QYPPWR0701Bluetooth Transceiver

User Manual Welcome to the wonderful world of wireless! Your Polymap Wireless enhanced device is intended to work with the enclosed Access Point to allow data to be seamlessly transferred to your healthcare professional, without any intervention on your part. Once the Access point is installed, and the medical device is within a 30 foot radius of it, any unsent data will be automatically transferred to the Access Point. The Access Point will then wait for the telephone line to become free, and transfer the data over telephone to the data center. Wireless transmission range is always reduced by obstructions, so a clear line of sight between the measurement device and the Access Point will give the best results. Installation and setup The effective radio range of the Access Point and the matching medical devices is around 30 feet (10 meters). This being the case, please choose a location in your house that is centrally located, or close to where the measuring devices will be used. 1) Connect a telephone cord between the Access Point and a telephone jack on the wall. An extra telephone outlet is provided on the back of the Access Point so you can plug a telephone into the same outlet. NOTE: this device is not designed for connection to digital PBX systems, such as might be found in an office. 2) Connect the power cord to the back of the unit, and plug it into a regular 120V outlet. Figure 1: Connecting the Access Point. Leftmost connector is for power, telephone line goes in either telephone connector; optionally, a telephone can be connected to the second telephone connector. NOTE: telephone will not operate unless the Access Point is also connected to a wall telephone socket. Usage In normal use, there is no intervention required by the user. Nonetheless, indicator lights are provided to give the user some sense of the correct operation of the device. There are four indicator lights on the front panel of the Access Point. These are, respectively: POWER, RADIO, TELEPHONE, and ERROR. POWER (Green) Always on in normal operation RADIO (Green) Blinks roughly once per second, more blinking while data is being received TELEPHONE (Green) Blinks when the device is connecting to the server to transfer its data. Solid while the device is connected and transferring data (usually only a few seconds) ERROR (Red) Comes on when data was received by the Access Point but not successfully transferred to the data center. This will occur, for example, when the telephone is in use, or there is some other congestion on the network. The Access point will keep trying, every few minutes, until it succeeds in transferring the data. Note that data is never lost. Figure 1: Access point, showing the four indicator lights: POWER, RADIO, TELEPHONE, and ERROR. In normal operation, the leftmost, or POWER light, will remain on, and the second light (RADIO), will blink roughly once per second. During the data transfer, the RADIO light will blink in other patterns. The TELEPHONE light is used to indicate usage of the telephone, and the ERROR light is used to indicate a data transfer error. Note that data transfer errors are expected to occur, and should not be a concern unless they persist. If the ERROR light comes on the first time the device is used, the most likely explanation is that it is not correctly connected to a telephone jack. Regulatory Statements “Modifications made to the product, unless expressly approved by Polymap Wireless, could void the user’s authority to operate the equipment” The following apply to the Polymap Wireless Access Point IC: 4552A-PWA-0701 FCC ID: QYPPWA0701 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. NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device , pursuant 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, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur 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 and correct the interference by one or more of the following measures: — Reorient or locate 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 connected. — Consult the dealer or an experienced radio/TV technician for help. This Class B digital apparatus complies with Canadian ICES-003 Cet appareil numérique de la classe B est conforme à la norme NMB-003 du Canada The following apply to the Polymap Wireless Remote Unit Polymap Wireless 310 S. Williams Blvd. Ste. 346 Tucson, AZ 85711 (520) 747-1811 PWR-07-01 IC: 4552A-PWR-0701 FCC ID: QYPPWR0701 We declare under our sole responsibility that the product Polymap Wireless Remote PWR-07-01 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. ICES-003 B / NMB-003 B Tested to comply with FCC Standards For Home or Office Use NOTE: This equipment has been tested and found to comply with the limits for a Class B digital device , pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation.…

