The invention relates to a medical communication system, comprising at least one medical device (2a, 2b, 2c); a gateway (31) configured for establishing at least one wireless link to an access point; wherein the medical device (2a, 2b, 2c) comprises a unit (22a, 22b, 22c) for establishing a communication connection to the gateway (31) and a unit (21a, 21b, 21c) for establishing a direct wireless link to the access point, and wherein the medical device (2a, 2b, 2c) is configured to detect whether or not a communication connection to the gateway (3) is established and to set up a direct wireless communication link to the access point if a communication connection to the gateway (31) is not established, wherein the medical communication system is configured to set up a communication link between the medical device (2a, 2b, 2c) and the access point via the gateway (31) if a communication connection between the medical device (2a, 2b, 2c) and the gateway (31) is established.