2ADIW-NR-SN100Recliner Luna

RECLINER LUNA Thank you for purchasing the NOUHAUS Recliner LUNA. Please read this manual carefully before using. Retain this manual for your reference. This user manual contains the product warranty information. This product is intended for a home-use only. It is not intended for commercial or industrial purposes. Do not use as such. The design and/or specifications of this product are subject to change without notice. RECLINER LUNA 01 02 03 04 05 06 07 08 09 10 1 1 12 Safety Precautions Components and Descriptions Assembly Instructions Instructions for Use Cleaning and Storage Troubleshooting FAQ Customer Service Exchange and Return Information Specification Product Warranty FCC Warning Safety Precautions Check the rated volt age of the product and use a grounded outlet. There is a risk of fire due to overheating of the outlet. When using a power strip , use a g rounding-type outle t. Usi ng a non grounding-type outlet may cause ele ctric shock or injury. When there is a power outage, immedia tely turn off the power swit ch and unplug the power plug from the outlet. Can cause elec tric shock or fire. While operating the product, avoid pinching the power cord or Remote control li ne between the center connection support or the round base A short circuit may occur if the sheath is damaged, so care should be taken during operation. When using the product Due to the risk of safety accid ents, refrain from using recliner chairs for those who fall under one of the fo llo wing conditions: The follo wing perso ns should not use this pr oduct: · Those who have been deemed by a medical professio nal as unable to use the product, e.g those having thrombosis, embolism, severe varicose veins , and/or acute varic ose veins · People with suspected acute cervic al sprain (whiplash) · People with symptoms of a sprain or sudden muscle contr actio n · Pregnant women in earl y pregnancy or immediately after childbirth · Those who have an abnormality in thei r spine due to an accident or disease in the past, or those with bent spi ne (scoliosi s) · Those who have an acute disease of the int estines or severe heart disorder · Those who use an implantable electronic medic al device suc h as implantable pacemakers · Those who have a s evere seizure symptom or psychogenic di sorder (perceptual disorder) The following safety precautions are intended to prevent unexpected danger or damage by ensuring safe and accurate use of the product. When Installing Remodeling, disassembly, or repairs should not be performed by anyone other than service pers onnel. Can cause fire or electric shock. Use the product on a flat surf ace. Can cause product failu re or an accident. Regarding Power If the product does not work or ceases to function, immediately disconnect the power plug from the outlet and contact the cus tomer cent er for inspection and repair. There is a risk of fir e or electrocution due to el ectric shock or short cir cuit. If the cover of the product is torn or peeled off, it may cause a serious accident as clothes or hai r can be caught inside. Ensure tha t ther e are no issues with the appearance of the product. It may cause electric shock or injury . Ins truct children not to touch the power pl ug. There is a risk of electric shock or inj ury. Do not bend the power cord too hard and do not pl ace heavy objects on it. There is a risk of fir e and electri c shock. When using power stri p, do not connect multiple devic es at the same time. There is a risk of fir e due to overheating of the outlet. When unplugging the plug, pull it out of the outlet by grasping the plug. If the power cord is damaged, there is a r isk of f ire and electric shock . Do not touch the power pl ug with wet hands, and when you clean or repair the product, disc onnect the power pl ug from the outlet. There is a risk of electric shock. · · · · · ··········· · · · · · · · If you experience any of the following side effects while using the product, stop using it: · Abrasions, strains, bruises, stinging/burning, or cuts caused by the product · Damage to muscles, tendons, nerves, spine, etc. due to excessive use and pressure from the product · Skin diseases and burns such as fractures, dislocations, sprains, etc. · Respiratory and digestive disorders including asphyxiation, etc. When massaging your hips and thighs, first remove any objects in your trouser pockets. · There is a risk of an accident or injury. Use the product after checking that the power and remote control wires are in their proper place. · It may cause an accident or injury or product failure. Do not disconnect the power plug from the wall outlet or turn the power switch to [OFF] during the massage operation. · There is a risk of injury. Do not use near open flames such as stoves or while smoking. Also, do not use it in combination with a heating apparatus such as an electric pad. · It may cause fire. Do not use after drinking alcohol. · There is a risk of an accident or injury. Two or more people should never sit on or use the product at the same time. · It may cause failure or injury. Please do not use it on your bare skin. · Direct massage on bare skin may cause skin damage. Be careful not to get your legs caught in the remote control cable. · There is a risk of an injury. When cleaning or servicing the product, disconnect the power plug · Those whose temperature sensation is lost due to severe peripheral circulation disorders such as diabetes, etc. · Those who have a risk of osteomyelitis or rickets *Rickets: Symptoms of shrinking muscles throughout the body and an inability to stretch arms and legs · Those who are unable to move their body freely · Those with or undergoing treatment for symptoms of disc disorders · Those receiving treatment at a medical institution for any disorder in their body The following persons must consult a doctor before use: · Those who have a risk of side effects due to the use of the product, e.g. pregnant women · Those whose body temperature…

