2A2C6-001Endo Motors

Software version: Ver 1.0 C-SMART-I PILOT FCC Statement This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one of the following measures: - Reorient or relocate the receiving antenna. - Increase the separation between the equipment and receiver. - Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. - Consult the dealer or an experienced radio/TV technician for help. WARNING: Any changes or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate this equipment. Locations of use: Dental hospital or dental clinic. The supplier can provide circuit diagrams, component lists, legends, calibration rules, or other materials necessary for repair by qualified technicians and repairable instrument parts designated by the manufacturer as required.

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Li Zhaorong (Signature) (Print Name) Title : Certification Manager Telephone : *86-13924548832 Foshan COXO Medical Instrument Co. (Company Name) Page 1 of IRevision 0

Date: 28 June 2021 Subject: Confidentiality Request for FCC ID: 2A2C6-001 Pursuant to FCC 47 CRF 0.457(d) and 0.459, the applicant requests that a paft of the subject FCC application be held confidential. Type of Confidentiality Requested X PermanentBlock Diasrams X ShortTerm E,xternal Photos i PermanentInternal Photos X Permanent Operation Description/Theory of Operation X PermanentPart List/Tune-Up Procedure X Permanent Schematics X Short TermTest Setuo Photos Permanent User's Manual has spent substantial effort in developing this product and it is one of the first of its kind in industry. Having the subject information easily available to "competition" would negate the advantage they have achieved by developing this product. Not protecting the details of the design will result in financial hardship. Permanent Confi dentiality: The applicant requests the exhibits listed above as perrnanently confidential be permanently withheld from public review due to materials that contain trade secrets and proprietary information not customarily released to the public. Short-Term Confi dentiality: The applicant requests the exhibits selected above as short term confidential be withheld from public view for a period of 180 days from the date of the Grant of Equipment Authorization and prior to marketing. This is to avoid premature release of sensitive information prior to marketing or release of the product to the public. Applicant is also aware that they are responsible to noti[i TUV Rhelnland in the event information regarding the product or the product is made available to the public. TUV Rheinland will then release the documents listed above for public disclosure pursuant to FCC Public Notice DA 04- 1105. Sincerelv. Li Zhaorong (Signature/Title) (Print name)

中性标签 包装盒标签规格：50x40mm 要求亚银不干胶/白色不干胶 机身标签规格：50x40mm 要求亚银不干胶/白色不干胶 ENDO MOTOR IAB-0001 SN MODEL:C-SMART-I 01.0409.001 Li-ion battery DC7.4V REF Adapter Power: Input 100-240V~ 50/60Hz 0.8A Output 10V 1.5A ENDO MOTOR MODEL: C-SMART-I PLUG: EUROPE AMERICA REF 010409001 IAB -0001 IAB-0001 SN 01.0409.001 Label Location F C C I D : 2 A 2 C 6 - 0 0 1 FCC ID Location MODEL: C-SMART-I PILOT Power: 35VA Foshan COXO Medical Instrument Co.,Ltd BLDG 4, District A Guangdong New Light Source Industrial Base, South of Luocun Avenue Nanhai District Foshan 528226 Guangdong China Adapter Power: Input 100-240V~ 50/60Hz Output 10V 1.5A Endo Motors Lotus NL B.V. Koningin Julianaplein 10, 1e Verd, 2595AA, The Hague, Netherlands. [email protected]: Li-ion battery: Control unit DC 7.4V Handpiece DC 3.7V J701-0001 SN FCC ID: 2A2C6-002 Label Size: 50mm x 40mm FCC ID Size: 20mm x 2mm F C C I D : 2 A 2 C 6 - 0 0 1

1 Safety Human Exposure 1.1 Radio Frequency Exposure Compliance 1.1.1 Electromagnetic Fields RESULT: Pass Test Specification Test standard : CFR47 FCC Part 2: Section 2.1093 CFR47 FCC Part 1: Section 1.1310 FCC KDB Publication 447498 v06, section 7  FCC requirements a) EUT RF Exposure Evaluation operations, Worst Case mode For BLE Test Mode Measured conducted Power Threshold power @5mm Verdict dBm mW dBm mW BLE(GFSK) -1.4 0.724 10 10 Compliant

