MADSEN OTOflex 100
Set your expectations based on today’s standard – just forget the limitations you have been living with for so long:
- Portable immittance no longer restricts you to screening tympanometry
- Diagnostic immittance is no longer synonymous with bulky desktop instruments
- PC integration no longer takes cables
- Routine testing does not take a lot of key presses
MADSEN OTOflex 100 has set new standards for middle ear analysis:
Full diagnostics at a touch of a button
Pick one of your predefined protocols and run the full test battery by a single press of a button!
Infants and adults!
OTOflex comes with a vast selection of insertion eartips ranging from 3 mm and up, fitting everyone from premature babies to large adults. Use the insertion ear tips to obtain stable testing conditions for diagnostic evaluations.
A range of special transparent ear tips allow you to fast and accurately align and gently press the probe against the ear canal without having to insert the tip.
Do you trust infant tympanometry?
You should – but only when tested with a high frequency probe tone! Studies show that a 1000 Hz probe tone gives reliable results for infants up to age 4-6 months. On the contrary, do not rely on tests conducted with a standard 226 Hz probe tone in this age group! Literature shows that in infants you can get normal looking 226 Hz tympanograms in abnormal ears and even abnormal 226 Hz tympanograms in normal ears.
OTOflex 100 is the only portable immittance device offering a 1000 Hz tympanometry probe tone.
A perfect partner for the MADSEN AccuScreen handheld combined OAE and ABR screener! Use OTOflex 100 as a supplement in the primary screening process to identify the most likely cause of lacking OAEs and/or ABRs on the spot: middle ear problems. The parents deserve to know.
Infants definitely have acoustic reflexes!
But you need a 1000 Hz reflex probe tone to reliably test it! Use the broad band noise stimulus to screen for Auditory Neuropathy!
Whereas early studies with the 226 Hz probe tone reported great difficulty to detect acoustic reflexes in infants, a 1000 Hz probe tone does in close to 100% of all normal infant ears!
OTOflex is the only portable immittance device offering a 1000 Hz acoustic reflex probe tone and broad band noise stimulus!
Optimal test quality
A good probe is the key to optimal test results. OTOflex incorporates a quick automatic probe check that detects for occlusions and leaks in seconds
It even fine tunes the volume readout to assure accurate volume readings under changing environmental conditions.
Multi patient memory
Test patient after patient in the field! All data are kept safely in the internal memory for instantaneous or later wireless printout or transfer to your PC.
Integration and control via your PC
Your PC is the key to integration of immittance test results with other audiological test results such as audiometry, OAE, and EP testing. You can follow the ongoing test or test sequence in detail and you may even directly control testing from your PC.
All this even without plugging a cable! Get OTOdiagnostics Suite free with your OTOflex
- Intuitive user interface
- Plots reflex thresholds live into audiogram showing NOAH audiometric data
- Stores reflex response curves for all presented stimuli for subsequent review
- Visualizes immittance (Y), susceptance (B) and conductance (G)
- Single page report
- Electronic reporting (emf or pdf format)
- Data export in XML format for 3rd party system integration
- NOAH 3 compatible
OTOdiagnostics Suite runs stand-alone or as a measurement module under NOAH System and other NOAH compatible management systems. Use with NOAH makes audiometry data such as AC and BC thresholds available for display and reporting together with the acoustic reflex thresholds. OTOflex 100 tympanograms are likewise made available for use in reports created by the MADSEN Conera and Aurical Plus audiometers.
Plug any probe – anytime
You might well end up having a selection of probes with short and long cables for optimized test setups with your pool of OTOflex devices and possibly a spare probe - just in case. And yes, you can plug any probe to any device at any time without calibration issues. Each probe holds it own calibration which is used the moment you plug it! It will even remind you if it is time for the yearly calibration.
Customized test setups
- Customized test sequences
- Auto start and auto resume testing
- Pause and resume testing when needed
- Automated reporting and change to next patient
Integrated into the OTOsuite™ Universe

MADSEN OTOflex 100 is an integral part of the OTOsuite software Universe – GN Otometrics’ shared universe for Immittance, Audiometry, Speech Mapping and Simulators.
Once you have connected your OTOflex and opened the OTOsuite universe, the entire patient handling can be performed conveniently within one framework. OTOsuite captures, consolidates, saves and shares patient measurement data so you can move freely from one work process to another. Benefits include a more efficient workflow; less time spent on training and combined reporting.
To learn more about the OTOsuite Universe, please refer to the OTOsuite page.
Advanced features
- Comprehensive selection of tympanometric pressure range and pump speeds
- Full range of ipsilateral and contralateral reflex thresholds and decay stimuli
- 226 Hz and 1000 Hz probe tones
- Continuous active pressure control for optimized testing at abnormal middle ear pressures
- Passive reflex monitoring for evaluation of responses to cochlear implant stimuli
- Component tympanometry (view Y, B, and G on your PC)
- Reflex screening, threshold, and decay tests
- ETF tests for intact and perforated tympanic membranes
- Integral part of the OTOsuite™ Universe
Get familiar with OTOflex 100
OTOflex comes with a training disk illustrating how OTOflex is used efficiently in routine testing. All you need is right there at your fingertips. No need for fighting complex operation via menus once you have set up OTOflex to your preferences. The training disk helps introduces you and new staff to the new flexible world of immittance testing. Download the training disc here (download and unzip the file) for your first live OTOflex 100 demo!


