ZKP-DMC001ZOLL E Series Data Comm Card

Application for Limited Single-Modular Transmitter Grant ZOLL FCC ID: 0018954933 Grantee Code: ZKP Product Code: DMC001 Model #: ZOLL E Series Data Comm Card Application Date: October 25, 2011 ZOLL Applicant and Technical Contact: Don Paradis (978-421-9608) Purpose: An application is hereby made for a Limited Single-Modular Transmitter grant in respect to a module bearing model # ZOLL E Series Data Comm Card. The reasons for application for this type of grant are explained further below. For brevity, throughout the remainder of this application, the term DCC may be used in lieu of ZOLL E Series Data Comm Card. Brief Description of Equipment: The ZOLL E Series Data Comm Card is a small wireless adapter that contains a Wi2Wi radio module, a companion high performance processor, FLASH memory and a limited number of other digital logic components, all enclosed in a metal and plastic enclosure. Refer to photo #1 to view a DCC. The radio operates in the 2.4 GHz. range and meets the protocol requirements for Bluetooth Class 2 and WiFi 802.11b & g. The DCC has been designed exclusively to be installed into a ZOLL E Series unit (the host) and cannot be fitted or retrofitted into other ZOLL products due to physical and software incompatibilities. Refer to photo #2 to view an E Series unit and where a DCC is installed into an E Series. Reasons for Application: Pursuant to Part 15, Subpart C, Section 15.212, Subsection (b), approval may be granted for a single modular transmitter that does not comply with all of the requirements stated in Part 15, Subpart C, Section 15.212, subject to the conditions as described in Subsection (b). Presented directly below are separate itemized lists for those requirements that are satisfied and for those requirements that are not satisfied. The section numbers used in the itemized lists follow the section numbers used in Section 15.212 and include only a brief summarized description of the particular section. ZKP-DMC001 List of Requirements that are satisfied: (ii) This section relates to buffered modulation/data inputs. The ZOLL E Series Data Comm Card (DCC) has its own companion high performance processor that directly controls the radio element. The E Series unit (the host) does not have any control of the radio element. The data interface between the DCC and the E Series is buffered via digital logic devices and via software. Data that are passed from the E Series to the DCC have embedded coding information specific to ZOLL specifications. The DCC decodes this information (accomplished by digital logic devices) to ascertain how to handle the information. The data are then passed onto the DCC companion processor for verification, and if the data are valid, it is passed to the radio element. (iv) The antennae are permanently attached. Refer to photo #3. (vi) The modular transmitter does have a permanently affixed label. Refer to photo #1. (vii) The ZOLL E Series Data Comm Card can only be used in a ZOLL E Series unit. The DCC inserts into a dual slot PCMCIA housing contained within the ZOLL E Series unit. ZOLL has no other products with a dual slot PCMCIA housing, and therefore it is impossible for an end user to inadvertently install a DCC into any other ZOLL product other than an E Series unit. Printed instructions are included with the DCC illustrating the proper installation procedure and describing various operating conditions. The instruction document is included with this application. (viii) The ZOLL E Series Data Comm Card meets RF exposure requirements and a separate exhibit has been submitted by Intertek. List of Requirements that are not satisfied: (.i) The radio element does have its own shield (refer to photo #4); however, once the DCC is installed into a ZOLL E Series unit, the overall shielding structure becomes much more complex. Specifically, the E Series plastic outer cases have a very low impedance material coated onto all inside surfaces of the cases. There are also metal structures contained