Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
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 IV Ensure, Inc Address 1700 Pacific Avenue Suite 2425 Dallas Texas United States 75201 FRN 0037524469 Grantee Code 2BSBF FCC ID: 2BSBFIVED04 Authorized Contact Name Debbie Meyer Contact Phone 4547 Ext 112-(888) 207 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: 12/17/2025 Print Name: Debbie Meyer Title: CTO *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database
IV Ensure, Inc. 1700 Pacific Ave, Suite 2425 Dallas, TX 75201 +1 (888) 207-4547 www.ivensure.com UNITED STATES DESIGNATED AGENT LETTER Date: December 17, 2025 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Applicant US Designated Agent Company Name: IV Ensure, Inc Company Name: IV Ensure, Inc. FRN: 0037524469 FRN: 0037524469 Grantee Code: 2BSBF Contact Name: Debbie Meyer Contact Name: Debbie Meyer Address: 1700 Pacific Ave, Suite 2425 Address: 1700 Pacific Ave, Suite 2425 City/Province/Zip: Dallas, TX 75201 City/Province/Zip: Dallas, TX 75201 Telephone: (888) 207-4547 Ext 112 Telephone: (888) 207-4547 Ext 112 Fax: (877) 537-8803 Fax: (877) 537-8803 Email: [email protected] Email: [email protected] Applicable Equipment: FCC ID: 2BSBFIVED04 ATTN: Director of Certification: We, IV Ensure, Inc. understand and acknowledge the applicants consent and the designated agent’s obligation to accept service of process in the United States for matters related to the applicable equipment, and at the physical U.S. address and e-mail of the designated agent listed above. We, IV Ensure, Inc. acknowledge the applicant’s acceptance of its obligation to maintain an agent for service of process in the United States for no less than one year after either the grantee has permanently terminated all marketing and importation of the applicable equipment within the U.S., or the conclusion of any Commission- related administrative or judicial proceeding involving the equipment, whichever is later. Name: Debbie Meyer Title: CTO Signature:
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 IV Ensure, Inc Address 1700 Pacific Avenue Suite 2425 Dallas Texas United States 75201 FRN 0037524469 Grantee Code 2BSBF FCC ID: 2BSBFIVED04 Authorized Contact Name Debbie Meyer Contact Phone 4547 Ext 112-(888) 207 Contact Email [email protected] We certify 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. - 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: 12/17/2025 Print Name: Debbie Meyer Title: CTO *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database
IV Ensure, Inc. 1700 Pacific Ave, Suite 2425 Dallas, TX 75201 +1 (888) 207-4547 www.ivensure.com Date: December 17, 2025 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: FCC ID: 2BSBFIVED04 To whom it may concern: We, the undersigned, hereby authorize SGS-CSTC Standards Technical Services Co., Ltd. (SGS) Shenzhen Branch 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 IV Ensure Inc This authorization is valid until further written notice from the applicant. Print Name: Debbie Meyer Title: CTO Signature: On behalf of Company: IV Ensure, Inc. Telephone: (888) 207-4547, Ext 112 Email: [email protected]
IV Ensure, Inc. 1700 Pacific Ave, Suite 2425 Dallas, TX 75201 +1 (888) 207-4547 www.ivensure.com Date: December 17, 2025 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding: Confidentiality Request regarding application for FCC ID: 2BSBFIVED04 LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby requests confidential treatment of the documents listed below, associated with the certification application referenced above. •Operation Descriptions •Schematic(s) •Block Diagrams • Tune Up Procedures 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 180 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: Debbie Meyer Title: CTO Signature: On behalf of Company: IV Ensure, Inc. Telephone: +1 (888) 207-4547 Email: [email protected] • BOM
PROJECT A0 XX 1/1 1:1 A4 Levi Nick Nick Levi Nick Nick AMG905 product label PART NAME: PART NO.: UNITS: mm MATERIAL: MODEL: SHEET: SCALE: DRAWN : CHECKED: APPROVED: REV. DESCRIPTION REVD: CHKD: APPD:DATE Notes: 1.Material: Printable rintablep B423, Matte 2.the label is blank when it comes, all words and symbols are production line printing 3.All materials and production processes should be in compliance with RoHs 1) Placement of logo . 2) Clear writing of "Model #: " IVED-04 Font 5pt.Arial Unicode MS 3) Clear writing of the text (FCC ID:).2BSBFIVED04 Font 5pt.Arial Unicode MS 4) Clear writing of the text (IC:).34613-IVED04 Font 5pt.Arial Unicode MS 5) ) Placement of the bitmapand QR code the QR code contains IMEI, S/N (MEI: 123456789012345,S/N:IA90525060000F)B 6) Clear writing of the text Font 5pt.(Customer Support)Arial Unicode MS Font 9pt.(1-888-207-4547)Arial Unicode MS 7) Clear writing of "S: " followed by S/N defined as following/N BSN definition of Mainboard (AAAAYYWWM) where(same as product SN):RSSSS AAAA = (4 digits) Product ID. E.g.: AMG905 = A905 YY = (2 digits) Production's year. E.g.: 2025 = 25 WW = (2 digits) Production's week number. E.g.: Week 6 = 06 = Revision alphabet ("0""A", "B", "C", etc.). Marks the hardware revision of the product.R 0=DVT version,A=MP version, B/C/D=based on major PCB design change = (4 digits) 4 character serial number that will run like this: 0000 to 9999 and then continue as A000 to A999, B000 to B999, etc., SSSS weekly reset to 0000. All the way to Z000 to Z999 allowing for total of 35K controls per week. M = (1 digit) The first char of the EMS name. E.g.: FIH = F ; BYD = B Example: A90525060000F0 Font 6.0pt Arial Unicode MS 8) Clear writing of "DC:"followed by production date code defined as following: XYYYYWW X: First letter of the EMS name. Eg.: B = BYD, F = FIH. YYYY: Year of production. Eg.: 2023 WW: Week of production. Eg.: 20, 21, 22... Font 4.0pt Arial Unicode MS 9) Clear writing "Manufactured by IV Ensure, Inc.". Font 3.0pt Arial Unicode MS 10) Clear writing of “MAED IN”:followed by the production/assembly country. Font 3.0pt Arial Unicode MS Raw Label code:1VV0200928 ENSURE Model#:IVED-04 FCC ID:2BSBFIVED04 IC:34613-IVED04 Manufactured by IV Ensure, Inc. MADE IN VIETNAM S/N:A905252500000F Label sample first DVT sample made by Vietnam's FIH company in the 25th week of 2025 . Label sample The 1002nd MP sample made by Vietnam's FIH company in the 25th week of 2025 . Customer Support 1-888-207-4547 DC: F202525 ENSURE Model#:IVED-04 FCC ID:2BSBFIVED04 IC:34613-IVED04 Manufactured by IV Ensure, Inc. MADE IN VIETNAM S/N:A905252500000F Customer Support 1-888-207-4547 DC: F202525 ENSURE Model#:IVED-04 FCC ID:2BSBFIVED04 IC:34613-IVED04 Manufactured by IV Ensure, Inc. MADE IN VIETNAM S/N:A9052525AA001F Customer Support 1-888-207-4547 DC: F202525 RELIABILITY TEST CONDITIONS 1.Alcohol friction resistance test It rubbed against the felted wool which has been immersed into absolute alcohol and with 500g weights back and forth for 50 times in the direction of 90 degree vertical. 2.Rubber friction resistance test It rubbed against the rubber and with 500g weights back and forth for 200 times in the direction of 90 degree vertical. 3.55%IPA friction resistance test It rubbed against the 55% IPA wipes and with 500g weights for 200 times(1back and forth as 1time) in the direction of 90 degree vertical. 2001702319
SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403204 Page: 1 of 8 Keny Xu EMC Laboratory Manager TEST REPORT Application No.: SZCR2509004032AT Applicant: IV Ensure, Inc. Address of Applicant: 1700 Pacific Ave, Suite 2425, Dallas, TX USA Manufacturer: IV Ensure, Inc. Address of Manufacturer: 1700 Pacific Ave, Suite 2425, Dallas, TX USA EUT Description: IVED-04 Model No.: IVED-04 Trade Mark: IVENSURE FCC ID: 2BSBFIVED04 Standards: FCC 47 CFR Part 2.1091 FCC KDB 447498 D01 v06 Date of Receipt: 2025/09/12 Date of Issue: 2025/11/27 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/2 Report No.: SZCR250900403204 Page: 2 of 8 Revision Record Version Chapter Date Modifier Remark 01 2025/11/27 Original Authorized for issue by: Donjon Huang/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403204 Page: 3 of 8 2 Contents 1 Cover Page ............................................................................................................................................... 1 2 Contents ................................................................................................................................................... 3 3 General Information ................................................................................................................................ 4 3.1 General Description of EUT .......................................................................................................... 4 3.2 Test Location .................................................................................................................................. 5 3.3 Test Facility ..................................................................................................................................... 5 4 RF Exposure Evaluation ......................................................................................................................... 6 4.1 RF Exposure Compliance Requirement....................................................................................... 6 4.1.1 Limits ........................................................................................................................................... 6 4.1.2 Test Procedure ........................................................................................................................... 7 4.1.3 EUT RF Exposure Evaluation ................................................................................................... 7 4.1.4 Exposure calculations for multiple sources ........................................................................... 8 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403204 Page: 4 of 8 3 General Information 3.1 General Description of EUT EUT Description: IVED-04 Model No.: IVED-04 Trade Mark: IVENSURE Hardware Version: 1.0 Software Version: 37.00.218 Power Supply: DC 3.8V Antenna Type: External, Integrated Antenna Gain: GSM850: -2.12dB i GSM1900: 0.99dBi NB-IoT: NB-IoT Band 2: 0.99dBi NB-IoT Band 4: 2.33dBi NB-IoT Band 5: -2.12dBi NB-IoT Band 12: -2.99dBi NB-IoT Band 13: -1.64dBi NB-IoT Band 25: 0.99dBi NB-IoT Band 26: -2.12dBi NB-IoT Band 66: 2.33dBi NB-IoT Band 71: -3.37dBi NB-IoT Band 85: -2.99dBi CAT M1: Cat M1 Band 2: 0.99dBi Cat M1 Band 4: 2.33dBi Cat M1 Band 5: -2.12dBi Cat M1 Band 12: -2.99dBi Cat M1 Band 13: -1.64dBi Cat M1 Band 25: 0.99dBi Cat M1 Band 26: -2.12dBi Cat M1 Band 66: 2.33dBi Cat M1 Band 85: -2.99dBi Bluetooth: 1.8dBi Note: The antenna gain are derived from the gain information report provided by the manufacturer. Remark: As above information is provided and confirmed by the applicant. SGS is not liable to the accuracy, suitability, reliability or/and integrity of the information. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403204 Page: 5 of 8 3.2 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. 3.3 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-12383 and T-11153 respectively. • FCC –Designation Number: CN1336 SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen EMC Laboratory has been recognized as an accredited testing laboratory. Designation Number: CN1336. Test Firm Registration Number: 787754. • Innovation, Science and Economic Development Canada SGS-CSTC Standards Technical Services Co., Ltd., Shenzhen EMC Laboratory has been recognized by ISED as an accredited testing laboratory. CAB identifier: CN0006. IC#: 4620C. SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403204 Page: 6 of 8 4 RF Exposure Evaluation 4.1 RF Exposure Compliance Requirement 4.1.1 Limits Frequency range (MHz) Electric field strength (V/m) Magnetic field stre…
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Part No. M830320 Wi-Fi / BT / Zigbee Ceramic Antenna 2.4 GHz Supports: Wi-Fi applications, Agriculture, Automotive, Bluetooth, Zigbee, WLAN, Smart Home, Healthcare, Digital Signage DATASHEET Part No. M830320 Product: Wi-Fi/Bluetooth Ceramic Antenna 5/4/2021Proprietary Mechanical Specifications & Ordering Part Number KEY BENEFITS Stay-in-Tune IMD antenna technology provides superior RF field containment, resulting in less interaction with surrounding components. Quicker Time-to-Market By optimizing antenna size, performance and emissions, customer and regulatory specifications are more easily met. Reliability Products are the latest RoHS version compliant. Ceramic Wi-Fi / Bluetooth Antenna 2400 –2485 MHz •Embedded design •Cellular, Headsets, Tablets •Gateway, Access Point •Handheld •Telematics •Tracking •Healthcare •M2M, Industrial devices •Smart Grid •OBD-II APPLICATIONS Ordering Part NumberM830320 Size (mm)8.0 x 3.0x1.3 MountingSurface mounted Weight (grams)0.2 Packaging Tape & Reel, M830320–1,000 pieces per reel Demo BoardM830320-01 KYOCERA AVX’s series of Ceramic Isolated Magnetic Dipole™ (IMD) antennas deliver on the key needs of device designers for higher functionality and performance in smaller/thinner designs. These innovative antennas provide compelling advantages for Bluetooth ® enabled mobile devices. Real-World Performance and Implementation Ceramic antennas may look alike on the outside, but the important difference is inside. Other antennas may contain simple PiFA or monopole designs that interact with their surroundings, complicating layout and compromising performance. Ethertronics antennas utilize patented IMD technology to deliver optimum performance in a miniature size configuration. Greater Flexibility KYOCERA AVX’s first-in-class IMD technology enables you to develop designs that are more advanced and that deliver superior performance in reception critical applications. Electrical Specifications Typical performance on a 40 x 60 mm PCB Frequency (MHz)2400 –2485 Peak Gain1.8 dBi Average Efficiency72% VSWR Match2.0:1 max Feed Point Impedance50 ohms unbalanced PolarizationLinear Power Handling0.5 Watt CW www.KYOCERA-AVX.com VSWR, Efficiency Plots Typical performance on 40 x 60 mm PCB VSWREfficiency Antenna Radiation Patterns Typical performance on 40 x 60 mm PCB Measured @ 2440 MHz 2.4 GHz KYOCERA AVX’s Embedded Antenna Specifications KYOCERA AVX produces a wide variety of standard and custom antennas to meet user needs. Y X Y Z X Z DATASHEET | Part No. M830320 © KYOCERA AVX tel +(1) 858.550.3820 email: [email protected] Antenna Dimensions Typical antenna dimensions (mm) PinDescription 1 Feed 2 Ground 3 DummyPad 4 Tuning Pad 5 DummyPad 6 DummyPad Part NumberA (mm)B (mm)C (mm) M8303208.0 ±0.23.0 ±0.21.33 ±0.1 DATASHEET | Part No. M830320 Pin #1 Pin #2 Pin #3 Pin #4 Pin #5 Pin #6 C A B © KYOCERA AVX tel +(1) 858.550.3820 email: [email protected] 2.4 GHz KYOCERA AVX’s Embedded Antenna Specifications KYOCERA AVX produces a wide variety of standard and custom antennas to meet user needs. DATASHEET | Part No. M830320 Antenna Layout Typical layout dimensions (mm) Pin #1 Pin#Description 1 Feed 2 Ground 3 Dummy Pad 4 TuningPad 5 Dummy Pad 6 DummyPad Pin Descriptions Matching Network (Demo Board) ComponentValueTolerance P1 0ΩN/A 50Ω Transmission line *Actual matching values depend on customer design •Additional VIAS: Diam. 0.2mm to be placed around antenna, (no viason transmission lines). •Via holes must be covered by solder mask Pin #2 Pin #3 Pin #4 Pin #5 Pin #6 Antenna Outline P1 Antenna Outline 50ohm P1 © KYOCERA AVX tel +(1) 858.550.3820 email: [email protected] 2.4 GHz KYOCERA AVX’s Embedded Antenna Specifications KYOCERA AVX produces a wide variety of standard and custom antennas to meet user needs. DATASHEET | Part No. M830320 Antenna Layout Tips (General reference) Important, layout guidelines for correct operation of KYOCERA AVX Ceramic Antennas. Please read guidelines below before laying out the antenna in a device. Figure 1 shows the typical antenna layout. Figure 2 shows Ethertronics’ antenna layout. ShortingpinFeedpin Antennatuningloop: •Theantennatuningloopisformedbythe PCBlayout. •Thefeedpinandshortingpinare combinedbecause itrequiresveryclose proximitytoachievemoreband-width. Figure 2 KYOCERA AVX Antenna Layout (Required) Figure1 Typical Antenna Layout Shorting pin and feed pin are shared in KYOCERA AVX ceramic antennas Other KYOCERA AVX © KYOCERA AVX tel +(1) 858.550.3820 email: [email protected] 2.4 GHz KYOCERA AVX’s Embedded Antenna Specifications KYOCERA AVX produces a wide variety of standard and custom antennas to meet user needs. Antenna Demo Board Typical layout dimensions (mm) Part NumberA (mm)B (mm)C (mm) M830320-0160.040.026.0 A B A DATASHEET | Part No. M830320 C © KYOCERA AVX tel +(1) 858.550.3820 email: [email protected] 2.4 GHz KYOCERA AVX’s Embedded Antenna Specifications KYOCERA AVX produces a wide variety of standard and custom antennas to meet user needs.
SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403202 Page: 1 of 77 Keny Xu EMC Laboratory Manager TEST REPORT Application No.: SZCR2509004032AT Applicant: IV Ensure, Inc. Address of Applicant: 1700 Pacific Ave, Suite 2425, Dallas, TX USA Manufacturer: IV Ensure, Inc. Address of Manufacturer: 1700 Pacific Ave, Suite 2425, Dallas, TX USA Equipment Under Test (EUT): EUT Name: IVED-04 Model No.: IVED-04 Trade Mark: IVENSURE FCC ID: 2BSBFIVED04 Standard(s) : 47 CFR Part 15, Subpart C 15.247 Date of Receipt: 2025-09-12 Date of Test: 2025-09-29 to 2025-10-10 Date of Issue: 2025-11-27 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/2 Report No.: SZCR250900403202 Page: 2 of 77 Revision Record Version Chapter Date Modifier Remark 01 2025-11-27 Original Authorized for issue by: Donjon Huang/Project Engineer Eric Fu/Reviewer SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403202 Page: 3 of 77 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 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 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 11.10.2 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 SGS-CSTC Standards Technical Services Co., Ltd. Shenzhen Branch SZEMC-TRF-01 Rev. A/2 Report No.: SZCR250900403202 Page: 4 of 77 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 Environment Parameter ..................................................................................................................... 6 4.3 Description of Support Units .............................................................................................................. 7 4.4 Measurement Uncertainty .................................................................................................................. 7 4.5 Test Location ...................................................................................................................................... 8 4.6 Test Facility ........................................................................................................................................ 8 4.7 Deviation from Standards ................................................................................................................... 8 4.8 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 7 Radio Spectrum Matter Test Results .................................................................................................... 12 7.1 Conducted Emissions at AC Power Line (150kHz-30MHz) ............................................................. 12 7.1.1 E.U.T. Operation .......................................................................................................................... 12 7.1.2 Test Mode Description ................................................................................................................. 12 7.1.3 Test Setup Diagram ..................................................................................................................... 13 7.1.4 Measurement Procedure and Data............................................................................................. 13 7.2 Radiated Emissions which fall in the restricted bands ..................................................................... 16 7.2.1 E.U.T. Ope…
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1700 Pacific Avenue Suite 2425 · Dallas, Texas, 75201 · United States
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 2.40 GHz - 2.48 GHz | 300.00 µW |