Report OBR

FCC ID: PQC-OBTRNSBV1

Test Report

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FCCID_3811439

TEST REPORT Test report no.: 1-9797/15-01-03-D Testing laboratory Applicant CETECOM ICT Services GmbH Philips Medizin Systeme Böblingen GmbH Untertuerkheimer Strasse 6 – 10 Hewlett-Packard-Strasse 2 66117 Saarbruecken / Germany 71034 Böblingen / GERMANY Phone: + 49 681 5 98 - 0 Phone: +49 7031 463-1879 Fax: + 49 681 5 98 - 9075 Fax: +49 7031 463-2944 Internet: http://www.cetecom.com Contact: Hansjörg Geywitz e-mail: ict@cetecom.com e-mail: hansjoerg.geywitz@philips.com Accredited Testing Laboratory: The testing laboratory (area of testing) is accredited according to DIN EN ISO/IEC 17025 (2005) by the Deutsche Akkreditierungsstelle GmbH (DAkkS) Manufacturer The accreditation is valid for the scope of testing Philips Medizin Systeme Böblingen GmbH procedures as stated in the accreditation certificate with Hewlett-Packard-Strasse 2 the registration number: D-PL-12076-01-00 71034 Böblingen / GERMANY Test standard/s 47 CFR Part 95 Title 47 of the Code of Federal Regulations; Chapter I Subpart H—Wireless Medical Telemetry Service (WMTS); Part 95 - Personal radio services RSS - 210 Issue 8 Spectrum Management and Telecommunications - Radio Standards Specification Low-power Licence-exempt Radiocommunication Devices (All Frequency Bands): Category I Equipment For further applied test standards please refer to section 3 of this test report. Test Item Kind of test item: Patient Monitoring Model name: Avalon CL Wide Range Pod 866487 FCC ID: PQC-OBRWRPBV1 IC: 3549C-OBRWRPBV1 608 MHz – 614 MHz Frequency: Lowest Channel 3 (608.375 MHz) / Highest Channel 38 (613.625 MHz) Technology tested: proprietary Antenna: Integrated antenna Power supply: 3.3 V DC by Li-Ion battery Temperature range: -20°C to +55°C This test report is electronically signed and valid without handwriting signature. For verification of the electronic signatures, the public keys can be requested at the testing laboratory. Test report authorized: Test performed: cn=Christoph Schneider, o=CETECOM ICT cn=Marco Bertolino, o=CETECOM ICT Services GmbH, ou=SND-120402, Services GmbH, ou=BTL-150828, email=christoph.schneider@cetecom.com, email=marco.bertolino@cetecom.com, c=DE c=DE 2016.05.09 15:05:47 +02'00' 2016.05.09 11:33:46 +02'00' Marco Bertolino Christoph Schneider Lab Manager Testing Manager Radio Communications & EMC Radio Communications & EMC

Test report no.: 1-9797/15-01-03-D 1 Table of contents 1 Table of contents ............................................................................................................................................2 2 General information .......................................................................................................................................3 2.1 Notes and disclaimer ..........................................................................................................................3 2.2 Application details ...............................................................................................................................3 3 Test standard/s ...............................................................................................................................................3 4 Test environment ............................................................................................................................................4 5 Test item ..........................................................................................................................................................4 5.1 General description .............................................................................................................................4 5.2 Additional information ........................................................................................................................4 6 Test laboratories sub-contracted .................................................................................................................4 7 Description of the test setup .........................................................................................................................5 7.1 Shielded semi anechoic chamber ......................................................................................................6 7.2 Shielded fully anechoic chamber ......................................................................................................7 7.3 Conducted measurements normal and extreme conditions ...........................................................8 8 Measurement uncertainty ..............................................................................................................................9 9 Sequence of testing .....................................................................................................................................10 9.1 Sequence of testing radiated spurious 9 kHz to 30 MHz ...............................................................10 9.2 Sequence of testing radiated spurious 30 MHz to 1 GHz ..............................................................11 9.3 Sequence of testing radiated spurious 1 GHz to 12.75 GHz .........................................................12 10 Summary of measurement results ..........................................................................................................13 11 RF measurements .....................................................................................................................................14 11.1 Additional comments ....................................................................................................................14 12 Measurement results ................................................................................................................................15 12.1 Radiated field strength ..................................................................................................................15 12.2 Frequency stability ........................................................................................................................16 12.3 Occupied bandwidth ......................................................................................................................18 12.4 Field strength of spurious radiation ............................................................................................21 12.5 Receiver spurious emissions (radiated) ......................................................................................29 13 Observations .............................................................................................................................................32 Annex A Document history ..........................................................................................................................32 Annex B Further information ........................................................................................................................32 Annex C Accreditation Certificate ...............................................................................................................33 Page 2 of 33