Prüfbericht - Produkte Test Report - Products Prüfbericht-Nr.: Test report no.: CN216KBE 001 Auftrags-Nr.: Order no.: 168310254 Seite 1 von 51 Page 1 of 51 Kunden-Referenz-Nr.: Client reference no.: N/A Auftragsdatum: Order date: 2020-12-22 Auftraggeber: Client: Foshan COXO Medical Instrument Co., Ltd BLDG 4, Dist. A Guangdong New Light Source IND. Base, South of Luocun Ave. Nanhai Dist., Foshan,528226 Guangdong, China Prüfgegenstand: Test item: Endo Motors Bezeichnung / Typ-Nr.: Identification / Type no.: C-SMART-I PILOT (Trademark: COXO) Auftrags-Inhalt: Order content: Test Report Prüfgrundlage: Test specification: FCC CFR Title 47, Part 15, Subpart C, Section 15.247 Wareneingangsdatum: Date of sample receipt: 2021-04-02 Please refer to Photo Document Prüfmuster-Nr.: Test sample no: A003006478-001,004 Prüfzeitraum: Testing period: 2021-04-02 – 2021-06-16 Ort der Prüfung: Place of testing: TÜV Rheinland (Shenzhen) Co., Ltd. Prüflaboratorium: Testing laboratory: TÜV Rheinland (Shenzhen) Co., Ltd. Prüfergebnis*: Test result*: Pass geprüft von: tested by: Recoverable Signature X Signed by: [email protected] genehmigt von: authorized by: X Signed by: Winnie Hou Datum: Date: 2021-06-24 Ausstellungsdatum: Issue date: 2021-06-24 Stellung / Position: Senior Project Manager Stellung / Position: Technical Certifier Sonstiges / Other: FCC ID: 2A2C6-001 Zustand des Prüfgegenstandes bei Anlieferung: Condition of the test item at delivery: Prüfmuster vollständig und unbeschädigt Test item complete and undamaged * Legende: 1 = sehr gut 2 = gut 3 = bef riedigend 4 = ausreichend 5 = mangelhaf t P(ass) = entspricht o.g. Prüfgrundlage(n) F(ail) = entspricht nicht o.g. Prüfgrundlage(n) N/A = nicht anwendbar N/T = nicht getestet * Legend: 1 = very good 2 = good 3 = satisfactory 4 = sufficient 5 = poor P(ass) = passed a.m. test specification(s) F(ail) = failed a.m. test specification(s) N/A = not applicable N/T = not tested Dieser Prüfbericht bezieht sich nur auf das o.g. Prüfm uster und darf ohne Genehm igung der Prüfstelle nicht auszugsw eise vervielfältigt w erden. Dieser Bericht berechtigt nicht zur Verwendung eines Prüfzeichens. This test report only relates to the a. m. test sample. Without permission of the test center this test report is not permitted to be duplicated in extracts. This test report does not entitle to carry any test mark. T ÜV Rheinland (Shenzhen) Co., Ltd. 1601 R&D Room, 1602-1604, 17-18F, Building 7 Site C, Vanke Cloud City Phase I, Xingke First Street, Xili Street, Xili Community, Nanshan District, Shenzhen 518052, P.R. China Mail: [email protected] · Web: www.tuv.com Prüfbericht - Produkte Test Report - Products Prüfbericht - Nr.: Test Report No. CN216KBE 001 Seite 2 von 51 Page 2 of 51 Test Summary 5.1.1 ANTENNA REQUIREMENT RESULT: Pass 5.1.2 MAXIMUM PEAK CONDUCTED OUTPUT POWER RESULT: Pass 5.1.3 CONDUCTED POWER SPECTRAL DENSITY RESULT: Pass 5.1.4 6DB BANDWIDTH RESULT: Pass 5.1.5 99% BANDWIDTH RESULT: Pass 5.1.6 CONDUCTED SPURIOUS EMISSIONS MEASURED IN 100 KHZ BANDWIDTH RESULT: Pass 5.1.7 RADIATED SPURIOUS EMISSION RESULT: Pass Prüfbericht - Produkte Test Report - Products Prüfbericht - Nr.: Test Report No. CN216KBE 001 Seite 3 von 51 Page 3 of 51 Contents 1 General Remarks........................................................................................................... 4 1.1 Complementary Materials .............................................................................................. 4 2 Test Sites...................................................................................................................... 5 2.1 Test Facilities................................................................................................................ 5 2.2 List of Test and Measurement Instruments...................................................................... 5 2.3 Traceability ................................................................................................................... 6 2.4 Calibration .................................................................................................................... 6 2.5 Measurement Uncertainty .............................................................................................. 6 2.6 Location of Original Data ............................................................................................... 7 2.7 Status of Facility Used for Testing .................................................................................. 7 3 General Product Information .......................................................................................... 8 3.1 Product Function and Intended Use................................................................................ 8 3.2 Ratings and System Details ........................................................................................... 8 3.3 Independent Operation Modes ....................................................................................... 8 3.4 Noise Generating and Noise Suppressing Parts .............................................................. 9 3.5 Submitted Documents ................................................................................................... 9 4 Test Set-up and Operation Modes................................................................................. 10 4.1 Principle of Configuration Selection ............................................................................. 10 4.2 Test Operation and Test Software................................................................................. 10 4.3 Special Accessories and Auxiliary Equipment............................................................... 10 4.4 Countermeasures to Achieve EMC Compliance............................................................. 10 4.5 Test Setup Diagram ..................................................................................................... 11 5 Test Results .............................…

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Prüfbericht - Produkte Test Report - Products Appendix A CN21MM6F 001 Page 1 of 2 Appendix A: Photographs of the Test Set-Up Appendix A: Photographs of the Test Set-Up ........................................................................................................................... 1 Photograph 1: Set-up photo for Radiated Spuri ous Emission, Below 1GHz ........................................................................ 2 Photograph 2: Set-up photo for Radiated Spuri ous Emission, Above 1GHz ........................................................................ 2 Prüfbericht - Produkte Test Report - Products Appendix A CN21MM6F 001 Page 2 of 2 Photograph 1: Set-up photo for Radiated Spurious Emission, Below 1GHz Photograph 2: Set-up photo for Radiated Spurious Emission, Above 1GHz