RBV-029EOmnipod 5 Pod, Omnipod 6 Pod

Form: RFT-AMER-TCB-OP-19o Revision: 1 Page 1 of 1 Date: 1/ 25/2023 Attention: Application Examiner Re: Certification designating a U.S. agent for service of process pursuant to 47 CFR part §2.911(d)(7) of the FCC rules To whom it may concern, This letter is to certify that Insulet Corporation (“Applicant”) accepts responsibilities to act as its own agent pursuant to 47 CFR part §2.911(d)(7) of the FCC rules for service of process. I consent to the obligation to accept service of process on behalf of the applicant in regard to the FCC ID designated below. I HEREBY CERTIFY THAT I am authorized to make the representations above on behalf of the Applicant. I further acknowledge the requirement to maintain an agent extends for no less than one year after the termination of all marketing and importation or the conclusion of and commission-related proceeding involving the equipment and agree to immediately notify the FCC and Intertek if there is any change in the status identified above. Applicant Company Name : Insulet Corporation Contact Name : Jim Chapman Address : 100 Nagog Park, Acton MA 01720 Telephone No : 978-600-7000 Email : [email protected] FCC ID : RBV-029E Applicant FRN : 0027827682 Signature: ____________________________________ Date: ____________________________________ Insulet Corporation 100 Nagog Park, Acton, MA 01720 (978) 600-7000 Docusign Envelope ID: 97B1C72B-A7DE-49F3-9C00-C6066F03689C 2/17/2026

Form: RFT-AMER-TCB-OP-19n Revision: 1 Page 1 of 1 Date: 1/ 25/2023 Attention: Application Examiner Re: Covered List, located at https://www.fcc.gov/supplychain/coveredlist and 47 CFR parts §2.903 and §2.911(d)(5)(ii) of the FCC rules Applicant: Insulet Corporation FCC ID: RBV-029E To whom it may concern, Insulet Corporation (“Applicant”) certifies that the equipment for which authorization is sought is not “covered” equipment prohibited from receiving an equipment authorization pursuant to 47 CFR part §2.903 of the FCC rules and does not originate directly or indirectly from any company named on the covered list located in the link above or any subsidiary or affiliate thereof. Applicant further certifies that, as of the date of the filing of the application, the Applicant is not identified on the Covered List as an entity producing “covered” equipment and is not a subsidiary or affiliate of any such entity pursuant to 47 CFR part §1.50002 and required by 47 CFR part §2.911(d)(5)(ii) of the FCC rules. Applicant further certifies that no Cybersecurity or anti-virus software produced or provided by Kaspersky Lab, Inc. or any of its successors and assignees, including equipment with integrated Kaspersky Lab, Inc. (or any of its successors and assignees) cybersecurity or anti-virus software is installed in the equipment being certified. I HEREBY CERTIFY THAT I am authorized to make the representations above on behalf of the Applicant and agree to immediately notify Intertek if there is any change in the status identified above. Jim Chapman VP, Systems Engineering COE Insulet Corporation Date: Insulet Corporation 100 Nagog Park, Acton, MA 01720 (978) 600-7000 Docusign Envelope ID: 97B1C72B-A7DE-49F3-9C00-C6066F03689C 2/17/2026

12 February 2026 Attention: Application Examiner Re: Request for confidentiality Applicant: Insulet Corporation FCC ID: RBV-029E To whom it may concern, Permanent Confidentiality Request is hereby submitted by Insulet Corporation to withhold permanently from public review certain portions of the application for equipment certification for the referenced FCC identifiers. This request for confidentiality is made pursuant to 47 CFR 0.457(d) and 0.459 of the FCC Rules. In particular, the following sections of the application are to be kept permanently confidential: • Schematics • Detailed Block diagrams • Detailed Operational/Functional Description Rationale for request for confidentiality: Insulet Corporation has invested considerable time and materials in research and development to produce the referenced product. Disclosure of the permanently confidential portions of this application to competitors would not only give them significant competitive advantages in developing similar products, but would also disclose successful implementation of unpublished, leading edge technology developed by us. If you have questions or need further information, please contact the undersigned. Sincerely, Jim Chapman VP, Systems Engineering COE Insulet Corporation Insulet Corporation 100 Nagog Park, Acton, MA 01720 (978) 600-7000 Docusign Envelope ID: 97B1C72B-A7DE-49F3-9C00-C6066F03689C 2/17/2026

