2BG22SLM-1101STALUKE

Applicant Declaration QSF27-14-04 Rev 1.1 Jan 17, 2024 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 Seoulin Medicare Co.,Ltd. Address 4th Floor, Seoulin Global Center, 593-16, Dongtangiheung-Ro, Hwaseong-Si, Gyeonggi-Do, 18469, Republic of Korea FRN 0035571470 Grantee Code 2BG22 FCC ID 2BG22SLM-1101 Authorized Contact Name Ji-Soo Lee Contact Email [email protected] Contact Phone 82)1077679160 I , the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a)in ac cordance 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 t his 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 ensur e t hat 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 responsibl e par ty 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. S ee 47C FR 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.(TCB) terms and conditions . 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 Seoulin Medicare Co.,Ltd. (“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. Seoulin Medicare Co.,Ltd. (“the applicant”) certifies that, 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. Applicant Signature: Date: 2024-07-03 Print Name: Ji-Soo Lee Title: Assistant Manager *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database

V02072023 Manufacturers Letterhead Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 USA Date: 06/18/2024 Ref: Attestation Statement Part 2.911(d)(7) Filing FCC ID:2BG22SLM-1101 Seoulinmedicare Co., Ltd. certifies that, as of the dates of this application, Americas Compliance Consulting LLC dba iCertifi “iCertifi” is our designated U.S. agent for service of process for the above referenced FCC ID. Seoulinmedicare 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. iCertifi accepts, as of the date of the filing of the application, the obligation of the designated U.S. agent for service process for the above referenced FCC ID. Designated U.S. Agent Information: Name: Americas Compliance consulting, LLC dba iCertifi FCC FRN: 0033399411 Address: 2445 NE Division Street, Suite 202 Bend, Oregon 97703 USA Contact Person: Paul Preston Tel: 866-885-4575 Email: [email protected] Sincerely, Seoulinmedicare Co., Ltd. FRN: 0035571470 Americas Compliance Consulting LLC dba iCertifi Lee, Ji Soo Paul Preston Signature

Seoulin Medicare Co., Ltd. 4th Floor, Seoulin Global Center, 593-16, Dongtangiheung-Ro, Hwaseong-Si, Gyeonggi-Do, 18469, Korea Tel : +82 (0)31 742 5319 / Fax : +82 050 4981 5319 July 03, 2024 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 To Whom It May Concern: I, the undersigned, hereby authorize SGS Korea Co., Ltd. and hereafter referred to as SGS Korea, to act on our behalf in all manners relating to application for equipment authorization, including signing of all documents relating to these matters. Any and all acts carried out by SGS Korea Co., Ltd. on our behalf shall have the same effect as acts of our own. I, 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). In authorizing SGS Korea as our agent, we still recognize that we are responsible to: a) comply with the relevant provisions of the certification program; b) make all necessary arrangements for the conduct of the evaluation, including provision for examining documentation and access to all areas, records (including internal audit reports) and personnel for the purposes of evaluation (e.g. testing, inspection, assessment, surveillance, reassessment) and resolution of complaints; c) make claims regarding certification only in respect of the scope for which certification has been granted; d) do not use our product certification in such a manner as to bring the Certification Division into disrepute and not make any statement regarding our product certification which the Certification Division may consider misleading or unauthorized; Seoulin Medicare Co., Ltd. 4th Floor, Seoulin Global Center, 593-16, Dongtangiheung-Ro, Hwaseong-Si, Gyeonggi-Do, 18469, Korea Tel : +82 (0)31 742 5319 / Fax : +82 050 4981 5319 e) upon suspension or cancellation of certification, discontinue use of all advertising matter that contains any reference thereto and return any certification documents as required by the Certification Division; f) use certification only to indicate the products are certified as being in conformity with specified standards; g) endeavor to ensure that no certificate or report nor any part thereof is used in a misleading manner; h) ensure that any reference to our product certification in communication media such as documents, brochures or advertising, complies with the requirements of the Certification Division; i) keep a record of all complaints made known to the us relating to the product’s compliance with requirements of the relevant standard and to make these records available to the Certification Division when requested; j) take appropriate action with respect to such complaints and any deficiencies found in products or services that affect compliance with the requirements for certification; k) document the actions taken. This authorization is valid until further written notice from the applicant. Sincerely yours, (Sign) Name/Title : Ji -Soo Lee / Assistant Manager Company Name : Seoulin Medicare Co.,Ltd.

