SAR exclusion report

FCC ID: 2AQVA-ONVAPAN51915

RF Exposure Info

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FCCID_4129866

Radio Frequency Exposure Evaluation Report FOR: Digi Wireless Design Services, Inc. Marketing Name: Onvation PAN Module Product Description: Wireless module that connects to a sensor board and enables BLE communications with external gateway. FCC ID: 2AQVA-ONVAPAN51915 IC ID: 24318-ONVPAN51915 Applied Rules and Standards: CFR 47 Part 2.1093 and RSS-102 Issue 5 FCC KDB 447498 D01 General RF Exposure Guidance v06 Test Report #: SAR_EX_DIGII_045_18001_FCC_ISED DATE: 01/02/2018 A2LA Accredited IC recognized # 3462B-2 CETECOM Inc. 411 Dixon Landing Road  Milpitas, CA 95035  U.S.A. Phone: + 1 (408) 586 6200  Fax: + 1 (408) 586 6299  E-mail: info@cetecom.com  http://www.cetecom.com CETECOM Inc. is a Delaware Corporation with Corporation number: 2905571 V4.0 2012-07-25 The BLUETOOTH trademarks are owned by Bluetooth SIG, Inc., U.S.A. and licensed to CETECOM Inc. © Copyright by CETECOM

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 2 of 9 IC ID: 24318-ONVPAN51915 Contents 1. Assessment ................................................................................................................................................ 3 2. Administrative Data .................................................................................................................................... 4 2.1. Identification of the Testing Laboratory Issuing the Test Report ......................................................... 4 2.2. Identification of the Client .................................................................................................................... 4 2.3. Identification of the Manufacturer ........................................................................................................ 4 3. Equipment under Assessment.................................................................................................................... 5 4. FCC Exemption Limits for Routine Evaluation ............................................................................................ 6 4.1. FCC SAR test exclusions are set by KDB 447498 D01 General RF Exposure Guidance v06 ............ 6 4.2. RSS-102 ............................................................................................................................................. 6 2.5.1 Exemption Limits for Routine Evaluation-SAR Evaluation ................................................................. 6 5. Stand-Alone SAR Evaluation Exclusion ..................................................................................................... 8 6. Revision History ......................................................................................................................................... 9

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 3 of 9 IC ID: 24318-ONVPAN51915 1. Assessment The following device meets the limits of general population uncontrolled exposure specified in CFR 47 Part 2.1093 according to SAR evaluation exclusion requirements specified in FCC regulation as listed in KDB 447498 and the relevant ISED Canada standard RSS-RSS102, as it has been evaluated against the standards mentioned above under this section. Responsible for Testing Laboratory: Digitally signed by Cindy Li DN: cn=Cindy Li, o=Cetecom Inc., ou=EMC, Cindy Li email=cindy.li@cetecom.co m, c=US Date: 2019.01.02 16:33:47 01/02/2018 Compliance (Lab Manager) -08'00' Date Section Name Signature Responsible for the Report: Digitally signed by: Issa Ghanma DN: CN = Issa Ghanma email = issa. ghanma@cetecom.com C = US O = CETECOM INC. Issa Ghanma OU = EMC Date: 2019.01.02 15:02:35 01/02/2018 Compliance (EMC Engineer) -08'00' Date Section Name Signature The test results of this test report relate exclusively to the test item specified in Section3. CETECOM Inc. USA does not assume responsibility for any conclusions and generalizations drawn from the test results with regard to other specimens or samples of the type of the equipment represented by the test item. The test report may only be reproduced or published in full. Reproduction or publication of extracts from the report requires the prior written approval of CETECOM Inc. USA.