Satellite Antenna Datasheet May 15, 2026 Page 1 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. 1. Test Information 1.1. Location and Date Testing was performed in the RF laboratory at Insulet’s headquarters (100 Nagog Park, Acton MA 01720) on September 17, 2025. 1.2. Configuration Tested Antenna patterns were measured using the Satellite v2p227 PCBA (Insulet Part # PT- 001831), which is functionally equivalent to the latest version (v.5). The antenna tested (Insulet Part # PT-001695) is v.4, which is functionally equivalent to the newest v.5 release. 1.3. Antenna Manufacturer Huayi Precision Address: Huayi Build, Qiushuiling Industrial Area, Egongling, Pinghu, Longgang District, Shenzhen 1.4. Test Equipment Manufacturer and Model # Description Calibration Due Date Rohde & Schwartz ZNB8 VNA Vector Network Analyzer February 28 2026 ETS Lindgren-3115 Double Ridge Horn Antenna NA DV Test 346004 Anechoic Chamber NA 1.5. Definition of Abbreviations Used Abbreviation Definition VNA Vector Network Analyzer RF Radio Frequency BLE Bluetooth Low Energy DUT Device Under Test Satellite Antenna Datasheet May 15, 2026 Page 2 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. 1.6. Results Summary Parameter Value Operating Frequency (GHz) 2.402 – 2.480 Maximum Antenna Gain 3.6 Maximum Realized Gain (including losses) (dB) 0.9 EIRP (dBm) 1.26 2. Test Data 2.1. Radiation Patterns and Gain 2.1.1. Method The test set-up is depicted in Figure 1. The device-under-test (DUT) is placed inside the anechoic chamber, fed via the network analyzer, and rotated around the principal xy, xz, and yz planes; the power received by the horn antenna is recorded as an S 21 measurement over the Bluetooth frequency range (2.4 GHz - 2.480 GHz). Figure 1. Test set-up for radiation pattern measurement. The DUT reference plane begins as close as possible to the antenna pad on the PCB, and measurements include mismatch loss between the antenna and PCB trace. The measurements do not include effects from filter circuitry applied farther down the RF chain. These components are evaluated in Section 2.2. Satellite Antenna Datasheet May 15, 2026 Page 3 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. Antenna gain is calculated by first determining the free-space path loss between the DUT and the horn antenna receiver, where 휆휆 is the wavelength at a particular frequency. 퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷퐷 푇푇푇푇−푅푅푇푇 =푑푑=774.7 푚푚푚푚 푃푃퐷퐷퐷퐷ℎ 푙푙푙푙 퐷퐷퐷퐷= � 4휋휋푑푑 휆휆 � 2 The Friis equation is then used to find the gain of the transmitter (DUT): 푃푃푙푙푃푃퐷퐷푃푃 푅푅푅푅푅푅푅푅푅푅푅푅푅푅푅푅 =푃푃푙푙푃푃퐷퐷 푃푃 푇푇푇푇푇푇푇푇푇푇푇푇 푅푅푇푇푇푇푅푅푅푅 +퐺퐺퐷퐷퐷퐷퐷퐷 푇푇푇푇푇푇푇푇푇푇푇푇 푅푅푇푇푇푇푅푅푇푇 +퐺퐺퐷퐷퐷퐷퐷퐷 푅푅푅푅푅푅푅푅푅푅푅푅푅푅푇푇 −푃푃퐷퐷퐷퐷ℎ 퐿퐿푙푙퐷퐷퐷퐷 The difference between received and transmitted power is given by the measured S 21 parameter and the gain of the receiver is obtained from the manufacturer’s datasheet. Note that cable losses are accounted for in the calibration of the network analyzer. Therefore, with these values known, the gain of the transmitter (the DUT) can be found. 2.1.2. Pattern Measurements Figure 1shows the theta and phi components of the measured radiation patterns at low, middle, and high frequencies across the operating band. Satellite Antenna Datasheet May 15, 2026 Page 4 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. Satellite Antenna Datasheet May 15, 2026 Page 5 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. Figure 2. Measured radiation patterns. Because Insulet’s Pods can be oriented in any direction with respect to their paired devices (such as a glucose sensor or smartphone), the total gain of the antenna provides a better summary of the user’s actual experience. Total gain (in linear units) is calculated as 푇푇푙푙퐷퐷퐷퐷푙푙 퐺퐺퐷퐷퐷퐷퐷퐷= � ( 퐺퐺퐷퐷퐷퐷퐷퐷 휃휃 ) 2 + � 퐺퐺퐷퐷퐷퐷퐷퐷 휙휙 � 2 , and corresponding plots are shown in Figure 2. Satellite Antenna Datasheet May 15, 2026 Page 6 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. Satellite Antenna Datasheet May 15, 2026 Page 7 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. Figure 3. Computed total gain 2.1.3. Data Summary Table 1 shows the maximum gain in decibels, measured