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Henglin Home Furnishings Co., Ltd 2.911 (d)(7)USA Agent v1.4 Section 2.911(d)(7) USA Agent for Service of Process Company name: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Product Name: Recliner Luna FCC ID: 2ADIW-NR-SN100 Model(s): NR-SN100, HL-520 2.911(d)(7) USA Designated Agent for Service of Process We, [Henglin Home Furnishings Co., Ltd.] (“the applicant”) designate [NOUHAUS, Inc] NOTE1 for the purpose of accepting service of process on behalf of the applicant. Applicant consent: We acknowledge our consent to accept service of process in the United States for matters related to the applicable equipment, and at the physical U.S. address and email address of the designated agent and acknowledge our acceptance of our obligation to maintain an agent for service of process in the United States for no less than one year after either we the grantee have permanently terminated all marketing and importation of the applicable equipment within the U.S., or at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. Agent obligation: We acknowledge our obligation to accept service of process in the United States for matters related to the applicable equipment at our physical U.S. address and email address 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 at the conclusion of any Commission-related administrative or judicial proceeding involving the equipment, whichever is later. USA Agent Company name: NOUHAUS, Inc. USA Address: 2982 W Pico Blvd. Los Angeles, CA90006 FRN Number :0033697152 Contact Name: Sam Lee Telephone No:+1310-951-0436 Email: [email protected] Applicant Company name: Henglin Home Furnishings Co.,Ltd Address:No.378、380 ,Jiaxi Road,Dipu Street， Anji County,Huzhou,Zhejiang,China FCC Grantee Code:2ADIW Contact Name:Deng Xuedong Telephone No:0572-5228752 Email:[email protected] Henglin Home Furnishings Co., Ltd 2.911 (d)(7)USA Agent v1.4 Signature: Title: Head of Business Development Signature: Title: Manager Date: 2023.04.14 Date: 2023.4.11 NOTE 1: An applicant located in the United States may designate itself as the agent for service of process. Reference; Federal Register document 2022-28263 published on 02/06/23 https://www.federalregister.gov/documents/2023/02/06/2022-28263/protecting-against-nation al-security-threats-to-the-communications-supply-chain-through-the

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: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Phone: +86-572-5228752 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:2023-05-25 Name / Title: XueDong Deng / Certification engineer Company: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Phone: +86-572-5228752 Fax: +86-572-5227380-8620 E-Mail: [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 2ADIW-NR-SN100 NR-SN100, NR-SN100 We, applicant Company Name: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Phone: +86-572-5228752 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:2023-05-25 Name / Title: XueDong Deng / Certification engineer Company: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Phone: +86-572-5228752 Fax: +86-572-5227380-8620 E-Mail: [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 2ADIW-NR-SN100 NR-SN100, NR-SN100 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:2023-05-25 Name / Title: XueDong Deng / Certification engineer Company: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Phone: +86-572-5228752 Fax: +86-572-5227380-8620 E-Mail: [email protected]

Henglin Home Furnishings Co., Ltd. No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Date: May 25, 2023 FCC ID: 2ADIW-NR-SN100 Model Number: NR-SN100, HL-520 To: Federal Communication Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21048 To Whom It May Concern, We, Henglin Home Furnishings Co., Ltd. hereby declare that our product (Massage chair) Model Number: NR-SN100, HL-520 board, Schematic, Hardware version, Software version, structure and internal photos are same, named differently due to marketing purposes. Should you have any questions or comments regarding this matter, please have my best attention. Sincerely, (Signed) Name/Title: XueDong Deng / Certification engineer Company: Henglin Home Furnishings Co., Ltd. Address: No.378,380, Jiaxi Road, Dipu Street, Anji County, Huzhou, Zhejiang, China Tel: +86- 572-5228752 Fax: +86-572-5227380-8620 E-Mail: [email protected]

