2BAIO471FTSVTMP01Multi-Function Physiological Monitoring Device

1 “VITOM Plus” Multi-function Physiological Monitoring Device Model name:VITOM3 Plus APP: VITOM Plus APP iOS v1.0.0 / VITOM Plus APP Android v1.0.0 * Please read all of the information in the instruction manual before operating the product. * This product involves the collection, processing and utilization of personal data, which shall comply with the Personal Data Protection Act. 【Product description and Intended Use】 This product is a portable device for the simultaneous recording of physiological signals, in particular electrocardiogram (ECG), photoplethysmogram (PPG) and oxygen saturation. With these signals the pulse transit time be determined to obtain real-time, spot-checking and cuffless blood pressure. The physiological signals are intended to track the physiological parameters of adults at home or in medical institutions and assist in the diagnosis of cardiovascular diseases. This product has no diagnostic and warning functions. The measurement results are recorded in the mobile application via device and mobile phone Bluetooth transmission, which can be used to track the physiological parameters changes and provide as reference for medical personnel. 【Principle of measurement】 Through collection of electric signal and PPG signal of the fingers, utilize 2 signals to calculate pulse wave transit time, further use calibration data from blood pressure measurement in the beginning together with algorithm analysis, to convert PWTT to a correct blood pressure value. 【Indication】 This product is intended to measure and monitor heart rate, heart rhythm regularity, blood oxygen and blood pressure changes, and record electrocardiogram (ECG) at the same time. It is suitable for adults over 20 years old. 【Side effect or complication】 None. 2 【Contra-indications】 1. Do not use the device on infant under 10 kg or person under 20 years old. 2. Need to have consultations with doctors such as may be present in patient with arrhythmia and heart disease. 3. The VITOM3 Plus ability to detect Blood Pressure may be limited or difficult in some patients who, such as: Young children, Pregnant woman, Bedridden patients, arrhythmia, atrial fibrillation, the patients taking cardiovascular drugs. 【Safety Information】 1. Any user who uses this device must carry out calibration. Calibration process is suggested to follow under medical personnel instruction, to make sure correctness of the calibration and validity of measurement data. 2. Due to the difference of each person, do not use data other than your own to process the measurement. 3. This product is not for self-diagnosis, rather it only provide a measurement data for reference. Do not use it for self-diagnosis, treatment, judge to use/ or not to use a certain medicine or change dose of medication without consultation of the clinical staff. 4. This product is mainly used as a health management tool, regardless of the data and warning message, depend on one’s physical condition, users still need to consult with physician and carry out health examination periodically. 5. This product does not contain alarm, only used to do measurement and to keep the record. 6. Do not use this product for measurement when there is wound on skin of the finger. 7. Please stop using this product and consult to a physician, during the period of usage when there is red or swollen, severe itching, and allergic symptom. 8. This product is easy to be affected by certain environment, misuse or patient conditions. If one can‘t confirm the correctness of measurement data, please use other methods of confirmation. 9. Do not use together with AED, MRI, or Neurostimulator. 10. Users need to eliminate interference, when you detect abnormal behavior due to Electromagnetic interference. Please re-position the facility accordingly and execute APP all over again. 11. Fingernail polish or false fingernails may cause inaccurate SpO2 readings. 12. If the transducer is damaged (such as the shell is damaged), please stop using it immediately. 13. Please keep the electrodes clean and do not touch other metals or any power sources. 14. Uncomfortable or painful feeling may appear if using the device ceaselessly, especially for the user with microcirculation disorder. It is recommended that the product should not be applied to the same finger for over 30 minutes. 3 【Transducer Precautions】 1. Sensor has no water resist function, please avoid any liquid spread, keep dry, avoid touching by wet finger, and keep away from high temperature, fire or any corrosive liquid. 2. This is a precision measurement equipment, please avoid strong collision, fall over, etc.. Sensor damage would affect signal and measurement result, please do not rubbing surface with sharp or rough objects, or scrub the product. 3. Do not try to change battery on your own, please do not disassemble or break outer casing. 4. The function might be affected by strong electro-magnetic environment, do not use together with other electronic products. 5. Strong light environment might affect function measurement, it is suggested to use in indoor to avoid under the strong sunshine. 6. To ensure the product functionality and safety, the products should also not be used or storage under following circumstances: -.High temperature and high humidity environment. -.Near fire or any place where the spark might be induced. -.The room full of dust. -.The room full of Oxygen, Nitrous Oxide, or any mixture of combustion gases. 7. Please use this product in accordance with the operating environment indicated in the "Product Specifications" section of this manual. If the product is found to have any defects or faults during normal use after unpacking, the original factory will provide a free replacement. If the product is not used or kept in accordance with the requirements of this manual, any abnormal phenomenon or damage to the human body or machine will be caused. The original factory will not be responsible for the safety function, and will not pro…

