2AI5QOB0005Oximeter Box with Bluetooth

F Instructions For Use ____________________________________________________________ 7MN00080-01 Guardian Angel ® Rx Guardian Angel ® Rx Lite Oximeter Module 1 Disclaimer At the time of publication, this manual is believed to be accurate and up-to-date. In the interest of continued product development, Taiwan Aulisa Medical Devices Technologies, Inc. reserves the right to make changes and improvements to this manual and the products described within at any time, without notice or obligation. References to “Aulisa” in this manual shall imply Taiwan Aulisa Medical Devices Technologies, Inc. Aulisa is a registered trademark of Taiwan Aulisa Medical Devices Technologies, Inc. Taiwan Aulisa Medical Devices Technologies, Inc. No. 218-2, Chong Yang Rd., Nangang Dist. 11573 Taipei City, Taiwan Tel.: +886 809 083 100 Distributed by Aulisa Medical USA, Inc. 999 Commercial Street, Suite 208 Palo Alto, CA 94303, USA Tel.: 1.833.828.5472 www.aulisa.com © 2023 Taiwan Aulisa Medical Devices Technologies, Inc. CAUTION!!! Read this entire manual carefully before using Aulisa Oximeter Module of Aulisa Digital Vital Sign Monitoring System. 2 Table of Content Disclaimer ........................................................................................................................................ 1 Guide to Symbols ............................................................................................................................ 4 Welcome ......................................................................................................................................... 6 Precautions for Use ......................................................................................................................... 6 Contraindications ........................................................................................................................ 6 Warnings ..................................................................................................................................... 6 Cautions ...................................................................................................................................... 7 Device Overview ............................................................................................................................. 9 Device Components .................................................................................................................... 9 Device Description .................................................................................................................... 10 Device Intended Use ................................................................................................................. 11 Device Principle of Operation ................................................................................................... 11 Device Set Up ................................................................................................................................ 11 Device Pairing ................................................................................................................................ 14 Manual Pairing .......................................................................................................................... 14 Device Power Off and Removal ..................................................................................................... 14 Device Charging............................................................................................................................. 14 Alarms ........................................................................................................................................... 15 Care and Maintenance .................................................................................................................. 15 Cleaning and Disinfection ......................................................................................................... 15 Reuse Life .................................................................................................................................. 16 Troubleshooting ............................................................................................................................ 17 Device Performance ...................................................................................................................... 19 SpO 2 Accuracy ........................................................................................................................... 19 Pulse Rate Accuracy .................................................................................................................. 22 Equipment Response Time ....................................................................................................... 22 Manufacturer’s Declaration .......................................................................................................... 23 FCC Compliance ............................................................................................................................ 26 Service, Support, and Warranty .................................................................................................... 27 Privacy Policy ................................................................................................................................. 28 Our Policy .................................................................................................................................. 28 3 Changes ..................................................................................................................................... 29 Specifications ................................................................................................................................ 35 Parts and Accessories .................................................................................................................... 36 4 Guide to Sym…

Text truncated - open the document above for the full version.

Taiwan Aulisa Medical Devices Technologies Inc. 6F-2, No.3-1, YuanQu St., Nangang Dist., Taipei City 11503, Taiwan To: Federal Communications Commission Date: 2023/04/20 7435 Oakland Mills Road Columbia, MD 21046 USA Attestation Section 2.911(d)(5)(i) and Section 2.911(d)(5)(ii) (KDB 986446 D01 Covered Equipment) Section 2.911(d)(5)(i) Taiwan Aulisa Medical Devices Technologies Inc. (“the applicant”) certifies 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. Section 2.911(d)(5)(ii) Taiwan Aulisa Medical Devices Technologies Inc. (“the applicant”) certifies that, as of the date of the filing of the application, the applicant [is not] identified on the Covered List (as a specifically named entity or any of its subsidiaries or affiliates) as an entity producing “covered” equipment. Type of Equipment subject to FCC Certification: FCC ID: 2AI5QOB0005 If you have any questions, please feel free to contact me Contact Person: Augustine Lien Contact address: 6F-2, No.3-1, YuanQu St., Nangang Dist., Taipei City 11503, Taiwan Date of Signature: 2023/04/20 ________________________ Signatory (signature of the applicant) Contact Person: Augustine Lien Tel: +886-2-2655-7297 Fax: +886-2-2655-7260 Email: [email protected]

