O76-T2SG0910ALOW POWER EVENT COUNTER TRANSMITTER

Hand Hygiene Electronic Monitoring System Activity Counter Installation and Service Guide Version 2.0 6/5/2013 GOJO Industries, Inc. Activity Counter Installation and Service User Guide August 22, 2013 1 ! Warning (In according to FCC part 15.19): 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. ! Caution (Pertaining to FCC part 15.21): Modifications to this equipment not expressly approved by GOJO Industries, Inc. could void the user's authority to operate the equipment. This unit is certified to FCC Part 15 Part C for intentional unlicensed radiators. FCC ID O76-T2SG0910A Activity Counter Installation and Service User Guide August 22, 2013 2 Glossary of Terms System The GOJO compliance monitoring hardware and web-based software used to record hand hygiene events and opportunities by using dispensers, activity counters, repeaters and gateways. Sensor The module in a dispenser or activity counter, which records and transmits usage data. Repeater Used to extend the distance of the Radio Frequency signal between sensors and gateway devices. Gateway Used to transmit hand compliance events and opportunities to the web- based software. Activity Counter Infra-Red sensing device that records room entrances and exits of hospital staff, patients, and/or visitors. Mounted above a doorway in a patient room or monitored area. Dashboard The web-software that is used to display data collected by the system in meaningful graphs, tables and charts. Average Compliance A calculation that includes the average number of observed opportunities (room entrances and exits) for a unit. Generally provided by the hospital Infection Control or Nurse Manager as a result of direct observation. The average opportunities are used as the denominator in the compliance calculation. Actual Compliance Calculated by dividing actual dispenser events and actual activity counter opportunities. SmartLink™ Module The module that resides in a GOJO dispenser that transmits data to the system. Improvement Index A visual representation of progress made toward hand hygiene improvement. This view does not display the actual compliance rates, but instead uses a predetermined baseline and goal to show compliance. The baseline is generated by collecting 2 weeks of usage data before an intervention is executed. Activity Counter Installation and Service User Guide August 22, 2013 3 Device Overview The GOJO Activity Counter is one component of the Activity Monitoring System. The Activity Counter is a sensor that utilizes SmartLink™ technology to communicate with the system. The Activity Counter is installed in the vicinity where monitoring is desired, typically a doorway to a room. When a person passes by the Activity Counter, the event is registered and transmitted to the system through the Activity Monitoring System network to the gateway and out to the cloud (internet reporting service). The events captured by the Activity Counter are used to determine the number of opportunities when calculating compliance rates. System Architecture Public or Private Internet GOJO Smartlink ™ dispensers 74.3% Hand Hygiene reporting tools are accessed through a secure logon and can be displayed on most internet enabled devices Amazon Cloud is accessible via SSL encrypted endpoints Amazon Simple Storage Service (Amazon S3) Amazon Simple Queue Service (Amazon SQS) AWS Premium Support Amazon RDS Amazon Elastic Compute Cloud (EC2) Amazon CloudWatch Internet Gateway Repeater Activity Counter Events from Smartlink™ dispensers and Activity Counters send data to the Amazon Cloud Activity Counter Installation and Service User Guide August 22, 2013 4 Technical Specifications Hardware Activity Counter o Battery powered wireless device (3 “C” batteries) o Ceiling