
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
CONFIDENTIAL โ not to be disclosed to third parties Document Name: GA-TM0002 Instructions For Use Document ID: Revision: Page: TM0002-RD23 4 1 of 4 Instruction For Use On Aulisa Temperature Module CONFIDENTIAL โ not to be disclosed to third parties Document Name: GA-TM0002 Instructions For Use Document ID: Revision: Page: TM0002-RD23 4 2 of 4 Signatures Author Department Date Signature Lox Ou RD / Designer 2024-01-31 Reviewer Department Date Signature Show Hsiao RA / Manager Approval Department Date Signature Derow Ma RD / Manager CONFIDENTIAL โ not to be disclosed to third parties Document Name: GA-TM0002 Instructions For Use Document ID: Revision: Page: TM0002-RD23 4 3 of 4 Revision History Revision Date Author Description 1 2023-12-26 Lox Ou Initial Draft 2 2024-01-23 Lox Ou Add alarm limit table 3 2024-01-26 Lox Ou Modify "disposable patch" name 4 2024-01-31 Lox Ou Modify Antenna Info Attachment CONFIDENTIAL โ not to be disclosed to third parties Document Name: GA-TM0002 Instructions For Use Document ID: Revision: Page: TM0002-RD23 4 4 of 4
Report No.: 2401TW0801-UE Product: Temperature Module Brand Name: AULISA Model Number: GA-TM0002 1 of 4 External Photograph (1) EUT Photo (2) EUT Photo Report No.: 2401TW0801-UE 2 of 4 (3) EUT Photo (4) EUT Photo Report No.: 2401TW0801-UE 3 of 4 (5) EUT Photo (6) EUT Photo Report No.: 2401TW0801-UE 4 of 4 (7) EUT Photo (8) EUT Photo
Label Label location FCC ID: 2AI5QTM0002
Report No.: 2401TW0801-UI Product: Temperature Module Brand Name: AULISA Model Number: GA-TM0002 1 of 2 Internal Photograph (1) EUT Photo (2) EUT Photo Report No.: 2401TW0801-UI 2 of 2 (3) EUT Photo (4) EUT Photo
MRT Technology (Taiwan) Co., Ltd Report No.: 2401TW0801-U2 Phone: +886-3-3288388 Repor t Vers ion: 1.0 Fax: +886-3-3288918 Issue Date: 2024-01-12 Web: www.mrt-cert.com Page Number: 1 of 5 RF Exposure Evaluation FCC ID : 2AI5QTM0002 APPLICANT : Taiwan Aulisa Medical Devices Technologies, Inc. Application Type : Certification Product : Temperature Module Model No. : GA-TM0002 Brand Name : AULISA Trademark : FCC Rule Part(s): : Part 2.1093 (Portable) Received Date : January 3, 2024 Tested By : (Owen Tsai) Reviewed By : ( Paddy Chen ) Approved By : ( Chenz Ker) The test results relate only to the samples tested. The test results shown in the test report are traceable to the national/international standards through the calibration of the equipment and evaluated measurement uncertainty herein. The test report shall not be reproduced except in full without the written approval of MRT Technology (Taiwan) Co., Ltd. Report No.: 2401TW0801-U2 Page Number: 2 of 5 Revision History Report No. Version Description Issue Date Note 2401TW0801-U2 1.0 Original Report 2024-01-12 Report No.: 2401TW0801-U2 Page Number: 3 of 5 1. PRODUCT INFORMATION 1.1. Equipment Description 1.2. Antenna Description No. Brand Part No. Antenna Type Peak Gain 1 Unictron H2UB4K1H1B0100 Chip -0.3dBi Product Name Temperature Module Model No. GA-TM0002 Brand Name AULISA Trademark Supports Radios Spec. Bluetooth Single Mode: V4.2 Report No.: 2401TW0801-U2 Page Number: 4 of 5 2. RF Exposure Evaluation 2.1. FCC Limits According to FCC KDB 447498 D04V01 - SAR-Based Exemption This method shall only be used at separation distances from 0.5 cm to 40 cm and at frequencies from 0.3 GHz to 6 GHz (inclusive). Pth is given by Formula . and f is in GHz, d is the separation distance (cm), and ERP 20cm is per Formula. The example values shown as below are for illustration only. Note: when 10-g extremity SAR applies, SAR test exemption may be considered by applying a factor of 2.5 to the SAR-based exemption thresholds. Report No.: 2401TW0801-U2 Page Number: 5 of 5 2.2. Test Result of RF Exposure Evaluation Mode Frequency Band (MHz) Average Output Power (dBm) Output Power (mW) Antenna Gain (dBi) EIRP (mW) FCC SAR Test Exclusion Threshold (mW) BLE 2402~2480 2.35 1.72 -0.3 1.60 3 So, this device can complies the SAR test exclusion. The End
MRT Technology (Taiwan) Co., Ltd Report No.: 2401TW0801-U1 Phone: +886-3-3288388 Report Version: 1.0 Fax: +886-3-3288918 Issue Date: 2024-01-12 Web: www.mrt-cert.com Page Number: 1 of 51 FCC ID : 2AI5QTM0002 APPLICANT : Taiwan Aulisa Medical Devices Technologies, Inc. Application Type : Certification Product : Temperature Module Model No. : GA-TM0002 Brand Name : AULISA Trademark : FCC Classification : (DTS) Digital Transmission System FCC Rule Part(s) : Part 15.247 Test Procedure(s) : ANSI C63.10-2013 Received Date : January 3, 2024 Test Date : January 5, 2024~ January 10, 2024 MEASUREMENT REPORT Test By : (Owen Tsai) Reviewed By : ( Paddy Chen ) Approved By : ( Chenz Ker) The test results only relate to the tested sample. This equipment has been shown to be capable of compliance with the applicable technical standards as indicated in the measurement report and was tested in accordance with the measurement procedures specified in ANSI C63.10. Test results reported herein relate only to the item(s) tested. The test report shall not be reproduced except in full without the written approval of MRT Technology (Taiwan) Co., Ltd. Report No.: 2401TW0801-U1 Page Number: 2 of 51 Revision History Report No. Version Description Issue Date Note 2401TW0801-U1 1.0 Original Report 2024-01-12 Report No.: 2401TW0801-U1 Page Number: 3 of 51 CONTENTS Description Page ยง2.1033 General Information ......................................................................................................... 