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The system for perfect communication:flamenco®.

Nursecall by Tunstall

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Flexible, safe, economical:flamenco® is the future.

In hospitals, where lots of people with different needs come together, communication is particularly vital. Everyone has a different perspective. Patients expect a quick response when they have desires or feel bad, while doctors and nurses may have a large number of patients to look after. Especially at night this can become a real challenge. There are patients who can’t get around by themselves, for whom transfers to other parts of the building constantly have to be arranged – from ward to theatre, from recovery to ward, to physiotherapy and back or to the lab for a blood sample. In addition, there are so many other tasks that need to be arranged and coordinated as efficiently as possible. Hospital managers shoulder a great responsibility –

not only for patients and staff, but also for commercial success and robust operations. And to meet all these different concerns and interests. Each hospital depends on an optimum solution to its communication needs to meet all these different concerns and interests.

Good communication stands out due to clear messages that everyone involved can understand. More than ever, with hospitals competing among themselves, getting the message is crucial. A hospital must treat patients as clients, respect their preferences and expectations and seek to accommodate them to survive in the market.

Communication is the basis for all human interaction. It happens every day in our contacts with other people. If we can keep communication simple, we will facilitate smooth processes and ensure that everyone knows exactly what is happening.

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With or without speech – always a success. Complete product linefor all areas of application.

fl amenco® nursecall system:Contents

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 02The concept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 04System in brief . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 08Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16ManagementCenter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20System architecture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Plug and Play/Innovations . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Multimedia/Telephony . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Commitment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Business areas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

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Made in Germany

The ongoing dialogue with our customers that we have pur-sued in over 40 years of experience in this fi eld has enabled us to develop technological leadership. Our solutions bear the hallmarks of generous fl exibility, supreme quality, extremely simple installation and confi guration and, not less important, outstanding design. Naturally our products and systems comply with the German nursecall system standard DIN VDE 0843, with its stringent security and operational requirements. We know all about planning the communication between hundreds of patients, nursing staff, physicians, administrators, support functions, technicians, supplies and waste disposal and about implementing the design reliably and effi ciently. We would be delighted to convince you our nurse call systems can help you to simplify processes. Just ask!

In many European countries, health care systems are expe-riencing radical change. The reasons and the consequences are very different and this guides our ideas and our product development.

There are some markets, for example, where the priority is to modernise existing hospitals. On the one hand, patients are staying fewer nights, but on the other hand demographics have brought higher case loads, so the available beds and rooms provide appropriate capacity. The primary objective is to raise technical standards, enhancing patient comfort and optimising organisational fl ows. Our task here is to respond to the specifi c environment and its particular requirements. A smooth tran-sition from “old” to “new” is decisive. After all, operations must continue without interruption. In most cases even a brief closure is inconceivable. We have gained a lot of experience with such scenarios and our competence in the fi eld is extensive.

There are other countries witnessing a broad wave of new-builds, and what they need from our product is quite different. Usually there is a keen interest in innovative solutions with features such as listable interfaces to hospital management systems or adaptation to personnel security systems. Here again, we are the right people to deal with. Just ask. For all the reassurance you need.

Florian Lupfer-Kusenberg, Managing Director

Stefan Göhler, Sales Manager

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A flexible system: Confidence for the future.When it comes to making decisions about systems and products, there are a myriad possibilities and unforeseeable economic considerations that com-plicate the process. How can you decide on the right system when demands and technologies are constantly changing? You may not be able to see into the future, but you can plan for it! With flamenco®, you’re perfectly prepared for every stage of the journey into the future. Thanks to a standardised system with a modular design that can be installed in rooms with the utmost flexibility.

Only a long-lasting solution is a cost-effective one. The decision to install a call system is always a long-termmove, since it demands future-oriented planning, long-term installation and needs-based user training. Only if your call system is able to respond flexibly to changed organisational demands or communication needs will your decision pay off in the long term too. Apparently low-cost solutions can quickly turn out to be expensive mistakes. With flamenco®, all new developments and adaptations of features can be integrated easily both now and in the future. And all without any changes to the cable infrastructure, expensive installations, dust or mess. Just like in the flamenco dance, the technology develops but the substance remains the same.

Investment security for today and tomorrow. • Consistent system platform for different requirements of organisation and communication

• All terminals can be used in mixed mode and are compatible with one another – with and without speech applications

• All applications satisfy the requirements of DIN VDE 0834 Part 1 and 2

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With or without speech – always a success.• Complete product line for all areas of application• Intuitive operation saves time and ensures safety especially when it's needed• Cleanliness and hygiene are made easy thanks to simple cleaning and disinfection• Long-lasting, low-maintenance products reduce follow-on costs• Reliable, targeted information in every situation to ensure the quickest decisions

The ComTerminal

• Waterproof, sealed glass surface• Excellent speech quality• Individual design of front panel possibel

Basic functions standard for all terminals. • Attractive design• Intelligent room area network (RAN)• Full functionality as defined by DIN VDE 0834• Easy to clean and disinfect• Pluggable electronics• Extremely time-saving installation

The RoomTerminal (without speech)

• Waterproof, sealed film surface• Standardised operation as with the ComTerminal• Can be used in systems with and without speech

The ControlTerminal

• Full functionality as defined by DIN VDE 0834• Integrated room lamp• Installation in the corridor. The electronics are equipped without control elements and can operate with all components of the room bus RAN

Common features:

• Full graphic display• Context-sensitive control elements• Situation-dependent displays• Integrated configuration management• Local troubleshooting

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Units across ward boundaries: Optimum personnel deployment. flamenco® makes your organisation completely mobile, way beyond ward limits – putting dynamism, precision, efficiency and speed at your fingertips. Its unique ability lies in the complete flexibility of its organisational structure. This means that you can define new organisational units within your building depending on the situation, group any number of rooms together on a ward or assign certain rooms to other wards or departments. With the innovative flamenco® nursecall system, you can therefore combine available capacities and ensure the best possible utilisation of all wards.

