Test Report Revised

FCC ID: PH29433

Test Report

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FCCID_1373548

                          W66 N220 Commerce Court ● Cedarburg, WI 53012
                            Phone: 262.375.4400 ● Fax: 262.375.4248
                                         www.lsr.com


                                     TEST REPORT #: C-986
                                       LSR Job #: 310250

Compliance Testing of:

2.4 GHz Transmitter

Test Date(s):

September 8th-20th, 2010

Prepared For:

DexCom, Inc.
Attn: Shawn Larvenz
6340 Sequence Drive
San Diego, CA 92121

                             In accordance with:
   Federal Communications Commission (FCC) Part 15, Subpart C, Section 15.249
                    Industry Canada (IC) RSS 210 Annex 2
                         Transmitters Operating in the
                      Frequency Band 2400 – 2483.5 MHz

This Test Report is issued under the Authority of:
Thomas T. Smith, Manager EMC Test Services

Signature:                                       Date: 10/29/2010

Quality Assurance by:                                  Tested by:
Thomas T. Smith, Manager EMC Test Services             Shane D. Rismeyer, EMC Engineer

Signature:                      Date: 10/29/2010       Signature:                      Date: 10/8/10

This Test Report may not be reproduced, except in full, without written approval of LS Research, LLC.


                                                       TABLE OF CONTENTS
TABLE OF CONTENTS .................................................................................................................... 2
EXHIBIT 1. INTRODUCTION ........................................................................................................... 4
      1.1 - Scope............................................................................................................................................................... 4
      1.2 - Normative References ............................................................................................................................ 4
      1.3 - LS Research, LLC in Review .............................................................................................................. 5
EXHIBIT 2. PERFORMANCE ASSESSMENT .............................................................................. 6
      2.1 – Client Information ..................................................................................................................................... 6
      2.2 – Equipment under Test (EUT) Information ................................................................................... 6
      2.4 – EUT Technical Specifications................................................................................................................. 7
      2.5 – Product Description ................................................................................................................................. 8
EXHIBIT 3. EUT OPERATING CONDITIONS AND CONFIGURATION .................................. 9
      3.1 – Climate Conditions During Testing ................................................................................................. 9
      3.2 – Applicability and Summary of EMC Emission Test Results............................................... 9
      3.3 – Modifications Incorporated in the EUT for Compliance Purposes.................................. 9
      3.4 – Deviations and Exclusions from Test Specifications ............................................................. 9
EXHIBIT 4. DECLARATION OF CONFORMITY ........................................................................ 10
EXHIBIT 5. RADIATED EMISSIONS TEST................................................................................. 11
      5.1 - Test Setup ................................................................................................................................................... 11
      5.2 - Test Procedure ......................................................................................................................................... 11
      5.3 - Test Equipment Utilized ....................................................................................................................... 11
      5.4 - Test Results ............................................................................................................................................... 11
      5.5 – Calculation of Radiated Emissions Limits ................................................................................. 12
      5.6 - Radiated Emissions Test Data Chart ........................................................................................... 13
      5.7 - Test Setup Photo(s) – Radiated Emissions Test.................................................................... 15
      5.8 - Screen Captures - Radiated Emissions Test............................................................................ 16
EXHIBIT 6. OCCUPIED BANDWIDTH ......................................................................................... 21
      6.1 - Limits.............................................................................................................................................................. 21
      6.2 - Method of Measurements ................................................................................................................... 21
      6.3 - Test Data ..................................................................................................................................................... 21
      6.4 - Screen Captures - Occupied Bandwidth..................................................................................... 22
EXHIBIT 7. BAND-EDGE MEASUREMENTS ............................................................................. 24

LS Research, LLC                                                                                                                                     Page 2 of 29

 Prepared For: DexCom, Inc.                                               Model Number: 9438-01                                                 Report #: 310250
 EUT: 2.4 GHz Transmitter                                                 Serial Number: 60113                                                  LSR Job #: C-986


      7.1 - Method of Measurements ................................................................................................................... 24
APPENDIX A: Test Equipment ...................................................................................................... 26
APPENDIX B: Test Standards – Current Publication Dates Radio.......................................... 28
APPENDIX C: Uncertainty Statement........................................................................................... 29




LS Research, LLC                                                                                                                Page 3 of 29

 Prepared For: DexCom, Inc.                                     Model Number: 9438-01                                      Report #: 310250
 EUT: 2.4 GHz Transmitter                                       Serial Number: 60113                                       LSR Job #: C-986


