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XO8-FS917V2Fall Sensor

Instant Care, Inc.
Fall Sensor - FCC ID XO8-FS917V2 - Instant Care, Inc.
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Application Details

Equipment Class
DXX - Part 15 Low Power Communication Device Transmitter
Date of Grant
Dec 04, 2025
Application Purpose
Original Equipment
Equipment Note
Fall Sensor
Frequency Range
917.00000000 - 917.00000000
Company
Instant Care, Inc.
Country
United States

Documents & Files

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Users Manual

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Attestation Statements

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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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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

FCC ID: XO8-FS917-2 Fall Sensor – FS917-SL+ This Fall Sensor is designed for a user to push the button for help at any time. It can also automatically 1 activate an emergency alarm if it detects a fall in the event that the user is unable to trigger an alarm by pressing the button. A. Usage Recommendation 1. For best results, the Fall Sensor should rest at the center of the user’s breastbone 2. Wear the Fall Sensor on the outside of all articles of clothing. 3. Carefully place the Fall Sensor on a table or nightstand when you are not using it in order to avoid activating an alarm. B. Identifying the Parts 1. Emergency Button Pressing the Emergency Button for 0.5 sec will activate the Control Panel, causing it to dial an emergency call or alarm (CID event code: 101). 2. LED LED Off Standby Mode 1 Red Flash Replacement Battery Inserted 1 Red, then 1 Green Flash First button press after replacing battery 1 Green Flash Transmitting with Good Battery 1 Red Flash Transmitting with Low Battery 3. Lanyard The lanyard length is adjustable by holding this piece and pulling the loop to increase or decrease the lanyard length. 4. Battery Compartment Cover 1. When replacing the battery, ensure that the positive side (+) of the battery is facing outward. 2. After replacing the battery, press and hold the Emergency Button until you see the LED flash RED then GREEN. IC ID: 27340-FS917-2 rev. A01 C. Low Battery Detection and Supervision Fall Sensor features Auto Low Battery detection and Supervision. When a battery is below the low battery threshold, the Fall Sensor will automatically send a low battery supervisory message every two hours. D. Testing When testing, do not activate the Fall Sensor twice within a 10-second interval. E. Battery & Electrical Specifications -Frequency: 917MHz-919MHz-921MHz -Battery: CR2477, 3V 1000mAh -Battery life: 2yrs with an average of one button push per day. - Open Field Range: Approximately 200 ft. FCC Statement 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. FCC Caution: To assure continued compliance, any changes or modifications not expressly approved by the party responsible for compliance may void the user's authority to operate this equipment. 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 to correct the interference by one or more of the following measures: - Reorient or relocate 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. IC Statement: 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. Statement : This device complies with RSS-247 and ICES-003 of the Industry Canada 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 of this device. Le présent appareil est conforme aux CNR d'Industrie Canada applicables aux appareils radio exempts de licence. L'exploitation est autorisée aux deux conditions suivantes : (1) l'appareil ne doit pas produire de brouillage, et (2) l'utilisateur de l'appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d'en compromettre le fonctionnement. IMPORTANT NOTE: IC Radiation Exposure Statement: This equipment complies with IC RSS-102 radiation exposure limits set forth for an uncontrolled environment. This equipment should be installed and operated with minimum distance 20cm between the radiator & your body. IC ID: 27340-FS917-2 rev. A01 NOTE IMPORTANTE: Déclaration d'exposition aux rayonnements d'IC : Cet équipement est conforme aux limites d'exposition aux rayonnements IC RSS-102 définies pour un environnement non contrôlé. Cet équipement doit être installé et utilisé avec une distance minimale de 20 cm entre le radiateur et votre corps.

