Test report

FCC ID: 2ABQ6-DCG-N10

Test Report

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FCCID_4066373

TEST REPORT Report Reference No. .................... : TRE1810009704 R/C…….: 66746 FCC ID ............................................. : 2ABQ6-DCG-N10 Applicant’s name ........................... : Inspira Technologies LLC Address ............................................. : 1901 4th Ave, Suite 210, San Diego, CA 92101, USA Manufacturer......................................: Inspira Technologies LLC Address...............................................: 1901 4th Ave, Suite 210, San Diego, CA 92101, USA Test item description .................... : Tablet PC Trade Mark ....................................... : datecode genie Model/Type reference ....................... : DCG-N10 Listed Model(s) ................................. : - Standard ......................................... : 47 CFR FCC Part 15 Subpart B Date of receipt of test sample………..: Oct.15,2018 Date of testing…………………………: Oct.15,2018 ~ Oct.25,2018 Date of issue…………………………...: Oct.25,2018 Result .................. …………………...: Pass Compiled by ( position+printed name+signature) .. : File administrators Yueming Li Supervised by ( position+printed name+signature) .. : Project Engineer Tom Ouyang Approved by ( position+printed name+signature) .. : RF Manager Hans Hu Testing Laboratory Name ............. : Shenzhen Huatongwei International Inspection Co., Ltd. Address ............................................. : 1/F, Bldg 3, Hongfa Hi-tech Industrial Park, Genyu Road, Tianliao, Gongming, Shenzhen, China Shenzhen Huatongwei International Inspection Co., Ltd. All rights reserved. This publication may be reproduced in whole or in part for non-commercial purposes as long as the Shenzhen Huatongwei International Inspection Co., Ltd. is acknowledged as copyright owner and source of the material. Shenzhen Huatongwei International Inspection Co., Ltd. takes no responsibility for and will not assume liability for damages resulting from the reader's interpretation of the reproduced material due to its placement and context. The test report merely corresponds to the test sample. Page: 1 of 18

