2AFBP-SR15GZIO SR ECG GATEWAY

PATIENT INSTRUCTIONS FOR SUPPORT, CALL 1- 888-693-2401 FOR SUPPORT, CALL 1- 888-693-2401 To be completed by patient TURN OVER FOR BUTTON PRESS LOG BUTTON PRESS LOG TURN OVER FOR PATIENT INSTRUCTIONS Date removed / / Name Serial # Enter your symptoms as shown on the sample page, or enter them using myZIO™ and enjoy these additional features: • Review and edit your symptom history • View Gateway transmissions • Access and edit your patient profile • Find patient instructions See page 5 to get started with myZIO K100A4030.D | September 2015 iRhythm Technologies, Inc. Clinical Centers 650 Townsend St., Suite 380 San Francisco, CA 94103 U.S.A. 2 Marriott Drive Lincolnshire, IL 60069 U.S.A. 363 N. Sam Houston Parkway East Suite 125 Houston, TX 77060 U.S.A. 1-888-693-2401 | irhythmtech.com | @iRhythmTech FOR SUPPORT, CALL 1-888-693-2401 If the Patch falls o, call 1-888-693-2401. If you feel severe itching or irritation, remove the Patch then call 1-888-693-2401. If you feel the need for immediate medical care at any time, call 911. The ZIO® SR device will not provide any medical assistance and cannot contact medical personnel for you. For use in the United States only. 1 Both parts of the ZIO ® monitor were turned on at your physician’s office, and are now recording your heart activity. The ZIO ® SR Patch records every heartbeat; each time you press the Patch button, the ZIO ® SR Gateway sends that information for analysis. Turn the page for advice on having the best possible patient experience. ZIO ® PATC H ZIO ® GATEWAY 1 2 USING YOUR ZIO ® SR With the ZIO monitor, you can sleep, shower and go through your normal daily activites. The Patch needs 24 hours to stick to your skin, so avoid any activities which cause sweating during this period. (If your skin is moist, pat it dry with a dry towel or cloth.) After those first 24 hours, you may resume normal activities, including moderate exercise. The Patch and Gateway will not flash or make noise when they are working correctly, but you can check your transmissions using myZIO. Turn to the next page or see the inside back cover for information about myZIO. 2 3 Troubleshooting Traveling Patch Removal FAQs Using ZIO SR 1 Each time you feel a symptom, press the button on your Patch. Then note the date, time, and what you felt in this booklet or using myZIO. 2 Try to keep the Gateway close by when you can – set it down nearby, and when you are on the move, carry it with you. The Gateway is in range if it remains within 10 feet of the Patch. 3 If the Patch or Gateway lights are flashing, it does not mean there is a problem with your heart, only that the device may have lost its connection. Turn to the Troubleshooting section or call 1-888-693-2401 for support. Three key things to keep in mind are: Using ZIO SR 4 Other tips to having the best ZIO experience possible: If the Patch feels a little itchy, or peels or lifts at the edges, it is okay. Press and hold the Patch to re-stick. Excessive sweating can cause the Patch to slide, become loose, fall off, and shorten wear time – especially if the sweating occurs in the first 24 hours after the Patch is put on. The Patch is water-resistant and should not be submerged. That means brief showering is okay, but no swimming or hot tubs. The Gateway is NOT waterproof. Please do not get it wet. It is okay if the Gateway is temporarily out of range, but do not leave it within 6 feet of transmitting devices (such as wireless routers, baby monitors and TV senders/transmitters). Sending heart rhythm data through the Gateway can take some time. Recent transmissions may not be available at myZIO for several hours. 5 Troubleshooting Traveling Patch Removal FAQs Using ZIO SR Use myZIO to enter and edit your symptoms electronically, and view transmissions from your Gateway.* iPhone ® users 1. Search for ‘myZIO’ in the App Store SM 2. Download app 3. Register before entering symptoms Internet Explorer ® users 1. Open internet browser 2. Navigate to myZIO.org 3. Register before entering symptoms * Recent transmissions may not be available at myZIO for several hours. Supported on iPhone 5s, 6 and 6s (iOS 7 and 8). Internet Explorer browser supported on versions IE 8, 9, and 11. iPhone, App Store and the Apple logo are registered trademarks of Apple Inc. Using ZIO SR 6 TROUBLESHOOTING: GATEWAY Slow flashing (once every 3 seconds): Indicates that the Gateway has lost the connection to your Patch. To remedy it, hold the star button for 3 seconds until the orange light stays on. Then, if you see green flashing, the gateway has found connection to the Patch. If orange flashing continues, call Customer Support at 1-888-693-2401. If the light on the outside of your Gateway is flashing, check inside. 7 Troubleshooting Traveling Patch Removal FAQs Using ZIO SR Slowflashing (once every 3 seconds): Indicates that the Gateway does not have a cell signal. To remedy it, move the Gateway to a place with a good cell signal (near a window or outside) and hold the star button for 3 seconds until the orange light stays on. Then, if you see green flashing, the Gateway has found a cell signal. Do not move the Gateway until the green flashing stops. If it does not flash green, move the Gateway to a new place and try again. If orange flashing continues, call Customer Support at 1-888-693-2401. Fast or flashing (3 times per second): Fast flashing indicates that your Gateway is not working. Call Customer Support at 1-888-693-2401. Troubleshooting 8 TROUBLESHOOTING: PATC H Slow flashing (once every 3 seconds): Indicates that your Patch is not making good contact. To remedy it, press evenly on the wings of the Patch for 3 to 5 minutes. If orange flashing continues, call Customer Support at 1-888-693-2401. Fast flashing (3 times per second): Indicates that your Patch is not recording. Call Customer Support at 1-888-693-2401. 9 Troubleshooting Traveling Patch Removal FAQs Using ZIO SR About the ZIO ® SR recording system What is the Patch doing? The Pat…

