
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
versa 103-19292 60 th Avenue Surrey, BC, Canada V3S 3M2 _____________________________________________________________________________________ REQUEST FOR CONFIDENTIALITY Date: Dec 22, 2022 To: Federal Communications Commission Equipment Authorization Branch Laboratory Division Office of Engineering and Technology 7435 Oakland Mills Road Columbia, Maryland 21046 Subject: Request for Confidentiality Applicant: Versa Wireless Inc. TYPE OF EQUIPMENT: Shock Sensing Security Device (319.5MHz) FCC IDENTIFIER: 2AD9XSHOCK319 IC Number: Not Applicable Dear Sir or Madam: Some of the material included in this application contains trade secrets and proprietary information not customarily released to the public. Because public disclosure of the material might be harmful to the applicant and provide unjustified benefits to its competitors, it is requested that the following be withheld from public disclosure: Exhibit Type File Name SHOCK-319 Schematic.pdf SHOCK-319 Block Diagram.pdf SHOCK-319 BOM.pdf SHOCK-319 Operation Description.pdf Trade secrets and proprietary information can be held confidential. Therefore, we wish to invoke the act under the provisions of 47CFR, Sections 0.457(d) and 0.459. Please contact the undersigned if you have any questions or need any further information. Regards, Justin Carlson - President, Versa Wireless Inc.
versa 103-19292 60 th Avenue Surrey, BC, Canada V3S 3M2 _____________________________________________________________________________________ Product Model Number: SHOCK-319 FCC ID: 2AD9XSHOCK319 IC ID: Not applicable To whom it may concern, We authorize Rick Hiebert of QAI Laboratory Ltd, 3980 North Fraser Way, Burnaby, BC V5J 5K5 to act on our behalf on all matters concerning the above named equipment. This shall include the following: • Testing • Approval applications and procedures We declare that QAI Laboratory Ltd. is allowed to forward all information related to the approval project to the applied certification body and to the notification entities and to discuss any issues concerning the approval application. Any and all acts carried out by QAI Laboratory Ltd. on our behalf shall have the same effect as acts of our own. By: Justin Carlson Title: V.P. Engineering Email: [email protected] Telephone: 7787720623 On behalf of: Versa Wireless Inc.
versa 103-19292 60 th Avenue Surrey, BC, Canada V3S 3M2 ____________________________________________________________________________________ Date: Dec 16, 2022 Timco Engineering, Inc. 849 NW State Road 45 P.O. Box 370 Newberry, Florida 32669 RE: Justification for label location regarding application for certification of FCC ID: 2AD9XSHOCK319 IC Number: not applicable to this product To Whom It May Concern: This letter is to justify the choice of label location for the device bearing the above FCC ID and IC Number. The location was chosen to be visible to the user with the Lid removed, and such that with the lid in place was unobtrusive to the home owner when installed on the door or window. Please contact the undersigned if you have any questions or need any further information. Regards, Justin Carlson President - Versa Wireless Inc.
SHOCK-319 External Pictures of the EUT’s from every side Top Bottom Side 1 Side 2 Front Back
SHOCK-319 External Pictures of the EUT’s from every side
SHOCK-319 Sensor Label Placement on Plastic Housing Base.
