Test report

FCC ID: 2ABQ6-K10

Test Report

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FCCID_4384734

TEST REPORT Report No. ...................................... : CHTEW19070050 Report Verification: Project No…………………………....: SHT1906080901EW FCC ID ............................................. : 2ABQ6-K10 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 Trade Mark ....................................... : - Model/Type reference ....................... : K10 Listed Model(s) ................................. : - Standard ......................................... : 47 CFR FCC Part 15 Subpart B Date of receipt of test sample………..: Jun.27, 2019 Date of testing…………………………: Jun.27, 2019- Jul.12, 2019 Date of issue…………………………...: Jul.15, 2019 Result .................. …………………...: Pass Compiled by ( Position+Printed name+Signature): File administrators Fanghui Zhu 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 : CHTEW19070050 Page 2 of 18 Issued: 2019-07-15 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 : CHTEW19070050 Page 3 of 18 Issued: 2019-07-15 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 2019-07-15 Original Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : CHTEW19070050 Page 4 of 18 Issued: 2019-07-15 2. TEST DESCRIPTION Test Item Section in CFR 47 Result Test Engineer Conducted Emissions 15.107(a) PASS Kang Yang Radiated Emissions 15.109(a) PASS Tony Duan 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 : CHTEW 19070050 Page 5 of 18 Issued: 2018—07—15 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 Trade Maic: — Model No.: 10 Listed Model{s) — Power supply: DC 3.7V from battery Model: K—T100502000U Adapter information: Input: 100—240¥a.0., 50—60He, 0.35A Max Output: 5¥d.5., 2000mA 3.3. EUT operation mode Test morle Date Playing Record me Video§TF Video Homt sowiei wiri BTEDR BTBLE ACAchptor Earphone / / / v 8 / / 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 Printere Poo EuTe Montor Keyboarde Mouses ‘Shonghen HuatongwelInternational inspection Co., L1d. Report Template Version: VO1 (2018—01)

Report No : CHTEW19070050 Page 6 of 18 Issued: 2019-07-15 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 : CHTEW19070050 Page 7 of 18 Issued: 2019-07-15 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.: 5377A 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. 5377A. 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 : CHTEW19070050 Page 8 of 18 Issued: 2019-07-15 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 4.90 dB (1) Radiated Emissions 1~18GHz 4.96 dB (1) Conducted Disturbance 0.15~30MHz 3.02 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 : CHTEW19070050 Page 9 of 18 Issued: 2019-07-15 4.5. Equipments Used during the Test ● Conducted Emission Last Cal. Date Next Cal. Date Used Test Equipment Manufacturer Model No. Serial No. (YY-MM-DD) (YY-MM-DD) ● Shielded Room Albatross projects N/A N/A 2018/09/28 2023/09/27 ● EMI Test Receiver R&S ESCI 101247 2018/10/27 2019/10/26 ● Artificial Mains SCHWARZBECK NNLK 8121 573 2018/10/27 2019/10/26 ● Pulse Limiter R&S ESH3-Z2 100499 2018/10/27 2019/10/26 ● RF Connection Cable HUBER+SUHNER EF400 N/A 2018/11/15 2019/11/14 ● Test Software R&S ES-K1 N/A N/A N/A Single Balanced ○ FCC FCC-TLISN-T2-02 20371 2018/10/28 2019/10/27 Telecom Pair ISN Two Balanced ○ FCC FCC-TLISN-T4-02 20373 2018/10/28 2019/10/27 Telecom Pairs ISN Four Balanced ○ FCC FCC-TLISN-T8-02 20375 2018/10/28 2019/10/27 Telecom Pairs ISN ○ V-Network R&S ESH3-Z6 100211 2018/10/27 2019/10/26 ○ V-Network R&S ESH3-Z6 100210 2018/10/27 2019/10/26 ○ 2-Line V-Network R&S ESH3-Z5 100049 2018/10/27 2019/10/26 ● Radiated Emission-6th test site Last Cal. Date Next Cal. Date Used Test Equipment Manufacturer Model No. Serial No. (YY-MM-DD) (YY-MM-DD) Semi-Anechoic ● Albatross projects SAC-3m-02 N/A 2018/09/30 2021/09/29 Chamber ● EMI Test Receiver R&S ESCI 100900 2018/10/28 2019/10/27 ● Loop Antenna R&S HFH2-Z2 100020 2017/11/20 2020/11/19 Ultra-Broadband ● SCHWARZBECK VULB9163 546 2017/04/05 2020/04/04 Antenna ● Pre-Amplifer SCHWARZBECK BBV 9742 N/A 2018/11/15 2019/11/14 ● RF Connection Cable HUBER+SUHNER N/A N/A 2018/09/28 2019/09/27 ● RF Connection Cable HUBER+SUHNER SUCOFLEX104 501184/4 2018/09/28 2019/09/27 ● Test Software R&S ES-K1 N/A N/A N/A ● Turntable Maturo Germany TT2.0-1T N/A N/A N/A ● Antenna Mast Maturo Germany CAM-4.0-P-12 N/A N/A N/A ● Radiated emission-7th test site Last Cal. Date Next Cal. Date Used Test Equipment Manufacturer Model No. Serial No. (YY-MM-DD) (YY-MM-DD) Semi-Anechoic ● Albatross projects SAC-3m-01 N/A 2018/09/30 2021/09/29 Chamber ● Spectrum Analyzer R&S FSP40 100597 2018/10/27 2019/10/26 ● Horn Antenna SCHWARZBECK 9120D 1011 2017/03/27 2020/03/26 ● Pre-amplifier BONN BLWA0160-2M 1811887 2018/11/14 2019/11/13 ● Pre-amplifier CD PAP-0102 12004 2018/11/14 2019/11/13 Broadband Pre- ● SCHWARZBECK BBV 9718 9718-248 2019/04/26 2020/04/25 amplifier ● RF Connection Cable HUBER+SUHNER RE-7-FH N/A 2018/11/15 2019/11/14 ● RF Connection Cable HUBER+SUHNER RE-7-FL N/A 2018/11/15 2019/11/14 ● Test Software Audix E3 N/A N/A N/A ● Turntable Maturo Germany TT2.0-1T N/A N/A N/A ● 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 : CHTEW19070050 Page 10 of 18 Issued: 2019-07-15 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) so s}—— #L—— 300k 400k 600k 8 O0k 1 n 2 & Frequency [Hz] x x xae cx1807015032_Ein MEASUREMENT RESULT: "GM1907015032_fin" Frequency Level Transd Limit Margin Detector Line PE MHz dBuv dB dBuy ds 204000 40.40 9.9 63 23.0 QP L1 GND to n ta i o o 366000 35. 60 9.9 59 23.0 QP L1 GND 756500 31.80 9.9 56 24.2 QP L1 GND 742000 19.70 9.9 56 36.3 QP L1 GND 298000 28.40 10 .0 60 31.6 QP L1 GND 144500 27.00 10 .2 60 33.0 QP L1 GND MEASUREMENT RESULT: "GM1907015032_fin2" Frequency Level Transd Limit Margin Detector Line PE MHz dBuv dB dBuvy dB 330000 26.20 9.9 50 23.3 AV L1 GND to n Io 0 0 o 397500 22.60 9.9 48 25.3 AV L1 GND &942000 9. 60 9.9 46 26.4 AV L1 GND 674500 17.20 9.9 46 28.8 AV L1 GND 194500 16.80 10 .0 50 33.2 AV L1 GND 932000 17.80 10 .2 50 32.2 AV L1 GND

