2AEMESSLSUltrasound Training Solutions Device

SonoSim® Ultrasound Training Solution User Guide www.sonosim.com Thank you for purchasing the SonoSim® Ultrasound Training Solution. We hope you enjoy your learning experience. Contents USING YOUR SYSTEM .....................................................................................................4 Getting started .....................................................................................................................4 SonoSim® Courses .............................................................................................................6 Using the SonoSimulator® ............................................................................................7 Using SonoSim LiveScan™ .........................................................................................13 TROUBLESHOOTING ....................................................................................................16 Frequently asked questions ......................................................................................16 Services and support ....................................................................................................17 4 USING YOUR SYSTEM Getting Started Plug your SonoSim® Probe into an active USB port on your computer. Double-click on the SonoSim® icon on desktop screen to launch the SonoSim® Ultrasound Training Solution. Choose either SonoSim® Courses for didactic instruction or SonoSimulator® for hands-on training from the SonoSim® Ultrasound Training Solution Main Menu. 1 Plug in your probe Launch software 2 Make a selection3 5 Main Navigation Menu Items SonoSim® CoursesSonoSim® Courses provide didactic information on a variety of ultrasound topics using text, video, audio narration, and animation, and include in-course questions and answers and end-of-course assessments. SonoSimulator®The SonoSimulator® enables hands-on training and allows you to scan through a variety of real-patient cases using the SonoSim® Sensor. SonoSim® Case LegendThe case legend summarizes pathologic findings for each ultrasound case included in the SonoSim® Case Library. KnobologyThe knobology section provides knobology tutorials for various ultrasound machines. Claim Certificate (CME)The claim certificate (CME) menu item allows you to print a certificate for completed SonoSim® modules and claim CME credit (if applicable). Product InformationThe product information section provides video descriptions of the SonoSim® Ultrasound Training Solution, a user guide, FAQ information, and technical support. 6 SonoSim® Courses Users can access didactic content presented in an interactive multimedia format using still ultrasound imagery, audio narration, computer graphic imagery, and animation. The time required to successfully complete and master each course will vary. An internet connection is required to access the SonoSim® Courses. To access online SonoSim® Courses, please follow these steps: Upon selecting SonoSim® Courses from the main menu, a Course Menu will appear. This Course Menu displays the courses you have purchased. Select a course and begin learning. Each course is divided into lessons. Complete each course at your own pace. You can exit the course anytime and return to it in the future. Following SonoSim® Course completion, you will be provided a Mastery Test. Answer each question. Upon test completion, your results will be immediately displayed. Select your course1 Complete your lessons 2 Take your test 3 7 You can review your performance by clicking on the REVIEW TEST button. If you would like to print your results you can choose PRINT from your browser window. Using the SonoSimulator® The SonoSimulator® allows you to scan through a variety of real- patient cases using the SonoSim® Probe in a virtual ultrasound imaging environment. The virtual probe on the desktop screen will precisely mirror the rotational movement of the physical probe you are holding in your hand. To begin using the SonoSimulator®, please follow these steps: Following selection of the SonoSimulator®, center yourself in front of the screen. Click on the CALIBRATE button. You will be prompted to hold the sensor perpendicular to the flat surface in front of your computer with the indicator facing your anatomic left. Click OK. Your sensor is now ready for use. Review performance4 Position yourself1 Calibrate the probe 2 8 To start your hands-on training, click on the CASE LIST button. This will allow you to select a real-patient case from the SonoSim® Case Library. Click on your selected patient and his or her ultrasound study will be uploaded into the virtual patient. Press the HISTORY button to learn pertinent information about the selected patient. Orient your hand or preferred scanning surface (live volunteer, mannequin, or scanning pad) along an axis that is parallel to the virtual body on the screen. Place the probe on your imaging surface and start scanning. You may change the position of the probe by any of the following ways: 1) Click on the dot bar as indicated in the image to the right. 2) Click on the highlights spots on the body model. 3) Click and drag the on-screen probe to a highlighted spot. Review case history4 Choose your first case 3 Start scanning5 Change probe position 6 9 Reposition the on-screen virtual body by clicking on the BODY POSITION button. Remove anatomic layers of the body to better understand how the probe beam traverses underlying anatomy to create resultant ultrasound imagery by clicking on the LAYERS button. Click on the LONG AXIS or SHORT AXIS expert window buttons to get immediate assistance orienting the probe along the long or short axis of the area of interest. Press the FINDINGS button to watch a narrated video review of relevant ultrasound findings from expert sonographers. Remove body layers 8 Get probe guidance9 Listen to experts 10 Change body position 7 10 SonoSimulator® Button Definitions Case ListSelecting the Case List allows you to view a list of available…