or wall mounted o Built in proprietary sensor / transmitter o Passive Infra-Red (IR) heat sensing technology o Auto re-transmission for ensured measurement reliability o Transmission Range: 200 ft. open air / 80 ft. indoor* o Dimensions: 4.61”x3.1”x1.77” *This unit is certified to FCC Part 15 Part C for intentional unlicensed radiators. FCC ID O76-T2SG0910A. Installation The Activity Counter detects the movement of people through passive infrared sensors located at the top of the enclosure. In order to detect a person moving into or out of an area (an “event”), the sensors need to be oriented correctly relative to the direction of people traffic flow. The following table illustrates the relationship between movement past the sensor, and how the movement is interpreted by the Activity Counter. A person passing in front of the Activity Counter in the direction shown here is considered to be entering a room or an area. A person passing in front of the Activity Counter in the direction shown here is considered to be exiting a room or an area. A person passing in front of the Activity Counter in the direction shown here is not clearly entering or exiting a room or area. The Activity Counter may register this as either an entry, or an exit, or not at all. The Activity Counter should not be installed at a point of ingress or egress such that the normal flow of traffic occurs as shown here. Activity Counter Installation and Service User Guide August 22, 2013 5 Selecting a Location Typically, the Activity Counter will be mounted on the ceiling, either directly or with a mounting bracket, just inside the doorway to a room. Alternatively, the Activity Counter can be mounted on a wall or in a doorway. These alternate mounting arrangements are useful in situations where there are obstructions on the ceiling, or the doorway is sufficiently wide that pedestrian traffic cannot be guaranteed under the Activity Counter. Mounting The Activity Counter can be directly mounted to solid surfaces using screws o…

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A B C D 4321 4321 TITLE: STATE: CONFIDENTIAL ©2013 GOJO Industries, Inc. All Rights Reserved. ONE GOJO PLAZA, SUITE 500 AKRON, OH 44311 AND IS LOANED UPON CONDITION THAT IT IS NOT TO BE REPRODUCED OR COPIED IN WHOLE OR PART, OR USED FOR FURNISHING INFORMATION TO OTHERS OR FOR ANY OTHER PURPOSE DETRIMENTAL TO THE INTEREST OF GOJO INDUSTRIES, INC. AND WILL BE RETURNED UPON REQUEST GOJO INDUSTRIES, INC. THIS DRAWING IS THE PROPERTY OF DRAWN BY: M. BULLOCK DATE: 1/15/13 CHKD BY: DATE: SCALE 1:1 DO NOT SCALE SIZE B DWG. NO. SHEET 1 of 1 REV TOLERANCES: DECIMALS: X.X = 0.1 .X.XX = 0.01 .X.XXX = 0.005 FRACTIONS: X/XX = 1/32 ANGLES: X.X = 0.5 X.XX = 0.50 INTERPRET DRAWING PER ASME Y14.100 UNLESS OTHERWISE SPECIFIED DIMENSIONS ARE IN INCHES THIRD ANGLE PROJECTION REVECO ECRREVISIONAPRVD. BYDATE APPROVAL SIGNATURES ON FILE DWG. NO. 2840-814 1 FCC LABEL, AMS PPL CTR Developmental 2840-814 A B C D 1.5 in. 0.75 in. SCALE 1:1 NOTES: 1. MATERIAL: FASSON 77113 COLOR: WHITE FACESTOCK: 0.7 MIL CLEAR BOPP ADHESIVE: S2001 LINER: 1.2 MIL PET 2. OVAL BOXED DIMENSIONS ARE CRITICAL. 3. PART TO BE FREE OF DIRT, GREASE, OIL OR ANY FOREIGN MATERIAL 4. SHIPPING REQUIREMENTS: CAREFULLY PACKED TO AVOID DAMAGE IN QUANTITIES, IN UNIFORM SIZED SHIPPING CONTAINERS ON UNIFORM SIZED PALLET (48"LENGTH X 40"WIDTH X 66" TALL) CARTONS TO BE MARKED CLEARLY IN 1" HIGH MINIMUM LETTERS. WITH QUANTITY, GOJO PART, LOT, AND P.O. NUMBER. T ype: PPL CNTR S/N:XXXXXXX ❙❘ ❙ ❘❘ ❚❘ ❘❙❙ ❚❘❘❙ ❘❚❙❙ ❘ ❙❙❚ ❚ ❘❙❙❘ ❙❘❘ P/N: 2840-811 Rev: ABC FCC ID: O7 6-T2SG0910A IC: ####-###### GOJO Indus tries, In c. T ype: PPL CNTR S/N:XXXXXXX ❙❘ ❙ ❘❘ ❚❘ ❘❙❙ ❚❘❘❙ ❘❚❙❙ ❘ ❙❙❚ ❚ ❘❙❙❘ ❙❘❘ P/N: 2840-811 Rev: ABC FCC ID: O7 6-T2SG0910A IC: ####-###### GOJO Indus tries, In c.

