
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) June 2021 HHCM NEXA™ POC Holder User’s Guide - Phase II (92053075) ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) Page 1 ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) HHCM NEXA™ POC HOLDER USER’S GUIDE - PHASE II CONTENTS 1. INTRODUCTION TO THE HHCM NEXA™ POC HOLDER .................................. 1 2. HHCM NEXA POC SET UP .................................................................................. 2 2.1 Installing Batteries ............................................................................................. 2 2.2 Adjusting Communication Range ...................................................................... 3 2.3 Installation Guidelines for the HHCM Nexa POC Holder ................................... 4 2.4 Mounting the HHCM Nexa™ POC Holder Using the Optional Mounting Plate .. 5 2.5 Installing the Optional Clamp for the HHCM - Nexa POC Holder ...................... 6 2.6 Connecting the HHCM Nexa POC Holder to Mounting Plate or Clamp ............. 7 2.7 Product Bottle Installation/Removal .................................................................. 7 3. HOW THE HHCM NEXA POC HOLDER WORKS ............................................... 8 3.1 Interaction with a Healthcare Worker’s Badge .................................................. 8 3.2 Interaction with a Hub ....................................................................................... 9 4. HHCM NEXA POC HOLDER INFORMATION ...................................................... 9 4.1 Dispense Event Confirmation LED .................................................................... 9 5. HHCM NEXA POC HOLDER CARE AND MAINTENANCE ................................. 9 5.1 Handling ............................................................................................................ 9 5.2 Cleaning ............................................................................................................ 9 5.3 Battery Replacement ....................................................................................... 10 APPENDIX A – CERTIFICATION AND SAFETY APPROVALS ............................ 11 ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) Page 0 F igure 1. Ecolab Hand Hygiene Program Compliance Monitoring System Components HHCM Nexa POC Holder ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) Page 1 1.INTRODUCTION TO THE HHCM NEXA™ POC HOLDER The Hand Hygiene Program Compliance Monitoring System (referred to as “the System” throughout the rest of this document) is a state-of-the-art wireless hand hygiene reminder System designed to encourage best practices for hand hygiene in a healthcare facility. The HHCM Nexa POC Holder (part number 92053075) (also referred to throughout this document as the HHCM POC) is an integral component of the System. When the System is installed, healthcare facilities determine which dispensers they wish to have monitored, and a Beacon is installed in those dispensers. In some circumstances, the hospital may have a requirement for a dispenser with a smaller footprint, or there may be a need for more flexible mounting options. The HHCM POC provides the ability for healthcare workers to have product where they need it, at the point of care, and to get credit for each hand hygiene dispense. Each HHCM POC has a unique identification address that is associated to a specific location during the install process. In the case of the HHCM POC, it could be installed in a static location or a mobile piece of equipment. The HHCM POC communicates with Healthcare Worker (HCW) System Badges to obtain Badge ID and status information during a dispense event. The dispense event communication sets the HCW Badge’s status to “Green” or “State 0”. The HHCM POC’s ID and the HCW Badge ID information, along with the time and date of the event, is transmitted by the HHCM POC to the nearest Hub, to be relayed to the offsite server for data compilation. Once the information exchange between the HHCM POC and the HCW Badge is complete, the HHCM POC’s LED (Light Emitting Diode) will light up Blue to indicate that the HCW has been credited with the dispense event. ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) Page 2 2.HHCM NEXA POC SET UP 2.1 Installing Batteries Each HHCM POC requires 2 AA alkaline batteries for operation. These must be installed prior to initial installation of the HHCM POC in its mounting location. The door to the HHCM POC battery compartment can be found on the back of the device (see Figure 2). To install batteries prior to initial installation, complete the following steps: 1.Open the battery compartment door by gently unscrewing the thumb screw and releasing the door tab. 2.Once the battery compartment door has been opened, install two (2) AA alkaline batteries, aligning t he pos itive (+) and negative (-) terminals of the batteries with the corresponding signs displayed within the battery compartment (Ecolab recommends that only Duracell® Coppertop batteries be used to power t he HHCM POC). 3.Once the batteries have been installed, close and latch the battery compartment door gently hand t ighten the thumb screw. F igure 2. Battery door, battery door tab, thumb screw, and device ID label location Battery Door ID Label Battery Door Tab Thumb Screw ECOLAB HAND HYGIENE COMPLIANCE MONITORING SYSTEM (HHCM) Page 3 2.2 Adjusting Communication Range The Beacon Installation Tool (“Installation Tool”) is used to adjust the communication range on the HHCM POC. To adjust the communication range: 1. Hold the Installation Tool within 10 inches of the HHCM POC and select mode “Range Adjust” (Refer to Ecolab Beacon Installation Tool User’s Guide). Activate the HHCM POC (i.e., dispense product from bottle in holder or push buttons down manually) to establish communication between the HHCM POC and the Installation Tool. Note: both yellow and red LED on the Installation Tool will flash when i…
