Q6ZHHXMD03COmron BLE Module

User Manual Since this module is not sold to general end users directly, there is no user manual of module. For the details about this module, please refer to the specification sheet of module. This module should be installed in the host device according to the interface specification (installation procedure). The following information must be indicated on the host device of this module; [for FCC] Contains Transmitter Module FCC ID: Q6ZHHXMD03C or Contains FCC ID: Q6ZHHXMD03C 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. *If it is difficult to describe this statement on the host product due to the size, please describe in the User's manual. [for IC] Contains Transmitter Module IC: 10623A - HHXMD03C or Contains IC: 10623A - HHXMD03C The following statements must be described on the user manual of the host device of this module; [for FCC] FCC CAUTION Changes or modifications not expressly approved by the party responsible for compliance could void the user’s authority to operate the equipment. This transmitter must not be co-located or operated in conjunction with any other antenna or transmitter. This equipment complies with FCC radiation exposure limits set forth for an uncontrolled environment and meets the FCC radio frequency (RF) Exposure Guidelines. This equipment has very low levels of RF energy that are deemed to comply without testing of specific absorption ratio (SAR). [for IC] This device complies with Industry Canada licence-exempt RSS standard(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 interference that may cause undesired operation of the device. Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement. This equipment complies with IC radiation exposure limits set forth for an uncontrolled environment and meets RSS-102 of the IC radio frequency (RF) Exposure rules. This equipment has very low levels of RF energy that are deemed to comply without testing of specific absorption ratio (SAR). Cet équipement est conforme aux limites d’exposition aux rayonnements énoncées pour un environnement non contrôlé et respecte les règles d’exposition aux fréquences radioélectriques (RF) CNR-102 de l’IC. Cet équipement émet une énergie RF très faible qui est considérée conforme sans évaluation du débit d’absorption spécifique (DAS).

Photo Omron Healthcare. HHX-MD03C Antenna

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:: ul.com/jp December 5, 2014 UL Japan, Inc. 4383-326 Asama-cho, Ise-shi, Mie 516-0021 Japan FCC ID: Q6ZHHXMD03C To whom it may concern, We, UL Japan, Inc, hereby declare that Omron BLE Module, model: HHX-MD03C (FCC ID: Q6ZHHXMD03C) of Omron Healthcare Co., Ltd. is exempt from RF exposure SAR evaluation as its output power meets the exclusion limits stated in KDB 447498D01(V05). KDB 447498D01(V05) 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)] ·[√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: 5mm was used in the calculation) and the maximum tune-up tolerance limit was 2 mW (converted from Output power in Theory of Operation value in dBm : 2dBm, and rounded off to the whole number) So for this device: 2 mW[maximum tune-up tolerance limit]/5mm[minimum separation distance]*√2.48 = 0.6 *This is less than 3.0, so no SAR is required. Thank you for your attention to this matter. Takayuki Shimada Engineer of Ise EMC Lab. Consumer Technology Division UL Japan, Inc. .

Test report No. : 10543857H-A Page : 2 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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.: 10543857H-A Revision Test report No. Date Page revised Contents - (Original) 10543857H-A November 26, 2014 - - Test report No. : 10543857H-A Page : 3 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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 ................................................................................................................................. 16 Maximum Peak Output Power .......................................................................................................... 18 Radiated Spurious Emission ............................................................................................................. 20 Conducted Spurious Emission .......................................................................................................... 24 Power Density ................................................................................................................................... 27 99%Occupied Bandwidth ................................................................................................................. 29 APPENDIX 2: Test instruments ............................................................................................................. 30 APPENDIX 3: Photographs of test setup ............................................................................................... 31 Conducted Emission ......................................................................................................................... 31 Radiated Spurious Emission ............................................................................................................. 32 Worst Case Position .......................................................................................................................... 33 Test report No. : 10543857H-A Page : 4 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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 : +81-75-925-2045 Facsimile Number : +81-75-925-2046 Contact Person : Toshiaki Yuasa SECTION 2: Equipment under test (E.U.T.) 2.1 Identification of E.U.T. Type of Equipment : Omron BLE Module Model No. : HHX-MD03C Serial No. : Refer to Section 4, Clause 4.2 Rating : DC 6V Receipt Date of Sample : October 27, 2014 Country of Mass-production : Japan, China, Vietnam 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, 26MHz 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 : 2.72dBi Test report No. : 10543857H-A Page : 5 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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: 2014, final revised on August 15, 2014 and effective October 14, 2014 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 30.9dB, 0.15000MHz, L AV 35.1dB, 0.40000MHz, N Complied - IC: RSS-Gen 8.8 IC: RSS-Gen 8.8 6dB Bandwidth FCC: "Guidance for Performing Compliance Measurements on Digital Transmission Systems (DTS) Operating Under §15.247(issued on June 5, 2014)" FCC: Section 15.247(a)(2) See data. Complied Conducted IC: - IC: RSS-210 A8.2(a) Maximum Peak Output Power FCC: "Guidance for Performing Compliance Measurements on Digital Transmission Systems (DTS) Operating Under §15.247(issued on June…

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Test report No. : 10543857H-A Page : 31 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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. : 10543857H-A Page : 32 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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. : 10543857H-A Page : 33 of 33 Issued date : November 26, 2014 FCC ID : Q6ZHHXMD03C UL Japan, Inc. Ise 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 Below 1GHz (Horizontal: Y-axis/ Vertical:Y-axis) Above 1GHz (Horizontal: X-axis/ Vertical:Z-axis) X-axis Y-axis Z-axis End of Report