Nurse Call Systems

ZKR IP Nurse Call Systems

Technical Manual

www .z kr.sy st em s
 ZKR Nurse Call Systems Technical Manual

Contents

03 A. Preface

03 B. Overview

18 C. Wiring and Montage

25 D. Call Terminal Addressing

27 E. IP Planning

2 27 F. RCU – Room Control Unit Conf iguration

34 G. NCP - Nurse Control Panel Conf iguration

41 H. Server – How does it work

51 I. MCW One

52 J. Central Monitoring Unit

53 K. Text Panels
 ZKR Nurse Call Systems Technical Manual

A. Preface
The purpose of this guide is twofold:

• To provide clarity on the purposes and functionality of the components and

software of the ZKR IP Nurse Call Systems
• To assist in the installation and configuration of the ZKR IP Nurse Call Systems

B. Overview

B1. RCU – Room Control Unit

a. Comfort 10” Room Control Unit (VoIP)
The Comfort Room Control Unit ensures communication between the Nurse Control
Panel and the call buttons in patient rooms. This unit is suitable for both flush and
shallow montage.

This unit has a 10‘’ Touchscreen and a built-in Mifare card reader. It supports up to 8
call units (bedside call units + pull-cord call units) by standard. On the Comfort VoIP 3
Room Control Unit, you can make voice calls and contact the hospital staff. Code
Blue and other custom emergency codes can be initiated through an onscreen
menu. Consultation calls can be made to any branch specified by the institution.
Patient information from HIS (Hospital Information System) can be monitored on
the server system through the corresponding bed icons on screen. Information
about the patient can also be edited through the touchscreen if desired.

• PoE (Power Over Ethernet)

• Full Duplex
• SIP Protocol
• Conference Call
• Internal and External Call
(with tracking system for billing)
• Built-in RFID card Reader
• Timer/Stopwatch
• Menu option for personalized task lists
based on personnel ID cards
• Can display hospital advertisements or
other videos
• Can display educational videos for
specific healthcare procedures
 ZKR Nurse Call Systems Technical Manual

Comfort 10” Room Control Unit Technical Specification

Screen size (inches) 10”

Operating system Linux
Weight (g) 500 gr.
Width (mm) 265 mm
Depth (mm) 40 mm.
Height (mm) 210 mm.
Display features IPS Color Touch Screen
Screen resolution (px) 1024x768
System Linux 4
Processor speed Intel CPU
Memory 2GB Ram - 8GB Rom
Language English, Spanish, Russian, Turkish Custom
Power supply 110-220 VAC 47-63 Hz
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material PC-ABS-FR
Card reader MIFARE Card Reader
Speaker 3Watt x 2
Input connection 1-Ethernet,1-RS 485, 2.Light Control
Color White
Communication TCP / IP - UDP - HTTP - RS485 - SIP
Power POE
SD Card Yes
USB Mini USB

4 b. Versatile Plus 5” Room Control Unit (VoIP)

This unit ensures communication between the Nurse Control Panel and the call
buttons in patient rooms. The Room Control Unit is suitable for both flush and
shallow montage. It features a 5’’ touchscreen and a built-in Mifare card reader.

Optionally a basic task list can be

accessible from the onscreen menu.
With appropriate hardware, this
unit can define up to 8 call units. Its
durable structure and modern software
ensure the best operating time and
performance.

• 5 “ Touch Screen
• Mifare Card Reader
• Simple, Easy to Use Interface
• High quality flame retardant raw
material
 ZKR Nurse Call Systems Technical Manual

Versatile Plus 5” Room Control Unit Technical Specification

Screen size (inches) 120 mm 73 mm 5” touchscreen

Operating system Linux 4
Weight (g) 500 gr.
Width (mm) 212mm.
Depth (mm) 39 mm.
Height (mm) 165 mm.
Display features Color Touch Screen, TFT
Screen resolution (px) 800x480
Processor speed 16-24 Bit Flash Microcontrollers 100-Pin
Memory 64MB Ram 128MB Rom
Language English, Spanish, Russian, Turkish Custom
Power supply 110-220 AC - POE
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material PC-ABS-FR
Card reader MIFARE Classic
Buzzer speaker 2400Hz 65 dB
Input connection 1-Ethernet,1-RS 485, 2.Light Control
Color White
Communication TCP / IP - UDP - HTTP - RS485
Current W 18W

c. Versatile 4.3” Room Control Unit

This unit ensures communication between the Nurse
Control Panel and the call buttons in patient rooms.
5
The Room Control Unit is suitable for both flush
and shallow montage. It has a 4.3’’ touchscreen and
supports up to 8 call units.

Versatile 4.3” Room Control Unit Technical Specification

Screen size (inches) 105 mm 6 6mm 4.3 ınc Touch Screen

Operating system Linux Based
Weight (g) 500 gr.
Width (mm) 188 mm.
Depth (mm) 39 mm.
Height (mm) 132 mm.
Display features Color Touch Screen, TFT
Screen resolution (px) 640x420
Processor speed 16-24 Bit Flash Microcontrollers 100-Pin
Memory 4-Mbit (256K x 16) Static RAM
Language English, Spanish, Russian, Turkish, Custom
Power supply 110-220 VAC 47-63 Hz
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material PC-ABS-FR
Card reader MIFARE Classic
Buzzer speaker 2400Hz 65 dB
Input connection 1-Ethernet,1-RS 485, 2.Light Control
Color White
Communication TCP / IP - UDP - HTTP - RS485
Current W 15W
 ZKR Nurse Call Systems Technical Manual

B2. NCP – Nurse Control Panel

a. VoIP 10” Nurse Control Panel
The statuses of all working Room Control Units connected to the panel can be
monitored actively. All errors and notifications shall be displayed on the information
panel. Emergency codes, WC calls, and normal calls may be monitored.

All processes passing through the system are logged. All logs can be reported in
detail. There are a configurable number of room monitoring icons on the interface.
The status of calls are tracked in real time via these icons.

6
b. VoIP 7” Nurse Control Panel
The statuses of all working Room Control Units connected to the panel can be
monitored actively. All errors and notifications shall be displayed on the information
panel. Emergency codes, WC calls, and normal calls may be monitored.

