KXU-PCFSZ242Quick Response Premiere Nurse Call with Check In

R F Technologies Inc

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Application Details

Equipment Class: DTS - Digital Transmission System
Date of Grant: Apr 12, 2015
Application Purpose: Original Equipment
Date of Application: Apr 09, 2015
Equipment Note: Quick Response Premiere Nurse Call with Check In
Frequency Range: 2405.00000000 - 2475.00000000
Company: R F Technologies Inc
Country: United States

Documents & Files

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Users Manual

3125 North 126th Street, Brookfield, WI 53005 phone: 800.669.9946 fax: 262.790.1784 www.rft.com ©2015 RF Technologies, Inc. All specifications subject to change without notice. Quick Response Premiere Wireless Call System Hardware Installation Guide 0510-1099-C Quick Response Premiere Wireless Call System Hardware Installation Guide PN 0510-1099-C 04/10/15 Users must read this guide before using the product. Copyright 2013, 2015 by RF Technologies, Inc. All Rights Reserved. No Part of this work may be reproduced or copied in any form or by any means without written permission from RF Technologies, Inc. Important Warnings It is important for your facility to implement and enforce the following WARNINGS in order to keep all equipment functioning properly. Disregarding the information and instructions in this document is considered abnormal use and may result in injury or system failure. WARNING ACCESSORIES (SUPPLIES)—To ensure patient safety and proper operation of equipment, use only parts and accessories manufactured or recommended by RF Technologies, Inc. Parts and accessories not manufactured or recommended by RF Technologies, Inc. may not meet the requirements of the applicable safety and performance standards. Failure to use the components and supplies specified by RF Technologies, Inc. may result in equipment and/or system failure. WARNING EXPLOSION HAZARD—These devices should not be used in the presence of flammable gas mixtures. It should also not be used in oxygen enriched atmospheres. WARNING INSTALLATION AND CONFIGURATION—It is the responsibility of the facility to follow the installation instructions carefully, as outlined in the applicable system guides, and to use the components and supplies specified by RF Technologies, Inc. for all installations. Failure to use the components and supplies specified by RF Technologies, Inc. may result in equipment and/or system failure. WARNING INSTRUCTIONS FOR SET UP AND USE—It is the responsibility of the facility to follow the instructions for set up and use carefully, as outlined in this manual, and to use the components and supplies specified by RF Technologies, Inc. for set up and use. Do not attempt to use extension cords or other equipment not supplied by RF Technologies, Inc. Failure to use the components and supplies specified by RF Technologies, Inc. may result in equipment and/or system failure. WARNING PATIENT GENERATED ALARMS—Do not rely exclusively on patient generated alarms for patient care and safety. The alarm function of equipment in the possession of patients must be verified periodically and regular patient surveillance is recommended. WARNING PATIENT MONITORING—The most reliable method of patient monitoring combines close personal surveillance with correct operation of monitoring equipment. It is the responsibility of the facility to periodically check on patients in possession of RF Technologies, Inc.'s equipment (i.e. Pendants, Pull Cords, Control Units) to mitigate risk of inappropriate use of equipment or strangulation and stumbling hazards from cables and cords. WARNING PRODUCT WARRANTIES—Failure to follow the Warnings and Cautions in this guide voids any and all Product Warranties. WARNING STATIC DISCHARGE—Do not touch the conductor portion of any conductor or port. Damage to the device may result. WARNING STRANGULATIONS AND TRIPPING HAZARD—Due to the possibility of strangulation, all cables and cords should be routed away from the patient’s throat. Cables and cords must be routed in a way to prevent tripping hazards. WARNING SYSTEM INSPECTION—It is the responsibility of the facility to establish and facilitate a regular inspection schedule for your system. RF Technologies, Inc. recommends quarterly inspections of your system for safety and performance by a qualified RF Technologies, Inc. representative. To arrange for a quarterly inspection by RF Technologies, Inc., call our Technical Support Department at (800)-669-9946 or (262) 790-1771. Failure to provide regular inspection of these products may result in equipment and/or system failure. WARNING SYSTEM MAINTENANCE AND TESTING—It is the responsibility of the facility to establish and facilitate a regular maintenance schedule for your system, as outlined in the applicable system guides. This includes regular inspection, testing, and cleaning. RF Technologies, Inc. recommends monthly maintenance and testing of your system. It is also recommended that your facility keep records of maintenance and test completions. Failure to provide regular maintenance and testing of these products may result in equipment and/or system failure. WARNING SYSTEM WIRING—All permanent supply connections must be done in accordance with National Electric Code, NFPA 70. WARNING Wiring shall comply with the Standard for Thermoset-Insulated Wires and Cables, UL 44, or the Standard for Thermoplastic-Insulated Wires and Cables, UL 83. WARNING USER TRAINING—Only users who have received adequate training on the use of the system, as outlined in this manual, should use the system. It is the responsibility of the facility to ensure all users have been trained. Failure to adequately train employees may cause system failure due to user error. In addition, incorrect use of the equipment may also result in system failure. WARNING WORN OR DAMAGED PARTS—If the control unit pads or cables are worn or damaged, you must have the product serviced. For more information, see the section entitled “Service and Return.” WARNING All RF Technologies transmitters, pendants and banding material “PRODUCT” have been determined to be MR Unsafe as defined by ASTM F 2503-05. Use of “PRODUCT” in a Magnetic Resonance Imaging system will cause injury to patients and staff, MR system malfunction or “PRODUCT” malfunction. Do not bring “PRODUCT” into the MR system area and follow your facilities policies to classify and label “PRODUCT” as MR Unsafe. CAUTION DISPOSAL—At the end of their service life the products described in…

