Q6ZHN290TDigital Weight Scale

ATTACHMENT Photo Documentation Report No.: 15087415 001 Type Designation: HN-290T Rev. 0 Page 1 of 2 ATTACHMENT Photo Documentation Report No.: 15087415 001 Type Designation: HN-290T Rev. 0 Page 2 of 2

This device complies with Part 15 of FCC Rules and 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 this device. This equipment complies with Industry Canada radiation exposure limits set forth for an uncontrolled environment. Le présent appareil est conforme aux la partie 15 des règles de la FCC et 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. Cet equipement est conforme a l'exposition aux rayonnements Industry Canada limites etablies pour un environnement non controle.

ATTACHMENT Photo Documentation Report No.: 15087415 001 Type Designation: HN-290T Rev. 0 Page 1 of 4 ATTACHMENT Photo Documentation Report No.: 15087415 001 Type Designation: HN-290T Rev. 0 Page 2 of 4 ATTACHMENT Photo Documentation Report No.: 15087415 001 Type Designation: HN-290T Rev. 0 Page 3 of 4 ATTACHMENT Photo Documentation Report No.: 15087415 001 Type Designation: HN-290T Rev. 0 Page 4 of 4

Produkte Products TÜV Rheinland (Shanghai) Co., Ltd  West Guangzhong Road, Zhabei District, Shanghai  Tel.: +86 21 6108 1188  Fax: +86 21 6108 1199 Mail: [email protected]  Web: www.tuv.com Prüfbericht-Nr.: Test Report No.: 15087415 001 Auftrags-Nr.: Order No.: 154101324 Seite 1 von 28 Page 1 of 28 Kunden-Referenz-Nr.: Client Reference No.: N/A Auftragsdatum: Order date: 21.05.2015 Auftraggeber: Client: OMRON HEALTHCARE Co., Ltd. 53, Kunotsubo, Terado-cho, Muko, Kyoto, 617-0002 Japan Prüfgegenstand: Test item: Digital Weight Scale Bezeichnung / Typ-Nr.: Identification / Type No.: HN-290T FCC ID: Q6ZHN290T IC: 10623A-HN290T Auftrags-Inhalt: Order content: Complete test Prüfgrundlage: Test specification: FCC CFR47 Part 15, Subpart C Section 15.247 ANSI C63.10: 2013 KDB 558074 D01 DTS Meas Guidance v03r03 RSS-Gen Issue 4, November 2014 RSS-247 Issue 1, May 2015 Wareneingangsdatum: Date of receipt: 12.08.2015 Prüfmuster-Nr.: Test sample No.: A000205387-004 Prüfzeitraum: Testing period: 21.08.2015 - 23.08.2015 Ort der Prüfung: Place of testing: MRT Technology (Suzhou) Co., Ltd Prüflaboratorium: Testing laboratory: TÜV Rheinland (Shanghai) Co., Ltd. Prüfergebnis*: Test result*: Pass geprüft von / tested by: 10.09.2015 Adrian Shi / PE kontrolliert von / reviewed by: 10.09.2015 Shi Li / Reviewer Datum Date Name / Stellung Name / Position Unterschrift Signature Datum Date Name / Stellung Name / Position Unterschrift Signature Sonstiges / Other: Zustand des Prüfgegenstandes bei Anlieferung: Condition of the test item at delivery: Prüfmuster vollständig und unbeschädigt Test item complete and undamaged * Legende: 1 = sehr gut 2 = gut 3 = befriedigend 4 = ausreichend 5 = mangelhaft P(ass) = entspricht o.g. Prüfgrundlage(n) F(ail) = entspricht nicht o.g. Prüfgrundlage(n) N/A = nicht anwendbar N/T = nicht getestet Legend: 1 = very good 2 = good 3 = satisfactory 4 = sufficient 5 = poor P(ass) = passed a.m. test specification(s) F(ail) = failed a.m. test specification(s) N/A = not applicable N/T = not tested Dieser Prüfbericht bezieht sich nur auf das o.g. Prüfmuster und darf ohne Genehmigung der Prüfstelle nicht auszugsweise vervielfältigt werden. Dieser Bericht berechtigt nicht zur Verwendung eines Prüfzeichens. This test report only relates to the a. m. test sample. Without permission of the test center this test report is not permitted to be duplicated in extracts. This test report does not entitle to carry any test mark. Produkte Products Prüfbericht - Nr.: Test Report No. 15087415 001 Seite 2 von 28 Page 2 of 28 TEST SUMMARY 5.1.1 ANTENNA REQUIREMENT RESULT: Pass 5.1.2 PEAK OUTPUT POWER RESULT: Pass 5.1.3 6DB BANDWIDTH AND 99% BANDWIDTH RESULT: Pass 5.1.4 CONDUCTED SPURIOUS EMISSIONS RESULT: Pass 5.1.5 POWER SPECTRAL DENSITY RESULT: Pass 5.1.6 SPURIOUS EMISSION RESULT: Pass Produkte Products Prüfbericht - Nr.: Test Report No. 15087415 001 Seite 3 von 28 Page 3 of 28 Contents 1. GENERAL REMARKS ......................................................................................................... 4 1.1 COMPLEMENTARY MATERIALS .......................................................................................... 4 2. TEST SITES ...................................................................................................................... 4 2.1 TEST FACILITIES ............................................................................................................... 4 2.2 LIST OF TEST AND MEASUREMENT INSTRUMENTS ............................................................... 5 2.3 TRACEABILITY .................................................................................................................. 5 2.4 CALIBRATION ................................................................................................................... 5 2.5 MEASUREMENT UNCERTAINTY........................................................................................... 6 3. GENERAL PRODUCT INFORMATION .................................................................................... 7 3.1 PRODUCT FUNCTION AND INTENDED USE ........................................................................... 7 3.2 RATINGS AND SYSTEM DETAILS ........................................................................................ 7 3.3 INDEPENDENT OPERATION MODES .................................................................................... 8 3.4 NOISE GENERATING AND NOISE SUPPRESSING PARTS ....................................................... 8 3.5 SUBMITTED DOCUMENTS .................................................................................................. 8 4. TEST SET-UP AND OPERATION MODES .............................................................................. 9 4.1 PRINCIPLE OF CONFIGURATION SELECTION ........................................................................ 9 4.2 TEST OPERATION AND TEST SOFTWARE ............................................................................ 9 4.3 SPECIAL ACCESSORIES AND AUXILIARY EQUIPMENT .......................................................... 9 4.4 COUNTERMEASURES TO ACHIEVE EMC COMPLIANCE ......................................................... 9 5. TEST RESULTS ............................................................................................................... 10 5.1 TRANSMITTER REQUIREMENT & TEST SUITES .................................................................. 10 5.1.1 Antenna Requirement ................................................................................................................ 10 5.1.2 Peak Output Power .................................................................................................................... 11 5.1.3 6dB Bandwidth and 99% Bandwidth .......................................................................................... 12 5.1.4 Conducted Spurious Emissions ..............................................................................................…