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IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 5 EXTERNAL PHOTOS CONFIDENTIAL 6.1 iRhythm ZIO SR Gateway External Photos IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 5 EXTERNAL PHOTOS CONFIDENTIAL IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 5 EXTERNAL PHOTOS CONFIDENTIAL

ZIO SR GatewayG123456789 Customer Support: 1-888-693-2401 KEEP THIS DEVICE NEARBY TO SEND HEART RHYTHM DATA Model: K102A5001 FCC ID: 2AFBP-SR15G K102A3006.02 This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) This device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. iRhythm Technologies, Inc. 650 Townsend Street, Suite 380 San Francisco, CA 94103 U.S.A. Tel. +1.888.693.2401 (USA Only) Tel. +1.224.543.4200 (International) Fax. +1.888.693.2402 (USA Only) Lithium-ion Battery FILE: K102A3006.1 3.3725”w x 2“h 0.125 Corner Radius Barcode dimensions: 1” width x 0.25” height; needs at least 3/16” of whitespace to its left and right in order for it to be scannable.

IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL 6.1 iRhythm ZIO SR Gateway Internal Photos IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL 6.2 LSR TiWi-UB1 Photos IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL 6.3 Telit CE910 Photos IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL IRHYTHM TECHNOLOGIES, INC. ZIO® SR GATEWAY FCC ID: 2AFBP-SR15G SECTION 6 INTERNAL PHOTOS CONFIDENTIAL