Test report no.: 1-9797/15-01-03-D 2 General information 2.1 Notes and disclaimer The test results of this test report relate exclusively to the test item specified in this test report. CETECOM ICT Services GmbH 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 ICT Services GmbH. The testing service provided by CETECOM ICT Services GmbH has been rendered under the current "General Terms and Conditions for CETECOM ICT Services GmbH". CETECOM ICT Services GmbH will not be liable for any loss or damage resulting from false, inaccurate, inappropriate or incomplete product information provided by the customer. Under no circumstances does the CETECOM ICT Services GmbH test report include any endorsement or warranty regarding the functionality, quality or performance of any other product or service provided. Under no circumstances does the CETECOM ICT Services GmbH test report include or imply any product or service warranties from CETECOM ICT Services GmbH, including, without limitation, any implied warranties of merchantability, fitness for purpose, or non-infringement, all of which are expressly disclaimed by CETECOM ICT Services GmbH. All rights and remedies regarding vendor’s products and services for which CETECOM ICT Services GmbH has prepared this test report shall be provided by the party offering such products or services and not by CETECOM ICT Services GmbH. In no case this test report can be considered as a Letter of Approval. This test report is electronically signed and valid without handwritten signature. For verification of the electronic signatures, the public keys can be requested at the testing laboratory. This test report replaces the test report with the number 1-9797/15-01-03-C and dated 2016-05-02 2.2 Application details Date of receipt of order: 2015-07-03 Date of receipt of test item: 2015-09-30 Start of test: 2015-09-30 End of test: 2015-10-08 Person(s) present during the test: -/- 3 Test standard/s Test standard Date Test standard description 47 CFR Part 95 2010-10 Title 47 of the Code of Federal Regulations; Chapter I Subpart H—Wireless Medical Telemetry Service (WMTS); Part 95 - Personal radio services RSS - 210 Issue 8 2010-12 Spectrum Management and Telecommunications - Radio Standards Specification Low-power Licence-exempt Radiocommunication Devices (All Frequency Bands): Category I Equipment Page 3 of 33

Test report no.: 1-9797/15-01-03-D 4 Test environment Tnom +22 °C during room temperature tests Temperature : Tmax +55 °C during high temperature tests Tmin -20 °C during low temperature tests Relative humidity content : 55 % Barometric pressure : not relevant for this kind of testing Vnom 3.3 V DC by Li-Ion battery Power supply : Vmax 3.8 V Vmin 2.8 V 5 Test item 5.1 General description Kind of test item : Patient Monitoring Type identification : Avalon CL Wide Range Pod 866487 PMN : Avalon CL Wide Range Pod HVIN : 866487 FVIN : 866487 HMN : n.a. Rad. DE3100121 S/N serial number : Cond. -/- HW hardware status : 1 SW software status : A.01.02 608 MHz – 614 MHz Frequency band : Lowest Channel 3 (608.375 MHz) Highest Channel 38 (613.625 MHz) Type of radio transmission : TDM Use of frequency spectrum : Type of modulation : GFSK Number of channels : 36 Antenna : Integrated antenna Power supply : 3.25 V to 3.35 V AC, 50/60 Hz Temperature range : -20°C to +55°C 5.2 Additional information The content of the following annexes is defined in the QA. It may be that not all of the listed annexes are necessary for this report, thus some values in between may be missing. Test setup- and EUT-photos are included in test report: 1-9797/15-01-01_AnnexA 1-9797/15-01-01_AnnexB 1-9797/15-01-01_AnnexD 6 Test laboratories sub-contracted None Page 4 of 33

Test report no.: 1-9797/15-01-03-D 7 Description of the test setup Typically, the calibrations of the test apparatus are commissioned to and performed by an accredited calibration laboratory. The calibration intervals are determined in accordance with the DIN EN ISO/IEC 17025. In addition to the external calibrations, the laboratory executes comparison measurements with other calibrated test systems or effective verifications. Weekly chamber inspections and range calibrations are performed. Where possible, RF generating and signaling equipment as well as measuring receivers and analyzers are connected to an external high-precision 10 MHz reference (GPS-based or rubidium frequency standard). In order to simplify the identification of the equipment used at some special tests, some items of test equipment and ancillaries can be provided with an identifier or number in the equipment list below (Lab/Item). Agenda: Kind of Calibration k calibration / calibrated EK limited calibration ne not required (k, ev, izw, zw not required) zw cyclical maintenance (external cyclical maintenance) ev periodic self verification izw internal cyclical maintenance Ve long-term stability recognized g blocked for accredited testing vlkI! Attention: extended calibration interval NK! Attention: not calibrated *) next calibration ordered / currently in progress Page 5 of 33

