Test Report

FCC ID: Q6ZHN290T

Test Report

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FCCID_2796332

Produkte Products Prüfbericht-Nr.: 15087415 001 Auftrags-Nr.: 154101324 Seite 1 von 28 Test Report No.: Order No.: Page 1 of 28 Kunden-Referenz-Nr.: N/A Auftragsdatum: 21.05.2015 Client Reference No.: Order date: Auftraggeber: OMRON HEALTHCARE Co., Ltd. Client: 53, Kunotsubo, Terado-cho, Muko, Kyoto, 617-0002 Japan Prüfgegenstand: Digital Weight Scale Test item: Bezeichnung / Typ-Nr.: HN-290T Identification / Type No.: FCC ID: Q6ZHN290T IC: 10623A-HN290T Auftrags-Inhalt: Complete test Order content: Prüfgrundlage: FCC CFR47 Part 15, Subpart C Section 15.247 Test specification: ANSI C63.10: 2013 KDB 558074 D01 DTS Meas Guidance v03r03 RSS-Gen Issue 4, November 2014 RSS-247 Issue 1, May 2015 Wareneingangsdatum: 12.08.2015 Date of receipt: Prüfmuster-Nr.: A000205387-004 Test sample No.: Prüfzeitraum: 21.08.2015 - 23.08.2015 Testing period: Ort der Prüfung: MRT Technology (Suzhou) Place of testing: Co., Ltd Prüflaboratorium: TÜV Rheinland (Shanghai) Testing laboratory: Co., Ltd. Prüfergebnis*: Pass Test result*: geprüft von / tested by: kontrolliert von / reviewed by: 10.09.2015 Adrian Shi / PE 10.09.2015 Shi Li / Reviewer Datum Name / Stellung Unterschrift Datum Name / Stellung Unterschrift Date Name / Position Signature Date Name / Position Signature Sonstiges / Other: Zustand des Prüfgegenstandes bei Anlieferung: Prüfmuster vollständig und unbeschädigt Condition of the test item at delivery: Test item complete and undamaged * Legende: 1 = sehr gut 2 = gut 3 = befriedigend 4 = ausreichend 5 = mangelhaft P(ass) = entspricht o.g. Prüfgrundlage(n) F(ail) = entspricht nicht o.g. Prüfgrundlage(n) N/A = nicht anwendbar N/T = nicht getestet Legend: 1 = very good 2 = good 3 = satisfactory 4 = sufficient 5 = poor P(ass) = passed a.m. test specification(s) F(ail) = failed a.m. test specification(s) N/A = not applicable N/T = not tested Dieser Prüfbericht bezieht sich nur auf das o.g. Prüfmuster und darf ohne Genehmigung der Prüfstelle nicht auszugsweise vervielfältigt werden. Dieser Bericht berechtigt nicht zur Verwendung eines Prüfzeichens. This test report only relates to the a. m. test sample. Without permission of the test center this test report is not permitted to be duplicated in extracts. This test report does not entitle to carry any test mark. TÜV Rheinland (Shanghai) Co., Ltd  West Guangzhong Road, Zhabei District, Shanghai  Tel.: +86 21 6108 1188  Fax: +86 21 6108 1199 Mail: service-gc@tuv.com  Web: www.tuv.com

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 2 von 28 Test Report No. Page 2 of 28 TEST SUMMARY 5.1.1 ANTENNA REQUIREMENT RESULT: Pass 5.1.2 PEAK OUTPUT POWER RESULT: Pass 5.1.3 6DB BANDWIDTH AND 99% BANDWIDTH RESULT: Pass 5.1.4 CONDUCTED SPURIOUS EMISSIONS RESULT: Pass 5.1.5 POWER SPECTRAL DENSITY RESULT: Pass 5.1.6 SPURIOUS EMISSION RESULT: Pass