Organise according to good clinical practice and provide comprehensive patient care.Adaptability, cost-effectiveness and reliability are essential for modern care. flamenco®’s outstanding, long-established interface expertise underpins the technical platform for your entire information management system.

Whether it be alarms, telephony or administration: the best products and solutions for data management, organisation and communication can be integrated to serve your needs – both now and in the future. Constant system monitoring makes sure you can rely on the system functioning perfectly.

Limitless organisational freedom• Flexible grouping of rooms beyond ward limits

• Planning freedom thanks to unlimited scalability and compatibility

• Easy adaptation to changes in use

• Organisation based on business management concepts

• Future-proof system platform

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flamenco®: the ideal platform for integrated organisation.

OrganisationData

Speech

demands ment

installations

managem

ent

environment stration

Mob

ility

Future Entertain-

Legacy

Facility

Patient Admini-

Tele

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Balanced utilisation: with flamenco®, you can move ward limits around virtu-ally. Allocate rooms out of overburdened departments to areas that still have adequate capacity available.

Expert organisation ready for the future. flamenco® is based on a powerful bus system that intelligently networks even individual components in rooms. The central control of the entire nursecall system is the key to its flexibility: you can adapt flamenco® to new conditions or products with ease and change the organisation of rooms, wards or entire hospitals if the situation changes. What’s more, flamenco® is virtually unlimited in its scalability and is compatible with previous and later system generations.

Focusing on the organisation of care• Inter-disciplinary ward occupancy

• Free choice of organisation method: local, central or mixed

• Demand-led change of workflows possible with ease at any time

• Intelligent call forwarding and clear call prioritisation

• Robust, intuitive control elements

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Case study of current utilisation: Future utilisation with flamenco®:

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Ward

Ward

Ward

Ward

balanced room occupancy with flamencoover-occupancy and under-occupancy of wards

Ward

Ward

Ward

Ward

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Organise with flamenco®:Perfect for every situation.Perfectly placed and cleverly networked.Occupancy rates and nursing capacity alter every day. flamenco® can be adapted completely to reflect acute needs. No dust, no noise. Regardless of wiring, partition walls and building layout, the bus network gives you a free hand to structure all work flows as you like and to exchange compo-nents without any effort.

flamenco® lets you shift ward boundaries virtually and across disciplines. Rooms are allocated to units with the capacity to handle them. Even individual rooms can be regrouped over-night to create a new ward or serve a different department.

Examples for optional ward allocations:Ward 1Ward 2Ward 3

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Patient handsetThe bedside assistant. Press the button to trigger a call or speak to staff. Separate controls for room light & reading lamp and patient’s radio & TV.H x W x D: 195.5 x 52 x 25 mm

Corridor displayAlphanumeric text to display the type and location of calls or present any information as flow text. Integrated loudspeaker for acoustic signals and for announcements.H x W x D: 120 x 765 x 35 mm

Switch programmeWaterprotected switch to indicate staff presence and raise nurse calls, WC or code blue calls. Optionally with pull cord or pneumatic trigger and cancellation.H x W x D: 91 x 91 x 36 mm

Room lampSignal lamp with up to four sections for visual display of all call types and staff presence. Modular design with interchangeable decorative frames.H x W x D: 110 x 150 x 40 mm

RoomTerminalRoom terminal designed for universal use in patient rooms, duty rooms and general function rooms, without speech communication. Standard equipment includes all control elements for operating the nursecall system. H x W x D: 205 x 110 x 34 mm

ComTerminalThe ComTerminal in patient and functional rooms uses clear visualand acoustic signals to coordinate calls and forward information.Buttons to trigger emergency and cardiac alarms.H x W x D: 205 x 110 x 34 mm

ComStationBUS-C

Ward console for the nurse station, designed for answering and handling calls and to support nursing service, equipped with microphone, loud-speaker and handset for speech communication. The ComStationBUS-C is operated using select buttons and navigation buttons, supported by a multifunction display. H x W x D: 55 x 273 x 185 mm

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2

7

6

5

4

3

NEW

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Flow of information in the ward:Send a clear signal. Nothing is more sure to interrupt a good rhythm of patient care-giving than a flood of unfiltered information. With flamenco®, you can send out clear visual and audible signals to ensure that the right information reaches the right person at precisely the right time. After all, especially when staffing levels are low, every step taken must lead in the right direction.

A call is triggered in the patient’s room.

ComTerminalUniversal communication terminal featuring full-duplex speech technology. Designed for use in patients’ rooms, nurse stations and functional areas. The innovative control panel made from real glass satisfies even the strictest demands in terms of cleaning, operation and design.

Patient handsetHand-held device for voice communication. With buttons to trigger calls, switch lights, control radio and TV, 2.5 m cable.

Switch programmeWaterprotected switch to indicate staff presence and raise nurse calls, WC or code blue calls. Optionally with pull cord or pneumatic trigger and cancellation.

Pear push with call and light switchTo raise calls and switch reading light on/off, 2 m and 4 m cable.

Connection socket Combined connection socketfor patient handset and pearpush switch to transmit calls &entertainment and to controltwo relays for light switching.