Test report no.: 1-9797/15-01-03-D 7.1 Shielded semi anechoic chamber The radiated measurements are performed in vertical and horizontal plane in the frequency range from 9 kHz to 1 GHz in semi-anechoic chambers. The EUT is positioned on a non-conductive support with a height of 0.80 m above a conductive ground plane that covers the whole chamber. The receiving antennas are confirmed with specifications ANSI C63. These antennas can be moved over the height range between 1.0 m and 4.0 m in order to search for maximum field strength emitted from EUT. The measurement distances between EUT and receiving antennas are indicated in the test setups for the various frequency ranges. For each measurement, the EUT is rotated in all three axes until the maximum field strength is received. The wanted and unwanted emissions are received by spectrum analyzers where the detector modes and resolution bandwidths over various frequency ranges are set according to requirement ANSI C63. Measurement distance: tri-log antenna 10 meter FS = UR + CL + AF (FS-field strength; UR-voltage at the receiver; CL-loss of the cable; AF-antenna factor) Example calculation: FS [dBµV/m] = 12.35 [dBµV/m] + 1.90 [dB] + 16.80 [dB/m] = 31.05 [dBµV/m] (35.69 µV/m) Equipment table: Lab / INV. No Kind of Last Next No. Equipment Type Manufacturer Serial No. Item Cetecom Calibration Calibration Calibration 1 A Switch-Unit 3488A HP 2719A14505 300000368 ev 2 A RF-Filter-section 85420E HP 3427A00162 300002214 ne 3 A EMI Test Receiver ESCI 3 R&S 100083 300003312 k 26.01.2015 26.01.2016 4 A Antenna Tower Model 2175 ETS-Lindgren 64762 300003745 izw Positioning 5 A Model 2090 ETS-Lindgren 64672 300003746 izw Controller Turntable Interface- 6 A Model 105637 ETS-Lindgren 44583 300003747 izw Box TRILOG Broadband 7 A Test-Antenna 30 VULB9163 Schwarzbeck 295 300003787 k 22.04.2014 22.04.2016 MHz - 3 GHz Page 6 of 33

Test report no.: 1-9797/15-01-03-D 7.2 Shielded fully anechoic chamber Measurement distance: horn antenna 3 meter; loop antenna 3 meter / 1 meter FS = UR + CA + AF (FS-field strength; UR-voltage at the receiver; CA-loss of the signal path; AF-antenna factor) Example calculation: FS [dBµV/m] = 40.0 [dBµV/m] + (-35.8) [dB] + 32.9 [dB/m] = 37.1 [dBµV/m] (71.61 µV/m) OP = AV + D - G + CA (OP-radiated output power; AV-analyzer value; D-free field attenuation of measurement distance; G-antenna gain+amplifier gain; CA-loss signal path) Example calculation: OP [dBm] = -39.0 [dBm] + 57.0 [dB] - 12.0 [dBi] + (-36.0) [dB] = -30 [dBm] (1 µW) Equipment table: Lab / INV. No Kind of Last Next No. Equipment Type Manufacturer Serial No. Item Cetecom Calibration Calibration Calibration Double-Ridged 1 A Waveguide Horn 3115 EMCO 8812-3088 300001032 vlKI! 20.05.2015 20.05.2017 Antenna 1-18.0GHz 2 A Anechoic chamber FAC 3/5m MWB / TDK 87400/02 300000996 ev 3 A Switch / Control Unit 3488A HP * 300000199 ne Active Loop Antenna 4 A 6502 EMCO/2 8905-2342 300000256 k 24.06.2015 24.06.2017 10 kHz to 30 MHz js42-00502650-28- 5 A Amplifier Parzich GMBH 928979 300003143 ne 5a 6 A Highpass Filter WHKX7.0/18G-8SS Wainwright 18 300003789 ne MXE EMI Receiver 7 A N9038A Agilent Technologies MY51210197 300004405 k 06.03.2015 06.03.2016 20 Hz to 26,5 GHz 4U RF Switch 8 A L4491A Agilent Technologies MY50000037 300004509 ne Platform Page 7 of 33

Test report no.: 1-9797/15-01-03-D 7.3 Conducted measurements normal and extreme conditions OP = AV + CA (OP-output power; AV-analyzer value; CA-loss signal path) Example calculation: OP [dBm] = 6.0 [dBm] + 11.7 [dB] = 17.7 [dBm] (58.88 mW) Equipment table: Lab / INV. No Kind of Last Next No. Equipment Type Manufacturer Serial No. Item Cetecom Calibration Calibration Calibration DC Power Supply 0 1 A 1108-32 Heiden Elektronik 001802 300001383 Ve 29.01.2014 29.01.2017 – 32V Temperature Test 2 A VT 4002 Heraeus Voetsch 521/83761 300002326 ev 03.09.2015 03.09.2017 Chamber EMI Test Receiver 9 3 A kHz - 3 GHz incl. ESPI3 R&S 101713 300004059 k 23.01.2015 23.01.2016 Preselector ST18/SMAm/SMAm/ Batch no. 4 A RF-Cable Huber & Suhner 400001182 ev 48 600918 Page 8 of 33