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Page 1 of 4 September 8, 2003 RE: PolyMap, FCC ID: PY3-ANT24BX Our responses to your comments on the above referenced application, are embedded with the issues that you raised. 1) Photos are not normally held confidential. Justification must be provided to hold photographs as confidential. Justification could include: (1) special tools required to open the case, (2) the circuitry may be potted or covered in epoxy, (3) the company professionally installs the product and it is not directly viewable by the public during use or after use, and (4) the product may involve new technology. Trade secret is not sufficient justification. New technology, if it is documented, can be justification for holding photos as confidential, but for example, a basic FM transmitter is not new technology. Please provide an updated letter of confidentiality that justifies why the antenna photographs should be held as confidential, or as an alternative, you may use a black marker to "black out" the top of any readable components and provide new internal photographs. Please let us know how you wish to proceed with this issue. The confidentiality request has been updated to remove photographs from its scope. 2) This application appears to support the request of a modular approval. However, modular approvals are required to provide a modular request letter that addresses the items given in the public notice regarding these approvals (see attachment). Please provide. The relevant page from the report has been uploaded as a letter. 3) Please provide photographs for the external photograph exhibit (i.e. with shield installed). An external photograph has been uploaded. Page 2 of 4 4) Use of the FCC logo is restricted to certain types of devices (RX < 960 MHz, TV interface devices, Class B PC peripheral, certain P18 devices, etc). As a module, this device does not appear to meet any of these requirements. Additionally, if it is integrated into any other equipment, the manufacturer of that equipment is expected to retest their equipment for any digital device emissions, which cover the requirements listed above. Please explain or remove the FCC logo from the labeling. The remote was also tested as a Class B PC peripheral. The manufacturer wants the option to be able to sell the remote as a stand-alone peripheral to a PC (direct connection to a PC’s serial port). The manufacturer may provide a small plastic enclosure for the device when sold as a stand-alone device. The FCC logo and declaration of conformity on the user’s manual are considered appropriate for this product when sold as a stand-alone device. The manufacturer is aware that the use of the device other than as stand-alone equipment (i.e. when integrated into other equipment) will require a full test of the digital device emissions on the complete host system. OEMs will also be made aware of this fact. 5) Please provide information regarding the RBW and VBW settings used for radiated emissions measurements. Peak measurements were made with RBW = VBW =1MHz. Average measurements were made with RBW=1MHz, VBW=10Hz. The test data now includes reference to these settings. 6) This application is asking for a modular approval. Additionally, the device may be powered by battery or an AC adapter. It also appears that AC conducted emissions were performed given the report, however AC powerline conducted emissions results were not provided. Please provide this information in order to show compliance with 15.207. The device was tested for conducted emissions and the worst-case test data is included in the summary on page 5 of 18 in the report. The actual test data was omitted from the report. The report has been modified to include the missing data. The configuration photographs included the conducted emissions test configuration (which was also used for the FCC Class B digital Device compliance testing and includes the appropriate configuration for a PC peripheral, refer to the responses for comments 4 and 10). Page 3 of 4 7) The summary of output power results provided on the bottom of pages 5 & 6 do not appear to match the results above them. Additionally, it appears that the substitution method was applied for power measurements. Note that the FCC has specified in their guidance document that measurements and far field calculations are preferred. However if the TX antenna gain is not know or possibly in question, the use of the substitution method is adequately justified. Please comment. The antenna gain for the device was not stated at the time of testing. Using the Friis’ formula to calculate the output power gave a level of ~ 4dBm, which appeared to be too large for a BlueTooth device so we performed a substitution measurement, which gave the output powers listed. The summaries have been corrected to show the appropriate output power based on the substitution measurements. Please advise if you would rather see a calculation for output power, which would not account for the ground plane as it is based on free-space propagation and, therefore, give a higher output power. 8) Page 7 shows one result with a limit of 75.0. I believe this should be 74.0. Note that the results provided is calculated for 75.0 and may require correcting as well. Limits (and corresponding margins) have been updated in the test data. 9) Page 11 of the test report appears to show that 78 channels were measured, while other portions of the report state 79 channels. Please explain. There are 79 channels; the comment on page 11 has been corrected after re- verifying the number of channels shown on the graph. 10) The main users guide shows a DoC compliance statement. The use of the DoC process is restricted to certain types of devices (RX < 960 MHz, TV interface devices, Class B PC peripheral, certain P18 devices, etc). It is uncertain how either part of the system (module or access point) may require this authorization. Please explain or remove the DoC information from the manual. The remote was also …

