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VKF-RAD87BRad-87

Masimo Corporation
Rad-87 - FCC ID VKF-RAD87B - Masimo Corporation
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Application Details

Equipment Class
DTS - Digital Transmission System
Date of Grant
Dec 20, 2010
Application Purpose
Original Equipment
Date of Application
Dec 20, 2010
Equipment Note
Rad-87
Frequency Range
2412.00000000 - 2462.00000000
Company
Masimo Corporation
Country
United States

Documents & Files

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Users Manual

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Cover Letter(s)

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External Photos

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ID Label/Location Info

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Internal Photos

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Operational Description

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RF Exposure Info

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Test Report

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Test Setup Photos

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Users Manual

OPERATOR’S MANUAL Rad-87 ™ Pulse CO-Oximeter Rad-87 Pulse CO-Oximeter Operator’s Manual i The Rad-87 Operating Instructions provide the necessary information for proper operation of all models of the Rad-87 instrument. General knowledge of pulse CO-Oximetry and an understanding of the features and functions of the Rad-87 are a prerequisite for its proper use. Do not operate the Rad-87 without completely reading and understanding the instructions in this manual. NOTICE: Purchase or possession of this instrument does not carry any express or implied license to use this instrument with replacement parts which would, alone or in combination with this instrument, fall within the scope of one of the patents relating to this instrument. CAUTION: •Federal law (U.S.) restricts this instrument to sale by or on the order of a physician. Masimo Corporation 40 Parker Irvine, CA 92618 USA Tel.: 949-297-7000 Fax.: 949-297-7001 www.masimo.com EU Authorized Representative for Masimo Corporation: ECREP MDSS GmbH Schiffgraben 41 D-30175 Hannover, Germany 3149433 CONFORMS TO UL STD 60601-1, CERTIFIED TO CAN/CSA STD C22.2 NO. 601.1 Covered by one or more of the following U.S. Patents: RE38,492, RE38,476, 7,221,971, 7,215,986, 7,215,984, 7,186,966, 6,979,812, 6,861,639, 6,850,787, 6,826,419, 6,816,741, 6,745,060, 6,699,194, 6,684,090, 6,654,624, 6,650,917, 6,643,530, 6,606,511, 6,515,273, 6,501,975, 6,463,311, 6,430,525, 6,388,240, 6,360,114, 6,263,222, 6,236,872, 6,229,856, 6,157,850, 6,067,462, 6,011,986, 6,002,952, 5,919,134, 5,769,785, 5,758,644, 5,685,299, 5,632,272, 5,490,505, 5,482,036, international equivalents, or one or more of the patents referenced at www.masimo. com/patents.htm. Other patents pending. © 2010 Masimo Corporation. Masimo, Discrete Saturation Transform, DST, DCI, Signal Extraction Technology, Signal Extraction Pulse CO-Oximeter, SET, Rad, RadNet, Radical, , Signal I.Q., Pronto, FastSat, PVI, LNOP, Rainbow, SpCO, SpMet, SpHb, and LNCS are federally registered trademarks of Masimo Corporation. Rad-87, Pleth Variability Index, Patient SafetyNet, Rainbow SET, SpOC, APOD, Pulse CO-Oximeter, LNOPv, M-LNCS, RI and RRa are trademarks of Masimo Corporation. Rad-87 Pulse CO-Oximeter Operator’s Manual ii Safety Information, Warnings, Cautions and Notes The Rad-87™ Pulse CO-Oximeter™ is designed to minimize the possibility of hazards from errors