Attestation Statements

Grantee also Agent for Service of Process_FCC_Attestation Statements_Kiwa Page 1 of 2 RF_754_01 09-02-2023 [PLACE ON APPLICANT/COMPANY LETTERHEAD] U.S. Agent Designation for Service of Process (Applicant is Both Grantee and U.S. Agent) TO: Kiwa Nederland B.V. Wilmersdorf 50 7327 AC Apeldoorn Postbus 137 7300 AC Apeldoorn Netherlands ATTENTION: FCC Certification – Section 2.911(d)(7) Information This letter is to confirm that the Applicant will also serve as the U.S. Agent for Service of Process as required by 47 CFR 2.911(d)(7). The Applicant acknowledges that they must maintain an agent for no less than one year after terminating all marketing and importation OR the conclusion of any Commission-related proceeding involving the equipment. The Applicant further acknowledges their responsibility to inform the FCC whenever the Designated U.S. Agent information changes. Applicant & Agent Company name: Instant Care, Inc. FRN: 0019053933 Grantee Code: XO8 Contact person name: Richard Darling Agent name: Instant Care, Inc. Street address: 9750 Birch Canyon Place ZIP/City/State San Diego, CA 92126, United States Telephone number: (877) 424-4050 Email address: [email protected] Signature Contact person*: Date: 9/30/2025 Signature Agent*: Date: 9/30/2025 Note *Must be signed by both the applicant, and agent on behalf Grantee also Agent for Service of Process_FCC_Attestation Statements_Kiwa Page 2 of 2 RF_754_01 09-02-2023 [PLACE ON APPLICANT/COMPANY LETTERHEAD] Revision Record Sheet: Revision Section number Page number Date Remark(s) issued by 01 09-02-2023 1 st version RvM Issued/modified by : Richard van de Meer Function : Certification assessor Revision : 01 Date : 09-02-2023 Verified by : Willem Jan Jong Function : Team Lead Date : 09-02-2023 Released by : Axel Gase Function : Manager Quality Assurance Date of release: : 09-02-2023

Attestation Statements

C overed list attestation FCC application letter Kiwa Page 1 of 2 RF_755_03 06-06-2024 [PLACE COMPANY LOGO HERE OR PUT ON COMPANY LETTERHEAD] Certification Application Attestation Statements Instant Care, Inc. FRN 0019053933 9750 Birch Canyon Place San Diego, CA 92126 United States S ubject: FCC ID: < XO8-FS917V2> T o Whom It May Concern: Statement for 47 CFR section 2.911(d)(5)(i) [ Instant Care, Inc.] certifies that as of the date of the application the equipment for which authorization is sought is not “covered” equipment 1 prohibited from receiving an equipment authorization pursuant to section 2.903 of the FCC rules. I f the equipment for which the applicant seeks authorization is produced by any of the entities identified on the current Covered List, including affiliates or subsidiaries of the named companies, the applicant must include an explanation on why the equipment is not “covered” equipment. Add itional Explanation: [ Instant Care, Inc.] ("the applicant") certifies that, the device does not have cybersecurity and/or anti-virus software produced by Kaspersky Lab, Inc. or any of its successors and assignees, identified on the Covered list installed on the device, nor will it be installed by the applicant any time after certification. Statement for 47 CFR section 2.911(d)(5)(ii) [Insert Company Name Here] (“the applicant”) certifies that, as of the date of the filing of this application, the applicant - is /- is not (3) i dentified on the Covered List as an entity producing “covered” equipment. Date: 9/30/2025 City: San Diego Name (2) : Richard Darling Function: CEO Telephone number: (877) 424-4050 Email address: [email protected] Signature: Revision Record Sheet: 1 - The Commission’s Covered List is published by the Public Safety and Homeland Security Bureau and posted on the Commission’s website. This Covered List, which is periodically updated, identifies particular equipment, produced by particular entities, that constitutes “covered” equipment. https://www.fcc.gov/supplychain/coveredlist . (2): For FCC it must be the Grantee Code “owner” or the authorized agent. (3): double click on the appropriate box and select ‘’checked” then “OK” Covered list attestation FCC application letter Kiwa Page 2 of 2 RF_755_03 06-06-2024 [PLACE COMPANY LOGO HERE OR PUT ON COMPANY LETTERHEAD] Revision Section number Page number Date Remark(s) issued by 01 07-02-2023 1 st version RvM 02 1 15-02-2023 Changed Applicant to Company and added “Subject: FCC ID: “ RvdM 03 1 06-06-2024 FRN added at certification application and included [Insert Company Name Here] for the statements RvdM Issued/modified by : Richard van de Meer Function : Certification assessor Revision : 03 Date : 06-06-2024 Verified by : Willem Jan Jong Function : Team Lead Date : 06-06-2024 Released by : Axel Gase Function : Manager Quality Assurance Date of release: : 06-06-2024