Report No : TRE1810009704 Page 2 of 18 Issued: 2018-10-25 Contents 1. TEST STANDARDS AND REPORT VERSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 1.1. Test Standards 3 1.2. Report version information 3 2. TEST DESCRIPTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 3. SUMMARY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 3.1. Client Information 5 3.2. Product Description 5 3.3. EUT operation mode 5 3.4. Configuration of Tested System 5 3.5. Support unit used in test configuration 6 4. TEST ENVIRONMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 4.1. Address of the test laboratory 7 4.2. Test Facility 7 4.3. Environmental conditions 8 4.4. Statement of the measurement uncertainty 8 4.5. Equipments Used during the Test 9 5. TEST CONDITIONS AND RESULTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 5.1. Conducted Emissions Test 10 5.2. Radiated Emissions Test 13 6. TEST SETUP PHOTOS OF THE EUT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 7 7. EXTERNAL AND INTERNAL PHOTOS OF THE EUT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 8 Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 3 of 18 Issued: 2018-10-25 1. TEST STANDARDS AND REPORT VERSION 1.1. Test Standards The tests were performed according to following standards: 47 CFR FCC Part 15 Subpart B - Unintentional Radiators ANSI C63.4: 2014 – American National Standard for Methods of Measurement of Radio-Noise Emissions from Low-Voltage Electrical and Electronic Equipment in the Range of 9 kHz to 40GHz 1.2. Report version information Revision No. Date of issue Description N/A 2018-10-25 Original Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 4 of 18 Issued: 2018-10-25 2. TEST DESCRIPTION Test Item Section in CFR 47 Result Test Engineer Conducted Emissions 15.107(a) PASS Tony Duan Radiated Emissions 15.109(a) PASS Michael Jie Note: The measurement uncertainty is not included in the test result. Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 5 of 18 Issued: 2018-10-25 3. SUMMARY 3.1. Client Information Applicant: Inspira Technologies LLC Address: 1901 4th Ave, Suite 210, San Diego, CA 92101, USA Manufacturer: Inspira Technologies LLC Address: 1901 4th Ave, Suite 210, San Diego, CA 92101, USA 3.2. Product Description Name of EUT: Tablet PC Trade Mark: datecode genie Model No.: DCG-N10 Listed Model(s) - Power supply: 3.7 V from battery Model No:K-T100502000U Adapter information: Input:100-240Va.c.50-60Hz 0.35A Max Output:5Vd.c.2000mA 3.3. EUT operation mode Test mode Describe Burnin test mode Keep the EUT in work at burnin test vis the brunin software status. Data exchange mode Keep the EUT in data exchange with mobilephone status. Pre-scan all of above modes. Only show data exchange mode which is the worst case on the report. 3.4. Configuration of Tested System Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 6 of 18 Issued: 2018-10-25 3.5. Support unit used in test configuration FCC ID / Item Equipment Manufacturer Model No. Data Cable Power Cord FCC DoC Unshielded 1 PC DELL OptiPlex 3020 MT FCC DoC N/A 1.8m Unshielded 2 Monitor DELL E1912Hf FCC DoC N/A 1.8m Unshielded, 3 Keyboard DELL SK8115 FCC DoC N/A 1.5m Unshielded, 4 Mouse DELL MS111-T FCC DoC N/A 1.5m Unshielded 5 Printer EPSON L101 FCC DoC N/A 1.8m Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 7 of 18 Issued: 2018-10-25 4. TEST ENVIRONMENT 4.1. Address of the test laboratory Laboratory: Shenzhen Huatongwei International Inspection Co., Ltd. Address: 1/F, Bldg 3, Hongfa Hi-tech Industrial Park, Genyu Road, Tianliao, Gongming, Shenzhen, China Phone: 86-755-26748019 Fax: 86-755-26748089 4.2. Test Facility The test facility is recognized, certified, or accredited by the following organizations: CNAS-Lab Code: L1225 Shenzhen Huatongwei International Inspection Co., Ltd. has been assessed and proved to be in compliance with CNAS-CL01 Accreditation Criteria for Testing and Calibration Laboratories (identical to ISO/IEC17025: 2005 General Requirements) for the Competence of Testing and Calibration Laboratories. A2LA-Lab Cert. No. 3902.01 Shenzhen Huatongwei International Inspection Co., Ltd. EMC Laboratory has been accredited by A2LA for technical competence in the field of electrical testing, and proved to be in compliance with ISO/IEC 17025: 2005 General Requirements for the Competence of Testing and Calibration Laboratories and any additional program requirements in the identified field of testing. FCC-Registration No.: 762235 Shenzhen Huatongwei International Inspection Co., Ltd. EMC Laboratory has been registered and fully described in a report filed with the FCC (Federal Communications Commission). The acceptance letter from the FCC is maintained in our files. Registration 762235. IC-Registration No.: 5377B-1 Two 3m Alternate Test Site of Shenzhen Huatongwei International Inspection Co., Ltd. has been registered by Certification and Engineering Bureau of Industry Canada for the performance of radiated measurements with Registration No. 5377B-1. ACA Shenzhen Huatongwei International Inspection Co., Ltd. EMC Laboratory can also perform testing for the Australian C-Tick mark as a result of our A2LA accreditation. Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 8 of 18 Issued: 2018-10-25 4.3. Environmental conditions During the measurement the environmental conditions were within the listed ranges: Temperature: 15~35°C Relative Humidity: 30~60 % Air Pressure: 950~1050mba 4.4. Statement of the measurement uncertainty The data and results referenced in this document are true and accurate. The reader is cautioned that there may be errors within the calibration limits of the equipment and facilities. The measurement uncertainty was calculated for all measurements listed in this test report acc. to CISPR 16 - 4 „Specification for radio disturbance and immunity measuring apparatus and methods – Part 4: Uncertainty in EMC Measurements“ and is documented in the Shenzhen Huatongwei International Inspection Co., Ltd quality system acc. to DIN EN ISO/IEC 17025. Furthermore, component and process variability of devices similar to that tested may result in additional deviation. The manufacturer has the sole responsibility of continued compliance of the device. Hereafter the best measurement capability for Shenzhen Huatongwei laboratory is reported: Measurement Test Range Notes Uncertainty Radiated Emissions 30~1000MHz 4.28 dB (1) Radiated Emissions 1~18GHz 5.16 dB (1) Conducted Disturbance 0.15~30MHz 3.35 dB (1) (1) This uncertainty represents an expanded uncertainty expressed at approximately the 95% confidence level using a coverage factor of k=1.96. Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 9 of 18 Issued: 2018-10-25 4.5. Equipments Used during the Test Conducted Emissions Test Last Cal. Next Cal. Item Manufacturer Model No. Serial No. Equipment (mm-dd-yy) (mm-dd-yy) EMI Test 1 R&S ESCI 101247 11/11/2017 11/10/2018 Receiver 2 Artificial Mains SCHWARZBECK NNLK 8121 573 11/11/2017 11/10/2018 2-Line V- 3 R&S ESH3-Z5 100049 11/11/2017 11/10/2018 Network 4 Pulse Limiter R&S ESH3-Z2 101488 11/11/2017 11/10/2018 RF 5 Connection HUBER+SUHNER EF400 N/A 11/21/2017 11/20/2018 Cable 6 Test Software R&S ES-K1 N/A N/A N/A Radiated Emissions Test Last Cal. Next Cal. Item Manufacturer Model No. Serial No. Equipment (mm-dd-yy) (mm-dd-yy) Semi- 1 Anechoic Albatross projects SAC-3m-01 C11121 10/16/2016 10/15/2019 Chamber EMI Test 2 R&S ESCI 100900 11/11/2017 11/10/2018 Receiver 3 Loop Antenna R&S HFH2-Z2 100020 11/20/2017 11/19/2020 Ultra- 4 Broadband SCHWARZBECK VULB9163 538 4/5/2017 4/4/2020 Antenna 5 Horn Antenna SCHWARZBECK 9120D 1011 3/27/2017 3/26/2020 Broadband BBHA9170 6 SCHWARZBECK BBHA9170 3/27/2017 3/26/2020 Horn Antenna 472 7 Pre-amplifier SCHWARZBECK BBV 9743 9743-0022 10/18/2018 10/17/2019 Broadband 8 SCHWARZBECK BBV 9718 9718-248 10/18/2018 10/17/2019 Pre-amplifier Spectrum 9 R&S FSP40 100597 11/11/2017 11/10/2018 Analyzer RF Connection HUBER+SUHNE 10 RE-7-FL N/A 11/21/2017 11/20/2018 Cable R RF Connection HUBER+SUHNE 11 RE-7-FH N/A 11/21/2017 11/20/2018 Cable R 12 Test Software Audix E3 N/A N/A N/A 13 Test Software R&S ES-K1 N/A N/A N/A 14 Turntable Maturo Germany TT2.0-1T N/A N/A N/A 15 Antenna Mast Maturo Germany CAM-4.0-P-12 N/A N/A N/A Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 10 of 18 Issued: 2018-10-25 5. TEST CONDITIONS AND RESULTS 5.1. Conducted Emissions Test LIMIT FCC CFR Title 47 Part 15 Subpart B Section 15.107: Limit (dBuV) Frequency range (MHz) Quasi-peak Average 0.15-0.5 66 to 56* 56 to 46* 0.5-5 56 46 5-30 60 50 * Decreases with the logarithm of the frequency. TEST CONFIGURATION TEST PROCEDURE 1. The EUT was setup according to ANSI C63.4:2014 2. The EUT was placed on a plat form of nominal size, 1 m by 1.5 m, raised 80 cm above the conducting ground plane. The vertical conducting plane was located 40 cm to the rear of the EUT. All other surfaces of EUT were at least 80 cm from any other grounded conducting surface. 3. The EUT and simulators are connected to the main power through a line impedance stabilization network (LISN). The LISN provides a 50ohm / 50uH coupling impedance for the measuring equipment. 4. The peripheral devices are also connected to the main power through a LISN. (Please refer to the block diagram of the test setup and photographs) 5. Each current-carrying conductor of the EUT power cord, except the ground (safety) conductor,was individually connected through a LISN to the input power source. 6. The excess length of the power cord between the EUT and the LISN receptacle were folded back and forth at the center of the lead to form a bundle not exceeding 40 cm in length. 7. Conducted emissions were investigated over the frequency range from 0.15MHz to 30MHz using a receiver bandwidth of 9 kHz. 8. During the above scans, the emissions were maximized by cable manipulation. TEST MODE: Please refer to the clause 3.3 TEST RESULTS Passed Not Applicable Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Level {dBpV) Frequency [Hz] x x xHEs RTWLO175044_fin MEASUREMENT RESULT: "HTW10175044_fin" 10/17/2018 5112PM Frequency Level Transd Limit Margin Detector Line PE MHz dBuv dB dBuv dB 0. 226500 52.30 10.2 63 gP L1 GND 0. 456000 37. 60 10.1 57 gP L1 GND 1.990500 33.10 10.0 56 QP l GND 2. 656500 34.50 10.0 56 QP LL GND 5.914500 31.80 10.0 60 QP LL GND 14.091000 31.50 10.2 60 gP L1 GND MEASUREMENT RESULT: "HTWIO1l 75044_fin2" 10/17/2018 5:12PM Frequency Level Transd Limit Margin Detector Line PE MHz dBuy dB dBuy dB 0. 226500 44.30 10.2 53 8.3 AV L1 GND 0.883500 26.70 9.9 46 19.3 aVv L1 GND 2.040000 28.20 10.0 46 17.8 AV LL GND 2.850000 29.70 10.0 46 16.3 AV L1 GND 5.928000 25.90 10.0 50 24.1 AV L1 GND 13. 996500 25.70 10.2 50 24.3 AV l GND

