2A885SIV1001SIVA Wearable

Master for this document: TEMP_IFU-EN_ARS-Code: RS_TEMP_IFU-EN_5-1-A IFU Instructions for Use Docu-Identifier IFU_SIVA-EN_A SIVA Revision A Page 1/1 Function, NameDate, Signature* Author Product Manager, Michael Häberli Reviewer SME for Regulatory Affairs, Alexander Duschau-Wicke Formal ReviewerSME for Document Control, Alexander Duschau-Wicke Release SME for Document Control YYYY-MM-DD 2022-08-05 *) Signatures not necessary for draft version History RevisionDescription of change or change identifier AInitial version Attachment: -IFU content (revision A, dated 2022-07-22) Master for this document: TEMP_IFU-EN_ARS-Code: RS_TEMP_IFU-EN_5-1-A Version: 2022-07-22 Digital Cough Monitor and Accessories Instructions for Use valid for SIVA V1.0 with SIVA Smartphone Application V1.0 and SIVA Wearable V1.0 Version: 2022-07-222 / 36 Version: 2022-07-223 / 36 Table of Contents 1.INTENDED USE................................................................................................................................................................................4 2.SAFETY INSTRUCTIONS................................................................................................................................................................5 2.1COUGH MONITOR..........................................................................................................................................................................................................................5 2.2CHARGER............................................................................................................................................................................................................................................6 2.3POWER SUPPLY UNIT.................................................................................................................................................................................................................7 3.PRODUCT DESCRIPTION.............................................................................................................................................................8 4.PREPARATION...............................................................................................................................................................................12 5.REGULAR USE................................................................................................................................................................................15 5.1DAILY USE OF THE SMARTPHONE...................................................................................................................................................................................15 5.2PUTTING THE WEARABLE COUGH MONITOR ON.....................................................................................................................................................15 5.3WEARING THE COUGH MONITOR.....................................................................................................................................................................................18 5.4TAKING OFF THE COUGH MONITOR................................................................................................................................................................................18 5.5INTERACTION WITH THE SMARTPHONE APPLICATION.....................................................................................................................................19 5.6CHARGING THE COUGH MONITOR (DURING BEDTIME)......................................................................................................22 