Label Location – backside of the device IP23 FCC ID: 2AI5QOB0005 GA-OB0005 Oximeter Box XXXXXX

C231190_EUT Internal Photos Page 1 of 8 Internal Photos Model Number: GA-OB0005 C231190_EUT Internal Photos Page 2 of 8 EUT Photo (1) EUT Photo (2) C231190_EUT Internal Photos Page 3 of 8 EUT Photo (3) EUT Photo (4) C231190_EUT Internal Photos Page 4 of 8 EUT Photo (5) EUT Photo (6) C231190_EUT Internal Photos Page 5 of 8 EUT Photo (7) EUT Photo (8) Bluetooth ANT. C231190_EUT Internal Photos Page 6 of 8 EUT Photo (9) EUT Photo (10) C231190_EUT Internal Photos Page 7 of 8 EUT Photo (11) EUT Photo (12) C231190_EUT Internal Photos Page 8 of 8 EUT Photo (13) EUT Photo (14)

Page 1 of 8 Report Number: USSC231190001 Version: 01 RF Exposure Exemption Applicant ： Taiwan Aulisa Medical Devices Technologies, Inc. Product Name ： Oximeter Box Trade Name ： AULISA Model Number ： GA-OB0005 Applicable Standard ： 47 CFR §2.1093 Received Date ： Jan. 17, 2023 Issue Date ： Apr. 20, 2023 Issued by Approved By ： Eurofins E&E Wireless Taiwan Co., Ltd. No. 140-1, Changan Street, Bade District, Taoyuan City 334025, Taiwan (R.O.C.) Tel：+886-3-2710188 / Fax：+886-3-2710190 Taiwan Accreditation Foundation accreditation number: 1330 Test Firm MRA designation number: TW0010 Note: 1.The test results are valid only for samples provided by customers and under the test conditions described in this report. 2.This report shall not be reproduced except in full, without the written approval of Eurofins E&E Wireless Taiwan Co., Ltd. 3.The relevant information is provided by customers in this test report. According to the correctness, appropriateness or completeness of the information provided by the customer, if there is any doubt or error in the information which affects the validity of the test results, the laboratory does not take the responsibility. Page 2 of 8 Report Number: USSC231190001 Version: 01 Revision History Version Issued Date Revisions Revised By 00 Apr. 14, 2023 Initial Issue Yiying Chiang 01 Apr. 20, 2023 Updata Chapter 5(P.8) Updata Chapter 6(P.8) Yiying Chiang Page 3 of 8 Report Number: USSC231190001 Version: 01 Contents 1. Reference Applicable Standard ................................................................................................. 4 2. Description of Equipment under Test (EUT) ............................................................................ 5 3. RF Exposure Limit ...................................................................................................................... 6 4. Exemption Evaluation ................................................................................................................ 7 5. Maximum Tune-up Power ........................................................................................................... 8 6. Test Result ................................................................................................................................... 8 7. Conclusion ................................................................................................................................... 