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Cover Letter(s)

F?FTtcn NDLoG,E.s' phone: 800.669.9946 web: www.rft,com 3125 North 126th Street, Brookfield, Wl 53005 USA LETTER OF AUTHORIZATION FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 Ladies and or Gentlemen I appoint Bill Stumpf or Arnom C. Rowe to act as agent in the preparation of applications under Part 15 of the Rules and Regulations of the Federal Communications Commission. I certify that the exhibits properly describe the device being submitted under this application and will implement any changes described in the test report. The following statement is required by the Federal Communications Commission: By checking yes, the applicant certifies that, in the case of an individual applicant, he or she is 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), or, in the case of an non-individual applicant (e.g. corporation, partnership or other unincorporated association), no party to the application is subject to a denial of federal benefits, that includes FCC benefits, pursuant to that section. X YESNO çr'-day of )¡t^. 20)f Agency agreement expiration date: None Dated this By -/ha7 P^rt f , Lo,5sr. -'\--- tlgnarure Printed /öo_ LIl_qøvL TitleP --1 I (.,1 ^ol o T 2 Applicant ? -fc.ú..o lo rC

Cover Letter(s)

FCC ID: KXU-PCFSZ242 D.L.S. ELECTRONIC SYSTEMS, INC. 166 South Carter Street Genoa City, WI 53128 April 8, 2015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 Gentlemen: We are submitting for RF Technologies Inc., a Quick Response Nurse Call with Check In, Model Number: 0800-0542 representing Model Numbers: 0800-0539, 0800-0540, 0800-0541 and 0800-0542, with an FCC ID: KXU-PCFSZ242 for Certification. This unit has been tested and complies to Part 15, Subpart C. If there are any questions in regard to this application, please call D.L.S. Electronic Systems, Inc. at (262) 279-0210. Enclosed you will find a copy of our test report with the information and results of tests that is required under Part 15, Section 15.247. Thank you for your assistance in this matter. Sincerely, William M. Stumpf DLS/js

Cover Letter(s)