5.7TROUBLESHOOTING.................................................................................................................................................................................................................24 6.CLEANING AND MAINTENANCE.............................................................................................................................................27 6.1CLEANING AND DISINFECTING THE COUGH MONITOR.........................................................................................................................................27 6.2CLEANING THE CHARGER......................................................................................................................................................................................................27 6.3MAINTENANCE OF THE COUGH MONITOR AND CHARGER.................................................................................................................................28 7.ACCESSORIES.................................................................................................................................................................................29 7.1CHARGER (INDUCTION)........................................................................................................................................................29 7.2POWER SUPPLY UNIT.............................................................................................................................................................................................................30 8.ELECTROMAGNETIC COMPATIBILITY................................................................................................................................31 9.TECHNICAL DATA OF THE COUGH MONITOR..................................................................................................................32 10.LIST OF SYMBOLS...................................................................................................................................................................34 Version: 2022-07-224 / 36 1.Intended Use SIVA is intended to be used in adult chronic cough patients (cough that lasts eight weeks or longer) to support the diagnostic process of the treating physician and to monitor treatm…

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RQ&T Inc TO: American Certification Body, Inc. 313 Park Avenue Suite 300 Falls Church, VA 22046 ATTENTION: FCC Certification – Section 2.911(d)(7) Information Designated U.S. Agent Company Name: RQ&T Inc FRN: 0033406182 Contact Name: Will Zhang Street Address: 1020 S EASTHILLS DR WEST COVINA CA 91791 City/Province/Zip: CA 91791 Telephone No: +626 3715766 Email: [email protected] This letter is to confirm that we (RQ&T Inc) have accepted the responsibility to act as the Designated U.S. Agent for Service of Process as required by section 47 CFR 2.911(d)(7) on behalf of the Applicant noted below. U.S. Agent Signature: Date: Signed by (Printed Name/Title): Will Zhang / Regulation Manager The Applicant acknowledges that they must maintain an agent for no less than one year after terminating all marketing and importation OR the conclusion of any Commission- related proceeding involving the equipment. The applicant further acknowledges their responsibility to inform the FCC whenever the Designated U.S. Agent information above changes. Applicant Company name: SIVA Health AG Grantee Code: 2A885 Contact Name: Alexander Duschau-Wicke Street Address: Zurlindenstrasse 134 City/Province/Zip: Zurich/Switzerland/8003 Telephone No: +41 44 244 80 55 Email: [email protected] Applicant Signature 1 : Date: Signed by (Printed Name/Title): Alexander Duschau-Wicke/CTO 1 - Letters should be placed on appropriate letterhead. 2023-02-20 2023-02-21