Test report no.: 1-9797/15-01-03-D 8 Measurement uncertainty Test case Uncertainty Maximum field strength ± 3 dB Frequency stability ± 10 Hz Occupied bandwidth ± 100 kHz (depends on the used RBW) Spurious emissions radiated below 30 MHz ± 3 dB Spurious emissions radiated 30 MHz to 1 GHz ± 3 dB Spurious emissions radiated 1 GHz to 12.75 GHz ± 3.7 dB Page 9 of 33

Test report no.: 1-9797/15-01-03-D 9 Sequence of testing 9.1 Sequence of testing radiated spurious 9 kHz to 30 MHz Setup  The equipment is set up to simulate normal operation mode as described in the user manual or defined by the manufacturer.  If the EUT is a tabletop system, a 2-axis positioner with 1.5 m height is used.  If the EUT is a floor standing device, it is placed directly on the turn table.  Auxiliary equipment and cables are positioned to simulate normal operation conditions as described in ANSI C 63.4.  The AC power port of the EUT (if available) is connected to a power outlet below the turntable.  Measurement distance is 3 m (see ANSI C 63.4) – see test details.  EUT is set into operation. Premeasurement  The turntable rotates from 0° to 315° using 45° steps.  The antenna height is 1.5 m.  At each turntable position the analyzer sweeps with positive-peak detector to find the maximum of all emissions. Final measurement  Identified emissions during the premeasurement are maximized by the software by rotating the turntable from 0° to 360°. In case of the 2-axis positioner is used the elevation axis is also rotated from 0° to 360°.  The final measurement is done in the position (turntable and elevation) causing the highest emissions with quasi-peak (as described in ANSI C 63.4).  Final levels, frequency, measuring time, bandwidth, turntable position, correction factor, margin to the limit and limit will be recorded. A plot with the graph of the premeasurement and the limit is stored. Page 10 of 33

Test report no.: 1-9797/15-01-03-D 9.2 Sequence of testing radiated spurious 30 MHz to 1 GHz Setup  The equipment is set up to simulate normal operation mode as described in the user manual or defined by the manufacturer.  If the EUT is a tabletop system, a table with 0.8 m height is used, which is placed on the ground plane.  If the EUT is a floor standing device, it is placed on the ground plane with insulation between both.  Auxiliary equipment and cables are positioned to simulate normal operation conditions as described in ANSI C 63.4.  The AC power port of the EUT (if available) is connected to a power outlet below the turntable.  Measurement distance is 10 m or 3 m (see ANSI C 63.4) – see test details.  EUT is set into operation. Premeasurement  The turntable rotates from 0° to 315° using 45° steps.  The antenna is polarized vertical and horizontal.  The antenna height changes from 1 m to 3 m.  At each turntable position, antenna polarization and height the analyzer sweeps three times in peak to find the maximum of all emissions. Final measurement  The final measurement is performed for at least six highest peaks according to the requirements of the ANSI C63.4.  Based on antenna and turntable positions at which the peak values are measured the software maximize the peaks by changing turntable position ± 45° and antenna height between 1 and 4 m.  The final measurement is done with quasi-peak detector (as described in ANSI C 63.4).  Final levels, frequency, measuring time, bandwidth, antenna height, antenna polarization, turntable angle, correction factor, margin to the limit and limit are recorded. A plot with the graph of the premeasurement with marked maximum final results and the limit is stored. Page 11 of 33

Test report no.: 1-9797/15-01-03-D 9.3 Sequence of testing radiated spurious 1 GHz to 12.75 GHz Setup  The equipment is set up to simulate normal operation mode as described in the user manual or defined by the manufacturer.  If the EUT is a tabletop system, a 2-axis positioner with 1.5 m height is used.  If the EUT is a floor standing device, it is placed directly on the turn table.  Auxiliary equipment and cables are positioned to simulate normal operation conditions as described in ANSI C 63.4.  The AC power port of the EUT (if available) is connected to a power outlet below the turntable.  Measurement distance is 3 m (see ANSI C 63.4) – see test details.  EUT is set into operation. Premeasurement  The turntable rotates from 0° to 315° using 45° steps.  The antenna is polarized vertical and horizontal.  The antenna height is 1.5 m.  At each turntable position and antenna polarization the analyzer sweeps with positive peak detector to find the maximum of all emissions. Final measurement  The final measurement is performed for at least six highest peaks according to the requirements of the ANSI C63.4.  Based on antenna and turntable positions at which the peak values are measured the software maximizes the peaks by rotating the turntable from 0° to 360°. This measurement is repeated for different EUT-table positions (0° to 150° in 30°-steps) and for both antenna polarizations.  The final measurement is done in the position (turntable, EUT-table and antenna polarization) causing the highest emissions with Peak and RMS detector (as described in ANSI C 63.4).  Final levels, frequency, measuring time, bandwidth, turntable position, EUT-table position, antenna polarization, correction factor, margin to the limit and limit are recorded. A plot with the graph of the premeasurement with marked maximum final results and the limit is stored. Page 12 of 33