Cover Letter(s)

RF_160_05 Declaration of Authorisation Date of issue 02-01-2023 (On manufacturer’s company letter heading) Declaration of Authorization We Name: Instant Care, Inc. Address: 9750 Birch Canyon Place . City: San Diego, CA 92126. Country: United States . Declare that: Name Representative of agent: Daphne Liang.... (1) Agent Company name: SGS Compliance Certification Services Inc. . Address: No. 168, Ln. 523, Sec. 3, Zhongzheng Rd., City: Rende Dist.,Tainan City, 717017. Country Taiwan . is authorized to apply for Certification of the following product(s): Product description:  Fall Sensor . Type designation: FS917-SL+. Trademark: . Validity/ expiry date on our behalf. Date:  9/30/2025.. City: San Diego, CA.. Name:  Richard Darling .. (2) Function: ...CEO............................ Signature:  . Notes: (1): Required for FCC application (2): For FCC it must be the Grantee Code “owner” or the authorized agent. Revision Record Sheet: Revision Section number Page number Date Remark(s) issued by 02 1 02-01-2023 History sheet added AG Issued/modified by : Axel Gase Function : Quality Manager Revision : 02 Date : 02-01-2023 Verified by : Willem Jan Jong Function : Team Lead Date : 02-01-2023 Released by : Axel Gase Function : Manager Quality Assurance Date of release: : 02-01-2023

Cover Letter(s)

FCC, Request for non-disclosure Date: 02-01-2022 RF_501, Issue 10 Company Name: Instant Care, Inc.. Address: 9750 Birch Canyon Place City: San Diego, CA 92126 Country: United States To: Kiwa Netherlands B.V., Dept. FCC TCB Wilmersdorf 50 7327 AC Apeldoorn The Netherlands Subject: Request for confidentiality FCC ID: XO8-FS917V2 Reference number: ###### Dear FCC TCB, 1. Long-Term Confidentiality Pursuant to 47 CFR Section 0.459(a) & (b), we hereby requests non-disclosure and confidential treatment of the following materials submitted in support of FCC certification application: Bill(s) of Material Block Diagrams Operational Description Schematic Diagrams Tune-up Procedure Above materials contain secrets, proprietary and technical information, which would customarily be guarded from competitors under 47 CFR, section 0.457(d)(2). Disclosure or publication or any portion of this company confidential material to other parties could cause substantial competitive harm and provide unjustified benefits for competitors. 2. Short-Term Confidentiality (STC) Pursuant to Public Notice DA 04-1705 of the Commission’s policy, in order to comply with the marketing regulations in 47 CFR §2.803 and the importation rules in 47 CFR §2.1204, applicant hereby requests Short-Term Confidential treatment of the following materials (See notes below): Internal Photos User’s Manual Test Set-up Photos External Photos Justification: Date: 9/30/2025 Name and signature of applicant: Richard Darling Notes: 1) A document or type of document can only have ONE type of confidentiality! 2) Short-Term confidentiality is in principle for 45 days from date of grant; it can be extended max 3 times (total time 180 days max.)! The planned date should state in the RF731 application form. 3) FCC must be informed when marketing begins earlier. 4) Release takes place automatically thus extension must be requested in time. Telefication does not remind you of this! 5) Request for extension or for release must be received by Kiwa NL B.V. at least 7 days before date of actual marketing or before expiration of the STC period FCC, Request for non-disclosure Date: 02-01-2023 RF_501, Issue 10 Page 1 of 1 Revision Record Sheet: Revision Section number Page number Date Remark(s) issued by 10 1 02-01-2023 History sheet added AG Issued/modified by : Axel Gase Function : Quality Manager Revision : 10 Date : 02-01-2023 Verified by : Willem Jan Jong Function : Team Lead Date : 02-01-2023 Released by : Axel Gase Function : Manager Quality Assurance Date of release: : 02-01-2023