NEW

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Understandable signals. • Intuitive products for triggering calls • Range of options from simple push switches to complex connections involving third-party devices• Customisable to suit the needs of different patient groups• Location light, colour scheme and unique messages provide reassurance and safety• Maximum safety thanks to constant and automatic function monitoring• Designed with practical situations in mind, easy to clean and with a long service life

Find and be found. • Call status and staff presences always displayed• Clear displays, legible even from a distance• LED technology for a long service life and lower follow-on costs• Displays on one or both sides, audible signals can be added• Loudspeakers for announcement signals or announcements in every display• Ward and direction lamps to the call location can be added as an optional extra

The signal is emitted via the various lights in the corridor.

Direction lamp With two light sections and arrows to indicate the way to call locations, display calls and the call status.

Corridor display Alpha 1616 digits for alphanumeric display of call type and origin. Includes parts for assembly. Also available as double-sided version.

Room lamp, 3-piece Signal lamp with 3 light sections for the visual signalling of all call types and staff presences.

Group lampfor 3 wards to display calls and call status (inc. labelling).

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The flamenco® system structure:Stay in control. All necessary tasks and adaptations within a ward can, as required, be processed locally on the ward itself or centrally. The ManagementCenter, as a central console, is an oasis of calm spanning all wards in the busy day-to-day care setting. Convenient control puts all the functions of the call system at your fingertips.

Everything under control on the ward.• Customised functions, depending on the type of organisation• Complete chain of communication from the simple ComTerminal to the local ManagementCenter• Independent consoles or VoIP telephones on the network• Simple integration of mobile telephones via DECT or WLAN• Supports all conceivable forms of care organisation

Helping you stay in control and organise intelligently.• Control and organise individual wards or centrally • Free choice of operational method – local, central or mixed• Single or multi-station solution, customisation of workstations• Facility for documenting all events• Display of non-system information, e. g. status of the fire alarm system• Extensive announcement and alarm options• Interfaces for exchanging information with other systems, such as the hospital information system or fire alarm system

The call can be accepted using various types of equipment.

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The ManagementCenter processes all information.

DIA HIS

protocol

Call: Patient• Name• Age

HL-7Patient

ComStationCT

Used at the nurse station for handling calls, triggering calls or alarms and for requesting more personnel. Switching on and off of ward couplings or area-based care.

DECT/WLANWhen the workload is light or when special services need to be engaged,flamenco® supports the integration of modern telephone systems and mobile telephones/DECT.

ManagementCenterCentral console in flamenco® for the best possible organisation of operating workflows. All the functions for hand-ling all call system functions centrally are available and are convenient to operate.

ComStationPC

On-screen console for handling all call system functions within a ward. Designed as a PC workstation with separate intercom station.

DocumentationLogging of all system events for trouble-shooting purposes and to ensure more transparency in the delivery of care.

ComStationBUS-C

For querying and handling calls and supporting the organisation of care. Microphone, loudspeaker and handset for speech-based communication. The system is operated using target and navigation buttons. Equipped with a large and easy-to-understand multi-functional display.

Alarm announcements Option of announcements and alarms in each room as well as additionally installed loudspeakers in corridors and other areas of the building.

Building services technologyflamenco® integrates individual interfaces for exchanging information with other systems, such as fire alarm systems.

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The open system platform:A multimedia masterpiece. The flamenco® system platform is the basis on which everything that should work perfectly in a modern hospital actually does: staff and patients, wards and teams, signals and displays, call systems and telephones, TVs and computers, and much, much more.

Targeted flow of information along every corridor. • Announcement loudspeaker in corridors and areas to provide information and alarms• Use of corridor displays to provide additional information• System-wide, atomic clock-adjusted and synchronised time display on all displays• Forwarding of information to mobile telephones or pagers to alert resuscitation teams and to pass on important messages

Multiple uses in the patient’s room.• Display on the ComTerminal with additional messages, such as the time, special texts from non-system installations such as the fire alarm or messages from intensive care• Connection of multimedia devices for triggering calls, speech-based connections and the use of added-value services• Integration of patient telephones into the call system’s speech communication module• Interfaces for controlling TVs and for audio playback• Switching of room and reading lights

Audible and visual signals ensure targeted communication, even while on the move.

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Further devices provide information, entertainment and comfort in the patient’s room.

AlarmsAdditionally installed loudspeakers and interfaces to ELA systems facilitate a comprehensive information and alarm solution.

ForwardingWhen an emergency occurs, rapid action is essential. Intelligent interfaces allow alarms, such as to resuscitation teams, to be forwarded via mobile tele-phones or pagers.

TV and multimediaFrom a standard TV to complex multimedia solutions with access to the Internet, there are a great number of integration options available.

NursecallUse of the ComTerminal display to deliver additional information such as the time, special texts from nonsystem installations, etc.

InformationAs well as displays from the call system, information from fire alarm systems and other systems can be forwarded to specific personnel.

Patient telephoneWhether stand-alone or with an inter-face to the nursecall, a variety of con-nection options ensure the maximum possible benefit for everyone, from a simple call button to integrated speech-based communication.

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Maximum compatibility:The interface to the future.Many providers recommend using a single IT infrastructure with the call system directly integrated. In that case, though, you have to rip everything out and start again when the next generation of technology comes along. With flamenco®, you can use existing lines and have an integrated system platform that offers maximum compatibility with other system generations and technologies and with all future upgrades and enhancements.

Compatibility means integration, not rejection.When the decision to replace or change a system is being made, costs and complexity play a crucial role. Tunstall has therefore developed solution concepts that facilitate the straightforward integration of existing products and the smooth continuation of the hospital's operation. Decide for yourself whether you want to replace individual compo-nents, use existing cable networks or carry out a complete system change.

flamenco®’s superlative compatibility affords healthcare providers additional room for manoeuvre despite limited budgets. You can retain existing assets, reduce ongoing operating costs and profit from new ideas and innovative system concepts aimed at ensuring even more efficient organisation and communication.

flamenco® –Integration platform

CCS since 1976

NewLine since 1992

Existingnetwork

EccoLine since 2003

Compatibility creates freedom: • Interfaces to previous systems

• The Tunstall refurbishment concept allows new systems to be installed with virtually no interruptions to ongoing hospital operation.