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SIVA Health AG MPE ASSESSMENT REPORT Report Type: FCC Part §2.1091, §2.1093 and §1.1307(b) assessment report Model: SIVA Wearable REPORT NUMBER: 220702760SHA-003 ISSUE DATE: January 17, 2023 DOCUMENT CONTROL NUMBER: TTRFFCCMPE-01_V1 © 2018 Intertek Intertek Testing Services Shanghai Building No.86, 1198 Qinzhou Road (North) Caohejing Development Zone Shanghai 200233, China Telephone: 86 21 6127 8200 www.intertek.com TEST REPORT This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. TTRFFCCMPE-01_V1© 2018 Intertek Page 2 of 8 Report no.: 220702760SHA-003 Applicant: SIVA Health AG Zurlindenstrasse 134, 8003 Zürich, Switzerland Manufacturer: SIVA Health AG Zurlindenstrasse 134, 8003 Zürich, Switzerland Product Name: SIVA Wearable Type/Model: SIVA Wearable FCC ID: 2A885SIV1001 SUMMARY: The equipment complies with the requirements according to the following standard(s) or Specification: KDB447498 D01 General RF Exposure Guidance v06 FCC Part2.1091, FCC Part2.1093 FCC Part1.1307(b) PREPARED BY: REVIEWED BY: Project Engineer Dylan Tang Reviewer Wakeyou Wang Report No.: 220702760SHA-003 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 3 of 8 Revision History Report No. Version Description Issued Date 220702760SHA-003 Rev. 01 Initial issue of report January 17, 2023 Report No.: 220702760SHA-003 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 4 of 8 1 GENERAL INFORMATION 1.1 Description of Equipment Under Test (EUT) Product name: SIVA Wearable Type/Model: SIVA Wearable Description of EUT: The EUT is a SIVA Wearable, with Bluetooth and WIFI function. It has only one model. Rating: DC 3.3V 350mA EUT type: Table top Floor standing Software Version: 0.8.2 Hardware Version: Rev C Serial numbers: 0221111-48-001(for radiation sample), 0221111-48-002(for conduction sample) Sample received date: August 10, 2022 Date of test: August 10, 2022 ~ October 10, 2022 1.2 Technical Specification Frequency Band: 2400MHz ~ 2483.5MHz Support Standards: IEEE 802.11b Type of Modulation: IEEE 802.11b: DSSS (CCK, DQPSK, DBPSK) Operating Frequency: 2412MHz to 2462MHz for IEEE 802.11b Channel Number: 11 Channels for 802.11b Channel Separation: 5 MHz Antenna Information: Monopole Antenna: 4dBi Report No.: 220702760SHA-003 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 5 of 8 1.3 Description of Test Facility Name: Intertek Testing Services Shanghai Address: Building 86, No. 1198 Qinzhou Road(North), Shanghai 200233, P.R. China Telephone: 86 21 61278200 Telefax: 86 21 54262353 The test facility is recognized, certified, or accredited by these organizations: CNAS Accreditation Lab Registration No. CNAS L0139 FCC Accredited Lab Designation Number: CN0175 IC Registration Lab CAB identifier.: CN0051 VCCI Registration Lab Registration No.: R-14243, G-10845, C-14723, T-12252 A2LA Accreditation Lab Certificate Number: 3309.02 Report No.: 220702760SHA-003 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 6 of 8 2 MPE Assessment Test result: Pass 2.1 MPE Assessment Limit Mobile device exposure for standalone operations: Frequency range E-field strength (V/m) H-field strength (A/m) B-field (uT) Equivalent plane wave power density S eq (W/m 2 ) 0-1 Hz - 3,2 × 10 4 4 × 10 4 - 1-8 Hz 10 000 3,2 × 10 4 /f 2 4 × 10 4 /f 2 - 8-25 Hz 10 000 4 000/f 5 000/f - 0,025-0,8 kHz 250/f 4/f 5/f - 0,8-3 kHz 250/f 5 6,25 - 3-150 kHz 87 5 6,25 - 0,15-1 MHz 87 0,73/f 0,92/f - 1-10 MHz 87/f 1/2 0,73/f 0,92/f - 10-400 MHz 28 0,073 0,092 2 400-2 000 MHz 1,375 f 1/2 0,0037 f 1/2 0,0046 f 1/2 f/200 2-300 GHz 61 0,16 0,20 10 Mobile device exposure for simultaneous transmission operations: the sum of the MPE ratios for all simultaneously transmitting antennas incorporated in a host device is ≤ 1.0 Report No.: 220702760SHA-003 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 7 of 8 2.2 Assessment Results Power density (S) is calculated according to the formula: S = PG / (4πR²) Where