2AS2I2001FNerve and Muscle Stimulator

SHENZHEN XFT MEDICAL LIMITED

Application Details

Equipment Class: DTS - Digital Transmission System
Date of Grant: Jun 11, 2026
Application Purpose: Original Equipment
Equipment Note: Nerve and Muscle Stimulator
Frequency Range: 2402.00000000 - 2480.00000000
Company: SHENZHEN XFT MEDICAL LIMITED
Country: China

Documents & Files

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Document Text

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Attestation Statements

Applicant Declaration QSF27-14-04 Rev 1.4 April 25, 2025 Page 1 of 1 Original Issue: Jan. 4, 2021 SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name SHENZHEN XFT MEDICAL LIMITED Address Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road,Pingshan District Shenzhen 518118 China FRN 0028395432 Grantee Code 2AS2I FCC ID: 2AS2I2001F Authorized Contact Name Mars Chen Contact Phone 86-15626504342 Contact Email [email protected] I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a)in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. b)in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for: (1) labeling the equipment with the exact FCC ID as specified in this application, (2) compliance statement labeling pursuant to the applicable rules, (3) compliance of the equipment with the applicable technical rules, c)if the Applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC’s technical requirements. d)in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. e)in accordance with ISO 17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements. (1) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. (2) the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. (3) the Applicant shall, upon request by SGS, at the Applicant’s expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. f)neither the Applicant nor any party to the application is subject to a denial of Federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. §862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a “party” for these purposes. g)the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc. terms and conditions as specified in the TCB Application Form 731 (QSF27-14-01). Link to CFRs: https://www.fcc.gov/wireless/bureau-divisions/technologies-systems-and-innovation-division/rules-regulations-title-47 Link to KDBs: https://apps.fcc.gov/oetcf/kdb/index.cfm Link to RSP-100: https://www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01130.html Link to the Covered List: Covered List Applicant Signature: Date: 2026-03-30 Print Name: Mars Chen Title: Management Representative *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database

Attestation Statements

FCC COVERED LIST DECLARATION LETTER Page 1 of 1 Revision 1.0 SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name SHENZHEN XFT MEDICAL LIMITED Address Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road,Pingshan District Shenzhen 518118 China FRN 0028395432 Grantee Code 2AS2I FCC ID: 2AS2I2001F Authorized Contact Name Mars Chen Contact Phone 86-15626504342 Contact Email [email protected] We certifies: - 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. - as of the date of the filing of the application, the applicant [is not] identified on the Covered list, established pursuant to §1.50002, as an entity producing “covered” equipment. - the software to be loaded prior to marketing of the equipment identified above is not “covered” software manufactured by any entity including predecessors, successors, parents, subsidiaries, affiliates or any entity which has rebranded or relabeled the software produced by the entity(ies) identified on the “Covered List”. - the device is not capable of storing or running software listed on the covered list and therefore is inherently compliant. NOTE: Justification/evidence explaining how compliance is met must accompany this letter Link to the Covered List: Covered List Applicant Signature: Date: 2026-03-30 Print Name: Mars Chen Title: Management Representative *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database

Attestation Statements

UNITEDSTATESDESIGNATEDAGENTLETTER Date:2026/03/30 TO:FederalCommunicationCommission EquipmentAuthorizationBranch 7435OaklandMillsRoad Columbia,MID21046 ApplicantU.S.designatedagent CompanyName:SHENZHENXFTMEDICAL LIMITED CompanyName:FCCUSAgent,LLC FRN:0028395432FRN:0033402884 GranteeCode:2AS2I ContactName:MarsChenContactNameTimPayne Address:Room203,Building1, BiomedicineInnovations IndustrialPark,#14Jinhui Road,PingshanDistrict ShenzhenChina518118 Address:3722IllinoisAvenue,Saint Charles,IL,60174,USA City/Province/Zip:ShenzhenChina518118City/Province/Zip:SaintCharles60174 Telephone:86-15626504342Telephone:708-571-3148 Fax:N/AFax:N/A Email:[email protected]:[email protected] ApplicableEquipment:FCCID:2AS2I2001F ATTN:DirectorofCertification: We,<SHENZHENXFTMEDICALLIMITED>and<FCCUSAgent,LLC>understandandacknowledge theapplicantsconsentandthedesignatedagent’sobligationtoacceptserviceofprocessintheUnited Statesformattersrelatedtotheapplicableequipment,andatthephysicalU.S.addressande-mailofthe designatedagentlistedabove. We,<SHENZHENXFTMEDICALLIMITED>and<FCCUSAgent,LLC>acknowledgetheapplicant’s acceptanceofitsobligationtomaintainanagentforserviceofprocessintheUnitedStatesfornoless thanoneyearaftereitherthegranteehaspermanentlyterminatedallmarketingandimportationofthe applicableequipmentwithintheU.S.,ortheconclusionofanyCommission-relatedadministrativeor judicialproceedinginvolvingtheequipment,whicheverislater. ApplicantU.S.designatedagent Name (Printed) :MarsChenName(Printed):TimPayne Title:ManagementRepresentativeTitle:Manager Signature:Signature:

Cover Letter(s)

SHENZHEN XFT MEDICAL LIMITED Date: 2025/03/30 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: FCC ID: 2AS2I2001F To whom it may concern: We, the undersigned, hereby authorize SGS-CSTC Standards Technical Services Co., Ltd. to act on our behalf in all manners relating to application for equipment authorization with respect to the FCC ID above, including signing of all documents relating to these matters. Any and all acts carried out by the agent on our behalf shall have the same effect as acts of our own. We, the undersigned, hereby certify that we are not subject to a denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 853(a). Where our agent signs the application for certification on our behalf, I acknowledge that all responsibility for complying with the terms and conditions for Certification, as specified by SGS North America, Inc., still resides with SHENZHEN XFT MEDICAL LIMITED. This authorization is valid until further written notice from the applicant. Sincerely, Print Name: Mars Chen Title: Management Representative Signature: On behalf of Company: SHENZHEN XFT MEDICAL LIMITED Telephone: 86-15626504342 E-mail: [email protected]

Cover Letter(s)

SHENZHEN XFT MEDICAL LIMITED Date: 2025/03/30 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: Confidentiality Request regarding application for FCC ID: 2AS2I2001F LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby request confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Operational Descriptions The documents above contain proprietary information not released to the public. Public disclosure of this information may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within aforementioned days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos Internal Photos Test Setup Photos User manual(s) Sincerely, Print Name: Mars Chen Title: Management Representative Signature: On behalf of Company: SHENZHEN XFT MEDICAL LIMITED Telephone: 86-15626504342 E-mail: [email protected]

ID Label/Location Info

页码：1/1 品名文件编号料号版本公差修改记录图纸类别生效日期材质产品型号 / 外壳 V01.1 形状:±0.2mm 位置: ±1mm / XFT-2001I / / / / 技术要求 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. FCCID:2AS2I2001F 1 5 . 6 9 m m 34.91 mm 8.86 mm

RF Exposure Info

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107903 Page: 1 of 9 Keny Xu EMC Laboratory Manager 1 Cover Page RF Exposure Report Application No.: SZCR2503001079ME Applicant: SHENZHEN XFT MEDICAL LIMITED Address of Applicant: Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road, Pingshan District Shenzhen 518118 China Manufacturer: SHENZHEN XFT MEDICAL LIMITED Address of Manufacturer: Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road, Pingshan District Shenzhen 518118 China Factory: SHENZHEN XFT MEDICAL LIMITED Address of Factory: Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road, Pingshan District Shenzhen 518118 China Equipment Under Test (EUT): EUT Name: Nerve and Muscle Stimulator Model No.: XFT-2001F, XFT-2001FB ♣ ♣ Please refer to section 3 of this report which indicates which model was actually tested and which were electrically identical. Trade Mark: XFT FCC ID: 2AS2I2001F Standard(s) : FCC Rules 47 CFR §2.1093 KDB 447498 D04 interim General RF Exposure Guidance v01 Date of Receipt: 2025-03-20 Date of Test: 2025-03-20 to 2025-03-27 Date of Issue: 2025-04-27 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107903 Page: 2 of 9 Revision Record Version Chapter Date Modifier Remark 01 2025-04-27 Original Authorized for issue by: Edison Li/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107903 Page: 3 of 9 2 Contents Page 1 COVER PAGE .............................................................................................................................. 1 2 CONTENTS .................................................................................................................................. 3 3 GENERAL INFORMATION ........................................................................................................... 4 3.1 GENERAL DESCRIPTION OF E.U.T. ............................................................................................ 4 3.2 DETAILS OF E.U.T. .................................................................................................................. 4 3.3 SEPARATION DISTANCE............................................................................................................ 4 3.4 TEST LOCATION ...................................................................................................................... 5 3.5 TEST FACILITY ........................................................................................................................ 5 4 FCC RADIOFREQUENCY RADIATION EXPOSURE LIMITS ........................................................ 6 4.1 BLANKET 1 MW BLANKET EXEMPTION........................................................................................ 6 4.2 MPE-BASED EXEMPTION.......................................................................................................... 6 4.3 SAR-BASED EXEMPTION .......................................................................................................... 7 5 MEASUREMENT AND CALCULATION ........................................................................................ 9 5.1 MAXIMUM TRANSMIT POWER ..................................................................................................... 9 5.2 RF EXPOSURE CALCULATION ................................................................................................... 9 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107903 Page: 4 of 9 3 General Information 3.1 General Description of E.U.T. Product Type: Portable device Mobile device Fixed device 3.2 Details of E.U.T. Power supply: AC/DC Adapter Model: GTM41078-0605-USB Input: AC 100-240V, 50/60Hz, 0.3A Output: DC 5.0V, 1.2A, 6.0W Rechargeable Li-ion Polymer Battery Model:SH652432 Rated Capacity: 520mAh, 1.924Wh Rated Voltage: 3.7V Limited Charger Voltage: 4.2V Operation Frequency: 2402MHz to 2480MHz Bluetooth Version: V5.0 Modulation Type: GFSK Number of Channels: 40 Channel Spacing: 2MHz Data rate: 1Mbps, 2Mbps Antenna Type: PCB Antenna Antenna Gain: 0.338dBi 3.3 Separation Distance Minimum test separation distance: 5mm Remark: This 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. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107903 Page: 5 of 9 3.4 Test Location All tests were performed at: SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen Branch No. 1 Workshop, M-10, Middle Section, Science & Technology Park, Nanshan District, Shenzhen, Guangdong, China. 518057. Tel: +86 755 2601 2053 Fax: +86 755 2671 0594 No tests were sub-contracted. 3.5 Test Facility The test facility is recognized, certified, or accredited by the following organizations: • A2LA (Certificate No. 3816.01) SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen EMC Laboratory is accredited by the American Association for Laboratory Accreditation(A2LA). Certificate No. 3816.01. • VCCI (Member No. 1937) The 3m Fully-anechoic chamber for above 1GHz, 10m Semi-anechoic chamber for below 1GHz, Shielded Room for Mains Port Conducted Interference Measurement and Telecommunication Port Conducted Interference Measurement of SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen EMC laboratory have been registered in accordance with the Regulations for Voluntary Control Measures with Registration No.: G-20026, R-14188, C-…