in the software program by following sound engineering design processes, Risk Analysis and Software Validation. ■ Explosion hazard. Do not use the Rad-87 in the presence of fl ammable anesthetics or other fl ammable substance in combination with air, oxygen-enriched environments, or nitrous oxide. ■ High intensity extreme lights (including pulsating strobe lights) directed on the sensor, may not allow the Pulse CO-Oximeter to obtain readings. ■ Excessive ambient noise may affect the accuracy of the respiration rate reading from the Acoustic Respiration Sensor. ■ SpO 2 monitoring is required when monitoring RRa (Acoustic Respiration). ■ The Rad-87 is NOT intended for use as an apnea monitor. ■ The Pulse CO-Oximeter should be considered an early warning device. As a trend towards patient hypoxemia is indicated, blood samples should be analyzed by laboratory instruments to completely understand the patient’s condition. ■ Pulse rate measurement is based on the optical detection of a peripheral flow pulse and therefore may not detect certain arrhythmias. The pulse oximeter should not be used as a replacement or substitute for ECG based arrhythmia analysis. ■ The Rad-87 is to be operated by qualifi ed personnel only. This manual, accessory directions for use, all precautionary information, and specifi cations should be read before use. ■ Electric shock hazard. Do not open the Rad-87 instrument. Only a qualifi ed operator may perform maintenance procedures specifi cally described in this manual. Refer servicing to Masimo for repair of this equipment. ■ Ensure that the HF surgical neutral electrode is properly connected to help prevent unintended current return paths when using high frequency (HF) surgical equipment. ■ As with all medical equipment, carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. ■ Use cables only from the instrument manufacturer to provide protection against the effects of discharge from a cardiac defibrillator and burns. ■ Do not place the Rad-87 or accessories in any position that might cause it to fall on the patient. Do not lift the Rad-87 by the power cord or any other cable. ■ Interfering Substances: Dyes, or any substance containing dyes, that change usual blood pigmentation may cause erroneous readings. ■ SpO 2 is empirically calibrated to functional arterial oxygen saturation in healthy adult volunteers with normal levels of carboxyhemoglobin (COHb) and methemoglobin (MetHb). A pulse oximeter can not measure elevated levels of COHb or MetHb. Increases in either COHb or MetHb will affect the accuracy of the SpO 2 measurement. ■ For increased COHb: COHb levels above normal tend to increase the level of SpO 2 . The level of increase is approximately equal to the amount of COHb that is present. NOTE: High levels of COHb may occur with a seemingly normal SpO 2 . When elevated levels of COHb are suspected, laboratory analysis (CO-Oximetry) of a blood sample should be performed. ■ For increased MetHb: the SpO 2 may be decreased by levels of MetHb of up to approximately 10% to 15%. At higher levels of MetHb, the SpO 2 may tend to read in the low to mid 80s. When elevated levels of MetHb are suspected, laboratory analysis (CO-Oximetry) of a blood sample should be performed. ■ Elevated levels of Methemoglobin (MetHb) will lead to inaccurate SpO 2 and SpCO ® measurements. Rad-87 Pulse CO-Oximeter Operator’s Manual iii ■ Elevated levels of Carboxyhemoglobin (COHb) will lead to inaccurate SpO 2 measurements. ■ Elevated levels of Total Bilirubin may lead to inaccurate SpO 2 , SpMet ® , SpCO, SpHb ®…

