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Video Head Impulse Test in Pediatric Age: Why Early Vestibular Assessment Matters

Vestibular dysfunction is increasingly recognized in children with balance or developmental disorders, with studies reporting prevalence up to 36 % and even higher among those with sensorineural hearing loss. Because children can often compensate and show no overt postural symptoms, mild deficits frequently remain undetected, delaying early neurotological evaluation. Yet vestibular input is fundamental not only for balance and spatial orientation but also for higher cognitive abilities such as spatial navigation, body schema formation, and temporal perception. When impaired during early development, it may hinder motor milestones, self-awareness, and even literacy or numeracy skills.

All children with suspected balance or developmental disorders should undergo a complete ENT and audiological evaluation. Vestibular assessment must be tailored to age and cooperation level, using tools validated for pediatric populations. Thanks to technological advancements, non-invasive methods such as cervical Vestibular Evoked Myogenic Potentials (cVEMPs) and, above all, the remote-camera Video Head Impulse Test (vHIT) now allow accurate evaluation even in very young children.

The SYNAPSYS vHIT of Inventis with remote camera system is particularly well suited for infants and toddlers, as demonstrated in the accompanying clinical videos.

The procedure follows the adult protocol with careful adjustments for the child’s age and ability to cooperate:

• Begin by creating a welcoming environment, using toys, dolls, or other playful items, to help the child relax and build trust.
• Once comfortable, seat the infant or toddler on the lap of a parent or relative, facing the remote camera.
• For children aged 3 months to 3 years, the parent or relative ensures comfort by holding the child securely, while an assistant captures the child’s attention behind the vHIT camera with a toy or video. While the child is focused on this stimulus, the operator delivers the head impulses.
• In children older than 3 years, the procedure can be performed as in adults.

At least five valid impulses per side are required, and some may need to be repeated to account for blinking, loss of attention, or spontaneous movements. A vestibular hypofunction of the lateral or vertical canals is indicated when VOR gain falls below 0.8 or 0.7, respectively.

Discover the Videos

In the two videos presented here, an experienced clinician demonstrates how SYNAPSYS vHIT enables reliable vestibular assessment in pediatric patients, including those as young as three months. These real-life demonstrations provide valuable insights into practical strategies for testing children and highlight the essential role of early vestibular evaluation in supporting healthy motor and cognitive development.

Watch now to learn how early, child-friendly vestibular testing can make a difference: 

• Luca (4 years old)
• Emma (7 months old)

References 

S. R. Wiener-Vacher, S. I. Wiener – “Video Head Impulse Tests with a Remote Camera System: Normative Values of semicircular canal Vestibulo-Ocular reflex gain in infants and children”

V. Marcelli – “Video Head Impulse Test in Pediatric Age: Clinical Relevance and Practical Applications”

Inventis launches IN TUNE: the new podcast on Audiology and Balance to celebrate 20 years of innovation

We are delighted to announce the launch of our new podcast: IN TUNE – Conversations on Audiology & Balance. 

This year, Inventis celebrates 20 years of research, innovation and collaboration in the world of audiology and vestibology. What better way to celebrate this milestone than to share our passion and experience with you through this series of engaging conversations with industry experts?

Throughout the years, Inventis Academia has always placed great importance on scientific outreach: webinars, publications, and a constant and ongoing dialogue with leading professors and experts. 

IN TUNE: A Bridge Between Research and Clinical Practice

We believe that exchange and collaboration are the driving forces behind scientific progress, and this podcast was created with the aim of continuing along this path, offering insightful and inspiring discussions on the latest trends, challenges and innovations in the sector.

Tune in to IN TUNE for:

• Insights into audiological and vestibular issues from industry experts
• The latest innovations and research trends
• Engaging discussions with field Leaders

First Episode Preview: The vHIT test in paediatrics

Our first episode features a conversation between Mario Pizzighello, Product Manager of Inventis’ Balance Division, and Prof. Vincenzo Marcelli, Specialist and Consultant in Audiology and Vestibology at Department of Neurosciences and Reproductive and Odontostomatological Sciences - Audiology and Vestibology Unit, University of Naples "Federico II" and at MEDICA SUD Neurorehabilitation Center, Lustra, Salerno. Prof. Marcelli is also a key contributor to Inventis Academia.

Together, they engaged in an insightful dialogue on the use of vHIT in pediatric patients, with Prof. Marcelli sharing practical experiences and case examples, highlighting the challenges and opportunities of this test in children.

Where you can listen to IN TUNE

Don't miss this opportunity to deepen your knowledge of the world of audiology and balance. Listen to the first episode now and stay tuned for upcoming dialogues!

• YouTube
• Spotify

We hope you enjoy listening as much as we enjoyed creating it.