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1 Ecolab Place, St. Paul, MN 55102-2233 TO: Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding FCC ID: Z9O-92053075 To Whom it May Concern: We, the undersigned, hereby authorize SGS Hong Kong Limited and YW Yung in SGS Hong Kong Limited to act on our behalf in all manners relating to application for equipment authorization with respect to the FCC ID above, including signing of all documents relating to these matters. Any and all acts carried out by the agent on our behalf shall have the same effect as acts of our own. We, the undersigned, hereby certify that we are 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). Where our agent signs the application for certification on our behalf, I acknowledge that all responsibility for complying with the terms and conditions for Certification, as specified by SGS North America, Inc., still resides with Ecolab This authorization is valid until further written notice from the applicant. Name: Sherri Tischler Title: Global Lead, Equipment & Digital Compliance, Regulatory Affairs Signature: On behalf of Company: Ecolab Inc. Telephone: +1-651-250-2836
DATE: 4 February 2022 TO: SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia United States FROM: Ecolab 1 Ecolab Place, St. Paul, MN 55102-2233 SUBJECT: Confidentiality Request regarding application for FCC ID: Z9O-92053075 LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commission’s rules, the applicant hereby requests confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Operational Descriptions The documents above contain proprietary information not released to the public. Public disclosure of this information may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within 180 days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos Internal Photos Set up Photos User manual Sincerely, Sherri Tischler Global Lead, Equipment & Digital Compliance, Regulatory Affairs Ecolab Inc
Applicant Declaration Applicant Declaration Rev:0.0 SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Legal Business Name Ecolab Inc. Address 1 Ecolab Place, St. Paul, MN 55102-2233 Grantee Code Z9O FCC ID Z9O-92053075 Authorized Contact Name Alan Au Contact Email [email protected] Contact Phone +852 23721184 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare; a) in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. b) in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for: (1) labeling the equipment with the exact FCC ID as specified in this application, (2) compliance statement labeling pursuant to the applicable rules, (3) compliance of the equipment with the applicable technical rules, c) if the Applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC’s technical requirements. d) in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. e) in accordance with ISO17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements. (1) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. (2) the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. (3) the Applicant shall, upon request by SGS, at the Applicant’s expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. f) neither the Applicant nor any party to the application is 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. §862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a “party” for these purposes. g) the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc.(TCB) terms and conditions. Link to CFRs: https://www.fcc.gov/wireless/bureau-divisions/technologies-systems-and-innovation-division/rules-regulations-title-47 Link to KDBs: https://apps.fcc.gov/oetcf/kdb/index.cfm Link to RSP-100: https://www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01130.html *NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database Applicant Signature: Date: Print Name: Sherri Tischler Title: Global Lead, Equipment Compliance
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/en/Terms-and-Conditions.aspx and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-Conditions/Terms-e -Document.aspx. 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 instructions, 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. Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 30 days only. Appendix A Photographs of EUT Constructional Details for HKEM2111001161AT Appendix A: External Photo of HKEM2111001161AT
Ecolab HHCM Point of Care (POC) Holder Serial and FCC Label Documentation January 2022 Item 1: FCC Label Drawing Item 2: Serial Label Drawing Item 3: Label Locations on Physical Device Figure 1 Engineering drawing showing location of 92053249 & 92053248 Figure 2 Sample photograph of FCC Label (top) and Serial Label (bottom)
Appendix B: Internal Photo of HKEM2111 001161AT
