O76-T5SG0910ALow Power Transmitter in Soap Dispenser

PURELL® Point of Care Compliance Dispenser Newly designed SmartLink™ enabled bottle holder with a push paddle registers a hand hygiene event within the GOJO Activity Monitoring System. The blue LED light provides visual confirmation that the hand hygiene event was recorded. The LED light is designed to only illuminate when the user has depressed the push paddle far enough to receive a full efficacious dose. Robust Mount Solutions provide reliable installation wherever needed within the patient zone to provide quick and easy access to PURELL Hand Sanitizer, improving Hand Hygiene compliance. Main areas for placement include: Foot of Bed, Horizontal and Vertical Pole/Mobile Equipment, Table/Equipment/Cart Edge, Vertical Wall/Surface Mount and Tabletop. This dispenser/holder accommodates the 12oz bottle of PURELL(R) Advanced Instant Hand Sanitizer Gel. Yes: At the room level, if the Point of Care dispenser stays within the room, all the events captured are associated to the in/out opportunities of the room. If the Point of Care dispenser moves from room to room, but stays within the unit, all events captured are associated to the in/out opportunities of the unit. When the dispenser leaves the range of the AMS network/gateway, the electronics within the Point of Care dispenser will still continue to collect and store up to 200 events locally. Then. when the dispenser returns to the gateway range, the events will be pushed all at once to the gateway. Based on this, we recommend developing a process to ensure the POC dispensers do not leave the unit. How does the POC Compliance Bracket work? Is the Compliance Rate calculated? What if the POC Compliance Bracket leaves the unit? PURELL® Point of Care Compliance Dispenser User Instructions PURELL® Bottle Installation 1. Remove battery tab 2. Unlock the pump by rotating the nozzle counter clockwise as shown. PURELL® Point of Care Compliance Dispenser User Instructions PURELL® Bottle Installation – Un-Locked Position 3. Slide Locking Tab into un-lock position as shown 4. Squeeze the Collar and pull to open as shown ©2011. GOJO Industries. All rights reserved. PURELL® Point of Care Compliance Dispenser User Instructions 5. Insert bottle sliding bottom of bottle into tray first, then insert bottle into collar. 6. Push collar closed as shown. ©2011. GOJO Industries. All rights reserved. PURELL® Point of Care Compliance Dispenser User Instructions PURELL® Bottle Installation – Locked Position 1. With Collar open, slide Locking Tab into locked position as shown ©2011. GOJO Industries. All rights reserved. 2. Insert bottle sliding bottom of bottle into tray first, then insert bottle into Collar. PURELL® Point of Care Compliance Dispenser User Instructions 3. Push Collar closed as shown. ©2011. GOJO Industries. All rights reserved. 4. Insert pen tip into lock hole to release Collar, then squeeze and pull to open. PURELL® Point of Care Compliance Dispenser User Instructions SANITIZE INSTRUCTION 1..Depress Paddle until blue light appears. 2. Blue light indicates that a compliance event has occurred. PURELL® Point of Care Compliance Dispenser User Instructions Cover Plate Removal / Installation 1. Depress Cover Plate release in bottom of dispenser 2. Slide the Cover Plate down as shown. 3. To install the Cover Plate , slide the plate up until it clicks and locks into place. 5830-10-868 PURELL® Point of Care Compliance Dispenser Installation Instructions Determine the location and orientation for mounting the dispenser Foot of Bed Mounting Location ©2011. GOJO Industries. All rights reserved. PURELL® Point of Care Compliance Dispenser 1.Measure the width of the Bed Footboard. For widths from ½” to 1-1/4” (12mm to 31mm) use part number 5835-500 For widths from 1-1/4” to 2” (31mm to 50 mm) use part number 5840-500 ©2011. GOJO Industries. All rights reserved. 2. Slide the appropriate Bracket down onto the Bed Footboard. PURELL® Point of Care Compliance Dispenser 3. Slide the Dispenser with bottle onto the bracket. Pull up on the dispenser to ensure it’s locked. ©2011. GOJO Industries. All rights reserved. PURELL® Point of Care Compliance Dispenser ©2011. GOJO Industries. All rights reserved. Table /Cart Mounting Location 1. Use C-Clamp for table thicknesses up to 1-1/2”. 2. Mount to table as shown. Hand tighten PURELL® Point of Care Compliance Dispenser ©2011. GOJO Industries. All rights reserved. 3. Slide the Dispenser onto the clamp as shown until it clicks. Pull on the dispenser to ensure it's locked in place. PURELL® Point of Care Compliance Dispenser ©2011. GOJO Industries. All rights reserved. IV Pole Mounting Location 1. Install onto IV pole as shown PURELL® Point of Care Compliance Dispenser ©2011. GOJO Industries. All rights reserved. Cleaning /Disinfecting Instructions 1. Center for Disease Control (CDC) “Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008” Table 1, Smooth Hard Surfaces, Non-Critical Items Recommended Disinfecting Solutions or Wipes 1 •K, Ethyl or isopropyl alcohol (70-90%) •L, Sodium hypochlorite (5.25-6.15% household bleach diluted 1:500 provides >100 ppm available chlorine) •M, Phenolic germicidal detergent solution (follow product label for use-dilution) •N, Iodophor germicidal detergent solution (follow product label for use-dilution) •O, Quaternary ammonium germicidal detergent solution (follow product label for use-dilution) Follow manufacturer’s usage guidelines for contact time. FCC Statement •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. •NOTE: THE GRANTEE IS NOT RESPONSIBLE FOR ANY CHANGES OR MODIFICATIONS NOT EXPRESSLY APPROVED BY THE PARTY RESPONSIBLE FOR COMPLIANCE. SUCH MODIFICATIONS COULD VOID THE USER’S AUTHORITY TO OPERATE THE EQUIPMENT. ©2011. GOJO Industries. All r…