                             EXHIBIT 1. INTRODUCTION
1.1 - Scope
References:                        FCC Part 15, Subpart C, Section 15.249 and 15.209
                                   FCC Part 2, Section 2.1043 paragraph (b)1.
                                   RSS GEN and RSS 210 Annex 2
Title:                             FCC : Telecommunication – Code of Federal Regulations,
                                   CFR 47, Part 15.
                                   IC : Low-power License-exempt Radio-communication
                                   Devices (All Frequency Bands): Category I Equipment
Purpose of Test:                   To gain FCC and IC Certification Authorization for Low-
                                   Power License-Exempt Transmitters.
Test Procedures:                   Both conducted and radiated emissions measurements
                                   were conducted in accordance with American National
                                   Standards Institute ANSI C63.4 – 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 40 GHz.
Environmental Classification:           Commercial, Industrial or Business
                                        Residential

1.2 - Normative References
      Publication                                         Title
47 CFR, Parts 0-15 (FCC)     Code of Federal Regulations - Telecommunications
RSS 210                      Low-power License-exempt Radio-communication Devices
                             (All Frequency Bands): Category I Equipment
ANSI C63.4                   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 40 GHz.
CISPR 16-1-1                 Specification for radio disturbance and immunity
                             measuring apparatus and methods.
                             Part 1-1: Measuring Apparatus.
CISPR 16-2-1                 Specification for radio disturbance and immunity
                             measuring apparatus and methods.
                             Part 201: Conducted disturbance measurement.




LS Research, LLC                                                                Page 4 of 29

Prepared For: DexCom, Inc.               Model Number: 9438-01               Report #: 310250
EUT: 2.4 GHz Transmitter                 Serial Number: 60113                LSR Job #: C-986


1.3 - LS Research, LLC in Review
As an EMC Testing Laboratory, our Accreditation and Assessments are recognized through the
following:




A2LA – American Association for Laboratory Accreditation
      Accreditation based on ISO/IEC 17025: 2005 with Electrical (EMC) Scope of Accreditation
       A2LA Certificate Number: 1255.01




Federal Communications Commission (FCC) – USA
      Listing of 3 Meter Semi-Anechoic Chamber based on Title 47 CFR – Part 2.948
       FCC Registration Number: 90756




Industry Canada
       On file, 3 Meter Semi-Anechoic Chamber based on RSS-212 – Issue 1
       File Number: IC 3088-A
       On file, 3 and 10 Meter OATS based on RSS-212 – Issue 1
       File Number: IC 3088




U. S. Conformity Assessment Body (CAB) Validation
       Validated by the European Commission as a U. S. Competent Body operating under the U.
       S./EU, Mutual Recognition Agreement (MRA) operating under the European Union
       Electromagnetic Compatibility –Council Directive 2004/108/EC (formerly 89/336/EEC, Article
       10.2).
       Date of Validation: January 16, 2001

       Validated by the European Commission as a U.S. Notified Body operating under the U.S.
       /EU, Mutual Recognition Agreement (MRA) operating under the European Union
       Telecommunication Equipment – Council Directive 99/5/EC, Annex V.
       Date of Validation: November 20, 2002
       Notified Body Identification Number: 1243



LS Research, LLC                                                                 Page 5 of 29

Prepared For: DexCom, Inc.                    Model Number: 9438-01           Report #: 310250
EUT: 2.4 GHz Transmitter                      Serial Number: 60113            LSR Job #: C-986


                 EXHIBIT 2. PERFORMANCE ASSESSMENT
2.1 – Client Information

Manufacturer Name:                DexCom, Inc.
Address:                          6340 Sequence Drive
Contact Name:                     Shawn Larvenz




2.2 – Equipment under Test (EUT) Information
      The following information has been supplied by the applicant.

Product Name:                           2.4 GHz Transmitter
Model Number:                           9438-01
Serial Number:                          60113




LS Research, LLC                                                        Page 6 of 29

Prepared For: DexCom, Inc.                   Model Number: 9438-01    Report #: 310250
EUT: 2.4 GHz Transmitter                     Serial Number: 60113     LSR Job #: C-986


2.4 – EUT Technical Specifications
Additional Information:

EUT Frequency Range (in MHz)              2424.9998 – 2477.2369 MHz
RF Power in Watts                         0.05mW
Field Strength at 3 meters                93.6dBµV/m
Occupied Bandwidth                        4.955 MHz
Type of Modulation                        MSK
Emission Designator                       440kG1D
Transmitter Spurious (worst case)         60.540
Frequency Tolerance %, Hz, ppm            < 20 ppm
Stepped (Y/N)                             No
Step Value:                               N/A
Microprocessor Model # (if applicable)    TI CC2510
Antenna Information
   Detachable/non-detachable              Non-detachable
   Type                                   Wideband Ceramic Chip
   Gain (in dBi)                          2.1 dBi
EUT will be operated under FCC Rule       15.249
Part(s)
EUT will be operated under RSS Rule       RSS 210
Part(s)
Modular Filing                                Yes          No
Portable or Mobile?                       Portable