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Cover Letter(s)

Northwest EMC TCB Compliance Opinion Rev. 12/08/09 MASI0063 Information about the Applicant Grantee (Company Name) Masimo Corporation FCC Contact Person Eugene Kim Address 40 Parker City, State, Zip Irvine, CA 92618 Job Number MASI0063 Model RAD-87B FCC ID VKF-RAD87B Agent David Mosley Approval Type Original Equipment Class DTS Digital Transmission System NII Unlicensed National Information Infrastructure Rule Part 15.407 15E 15.247 15C Overview This application is for the certification of Masimo Corporation’s model RAD 87 Pulse CO- Oximeter , FCC ID: VKF-RAD87, which contains an 802.11a/b/g radio used for wireless transmission of data to a patient monitoring network. The radio operates in the 2.4 and 5.8 GHz bands as a DTS device and in the 5.2 GHz band as a UNII device. Confidentiality requested for allowed files. Request is properly addressed and referenced. Recommendation All items have been resolved and completed to my satisfaction; therefore I recommend this application for approval. Signature 12/13/2010 Dave Tolman, TCB Committee

Cover Letter(s)

sllex technology hrly 22,2010 Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 Centlemen: This letter is to comply with Section 0.457(dX2XD and Section 0.459 pertaining to confidential material. Silex Technology, Inc would like the following documents regarding this submission for Masimo FCC IDr VKF-RAD878 to be kept confidential. l, Schematic 2. Operatiohal Deseriptiofl 3. Block Diagram The above material contains trade seqets or technical data, which would customarily be guarded frorn competitoN. We do not want thesq documents to be accessible to the general public. Sincerely, Engineering Manager Silex Technology Arnerica, Inc Sllex Technology Ame ca, Inc. . 15661 Red HillAvenuo. Phone (80'1) 748-1 199 . Fax (714) 258-0730 . Suite 120 . Tustin, CA 92780 w,!w.silexamedca.com

ID Label/Location Info

Title: Label, Certifications, FCC, ETL, Rad-87B with MX-3 LAB-6462 Revision: A DRO-28907 07/10 34412/6462B-0710 100-240v~50-60 Hz 20VA MAX100-240v~50-60 Hz 20VA MAX P2 RS-232 P1 Covered by one or more of the following U.S patents: 5482036, 5490505, 5632272, 5685299, 5758644, 5769785, 5919134, 6002952, 6011986, 6067462, 6157850, 6229856, 6236872, 6263222, 6360114, 6388240, 6430525, 6463311, 6501975, 6515273, 6606511, 6643530, 6650917, 6654624, 6661161, 6684090, 6699194, 6745060, 6816741, 6826419, 6850787, 6861639, 6979812, 7186966, 7215984, 7215986, 7221971, 7254433, 7295866, 7328053, 7373194, 7376453, 7377899, 7467002, 7469157, 7471969, 7489958, 7496393, 7499741, 7509154, 7530955, RE38476, RE38492, international equivalents, or one or more of the patents referenced at www.masimo.com/patents.htm. Other patents pending. CONFORMS TO UL STD 60601-1 AND CERTIFIED TO CAN/CSA STD C22.2 NO. 601.1 IPX1 3149433 Designed by Masimo in California Masimo Corporation 40 Parker Irvine, CA 92618 USA N 22534 Rx Only FCC ID: VKF-RAD87BFCC ID: VKF-RAD87B IC: 7362A-RAD87B IC Model: RAD-87B IC: 7362A-RAD87B IC Model: RAD-87B

Operational Description

Specifications subject to change without notice. 3425 N.44 th Street, LINCOLN, NE 68504 USA SALES PHONE: 800.228.4563 PHONE: 402.467.4491 • FAX: 402.467.4528 www.centurion.com • [email protected] Copyright © 2005 Centurion Wireless Technologies, Inc. All Rights Reserved Specifications: ƒ Small and lightweight ƒ Wide bandwidth, ultra-wide band capable ƒ Available in tape and reel packaging ƒ SMT compatible including lead free processes ƒ Conformance to European RoHS Directive 2002/95/EC Frequency Range 2.4 – 2.5 GHz 4.9 – 6.0 GHz Peak Gain > 2 dBi > 3 dBi Polarization Linear Nominal Impedance 50 ohms SWR (Min. Performance) <2.0:1 Temperature Range -40° to +85°C Vibration 6G RMS (9.04g2/Hz) for 15 minutes each in vertical and horizontal. No appearance or functional change. Thermal Shock Four repeated cycles of 1 hr. at +85°C and 1 hr. at -40°C. No appearance or functional change. Radiating Element Size 8 x 6 x 2.5 mm (L x W x H) Physical Mass 0.21 grams Length w/ Solder Tabs 12mm Connectors: Model # Part # Description Connector WIC2450-A MAF95029 Tape and Reel N/A WIC2450-A-SM Ultrawide-band on eval board SMA-female Edge- mount 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 1800 2000 2200 2400 2600 2800 3000 3200 3400 3600 3800 4000 4200 4400 4600 4800 5000 5200 5400 5600 5800 6000 Frequency (MHz) VSWR WIC2450-A a – 12/23/05 BlackChip™ Model Number: WIC2450-A Internal Antenna – Surface Mount Azimuth 2.45 GHz Free Space Elevation phi=0 2.45 GHz Free Space Typical VSWR performance on evaluation PCB Elevation phi=0 5.8 GHz Free Space

