirroring? Tap the Flex VRA monitor and select Screen Mirror from the on-screen menu. Draw lets you mark up the picture, Freeze holds it, Live Feed returns to the moving picture, and Close takes you back to VRA. How do I know if my device is compatible? Email sales@flexvra.com with your device model and we’ll let you know. Add Screen Mirror to your Flex VRA Screen Mirror is $825 and works with Flex VRA software 2.0 or higher. Get a quote, or email sales@flexvra.com to check your audiometer or otoscope. Get a quote Installation Manual

Learn how to prepare your child for a pediatric hearing test with simple tips that improve comfort, participation, and testing success. Preparing Your Child for a Hearing Test Top 5 Parenting Tips for a Successful Pediatric Hearing Test A pediatric hearing test can feel unfamiliar for both parents and children. This guide explains what to expect during a Visual Reinforcement Audiometry (VRA) appointment and how to help your child stay calm, engaged, and ready for a successful visit. Tip #1: Pediatric Hearing Tests Are Designed to Be Comfortable A visit to a clinic can be anxiety-inducing for both children and adults. Pediatric hearing tests, including Visual Reinforcement Audiometry (VRA) , are designed to feel more like a fun game than a medical procedure. While your child plays and responds to sounds, the audiologist gathers valuable hearing information. In most pediatric hearing tests, you also will not be separated from your child during testing. In many cases, testing can be completed with you in the room or even holding your infant or toddler on your lap. Important Parent Tip: If you are able to be with your child during the test, it's extremely important you don't participate in any way during these games. Even a head turn or gentle nudge during the test can compromise the accuracy of a result. Your job is to be a steady and uninvolved presence during the test unless the audiologist specifically asks you to intervene. Tip #2: Rested, Fed, and Relieved The length of a pediatric hearing evaluation is heavily dependent on the cooperation of the child. In order to reduce as many factors as possible that may interfere with your child’s cooperation, make sure your child is not coming into the appointment hungry, tired, or possibly needing to potty mid-way through the test. If your child has a comfort object (stuffed animal, blanket, small toy), it's also a good idea to bring it along to increase the chance of success during the hearing evaluation. Important Parent Tip: If timing of your appointment is flexible, try not to schedule during nap time. Ideally, plan for a time right after nap time with a snack right before the appointment so that they are primed to be comfortable during the visit. Tip #3: Avoid Screen Time and Overstimulation Before the Appointment Testing your child’s hearing depends heavily on engagement and attention. Pediatric audiologists use Visual Reinforcement Audiometry (VRA) , toys, games , lights, and videos to help children remain interested throughout the evaluation. To help make the transition easier, try to avoid highly stimulating screen time immediately before the appointment. Children who are focused on returning to a favorite show or device may initially have more difficulty engaging during testing. Important Parent Tip: If your child has specific shows or interests that will better engage them during the test, let your audiologist know prior to your visit. They may have a VRA system that allows them pre-load content specifically for your child so that they are as excited about the hearing test as they would be watching at home. Tip #4: Bring Your Enthusiasm Pediatric audiologists work hard to create positive reinforcement and an encouraging environment during testing. While they are experts in evaluating hearing, parents still play an important emotional role throughout the appointment. Encouragement from a trusted parent can help children feel more confident, engaged, and willing to participate during testing. The goal of the appointment is not for your child to perform every task perfectly, but to help the audiologist understand how they respond during testing. The more encouraged they feel, the more likely they are to give it their best effort. Important Parent Tip: Encouragement and coaching are different during a hearing test. Praising your child after they complete a task is very different from helping guide them toward a response during testing. Tip #5: After the Visit, Focus on the Positive Hearing evaluations for children are not always a one-time visit. Especially if a follow up visit is warranted, you want to make sure your child associates hearing tests as fun, and just as importantly, trusts that their audiologist is not a scary doctor to visit. This can make follow-up appointments even more effective as your child learns who the audiologist is, what is involved in a visit and that there is nothing to be afraid of. Your positive reinforcement of the experience after the visit can be just as valuable as the tools the audiologist utilizes during the test if a follow-up visit is required. Important Parent Tip: Even if the appointment was difficult or your child did not immediately connect with the audiologist, try to emphasize the positive parts of the experience afterward. This can help prevent anxiety or fear from carrying over into future hearing evaluations. Final Thought Pediatric hearing evaluations work best when children feel comfortable, engaged, and supported throughout the process. A little preparation before the appointment can make a major difference in helping your child have a successful experience. If you and your child would like to learn more about what to expect during a hearing evaluation, check out our Flex Dog animated introductory videos to learn more about the process in a fun and child-centric way. Flex Dog Videos

Run Flex VRA from your audiometer’s VRA keys. The included integration cable works with the GSI AudioStar Pro, GSI Audiosol and Interacoustics EVO. Flex VRA Audiometer Integration Cable Audiometer integration for the GSI AudioStar Pro, GSI Audiosol and Interacoustics EVO Integration cable user guide (PDF) Works With Your Audiometer GSI AudioStar Pro Run up to six reinforcers straight from the audiometer’s Left, Center and Right VRA keys, just above the right attenuator dial. The Flex remote toggles between video and toy reinforcement. GSI Audiosol The Flex integration cable works directly in the GSI Audiosol software, with no extra integration modules. Interacoustics EVO Control left and right video and toy reinforcement directly within Interacoustics Suite during VRA testing. Computer-based audiometers Using a computerized audiometer or the Otometrics Astera? Flex PC triggers reinforcement from your keyboard or directly from the Audiometer Control Panel. FAQ Does Flex VRA integration cable work with my audiometer? Yes. If you have a GSI AudioStar Pro , GSI Audiosol , or Interacoustics EVO , the integration cable will work directly from your audiometer. If you have a computerized audiometer or Otometrics Astera by Natus , visit Flex PC to see how Flex VRA can work with your audiometer. My audiometer isn’t listed. Can I still use Flex? Yes. Every system works from its wireless remotes, and you can contact sales about your model of audiometer to see if there are any alternate methods of activation. Is integration an extra cost? No. The cable and Flex PC are included with every system.