Z9O-FAS1509PSS Badge

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2105 Manufacturer: UltraClenz, LLC Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 User Manual Patient Safeguard System (PSS) Healthcare Worker Badge User’s Guide DOC1046 Revision 1 UltraClenz, LLC Patient Safeguard System – Healthcare Worker Badge User’s Guide UltraClenz, LLC Page 2 Table of Contents Revision History ......................................................................................................................................................... 3 1.0 Introduction to the System .................................................................................................................................. 4 2.0 System Components .......................................................................................................................................... 4 2.1 Healthcare Worker (HWC) Badge................................................................................................................... 4 3.0 How the System Works ...................................................................................................................................... 6 4.0 Installing the System .......................................................................................................................................... 8 4.1 Healthcare Worker (HCW) Badge Installation ................................................................................................ 8 Appendix A - System Component Care and Maintenance ........................................................................................ 9 Cleaning the Components ..................................................................................................................................... 9 Handling the Badge ............................................................................................................................................... 9 Battery Replacement ........................................................................................................................................... 10 Healthcare Worker (HCW) Badge ........................................................................................................................ 10 Healthcare Worker Badge Power On Self Test (POST) ...................................................................................... 11 Appendix B - Certification and Safety Approvals ..................................................................................................... 12 FCC ...................................................................................................................................................................... 12 Industry Canada ................................................................................................................................................... 12 Warranty .................................................................................................................................................................. 13 Patient Safeguard System – Healthcare Worker Badge User’s Guide UltraClenz, LLC Page 3 Revision History Revision Date By Description 0 3/14/12 MES Initial Release 1 08/09/12 DLS Corrected TOC and replaced FCC class A statement with class B statement Patient Safeguard System – Healthcare Worker Badge User’s Guide UltraClenz, LLC Page 4 1.Healthcare Worker (HWC) Badge FAS1509 1.0 Introduction to the System The Patient Safeguard System (PSS) was designed to help Healthcare Workers (HCW) protect their patients from the unintentional spread of pathogens. This is achieved by providing a tool to remind HCWs to perform hand hygiene when the opportunities are presented. Hand hygiene opportunities, in a patient care environment, are defined as instances when hand hygiene should be performed to reduce or eliminate a patient’s exposure to harmful or even deadly pathogens carried on the HCW’s hands. These patient care hand hygiene opportunities are described in detail by the World Health Organization’s (WHO) “Your 5 Moments for Hand Hygiene”. PSS software provides HCWs with real-time feedback when hand hygiene opportunities occur and will also provide a warning when hand hygiene opportunities are missed or ignored. The real-time data can be viewed at a designated computer terminal or a tablet running the PSS application software. PSS may also be configured to monitor and assess the hand hygiene performance of HCWs on either a group or individual basis. By assessing how well a HCW recognizes and engages in hand hygiene opportunities, the HCW will receive feedback that lets them know how well they’re doing. This feedback can then be used to establish performance benchmarks and goals. HCW performance can then be tracked over time, measured against these benchmarks and goals to assess overall compliance to identify specific areas where improvement is needed. Ultimately, the purpose of PSS is to provide HCWs with a tool that allows them to improve upon, and then maintain, high levels of hand hygiene performance, thus providing a safer environment for their patients and themselves. 2.0 System Components PSS consists of 4 basic components; a HCW badge, a soap/sanitizer dispenser beacon, a patient bed beacon and a patient bed antenna. These components work together to form a system that will allert HCWs when hand hygiene needs to occur or alarm them when hand hygiene failed to occur. 2.1 Healthcare Worker (HWC) Badge The badge is worn by HCWs, such as doctors and nurses, however, healthcare facilities may choose to assign badges to therapists, visitors, students or any persons with patient contact. It is through the badge that the HCW is made aware, in real-time, of their hand hygiene status. The badge achie…

