Z9O-FAS1511PSS Bed Beacon

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2104 Manufacturer: UltraClenz, LLC Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 User Manual Patient Safeguard System (PSS) Bed Beacon User’s Guide DOC1048 Revision 1 UltraClenz, LLC Patient Safeguard System – Bed Beacon 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 3.0 Patient Bed Beacon ............................................................................................................................................ 5 4.0 Adjusting the Patient Bed Beacon Communication Range ................................................................................. 6 5.0 How the System Works ...................................................................................................................................... 7 6.0 Installing the System .......................................................................................................................................... 9 6.1 Patient Bed Beacon Installation ....................................................................................................................... 9 6.2 Patient Bed Antenna ..................................................................................................................................... 11 Appendix A - System Component Care and Maintenance ...................................................................................... 12 Cleaning the Components ................................................................................................................................... 12 Handling the Bed Beacon .................................................................................................................................... 12 Battery Replacement ........................................................................................................................................... 12 Appendix B - Certification and Safety Approvals ..................................................................................................... 13 FCC ...................................................................................................................................................................... 13 Industry Canada ................................................................................................................................................... 13 Warranty .................................................................................................................................................................. 14 Patient Safeguard System – Bed Beacon User’s Guide UltraClenz, LLC Page 3 Revision History Revision Date By Description 0 03/14/12 MES Initial Release 1 08/09/12 DLS Corrected TOC and replaced FCC class A statement with class B statement Patient Safeguard System – Bed Beacon 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. 3.Patient Bed Beacon FAS1511 2.Soap/Sanitizer Dispenser Beacon FAS1510 Patient Safeguard System – Bed Beacon User’s Guide UltraClenz, LLC Page 5 3.0 Patient Bed Beacon The bed beacon, via its detachable patient bed antenna, creates an invisible boundary around the patient’s bed. This boundary defines the patient’s “space” and is called…

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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 Bed Beacon under FCC ID: Z9O-FAS1511 in accordance with 47 CFR 0.457(d) and 47 CFR 0.459. The confidentiality request applies to the following files. 11-2104 – Schematics.pdf 11-2104 – Block Diagram.pdf 11-2104 – Theory of Operation.pdf The PSS Bed Beacon 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-FAS1511 To Whom It May Concern: The following application is submitted on behalf of our client, UltraClenz LLC, for evaluation of their model FAS1511-02 for certification under FCC Part 15.209, 15.231 and 15.249. The FCC ID: Z9O-FAS1511 PSS Bed Beacon will be used in the healthcare industry as part of the UltraClenz’s patient safeguard system. The product includes three radio transceivers which transmit at 125 kHz, 433.9 MHz and 2405 MHz, respectively. The FCC ID: Z9O-FAS1511 includes multiple model variants which differ only by the color of their enclosure. The model variants are identified as FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, and FAS1511-04. The radiated emissions measurements were performed with the product set in the orientation of typical installation. The FCC ID: Z9O-FAS1511 was tested in full to the requirements of the aforementioned rules as well for inter-modulation products of the co-located 433.9 MHz and 2405 MHz radios transmitting at the same time 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-FAS1511 IC: 10060A-FAS1511 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2104 Manufacturer: UltraClenz, LLC Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 External Photos Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 2 Figure 1: Front View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 3 Figure 2: Rear View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 4 Figure 3: Top View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 5 Figure 4: Bottom View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 6 Figure 5: Left Side View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 7 Figure 6: Right Side View

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2104 Manufacturer: UltraClenz, LLC Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 Label Information Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 1: Label Information, Model FAS1511-00 Figure 2: Label Information, Model FAS1511-01 Figure 3: Label Information, Model FAS1511-02 ACS Project: 11-2104 Advanced Compliance Solutions Page 2 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 4: Label Information, Model FAS1511-03 Figure 5: Label Information, Model FAS1511-04 ACS Project: 11-2104 Advanced Compliance Solutions Page 3 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 6: Label Location – View 1 ACS Project: 11-2104 Advanced Compliance Solutions Page 4 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 7: Label Location – View 2 ACS Project: 11-2104 Advanced Compliance Solutions Page 5

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2104 Manufacturer: UltraClenz, LLC Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 Internal Photos Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 1: PCB – Top View ACS Project: 11-2104 Advanced Compliance Solutions Page 2 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 2: PCB – Bottom View ACS Project: 11-2104 Advanced Compliance Solutions Page 3 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 3: PCB – Assembled View ACS Project: 11-2104 Advanced Compliance Solutions Page 4 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 Figure 4: Internal View ACS Project: 11-2104 Advanced Compliance Solutions Page 5

3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Test Report FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Report Number: 11-2104.W06.1B Manufacturer: UltraClenz, LLC Model: FAS1511-02 Test Begin Date: November 11, 2011 Test End Date: April 17, 2012 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 16 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 7.4 Power Line Conducted Emissions – FCC: Section 15.207 IC: RSS-Gen 7.2.4 .......................... 13 8 CONCLUSION .............................................................................................. 15 Model: FAS1511-02 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Report: 11-2104.W06.1B Advanced Compliance Solutions Page 3 of 16 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 FAS1511-02 is a hospital bed beacon. The unit includes three transceivers operating at 125 kHz, 433 MHz and 2405 MHz, respectively. The FAS1511-02 part of an UltraClenz's patient safeguard system insuring proper hygiene of healthcare workers when approaching patient's bed. The EUT wakes-up a badge within a close range, collects the badge's ID via 2.4GHz and transmits it to 433MHz network. 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 and power line conducted emissions for the 2.4 GHz radio. Preliminary evaluation were performed for the unit set in 2 orthogonal orientations corresponding to the positions of typical installation as well as for the unit powered through a fresh battery or through an AC to DC adapter. The results are reported for the configuration leading to the highest emissions . The unit was continuously pulsing during the evaluation. The 433 MHz and 2405 MHz radios can transmit simultaneously, per the customer's theory of operation. Therefore, the EUT was evaluated for inter-modulation products generated by the co- located 433 MHz and 2405 MHz radios continuously transmitting at the same time. All inter- modulation products were found to be compliant to the limits of FCC 15.209 and RSS-210. The 125 kHz and 433 MHz transmitters are evaluated separately in their respective certification test reports. The unintentional emissions evaluation is documented separately in a verification test report. Model: FAS1511-02 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Report: 11-2104.W06.1B Advanced Compliance Solutions Page 4 of 16 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 AN…

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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-FAS1511 IC: 10060A-FAS1511 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 11-2104 Manufacturer: UltraClenz, LLC Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 Test Setup Photos Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 2 Figure 1: Radiated Emissions – Front View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 3 Figure 2: Radiated Emissions – Front View with Charger Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 4 Figure 3: Radiated Emissions – Back View 1 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 5 Figure 4: Radiated Emissions – Back View 2 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 6 Figure 5: Radiated Emissions – Back View 3 Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 7 Figure 6: Radiated Emissions – Back View 1 with Charger Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 8 Figure 7: Radiated Emissions – Back View 2 with Charger Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 9 Figure 8: Power Line Conducted Emissions – Front View Models: FAS1511-00, FAS1511-01, FAS1511-02, FAS1511-03, FAS1511-04 FCC ID: Z9O-FAS1511 IC: 10060A-FAS1511 ACS Project: 11-2104 Advanced Compliance Solutions Page 10 Figure 9: Power Line Conducted Emissions – Side View