8 Page 4 of 8 Report Number: USSC231190001 Version: 01 1. Reference Applicable Standard 1.1 Reference Applicable Standard Standard Description Version 47 CFR §2.1093 Radiofrequency radiation exposure evaluation: portable devices - IEEE C95.1 IEEE Standard for Safety Levels with Respect to Human Exposure to Electric, Magnetic, and Electromagnetic Fields, 0 Hz to 300 GHz 1992 KDB 447498 D04 RF exposure procedures and equipment authorization policies for mobile and portable devices v01 1.2 Testing Location Site Name: Site Name: Eurofins E&E Wireless Taiwan Co., Ltd. Site Address: ▓ No. 140-1, Changan Street, Bade District, Taoyuan City 334025, Taiwan (R.O.C.) Site Address: □ No. 2, Wuquan 5th Rd. Wugu Dist., New Taipei City, Taiwan (R.O.C.) Page 5 of 8 Report Number: USSC231190001 Version: 01 2. Description of Equipment under Test (EUT) Applicant Taiwan Aulisa Medical Devices Technologies, Inc. 6F-2, No. 3-1, YuanQu St., Nangang Dist., Taipei City 11503, Taiwan (R.O.C.) Manufacturer Taiwan Aulisa Medical Devices Technologies, Inc. No. 218-2, Chong Yang Rd., Nangang Dist. 11573 Taipei City, Taiwan Product Name Oximeter Box Trade Name AULISA Model Number GA-OB0005 FCC ID 2AI5QOB0005 Frequency Range Bluetooth LE: 2402-2480 MHz Supported Modulations Bluetooth LE: GFSK Product category Portable Note: The above information of DUT was declared by manufacturer. Please refer to the specifications or user's manual for more detailed description. Antenna Information Frequency Range (MHz) Model Number Type Max. Gain (dBi) 2402 - 2480 MHz ANT016008LCS2442MA2 CHIP Antenna 2.5 Page 6 of 8 Report Number: USSC231190001 Version: 01 3. RF Exposure Limit Table 1 Safety Limits for Controlled / Uncontrolled Environment Exposure SAR Exposure Limit General Population / Uncontrolled Exposure 1 (W/kg) Occupational / Controlled Exposure 2 (W/kg) Spatial Peak SAR 3 (head or Body) 1.60 8.00 Spatial Peak SAR 4 (Whole Body) 0.08 0.40 Spatial Peak SAR 5 (Hands / Feet / Ankle / Wrist ) 4.00 20.00 Notes： 1. General Population / Uncontrolled Environments are defined as locations where there is the exposure of individuals who have no knowledge or control of their exposure. 2. Occupational / Controlled Environments are defined as locations where there is exposure that may be incurred by persons who are aware of the potential for exposure, (i.e. as a result of employment or occupation). 3. The Spatial Peak value of the SAR averaged over any 1 gram of tissue (defined as a tissue volume in the shape of a cube) and over the appropriate averaging time. 4. The Spatial Average value of the SAR averaged over the whole body. 5. The Spatial Peak value of the SAR averaged over any 10 grams of tissue (defined as a tissue volume in the shape of a cube) and over the appropriate averaging time. Page 7 of 8 Report Number: USSC231190001 Version: 01 4. Exemption Evaluation Exemption evaluation was performed according to the appendix A and B in KDB447498 D04. The General Sequence for Determination of Procedure demonstrated in Figure A.1 of KDB447498 D04 was applied. Page 8 of 8 Report Number: USSC231190001 Version: 01 5. Maximum Conducted Power Technology / Mode Frequency (MHz) Maximum Conducted Power ( dBm ) Bluetooth LE 2402 – 2480 MHz 0.38 6. Test Result Band Frequency (MHz) Tune-up Power (dBm) Tune-up Power (mW) ANT Gain (dBi) ERP (mW) <§1.1307(b)(3)(i)(B) > Exemption P th (mW) <§1.1307(b)(3)(i)(B)> Exemption considerations Bluetooth LE 2402 - 2480 0.38 1.09 2.50 1.183 3.00 qualified Note: This device is qualified for exemption under § 1.1307(b)(3)(i)(B). 7. Con…

Text truncated - open the document above for the full version.