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 3 von 28 Test Report No. Page 3 of 28 Contents 1. GENERAL REMARKS ......................................................................................................... 4 1.1 COMPLEMENTARY MATERIALS .......................................................................................... 4 2. TEST SITES ...................................................................................................................... 4 2.1 TEST FACILITIES ............................................................................................................... 4 2.2 LIST OF TEST AND MEASUREMENT INSTRUMENTS ............................................................... 5 2.3 TRACEABILITY .................................................................................................................. 5 2.4 CALIBRATION ................................................................................................................... 5 2.5 MEASUREMENT UNCERTAINTY........................................................................................... 6 3. GENERAL PRODUCT INFORMATION .................................................................................... 7 3.1 PRODUCT FUNCTION AND INTENDED USE ........................................................................... 7 3.2 RATINGS AND SYSTEM DETAILS ........................................................................................ 7 3.3 INDEPENDENT OPERATION MODES .................................................................................... 8 3.4 NOISE GENERATING AND NOISE SUPPRESSING PARTS ....................................................... 8 3.5 SUBMITTED DOCUMENTS .................................................................................................. 8 4. TEST SET-UP AND OPERATION MODES .............................................................................. 9 4.1 PRINCIPLE OF CONFIGURATION SELECTION ........................................................................ 9 4.2 TEST OPERATION AND TEST SOFTWARE ............................................................................ 9 4.3 SPECIAL ACCESSORIES AND AUXILIARY EQUIPMENT .......................................................... 9 4.4 COUNTERMEASURES TO ACHIEVE EMC COMPLIANCE ......................................................... 9 5. TEST RESULTS ............................................................................................................... 10 5.1 TRANSMITTER REQUIREMENT & TEST SUITES .................................................................. 10 5.1.1 Antenna Requirement ................................................................................................................ 10 5.1.2 Peak Output Power .................................................................................................................... 11 5.1.3 6dB Bandwidth and 99% Bandwidth .......................................................................................... 12 5.1.4 Conducted Spurious Emissions ................................................................................................. 15 5.1.5 Power spectral density ............................................................................................................... 19 5.1.6 Spurious Emission ..................................................................................................................... 22 6. LIST OF TABLES ............................................................................................................. 28

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 4 von 28 Test Report No. Page 4 of 28 1. General Remarks 1.1 Complementary Materials None. 2. Test Sites 2.1 Test Facilities MRT Technology (Suzhou) Co., Ltd. D8 Building, Youxin Industrial Park, No.2 Tian'edang Rd., Wuzhong Economic Development Zone, Suzhou, China The used test equipment is in accordance with CISPR 16 for measurement of radio interference. The Federal Communications Commission has reviewed the technical characteristics of the radiated and conducted emission facility, and has found these test facilities to be in compliance with the requirements of section 2.948 of the FCC rules. The description of the test facility is listed under FCC registration number 809388. The Industry Canada has reviewed the technical characteristics of the radiated and conducted emission facility, and has found these test facilities to be in compliance. The description of the test facility is listed under chambers filing number 11384A.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 5 von 28 Test Report No. Page 5 of 28 2.2 List of Test and Measurement Instruments Table 1: List of Test and Measurement Equipment Conducted Emissions Cali. Cali. Due Instrument Manufacturer Type No. Serial No. Interval Date EMI Test Receiver R&S ESR7 101209 1 year 2015/11/07 Two-Line V-Network R&S ENV216 101683 1 year 2015/11/07 Two-Line V-Network R&S ENV216 101684 1 year 2015/11/07 Temperature/ Meter Anymetre TH101B SR2-01 1 year 2015/11/14 Humidity Radiated Emission Spectrum Analyzer Agilent N9010A MY5144016A 1 year 2015/10/09 Preamplifier MRT AP01G18 1310002 1 year 2015/10/06 Loop Antenna Schwarzbeck FMZB1519 1519-041 1 year 2015/11/08 TRILOG Antenna Schwarzbeck VULB9162 9162-047 1 year 2015/11/08 Broad-Band Horn Schwarzbeck BBHA9120D 9120D-1167 1 year 2015/11/08 Antenna Broadband Horn Antenna Schwarzbeck BBHA9170 9170-549 1 year 2016/01/05 Temperature/Humidity Anymetre TH101B AC1-01 1 year 2015/11/15 Meter Conducted Test Equipment Spectrum Analyzer Agilent N9020A MRTSUE06106 1 year 2016/04/23 USB Wideband Power Boonton 55006 MRTSUE06109 1 year 2015/10/15 Sensor Temperature/Humidity Anymetre TH101B TR3-01 1 year 2015/11/14 Meter 2.3 Traceability All measurement equipment calibrations are traceable to NIST or where calibration is performed outside the United States, to equivalent nationally recognized standards organizations. 2.4 Calibration Equipment requiring calibration is calibrated periodically by the manufacturer or according to manufacturer’s specifications. Additionally all equipment is verified for proper performance on a regular basics using in house standards or comparisons.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 6 von 28 Test Report No. Page 6 of 28 2.5 Measurement Uncertainty Table 2: Measurement Uncertainty Measurement Type Frequency Uncertainty Antenna Port Conducted Emission < 1GHz ±0.39dB > 1GHz ±0.68dB Radiated Emission 30MHz - 1GHz ±5.34dB > 1GHz ±5.40dB

