
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
Wireless Controller Descriptions Applixations: 1.2.4GHZ wireless tecgnology,effective distance about 30 feet. 2.This wireless controller compatible for XBOX One console,and is compatible for PC(D-INPUT),PC360(X-INPUT)games(PC can only be used under Win10 system),PS3 console. How To Connect? 1. Connect With The Xbox One Console,Plug The Receiver Into The Usb Port Of The Host,The Receiver* S Light Will Flash,Then Press The Home Button Of The controllers,The controllers Light Will Flash,So That Is In The Connection,When The controllers Light And Receiver After The Light Is Always On,The Connection Is Successful And Can Be Used Normally On The Host. 2. Connect With The Computer.As With The Above Operation,When The Light Of The controllers And The Light Of The Receiver Are Long,The Connection Is Successful.At This Time,It Is Xbox One Mode.Long Press The Home Button For 5 seconds To Switch To "X-INPUT" And "D・INPUT" Mode. This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) thi s device may not cause harmful interference, and (2) thi s device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications not expressly approved by the party responsible for compliance co ul d void the user's authority to operate the equipment. NOTE: This equipment has bee n 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 t o 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 or more of the following measures: -- Reorient or r elocate 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. The device has been evaluated to meet general RF exposure requirement. The device can be u sed in portable exposure condition without restriction
Shenzhen SND Electronics Co., Ltd. Agent Authorization Company: Shenzhen SND Electronics Co., Ltd. Address: 4 Floor, Building1#, Laobing industry, Tiezi Rd, Gongle, Xixiang, Baoan, Shenzhen Product Name: wireless controller Model Number(s ): HSY-022, GA-X12.4-03 Product Description: wireless controller We authorize MiCOM Labs Inc., 575 Boulder Court, Pleasanton, California 94566, USA, to act on our behalf on all matters concerning the certification of above named equipment. We declare that MiCOM Labs Inc. is allowed to forward all information related to the approval and certification of equipment to the regulatory agencies as required and to discuss any issues concerning the approval application. Any and all acts carried out by MiCOM Labs on our behalf shall have the same effect as acts of our own. Signature: Date: 2022-04-06 Name: Lisa Fu Title: Manager Company: Shenzhen SND Electronics Co., Ltd.
Shenzhen SND Electronics Co., Ltd. Office of Engineering Technology Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 2022/04/06 Subject; Request for Confidentiality FCC ID: 2A5W7HSY-022 To Whom It May Concern, Pursuant to the provisions of the Commission’s rules Title 47 Sections §0.457 and §0.459, we are requesting the Commission to withhold the following attachment(s) as confidential documents from public disclosure indefinitely. These documents contain detailed system and equipment descriptions and are considered as proprietary information in operation of the equipment. The public disclosure of these documents might be harmful to our company and would give competitors an unfair advantage in the market. Schematic Diagram Block Diagram Operational Description In additional to above mentioned documents, in order to comply with the marketing regulations in Title 47 CFR §2.803 and the importation rules in Title 47 CFR §2.1204, while ensuring that business sensitive information remains confidential until the actual marketing of newly authorized devices, we request Short Term Confidentiality of the following attachment(s); User Manual For 45 days, pursuant to Public Notice DA 04-1705. OR For 180 days pursuantto KDB 726920 D01. It is our understanding that all measurement test reports, FCC ID label format and correspondence during the certification review process cannot be granted as confidential documents and this information will be available for public review once the grant of equipment authorization is issued. Sincerely, Signature: Name: Lisa Fu Title: Manager
Shenzhen SND Electronics Co., Ltd. Model Difference Data:2022.04.06 Product description: wireless controller Model name: HSY-022, GA-X12.4-03 Trade Name: N/A FCC ID: 2A5W7HSY-022 All the model are the same circuit and RF module, except model names . Regards Sincerely Client’s signature : Client’s name / title : Lisa Fu (Manager) Contact information / address: 4 Floor, Building1#, Laobing industry, Tiezi Rd, Gongle, Xixiang, Baoan, Shenzhen
External Photos
Model: HSY-022 FCC ID: 2A5W7HSY-022 Label Location
Internal Photos ANT
Shenzhen CTB Testing Co., Ltd. FCC ID: 2A5W7HSY-022 Portable device According to §15.247(e)(i) and §1.1307(b)(1), systems operating under the provisions of this section shall be operated in a manner that ensures that the public is not exposed to radio frequency energy level in excess of the Commission’s guidelines. According to KDB447498 D01 General RF Exposure Guidance V06 The 1-g SAR and 10-g SAR test exclusion thresholds for 100 MHz to 6 GHz at test separation distances ≤ 50 mm are determined by: [(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 When the minimum test separation distance is < 5 mm, a distance of 5 mm is applied to determine SAR test exclusion. BLE: Modulation Channel Freq. (GHz) Conduct ed power (dBm) Conducte d power (mW) Tune-up power (dBm) Max tune-up power (dBm) Max tune-up power (mW) Distance (mm) Result calculatio n SAR Exclusion threshold SAR test exclusion 2.41 -4.558 0.35-4±1-3.000.50<50.155613.00YES 2.44 -5.279 0.30-5±1-4.000.40<50.124373.00YES 2.468 -5.197 0.30-5±1-4.000.40<50.125083.00YES GFSK Conclusion: For the max result : 015561W/Kg ≤ FCC Limit 3.0 for 1g SAR.
Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB220324047RF Report Tel: 4008-707-283Web: http://www.ctb-lab.net Page 1 of 37 TEST REPORT Compiled by: Reviewed by: Approved by: Chen Zheng Arron Liu Bin Mei / Director The test report is effective only with both signature and specialized stamp. This result(s) shown in this report refer only to the sample(s) tested. Without written approval of Shenzhen CTB Testing Technology Co., Ltd. this report can’t be reproduced except in full. The tested sample(s) and the sample information are provided by the client. Product Name: wireless controller FCC ID: 2A5W7HSY-022 Trademark: N/A Model Number: HSY-022, GA-X12.4-03 Prepared For: Shenzhen SND Electronics Co., Ltd. Address: 4 Floor, Building1#, Laobing industry, Tiezi Rd, Gongle, Xixiang, Baoan, Shenzhen China Manufacturer: Shenzhen SND Electronics Co., Ltd. Address: 4 Floor, Building1#, Laobing industry, Tiezi Rd, Gongle, Xixiang, Baoan, Shenzhen China Prepared By: Shenzhen CTB Testing Technology Co., Ltd. Address: Floor 1&2, Building A, No. 26 of Xinhe Road, Xinqiao Community, Xinqiao Street, Baoan District, Shenzhen, Guangdong China Sample Received Date: Mar. 12, 2022 Sample tested Date: Mar. 12, 2022 to Apr. 11, 2022 Issue Date: Apr. 11, 2022 Report No.: CTB220324047RF Te s t Standards FCC Part15.247 ANSI C63.10:2013 Test Results PASS Remark: This is 2.4G RF radio test report. Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB220324047RF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page 2 of 37 TABLE OF CONTENT Test Report Declaration Page 1. VERSION............................................................ 4 2. TEST SUMMARY ..................................................... 5 3. MEASUREMENT UNCERTAINTY ....................................... 6 4. PRODUCT INFORMATION AND TEST SETUP ........................... 7 4.1 Product Information ..................................................... 7 4.2 Test Setup Configuration ................................................ 7 4.3 Support Equipment ..................................................... 7 4.4 Channel List ........................................................... 8 4.5 Test Mode ............................................................. 8 4.6 Test Environment ....................................................... 8 5. TEST FACILITY AND TEST INSTRUMENT USED ......................... 9 5.1 Test Facility ............................................................ 9 5.2 Test Instrument Used ................................................... 9 6. AC POWER LINE CONDUCTED EMISSION .............................. 12 6.1 Block Diagram Of Test Setup............................................ 12 6.2 Limit ................................................................. 12 6.3 Test procedure ........................................................ 12 6.4 Test Result ........................................................... 14 7. RADIATED SPURIOUS EMISSION ..................................... 16 7.1 Block Diagram Of Test Setup............................................ 16 7.2 Limit ................................................................. 16 7.3 Test procedure ........................................................ 17 7.4 Test Result ........................................................... 18 8. BAND EDGE AND RF COUNDUCTED SPURIOUS EMISSIONS ............ 25 8.1 Block Diagram Of Test Setup............................................ 25 8.2 Limit ................................................................. 25 8.3 Test procedure ........................................................ 25 8.4 Test Result ........................................................... 26 9. COUDUCTED OUTPUT POWER....................................... 28 9.1 Block Diagram Of Test Setup............................................ 28 9.2 Limit ................................................................. 28 9.3 Test procedure ........................................................ 28 9.4 Test Result ........................................................... 29 10. 6DB OCCUPIED BANDWIDTH ........................................ 31 10.1 Block Diagram Of Test Setup .......................................... 31 10.2 Limit ................................................................ 31 10.3 Test procedure ....................................................... 31 10.4 Test Result .......................................................... 31 11. POWER SPECTRAL DENSITY ........................................ 33 11.1 Block Diagram Of Test Setup .......................................... 33 11.2 Limit ................................................................ 33 Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB220324047RF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page 3 of 37 11.3 Test procedure ....................................................... 33 11.4 Test Result .......................................................... 33 12. ANTENNA REQUIREMENT ........................................... 35 13. EUT TEST SETUP PHOTOGRAPHS ................................... 36 (Note: N/A means not applicable) Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB220324047RF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page 4 of 37 1. VERSION Report N o. Issue Date Description Approved CTB220324047RF Apr. 11, 2022 Original Valid Shenzhen CTB Testing Technology Co., Ltd. Report No.: CTB220324047RF Report Tel: 4008-707-283 Web: http://www.ctb-lab.net Page 5 of 37 2. TEST SUMMARY The Product has been tested according to the following specifications: Test Item Test Requirement Test method Result AC Power Line Conducted Emission 47 CFR Part 15 Subpart C Section 15.207 ANSI C63.10-2013 Pass Radiated Spurious emissions 47 CFR Part 15 Subpart C Section 15.205/15.209 ANSI C63.10-2013 PAS S Band edge and RF Conducted Spurious Emissions 47 CFR Part 15 Subpart C Section 15.247(d)/15.205(a) ANSI C63.10-2013…
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Radiated Emission Below 1G Above 1GHz Conducted emission
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 2.41 GHz - 2.47 GHz | 350.00 µW |

Remote Controller
Equipment Class
DSS - Part 15 Spread Spectrum Transmitter