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August 20, 2003 American Telecommunications Certification Body, Inc. 6731 Whittier Avenue Suite C110 McLean, VA 22101 RE: Certification Application FCC ID: QYPPWA0701 and QYPPWR0701 Please be advised that the following information is to be held confidential and behalf of Polymap Wireless LLC: • Circuit diagrams • Block diagrams • Theory of operation The application contains technical information which Polymap Wireless LLC deems to be trade secrets and proprietary. If made public, the information might be used to the disadvantage of the applicant in the market place. Thank you for your attention to this matter. Sincerely, Pierre Landau, PhD President 310 S. Williams Blvd. Suite 346 Tucson, AZ 85711 t: 520.747.1811 f: 520.747.9408 www.polymap.net

Elliott Laboratories, Inc. -- EMC Department Test Report Report Date: July 30, 2003 File: R52081 Exhibit Page 10 of 12 EXHIBIT 10: Modular Approval Requirements Modular Approval is being requested for this device. There are eight requirements that the device must meet for full modular approval. The following paragraphs detail these requirements and the manner in which the device meets them. The module meets all of the technical specifications applicable to the frequency band of operation. The module has its own RF shielding. The module contains a shield as shown in the detailed photographs. All modulation and data input(s) are buffered. Data to the modulation circuit is buffered on the module via the ZV2001P4 IC (component numberU3). The module has its own power supply regulation and local reference oscillator. The remote module contains its own power supply regulation and the rf reference oscillator is contained within the module. Power supply regulation is provided via an LT1521CTS3.3 (component number U1) The modular transmitter must comply with the antenna requirements of Section 15.203 and 15.204(c). The certification submission contains a detailed description of the configuration of all antennas that will be used with the module. The remote module contains on integrated antenna on the circuit board. This is the only antenna intended for use with the device. For Industry Canada, the module meets certification labeling requirements. Host devices that contain separately certified modules do not need to be re-certified, provided that they meet the following conditions: • The host device, as a stand alone unit without any separately certified modules, complies with all applicable Radio Standards Specifications. • The host device and all the separately certified modules it contains jointly meet the safety requirements of RSS-102, if applicable. • The host device complies with the certification labeling requirements of each of the modules it contains. The module is appropriately labeled (refer to the label and label location drawings contained within this application). Elliott Laboratories, Inc. -- EMC Department Test Report Report Date: July 30, 2003 File: R52081 Exhibit Page 11 of 12 For the FCC, the modular transmitter must be tested in a stand-alone configuration, i.e., the module must not be inside another device during testing. This is intended to demonstrate that the module is capable of complying with Part 15 emission limits regardless of the device into which it is eventually installed. Unless the transmitter module will be battery powered, it must comply with the AC line conducted requirements found in Section 15.207. Test data contained in this application is for the device tested as a stand-alone device. Radiated spurious emissions data and AC conducted emissions data demonstrating compliance with the requirements of Part 15 of the FCC rules for intentional radiators has been provided. For the FCC, the modular transmitter must be labeled with its own FCC ID number, and, if the FCC ID is not visible when the module is installed inside another device, then the outside of the device into which the module is installed must also display a label referring to the enclosed module. This exterior label can use wording such as the following: “Contains Transmitter Module FCC ID: XYZMODEL1” or “Contains FCC ID: XYZMODEL1.” The module is appropriately labeled (refer to the label and label location drawings contained within this application). Information to the integrator of this system regarding the labeling requirements for the host system are contained in the instructions provided with the module (refer to “Installation Instructions” exhibit to this application. The modular transmitter must comply with any applicable RF exposure requirements. The module meets the requirements for a portable device that may be used at separation distances of less than 2.5cm from the human body because its output power is below the threshold of 60/f GHz mW (25mW for a 2.4GHz device).