within the E Series that can behave as shields; for example, the PCMCIA housing that the DCC inserts into is constructed of metal and significantly surrounds the DCC once installed. As another example, situated approximately one inch behind the E Series front panel, and a few inches in front of the DCC, is a metal plate that is nearly equal in width and height to the outer dimensions of the E Series. All of these metal E Series structures, plus others contained within the E Series, share a common connection to ground. Additionally, the shield that covers the radio element is tied to ground and therefore is tied to this same common connection. Therefore, once a DCC is installed into an E Series, the numerous adjacent metal surfaces surrounding the DCC, some of which are vertical and others horizontal relative to the Photo # 1: Showing front of ZOLL E Series Data Comm Card and label. Photo #2: Showing front of E Series and location of ZOLL E Series Data Comm Card. Photo #3. Showing antennae, which are located at top right and top left corners of the PCB. Photo #4. Showing radio element (covered by metal shield) and companion processor. E Series® Data Comm PRODUCT DESCRIPTION Data Comm is an accessory card that plugs into the PCMCIA data card (rear most) slot on the E Series® defibrillator/monitor and provides case data storage and upload services. Data is transmitted to remote data management systems, such as RescueNet® ePCR, via the IEEE 802.11b/g (Wi-Fi) protocol. The Data Comm card is operational when the E Series is in a clinical operating mode and configured to record data to the PCMCIA data card. Data storage and transmission stops when the CARD FULL message is displayed on the E Series screen. GETTING STARTED The Data Comm card provides storage of all E Series data currently written to the PCMCIA data card (based on unit configuration) with the exception of audio data. Data may be retrieved or erased manually by the user when the E Series system is in…

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ZOLL Medical Corporation Company Confidential 1 of 24 This document contains photos of Zoll’s wireless data communication card installed in a Zoll E Series defibrillator / monitor unit. The data communication card model number is ZOLL E Series Data Comm Card and can only be used and installed into a Zoll E Series unit. Included in this document are photos of the data communication card installed in the Zoll E Series unit taken from multiple angles. Also included are multiple external photos of the data communication card by itself and multiple internal photos of the data communication card showing the internal circuit boards. Technical contact: Donald Paradis 978-421-9608 ZOLL Medical Corporation Company Confidential 2 of 24 ZOLL Medical Corporation Company Confidential 3 of 24 ZOLL Medical Corporation Company Confidential 4 of 24 ZOLL Medical Corporation Company Confidential 5 of 24 ZOLL Medical Corporation Company Confidential 6 of 24 ZOLL Medical Corporation Company Confidential 7 of 24 ZOLL Medical Corporation Company Confidential 8 of 24 ZOLL Medical Corporation Company Confidential 9 of 24 ZOLL Medical Corporation Company Confidential 10 of 24 ZOLL Medical Corporation Company Confidential 11 of 24 ZOLL Medical Corporation Company Confidential 12 of 24 ZOLL Medical Corporation Company Confidential 13 of 24 ZOLL Medical Corporation Company Confidential 14 of 24 ZOLL Medical Corporation Company Confidential 15 of 24 ZOLL Medical Corporation Company Confidential 16 of 24 ZOLL Medical Corporation Company Confidential 17 of 24 ZOLL Medical Corporation Company Confidential 18 of 24 ZOLL Medical Corporation Company Confidential 19 of 24 ZOLL Medical Corporation Company Confidential 20 of 24 ZOLL Medical Corporation Company Confidential 21 of 24 ZOLL Medical Corporation Company Confidential 22 of 24 ZOLL Medical Corporation Company Confidential 23 of 24 ZOLL Medical Corporation Company Confidential 24 of 24