Test report no.: 1-9797/15-01-03-D 10 Summary of measurement results ☒ No deviations from the technical specifications were ascertained ☐ There were deviations from the technical specifications ascertained This test report is only a partial test report. ☐ The content and verdict of the performed test cases are listed below. TC Identifier Description Verdict Date Remark 47 CFR Part 2 47 CFR Part 95 H RF-Testing See table! 2016-05-09 -/- RSS Gen Issue 4 RSS 210 Issue 8 Annexe 4 Test Temperature Power Source Specification Test Case C NC NA NP Remark Conditions Voltages Clause FCC 47 CFR § 2.1046 § 95.1111(a)(3) Radiated field § 95.1115(a) Nominal Nominal ☒ ☐ ☐ ☐ -/- strength RSS 210 Issue 8 A4.4 FCC 47 CFR § 2.1055 Nominal Extreme ☒ ☐ ☐ ☐ § 95.1115(e) Frequency stability -/- Extreme Nominal ☒ ☐ ☐ ☐ RSS Gen Issue 4 FCC 47 CFR § 2.1049 (1) Occupied bandwidth Nominal Nominal ☒ ☐ ☐ ☐ -/- RSS Gen Issue 4 Field FCC 47 CFR strength of spurious § 2.1053 radiation § 95.1115(b) Nominal Nominal ☒ ☐ ☐ ☐ -/- RSS Gen Issue 4 Transmitter unwanted emissions FCC 47 CFR Receiver spurious § 15.209 Nominal Nominal ☒ ☐ ☐ ☐ -/- emissions (radiated) RSS Gen Issue 4 Note: C = Compliant; NC = Not compliant; NA = not applicable; NP = not performed Page 13 of 33

Test report no.: 1-9797/15-01-03-D 11 RF measurements 11.1 Additional comments Reference documents: Referenced Testprotocol B3-P35440-AVCL-WIDE-FCC-OBR-TP Revision A.00.00 Special test descriptions: None Duty cycle correction factor: (FCC 47 CFR 15.35 (c)) Maximum transmission length: 38.4 ms Duty cycle correction factor: 20*log(0.384) = -8.31 dB Configuration descriptions: Tested channels: CH 3 – 608.375 MHz CH 20 – 610.925 MHz CH 38 – 613.625 MHz Page 14 of 33

Test report no.: 1-9797/15-01-03-D 12 Measurement results 12.1 Radiated field strength Measurement: Measurement parameter Detector: Quasi peak Sweep time: Auto Resolution bandwidth: 120kHz Video bandwidth: Auto Span: > EBW Trace-Mode: Max. hold Test setup See sub clause 7.2 A Measurement uncertainty See sub clause 8 Limits: FCC IC CFR § 2.1046 CFR § 95.1115 (a) RSS 210 - Issue 8 CFR § 95.1111 (a)(3) Radiated field strength 200 mV/m @ 3 m (106 dBµV/m @ 3 m) Result: Frequency Radiated field strength 608.375 MHz 85.96 dBµV/m @ 3m (19.7 mV/m; -9.3 dBm e.r.p.) 610.925 MHz 85.95 dBµV/m @ 3m (19.7 mV/m; -9.3 dBm e.r.p.) 613.625 MHz 87.00 dBµV/m @ 3m (22.4 mV/m; -8.2 dBm e.r.p.) Page 15 of 33

Test report no.: 1-9797/15-01-03-D 12.2 Frequency stability Measurement: Measurement parameter Detector: Peak Sweep time: Auto Resolution bandwidth: 10 Hz Video bandwidth: 30 Hz Span: 500 Hz Trace-Mode: Max. hold Test setup See sub clause 7.3 A Measurement uncertainty See sub clause 8 Limits: FCC IC CFR § 2.1055 RSS - Gen Issue 4 CFR § 95.1115 (e) Manufacturers of wireless medical telemetry devices are responsible for ensuring frequency stability such that an emission is maintained within the band of operation under all of the manufacturer’s specified conditions. Results: low channel Temperature Frequency (MHz) Emission within band -20 °C 608.374035 Yes -10 °C 608.373818 Yes 0 °C 608.373986 Yes 10 °C 608.374308 Yes 20 °C (V nom) 608.374593 Yes 30 °C 608.374782 Yes 40 °C 608.374846 Yes 55 °C 608.374780 Yes Voltage 85 % 608.374355 Yes 115 % 608.374633 Yes Page 16 of 33