5 1. INTRODUCTION ..................................................................................................................... 6 1.1. Scope .................................................................................................................................... 6 1.2. MRT Test Location ................................................................................................................ 6 2. PRODUCT INFORMATION ..................................................................................................... 7 2.1. Equipment Description .......................................................................................................... 7 2.2. Product Specification Subjective to this Standard .................................................................. 8 2.3. Test Mode ............................................................................................................................. 8 2.4. Operation Frequency / Channel List ...................................................................................... 9 2.5. Test Configuration ............................................................................................................... 10 2.6. Test System Details ............................................................................................................ 11 2.7. Test Software ...................................................................................................................... 11 2.8. Duty Cycle ........................................................................................................................... 12 2.9. EMI Suppression Device(s)/Modifications ........................................................................... 13 2.10. Labeling Requirements.................................................................................................... 13 3. DESCRIPTION of TEST ........................................................................................................ 14 3.1. Evaluation Procedure .......................................................................................................... 14 3.2. AC Line Conducted Emissions ............................................................................................ 14 3.3. Radiated Emissions ............................................................................................................ 15 4. ANTENNA REQUIREMENTS ................................................................................................ 16 5. TEST EQUIPMENT CALIBRATION DATE ............................................................................ 17 6. MEASUREMENT UNCERTAINTY ......................................................................................... 18 7. TEST RESULT ...................................................................................................................... 19 7.1. Summary ............................................................................................................................. 19 7.2. 6dB Bandwidth Measurement ............................................................................................. 20 7.2.1. Test Limit ......................................................................................................................... 20 7.2.2. Test Procedure used ....................................................................................................... 20 7.2.3. Test Setting ..................................................................................................................... 20 7.2.4. Test Setup ....................................................................................................................... 20 7.2.5. Test Result ...................................................................................................................... 21 7.3. Output Power Measurement ................................................................................................ 22 7.3.1. Test Limit ......................................................................................................................... 22 7.3.2. Test Procedure Used ....................................................................................................... 22 7.3.3. Test Setting ..................................................................................................................... 22 7.3.4. Test Setup ..................................โฆ
Text truncated - open the document above for the full version.
Report No.: 2401TW0801-UT Product: Temperature Module Brand Name: AULISA Model Number: GA-TM0002 1 of 3 RF Test Photograph Description: Front View of Conducted Emission Test Setup Description: Back View of Conducted Emission Test Setup Report No.: 2401TW0801-UT 2 of 3 Description: Radiated Emission Test Setup for below 1GHz Description: Radiated Emission Test Setup for above 1GHz Report No.: 2401TW0801-UT 3 of 3 Description: Conducted Emission Test Setup
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 2.40 GHz - 2.48 GHz | 1.70 mW |

Oximeter Box with Bluetooth
Equipment Class
DTS - Digital Transmission System
Infant Oximeter Box with Bluetooth
Equipment Class
DTS - Digital Transmission System
Thermometer Module
Equipment Class
DXX - Part 15 Low Power Communication Device Transmitter
Receiver/Transponder
Equipment Class
DTS - Digital Transmission System