SHOCK-319 Internal Pictures of the EUT Top Side PCBA Bottom Side PCBA
SHOCK-319 Sensor (319.5MHz): Loop Antenna – Circuit and Gain Calculation (Measured) The SHOCK-319 uses a simple Split Capacitor Loop Antenna design followed by a Low Pass Filter for reducing Harmonics. The Loop Antenna is made from a printed trace on the PCB in rectangular form approximately 1” x 0.75” on the sides. The split capacitor circuit uses C3 (4.7pF) and C4 (30pF) to tune the antenna, and is followed by a PI (cap/ind/cap) Low Pass Filter C9(22pF), L2(33nH), and C10(4.7pF). L1(56nH) provides minor tuning for the capacitance of the MAX41460 PA output, and C8 simply acts as a DC blocking capacitor and has no effect on the match. The final match seen by the output of the MAX41460 is approximately 70 ohms. The MAX41460 is set to operate at a PA PWR code of 6 = 11dBm (approximately). The Gain of the Loop Antenna is derived from the test results of the 3m test at QAI (Test House), and is as follows: Measured at 3m Antenna: 86.71 dBuV/m (Using a Radiated Power Calculator on the web) Tx EIRP (dBm) = -9dBm Transmit into Loop Antenna: 11dBm Therefore Gant = Tx EIRP (-9dBm) - Tx (11dBm) = -20dB
INTENTIONAL RADIATOR TEST REPORT Report Reference Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Total Number of Pages: 30 Date of Issue: December 21, 2022 EMC Test Laboratory: QAI Laboratories Ltd. Address: 3980 North Fraser Way, Burnaby, BC, V5J 5K5 Canada Phone: (604) 527-8378 Fax: (604) 527-8368 Laboratory Accreditations (per ISO/IEC 17025:2017) This report has been completed in accordance with the requirements of ISO/IEC 17025. Test results contained in this report are within QAI Laboratories ISO/IEC 17025 accreditations. QAI Laboratories authorizes the applicant to reproduce this report, provided it is reproduced in its entirety and for the use by the company’s employees only. Manufacturer: Versa Wireless Address: #103-19292 60th Ave Surrey, BC, V3S 3M2 Equipment Tested: Wireless Shock Sensor Model Number(s): Shock-319 FCC ID: 2AD9XSHOCK319 QAI Laboratories 3980 North Fraser Way Burnaby, BC, V5J 5K5 Canada Manufacturer: Versa Wireless Report Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Page 2 of 30 REVISION HISTORY Date Report Number Details Author’s Initials November 4, 2022 E10676-2201_VersaWireless_Shock319_FCC_Rev0.0 Initial draft AH December 21, 2022 E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Final Report AH All previous versions of this report have been superseded by the latest dated revision as listed in the above table. Please dispose of all previous electronic and paper printed revisions accordingly. REPORT AUTHORIZATION The data documented in this report is for the test equipment provided by the manufacturer. The tests were conducted on the sample equipment as requested by the manufacturer for the purpose of demonstrating compliance with the standards outlined in Section I of this report as agreed upon by the Manufacturer under the quote 22RH10242. The Manufacturer is responsible for the tested product configurations, continued product compliance, and for the appropriate auditing of subsequent products as required. This report may comprise a partial list of tests that are required for FCC and ISED Declaration of Conformity can only be produced by the manufacturer. This is to certify that the following report is true and correct to the best of our knowledge. __________________ Testing Performed by Alec Hope Senior RF/EMC Engineer __________________ Report Prepared by Alec Hope Senior RF/EMC Engineer __________________ Report Reviewed by Alireza Nezam RF/EMC Test Engineer QAI Laboratories 3980 North Fraser Way Burnaby, BC, V5J 5K5 Canada Manufacturer: Versa Wireless Report Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Page 3 of 30 QAI FACILITIES British Columbia QAI Laboratories Inc. Main Laboratory/Headquarters 3980 North Fraser Way, Burnaby, BC V5J Canada Ontario QAI Laboratories Inc. 25 Royal Group Crescent #3, Vaughan, ON L4H 1X9 Canada Virginia QAI Laboratories Ltd. 1047 Zachary Taylor Hwy, Suite A Huntly, VA 22640 USA China QAI Laboratories Ltd Room 408, No. 228, Jiangchang 3 rd Road Jing’An District, Shanghai, China 200436 California QAI Laboratories Ltd. 8385 White Oak Avenue Rancho Cucamonga, CA 91730 USA Oklahoma QAI Laboratories Ltd. 5110 North Mingo Road Tulsa, OK 74117, USA Miami QAI Laboratories Ltd. 8148 NW 74th Ave, Medley, FL 33166 USA South Korea QAI Laboratories Ltd #502, 8, Sanbon-ro 324beon-gil Gunpo-si, Gyeonggi-do, 15829, South Korea QAI EMC ACCREDITATION QAI EMC is your one-stop regulatory compliance partner for electromagnetic compatibility (EMC) and electromagnetic interference (EMI). Products are tested to the latest and applicable EMC/EMI requirements for domestic and international markets. QAI EMC goes above and beyond being a testing facility—we are your regulatory compliance partner. QAI EMC has the capability to perform RF Emissions and Immunity for all types of electronics manufacturing including Industrial, Scientific, Medical, Information Technology, Telecom, Wireless, Automotive, Marine and Avionics. EMC Laboratory Location FCC Designation (3m SAC) IC Registration (3m SAC) A2LA Certificate Burnaby, BC, Canada CA9543 9543A 3657.02 EMC Facility Burnaby BC, Canada QAI Laboratories 3980 North Fraser Way Burnaby, BC, V5J 5K5 Canada Manufacturer: Versa Wireless Report Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Page 4 of 30 TABLE OF CONTENTS REVISION HISTORY ............................................................................................................................................................................... 2 REPORT AUTHORIZATION ................................................................................................................................................................... 2 QAI FACILITIES ...................................................................................................................................................................................... 3 QAI EMC ACCREDITATION .................................................................................................................................................................. 3 1 EXECUTIVE SUMMARY ............................................................................................................................................... 7 1.1 PURPOSE ........................................................................................................................................................................................ 7 1.2 SCOPE ............................................................................................................................................................................................ 7 1.3 SUMMARY OF RESULTS .................................................................................................................................................................. 8 2 GENERAL INFORMATION ............................................................................................................................................ 9 2.1 PRODUCT…
Text truncated - open the document above for the full version.
QAI Laboratories 3980 North Fraser Way Burnaby, BC, V5J 5K5 Canada Manufacturer: Versa Wireless Report Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Page 28 of 30 Appendix A: TEST SETUP PHOTOS Figure 11: Conducted Radio Measurements Setup Figure 12: Radiated Emissions From 0.15 MHz - 30 MHz Setup QAI Laboratories 3980 North Fraser Way Burnaby, BC, V5J 5K5 Canada Manufacturer: Versa Wireless Report Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Page 29 of 30 Figure 13: Radiated Emissions From 30 MHz to 1000 MHz Setup Figure 14: Radiated Emissions from 1 GHz to 6 GHz Setup QAI Laboratories 3980 North Fraser Way Burnaby, BC, V5J 5K5 Canada Manufacturer: Versa Wireless Report Number: E10676-2201_VersaWireless_Shock319_FCC_Rev1.0 Page 30 of 30 Appendix B: ABBREVIATIONS Abbreviation Definition AC Alternating Current AM Amplitude Modulation CE European Conformity CISPR Comité International Spécial des Perturbations Radioélectriques (International Special Committee on Radio Interference) DC Direct Current EFT Electrical Fast Transient EMC Electro Magnetic Compatibility EMI Electro Magnetic Interference ESD Electrostatic Discharge EUT Equipment Under Test FCC Federal Communications Commission FVIN Firmware Version Identification Number FVIN IC Industry Canada ICES Interference Causing Equipment Standard IEC International Electrotechnical Commission LISN Line Impedance Stabilizing Network OATS Open Area Test Site RF Radio Frequency RMS Root-Mean-Square SAC Semi-Anechoic Chamber END OF REPORT
| # | Rule Parts | Frequency Range | Power Output | Emission | Tolerance |
|---|---|---|---|---|---|
| 1 | 15.231 | 319.5 MHz - 319.5 MHz | 120.00 µW | 200KA1D | 50000.0000000000 Hz |

Z-Wave Dimmer Plug(800S)
Equipment Class
DTS - Digital Transmission System
Motion Sensor
Equipment Class
DSC - Part 15 Security/Remote Control Transmitter
Security Sensor
Equipment Class
DSC - Part 15 Security/Remote Control Transmitter
Intrusion Detector Sensor
Equipment Class
DSC - Part 15 Security/Remote Control Transmitter
Intrusion Detector Sensor
Equipment Class
DSC - Part 15 Security/Remote Control Transmitter