Level {dBpM] 80 ——— s}— 3}— 60Ok 800k 1 is 2 & E a& 2 a 2 a Frequency [Hz] x x xmzs mnwio175045_fin MEASUREMENT RESULT: "HTW1OL 75045_fi1: "" 10/17/2018 5:15PM Frequency Level Transd Limit Margin Detector Line PE MEz dBuV dB dBpV dB 0226500 51.30 10.2 63 11.3 P N GND 0.640500 39.50 10 .0 56 16.5 oP N GND 1.023000 36.10 10.0 56 19.9 QP N GND 2.242500 36.10 10 .0 56 19.9 oP N GND 207000 31.40 10.0 60 28.6 QP N GND 13.974000 30 .00 10 .2 60 30.0 oP N GND MEASUREMENT RESULT: "HTW10175045_fin2" 10/17/2018 5:15PM Frequency Level Transd Limit Margin Detector Line PE MEz dBuV dB dBpV dB 0.226500 43. 60 10.2 53 9.0 aV N GND 0.753000 29.80 9. 9 46 16.2 AV N GND 1.810500 29.40 10 .0 46 16.6 AV N GND 2.746500 28.40 10 .0 46 17.6 AV N GND 211500 26.00 10 .0 50 24.0 AV N GND 14.041500 23.90 10 .2 50 26.1 AV N GND