Date : 2024-07-03 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road, Columbia, MD 21046 REQUEST FOR CONFIDENTIALITY FCC ID: 2BG22SLM-1101 Pursuant to Sections 0.457 and 0.459 of the Commission’s Rules (CFR 47), and Section 552 (b) (4) of the Freedom of Information Act, Marquardt GmbH hereby requests confidentiality and treatment of certain information accompanying this application. The materials contain trade secrets and proprietary information not customarily released to the public. The public disclosure of these matters might be harmful to the Applicant and provide unjustified benefits to its competitors. We are also hereby request Short-Term Confidentiality for 180 days after the grant as outlined in Public Notice DA 04-1705. This provision will give, Marquardt GmbH temporary confidentiality of commercially sensitive information prior to product release. The requested Permanent and Temporary Confidential exhibits are listed as follows: CONFIDENTIAL LIST Permanent 1 Block Diagram 2 Operational Descriptions 3 Schematics Short-Term 4 External Photos 5 Internal Photos 6 Test-Setup Photos 7 User Manual The Applicant understands that pursuant to Rule 0.457, disclosure of this application and all accompanying documentations, where applicable, will not be made public before the date of the Grant for this application. Sincerely Yours Name : Ji-Soo Lee Title : Assistant Manager Company Name : Seoulin Medicare Co.,Ltd.

Seoulin Medicare Co., Ltd. 4th Floor, Seoulin Global Center, 593-16, Dongtangiheung-Ro, Hwaseong-Si, Gyeonggi-Do, 18469, Korea Tel : +82 (0)31 742 5319 / Fax : +82 050 4981 5319 July 03, 2024 This device is medical device. 15.19 Statement will be placed on the manual and packaging.

FCC ID: 2BG22SLM-1101 According to KDB 447498 D04 Interim General RF Exposure Guidance v01 1. MPE-Based Exemption An alternative to the SAR-based exemption is provided in § 1.1307(b)(3)(i)(C), for a much wider frequency range, from 300 ㎑ to 100 ㎓, applicable for separation distances greater or equal to λ/2π, where λ is the free-space operating wavelength in meters. The MPE-based test exemption condition is in terms of ERP, defined as the product of the maximum antenna gain and the delivered maximum time- averaged power. For this case, a RF source is an RF exempt device if its ERP (watts) is no more than a frequency-dependent value, as detailed tabular form in Appendix B. These limits have been derived based on the basic specifications on Maximum Permissible Exposure (MPE) considered for the FCC rules in § 1.1310(e)(1). Table 1 to 1.1307(b)(3)(i)(c) – Single RF Sources Subject to Routine Environmental Evaluation RF Source Frequency (㎒) Threshold ERP (watts) 0.3-1.34 1 920 R 2 1.34-30 3 450 R 2 /f 2 30-300 3.83 R 2 300-1 500 0.012 8 R 2 f 1 500-100 000 19.2 R 2 2. RF Exposure Test Exemptions for Single Source Mode Frequency Range (㎒) Minimum Separation Distance (㎝) Maximum Average Target Power (㏈m) Maximum Tune up (㏈) Maximum Average Power (㏈m) Antenna Gain (㏈i) ERP Threshold ERP Ratio Result (㏈m) (㎽) (㎽) Bluetooth Low Energy of DUT_Left 2 402 ~ 2 480 20 -1 1.5 0.5 3.35 1.70 1.479 768 0.001 926 Pass Bluetooth Low Energy of DUT_Right 2 402 ~ 2 480 20 -1 1.5 0.5 3.35 1.70 1.479 768 0.001 926 Pass Note ; - Maximum average target power is the manufacturer’s declared rated power. - Maximum average power = Maximum average target power (㏈m) + Maximum tune up (㏈). - ERP (㏈m) = Maximum average power (㏈m) + Antenna gain (㏈i) -2.15 - DUT_Left and DUT_Right can be operated simultaneously. 3. Simultaneous Transmission SAR Test Exemption with Respect to Multiple Exemption Criteria Either SAR-based or MPE-based exemption may be considered for test exemption for fixed, mobile, or portable device exposure conditions; therefore, the contributions from each exemption in conjunction with the measured SAR (Evaluatedk term) shall be used to determine exemption for simultaneous transmission according to Formula (C.1) [repeated from § 1.1307(b)(3)(ii)(B)]. DUT_Left + DUT_Right: 0.001 926 + 0.001 926 = 0.003 852 < 1 4. Conclusion: No SAR is required.