All processes passing through the system are logged. All logs can be reported in
detail. There are a configurable number of room monitoring icons on the interface.
The status of calls are tracked in real time via these icons.
 ZKR Nurse Call Systems Technical Manual

c. Versatile 18.5” Nurse Control Panel

In the case of an emergency, signal icon
will appear on the monitor indicating
the location and type of call. The
system builds a priority depending on
the call type and displays them on the
monitor. All calls, emergency calls, toilet-
bathroom and visiting nurses, can be
tracked on the panel and remote access.
IP - system is no limit on the number of
beds connection. LAN based technology
for the connection between units of the
system. All kinds of transactions passing
through the system are recorded. All
records obtained can be reported in
detail.

• Call queue system

• Priority system for emergency calls
• Texting between panels
• Call orientation –Night service mode to
redirect calls to another panel
• Custom interface language
• View local reports

Versatile 18.5” Nurse Panel Technical Specification 7

Screen size (inches) 18.5 inch LCD Display All in One PC

Display features 1600 x 900
Processor information Intel Bay Trail J1750 2.41 Ghz Dual Core
Operating system LINUX OS
Capacity: 500 GB 7200 RPM SATA 3.5” HDD
Memory 2 GB DDR3 1333 MHz
Weight (g) 3.2 kg.
Width (mm) 485 mm.
Depth (mm) 39 mm.
Height (mm) 336 mm.
Connectivity features Ethernet
Language English, Spanish, Russian, Turkish, Custom
Power supply 110-220 VAC 47-63 Hz
Operating temperature / Humidity 10°C +50°C / % 30 %80 RH
Storage temperature / Humidity 20°C +60°C / %20 %90 RH
Input connection 1x Power on/off , 2xUSB 3.0, 1x Volume Button, 1xMic in,
1xSpeaker Out, 1x3in1 Card Reader (SD-MMC-MS)
Color Black, White
Communication RJ 45 jack Cat 6-7
Network 10/100 Mbit Gigabit Lan / 802.11b / g / n Wireless Bluetooth 4.0
 ZKR Nurse Call Systems Technical Manual

B3. Call Units

a. Bedside Call Unit
The Bedside Call Unit is used patient rooms. There
are backlit call and cancel buttons on the unit. In an
emergency, a patient uses the call button to make
an emergency call which appears as an alert on the
Nurse Control Panel. Typical locations for this unit
are on the walls of patient rooms and living areas as
needed.

Bedside Call Unit Technical Specification

Weight (g) 56 gr.

Width (mm) 80 mm.
Depth (mm) 35 mm.
Height (mm) 80 mm.
Mounting dimensions W-55mm D-20mm H-55mm
Processor Microchip
Power supply + 5v dc
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material PC-ABS-FR
Buzzer speaker 2400Hz 65 dB
Output connection 1-RJ45
Input connection 1-RJ45
Color White
8
Communication RS 485
Back Light Yes

b. Pull-cord Call Unit

The Pull-cord Call Unit is used in patient bathrooms or
similar areas. There is a backlit cancel button and an
emergency call pull-cord on the unit. In an emergency,
a patient pulls the cord making an emergency call. This
appears as a WC Emergency Call on the Nurse Control
Panel. The system gives priority to WC Emergency calls
and they appear before other calls.

Pull-cord Call Unit Technical Specification

Weight (g) 56 gr.

Width (mm) 80 mm.
Depth (mm) 35 mm.
Height (mm) 80 mm.
Rope Durability Max 30kg
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material PC-ABS-FR
Color White
Communication RS 485
Input Connection 1 RJ 45
 ZKR Nurse Call Systems Technical Manual

c. VoIP Pull-cord Call Unit

The VoIP Pull-cord Call Unit is used in
patient bathrooms or similar areas. There
is an emergency call button and an
emergency call cord on the unit. In an
emergency, the patient pulls the cord to
immediately start an emergency voice
call with the assigned Nurse Control
Panel. When the emergency call button is
pressed, a regular priority WC Emergency
Call is made.
VoIP Pull-cord Call Unit Technical Specification

Weight (g) 90 gr.

Width (mm) 185 mm.
Depth (mm) 30 mm.
Height (mm) 80 mm.
Rope Durability Max 30kg
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material ABS/FR
Speaker 3 watt
Color White
Communication SIP, TCP/IP
Speech SIP full Dublex
Protection class IP55
Input 1xRJ45
9
d. Code Blue Unit
The Code Blue Unit is mounted on the wall as needed
in the hospital. There are backlit call and code blue
buttons on the unit. The call button may be pressed
to initiate a nurse call which appears as an alert on
the Nurse Control Panel. The code blue button may be
pressed to start a Code Blue call. The same button can
be configured as an assist call button.
VoIP Pull-cord Call Unit Technical Specification

Weight (g) 56 gr.

Witdh (mm) 80 mm.
Depth (mm) 35 mm.
Height (mm) 80 mm.
Mounting Dimensions W-55mm D-20mm H-55mm
Processor Microchip
Power 5v dc
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material ABS/FR
Output 1-RJ45
Input 1-RJ45
Color White
Communication RS 485
Backlit Yes
 ZKR Nurse Call Systems Technical Manual

e. Custodial Cell Call Unit

The Custodial Cell Call Unit is flush mounted on the walls of prisoner cells, psychiatric
units or similar areas. There are nurse call and call termination buttons on it. It has
an aesthetic and durable structure.

• Suitable for flush montage to prevent

disassembly
• RJ45 socket allows easy installation
• Stainless steel raw material
• Vandal-proof, IK-10 certified in structure
for use in psychiatric clinics and prisons

Custodial Cell Call Unit Technical Specification

Weight (g) 76 gr.

Witdh (mm) 165 mm.
Depth (mm) 3 mm.
Height (mm) 90 mm.
Processor Microchip
Power + 5v dc
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Material ABS/FR
Buzzer Speaker 2400Hz 65 dB
Input 1-RJ45
Color Metalic Gray

10 Communication RS 485
Backlit Yes

B4. Patient Handsets

a. Comfort VoIP Handset

With voice communication, patients can speak
directly to the nurses assigned to them. This system
allows hospital staff to save time on service, prioritize
critical cases, and comfort patients through voice
communication. Thanks to the ZKR Comfort Nurse Call
System, all conversations between hospital personnel
and patients can be recorded, giving opportunities for
quality control. Evaluation of nurse performance can be
displayed as a graph on the server interface.