• Integration of several system generations

• Use of existing routings and sockets

• Upgrade to new products

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Close connections with interfaces from Tunstall.The diversity of modern technologies and areas of application results in highly complex, individual solutions tailored to specific tasks and applications. In today’s world of communica-tion, interfaces are the essential tool for allowing information to be exchanged.

Examples of interfaces:

The flamenco® system platform offers virtually unlimited options for integrating various systems into the care orga-nisation's workflow. The focus is always on making the connection as secure as possible, minimising the risk of unwanted influences from either side. This is where the challenge for planners and operators lies – to work with the manufacturer to create the best possible, secure solution.

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Being on safe ground: A great feeling.Call systems are designed to request help quickly, reliably and in a targeted manner in emergency situations and situations of danger. When it comes to human life and health, the demands of communication and safety are inseparable. To safeguard these demands, call systems are standardised to DIN VDE 0834.

Satisfy security requirements safely. As more and more systems are connected and global network-structures become more and more widespread, the demand is growing for a standardised platform that can handle all com-munication tasks. The flamenco® system complies fully with all the applicable guidelines and is based on an intrinsically safe system with its own infrastructure. Tunstall is committed to closely examining the risks of failure, the degree of system support required and the resulting follow-on costs long before the solution is actually implemented.

The flamenco® safety principles1. Where call systems are connected to other systems, human safety is always the top priority.

2. Integration into existing networks or link-up via interfaces is possible at any time, provided the requirements of DIN VDE 0834 are strictly adhered to.

3. Each individual component used and the entire infrastructure must satisfy the high demands on a call system in order to allow the creation of a standard-compliant, safe system.

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Security and IP: Not a contradiction.The right use of IP-based solutions can represent a useful addition to regular call systems and communication solutions. But not everything that is technically possible can meet the stringent standards required.

Complies with

Ward Room Point of care

Logging,Staff, Call etc.

Data processing center

Wardterminal

Group-center

IP switch

IP switch

Internet, Video,Telephony

Ward Room Point of care

Logging,Staff, Call etc.

Wardterminal

Data processing center

WardIP network

Internet, Video,Telephony

Wardterminal

IP switch

Internet, Video,Telephony

Ward Room Point of care

Secondary alarm,Logging,Staff, Call etc.

Wardterminal

Standard LAN

IP switchNursecall

Internet, Video,Telephony

Wardterminal

IP switch

Ward Room Point of care

Wardterminal

Data processing center

Wardterminal

IP switch

IP hub

Telephony

Internet, Video

The call system has a separate, independent cable network. Added value services are simply transported as an additional element via LAN or telephone line, for example, under the same cover plate into a connecting plug or into the device. When it comes to func-tionality, however, the systems remain fully independent. Case study 1 complies with DIN VDE 0834.

For more information on this topic, we recommend the brochure from the Zentralverband Elektrotechnik- und Elektroindustrie e.V. (ZVEI), entitled “Rufanlagen und IP? Aber sicher.” (Currently only available in German)

Source: Zentralverband Elektrotechnik- und Elektroindustrie e.V. (ZVEI)

The call system on each ward has its own cable network. Several stations are to be linked together via a standardised cable network (DIN/EN 50173) and standard network components. Added value services are integrated as in case study 1 via the device or connecting plug as independent systems.Case study 3 complies with standards under certain conditions. Since the organisational specifications are difficult to guarantee over the long term, however, this approach is not recommended.

The call system on each ward has its own cable network. The wards are connected via a dedicated IP network reserved for the call system. Added value services are integrated as in case study 1. Case study 2 complies with DIN VDE 0834.

The call system with its individual devices, multimedia and added value services, as well as the wards, are linked together via the general IT infrastructure.Case study 4 is not in any way standards-compliant, even though QoS-enabled active components, VPN technologies and “managed services” appear to permit an adequate standard of safety.

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The ManagementCenter:The day-to-day mainstay for hospitals. The ManagementCenter is the mainstay of your hospital call system. It lets you control all functions centrally or on a decentralised basis from the ward itself. With the integrated PrimusGlobal+ software, you can configure the call system for your needs and perform all functions conveniently.

Managing the flood of information.The link to the OSY-ControlCenter gives you direct access to information from all connected information systems. This information might be personal data from the HIS, including medical data, names or care instructions, or it could equally be information from facilities management. To ensure seamless documentation, all system events can be logged with the time, date, ward and room identifiers and exported into other applications. Of course, PrimusGlobal+ supports multiple workstations.

Organisational tools spanning a wide range of software.Regardless of the size of the system or the type, age or number of third-party systems connected, the ManagementCenter and its associated PrimusGlobal+ software give you complete control of all the functions in your call system. Whether it be a simple on-screen console or with additional target buttons, you can see the location and status of standard calls, emergency calls and alarms as well as staff presences at a glance. Clear symbols and intuitive, menu-guided operation allow you to use the system with confidence. And of course, the user interfaces can be customised entirely to your preferences.

SystemOrganizer

display based on floor layouts, unique symbols.

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Always in control with PrimusGlobal+ management software. Intelligent software functions coordinate communication workflows efficiently and in a targeted manner – a fact that benefits the patient and ensures coordinated care. As well as basic functions for handling calls for assistance, PrimusGlobal+ also offers a wealth of options aimed at making organisation more efficient:

• Talk to your patients by name thanks to an interface to the HIS.• Recognise infection control rooms at the click of a mouse thanks to customisable colour markings.• Trigger automatic announcements using freely-defined announcement texts or custom-defined audible signals to provide information or to raise the alarm.• Find suitable personnel in the area around the call location automatically at the click of a mouse.• Organise your ward by colour coding area-based care.• Configure your system according to your requirements.• Display important information from third-party systems, such as the fire alarm system and much more.