Inventis Launches Next-Generation SYNAPSYS VHIT in the U.S., Revolutionizing Vestibular Diagnosis

Inventis, a leading innovator in audiology, balance and evoked potentials solutions, is proud to announce the availability of its redesigned SYNAPSYS VHIT (Video Head Impulse Test) system in the United States. Now accessible to U.S. clinicians, this cutting-edge device promises to transform vestibular diagnosis with unparalleled precision, efficiency, and patient comfort.

SYNAPSYS VHIT represents a significant leap forward in vestibular diagnostics. It is the only vestibular test capable of analyzing all six semicircular canals, providing a comprehensive evaluation of vestibular function in just minutes. Engineered with a powerful USB 3.0 camera boasting a native resolution of 1456 x 1088 pixels, it delivers unrivaled image accuracy and peak performance in diverse lighting conditions, thanks to an advanced daylight filter. This innovative system empowers audiologists and ENTs in the U.S. to achieve more reliable and informed diagnoses.

Key benefits for U.S. clinicians include:

• Unique Goggle-Free Testing
  SYNAPSYS VHIT features an exclusive remote camera system, making it the only vHIT device without traditional goggles. This contact-free design excels with pediatric and uncooperative patients, reducing slippage, discomfort, and motion artifacts while delivering results comparable to goggle-based methods.
• Versatile for All Ages
  This non-intrusive, mask-free system enables easy and accurate testing across all patient populations, from infants as young as two months to the elderly, without compromising diagnostic quality.
• Rapid, Precise Assessments
  A complete vestibular assessment can be performed in just five minutes. This blend of speed and accuracy streamlines clinical workflow, boosting patient throughput without sacrificing reliability.
• Effortless Calibration-Free Operation
  The system supports binocular testing and requires no manual calibration. Intelligent software adjusts settings automatically via facial recognition, ensuring swift, hassle-free setup and consistently accurate eye tracking, thereby saving time and simplifying the testing procedure.

For more information on SYNAPSYS VHIT and how it can elevate your practice, U.S. clinicians are encouraged to contact their dedicated Inventis sales representative at sales@inventis.us or visit the product page. 

Two decades of challenges, successes, and, above all, innovation.

We've come a long way since that distant 2005, yet we feel like the journey is just beginning.

The best gift we could give ourselves? A new headquarter: a testament to how much we've grown and how much more we aim to achieve.

The best way to celebrate? To keep innovating and, above all, to nurture the talent of our people, because the future is built together, step by step.

A heartfelt thank you to those who have been with us on this journey and to those who will walk with us in the chapters ahead.

The best is yet to come!

Inventis at AAA 2025: Experience the Future of Audiology

The 2025 American Academy of Audiology Annual Conference + HearTECH Expo will take place from March 26 to 29 in New Orleans, LA.
Join Inventis at booth #319 to experience the latest advancements in audiology technology.

Audiometry Solutions

• Triangle: A portable, battery-operated screening audiometer for efficient and reliable hearing assessments.
• Piccolo: A compact and versatile audiometer offering comprehensive air, bone, and speech audiometry functions.
• Cello + Maestro Control Panel: Experience our advanced diagnostic audiometer with the Maestro Control Panel for streamlined workflow and enhanced usability. 

Tympanometry Solutions

• Timpani: A portable and versatile tympanometer that also functions as a screening audiometer, providing fast and accurate examinations.
• Clarinet: A comprehensive clinical middle ear analyzer for in-depth evaluations.

Fitting Solutions

• Harmonica: Discover our innovative digital video otoscope featuring exceptional image quality and an ergonomic design for comfortable patient examinations.
• Trumpet: An advanced Real Ear Measurement system with integrated diagnostic audiometry capabilities.

Balance solutions

• Nystalyze: Experience the power of our modular VNG system for comprehensive and accurate balance diagnoses.

Don't miss your chance to:

• Gain valuable insights from presentations and workshops.
• Connect with colleagues and expand your professional network.
• Discover the latest innovations in audiology technology firsthand.

Visit us at booth #319 and experience the Inventis difference.
 

Elevate Your Balance Care at the ABS Meeting

Join Inventis at the American Balance Society's Annual Meeting in Scottsdale, Arizona, from February 27th to 28th.

The ABS brings together leading professionals in the field of balance disorders, fostering a community dedicated to advancing knowledge and improving patient care.

Experience the Future of Balance Assessment:

• Nystalyze: Our versatile VNG modular system, featuring three distinct modules and a wireless camera, offers unparalleled flexibility and user-friendliness for comprehensive vestibular assessments.
• SYNAPSYS VHIT: Revolutionize your vestibular evaluations with our groundbreaking goggle-free Video Head Impulse Test system. 

Don't miss this opportunity to elevate your patient care and stay at the forefront of balance assessment.