Report No : TRE1810009704 Page 13 of 18 Issued: 2018-10-25 5.2. Radiated Emissions Test LIMIT FCC CFR Title 47 Part 15 Subpart B Section 15.109 Frequency Limit (dBuV/m @3m) Value 30MHz-88MHz 40.00 Quasi-peak 88MHz-216MHz 43.50 Quasi-peak 216MHz-960MHz 46.00 Quasi-peak 960MHz-1GHz 54.00 Quasi-peak 54.00 Average Above 1GHz 74.00 Peak TEST CONFIGURATION  30MHz ~ 1GHz  Above 1GHz TEST PROCEDURE 1. The EUT was tested according to ANSI C63.4:2014. 2. The EUT is placed on a turn table which is 0.8 meter above ground. 3. The turn table is rotated 360 degrees to determine the position of the maximum emission level. 4. The EUT waspositioned such that the distance from antenna to the EUT was 3 meters. 5. The antenna is scanned from 1 meter to 4 meters to find out the maximum emission level. Thisis repeated for both horizontal and vertical polarization of the antenna. 6. Use the following spectrum analyzer settings (1) Span shall wide enough to fully capture the emission being measured; (2) Below 1GHz, RBW=120KHz, VBW=300KHz, Sweep=auto, Detector function=peak, Trace=max hold; If the emission level of the EUT measured by the peak detectoris 3 dB lower than the applicable limit, the peak emission level will be reported. Otherwise, theemission measurement will be repeated using the quasi-peak detector and reported. (3) From 1GHz to 5th harmonic, RBW=1MHz, VBW=3MHz Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 14 of 18 Issued: 2018-10-25 TEST MODE: Please refer to the clause 3.3 TEST RESULTS Passed Not Applicable Note: Final Level =Receiver Read level + Antenna Factor + Cable Loss – Preamplifier Factor Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

