U39K1193Elevance Wireless Base Station

Specifications The wireless control’s “association” is preset at the factory. This procedure is only required if there is a malfunction, or if you are attempting to use the controller with a chair other than the one it was originally associated with. Troubleshooting • When any control button is pressed, that controller sounds a single “beep”. (All functions operate) Cause: Low Battery Solution: Replace batteries • When any control button is pressed, nothing happens. (No “beeps”, no movement, etc.) Causes: 1. B atteries completely dead 2. Wireless controller has lost “association” to chair.* Solution: 1. Replace batteries 2. Perform Association Procedure* . * The wireless controller will only function with the chair it has been “associated” with. This prevents unwanted movement in locations with more than one chair. If further service is required, contact your authorized Midmark dealer. Association Procedure:A. Using the wired hand control, press & hold the Stop & Home buttons simultaneously. (after two seconds you will hear a single “beep”) B*. Using the wireless hand control, press & hold the Stop & Home buttons until you hear three “beeps”. (one long “beep” indicates the association failed. Repeat Steps A & B) C. Check for proper operation of wireless hand control. * Note: Step B must be performed within 10 seconds of Step A, failure to do so will cause the procedure to fail. Range of Operation ................. 20 ft (6 m) radius Batteries: Hand Control ......................... AA (qty: 2) (Note: Battery access cover is located on back of controller) DA191300i FCC Compliance StatementThis equipment has been tested and found to complywith the limits for a Class A digital device, pursuant topart 15 of the FCC Rules. These limits are designed toprovide reasonable protection against harmful interfer-ence when the equipment is operated in a commercialenvironment. This equipment generates, uses, and canradiate radio frequency energy and, if not installed andused in accordance with the instruction manual, maycause harmful interference to radio communications.Operation of this equipment in a residential area islikely to cause harmful interference in which case theuser will be required to correct the interference at hisown expense.Any modifications to this product may violate the rulesof the Federal Communications Commission and makeoperation of the product unlawful. Declaration of Conformity Midmark Corporation declares that002-1090-00 conforms to theapplicable requirements of theRadio Equipment & TelecommunicationsEquipment Directive 1999/5/EC, Annex II.Serial Number: ALL to present Quality Assurance ManagerGene HarshbargerMidmark Corp.60 Vista Dr.P.O. Box 286Versailles, OH 45380U.S.A. 077-0520-00 User’s Guide Wireless Hand 002-1090-00 This guide outlines basic operation of the wirelesshand / foot control and the associated base stationaccessory. If service is required, contact yourauthorized Midmark dealer.Dealer (name / phone):____________________________________________________________________________________________________________________________________________Date of Purchase: _____________________ 003-1764-00 Rev. A © Midmark Corporation 2007 General Information Attention: Wired Hand & Foot Controls Wired hand & foot controls are shipped standard withall models. A wired controller (either hand or foot) isrequired to perform the Association Procedure.This procedure may be required in the event of amalfunction, do not discard the wired controllers. (Refer to: Association Procedure in this User Guide) Intended UseThis product is intended to control patient positioningwhile providing better patient access by eliminatingthe cord from the hand & foot controls.Authorized CE RepresentativeCountries in the EEC should direct all questions,incidents, and complaints to Midmark’s authorizedCE Representative listed below: Promotal22, Rue de St. Denis53500 Ernee,FRANCEPhone: 33-2-430-517-76Fax: 33-2-430-569-10 Calling for ServiceIf service is required, contact your Midmark dealeror to locate your nearest service provider, log onto:http://www .midmar k.com To contact Midmark directly:1-800-Midmark (1-800-643-6275)8:00 am until 5:00 pm Mon-Fri (EST) Midmark Corporation60 Vista DriveVersailles, OH 45380-0286Phone: 937-526-3662Fax: 937-526-5542midmark.com Limited Warranty SCOPE OF WARRANTYMidmark Corporation (“Midmark”) warrants to the original purchaser itsnew Alternate Care products and components (except for componentsnot warranted under “Exclusions”) manufactured by Midmark to be freefrom defects in material and workmanship under normal use andservice. Midmark’s obligation under this warranty is limited to the repairor replacement, at Midmark’s option, of the parts or the products thedefects of which are reported to Midmark within the applicable warrantyperiod and which, upon examination by Midmark, prove to be defective.APPLICABLE WARRANTY PERIODThe applicable warranty period, measured from the date of delivery tothe original user, shall be one (1) year for all warranted products andcomponents.EXCLUSIONSThis warranty does not cover and Midmark shall not be liable for thefollowing: (1) repairs and replacements because of misuse, abuse,negligence, alteration, accident, freight damage, or tampering;(2) products which are not installed, used, and properly cleaned asrequired in the Midmark “Installation” and or “Installation / OperationManual for this applicable product. (3) products considered to be of aconsumable nature; (4) accessories or parts not manufactured byMidmark; (5) charges by anyone for adjustments, repairs, replacementparts, installation, or other work performed upon or in connection withsuch products which is not expressly authorized in writing in advanceby Midmark.EXCLUSIVE REMEDYMidmark’s only obligation under this warranty is the repair or replace-ment of defective parts. Midmark shall not be liable for any direct,special, indirect, incidental, exemplary, or consequential damages or…