September 2016 Multilayer Antenna For 2400-2484MHz ANT016008LCS2442MA2 1.6x0.8mm [EIA 0603]* * Dimensions Code JIS[EIA] RF Components RF Components • All specifications are subject to change without notice. • Before using these products, be sure to request the delivery specifications. 20160926 / rf_ant_ant016008lcs2442ma2_summary Multilayer Antenna For 2400-2484MHz SHAPES AND DIMENSIONS RECOMMENDED LAND PATTERNSOLDER RESIST PATTERN ANT016008LCS2442MA2 Conformity to RoHS Directive 1.60±0.10 ( 0.1 ) ( 0.1 ) 0.40max. 0.80±0.10 0.63±0.10 0.215±0.100.25±0.10 0.20±0.10 Dimensions in mm [Top view] [Bottom view] 1 Radiator electrode 2 Dummy pad 3 Dummy pad 4 Feed point 5 Dummy pad 6 Dummy pad Terminal functions ( 1 ) ( 4 ) ( 5 )( 6 ) ( 2 )( 3 ) Dimensions in mm 0.6 0.9 1.6 0.21 0.73 0.8 Dimensions in mm 0.7 3 0.60 0.90 1.53 0.11 RoHS Directive Compliant Product: See the following for more details.https://product.tdk.com/info/en/environment/rohs/index.html RF Components • All specifications are subject to change without notice. • Bef ore using these products, be sure to request the delivery specifications. 20160926 / rf_ant_ant016008lcs2442ma2_summary ANT016008LCS2442MA2 EVALUATION BOARD Measurement condition for Radiation Pattern PCB size : 50mm x 10mm x 1mm Antenna area : 6 x 2.5 mm Ft-1 Mt 2.0nH(MLG060 3P2N0:TDK) 3.0nH(MLG0603P3N0:TDK) Component P/N Mt ANT016008LCS2442MA2 Ft-1 PCB Z Y X Er θ Eθ Eø ø Chip antenna RF Components • All specifications are subject to change without notice. • Bef ore using these products, be sure to request the delivery specifications. 20160926 / rf_ant_ant016008lcs2442ma2_summary ANT016008LCS2442MA2 ELECTRICAL CHARACTERISTICS This is typical antenna performance with the standard PCB. TEMPERATURE RANGE FREQUENCY CHARACTERISTICS EFFICIENCY AND VSWR • Tested antenna has been soldered. Evaluation board size is 50x10x1 mm. Item Frequency Range (MHz) Min.Typ.Max. VSWR2400 to 2484—1.603.0 PolarizationLinear PCB size (mm)5010 Antenna keep-out area (mm)62.5 Characteristic Impedance ()50 (Nominal) Operating temperatureStorage temperature °C°C –40 to +85–40 to +85 –10 –9 –8 –6 –7 –3 –4 –1 –5 –2 0 Efficiency ( dB ) 1 11 10 9 8 7 6 5 4 3 2 VSWR Frequency ( GHz ) 2.3002.4002.5002.600 Efficiency Spec ( VSWR ) VSWR RF Components • All specifications are subject to change without notice. • Before using these products, be sure to request the delivery specifications. 20160926 / rf_ant_ant016008lcs2442ma2_summary ANT016008LCS2442MA2 RADIATION PATTERNS • Tested antenna has been soldered. Evaluation board size is 50x10x1 mm. 270 ̊90 ̊ 0 ̊ X Y Z 270° 315° 135° 45° 225° 90° 0 –10 10 ( dBi ) –20 –30 –50 –40 0° 180° Horizontal polarization Frequency (MHz) Average ( dBi ) Maximum ( dBi ) Minimum ( dBi ) 2400 –16.1 –10.5 –26.9 2442 –16.0 –11.3 –26.5 2484 –16.4 –11.7 –31.9 2400MHz 2442MHz 2484MHz 270° 315° 135° 45° 225° 90° 0 –10 10 ( dBi ) –20 –30 –50 –40 0° 180° Vertical polarization Frequency (MHz) Average ( dBi ) Maximum ( dBi ) Minimum ( dBi ) 