External Photos

Page: 47 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 APPENDIX 2 PHOTOGRAPHS OF EUT External Photo Model: FS917-SL+

ID Label/Location Info

FS917-SL+ Diagram Label location Label location Model: FS917-SL+ FCC ID : XO8-FS917V2 IC : 27340-FS917V2

Internal Photos

Page: 48 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 Internal Photo Model: FS917-SL+ Page: 49 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 Antenna Page: 50 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 Page: 51 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 Page: 52 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 Antenna

RF Exposure Info

This document cannot be reproduced except in full, without prior written approval of the Company. Project No: TM-2510000298P FCC ID: XO8-FS917V2 Page: 1 / 1 Report No.: TMWK2510004556KS Rev.: 00 According to 447498 D04 Interim General RF Exposure Guidance v01 section 2.1.2, the available maximum time-average power not exceeding 1 mW is exempt from the test. Average power: –1.02 dBm (≈ 0.79 mW) at 3 m field strength 87.93 dBμV/m, antenna gain –6.28 dBi. The Max. tune-up power is -0.5 dBm (≈ 0.89 mW) This product is exempt from testing because its maximum time-averaged power does not exceed 1 mW. Note: 1. The tune up power referred the AVG power of the test report TMTN2510001177NR for SAR test exclusion purpose.

Test Report

Specification of Antenna Model No: FS917-SL+ Antenna Type: PCB Antenna Antenna Operation Frequency:917MHz Length Closed: N/A Length Open: 59.0mm Diameter: 1.0mm No. of element: N/A Antenna Gain: -6.28dBi Radiation Efficiency: 15.05% Total Resistance: 16+j26.34Ω Temperature: -20°C ~ 60°C Antenna Pattern: X-Z Plane Y-Z Plane X-Y Plane

