KXU-SRTCCZ24V3Quick Response Premiere Router/Gateway

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-E Quick Response Premiere Wireless Call System Hardware Installation Guide PN 0510-1099-E 09/17/15 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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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

166 South Carter Street, Genoa City, WI 53128 Request for Confidentiality Date: September 9, 2015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: KXU-SRTCCZ24V3 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.

166 South Carter Street, Genoa City, WI 53128 Letter of Agency Date: September 9, 2015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 To Whom It May Concern: Please be advised that RF Technologies, Inc. authorizes D.L.S. Electronic Systems, Inc. to act on their behalf, until otherwise notified, for applications submitted to American Certification Body, Inc. (ACB). We certify that we are not subject to denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse ACT of 1988, U.S.C. 862. Further, no party, as defined in 47 CFR 1.2002(b), to the application is subject to denial of federal benefits, that includes FCC benefits. Thank you for your attention to this matter. Signatory, William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc. 166 South Carter Street, Genoa City, WI 53128 FCC Labeling Requirements and Information Date: September 9, 2015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: FCC Labeling Requirements FCC ID: KXU-SRTCCZ24V3 The following label information is required by the FCC Rules and Regulations for certified devices. Thank you for your attention to these matters. Sincerely, William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc. 166 South Carter Street, Genoa City, WI 53128 Modification Letter Date: September 9, 2015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: KXU-SRTCCZ24V3 Please be advised that the following information is a list of modifications that will be included in the production process for the above-referenced equipment. Change 1: There were no modifications made during testing. Change 2: Change 3: Thank you for your attention to this matter. Signatory William M. Stumpf OATS Manager D.L.S. Electronic Systems, Inc. Manufacturer's Letter Date:811912015 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: KXU-SRTCCZ}4Y3 To Whom It May Concem: Please be advised that the manufacturer will ensure that the above-referenced model will be manufactured in accordance with the FCC Rules and Regulations. Thank you for your attention to this matter. Signatory, Name: 8*-l Lrrs ¡1 Title: V?,lec(n.1o1,5 company: fþ T(.(^,olo r ,* )

Label placement for QR Premiere Gateway and Router The placement of labels below applies to both the QR Premiere Gateway and Router Part Numbers QR Premiere Gateway: 0800-0551 QR Premiere Router: 0800-0550 FCC/IC Compliance Label is 1 inch x 2 inches

166 South Carter, Genoa City, WI 53128 Page 1 of 6 Company: RF Technologies Model Tested: 0800-0551 Certification Exhibit: RF Exposure 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 Router/Gateway Zigbee Transceiver Kind of Equipment: 802.15.4 Wireless Module Frequency Range: 2405-2475 MHz Test Configuration: 9-15V AC or DC powered transceiver module Model Number(s): 0800-0550 Internal Antenna 0800-0551 External High Gain Antenna Model(s) Tested: 0800-0551 External High Gain Antenna Serial Number(s): DUT 6 Date of Tests: August 13, 2015 through August 27, 2015 Test Conducted For: RF Technologies 3125 N 126 th St. Brookfield, WI. 53005 166 South Carter, Genoa City, WI 53128 Page 2 of 6 Company: RF Technologies Model Tested: 0800-0551 Certification Exhibit: RF Exposure Transmitter Information: Maximum Conducted Output Power: 9.45 dBm (8.81mW) Maximum Effective Isotropic Radiated Power 11.65 dBm Frequency: 2405 MHz Antenna Type: External High Gain Antenna Gain: 2.2 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 6 Company: RF Technologies Model Tested: 0800-0551 Certification Exhibit: RF Exposure Results: Input Frequency = 2405MHz P = 9.45dBm G = 2.2dBi R = 20cm π 3.14159 Transmit Frequency (MHz) Output Power (dBm) Output Power (mW) Antenna Gain (dBi) Antenna Gain Distance (cm) Power Density (mW/cm²) Power Density Limit (mW/cm²) Margin 24059.458.810492.21.65959200.00291.00.997 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 Quick Response Router/Gateway Zigbee Module meets the RF exposure evaluation requirements for maximum permissible exposure to any radiating structure and the general population / uncontrolled exposure. Conclusion: The RF Technologies Quick Response Router/Gateway Zigbee Module operating under FCC part 15.247 complies with the requirements of FCC Part 1.1307(b)(1) for RF Exposure Evaluation. Supporting data to follow... 166 South Carter, Genoa City, WI 53128 Page 4 of 6 Company: RF Technologies Model Tested: 0800-0551 Certification Exhibit: RF Exposure Test Date: 08-19-2015 Company: RFT Technologies EUT: Quick Response Premier Router/Gateway Test: Peak Power Output - Conducted – 15.247 (b)(3) Operator: Paul L Comment: Low Channel – Ch.11 2.405 GHz Peak Output Power = 9.45 dBm = 8.81mW 166 South Carter, Genoa City, WI 53128 Page 5 of 6 Company: RF Technologies Model Tested: 0800-0551 Certification Exhibit: RF Exposure Test Date: 08-19-2015 Company: RFT Technologies EUT: Quick Response Premier Router/Gateway Test: Peak Power Output - Conducted – 15.247 (b)(3) Operator: Paul L Comment: Mid Channel – Ch.18 2.440 GHz Peak Output Power = 8.44dBm = 6.982mW 166 South Carter, Genoa City, WI 53128 Page 6 of 6 Company: RF Technologies Model Tested: 0800-0551 Certification Exhibit: RF Exposure Test Date: 08-19-2015 Company: RFT Technologies EUT: Quick Response Premier Router/Gateway Test: Peak Power Output - Conducted – 15.247 (b)(3) Operator: Paul L Comment: High Channel – Ch. 25 2.475 GHz Peak Output Power = 7.44 dBm = 5.546mW

