Q6ZHHXMD01TBluetooth (BLE) Module

User’s manual Product: Bluetooth (BLE) Module Model: HHX-MD01T FCC ID: Q6ZHHXMD01T IC: 10623A-HHXMD01T For OEM integration only – device ca nnot be sold to general public. Therefore we will not supply the User’s manual, the installation manual is the official for OEM. We will ask OEM to include the following No tices required by FCC/ IC on the product. ■ Requirement of Labeling (For FCC) Please describe the following item on t he host device of the this module: Contains Transmitter Module FCC ID: Q6ZHHX MD01T or Contains FCC ID: Q6ZHHXMD01T This device complies with Part 15 of FCC Rules and Industry Canada licence-exempt RSS standar d(s). Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interfer ence that may cause undesired operation of this device. *If it is difficult to describe this st atement on the host product due to the size, please describe in the User's manual. (For IC) Please describe the following item on t he host device of the this module: Contains Transmitter Module IC: 10623A- HHXMD01T or Contains IC: 10623A-HHXMD01T ■ Requirement of User’s Manual Statement We will ask OEM to include the fo llowing statements required by F CC/ IC in the User’s manual. 27 EN 7. FCC/IC Statement FCC CAUTIONChanges or modifications not expressly approved by the party responsible for compliance could void the user's authority to operate the equipment.Note:This equipment has been tested and found to comply with the limits for a Class B digital device, pursu ant to part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, i f not installed and used in accordance with the instructions, may c ause harmful interference to radio communications. However, there is no guarantee that interference will not oc cur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by on e or more of the following measures: • Reorient or relocate the receiving antenna.• Increase the separation between the equipment and receiver. • Connect the equipment into an outlet on a circuit different from that to which the receiver is connec ted. • Consult the dealer or an experienced radio/TV technician for help.This transmitter must not be co-located or operated in conjunction with any other antenna or transmitt er. This equipment complies with FCC/IC radiation expos ure limits set forth for an uncontrolled environmen t and meets the FCC radio frequency (RF) Exposure Guidelines an d RSS-102 of the IC radio frequency (RF) Exposure r ules. This equipment has very low levels of RF energy that are deemed to comply without testing of specific absor ption ratio (SAR).Cet équipement est conforme aux limites d’expositio n aux rayonnements énoncées pour un environnement n on contrôlé et respecte les règles les radioélectrique s (RF) de la FCC lignes directrices d'exposition et d’exposition aux fréquences radioélectriques (RF) CNR-102 de l’IC. Cet équipement émet une énergie RF très fai ble qui est considérée conforme sans évaluation du débit d’abso rption spécifique (DAS). !"#$%&'(#)*+*",-.//&$/≒⊆∘//3456啢53瀰59校′′′′蔘瀁校′′′′㡣坱@梒3B㘤

Photo OMRON HEALTHCARE Co., Ltd. MODEL: HHX-MD01T Top Side (w/o Shielding) Top Side (w/ Shielding) RF Module (To be changed) Photo OMRON HEALTHCARE Co., Ltd. MODEL: HHX-MD01T Reverse Side

Photo OMRON HEALTHCARE Co., Ltd. MODEL: HHX-MD01T Top Side (w/o Shielding) Top Side (w/ Shielding) RF Module (To be changed) Photo OMRON HEALTHCARE Co., Ltd. MODEL: HHX-MD01T Reverse Side