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FocalTech Smart Sensors Co., Ltd. Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: May 23, 2023 Ref: Attestation Statements Part 2.91l(d)(7) Filing FCC ID: 2BAIO471FTSVTMP01 FocalTech Smart Sensors Co., Ltd. ("the applicant") certifies that, as of the date of the filing of the application, Americas Compliance Consulting LLc dba iCertifi. is our designated U.S. agent for service of process for the above referenced FCC ID. FocalTech Smart Sensors Co., Ltd. accepts to maintain an agent for no less than one year after the grantee has terminated all marketing and importation or the conclusion of any Commission-related proceeding involving the equipment. Americas Compliance Consulting LLc dba iCertifi. accepts, as of the date of the filing of the application, the obligation of the designated U.S. agent for service of process for the above referenced FCC ID. Sincerely, Designated U.S. Agent Information: FRN: 0033399411 Name: Americas Compliance Consulting LLc dba iCertifi Contact Person: Mr Paul A Preston Address: 1001 SW Disk Drive, ste 250 Office 3 Bend, OR 97702 United States Tel.: (866) 885-4575 Email: [email protected] U.S. Agent Signature: Applicant: Company Name: FocalTech Smart Sensors Co., Ltd. Contact Person: CHIA CHUN KUO Address: 8F-2 No.32, Gaotie 2nd Rd Zhubei City, Hsinchu 30274, Taiwan Tel.: 03-6672758 # 6171 Ema ii :[email protected] Applicant Signature: �%��

Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 1 of 4 External Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 2 of 4 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 3 of 4 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan …

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1 STATEMENT There is no space to bear Part 15.19 statement, the statement is specified in user manual. 2 LABEL LOCATION Back Side

Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 1 of 5 Internal (Model No.: VITOM3 Plus) Antenna Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 2 of 5 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 3 of 5 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fulle…

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Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 1 of 4 Internal (Model No.: VITOM3) Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 2 of 4 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Report No.: TERF2205000735E2-P Page: 3 of 4 RF IC Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest exte…

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Report No.: TESA2205000136ES Page: 1 of 7 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group RF EXPOSURE REPORT FCC Applicant: FocalTech Smart Sensors Co., Ltd. 8F-2 No.32, Gaotie 2nd Rd Zhubei City, Hsinchu 30274,Taiwan Product Name: Mobile Blood Pressure Monitoring Device, Multi-Function Physiological Monitoring Device Brand Name: VITOM, VITOM Plus Model No.: VITOM3, VITOM3 Plus Model Difference: Please refer to section 1.2 Report Number: TESA2205000136ES FCC ID 2BAIO471FTSVTMP01 Issue Date: Jun. 17, 2023 Date of EUT Received: This report is only calculated based on the test results, there will be no date of EUT received. Approved By John Yeh We hereby certify that: The above equipment was evaluate by SGS Taiwan Ltd. The evaluation in this report is in compliance with FCC Rule Part §2.1093. The results of this report relate only to the sample identified in this report. Report No.: TESA2205000136ES Page: 2 of 7 Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明，此報告結果僅對測試之樣品負責，同時此樣品僅保留90天。本報告未經本公司書面許可，不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of Client’s instructions, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. SGS Taiwan Ltd. No.134,Wu Kung Road, New Taipei Industrial Park, Wuku District, New Taipei City, Taiwan/新北市五股區新北產業園區五工路134號 台灣檢驗科技股份有限公司 t (886-2) 2299-3279 f (886-2) 2298-0488 www.sgs.com.tw Member of SGS Group Revision History Report Number Revision Description Issue Date Revised By Remark TESA2205000136ES 00 Original Mar. 16, 2023 Kimmy Chiou * TESA2205000136ES 01 Update applicant address, product name, model difference and EUT series number. Jun. 17, 2023 Kimmy Chiou Note: 1、 The remark "*" indicates modification of the report upon requests from certification body. 2、 Variant information of model numbers is provided by the applicant, test results of this report are applicable to the samp…

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