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1738 Berkeley Street, Suite A | Santa Monica, CA 90404 | Ph: 323-473-3800 | www.sonosim.com May 1, 2015 CETCB 114 Olinda Drive Brea, CA 92823 To Whom It May Concern: This is a letter of authorization to accept Compatible Electronics, Inc., specifically including the employees of Compatible Electronics, as an Agent for SonoSim, Inc, for a period of one year, to sign applications before the Commission on our behalf, to make representations to you on our behalf, and to receive and exchange data between our company and the Commission in connection with certification of the following SonoSim product: SonoSim LiveScan™ Under FCC Docket Number 20780 and General Docket Number 80-284 pursuant to Part l5 of FCC Rules and Regulations. Please also accept this letter as an attestation that neither SonoSim nor any of its officers, directors, or persons holding 5% or more of the outstanding stock or shares, voting or non- voting, have been denied federal benefits under section 5301 of the Anti-Drug-Abuse act of 1988,21 U.S.C. 853(a). In addition, SonoSim will notify the Federal Communications Commission if, at any time, the situation changes causing SonoSim to be denied federal benefits. If you have any further questions or need additional information, please feel free to give me a call at 323-473-3800. Sincerely, Koren Bertolli Chief Operating Officer

1738 Berkeley Street, Suite A | Santa Monica, CA 90404 | Ph: 323-473-3800 | www.sonosim.com May 1, 2015 Compatible Electronics TCB 114 Olinda Drive Brea, California 92823 Subject: TCB application submittal To Whom It May Concern:: We, SonoSim, Inc, would like to declare that the application being submitted for the device with FCC ID: 2AEMESSLS, has not been submitted to another TCB or FCC for certification. If you have any questions, please do not hesitate to contact us at 323-473-3800. Sincerely, Koren Bertolli Chief Operating Officer

1738 Berkeley Street, Suite A | Santa Monica, CA 90404 | Ph: 323-473-3800 | www.sonosim.com May 1, 2015 CETCB 114 Olinda Drive Brea, CA 92823 Subject: Modifications to the device To Whom It May Concern: This letter is to formally notify you that the following modification(s) had been completed by Compatible Electronics, Inc. to our SonoSim LiveScan™ during FCC certification, and will be implemented in production. Modification(s): Added ferrite to USB cable at the USB connector end Fair-Rite Ferrite Clamp on Cores MFG Part No: 0446164281 If you have any questions, please do not hesitate to contact us at 323-473-3800. Sincerely, Koren Bertolli Chief Operating Officer

1738 Berkeley Street, Suite A | Santa Monica, CA 90404 | Ph: 323-473-3800 | www.sonosim.com May 1, 2015 CETCB 114 Olinda Drive Brea, CA 92823 Subject: Request for withholding from public disclosure the schematics, block diagrams, and operational description pursuant to an application for certification To Whom It May Concern: We, SonoSim, would like to request that all schematics, block diagrams, and operational descriptions submitted with the application for certification be withheld from public disclosure as per Section 0.459 of FCC Rules. This request is made under the provisions of Section 0.457 (d) of the Commission’s Rules, and Section 552 (b)(4) of the Freedom of Information Act. These sections authorize the withholding from public inspection, those materials which would be privileged as a matter of law if retained by the person submitting them, and materials which would not customarily be released to the public by that person. If you have any questions, please do not hesitate to contact us at 323-473-3800. Sincerely, Koren Bertolli Chief Operating Officer