FCC Recognized IC recognized # 3462B CETECOM Inc. 411 Dixon Landing Road  Milpitas, CA 95035  U.S.A. Phone: + 1 (408) 586 6200  Fax: + 1 (408) 586 6299  E-mail: [email protected]  http://www.cetecom.com CETECOM Inc. is a Delaware Corporation with Corporation number: 2905571 V3.0 2010-10-30 . © Copyright by CETECOM FCC Test Report FOR: iRhythm Technologies Model Name/ Model No: ZIO SR / K102A5001 Product Description: ZIO SR ECG Gateway. FCC ID: 2AFBP-SR15G 47 CFR Part 15.247 (DTS) TEST REPORT #: EMC_IRHYT-003-15001_15.247_BTLE-Rev1 DATE: 2015-Oct-09 Test Report #: EMC_IRHYT-003-15001_15.247_BTLE-Rev1 FCC ID: 2AFBP-SR15G Date of Report : 2015-10-09 Page 2 of 28 - TABLE OF CONTENTS 1 Assessment ......................................................................................................................................... 3 2 Administrative Data .......................................................................................................................... 4 2.1 Identification of the Testing Laboratory Issuing the Test Report............................................................. 4 2.2 Identification of the Client ........................................................................................................................ 4 2.3 Identification of the Manufacturer ............................................................................................................ 4 3 Equipment under Test (EUT) .......................................................................................................... 5 3.1 Specification of the Equipment under Test .............................................................................................. 5 3.2 Identification of the Equipment under Test (EUT)................................................................................... 6 3.3 Identification of Accessory equipment ..................................................................................................... 6 3.4 Identification of Ancillary equipment: .................................................................................................... 6 3.5 Test mode of operation: ............................................................................................................................ 6 4 Subject Of Investigation ................................................................................................................... 7 4.1 Summary of Measurement Results ........................................................................................................... 8 5 Measurement Uncertainty ................................................................................................................ 9 5.1 Environmental conditions during Test: .................................................................................................... 9 5.2 Dates of Testing: ....................................................................................................................................... 9 6 Measurements .................................................................................................................................. 10 6.1 Radiated Measurement ........................................................................................................................... 10 6.1.1 Sample Calculations for Field Strength Measurements ..................................................................... 13 6.2 Power Line Conducted Measurement Procedure.................................................................................... 13 7 Radiated Transmitter Spurious Emissions - Restricted Bands .................................................. 14 7.1 Limits: ..................................................................................................................................................... 14 7.2 Test Conditions: ...................................................................................................................................... 15 7.3 Measurement procedure:......................................................................................................................... 15 7.4 Verdict: ................................................................................................................................................... 15 7.5 Measurement Plots:................................................................................................................................. 16 8 Test Equipment and Ancillaries used for tests ............................................................................. 27 9 Revision History .............................................................................................................................. 28 Test Report #: EMC_IRHYT-003-15001_15.247_BTLE-Rev1 FCC ID: 2AFBP-SR15G Date of Report : 2015-10-09 Page 3 of 28 - 1 Assessment The following device was evaluated against the applicable criteria specified in FCC rules Parts 15.247 of Title 47 of the Code of Federal Regulations and no deviations were ascertained during the course of the tests performed. Company Description Model # iRhythm Technologies ZIO SR ECG Gateway. K102A5001 Responsible for Testing Laboratory: 2015-10-09 Compliance Franz Engert Manager Compliance Services Date Section Name Signature Responsible for the Report: 2015-10-09 Compliance James Donnellan (Sr. EMC Engineer) Date Section Name Signature The test results of this test report relate exclusively to the test item specified in Section3. CETECOM Inc. USA does not assume responsibility for any conclusions and generalizations drawn from the test results with regard to other specimens or samples of the type of the equipment represented by the test item. The test report may only be reproduced or published in full. Reproduction or publication of extracts from the report requires the prior written approval of CETECOM Inc. USA. Test Report #: EMC_IRHYT-003-15001_15.247_BTLE-Rev1 FC…