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FCC ID: U39K1193 D.L.S. ELECTRONIC SYSTEMS, INC. 1250 Peterson Drive Wheeling, Illinois 60090 FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 Gentlemen: We are submitting for Midmark Corporation, Inc., an Elevance Wireless Base Station Transmitter, Model Number: 002-1193-00, with an FCC ID: U39K1193 for Certification. This unit has been tested and complies to Part 15, Subpart C. If there are any questions in regard to this application, please call D.L.S. Electronic Systems, Inc. at (847) 537 6400. Enclosed you will find a copy of our test report with the information and results of tests that is required under Part 15, Section 15.249. Thank you for your assistance in this matter. Sincerely, Arnom C. Rowe EMC-001375-NE DLS/cp

MIDMARI<­ LETTER OF AUTHORIZATION FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 Ladies and or Gentlemen: ~ I appoint Brian J. Mattson or Arnom C. Rowe to act as agent in the preparation of applications under Part 15 of the Rules and Regulations of the Federal Communications Commission. I certify that the exhibits properly describe the device being submitted under this application and will implement any changes described in the test report. . The following statement is required by the Federal Communications Commission: By checking yes, the applicant certifies that, in the case of an individual applicant, he or she is not subject to a denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti­ Drug Abuse Act of 1988,21 U.S.C. 853(a), or, in the case of an non-individual applicant (e.g. corporation, partnership or other unincorporated association), no party to the application is subject to a denial offederal benefits, that includes FCC benefits, pursuant to that section. ~X-",-_YES NO -zr el ~AU.J - Dated this ------d~----day of_---'rm;pz'--+-'--/l-L-&-rJS-+.L__2009 Agency agreement expiration date: None By -t4+I1 ------.~'skna-tur-e----- Printed Title Telephone 93} -'37.{, -1'3/L.. Applicant _-----'-f{_id_M,_~_r_k _ 2

1250 Peterson Dr., Wheeling, IL 60090 Request for Confidentiality Date: FCC Authorization & Evaluation Division 7435 Oakland Mills Road Columbia, Maryland 21046 RE: Certification Application FCC ID: U39K1193 Pursuant to 47 CFR Section 0.459 Midmark Corporation understands that requests for non disclosure and confidential treatment is being made for the following information as stated under the Code of Federal Regulations Chapter 47, Part 0.459 and behalf of APPLICANT NAME: • Block Diagram • Schematics • Description of Operation The above materials contain trade secrets, proprietary and technical information that would customarily be guarded from competitors under 47 CFR section 0.457(d)(2). Disclosure or publication of any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. Midmark Corporation understands that pursuant to 47 CFR section 0.457(d)(1)(ii) disclosure of the applicant and all accompanying documentation will not be made before the date of the grant. Thank you for your attention to this matter. Signatory Arnom C. Rowe EMC ENGINEER EMC-001375-NE D.L.S. Electronic Systems, Inc.

Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Transceiver Located in the Base Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Location of RF Board

Here is the placement (number 18), this is looking at the front of the chair below the upholstery:

Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Circuit Board Side 1 Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Circuit Board Side 2