SAR Exclusion Justification This device FCC ID: is excluded from SAR testing by the following justification The maximum power that the transmitter is capable of is 200.00 mW According to Appendix C of KDB 447498, this level is well below the SAR threshold at separation distances ≤ 50 mm The maximum output power of the chip is 200 mW which is well below the limits of Appendix C of KDB 447498“source-based” time-averaging based on an inherent property or duty-cycle of a device is allowed. An example of this is the determination of exposure from a device that uses digital technology such as a time-division multiple-access (TDMA) scheme for transmission 2AEMESSLS SAREXJUST-B-0-43 REV A 01/21/2014

Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page 1 of 19 FCC PART 15, SUBPART B and C TEST REPORT for ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 Prepared for SONOSIM, INC. 1738 BERKELEY STREET SANTA MONICA, CALIFORNIA 90404 Prepared by:_____________________ KYLE FUJIMOTO Approved by:____________________ JAMES ROSS COMPATIBLE ELECTRONICS INC. 114 OLINDA DRIVE BREA, CALIFORNIA 92823 (714) 579-0500 DATE: MAY 4, 2015 REPORTAPPENDICESTOTAL BODYA B C D E PAGES 19 2 2 2 12 19 56 This report shall not be reproduced except in full, without the written approval of Compatible Electronics. Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page 2 of 19 TABLE OF CONTENTS Section / Title PAGE GENERAL REPORT SUMMARY 4 SUMMARY OF TEST RESULTS 5 1. PURPOSE 6 2. ADMINISTRATIVE DATA 7 2.1 Location of Testing 7 2.2 Traceability Statement 7 2.3 Cognizant Personnel 7 2.4 Date Test Sample was Received 7 2.5 Disposition of the Test Sample 7 2.6 Abbreviations and Acronyms 7 3. APPLICABLE DOCUMENTS 8 4. DESCRIPTION OF TEST CONFIGURATION 9 4.1 Description of Test Configuration - Emissions 9 4.1.1 Cable Construction and Termination 10 5. LISTS OF EUT, ACCESSORIES AND TEST EQUIPMENT 11 5.1 EUT and Accessory List 11 6. TEST SITE DESCRIPTION 14 6.1 Test Facility Description 14 6.2 EUT Mounting, Bonding and Grounding 14 7. TEST PROCEDURES 15 7.1 RF Emissions 15 7.1.1 Conducted Emissions Test 15 7.1.2 Radiated Emissions (Spurious and Harmonics) Test – Lab A 16 7.1.3 Radiated Emissions Test (Spurious and Harmonics) 16 7.1.4 Radiated Emissions (Spurious and Harmonics) Test – Lab D 17 7.1.5 RF Emissions Test Results 18 7.2 Frequency Tolerance of Carrier Signal 19 8. CONCLUSIONS 19 Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page 3 of 19 LIST OF APPENDICES APPENDIX TITLE A Laboratory Accreditations and Recognitions B Modifications to the EUT C Additional Models Covered Under This Report D Diagrams and Charts  Test Setup Diagrams  Antenna and Effective Gain Factors E Data Sheets LIST OF FIGURES FIGURE TITLE 1 Plot Map And Layout of Radiated Site 2 Layout of the Semi-Anechoic Test Chamber 3 Conducted Emissions Test Setup LIST OF TABLES TABLE TITLE 1.0 Radiated Emission Results 2.0 Conducted Emission Results Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page 4 of 19 GENERAL REPORT SUMMARY This electromagnetic emission test report is generated by Compatible Electronics Inc., which is an independent testing and consulting firm. The test report is based on testing performed by Compatible Electronics personnel according to the measurement procedures described in the test specifications given below and in the "Test Procedures" section of this report. The measurement data and conclusions appearing herein relate only to the sample tested and this report may not be reproduced without the written permission of Compatible Electronics, unless done so in full. This report must not be used to claim product certification, approval or endorsement by NVLAP, NIST or any agency of the federal government. Device Tested: Ultrasound Training Solutions Device Model: 504221 S/N: N/A Product Description: See Expository Statement. Modifications: The EUT was modified during the testing. Please see the list located in Appendix B of this test report. Customer: SonoSim, Inc. 1738 Berkeley Street Santa Monica California, 90401 Test Dates: February 16, 2015; and March 6, 2015 Test Specifications : Emissions requirements CFR Title 47, Part 15, Subpart B; and Subpart C, sections 15.205, 15.209, and 15.225 Test Procedure: ANSI C63.4 Test Deviations: The test procedure was not deviated from during the testing. Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page 5 of 19 SUMMARY OF TEST RESULTS TEST DESCRIPTION RESULTS 1 Spurious Radiated RF Emissions, 10 kHz – 1000 MHz (Transmitter and Digital portion) Complies with the Class B limits of CFR Title 47, Part 15 Subpart B; and the limits of CFR Title 47, Part 15, Subpart C, section 15.205, 15.209 and 15.225 2 Conducted RF Emissions, 150 kHz to 30 MHz Complies with the Class B limits of CFR Title 47, Part 15 Subpart B; and the limits of CFR Title 47, Part 15, Subpart C, section 15.207 Report Number: B50306V1 FCC Part 15 Sub…