RF Technical Information:

    Type of             SAR Evaluation: Device Used in the Vicinity of the Human Head
   Evaluation           SAR Evaluation: Body-worn Device
  (check one)      X    RF Evaluation

       If RF Evaluation checked above, test engineer to complete the following:

        Evaluated against exposure limits:     General Public Use        Controlled Use
        Duty Cycle used in evaluation: 100%
        Standard used for evaluation: OET 65
        Measurement Distance: 20 cm
        RF Value:       0.000358           V/m       A/m         mW/cm2
                          Measured           Computed          Calculated




LS Research, LLC                                                                        Page 7 of 29

Prepared For: DexCom, Inc.                  Model Number: 9438-01                   Report #: 310250
EUT: 2.4 GHz Transmitter                    Serial Number: 60113                    LSR Job #: C-986


2.5 – Product Description
The G4-Global Transmitter is part of DexCom’s G4-Global Continues Glucose Monitoring System. This
system provides real-time continuous glucose readings every 5 minutes for up to 7 days. These readings will
help the patient detect trends and patterns in your glucose levels.

The System is made up of three technologies that all work together: the Sensor, the Transmitter, and the
Receiver. The main purpose of this over view is to describe the G4-Global Transmitter which as mentioned is
part of the system and its purpose is to transmit information from the Sensor to a Receiver.

The G4-Global Transmitter uses radio frequency (RF) for the transmission of the sensor data to a receiver.
The G4-Global Transmitter is re-usable for up to six months. It is powered by two internal is powered by two
internal non-replaceable, non-rechargeable silver oxide batteries that will last for approximately six months
when delivered to the patient.




LS Research, LLC                                                                           Page 8 of 29

Prepared For: DexCom, Inc.                    Model Number: 9438-01                     Report #: 310250
EUT: 2.4 GHz Transmitter                      Serial Number: 60113                      LSR Job #: C-986


             EXHIBIT 3. EUT OPERATING CONDITIONS AND
                           CONFIGURATION

3.1 – Climate Conditions During Testing
Temperature:               22°C
Humidity:                  35%
Pressure:                  745 mmHg


3.2 – Applicability and Summary of EMC Emission Test Results
                                                                                              Compliance
 FCC and IC Paragraph                             Test Requirements
                                                                                               (yes/no)
        FCC : 15.207
                                   Power Line Conducted Emissions Measurements                     N/A
IC : RSS GEN sect. 7.2.2
  IC : RSS GEN section
                                                    20 dB Bandwidth                                Yes
             4.6.1
FCC : 15.249(A) & 1.1310
                                                Maximum Output Power                               Yes
  IC : RSS 210 A2.9 (a)
  FCC : 1.1307, 1.1310,
     2.1091 & 2.1093                               RF Exposure Limit                               Yes
        IC : RSS 102
     FCC : 15.249(a)
                                                 Transmitter harmonics                             Yes
   IC : RSS 210 A2.9(a)
FCC : 15.249(d), 15.209 &
           15.205                           Transmitter Radiated Emissions                         Yes
  IC : RSS 210 A2.9(b),
The digital circuit portion of the EUT has been tested and verified to comply with FCC Part 15, Subpart B,
Class B Digital Devices (RSS GEN and RSS 210 of IC) and the associated Radio Receiver has also been
tested and found to comply with Part 15, Subpart B – Radio Receivers (RSS GEN and RSS 210 of IC). The
Receiver Test Report is available upon request.



3.3 – Modifications Incorporated in the EUT for Compliance Purposes
        None               Yes (explain below)


3.4 – Deviations and Exclusions from Test Specifications
        None               Yes (explain below)




LS Research, LLC                                                                          Page 9 of 29

Prepared For: DexCom, Inc.                    Model Number: 9438-01                    Report #: 310250
EUT: 2.4 GHz Transmitter                      Serial Number: 60113                     LSR Job #: C-986


               EXHIBIT 4. DECLARATION OF CONFORMITY
The EUT was found to MEET the requirements as described within the specification of FCC Title
47, CFR Part 15.249, and Industry Canada RSS-210, Annex 2.9.

If some emissions are seen to be within 3 dB of their respective limits:
As these levels are within the tolerances of the test equipment and site employed, there is a
possibility that this unit, or a similar unit selected out of production may not meet the required limit
specification if tested by another agency.