The Comfort VoIP Handset is easy to use. Patients can

press the button labelled “Nurse Call” when they wish
to send a regular nurse call signal, or they can press
the large call button when they want to speak with the
nurse assigned to them.
 ZKR Nurse Call Systems Technical Manual

The product has a user-friendly, ergonomic, and hygienic structure. Using intelligent
controls, patients can make internal and external phone calls with automatic billing.
ZKR Comfort Nurse Call Systems can integrate as PBX analog, digital, and VoIP with
any SIP-based brands.

• PoE (Power Over Ethernet)

• PBX
• Full duplex
• SIP protocol
• Conference call
• Function control within the room through Building Management System
integration (such as lighting or window blinds)
• TV channel and volume control
• Internal and external call (with tracking system for billing)

Comfort VoIP Handset Technical Specification

Weight (g) 182 gr.
Width (mm) 65 mm
Depth (mm) 20 mm
Height (mm) 205 mm
Keypad Anti-bacterial Membrane
Phone Book Yes
Do Not Disturb Mode Yes
Configuration Embedded Micro Web Server
Custom Functional Button 2 Keys
Speaker HD Voice
Material PC-ABS-FR
11
Remote TV Controller Yes
Communication SIP
Back Light Yes
VoIP SIP Full Duplex

b. Pro Handset
The Pro Handset is designed to inform the staff of the
patient’s condition immediately.
• Easy to use
• Works though connection to Bedside Call Unit
• TV control option (Channel and Volume)
• EL lights allow visibility in the dark
• Function buttons help to control room lighting,
reading lamp, window blinds, etc.

Pro Handset Unit Technical Specification

Weight (g) 115 gr.

Width (mm) 58 mm.
Depth (mm) 15 mm.
Height (mm) 140 mm.
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Cable Lengh 3 Meter Spiral Cable
Material PC-ABS-FR
Back Light Yes
Check number of connections 1-RS 485
 ZKR Nurse Call Systems Technical Manual

c. Basic Handset
The Basic Handset allows the patient’s condition to be reported
quickly to the hospital staff in an emergency situation. It is easy to
use and reinforced with auxiliary visuals. The device works through
connection to the Bedside Call Unit. Easy-to-understand images
indicate the functions of the buttons. Thanks to LEDs on the
unit, the product is easily noticeable in the dark. These LEDs vary
according to the last call made.

Basic Handset Technical Specification

Weight (g) 115 gr.

Width (mm) 20 mm.
Depth (mm) 50 mm.
Height (mm) 140 mm.
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Cable Lengh 1.5 Meter Spiral Cable
Material PC-ABS-FR
Back Light Yes
Check number of connections 1-RS 485
Color White

B5. Lamps
a. Over Door Light
12
The Over Door Light is located above the patient room
door in the corridor. Its half-sphere shape makes it
easily noticeable from any angle of view. If there is an
emergency in the room, it can be seen clearly f rom
the corridor. It can warn with three main colors, red,
green, and blue, and combinations of these, depending
on the call status of the room. It has very low energy
consumption and uses environment-f riendly LEDs. It is
flush mounted above patient doors by standard, but a
surface montage box can be provided if necessary.

Over Door Light Technical Specification

Weight (g) 56 gr.

Width (mm) 80 mm.
Depth (mm) 33 mm.
Height (mm) 80 mm.
Lighting Type LED
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Current W 0.8
Material PC-ABS-FR
Power Supply +5V
LED Colors Blue, Red, Green
Communication RJ 45 ( Input )
Color White
 ZKR Nurse Call Systems Technical Manual

b. I/O Auxiliary Alert Lamp

In multi-bed areas, designed to be used for situations where a single lamp must be
used for the bed. According to call types different colors can be lit (red, green, blue,
and combinations of these).

I/O Auxiliary Alert Lamp Technical Specification

Weight (g) 56 gr.

Width (mm) 80 mm.
Depth (mm) 33 mm.
Height (mm) 80 mm.
Lighting Type LED
Operating temperature / Humidity -10°C +60°C / % 30 %80 RH
Current W 0.8
Material PC-ABS-FR 13
Power Supply +5V
LED Colors Blue, Red, Green
Communication 2x RJ 45 ( Input/Outbut )
Color White

B6. Optional Units

a. Central Monitoring Unit

The ZKR Central Monitoring Unit is a web-
based monitor that observes all activities
such as nurse calls, code blue (and any
custom emergency codes), assist calls, and
nurse presences throughout the hospital. It
can show picture IDs of personnel that are
present in patient rooms.

Different parameters (call type,

department, and floor info) can be filtered
based on needs. In this way, the focus
of health personnel can be directed and
reaction and intervention times can be
minimized.
 ZKR Nurse Call Systems Technical Manual

b. Text Panel
The Text Panel is a scrolling 15-character dot matrix screen. It works as TCP-IP on the
network, displays the calls as text, and gives audio alerts. Based on preference it can
be set to display only specific types of calls or all calls. It works with 220V.

Text Panel Technical Specification

Weight (g) 1.2 kg.

Width (mm) 670 mm.
Depth (mm) 100 mm.
Height (mm) 300 mm.
Operating Temperature / Humidity 0°C +40°C / % 30 %80 RH
Operating Voltage 220v
Display 12 Segment
Sound 60db Buzzer
Input Rj45 Ethernet 10/100
14 Color Gray
Protection Class IP50
PoE No

c. MCW One
Research shows that healthcare professionals spend
nearly 35% of their time trying to reach information.
MCW One offers you next generation communication
options so as to use time most efficiently. MCW One
enables you to get the right information at the right
time. With the help of Hospital Information System
(HIS) integration, you can monitor critical and expected
information in real-time.

MCW One offers you an Android-based platform

which enables you to use different kinds of hospital
applications comfortably. With a built-in NFC Reader,
MCW One can read smart cards and can open private
sessions for you or your colleague to use different
services. Can reply to patient calls with a single touch.
An integrated 2D Barcode Reader allows you to use HIS
more quickly and reliably. You can monitor laboratory
results and patient monitoring devices—allfrom your
pocket.
 ZKR Nurse Call Systems Technical Manual

Whenever a call is made within the Nurse Call System, an alert is sent to the defined
MCW One applications. The user then has the option to accept the call, which will
mark the call as accepted on other MCW One enabled smartphones and on the
server, reject it which will be logged on the server, or talk directly to the origin room
of the call. When a nurse responds to a call within a room, her nurse presence will be
indicated on the MCW One applications that show that call.

