Audiometer

visual reinforcement audiometerfor pediatric audiometrydigital

Overview
Visual Reinforcement Audiometry (VRA) is a behavioral hearing test for infants and toddlers that supports diagnosis following newborn hearing screening. VRA and Conditioned Play Audiometry (CPA) are available using the Piano Plus VRA and Cello audiometers (Cello requires the VRA license to enable VRA functionality).

Piano Plus VRA

• Supports up to three traditional reinforcers (toy cabinets) directly connected to the audiometer, up to three video reinforcements, or a combination of both.
• All reinforcements are controlled directly from the audiometer interface for streamlined testing.

Cello

• Supports three LCD displays for images and animations managed by Maestro software, plus up to three animated toys connectable to Cello's rear panel.
• Reinforcements are controlled via Maestro software or the dedicated buttons on the Maestro Control Panel.

Clinical benefits and use cases

• Enables standardized VRA and CPA protocols for reliable behavioral thresholds in infants and toddlers.
• Flexible reinforcement configurations to match clinical and patient needs (toys, video, or mixed setups).
• Centralized control reduces test complexity and improves workflow in pediatric audiology clinics and hospitals.

Technical specifications

• Intended tests: Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA).
• Compatible devices: Piano Plus VRA and Cello (Cello requires VRA license).
• Reinforcements supported: up to three physical toy cabinets and up to three video reinforcements; combinations supported.
• Cello specifics: up to three LCD displays for Maestro images/animations plus up to three animated toys on the rear panel.
• Control options: from the audiometer, via Maestro software, or via Maestro Control Panel dedicated buttons.
• Multimedia: Maestro software displays images and animations as reinforcements.
• Clinical application: behavioral hearing assessment for infants and toddlers as part of diagnostic workflow after newborn hearing screening.