LS Research, LLC certifies that the data contained herein was taken under conditions that meet or
exceed the requirements of the test specifications. The results in this Test Report apply only to the
item(s) tested on the above-specified dates. Any modifications made to the EUT subsequent to the
indicated test date(s) will invalidate the data herein, and void this certification.




LS Research, LLC                                                                       Page 10 of 29

Prepared For: DexCom, Inc.                  Model Number: 9438-01                   Report #: 310250
EUT: 2.4 GHz Transmitter                    Serial Number: 60113                    LSR Job #: C-986


                   EXHIBIT 5. RADIATED EMISSIONS TEST

5.1 - Test Setup
The test setup was assembled in accordance with Title 47, CFR FCC Part 15, RSS GEN and ANSI
C63.4. The EUT was placed on an 80cm high non-conductive pedestal, centered on a flush
mounted 2-meter diameter turntable inside a 3 meter Semi-Anechoic, FCC listed Chamber. The
EUT was operated in continuously transmitting modulated mode using power as provided by a
battery. The unit has the capability to operate on 3 channels, controllable using a laptop and
programming board.

The applicable limits apply at a 3 meter distance. Measurements above 4 GHz were performed at a
1.0 meter separation distance. The calculations to determine these limits are detailed in the
following pages. Please refer to Appendix A for a complete list of test equipment. The test sample
was operated on one of three standard channels: 2425 MHz, 2450 MHz and 2477 MHz to comply
with FCC Part 15.35.

5.2 - Test Procedure
Radiated RF measurements were performed on the EUT in a 3 meter Semi-Anechoic, FCC listed
Chamber. The frequency range from 30 MHz to 25000 MHz was scanned and investigated. The
radiated RF emission levels were manually noted at the various fixed degree settings of azimuth on
the turntable and antenna height. The EUT was placed on a non-conductive pedestal in the 3
meter Semi-Anechoic Chamber, with the antenna mast placed such that the antenna was 3 meters
from the EUT. A Biconical Antenna was used to measure emissions from 30 MHz to 300 MHz, and
a Log Periodic Antenna was used to measure emissions from 300 MHz to 1000 MHz. A Double-
Ridged Waveguide Horn Antenna was used from 1 GHz to 18 GHz. In the frequency range of 30
MHz to 4 GHz, the maximum radiated RF emissions were found by raising and lowering the
antenna between 1 and 4 meters in height while for the range of 4 GHz to 10 GHz the antenna was
raised and lowered between 1 and 1.8 meters in height. In addition, the polarity of the antenna was
switched between horizontal and vertical polarity. The EUT was positioned in three orthogonal
positions for the test.

5.3 - Test Equipment Utilized
A list of the test equipment and antennas utilized for the Radiated Emissions test can be found in
Appendix A. The EMI Receiver was operated with resolution bandwidths as prescribed in ANSI
C63.4.

5.4 - Test Results
The EUT was found to MEET the Radiated Emissions requirements of Title 47 CFR, FCC Part
15.249 and Canada RSS-210, Annex 2.9. The frequencies with significant RF signal strength were
recorded and plotted as shown in the Data Charts and Graphs.




LS Research, LLC                                                                   Page 11 of 29

Prepared For: DexCom, Inc.                Model Number: 9438-01                 Report #: 310250
EUT: 2.4 GHz Transmitter                  Serial Number: 60113                  LSR Job #: C-986


5.5 – Calculation of Radiated Emissions Limits
Field Strength of Fundamental Frequencies:
The fundamental emissions for an intentional radiator in the 2425-2477 MHz band, operating under
FCC part 15.249 and RSS 210 A2.9 limits must have electric field strength of no greater than 50
mV/m, for the fundamental frequency, when measured at 3 meters, and harmonic field strength of
no greater than 500 µV/m, when measured at 3 meters. Spurious emissions outside the 2425-2477
MHz band shall be attenuated by at least 50 dB below the level of the fundamental, or meet the
limits expressed in FCC part 15.209 under general emission limits.
Field Strength of Fundamental Frequencies is Limited to 50,000 µV/m, or 94 dBµV/m.
Field Strength of Harmonic and Spurious Frequencies is Limited by FCC 15.249 a and d
The harmonic limit of –50 dBc with respect to the fundamental limit would be:
                                 94 dBµV/m – 50 dB = 44 dBµV/m,
*with the exception of where FCC 15.209* allows for a higher limit to be used.