166 South Carter Street, Genoa City, WI 53128 Request for Confidentiality Date: April 8, 2015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: KXU-PCFSZ242 Pursuant to 47 CFR Section 0.459 RF Technologies Inc. understands that requests for non disclosure and confidential treatment is being made for the following information as stated under the Code of Federal Regulations Chapter 47, Part 0.459:  Block Diagram  Schematics  Operational Description The above materials contain trade secrets, proprietary and technical information that would customarily be guarded from competitors under 47 CFR section 0.457(d)(2). Disclosure or publication of any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. RF Technologies Inc. understands that pursuant to 47 CFR section 0.457(d)(1)(ii) disclosure of the applicant and all accompanying documentation will not be made before the date of the grant. Thank you for your attention to this matter. Signatory William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc.

External Photos

Internal / External Photos RF Technologies Inc. Quick Response Premiere Nurse Call Pull Cord with Built In Battery Pack Model: 0800-0539 Model 0800-0539 Inside Main Unit & Built In Battery Pack RF Technologies Inc. Quick Response Premiere Nurse Call Pull Cord with Check In & Built In Battery Pack Model: 0800-0540 Model 0800-0540 Inside Main Unit & Built In Battery Pack RF Technologies Inc. Quick Response Premiere Nurse Call Push Button & Built In Battery Pack Model: 0800-0541 Model 0800-0541 Inside Main Unit & Built In Battery Pack RF Technologies Inc. Quick Response Premiere Nurse Call with Jack for Call Button on Cord & Built In Battery Pack Model: 0800-0542 Side view for jack input Inside Back Mounting Plate Built In Battery Pack All Models Back of Mounting Plate (This will face the wall when installed) Solder Side of PC Board All Models Built In Battery Pack – Front & Back

ID Label/Location Info

RF Technologies Inc. Quick Response Nurse Call with Check In Models 0800‐0539, 0800‐0540, 0800‐0541, and 0800‐0542 FCC ID: KXU‐PCFSZ242 IC: 2719A‐PCFSZ242 These units are professionally installed against the wall. The installer will mount the back plate to the wall before attaching the main unit to the back plate with a screw at the bottom of the main enclosure. For long‐term visibility of the compliance label – it is installed on the inside of the back plate, rather than the back side, which would be against the wall. It is a permanently visible label whenever the batteries are changed. See Internal/External Photos for exact label placements. Part Number: 0700-0321 Description: FCC Label, QR Premiere Pull Cord Revision: B Mark as follows: All lettering to be black RF Technologies, Inc. www.rft.com 1.800.669.9946 Model: 0800-0539 FCC ID: KXU-PCFSZ242 IC: 2719A- PCFSZ242 "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." Font: Arial Size: 6 Font: Arial Size: 5 Part Number: 0700-0322 Description: FCC Label, QR Premiere Pull Cord w/ Check In Revision: B Mark as follows: All lettering to be black RF Technologies, Inc. www.rft.com 1.800.669.9946 Model: 0800-0540 FCC ID: KXU- PCFSZ242 IC: 2719A- PCFSZ242 "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." Font: Arial Size: 6 Font: Arial Size: 5 Part Number: 0700-0323 Description: FCC Label, QR Premiere Wall Mount (red button) Revision: B Mark as follows: All lettering to be black RF Technologies, Inc. www.rft.com 1.800.669.9946 Model: 0800-0541 FCC ID: KXU- PCFSZ242 IC: 2719A- PCFSZ242 "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." Font: Arial Size: 6 Font: Arial Size: 5 Part Number: 0700-0324 Description: FCC Label, QR Premiere Nurse Call Jack Revision: B Mark as follows: All lettering to be black RF Technologies, Inc. www.rft.com 1.800.669.9946 Model: 0800-0542 FCC ID: KXU- PCFSZ242 IC: 2719A- PCFSZ242 "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." Font: Arial Size: 6 Font: Arial Size: 5