A B C D A B C D 1 12 2 3 3 4 4 DATEAPRVD. BYREVISIONECO ECRREV APPROVAL SIGNATURES ON FILE DWG. NO. ACTIVITY_COUNTER_II THIRD ANGLE PROJECTION UNLESS OTHERWISE SPECIFIED DIMENSIONS ARE IN INCHES 1ACTIVITY_COUNTER_IICMM/DD/YYDATE: DECIMALS: X.X = 0.1 .X.XX = 0.01 .X.XXX = 0.005 FRACTIONS: X/XX = 1/32 ANGLES: X.X = 0.5 X.XX = 0.50 REV.DWG. NO.SIZE X.XXXXXXCHKD BY: 1 of 1 DO NOT SCALE 04/17/13DATE: SHEETSCALE 21:32 M. MOOREDRAWN BY: ONE GOJO PLAZA, SUIT 500 AKRON, OH 44311 AND IS LOANED UPON CONDITION THAT IT IS NOT TO BE REPRODUCED OR COPIED IN WHOLE OR PART, OR USED FOR FURNISHING INFORMATION TO OTHERS OR FOR ANY OTHER PURPOSE DETRIMENTAL TO THE INTEREST OF GOJO INDUSTRIES, INC. AND WILL BE RETURNED UPON REQUEST GOJO INDUSTRIES, INC. THIS DRAWING IS THE PROPERTY OF TOLERANCES: Developmental STATE: ACTIVITY COUNTER ASSY TITLE: 3SCREW:M3X10 PH TFX DISPENSER_2700-016_1 1INTERNAL ASSY:PEOPLE COUNTER2840-8092 1FCC LABEL, AMS PPL CTR2840-8143 1BASE, ACTIVITY MONITOR2840-8164 1COVER, ACTIVITY MONITOR2840-8175 1MOUNT, ACTIVITY MONITOR2840-8186 1ANTENNA SHEATH2840-8197 1MOUNTING TAPE, UNIVERSAL MT2840-8358 ASSEMBLY INSTRUCTIONS: 1. SLIP ANTENNA SHEATH INTO NOTCHES IN COVER 2. SLIP ANTENNA WIRE OF ITEM 2 INTO CAVITY OF SHEATH AND POSITION ITEM 2 IN COVER 3. ROUTE ANTENNA WIRE INTO NOTCH OF SHEATH AS SHOWN IN DETAIL A 4. ALIGN BASE WITH COVER AND SECURE WITH SCREWS 5. ALIGN TABS OF MOUNT WITH SLOTS OF BASE AND TWIST TO LOCK 1 2 4 5 6 7 SEE DETAIL A 3 APPROXIMATE LOCATION OF LABEL 8 DETAIL A SCALE 2:1 SLIP ANTENNA WIRE INTO SLEAVE. WIRE EXTENDS FULL LENGTH OF CAVITY THEN ROUTE OUT THRUGH THIS NOTCH KEEP WIRE CLEAR OF RADIAL SURFACE RADIAL SURFACE SENSITIVITY ADJUSTMENT TIMEOUT ADJUSTMENT ON / OFF SWITCH 3 4 3 4 QTY.DESCRIPTIONPART NO.ITEM PRE PRODUCTION REVISIONS (PROJECT): 01) 04/17/13 MWM - FIRST DRAFT REFERENCE ONLY PRELIMINARY DESIGN ENG: NOTES: 1. OVAL BOXED DIMENSIONS ARE CRITICAL. 2. PART TO BE FREE OF DIRT, GREASE, OIL OR ANY FOREIGN MATERIAL. JUMPERS OFF = HIGH SENSITIVITY JUMPERS ON = LOW SENSITIVITY INTERFACE

A A A B C D A B C D 1 12 2 3 3 4 4 R.22 .20 .30 5.00 .5° .25 .25 .25 .13 .08 DATEAPRVD. BYREVISIONECO ECRREV APPROVAL SIGNATURES ON FILE DWG. NO. 2840-819 12840-819C11/27/12DATE: DECIMALS: X.X = 0.1 .X.XX = 0.01 .X.XXX = 0.001 FRACTIONS: X/XX = 1/32 ANGLES: X.X = 0.5 X.XX = 0.50 REV.DWG. NO.SIZE M. MOORECHKD BY: 1 of 1 DO NOT SCALE 11/27/12DATE: SHEETSCALE 2:1 M. MOOREDRAWN BY: ONE GOJO PLAZA, SUITE 500 AKRON, OH 44311 AND IS LOANED UPON CONDITION THAT IT IS NOT TO BE REPRODUCED OR COPIED IN WHOLE OR PART, OR USED FOR FURNISHING INFORMATION TO OTHERS OR FOR ANY OTHER PURPOSE DETRIMENTAL TO THE INTEREST OF GOJO INDUSTRIES, INC. AND WILL BE RETURNED UPON REQUEST GOJO INDUSTRIES, INC. THIS DRAWING IS THE PROPERTY OF TOLERANCES: Developmental STATE: ANTENNA SHEATH TITLE: THIRD ANGLE PROJECTION INTERPRET DRAWING PER ASME Y14.100 UNLESS OTHERWISE SPECIFIED DIMENSIONS ARE IN INCHES NOTES: 1. MATERIAL: THERMOPLASTIC ELASTOMER 70+/-10 SHORE A COLOR: BLACK MOLD SHRINKAGE: .XXX 2. FINISH: CAVITY: SPE/SPI #D-1 CORE: SPE/SPI #B-2 3. MAXIMUM PART FLASH .005 4. MAXIMUM PART MISMATCH .005 5. ELLIPTICAL BOXED DIMENSIONS REQUIRE DEMONSTRATED PROCESS CAPABILITY (Cpk/Ppk) >1.33 WITH ACCEPABLE GAGE R & R. 1st ARTICLE INSPECTION: MEASURE ALL DIMENSIONS (1 pc) 6. PART VOLUME = 0.285 in 3 7. PART WEIGHT = 4.9 GR (or 0.011 LB) 8. PART TO BE FREE OF DIRT, GREASE, OIL OR ANY FOREIGN MATERIAL 9. CHECK CRITICAL DIMENSIONS FROM EACH CAVITY AT THE BEGINNING OF EACH PRODUCTION RUN AND AT THE START OF EACH SHIFT. 