Model name: SLM-1101 Item Contents Antenna Type PCB Pattern Antenna Antenna peak gain Left 3.35 ㏈i Right 3.35 ㏈i Manufacturer / Model name Left SeoulinMedicare Co., Ltd. / staluke A Right SeoulinMedicare Co., Ltd. / staluke A Address of manufacturer 4th floor, SeouLin Global Center, 593-16, Dongtangiheung-ro, Hwaseong-si, Gyeonggi-do, Republic of Korea Test Laboratory KESPION Left Antenna Length 2.0 cm Left Antenna Width 0.5 cm Right Antenna Length 2.0 cm Right Antenna Width 0.5 cm Antenna Information Right Length Width Length Width Left SLM-1101 Body BLE Module Antenna Specifications 1.Antenna type : PCB Pattern Antenna 2.Frequency Band : 2402 ~ 2480MHz 3.V.S.W.R : Less than 3.0dBi 4.PEAK Gain : Max 3.35dBi 5.Return Loss : Less than -15dBi Body BLE Module Antenna Pattern & Value Body BLE Module Antenna Measurement Antenna Measurement Body BLE Module Antenna Measurement data

SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL005182 Page: 2 of 69 RTT7081-02(2020.10.05)(0) A4(210 mm * 297 mm) INDEX Table of contents 1. General Information -------------------------------------------------------------------------------------- 3 2. Transmitter Radiated Spurious Emissions and Conducted Spurious Emissions - --------- 11 3. 6 ㏈ Bandwidth -------------------------------------------------------------------------------------------- 48 4. Maximum Peak Conducted Output Power --------------------------------------------------------- 54 5. Power Spectral Density --------------------------------------------------------------------------------- 57 6. AC Power Line Conducted Emission ----------------------------------------------------------------- 63 7. Antenna Requirement ----------------------------------------------------------------------------------- 69 SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL005182 Page: 3 of 69 RTT7081-02(2020.10.05)(0) A4(210 mm * 297 mm) 1. General Information 1. 1. Testing Laboratory SGS Korea Co., Ltd. (Gunpo Laboratory) - 10-2, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 - 4, LS-ro 182beon-gil , Gunpo-s i, Gyeonggi-do, Korea, 15807 - Designation number: KR0150 All SGS services are rendered in accordance with the applicable SGS conditions of service available on request and accessible at http://www.sgs.com/en/Terms-and-Conditions.aspx. Phone No. : +82 31 688 0901 Fax No. : +82 31 688 0921 1.2. Details of Applicant Applicant : Seoulinmedicare Co., Ltd. Address : 4F 593-16, Dongtangiheung-ro, Hwaseong-si, Gyeonggi-do, South Korea, 18469 Contact Person : Lee, Ji-soo Phone No. : +82 10 7767 9160 1.3. Details of Manufacturer Company : Same as applicant Address : Same as applicant 1.4. Description of EUT Kind of Product STALUKE Model Name SLM-1 101 Variant Model Names - Serial Number Conducted Sample: 1101-0003-2404 Radiated Sample: 110 1-0004-2404 Power Supply AC 120 V Frequency Range 2 402 ㎒ ~ 2 480 ㎒ (Bluetooth Low Energy) Modulation Technique GFSK Number of Channels 40 channels (Bluetooth Low Energy) Antenna Type PCB Pattern Antenna Antenna Gain ※ 3.35 ㏈i H/W Version V1.0 S/W Version V1.0 SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL005182 Page: 4 of 69 RTT7081-02(2020.10.05)(0) A4(210 mm * 297 mm) 1.5. Test Equipment List Equipment Manufacturer Model S/N Cal. Date Cal. Interval Cal. Due