Rely on the experience of a great number of impressed users and talk to us about your individual requirements.

Truly multi-talented when it comes to configuration.Whether it be on site or remotely, the flamenco® System-Organizer is a configuration tool that enables all system settings from the initial commissioning to subsequent func-tional adaptations to be taken care of with complete ease.

Cost-effective organisation with the ManagementCenter.More time for care, happier staff and cost-effective organi-sation – that’s the best way of summing up the experiences that many institutions have had with the ManagementCenter. Whether it be on the ward or at a central point: the Manage-mentCenter provides security, saves effort and lessens the workload of ward personnel. By passing on targeted informa-tion, a saving of 30 to 50 per cent of all walking routes can be achieved.

Using the ManagementCenter means*:

36.500.000fewer steps

200 days' more time for care delivery

Sample calculation based on 350 bedsconsidered on annual bases

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PrimusGlobal+ ManagementCenterSoftware especially for central consoles in flamenco® call systems. All the functions for handling all call system func-tions centrally are available and are convenient to operate.

*

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The OSY control unit:The open system that meets your needs.

Wherever you have a multitude of systems, interfaces and changes, you need a unit that integrates them all seamlessly. From nursecall, loudspeaker, patient telephone and pager to remote retrieval and facility management, the OSY Con-trolCenter is the central control unit that reliably controls the whole data flow.

The best of everything. With flamenco® you can integrate any component from any system.OSY: it may sound like a technical abbreviation, but it des- cribes a whole philosophy, the OpenSystem philosophy.It provides the operational security for integrating differentexternal systems via interfaces. The OSY ControlCenter is at the heart of all data flows and voice communication. The OSYnet Safety Controller grants additional security.

You decide on the best solution in each department.flamenco® is an open platform. You can consider all optionsavailable for your communication system whatever deliversthe most benefits for your telephone and alarm networksand patient environment. Smart OSYlinks make sure every-thing communicates smoothly. And a modular approach isthe best springboard for easy alterations and extensions.

Proven bus technology performsgreat feats with small parts.Intelligent networking starts at the small end. The RAN busknits together all the components in the room so skilfullythat they carry on doing a reliable job even if another parthas failed. The smart ComTerminal is the link between the room bus and the OSYnet group bus. OSY symbolises inde-pendently secure systems that can shield themselves from an error elsewhere and continue working reliably even during an operational malfunction. You can trust flamenco® with its proven system security.

External systems

The call systemManagementCenterThe ManagementCenter with PrimusGlobal+ accesses all external and internal information systems via the OSY ControlCenter. A user-friendly interface facilitates central processing of all nurse call functions.

OSY-ControlCenterThe OSY ControlCenter places all flamenco® nursecall system functions at your service. It is the system’s central interface for the input and output of data, voice connections and system messages and the hub for remote access and system updates.

Alarm system

Announcement

Telephony

Customised solutions

Transport system

HIS data system

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Power supply

Cable: NYM 2 x2 .5 mm2

Room bus (RAN) with speech

(max. two connections)

Cable: 2x IY(ST)Y 2x2x 0.8

Group bus (OSYnet)

(flamenco only)

Cable: CAT5 cable

DL

DH

DG

NF 1a

NF 1b

NF 2a

NF 2b

white-blue

blue

white-green

green

brown

white-brown

orange

white-orange

+24V

0V

24V

RAN

0V

red

yellow

black

white

LS

MIC

SCH B

yellow

white

black

red

The OSY control unit:The open system that meets your needs.

Installation

Group 1

Group 2

The OSYlink interfaces connect flamenco® elements like the ComTerminal, group lamps and loudspeakers and also third-party components to their OSYnet group bus.

OSYnet• Data transfer• Speech transfer• 24V power supply

Patientroom

RAN

Patientroom

RAN

Patientroom

Patientroom

24V powersupply

24V powersupply

OSYnetSafetyController

OSYnetSafetyController

Patientroom

Patientroom

Corridor display

Corridor display

OSYlink

OSYlink

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The smallest details: Are the biggest drivers of progress.The devil is in the detail. It is the many small ideas and details that particularly fascinate our engineers in their continuous optimisation of our products. Tunstall solutions are developed through ongoing dialogue with managers, planners, nurses and patients. Perfection down to the smallest detail can only be achieved by those who not only use innovations, but also develop them themselves and break new ground – as we have been doing all over the world for many years.

Plug and Play increases security and cuts installation time.Where refurbishment is concerned, flamenco® is perfectly prepared for when a change of components is needed: simply reconfigure sub-sections or quickly exchange individual peripherals via the Plug and Play approach. Since the bus technology extends into the room, configuration of the plug-in modules is simplicity itself. Even extensive functional improvements can be loaded easily via a software upgrade without interfering with ongoing hospital operation.

Implement changes easily in no time at all.With easy-to-install Plug and Play components, the amount of effort associated with installations is reduced, saving valuable working time and increasing safety and security.

Prior considerations of specialist lines, the number of cables or types of buttons are no longer needed, since flamenco® can largely be integrated into existing cable networks. In the next stage, the plugs are pre-installed and connected via 3-wire RAN technology. The devices then simply need to be plugged in. The final stage, the system configuration stage, is also quick and convenient.