S = power density in mW/cm² P = Radiated transmit power in mW G = numeric gain of transmit antenna R = distance (cm) As we can see from the test report 220702760SHA-002: The calculations in the table below use the highest gain of antenna for client EUT. These calculations represent worst case in terms of the exposure levels. The calculations in the table below use the highest gain of antenna for client EUT. These calculations represent worst case in terms of the exposure levels. Frequency band Power Antenna Gain R S Limits (MHz) dBm mW dBi (cm) (mW/cm2) (mW/cm2) 2412 – 2462 9.10 8.13 4.0 20 0.0065 1 Note: 1 mW/cm2 from 1.310 Table 1. Report No.: 220702760SHA-003 TEST REPORT TTRFFCCMPE-01_V1© 2018 Intertek Page 8 of 8 Appendix I Definition below must be outlined in the User Manual: To satisfy FCC RF exposure requirements, a separation distance of 20 cm or more should be maintained between the antenna of this device and persons during device operation. To ensure compliance, operations at closer than this distance is not recommended. *************************************END*************************************

SIVA Health AG SAR COMPLIANCE REPORT Report Type: FCC SAR assessment report Model: SIVA Wearable REPORT NUMBER: 220702760SHA-004 ISSUE DATE: January 10, 2023 DOCUMENT CONTROL NUMBER: TTRFFCCSAR-01_V1 © 2018 Intertek Intertek Testing Services Shanghai Building No.86, 1198 Qinzhou Road (North) Caohejing Development Zone Shanghai 200233, China Telephone: 86 21 6127 8200 www.intertek.com TEST REPORT This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. TTRFFCCSAR-01_V1© 2018 Intertek Page 2 of 8 Report no.: 220702760SHA-004 Applicant: SIVA Health AG Zurlindenstrasse 134, 8003 Zürich, Switzerland Manufacturer: SIVA Health AG Zurlindenstrasse 134, 8003 Zürich, Switzerland Product Name: SIVA Wearable Type/Model: SIVA Wearable FCC ID: 2A885SIV1001 SUMMARY: The equipment complies with the requirements according to the following standard(s) or Specification: KDB447498 D01 General RF Exposure Guidance v06 FCC Part2.1091, FCC Part2.1093 FCC Part1.1307(b) PREPARED BY: REVIEWED BY: Project Engineer Dylan Tang Reviewer Wakeyou Wang Report No.: 220702760SHA-004 TEST REPORT TTRFFCCSAR-01_V1© 2018 Intertek Page 3 of 8 Revision History Report No. Version Description Issued Date 220702760SHA-004 Rev. 01 Initial issue of report January 10, 2023 Report No.: 220702760SHA-004 TEST REPORT TTRFFCCSAR-01_V1© 2018 Intertek Page 4 of 8 1 GENERAL INFORMATION 1.1 Description of Equipment Under Test (EUT) Product name: SIVA Wearable Type/Model: SIVA Wearable Description of EUT: The EUT is a SIVA Wearable, with Bluetooth and WIFI function. It has only one model. Rating: DC 3.3V 350mA EUT type: Table top Floor standing Software Version: 0.8.2 Hardware Version: Rev C Serial numbers: 0221111-48-001(for radiation sample), 0221111-48-002(for conduction sample) Sample received date: August 10, 2022 Date of test: August 10, 2022 ~ October 10, 2022 1.2 Technical Specification Frequency Range: 2402-2480MHz Support Standards: Bluetooth LE 4.2 Type of Modulation: GFSK Channel Number: 40 Data Rate: 1Mbps Channel Separation: 2MHz Antenna Information: Monopole Antenna: 4dBi Report No.: 220702760SHA-004 TEST REPORT TTRFFCCSAR-01_V1© 2018 Intertek Page 5 of 8 1.3 Description of Test Facility Name: Intertek Testing Services Shanghai Address: Building 86, No. 1198 Qinzhou Road(North), Shanghai 200233, P.R. China Telephone: 86 21 61278200 Telefax: 86 21 54262353 The test facility is recognized, certified, or accredited by these organizations: CNAS Accreditation Lab Registration No. CNAS L0139 FCC Accredited Lab Designation Number: CN0175 IC Registration Lab CAB identifier: CN0014 VCCI Registration Lab Registration No.: R-4243, G-845, C-4723, T-2252 NVLAP Accreditation Lab NVLAP LAB CODE: 200849-0 