QBI-1012Ambulatory Cardiac Outpatient Telemetry

FCC ID: QBI‐1012 IC # 8686A‐1012

SPECIFICATIONS: Art Approved Submit Corrected Proof Part Number: Finished Size: 9-8-10 Please check design, copy, critical placements and specifications carefully. Check appropriate box below, sign and return so we may proceed with your order. Customer: Attn: Your Account Manager is: Phone: Your signature: This document serves as a communication tool for proof of concept only. Once an official purchase order has been placed, the final art proof may have changes due to manufacturing capabilities and limitations. = Black = PMS 3125C = White = Die line 220-0076-01 Rev B 1.934” x 4.040” Cardionet Ryan Betts Robert Lipari 408-944-3863 Please Note: The colors shown are not for color matching purposes. They are for reference only. FOR PATIENT QUESTIONS PLEASE CALL: 866-426-4401 WARNING: READ PATIENT EDUCATION GUIDE BEFORE USE. PROTECT FROM WATER AND OTHER LIQUID. PATENT NOS. 6,225,901; 6,940,403; 7,212,850; 7,587,237 USE ONLY WITH CARDIONET APPROVED POWER SUPPLY FCC ID: QBI-1012 IC: 8686A-1012 CONTAINS FCC ID: Q2331308 IC: 6850A-31308 LI-ION BATTERY CARDIONET IS NOT AN EMERGENCY RESPONSE SERVICE. IF YOU EXPERIENCE SYMPTOMS THAT CONCERN YOU , SEEK MEDICAL HELP. 100-0025-01 CA RDIONET M O N I T O R AECG TYPE 1 MEDICAL EQUIPMENT IF FOUND PLEASE CALL: CARDIONET, INC. 866-426-4404 220-0076-01 Monitor Label (p/n 220‐0076‐01) placed on this surface 1.934” 4.040”

FCC ID: QBI ‐ 1012 IC # 8686A ‐ 1012 DTS Antenna DTS Module Bluetooth Antenna CDMA Antenna 1.14 4.13" 3.13" Bluetooth CDMA Module

Nemko USA, Inc. 11696 Sorrento Valley Rd., Suite F San Diego, CA 92121-1024 Phone (858) 755-5525 Fax (858) 452-1810 FCC Part 15 Subpart C, 15.247 : 06/01/2010 CERTIFICATION TEST REPORT Report Number: 2009 09133133 MONITOR FCC 15.247 Project Number: 24094-1 Nex Number: 133133 Applicant: C ARDIONET 1010 SECOND AVENUE. SUITE 700 San Diego, CA 92101 Equipment Under Test (EUT): WIRELESS AMBULATORY ECG MONITORING SYSTEM Model: 100-0025-01 FCC ID: QBI-1012 IC: 8686A-1012 In Accordance With: FCC Part 15 Subpart C, 15.247 IC RSS-210 Issue 7 June 2007 IC RSS-Gen Issue 2 June 2007 Tested By: Nemko USA Inc. 11696 Sorrento Valley Road, Suite F San Diego, CA 92121 Authorized By: Alan Laudani, EMC/RF Test Engineer Date: November 2, 2009 Total Number of Pages: 47 Nemko USA, Inc. 11696 Sorrento Valley Road, Suite F, San Diego, CA 92121 Phone (858) 755-5525 Fax (858) 452-1810 FCC ID: QBI-1012 Report Number: 2009 09133133 Monitor FCC 15.247 IC: 8686A-1012 Specification: FCC Part 15 Subpart C, 15.247 Page 2 of 47 Section1: Summary of Test Results General All measurements are traceable to national standards These tests were conducted on a sample of the equipment for the purpose of demonstrating compliance with FCC Part 15; Subpart C and IC RSS-210. Radiated tests were conducted is accordance with ANSI C63.4-2003. Radiated emissions are made on an open area test site. A description of the test facility is on file with the FCC and IC. The assessment summary is as follows: Apparatus Assessed: Wireless Ambulatory ECG Monitoring System Model: 100-0025-01 Specification: FCC Part 15 Subpart C, 15.247 IC RSS-210 Issue 7 June 2007 Date Received in Laboratory: October 21, 2009 Compliance Status: Complies Exclusions: None Non-compliances: None Nemko USA, Inc. 11696 Sorrento Valley Road, Suite F, San Diego, CA 92121 Phone (858) 755-5525 Fax (858) 452-1810 FCC ID: QBI-1012 Report Number: 2009 09133133 Monitor FCC 15.247 IC: 8686A-1012 Specification: FCC Part 15 Subpart C, 15.247 Page 3 of 47 1.1 Report Release History REVISION DATE COMMENTS - November 2, 2009 Prepared By: Ferdinand Custodio - November 2, 2009 Initial Release: Alan Laudani Note that the results contained in this report relate only to the items tested and were obtained in the period between the date of initial receipt of samples and the date of issue of the report. This test report has been completed in accordance with the requirements of ISO/IEC 17025. Nemko USA Inc. authorizes the applicant to reproduce this report provided it is reproduced in its entirety and for use by the company’s employees only. Any use which a third party makes of this report, or any reliance on or decisions to be made based on it, are the responsibility of such third parties. Nemko USA Inc. accepts no responsibility for damages, if any, suffered by any third party as a result of decisions made or actions based on this report. TESTED BY: ___________________________________ Date: November 2, 2009 Ferdinand Custodio, EMC Test Engineer Nemko USA, Inc. 11696 Sorrento Valley Road, Suite F, San Diego, CA 92121 Phone (858) 755-5525 Fax (858) 452-1810 FCC ID: QBI-1012 Report Number: 2009 09133133 Monitor FCC 15.247 IC: 8686A-1012 Specification: FCC Part 15 Subpart C, 15.247 Page 4 of 47 TABLE OF CONTENTS Section1: Summary of Test Results ............................................................................ 2 1.1 Report Release History ..................................................................................... 3 Section 2: Equipment Under Test ................................................................................ 5 2.1 Product Identification ........................................................................................ 5 2.2 Samples Submitted for Assessment ................................................................. 5 2.3 Theory of Operation .......................................................................................... 6 2.4 Technical Specifications of the EUT ................................................................. 8 Section 3: Test Conditions ........................................................................................... 9 3.1 Specifications .................................................................................................... 9 3.2 Deviations From Laboratory Test Procedures ................................................... 9 3.3 Test Environment .............................................................................................. 9 3.4 Test Equipment ............................................................................................... 10 Section 4: Observations ............................................................................................. 11 4.1 Modifications Performed During Assessment ................................................. 11 4.2 Record Of Technical Judgements ................................................................... 11 4.3 EUT Parameters Affecting Compliance .......................................................... 11 4.4 Test Deleted .................................................................................................... 11 4.5 Additional Observations .................................................................................. 11 Section 5: Results Summary ...................................................................................... 12 5.1 Test Results .................................................................................................... 12 Appendix A: Test Results ........................................................................................... 13 Section 15.207(a) – Power Line Conducted Emissions................................................. 13 Section 15.215(c) – 20 dB Bandwidth ........................................................................... 15 Section 15.247(a)(2) – Minimum 6dB RF Bandwidth .................................................... 19 Section 15.247(b)(1) – P…

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FCC ID: QBI‐1012 IC # 8686A‐1012