2A338-X6003Breast Pump

English 1 User Guide TF-IFU-PF-v20230227 [email protected] Perifit - X6 Innovations 128 rue la Boetie, 75008 Paris, France Don’t speak English? Scan this QR code with your smartphone for other languages 5.5 Precautions The Perifit pump complies with all requirements of the relevant standards and regulations with regard to electromagnetic emission and immunity to interference. The Perifit breast pump should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Perifit breast pump should be observed to verify normal operation in the configuration in which it will be used. Wireless communications equipment such as wireless home network devices, mobile phones, cordless telephones and their base stations, walkie-talkies can affect the breast pump and should be kept at a distance from the device. 5.6 Symbols 5.3 Transportation, storage, and disposal Transportation and Storage Always make sure pump parts are clean and dry before transportation and storage. Charge the Perifit pump battery prior to long-term storage. Temperature: -20 to +60oC (-4 to +140oF) Relative humidity: 15% to 90% Ambient pressure: 80 to 106kPa Disposal The Perifit pump contains a rechargeable lithium ion battery. Dispose of the Hub and USB charging cable according to your local return and collection regulations for electronic equipment. All other components can be disposed of according to your local waste management requirements. 5.4 Precautions The operating life of the Hub is approximately 500 hours. The operating life for the washable parts is approximately 3 months. The duckbill valve and diaphragm should be changed regularly to maintain pump performance. English user guide 1 1. User Recommendations 1.1 Intended use The Perifit breast pump is intended to express milk from lactating women in order to collect milk from their breasts. The device is intended for a single user. 2. Getting started 2.1 Product Parts Washable components: 1. Diaphragm (anti-backflow) 2. Connector 3. Duckbill valve 4. Flange 5. Bottle 5. Make sure the O-ring is positioned around the base of the connector and that it is securely in place. If you lose it, there is a spare in the accessory bag. 6. Screw the bottle onto the bottom of the connector. 7. Slide your connector assembly into the shell. Start by lining up the circular part at the top of the connector, with the ring inside the shell. Rotate the bottom of the connector slightly towards the front of the hub. You will hear a small click! 8. Check that the diaphragm is tightly pressed against the shell wall. 2.2 Cleaning and Sterilizing The Perifit Pump is not provided sterile. It must be cleaned and sterilized prior to first use. Make sure all pump parts are dry before reassembly. Wet parts may affect pump performance or cause damage to the Hub. Before First Use: Sterilizing Non-Washable Parts: The Hub contains electronics and is not washable. The Hub can be wiped down with a disinfectant wipe (such as isopropyl alcohol wipes). Washable Parts: Sterilize the bottle, diaphragm, flange, duckbill valve, and connector by placing them into a pot of boiling water for 5 minutes. Do not exceed 5 minutes in boiling water. Keep a gentle boil, do not use a lid, and make sure the parts are not resting on the bottom of the pot. Do not use a steam or microwave sterilizer. Before Use and Between Uses: Cleaning Wash hands with soap and water before handling the pump. We recommend keeping a separate wash basin that is dedicated only to cleaning infant feeding items (including washable pump parts). Non-Washable Parts: The Hub contains electronics and is not washable. The Hub can be wiped down with a damp cloth or disinfectant wipe between uses. Washable Parts: - Wash all Milk Assembly parts (Diaphragm, Connector, Duckbill valve, Bottle, Flange) with warm water and mild dish soap. Rinse well under running water and air dry completely before assembling. 2.3 Assembling the Perifit pump Tip: Watch the assembly video on the Perifit App 1. Check that the duckbill valve is not sealed shut by pressing on the sides with your fingers. It’s completely normal for it to look ‘closed’ at rest, but if it is sealed shut even when you press on the sides as shown, contact us or try the spare that is in your Perifit Pump accessories. 2. Fit the silicone diaphragm onto the top of the connector. 3. Insert the duckbill valve into the hole at the bottom of the connector. Make sure it is fully inserted. 4. Insert the flange into the connector. Make sure to insert it fully (the thicker ring on the flange should be pressing against the connector without leaving any gap). Check the alignment of the flange in the connector. The small hole should face towards the top of the connector (towards the diaphragm), and the large hole should face the bottom of the connector (towards where the milk bottle will screw on), to allow for milk to flow. 2.4 Taking apart the Perifit pump 1. Rotate and remove the entire Milk Assembly (Diaphragm, Connector, Duckbill valve, Flange, and Bottle) from the Hub. 2. Unscrew the Bottle from the Connector. 3. Disassemble all remaining Milk Assembly elements for cleaning. Follow cleaning instructions in this User Guide. 2.5 Charging Plug USB charging cable (included) into the Pump, then into a USB charger (not included). The LED will blink to indicate charging. 2.6 Perifit App Download the “Perifit Pump” (ex. Simone Pump) app for your smartphone, available for iOS (App Store) or Android (Google Play Store). 3. Using the Perifit Pump 3.1 User Controls 1. Power button: Long press for Power On / Power Off; short press for Play / Pause. A green light indicates battery is charged. A yellow light indicates enough battery for one pump session. A red light indicates insufficient battery for one pumping session. Light will blink while charging. 2. Level and Mode indicator LEDs: Blinking light indicates stimulation mode, solid light indicates expression mode. 3. and 4. Intensity …