A2LA Accreditation Lab Certificate Number: 3309.02 Report No.: 220702760SHA-004 TEST REPORT TTRFFCCSAR-01_V1© 2018 Intertek Page 6 of 8 2 SAR Assessment Test result: Pass 2.1 SAR Test Exclusion Limit 100 MHz – 6 GHz and ≤ 50 mm Report No.: 220702760SHA-004 TEST REPORT TTRFFCCSAR-01_V1© 2018 Intertek Page 7 of 8 100 MHz – 6 GHz and > 50 mm < 100 MHz and < 200 mm Report No.: 220702760SHA-004 TEST REPORT TTRFFCCSAR-01_V1© 2018 Intertek Page 8 of 8 2.2 Assessment Results The highest EIRP adjusted with tune-up tolerance is -1.34dBm = 0.735mW < 10mW (Test Exclusion Thresholds of 2450MHz at 5mm). Therefore, the SAR requirement is deemed to be satisfied without test. ******************************************* END ************************************

Appendix A: DTS Bandwidth Test Result Test Mode Antenna Frequency[MHz] DTS BW [MHz] FL[MHz] FH[MHz] Limit[MHz] Verdict BLE_1M Ant1 2402 0.632 2401.624 2402.256 0.5 PASS 2440 0.644 2439.620 2440.264 0.5 PASS 2480 0.636 2479.624 2480.260 0.5 PASS Test Graphs BLE_1M_Ant1_2402 BLE_1M_Ant1_2440 BLE_1M_Ant1_2480 Appendix B: Occupied Channel Bandwidth Test Result Test Mode Antenna Frequency[MHz] OCB [MHz] FL[MHz] FH[MHz] Limit[MHz] Verdict BLE_1M Ant1 2402 1.0163 2401.435 2402.451 --- --- 2440 1.0136 2439.436 2440.450 --- --- 2480 1.0209 2479.431 2480.452 --- --- Test Graphs BLE_1M_Ant1_2402 BLE_1M_Ant1_2440 BLE_1M_Ant1_2480 Appendix C: Maximum conducted output power Test Result Peak Test Mode Antenna Frequency[MHz] Conducted Peak Powert[dBm] Conducted Limit[dBm] EIRP[dBm] EIRP Limit[dBm] Verdict BLE_1M Ant1 2402 -1.43 ≤30 2.57 ≤36 PASS 2440 -1.34 ≤30 2.66 ≤36 PASS 2480 -2.17 ≤30 1.83 ≤36 PASS Test Graphs Peak BLE_1M_Ant1_2402 BLE_1M_Ant1_2440 BLE_1M_Ant1_2480 Appendix D: Maximum power spectral density Test Result Test Mode Antenna Frequency[MHz] Result[dBm/3kHz] Limit[dBm/3kHz] Verdict BLE_1M Ant1 2402 -18.27 ≤8.00 PASS 2440 -18.23 ≤8.00 PASS 2480 -18.65 ≤8.00 PASS Test Graphs BLE_1M_Ant1_2402 BLE_1M_Ant1_2440 BLE_1M_Ant1_2480 Appendix E: Band edge measurements Test Result Test Mode Antenna ChName Frequency [MHz] RefLevel [dBm] Result [dBm] Limit [dBm] Verdict BLE_1M Ant1 Low 2402 -1.88 -48.03 ≤-21.88 PASS High 2480 -2.62 -46.65 ≤-22.62 PASS Test Graphs BLE_1M_Ant1_Low_2402 BLE_1M_Ant1_High_2480 Appendix F: Conducted Spurious Emission Test Result Test Mode Antenna Frequency [MHz] FreqRange [MHz] RefLevel [dBm] Result [dBm] Limit [dBm] Verdict BLE_1M Ant1 2402 Reference -2.03 -2.03 --- PASS 30~1000 -2.03 -46.28 ≤-22.03 PASS 1000~26500 -2.03 -33.2 ≤-22.03 PASS 2440 Reference -2.29 -2.29 --- PASS 30~1000 -2.29 -45.75 ≤-22.29 PASS 1000~26500 -2.29 -32.98 ≤-22.29 PASS 2480 Reference -2.87 -2.87 --- PASS 30~1000 -2.87 -45.68 ≤-22.87 PASS 1000~26500 -2.87 -34.43 ≤-22.87 PASS Test Graphs BLE_1M_Ant1_2402_0~Reference BLE_1M_Ant1_2402_30~1000 BLE_1M_Ant1_2402_1000~26500 BLE_1M_Ant1_2440_0~Reference BLE_1M_Ant1_2440_30~1000 BLE_1M_Ant1_2440_1000~26500 BLE_1M_Ant1_2480_0~Reference BLE_1M_Ant1_2480_30~1000 BLE_1M_Ant1_2480_1000~26500 Appendix G: Duty Cycle Test Result Test Mode Antenna Frequency[MHz] ON Time [ms] Period [ms] Duty Cycle [%] Duty Cycle Factor[dB] BLE_1M Ant1 2402 2.09 2.50 83.60 0.78 2440 2.09 2.50 83.60 0.78 2480 2.09 2.50 83.60 0.78 Test Graphs BLE_1M_Ant1_2402 BLE_1M_Ant1_2440 BLE_1M_Ant1_2480

