Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
Date: March 19, 2026 Federal Communications Commission Authorization and Evaluation Division 7435 Oakland Mills Road Columbia, MD 21046 RE: CFR 47 §2.911 (d)(7) FCC US Agent Letter of Attestation FCC ID: Q6ZHBFH122T1 Grantee FRN: 0021928791 To whom it may concern: This letter is to confirm that we have accepted the responsibility to act as US Agent on behalf of OMRON HEALTHCARE Co.,Ltd (“the applicant”) for the above referenced FCC ID. We are aware of the requirements and responsibilities of the applicant’s agent for service of process as outlined in the FCC section §2.911(d)(7) and Report and Order FCC 22-84 paragraph 63. FCC US Agent Contact Person: Bhoomika Joyappa Company Name: Omron Healthcare, Inc FRN: 0033512021 Company Address: 2895 Greenpoint Parkway Hoffman Estates, IL 60169 United States Email: [email protected] Sincerely yours, Bhoomika Joyappa Omron Healthcare, Inc
Rating label Label placement diagram 88mm 30mm - The Label is attached using adhesive. - The label has a durability of 5 years: The label does not peel off the main unit, and the label's markings do not disappear.
UL Japan, Inc. Ise EMC Lab 4383-326 Asama-cho, Ise-shi, Mie 516-0021 Japan T:: +81.596.24.8999 / F:: +81.596.24.8124 / W:: japan.ul.com March 30, 2026 FCC ID: Q6ZHBFH122T1 To whom it may concern, We, UL Japan, Inc, hereby declare that Body Composition Monitor, model: HBF-H122T1-ZBK (FCC ID: Q6ZHBFH122T1) of OMRON HEALTHCARE Co.,Ltd 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 ≤ 50 mm are determined by: [(max. power of channel, including tune-up tolerance, mW)/(min. test separation distance, mm)] ꞏ[√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 ≤ 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 power average) was 1 mW So for this device: 1 mW[maximum average output power]/5 mm[minimum separation distance]*√2.48 = 0.3 *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. Takumi Shimada Engineer
Page. 1 ANTENNA TEST REPORT Test Place Company Name UL Japan, Inc. Ise EMC Lab. Address 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 Japan Telephone Number +81-596-24-8999 Equipment Under Test (EUT) Description Bluetooth Low Energy Pattern Antenna Manufacturer OMRON HEALTHCARE Co., Ltd. Model Number BCM-750 Frequency of Operation 2402 MHz to 2480 MHz Antenna Type Pattern Antenna For the shape of the antenna is refer to Internal Photo. Test Procedure Test configuration EUT was placed on a platform of nominal size, 0.5 m by 0.5 m, raised 1.5 m above the conducting ground plane. The measurements were performed for both vertical and horizontal antenna polarization with the Spectrum Analyzer. The setup are shown in Fi gure 1. Test procedure 1. The SG was connected to the substitution antenna and placed at a height of 1.5 m in the center of the turntable. 2. The field strength (L 1 ) at a distance of 3 m was measured and recorded under the condition that the EIRP output of the substitution antenna was 0 dBm. The signal generator (SG) output level at that time was determined by taking into account the antenna gain of the substitution antenna. 3. Step 2 was repeated for horizontal and vertical polarization. 4. The substitution antenna was replaced with the EUT, and the signal generator's output power was set to the calculated value of 0 dBm at the EUT input. 5. The EUT was rotated once, and the field strength (L 2 ) at each degree was recorded. 6. Step 5 was repeated for horizontal polarization, vertical polarization, and for each position on the EUT's XY, YZ, and ZX planes (total 6 pattern). 7. The difference between the field strength recorded in step 6 and the field strength recorded in step 2 was calculated to calculate the EUT's antenna gain (G). Calculation L 2 – L 1 = G Page. 2 Figure 1: Test Setup Setup for step 1 to 3 Setup after step 4 SG:Signal Generator SA:Spectrum Analyzer AMP:Pre Amplifier AMPSA SG Tur n Table Semi Anechoic Chamber 3.0 m 1.5 m 1.5 m Horn Antenna Horn Antenna AMPSA Tur n Table Semi Anechoic Chamber 3.0 m 1.5 m 1.5 m EU T SG urethane platform Horn Antenna Page. 3 Test Data Antenna Pattern and Gain Date Test site Temperature Humidity Engineer February 1, 2026 SAC4 22 deg. C 42 % RH Takafumi Noguchi Average: The result obtained by averaging the true values at each angle. Yellow highlighted area: Maximum Antenna Gain [dBi] Antenna pattern (Top view) 2402 MHz -11.27 dBi Peak-8.23 dBi Peak-10.00 dBi Peak 2440 MHz -12.01 dBi Peak-8.68 dBi Peak-9.89 dBi Peak 2480 MHz -13.18 dBi Peak-9.90 dBi Peak-10.71 dBi Peak -55 -45 -35 -25 -15 -5 5 XY-plane Gain [dBi] XY-plane, Hori. XY-plane, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 YZ-plane Gain [dBi] YZ-plane, Hori. YZ-plane, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 ZX-plane Gain [dBi] ZX-pla ne, Hori. ZX-pla ne, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 XY-plane Gain [dBi] XY-plane, Hori. XY-plane, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 YZ-plane Gain [dBi] YZ-plane, Hori. YZ-plane, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 ZX-plane Gain [dBi] ZX-pla ne, Hori. ZX-pla ne, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 XY-plane Gain [dBi] XY-plane, Hori. XY-plane, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 YZ-plane Gain [dBi] YZ-plane, Hori. YZ-plane, Vert. 0 deg. 180 deg. 90 deg. 270 deg. -55 -45 -35 -25 -15 -5 5 ZX-plane Gain [dBi] ZX-pla ne, Hori. ZX-pla ne, Vert. 0 deg. 180 deg. 90 deg. 270 deg. Antenna gain [UNIT: dBi] PeakAverage* 240224402480240224402480 -8.23-8.68-9.90Hori.-16.02-16.77-17.91 Vert.-19.67-19.89-20.27 Avg (H/V)-17.47-18.06-18.94 Hori.-16.49-17.75-20.08 Vert.-12.33-12.89-14.63 Avg (H/V)-13.93-14.67-16.55 Hori.-14.18-14.44-15.09 Vert.-17.76-18.40-18.49 Avg (H/V)-15.61-15.99-16.46 -15.44-16.02-17.18 Frequency [MHz] Peak gain Frequency [MHz] Total XY-plane YZ-plane ZX-plane Page. 4 Test Instruments Test Equipment Test Item LIMS ID Description Manufacturer Model Serial Last Calibration Date Cal Int APG 142011 AC4_Semi Anechoic Chamber(NSA) TDK Semi Anechoic Chamber 3m DA-10005 2025/07/10 24 APG 244710 Thermo-Hygrometer HIOKI E. E. CORPORATION LR5001 231202104 2026/01/14 12 APG 142230 Measure, Tape, Steel KOMELON KMC-36 - - - APG 178648 EMI measurement program TSJ (Techno Science Japan) TEPTO-DV - - - APG 272098 DIGITAL MULTIMETER HIOKI E. E. CORPORATION DT4255 250902199 2025/11/27 12 APG 141514 Horn Antenna 1-18GHz Schwarzbeck Mess- Elektronik OHG BBHA9120D 01611 2025/06/18 12 APG 141414 Microwave Cable Junkosha MWX221 1207S407 2025/07/04 12 APG 213581 Signal Generator Rohde & Schwarz SMW200A 107688 2025/02/20 12 APG 141902 Spectrum Analyzer Keysight Technologies Inc E4440A MY46187105 2025/10/06 12 APG 246002 Microwave Cable Huber+Suhner SF103/11PC35/ 11PC35/1000m m / SF126E/5000m m 800674(1m) / 610205(5m) 2025/03/18 12 APG 141581 MicroWave System Amplifier Keysight Technologies Inc 83017A 00650 2025/10/17 12 APG 141508 Horn Antenna 1-18GHz Schwarzbeck Mess- Elektronik OHG BBHA9120D 557 2025/05/20 12 *Hyphens for Last Calibration Date and Cal Int (month) are instruments that Calibration is not required (e.g. software), or instruments checked in advance before use. The expiration date of the calibration is the end of the expired month. As for some calibrations performed after the tested dates, those test equipment have been controlled by means of an unbroken chains of calibrations. All equipment is calibrated with valid calibrations. Each measurement data is traceable to the national or international standards. Test item: APG: Antenna Pattern and Gain
Test Report No. 16140660H-A-R1 Page 1 of 33 UL Japan, Inc. Ise EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 Japan / +81-596-24-8999 RADIO TEST REPORT Test Report No. 16140660H-A-R1 Customer OMRON HEALTHCARE Co.,Ltd Description of EUT Smart Scale Model Number of EUT BCM-750 FCC ID Q6ZHBFH122T1 Test Regulation FCC Part 15 Subpart C Test Result Complied Issue Date April 1, 2026 Remarks - Representative Test Engineer Approved By Tomoya Sone Engineer Takumi Shimada Engineer CERTIFICATE 5107.02 The testing in which "Non-accreditation" is displayed is outside the accreditation scopes in UL Japan, Inc. There is no testing item of "Non-accreditation". Report Cover Page - Form-ULID-003532 (DCS:13-EM-F0429) Issue# 26.0 Test Report No. 16140660H-A-R1 Page 2 of 33 UL Japan, Inc. Ise EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 Japan / +81-596-24-8999 ANNOUNCEMENT REVISION HISTORY Revision Test Report No. Date Page Revised Contents - (Original) 16140660H-A March 27, 2026 - 1 16140660H-A-R1 April 1, 2026 Cover page, Clause 2.1, Clause 4.2 Corrected Description of EUT and Model Number of EUT: - Description of EUT: Body Composition Monitor → Smart Scale - Model Number of EUT: HBF-H122T1-ZBK → BCM-750 APPENDIX 1 (Page 24) Updated data Plot data of Radiated Spurious Emission (data above 10 GHz removed) This test report shall not be reproduced in full or partial, without the written approval of UL Japan, Inc. The results in this report appl y only to the sample tested. (Laboratory was not involved in sampling.) This sample tested is in compliance with the limits of the above re gulation. The test results in this test report are traceable to the national or international standards. This test report must not be used by the customer to claim product certification, approval, or endorsement b y the A2LA accreditation