With proper integrations, any data received f rom medical device readings such as
EKG alarms for irregular heartbeat or any other similar alarm can be sent directly
to defined MCW One users. Similarly, notifications for reminders such as when
laboratory test results are ready can be sent to defined MCW One users. An address
book with all of the rooms, panels, and MCW One users within the hospital allows
easy messages and voice calls between personnel.

With the integrated task manager system, delegation of simple tasks such as
fulfilling patient request for water, blankets, or similar has never been easier, simply
assign the task to relevant teams from the onscreen menu and you will receive
updates on the acceptance and completion of the task.

All of the relevant data is logged to review staff performance for administrative
purposes. MCW One doesn’t collect or use any hospital data. MCW one does not
store any data from user’s phones. The app will stop working upon leaving protected
hospital WiFi, so all of your data stays onsite.

B7. Control Devices

15

a. ZKR NCS Server

The server controls the operation of the Comfort, Versatile Plus, Versatile, and Air
Plus (optional) systems used in hospitals. The server provides log reporting through
a web interface and enables integration with other systems used throughout the
building. Our servers have a Linux-based robust and reliable inf rastructure.
 ZKR Nurse Call Systems Technical Manual

• Linux Operating System

• Fully redundant structure
• Troubleshooting and error notification of all modules connected to the system
• Voice Record Module (for Comfort and Versatile Plus systems)
• Integration with WiFi mobile phones
• Integration with DECT telephones
• Integration with pagers
• Integration with PBX and ability to start emergency codes
(such as 1111, 2222, 3333)
• IP, PRI, BRI, Analog Connection
• Integration with Fire Alarm Systems
(Modbus, Bacnet, Special TCP connection types)
• Integration with CCTV Systems (Serial Port, Special TCP connection types)
• Integration with RFID Systems (Web service, Special TCP connection types)
• Integration with Hospital Information System
• Integration with Lighting Automation

ZKR NSC Server Technical Specification

Form factor 1U rack server

Dimensions and weight H: 42.8 mm (1.67 in), W: 434.0 mm (17.09 in), D: 495 mm (19.5
in) w/o ear,
w/o bezel
Max weight: 10.6 kg (20.96 lb)
Processor 1 processor from the following product families:
• Intel® Xeon® processor E3-1200 v6 product family
• Intel Pentium®
16 • Intel CoreTM i3
• Intel Celeron®
Chipset Intel C236
Operating system Microsoft® Windows Server® 2016, Microsoft® Windows
Server® 2012
Microsoft Windows Server 2012 R2, x64
Red Hat® Enterprise Linux®
VMware® Vsphere® ESXi®
SUSE® Linux Enterprise Server®
Memory Architecture: Up to 2400MT/s DDR4 DIMMs
Memory type: UDIMMs
Memory module sockets: 4
Maximum RAM: Up to 64GB
Storage • 2.5” SATA 7.2k
• 2.5” nearline SAS 7.2k
• 2.5” 10k SAS HDDs
• 2.5” 15K SAS HDDs
• 2.5” SATA SSDs
• 3.5” Enterprise SATA 7.2k HDDs
• 3.5” nearline SAS 7.2k HDDs
• 3.5” 7.2k SATA entry drives
Hypervisor support Microsoft Windows Server with Hyper-V® VMware® vS-
phere® ESXi®
Drive bays 2 x 3.5” cabled HDD
4 x 3.5” cabled HDD
4 x 3.5” hot-swap or 2.5” hot-swap in hybrid drive carrier
Slots 2 x PCIe 3.0 slots: x16 slot, full-height (1x8 3.0)+ x8 slot, low-
profile (1x4 3.0).
RAID controllers PERC S130, PERC H330, PERC H730, PERC H830
Network controller Broadcom® 5720
 ZKR Nurse Call Systems Technical Manual

Communications 2 x 1GbE LOM

Click here for R230 supported network interface cards (NICs)
and host bus adapters (HBAs) and scroll to “Additional Net-
work Cards” section.
Power 250W cab PSU
Management • IPMI 2.0 compliant • HP Operations Manager
• Dell OpenManage Essentials • Dell OpenManage Integra-
• Dell OpenManage Mobile tion
• Dell OpenManage Power Center Suite for Microsoft
• Plug-in for Oracle® Enterprise Manager System Center, Dell Open-
• Dell OpenManage Integration Suite for Microsoft Manage
System Center, Dell OpenManage Integration for VMware Integration for
vCenter® VMware vCenter®
Input connection 1 x USB 3.01 1x Headphone Out 1 x PS/2 Keyboard1 x PS/2
Mouse1 x RJ-45
Ethernet1 x VGA (Display Out)1 x Serial Port (RS232)1 x Mic In
4 x USB 2.0
Device access 5 total USB:
Rear: 2 x USB 3.0 ports
Front: 2 x USB 2.0 ports
Internal: 1 x USB 3.0 port
Rack support ReadyRails™ static rails for tool-less mounting in 4-post
racks with square or unthreaded round holes or tooled
mounting in 4-post threaded and 2-post racks.

b. Function Control Module

Provides control of On/Off for two different functions
within the room (such as reading lamp or window
blinds) from the patient handset. One Function Control
Module must be installed per one Patient Handset, 17
connected between the Room Control Unit and the
Bedside Call Unit via its two RJ45 ports (in/out).

• Two dry-contact relay ports

ZKR NSC Server Technical Specification

Weight (g) 75 gr.