August 20, 2003 American Telecommunications Certification Body, Inc. 6731 Whittier Avenue Suite C110 McLean, VA 22101 To who it may concern: Please be advised that Polymap Wireless LLC authorizes Elliott Laboratories to act on our behalf, until otherwise notified, for applications submitted to American Telecommunications Certification Body, Inc. (ATCB). We certify that we are not subject to denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse ACT of 1988, U.S.C. 862. Further, no party, as defined in 47 CFR 1.2002(b), to the application is subject to denial of federal benefits, that includes FCC benefits. Thank you for your attention to this matter Sincerely, Pierre Landau, PhD President 310 S. Williams Blvd. Suite 346 Tucson, AZ 85711 t: 520.747.1811 f: 520.747.9408 www.polymap.net

August 20, 2003 OEM integrator To whom it may concern According to FCC regulations, devices incorporating the PWR-07-01 Remote Module must be labeled on the outside with wording such as the following: “Contains Transmitter Module FCC ID: QYPPWR0701” or “Contains FCC ID: QYPPWR0701”. The module meets the requirements for a portable device be used at separation distances of less than 2.5cm from the human body because its output power is below the threshold of 60/f GHz mW (25mW for a 2.4GHz device). Sincerely, Pierre Landau, PhD President 310 S. Williams Blvd. Suite 346 Tucson, AZ 85711 t: 520.747.1811 f: 520.747.9408 www.polymap.net

American Telecommunications Certification Body Inc. 6731 Whittier Ave, McLean, VA 22101 September 8, 2003 RE: Polymap Wireless LLC FCC ID: QYPPWR0701 After a review of the submitted information, I have a few comments on the above referenced Application. 1) Photos are not normally held confidential. Justification must be provided to hold photographs as confidential. Justification could include: (1) special tools required to open the case, (2) the circuitry may be potted or covered in epoxy, (3) the company professionally installs the product and it is not directly viewable by the public during use or after use, and (4) the product may involve new technology. Trade secret is not sufficient justification. New technology, if it is documented, can be justification for holding photos as confidential, but for example, a basic FM transmitter is not new technology. Please provide an updated letter of confidentiality that justifies why the antenna photographs should be held as confidential, or as an alternative, you may use a black marker to "black out" the top of any readable components and provide new internal photographs. Please let us know how you wish to proceed with this issue. 2) This application appears to support the request of a modular approval. However, modular approvals are required to provide a modular request letter that addresses the items given in the public notice regarding these approvals (see attachment). Please provide. 3) Please provide photographs for the external photograph exhibit (i.e. with shield installed). 4) Use of the FCC logo is restricted to certain types of devices (RX < 960 MHz, TV interface devices, Class B PC peripheral, certain P18 devices, etc). As a module, this device does not appear to meet any of these requirements. Additionally, if it is integrated into any other equipment, the manufacturer of that equipment is expected to retest their equipment for any digital device emissions which cover the requirements listed above. Please explain or remove the FCC logo from the labeling. 5) Please provide information regarding the RBW and VBW settings used for radiated emissions measurements. 6) This application is asking for a modular approval. Additionally, the device may be powered by battery or an AC adapter. It also appears that AC conducted emissions were performed given the report, however AC powerline conducted emissions results were not provided. Please provide this information in order to show compliance with 15.207. 7) The summary of output power results provided on the bottom of pages 5 & 6 do not appear to match the results above them. Additionally, it appears that the substitution method was applied for power measurements. Note that the FCC has specified in their guidance document that measurements and far field calculations are preferred. However if the TX antenna gain is not know or possibly in question, the use of the substitution method is adequately justified. Please comment. 8) Page 7 shows one result with a limit of 75.0. I believe this should be 74.0. Note that the results provided is calculated for 75.0 and may require correcting as well. 9) Page 11 of the test report appears to show that 78 channels were measured, while other portions of the report state 79 channels. Please explain. --- Continued on Next Page --- z Page 2September 8, 2003 10) The main users guide shows a DoC compliance statement. The use of the DoC process is restricted to certain types of devices (RX < 960 MHz, TV interface devices, Class B PC peripheral, certain P18 devices, etc). It is uncertain how either part of the system (module or access point) may require this authorization. Please explain or remove the DoC information from the manual. Timothy R. Johnson Examining Engineer mailto: [email protected] The items indicated above must be submitted before processing can continue on the above referenced application. Failure to provide the requested information may result in application termination. Correspondence should be considered part of the permanent submission and may be viewed from the Internet after a Grant of Equipment Authorization is issued. Please do not respond to this correspondence using the email reply button. In order for your response to be processed expeditiously, you must submit your documents through the AmericanTCB.com website. Also, please note that partial responses increase processing time and should not be submitted. Any questions about the content of this correspondence should be directed to the sender.