SIVA Health AG RF TEST REPORT Report Type: FCC Part 15.247 RF report Model: SIVA Wearable REPORT NUMBER: 220702760SHA-001 ISSUE DATE: January 10, 2023 DOCUMENT CONTROL NUMBER: TTRF15.247-02_V1 © 2018 Intertek Intertek Testing Services Shanghai Building No.86, 1198 Qinzhou Road (North) Caohejing Development Zone Shanghai 200233, China Telephone: 86 21 6127 8200 www.intertek.com TEST REPORT This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. TTRF15.247-02_V1 © 2018 Intertek Page 2 of 32 Report no.: 220702760SHA-001 Applicant: SIVA Health AG Zurlindenstrasse 134, 8003 Zürich, Switzerland Manufacturer: SIVA Health AG Zurlindenstrasse 134, 8003 Zürich, Switzerland Product Name: SIVA Wearable Type/Model: SIVA Wearable FCC ID: 2A885SIV1001 SUMMARY: The equipment complies with the requirements according to the following standard(s) or Specification: 47CFR Part 15 (2019): Radio Frequency Devices (Subpart C) ANSI C63.10 (2013): American National Standard of Procedures for Compliance Testing of Unlicensed Wireless Devices PREPARED BY: REVIEWED BY: Project Engineer Dylan Tang Reviewer Wakeyou Wang Report No.: 220702760SHA-001 TEST REPORT TTRF15.247-02_V1 © 2018 Intertek Page 3 of 32 Content REVISION HISTORY................................................................................................................................................ 5 MEASUREMENT RESULT SUMMARY ..................................................................................................................... 6 1 GENERAL INFORMATION ............................................................................................................................. 7 1.1 DESCRIPTION OF EQUIPMENT UNDER TEST (EUT) ..................................................................................................... 7 1.2 TECHNICAL SPECIFICATION .................................................................................................................................... 7 1.3 DESCRIPTION OF TEST FACILITY .............................................................................................................................. 8 2 TEST SPECIFICATIONS ................................................................................................................................... 9 2.1 STANDARDS OR SPECIFICATION ............................................................................................................................... 9 2.2 MODE OF OPERATION DURING THE TEST ................................................................................................................... 9 2.3 TEST SOFTWARE LIST .......................................................................................................................................... 10 2.4 TEST PERIPHERALS LIST ....................................................................................................................................... 10 2.5 TEST ENVIRONMENT CONDITION: .......................................................................................................................... 10 2.6 INSTRUMENT LIST .............................................................................................................................................. 11 2.7 MEASUREMENT UNCERTAINTY ............................................................................................................................. 12 3 MINIMUM 6DB BANDWIDTH ..................................................................................................................... 13 3.1 LIMIT .............................................................................................................................................................. 13 3.2 MEASUREMENT PROCEDURE ............................................................................................................................... 13 3.3 TEST CONFIGURATION ........................................................................................................................................ 13 3.4 TEST RESULTS OF MINIMUM 6DB BANDWIDTH ....................................................................................................... 13 4 MAXIMUM CONDUCTED OUTPUT POWER AND E.I.R.P. ............................................................................. 