                                                                   3 m Limit
                   Frequency (MHz)        3 m Limit (V/m)
                                                                   (dBV/m)
                        902-928                50,000                94.0
                     30-88 ; 88-216             159                  44.0
                   216-902 ; 928-960            500                  46.0*
                      960-40,000                500                  54.0*

The following table depicts the general radiated emission limits obtained from Title 47 CFR, part
15.209a, for radiated emissions measurements, including restricted band limits as expressed in 47
CFR, part 15.205.

                                                                   3 m Limit
                   Frequency (MHz)        3 m Limit (V/m)
                                                                   (dBV/m)
                         30-88                  100                  40.0
                        88-216                  150                  43.5
                       216-960                  200                  46.0
                      960-40,000                500                  54.0

Sample conversion from field strength µV/m to dBµV/m:
                                 dBµV/m = 20 log10 (3m limit)
from 30 - 88 MHz for example:      dBµV/m = 20 log10 (100)
                              40.0 dBµV/m = 20 log10 (100)

For measurements made at 1 meter, a 9.5 dB correction may be been invoked.
                                 960 MHz to 40,000 MHz
                          500 V/m or 54.0 dBV/m at 3 meters
                           54.0 + 9.5 = 63.5 dBV/m at 1 meter

         Note: Limits are conservatively rounded to the nearest tenth of a whole number.




LS Research, LLC                                                                 Page 12 of 29

Prepared For: DexCom, Inc.               Model Number: 9438-01                 Report #: 310250
EUT: 2.4 GHz Transmitter                 Serial Number: 60113                  LSR Job #: C-986


5.6 - Radiated Emissions Test Data Chart

                    Measurements of Electromagnetic Radiated Emissions
                     Frequency Range Inspected: 30 MHz to 25000 MHz

  Manufacturer:       DexCom, Inc.
 Date(s) of Test:     9/8/10
Project Engineer:     Shane Rismeyer
    Voltage:          3VDC
 Operation Mode:      CW
 Environmental
                                                    Temperature: 230 C
Conditions in the
                                                   Relative Humidity: 34%
      Lab:
                              Single Phase 120 VAC                         3 Phase ___VAC
   EUT Power:
                                      Battery               X                Other: 3VDC
                               80cm non-conductive
 EUT Placement:        X                                                    10cm Spacers
                                       table
    EUT Test                  3 Meter Semi-Anechoic
                       X                                                     3/10m OATS
    Location:                  FCC Listed Chamber
 Measurements:                   Pre-Compliance                    Preliminary         X        Final
 Detectors Used:       X               Peak                 X      Quasi-Peak          X       Average

                      The following table depicts the level of radiated fundamental:
Frequency Antenna EUT Height          Azimuth        Peak      QP     Average   Limit  Margin
  (MHz)                (m)           (0° ‐ 360°)   (dBuV/m) (dBuV/m) (dBuV/m) (dBuV/m)  (dB)
             H        V      1.06       0            81.0        80.8        80.6          125.2    44.6
             V        V      1.46       67           85.7        85.6        85.4          125.2    39.8
             V        S      1.00      106           83.5        83.3        83.2          125.2    42.0
  2425
             H        S      1.06       0            90.2        90.1        90.0          125.2    35.2
             H        F      1.15       87           90.8        90.7        90.7          125.2    34.5
             V        F      1.02       0            82.9        82.7        82.5          125.2    42.7
             H        V      1.00       0            82.4        82.2        82.0          125.2    43.2
             V        V      1.15      130           90.3        90.2        90.1          125.2    35.1
             V        S      1.23       82           84.5        84.4        84.2          125.2    41.0
  2450
             H        S      1.07      3960          91.6        91.5        91.4          125.2    33.8
             H        F      1.45       82           92.4        92.3        92.2          125.2    33.0
             V        F      1.37      173           86.2        86.1        86.0          125.2    39.2
             H        V      1.06      348           80.5        80.3        80.0          125.2    45.2
             V        V      1.13       55           89.2        89.1        89.0          125.2    36.2
  2475       V        S      1.27      263           84.3        84.1        84.0          125.2    41.2
             H        S      1.07      329          92.81       92.75       92.72          125.2    32.5
             H        F      1.09       61          93.76        93.7       93.64          125.2    31.6
             V        F      1.25      347          83.65       83.47       83.29          125.2    41.9


LS Research, LLC                                                                       Page 13 of 29

Prepared For: DexCom, Inc.                 Model Number: 9438-01                    Report #: 310250
EUT: 2.4 GHz Transmitter                   Serial Number: 60113                     LSR Job #: C-986


                                      Radiated Emissions Data Chart (continued)