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HOW THE EUT MEETS THE REQUIREMENTS OF 15.31 (e) FOR THE SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221, FCC ID: 2AEMESSLS The fundamental was maximized on the Lab A test site using a normal test setup with the AC Adapter of the laptop connected directly to the AC public mains (115 Vac). Next, the AC Adapter of the laptop was then connected to the Staco Energy Products Variable Auto Transformer Model: 3PN1010. The Variable Auto Transformer allows the Vac input to be varied. The AC Adapter of the laptop was then connected to the Staco Energy Products Variable Auto Transformer Model: 3PN1010. The AC input was then dropped to 85% (97.75 Vac) and raised to 115% (132.25 Vac). The actual AC input was measured using a calibrated Fluke Multimeter Model: 87, Serial Number: 58450372, Calibration Due Date: May 22, 2015. The fundamental was then verified again to see that the amplitude did not change. Test Result: The EUT does NOT change amplitude at the fundamental when the AC input voltage is varied between 85% and 115% of the input nominal rated supply voltage.

Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page D7 FRONT VIEW SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 FCC SUBPART B AND C – RADIATED EMISSIONS – BELOW 30 MHz PHOTOGRAPH SHOWING THE EUT CONFIGURATION FOR MAXIMUM EMISSIONS Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page D8 REAR VIEW SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 FCC SUBPART B AND C – RADIATED EMISSIONS – BELOW 30 MHz PHOTOGRAPH SHOWING THE EUT CONFIGURATION FOR MAXIMUM EMISSIONS Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page D9 FRONT VIEW SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 FCC SUBPART B AND C – RADIATED EMISSIONS – ABOVE 30 MHz PHOTOGRAPH SHOWING THE EUT CONFIGURATION FOR MAXIMUM EMISSIONS Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page D10 REAR VIEW SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 FCC SUBPART B AND C – RADIATED EMISSIONS – ABOVE 30 MHz PHOTOGRAPH SHOWING THE EUT CONFIGURATION FOR MAXIMUM EMISSIONS Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page D11 FRONT VIEW SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 FCC SUBPART B – CONDUCTED EMISSIONS PHOTOGRAPH SHOWING THE EUT CONFIGURATION FOR MAXIMUM EMISSIONS Report Number: B50306V1 FCC Part 15 Subpart B and FCC Section 15.225 Test Report Ultrasound Training Solutions Device Model: 504221 Brea Division 114 Olinda Drive Brea, CA 92823 (714) 579-0500 Agoura Division 2337 Troutdale Drive Agoura, CA 91301 (818) 597-0600 Silverado Division 19121 El Toro Road Silverado, CA 92676 (949) 589-0700 Lake Forest Division 20621 Pascal Way Lake Forest, CA 92630 (949) 587-0400 Page D12 REAR VIEW SONOSIM, INC. ULTRASOUND TRAINING SOLUTIONS DEVICE MODEL: 504221 FCC SUBPART B AND C – CONDUCTED EMISSIONS PHOTOGRAPH SHOWING THE EUT CONFIGURATION FOR MAXIMUM EMISSIONS