As part of the Windows K2 initiative to revitalize Windows 11, there have been a number of braille improvements in Narrator. From the Windows Central article:
Braille displays now connect instantly with Narrator
- We’re making refreshable braille displays easier to use in Windows. Narrator now supports displays that use the HID standard — an open industry standard for braille displays. If your display supports HID, simply connect it via USB and start reading — true plug-and-play with no additional setup required. For Bluetooth, pair your HID braille display in Settings > Bluetooth & devices just like any other accessory, and you can work wirelessly without being tethered to your PC.
- Compatible HID displays include models like the Orbit Reader 20, Orbit Slate 340, Freedom Scientific Focus 40, and APH Mantis Q40.
HID braille displays now work during the initial Windows setup experience (OOBE) over USB — meaning users who are deaf-blind can set up their PC independently, right from the first screen. You can customize braille input and output options anytime in Settings > Accessibility > Narrator > Braille.