RF Exposure Info

Masimo Corporation Rad-87B Report No. MASI0063.3 Report Prepared By www.nwemc.com 1-888-EMI-CERT © 2010 Northwest EMC, Inc 22975 NW Evergreen Parkway Suite 400 Hillsboro, Oregon 97124 Certificate of Evaluation Date of Evaluation: August 26 2010 Masimo Corporation Model: Rad-87B Emissions Test Description Specification Test Method Pass/Fail Maximum Permissible Exposure FCC 2.1091:2010 OET Bulletin 65, Supplement C Ed 01-01 Pass Approved By: Don Facteau, IS Manager NVLAP Lab Code: 200676-0 This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government of the United States of America. Product compliance is the responsibility of the client, therefore the tests and equipment modes of operation represented in this report were agreed upon by the client, prior to testing. This Report may only be duplicated in its entirety. The results of this test pertain only to the sample(s) tested. The specific description is noted in each of the individual sections of the test report supporting this certificate of test. Northwest EMC Revision History Revision 05/05/03 Revision Number Description Date Page Number 00 None Accreditations and Authorizations FCC Accredited by NVLAP for performance of FCC radio, digital, and ISM device testing. Our Open Area Test Sites, certification chambers, and conducted measurement facilities have been fully described in reports filed with the FCC and accepted by the FCC in letters maintained in our files. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by the FCC as a Telecommunications Certification Body (TCB). This allows Northwest EMC to certify transmitters to FCC specifications in accordance with 47 CFR 2.960 and 2.962. NVLAP Northwest EMC, Inc. is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP) for satisfactory compliance with the requirements of ISO/IEC 17025 for Testing Laboratories. NVLAP is administered by the National Institute of Standards and Technology (NIST), an agency of the U.S. Commerce Department. The NVLAP accreditation encompasses Electromagnetic Compatibility Testing in accordance with the European Union EMC Directive 2004/108/EC, and ANSI C63.4. Additionally, Northwest EMC is accredited by NVLAP to perform radio testing in accordance with the European Union R&TTE Directive 1999/5/EEC, the requirements of FCC, and the RSS radio standards for Industry Canada. Industry Canada Accredited by NVLAP for performance of Industry Canada RSS and ICES testing. Our Open Area Test Sites and certification chambers comply with RSS-Gen, Issue 2 and have been filed with Industry Canada and accepted. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by NIST and recognized by Industry Canada as a Certification Body (CB) per the APEC Mutual Recognition Arrangement (MRA). This allows Northwest EMC to certify transmitters to Industry Canada technical requirements. (Site Filing Numbers - Hillsboro: 2834D-1, 2834D-2, Sultan: 2834C-1, Irvine: 2834B-1, 2834B-2, Brooklyn Park: 2834E-1) CAB Designated by NIST and validated by the European Commission as a Conformity Assessment Body (CAB) to conduct tests and approve products to the EMC directive and transmitters to the R&TTE directive, as described in the U.S. - EU Mutual Recognition Agreement. Australia/New Zealand The National Association of Testing Authorities (NATA), Australia has been appointed by the ACA as an accreditation body to accredit test laboratories and competent bodies for EMC standards. Accredited test reports or assessments by competent bodies must carry the NATA logo. Test reports made by an overseas laboratory that has been accredited for the relevant standards by an overseas accreditation body that has a Mutual Recognition Agreement (MRA) with NATA are also accepted as technical grounds for product conformity. The report should be endorsed with the respective logo of the accreditation body (NVLAP). Accreditations and Authorizations VCCI Accepted as an Associate Member to the VCCI, Acceptance No. 564. Conducted and radiated measurement facilities have been registered in accordance with Regulations for Voluntary Control Measures, Article 8. (Registration Numbers. - Hillsboro: C-1071, R-1025, G-84, C-2687, T- 1658, and R-2318, Irvine: R-1943, G-85, C-2766, and T-1659, Sultan: R-871, G-83, C-1784, and T-1511, Brooklyn Park: R-3125, G-86, G-141, C-3464, and T-1634). BSMI Northwest EMC has been designated by NIST and validated by C-Taipei (BSMI) as a CAB to conduct tests as described in the APEC Mutual Recognition Agreement (US0017). GOST Northwest EMC, Inc. has been assessed and accredited by the Russian Certification bodies Certinform VNIINMASH, CERTINFO, SAMTES, and Federal CHEC, to perform EMC and Hygienic testing for Information Technology Products. As a result of their laboratory assessment, they will accept test results from Northwest EMC, Inc. for product certification KCC Northwest EMC, Inc is a CAB designated by MRA partners and recognized by Korea. (Assigned Lab Numbers: Hillsboro: US0017, Irvine: US0158, Sultan: US0157, Brooklyn Park: US0175) VIETNAM Vietnam MIC has approved Northwest EMC as an accredited test lab. Per Decision No. 194/QD-QLCL (dated December 15, 2009), Northwest EMC test reports can be used for Vietnam approval submissions. SCOPE For details on the Scopes of our Accreditations, please visit: http://www.nwemc.com/accreditations/ Northwest EMC Locations Oregon Labs EV01-EV12 22975 NW Evergreen Pkwy Suite 400 Hillsboro, OR 97124 (503) 844-4066 California Labs OC01-OC13 41 Tesla Irvine, CA 92618 (949) 861-8918 Minnesota Labs MN01-MN08 9349 W Broadway Ave. Brooklyn Park, MN 55445 (763) 425-2281 Washington Labs SU01-SU07 14128 339 th Ave. SE Sultan, WA 98294 (360) 793-8675 New York Labs WA01-WA04 4939 Jordan Rd. Elbridge, NY 13060 (315) 685-0796 Northwest EMC P…