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Test Report

深圳云里物里科技股份有限公司产品天线测试报告-模板V1.0 第1页共5页天线型号：被测试产品型号：MS50SFA_V1.4 被测试PCB编号及版本：MS50SFA_V1.4 责任硬件工程师：罗娘炼测试日期：2020/1/7 1、技术指标(TechnicalSpecification) 电性能指标ElectricalSpecifications 频率范围FrequencyRange（MHz） 2400-2500 频带宽度Bandwidth(-10dB)（MHz）≥100 输入阻抗 InputImpedance （Ω） 50 电压驻波比 VSWR(maxatalloffrequencyrange) ＜ 1.8 增益 Gain(@2.45GHzmax) （ dBi ） 0.338 极化形式PolarizationType线极化雷电保护LightningProtection直流接地功率容量PowerCapacity（mW） 1000 机械指标 MechanicalSpecifications 天线尺寸 AntennaSize(mm) 11.2*3.69mm 辐射体 Radiator 铜 Cuprum 连接器型号ConnectType - 工作温度WorkingTemperature（°C） -40~85 存储温度StorageTemperature（°C） -40~125 外壳颜色 RadomeColor- 沉金重量 Weight （ g ） - 深圳云里物里科技股份有限公司产品天线测试报告-模板V1.0 第2页共5页 2.辐射方向图(RadiationPattern) 深圳云里物里科技股份有限公司产品天线测试报告-模板V1.0 第3页共5页 XYPlane 深圳云里物里科技股份有限公司产品天线测试报告-模板V1.0 第4页共5页 XZPlane 深圳云里物里科技股份有限公司产品天线测试报告-模板V1.0 第5页共5页 YZPlane