1250 Peterson Dr., Wheeling, IL 60090 Page -1 of 38- Company: Midmark Corporation Model Tested: 002-1193-00 Report Number: 15552 FCC Rules and Regulations / Intentional Radiators Operational in the 902-928 MHz, 2400-2483.5 MHz, 5725-5875 MHz, and 24.0-24.25 GHz Bands Part 15, Subpart C, Section 15.249 THE FOLLOWING MEETS THE ABOVE TEST SPECIFICATION Formal Name: Elevance Wireless Base Station FCC ID: U39K1193 Kind of Equipment: Wireless Base Station Frequency Range: 2405 MHz - 2480 MHz Test Configuration: The base station was located inside a dental operatory. (Tested at 120 vac, 60 Hz) Model Number(s): 002-1193-00 Model(s) Tested: 002-1193-00 Serial Number(s): N/A Date of Tests: February 16 and 24, 2010 Test Conducted For: Midmark Corporation 60 Vista Drive Versailles, OH 45380 NOTICE: “This report must not be used by the client to claim product endorsement by NVLAP or any agency of the U.S. Government”. Please see the "Additional Description of Equipment Under Test" page listed inside of this report. © Copyright 1983-2010 D.L.S. Electronic Systems, Inc COPYRIGHT NOTICE This report must not be reproduced (except in full), without the approval of D.L.S. Electronic Systems, Inc. 1250 Peterson Dr., Wheeling, IL 60090 Page -2 of 38- Company: Midmark Corporation Model Tested: 002-1193-00 Report Number: 15552 SIGNATURE PAGE Report By: Adam Alger Test Engineer Reviewed By: William Stumpf OATS Manager Approved By: Brian Mattson General Manager 1250 Peterson Dr., Wheeling, IL 60090 Page -3 of 38- Company: Midmark Corporation Model Tested: 002-1193-00 Report Number: 15552 TABLE OF CONTENTS i. Cover Page......................................................................................................1 ii. Signature Page.................................................................................................2 iii. Table of Contents..............................................................................................3 iv. NVLAP Certificate of Accreditation........................................................................4 1.0 Summary of Test Report......................................................................................5 2.0 Introduction.....................................................................................................5 3.0 Object............................................................................................................5 4.0 Test Set-Up.....................................................................................................6 5.0 Test Equipment................................................................................................6 6.0 Ambient Measurements.......................................................................................7 7.0 Description of Test Sample...................................................................................8 8.0 Additional Description of Test Sample.....................................................................9 9.0 Photo Information and Test Set-Up.........................................................................9 10.0 Radiated Photos Taken During Testing...................................................................10 11.0 Conducted Photos Taken During Testing.................................................................13 12.0 Results of Tests..............................................................................................15 13.0 Conclusion....................................................................................................15 TABLE 1 – EQUIPMENT LIST....................................................................................16 Appendix A – Electric Field Radiated Emissions Test..........................................................17 1.0 Conducted Emission Measurements.......................................................................18 2.0 Band Edge and Restrict Band Compliance...............................................................23 3.0 Data and Graph(s) taken showing the Band Edge.......................................................25 4.0 Antenna Connector..........................................................................................28 5.0 Field Strength of Spurious Emission Measurements....................................................29 6.0 Radiated Data taken for Fundamental & Spurious Measurements....................................30 7.0 Bandwidth Measurements - 20dB Bandwidth............................................................34 8.0 Transmitter Duty Cycle Graphs Taken During testing..................................................36 1250 Peterson Dr., Wheeling, IL 60090 Page -4 of 38- Company: Midmark Corporation Model Tested: 002-1193-00 Report Number: 15552 1250 Peterson Dr., Wheeling, IL 60090 Page -5 of 38- Company: Midmark Corporation Model Tested: 002-1193-00 Report Number: 15552 1.0 SUMMARY OF TEST REPORT It was found that the Elevance Wireless Base Station, Model Number(s) 002-1193-00 meets the radio interference radiated emission requirements of the FCC ''Rules and Regulations'', Part 15, Subpart C, Section 15.249 for operational in the 902-928 MHz, 2400-2483.5 MHz, 5725-5875 MHz, and 24.0-24.25 GHz Bands. 2.0 INTRODUCTION On February 16 and 24, 2010, a series of radio frequency interference measurements was performed on Elevance Wireless Base Station, Model Number(s) 002-1193-00, Serial Number: N/A. The tests were performed according to the procedures of the FCC as stated in the ''Methods of Measurement of Radio-Noise Emissions for Low-Voltage Electrical and Electronic Equipment in the Range of 9 kHz to 40 GHz'' found in the American National Standards Institute, ANSI C63.4-2003. Tests were performed by personnel of D.L.S. Electronic Systems, Inc. who are responsible to Donald L. Sweeney, Senior EMC Engineer. D.L.S. Electronic Systems, Inc. is a full service EMC/Safety Testing Laboratory accredited to ISO 17025. NVLAP Certificate and Scope can be…

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Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Side Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Back Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: Transceiver Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: AC Line Conducted – Front Company: Midmark Corporation Product: Elevance Wireless Base Station Photo Description: AC Line Conducted – Back