                      The following table depicts the level of harmonic emissions seen on the low channel:
         Frequency        Ant./EUT         Height         Azimuth            Avg EFI             Limit          Margin
           (MHz)          Polarity          (cm)         (degrees)          (dBV/m)           (dBV/m)          (dB)
           9700.0           H/V            102.6            12.6              56.369             63.5            7.13
           9700.0           V/V            102.9           245.5              52.202             63.5           11.30
           4850.0           V/V            107.5            56.9              47.114             63.5           16.39
           9699.9           V/S            115.1            38.7              60.540             63.5            2.96
           9699.9           H/S            117.7           309.1              49.637             63.5           13.86
           4850.2           H/S            103.0            34.4              48.909             63.5           14.59
           7275.3           H/S            123.8            38.0              43.896             63.5           19.60
           9700.0           H/F            102.6            12.6              56.369             63.5            7.13
           9700.0           V/F            102.9           245.5              52.202             63.5           11.30
           4850.0           V/F            107.5            56.9              47.114             63.5           16.39


                      The following table depicts the level of harmonic emissions seen on middle channel:
         Frequency        Ant./EUT         Height         Azimuth            Avg EFI             Limit          Margin
           (MHz)          Polarity          (cm)         (degrees)          (dBV/m)           (dBV/m)          (dB)
           9799.9           V/V            100.0           243.9              52.338             63.5           11.16
           9799.9           H/V             99.7             5.7              57.962             63.5            5.54
           9800.1           H/S            102.5           172.2              52.835             63.5           10.67
           4899.9           H/S             99.7           345.1              46.055             63.5           17.45
           9799.9           V/S            109.4            37.9              59.732             63.5            3.77
           4900.0           V/S             99.1             7.5              48.196             63.5           15.30
           9799.9           H/F            117.7           308.0              53.361             63.5           10.14
           9800.1           V/F            124.6           293.2              50.274             63.5           13.23

                       The following table depicts the level of harmonic emissions seen on high channel:
         Frequency        Ant./EUT         Height         Azimuth            Avg EFI             Limit          Margin
           (MHz)          Polarity          (cm)         (degrees)          (dBV/m)           (dBV/m)          (dB)
           9909.1           H/V            103.0             8.5              54.268             63.5            9.23
           9908.9           H/V            106.0           257.6              49.775             63.5           13.73
           9909.1           V/S            106.5            34.7              56.149             63.5            7.35
           4954.5           V/S            124.2            99.7              39.992             63.5           23.51
           9909.0           H/S            102.7           139.6              51.929             63.5           11.57
           4954.5           H/S            120.9            72.4              44.785             63.5           18.72
           9909.2           H/F            111.6            48.8              52.107             63.5           11.39
           9908.9           V/F            122.5           220.7              45.977             63.5           17.52

Notes:
    1)    A Peak Detector was used in measurements above 1 GHz, for average measurement, the peak detector was used with lower
          VBW. The peak detector was used to ensure the peak emissions did not exceed 20 dB above the limits.
    2)    Measurements above 4 GHz were made at 1 meter of separation from the EUT.
    3)    All other measurements not appearing in the table were greater than 20dB from the limit.




LS Research, LLC                                                                                           Page 14 of 29

 Prepared For: DexCom, Inc.                           Model Number: 9438-01                            Report #: 310250
 EUT: 2.4 GHz Transmitter                             Serial Number: 60113                             LSR Job #: C-986


5.7 - Test Setup Photo(s) – Radiated Emissions Test




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Prepared For: DexCom, Inc.    Model Number: 9438-01   Report #: 310250
EUT: 2.4 GHz Transmitter      Serial Number: 60113    LSR Job #: C-986


5.8 - Screen Captures - Radiated Emissions Test
These screen captures represent Peak Emissions. For radiated emission measurements, a Quasi-Peak
detector function is utilized when measuring frequencies below 1 GHz, and a peak detector with video
averaging is utilized when measuring frequencies above 1 GHz.

                      Antenna Vertically Polarized, 30-300 MHz, at 3m




                    Antenna Horizontally Polarized, 30-300 MHz, at 3m




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Prepared For: DexCom, Inc.                Model Number: 9438-01                  Report #: 310250
EUT: 2.4 GHz Transmitter                  Serial Number: 60113                   LSR Job #: C-986


                   Screen Captures - Radiated Emissions Testing (continued)

                     Antenna Vertically Polarized, 300-1000 MHz, at 3m




                    Antenna Horizontally Polarized, 300-1000 MHz, at 3m




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Prepared For: DexCom, Inc.              Model Number: 9438-01             Report #: 310250
EUT: 2.4 GHz Transmitter                Serial Number: 60113              LSR Job #: C-986


Screen Captures - Radiated Emissions Testing (continued)