Page 1 of 5 FCC ID: 2ADIW-NR-SN100 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 5 FCC ID: 2ADIW-NR-SN100 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: 2ADIW-NR-SN100 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 4 of 5 FCC ID: 2ADIW-NR-SN100 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: 2ADIW-NR-SN100 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 2 FCC ID: 2ADIW-NR-SN100 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: L 7.0cm x 6.0cm) Page 2 of 2 FCC ID: 2ADIW-NR-SN100 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 (Size: L 7.0cm x 8.5cm)

Page 1 of 12 FCC ID: 2ADIW-NR-SN100 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 12 FCC ID: 2ADIW-NR-SN100 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 12 FCC ID: 2ADIW-NR-SN100 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 4 of 12 FCC ID: 2ADIW-NR-SN100 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 12 FCC ID: 2ADIW-NR-SN100 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 6 of 12 FCC ID: 2ADIW-NR-SN100 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. 11 Fig. 12 Page 7 of 12 FCC ID: 2ADIW-NR-SN100 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. 13 Fig. 14 Page 8 of 12 FCC ID: 2ADIW-NR-SN100 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. 15 Fig. 16 Antenna Page 9 of 12 FCC ID: 2ADIW-NR-SN100 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. 17 Fig. 18 Page 10 of 12 FCC ID: 2ADIW-NR-SN100 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. 19 Fig. 20 Page 11 of 12 FCC ID: 2ADIW-NR-SN100 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. 21 Fig. 22 Page 12 of 12 FCC ID: 2ADIW-NR-SN100 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. 23 Fig. 24

Page 1 of 4 FCC ID: 2ADIW-NR-SN100 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 : 2ADIW-NR-SN100 Product name : Recliner Luna Test Model : NR-SN100 Additional Model No. : HL-520 Model Declaration : PCB board, structure and internal of these model(s) are the same, So no additional models were tested Power Supply : Input: AC 110-120V, 50/60Hz, Max 110W Hardware Version : V0.1 Software Version : V0.0.15 Frequency Range : 2402MHz ~ 2480MHz Channel Number : 79 channels for Bluetooth V5.1(DSS) 40 channels for Bluetooth V5.1(DTS) Channel Spacing : 1MHz for Bluetooth V5.1(DSS) 2MHz for Bluetooth V5.1(DTS) Modulation Type : GFSK, π/4-DQPSK, 8-DPSK for Bluetooth V5.1(DSS) GFSK for Bluetooth V5.1(DTS) Bluetooth Version : V5.1 Antenna Description : Internal Antenna, 1.95dBi(Max.) 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 Page 2 of 4 FCC ID: 2ADIW-NR-SN100 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 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 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 Page 3 of 4 FCC ID: 2ADIW-NR-SN100 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 4. Conducted Power Results <BT> Mode Channel Frequency (MHz) Peak Conducted Output Power (dBm) GFSK 0 2402 0.42 39 2441 0.58 78 2480 0.54…

