1. The Association of Electrical and Medical Imaging Equipment Manufacturers Nurse Call Systems & Emergency Call Systems Overview of ANSI/UL 1069 and ANSI/UL 2560

2. The Association of Electrical and Medical Imaging Equipment Manufacturers Nurse Call and Emergency Call System Listing Requirements Overview of ANSI/UL1069 and ANSI/UL2560 Presenters Names/Contact Info 2

3. The Association of Electrical and Medical Imaging Equipment Manufacturers Overview National Consensus Standards  American National Standards Institute (ANSI) Nurse Call Systems Emergency Call Systems  Overview of new UL2560 Standard Differences between UL1069 and UL2560 Applicability of Standards 3

4. The Association of Electrical and Medical Imaging Equipment Manufacturers Nurse Call Systems & UL1069 4

5. The Association of Electrical and Medical Imaging Equipment Manufacturers Consensus Standards UL1069 complies with all relevant articles of NFPA70 National Electrical Code and NFPA99 Health Care Facilities Code NFPA101 (Life Safety Code) 18.1.1.1.2/3 defines Healthcare facilities to be “…where the occupants sleep there, but are not reasonably able to evacuate themselves in an emergency”  As such, these facilities have 24-hour staff on duty 5

6. The Association of Electrical and Medical Imaging Equipment Manufacturers Nurse Call Systems UL1069 Hospital Signaling and Nurse Call Equipment  Created in 1977 by UL and Nurse Call industry  7 th edition (October 2007) clarifications/additions focused on three areas: Wireless nurse call devices Definition and verification of core system elements Definition of oxygen-enriched testing for pendant controls 6

7. The Association of Electrical and Medical Imaging Equipment Manufacturers Wireless Nurse Call Devices  Wireless initiating devices, as part of the fundamental system, have clear limitations: 1)The intent of wireless devices is to extend the coverage of a hard-wired system, however, only initiating devices can be wireless 2)The fundamental notification devices MUST be wired 3)Wireless devices utilize a “shared” radio frequency (RF) space – Not guaranteed to be available or work in all real world environments – UL1069 adds requirements to assure best possible reliability Nurse Call Systems 7

8. The Association of Electrical and Medical Imaging Equipment Manufacturers Wireless Nurse Call Devices  Wireless initiating devices, as part of the fundamental system, have clear limitations: 4) Devices are supervised. Loss of contact with receiver for more than 90 seconds (including interference, loss of battery power, damage, etc.) = a supervisory alarm – This requirement is based on testing the LARGEST possible system – Note: On systems listed prior to Ed 7, the supervision time may be 24 hours  Extensive testing required to assure devices will work in predictable interference scenarios Systems must have designs that “hop” or move frequencies to work around potential interferences Nurse Call Systems 8

9. The Association of Electrical and Medical Imaging Equipment Manufacturers Nurse Call Systems Fundamental System Requirements  UL1069 defines the fundamental nurse call system devices: Patient Station Bath Station Emergency Station Corridor Light Console Power and Control Duty Station A system without corridor lights cannot be UL1069 listed 9

10. The Association of Electrical and Medical Imaging Equipment Manufacturers Nurse Call Systems Oxygen-Enriched Environments  UL1069-listed systems fully comply with NFPA 99 for safety of pendant devices (call cords and pillow speakers) in oxygen-enriched environments 10

11. The Association of Electrical and Medical Imaging Equipment Manufacturers Emergency Call Systems & UL 2560 11

12. The Association of Electrical and Medical Imaging Equipment Manufacturers UL2560 Emergency Call Systems for Assisted Living and Independent Living Facilities  1 st edition published September, 2011  Addresses minimum performance of emergency call (e-call) systems in senior living communities 12 Emergency Call Systems

13. The Association of Electrical and Medical Imaging Equipment Manufacturers UL2560 Requirements  Placement Permanently fixed e-call station must be located in every resident bathroom Additional optional stations at resident beds, elsewhere in living areas and common areas are allowed  Pendants Pendants are optional, but if included, must comply with the standard Assigning pendants to residents does not remove requirements for at least one fixed e-call station in each resident bathroom 13 Emergency Call Systems

14. The Association of Electrical and Medical Imaging Equipment Manufacturers UL2560 Requirements  Call Indicator E-call stations and pendants must include call assurance indication  Central Notification Station There must be at least one notification station to receive all calls Must be at a fixed location Additional optional portable notification stations are allowed 14 Emergency Call Systems

15. The Association of Electrical and Medical Imaging Equipment Manufacturers Emergency Call Systems UL2560 Requirements  Origination Reporting The origin of a resident call must be reported at a notification station The origin must be specific – e.g.“Apt 117” or “3 rd Floor Men’s Room”  Cancellation Call (from fixed station or pendant) must be canceled at the source of the call Exception: If the system can separate non-emergency resident calls from emergency resident calls and there is voice communication between the e-call station and notification station – Non-emergency calls can be canceled from notification station after voice contact with resident has been made 15