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Produkte Products Prüfbericht - Nr.: Test Report No. 15087415 001 Seite 1 von 1 Page 1 of 1 Appendix I- RF Exposure statement Exposure Requirements – FCC KDB # 447498 D01 and RSS-102 Issue 5 FCC KDB # 447498 DO1 V05r02 - Mobile and Portable Device RF Exposure and Procedures and Equipment, Appendix A shows that the SAR Text Exclusion Threshold for a device with a separation distance of 5 mm at 2450MHz is 10 mW. RSS-102 section 2.5.1 Exemption Limits for Routine Evaluation, Table 1 shows the SAR evaluation for a device with a separation distance of 5 mm at 2450MHz is 4 mW. Calculated EIRP The maximum measured transmitter power is the following: Note: Per the equation in section 1.3.1 of FCC Document # 412172 D01 Determining ERP and EIRP v01; EIRP = p t x g t where: p t = transmitter output power in watts g t = Numeric gain of transmitting antenna (unitless) Evaluation for FCC The maximum EIRP peak power output of the EUT is: 0.56 mW. The EUT is well below the 10mW power level. Evaluation for IC The maximum EIRP peak power output of the EUT is: 0.56 mW. The EUT is well below the 4mW power level. Conclusion SAR data is not required for either FCC or IC. Conducted Output Power Pout [dBm] Conducted Output Power Pout [mW] Maximum Antenna Gain [dBi] Pout EIRP [mW] -3.520.4410.56

Produkte Products Prüfbericht - Nr.: Test Report No. 15087415 001 Seite 1 von 2 Page 1 of 2 Appendix II- Photographs of the Test Set-Up Photograph 1: Set-up for Conducted RF test at Antenna Port Produkte Products Prüfbericht - Nr.: Test Report No. 15087415 001 Seite 2 von 2 Page 2 of 2 Photograph 2: Set-up for Spurious Emissions below 1GHz Photograph 3: Set-up for Spurious Emissions above 1GHz