ZOLL Medical Corporation Company Confidential 1 of 24 This document contains photos of Zoll’s wireless data communication card installed in a Zoll E Series defibrillator / monitor unit. The data communication card model number is ZOLL E Series Data Comm Card and can only be used and installed into a Zoll E Series unit. Included in this document are photos of the data communication card installed in the Zoll E Series unit taken from multiple angles. Also included are multiple external photos of the data communication card by itself and multiple internal photos of the data communication card showing the internal circuit boards. Technical contact: Donald Paradis 978-421-9608 ZOLL Medical Corporation Company Confidential 2 of 24 ZOLL Medical Corporation Company Confidential 3 of 24 ZOLL Medical Corporation Company Confidential 4 of 24 ZOLL Medical Corporation Company Confidential 5 of 24 ZOLL Medical Corporation Company Confidential 6 of 24 ZOLL Medical Corporation Company Confidential 7 of 24 ZOLL Medical Corporation Company Confidential 8 of 24 ZOLL Medical Corporation Company Confidential 9 of 24 ZOLL Medical Corporation Company Confidential 10 of 24 ZOLL Medical Corporation Company Confidential 11 of 24 ZOLL Medical Corporation Company Confidential 12 of 24 ZOLL Medical Corporation Company Confidential 13 of 24 ZOLL Medical Corporation Company Confidential 14 of 24 ZOLL Medical Corporation Company Confidential 15 of 24 ZOLL Medical Corporation Company Confidential 16 of 24 ZOLL Medical Corporation Company Confidential 17 of 24 ZOLL Medical Corporation Company Confidential 18 of 24 ZOLL Medical Corporation Company Confidential 19 of 24 ZOLL Medical Corporation Company Confidential 20 of 24 ZOLL Medical Corporation Company Confidential 21 of 24 ZOLL Medical Corporation Company Confidential 22 of 24 ZOLL Medical Corporation Company Confidential 23 of 24 ZOLL Medical Corporation Company Confidential 24 of 24

This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 1 of 96 EMISSIONS TEST REPORT Report Number: 100398565BOX-001c Project Number: G100398565 Report Issue Date: 10/31/2011 Product Designation: ZOLL E Series Data Comm Card (Wi Fi Mode) Standards: FCC Part 15:2011 Subpart C Section 15.247, FCC Part 15:2011 Subpart B Class B, RSS-210 Issue 8 December 2010, ICES-003 Issue 4 February 2004, RSS-Gen Issue 3 December 2010 Tested by: Client: Intertek Testing Services NA, Inc. 70 Codman Hill Road Boxborough, MA 01719 Zoll Medical Corporation 269 Mill Road Chelmsford, MA 01824 Report prepared by Report reviewed by Kouma Sinn / Senior Project Engineer Nicholas Abbondante/Transmitter Staff Engineer Intertek Report Number: 100398565BOX-001c Issued: 10/31/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 2 of 96 1 Introduction and Conclusion The tests indicated in section 2.0 were performed on the product constructed as described in section 3.0. The remaining test sections are the verbatim text from the actual data sheets used during the investigation. These test sections include the test name, the specified test Method, a list of the actual Test Equipment Used, documentation Photos, Results and raw Data. No additions, deviations, or exclusions have been made from the standard(s) unless specifically noted. Based on the results of our investigation, we have concluded the product tested complies with the requirements of the standard(s) indicated. The results obtained in this test report pertain only to the item(s) tested. 2 Test Summary Section Test full name Result 3 Client Information -- 4 Description of Equipment Under Test -- 5 System Setup and Method -- 6 Maximum Peak Output Power FCC 15:2011 Subpart C, Section 15.247 (3) RSS-210 Issue 8 December 2010, A8.4 (4) Transfer Rate: 802.11b (11MB/s), 802.11g (54MB/s) Pass 7 Transmitter Radiated Spurious Emissions FCC 15:2011 Subpart C Section 15.247 (d) RSS-210 Issue 8 December 2010, A8.5 Transfer Rate: 802.11b (11MB/s), 802.11g (54MB/s) Pass 8 6 dB Bandwidth FCC 15:2011 Subpart C Section 15.247 (2) RSS-210 Issue 8 December 2010, A8.2 (a) Transfer Rate: 802.11b (11MB/s), 802.11g (54MB/s) Pass 9 Power