2400 –1.4 –0.5 –2.4 2442 –0.8 0.0 –2.1 2484 –1.6 –0.9 –3.0 2400MHz 2442MHz 2484MHz 270° 90° 0° Y X Z 270° 315° 135° 45° 225° 90° 0 –10 10 ( dBi ) –20 –30 –50 –40 0° 180° Horizontal polarization Frequency (MHz) Average ( dBi ) Maximum ( dBi ) Minimum ( dBi ) 2400 –4.3 1.6 –21.9 2442 –3.6 2.5 –24.0 2484 –4.2 2.0 –25.5 2400MHz 2442MHz 2484MHz 270° 315° 135° 45° 225° 90° 0 –10 10 ( dBi ) –20 –30 –50 –40 0° 180° Vertical polarization Frequency (MHz) Average ( dBi ) Maximum ( dBi ) Minimum ( dBi ) 2400 –17.5 –11.1 –30.4 2442 –16.8 –10.4 –36.3 2484 –17.0 –10.4 –53.3 2400MHz 2442MHz 2484MHz 270 ̊ 90 ̊ 0 ̊ Y Z X 270° 315° 135° 45° 225° 90° 0 –10 10 ( dBi ) –20 –30 –50 –40 0° 180° Horizontal polarization Frequency (MHz) Average ( dBi ) Maximum ( dBi ) Minimum ( dBi ) 2400 –3.9 –0.5 –29.4 2442 –3.3 0.2 –28.7 2484 –4.0 –0.3 –34.7 2400MHz 2442MHz 2484MHz 270° 315° 135° 45° 225° 90° 0 –10 10 ( dBi ) –20 –30 –50 –40 0° 180° Vertical polarization Frequency (MHz) Average ( dBi ) Maximum ( dBi ) Minimum ( dBi ) 2400 –18.7 –14.8 –26.3 2442 –18.6 –15.0 –25.3 2484 –19.8 –16.7 –29.1 2400MHz 2442MHz 2484MHz RF Components • All specifications are subject to change without notice. • Bef ore using these products, be sure to request the delivery specifications. RECOMMENDED REFLOW PROFILE  t3 : Time within 5°C of actual peak temperature The maximum number of reflow is 3. Preheating Soldering Critical zone (T3 to T4)Peak Temp.TimeTemp.TimeTemp.Time T1T2t1T3t2T4t3  150°C200°C60 to 120sec217°C60 to 120sec240 to 260°C30sec max. t3 t1 Preheating t2 Soldering T3T3 T4 T2 T1 t: Time T: Temperature Peak 6°C/sec or lower 3°C/sec or lower RF Components • All specifications are subject to change without notice. • Before using these products, be sure to request the delivery specifications. 20160926 / rf_ant_ant016008lcs2442ma2_summary ANT016008LCS2442MA2 PACKAGING STYLE REEL DIMENSIONS TAPE DIMENSIONS PACKAGE QUANTITY Dimensions in mm ABCDEFGHJKt 0.97±0.05 1.8±0.058.0±0.23.5±0.05 1.75±0.14.0±0.12.0±0.054.0±0.1 1.5+0.1/-0 0.55max. 0.25±0.05 Standard package quantity (pieces/reel) 4,000 2.0±0.5 ø21±0.8 Dimensions in mm 13.0±1.0 9.0 +1.0 –0.0 ø180 +0 –1.5 ø13±0.2 ø 60 +1.0–0.0 C D t K E H F G J B A Material of carrier the tape: PS RF Components • All specifications are subject to change without notice. • Bef ore using these products, be sure to request the delivery specifications. 20160926 / rf_ant_ant016008lcs2442ma2_summary REMINDERS FOR USING THESE PRODUCTS Before using these products, be sure to request the delivery specifications. SAFETY REMINDERS Please pay sufficient attention to the warnings for safe designing when using these products. The products listed on this catalog are intended for use in general electronic equipment (AV equipment, telecommunications equipment, home appliances, amusement equipment, computer equipment, personal equipment, office equipment, measurement equipment, industrial robots) under a normal operation and use condition. The products are not designed or …