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 7 von 28 Test Report No. Page 7 of 28 3. General Product Information 3.1 Product Function and Intended Use The EUT (Equipment Under Test) is Digital Weight Scale which supports Bluetooth 4.0 low energy only. This product is mainly designed for general household use. For details refer to the User Manual and Circuit Diagram. 3.2 Ratings and System Details Kind of Equipment Digital Weight Scale Type Designation HN-290T Wireless Standard Bluetooth 4.0 Low Energy Operating Frequency band 2402 – 2480MHz Channel Separation 2MHz Modulation GFSK Antenna Type Chip antenna Antenna Gain 1 dBi Extreme Temperature Range +10~+40℃ Operation Voltage DC 6V (4 AA Batteries) Table 3: RF channel and frequency of Buletooth LE mode RF Frequency RF Frequency RF Frequency RF Frequency Channel (MHz) Channel (MHz) Channel (MHz) Channel (MHz) 0 2402.00 11 2424.00 22 2446.00 33 2468.00 1 2404.00 12 2426.00 23 2448.00 34 2470.00 2 2406.00 13 2428.00 24 2450.00 35 2472.00 3 2408.00 14 2430.00 25 2452.00 36 2474.00 4 2410.00 15 2432.00 26 2454.00 37 2476.00 5 2412.00 16 2434.00 27 2456.00 38 2478.00 6 2414.00 17 2436.00 28 2458.00 39 2480.00 7 2416.00 18 2438.00 29 2460.00 8 2418.00 19 2440.00 30 2462.00 9 2420.00 20 2442.00 31 2464.00 10 2422.00 21 2444.00 32 2466.00

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 8 von 28 Test Report No. Page 8 of 28 3.3 Independent Operation Modes The basic operation modes are: A. On a. Transmitting i. Low Channel ii. Middle Channel iii. High Channel b. Receiving B. Standby C. Off 3.4 Noise Generating and Noise Suppressing Parts Refer to the Circuit Diagram. 3.5 Submitted Documents - Bill of Material - Circuit Diagram - PCB Layout - Instruction Manual - Photo Document - Rating Label

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 9 von 28 Test Report No. Page 9 of 28 4. Test Set-up and Operation Modes 4.1 Principle of Configuration Selection The equipment under test (EUT) was configured to measure its maximum power level. The test modes were adapted accordingly in reference to the instructions for use. 4.2 Test Operation and Test Software Test operation refers to test setup in chapter 5. All testing were performed according to the procedures in ANSI C63.10: 2013. Software used for testing: ISRT_V2.1.26.4400_Beta This software was running on the laptop computer connected to the EUT. It was used to enable the test operation modes listed in section 3.3 as appropriate for conducted test. 4.3 Special Accessories and Auxiliary Equipment The EUT was tested together with the following accessories: Description Manufacturer Part No. S/N Laptop DELL PP11L QDS-BRCM1017 4.4 Countermeasures to achieve EMC Compliance The test sample which has been tested contained the noise suppression parts as described in the Constructional Data Form or the Technical Construction File. No additional measures were employed to achieve compliance.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 10 von 28 Test Report No. Page 10 of 28 5. Test Results 5.1 Transmitter Requirement & Test Suites 5.1.1 Antenna Requirement RESULT: Pass Test standard : FCC Part 15.247(b)(4) and Part 15.203 RSS-Gen Clause 6.7 Limit The use of antennas with directional gains that do not exceed 6dBi According to the manufacturer declared, the EUT has one chip antenna, the directional gain of antenna is 1 dBi and the PCB antenna is designed with permanent attachment and no consideration of replacement. Therefore the EUT is considered sufficient to comply with the provision.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 11 von 28 Test Report No. Page 11 of 28 5.1.2 Peak Output Power RESULT: Pass Test date : 2015-08-21 Test standard : FCC Part 15.247(b)(3) RSS-247 Clause 5.4(4) Basic standard : ANSI C63.10: 2013 Clause 9.1 of KDB 558074 v03r03 Limit : 1W Kind of test site : Shielded room Test setup Test Channel : Low/ Middle/ High Operation Mode : A.1.a Ambient temperature : 25℃ Relative humidity : 52% Atmospheric pressure : 101kPa Table 4: Test result of Peak Output Power of Bluetooth LE mode Channel Frequency Peak Output Power Limit Channel (MHz) (dBm) (dBm) Low Channel 2402 -3.52 30 Middle Channel 2440 -3.98 30 High Channel 2480 -4.68 30

