Wireless Systems in Wireless Systems in Healthcare EnvironmentsHealthcare Environments Including ICRA and TIA 1179Including ICRA and TIA 1179

Scott D. ThompsonScott D. ThompsonPresidentPresidentOberon, Inc.Oberon, Inc.Task Group Member TIA-1179 Task Group Member TIA-1179 Healthcare Facility Cabling StandardHealthcare Facility Cabling StandardSenior Member, IEEESenior Member, IEEE

Oberon’s Mission:Oberon’s Mission:

Oberon is the preferred source for wireless LAN access point Oberon is the preferred source for wireless LAN access point enclosures, installation and mounting solutions, antennas, and enclosures, installation and mounting solutions, antennas, and workspace telecom enclosures for cost effective, secure, code workspace telecom enclosures for cost effective, secure, code compliant, aesthetic enterprise Wi-Fi deployments. Oberon's compliant, aesthetic enterprise Wi-Fi deployments. Oberon's products are designed by experts with exceptional in-the-field, products are designed by experts with exceptional in-the-field, wireless LAN industry experience.wireless LAN industry experience.

Oberon has formalized agreements with the following Oberon has formalized agreements with the following manufacturers for engineered enclosure and mounting manufacturers for engineered enclosure and mounting solutions for wireless networks:solutions for wireless networks:

         

We manufacture ceiling and wall mounted Tele- We manufacture ceiling and wall mounted Tele- communications Enclosures (TEs) for wireless LAN communications Enclosures (TEs) for wireless LAN access points and other networking componentsaccess points and other networking components

Wireless AP enclosureWireless AP enclosure Workspace Telecom Workspace Telecom EnclosuresEnclosures

AgendaAgenda How are (Wi-Fi, DAS) endpoints (Access points, Remotes) How are (Wi-Fi, DAS) endpoints (Access points, Remotes)

installed? installed?

Infection control requirements (ICR) in HospitalsInfection control requirements (ICR) in Hospitals

Code Compliance: Working in the “plenum” spaceCode Compliance: Working in the “plenum” space

TIA-1179 and wireless networksTIA-1179 and wireless networks

Reliable performance mandatesReliable performance mandates

AestheticsAesthetics

Who to sell toWho to sell to

Healthcare Healthcare Wi-FiWi-Fi and and DASDAS

- Hospitals were “early adopters” of wireless networking- Hospitals were “early adopters” of wireless networking

- In hospitals, wireless networking is mission critical, serving In hospitals, wireless networking is mission critical, serving point of care (bedside) applications, mobile workstations on point of care (bedside) applications, mobile workstations on carts (COWS), EHR, mobile asset tracking, RFID, telemetry, carts (COWS), EHR, mobile asset tracking, RFID, telemetry, voice, etc. voice, etc.

- Hospitals have special requirements that are becoming Hospitals have special requirements that are becoming more widely adopted: more widely adopted:

o Infection Control Risk Assessment (ICRA)Infection Control Risk Assessment (ICRA)o Strict adherence to codes and standards (NEC and TIA)Strict adherence to codes and standards (NEC and TIA)o Physical Security Physical Security o Preservation of the design for mandated performancePreservation of the design for mandated performanceo AestheticsAesthetics

Installing Wireless LAN Access Points (APs) and Installing Wireless LAN Access Points (APs) and Cellular in-building wireless (or DAS) remote Cellular in-building wireless (or DAS) remote units (herein referred to as “APs”units (herein referred to as “APs”

• Method 1: AP above the ceiling Method 1: AP above the ceiling

• Method 2: AP attached to ceiling gridMethod 2: AP attached to ceiling grid

• Method 3: AP in a ceiling enclosure or locking mountMethod 3: AP in a ceiling enclosure or locking mount

• Method 4: AP on the wall Method 4: AP on the wall

Preferred installation orientation for Preferred installation orientation for best coveragebest coverage

AP above ceiling

AP on the wall

AP on the ceiling grid

AP in enclosure

Method 1: AP above the Method 1: AP above the ceilingceiling- - things to avoidthings to avoid

“Poke thru” antenna

Cracked ceiling tile

A lot of metalA lot of metal

Method 1: AP above the ceilingMethod 1: AP above the ceiling

Support Wire

• Use a hanger sturdy enough for AP, use a support wireUse a hanger sturdy enough for AP, use a support wire• Equipment should be UL 2043 “Plenum rated”Equipment should be UL 2043 “Plenum rated”

Oberon P/N 1045-00 above-ceiling hanger

Method 2: AP on the Ceiling Grid Method 2: AP on the Ceiling Grid

• Avoid lifting ceiling tileAvoid lifting ceiling tile• Minimize hole in tileMinimize hole in tile• Conceal cableConceal cable• Lock AP Lock AP