Text truncated - open the document above for the full version.

Page 1 of 35 Report Number: USRC231190001 Version: 00 RF Test Report Applicant ： Taiwan Aulisa Medical Devices Technologies, Inc. Product Name ： Oximeter Box Trade Name ： AULISA Model Number ： GA-OB0005 Applicable Standard ： FCC 47 CFR PART 15 SUBPART C ANSI C63.10:2013 Received Date ： Jan. 17, 2023 Test Period ： Feb. 24 ~ Apr. 01, 2023 Issued Date ： Apr. 14, 2023 Issued by Eurofins E&E Wireless Taiwan Co., Ltd. No. 140-1, Changan Street, Bade District, Taoyuan City 334025, Taiwan (R.O.C.) Tel：+886-3-2710188 / Fax：+886-3-2710190 Taiwan Accreditation Foundation accreditation number: 1330 Frequency Range: 9 kHz to 325 GHz (Bade test site) Test Firm MRA designation number: TW0010 Frequency Range: 9 kHz to 40 GHz (Wugu test site) Test Firm MRA designation number: TW0034 Note: 1.The test results are valid only for samples provided by customers and under the test conditions described in this report. 2.This report shall not be reproduced except in full, without the written approval of Eurofins E&E Wireless Taiwan Co., Ltd. 3.The relevant information is provided by customers in this test report. According to the correctness, appropriateness or completeness of the information provided by the customer, if there is any doubt or error in the information which affects the validity of the test results, the laboratory does not take the responsibility. Page 2 of 35 Report Number: USRC231190001 Version: 00 Revision History Version Issued Date Revisions Revised By 00 Apr. 14, 2023 Initial Issue Abby Huang Page 3 of 35 Report Number: USRC231190001 Version: 00 Verification of Compliance Applicant : Taiwan Aulisa Medical Devices Technologies, Inc. Product Name : Oximeter Box Trade Name : AULISA Model Number : GA-OB0005 FCC ID : 2AI5QOB0005 Applicable Standard : FCC 47 CFR PART 15 SUBPART C ANSI C63.10:2013 Test Result : Complied Performing Lab. : Eurofins E&E Wireless Taiwan Co., Ltd. No. 140-1, Changan Street, Bade District, Taoyuan City 334025, Taiwan (R.O.C.) Tel：+886-3-2710188 / Fax：+886-3-2710190 Taiwan Accreditation Foundation accreditation number: 1330 Eurofins E&E Wireless Taiwan Co., Ltd. tested the above equipment in accordance with the requirements set forth in the above standards. All indications of Pass/Fail in this report are opinions expressed by Eurofins E&E Wireless Taiwan Co., Ltd. based on interpretations and/or observations of test results. The test results show that the equipment tested is capable of demonstrating compliance with the requirements as documented in this report. Approved By ： Page 4 of 35 Report Number: USRC231190001 Version: 00 TABLE OF CONTENTS 1 General Information ........................................................................................................ 5 1.1. Summary of Test Result ............................................................................................ 5 1.2. Testing Location ........................................................................................................ 6 1.3. Measurement Uncertainty ......................................................................................... 6 2 EUT Description............................................................................................................... 7 3 Test Methodology ............................................................................................................ 8 3.1. Mode of Operation ..................................................................................................... 8 3.2. EUT Test Step ........................................................................................................... 8 3.3. Configuration of Test System Details ......................................................................... 9 3.4. Test Instruments ...................................................................................................... 10 3.5. Test Site Environment.............................................................................................. 11 4 Measurement Procedure ............................................................................................... 12 4.1. AC Power Line Conducted Emission Measurement ................................................ 12 4.2. Radiated Emission Measurement ............................................................................ 14 4.3. Maximum Conducted Output Power Measurement ................................................. 17 4.4. 6 dB RF Bandwidth Measurement ........................................................................... 18 4.5. Maximum Power Density Measurement .................................................................. 19 4.6. Out of Band Conducted Emissions Measurement ................................................... 20 4.7. Antenna Measurement ............................................................................................ 20 5 Test Results ................................................................................................................... 21 5.1. Conducted Emission ............................................................................................... 21 5.2. Conducted Test Results ........................................................................................... 23 5.3. Radiated Emission Measurement ............................................................................ 24 Appendix A. Test Data Appendix B. Test Plots Appendix C. Test Setup Photographs Page 5 of 35 Report Number: USRC231190001 Version: 00 1 General Information 1.1. Summary of Test Result Standard Item Result Remark 15.207 AC Power Conducted Emission PASS ----- 15.247(d) Transmitter Radiated Emissions PASS ----- 15.247(b)(3) Max. Output Power PASS ----- 15.247(a)(2) 6 dB RF Bandwidth PASS ----- 15.247(e) Maximum Power Spectral Density PASS ----- 15.247(d) Out of Band Conducted Spurious Emission PASS ----- 15.203 Antenna Requirement PASS ----- Decision Rule ■ Uncertainty is not included. □ Uncertainty is included. Sta…