14 4.1 LIMIT .............................................................................................................................................................. 14 4.2 MEASUREMENT PROCEDURE ............................................................................................................................... 14 4.3 TEST CONFIGURATION ........................................................................................................................................ 15 4.4 TEST RESULTS OF MAXIMUM CONDUCTED OUTPUT POWER........................................................................................ 15 5 POWER SPECTRUM DENSITY ..................................................................................................................... 16 5.1 LIMIT .......................…

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Appendix A: DTS Bandwidth Test Result Test Mode Antenna Frequency[MHz] DTS BW [MHz] FL[MHz] FH[MHz] Limit[MHz] Verdict 11B Ant1 2412 9.080 2407.400 2416.480 0.5 PASS 2437 9.600 2432.360 2441.960 0.5 PASS 2462 9.520 2456.960 2466.480 0.5 PASS Test Graphs 11B_Ant1_2412 11B_Ant1_2437 11B_Ant1_2462 Appendix B: Occupied Channel Bandwidth Test Result Test Mode Antenna Channel Frequency[MHz] OCB [MHz] FL[MHz] FH[MHz] Limit[MHz] Verdict 11B Ant1 2412 13.314 2405.210 2418.524 --- --- 2437 13.285 2430.251 2443.536 --- --- 2462 13.343 2455.182 2468.525 --- --- Test Graphs 11B_Ant1_2412 11B_Ant1_2437 11B_Ant1_2462 Appendix C: Maximum conducted output power Test Result Test Mode Antenna Frequency [MHz] Average Powert[dBm] Conducted Limit[dBm] EIRP [dBm] EIRP Limit[dBm] Verdict 11B Ant1 2412 7.01 ≤30.00 11.01 ≤36.00 PASS 2437 9.10 ≤30.00 13.10 ≤36.00 PASS 2462 6.14 ≤30.00 10.14 ≤36.00 PASS Test Graphs Peak 11B_Ant1_2412 11B_Ant1_2437 11B_Ant1_2462 Appendix D: Maximum power spectral density Test Result Test Mode Antenna Frequency[MHz] Result[dBm/3-100kHz] Limit[dBm/3kHz] Verdict 11B Ant1 2412 -21.5 ≤8.00 PASS 2437 -19.53 ≤8.00 PASS 2462 -22.46 ≤8.00 PASS Test Graphs 11B_Ant1_2412 11B_Ant1_2437 11B_Ant1_2462 Appendix E: Band edge measurements Test Result Test Mode Antenna ChName Frequency [MHz] RefLevel [dBm] Result [dBm] Limit [dBm] Verdict 11B Ant1 Low 2412 -1.74 -44.9 ≤-31.74 PASS High 2462 -2.48 -47.88 ≤-32.48 PASS Test Graphs 11B_Ant1_Low_2412 11B_Ant1_High_2462 Appendix F: Conducted Spurious Emission Test Result Test Mode Antenna Frequency[MHz] FreqRange [Mhz] RefLevel [dBm] Result [dBm] Limit [dBm] Verdict 11B Ant1 2412 Reference -2.05 -2.05 --- PASS 30~1000 -2.05 -59.62 ≤-32.05 PASS 1000~26500 -2.05 -33.65 ≤-32.05 PASS 2437 Reference 0.53 0.53 --- PASS 30~1000 0.53 -57.95 ≤-29.47 PASS 1000~26500 0.53 -34.67 ≤-29.47 PASS 2462 Reference -2.43 -2.43 --- PASS 30~1000 -2.43 -59.87 ≤-32.43 PASS 1000~26500 -2.43 -34 ≤-32.43 PASS Test Graphs 11B_Ant1_2412_0~Reference 11B_Ant1_2412_30~1000 11B_Ant1_2412_1000~26500 11B_Ant1_2437_0~Reference 11B_Ant1_2437_30~1000 11B_Ant1_2437_1000~26500 11B_Ant1_2462_0~Reference 11B_Ant1_2462_30~1000 11B_Ant1_2462_1000~26500 11G_Ant1_2412_0~Reference Appendix G: Duty Cycle Test Result Test Mode Antenna Frequency[MHz] Transmission Duration [ms] Transmission Period [ms] Duty Cycle [%] 11B Ant1 2412 20.00 20.00 100.00 2437 20.00 20.00 100.00 2462 20.00 20.00 100.00 Test Graphs 11B_Ant1_2412 11B_Ant1_2437 11B_Ant1_2462

SIVA Health AG RF TEST REPORT Report Type: FCC Part 15.247 RF report Model: SIVA Wearable REPORT NUMBER: 220702760SHA-002 ISSUE DATE: January 17, 2023 DOCUMENT CONTROL NUMBER: TTRF15.247-03_V1 © 2018 Intertek Intertek Testing Services Shanghai Building No.86, 1198 Qinzhou Road (North) Caohejing Development Zone Shanghai 200233, China Telephone: 86 21 6127 8200 www.intertek.com TEST REPORT This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does …

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