Direct dictation integration. Zero drivers. Total control of your reading workflow.PACSPad is a programmable 16-button USB controller built for diagnostic radiology. It integrates directly with PowerScribe, Dragon, and other dictation software — your dictation platform recognizes it natively the moment you plug it in. No drivers, no middleware, no IT ticket.Dictation, on your termsPut record, stop/play, rewind, fast-forward, and field navigation on any button — or hold a button to dictate and release to stop. Every dictation command your software supports can live exactly where your fingers expect it.16 buttons. 4 layers. Up to 64 actions.Each button supports 10 behavior types — click, press-and-hold, toggle, latch, multi-tap, cycling actions, and more. A 4-layer system lets you switch button sets by context: one layer for dictation, one for PACS shortcuts, one for report boilerplate.One press, multiple commandsSuper Macros chain keystrokes, text, and timed delays into a single button — select, copy, pause, paste, done.A USB and Bluetooth hub on your deskTwo USB-A passthrough ports connect your wired mouse, microphone, or any other USB device straight through to the computer — everything reaches the workstation over a single cable. These ports are direct passthrough (no remapping).Pair up to 4 Bluetooth keyboards or mice and remap their buttons too. Turn a $20 Bluetooth presenter into a wireless dictation remote — PACSPad translates everything to the host over one USB connection.Built for the reading room OLED status display shows active profile, layer, and dictation state Profiles for multiple users, workstations, or reading contexts — switch in seconds Optional boot PIN lock for shared and clinical environments All configuration happens in your browser (Chrome/Edge) — nothing to install Firmware updates delivered over USB, right from the configurator In the box: PACSPad (16-button pad with OLED display) and a 3-meter USB-C to USB-A cable.PACSPad handles buttons, not audio — keep using the microphone you already trust for dictation audio — it can plug right into one of the PACSPad's USB passthrough ports.