Width (mm) 80 mm.
Depth (mm) 50 mm.
Height (mm) 40 mm.
Operating temperature / Humidity -20°C +60°C / % 30 %80 RH
Connection Type Vavien
Output No-com-NC
Input 1-RJ45
Color Gray
Communication RS 485
 ZKR Nurse Call Systems Technical Manual

C. Wiring and Montage

C1. Cabling

a. Cable type
Cables must be Cat 6 UTP minimum, with B-class endings. Room Control Units have
PoE and non-PoE versions, if non-PoE version is chosen they require power cabling:
220 V 2x1.5 power cable.

b. Cabling Diagrams

18
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20
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C2. Montage:

a. RCU Measurements

21
b. Call Units/Lamps Measurements
 ZKR Nurse Call Systems Technical Manual

c. Call Units/Lamps installation

22
 ZKR Nurse Call Systems Technical Manual

d. Room Control Unit Installation

Room Control Unit Flush Open Position Closed Position

Montage Box

• Box Parts

Box Holder Box

23

M5 Star Bolt M5 Clamp Nut

 ZKR Nurse Call Systems Technical Manual

• Wall and Box Measurements

186 mm

189 mm

131 mm

133 mm

During installation, the box

must be in closed position.

24

Once the box is placed in

the recess, it must be put in
open position and the bolts
must be tightened.
 ZKR Nurse Call Systems Technical Manual

D. Call Terminal Addressing

When the wiring is complete, each Call Terminal must be assigned a unique (within
the room) address from 1-8.

D1. Bedside Call Unit

To assign button addresses for the Bedside Call Units:

Step 1: Hold down both the red call and green reset buttons on the Call Unit for a
few seconds to enter address configuration mode

Step 2: You will hear a trilling triple beep and the red backlight will be lit. You will see
the light flash once indicating that the current address of the button is one.

Step 3: Press the red call button to change the defined button address

Step 4: Each time the call button is pressed; the green backlight will flash the
number of times indicating the currently selected address (1-8). When you wish to
go back to address one, simply quit the address configuration mode by confirming
the correct address (seen in Step 5) and reenter configuration mode by repeating
(Step 1). 25

Step 5: When the correct address is selected, press the green reset button to
confirm the address. You will hear a double beep.

D2. Pull-cord Call Unit

To assign button addresses for the WC Call Units:

Step 1: Pull the cord and press the green reset button at the same time to enter
address configuration mode

Step 2: You will hear a trilling triple beep and the red backlight will be lit

Step 3: Pull the cord to change the defined button address

Step 4: Each time the cord is pulled, the green backlight will flash the number of
times indicating the currently selected address (1-8). When you wish to go back to
address one, simply quit the address configuration mode by confirming the correct
address (seen in Step 5) and reenter configuration mode by repeating (Step 1).

Step 5: When the correct address is selected, press the green reset button to
confirm the address. You will hear a double beep
 ZKR Nurse Call Systems Technical Manual

D3. I/O Auxiliary Alert Lamp

If there are double port I/O Lamps, they

must be paired to the beds to which they
correspond.

Step 1: Each lamp has a configuration

button marked IDENTIFY. Hold this
button down for 5 seconds to enter
pairing mode.

Step 2: Press the red call button of the

Bedside Call Unit (Or pull the call cord of
the WC Call Unit) that you wish to pair
with this lamp.

D4. Function Control Module

The Function Control Module is connected between the Room Control Unit and the
Bedside Call Unit via its RJ45 dry-contact in/out ports. The other end of the module
has two ports which can be connected to the lights, window blind automation,
26 or whatever similar function that needs to be controlled via handset buttons. By
default, there are two function buttons on the handset which will each control one
of the automation systems connected with this module.

1
COM

COM

2 3 4
NO

NC
NO

NC

1. Config Button
2. Status LED
3. Out
4. In

D5. Comfort Handset

The configuration of this device is handled entirely through the web-browser

interface. The Comfort handsets are connected directly to the switch.
 ZKR Nurse Call Systems Technical Manual

E. IP Planning

• Determine the total number of RCUs, NCPs, Text Panels and servers to be used in
the system.
• Determine which IP addresses will be assigned to which units.
• Keeping a list of these IP addresses during the configuration process will save time.
• On this list there should be the Terminal IDs and IP addresses that will be assigned
to each Room Control Unit as well as each Nurse Control Panel, and the planning of
which Room Control Units will be connected to which Nurse Control Panels.

F. RCU – Room Control Unit Configuration

1 2 3 4 5
1. Introduction to the
Program Menu
2. Beds, WC, Bathroom Call
Units Icons
3. Link Status (L)
9
4. Tcp Server Status (T)
5. Http Server Status (H) 10

6. Mifare Card Reader 27

11

7. Speaker 12
(Versatile Plus Series)
Stopwatch

8. Microphone 13

(Versatile Plus Series)

9. Emergency codes
10. Present
11. Assist
12. Stop watch
13. Make call
(Versatile Plus Serisi) 8 7 6
14. Device IP Address
15. Device Mac Address
16. Terminal ID
17. Firmware Version
18. SIP Status Message 14 15 16 17 18

19. Network Connection

19 20 21 22
20. Over Door Lamp Output
21. Bed, WC, Bathroom
Terminals Connection
Interfaces (8 pcs)
22. 220 V Input
(Not Available with PoE
Supported Models)
 ZKR Nurse Call Systems Technical Manual

F1. Settings

Tap the ZKR logo on the home screen. Hold your Mifare card to the card reader when
you see “Please get your card read”. If you have the required authorization, you will
reach the following screen

F2. General

Tap the ZKR logo on the home screen. Hold your Mifare card to the card reader when
you see “Please get your card read”. If you have the required authorization, you will
reach the following screen

28

Language: Change the system language here.

Number of Beds: Set the number of Bedside Call Units to be connected to this RCU
(the total number of bedside call units and WC call units cannot exceed 8)

Number of toilets (WC): Set the number of WC and bathroom Call Units to be
connected to this RCU (the total number of bedside call units and WC call units
cannot exceed 8)

Automatic all close timeout (Automatic call timeout):

Bed, WC, or Emergency Code calls are automatically terminated by the system at the
end of the specified time. Automatically terminated calls are marked as ‘auto-off ’ by
the system server. Set this time in minutes.

Terminal ID: Assign an ID number to this RCU. This number will be used by the server
for addressing purposes. Each RCU must be assigned a different ID number.
 ZKR Nurse Call Systems Technical Manual

Screensaver Timeout: Set the time in seconds that will pass between interactions
with the device before the screensaver clock is activated.

Button Click Sound: Toggle the click tone heard when touching the screen.