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X6 Innovations SAS The information provided in this letter is based on the referenced rule parts of Title 47 of the CFR as well as KDB 986446 D01. An expiration date for this letter does not exist. In case the U.S. agent changes, the grantee is obligated to notify the FCC. Federal Communications Commission Authorization and Evaluation Division Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 5/27/2023 U.S. Agent Designation [X6 Innovations SAS] acknowledges their consent for the following contact located in the United States to act as their agent for service of process for the equipment for which authorization is sought (FCC ID: 2A338-X6003 ): Name of U.S. agent contact person: Tim Payne Company U.S. agent: FCC US Agent, LLC Physical U.S. address of agent: 3722 Illinois Avenue, Saint Charles, IL, 60174, USA FRN of U.S. agent: 0033402884 Email address of U.S. agent: [email protected] Phone of U.S. agent: 708-571-3148 FCC US Agent, LLC acknowledges their obligation to accept service of process on behalf of [X6 Innovations SAS]. [X6 Innovations SAS] accepts its obligation to maintain an agent for service of process in the United States for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. By signing this form, we confirm the above and that we are aware of the application requirements listed under § 2.911(d)(7). Sincerely, Signature David Thibault Hardware Manager X6 Innovations SAS Signature Tim Payne Manager FCC US Agent, LLC 48_[model] US_Agent_2.911(d)(7) - U, V03

Covered Equipment Identification Letter For Certification Service in the USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 To whom it may concern Pursuant to Section 2.911(d)(5)(ii) of the Commission’s Rules (47 C.F.R.) we attest as follows: We, applicant Company Name: X6 Innovations SAS Address: 128 rue la Boetie 75008 Paris FRANCE Phone: 33625455078 certify that, as of the date of the filing of the application, the applicant is not identified on the Covered List as an entity producing “covered” equipment. If you have any questions, please feel free to contact us at the address shown below. Sincerely, Signature Date:2023-04-28 Printed Name of Signee: David Thibault Company: X6 Innovations SAS Address: 128 rue la Boetie 75008 Paris FRANCE Phone: 33625455078 Fax: 33625455078 Email: [email protected]

Covered Equipment Attestation Letter For Certification Service in the USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 To whom it may concern Pursuant to Section 2.911(d)(5)(i)-(ii) of the Commission’s Rules (47 C.F.R.) we attest as follows for the product listed below: FCC ID Model name 2A338-X6003 Perifit Pump We, applicant Company Name: X6 Innovations SAS Address: 128 rue la Boetie 75008 Paris FRANCE Phone: 33625455078 certify that the equipment for which authorization is sought is not “covered” equipment prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. If you have any questions, please feel free to contact us at the address shown below. Sincerely, Signature Date:2023-04-28 Printed Name of Signee: David Thibault Company: X6 Innovations SAS Address: 128 rue la Boetie 75008 Paris FRANCE Phone: 33625455078 Fax: 33625455078 Email: [email protected]

Confidentiality Request Letter For Certification Service in the USA Federal Communication Commission Equipment Authorization Division, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 To whom it may concern Pursuant to Paragraphs §0.457 and 0.459 of the Commission’s Rules (47 C.F.R.) and Section §552(b)(4) of the Freedom of Information Act, we request confidentiality for the documentation of the following products: FCC ID Model name 2A338-X6003 Perifit Pump For the products listed above, we request permanent confidentiality for all applicable exhibits as there are:  the Operational Description  the Block Diagram  the Schematics The above listed exhibits contain trade secrets and proprietary information that could be of benefit to our competitors. If you have any questions, please feel free to contact us at the address shown below. Sincerely, Signature Date:2023-04-28 Printed Name of Signee: David Thibault Company: X6 Innovations SAS Address: 128 rue la Boetie 75008 Paris FRANCE Phone: 33625455078 Fax: 33625455078 Email: [email protected]