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 12 von 28 Test Report No. Page 12 of 28 5.1.3 6dB Bandwidth and 99% Bandwidth RESULT: Pass Date of testing : 2015-08-21 Test standard : FCC Part 15.247(a)(2) RSS-247 Clause 5.2(1) RSS-Gen Clause 6.6 Basic standard : ANSI C63.10: 2013 Clause 8 of KDB 558074 v03r03 Clause 6.6 of RSS-Gen Limit : ≥500KHz for 6dB Bandwidth Kind of test site : Shielded room Test setup Test Channel : Low/ Middle/ High Operation Mode : A.1.a Ambient temperature : 25℃ Relative humidity : 52% Atmospheric pressure : 101kPa Table 5: Test result of 6dB & 99% Bandwidth of Bluetooth LE mode Channel 6dB Bandwidth 99% Bandwidth Channel Frequency (MHz) (MHz) (MHz) Low Channel 2402 0.6959 1.1378 Mid Channel 2440 0.6890 1.1322 High Channel 2480 0.6910 1.1392 For details refer to following test plot.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 13 von 28 Test Report No. Page 13 of 28 Test Plot of 6dB & 99% Bandwidth measured of Bluetooth LE mode Low Channel Middle Channel

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 14 von 28 Test Report No. Page 14 of 28 High Channel

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 15 von 28 Test Report No. Page 15 of 28 5.1.4 Conducted Spurious Emissions RESULT: Pass Date of testing : 2015-08-21 Test standard : FCC part 15.247(d) RSS-247 Clause 5.5 Basic standard : ANSI C63.10: 2013 Limit : 20dB (below that in the 100kHz bandwidth within the band that contains the highest level of the desired power) Kind of test site : Shield room Test setup Test Channel : Low/ Middle/ High Operation mode : A.1.a Ambient temperature : 25℃ Relative humidity : 52% Atmospheric pressure : 101kPa For details refer to following test plot.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 16 von 28 Test Report No. Page 16 of 28 Test Plot of Conducted spurious emissions measured of Bluetooth LE mode Low Channel Middle Channel

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 17 von 28 Test Report No. Page 17 of 28 High Channel

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 18 von 28 Test Report No. Page 18 of 28 Band Edge

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 19 von 28 Test Report No. Page 19 of 28 5.1.5 Power spectral density RESULT: Pass Date of testing : 2015-08-21 Test standard : FCC part 15.247(e) RSS-247 Clause 5.2(2) Basic standard : ANSI C63.10: 2013 Clause 10 of KDB 558074 v03r03 Limit : 8dBm/3kHz Kind of test site : Shield room Test setup Test Channel : Low/ Middle/ High Operation mode : A.1.a Ambient temperature : 25℃ Relative humidity : 52% Atmospheric pressure : 101kPa Table 6: Test result of Power Spectral Density: Result Limit Mode Channel (MHz) (dBm/3kHz) (dBm/3kHz) 2402 -15.159 8 Bluetooth LE 2440 -15.353 8 2480 -15.922 8 For details refer to following test plot.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 20 von 28 Test Report No. Page 20 of 28 Test Plot of Power spectral density measured of Bluetooth LE mode Low Channel Middle Channel