10. EACH MATERIAL LOT TO BE NOTCHED IZOD TESTED PER ASTM D256, ISO 180. OR CERTIFICATE OF COMPLIANCE ON FILE FROM SUPPLIER. 11. NO CONTAMINATION PARTICLES, FLOW LINES, OR BURN MARKS ALLOWED ON "A" SURFACES. 3 PER INCH PERMITTED ON "B" SURFACES. CHECK EACH CAVITY AT THE BEGINNING OF EACH PRODUCTION RUN AND AT THE START OF EACH SHIFT. 12. PART MUST MATCH GOJO APPROVED COLOR CHIP. CHECK EACH CAVITY AT THE BEGINNING OF EACH PRODUCTION RUN AND AT THE START OF EACH SHIFT. 13. SHIPPING REQUIREMENTS: CAREFULLY PACKED TO AVOID DAMAGE IN QUANTITIES, IN UNIFORM SIZED SHIPPING CONTAINERS ON UNIFORM SIZED PALLET (48"LENGTH X 40"WIDTH X 66"TALL) CARTONS TO BE MARKED CLEARLY IN 1" HIGH MINIMUM LETTERS. WITH QUANTITY, GOJO PART, LOT, AND P.O. NUMBER. PRE PRODUCTION REVISIONS (PROJECT): 01) 11/27/12 MWM - FIRST DRAFT 02) 04/12/13 MWM - CHANGED MATERIAL 03) 05/17/13 MWM - RELEASE FOR TOOLING REFERENCE ONLY PRELIMINARY DESIGN ENG:

This report shall not be reproduced, except in full, without the written approval of DTT, Inc. and must not be used to claim product endorsement by NVLAP or any agency of the U.S. Government. 9 of [# + data charts] D D I I V V E E R R S S I I F F I I E E D D T.E.S.T. TECHNOLOGIES, INC. April 20, 2012 Mr. Brad Lightner GOJO Industries 1 GOJO Plaza, Suite 500 Akron, OH. 44311 Dear Mr. Lightner: Enclosed is the test report for the GOJO Industries; Buckeye 2840-811 People Counter which was tested at our facility located at 4675 Burr Drive in Liverpool, NY. This facility is on file with the Federal Communications Commission (FCC) per 47 CFR 2.948. (Site File Registration Number: 306552) As narrated in the report, the product configuration meets the requirements of the FCC per CFR 47 Part 15.249 Class C for Intentional Radiators. Thank you for selecting Diversified T.E.S.T. Technologies, Inc. for your testing needs. We look forward to working with you on future projects. Should you have any questions or concerns regarding this report, contact me at 315-457-0245. Please feel free to visit our website at www.dttlab.com. Sincerely, Michael McElroy Technical Associate 4675 Burr Drive ● Liverpool, NY 13088 ● 1-800-724-6452 ● FAX: 315-457-0428 ● 315-457-0245 PDF processed with CutePDF evaluation editionwww.CutePDF.com DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries 2840-811 People Counter Project Number: 6350 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 1 Table of Contents Emissions Testing Documentation Table of Contents 1 Test Report 2 Test Regulations 3 Test Conditions 4 Test Operation Mode 5 Test Results 6 Test Setup Photographs 7 Test Datasheets-Harmonics 8 Test Datasheets-Bandwidth 9 Measurement Protocol 10 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries 2840-811 People Counter Project Number: 6350 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 2 Test Report Laboratory Diversified TEST Technologies, Inc. 4675 Burr Drive Liverpool, NY 13088 315-457-0245 Manufacturer GOJO Industries 1 GOJO Plaza, Suite 500 Akron, OH. 44311 Report Issue Date: April 20, 2012 Project Number: 6350 Report Number: 6350-042012 FCCC People Counter – (Edition 1) Date Received: April 13, 2012 Date Tested: April 13, 2012 and March 22, 2013 Product: People Counter Model Numbers: 2840-811 FCC ID: O76-T2SG0910A Traceability: Reference