in the three planes for each component, as well as the calculated total gain value. Table 1. Antenna maximum gain for different field components. Plane\Component 휽휽-component (dB) 흓흓-component (dB) Total Gain (dB) xy 1.2 -2.9 1.4 xz 3.6 0.7 3.6 yz -3.6 1.2 1.2 2.2. Filter Network A filter network is applied to the RF chain between the antenna pad and the BLE chip’s RF input/output pin and Figure 3 s hows the measured loss through this filter. Satellite Antenna Datasheet May 15, 2026 Page 8 of 8 Insulet Confidential Information This document is electronically controlled. Printed copies are considered uncontrolled. Figure 4. Filter insertion loss. The maximum loss is 2.69 dB across the Bluetooth band. Loss from the trace itself is negligible, so the realized gain (accounting for antenna gain, mismatch, and loss) is given in Table 1. Table 2. Realized gain seen at BLE IC port. Plane\Component 휽휽-component (dB) 흓흓-component (dB) Total Gain (dB) xy -1.5 -5.6 -1.3 xz 0.91 -2.0 0.9 yz -6.3 -1.5 -1.5

Page 1 of 91 INSULET CORPORATION TEST REPORT SCOPE OF WORK Emissions Testing – Satellite Pod REPORT NUMBER 106606699BOX-001fcc.1 ISSUE DATE [REVISED DATE] March 2, 2026 July 13, 2026 DOCUMENT CONTROL NUMBER Non-Specific Radio Report Shell Rev. October 2022 © 2022 INTERTEK Non-Specific Radio Report Shell Rev. October 2022 Page 2 of 91 Client: Insulet Corporation / Model: POD‐OMNI-I1‐ 6720 EMISSIONS REPORT (FULL COMPLIANCE) Report Number: 106606699BOX-0 01fcc.1 Project Number: G 106606699 Report Issue Date: March 2, 2026 Report Revision Date: July 13, 2026 Model(s) Tested: POD‐OMNI-I1‐ 6720 Model(s) Partially Tested: None Model(s) Not Tested but declared equivalent by the client: None Standards: CFR47 FCC Part 15 Subpart C, Section 15.247: 01/2026 CFR47 FCC Part 15 Subpart C, Section 15.209: 01/2026 CFR47 FCC Part 15 Subpart B, Section 15.109: 01/2026 ISED RSS-247 Issue 4 July 24, 2025 ISED ICES-003 Issue 7 October 2020 KDB 558074 D01 15.247 Meas Guidance v05r02: 04/2019 RSS-Gen Issue 5 April 2018 +Amendment 1 March 2019 Tested by: Client: Intertek Testing Services NA, Inc. (CAB ID: US0091) 70 Codman Hill Road Boxborough, MA 01719 USA Insulet Corporation 100 Nagog Park Acton, MA, 01720 USA Report prepared by Report reviewed by Kouma Sinn / Senior Staff Engineer Vathana Ven / Senior Staff Engineer This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. Intertek Report Number: 106606699BOX-001fcc.1 Issued: 03/02/2026 Revised: 07/13/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 3 of 91 Client: Insulet Corporation / Model: POD‐OMNI-I1‐ 6720 Table of Contents 1 Introduction and Conclusion .............................................................................................................. 4 2 Test Summary ...................................................................................................................................... 5 3 Client Information ................................................................................................................................ 6 4 Description of Equipment Under Test and Variant Models ............................................................. 6 5 System Setup and Method .................................................................................................................. 8 6 Maximum Peak Output Power ............................................................................................................ 9 7 6 dB Bandwidth (DTS Bandwidth) and Occupied Bandwidth ....................................................... 15 8 Maximum Power Spectral Density ................................................................................................... 24 9 Band Edge Compliance ..................................................................................................................... 30 10 Transmitter spurious emissions ................................................................................................... 37 11 Digital Device Radiated Spurious Emissions .............................................................................. 83 12 Revision History ............................................................................................................................. 