Test Report

SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107902 Page: 1 of 66 Keny Xu EMC Laboratory Manager TEST REPORT Application No.: SZCR2503001079ME Applicant: SHENZHEN XFT MEDICAL LIMITED Address of Applicant: Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road, Pingshan District Shenzhen 518118 China Manufacturer: SHENZHEN XFT MEDICAL LIMITED Address of Manufacturer: Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road, Pingshan District Shenzhen 518118 China Factory: SHENZHEN XFT MEDICAL LIMITED Address of Factory: Room 203, Building 1, Biomedicine Innovations Industrial Park, #14 Jinhui Road, Pingshan District Shenzhen 518118 China Equipment Under Test (EUT): EUT Name: Nerve and Muscle Stimulator Model No.: XFT-2001F, XFT-2001FB ♣ ♣ Please refer to section 2 of this report which indicates which model was actually tested and which were electrically identical. Trade Mark: XFT FCC ID: 2AS2I2001F Standard(s) : 47 CFR Part 15, Subpart C 15.247 Date of Receipt: 2025-03-20 Date of Test: 2025-03-20 to 2025-03-27 Date of Issue: 2025-04-27 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107902 Page: 2 of 66 Revision Record Version Chapter Date Modifier Remark 01 2025-04-27 Original Authorized for issue by: Edison Li/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107902 Page: 3 of 66 2 Test Summary Radio Spectrum Technical Requirement Item Standard Method Requirement Result Antenna Requirement 47 CFR Part 15, Subpart C 15.247 N/A 47 CFR Part 15, Subpart C 15.203 & 15.247(b)(4) Pass Radio Spectrum Matter Part Item Standard Method Requirement Result Conducted Emissions at AC Power Line (150kHz-30MHz) 47 CFR Part 15, Subpart C 15.247 ANSI C63.10 (2020) Section 6.2 47 CFR Part 15, Subpart C 15.207 Pass Radiated Emissions which fall in the restricted bands ANSI C63.10 (2020) Section 6.10.5 & 11.12 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass Radiated Spurious Emissions Below 1GHz ANSI C63.10 (2020) Section 6.4,6.5 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass Radiated Spurious Emissions Above 1GHz ANSI C63.10 (2020) Section 6.6 & 11.12 47 CFR Part 15, Subpart C 15.205 & 15.209 Pass Conducted Peak Output Power ANSI C63.10 (2020) Section 11.9.1 47 CFR Part 15, Subpart C 15.247(b)(3) Pass Minimum 6dB Bandwidth ANSI C63.10 (2020) Section 11.8.1 47 CFR Part 15, Subpart C 15.247a(2) Pass Power Spectrum Density ANSI C63.10 (2020) Section 11.10.3 47 CFR Part 15, Subpart C 15.247(e) Pass Conducted Band Edges Measurement ANSI C63.10 (2020) Section 6.10.4 47 CFR Part 15, Subpart C 15.247(d) Pass Conducted Spurious Emissions ANSI C63.10 (2020) Section 11.11 47 CFR Part 15, Subpart C 15.247(d) Pass Declaration of EUT Family Grouping: Model No.: XFT-2001F, XFT-2001FB Only the model XFT-2001F was tested, since according to the declaration from the applicant, the electrical circuit design, PCB layout, components used and internal wiring and functions were identical for the above models, with only difference on model No.. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/1 Report No.: SZCR250300107902 Page: 4 of 66 3 Contents Page 1 Cover Page ......................................................................................................................................... 1 2 Test Summary ..................................................................................................................................... 3 3 Contents ............................................................................................................................................. 4 4 General Information............................................................................................................................ 6 4.1 Details of E.U.T. ........................................................................................................................... 6 4.2 Description of Support Units ......................................................................................................... 6 4.3 Measurement Uncertainty ............................................................................................................ 7 4.4 Test Location ............................................................................................................................... 8 4.5 Test Facility .................................................................................................................................. 8 4.6 Deviation from Standards ............................................................................................................. 8 4.7 Abnormalities from Standard Conditions ....................................................................................... 8 5 Equipment List ................................................................................................................................... 9 6 Radio Spectrum Technical Requirement ..........................................................................................11 6.1 Antenna Requirement .................................................................................................................11 6.1.1 Test Requirement: ..................................................................................................................11 6.1.2 Conclusion ..............................................................................................................................11 7 Radio Spectrum Matter Test Results ................................................................................................12 7.1 Conducted Emissions at AC Power Line (150kHz-30MHz) ...........................…

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Contact Information

Applicant

Mars Chen

[email protected]Fax: 86-755-89346075

Technical Contact

FCC US Agent, LLCTim Payne

[email protected]Fax: N/A

3722 Illinois Avenue · Saint Charles, Illinois, 60174 · United States

Test Firm

SGS-CSTC Standards Technical Services Co., Ltd. ShKeny Xu

[email protected]

Technical Specifications

#	Rule Parts	Frequency Range	Power Output
1	15C	2.40 GHz - 2.48 GHz	2.30 mW

Confidentiality

Long Term

Grant Notes

Power Output listed is conducted.

Documents & Files

Select a file to view

Attestation Statements

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Cover Letter(s)

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ID Label/Location Info

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RF Exposure Info

↗

Test Report

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Attestation Statements

Cover Letter(s)

ID Label/Location Info

RF Exposure Info

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

Test Report

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

Rule Parts

Frequency Range

Power Output

15C

2.40 GHz - 2.48 GHz

2.30 mW