body. This test report covers Radio technical requirements. It does not cover administrative issues such as Manual or non-Radio test related Requirements. (if applicable) The all test items in this test report are conducted b y UL Japan, Inc. Ise EMC Lab. The opinions and the interpretations to the result of the description in this report are outside scopes where UL Japan, Inc. has been accredited. The information provided b y the customer for this report is identified in SECTION 1. The laboratory is not responsible for information provided by the customer which can impact the validit y of the results. For any test report referred in this report, the latest version (including any revisions) is always referred to. If the latest version is a revision, it replaces the previous version. See the table below for revisions and versions. Test Report No. 16140660H-A-R1 Page 3 of 33 UL Japan, Inc. Ise EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 Japan / +81-596-24-8999 Reference: Abbreviations (Including words undescribed in this report) A2LA The American Association for Laboratory Accreditation IEC International Electrotechnical Commission AC Alternating Current IEEE Institute of Electrical and Electronics Engineers AFH Adaptive Frequency Hopping IF Intermediate Frequency AM Amplitude Modulation ILAC International Laboratory Accreditation Conference Amp, AMP Amplifier ISED Innovation, Science and Economic Development Canada ANSI American National Standards Institute ISO International Organization for Standardization Ant, ANT Antenna JAB Japan Accreditation Board AP Access Point LAN Local Area Network ASK Amplitude Shift Keying LIMS Laboratory Information Management System Atten., ATT Attenuator MCS Modulation and Coding Scheme AV Average MRA Mutual Recognition Arrangement BPSK Binary Phase-Shift Keying N/A Not Applicable BR Bluetooth Basic Rate NIST National Institute of Standards and Technology BT Bluetooth NS No signal detect. BT LE Bluetooth Low Energy NSA Normalized Site Attenuation BW BandWidth NVLAP National Voluntary Laboratory Accreditation Program Cal Int Calibration Interval OBW Occupied Band Width CCK Complementary Code Keying OFDM Orthogonal Frequency Division Multiplexing Ch., CH Channel OFDMA Orthogonal Frequency Division Multiple Access CISPR Comite International Special des Perturbations Radioelectriques P/M Power meter CW Continuous Wave PCB Printed Circuit Board DBPSK Differential BPSK PER Packet Error Rate DC Direct Current PHY Physical Layer D-factor Distance factor PK Peak DFS Dynamic Frequency Selection PN Pseudo random Noise DQPSK Differential QPSK PP Preamble Puncturing DSSS Direct Sequence Spread Spectrum PRBS Pseudo-Random Bit Sequence EDR Enhanced Data Rate PSD Power Spectral Density EIRP, e.i.r.p. Equivalent Isotropically Radiated Power QAM Quadrature Amplitude Modulation EMC ElectroMagnetic Compatibility QP Quasi-Peak EMI ElectroMagnetic Interference QPSK Quadri-Phase Shift Keying EN European Norm RBW Resolution Band Width ERP, e.r.p. Effective Radiated Power RDS Radio Data System EU European Union RE Radio Equipment EUT Equipment Under Test RF Radio Frequency Fac. Factor RMS Root Mean Square FCC Federal Communications Commission RSS Radio Standards Specifications FHSS Frequency Hopping Spread Spectrum Rx Receiving FM Frequency Modulation SA, S/A Spectrum Analyzer Freq. Frequency SG Signal Generator FSK Frequency Shift Keying SVSWR Site-Voltage Standing Wave Ratio GFSK Gaussian Frequency-Shift Keying TR Test Receiver GNSS Global Navigation Satellite System Tx Transmitting GPS Global Positioning System VBW Video BandWidth Hori. Horizontal Vert. Vertical ICES Interference-Causing Equipment Standard WLAN Wireless LAN Test Report No. 16140660H-A-R1 Page 4 of 33 UL Japan, Inc. Ise EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 Japan / +81-596-24-8999 CONTENTS PAGE SECTION 1: Customer Information ........................................................................... 5 SECTION 2: Equipment Under Test (EUT) ................................................................ 5 SECTION 3: Test Summary .........................…
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2895 Greenpoint Parkway Hoffman Estates · Illinois, 60169 · United States
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 2.40 GHz - 2.48 GHz | 970.00 µW |
Blood Pressure Monitor
Equipment Class
DTS - Digital Transmission SystemUpper Arm Blood Pressure Monitor + ECG
Equipment Class
DTS - Digital Transmission System
Blood Pressure Monitor
Equipment Class
DTS - Digital Transmission System
Blood Pressure Monitor
Equipment Class
DTS - Digital Transmission System
WheezeScan
Equipment Class
DTS - Digital Transmission System