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 4 of 9 IC ID: 24318-ONVPAN51915 2. Administrative Data 2.1. Identification of the Testing Laboratory Issuing the Test Report Company Name: CETECOM Inc. Department: Compliance Street Address: 411 Dixon Landing Road City/Zip Code Milpitas, CA 95035 Country USA Telephone: +1 (408) 586 6200 Fax: +1 (408) 586 6299 Compliance Manager: Cindy Li Responsible Project Manager: Sangeetha Sivaraman 2.2. Identification of the Client Applicant’s Name: Digi Wireless Design Services, Inc. Street Address: 11001 Bren Rd E City/Zip Code Minnetonka, MN 55343 Country USA 2.3. Identification of the Manufacturer Applicant’s Name: Kimberly-Clark Professional Street Address: 1400 Holcomb Bridge Road City/Zip Code Roswell, GA 30076 Country USA

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 5 of 9 IC ID: 24318-ONVPAN51915 3. Equipment under Assessment Model #: 51915 FWIN: 1.0 HVIN: 51915 PMN: Onvation PAN Module Hardware Version: 1.0 Software Version: 1.0 Minimum distance of antenna 5mm or radiating parts to user Power Supply/ Rated Operating Low 2.7 VDC, Nominal 3.0 VDC, High 3.3 VDC Voltage Range: Operating Temperature Range: Low 0⁰ C, Nominal 27⁰ C, High 50⁰ C Bluetooth LE in both advertising and connected mode of Modes of Operation: operation Other Radios included in the NA device: EUT Dimensions [cm]: 2.5 x 6.3 Weight (grams) : ~6.5 Co-located Transmitters/  Yes  No Antennas:  Occupational/ Controlled  General Population/ Exposure Category: Uncontrolled Fixed Installation Mobile Device Category:  Portable  Mixed Mobile and Portable EUT Diameter:  < 60 cm  Other __________ Sample Revision Prototype Unit; Production Unit; Pre-Production

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 6 of 9 IC ID: 24318-ONVPAN51915 4. FCC Exemption Limits for Routine Evaluation 4.1. FCC SAR test exclusions are set by KDB 447498 D01 General RF Exposure Guidance v06 KDB 447498 Section: 4.3.1. Standalone SAR test exclusion considerations a) For 100 MHz to 6 GHz and test separation distances ≤ 50 mm, the 1-g and 10-g SAR test exclusion thresholds are determined by the following: [(max. power of channel, including tune-up tolerance, mW) / (min. test separation distance, mm)] · [√f(GHz)] ≤ 3.0 for 1-g SAR, and ≤ 7.5 for 10-g extremity SAR, where  f(GHz) is the RF channel transmit frequency in GHz  Power and distance are rounded to the nearest mW and mm before calculation  The result is rounded to one decimal place for comparison  The values 3.0 and 7.5 are referred to as numeric thresholds in step b) below The test exclusions are applicable only when the minimum test separation distance is ≤ 50 mm, and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm according to 4.1 f) is applied to determine SAR test exclusion. 4.2. RSS-102 2.5.1 Exemption Limits for Routine Evaluation-SAR Evaluation  SAR evaluation is required if the separation distance between the user and/or bystander and the antenna and/or radiating element of the device is less than or equal to 20 cm, except when the device operates at or below the applicable output power level (adjusted for tune-up tolerance) for the specified separation distance defined in Table 1.  Table 1: SAR evaluation — Exemption limits for routine evaluation based on frequency and separation distanceFootnote4,Footnote5 Exemption Limits (mW) At separation At separation At separation At separation At separation Frequency distance of distance of distance of distance of distance of (MHz) ≤5 mm 10 mm 15 mm 20 mm 25 mm ≤300 71 mW 101 mW 132 mW 162 mW 193 mW 450 52 mW 70 mW 88 mW 106 mW 123 mW 835 17 mW 30 mW 42 mW 55 mW 67 mW 1900 7 mW 10 mW 18 mW 34 mW 60 mW 2450 4 mW 7 mW 15 mW 30 mW 52 mW