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❙❘ ❙ ❘❘ ❚❘ ❘❙❙ ❚❘❘❙ ❘❚❙❙ ❘ ❙❙❚ ❚ ❘❙❙❘ ❙❘❘ A B C D 4321 4321 TITLE: STATE: 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: 12/22/14 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. 5820-046-910 A FCC LABEL: MANUAL POINT OF CARE Developmental 5820-046-910 A B C D 1.500 in. 0.750 in. SCALE 1:1 NOTES: 1. MATERIAL: POLYESTER OR BOPP COLOR: WHITE PRINT: BLACK THERMAL TRANSFER RESIN RIBBON FACESTOCK: 2 MIL WHITE PET TC ADHESIVE: PERMANENT ACYRLIC LINER: 50# SCK KRAFT 2. BARCODE TO BE TYPE 128 TO CONTAIN SERIAL NUMBER 3. PART TO BE FREE OF DIRT, GREASE, OIL OR ANY FOREIGN MATERIAL 4. WEIGHT: 0.07 GRAMS Type: MPOC S/N: XXXXXXX P/N: 5860-510-910 Rev: ABC FCC ID: O76-T5SG0910A IC: XXXXXX-XXXXXXXXXXX GOJO Industries, Inc. CREATED IN VISIO - CONFIDENTIAL ©2014 GOJO Industries, Inc. All Rights Reserved.

D I V E R S I F I E D T.E.S.T. TECHNOLOGIES, INC. December 17, 2014 Mark Bullock GOJO One GOJO Plaza, Suite 500 Akron, OH 44311 Dear Mr. Bullock: Enclosed is the test report for the GOJO Manual POC Dispenser unit tested at our facility, locat- ed 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 Number 306552) We have completed our testing of Emissions to the FCC per 47 CFR Part 15 Class B. Thank you for selecting DTT lab 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, Prasanna Gautam Technical Associate 4675 Burr Drive● Liverpool, NY 13088● 1-800-724-6452● FAX: 315-457-0428 ● 315-457-0245 Table of Contents ......................................................................................................................................................................................... 1 D I V E R S I F I E D TEST INFORMATION .............................................................................................................................................................................. 3 TEST REGULATIONS .............................................................................................................................................................................. 4 EQUIPMENT UNDER TEST (EUT) TESTING OPERATION MODE ............................................................................................. 5 TEST RESULTS ......................................................................................................................................................................................... 6 TEST SETUP PHOTOGRAPHS .............................................................................................................................................................. 7 RADIATED EMISSION 8MHZ-30MHZ ............................................................................... 7 RADIATED EMISSIONS 200MHZ-1000MHZ ..................................................................... 8 EMISSIONS TESTING CONDITIONS ................................................................................................................................................... 9 RADIATED EMISSIONS ...................................................................................................... 9 RADIATED EMISSIONS TEST DATA ................................................................................. 10 CERTIFICATE OF CONFORMITY ..................................................................................................................................................... 15 Diversified Test Technologies Test Report GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT lab, 3 of 15 Test Information Laboratory Manufacturer DTT lab. GOJO Industries 4675 Burr Drive One GOJO Plaza, Suite 500 Liverpool, NY 13088 Akron, OH 443110 Report Issue Date: December 17, 2014 Report Number: 6518-121514-FCC-B 15.249 (Edition 1) Project Number: 6518 Date Received: December 2, 2014 Date Tested: December 11, 2014 - December 15, 2014 Product: Manual POC Dispenser unit Part Number: 5860-510-910 FCC ID: O76-T5SG0910A Traceability: Reference standards of measurement have been calibrated by a competent body using standards traceable to NIST. The testing performed by DTT lab, has shown that the product referenced above complies with the electromagnetic compatibility requirements according to the FCC per 47 CFR Part 15.249. The results in this test report apply only to the GOJO Manual POC Dispenser unit. It is the responsibility of the manufacturer to ensure that the product identification and labeling are in compliance with the applicable standards requirements. The manufacturer is also respon- sible 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 in the Test Regulations section of this report. Compiled by: Signature: _____________________________ Date: December 17, 2014 Prasanna Gautam Technical Associate Reviewed by: Signature: _____________________________ Date: December 17, 2014 Steve Frierson Technical Lab Manager Authorized by: Signature: _____________________________ Date: December 17, 2014 Annelle Frierson Vice-President Diversified Test Technologies Test Report GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT lab, 4 of 15 Test Regulations The tests were performed according to the following standards: FCC Part 15.249 Class A Class B Diversified Test Technologies Test Report GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT lab, 5 of 15 Equipment under Test (EUT) Testing Operation Mode The EUT was operated under the following conditions during testing: Standby Normal Operating Mode Practice Operation Description / Configuration of the EUT: Manual POC Dispenser unit The EUT was powered with three 1.5 V Batteries during the collection of data included within this report. Rationale for EUT setup / configuration: ANSI C63.4-2009 Modifications: None Deviations from test method: None Diversified Test Technologies Test Report GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT lab, 6 of 15 Test Results Radiated Emissions 8MHz – 1000MHz The requirements are MET NOT MET Diversified Test Technologies Test Report GOJO Industries Manual POC Dispenser unit …