Visit us at the ABS Meeting in Scottsdale.

Inventis Partners with Eye and Ear at Vision Expo

Inventis is thrilled to announce its participation at Vision Expo, the premier event for ophthalmic professionals. 

From September 19-21, we'll be showcasing our innovative solutions alongside our partner, Eye and Ear.

On this occasion, our Satellite tele-audiology solution and its application in optical centres will be presented.  

Visit Booth P23024 to explore our technology and learn how it can enhance your practice!

Discover more

Inventis Partners with Hear the World Foundation to Bring Hearing Care to Children in Developing Countries.

We are proud to continue our support for the Hear the World Foundation, a corporate foundation dedicated to providing hearing care to children in need, as part of our long-term partnership.

The Hear the World Foundation has been using Inventis equipment, to test pediatric patients in Zimbabwe through the WizEar project. This project aims to expand the reach of hearing screening and provide hearing aids to children in Zimbabwe.

In addition to the work in Zimbabwe, Inventis equipment, including the Inventis Triangle portable screening audiometer and the Inventis Timpani portable screening tympanometer, has also been provided for testing in Peru.

Thanks to these projects, the Hear the World Foundation is ensuring equal opportunities and an improved quality of life for children with hearing loss around the world.

We encourage you to visit the Hear the World Foundation website to learn more about their important work and how you can support their mission. Together, we can make a difference in the lives of children with hearing loss around the world!

Inventis Showcases Cutting-Edge Audiology and Balance Solutions at AuDacity 2024

Inventis is pleased to announce its presence at the prestigious AuDacity 2024 Conference, which will be held from 5 to 8 September at the Gaylord Texan Resort in Grapevine, Texas.

About AuDacity

Hosted by the Academy of Doctors of Audiology (ADA), AuDacity is a premier event dedicated to advancing the field of audiology. The conference fosters excellence in audiology professionals, promotes strong ethical practices, and advocates for innovative business approaches in delivering high-quality patient care.

Explore Inventis Solutions at Booth #106

Inventis invites attendees to visit booth #106 and discover its comprehensive suite of cutting-edge audiology and balance solutions designed to enhance patient care and improve practice efficiency.

These include:

• Harmonica: A digital video otoscope offering exceptional image clarity and a convenient capture button for detailed ear examinations and effortless documentation. 
• Timpani: A portable tympanometer that provides precise measurements of middle ear function, enabling accurate diagnosis.
• Nystalyze: A modular VNG system for comprehensive evaluation of balance disorders, offering exceptional flexibility for a wide range of assessment needs. 
• Cello: A diagnostic audiometer equipped with advanced functionalities to conduct accurate hearing tests for all ages. 
• Trumpet: A Real Ear Measurement (REM) system featuring lightweight wireless probes and an integrated loudspeaker for streamlined REM procedures and effective hearing aid fitting.

Elevate Your Practice with Inventis

Inventis welcomes audiology professionals to engage with its team of experts at booth #106. Learn how Inventis solutions can empower you to deliver exceptional patient care, improve workflow efficiency, and achieve optimal outcomes.

See you at AuDacity 2024!

Inventis Unveils Groundbraking Audiology and Balance Solutions at the 2024 FLAA Convention

Inventis is excited to announce its participation in the 2024 Florida Academy of Audiology (FLAA) Convention, taking place on August 1-2 at the Wyndham Grand Orlando Resort at Bonnet Creek.
The FLAA Convention serves as a premier platform for audiology professionals to connect, share knowledge, and discover the latest advancements in the field.

Experience the Inventis Orchestra

At our booth, you can explore Inventis' comprehensive suite of cutting-edge solutions designed to enhance patient care and streamline audiological workflows. These include:

• Harmonica: A digital and ergonomic video otoscope featuring exceptional image clarity and a convenient capture button for effortless documentation.
• Timpani: A versatile portable tympanometer offering optional licenses for extended functionality, including 1kHz probe tones for pediatric testing, reflex testing at various frequencies, and screening pure-tone audiometry.
• Nystalyze: A modular VNG system for nystagmus visualization and analysis, providing exceptional flexibility with its wireless camera and upgradeable modules.

Unveiling the Full Range

Our complete suite awaits you:

• Cello: A diagnostic audiometer offering advanced pediatric functionalities, an optional assistant monitor, and a comprehensive range of hearing tests for all ages.
• Trumpet: An advanced Real Ear Measurement (REM) system featuring lightweight wireless probes, an integrated loudspeaker, and a built-in diagnostic audiometer.

Hands-On Experience and Expert Insights

We invite FLAA attendees to experience our technology firsthand at our booth.  Our team of experts will be readily available to answer questions, demonstrate product features, and discuss how Inventis solutions can empower audiologists to deliver exceptional patient care.

Don't miss this opportunity!