Test report no.: 1-9797/15-01-03-D Results: middle channel Temperature Frequency (MHz) Emission within band -20 °C 610.924015 Yes -10 °C 610.923813 Yes 0 °C 610.923983 Yes 10 °C 610.924307 Yes 20 °C (V nom) 610.924595 Yes 30 °C 610.924821 Yes 40 °C 610.924854 Yes 55 °C 610.924800 Yes Voltage 85 % 610.924379 Yes 115 % 610.924700 Yes Results: high channel Temperature Frequency (MHz) Emission within band -20 °C 613.623989 Yes -10 °C 613.623809 Yes 0 °C 613.623997 Yes 10 °C 613.624294 Yes 20 °C (V nom) 613.624601 Yes 30 °C 613.624813 Yes 40 °C 613.624849 Yes 55 °C 613.624800 Yes Voltage 85 % 613.624389 Yes 115 % 613.624723 Yes Page 17 of 33

Test report no.: 1-9797/15-01-03-D 12.3 Occupied bandwidth Measurement: Measurement parameter Detector: Peak Sweep time: Auto Resolution bandwidth: 1 % – 5 % of the occupied bandwidth Video bandwidth: ≥ 3x RBW Trace-Mode: Max. hold Analyser function: 99 % power function Test setup See sub clause 7.3 A Measurement uncertainty See sub clause 8 Limits: FCC IC 47 CFR § 2.1049 (1) RSS - Gen Issue 4 When an occupied bandwidth value is not specified in the applicable RSS, the transmitted signal bandwidth to be reported is to be its 99% emission bandwidth, as calculated or measured. Not limited Result: Frequency 99% Bandwidth 608.375 MHz 29.2 kHz 610.925 MHz 29.0 kHz 613.625 MHz 29.2 kHz Page 18 of 33

Test report no.: 1-9797/15-01-03-D Plots of the measurements Plot 1: low channel * RBW 300 Hz Marker 1 [T1 ] VBW 1 kHz -16.41 dBm Ref 0 dBm Att 20 dB SWT 1.15 s 608.362000000 MHz 0 OBW 29.200000000 kHz Temp 1 [T1 OBW] -33.99 dBm A -10 1 608.360000000 MHz 1 PK Temp 2 [T1 OBW] MAXH -20 -33.26 dBm 608.389200000 MHz -30 T1 T2 -40 -50 3DB -60 -70 -80 -90 -100 Center 608.375 MHz 10 kHz/ Span 100 kHz Date: 8.OCT.2015 07:57:21 Plot 2: middle channel * RBW 300 Hz Marker 1 [T1 ] VBW 1 kHz -18.91 dBm Ref 0 dBm Att 20 dB SWT 1.15 s 610.937200000 MHz 0 OBW 29.000000000 kHz Temp 1 [T1 OBW] -36.15 dBm A -10 610.910000000 MHz 1 PK 1 Temp 2 [T1 OBW] MAXH -20 -32.50 dBm 610.939000000 MHz -30 T2 T1 -40 -50 3DB -60 -70 -80 -90 -100 Center 610.925 MHz 10 kHz/ Span 100 kHz Date: 8.OCT.2015 07:58:55 Page 19 of 33

Test report no.: 1-9797/15-01-03-D Plot 3: high channel * RBW 300 Hz Marker 1 [T1 ] VBW 1 kHz -16.33 dBm Ref 0 dBm Att 20 dB SWT 1.15 s 613.612200000 MHz 0 OBW 29.200000000 kHz Temp 1 [T1 OBW] -33.13 dBm A -10 1 613.610000000 MHz 1 PK Temp 2 [T1 OBW] MAXH -20 -34.13 dBm 613.639200000 MHz -30 T1 T2 -40 -50 3DB -60 -70 -80 -90 -100 Center 613.625 MHz 10 kHz/ Span 100 kHz Date: 8.OCT.2015 08:00:11 Page 20 of 33

Test report no.: 1-9797/15-01-03-D 12.4 Field strength of spurious radiation Measurement: Measurement parameter Detector: Peak Sweep time: Auto f < 1 GHz : 100 kHz Resolution bandwidth: f  1GHz : 1 MHz f < 1 GHz : 100 kHz Video bandwidth: f  1GHz : 1 MHz Span: -/- Trace-Mode: Max. hold Test setup See sub clause 7.2 A Measurement uncertainty See sub clause 8 Limits: FCC IC 47 CFR § 2.1053 RSS - Gen Issue 4 47 CFR § 95.1115 (b) Out-of band emissions below 960 MHz are limited to 200 microvolts/meter, as measured at a distance of 3 meters, using measuring instrumentation with a CISPR quasi-peak detector. Out-of-band emissions above 960 MHz are limited to 500 microvolts/meter as measured at a distance of 3 meters, using measuring equipment with an averaging detector and a 1 MHz measurement bandwidth. SPURIOUS EMISSIONS LEVEL Lowest channel Middle channel Highest channel Frequency Detector Level Frequency Detector Level Frequency Detector Level Peak 46.65 dBµV/m Peak 45.04 dBµV/m Peak 45.60 dBµV/m 1217 MHz 1223 MHz 1227 MHz AVG* 38.34 dBµV/m AVG* 37.09 dBµV/m AVG* 37.29 dBµV/m Peak 54.87 dBµV/m Peak 55.53 dBµV/m Peak 56.01 dBµV/m 2433 MHz 2444 MHz 2454 MHz AVG* 46.56 dBµV/m AVG* 47.22 dBµV/m AVG* 47.70 dBµV/m Peak 48.84 dBµV/m Peak 48.53 dBµV/m Peak 49.70 dBµV/m 3042 MHz 2355 MHz 3068 MHz AVG* 40.53 dBµV/m AVG* 40.22 dBµV/m AVG* 41.39 dBµV/m Peak 56.74 dBµV/m Peak 57.39 dBµV/m Peak 56.37 dBµV/m 5475 MHz 5499 MHz 5522 MHz AVG* 48.43 dBµV/m AVG* 49.08 dBµV/m AVG* 48.06 dBµV/m * AVG values calculated using duty cycle correction factor (see 11.1) Page 21 of 33

