
Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.
3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 15-2042 Manufacturer: UltraClenz, LLC Model: FAS1541-00 User Manual Patient Safeguard Systemยฎ Patient Bed Installation Revision 0.0 UltraClenz, LLC Patient Safeguard Systemยฎ Patient Bed Installation UltraClenz, LLC Page 1 Table of Contents Abstract........................................................................................................................................................................................ 3 Revision History ........................................................................................................................................................................... 3 Reference Documents ................................................................................................................................................................. 3 Terms, Acronyms and Abbreviations ........................................................................................................................................... 3 1. Introduction to the Patient Safeguard System (PSS) ............................................................................................................... 4 1.1 Hardware Components ...................................................................................................................................................... 4 1.1.1 Healthcare Worker Badge ........................................................................................................................................... 4 1.1.2 Dispenser Beacon ....................................................................................................................................................... 4 1.1.3 Bed Beacon ................................................................................................................................................................. 4 1.2 Bentley Wireless Network ................................................................................................................................................. 4 1.2.1 Hubs ............................................................................................................................................................................ 4 1.2.2 Gateway ...................................................................................................................................................................... 4 1.3 Dashboard and Offsite Server ............................................................................................................................................ 5 2. Required Materials .................................................................................................................................................................. 6 3. PSS Patient Bed Installation Functions .................................................................................................................................... 7 4. Installation ............................................................................................................................................................................... 8 4.1 Bed Beacon Mount Installation ......................................................................................................................................... 8 4.2 Bed Beacon Installation ..................................................................................................................................................... 8 4.3 AC Line Power Sensor (ALP) ............................................................................................................................................... 9 4.4 Cable Management ............................................................................................................................................................ 9 5. Adjusting the Communication Range .................................................................................................................................... 10 5.1 Range Adjustment on Bed Beacon .................................................................................................................................. 10 5.2 Bed Beacon to Test Badge Range Adjustment ................................................................................................................. 11 5.3 Dashboard Test with the PSS Badge and Bed Beacon ..................................................................................................... 12 6. Metadata Entry ...................................................................................................................................................................... 16 6.1 New Bed Beacon Metadata Entry .................................................................................................................................... 16 6.2 Replacing an Existing Bed Beacon โ Swapping Metadata................................................................................................ 17 7. Troubleshooting ..................................................................................................................................................................... 18 7.1 No Bed Beacon Heartbeats on the Dashboard ................................................................................................................ 18 7.2 The Bed Installation Does Not Communicate with a Badge ............................................................................................ 18 7.3 Bed Beacon FAS1541 ....................................................................................................................................................... 18 8. System Component Care and Maintenance ...........โฆ
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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-FAS1541 To Whom It May Concern: The following application is submitted on behalf of our client, UltraClenz LLC, for evaluation of their model FAS1541-00for certification under FCC Parts 15.209, 15.231 and 15.249. The FCC ID: Z9O-FAS1541 PSS Bed Beacon will be used in the healthcare industry as part of the UltraClenzโs 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-FAS1541 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-FAS1541 IC: 10060A-FAS1541 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 15-2042 Manufacturer: UltraClenz, LLC Model: FAS1541-00 External Photos Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 2 Figure 1: Front View Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 3 Figure 2: Rear View Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 4 Figure 3: Side View Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 5 Figure 4: Side View Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 6 Figure 5: Side View Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 7 Figure 6: Side View
3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 15-2042 Manufacturer: UltraClenz, LLC Model: FAS1541-00 Label Information FCC Label for FAS1541 FCC Statement Label FAS1541-00 FCC ID: Z9O-FAS1541, IC: 10060A-FAS1541, MODEL: FAS1541-00 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.