Spectral Density FCC 15:2011 Subpart C Section 15.247 (e) RSS-210 Issue 8 December 2010, A8.2 (b) Transfer Rate: 802.11b (11MB/s), 802.11g (54MB/s) Pass 10 Band-edge Compliance FCC 15:2011 Subpart C Section 15.247 (d) RSS-210 Issue 8 December 2010, A8.5 Transfer Rate: 802.11b (11MB/s), 802.11g (54MB/s) Pass 11 Receiver Radiated Spurious FCC Part 15:2011 Subpart B Section 15.109 (a) RSS-Gen 3 December 2010, Section 6 Pass 12 AC Mains Conducted Emissions FCC Part 15:2011 Section 15.207 (a) RSS-Gen Issue 3 December 2010, 7.2.2 (Table 2) Transfer Rate: 802.11b (11MB/s), 802.11g (54MB/s) Pass 13 Revision History -- Intertek Report Number: 100398565BOX-001c Issued: 10/31/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 3 of 96 3 Client Information This EUT was tested at the request of: Company: Zoll Medical Corporation 269 Mill Road Chelmsford, MA 01824 Contact: Mr. Don Paradis Telephone: 978-421-9608 Fax: Not Available Email: [email protected] 4 Description of Equipment Under Test Equipment Under Test Description Manufacturer Model Number Serial Number ZOLL E Series Data Comm Card Zoll Medical ZOLL E Series Data Comm Card IN0411-00032 Receive Date: 08/15/2011 Received Condition: Good Type: Production Description of Equipment Under Test (provided by client) Wifi 802.11b/g transmitter card inside E-Series Defibrillator, with an Integral antenna Equipment Under Test Power Configuration (Host) Rated Voltage Rated Current Rated Frequency Number of Phases 100-120V 220VA 50/60 Hz 1 Operating modes of the EUT: No. Descriptions of EUT Exercising 1 Transmit mode with data transfer rate at 802.11b (11 MB/s) and 802.11g (54 MB/s) 2 Receive mode Intertek Report Number: 100398565BOX-001c Issued: 10/31/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 4 of 96 5 System Setup and Method Cables (Host) Qty Description Length (m) Shielding Ferrites Termination 1 AC Mains Cable 3.0m None None EUT/AC 1 ECG Cable 3.0m Foil None EUT 1 ECGx1000 RS-232 Cable 1.2 Foil None EUT 1 SPO2 Cable 3.0m Braid None EUT 1 Defibrillator Cable 2.2m Braid None EUT 1 CO2 Cable 3.0m Braid None EUT Support Equipment (Host) Description Manufacturer Model Number Serial Number E-Series Defibrillator Zoll Medical E Series AB11B016129 5.1 Method: Configuration as required by ANSI C 63.4:2003, FCC Part 15:2011 Subpart C Section 15.247, RSS-210 Issue 8 December 2010, RSS-Gen Issue 3 December 2010, and KDB 558074Released March 30, 2000. Notes: The worst-case data transfer rate for 802.11g is 54MB/s and for 802.11b is 11MB/s. All the tests are performed with the worst-case data transfer rate. 5.2 EUT Block Diagram: Intertek Report Number: 100398565BOX-001c Issued: 10/31/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 5 of 9…

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This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material, product, or service is or has ever been under an Intertek certification program. Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 1 of 82 EMISSIONS TEST REPORT Report Number: 100398565BOX-002d Project Number: G100398565 Report Issue Date: 11/04/2011 Product Designation: ZOLL E Series Data Comm Card (Bluetooth Mode) Standards: CFR47 FCC Part 15:2011 Subpart C Section 15.247, CFR47 FCC Part 15:2011 Subpart B Class B, Industry Canada RSS-210 Issue 8 December 2010, Industry Canada ICES-003 Issue 4 February 2004, Industry Canada RSS-Gen Issue 3 December 2010 Tested by: Client: Intertek Testing Services NA, Inc. 70 Codman Hill Road Boxborough, MA 01719 Zoll Medical Corporation 269 Mill Road Chelmsford, MA 01824 Report prepared by Reviewer Report reviewed by Kouma Sinn / Senior Project Engineer Michael F. Murphy / Staff Engineer, EMC Intertek Report Number: 100398565BOX-002d Issued: 11/04/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 2 of 82 1 Introduction and Conclusion The tests indicated in section 2.0 were performed on the product constructed as described in section 3.0. The remaining test sections are the verbatim text from the actual data sheets used during the investigation. These test sections include the test name, the specified test Method, a list of the actual Test Equipment Used, documentation Photos, Results and raw Data. No additions, deviations, or exclusions have been made from the standard(s) unless specifically noted. Based on the results of our investigation, we have concluded the product tested complies with the requirements of the standard(s) indicated. The results obtained in this test report pertain only to the item(s) tested. 