Infection Control Risk Assessment (ICRA)Infection Control Risk Assessment (ICRA)

In Healthcare, the Joint Commission on Hospital In Healthcare, the Joint Commission on Hospital Accreditation requires that hospitals establish procedures Accreditation requires that hospitals establish procedures for mitigating the spread of infectious disease and for mitigating the spread of infectious disease and contaminants- limiting access to the space above contaminants- limiting access to the space above suspended ceilings (where dust has accumulated) suspended ceilings (where dust has accumulated)

Infection control risk assessment (ICRA) could have a Infection control risk assessment (ICRA) could have a serious impact on the times and conditions for cabling serious impact on the times and conditions for cabling installation, moves, adds and changes, particularly in the installation, moves, adds and changes, particularly in the air-handling “plenum” space, above suspended ceilings, air-handling “plenum” space, above suspended ceilings, or wallsor walls

Breaches in the ceiling system should be avoidedBreaches in the ceiling system should be avoided

Contractors performing work in violation of ICRA Contractors performing work in violation of ICRA procedures will be precluded from future biddingprocedures will be precluded from future bidding

Infection Control Requirements (ICR)Infection Control Requirements (ICR)

Lifting or removing ceiling tiles requires Lifting or removing ceiling tiles requires the installer to: the installer to:

Use Negative Air Pressure Enclosure Use Negative Air Pressure Enclosure (NAPE), or “tent off” the work area(NAPE), or “tent off” the work area

Use a HEPA air filterUse a HEPA air filter

OROR

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount to enclosure or locking mount to simplify ICRA procedure compliancesimplify ICRA procedure compliance

Oberon model 1052Oberon model 1052With ZDUAL antennas on doorWith ZDUAL antennas on door

ICRA in HealthcareICRA in Healthcare

Oberon model 1059Oberon model 1059

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount to enclosure or locking mount to simplify ICRA procedure compliancesimplify ICRA procedure compliance

Antennas on doorAntennas on door AP in the DoorAP in the Door

Oberon 1052-CCOANT Oberon 1052-CCOAP

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount to enclosure or locking mount to simplify ICRA procedure compliancesimplify ICRA procedure compliance

Code ComplianceCode Compliance

- Hospitals are strict adherents to building safety codes and Hospitals are strict adherents to building safety codes and telecommunications standardstelecommunications standards

-Many Authorities Having Jurisdiction (AHJs) will require strict NEC Many Authorities Having Jurisdiction (AHJs) will require strict NEC compliance and UL listing of installed componentscompliance and UL listing of installed components

-Burn ratings of ceiling systems must be retainedBurn ratings of ceiling systems must be retained

- Oberon’s enclosures are designed to satisfy National Electric Oberon’s enclosures are designed to satisfy National Electric Code (NEC) paragraphs 300.22 and 300.23 for installation in the Code (NEC) paragraphs 300.22 and 300.23 for installation in the air-handling (plenum) spaceair-handling (plenum) space

- All of Oberon’s ceiling enclosure products are UL listedAll of Oberon’s ceiling enclosure products are UL listed

- Article 300.22(C)(Article 300.22(C)(3)3) ““Electrical Electrical equipment with a metal enclosure,equipment with a metal enclosure, or or electrical equipment with a electrical equipment with a nonmetallic enclosure listed for use nonmetallic enclosure listed for use within an air-handling space…….within an air-handling space……. shall be permitted to be installed in shall be permitted to be installed in such other space unless prohibited such other space unless prohibited elsewhere in this Code”elsewhere in this Code”..

- Article 300.23 “Article 300.23 “cables, race-ways cables, race-ways and equipment installed behind and equipment installed behind panels, including suspended ceiling panels, including suspended ceiling tiles, shall be arranged and secured tiles, shall be arranged and secured so as to allow removal of panels and so as to allow removal of panels and access to the equipment.”access to the equipment.”

N.E.C COMPLIANCEN.E.C COMPLIANCE

Code ComplianceCode Compliance

Oberon model 1028 w ZDUAL Antennas

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount to enclosure or locking mount to ensure code complianceensure code compliance

TIA-1179 Healthcare FacilityTIA-1179 Healthcare FacilityTelecommunications Cabling StandardTelecommunications Cabling Standard

Recognizes that “adding or changing horizontal cabling may cause Recognizes that “adding or changing horizontal cabling may cause disruption to occupants and their work once the buildings ceiling and disruption to occupants and their work once the buildings ceiling and walls are closed” walls are closed”

Adding or changing horizontal cabling could result in a net decrease in Adding or changing horizontal cabling could result in a net decrease in care being provide, jeopardizing infection control measures….care being provide, jeopardizing infection control measures….