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 7 of 9 IC ID: 24318-ONVPAN51915  Table 1: SAR evaluation — Exemption limits for routine evaluation based on frequency and separation distanceFootnote4,Footnote5 Exemption Limits (mW) At separation At separation At separation At separation At separation Frequency distance of distance of distance of distance of distance of (MHz) ≤5 mm 10 mm 15 mm 20 mm 25 mm 3500 2 mW 6 mW 16 mW 32 mW 55 mW 5800 1 mW 6 mW 15 mW 27 mW 41 mW Exemption Limits (mW) At separation At separation At separation At separation At separation Frequency distance of distance of distance of distance of distance of (MHz) 30 mm 35 mm 40 mm 45 mm ≥50 mm ≤300 223 mW 254 mW 284 mW 315 mW 345 mW 450 141 mW 159 mW 177 mW 195 mW 213 mW 835 80 mW 92 mW 105 mW 117 mW 130 mW 1900 99 mW 153 mW 225 mW 316 mW 431 mW 2450 83 mW 123 mW 173 mW 235 mW 309 mW 3500 86 mW 124 mW 170 mW 225 mW 290 mW 5800 56 mW 71 mW 85 mW 97 mW 106 mW  Output power level shall be the higher of the maximum conducted or equivalent isotropically radiated power (e.i.r.p.) source-based, time-averaged output power. For controlled use devices where the 8 W/kg for 1 gram of tissue applies, the exemption limits for routine evaluation in Table 1 are multiplied by a factor of 5. For limb-worn devices where the 10 gram value applies, the exemption limits for routine evaluation in Table 1 are multiplied by a factor of 2.5. If the operating frequency of the device is between two frequencies located in Table 1, linear interpolation shall be applied for the applicable separation distance. For test separation distance less than 5 mm, the exemption limits for a separation distance of 5 mm can be applied to determine if a routine evaluation is required. For medical implants devices, the exemption limit for routine evaluation is set at 1 mW. The output power of a medical implants device is defined as the higher of the conducted or e.i.r.p to determine whether the device is exempt from the SAR evaluation.

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 8 of 9 IC ID: 24318-ONVPAN51915 5. Stand-Alone SAR Evaluation Exclusion o According to KDB 447498, SAR evaluation can be excluded if the following equation is satisfied: [(max. power of channel, including tune-up tolerance, mW)/(min. test separation distance, mm)] ·[√f(GHz)] ≤ 3.0 for 1-g SAR, and ≤ 7.5 for 10-g extremity SAR FCC Standalone Transmission SAR Exclusion Calculations Max.Measured Max.Declared P1/D*SQRT(F) P2/D*SQRT(F) Frequency Distance 1-g ≤ 3.0 Output Power Output Power at ≤ 5mm at ≤ 5mm 2.402 1.59 2.51 5 0.49 0.78 Yes 2.440 1.54 2.51 5 0.48 0.78 Yes 2.480 1.42 2.51 5 0.45 0.79 Yes o F: Frequency [GHz] o P1: Max.Measured Output Power [mW] o P2: Max.Declared Output Power [mW] o D: Distance [mm] o SQRT(F): Square root(Frequency[GHz]) ISED Standalone Transmission SAR Exclusion Calculations Frequency Max.Measured Output EIRP Distance [mm] Limit *1 [MHz] Power [mW] [mW] 2.402 1.59 4.03 5 4.26 2.440 1.54 3.90 5 4.05 2.480 1.42 3.60 5 3.94 *1: Limit by applying liner interpolation according to RSS-102 Section 2.5.1

Test Report #: SAR_EX_DIGII-045-18001_FCC_ISED FCC ID: 2AQVA-ONVAPAN51915 Date of Report: 01/02/2018 Page 9 of 9 IC ID: 24318-ONVPAN51915 6. Revision History Date Report Name Changes to report Report prepared by 01/02/2018 SAR_EX_DIGII-045-18001_FCC_ISED Initial Version Issa Ghanma


Document Created: 2019-01-02 16:33:48
Document Modified: 2019-01-02 16:33:48
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