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2021.11.22 RA-N2103-31 APPROVAL SHEET MODEL : BCM-SQ400-AS Antenna layout Review Consent Approval PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 2 / 10 Table of contents 1. Revision History 2. Product Information 2.1 General Features 2.2 Electrical Specifications 3. Pattern Specifications 4. Mat ching Network 5. Electrical Characteristics 5.1 VSWR 5.2 Smith Chart 5.3 3D-PLOT 5.4 2D-GAIN 6. Passive Measurement 7. Measurement Process 1. Revision History PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 3 / 10 NO. Before After Reason Date 1 2 3 4 5 6 7 8 9 10 11 12 13 PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 4 / 10 2. Product Information 2.1 General Features PART NUMBER GradiANT ANTENNA TYPE PCB Pattern Antenna APPLICATIONS Bluetooth 2.2 Electrical Specifications Frequency Range1 (TX) 2400MHz~2485MHz Frequency Range1 (RX) 2400MHz~2485MHz IMPEDANCE 50  V.S.W.R TX 2400MHz 2485MHz 3↓ 3↓ RX 2400MHz 2485MHz 3↓ 3↓ RADIATION PATTERN Omni-directional POLARIZATION Linear PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 5 / 10 3. Pattern Specifications 4. Matching Network Capacitor value can be changed depending on different situation PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 6 / 10 5.Electrical Characterristics 5.1 VSWR 5.2 SMITH CHART PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 7 / 10 5.3 3D-PLOTs 5.4 2D-GAIN PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 8 / 10 6.Passive measurement 1 2 3 4 5 6 7 8 9 10 Frequency(MHz) 2400 2405 2410 2415 2420 2425 2430 2435 2440 2445 Efficiency(dB) -2.20-2.10-1.90-1.61-1.79-1.62-1.43-1.34-1.39-1.29 Efficiency(%) 60.25 61.72 64.51 69.04 66.23 68.91 72.00 73.39 72.60 74.36 TRG(dB) -2.20-2.10-1.90-1.61-1.79-1.62-1.43-1.34-1.39-1.29 TRG Theta (dB) -3.77-3.62-3.48-3.16-3.30-3.20-2.99-2.83-2.92-2.88 TRG Phi (dB) -7.37-7.39-7.07-6.83-7.11-6.77-6.62-6.73-6.66-6.41 UHRG(dB) -5.39-5.34-5.09-4.79-5.08-4.84-4.64-4.65-4.70-4.50 UHRG/TRG(%) 47.96 47.37 47.98 48.03 46.83 47.59 47.70 46.68 46.64 47.68 H-Plane -2.17-1.92-1.91-1.67-1.72-1.69-1.50-1.39-1.51-1.56 E1-Plane, AVG(dB) -5.42-5.20-5.15-4.78-4.94-4.88-4.74-4.47-4.51-4.58 E2-Plane, AVG(dB) -3.76-3.44-3.31-3.02-3.05-2.90-2.98-2.73-2.82-2.75 Peak Gain(dB) 1.20 1.31 1.21 1.82 1.68 1.42 1.91 1.75 1.70 1.95 Directivity(dB) 3.40 3.40 3.12 3.43 3.47 3.04 3.34 3.09 3.09 3.23 Minimum Gain(dB) -12.78-11.30-12.41-10.95-12.14-12.05-11.77-10.91-11.15-11.34 11 12 13 14 15 16 17 18 19 20 Frequency(MHz) 2450 2455 2460 2465 2470 2475 2480 2485 2490 2497 Efficiency(dB) -1.38-1.41-1.37-1.52-1.66-1.57-1.85-2.25-2.18-2.20 Efficiency(%) 72.83 72.28 72.91 70.54 68.21 69.70 65.30 59.56 60.49 60.21 TRG(dB) -1.38-1.41-1.37-1.52-1.66-1.57-1.85-2.25-2.18-2.20 TRG Theta (dB) -2.91-2.92-2.96-3.11-3.21-3.15-3.45-3.86-3.78-3.90 TRG Phi (dB) -6.63-6.74-6.50-6.65-6.89-6.73-6.96-7.35-7.29-7.10 UHRG(dB) -4.64-4.72-4.63-4.77-4.96-4.83-5.12-5.53-5.51-5.50 UHRG/TRG(%) 47.14 46.63 47.25 47.23 46.83 47.17 47.06 47.01 46.50 46.86 H-Plane -1.45-1.61-1.70-1.82-2.00-1.81-2.36-2.74-2.78-2.98 E1-Plane, AVG(dB) -4.56-4.57-4.74-4.88-4.97-4.77-5.09-5.76-5.41-5.50 E2-Plane, AVG(dB) -2.86-2.79-2.82-3.00-3.15-3.03-3.32-3.67-3.60-3.73 Peak Gain(dB) 1.74 1.56 1.82 1.48 1.36 1.53 0.91 0.79 0.72 0.32 Directivity(dB) 3.12 2.96 3.19 2.99 3.02 3.09 2.76 3.04 2.90 2.52 Minimum Gain(dB) -11.30-11.01-10.88-11.66-12.22-11.70-12.86-13.31-14.58-12.50 Average Efficiency -1.69dBi,67.75% Peak Gain 1.95dBi, PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 9 / 10 7. Measurement Process 7.1 SWR / Return loss Set Condition Network Analyzer Agilent 8753ES Cable Semi-ridid (40mm, 60mm) Test condition 7.2 Gain Antenna gain is measured in the anechoic chamber of this company. Anechoic Chamber for Antenna Gain Measurement PRODUCT APPROVAL SHEET GRBB21N22BT91 MODEL NAME BCM-SQ400-AS REV. 1.0 Page 10 / 10 7.3 Gain test block diagram Active test Sysetm -TRP, NHPRP,UHRP -TIS, NHPIS, UHIS -Relative Sensitivity Passiver test Sysetm -Efficiency -Peak Gain, Avg, Gain -Min, Max PWR

Page 1 of 23 FCC ID: 2ADIW-NR-SN100 Report No.: LCSA033023061EB 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 B RF Test Data for BT LE (Conduc…

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