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Test Report

Masimo Corporation Rad-87 Report No. MASI0063.1 Report Prepared By www.nwemc.com 1-888-EMI-CERT © 2010 Northwest EMC, Inc 22975 NW Evergreen Parkway Suite 400 Hillsboro, Oregon 97124 Certificate of Test Last Date of Test: October 4, 2010 Masimo Corporation Model: Rad-87 Emissions Test Description Specification Test Method Pass/Fail Spurious Radiated Emissions FCC 15.407:2010 ANSI C63.10:2009 Pass AC Powerline Conducted Emissions FCC 15.407:2010 ANSI C63.10:2009 Pass Modifications made to the product See the Modifications section of this report Test Facility The measurement facility used to collect the data is located at: Northwest EMC, Inc. 41 Tesla Ave. Irvine, CA 92618 Phone: (503) 844-4066 Fax: 844-3826 This site has been fully described in a report filed with and accepted by the FCC (Federal Communications Commission) and Industry Canada (Site filing #2834B-2). Approved By: Don Facteau, IS Manager NVLAP Lab Code: 200676-0 This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government of the United States of America. Product compliance is the responsibility of the client, therefore the tests and equipment modes of operation represented in this report were agreed upon by the client, prior to testing. This Report may only be duplicated in its entirety. The results of this test pertain only to the sample(s) tested. The specific description is noted in each of the individual sections of the test report supporting this certificate of test. Northwest EMC Revision History Revision 06/29/09 Barometric Pressure The recorded barometric pressure has been normalized to sea level. Revision Number Description Date Page Number 00 None Accreditations and Authorizations FCC Accredited by NVLAP for performance of FCC radio, digital, and ISM device testing. Our Open Area Test Sites, certification chambers, and conducted measurement facilities have been fully described in reports filed with the FCC and accepted by the FCC in letters maintained in our files. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by the FCC as a Telecommunications Certification Body (TCB). This allows Northwest EMC to certify transmitters to FCC specifications in accordance with 47 CFR 2.960 and 2.962. NVLAP Northwest EMC, Inc. is accredited under the United States Department of Commerce, National Institute of Standards and Technology, and National Voluntary Laboratory Accreditation Program for satisfactory compliance with the requirements of ISO/IEC 17025 for Testing Laboratories. The NVLAP accreditation encompasses Electromagnetic Compatibility Testing in accordance with the European Union EMC Directive 2004/108/EC, and ANSI C63.4. Additionally, Northwest EMC is accredited by NVLAP to perform radio testing in accordance with the European Union R&TTE Directive 1999/5/EEC, the requirements of FCC, and the RSS radio standards for Industry Canada. NVLAP LAB CODE 200629-0 NVLAP LAB CODE 200630-0 NVLAP LAB CODE 200676-0 NVLAP LAB CODE 200761-0 NVLAP LAB CODE 200881-0 Industry Canada Accredited by NVLAP for performance of Industry Canada RSS and ICES testing. Our Open Area Test Sites and certification chambers comply with RSS-Gen, Issue 2 and have been filed with Industry Canada and accepted. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by NIST and recognized by Industry Canada as a Certification Body (CB) per the APEC Mutual Recognition Arrangement (MRA). This allows Northwest EMC to certify transmitters to Industry Canada technical requirements. (Site Filing Numbers - Hillsboro: 2834D-1, 2834D-2, Sultan: 2834C-1, Irvine: 2834B-1, 2834B-2, Brooklyn Park: 2834E-1) CAB Designated by NIST and validated by the European Commission as a Conformity Assessment Body (CAB) to conduct tests and approve products to the EMC directive and transmitters to the R&TTE directive, as described in the U.S. - EU Mutual Recognition Agreement. NEMKO Assessed and accredited by NEMKO (Norwegian testing and certification body) for European emissions and immunity testing. As a result of NEMKO's laboratory assessment, they will accept test results from Northwest EMC, Inc. for product certification (Authorization No. ELA 119). Accreditations and Authorizations Australia/New Zealand The National Association of Testing Authorities (NATA), Australia has been appointed by the ACA as an accreditation body to accredit test laboratories and competent bodies for EMC standards. Accredited test reports or assessments by competent bodies must carry the NATA logo. Test reports made by an overseas laboratory that has been accredited for the relevant standards by an overseas accreditation body that has a Mutual Recognition Agreement (MRA) with NATA are also accepted as technical grounds for product conformity. The report should be endorsed with the respective logo of the accreditation body (NVLAP). VCCI Accepted as an Associate Member to the VCCI, Acceptance No. 564. Conducted and radiated measurement facilities have been registered in accordance with Regulations for Voluntary Control Measures, Article 8. (Registration Numbers. - Hillsboro: C-1071, R-1025, G-84, C-2687, T-1658, and R-2318, Irvine: R-1943, G-85, C- 2766, and T-1659, Sultan: R-871, G-83, C-1784, and T-1511, Brooklyn Park: R-3125, G-86, G-141, C-3464, and T-1634). BSMI Northwest EMC has been designated by NIST and validated by C-Taipei (BSMI) as a CAB to conduct tests as described in the APEC Mutual Recognition Agreement (US0017). License No.SL2-IN-E-1017. GOST Northwest EMC, Inc. has been assessed and accredited by the Russian Certification bodies Certinform VNIINMASH, CERTINFO, SAMTES, and Federal CHEC, to perform EMC and Hygienic testing for Information Technology Products. As a result of their laboratory assessment, they will accept test results from Northwest EMC, Inc. for product certification KCC Nor…