DHCP is Active: Toggle whether an automatic IP address will be received if there is a

Dynamic Host
Configuration Protocol on the network.

Extra Call Button (Infermiera): Toggle to reconfigure the light control buttons on
patient handsets to initiate different types of calls. This option is incompatible with
lamp control units.

Inter-room Call Transfer: Toggle for calls from other rooms to be displayed on this
RCU when there is a nurse present. This function will work when the nurse is logged
into the room in Present mode.

Reading Sound of NFC: Toggle the sound heard when a Mifare Card is read by the
RCU.

Make Card Inquiring of HTTP Server: This option enables Mifare Card privileges to
be taken directly from the HTTP server.

F3. Network
29
IP: It is the IP
number to be
defined on the
device.

Mask: It is the
Mask value to be
defined on the
device.

Gateway: It is the
Gateway address
to be defined on
the device.

TCP Server: The nurse panel IP address where the calls on the device will be
monitored must be entered in this field. If the Tcp server connection is successful, the
4 numbered
T status mark will turn green. If the connection fails the status mark will turn red.
 ZKR Nurse Call Systems Technical Manual

Http Server: The IP address of the ZKR system server must be entered. If the
connection is successful, the 5 numbered H status mark will turn green. If the
connection fails the status mark will turn red.

TCP Port: It is the port number to be used for the Tcp connection between the nurse
panel and the room control device. 10000 is used as default.

Time outfor http servercheck: The room control device continuously checks the http
connection. If no access is reached at the end of the value typed in this field, the 5
numbered H status mark wil turn red and error message will be received.

Time out for Software Update Check: The room control device can automatically
update its firmware. This field checks whether there is a new software on the server in
the value range to be written.

TCP Connection Period Timeout: It is the necessary timeout duration for the
package to arrive during the Tcp communication between the room control device
and the nurse panel. If the Tcp packet does not reach the end of this period, the Tcp
connection is considered interrupted and the 4 numbered T status mark will turn red.

F4. VoIP

30

SIP Server IP:The SIP Registrar Server Address must be entered. If a different server
will not be used, this will be the same as HTTP server.

User: Enter the username to use for the SIP register.

Password: Enter the password for the SIP register.

Fixed Dialing Number: Define the number to be dialed from the Speed Dial key in
the search menu.
 ZKR Nurse Call Systems Technical Manual

Microphone Sound: Set the microphone sensitivity.

Speaker Sound: Set the output volume of conversation in calls.

Lamp Behavior on VoIP active call state: Set the color for the Over Door Light
connected to the RCU to indicate an active VoIP call. The toggle will determine
whether the light will be blinking.

F5. Bed

31

Display names for the beds connected to this RCU can be defined here.

Terminal Text: Enter the name you wish to be displayed on the home screen under
the Bed/WC icons. Red areas indicate non-connected terminals.

Comfort: If the Comfort handset is to be used with this RCU, the toggle Comfort must
be checked. A name must be entered in these fields to avoid potential functionality
issues

F6. Lamp

In this area, the behavior of the Over Door Light connected to the RCU depending on
different situations may be configured.

Entrance the Room: When someone enters the room by using their card, select what
color the Over Door Light will indicate the Present status depending on card type,
and whether the light should blink in this case.

Event Notification: This will change the color of the Over Door Light for active calls.
 ZKR Nurse Call Systems Technical Manual

F7. Call Button

This area allows you to set what each call button and reset button do. In WC Call Units,
the pull-cord is considered the “Call Button” for these settings.

Call Button: The function assigned to Call Buttons will be “Initiate Nurse Call” by
default.

32 Cancel Button: The function assigned to Cancel Buttons will be “Cancel Nurse Call”
by default.

F8. ID Cards

The area designed to be able to quickly register to the server the personnel Mifare
Cards which are used in the system.

Card Holder: Enter the Card Holder

name or registration number.

Card Type: Enter the authorization

level to be given to the card holder.

Tap your Card: Press here and have

your card read by the device. If the
process is successful, the added
cards will be visible in the gray area
below. Performing this operation
with a card already defined in the
system will update the current
information.
 ZKR Nurse Call Systems Technical Manual

F9. Factory Defaults

This area allows you to restore the device to factory settings. The factory IP address of
the device is 192.168.1.251.

F10. LTH indicators

On the top right corner of the home screen you can find indicator circles labelled
L T H.

Link Status (L): This circle will indicate whether the RCU is connected to the network
line and the switch connection is successful. If this circle is red, cable connections and
switch should be checked.

TCP Server Status (T): This circle will indicate the Nurse Control Unit connection
status. If this circle is red, check that the Nurse Control Unit is turned on and your
network settings are correct.

HTTP Server Status (H): This circle will indicate the ZKR main server connection
status. If this circle is red, check that server is turned on and your network settings are
correct.

F11. Bed/WC Icons 33

These icons indicate the status of the call buttons connected to the RCU. Grey
indicates lack of connection with the call unit. Red indicates there is an active call
corresponding to that address. If there is a connection but no active call, the color of
the icon will be blue.
 ZKR Nurse Call Systems Technical Manual

F12. SIP Notif ications

On the home screen this field is used to monitor the SIP status of the account on
this RCU. This will read SIPxxx. The meanings of the codes are as follows.

SIP200 Registration is OK SIP414 Request URI Too Long

SIP400 Bad Request SIP415 Unsupported Media Type
SIP401 Unauthorized: Used only by SIP416 Unsupported URI Scheme
registrars. Proxies should use proxy SIP420 Bad Extension: Bad SIP protocol
authorization SIP407 extension used, not understood by the
SIP402 Payment Required (Reserved for server
future use) SIP421 Extension Required
SIP403 Forbidden SIP422 Session Interval Too Small
SIP404 Not Found: User not found SIP423 Interval Too Brief
SIP405 Method Not Allowed SIP480 Temporarily Unavailable
SIP406 Not Acceptable SIP481 Call/Transaction Does Not Exist
SIP407 Proxy Authentication Required SIP482 Loop Detected
SIP408 Request Timeout: Couldn’t find SIP483 Too Many Hops
the user in time SIP484 Address Incomplete
SIP409 Conflict SIP485 Ambiguous
SIP410 Gone: The user existed once, but is SIP486 Busy Here
not available here anymore. SIP487 Request Terminated
SIP413 Request Entity Too Large SIP488 Not Acceptable Here
SIP491 Request Pending

34

G. NCP - Nurse Control Panel Configuration

G1. VoIP 7”Nurse Control Panel

a. Panel IP Settings

Press Home button to

reach this screen, go to
the settings menu on
bottom right
Go to Network
 ZKR Nurse Call Systems Technical Manual

Define this panels IP

address and settings

b. In-App Conf iguration

Launch the ZKR Nurse Call App.