Plug and Play: Gives you freedom • As early as the planning stage

• During installation

• When servicing

• For changes of use

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Accessories with built-in material protection.The equipment and cable clamps put an end to the cable spaghetti by the patient’s bed, thereby ensuring more safety. The precise routing ensures that all cables remain out of the way, namely on the bed rail. The smart, self-releasing adapter avoids unnecessary material damage due to inattention: ifthe patient inadvertently pulls the pear push switch or patient bedside combination unit.

LEDs cut running costs.Cost effectiveness is the Holy Grail of hospital management. This is why we use LED modules throughout. Their service life is 20 times higher than conventional bulbs, and they consume only a quarter of the energy. But that's not all: their longer service life also means that the amount of maintenance required is close to zero. Improve your operational reliability thanks to LED modules: with their outstanding failure safety, not a single patient call will go unnoticed. Cost effectiveness, comfort and safety in a perfect combination – so typically Tunstall.

Equipment and cable clampInstalled in moments for all patient-operated equipment, with routing of all cables and equipment.Order no.: 70 0361 00

Self-releasing adapterFor connecting patient-operated equipment and push switches. Patient handset: Order no.: 74 0812 50 Pear push: Order no.: 74 0812 51

Benefits

• Long service lifetime• Low subsequent costs• Removable modules

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The basis for future-focused cost effectiveness is flexibility, not savings. With our extensive accessories, you are guaranteed to be perfectly equipped for any situation. You can rely on our expertise right down to the last detail. Further system components can be found in our extensive system documentation.

Connection socket with call switchOrder no.: 70 0171 03

Connection socketwith call button, channelOrder no.: 70 0171 50

Pneumatic call switchOrder no.: 70 0106 00

Pear push switch with 2 call switchesOrder no.: 70 0711 00

Connection socket combiOrder no.: 70 0424 00

Connector, 3-pole Order no.: 70 0807 00Connector, 4-pole Order no.: 70 0807 01

Cancel switch/WC water protectedOrder no.: 70 0113 00

Patient handset bracketOrder no.: 70 0800 00

Connection socket combi, bedhead unitlOrder no.: 70 0434 00

RAN interface Order no.: 77 0840 00

The flamenco® products:A perfect family.

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OSYlink-Door entry speakerOrder no.: 77 0801 00

Power supply unitOrder no.: 77 3401 00

RAN interface with speechOrder no.: 70 0880 00

OSYlink-AnnouncementOrder no.: 77 0804 00

OSYlink-Group lampOrder no.: 77 0802 00

OSYnet-Y-RepeaterOptoOrder no.: 77 4000 00

HeadphonesOrder no.: 70 0801 00

Power supply unit UPSOrder no.: 77 3400 00

OSYlink-UniversalOrder no.: 77 0803 00

OSYnet-GatewayOrder no.: 77 4001 00

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The multimedia hospital bed:Entertainment guaranteed. For patient satisfaction, services such as TV and multimedia are at least as important as the quality of the medical care. Few people are able to judge the latter, but for many people, Internet access at their hospital bed is now as important as pulse monitoring in the operating theatre. From TV to complex multimedia solutions, flamenco® offers unlimited options.

Contemporary solutions for multimedia and the Internet. The demands on equipment in patients’ rooms are becoming ever more exacting, more personal and more important. On patients' wish-lists, TV as well as access to multimedia and Internet applications are becoming increasingly popular. This aspect is growing more and more popular not least due to the increased trend towards the creation of VIP wards.

In conjunction with selected and certified partners, we offer a broad bandwidth of equipment and solutions. Coordinated interfaces ensure smooth communication and guarantee a high degree of flexibility when it comes to choosing equipment and system solutions.

Multimedia terminal at patient bed

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Available anytime, anywhere.Even with the standard version of flamenco®, there are a range of speech-based communication options available. Whether it be conversations with patients, in the central console or via an auxiliary console: simple handling and excellent speech quality make life much easier in many ways for staff.

Depending on organisational requirements, it is possible to implement a mobile communication option. flamenco® is equipped with various interfaces for this, allowing the connec-tion of modern telephone systems. From a simple ESPA data interface to link-ups via VoIP with the SIP protocol, virtually everything is possible. The functions range from the simple display of a call message in the display to a console with speech connection to the patient and subsequent call cancellation.

DECT/ WLAN

Stationary

Examples of interfaces to telecommunications systems:

flamenco®-OSY-ControlCenter

Serial ESPA 4.4.4

Analogue a/b

LAN – VoIP – SIP

Telecommunications system: dependent on features and configuration

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Tunstall service:Highly rated by customers. With complex solutions, the product is only ever as good as the service that supports it. Tunstall staff are committed to making the installation of the nursecall system just the start of a long and successful partnership.

Competent, friendly, fast service.We not only deliver perfect products, but we also offer you first-class service that embraces every process. From the initial planning stages, the recommendation of attractive financing and leasing concepts from suitable partners and support and assistance with installation to hardware and software maintenance agreements, comprehensive training and seminars – at Tunstall, you receive high-quality, competent, friendly and, according to our customers, seamless service. Our offerings are available to download from www.tunstall.de.

Planning phase• Consultancy• Status analysis• Support for system design

Implementation phase• Sample installations• System check• System extension • Service entry supportg Training• Technical training• Functional and operational training

Service• On-site service• Repairs• Inspections• Spare parts provision

Telephone support• Technical support hotline• Project consulting• Remote maintenance

System maintenance contracts • Inspection• Software maintenance• Hardware service agreement • User licences

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Practical experience for practical situations:flamenco® training courses • In-depth information on the design, installation and operation of our systems

• Training courses on configuring and programming our software solutions

• Training classrooms with high-quality technical equipment and an enjoyable atmosphere

• Alternative option of holding training courses at your premises

“”

Training courses of the highest calibre. Call systems comply with the strict DIN VDE 0834 safety standard and undergo regular maintenance. As a result of today’s demands on organisation and process optimisation, systems have been developed that are pretty comprehensive, including everything from simple contact switches and links to telecommunications systems to the integration of systems into IT networks. These complex solutions require specialist knowledge, experience and not least a strong sense of respon-sibility from specially trained personnel.