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Test Report

Masimo Corporation Rad-87 Report No. MASI0063 Report Prepared By www.nwemc.com 1-888-EMI-CERT © 2010 Northwest EMC, Inc 22975 NW Evergreen Parkway Suite 400 Hillsboro, Oregon 97124 Certificate of Test Last Date of Test: October 5, 2010 Masimo Corporation Model: Rad-87 Emissions Test Description Specification Test Method Pass/Fail Spurious Radiated Emissions FCC 15.247:2010 ANSI C63.10:2009 Pass Spurious Radiated Emissions FCC 15.209:2010 ANSI C63.10:2009 Pass AC Powerline Conducted Emissions FCC 15.207:2010 ANSI C63.10:2009 Pass Modifications made to the product See the Modifications section of this report Test Facility The measurement facility used to collect the data is located at: Northwest EMC, Inc. 41 Tesla Ave. Irvine, CA 92618 Phone: (503) 844-4066 Fax: 844-3826 This site has been fully described in a report filed with and accepted by the FCC (Federal Communications Commission) and Industry Canada (Site filing #2834B-2). Approved By: Don Facteau, IS Manager NVLAP Lab Code: 200676-0 This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government of the United States of America. Product compliance is the responsibility of the client, therefore the tests and equipment modes of operation represented in this report were agreed upon by the client, prior to testing. This Report may only be duplicated in its entirety. The results of this test pertain only to the sample(s) tested. The specific description is noted in each of the individual sections of the test report supporting this certificate of test. Northwest EMC Revision History Revision 06/29/09 Barometric Pressure The recorded barometric pressure has been normalized to sea level. Revision Number Description Date Page Number 00 None Accreditations and Authorizations FCC Accredited by NVLAP for performance of FCC radio, digital, and ISM device testing. Our Open Area Test Sites, certification chambers, and conducted measurement facilities have been fully described in reports filed with the FCC and accepted by the FCC in letters maintained in our files. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by the FCC as a Telecommunications Certification Body (TCB). This allows Northwest EMC to certify transmitters to FCC specifications in accordance with 47 CFR 2.960 and 2.962. NVLAP Northwest EMC, Inc. is accredited under the United States Department of Commerce, National Institute of Standards and Technology, and National Voluntary Laboratory Accreditation Program for satisfactory compliance with the requirements of ISO/IEC 17025 for Testing Laboratories. The NVLAP accreditation encompasses Electromagnetic Compatibility Testing in accordance with the European Union EMC Directive 2004/108/EC, and ANSI C63.4. Additionally, Northwest EMC is accredited by NVLAP to perform radio testing in accordance with the European Union R&TTE Directive 1999/5/EEC, the requirements of FCC, and the RSS radio standards for Industry Canada. NVLAP LAB CODE 200629-0 NVLAP LAB CODE 200630-0 NVLAP LAB CODE 200676-0 NVLAP LAB CODE 200761-0 NVLAP LAB CODE 200881-0 Industry Canada Accredited by NVLAP for performance of Industry Canada RSS and ICES testing. Our Open Area Test Sites and certification chambers comply with RSS-Gen, Issue 2 and have been filed with Industry Canada and accepted. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by NIST and recognized by Industry Canada as a Certification Body (CB) per the APEC Mutual Recognition Arrangement (MRA). This allows Northwest EMC to certify transmitters to Industry Canada technical requirements. (Site Filing Numbers - Hillsboro: 2834D-1, 2834D-2, Sultan: 2834C-1, Irvine: 2834B-1, 2834B-2, Brooklyn Park: 2834E-1) CAB Designated by NIST and validated by the European Commission as a Conformity Assessment Body (CAB) to conduct tests and approve products to the EMC directive and transmitters to the R&TTE directive, as described in the U.S. - EU Mutual Recognition Agreement. NEMKO Assessed and accredited by NEMKO (Norwegian testing and certification body) for European emissions and immunity testing. As a result of NEMKO's laboratory assessment, they will accept test results from Northwest EMC, Inc. for product certification (Authorization No. ELA 119). Accreditations and Authorizations Australia/New Zealand The National Association of Testing Authorities (NATA), Australia has been appointed by the ACA as an accreditation body to accredit test laboratories and competent bodies for EMC standards. Accredited test reports or assessments by competent bodies must carry the NATA logo. Test reports made by an overseas laboratory that has been accredited for the relevant standards by an overseas accreditation body that has a Mutual Recognition Agreement (MRA) with NATA are also accepted as technical grounds for product conformity. The report should be endorsed with the respective logo of the accreditation body (NVLAP). VCCI Accepted as an Associate Member to the VCCI, Acceptance No. 564. Conducted and radiated measurement facilities have been registered in accordance with Regulations for Voluntary Control Measures, Article 8. (Registration Numbers. - Hillsboro: C-1071, R-1025, G-84, C-2687, T-1658, and R-2318, Irvine: R-1943, G-85, C- 2766, and T-1659, Sultan: R-871, G-83, C-1784, and T-1511, Brooklyn Park: R-3125, G-86, G-141, C-3464, and T-1634). BSMI Northwest EMC has been designated by NIST and validated by C-Taipei (BSMI) as a CAB to conduct tests as described in the APEC Mutual Recognition Agreement (US0017). License No.SL2-IN-E-1017. GOST Northwest EMC, Inc. has been assessed and accredited by the Russian Certification bodies Certinform VNIINMASH, CERTINFO, SAMTES, and Federal CHEC, to perform EMC and Hygienic testing for Information Technology Products. As a result of their laboratory assessment, they will accept test re…