Panel ID: Enter the

Terminal IDfor this unit
(must be same as
determined in the Server
settings in H1).

Server IP: Enter the server

IP 35
The remaining settings
can stay default.

c. Options
Always on screen: This will bring the ZKR Nurse Calling App back to the screen
whenever someone tries to go back to the home screen or menu of the Panel.

LogW (warning): This should always be toggled on, it logs any errors the device
might have and allows our technical support to sort out issues.

LogI(Information): This provides more detailed logging, and can remain off.
Technical support might choose to turn it on for debugging.

Tel/SIP: This option differentiates the 10” and 7” Nurse Control Panels. It must be
toggled ON for 7”.

Auto Answer: This option will make the Room Control Units connected to this
Nurse Control Panel give full permissions to all Mifare cards. It is used during the
installation process if necessary to access settings and functions before everything is
configured.
 ZKR Nurse Call Systems Technical Manual

d. Main Nurse Call Screen

The buttons will appear

according to the ones
assigned to this Nurse
Control Panel in H1.

e. Call Forwarding
Use the panel’s menu
button to open menu to
go to Forwarding, and
select the panels you wish
to forward calls to.

36

G2. VoIP 10”Nurse Control Panel

The configuration of the 10” panel is nearly the same as the 7” one, the only
differences are:

• The home screen layout is different for the panel IP configuration

• During the in app login at the bottom of the screen the checkbox for Tel/SIP must
be ticked for the 10” panel
 ZKR Nurse Call Systems Technical Manual

G3. Versatile 18.5” Nurse Control Panel

The 18.5” Nurse Control Panel application uses two function keys:

• F9: Exit program

• F10: Settings

a. Network settings
To configure the network settings, exit the program by pressing F9. The default
password is 1.

Open the start menu and

navigate to Network

37

Under Wired, go to the

settings menu.
 ZKR Nurse Call Systems Technical Manual

• Go to IPv4
• Change Addresses from
automatic to manual
• Enter the IP address,
mask and gateway for this
device and click Apply

• Toggle the Wired

connection off and on
again

38

b. In-Software Settings Conf iguration

• General
Click F10 to open settings
 ZKR Nurse Call Systems Technical Manual

Panel ID is static
DO NOT ATTEMPT TO
CHANGE

Name will change the

name of the devices as
shown onscreen

Server IP: Enter the server

IP here

The remaining settings

should stay as default.

• Room Name
This tab allows you to
assign names to Room
Control Units or Call
Units within rooms. The
assigned names will
appear when a call from
those units is made to this
Nurse Control Panel.

39
To add Room Name:
Click New

Room ID: Enter the terminal ID of the room

Room Name: Enter the name you would like to give this room

If you would like to define a name for a button in a room, use the Room ID as ****x
where **** is the room terminal ID and x is the address of the button (1-8).

• Call Forwarding – Parallel Panels

There are options in the
settings for directing
calls to other panels,
text panels, and light
indicators, but these must
first be defined on the
server.
 ZKR Nurse Call Systems Technical Manual

The left side field will show the connected devices which can receive forwarded calls.
To begin forwarding, select the required devices, and click Direct. This will move
those devices to the right side field which shows the currently active forwarding.
Cancel can be used to remove addresses f rom the currently active forwarding list.

• Forwarding to Text Panels

For Text Panels, it’s

possible to forward only
specific types of calls, by
selecting call types at the
bottom before clicking
Direct.

This feature is otherwise

configured the same as in
forwarding to panels.

• Connections
The Connections
tab will show a list of
Room Control Units
that are connected
40 to this Nurse Control
Panel.

• Clearing Calls
The SQL tab allows
you to clear all active
calls from the system
by pressing Close All
Calls.
 ZKR Nurse Call Systems Technical Manual

H. Server – How does it work

The ZKR Server application is the platform that facilitates communication among all
the equipment used within the Hospital, stores all event logs and voice recordings
of calls made on the system, allows these logs and records to be accessed by the
user through a web-based interface, and allows integration with other systems used
throughout the hospital.

For the system to function correctly, the most important step is proper configuration
of the Point Definitions and the Call Type Notifications (Point Operations) these
points can make.

The fundamental architecture of the system is as below.

ZKR SERVER ARCHITECTURE

PATIENT SIP DATABASE

ROOMS
ZKR SERVER APPLICATIONS

NURSE
STATIONS
HTTP DATABASE 41

MOBILE WEB SERVICE DATABASE

DEVICES

ALARM
INTEGRATION TRIGGERS DATABASE
 ZKR Nurse Call Systems Technical Manual

H1. Nurse Panels (Used for the Android-based Nurse Panels)

Go to Nurse Panel/Panel Settings.

Here you can add Nurse

Panel IDs and their
connected Rooms. Each
entry shows the Panel IDs
and their connected Room
IDs as well as the dialing
number that will call these
Rooms and the Room
Names as that will appear
on the Nurse Panel.

H2. SIP Extensions (Used for VoIP Devices)

Go to
SIP/Phone Extensions.

Here you can view the

currently defined phone
extensions, the rooms and
42
panels that can be called
and make calls in the
system.

To add a new phone

extension
• Click Add Extension
• Add New Chan_SIP
Extension

User Extension: Enter the

dialing number for the
extension you wish to add
here
Display Name: Enter the
display name that will be
shown for this device
Outbound CID: This field
can be left blank for our
purposes
Secret: Enter a password
here
 ZKR Nurse Call Systems Technical Manual

The User Extension for Room Control Units is usually entered as the same as the
Terminal ID for those Room Control Units and the secret for all units is given as zkr****
where **** is the Terminal ID, by convention.

Comfort VoIP handsets’ SIP Extensions are added here as well. Conventions for
the extension numbers for these are usually the Terminal ID of the Room they are
connected to, followed by the number of the bed to which they correspond, for
example 10041, for the first comfort handset in room 1004.