American Telecommunications Certification Body Inc. 6731 Whittier Ave, McLean, VA 22101 September 9, 2003 RE: Polymap Wireless LLC FCC ID: QYPPWR0701 After a review of the submitted information, I have a few comments on the above referenced Application. 1) Please correct the power measurements based upon our discussion and the methods given in the FCC guidance document Timothy R. Johnson Examining Engineer mailto: [email protected] The items indicated above must be submitted before processing can continue on the above referenced application. Failure to provide the requested information may result in application termination. Correspondence should be considered part of the permanent submission and may be viewed from the Internet after a Grant of Equipment Authorization is issued. Please do not respond to this correspondence using the email reply button. In order for your response to be processed expeditiously, you must submit your documents through the AmericanTCB.com website. Also, please note that partial responses increase processing time and should not be submitted. Any questions about the content of this correspondence should be directed to the sender.

Top side with shield; top side without shield; bottom side

Label (see below) is stamped into the shield. Shield is soldered to the circuit board. 1.25” 1.24”

Top side with shield; top side without shield; bottom side

KRD01-00A05-01IR KOSAN I & T Co., Ltd. Draft Check Approval Specifications Sheet Object Chip Antenna 6/20 Customer Polymap REV. IR Page 1 of 5 Model name KBI-114F-26 Date June 20, 2003 System Bluetooth Remote Written by W.I.Kwak Electrical Specifications Frequency Range 2.4 ~ 2.4835 (GHz) Band Width 83.5 (MHz) V.S.W.R ( Min. ) 1.9 : 1 Gain ( Max. ) 1 dBi Input Impedance 50 (Ω) Polarization Linear Mechanical Specifications Antenna Size 11 × 4 × 2 mm Weight 0.5 (g) Radiator Material Copper Operation Temperature -30 ~ 90 ( ̊C) Operation Humidity 10 ~ 90 (%) Option Others Fig 1. RETURN LOSS Fig 2. VSWR Fig 3. SMITH CHART Fig 4. RADIATION PATTERN ELEVATION PATTERN ELEVATION SIDE PATTERN AZIMUTH PATTERN