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Advanced Compliance Solutions – 5015 B.U. Bowman Drive, Buford, GA 30518 August 16, 2012 Federal Communications Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MD 21046 Gentlemen: UltraClenz, LLC, respectfully requests confidentiality of certain materials provided with the submission of the PSS Badge under FCC ID: Z9O-FAS1509 in accordance with 47 CFR 0.457(d) and 47 CFR 0.459. The confidentiality request applies to the following files. 11-2105 – Schematics.pdf 11-2105 – Block Diagram.pdf 11-2105 – Theory of Operation.pdf The PSS Badge has been developed at considerable effort and expense by UltraClenz, LLC. These items are considered as Trade Secrets and therefore public access to the proprietary material could possible result in duplication of equipment that could severely damage the company’s business advantage. I appreciate your assistance in this matter. Sincerely, Sam Wismer Vice President, Technology Agent Phone: (770) 831-8048 Fax: (770) 831-8598

5015 B. U. Bowman Dr. Buford, GA 30518 ACS TCB 5015 B.U. Bowman Drive Buford, GA 30518 Re: FCC ID: Z9O-FAS1509 To Whom It May Concern: The following application is submitted on behalf of our client, UltraClenz LLC, for evaluation of their model FAS1509-02 for certification under FCC Part 15.249. The FCC ID: Z9O-FAS1509 is a badge to be used in the healthcare industry as part of the UltraClenz’s patient safeguard system. The badge includes a radio transceiver which transmits at 2405 MHz. The FCC ID: Z9O-FAS1509 includes multiple model variants which differ only by the color of their enclosure. The model variants are identified as FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, and FAS1509-04. The radiated emissions measurements were performed with the product set in three orthogonal orientations. The FCC ID: Z9O-FAS1509 was tested in full to the requirements of the aforementioned rules and was found to be in compliance. Sincerely, Sam Wismer Vice President, Technology Advanced Compliance Solutions, Inc.

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2105 Manufacturer: UltraClenz, LLC Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 External Photos Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 Figure 1: Front View ACS Project: 11-2105 Advanced Compliance Solutions Page 2 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 3 Figure 2: Back View Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 Figure 3: Top View ACS Project: 11-2105 Advanced Compliance Solutions Page 4 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 5 Figure 4: Bottom View Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 6 Figure 5: Side View (Left) Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 7 Figure 6: Side View (Right)

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2105 Manufacturer: UltraClenz, LLC Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 Label Information Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 2 Figure 1: Label Information, Model FAS1509-00 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 3 Figure 2: Label Information, Model FAS1509-01 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 4 Figure 3: Label Information, Model FAS1509-02 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 5 Figure 4: Label Information, Model FAS1509-03 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 6 Figure 5: Label Information, Model FAS1509-04 Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 7 Figure 6: Label Location

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2105 Manufacturer: UltraClenz, LLC Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 Internal Photos Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 2 Figure 1: PCB – Top View Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 3 Figure 2: PCB – Bottom View Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 4 Figure 3: Internal View

