AudiologyOnline Phone: 800-753-2160


Inventis - June 2023

How Do I Perform Pediatric Tests with Piano Plus VRA from Inventis?

Anna Scala

November 1, 2021

Share:

Question

How do I perform pediatric tests with Piano Plus VRA from Inventis?

Answer

Piano Plus VRA is one of the three models of the Inventis top-featured audiometer Piano. This audiometer can perform pure tone audiometry on the youngest patients through two most common approaches: Visual Reinforcement Audiometry (VRA) and Conditioned Play Audiometry (CPA). Figure 1. Depicts the pediatric audiometry test window.

Figure 1. Piano Plus VRA test screen.

This test performs pure tone audiometry and controls the reinforcements. The reinforcements can be of two types: toys in a darkened box and/or LCD displays showing pictures or animations.

Using the Toys as Reinforcement

In case you want to use the traditional interactive toys as reinforcement, they can be directly connected to the audiometer. The back panel of Piano Plus VRA features three additional outputs (stereo jack ¼”) for controlling up to three toys; the stereo jack cable (included with every toy) also brings a power supply to the toy. The toys are enclosed in a wooden box, with a darkened Plexiglas window; when the toy is activated, the internal LEDs turn on, so that the child can see the plush lighting up. The available toys are Peanuts the Dog and Jack the Donkey.

Figure 2. Piano Plus VRA toys as reinforcement: Peanuts the Dog and Jack the Donkey.

Using the Displays as Reinforcement

Figure 3. Piano Plus VRA Maestro software dedicated screen.

One of the key points of Piano Plus VRA is the ability to use images and animations on up to three LCD displays as reinforcement. The displays are controlled through a computer with multiple video outputs, on which you need to install Maestro software.

The possibility to perform the pure tone audiometry test on the youngest patients using LCD displays as reinforcement is available also in Cello, Inventis PC-based diagnostic audiometer.

The main features of Maestro software for the video-VRA are:

  • Real-time audiogram on the display (“Monitor” function)
  • Selection of the images/animations to be used on the displays and control of the delivery
  • Control of the baby’s feedbacks through a webcam

The displays can be used in connection or in substitution of the traditional toys. Like with the toys, you can configure the system with one, two, or three LCD displays dedicated to the reinforcement (plus one display for the operator).

System Configuration

Figure 4 depicts a typical configuration for a complete VRA system.

Figure 4. Piano Plus VRA configuration for a complete VRA system.

Please watch this video for more information: Inventis Piano • Introduction

To learn more about Inventis please visit their Corporate Partner page on AudiologyOnline or inventis.it


anna scala

Anna Scala

Education Manager, Inventis

Anna received her specialization in Biomedical Engineering from Padua University. She has worked as technical-data processing consultant, healthcare sector, for several years. At Inventis, she follows the customer care activities and, as Education Manager, she is in charge of the company’s educational programs as well as of the scientific divulgation events for clinicians and audiologists.


Related Courses

Minimum Stimulus Strategy in the Diagnosis of BPPV
Presented by Andrea Castellucci, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Andrea Castellucci, MD
Course: #39433Level: Intermediate2 Hours
  'would have been helpful to know more about the patients presenting symptoms'   Read Reviews
Benign Paroxysmal Positional Vertigo (BPPV) is the most common inner ear disorder, with a cumulative lifetime incidence of 10%. This course will cover the Minimum Stimulus Strategy (MSS), a nystagmus-based approach to streamline BPPV management, reducing the need for diagnostic and therapeutic maneuvers and minimizing patient discomfort.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Third Windows in the Pediatric Population
Presented by Soumit Dasgupta, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Soumit Dasgupta, MD
Course: #39718Level: Intermediate1.5 Hours
  'The lecturer is clearly passionate about this topic and explains everything very well'   Read Reviews
Exploring vestibular disorders in children, this webinar delves into the unique clinical pathways and diagnostic challenges of pediatric third window phenomena. It highlights the groundbreaking research and specialized assessment techniques at Alder Hey, Europe’s leading pediatric balance center. The session underscores the critical need for precise recognition and management of these disorders, which are often overlooked yet crucial for reducing morbidity in affected children.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Central Eye Movement Disorders: A Window to Peripheral and Central Function
Presented by Soumit Dasgupta, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Soumit Dasgupta, MD
Course: #39719Level: Intermediate1.5 Hours
  'Yes, this is the type of material I need'   Read Reviews
The webinar delves into the crucial role of gaze stabilization in daily functioning, which allows individuals to track objects, orient in space, and perceive the world in three dimensions. It examines the complex interactions between the brain and peripheral sensors that manage signals sent to oculomotor and spinal muscles, highlighting the vestibular system's key contribution. The session discusses how eye movements reflect brain integration processes, and how abnormalities in these movements can indicate neurological issues, often before they are detectable through imaging. The presentation features a personal collection of over 80 abnormal eye movements to illustrate different neurological pathologies, utilizing advanced computerized tools to measure and diagnose these abnormalities.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Navigating Vertigo: Insights from Dubai
Presented by Vishal Pawar, MD
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Vishal Pawar, MD
Course: #39232Level: Intermediate1 Hour
  'Summarizing all of the different aspects of vertigo and dizziness in tables /charts was conducive to my learning style'   Read Reviews
Early and accurate diagnosis is essential for providing appropriate treatment and improving patients' quality of life. Treatment approaches can range from canalith repositioning maneuvers for BPPV to lifestyle modifications and medication for conditions like Meniere's disease. This course will discuss the incidence, diagnostic approaches, spectrum of disorders, and typical symptoms clinicians must understand to provide effective care and support to individuals with vestibular disorders, ultimately enhancing their wellbeing.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

From Evaluation to Post-Care: Enhancing the Patient Journey in Hearing Aid Fitting
Presented by Clayton Fisher, M.Cl.Sc
Recorded Webinar
INVENTIS • Audiology & Balance Equipment

Presenter

Clayton Fisher, M.Cl.Sc
Course: #39759Level: Intermediate1 Hour
  'Clear and concise instructor'   Read Reviews
This webinar, presented by Clayton Fisher, focuses on modernizing clinical workflows and improving patient experiences through connected, efficient setups. Key topics include the importance of hearing aid verification, validation, and continuous follow-up to optimize patient outcomes.

View this Course for FREE.
Need CEUs? Become a AudiologyOnline member to get unlimited CEUs.

Only $129/yr

Learn More

Our site uses cookies to improve your experience. By using our site, you agree to our Privacy Policy.