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D I V E R S I F I E D T.E.S.T. TECHNOLOGIES, INC. December 17, 2014 Mark Bullock GOJO One GOJO Plaza, Suite 500 Akron, OH 44311 Enclosed is the test report for the GOJO Industries Manual POC Dispenser unit which was tested at our facility located at 4675 Burr Drive in Liverpool, NY. This facility is on file with the Fed- eral 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 re- garding this report, contact me at 315-457-0245. Please feel free to visit our website at www.dttlab.com. Sincerely, Prasanna Gautam Technical Associate 4675 Burr Drive● Liverpool, NY 13088● 1-800-724-6452● FAX: 315-457-0428 ● 315-457-0245 Table of Contents ......................................................................................................................................................................................... 1 D I V E R S I F I E D TEST INFORMATION .............................................................................................................................................................................. 3 TEST REGULATIONS .............................................................................................................................................................................. 4 EMISSIONS TEST CONDITIONS: FCC PART 15.249 CLASS C ......................................... 5 EQUIPMENT UNDER TEST (EUT) TESTING OPERATION MODE ............................................................................................. 6 EMISSIONS TEST RESULTS: .............................................................................................. 7 TEST SETUP PHOTOGRAPHS: ............................................................................................................................................................. 8 TEST DATASHEETS – 910 MHZ- 9100 MHZ ....................................................................................................................................... 9 DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 3 of 31 Test Information Laboratory Manufacturer DTT lab. GOJO Industries 4675 Burr Drive One GOJO Plaza, Suite 500 Liverpool, NY 13088 Akron, OH 443110 Report Issue Date: December 17, 2014 Report Number: 6518-121514-FCC-B 15.249 (Edition 1) Project Number: 6518 Date Received: December 2, 2014 Date Tested: December 11, 2014 - December 15, 2014 Product: Manual PRO Part Number: 5860-510-910 FCC ID: O76-T5SG0910A Traceability: Reference standards of measurement have been calibrated by a competent body using standards traceable to NIST. The testing performed by DTT lab, has shown that the product referenced above complies with the electromagnetic compatibility requirements according to the FCC per 47 CFR Part 15.249. The results in this test report apply only to the GOJO Manual POC Dispenser unit. It is the responsibility of the manufacturer to ensure that the product identification and labeling are in compliance with the applicable standards requirements. The manufacturer is also respon- sible 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 in the Test Regulations section of this report. Compiled by: Signature: _____________________________ Date: December 17, 2014 Prasanna Gautam Technical Associate Reviewed by: Signature: _____________________________ Date: December 17, 2014 Steve Frierson Technical Lab Manager Authorized by: Signature: _____________________________ Date: December 17, 2014 Annelle Frierson Vice-President DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 4 of 31 Test Regulations The tests were performed according to the following standards: FCC Part 15.249 Class A Class B Class C Certification DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 5 of 31 Emissions Test Conditions: FCC PART 15.249 CLASS C The Fundamental and Harmonics 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 # Due Date Hewlett Packard 8596E Spectrum Analyzer 3235A00144 5/16/15 Hewlett Packard 7550A Plotter 2407A00476 N/A Electro‐Metrics BIA‐25 Biconical Antenna, 20‐220 MHz 001 10‐29‐15 Electro‐Metrics LPA‐25 Log Periodic Antenna 200‐1000 MHz 1242 7/8/15 Electro‐Metric RGA‐60 Horn Antenna 2981 12/9/15 Co‐ax Cable, 100‐foot RG 8/U, 20‐foot RG 223/U 10‐meter open field test range, grounded with 1/4” x 1/4” hardware cloth AC supply cord, 100‐foot, grounded 100‐foot signal cable for remote testing, Wooden turn table, 0.8 meters high NOTE: Calibration interval 1 year for the test equipment DIVERSIFIED T.E.S.T. TECHNOLOGIES, INC. TEST REPORT GOJO Industries Manual POC Dispenser unit Project Number: 6518 This report shall not be reproduced, except in full, without the written approval of DTT, Inc. 6 of 31 Equipment under Test (EUT) Testing Operation Mode The EUT was operated under the following conditions …

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