Internal Photos

RF Exposure Info

166 South Carter, Genoa City, WI 53128 Page 1 of 3 Company: RF Technologies Inc. Model Tested: 0800-0542 DLS Project: 7099 FCC Code of Federal Regulations 47 Part 1.1307(b) (1) RF Exposure Statement of Compliance THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Quick Response Premiere Nurse Call with Checkin Kind of Equipment: Wireless Nurse Call Device Frequency Range: 2405-2475 MHz Test Configuration: Tabletop Model Number(s): 0800-0539, 0800-0540, 0800-0541, 0800-0542 Model(s) Tested: 0800-0542 Serial Number: DUT 1 Date of Tests: March 18 th through March 27 th , 2015 Test Conducted For: RF Technologies, Inc. 3125 N. 126 th Street Brookfield, WI 53005, USA 166 South Carter, Genoa City, WI 53128 Page 2 of 3 Company: RF Technologies Inc. Model Tested: 0800-0542 DLS Project: 7099 Transmitter Information: Maximum Radiated Output Power: 1.97 dBm Maximum Effective Isotropic Radiated Power 1.57 mW Frequency: 2440 MHz Antenna Type: 2 Cross Polarized Chip Antennas 90°out of Phase Antenna Gain: 5.0 dBi Exposure Limit: Maximum Permissible Exposure (MPE) limit for General Population / Uncontrolled Exposure in the frequency range 1500 – 100,000 MHz (ref: 47 CFR Part 1.1310 Table 1(b)) Limit: (S) (mW/cm 2 ) = 1.0 mW/cm 2 MPE Calculation: Power Density (mW/cm 2 ): 푆= 푃퐺 4휋푅 2 S = Power Density (mW/cm 2 ) P = Power Input to the antenna (mW) G = Numeric Power Gain of the antenna R = Distance to the center of the radiation of the antenna (cm) 166 South Carter, Genoa City, WI 53128 Page 3 of 3 Company: RF Technologies Inc. Model Tested: 0800-0542 DLS Project: 7099 Results: Input Frequency = 2440MHz P = 1.97dBm G = 5dBi R = 20cm π 3.14159 Transmit Frequency (MHz) Output Power (dBm) Output Power (mW) Antenna Gain (dBi) Antenna Gain (numeric) Distance (cm) Power Density (mW/cm²) Power Density Limit (mW/cm²) Margin 24401.971.5739853.16228200.00101.00.999 RF Exposure Calculation Summary of Results: With a minimum separation distance of 20 centimeters as defined by FCC 2.1091(b), for a mobile device, the RF Technologies Inc. Quick Response Premiere Nurse Call with Check In model 0800-0542 meets the RF exposure evaluation requirements for maximum permissible exposure to any radiating structure and the general population / uncontrolled exposure. Conclusion: The RF Technologies Inc Quick Response Premiere Nurse Call with Check In model 0800-0542 operating under FCC part 15.247 complies with the requirements of FCC Part 1.1307(b)(1) for RF Exposure Evaluation.