Problems can often be avoided by taking simple steps, such as by carrying out the prescribed inspections and maintenance checks. Consequently, we offer you technical training courses and seminars, delivered at our training centre by experienced systems engineers, for our various systems and product generations. Technical personnel in hospitals and staff from installation companies can therefore be trained to make them experts in call systems, providing suitable contacts on site who can intervene rapidly on site and, if a problem arises, take the correct action as defined by standards and technical practices.

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The flamenco® system family: In the best company. Knowing that someone can be contacted immediately when help is needed gives users a feeling of reassurance and, if an emergency strikes, can even save lives. With our flamenco® communication solutions, certified to DIN VDE 0834 Part 1 and 2 and based on the flamenco® system platform, we ensure that there is always someone nearby.

Expertise in every dimension: The flamenco® system family. flamenco® – Nursecall for hospitals, with speechflamenco® satisfies the core demands that small and large hospitals make on modern nursecall systems. It is flexible, makes day-to-day work easier and helps to make workflows effective and efficient, thereby reducing costs. flamenco® also gives you the freedom to provide patients with the best possible care.

flamencoL – Nursecall for hospitals and care facilities, without speechFor situations in which speech communication is neither neces-sary nor wanted, the new RoomTerminal is the ideal addition to contemporary care. Equipped with all the powerful features of the innovative ComTerminal with full-duplex speech technolo-gy, the RoomTerminal without speech puts the finishing touch to the flamenco® nursecall system family.

In many cases, cost considerations prevent all rooms from being connected to the call system’s communication network. With the ControlTerminal, rooms such as workrooms or nurses' stations can be integrated. Combined in a room lamp and installed on the corridor, it provides all the basic functions of a call system.

flamencoSE – Nursecall for penal systemsBarely any other sector sees the convergence of so many demands on communication solutions like the penal system. flamencoSE for the penal system can be adapted quickly and efficiently to all situations, and helps to optimise workflows cost-effectively. flamencoSE provides considerable freedom for customisation and also offers maximum security against tampering and vandalism.

flamenco®

flamencoL

flamencoSE

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Telecare und telehealth: Tunstall leads the world. Tunstall has been the world's technology leader for telecare and telehealth solutions for over 50 years. Tunstall solutions are used by over 2.5 million chronically ill and elderly people worldwide, either in care facilities or in their own homes. More than 40 % of all home emergency call devices are connected to central exchanges that use Tunstall software.

Security and quality of life for patients in their own homes. Tunstall is not just the global innovation leader in the fi eld of hospital communications. When a company does as much for security and safety as we do, it’s only natural that we should expand into other areas too: when it comes to home emergency calls, service calls, communication for the elderly and telehealth, nobody surpasses us. Innovative, contemporary systems equipped with all conceivable features that deliver unfailing reliability ensure that patients, their relatives and carers feel completely reassured.

With Tunstall Telecare solutions, a simple press of the call trigger button on the home emergency call system sets up a speech connection to the emergency call switchboard, from where help can be organised.

For patients with long-term conditions, Tunstall Telehealth solutions make life easier and allow them to stay safely in their familiar, home environment. Intelligent and individually confi gured monitors collect vital data, automatically sending it to a monitoring centre. Each patient is monitored continu-ally there and treatment is initiated immediately should there be a critical change in their readings.

home emergency call devices Linfeline Vi

Telehealth Monitor MyMedic II

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Tunstall for the day-to-day running of hospitals:In the best company.

Charité University Hospital's Faculty of Medicine at the Humboldt University, Berlin, Germany:The Charité University Hospital in Berlin has been a loyal Tunstall customer since 1967. Over the course of more than 40 years, all of Tunstall’s nursecall systems have been deployed there. Up until 2009, the Campus Charité Mitte (CCM) and the Campus Virchow-Klinikum (CVK) operated two independent ComCenter switchboards from where communication in both buildings was controlled. The decision was then made, for orga-nisational and cost reasons, to control the communication for both buildings, i.e.. the Campus Charité Mitte too, from a single switchboard at the Virchow campus. As a result, the calls from 2 buildings and 1,600 beds are now coordinated and organised via a single switchboard.

Südharz Hospital, Nordhausen, Germany:The nursecall system in the Südharz hospital is the heart of the entire hospital’s communication and organisation system. From a central point, the ComCenter, trained nurses handle all patient calls. With each call, all of the patient’s key information is displayed directly on the monitor. This saves time – time that the nursing staff can dedicate to the patient. Each year, around 44,000 kilometres of walking are also saved. The hospital moreover uses many other options offered by the flamenco® ComCenter: to provide greater clarity, MRSA/ORSA rooms are marked in red, in order to enable these rooms to be identified at a glance and exclude them from certain procedures for organisational reasons. flamenco®’s flexibility is also harnessed by allowing ward limits to be virtually redrawn, allowing multi-use rooms to be put together for area-based care.

Often, an innovation's success on the market is determined by how well it performs in practice. To cope with the growing demands of the healthcare sector, well over 1,000 hospitals worldwide are already relying on commu-nication systems from Tunstall.

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Johannes Wesling Hospital, Minden, Germany:When a new hospital was built, the first in North Rhine-West-phalia in 20 years, public interest was as great as the compe-tition among the suppliers. Tunstall, however, impressed right across the board with its flamenco® nursecall system. Since February 2008, the 28 wards of the around 1,000-bed hospital have been managed in a local organisational structure. Thanks to the intelligent connection of the nursecall system to the WLAN telephone system, constant availability is guaranteed in all locations.