16. The Association of Electrical and Medical Imaging Equipment Manufacturers Other UL2560 Requirements  Connection Testing  System Testing  Back-up Power  Low Battery Alarm  Interference Testing To obtain a copy of UL2560: http://ulstandards.ul.com/standards-catalog/ Emergency Call Systems 16

17. The Association of Electrical and Medical Imaging Equipment Manufacturers 17 Comparison of the Standards

18. The Association of Electrical and Medical Imaging Equipment Manufacturers Standards Comparison UL1069UL2560 Required Call Notification Permanently installed primary console and corridor lights One or more call notification stations, at least one of which must be in a fixed location Supervision of Wireless Initiating Devices Every 90 secondsEvery 24 hours Mobility Assumes patient is not mobile Assumes resident is mobile Nursing Staff 24/7 RequiredNot required 18

19. The Association of Electrical and Medical Imaging Equipment Manufacturers 19 Applicability of the Standards

20. The Association of Electrical and Medical Imaging Equipment Manufacturers When UL1069 Applies  Systems covered by the standard are intended to be installed in either General or Critical Care areas in accordance with: National Electrical Code (NFPA 70) Health Care Facilities Code (NFPA 99) Life Safety Code (NFPA 101 - Chapter 18) 20 Applicability of Standards

21. The Association of Electrical and Medical Imaging Equipment Manufacturers When UL2560 Applies  Systems covered by standard are intended to be installed in: Assisted and independent living facilities – 24/7 staffing is not required – Residents can reasonably be assumed to evacuate themselves in an emergency 21 Applicability of Standards

22. The Association of Electrical and Medical Imaging Equipment Manufacturers 22 Importance of Listing

23. The Association of Electrical and Medical Imaging Equipment Manufacturers When nurse call systems are listed to UL1069 and emergency call systems to UL2560, you can count on:  Product safety for all users  System reliability  Corporate integrity to design to the highest standards now and as new requirements are implemented  Peace of mind for staff, patients, residents, and relatives 23 Importance of Listing

24. The Association of Electrical and Medical Imaging Equipment Manufacturers 24 Additional Resources

25. The Association of Electrical and Medical Imaging Equipment Manufacturers Additional Resources NEMA Presentation  A copy of this presentation is available for download at http://www.nema.org/Products/Pages/Health-Care- Communications-and-Emergency-Call-Systems.aspx http://www.nema.org/Products/Pages/Health-Care- Communications-and-Emergency-Call-Systems.aspx UL Guide Cards for Standards  UL Guide Cards for the UL 1069 and UL 2560 standards are available at http://www.ul.comhttp://www.ul.com Click Nurse Call Systems for a link to the Nurse Call System Guide CardNurse Call Systems Click E-Call Systems for a link to the Emergency Call System Guide CardE-Call Systems Note: for the links to work, go to Slide Show mode 25

26. The Association of Electrical and Medical Imaging Equipment Manufacturers 26 Questions? Thank You!

27. The Association of Electrical and Medical Imaging Equipment Manufacturers 27 Back Up Slides

28. The Association of Electrical and Medical Imaging Equipment Manufacturers  Connection Testing/Electrical Supervision Wireless and telephony based e-call systems must be self-testing so to report device faults Maximum time for fault to reported cannot exceed 24 hours 28 Emergency Call Systems UL 2560

29. The Association of Electrical and Medical Imaging Equipment Manufacturers  System Testing/Program Access and Control Many modern e-call systems incorporate one or several microcontrollers If one of these microcontrollers fails, a fault condition must be reported within 90 seconds 29 Emergency Call Systems UL 2560

30. The Association of Electrical and Medical Imaging Equipment Manufacturers  Backup Power UL 2560 requires a secondary power source that provide power when main power fails – Typically accomplished with batteries – Assisted living/independent living facility can have an on-site power generator but, if none exists, a secondary power source must be provided to self-power ECS Manufacturer must specify length of time the system will operate on backup power – e.g. “With 10% of the emergency call stations in alarm, backup batteries will continue to power the system for 12 hours” 30 Emergency Call Systems UL 2560

31. The Association of Electrical and Medical Imaging Equipment Manufacturers Emergency Call Systems UL 2560  Low Battery Alarm Wireless e-call system transmitters are typically powered by batteries (replaceable or permanent) Low battery must be reported at least 7 days prior to transmitter failure Manufacturer must state expected life of batteries and conditions that comprise expectation – e.g. “If five emergency calls are placed each day, the battery will last at least 38 months” 31

32. The Association of Electrical and Medical Imaging Equipment Manufacturers  Interference Testing Wireless e-call systems have to pass tests to minimize possibility that operation will be impaired by interfering signals 32 Emergency Call Systems UL 2560