Report No.: HKEM211100116104 Page: 1 of 12 Law Man Kit EMC Manager This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request and accessible at http://www.sgs.com/en/Terms-and-conditions.aspx and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-conditions.aspx. 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 instructions, 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. T he 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. Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 30 days only. TEST REPORT Application No.: HKEM2111001161AT Applicant: ECOLAB Inc. Address of Applicant: FCC: 1 Ecolab Place, St Paul, Minnesota, United States, 55102 IC: Ecolab Schuman Center-F6, 655 Lone Oak Drive, Eagan, MN United States, 55121 Equipment Under Test (EUT): EUT Name: HHCM NEXA POC Holder Model No.: 92053075 Trade Mark: EcoLab Standard(s) : 47 CFR Part 1.1307; 47 CFR Part 2.1093 KDB447498D01 General RF Exposure Guidance v06 RSS102 Issue 5 March 2015 FCC ID: Z9O-92053075 IC: 10060A-92053075 HVIN: 92053075 Date of Receipt: 2021-12-05 Date of Test: 2021-12-06 to 2021-12-20 Date of Issue: 2021-12-28 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. Report No.: HKEM211100116104 Page: 2 of 12 Revision Record Version Chapter Date Modifier Remark 01 2021-12-28 Original Authorized for issue by: Panny Leung /Project Engineer Date: 2021-12-28 Law Man Kit /Reviewer Date: 2021-12-28 Report No.: HKEM211100116104 Page: 3 of 12 2 Test Summary Radio Spectrum Technical Requirement Item Standard Method Requirement Result RF Exposure 47 CFR Part 1.1307, 47 CFR Part 2.1093, KDB 447498 D01 KDB447498D01 KDB447498D01 PASS RF Exposure RSS102 Issue 5 RSS-102 Section 2.5.1 RSS102 Issue 5 PASS Declaration of EUT Family Grouping: N/A Abbreviation: Tx: In this whole report Tx (or tx) means Transmitter. Rx: In this whole report Rx (or rx) means Receiver. RF: In this whole report RF means Radiated Frequency. CH: In this whole report CH means channel. Volt: In this whole report Volt means Voltage. Temp: In this whole report Temp means Temperature. Humid: In this whole report Humid means humidity. Press: In this whole report Press means Pressure. N/A: In this whole report not application. Report No.: HKEM211100116104 Page: 4 of 12 3 Contents Page 1 COVER PAGE ..................................................................................................................................... 1 2 TEST SUMMARY ................................................................................................................................. 3 3 CONTENTS ......................................................................................................................................... 4 4 GENERAL INFORMATION .................................................................................................................. 5 4.1 D ETAILS OF E.U.T. ......................................................................................................................... 5 4.2 DESCRIPTION OF SUPPORT UNITS .................................................................................................... 6 4.3 M EASUREMENT UNCERTAINTY ......................................................................................................... 7 4.4 T EST LOCATION ............................................................................................................................. 8 4.5 TEST FACILITY ............................................................................................................................... 8 4.6 D EVIATION FROM STANDARDS ......................................................................................................... 8 4.7 ABNORMALITIES FROM STANDARD CONDITIONS ................................................................................. 8 5 RADIO SPECTRUM TECHNICAL REQUIREMENT ............................................................................. 9 5.1 RF EXPOSURE ............................................................................................................................... 9 5.1.1 Test Requirement: ................................................................................................................... 9 5.1.1 IC Radiofrequncy radiation ......................................................................................................10 5.1.2 EUT RF Exposure Evaluation ..................................................................................................11 6 PHOTOGRAPHS ................................................................................................................................12 Report No.: HKEM211100116104 Page: 5 of 12 4 General Information 4.1 Details of E.U.T. Power supply: DC 3.0V ('AA' size battery x2) Test voltage: DC 3.0V Antenna Gain: -1dBi Antenna Type: Ceramic Chip Antenna Modulation Type: GFSK Number of Channels: 50 Operation Frequency: 913.75MHz to 916.30MHz OR 917MHz Spectrum Spread Technology: Frequency Hopping Spread Spectrum(FHSS) Series number: A1 Hardware Version: Rev.A Software Version: V1.01 Remark: Power level setting was not adjust…