                   Antenna Vertically Polarized, 1000 to 2300 MHz, at 3m




               Antenna Horizontally Polarized, 2300 to 2400 MHz, at 3m




LS Research, LLC                                                           Page 18 of 29

Prepared For: DexCom, Inc.             Model Number: 9438-01           Report #: 310250
EUT: 2.4 GHz Transmitter               Serial Number: 60113            LSR Job #: C-986


Screen Captures - Radiated Emissions Testing (continued)


             Antenna Vertically Polarized, 2483.5 MHz to 2500 MHz, at 3m




                   Antenna Vertically Polarized, 2500-4000 MHz, at 3m




LS Research, LLC                                                          Page 19 of 29

Prepared For: DexCom, Inc.           Model Number: 9438-01              Report #: 310250
EUT: 2.4 GHz Transmitter             Serial Number: 60113               LSR Job #: C-986


                   Antenna Vertically Polarized, 4000-18000 MHz, at 1m




                   Antenna Vertically Polarized, 18000-25000 MHz, at 1m




LS Research, LLC                                                           Page 20 of 29

Prepared For: DexCom, Inc.            Model Number: 9438-01              Report #: 310250
EUT: 2.4 GHz Transmitter              Serial Number: 60113               LSR Job #: C-986


                     EXHIBIT 6. OCCUPIED BANDWIDTH
6.1 - Limits
There are no limits specified. The occupied bandwidth need only be reported.

6.2 - Method of Measurements
For this portion of the tests, a direct measurement of the transmitted signal was performed at the
antenna port of the EUT, via a cable connection to the Agilent E4446A spectrum analyzer. An
attenuator was placed in series with the cable to protect the spectrum analyzer. The loss from the
cable and the attenuator were added on the analyzer as gain offset settings, thereby allowing direct
measurements, without the need for any further corrections. The resolution bandwidth set to 100
kHz for this portion of the tests. The EUT was configured to run in a continuous transmit mode and
the spectrum analyzer was used in peak-hold mode while measurements were made, as presented
in the chart below.

6.3 - Test Data

                                     Center            Measured
                                   Frequency          -20 dBc OB
                                     (MHz)               (kHz)
                                       2425                425
                                       2450                440
                                       2477                420




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Prepared For: DexCom, Inc.                Model Number: 9438-01                  Report #: 310250
EUT: 2.4 GHz Transmitter                  Serial Number: 60113                   LSR Job #: C-986


6.4 - Screen Captures - Occupied Bandwidth
                              Low channel Occupied Bandwidth




                             Middle channel Occupied Bandwidth




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Prepared For: DexCom, Inc.             Model Number: 9438-01     Report #: 310250
EUT: 2.4 GHz Transmitter               Serial Number: 60113      LSR Job #: C-986


                             High channel Occupied Bandwidth




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Prepared For: DexCom, Inc.            Model Number: 9438-01    Report #: 310250
EUT: 2.4 GHz Transmitter              Serial Number: 60113     LSR Job #: C-986


                EXHIBIT 7. BAND-EDGE MEASUREMENTS
7.1 - Method of Measurements
FCC 15.209(b) and 15.249(d) require a measurement of spurious emission levels to be at least 20
dB lower than the fundamental emission level, in particular at the Band-Edges where the intentional
radiator operates. Also, RSS 210 Section 2.2 requires that unwanted emissions meet limits listed in
tables 2 and 3 of the same standard and also to the limits in the applicable annex. The following
screen captures demonstrate compliance of the intentional radiator at the 2400-2483.5 MHz Band-
Edges. The EUT was operated in continuous transmit mode. The EUT was operated at the lowest
channel for the investigation of the lower Band-Edge (2425 MHz), and at the highest channel for the
investigation of the higher Band-Edge (2477 MHz).

               Screen Capture Demonstrating Compliance at the Band-Edges


                                        Lower Band Edge




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Prepared For: DexCom, Inc.                Model Number: 9438-01                 Report #: 310250
EUT: 2.4 GHz Transmitter                  Serial Number: 60113                  LSR Job #: C-986


                             Upper Band Edge




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Prepared For: DexCom, Inc.    Model Number: 9438-01   Report #: 310250
EUT: 2.4 GHz Transmitter      Serial Number: 60113    LSR Job #: C-986


                        APPENDIX A: Test Equipment




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Prepared For: DexCom, Inc.      Model Number: 9438-01   Report #: 310250
EUT: 2.4 GHz Transmitter        Serial Number: 60113    LSR Job #: C-986


LS Research, LLC                                       Page 27 of 29

Prepared For: DexCom, Inc.   Model Number: 9438-01   Report #: 310250
EUT: 2.4 GHz Transmitter     Serial Number: 60113    LSR Job #: C-986