BLUETOOTH APPROVALS The following exhibit indicates the FCC Spread Spectrum requirements in Section 15.247 for devices meeting the Bluetooth Specifications in the 2.4 GHz band as of February 2001 operating in the USA. The purpose of this exhibit is to help expedite the approval process for Bluetooth devices. This exhibit provides items that vary for each device and also provides a list of items that are common to Bluetooth devices that explains the remaining requirements. The list of common items can be submitted for each application for equipment authorization. This exhibit only specifies requirements in Section 15.247, requirements in other rule Sections for intentional radiators such as in Section 15.203 or 15.207 must be also be addressed. For each individual device, the following items, 1-7 will vary from one device to another and must be submitted. 1) The occupied bandwidth in Section 15.247(a)(1)(ii). 2) Conducted output power specified in Section 15.247(b)(1). 3) EIRP limit in Section 15.247(b)(3). 4) RF safety requirement in Section 15.247(b)(4) 5) Spurious emission limits in Section 15.247©. 6) Processing gain and requirements for Hybrids in Section 15.247(f) in the acquisition mode. 7) Power spectral density requirement in Section 15.247(f) in the acquisition mode. For all devices, the following items, 1-12, are common to all Bluetooth devices and will not vary from one device to another. This list can be copied into the filing. 1 Output power and channel separation of a Bluetooth device in the different operating modes: The different operating modes (data-mode, acquisition-mode) of a Bluetooth device don’t influence the output power and the channel spacing. There is only one transmitter which is driven by identical input parameters concerning these two parameters. Only a different hopping sequence will be used. For this reason, the RF parameters in one op-mode is sufficient. 2 Frequency range of a Bluetooth device: The maximum frequency of the device is: 2402 – 2480 MHz. This is according the Bluetooth Core Specification V 1.0B (+ critical errata) for devices which will be operated in the USA. Other frequency ranges ( e.g. for Spain, France, Japan) which are allowed according the Core Specification must not be supported by the device. 3 Co-ordination of the hopping sequence in data mode to avoid simultaneous occupancy by multiple transmitters: Bluetooth units which want to communicate with other units must be organized in a structure called piconet. This piconet consist of max. 8 Bluetooth units. One unit is the master the other seven are the slaves. The master co-ordinates frequency occupation in this piconet for all units. As the master hop sequence is derived from it’s BD address which is unique for every Bluetooth device, additional masters intending to establish new piconets will always use different hop sequences. 4 Example of a hopping sequence in data mode: Example of a 79 hopping sequence in data mode: 40, 21, 44, 23, 42, 53, 46, 55, 48, 33, 52, 35, 50, 65, 54, 67, 56, 37, 60, 39, 58, 69, 62, 71, 64, 25, 68, 27, 66, 57, 70, 59, 72, 29, 76, 31, 74, 61, 78, 63, 01, 41, 05, 43, 03, 73, 07, 75, 09, 45, 13, 47, 11, 77, 15, 00, 64, 49, 66, 53, 68, 02, 70, 06, 01, 51, 03, 55, 05, 04 5 Equally average use of frequencies in data mode and short transmissions: The generation of the hopping sequence in connection mode depends essentially on two input values: 1. LAP/UAP of the master of the connection 2. Internal master clock The LAP (lower address part) are the 24 LSB’s of the 48 BD_ADDRESS. The BD_ADDRESS is an unambiguous number of every Bluetooth unit. The UAP (upper address part) are the 24 MSB’s of the 48 BD_ADDRESS. The internal clock of a Bluetooth unit is derived from a free running clock which is never adjusted and is never turned off. For synchronization with other units, only the offsets are used. It has no relation to the time of the day. Its resolution is at least half the RX/TX slot length of 312.5 μs. The clock has a cycle of about one day (23h30). In most case it is implemented as 28 bit counter. For the deriving of the hopping sequence the entire LAP (24 bits), 4 LSB’s (4 bits) (Input 1) and the 27 MSB’s of the clock (Input 2) are used. With this input values different mathematical procedures (permutations, additions, XOR-operations) are performed to generate the sequence. This will be done at the beginning of every new transmission. Regarding short transmissions, the Bluetooth system has the following behavior: The first connection between the two devices is established, a hopping sequence is generated. For transmitting the wanted data, the complete hopping sequence is not used and the connection ends. The second connection will be established. A new hopping sequence is generated. Due to the fact that the Bluetooth clock has a different value, because the period between the two transmission is longer (and it cannot be shorter) than the minimum resolution of the clock (312.5 μs). The hopping sequence will always differ from the first one. 6 Receiver input bandwidth, synchro…

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