91 Intertek Report Number: 106606699BOX-001fcc.1 Issued: 03/02/2026 Revised: 07/13/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 4 of 91 Client: Insulet Corporation / Model: POD‐OMNI-I1‐ 6720 1 Introduction and Conclusion The tests indicated in section 2.0 were performed on the product constructed as described in section 4.0. The remaining test sections are the verbatim text from the actual data sheets used during the investigation. These test sections include the test name, the specified test Method, a list of the actual Test Equipment Used, documentation Photos, Results and raw Data. No additions, deviations, or exclusions have been made from the standard(s) unless specifically noted. Based on the results of our investigation, we have concluded the product tested complies with the requirements of the standard(s) indicated. The results obtained in this test report pertain only to the item(s) tested. Intertek does not make any claims of compliance for samples or variants which were not tested. Intertek Report Number: 106606699BOX-001fcc.1 Issued: 03/02/2026 Revised: 07/13/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 5 of 91 Client: Insulet Corporation / Model: POD‐OMNI-I1‐ 6720 2 Test Summary Section Test full name Result 3 Client Information -- 4 Description of Equipment Under Test and Variant Models -- 5 System Setup and Method -- 6 Maximum Peak Output CFR47 FCC Part 15 Subpart C, Section 15.247 (b)(3): 01/2026 ISED RSS-247 Issue 4 July 24, 2025 Pass 7 6 dB Bandwidth (DTS Bandwidth) and Occupied Bandwidth CFR47 FCC Part 15 Subpart C, Section 15.247 (a)(2): 01/2026 ISED RSS-247 Issue 4 July 24, 2025 Pass 8 Maximum Power Spectral Density CFR47 FCC Part 15 Subpart C, Section 15.247 (e): 01/2026 ISED RSS-247 Issue 4 July 24, 2025 Pass 9 Band Edge Compliance CFR47 FCC Part 15 Subpart C, Section 15.247 (d): 01/2026 ISED RSS-247 Issue 4 July …

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Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 10 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 6.5 Setup Photographs: Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 16 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 7.5 Setup Photographs: Test Setup Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 25 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 8.5 Setup Photographs: Test Setup Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 31 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 9.5 Setup Photographs: EUT on its back Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 32 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 EUT on its long side Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 33 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 EUT on its short side Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 42 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 10.5 Setup Photographs: Test Setup, RE 9 kHz-30 MHz, Loop antenna on X-Axis Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 43 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 9kHz-30 MHz, Loop antenna on Y-Axis Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 44 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 9kHz-30 MHz, Loop antenna on Z-Axis Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 45 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 30-1000 MHz [Back Side] Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 46 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 30-1000 MHz [Long Side] Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 47 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 30-1000 MHz [Short Side] Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 48 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 1-18 GHz [Back Side] Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 49 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 1-18 GHz [Long Side] Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 50 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 1-18 GHz [Short Side] Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 51 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 18-25 GHz Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 86 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 11.5 Setup Photographs: Test Setup, RE 30-1000 MHz Intertek Report Number: 106419484BOX-010fcc Issued: 03/02/2026 Non-Specific Radio Report Shell Rev. October 2022 Page 87 of 91 Client: Insulet Corporation / Model: POD-OMNI-I1- 6720 Test Setup, RE 1-13 GHz