For Android based Nurse Control Panels, enter the Nurse Control Panel’s IP in a web
browser URL.

The default login

information is

Username: admin
Password: admin

Navigate to Basic in the

Side Menu and Wizard in 43
the top menu

Select StaticIP and click

Next

You will see the current IP

settings of the device, and
they can also be changed
f rom here.

Click Next.
 ZKR Nurse Call Systems Technical Manual

Display Name: Enter

a display name for this
Nurse Control Panel.
Server Address: Enter the
server IP here
Server Port: This field can
remain as default
Authentication User:
Enter the User Extension
for the Nurse Control
Panel as defined in H2.

Authentication Password: Enter the Secret for the Nurse Control Panel as defined in
H2.
SIP User: Same as Authentication User
Enable Registration: Select this option and click Next

You will see the settings

you have set and confirm
them by clicking Finish.
The panel will reboot.

44

H3. Area Def initions

In the server interface,

navigate to General
Definitions/Area
Definitions.

Add the areas to be used in the hospital; can be floors/departments etc.

 ZKR Nurse Call Systems Technical Manual

Code is an optional field to

be used at the hospital’s
discretion.

H4. Team Def initions

On this page you can add

new teams for personnel,
and edit the names of
existing teams.

By clicking the Team

Personnel button next
to a team, you can assign
personnel to that team
or remove them. You can 45
create as many teams as
desired for different call
types or areas.
 ZKR Nurse Call Systems Technical Manual

H5. Point Def initions

Define Room Control Units

and the operations they
can perform.

Point Code: Refers to the

Terminal ID of the Room
Control Unit
Location ID: Optional
way to identify Rooms by
architectural codes.

Point operations: Define which calls the point can make and which teams will
receive those calls from this room, and the message that will be sent to those teams
when a call of that type is made.

46

H6. Personnel Def initions

The RCU entries of Mifare

Cards (see F8) will appear
here, and you can add
call numbers (pager
numbers or DECT) to those
personnel and change
authorization levels of
those cards.

Authorization levels are as

follows:
1 – Nurse
2 – Doctor
3 – Cleaning Staff
4 – Other
 ZKR Nurse Call Systems Technical Manual

H7. Location Def initions

Used for Integrations,

a common ground
identifier typically based
on architectural codes of
areas.

H8. MCW Licenses

Use this page to register

MCW One Licenses. The
System ID will be static;
you can provide this to
ZKR headquarters when
you wish to purchase MCW
One Licenses.
47

H9. MCW Settings

The default login

information is

Username: admin
Password: admin
 ZKR Nurse Call Systems Technical Manual

Navigate to Users/Groups
on the top menu.

In the Users tab you can

click Create New User to
add a new MCW One User.

Enter new user

information. Only fields
marked with * are
required.

48 To edit groups, go to the

groups tab.

You can add a new group

f rom Create New Group.

Enter the group

information here. For the
system to function in sync
with the Teams as defined
in section H4 of this
guide, please follow these
instructions:
Group Name: Set this as
the same as the Id (list
order) for the Teams in
Team Definitions

Description: Name the group here

 ZKR Nurse Call Systems Technical Manual

You can add users to that

group through the edit
group screen.

H10. Notif ication Settings

Toggle which
communication systems
will receive calls. 49

H11. Test

This is the menu where

error notification and fault
tracking can be done. In
order to test devices, each
device must be registered
here.

Add devices on the Test/

Devices screen.
 ZKR Nurse Call Systems Technical Manual

The devices can be

checked for status on the
Test/Device Test screen.

The Test/Test Logs screen

will show the results of
tests performed in this
way.

50
On the Test/SIP Device
Status screen the active
and passive status of SIP
devices will be shown.
Active SIP devices will be
green.

The Test/Terminal Status

screen will show the status
of call units connected to
Room Control Units. This
page will refresh itself
every 20 seconds.
 ZKR Nurse Call Systems Technical Manual

I. MCW One

Assign a static IP in the same block as the Nurse Call System to the Android device
that will be using the MCW Mobile Application.

• Open the application

• Enter the Server IP
• It will come to the login
screen

51
 ZKR Nurse Call Systems Technical Manual

J. Central Monitoring Unit

This software can be accessed from any screen with a web browser connected to
the Nurse Call System network. In order to use it, license activation is required, this is
configured on the server interface.

J1. Conf iguration

This is the menu where error notification and fault tracking can be done. In order to
test devices, each device must be registered here.

a. The URL Server Address/central_

monitoring must be entered into the
browser.
b. The call type or types to be shown
on the Monitor are selected here.
c. The area or areas for which calls
will be displayed are selected here.
d. Click here to go to the monitoring
screen.
e. In this area, nurses who are
52 present in different rooms are
displayed.
f. In this area active calls are
displayed based on settings made in
2 and 3.
g. The name of the nurse who
responded to a call, as taken from
the server personnel list.
h. The room where the nurse is
currently signed in as present.
i. The call type the nurse responded
to.
j. The elapsed time of how long the
nurse has been in that room.
k. The timestamp for the nurse
entering the room.
l. A picture of the nurse as uploaded
on the server.
m. The origin room of the call.
n. Call type.
o. An icon indicating the call type.
p. Elapsed time since the call was
initiated.
q. The date/timestamp of the call.
 ZKR Nurse Call Systems Technical Manual

K. Text Panels

Connected to the network and supplied with 220v power

K1. Conf ig tool

Open the config tool and

click Search button.

53

Click Search again.

 ZKR Nurse Call Systems Technical Manual

• The MAC addresses of

connected devices will
show up. Go to your Text
Panel.

• Here are the settings that

it will have. Please note
that it should be set to
UDP.

• Type in your computer’s

IP address in the “Remote
IP/host name” field. You
can see the IP on the
title bar of the reporter
software.

• Here are the other tabs of

the settings in the config
tool, please check that
they are correct.

54
Once you are done, click Setting at the top.

Then Click Reset at the top.

 ZKR Nurse Call Systems Technical Manual

K2. Def ining Text Panels on the Server

Go to General Definitions/
Text Panels

On this page you can

add new text panels by
defining a Panel Name
and a Panel IP.

55