standards of measurement have been calibrated by a competent body using standards traceable to NIST. The testing performed by Diversified TEST Technologies, Inc. has shown that the product referenced above complies with the electromagnetic compatibility requirements according to the standard(s) specified on page 3 of the test report. The results in this test report apply only to the product denoted above. The manufacturer is responsible for ensuring that additional units are manufactured with identical mechanical and electrical characteristics. The equipment listed above conforms to the specified requirements of the test standards listed on page 3 of this report. Complied by: Signature: _____________________________ Date: April 20, 2012 Michael McElroy Technical Associate Reviewed by: Signature: _____________________________ Date: April 20, 2012 Annelle Frierson Vice- President DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries 2840-811 People Counter Project Number: 6350 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 3 Emissions Test Regulations The emissions tests were performed according to the following regulations: EN 50081-1:1992 EN 50081-2:1995 EN 55011:1998 / A1:1999 / A2:2001 Group 1 Group 2 Class A Class B EN 55013:1990 / A12:1994 / A13:1996 / A14:1999 EN 55014:1993 / A1: 1997 Household appliances and similar Portable tools Semiconductor devices EN 55022:1998 Class A Class B FCC Part 15.249 Class A Class B Class C Certification Verification Declaration of Conformity DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries 2840-811 People Counter Project Number: 6350 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 4 Emissions Test Conditions: HARMONICS, BANDWIDTH TEST, AND SPURIOUS EMISSIONS The Harmonics and Bandwidth measurements were tested in a horizontal and vertical polarization at the following test location: Diversified TEST Technologies, Inc. Open Area Test Site Diversified TEST Technologies, Inc. Lab at a test distance of: 1 meter 3 meters 30 meters Test equipment used: Manufacturer Model Description Serial # Cal. Cal. Due Hewlett Packard 8593EM Spectrum Analyzer 3536A00139 6/19/12 6/19/13 Electro-Metrics RGA60 Ridge Horn Antenna 2981 8/25/12 8/25/13 Hewlett Packard 7550A Plotter 2407A00476 CNR CNR Electro-Metrics LPA-25 Log Periodic Antenna 200-1000 MHz 1242 9/11/12 9/11/13 MFR- 57500 Blue low-loss transmit cable 337 CNR CNR Non-conductive wooden turntable CNR CNR 10-meter open field test range, grounded with ¼ ” x ¼ ” hardware cloth CNR CNR Hewlett Packard 8595E Spectrum Analyzer 3746A03177 7/23/12 7/23/13 EMCO 6520 Active Loop Antenna 9110-2685 7/19/12 7/19/13 Agilent E7402A Spectrum Analyzer MY45103221 3/25/12 3/25/13 Electro-Metrics BIA-30W Biconical Antenna 103 9/1/12 9/1/13 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries 2840-811 People Counter Project Number: 6350 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 5 Equipment under Test (EUT) Test Operation Mode – Emissions Tests: The device under test was operated under the following conditions during emissions testing: Standby Normal Operating Mode Practice Operation Description / Configuration of the device under test: People Counter used to communicate with Dispenser 910-1. The unit was powered by a 4.5 VDC Battery during the collection of data. Rationale for EUT setup / configuration: ANSI C63.4…

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