Test report No. : 10140775H-A-R1 Page : 2 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 REVISION HISTORY Original Test Report No.: 10140775H-A Revision Test report No. Date Page revised Contents - (Original) 10140775H-A December 12, 2013 - - 1 10140775H-A-R1 January 8, 2014 P.8 Addition of “Conducted Emission” to Test Item of the table in clause 4.1. 1 10140775H-A-R1 January 8, 2014 P.12 Correction of Sweep time of Peak Power Density. 1 10140775H-A-R1 January 8, 2014 P.22-24, 26, 27 Addition of test date, test engineer, test environment and test mode Test report No. : 10140775H-A-R1 Page : 3 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 CONTENTS PAGE SECTION 1: Customer information ......................................................................................................... 4 SECTION 2: Equipment under test (E.U.T.) ........................................................................................... 4 SECTION 3: Test specification, procedures & results ............................................................................ 5 SECTION 4: Operation of E.U.T. during testing .................................................................................... 8 SECTION 5: Conducted Emission .......................................................................................................... 10 SECTION 6: Radiated Spurious Emission ............................................................................................ 11 SECTION 7: Antenna Terminal Conducted Tests ................................................................................ 12 APPENDIX 1: Data of EMI test .............................................................................................................. 13 Conducted Emission ......................................................................................................................... 13 6dB Bandwidth ................................................................................................................................. 15 Maximum Peak Output Power .......................................................................................................... 17 Radiated Spurious Emission ............................................................................................................. 19 Conducted Spurious Emission .......................................................................................................... 22 Power Density ................................................................................................................................... 25 99%Occupied Bandwidth ................................................................................................................. 27 APPENDIX 2: Test instruments ............................................................................................................. 28 APPENDIX 3: Photographs of test setup ............................................................................................... 29 Conducted Emission ......................................................................................................................... 29 Radiated Spurious Emission ............................................................................................................. 30 Worst Case Position (Horizontal: X-axis/ Vertical:Y-axis) .............................................................. 31 Test report No. : 10140775H-A-R1 Page : 4 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 SECTION 1: Customer information Company Name : Omron Healthcare Co., Ltd. Address : 53 Kunotsubo, Terado-cho, Muko, Kyoto 617-0002 Japan Telephone Number : +81-75-925-2499 Facsimile Number : +81-75-925-2032 Contact Person : Hirokazu Furukawa SECTION 2: Equipment under test (E.U.T.) 2.1 Identification of E.U.T. Type of Equipment : Bluetooth (BLE) Module Model No. : HHX-MD01T Serial No. : Refer to Section 4, Clause 4.2 Rating : DC 6V Receipt Date of Sample : November 22, 2013 Country of Mass-production : China Condition of EUT : Production prototype (Not for Sale: This sample is equivalent to mass-produced items.) Modification of EUT : No Modification by the test lab 2.2 Product Description General Specification Clock frequency(ies) in the system : 32.768kHz, 32MHz Radio Specification Bluetooth (Low Energy) Radio Type : Transceiver Frequency of Operation : 2402-2480MHz Modulation : GFSK Bandwidth & Channel Spacing : 1MHz & 2MHz Power Supply (radio part input) : DC 3.3V Antenna type : Chip Antenna Antenna Gain : 0.2dBi Test report No. : 10140775H-A-R1 Page : 5 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 SECTION 3: Test specification, procedures & results 3.1 Test Specification Test Specification : FCC Part 15 Subpart C: 2013, final revised on September 30, 2013 and effective October 30, 2013 Title : FCC 47CFR Part15 Radio Frequency Device Subpart C Intentional Radiators Section 15.207 Conducted limits Section 15.247 Operation within the bands 902-928MHz, 2400-2483.5MHz, and 5725-5850MHz 3.2 Procedures and results Item Test Procedure Specification Worst margin Results Remarks Conducted Emission FCC: ANSI C63.4:2003 7. AC powerline Conducted Emission measurements FCC: Section 15.207 QP 30.5dB, 0.15000MHz, L AV …

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Test report No. : 10140775H-A-R1 Page : 29 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 APPENDIX 3: Photographs of test setup Conducted Emission Photo 1 Photo 2 Test report No. : 10140775H-A-R1 Page : 30 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 Radiated Spurious Emission Photo 1 Photo 2 Test report No. : 10140775H-A-R1 Page : 31 of 31 Issued date : December 12, 2013 Revised date : January 8, 2014 FCC ID : Q6ZHHXMD01T UL Japan, Inc. Head Office EMC Lab. 4383-326 Asama-cho, Ise-shi, Mie-ken 516-0021 JAPAN Telephone : +81 596 24 8999 Facsimile : +81 596 24 8124 Worst Case Position (Horizontal: X-axis/ Vertical:Y-axis) X-axis Y-axis Z-axis End of Report