Test Report

Project No: TM-2510000298P FCC ID: XO8-FS917V2 Page: 1 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 No. 168, Ln. 523, Sec. 3, Zhongzheng Rd., Rende Dist., Tainan City, 717017, Taiwan /台南市仁德區中正路三段523巷168號 t:(886-6) 5802-201 f:(886-6) 5802-202 www.sgs.com.tw Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 90 days only. 除非另有說明,此報告結果僅對測試之樣品負責,同時此樣品僅保留90天。本報告未經本公司書面許可,不可部份複製。 This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request or accessible at http://www.sgs.com.tw/Terms-and-Conditions and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com.tw/Terms-and-Conditions. Attention is drawn to the limitation of liability, indemnification and jurisdiction issues defined therein. Any holder of this document is advised that information contained hereon reflects the Company’s findings at the time of its intervention only and within the limits of client’s instruction, if any. The Company’s sole responsibility is to its Client and this document does not exonerate parties to a transaction from exercising all their rights and obligations under the transaction documents. This document cannot be reproduced, except in full, without prior written approval of the Company. Any unauthorized alteration, forgery or falsification of the content or appearance of this document is unlawful and offenders may be prosecuted to the fullest extent of the law. Compliance Certification Services Inc. 程智科技股份有限公司 Member of the SGS Group FCC 47 CFR PART 15 SUBPART C ANSI C63.10: 2020 TEST REPORT For Fall Sensor Model: FS917-SL+ Data Applies To: N/A Brand: Test Report Number: TMTN2510001177NR Issued to: Instant Care, Inc. 9750 Birch Canyon Pl, San Diego, California, United States Issued by: Compliance Certification Services Inc . Tainan Lab. No. 168, Ln. 523, Sec. 3, Zhongzheng Rd., Rende Dist., Tainan Cit y, 717017, Taiwan Issued Date: December 02, 2025 Note: This report shall not be reproduced except in full, without the written approval of Compliance Certification Services Inc. Ltd. This document may be altered or revised by Compliance Certification Services Inc. personnel only, and shall be noted in the revision section of the document Page: 2 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 REVISION HISTORY Rev. Issue Date Revisions Effect Page Revised By 00 December 02, 2025 Initial Issue ALL Polly Wang 01 May 27, 2021 See the following note rev.01 Page 5~6 Gina Lin Note: ※ Rev.00 Issue Date: Ma y 20, 2021 Original Report ※ Rev.01 Issue Date: Ma y 27, 2021 Revise EUT description & general test procedures. Page: 3 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 TABLE OF CONTENTS 1. TEST RESULT CERTIFICATION ........................................................................ 4 2. EUT DESCRIPTION ............................................................................................. 5 3. TEST METHODOLOGY ....................................................................................... 6 3.1 EUT CONFIGURATION .................................................................................. 6 3.2 EUT EXERCISE .............................................................................................. 6 3.3 GENERAL TEST PROCEDURES ................................................................... 6 3.4 FCC PART 15.205 RESTRICTED BANDS OF OPERATIONS ....................... 7 3.5 DESCRIPTION OF TEST MODES .................................................................. 7 4. INSTRUMENT CALIBRATION ............................................................................ 8 4.1 MEASURING INSTRUMENT CALIBRATION .................................................. 8 4.2 MEASUREMENT EQUIPMENT USED ........................................................... 8 4.3 MEASUREMENT UNCERTAINTY .................................................................. 9 5. FACILITIES AND ACCREDITATIONS .............................................................. 10 5.1 FACILITIES ................................................................................................... 10 5.2 EQUIPMENT ................................................................................................. 10 5.3 LABORATORY ACCREDITATIONS LISTING ............................................... 10 5.4 TABLE OF ACCREDITATIONS AND LISTINGS ........................................... 11 6. SETUP OF EQUIPMENT UNDER TEST ........................................................... 12 6.1 SETUP CONFIGURATION OF EUT ............................................................. 12 6.2 SUPPORT EQUIPMENT ............................................................................... 12 6.3 CONFIGURATION OF SYSTEM UNDER TEST ........................................... 13 6.4 EUT OPERATING CONDITION .................................................................... 13 7. FCC PART 15.249 REQUIREMENTS ................................................................ 14 7.1 DUTY CYCLE ................................................................................................ 14 7.2 SPURIOUS EMISSION ................................................................................. 20 7.3 POWERLINE CONDUCTED EMISSIONS .................................................... 41 APPENDIX I - PHOTOGRAPHS OF TEST SETUP ................................................. 42 APPENDIX 2 PHOTOGRAPHS OF EUT ................................................................. 47 Page: 4 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 1. TEST RESULT CERTIFICATION Product: Fall Sensor Model: FS917-SL+ Data Applies To: N/A Brand Name: Applicant: Instant Care, Inc. 9750 Birch Canyon Pl, San Diego, California, United States Manufacturer: Vision Automobile Electronics Industrial Co Ltd No.78, Gongye 3rd Rd., Technology Industrial Park, Tainan, Taiwa…

Text truncated - open the document above for the full version.

Test Setup Photos

Page: 42 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 APPENDIX I - PHOTOGRAPHS OF TEST SETUP RADIATED EMISSION MEASUREMENT SETUP(Below 1G) 9K-30M Page: 43 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 RADIATED EMISSION MEASUREMENT SETUP(Below 1G) 30M-1G Page: 44 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 Page: 45 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00 RADIATED RF MEASUREMENT SETUP(Above 1G) Page: 46 / 52 Report No.: TMTN2510001177NR Ref. No.: Rev.: 00

Contact Information

Applicant

Richard Darling(CEO)
[email protected]Fax: 7607275746

Technical Contact

Compliance Certification Services Inc.Daphne Liang
[email protected]Fax: 886-6-580-2202

No. 168, Ln. 523, Sec. 3, Zhongzheng Rd., · Taiwan

Test Firm

Compliance Certification Services Inc.Daphne Liang
[email protected]Fax: 886-6-5802202

Technical Specifications

#Rule PartsFrequency RangePower Output
115C917 MHz - 917 MHz-
215C919 MHz - 919 MHz-
315C921 MHz - 921 MHz-
Confidentiality
Long Term

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