2 Test Summary Section Test full name Result 3 Client Information -- 4 Description of Equipment Under Test -- 5 System Setup and Method -- 6 Maximum Peak Output Power FCC 15:2011 Subpart C, Section 15.247 (b) (1), (4) RSS-210 Issue 8 December 2010, A8.4 (2) Pass 7 Transmitter Radiated Spurious Emissions FCC 15:2011 Subpart C Section 15.247 (d) RSS-210 Issue 8 December 2010, A8.5 Pass 8 Hopping Channel Separation FCC 15:2011 Subpart C Section 15.247 (a)(1) RSS-210 Issue 8 December 2010, A8.1 (b) Pass 9 Number of Hopping Frequency FCC 15:2011 Subpart C Section 15.247 (a)(1) (iii) RSS-210 Issue 8 December 2010, A8.1 (d) Pass 10 Hopping Channel Bandwidth FCC 15:2011 Subpart C Section 15.247 (a)(1) RSS-210 Issue 8 December 2010, A8.1 (b) Pass 11 Hopping Dwell time FCC 15:2011 Subpart C Section 15.247 (a)(1) (iii) RSS-210 Issue 8 December 2010, A8.1 (d) Pass 12 Band-edge Compliance FCC 15:2011 Subpart C Section 15.247 (d) RSS-210 Issue 8 December 2010, A8.5 Pass 13 Receiver Radiated Spurious FCC Part 15:2011 Subpart B Section 15.109 (a) RSS-Gen Issue 3 December 2010, Section 6.1 (Table 2) Pass 14 AC Mains Conducted Emissions FCC Part 15:2011 Section 15.207 (a) RSS-Gen Issue 3 December 2010, Section 7.2.4 (Table 4) Pass 15 Revision History -- Intertek Report Number: 100398565BOX-002d Issued: 11/04/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 3 of 82 3 Client Information This EUT was tested at the request of: Company: Zoll Medical Corporation 269 Mill Road Chelmsford, MA 01824 Contact: Mr. Don Paradis Telephone: 978-421-9608 Fax: Not Available Email: [email protected] 4 Description of Equipment Under Test Equipment Under Test Description Manufacturer Model Number Serial Number ZOLL E Series Data Comm Card Zoll Medical ZOLL E Series Data Comm Card IN0411-00032 Receive Date: 08/15/2011 Received Condition: Good Type: Production Description of Equipment Under Test (provided by client) Bluetooth transmitter inside E-Series Defibrillator. It utilizes an integral antenna on an E-series board which has 1.5 dBi of gain as stated by Zoll Medical. Bluetooth utilizes 79 channels starting at 2402 MHz and extending to 2480 MHz. Channels 1 (2402 MHz), 40 (2441 MHz) and 79 (2480 MHz) were selected for testing. Equipment Under Test Power Configuration Rated Voltage Rated Current Rated Frequency Number of Phases 100-120V 220VA 50/60 Hz 1 Operating modes of the EUT: No. Descriptions of EUT Exercising 1 Transmit mode – hopping enabled (DH1, DH3, and DH5) or hopping disabled, modulated on a single channel 2 Receive mode Intertek Report Number: 100398565BOX-002d Issued: 11/04/2011 Emissions Report for Zoll Medical Corporation on the ZOLL E Series Data Comm Card Page 4 of 82 5 System Setup and Method Cables Qty Description Length (m) Shielding Ferrites Termination 1 AC Mains Cable 3.0m None None EUT/AC 1 ECG Cable 3.0m Foil None EUT 1 ECGx1000 RS-232 Cable 1.2 Foil None EUT 1 SPO2 Cable 3.0m Braid None EUT 1 Defibrillator Cable 2.2m Braid None EUT 1 CO2 Cable 3.0m Braid None EUT Support Equipment Description Manufacturer Model Number Serial Number E-Series Defibrillator Zoll Medical E Series AB11B016129 5.1 Method: Configuration as required by ANSI C 63.4:2003, FCC Part 15:2011 Subpart C Section 15.247, RSS-210 Issue 8 December 2010, RSS-Gen Issue 3 December 2010, and FCC Public Notice DA 00-705 Released March 30, 2000. 5.2 EUT Block Diagr…

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Below 1 GHz Test Setup Photo # 1 Below 1 GHz Test Setup Photo # 2 Above 1 GHz Test Setup Photo # 1 Above 1 GHz Test Setup Photo # 2