Page 1 of 3 FCC ID:2A338-X6003 IC: 28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity External Photos of the EUT Fig. 1 Fig. 2 Page 2 of 3 FCC ID:2A338-X6003 IC: 28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Fig. 3 Fig. 4 Page 3 of 3 FCC ID:2A338-X6003 IC: 28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Fig. 5 Fig. 6

Page 1 of 1 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity LABEL AND LOCATION (Size: L4.0cm x 3.0cm) Label Location Breast Pump Model:Perifit Pump FCC ID:2A338-X6003 IC:28069-X6003

Page 1 of 5 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Internal Photos of the EUT Fig. 1 Fig. 2 Page 2 of 5 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Fig. 3 Fig. 4 Page 3 of 5 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Fig. 5 Fig. 6 BT ANT Page 4 of 5 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Fig. 7 Fig. 8 Page 5 of 5 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Fig. 9 Fig. 10

Page 1 of 3 FCC ID:2A338-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity FCC RF Exposure Evaluation 1. Product Information FCC ID : 2A338-X6003 Product name : Breast Pump Test Model : Perifit Pump Power Supply : Input: DC 5V,2A Max DC 3.7V by Rechargeable Li-ion Battery, 1500mAh Hardware Version : batch v3 Software Version : Simone_V13_WIP Bluetooth : 2402MHz ~ 2480MHz Channel Number : 40 channels for Bluetooth V4.2 (DTS) Channel Spacing : 2MHz for Bluetooth V4.2(DTS) Modulation Type : GFSK for Bluetooth V4.2 (DTS) Bluetooth Version : V4.2 Antenna Type : Internal Antenna Antenna Gain : 2.99dBi Exposure category : General population/uncontrolled environment EUT Type : Production Unit Device Type : Portable Device 2. Evaluation method and Limit According to KDB447498 D01 General RF Exposure Guidance v06 Section 4.3.1 Standalone SAR test exclusion considerations: “Unless specifically required by the published RF exposure KDB procedures, standalone 1-g head or body and 10-g extremity SAR evaluation for general population exposure conditions, by measurement or numerical simulation, is not required when the corresponding SAR Test Exclusion Threshold condition, listed below, is satisfied. These test exclusion conditions are based on source-based time-averaged maximum conducted output power of the RF channel requiring evaluation, adjusted for tune-up tolerance, and the minimum test separation distance required for the exposure conditions.22 The minimum test separation distance is determined by the smallest distance from the antenna and radiating structures or outer surface of the device, according to the host form factor, exposure conditions and platform requirements, to any part of the body or extremity of a user or bystander (see 5) of section 4.1). To qualify for SAR test exclusion, the test separation distances applied must be fully explained and justified by the operating configurations and exposure conditions of the transmitter and applicable host platform requirements, typically in the SAR measurement or SAR analysis report, according to the required published RF exposure KDB procedures. When no other RF exposure testing or reporting is required, a statement of justification and compliance must be included in the equipment approval, in lieu of the SAR report, to qualify for the SAR test exclusion. When required, the device specific conditions described in the other published RF exposure KDB procedures must be satisfied before applying these SAR test exclusion provisions; for example, handheld PTT two-way radios, handsets, laptops & tablets etc.“ [(max. power of channel, including tune-up tolerance, mW)/ (min. test separation distance, mm)] · [√f (GHz)] ≤ 3.0 for 1-g SAR and ≤ 7.5 for 10-g extremity SAR, where: • f (GHz) is the RF channel transmit frequency in GHz • Power and distance are rounded to the nearest mW and mm before calculation • The result is rounded to one decimal place for comparison • 3.0 and 7.5 are referred to as the numeric thresholds in the step 2 below The test exclusions are applicable only when the minimum test separation distance is ≤ 50 mm Page 2 of 3 FCC ID:2A338-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm according to f) in section 4.1 is applied to determine SAR test exclusion. When one of the following test exclusion conditions is satisfied for all combinations of simultaneous transmission configurations, further equipment approval is not required to incorporate transmitter modules in host devices that operate in the mixed mobile and portable host platform exposure conditions. The grantee is responsible for documenting this according to Class I permissive change requirements. Antennas that qualify for standalone SAR test exclusion must apply the estimated standalone SAR to determine simultaneous transmission test exclusion. a) The [∑ of (the highest measured or estimated SAR for each standalone antenna configuration, adjusted for maximum tune-up tolerance) / 1.6 W/kg] + [∑ of MPE ratios] is ≤ 1.0. b)The SAR to peak location separation ratios of all simultaneously transmitting antenna pairs operating in portable device exposure conditions are all ≤ 0.04, and the [∑ of MPE ratios] is ≤ 1.0. 3. Refer Evaluation Method ANSI C95.1–1999: IEEE Standard for Safety Levels with Respect to Human Exposure to Radio Frequency Electromagnetic Fields, 3 kHz to 300 GHz. FCC KDB publication 447498 D01 General RF Exposure Guidance v06: Mobile and Portable Devices RF Exposure Procedures and Equipment Authorization Policies. FCC CFR 47 part1 1.1310: Radiofrequency radiation exposure limits. FCC CFR 47 part2 2.1093: Radiofrequency radiation exposure evaluation: portable devices 4. Conducted Power Results <BT LE> Mode Channel Frequency (MHz) Peak Conducted Output Power (dBm) GFSK 0 2402 -0.33 19 2440 -0.40 39 2480 -0.39 5. Manufacturing Tolerance <BT LE> GFSK (Peak) Channel Channel 0 Channel 19 Channel 39 Target (dBm) 0 0 0 Tolerance ±(dB) 1.0 1.0 1.0 Page 3 of 3 FCC ID:2A338-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity 6. Evaluation Results 6.1 Standalone Evaluation Band/Mode f (GHz) Antenna Distance (mm) RF output p…