Advocates use of enclosed pathways in air-handling spaces to avoid Advocates use of enclosed pathways in air-handling spaces to avoid disruption of operationsdisruption of operations

Advocates planning well ahead in cabling design and capacityAdvocates planning well ahead in cabling design and capacity

Telecommunications enclosures (TEs) are an option in areas subject to Telecommunications enclosures (TEs) are an option in areas subject to infection control measuresinfection control measures

TRs and TEs should incorporate additional security measures to TRs and TEs should incorporate additional security measures to restrict access (Workgroup switches and APs)restrict access (Workgroup switches and APs)

• Recognizing that many healthcare installations make use of a Recognizing that many healthcare installations make use of a number of wireless applications, “It is recommended that the number of wireless applications, “It is recommended that the wireless environment be characterized and understood prior to wireless environment be characterized and understood prior to the design, choice, and installation of cabling to ensure the design, choice, and installation of cabling to ensure satisfactory operation”satisfactory operation”

• Telecommunications Industry Association TIA 569-B – accepts Telecommunications Industry Association TIA 569-B – accepts use of telecommunications enclosures in the ceiling space to use of telecommunications enclosures in the ceiling space to secure wireless access points and other networking appliances, secure wireless access points and other networking appliances, and advocates protecting infrastructureand advocates protecting infrastructure

TIA-1179 Healthcare FacilityTIA-1179 Healthcare FacilityTelecommunications Cabling StandardTelecommunications Cabling Standard

DAS, Wi-Fi AP and Switch in EnclosureDAS, Wi-Fi AP and Switch in Enclosure

Oberon 1072-00

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount for enclosure or locking mount for standards compliance and best standards compliance and best practice practice

• Some jurisdictions have enacted ordinances that include Some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within provisions for radio coverage of public safety signals within the building as a condition of occupancy the building as a condition of occupancy

• Includes signal level and reliabilityIncludes signal level and reliability Grapevine, TX - Ord. No. 109.2 , Min signal -107 dBm, 95 % of each floorGrapevine, TX - Ord. No. 109.2 , Min signal -107 dBm, 95 % of each floor 800 MHz band, Adjacent band filtering, 8 hour battery backup800 MHz band, Adjacent band filtering, 8 hour battery backup

• Suggests requirement to “lock down” the wireless Suggests requirement to “lock down” the wireless infrastructureinfrastructure

• Furthermore, protection of confidential patient information Furthermore, protection of confidential patient information (HIPAA), suggests access points should be physically (HIPAA), suggests access points should be physically securedsecured

Physical Security and Reliable Physical Security and Reliable Performance MandatesPerformance Mandates

Improve RF coverage and preserve the site surveyImprove RF coverage and preserve the site survey

Oberon model 1030 w/ ceiling flange

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount for enclosure or locking mount for physical security and reliable physical security and reliable performance mandatesperformance mandates

Physical Protection of AP and AntennasPhysical Protection of AP and Antennas

Oberon model 1052 with ZDUAL antennas

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount for enclosure or locking mount for physical security and reliable physical security and reliable performance mandatesperformance mandates

Prevent obstruction or tamperingPrevent obstruction or tampering

Oberon model 1022 w ZDUAL Antennas

Method 4: Install AP on wall Method 4: Install AP on wall enclosure or locking mount for enclosure or locking mount for physical security and reliable physical security and reliable performance mandatesperformance mandates

Locking CaseLocking Case Right Angle Wall Bracket Right Angle Wall Bracket

Oberon 1032-C Oberon 1029-00

Method 4: Install AP on wall Method 4: Install AP on wall enclosure or locking mount for enclosure or locking mount for physical security and reliable physical security and reliable performance mandatesperformance mandates

When using NEMA When using NEMA boxes outside:boxes outside:

• Avoid direct sun Avoid direct sun

• Avoid Metal Avoid Metal

• Consider thermal Consider thermal rise. See Oberon rise. See Oberon application note atapplication note at

http://www.oberonwireless.com/WebDocs/App_Note_Calculating_temperature_rise_in_Enclosures.pdf

NEMA Enclosures

Method 4: Install AP on wall Method 4: Install AP on wall enclosure or locking mount for enclosure or locking mount for physical security and reliable physical security and reliable performance mandatesperformance mandates

Unlike most data com infrastructure products, Unlike most data com infrastructure products, the wireless access point or antenna is highly the wireless access point or antenna is highly visiblevisible

Many hospitals have aesthetics committeesMany hospitals have aesthetics committees

