Z9O-FAS1533Smart Link Dispenser Beacon Module

Certification Exhibit FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 13-2145 Manufacturer: UltraClenz, LLC Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 User Manual 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 FAS1533 Smart Link Dispenser Beacon Module User's Guide Revision 2 04/08/14 UltraClenz, LLC FAS1533 User's Guide UltraClenz, LLC Page 1 Table of Contents Revision History .......................................................................................................................................................2 1.0 Purpose ...............................................................................................................................................................3 2.0 Applying Power..................................................................................................................................................3 2.1 Procedure .........................................................................................................................................................3 3.0 Service Flag .........................................................................................................................................................4 3.1 Purpose ............................................................................................................................................................4 3.2 Procedure .........................................................................................................................................................4 4.0 Range Buttons ....................................................................................................................................................4 4.1 Purpose ............................................................................................................................................................4 4.2 Procedure .........................................................................................................................................................5 5.0 Event Activation..................................................................................................................................................5 5.1 Procedure with a Badge ...................................................................................................................................5 5.2 Procedure without a Badge ..............................................................................................................................5 Appendix A – FCC and Industry Canada Statements ...........................................................................................6 Class B Devices: ....................................................................................................................................................6 RF Exposure ..........................................................................................................................................................6 Industry Canada Statements: .................................................................................................................................6 FAS1533 User's Guide UltraClenz, LLC Page 2 Revision History Revision Date By Description 0 11/22/13 JH Initial Release 1 01/16/14 JH Changed title and changed the purpose 2 04/08/14 AP Add Appendix A FAS1533 User's Guide UltraClenz, LLC Page 3 1.0 Purpose To explain how the FAS1533 functions. The detailed procedures demonstrate how the led's, service flag, range switches and dispense activation work. 2.0 Applying Power 2.1 Procedure 1. The dispenser power is disabled to prevent the phono jack contacts from the shorting out the gearbox. 2. Insert the phono jack and verify the connection is fully engaged. 3. If a Patient Safeguard Badge (PSS) is within the low frequency field (approximately 24" or 61cm) the FAS1533 will detect the badge and alternately flash the blue led's twice. This is a firmware power reset and brownout condition that will only happen on the first time power is applied. The power cycle will transmit ( via the high frequency - PCB8001 tag) as an activation along with the detected badge address. If there is no badge present the power cycle will transmit ( via the high frequency - PCB8001 tag) as an activation and no badge address will be displayed (00,00,00,00). Blue Indicator Led's Fig.1 - FAS1533 Compact Dispenser Beacon Service Flag FAS1533 User's Guide UltraClenz, LLC Page 4 3.0 Service Flag 3.1 Purpose The service flag is used to indicate the dispenser needs a replacement cartridge. When the service flag is moved from the down (resting)position to the up (latched) position (seeFig.2),the replace cartridge bit will be set and transmitted on the next heartbeat message. When the attendant has replaced the cartridge the service flag will be returned to the down position the replace cartridge bit will be cleared and transmitted on the next heartbeat. 3.2 Procedure 1. Apply power to the FAS1533. 2. Move the service flag from the down to the latched up position. 3. Both led's will flash twice. 4. Wait a few seconds. 5. Move the service flag from the up position to the down. 6. Both led's will flash once. 4.0 Range Buttons 4.1 Purpose The purpose of the Range switches is to increase (+) or decrease (-) the low frequency communications distance between the dispenser beacon and badge. Fig.2 - Service Flag Latched in the Up Position FAS1533 User's Guide UltraClenz, LLC Page 5 4.2 Procedure 1. Apply power to the dispenser beacon 2. Push and release the + range switch four times 3. The blue led will flash once with each activation 4. Push and release the + range switch once (fifth position) 5. The led will flash twice indicating the range is set to maximum. If this does not occur depress both the + and - simultaneously to set to fa…

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5015 B. U. Bowman Dr. Buford, GA 30518 ACS TCB 5015 B.U. Bowman Drive Buford, GA 30518 Re: FCC ID: Z9O-FAS1533 To Whom It May Concern: The following application is submitted on behalf of our client, UltraClenz LLC, for evaluation of their models FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03 for certification under FCC Parts 15.209, 15.231 and 15.249. The FCC ID: Z9O-FAS1533 PSS Dispenser 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-FAS1533 includes multiple model variants which differ only by the enclosure color and power cable lengths. The model variants are identified as FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03. Model FAS1533-02 was evaluated for full compliance and deemed representative of all model variants. The radiated emissions measurements were performed with the product set in the orientation of typical installation. The FCC ID: Z9O-FAS1533 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.

Certification Exhibit FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 13-2145 Manufacturer: UltraClenz, LLC Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 External Photos 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 1: Front View ACS Project: 13-2145 Advanced Compliance Solutions Page 2 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 2: Rear View ACS Project: 13-2145 Advanced Compliance Solutions Page 3 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 3: Top View ACS Project: 13-2145 Advanced Compliance Solutions Page 4 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 4: Bottom View ACS Project: 13-2145 Advanced Compliance Solutions Page 5 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 5: Left Side View ACS Project: 13-2145 Advanced Compliance Solutions Page 6 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 6: Right Side View ACS Project: 13-2145 Advanced Compliance Solutions Page 7

Certification Exhibit FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 13-2145 Manufacturer: UltraClenz, LLC Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 Label Information 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 FCC Label for FAS1533 1430-513-RUC-WHT FCC ID: Z9O-FAS1533, IC:10060A-FAS1533, MODEL:FAS1533-00 THIS DEVICE COMPLIES WITH PART 15 OF THE FCC RULES. OPERATION IS SUBJECT TO THE FOLLOWING TWO CONDITIONS. (1) THIS DEVICE MAY NOT CAUSE HARMEFUL INTERFERENCE, AND (2) THIS DEVICE MUST ACCEPT ANY INTERFERENCE RECIEVED, INCLUDING INTERFERENCE THAT MAY CAUSE UNDESIRED OPERATION. 1430-513-RUC-BLK FCC ID: Z9O-FAS1533, IC:10060A-FAS1533, MODEL:FAS1533-01 THIS DEVICE COMPLIES WITH PART 15 OF THE FCC RULES. OPERATION IS SUBJECT TO THE FOLLOWING TWO CONDITIONS. (1) THIS DEVICE MAY NOT CAUSE HARMEFUL INTERFERENCE, AND (2) THIS DEVICE MUST ACCEPT ANY INTERFERENCE RECIEVED, INCLUDING INTERFERENCE THAT MAY CAUSE UNDESIRED OPERATION. 2030-513-RUC-WHT FCC ID: Z9O-FAS1533, IC:10060A-FAS1533, MODEL:FAS1533-02 THIS DEVICE COMPLIES WITH PART 15 OF THE FCC RULES. OPERATION IS SUBJECT TO THE FOLLOWING TWO CONDITIONS. (1) THIS DEVICE MAY NOT CAUSE HARMEFUL INTERFERENCE, AND (2) THIS DEVICE MUST ACCEPT ANY INTERFERENCE RECIEVED, INCLUDING INTERFERENCE THAT MAY CAUSE UNDESIRED OPERATION. 2030-513-RUC-BLK FCC ID: Z9O-FAS1533, IC:10060A-FAS1533, MODEL:FAS1533-03 THIS DEVICE COMPLIES WITH PART 15 OF THE FCC RULES. OPERATION IS SUBJECT TO THE FOLLOWING TWO CONDITIONS. (1) THIS DEVICE MAY NOT CAUSE HARMEFUL INTERFERENCE, AND (2) THIS DEVICE MUST ACCEPT ANY INTERFERENCE RECIEVED, INCLUDING INTERFERENCE THAT MAY CAUSE UNDESIRED OPERATION. 1500000001 FAS1533-00 Rev. 0.12 1346-002G-000001 1500000002 FAS1533-01 Rev. 0.12 1346-002G-000002 1500000003 FAS1533-02 Rev. 0.12 1346-002G-000003 1500000004 FAS1533-03 Rev. 0.12 1346-002G-000004 FCC Label location for FAS1533

Certification Exhibit FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 13-2145 Manufacturer: UltraClenz, LLC Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 Internal Photos 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 1: PCB - Top View ACS Project: 13-2145 Advanced Compliance Solutions Page 2 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 2: PCB - Top View with Coil Antenna ACS Project: 13-2145 Advanced Compliance Solutions Page 3 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 3: PCB - Bottom View ACS Project: 13-2145 Advanced Compliance Solutions Page 4

Certification Test Report FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 FCC Rule Part: 15.249 IC Radio Standards Specification: RSS-210 ACS Report Number: 13-2145.W06.1A Manufacturer: UltraClenz, LLC Model: FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03 Test Begin Date: November 4, 2013 Test End Date: January 8, 2014 Report Issue Date: April 22, 2014 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 14 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................................................... 7 4 LIST OF TEST EQUIPMENT .......................................................................... 8 5 SUPPORT EQUIPMENT ................................................................................ 9 6 EQUIPMENT UNDER TEST SETUP BLOCK DIAGRAM .............................. 9 7 SUMMARY OF TESTS ................................................................................. 10 7.1 Antenna Requirement – FCC: Section 15.203 ..............................................................................10 7.2 20dB / 99% Bandwidth: IC RSS-Gen 4.6.1 ...................................................................................10 7.3 Radiated Spurious Emissions - FCC Section 15.249 (a); IC: RSS-210 A2.9...............................12 8 CONCLUSION .............................................................................................. 13 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Model(s): FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 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 Models FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03 are soap/sanitizer beacons which include three transceivers operating at 125 kHz, 433 MHz and 2405 MHz. Each model variant is electrically identical and differs only by the cosmetic housing color and power cable length configuration. The FAS1533 series of models are part of a patient safeguard system insuring proper hygiene of healthcare workers. The device wakes-up a badge when the dispenser is activated, collects badge's ID via 2.4 GHz and transmits it to 433 MHz 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 1201 Jupiter Park Drive Jupiter, FL 33458 Test Sample Serial Number(s): 1336UB001 Test Sample Condition: Good 1.3 Test Methodology and Considerations Models FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03 are electrically identical and differ only by the cosmetic housing color and power cable length configuration. Model FAS1533- 02 was evaluated for full compliance and deemed representative of all model variants. The unit was evaluated for radiated emissions for the 2.4 GHz radio . The unit was evaluated in the orientation of typical installation. 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. ACS Report: 13-2145.W06.1A Advanced Compliance Solutions Page 3 of 14 Model(s): FAS1533-00, FAS1533-01, FAS1533-02, and FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 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 #: 475089 Industry Canada Lab Code: 4175C 2.2 Laborator…

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Certification Exhibit FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 13-2145 Manufacturer: UltraClenz, LLC Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 Test Setup Photos 3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 1: Radiated Emissions – Front View ACS Project: 13-2145 Advanced Compliance Solutions Page 2 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 2: Radiated Emissions – Back View 1 ACS Project: 13-2145 Advanced Compliance Solutions Page 3 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 3: Radiated Emissions – Back View 2 ACS Project: 13-2145 Advanced Compliance Solutions Page 4 Models: FAS1533-00, FAS1533-01, FAS1533-02, FAS1533-03 FCC ID: Z9O-FAS1533 IC: 10060A-FAS1533 Figure 4: Radiated Emissions – Back View 3 ACS Project: 13-2145 Advanced Compliance Solutions Page 5