3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Exhibit FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 15-2042 Manufacturer: UltraClenz, LLC Model: FAS1541-00 Internal Photos Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 2 Figure 1: Front View Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 3 Figure 2: Rear View
3998 FAU Blvd. Suite 310 Boca Raton, FL 33431 Tel: 561-961-5585 Fax: 561-961-5587 Certification Test Report FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 FCC Rule Part: 15.231 IC Radio Standards Specification: RSS-210 ACS Report Number: 15-2042.W06.2B Manufacturer: UltraClenz, LLC Model: FAS1541-00 Test Begin Date: June 4, 2015 Test End Date: July 27, 2015 Report Issue Date: August 27 , 2015 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 ANAB, ANSI, or any agency of the Federal Government. Reviewed by: Thierry Jean-Charles EMC Engineer 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 15 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 โ FCC: Section 15.203 ............................................................................... 9 7.2 20dB / 99% Bandwidth: FCC: Section 15.231 (c)(1) / IC RSS-210.A.1.1.3 ................................. 9 7.3 Radiated Spurious Emissions โ FCC: Section 15.231 (b)/ IC: RSS-210 A1.1.2..........................11 7.4 Periodic Operation โ FCC: CFR 47 15.231(a) / IC: RSS-210 A1.1.1 ..........................................14 8 CONCLUSION .............................................................................................. 14 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Report: 15-2042.W06.2B Advanced Compliance Solutions Page 3 of 15 1 GENERAL 1.1 Purpose The purpose of this report is to demonstrate compliance with Part 15 Subpart C of the FCCโs Code of Federal Regulations and Industry Canadaโs Radio Standards Specification RSS-210. 1.2 Product description The model FAS1541-00 is a hospital bed beacon. It includes three transceivers operating at 125 kHz, 433 MHz and 2405 MHz, respectively. The Bed Beacon, along with its internal low frequency antenna, is mounted to a patient bed. Its function is to communicate with the Badge worn by the Healthcare Worker (HCW) when the HCW comes in close proximity with the patient bed (bed event), collect bed event data from that Badge and then transmit the collected data to a network where it will ultimately be sent to an offsite server for processing and archiving. Technical Details Frequency of Operation: 433.9 MHz Number of Channels: 1 Modulation: FSK Data Rate: 250 kbps Antenna / Gain: 1/4 Wave Helical Antenna / 1.9 dBi Input Voltage: 3 VDC (Size D battery) Manufacturer Information: UltraClenz, LLC 1201 Jupiter Park Drive Jupiter, FL 33458 Test Sample Serial Number(s): 1E000006 Test Sample Condition: Good 1.3 Test Methodology and Considerations The FAS1541-00 is a battery operated device, with no provision for alternate power sources. The device is exempted from the power line conducted emissions requirements. The FAS1541-00 was evaluated for radiated emissions for the 433 MHz radio in the orientation of typical installation. 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-Gen. The 125 kHz and 2405 MHz transmitters are assessed in their respective certification test reports. The unintentional emissions evaluation is documented separately in a verification test report. Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Report: 15-2042.W06.2B Advanced Compliance Solutions Page 4 of 15 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 Laboratory Accreditations/Recognitions/Certifications ACS is accredited to ISO/IEC 17025 by ANSI-ASQ National Accreditation Board under their ANAB program and has been issued certificate number AT-1533 in recognition of this โฆ
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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-FAS1541 IC: 10060A-FAS1541 FCC Rule Part: 15.209, 15.231, 15.249 IC Radio Standards Specification: RSS-210 ACS Project: 15-2042 Manufacturer: UltraClenz, LLC Model: FAS1541-00 Test Setup Photos Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 2 Figure 1: Radiated Emissions โ Front View โ FCC 15.209 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 3 Figure 2: Radiated Emissions โ Back View โ FCC 15.209 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 4 Figure 3: Radiated Emissions โ Back View โ FCC 15.209 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 5 Figure 4: Radiated Emissions โ Front View โ FCC 15.209, 15.231, 15.249 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 6 Figure 5: Radiated Emissions โ Back View โ FCC 15.209, 15.231, 15.249 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 7 Figure 6: Radiated Emissions โ Back View โ FCC 15.209, 15.231, 15.249 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 8 Figure 7: Radiated Emissions โ Back View โ FCC 15.209, 15.231, 15.249 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 9 Figure 8: Radiated Emissions โ Front View โ FCC 15.231, 15.249 Model: FAS1541-00 FCC ID: Z9O-FAS1541 IC: 10060A-FAS1541 ACS Project: 15-2042 Advanced Compliance Solutions Page 10 Figure 9: Radiated Emissions โ Back View โ FCC 15.231, 15.249
| # | Rule Parts | Frequency Range | Power Output |
|---|---|---|---|
| 1 | 15.231 | 433.9 MHz - 433.9 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
HAND HYGIENE COMPLIANCE MONITORING SYSTEM, 915MHZ, HHCM NEXA POC Holder
Equipment Class
DXT - Part 15 Low Power Transceiver, Rx Verified