Test report no.: 1-9797/15-01-03-D Plots of the measurements Plot 1: 150 kHz – 30 MHz, low channel 130 dBµV/m 120 110 100 90 80 70 60 50 - Class - QPeak 40 30 20 10 0 9kHz 100k 1M 10M 30MHz Frequency (MHz) Page 22 of 33

Test report no.: 1-9797/15-01-03-D Plot 2: 30 MHz – 1 GHz, low channel 80 70 60 50 Level in dBµV/m F CC _ 1 0 m_ B 40 30 20 10 0 30M 50 60 80 100M 200 300 400 500 8 0 0 1 ,0 5 G F re q u e n c y in H z Final_Result Meas. Frequency QuasiPeak Limit Margin Bandwidth Height Azimuth Corr. Time Pol (MHz) (dBµV/m) (dBµV/m) (dB) (kHz) (cm) (deg) (dB) (ms) 30.621045 10.21 30.00 19.79 1000.0 120.000 275.0 H 320 13.4 39.695400 10.61 30.00 19.39 1000.0 120.000 274.0 V -5 14.0 384.010800 25.05 36.00 10.95 1000.0 120.000 100.0 V 1 16.6 560.023800 19.62 36.00 16.38 1000.0 120.000 200.0 V -13 19.6 872.497950 20.78 36.00 15.22 1000.0 120.000 400.0 V 185 23.8 999.275400 21.59 44.00 22.41 1000.0 120.000 349.0 V 282 24.8 Page 23 of 33

Test report no.: 1-9797/15-01-03-D Plot 3: 1 GHz – 12.75 GHz, low channel, antenna horizontal/vertical 80 dBµV/m 70 60 - Class TX - Average 50 40 30 20 10 0 1GHz 10G 12.75GHz Frequency (MHz) Plot 4: 150 kHz – 30 MHz, middle channel 130 dBµV/m 120 110 100 90 80 70 60 50 - Class - QPeak 40 30 20 10 0 9kHz 100k 1M 10M 30MHz Frequency (MHz) Page 24 of 33

Test report no.: 1-9797/15-01-03-D Plot 5: 30 MHz – 1 GHz, middle channel 80 70 60 50 Level in dBµV/m F CC _ 1 0 m_ B 40 30 20 10 0 30M 50 60 80 100M 200 300 400 500 8 0 0 1 ,0 5 G F re q u e n c y in H z Final_Result Meas. Frequency QuasiPeak Limit Margin Bandwidth Height Azimuth Corr. Time Pol (MHz) (dBµV/m) (dBµV/m) (dB) (kHz) (cm) (deg) (dB) (ms) 35.024850 10.60 30.00 19.40 1000.0 120.000 101.0 H 100 13.8 39.539250 10.54 30.00 19.46 1000.0 120.000 101.0 V 100 14.0 101.360850 8.27 33.50 25.23 1000.0 120.000 101.0 V 81 12.0 106.020750 7.72 33.50 25.78 1000.0 120.000 101.0 V -10 11.5 383.994750 32.68 36.00 3.32 1000.0 120.000 98.0 V 190 16.6 954.872250 21.14 36.00 14.86 1000.0 120.000 170.0 H 80 24.3 Page 25 of 33

Test report no.: 1-9797/15-01-03-D Plot 6: 1 GHz – 12.75 GHz, middle channel, antenna horizontal/vertical 80 dBµV/m 70 60 - Class TX - Average 50 40 30 20 10 0 1GHz 10G 12.75GHz Frequency (MHz) Plot 7: 150 kHz – 30 MHz, high channel 130 dBµV/m 120 110 100 90 80 70 60 50 - Class - QPeak 40 30 20 10 0 9kHz 100k 1M 10M 30MHz Frequency (MHz) Page 26 of 33