Test Report

166 South Carter, Genoa City, WI 53128 Page 1 of 107 Company: RF Technologies Inc. Model Tested: 0800-0542 Report Number: 20880 DLS Project: 7099 i. Cover Page Code of Federal Regulations 47 Part 15 – Radio Frequency Devices Subpart C – Intentional Radiators Section 15.247 Operation within the bands 902 - 928 MHz, 2400 - 2483.5 MHz, 5725 - 5875 MHz, and 24.0 - 24.25 GHz. THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Quick Response Premiere Nurse Call with Check In Kind of Equipm ent: Wireless Nurse Call Device Frequency Range: 2405-2475 MHz Test Configuration: Tabletop Mode l Number(s): 0800-0539, 0800-0540, 0800-0541, 0800-0542 Model(s) Tested: 0800-0542 Serial Number(s): DUT 1 Date of Tests: March 18 th through March 27 th , 2015 Test Conducted For: RF Technologies, Inc. 3125 N. 126 th Street Brookfield, WI 53005, USA NOTICE: “This test report relates only to the items tested and must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government”. Please see the "Description of Test Sample" page listed inside of this report. © Copyright 1983 - 2015 D.L.S. Electronic Systems, Inc. COPYRIGHT NOTICE This report must not be reproduced (except in full), without the approval of D.L.S. Electronic Systems, Inc. 166 South Carter, Genoa City, WI 53128 Page 2 of 107 Company: RF Technologies Inc. Model Tested: 0800-0542 Report Number: 20880 DLS Project: 7099 ii. Signature Page SIGNATURE PAGE Tested By: Paul Leo Test Engineer Reviewed By: William Stumpf OATS Manager Approved By: Brian Mattson General Manager 166 South Carter, Genoa City, WI 53128 Page 3 of 107 Company: RF Technologies Inc. Model Tested: 0800-0542 Report Number: 20880 DLS Project: 7099 iii. Table of Contents Table of Contents i. Cover Page .......................................................................................................................................1 ii. S ignature Page .................................................................................................................................2 iii. Table of Contents .............................................................................................................................3 iv. NVLAP Certificate of Accreditation ...............................................................................................4 1.0 Summary of Test Report ..................................................................................................................5 2.0 Introduction ......................................................................................................................................5 3.0 Test Facilities ...................................................................................................................................6 4.0 Description of Test Sample ..............................................................................................................6 5.0 Test Equipment ................................................................................................................................7 6.0 Test Arrangements ...........................................................................................................................9 7.0 Test Conditions ................................................................................................................................9 8.0 Modifications Made To EUT For Compliance ................................................................................9 9.0 Additional Descriptions .................................................................................................................10 10.0 Results ............................................................................................................................................10 11.0 Conclusion .....................................................................................................................................10 Appendix A – Test Photos .........................................................................................................................11 Appendix B – Measurement Data ..............................................................................................................14 B1.0 6dB Emission Bandwidth ....................................................................................................14 B 2.0 Maximum Peak Output Power .............................................................................................18 B3.0 P eak Power Spectral Density ...............................................................................................22 B4.0 Out-of-Band Emissions (RF Radiated Spurious) .................................................................26 B5.0 Radiated Spurious Emissions in the Restricted Bands ........................................................36 _Low Channel, 2405 MHz ...............................................................................................................37 _Mid Channel, 2440 MHz ...............................................................................................................55 _High Channel, 2475 MHz ..............................................................................................................73 B6.0 Operating Band-Edge Emissions .........................................................................................91 B7.0 R estricted Band-Edge Measurements – Radiated ................................................................94 _Lower Band-Edge – 2405 MHz - Horizontal ................................................................................95 _ Lower Band-Edge – 2405 MHz – Vertical ....................................................................................97 _Upper Band-Edge – 2475 MHz – Horizontal ................................................................................99 _Upper Band-Edge – 2475 MHz – Vertical ...........................................…

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Test Setup Photos

Photo Information and Test Setup RF Technologies Inc. Quick Response Premiere Nurse Call with Check In Includes Nurse Call cord - 10ft long Radiated Emissions 30-1000 MHz Front Side Radiated Emissions 1-18 GHz Front Back Front (in Site 3) Side (in Site 3) Radiated Emissions 18-25 GHz Front Side

Contact Information

Applicant

Paul Larson(VP, Technology)

[email protected]262-853-6846Fax: 262-790-1784

Technical Contact

D.L.S. Dlectronic SystemsBill Stumpf

[email protected]2622790210

166 South Carter Street · Genoa City, Wisconsin · United States

Test Firm

DLS Electronic Systems, Inc.William Stumpf

[email protected]262-279-0210Fax: 262-279-3630

Technical Specifications

#	Rule Parts	Frequency Range	Power Output
1	15C	2.40 GHz - 2.48 GHz	1.57 mW

Confidentiality

Long Term

Grant Notes

Power Output listed is conducted. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and not be co-located with any other transmitters except in accordance with FCC multi-transmitter product procedures. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. End-users and installers must be provided with transmitter operating conditions for satisfying RF exposure compliance.