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Report No.: HKEM211100116103 Page: 1 of 28 Law Man Kit EMC Manager This document is issued by the Company subject to its General Conditions of Service printed overleaf, available on request and accessible at http://www.sgs.com/en/Terms-and-conditions.aspx and, for electronic format documents, subject to Terms and Conditions for Electronic Documents at http://www.sgs.com/en/Terms-and-conditions.aspx. 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 instructions, 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. The 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. Unless otherwise stated the results shown in this test report refer only to the sample(s) tested and such sample(s) are retained for 30 days only. TEST REPORT Application No.: HKEM2111001161AT Applicant: ECOLAB Inc. Address of Applicant: FCC: 1 Ecolab Place, St Paul, Minnesota, United States, 55102 IC: Ecolab Schuman Center-F6, 655 Lone Oak Drive, Eagan, MN United States, 55121 Equipment Under Test (EUT): EUT Name: HHCM NEXA POC Holder Model No.: 92053075 Trademark: EcoLab FCC ID: Z9O-92053075 IC: 10060A-92053075 HVIN: 92053075 Standard(s) : 47 CFR Part 15, Subpart C 15.249 RSS-210 Issue 10 December 2019 RSS-Gen Issue 5, Amendment 1, March 2019 Date of Receipt: 2021-12-05 Date of Test: 2021-12-06 to 2021-12-20 Date of Issue: 2021-12-28 Test Result: Pass* * In the configuration tested, the EUT complied with the standards specified above. Report No.: HKEM211100116103 Page: 2 of 28 Revision Record Version Chapter Date Modifier Remark 01 2021-12-28 Original Authorized for issue by: Panny Leung /Project Engineer Date: 2021-12-28 Law Man Kit /Reviewer Date: 2021-12-28 Report No.: HKEM211100116103 Page: 3 of 28 2 Test Summary Radio Spectrum Technical Requirement Item Standard Method Requirement Result Antenna Requirement 47 CFR Part 15, Subpart C 15.249 N/A 47 CFR Part 15, Subpart C 15.203 Pass Radio Spectrum Matter Part Item Standard Method Requirement Result 20dB Bandwidth 47 CFR Part 15, Subpart C 15.249 ANSI C63.10 (2013) Section 6.9 47 CFR Part 15, Subpart C 15.215 Pass Field Strength of the Fundamental Signal (15.249(a)) 47 CFR Part 15, Subpart C 15.249 ANSI C63.10 (2013) Section 6.5&6.6 47 CFR Part 15, Subpart C 15.249(a) Pass Restricted Band Around Fundamental Frequency 47 CFR Part 15, Subpart C 15.249 ANSI C63.10 (2013) Section 6.4&6.5&6.6 47 CFR Part 15, Subpart C 15.205 & 15.249(d) & 15.209 Pass Radiated Emissions 47 CFR Part 15, Subpart C 15.249 ANSI C63.10 (2013) Section 6.4&6.5&6.6 47 CFR Part 15, Subpart C 15.209 & 15.249 (a),(d) Pass Radio Spectrum Technical Requirement Item Standard Method Requirement Result Antenna Requirement RSS-210 Issue 10 December 2019 N/A RSS-Gen Section 6.8 Pass Radio Spectrum Matter Part Item Standard Method Requirement Result 99% Bandwidth RSS-210 Issue 10 December 2019 RSS-Gen Section 6.7 RSS-Gen Section 6.7 Pass Field Strength of the Fundamental Signal RSS-210 Issue 10 December 2019 ANSI C63.10 (2013) Section 6.5&6.6 RSS-210 B10 (a) Pass Restricted Band Around Fundamental Frequency RSS-210 Issue 10 December 2019 ANSI C63.10 (2013) Section 6.4&6.5&6.6 RSS-Gen Section 8.9 & 8.10 Pass Radiated Emissions RSS-210 Issue 10 December 2019 ANSI C63.10 (2013) Section 6.4&6.5&6.6 RSS-Gen Section 8.9 & RSS-210 B10 (b) Pass Frequency stability - RSS-Gen Section 6.11 RSS-Gen Section 8.11 PASS* Note: Frequency stability requested in RSS GEN Section 8.1.1 has been complied since the result of band edge can demonstrate. Declaration of EUT Family Grouping: None. Report No.: HKEM211100116103 Page: 4 of 28 Abbreviation: Tx: In this whole report Tx (or tx) means Transmitter. Rx: In this whole report Rx (or rx) means Receiver. RF: In this whole report RF means Radiated Frequency. CH: In this whole report CH means channel. Volt: In this whole report Volt means Voltage. Temp: In this whole report Temp means Temperature. Humid: In this whole report Humid means humidity. Press: In this whole report Press means Pressure. N/A: In this whole report not application. Report No.: HKEM211100116103 Page: 5 of 28 3 Contents Page 1 COVER PAGE ............................................................................................................................................ 1 2 TEST SUMMARY ....................................................................................................................................... 3 3 CONTENTS ................................................................................................................................................ 5 4 GENERAL INFORMATION ........................................................................................................................ 6 4.1 DETAILS OF E.U.T. ............................................................................................................................... 6 4.2 DESCRIPTION OF SUPPORT UNITS ......................................................................................................... 6 4.3 MEASUREMENT UNCERTAINTY .............................................................................................................. 7 4.4 TEST LOCATION .................................................................................................................................... 8 4.5 TEST FACILITY ...........................................................................................................…
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Appendix C: Setup Photo of HKEM2111001161AT Radiated Emissions (30MHz-1GHz) Test Setup Radiated Emissions (Above 1GHz) Test Setup Conducted RF Output Power Test Setup
1 Ecolab Place · St. Paul, Minnesota · United States
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15C | 917 MHz - 917 MHz | - |
ULTRA ZONE MONITOR
Equipment Class
DSS - Part 15 Spread Spectrum Transmitter
Battery Powered BLE Senso
Equipment Class
DTS - Digital Transmission System
HHCM915-BDG2450
Equipment Class
DXX - Part 15 Low Power Communication Device Transmitter
HHCM915 Bed Beacon
Equipment Class
DCD - Part 15 Low Power Transmitter Below 1705 kHz
HHCM915 Installation Tool
Equipment Class
DXX - Part 15 Low Power Communication Device Transmitter