           APPENDIX B: Test Standards – Current Publication Dates
                                  Radio
       STANDARD #              DATE        Am. 1         Am. 2                    STANDARD #              DATE          Am. 1       Am. 2
ANSI C63.4                      2009                                         IEC 61000-4-4                2004-07      2010-10
ANSI C63.10                     2009                                         IEC 61000-4-5                2005-11
CISPR 11                       2009-05   2009-12 P                           IEC 61000-4-6                2008-10
CISPR 12                       2007-05                                       IEC 61000-4-8                2009-09
CISPR 14-1                     2005-11     2008-11                           IEC 61000-4-11               2004-03
CISPR 14-2                     2001-11     2001-11       2008-05             IEC 61000-6-1                2005-03
CISPR 16-1-1 Note 1            2010-01                                       IEC 61326-1                  2006-06
CISPR 16-1-2 Note 1             2003       2004-04       2006-07             ISO 14982                    1998-07
CISPR 22                       2008-09                                       MIL Std. 461E                1999-08
CISPR 24                       1997-09     2001-07       2002-10             RSS GEN                      2007-06
EN 55011                       2007-05                                       RSS 119                      2007-06
EN 55014-1                      2006                                         RSS 123                      1999-11
EN 55014-2                      1997                                         RSS 125                      2000-03
EN 55022                        2006        2007                             RSS 131                      2003-07
EN 60601-1-2                   2007-03                                       RSS 136                      2002-10
EN 61000-3-2                   2006-05                                       RSS 137                      2009-02
EN 61000-3-3                   2008-12                                       RSS 210                      2007-06
EN 61000-4-2                   2009-05                                       RSS 213                      2005-12
EN 61000-4-3                   2006-07     2008-05                           RSS 243                      2005-11
EN 61000-4-4                    2004                                         RSS 310                      2007-06
EN 61000-4-5                   2006-12
EN 61000-4-6                   2009-05
EN 61000-4-8                    1994        2001
EN 61000-4-11                  2004-10
EN 61000-6-1                   2007-02
EN 61000-6-2                   2005-12
EN 61000-6-3                   2007-02
EN 61000-6-4                   2007-02
FCC 47 CFR, Parts 0-15, 18,
                                2009
90, 95
FCC Public Notice DA 00-1407    2000
FCC ET Docket # 99-231          2002
FCC Procedures                  2007
ICES 001                       2006-06
ICES 002                       2009-08
ICES 003                       2004-02
IEC 60601-1-2 Note 1           2007-03
IEC 61000-3-2                  2005-11     2008-03       2009-02
IEC 61000-3-3                  2008-06
IEC 61000-4-2                  2008-12
                                         incl in 2008-   2009-12
IEC 61000-4-3                  2008-04
                                               04          FD
                                                                                      Note 1: Test not on LSR Scope of Accreditation.
                                                                   Updated on 02-03-10
                                                                   P=Project   FD= Final Draft




   LS Research, LLC                                                                                                 Page 28 of 29

    Prepared For: DexCom, Inc.                            Model Number: 9438-01                               Report #: 310250
    EUT: 2.4 GHz Transmitter                              Serial Number: 60113                                LSR Job #: C-986


                   APPENDIX C: Uncertainty Statement
               This uncertainty represents an expanded uncertainty expressed at
            approximately the 95 % confidence level, using a coverage factor of k=2.

        Table of Expanded Uncertainty Values, (K=2) for Specified Measurements

    Measurement Type             Particular Configuration          Uncertainty Values
    Radiated Emissions         3 – Meter chamber, Biconical             4.24 dB
                                          Antenna
    Radiated Emissions             3-Meter Chamber, Log                   4.8 dB
                                      Periodic Antenna
    Radiated Emissions          10-Meter OATS, Biconical                  4.18 dB
                                          Antenna
    Radiated Emissions              10-Meter OATS, Log                    3.92 dB
                                      Periodic Antenna
   Conducted Emissions         Shielded Room/EMCO LISN                   1.60 dB
    Radiated Immunity             3 Volts/Meter in 3-Meter           1.128 Volts/Meter
                                          Chamber
    Conducted Immunity                  3 Volts level                      1.0 V




LS Research, LLC                                                                   Page 29 of 29

Prepared For: DexCom, Inc.              Model Number: 9438-01                 Report #: 310250
EUT: 2.4 GHz Transmitter                Serial Number: 60113                  LSR Job #: C-986



Document Created: 2010-11-09 11:47:41
Document Modified: 2010-11-09 11:47:41

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