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Test Report FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Report Number: 11-2105.W06.1B Manufacturer: UltraClenz, LLC Model: FAS1509-02 Test Begin Date: November 13, 2011 Test End Date: November 16, 2011 Report Issue Date: September 4, 2012 FOR THE SCOPE OF ACCREDITATION UNDER CERTIFICATE NUMBER AT-1533 This report must not be used by the client to claim product certification, approval, or endorsement by ACLASS, ANSI, or any agency of the Federal Government. Project Manager: Reviewed by: Thierry Jean-Charles Kirby Munroe EMC Engineer Director, Wireless Certifications Advanced Compliance Solutions, Inc. Advanced Compliance Solutions, Inc. This test report shall not be reproduced except in full. This report may be reproduced in part with prior written consent of ACS, Inc. The results contained in this report are representative of the sample(s) submitted for evaluation. This report contains 13 pages 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 TABLE OF CONTENTS 1 GENERAL ...................................................................................................... 3 1.1 Purpose .............................................................................................................................................. 3 1.2 Product description .......................................................................................................................... 3 1.3 Test Methodology and Considerations ........................................................................................... 3 2 TEST FACILITIES .......................................................................................... 4 2.1 Location ............................................................................................................................................. 4 2.2 Laboratory Accreditations/Recognitions/Certifications ............................................................... 4 2.3 Radiated & Conducted Emissions Test Site Description .............................................................. 5 3 APPLICABLE STANDARD REFERENCES ................................................... 6 4 LIST OF TEST EQUIPMENT .......................................................................... 7 5 SUPPORT EQUIPMENT ................................................................................ 8 6 EQUIPMENT UNDER TEST SETUP BLOCK DIAGRAM .............................. 8 7 SUMMARY OF TESTS ................................................................................... 9 7.1 Antenna Requirement – FCC: Section 15.203 ............................................................................... 9 7.2 20dB / 99% Bandwidth: IC RSS-Gen 4.6.1 .................................................................................... 9 7.3 Radiated Spurious Emissions - FCC Section 15.249 (a); IC: RSS-210 A2.9 .............................. 11 8 CONCLUSION .............................................................................................. 12 Model: FAS1509-02 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Report: 11-2105.W06.1B Advanced Compliance Solutions Page 3 of 13 1 GENERAL 1.1 Purpose The purpose of this report is to demonstrate compliance with Part 15 Subpart C of the FCC’s Code of Federal Regulations and Industry Canada’s Radio Standards Specification RSS-210. 1.2 Product description The FAS1509-02 is a badge that incorporates a 2.4 GHz transceiver. The unit also includes a 125 kHz receiver. The badge communicates with beacon series FAS1510 and FAS1511 via 2.4GHz and 125KHz. Technical Details Frequency of Operation: 2405 MHz Number of Channels: 1 Modulation: GFSK Data Rate: 2 Mbps Antenna / Gain: Inverted-F PCB antenna / 6.3 dBi Input Voltage: 3 VDC Manufacturer Information: UltraClenz, LLC 1440 W Indiantown Rd., Suite 350 Jupiter, FL 33435 Test Sample Serial Number(s): N/A Test Sample Condition: Good 1.3 Test Methodology and Considerations The unit was evaluated for radiated emissions in three orthogonal orientations corresponding to the XY, XZ and YZ planes. The unit was continuously pulsing during the evaluation. The unintentional emissions evaluations is documented separately in a verification report. Model: FAS1509-02 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Report: 11-2105.W06.1B Advanced Compliance Solutions Page 4 of 13 2 TEST FACILITIES 2.1 Location The radiated and conducted emissions test sites are located at the following address: Advanced Compliance Solutions, Inc. 3998 FAU Blvd, Suite 310 Boca Raton, Florida 33431 Phone: (561) 961-5585 Fax: (561) 961-5587 www.acstestlab.com FCC Test Firm Registration #: 587595 Industry Canada Lab Code: 4175C 2.2 Laboratory Accreditations/Recognitions/Certifications ACS is accredited to ISO/IEC 17025 by ANSI-ASQ National Accreditation Board under their ACLASS program and has been issued certificate number AT-1533 in recognition of this accreditation. Unless otherwise specified, all test methods described within this report are covered under the ISO/IEC 17025 scope of accreditation. Model: FAS1509-02 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Report: 11-2105.W06.1B Advanced Compliance Solutions Page 5 of 13 2.3 Radiated & Conducted Emissions Test Site Description 2.3.1 Semi-Anechoic Chamber Test Site The EMC radiated test facility consists of an RF-shielded enclosure. The interior dimensions of the indoor semi-anechoic chamber are approximately 48 feet (14.6 m) long by 36 feet (10.8 m) wide by 24 feet (7.3 m) high and consist of rigid, 1/8 inch (0.32 cm) steel-clad, wood core modular panels with steel framing. In the shielded enclosure, the faces of the panels are galvanized and the chamber is self-supporting. 8-foot RF absorbing cones are installed on 4 walls and the ceiling. The steel-clad ground plane is covered with vinyl floor. The turntable i…

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3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2105 Manufacturer: UltraClenz, LLC Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 Test Setup Photos Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 2 Figure 1: Radiated Emissions – Front View (XY – Side) Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 3 Figure 2: Radiated Emissions – Front View (XZ – Standing) Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 4 Figure 3: Radiated Emissions – Front View (YZ – Flat) Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 5 Figure 4: Radiated Emissions – Rear View (XY – Side) Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 6 Figure 5: Radiated Emissions – Rear View (XZ – Standing) Models: FAS1509-00, FAS1509-01, FAS1509-02, FAS1509-03, FAS1509-04 FCC ID: Z9O-FAS1509 IC: 10060A-FAS1509 ACS Project: 11-2105 Advanced Compliance Solutions Page 7 Figure 6: Radiated Emissions – Rear View (YZ – Flat)