DV8LX8300MGECG,Respiration and SpO2 Transmitter

FUKUDA DENSHI CO., LTD. ・External photo Front Rear FUKUDA DENSHI CO., LTD. Top Bottom FUKUDA DENSHI CO., LTD. Left Right

FUKUDA DENSHI CO., LTD. ・Labeling The size of the product is small, and it is difficult to secure a space on the product to describe the full text of the description requirement of §95.2393. Since the notation on the product is not realistic, the note of the description requirement is described in the user manual.

FUKUDA DENSHI CO., LTD. ・Internal photo ANTENNA ANTENNA RF circuit board FUKUDA DENSHI CO., LTD. RF Block RF Block

UL Japan, Inc. Shonan EMC Lab. 1-22-3 Megumigaoka, Hiratsuka-shi, Kanagawa-ken, 259-1220 JAPAN Telephone: +81 463 50 6400 Facsimile: +81 463 50 6401 2020/4/27 FCC ID: DV8LX8300MG To whom it may concern, We, UL Japan, Inc., hereby declare that ECG, Respiration and SpO2 Transmitter, model : LX-8300M(G) (FCC ID: DV8LX8300MG) of Fukuda Denshi Co., Ltd. is exempt from RF exposure SAR evaluation with RF Exposure Compliance requirements of the KDB 447498 D01 General RF Exposure Guidance. (It is necessary to comply of FCC section 2.1093 in reality, however, it is exempted by KDB 447498 D01.) KDB 447498D01 has the following exclusion for portable devices: The 1g and 10g SAR test exclusion thresholds for 100 MHz to 6 GHz at test separation distances < 50 mm are determined by: [(measured maximum average output power(mW))/(Minimum separation distance(mm))]•[ √ f (GHz)] < 3.0 for 1g SAR and < 7.5 for 10g extremity SAR where • f(GHz) is the RF channel transmit frequency in GHz • Power and distance are rounded to the nearest mW and mm before calculation • The result is rounded to one decimal place for comparison The test exclusions are applicable only when the minimum test separation distance is < 50 mm and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm is applied to determine SAR test exclusion. This device f = 1.4314625 GHz, distance = 5mm (minimum separation distance: 5 mm was used in the calculation) and the measured maximum average output power was 5 mW So for this device: 5 mW [measured maximum average output power] / 5 mm [minimum separation distance] * ( √ 1.4314625) = 1.2 *This is less than 3.0, so no SAR is required. Even taking into account the tolerance, this device can be satisfied with the limits. Thank you for your attention to this matter. Toyokazu Imamura Leader Consumer Technology Division

Test report No. : 13272774S-R3 Page : 1 of 32 Issued date : May 28, 2020 FCC ID : DV8LX8300MG UL Japan , Inc. Shonan EMC Lab. 1-22-3 Megumigaoka, Hiratsuka-shi, Kanagawa-ken, 259-1220 JAPAN T e l e phone : +81 463 50 6400 Facsimile : +81 463 50 6401Report Cover Page - 13-EM-F0429 Issue # 16.0 CERTIFICATE 1266.03 RADIO TEST REPORT Test Report No. : 13272774S-R3 Applicant : Fukuda Denshi Co., Ltd. Type of EUT : ECG, Respiration and SpO2 Transmitter Model Number of EUT : LX-8300M(G) FCC ID : DV8LX8300MG Test regulation : F CC Part 95 Subpart H: 2020 FCC Part 2 Subpart J: 2020 Test Result : Complied (Refer to SECTION 3.2) 1.This test report shall not be reproduced in full or partial, without the written approval of UL Japan, Inc. 2.The results in this report apply only to the sample tested. 3.This sample tested is in compliance with the limits of the above regulation. 4.The test results in this test report are traceable to the national or international standards. 5.This test report must not be used by the customer to claim product certification, approval, or endorsement by the A2LA accreditation body. 6. This test report covers Radio technical requirements. It does not cover administrative issues such as Manual or non-Radio test related Requirements. (if applicable) 7.The all test items in this test report are conducted by UL Japan, Inc. Shonan EMC Lab. 8.The opinions and the interpretations to the result of the description in this report are outside scopes where UL Japan has been accredited. 9. The information provided from the customer for this report is identified in SECTION 1. 10.This report is a revised version of 13272774S-R2. 13272774S-R2 is replaced with this report. Date of test: March 16 to 28, 2020 Representative test engineer: Kenichi Adachi Engineer Consumer Technology Division Approved by: Toyokazu Imamura Leader Consumer Technology Division The testing in which "Non-accreditation" is displayed is outside the accreditation scopes in UL Japan. There is no testing item of "Non-accreditation". Test report No. : 13272774S-R3 Page : 2 of 32 Issued date : May 28, 2020 FCC ID : DV8LX8300MG UL Japan, Inc. Shonan EMC Lab. 1-22-3 Megumigaoka, Hiratsuka-shi, Kanagawa-ken, 259-1220 JAPAN Telephone : +81 463 50 6400 Facsimile : +81 463 50 6401 REVISION HISTORY Original Test Report No.: 13272774S Revision Test report No. Date Page revised Contents - (Original) 13272774S April 27, 2020 - - 1 13272774S-R1 May 25, 2020 5 Correction of Frequency of Operation in 2.2: “1395.0375 MHz - 1399.9675 MHz, 1427.0375 MHz - 1426.2625 MHz” to “1395.0375 MHz - 1399.9625 MHz, 1427.0375 MHz - 1431.4625 MHz” 2 13272774S-R2 May 26, 2020 6 Correction of error in applicable item number (WMTS field strength limits 90.2369(a) to 90.2369(b)) 13-18 Correction of error of discription temperature and error of reason. ("on 50 deg.C., 0 deg.C., -10 deg.C. and -20 deg.C" to "on 50 deg.C., 0 deg.C., -10 deg.C., -20 deg.C and -30 deg.C" , "were not apply" to "were reference data") 3 13272774S-R3 May 28, 2020 21-23, 25-27 Added the E.I.R.P. value of RF output power. Test report No. : 13272774S-R3 Page : 3 of 32 Issued date : May 28, 2020 FCC ID : DV8LX8300MG UL Japan, Inc. Shonan EMC Lab. 1-22-3 Megumigaoka, Hiratsuka-shi, Kanagawa-ken, 259-1220 JAPAN Telephone : +81 463 50 6400 Facsimile : +81 463 50 6401 Reference: Abbreviations (Including words undescribed in this report) A2LA The American Association for Laboratory Accreditation MCS Modulation and Coding Scheme AC Alternating Current MRA Mutual Recognition Arrangement AFH Adaptive Frequency Hopping N/A Not Applicable AM Amplitude Modulation NIST National Institute of Standards and Technology Amp, AMP Amplifier NS No signal detect. ANSI American National Standards Institute NSA Normalized Site Attenuation Ant, ANT Antenna NVLAP National Voluntary Laboratory Accreditation Program AP Access Point OBW Occupied Band Width ASK Amplitude Shift Keying OFDM Orthogonal Frequency Division Multiplexing Atten., ATT Attenuator P/M Power meter AV Average PCB Printed Circuit Board BPSK Binary Phase-Shift Keying PER Packet Error Rate BR Bluetooth Basic Rate PHY Physical Layer BT Bluetooth PK Peak BT LE Bluetooth Low Energy PN Pseudo random Noise BW BandWidth PRBS Pseudo-Random Bit Sequence Cal Int Calibration Interval PSD Power Spectral Density CCK Complementary Code Keying QAM Quadrature Amplitude Modulation Ch., CH Channel QP Quasi-Peak CISPR Comite International Special des Perturbations Radioelectriques QPSK Quadri-Phase Shift Keying CW Continuous Wave RBW Resolution Band Width DBPSK Differential BPSK RDS Radio Data System DC Direct Current RE Radio Equipment D-factor Distance factor RF Radio Frequency DFS Dynamic Frequency Selection RMS Root Mean Square DQPSK Differential QPSK RSS Radio Standards Specifications DSSS Direct Sequence Spread Spectrum Rx Receiving EDR Enhanced Data Rate SA, S/A Spectrum Analyzer EIRP, e.i.r.p. Equivalent Isotropically Radiated Power SG Signal Generator EMC ElectroMagnetic Compatibility SVSWR Site-Voltage Standing Wave Ratio EMI ElectroMagnetic Interference TR Test Receiver EN European Norm Tx Transmitting ERP, e.r.p. Effective Radiated Power VBW Video BandWidth EU European Union Vert. Vertical EUT Equipment Under Test WLAN Wireless LAN Fac. Factor FCC Federal Communications Commission FHSS Frequency Hopping Spread Spectrum FM Frequency Modulation Freq. Frequency FSK Frequency Shift Keying GFSK Gaussian Frequency-Shift Keying GNSS Global Navigation Satellite System GPS Global Positioning System Hori. Horizontal ICES Interference-Causing Equipment Standard IEC International Electrotechnical Commission IEEE Institute of Electrical and Electronics Engineers IF Intermediate Frequency ILAC International Laboratory Accreditation Conference ISED Innovation, Science and Economic Development Canada ISO International Organization for Standardization JAB Japan Accreditation Board LAN Local Area Network LIMS Laboratory Information Management System Test report No. : …

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UL Japan, Inc. Shonan EM C Lab. 1-22-3 Megumigaoka, Hiratsuka-shi, Kanagawa-ken, 259-1220 JAPAN Telephone : +81 463 50 6400 Facsimile : +81 463 50 6401 APPENDIX 3: Photographs of test setup Radiated Spurious Emission Front Rear (below 30 MHz) Rear (below 1 GHz) Rear (above 1 GHz) Test Report No. 13272774S-R3 page 31 of 32 UL Japan, Inc. Shonan EMC Lab. 1-22-3 Megumigaoka, Hiratsuka-shi, Kanagawa-ken, 259-1220 JAPAN Telephone : +81 463 50 6400 Facsimile : +81 463 50 6401 Pre-check of worst case position X-axis Y-axis Z-axis End of Report Test Report No. 13272774S-R3 page 32 of 32