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 21 von 28 Test Report No. Page 21 of 28 High Channel

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 22 von 28 Test Report No. Page 22 of 28 5.1.6 Spurious Emission RESULT: Pass Date of testing : 2015-08-23 Test standard : FCC part 15.247(d) RSS-Gen Clause 8.9 & 8.10 Basic standard : ANSI C63.10: 2013 Clause 11 & 12 of KDB 558074 v03r03 Limits : FCC part 15.209(a) RSS-Gen Clause 8.9 Kind of test site : 3m Semi-Anechoic Chamber Test setup Test Channel : Low/ Middle/ High Operation mode : A.1 Ambient temperature : 25℃ Relative humidity : 52% Atmospheric pressure : 101kPa

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 23 von 28 Test Report No. Page 23 of 28 Table 7: Test result of Spurious Emission of Bluetooth LE mode Measure Limit Correct Freq. Reading Margin Channel Level (dBμ Factor Detector Pol. (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 124.575 24.595 14.026 -18.905 43.5 10.569 PEAK 173.560 25.558 15.163 -17.942 43.5 10.395 PEAK 4808.000 41.230 38.536 -32.770 74 2.694 PEAK H 6049.000 41.572 37.457 -32.428 74 4.115 PEAK 10035.500 48.406 36.878 -25.594 74 11.528 PEAK 11548.500 50.016 37.298 -23.984 74 12.718 PEAK Low 127.000 30.518 20.221 -12.982 43.5 10.297 PEAK 164.345 27.172 17.198 -16.328 43.5 9.974 PEAK 4808.000 44.434 41.740 -29.566 74 2.694 PEAK V 5845.000 41.949 37.895 -32.051 74 4.054 PEAK 9585.000 46.949 36.026 -27.051 74 10.923 PEAK 11650.500 48.552 36.241 -25.448 74 12.311 PEAK 123.120 24.812 14.028 -18.688 43.5 10.784 PEAK 179.865 25.645 14.768 -17.855 43.5 10.878 PEAK 3771.000 39.197 39.514 -34.803 74 -0.317 PEAK H 6032.000 41.755 37.635 -32.245 74 4.120 PEAK 6737.500 43.523 37.823 -30.477 74 5.701 PEAK 11565.500 49.004 36.337 -24.996 74 12.668 PEAK Middle 124.575 28.120 17.551 -15.380 43.5 10.569 PEAK 163.375 27.397 17.461 -16.103 43.5 9.936 PEAK 4876.000 41.744 39.069 -32.256 74 2.675 PEAK V 5505.000 41.557 38.036 -32.443 74 3.521 PEAK 10239.500 48.414 36.523 -25.586 74 11.892 PEAK 11531.500 48.555 35.814 -25.445 74 12.740 PEAK 124.575 24.744 14.175 -18.756 43.5 10.569 PEAK 179.865 25.224 14.347 -18.276 43.5 10.878 PEAK 5012.000 40.184 37.135 -33.816 74 3.049 PEAK H 6601.500 43.181 37.177 -30.819 74 6.003 PEAK 7893.500 45.437 37.091 -28.563 74 8.345 PEAK 11489.000 49.014 36.260 -24.986 74 12.754 PEAK High 126.515 30.612 20.274 -12.888 43.5 10.338 PEAK 164.345 27.539 17.565 -15.961 43.5 9.974 PEAK 4961.000 41.466 38.554 -32.534 74 2.912 PEAK V 6465.500 42.507 36.716 -31.493 74 5.791 PEAK 7205.000 44.742 36.937 -29.258 74 7.805 PEAK 11557.000 48.592 35.893 -25.408 74 12.699 PEAK Notes: 1. Transmit mode comply with the field strength within the restricted bands. There is no spurious found below 30MHz. 2. Due to the peak measure values also meet the average limit (54dBm), the average measurement is not tested based on technical judgment.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 24 von 28 Test Report No. Page 24 of 28 Test Plot of Frequency Band Edge of Bluetooth LE mode Low Channel Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2380.735 59.991 28.771 -14.009 74.000 31.220 PK 2390.000 58.266 27.063 -15.734 74.000 31.203 PK H 2402.261 90.354 59.170 N/A N/A 31.184 PK Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2390.000 45.241 14.038 -8.759 54.000 31.203 AV H 2401.979 74.856 43.672 N/A N/A 31.184 AV