Level [dBpV) Frequency [Hz] x x xiEs em1907018031_fin MEASUREMENT RESULT: "GM1907015031_fin" Frequency Level Transd Limit Margin Detector Line PE MHz dBuy dB dBuv dB 0.204000 42.80 9.9 63 20.6 P GND 2 2 2 5 9R 0. 352500 27. 90 9.9 59 31.0 QP GND 0. 852000 26. 90 9.9 56 29.1 QP GND 3. 421500 20.00 9. 9 56 36.0 QP GND 10896000 17.80 10.1 60 42.2 QP GND 23.320500 17.40 10.3 60 42.6 QP GND MEASUREMENT RESULT: "GM1907015031_fin2" Frequency Level Transd Limit Margin Detector Line PE MBz dBuV dB dBuv dB 0.334500 29.10 9. 9 49 20.2 AV GND 2 2 2 2 5 9 0. 352500 15. 90 9. 9 49 33.0 AV GND 0. 915000 17.30 9. 9 46 28.7 AV GND 3.565500 14.20 9.9 46 31.8 AV GND 5.154000 12.10 10 .0 50 37.9 AV GND 19.261500 6.40 10.2 50 43.6 AV GND

Report No : CHTEW19070050 Page 13 of 18 Issued: 2019-07-15 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 : CHTEW19070050 Page 14 of 18 Issued: 2019-07-15 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)

Report No : CHTEW19070050 Page 15 of 18 Issued: 2019-07-15 Polarization: Horizontal Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : CHTEW19070050 Page 16 of 18 Issued: 2019-07-15 Polarization: Vertical Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)

Report No : CHTEW19070050 Page 17 of 18 Issued: 2019-07-15 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 : CHTEW19070050 Page 18 of 18 Issued: 2019-07-15 7. EXTERNAL AND INTERNAL PHOTOS OF THE EUT Reference to the test report No.: CHTEW19070046. --------End of Report-------- Shenzhen Huatongwei International Inspection Co., Ltd. Report Template Version: V01 (2018-01)


Document Created: 2019-07-26 15:11:47
Document Modified: 2019-07-26 15:11:47
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