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W66 N220 Commerce Court ● Cedarburg, WI 53012 USA ● Phone: 262.375.4400 ● Fax: 262.375.4248 ● www.lsr.com Prepared For: LS Research, LLC. Name: TiWi-uB1 Report: TR 313136 FCCICTX A Model: TiWi-uB1 LSR: C-1724 Serial: Trace Antenna Unit (1CBA8C1B8B35); U.FL Unit (1CBA8C1B8C65) Page 1 of 37 i. Title Page ENGINEERING TEST REPORT # 313136 A LSR Job #: C-1724 Compliance Testing of: TiWi-uB1 Test Date(s): August 6,8,9,12,15 2013 Prepared For: LS Research, LLC. Attn: Josh Bablitch W66 N220 Commerce Court Cedarburg, WI 53012 This Test Report is issued under the Authority of: Adam Alger, EMC Engineer Signature: Date: 8-20-13 Test Report Reviewed by: Ryan M. Urness, Quality and Operations Manager Signature: Date: 8-19-13 Report by: Adam Alger, EMC Engineer Signature: Date: 8-19-13 This Test Report may not be reproduced, except in full, without written approval of LS Research, LLC. Prepared For: LS Research, LLC. Name: TiWi-uB1 Report: TR 313136 FCCICTX A Model: TiWi-uB1 LSR: C-1724 Serial: Trace Antenna Unit (1CBA8C1B8B35); U.FL Unit (1CBA8C1B8C65) Page 2 of 37 ii. Table of Contents Table of Contents i. Title Page ................................................................................................................................... 1 ii. Table of Contents ....................................................................................................................... 2 iii. LS Research, LLC ...................................................................................................................... 3 1.0 Summary of Test Report ............................................................................................................ 4 2.0 Test Facilities ............................................................................................................................. 4 3.0 Client Information ...................................................................................................................... 5 3.1 Equipment Under Test (EUT) Information ................................................................................ 5 3.2 Product Description ................................................................................................................... 5 3.3 Modifications Incorporated In the EUT for Compliance Purposes ........................................... 5 3.4 Deviations & Exclusions from Test Specifications ................................................................... 5 3.5 Additional Information .............................................................................................................. 5 4.0 Conditions of Test ...................................................................................................................... 6 5.0 Test Equipment .......................................................................................................................... 6 6.0 Conformance Summary ............................................................................................................. 6 Appendix A – Test Equipment ............................................................................................................. 7 Appendix B – Test Data ........................................................................................................................ 8 B.1 – RF Conducted Emissions ........................................................................................................ 8 B.2 – Radiated Emissions ............................................................................................................... 21 Appendix C - Uncertainty Summary .................................................................................................. 35 Appendix D - References .................................................................................................................... 36 Prepared For: LS Research, LLC. Report: TR 313136 FCCICTX A LSR: C-1724 iii. LS Research, LLC As an EMC Testing Laboratory, our Accreditation and Assessments are following: A2LA – American Association for Laboratory Accreditation Accreditation based on ISO/IEC 17025: 2005 A2LA Certificate Number: 1255.01 Federal Communications Commission Listing of 3 Meter Semi-Anechoic Chamber based on Title 47 CFR FCC Registration Number: 90756 Industry Canada On file, 3 Meter Semi- Anechoic Chamber based on RSS File Number: IC 3088-A On file, 3 and 10 Meter OATS based on RSS File Number: IC 3088 U. S. Conformity Assessment Body (CAB) Validation Validated by the European Commission as a U. S. Competent Body operating under the U. S./EU, Mutual Recognition Agreement (MRA) operating under the Electromagnetic Compatibility 10.2). Date of Validation: January 16, 2001 Validated by the European Commission as a U.S. Notified Body operating under the U.S. /EU, Mutual Recognition Agreement (MRA) operating under the European Union Telecommunication Equipment Date of Validation: November 20, 2002 Notified Body Identification Number: 1243 Name: TiWi-uB1 Model: TiWi-uB1 Serial: Trace Antenna Unit (1CBA8C1B8B35); U.FL Unit (1CBA8C1B8C65) Page 3 of 37 LS Research, LLC in Review As an EMC Testing Laboratory, our Accreditation and Assessments are recognized through the American Association for Laboratory Accreditation Accreditation based on ISO/IEC 17025: 2005 with Electrical (EMC) Scope of A2LA Certificate Number: 1255.01 Federal Communications Commission (FCC) – USA Anechoic Chamber based on Title 47 CFR – Part 2.948 FCC Registration Number: 90756 Anechoic Chamber based on RSS-212 – Issue 1 OATS based on RSS-212 – Issue 1 U. S. Conformity Assessment Body (CAB) Validation Validated by the European Commission as a U. S. Competent Body operating under the U. S./EU, Mutual Recognition Agreement (MRA) operating under the European Union Electromagnetic Compatibility –Council Directive 2004/108/EC (formerly 89/336/EEC, Article Date of Validation: January 16, 2001 Validated by the European Commission as a U.S. Notified …

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Project #: EMC_IRHYT-003-15001_15.247_BTLE_Pics FCC ID: 2AFBP-SR15G Date of Report : Oct 10, 2015 Page 1 of 5 Test Setup Photographs Model Number: K102A5001 Product Description: ZIO SR ECG Gateway Manufacturer: iRhythm Technologies FCC ID: 2AFBP-SR15G Test Site Information: CETECOM Inc. Milpitas, CA USA Project #: EMC_IRHYT-003-15001_15.247_BTLE_Pics FCC ID: 2AFBP-SR15G Date of Report : Oct 10, 2015 Page 2 of 5 Radiated Spurious Emissions Test Setup: 9KHz – 30 MHz Project #: EMC_IRHYT-003-15001_15.247_BTLE_Pics FCC ID: 2AFBP-SR15G Date of Report : Oct 10, 2015 Page 3 of 5 30M-1GHz measurement setup: Project #: EMC_IRHYT-003-15001_15.247_BTLE_Pics FCC ID: 2AFBP-SR15G Date of Report : Oct 10, 2015 Page 4 of 5 >1GHz measurement setup:  Project #: EMC_IRHYT-003-15001_15.247_BTLE_Pics FCC ID: 2AFBP-SR15G Date of Report : Oct 10, 2015 Page 5 of 5 >18 GHz measurement setup: