GT3FSCI02Bluetooth Low Energy Module

㻞㻜㻝㻥㻛㻜㻤㻛㻟㻜㻌  User Manual㻌 㻌 Since this module is not sold to general end users directly, there is no user manual of module. For the details about this module, please refer to the specification sheet of module. This module should be installed in the host device according to the interface specification (installation procedure). This device complies with below part 15 of the FCC Rules. Part 15 Subpart C The modular transmitter is only FCC authorized for the specific rule parts (i.e., FCC transmitter rules) listed on the grant, and the host product manufacturer is responsible for compliance to any other FCC rules that apply to the host not covered by modular transmitter grant of certification. The final host product still requires Part 15 Subpart B compliance testing with the modular transmitter installed. The following information must be indicated on the host device of this module; 㻌 [for FCC] Contains Transmitter Module FCC ID: GT3FSCI02 or Contains FCC ID: GT3FSCI02 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. *If it is difficult to describe this statement on the host device due to the size, please describe in the user's manual and also either describe on the device packaging or on a removable label attached to the device. 㻌 [for ISED(IC)] C o n t a i n s I C : 3683A-SCI02 The following statements must be described on the user manual of the host device of this module; [for FCC] 㻌 㻌 㻌 FCC CAUTION Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. This transmitter must not be co-located or operated in conjunction with any other antenna or transmitter. This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment and meets the FCC radio frequency (RF) Exposure Guidelines as this equipment has very low levels of RF energy. 㻌 [for ISED(IC)] 㻌 㻌 This device contains licence-exempt transmitter(s)/receiver(s) that comply with Innovation, Science and Economic Development Canada’s licence-exempt RSS(s). Operation is subject to the following two conditions: 1.This device may not cause interference. 2.This device must accept any interference, including interference that may cause undesired operation of the device. L’émetteur/récepteur exempt de licence contenu dans le présent appareil est conforme aux CNR d’Innovation, Sciences et Développement économique Canada applicables aux appareils radio exempts de licence. L’exploitation est autorisée aux deux conditions suivantes : 1.L’appareil ne doit pas produire de brouillage; 2.L’appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d’en compromettre le fonctionnement. This equipment complies with ISED radiation exposure limits set forth for an uncontrolled environment and meets RSS-102 of the ISED radio frequency (RF) Exposure rules as this equipment has very low levels of RF energy. Cet équipement est conforme aux limites d’exposition aux rayonnements énoncées pour un environnement non contrôlé et respecte les règles d’exposition aux fréquences radioélectriques (RF) CNR-102 de l’ISDE puisque cet appareil a une niveau tres bas d'energie RF. 㻌

1 KDB996369 Check List FCC ID: GT3FSCI02 Applicant: SMK Corporation This transmitter complies with KDB996369 D03 as indicated below: Modular approval requirement Applicable Not Applicable 2.2 List of applicable FCC rules List the FCC rules that are applicable to the modular transmitter. These are the rules that specifically establish the bands of operation, the power, spurious emissions, and operating fundamental frequencies. DO NOT list compliance to unintentional-radiator rules (Part 15 Subpart B) since that is not a condition of a module grant that is extended to a host manufacturer. See also Section 2.10 below concerning the need to notify host manufacturers that further testing is required. Please refer to User Manual 2.3 Summarize the specific operational use conditions Describe use conditions that are applicable to the modular transmitter, including for example any limits on antennas, etc. For example, if point-to-point antennas are used that require reduction in power or compensation for cable loss, then this information must be in the instructions. If the use condition limitations extend to professional users, then instructions must state that this information also extends to the host manufacturer’s instruction manual. In addition, certain information may also be needed, such as peak gain per frequency band and minimum gain, specifically for master devices in 5 GHz DFS bands. 2.4 Limited module procedures If a modular transmitter is approved as a “limited module,” then the module manufacturer is responsible for approving the host environment that the limited module is used with. The manufacturer of a limited module must describe, both in the filing and in the installation instructions, the alternative means that the limited module manufacturer uses to verify that the host meets the necessary requirements to satisfy the module limiting conditions. A limited module manufacturer has the flexibility to define its alternative method to address the conditions that limit the initial approval, such as: shielding, minimum signaling amplitude, buffered modulation/data inputs, or power supply regulation. The alternative method could include that the limited module manufacturer reviews detailed test data or host designs prior to giving the host manufacturer approval. This limited module procedure is also applicable for RF exposure evaluation when it is necessary to demonstrate compliance in a specific host. The module manufacturer must state how control of the product into which the modular transmitter will be installed will be maintained such that full compliance of the product is always ensured. For additional hosts other than the specific host originally granted with a limited module, a Class II permissive change is required on the module grant to register the additional host as a specific host also approved with the module. 2 2.5 Trace antenna designs For a modular transmitter with trace antenna designs, see the guidance in Question 11 of KDB Publication 996369 D02 FAQ – Modules for Micro-Strip Antennas and traces. The integration information shall include for the TCB review the integration instructions for the following aspects: layout of trace design, parts list (BOM), antenna, connectors, and isolation requirements. a) Information that includes permitted variances (e.g., trace boundary limits, thickness, length, width, shape(s), dielectric constant, and impedance as applicable for each type of antenna); b) Each design shall be considered a different type (e.g., antenna length in multiple(s) of frequency, the wavelength, and antenna shape (traces in phase) can affect antenna gain and must be considered); c) The parameters shall be provided in a manner permitting host manufacturers to design the printed circuit (PC) board layout; d) Appropriate parts by manufacturer and specifications; e) Test procedures for design verification; and f) Production test procedures for ensuring compliance. The module grantee shall provide a notice that any deviation(s) from the defined parameters of the antenna trace, as described by the instructions, require that the host product manufacturer must notify the module grantee that they wish to change the antenna trace design. In this case, a Class II permissive change application is required to be filed by the grantee, or the host manufacturer can take responsibility through the change in FCC ID (new application) procedure followed by a Class II permissive change application. 2.6 RF exposure considerations It is essential for module grantees to clearly and explicitly state the RF exposure conditions that permit a host product manufacturer to use the module. Two types of instructions are required for RF exposure information: (1) to the host product manufacturer, to define the application conditions (mobile, portable – xx cm from a person’s body); and (2) additional text needed for the host product manufacturer to provide to end users in their end-product manuals. If RF exposure statements and use conditions are not provided, then the host product manufacturer is required to take responsibility of the module through a change in FCC ID (new application). Please refer to User Manual 2.7 Antennas A list of antennas included in the application for certification must be provided in the instructions. For modular transmitters approved as limited modules, all applicable professional installer instructions must be included as part of the information to the host product manufacturer. The antenna list shall also identify the antenna types (monopole, PIFA, dipole, etc. (note that for example an “omni-directional antenna” is not considered to be a specific “antenna type”)). For situations where the host product manufacturer is responsible for an external connector, for example with an RF pin and antenna trace design, the integration instructions shall inform the installer that unique antenna connector must be used on the Part 15 authorized transmitters used in the host pr…

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UL Japan, Inc. Kashima EMC Lab 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan T:: +81 478 88 6500 / F:: +81 478 82 3373 / W:: japan.ul.com July 19, 2021 FCC ID: GT3FSCI02 To whom it may concern, We, UL Japan, Inc, hereby declare that Bluetooth Low Energy Module, model: VRB1129-0401F (FCC ID: GT3FSCI02) of SMK Corporation is exempt from RF exposure SAR evaluation as its output power meets the exclusion limits stated in KDB 447498D01(v06). KDB 447498D01(v06) 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 ӊ 50 mm are determined by: [(max. power of channel, including tune-up tolerance, mW)/(min. test separation distance, mm)] ā[¥f(GHz)] ” 3.0 for 1-g SAR and ” 7.5 for 10-g 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 ӊ 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 has f = 2.48 GHz and distance = 5 mm (minimum separation distance: 5 mm was used in the calculation) and the maximum average output power (Burst average) was 2 mW So for this device: 2 mW[maximum average output power]/5 mm[minimum separation distance]*Ҁ2.48 = 0.6 *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. Kenichi Suda Manager

Test report No. : 13850591M-A-R1 Page : 1 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 Report Cover Page - 13-EM-F0429 Issue # 19.0 CERTIFICATE 1266.01 RADIO TEST REPORT Test Report No. : 13850591M-A-R1 Applicant : SMK Corporation Type of EUT : Bluetooth Low Energy Module Model Number of EUT : VRB1129-0401F FCC ID : GT3FSCI02 Test regulation : FCC Part 15 Subpart C: 2021 Test Result : Complied (Refer to SECTION 3) 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 appl y only to the sample tested. 3. This sample tested is in compliance with the limits of the above re gulation. 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 an y agency of the Federal Government. 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 b y UL Japan, Inc. Kashima 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 13850591M-A. 13850591M-A is replaced with this report. Date of test: June 18 to July 27, 2021 Representative test engineer: Kazuhiro Ando Engineer Approved by: Kenichi Suda Mana ger The testing in which "Non-accreditation" is displayed is outside the accreditation scopes in UL Japan. There is no testing item of "Non-accreditation". y, KazuhiroAndo Test report No. : 13850591M-A-R1 Page : 2 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 REVISION HISTORY Original Test Report No.: 13850591M-A Revision Test report No. Date Page revised Contents - (Original) 13850591M-A July 13, 2021 - - 1 13850591M-A-R1 July 28, 2021 P.25 Replace to the data chart showing the interval of two waves. Test report No. : 13850591M-A-R1 Page : 3 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 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. : 13850591M-A-R1 Page : 4 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 CONTENTS PAGE SECTION 1: Customer information ....................................................................................................... 5 SECTION 2: Equipment under test (EUT) ............................................................................................ 5 SECTION 3: Test specification, procedures & results .......................................................................... 6 SECTION 4: Ope…

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Test report No. : 13850591M-A-R1 Page : 46 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 APPENDIX 3: Photographs of test setup Conducted Emission Photo 1 Photo 2 Test report No. : 13850591M-A-R1 Page : 47 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 Radiated Spurious Emission Photo 1 Photo 2 Test report No. : 13850591M-A-R1 Page : 48 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 Radiated Spurious Emission Photo 1 Photo 2 Test report No. : 13850591M-A-R1 Page : 49 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 Worst Case Position X-axis Y-axis Z-axis There are no electronic parts and patterns on the Receive board behind the wireless module. Test report No. : 13850591M-A-R1 Page : 50 of 50 Issued date : July 28, 2021 FCC ID : GT3FSCI02 UL Japan, Inc. Kashima EMC Lab. 1614, Mushihata, Katori-shi, Chiba-ken, 289-0341 Japan Telephone : +81 478 88 6500 Facsimile : +81 478 82 3373 Antenna Terminal Conducted Tests Photo 1 Photo 2 End of Report