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第 1 页 共 4 页 1.product requirement specification 主要技术指标 Maintechnicalspecifications 频率范围 (MHZ) 2400-2500MHz FrequencyRange (MHZ) 2400-2500MHz 特性阻抗 (Ω) 50 Impedance( Ω ) 50 峰值 增 益 (dBi) 2.99 PeakGain(dBi) 2.99 输出 电 压 驻波 比 ≤2.0 VSWR ≤2.0 最大功率 10W AdmittedPower 10W 极化方式 垂直极化 Polarization Linear,Vertical 连接方式 IPEX ConnectorType IPEX 物理性能 PhysicalProperties 天线本体材料裸铜 AntennaBase Copper 工作温度 -20°C~+65°C OperatingTemp -20°C~+65°C 保存温度 -30°C~+75°C StorageTemp -30°C~+75°C 天线长度 72MM Antennalength 72MM 第 2 页 共 4 页 阶段标记 单位 比例 图幅 共 1 页 第 1 页 A4 mm 制图： 校对： 批准： ±1.0 ±0.5 0～5 5～10 10～50 50～ ±2.0 ±3.0 未标注公差指示 ±0.5° 角度公差 孔径公差 ±1.0 一般公差 更改人 备注 更改单号 记号 更改日期 客户: 品名：内置天线 型号：BT天线L=72 版次： A0 序号 名称规格 类型 材质颜色 2.schedule drawing 第 3 页 共 4 页 3.Test Report Radiated Pattern 2.45GHZ H Plane 2.45GHZE Plane 第 4 页 共 4 页 4. Test Report Gain&Efficiency FrequencyEfficiency Global Peak_Gain 240045.03%2.69 241046.12%2.62 242044.33%2.68 243045.32%2.82 244048.33%2.92 245052.66%2.92 246056.06%2.91 247058.12%2.96 248052.06%2.99 249048.03%2.92 250046.06%2.88