Test report no.: 1-9797/15-01-03-D Plot 8: 30 MHz – 1 GHz, high channel 80 70 60 50 Level in dBµV/m F CC _ 1 0 m_ B 40 30 20 10 0 30M 50 60 80 100M 200 300 400 500 8 0 0 1 ,0 5 G F re q u e n c y in H z Final_Result Meas. Frequency QuasiPeak Limit Margin Bandwidth Height Azimuth Corr. Time Pol (MHz) (dBµV/m) (dBµV/m) (dB) (kHz) (cm) (deg) (dB) (ms) 40.245300 10.88 30.00 19.12 1000.0 120.000 101.0 V 170 14.0 44.114850 10.31 30.00 19.69 1000.0 120.000 101.0 V 260 13.9 46.316850 9.91 30.00 20.09 1000.0 120.000 101.0 H 190 13.5 383.982900 24.47 36.00 11.53 1000.0 120.000 98.0 V 80 16.6 830.071350 20.03 36.00 15.97 1000.0 120.000 170.0 V 171 23.2 891.933450 20.96 36.00 15.04 1000.0 120.000 170.0 V 10 24.0 Page 27 of 33

Test report no.: 1-9797/15-01-03-D Plot 9: 1 GHz – 12.75 GHz, high channel, antenna horizontal/vertical 80 dBµV/m 70 60 - Class TX - Average 50 40 30 20 10 0 1GHz 10G 12.75GHz Frequency (MHz) Page 28 of 33

Test report no.: 1-9797/15-01-03-D 12.5 Receiver spurious emissions (radiated) Measurement: Measurement parameter Detector: Peak - Quasi Peak / Average Sweep time: Auto F < 150 kHz: 200 Hz Video bandwidth: F > 150 kHz: 9 kHz F < 150 kHz: 1 kHz Resolution bandwidth: F > 150 kHz: 100 kHz Span: 9 kHz to 30 MHz Trace-Mode: Max Hold Test setup See sub clause 7.2 A Measurement uncertainty See sub clause 8 Limits: FCC IC SUBCLAUSE § 15.109 RSS-GEN Issue 4 Receiver Spurious Emission (radiated) Frequency (MHz) Field strength (µV/m) Measurement distance (m) 30 - 88 100 (40 dBµV/m) 3 88 - 216 150 (43.5 dBµV/m) 3 216 - 960 200 (46 dBµV/m) 3 above 960 500 (54 dBµV/m) 3 Page 29 of 33

Test report no.: 1-9797/15-01-03-D Plots of the measurements Plot 2: 30 MHz – 1 GHz 80 70 60 50 Level in dBµV/m F CC _ 1 0 m_ B 40 30 20 10 0 30M 50 60 80 100M 200 300 400 500 8 0 0 1 ,0 5 G F re q u e n c y in H z Final_Result Meas. Frequency QuasiPeak Limit Margin Bandwidth Height Azimuth Corr. Time Pol (MHz) (dBµV/m) (dBµV/m) (dB) (kHz) (cm) (deg) (dB) (ms) 32.573850 9.93 30.00 20.07 1000.0 120.000 101.0 V 170 13.6 44.057550 10.21 30.00 19.79 1000.0 120.000 101.0 V 260 13.9 98.664900 7.29 33.50 26.21 1000.0 120.000 101.0 V 170 12.0 383.995950 33.39 36.00 2.61 1000.0 120.000 98.0 V 10 16.6 573.444900 16.73 36.00 19.27 1000.0 120.000 98.0 V 10 20.0 953.834250 21.18 36.00 14.82 1000.0 120.000 170.0 V 80 24.3 Page 30 of 33

Test report no.: 1-9797/15-01-03-D Plot 3: 1 GHz – 12.75 GHz, antenna horizontal/vertical 100 dBµV/m 90 80 70 - Class - Average 60 50 40 30 20 10 0 1GHz 10G 12.75GHz Frequency (MHz) Page 31 of 33

Test report no.: 1-9797/15-01-03-D 13 Observations No observations except those reported with the single test cases have been made. Annex A Document history Version Applied changes Date of release Initial release 2015-10-09 A Editorial changes 2015-11-04 B PMN changed 2016-02-18 C e.r.p. power values added 2016-05-02 D limit in 12.1 corrected 2016-05-09 Annex B Further information Glossary AVG - Average DUT - Device under test EMC - Electromagnetic Compatibility EN - European Standard EUT - Equipment under test ETSI - European Telecommunications Standard Institute FCC - Federal Communication Commission FCC ID - Company Identifier at FCC HW - Hardware IC - Industry Canada Inv. No. - Inventory number N/A - Not applicable PP - Positive peak QP - Quasi peak S/N - Serial number SW - Software PMN Product marketing name HMN Host marketing name HVIN Hardware version identification number FVIN Firmware version identification number Page 32 of 33

Test report no.: 1-9797/15-01-03-D Annex C Accreditation Certificate Front side of certificate Back side of certificate Note: The current certificate including annex is may be received from CETECOM ICT Services on request. Page 33 of 33


Document Created: 2016-05-09 15:05:47
Document Modified: 2016-05-09 15:05:47
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