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Test Report

This report c o written conse TE S CERT #803 803.05 ontains a total of ent of CKC Laborat S W FCC STING 3.01, 803.02, 5, 803.06 189 pages and m tories, Inc. Silex Te ADD Wireless 80 Te C PART 15 S This test rep testing perfo of ISO/IEC 1 CKC Laborato We strive t o sound, adapt our custome processes, bu ay be reproduced echnol DENDUM TES 02.11a/b/ ested To The UBPART E S Report Date of iss port bears th ormed herein 17025 under ories, Inc. o create long‐t tive, customer ers’ unique EM ut rather as th d in full only. Parti logy Am ST REPORT T /g SD Card e Following S SECTION 15.4 No.: 90303‐1 sue: March 19, e accreditatio meets the tes the applicab term, trust ba r first testing MC challenges, e reason we a ial reproduction m merica TO 90303‐10 Radio, SX‐ Standards: 407 & RSS‐2 10A , 2010 on symbol ind st and reporti ble scope of sed relations h services. We , not as an int are in business may only be done , Inc. 0 ‐SDCAG 210 ISSUE 7 dicating that ing requireme EMC testing hips by provid embrace each terruption to . with the the ents for ding h of set Page 2 of 189 Report No.: 90303‐10A TABLE OF CONTENTS Administrative Information .......................................................................................................................... 3 Test Report Information ............................................................................................................................................ 3 Revision History .............…

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Contact Information

Applicant

Anamidevi Joshi(EMC Manager)
[email protected]949-297-7663Fax: 949-297-7199

Test Firm

Northwest EMC, Inc.Greg Kiemel
[email protected]503-844-4066Fax: 503-844-3826

Technical Specifications

#Rule PartsFrequency RangePower Output
115C2.41 GHz - 2.46 GHz56.20 mW
Confidentiality
Long Term
Grant Notes
Output power is conducted. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons. The antenna(s) used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. This transmitter is restricted to indoor use in the 5150MHz to 5250MHz frequency range. Users and installers must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

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