Page 1 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Appendix A RF Test Data for BLE (Conducted Measurement) Product Name: Breast Pump Test Model: Perifit Pump Environmental Conditions Temperature: 23.5 C Relative Humidity: 52.2% ATM Pressure: 100.0 kPa Test Engineer: Mening Su Supervised by: Ling Zhu Page 2 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity A.1 DTS Bandwidth Test Result TestMode Antenna Channel DTS BW [MHz] FL[MHz] FH[MHz] Limit[MHz] Verdict BLE Ant 2402 0.712 2401.632 2402.344 0.5 PASS 2440 0.712 2439.632 2440.344 0.5 PASS 2480 0.716 2479.632 2480.348 0.5 PASS Page 3 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Test Graphs BLE_Ant_2402 BLE_Ant_2440 BLE_Ant_2480 Page 4 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Page 5 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity A.2 Occupied Channel Bandwidth Test Result TestMode Antenna Channel OCB [MHz] FL[MHz] FH[MHz] Limit[MHz] Verdict BLE Ant 2402 1.0608 2401.4732 2402.5340 --- PASS 2440 1.0550 2439.4758 2440.5308 --- PASS 2480 1.0614 2479.4715 2480.5329 --- PASS Page 6 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Test Graphs BLE_Ant_2402 BLE_Ant_2440 BLE_Ant_2480 Page 7 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Page 8 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity A.3 Maximum conducted output power and e.i.r.p. Test Result TestMode Antenna Channel Result[dBm] Limit[dBm] Verdict BLE Ant 2402 -0.33 ≤30 PASS 2440 -0.40 ≤30 PASS 2480 -0.39 ≤30 PASS EIRP Condition Mode Frequency (MHz) Maximum Peak Output Power [dBm] Antenna Gain Report EIRP Power(dBm) Limit[dBm] Verdict NVNT BLE 2402 -0.33 2.99 2.66 ≤36 PASS NVNT BLE 2440 -0.40 2.99 2.59 ≤36 PASS NVNT BLE 2480 -0.39 2.99 2.60 ≤36 PASS Page 9 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Test Graphs BLE_Ant_2402 BLE_Ant_2440 BLE_Ant_2480 Page 10 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Page 11 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity A.4 Maximum power spectral density Test Result TestMode Antenna Channel Result[dBm/3kHz] Limit[dBm/3kHz] Verdict BLE Ant 2402 -15.48 ≤8.00 PASS 2440 -15.47 ≤8.00 PASS 2480 -15.52 ≤8.00 PASS Page 12 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Test Graphs BLE_Ant_2402 BLE_Ant_2440 BLE_Ant_2480 Page 13 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity Page 14 of 27 FCC ID:2A338-X6003 IC:28069-X6003 Shenzhen LCS Compliance Testi…

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Page 1 of 34 FCC ID:2A338-X6003 Report No.: LCSA013123017EA Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity FCC TEST REPORT For X6 Innovations SAS Breast Pump Test Model: Perifit Pump Prepared for : X6 Innovations SAS Address : 128 rue la Boetie 75008 Paris FRANCE Prepared by : Shenzhen LCS Compliance Testing Laboratory Ltd. Address : 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel : (+86)755-82591330 Fax : (+86)755-82591332 Web : www.LCS-cert.com Mail : [email protected] Date of receipt of test sample : February 01, 2023 Number of tested samples : 2 Sample No. : A013123017-1, A013123017-2 Serial number : Prototype Date of Test : February 01, 2023 ~ February 07, 2023 Date of Report : February 08, 2023 Page 2 of 34 FCC ID:2A338-X6003 Report No.: LCSA013123017EA Shenzhen LCS Compliance Testing Laboratory Ltd. Add: 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Tel: +(86) 0755-82591330 | E-mail: [email protected] | Web: www.lcs-cert.com Scan code to check authenticity FCC TEST REPORT FCC CFR 47 PART 15 C(15.247) Report Reference No. ................. : LCSA013123017EA Date of Issue .................................. : February 08, 2023 Testing Laboratory Name ............ : Shenzhen LCS Compliance Testing Laboratory Ltd. Address .......................................... : 101, 201 Bldg A & 301 Bldg C, Juji Industrial Park Yabianxueziwei, Shajing Street, Baoan District, Shenzhen, 518000, China Testing Location/ Procedure .......... : Full application of Harmonised standards ■ Partial application of Harmonised standards □ Other standard testing method □ Applicant’s Name ......................... : X6 Innovations SAS Address .......................................... : 128 rue la Boetie 75008 Paris FRANCE Test Specification Standard ......................................... : FCC CFR 47 PART 15 C(15.247) Test Report Form No.................... : LCSEMC-1.0 TRF Originator ................................ : Shenzhen LCS Compliance Testing Laboratory Ltd. Master TRF ..................................... : Dated 2011-03 Shenzhen LCS Compliance Testing Laboratory Ltd. All rights reserved. This publication may be reproduced in whole or in part for non-commercial purposes as long as the Shenzhen LCS Compliance Testing Laboratory Ltd. is acknowledged as copyright owner and source of the material. Shenzhen LCS Compliance Testing Laboratory Ltd. takes no responsibility for and will not assume liability for damages resulting from the reader's interpretation of the reproduced material due to…

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