Architects may specify color and styleArchitects may specify color and style

Custom styles and colors are availableCustom styles and colors are available

AestheticsAesthetics

Aesthetics and ConvenienceAesthetics and Convenience

Oberon model 1053 with Cisco antennas

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount for enclosure or locking mount for aesthetic, professional installationaesthetic, professional installation

Oberon model 1064 w Cisco 1140 AP

Architectural style matchArchitectural style match

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount for enclosure or locking mount for aesthetic, professional installationaesthetic, professional installation

Simplify Moves, Adds, Simplify Moves, Adds, Changes, and technology Changes, and technology upgradesupgrades

Terminate cable at the enclosure, test and Terminate cable at the enclosure, test and verify cabling at that pointverify cabling at that point

Un-necessary to lift ceiling tile to service Un-necessary to lift ceiling tile to service access points access points

Methods to easily migrate to new vendors and Methods to easily migrate to new vendors and technologiestechnologies

Oberon model 38-1052-ADPDOOR-AP105

Interchangeable doors permit simple upgradesInterchangeable doors permit simple upgrades to completely different access pointsto completely different access points

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount to enclosure or locking mount to simplify moves, adds, changes, and simplify moves, adds, changes, and technology upgradestechnology upgrades

Universal locking ceiling mountUniversal locking ceiling mount

Oberon 1068-00

Oberon 1068-00 with Ruckus AP

Oberon 1068-00 with Cisco AP

Oberon 1068-00 with Aruba Networks AP

Method 3: Install AP in a ceiling Method 3: Install AP in a ceiling enclosure or locking mount to enclosure or locking mount to simplify moves, adds, changes, and simplify moves, adds, changes, and technology upgradestechnology upgrades

Who to sell to Who to sell to

Telecom/datacom infrastructure- cabling and Telecom/datacom infrastructure- cabling and wireless personnelwireless personnel

Plant Services or Facilities PersonnelPlant Services or Facilities Personnel

Infection prevention and control coordinator or Infection prevention and control coordinator or Infection Preventionist- in Quality Control or Infection Preventionist- in Quality Control or Patient Services DepartmentPatient Services Department

Public safety/in-building comm coordinatorPublic safety/in-building comm coordinator

Bio-Medical personnelBio-Medical personnel

Other verticals where OberonOther verticals where Oberonwireless enclosures may be required:wireless enclosures may be required:

-Healthcare- Many hospitals have Infection Control Risk Assessment Healthcare- Many hospitals have Infection Control Risk Assessment (ICRA) procedures. These procedures mitigate access to the space (ICRA) procedures. These procedures mitigate access to the space above ceiling tiles to restrict the spread of infectious diseases. above ceiling tiles to restrict the spread of infectious diseases.

- Retail – The Payment Card Industry Data Security Standard (PCI-DSS) Retail – The Payment Card Industry Data Security Standard (PCI-DSS) requirement 9.1.3 states that the operator must requirement 9.1.3 states that the operator must “Restrict physical “Restrict physical access to wireless access points, gateways, and handheld devices” access to wireless access points, gateways, and handheld devices”

- Government – Directive 8100.2 mandates FIPS 140-2 compliance Government – Directive 8100.2 mandates FIPS 140-2 compliance wherein FIPS 140-2 paragraph 4.5 requires “wherein FIPS 140-2 paragraph 4.5 requires “physical security physical security mechanismsmechanisms” to be applied” to be applied

- Certain Municipalities - Some jurisdictions have enacted ordinances Certain Municipalities - Some jurisdictions have enacted ordinances that include provisions for radio coverage of public safety signals within that include provisions for radio coverage of public safety signals within the building as a condition of occupancythe building as a condition of occupancy

- Education- Wireless is mission critical, mass notification systems must Education- Wireless is mission critical, mass notification systems must be reliablebe reliable

Why use Oberon APWhy use Oberon APEnclosures in Healthcare? Enclosures in Healthcare?

- Simplify ICRA procedure compliance when installing and Simplify ICRA procedure compliance when installing and servicing wireless access pointsservicing wireless access points

- Clear-cut National Electric Code (N.E.C.) complianceClear-cut National Electric Code (N.E.C.) compliance

- Physical securityPhysical security

- Protect the integrity of the RF coverage designProtect the integrity of the RF coverage design

- Verify cabling to the enclosure prior to AP installVerify cabling to the enclosure prior to AP install

- Simplified Moves, Adds, and Changes (MACs)Simplified Moves, Adds, and Changes (MACs)

- Clean, professional, aesthetic installationClean, professional, aesthetic installation

www.oberonwireless.comwww.oberonwireless.com

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