Signal Generator R&S SMA100B 106887 Oct. 06, 2023 Annual Oct. 06, 2024 Spectrum Analyzer R&S FSV30 103211 Dec. 06, 2023 Annual Dec. 06, 2024 Spectrum Analyzer Agilent N9020A MY53421758 Sep. 01, 2023 Annual Sep. 01, 2024 Attenuator AEROFLEX / INMET 40AH2W-10 40G-1 Jun. 19, 2024 Annual Jun. 19, 2025 High Pass Filter Wainwright Instrument GmbH WHKX3.0/18G-10SS 21 Jun. 07, 2024 Annual Jun. 07, 2025 High Pass Filter Wainwright Instrument GmbH WHNX7.5/26.5G-6SS 15 Jun. 07, 2024 Annual Jun. 07, 2025 Low Pass Filter Mini-Circuits NLP-1200+ V 8979400903-2 Feb. 07, 2024 Annual Feb. 07, 2025 Power Sensor R&S NRP-Z81 100418 Feb. 07, 2024 Annual Feb. 07, 2025 Preamplifier H.P. 8447F 2944A03909 Aug. 04, 2023 Annual Aug. 04, 2024 Signal Conditioning Unit R&S SCU-18F 101058 Dec. 07, 2023 Annual Dec. 07, 2024 Pre Amplifier MITEQ Inc. JS44-18004000-35-8P 1546891 Oct. 06, 2023 Annual Oct. 06, 2024 Loop Antenna Schwarzbeck Mess-Elektronik FMZB 1519 1519-039 Aug. 21, 2023 Biennial Aug. 21, 2025 Bilog Antenna Schwarzbeck Mess-Elektronik VULB 9163 9163-396 Apr. 02, 2024 Biennial Apr. 02, 2026 Horn Antenna R&S HF906 100326 Feb. 19, 2024 Annual Feb. 19, 2025 Horn Antenna Schwarzbeck Mess-Elektronik BBHA 9170 9170-540 Dec. 05, 2023 Annual Dec. 05, 2024 EMI Test Receiver R&S ESU26 100109 Jan. 16, 2024 Annual Jan. 16, 2025 Turn Table Innco systems GmbH DS 1200 S N/A N.C.R. N/A N.C.R. Controller Innco systems GmbH CONTROLLER CO3000-4P CO3000/963/383 30516/L N.C.R. N/A N.C.R. Antenna Mast Innco systems GmbH MA4640-XP-ET MA4640/536/383 30516/L N.C.R. N/A N.C.R. Anechoic Chamber SY Corporation L × W × H (9.6 m × 6.4 m × 6.6 m) N/A N.C.R. N/A N.C.R. Coaxial Cable SENSORVIEW NMST-13A26-NMST-5 m TPC2402190004 Apr. 03, 2024 Semi- Annual Oct. 03, 2024 Coaxial Cable SENSORVIEW NMST-13A26-NMST-10 m TPC2402190001 Apr. 03, 2024 Semi- Annual Oct. 03, 2024 Coaxial Cable RFONE PL360P-292M292M-1.5M- A 20200324002 Apr. 12, 2024 Semi- Annual Oct. 12, 2024 Note; For equipment listed above that has a calibration date or calibration due date that falls within the test date range, care was taken to ensure that this equipment was used after the calibration date and before the calibration due date SGS Korea Co., Ltd. 4, LS-ro 182beon-gil, Gunpo-si, Gyeonggi-do, Korea, 15807 Tel. +82 31 428 5700 / Fax. +82 31 427 2370 http://www.sgsgroup.kr Report Number: F690501-RF-RTL005182 Page: 5 of 69 RTT7081-02(2020.10.05)(0) A4(210 mm * 297 mm) 1.6. Summary of Test Results The EUT has been tested according to the following specifications: APPLIED STANDARD: FCC Part 15 Subpart C Section Test Item(s) Result 15.205(a) 15.209 15.247(d) Transmitter Radiated Spurious Emissions and Conducted Spurious Emission Complied 15.247(a)(2) 6 ㏈ Bandwidth Complied 15.247(b)(3) Maximum Peak Conducted Output Power Complied 15.247(e) Power Spectral Density Complied 15.207 AC Power Line Conducted Emission Complied 1.7. Test Procedure(s) The measurement procedures described in the American National Standard of Procedure for Compliance Testing of unlicensed Wireless Devices (ANSI C63.10-2013) and the guidance provided in KDB 558074 D01 15.247 Meas Guidance v05r02 were used in the measurement of the DUT. 1.8. Sample Calculation Where relevant, the following sample…

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