166 South Carter, Genoa City, WI 53128 1 of 223 Company: RF Technologies, Inc. Models Tested: 0800-0550 and 0800-0551 Report Number: 20829 Project Number: 7072 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 and 5725 – 5850 MHz, THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Quick Response Premiere Router/Gateway Kind of Equipment: Transceiver (FCC ID: KXU-SRTCCZ24V3) Frequency Range: 2405 - 2475 MHz Test Configuration: Stand-alone Model Number(s): 0800-0 550 (with internal antenna), 0800-0551 (with external antenna) Models Tested: 0800-0550 and 0800-0551 Serial Number(s): DUT 5 and DUT 6 Date of Tests: August 13 th to 21 st , 2015 and August 27 th , 2015 Test Conducted For: RF Technologies, Inc. 3125 N. 126th Street Brookfield, WI 53005 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. - FCC Registration # 90531 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 2 of 223 Company: RF Technologies, Inc. Models Tested: 0800-0550 and 0800-0551 Report Number: 20829 Project Number: 7072 ii. Signature Page SIGNATURE PAGE Tested By: Pual Leo Test Engineer Reviewed By: Craig Brandt Senior Engineer Approved By: William m. Stumpf OATS Manager 166 South Carter, Genoa City, WI 53128 3 of 223 Company: RF Technologies, Inc. Models Tested: 0800-0550 and 0800-0551 Report Number: 20829 Project Number: 7072 iii. Table of Contents Table of Contents i. Cover Page .......................................................................................................................................1 ii. Signature Page .................................................................................................................................2 iii. Table of Contents .............................................................................................................................3 iv. NVLAP Certificate of Accreditation ................................................................ ...............................5 1.0 Summary of Test Report ................................ ..................................................................................6 2.0 Introduction ......................................................................................................................................7 3.0 Test Facilities ...................................................................................................................................7 4.0 Description of Test Sample ..............................................................................................................7 5.0 Test Equipment ................................................................................................................................9 6.0 Test Arrangements .........................................................................................................................10 7.0 Test Conditions ..............................................................................................................................11 8.0 Modifications Made To EUT For Compliance ..............................................................................11 9.0 Additional Descriptions .................................................................................................................11 10.0 Antenna Statement ................................................................................................ .........................12 11.0 Results ............................................................................................................................................12 12.0 Conclusion .....................................................................................................................................12 Appendix A – Test Photos .........................................................................................................................13 Appendix B – Measurement Data ..............................................................................................................22 B1.0 6 dB Emission Bandwidth ........................................................................................................ 22 B2.0 Maximum Peak Conducted Output Power ............................................................................... 26 B3.0 Band Edge Emissions ............................................................................................................... 30 B4.0 RF Conducted Spurious Emissions ........................................................................................... 33 _Low Channel, 2405 MHz.................................................................................................................... 34 _Mid Channel, 2440 MHz .................................................................................................................... 38 _High Channel, 2475 MHz ................................................................................................................... 42 B5.0 Radiated Spurious Emissions.................................................................................................... 46 _30-1000MHz, 0800-0550 Low channel .............................................................................................. 47 _30-1000MHz, 0800-0550 Mid channel ................................................................ .............................. 53 _30-1000MHz, 0800-0550 High channel ................................................................ ...............…

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Test Setup Photos RF Technologies, Inc. EUT – Quick Response Premiere Router/Gateway, Models 0800-0550 and 0800-0551 RF Conducted – with Analyzer RF Conducted – with Power Meter Item 0: EUT – Quick Response Premiere Router, Model 0800-0550 Item 1: 10m unshielded power cable Item 2: 10m power cable to daisy chain additional units Model 0800-0550, Radiated 30 to 1000MHz Radiated Front – X position Radiated Front – Y position Radiated Front – Z position Radiated Back Model 0800-0550, Radiated 1 to 18GHz Radiated Front – X position Radiated Front – Y position Radiated Front – Z position Radiated Back Model 0800-0550, Radiated 18 to 25GHz Radiated Front – X position Radiated Front – Y position Radiated Front – Z position Radiated Back Model 0800-0550 AC Line Conducted - Front AC Line Conducted – Back (With central power supply provided by RF Technologies, Inc.) Item 0: EUT – Quick Response Premiere Gateway, Model 0800-0551 Item 1: 10m unshielded power cable Item 2: 10m power cable to daisy chain additional units Model 0800-0551, Radiated 30 to 1000MHz Radiated Front – X position Radiated Front – Y position Radiated Front – Z position Radiated Back Model 0800-0551, Radiated 1 to 18GHz Radiated Front – X position Radiated Front – Y position Radiated Front – Z position Radiated Back Model 0800-0551, Radiated 18 to 25GHz Radiated Front – X position Radiated Front – Y position Radiated Front – Z position Radiated Back Model 0800-0550 AC Line Conducted - Front AC Line Conducted – Back (With central power supply provided by RF Technologies, Inc.)