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 25 von 28 Test Report No. Page 25 of 28 Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2390.000 58.622 27.419 -15.378 74.000 31.203 PK V 2402.073 83.104 51.920 N/A N/A 31.184 PK Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2390.000 45.187 13.984 -8.813 54.000 31.203 AV V 2401.885 69.559 38.375 N/A N/A 31.184 AV

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 26 von 28 Test Report No. Page 26 of 28 High Channel Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2480.013 87.860 56.676 N/A N/A 31.184 PK H 2483.500 60.045 28.852 -13.955 74.000 31.194 PK Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2480.046 73.436 42.252 N/A N/A 31.184 AV H 2483.500 45.926 14.733 -8.074 54.000 31.194 AV

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 27 von 28 Test Report No. Page 27 of 28 Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2480.002 83.368 52.184 N/A N/A 31.184 PK V 2483.500 58.120 26.927 -15.880 74.000 31.194 PK Measure Limit Correct Freq. Reading Margin Level (dBμ Factor Detector Polar (MHz) (dBμV) (dB) (dBμV/m) V/m) (dB) 2480.002 70.159 38.975 N/A N/A 31.184 AV V 2483.500 45.671 14.478 -8.329 54.000 31.194 AV

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 28 von 28 Test Report No. Page 28 of 28 6. List of Tables Table 1: List of Test and Measurement Equipment ...................................................................................... 5 Table 2: Measurement Uncertainty ............................................................................................................... 6 Table 3: RF channel and frequency of Buletooth LE mode .......................................................................... 7 Table 4: Test result of Peak Output Power of Bluetooth LE mode ............................................................. 11 Table 5: Test result of 6dB & 99% Bandwidth of Bluetooth LE mode ......................................................... 12 Table 6: Test result of Power Spectral Density: .......................................................................................... 19 Table 7: Test result of Spurious Emission of Bluetooth LE mode ............................................................... 23

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 1 von 1 Test Report No. Page 1 of 1 Appendix I- RF Exposure statement Exposure Requirements – FCC KDB # 447498 D01 and RSS-102 Issue 5 FCC KDB # 447498 DO1 V05r02 - Mobile and Portable Device RF Exposure and Procedures and Equipment, Appendix A shows that the SAR Text Exclusion Threshold for a device with a separation distance of 5 mm at 2450MHz is 10 mW. RSS-102 section 2.5.1 Exemption Limits for Routine Evaluation, Table 1 shows the SAR evaluation for a device with a separation distance of 5 mm at 2450MHz is 4 mW. Calculated EIRP The maximum measured transmitter power is the following: Conducted Conducted Maximum Pout EIRP Output Power Output Power Antenna [mW] Pout [dBm] Pout [mW] Gain [dBi] -3.52 0.44 1 0.56 Note: Per the equation in section 1.3.1 of FCC Document # 412172 D01 Determining ERP and EIRP v01; EIRP = pt x gt where: pt = transmitter output power in watts gt = Numeric gain of transmitting antenna (unitless) Evaluation for FCC The maximum EIRP peak power output of the EUT is: 0.56 mW. The EUT is well below the 10mW power level. Evaluation for IC The maximum EIRP peak power output of the EUT is: 0.56 mW. The EUT is well below the 4mW power level. Conclusion SAR data is not required for either FCC or IC.

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 1 von 2 Test Report No. Page 1 of 2 Appendix II- Photographs of the Test Set-Up Photograph 1: Set-up for Conducted RF test at Antenna Port

Produkte Products Prüfbericht - Nr.: 15087415 001 Seite 2 von 2 Test Report No. Page 2 of 2 Photograph 2: Set-up for Spurious Emissions below 1GHz Photograph 3: Set-up for Spurious Emissions above 1GHz


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Document Modified: 2015-09-11 14:33:59
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