Text truncated - open the document above for the full version.

Appendix A. Test Data BLE 1M240230.030.0100.0000.0000.010 Duty Cycle Band Frequency (MHz) On time (ms) On+off time (ms) Duty cycle (%) Duty Factor (dB) 1/T Minimun VBW (kHz) Page 1 of 3 Report Number: USRC231190001 Rev.00 Power Limit dBmWdBmWdBm BLE 1M24020.380.00110.490.001130.002.00 BLE 1M2440-0.030.00100.080.001030.002.00 BLE 1M2480-0.630.0009-0.480.000930.002.00 Note: The relevant measured result has the offset with cable loss already. Peak Power Average Power Maximum Conducted Output Power Measurement Test Mode Frequency (MHz) Test Software Version RF Power setting in Test Software SmartRF Studio 7 Page 2 of 3 Report Number: USRC231190001 Rev.00 Frequency99 % Occupied Bandwidth6 dB Bandwidth 6 dB Limit (MHz)(MHz)(kHz)(kHz) BLE 1M24021.0916701.3≧ 500 BLE 1M24401.0859715.6≧ 500 BLE 1M24801.0942711.0≧ 500 FrequencyLimit (MHz)(dBm/3 kHz) BLE 1M2402≦ 8 BLE 1M2440≦ 8 BLE 1M2480≦ 8 Maximum Power Density Measurement Reading (dBm/3 kHz) -13.15 -13.69 Test mode -14.14 6 dB Bandwidth and 99 % Occupied Bandwidth Test mode Page 3 of 3 Report Number: USRC231190001 Rev.00

Appendix B. Test Plots Duty cycle BLE 1M On+off time Page 1 of 7 Report Number: USRC231190001 Rev.00 Out of Band Conducted Spurious Emission BLE 1M Low ch Mid ch High ch Page 2 of 7 Report Number: USRC231190001 Rev.00 Reference level BLE 1M Low ch Mid ch High ch Page 3 of 7 Report Number: USRC231190001 Rev.00 Conducted Band Edge BLE 1M Low ch High ch Page 4 of 7 Report Number: USRC231190001 Rev.00 6 dB Bandwidth BLE 1M Low ch Mid ch High ch Page 5 of 7 Report Number: USRC231190001 Rev.00 99 % Occupied Bandwidth BLE 1M Low ch Mid ch High ch Page 6 of 7 Report Number: USRC231190001 Rev.00 Power Density BLE 1M Low ch Mid ch High ch Page 7 of 7 Report Number: USRC231190001 Rev.00

Page 1 of 4 Report Number: USRC231190001 Version: 00 Appendix C. Test Setup Photographs Conducted Emissions Test Configuration: Front View Rear View Page 2 of 4 Report Number: USRC231190001 Version: 00 Radiated Emissions Test Configuration: 9 kHz ~ 30 MHz Page 3 of 4 Report Number: USRC231190001 Version: 00 Below 1 GHz _ Front View Below 1 GHz _ Rear View Page 4 of 4 Report Number: USRC231190001 Version: 00 Above 1 GHz _ Front View Above 1 GHz _ Rear View