L evel [dBuVim] so To co 5o 40 30 20 10 i i i i i o i. i. i. i. i. om 40M 50M GOM 70M Toom 200M 3com 400M 500M 600M 800M 1G Frequency [z] x x xmes cmsromteiesrea MEASUREMENT RESULT: "GM1810176144_red" 10/18/2018 12:00aM Frequency Level Transd Limit Margin Det. Height Azimuth Polarization MHz dBpV/m dB dBuV/m as cm deg 66.860000 26.50 —11.9 40 .0 13.5 op 300.0 223.00 HORIZONTAL 142.520000 29.30 —13.7 43.5 14.2 op 300.0 122.00 HORIZONTAL 204. 600000 39.40 —10.1 43.5 4.1 oP 100.0 100.00 HORIZONTAL 222.060000 32.40 —9.5 46.0 6.6 oPp 100.0 88.00 HORIZONTAL 251.160000 34.10 —8.1 46.0 11.9 op 100.0 295.00 HORIZONTAL 982.540000 36.30 8.4 53.9 17.6 op 100.0 283.00 HORIZONTAL 80 Level (dBuVim) ECC CLASS—B PK 70 60 FCC CLASS—B AV 20 10 61000 1200 1500 2000 5000 6000 Frequency (MHz) Mark Frequency Reading Antenna Cable Preamp Level Limit Over Remark MBZ dBuy/m dB dB dB dBuy/m dBuv/m limit 1278.22 49.0 26.2 4.8 $7.% 42.8 74.0 ~§1:2 Peak o or e w to m 1584.84 46.5 25.0 5.5 37.2 39.8 74.0 ~34.2 Peak 2338.00 43.4 27.9 6.7 37.6 40.4 74.0 ~33.6 Peak 2737.29 43.2 28.1 T.4 37.6 40.9 74.0 ~88.1 Peak 4052. 62 38.4 29.8 8.8 36.7 40.3 74.0 +38.7 Peak 4988.86 33.6 31.5 Bd 35.4 39.4 74.0 —34.6 Peak

Level [4ByVim] so 70 60 50 40 t 30 1 20 4 1 1 1 1 10 i 1 i 1 i1 i1 i1 i 1 i 1 o : : : : : : : 30M 40M 50M GOM 70M 100M 200M 300M 400M 500M 600M 800M 1G Frequency [Hz] x x xmes omle10176143_rea MEASUREMENT RESULT: "GM1810176143_red" 10/17/2018 11: 549M Frequency Level Transd Limit Margin Det. Height Azimuth Polarization MHz dBpV/m dB dBpV/m ds cm deg 35. 820000 35.10 —11.6 40.0 4.9 P 100.0 333.00 VERTICAL 61.040000 27 .30 ~10.2 40.0 12.7 P 100.0 344.00 VERTICAL 94.020000 27 .90 ~11.4 43.5 15.6 P 100.0 78.00 VERTICAL 127.000000 36.60 ~12.8 43.5 6.9 P 100.0 68.00 VERTICAL 198.780000 33.10 —9.5 43.5 10.4 P 100.0 248.00 VERTICAL 1000.000000 36.70 8. 6 53.9 17.2 oP 100.0 52.00 VERTICAL Level (dBuVim) 80 ECC CLASS—B PK 70 60 FCC CLASS—B AV 20 10 1000 1200 1500 2000 5000 6000 Frequency (MHz) Mark Frequency Reading Antenna Cable Preamp Level Limit Over Remark MHZ dBuv/m dB dB dB dBuv/m dBuv/m limit 1 1280.52 47.8 26.2 4.8 37.2 41.6 74.0 —32.4 Peak 2 1607.72 43.6 24.9 5.6 37.2 36.9 74.0 ~87.1 Peak 3 2489.31 42.8 27.2 6.8 37.6 39.2 74.0 —34.8 Peak 4 3108.64 39.5 28.8 7.6 37.5 38.4 74.0 ~35.6 Peak 5 3646.07 39.1 29.3 8.3 37.0 39.7 74.0 —34.3 Peak 6 4988.86 35.8 31.5 $.7 35.4 41.6 74.0 —32.4 Peak mlopes someemien n ne es

Report No : TRE1810009704 Page 17 of 18 Issued: 2018-10-25 6. TEST SETUP PHOTOS OF THE EUT Conducted Emissions (AC Mains) Radiated Emissions (30MHz-1GHz) Radiated Emissions (Above 1GHz) Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : TRE1810009704 Page 18 of 18 Issued: 2018-10-25 7. EXTERNAL AND INTERNAL PHOTOS OF THE EUT Reference to the test report No.: TRE1810009701. --------End of Report-------- Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)


Document Created: 2018-11-09 08:31:25
Document Modified: 2018-11-09 08:31:25
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