International projects (selected references)

AUSTRALIA: South Brisbane Wesley Hospital I Townsville Mater Hospital

AUSTRIA: Krems a.d. Donau Seniorenheim Thorwesten-heim I Neunkirchen Landespensionisten- und Pflegeheim I Salzburg Landeskrankenanstalten I Wartberg Pflegeanstalt Schloss Haus I Wels Justizanstalt I Wien Sanatorium Döbling

BRAZIL: Sao Paulo Hospital do Coraçao

BULGARIA: Varna St. Anna Hospital

CYPRUS: Limassol DG-Hospital I Limassol Polyclinic Ygia I Nicosia New Nicosia General Hospital I Nicosia Aretaieion Medical Center I Paphos Evangelismos Private Hospital

FRANCE: Ajaccio Centre de Rééducation Fonctionnelle du FINOSELLO I Nancy Centre Hospitalier I Paris Clinique des Maussins I Saint Maurice EPHAD Les Jardin de Cybèle I Strasbourg Centre Hospitalier Universitaire Haute-Pierre I Vertou Hôpital de Sèvre et Loire

FRENCH GUIANA: St. Laurent du Maroni Hôpital Frank Joly

GHANA: Kumasi Health Centre

GREAT BRITAIN: Birmingham Edgbaston BMI Priory Hospital I Blunderstone Prison Institution, Cardiff Taff Ely District General Hospital I Glasgow BMI Ross Hall Hospital I Hull BUPA Hull & East Riding Hospital I London HCA Princess Grace Hospital I Manchester Buckingham House Private Hospital

GREECE: Athens General Clinic I Athens Iaso Hospital I Crete Apollonian General Clinic I Halkis General Hospital I Larissa General Hospital I Thessaloniki Thorax Clinic

HUNGARY: Mosonmagyarovar Karolina Korhaz I Budapest National Institute of Cardiology

INDIA: Delhi Moolchand Hospital I Gurgaon Artemis Hearts Institute

IRAN: Tehran Homa Airport Clinic I Beasat Hospital

IRELAND: Dublin Mater Misericordiae Hospital I Dublin St. James Hospital I Dublin Tallaght Hospital I Tralee Kerry General Hospital I Dublin Bloomfield Development I Mullin-gar Midland Regional Hospital I Dublin Wheatfield Prison

ITALY: Asti Ospedale di Asti I Bari Policlinico di Bari Clinica Oculistica e Clinica Osterica I Firenze Ospedale S. Anna I Milano Clinica Mangiagalli I Milano Ospedale S. Raffaele Milano Rep. Pediatria I Padova Policlinico S. Matteo

KUWAIT: Al Maidan Private Hospital I 13 Public Hospitals (Ministry of Health)

LIBYA: Misurata Hospital

LITHUANIA: Vilnius Gerantalogijos ir rebilitacijos centras

LUXEMBOURG: Differdingen lnterkommunales Hospital

ROMANIA: Bucharest Nato Hospital

RUSSIA: St. Petersburg Medem International Clinic

SAUDI ARABIA: Madina Maternity Hospital I Makkah Al Mukaramah Muna Hospital I Buraidah Qassim Medical Centre I Al Rass General Hospital I Baljurashi General Hospital I Taif General Hospital

SUDAN: Maravi Dam Hospital

SWITZERLAND: Kilchberg Krankenhaus Sanitas

THE NETHERLANDS: Amsterdam Schiphol Triport I Arnhem Huis van Bewaring I DenHelder Gemini Ziekenhuis I Eind-hoven Ziekenhuis De Grote Beek I Harderwijk St. Jansdal I Niewegein St. Antonius Ziekenhuis,

THAILAND: Bangkok St. Louis Hospital

TURKEY: Ankara Bayindir Hospital I Antalya Akdeniz Univer-sity Hospital I Istanbul American Hospital I Kocaeli Anatolia Foundation Hospital I Istanbul Memorial Hospital I Ankara Hacetepe University Hospital

UNITED ARAB EMIRATES: Dubai Al Wasl Hospital I Al Ain Tawam Hospital I Fujairah Private Hospital I Dubai Canadian Specialist Hospital I Ras Al Khaimah Obaidullah Hospital

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When it comes to experience and expertise, we enjoy a first-class reputation. More and more hospitals and institutions worldwide are putting their trust in us: hospitals and care homes for the elderly as well as prisons and schools. This is why we do everything we can to not only meet their expectations, but also to exceed them.

When considering the further development of our products, we listened very carefully to what you told us. Your questions, suggestions and wishes have repeatedly inspired us in this process, and continually driven our passion for intelligent solutions. Our skill at finding the right solution for every demand then made us the international innovation market leader. And these are just some of the results:

virtually unlimited integration options for all possible systems and peripherals, simple installation and mainte-nance thanks to Plug and Play components, maximum organisational freedom and not least a first-class design for all our operating equipment. Feel free to ask us for references! And to ensure that everything runs to your complete satisfaction right from the word go, we crown our portfolio with expert and friendly service.You have our word.

further information about Tunstall products can be found in the relevant information sheets. Because we constantly develop our products, we reserve the right to make changes to the specifications and appearance of our products without prior notice.

© 2013 Tunstall Germany

Tunstall GmbHOrkotten 6648291 TelgteGermany

t: +49 (0)2 50 47 01-0f: +49 (0)2 50 47 01-499e: info@tunstall.de

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Tunstall:The innovations that drive the market.

Experience and expertise for pioneering communication solutions.