In 2004, Welch Allyn (
http://www.welchallyn.com/) released its MacroView otoscope. For those unfamiliar with this ingenious device, the Macro-View provides twice the field of view of standard otoscopes, along with 30% greater magnification and improved illumination. It provides nearly a full view of the tympanic membrane, virtually eliminating the need for "panning." And its focusing ring enables the user to change the focus as needed to improve visualization past cerumen, or perform examinations without glasses. I've been using the MacroView for the last few years, and would find it difficult to go back to using a traditional otoscope.
This year, Welch Allyn introduced a digital Macro-View. This device doesn't look that different—the standard focusing ring and insufflation port are still there. But the Digital MacroView has no viewing port, because it connects via a USB cable to a computer. You can capture images or videos of the tympanic membrane with a click of a button on the otoscope head, and zoom in for a close-up on the screen. Pediatricians can point out findings to parents and/or patients. Images and videos can be saved on EMR software, or archived on you computer. The Digital MacroView otoscope is priced at about $1,000.