Test Report

FCC ID: RI7XE61

Test Report

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FCCID_2058743

Alcon Laboratories, Inc. Centurion ® Footswitch FCC 15.247:2013 Report #: ALCO0180 Report Prepared By Northwest EMC Inc. NORTHWEST EMC – (888) 364-2378 – www.nwemc.com California – Minnesota – Oregon – New York – Washington

CERTIFICATE OF TEST WTD 12.5.23 Last Date of Test: August 14, 2013 Alcon Laboratories, Inc. Model: Centurion ® Footswitch Emissions Test Description Specification Test Method Pass/Fail Spurious Radiated Emissions FCC 15.247:2013 ANSI C63.10:2009 Pass Deviations From Test Standards None Approved By: Victor Ratinoff, Operations Manager NVLAP Lab Code: 200676-0 Test Facility The measurement facility used to collect the data is located at: Northwest EMC, Inc. 41 Tesla Ave., Irvine, CA 92618 Phone: (503) 844-4066 Fax: 844-3826 This site has been fully described in a report filed with and accepted by the FCC (Federal Communications Commission) and Industry Canada (Site filing #2834B-1). This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government of the United States of America. Product compliance is the responsibility of the client, therefore the tests and equipment modes of operation represented in this report were agreed upon by the client, prior to testing. This Report may only be duplicated in its entirety. The results of this test pertain only to the sample(s) tested. The specific description is noted in each of the individual sections of the test report supporting this certificate of test. Report No. ALCO0180 2/17

REVISION HISTORY REV 2012.08.02 Revision Description Date Page Number Number 00 None Barometric Pressure The recorded barometric pressure has been normalized to sea level. Report No. ALCO0180 3/17

Revision Accreditations and 02/21/2012 Authorizations United States FCC - Designated by the FCC as a Telecommunications Certification Body (TCB). Certification chambers, Open Area Test Sites, and conducted measurement facilities are listed with the FCC. A2LA - Accredited by A2LA to ISO / IEC Guide 65 as a product certifier. This allows Northwest EMC to certify transmitters to FCC and IC specifications. NVLAP - Each laboratory is accredited by NVLAP to ISO 17025. The scope includes radio, ITE, and medical standards from around the world. See: http://www.nwemc.com/accreditations/ Canada IC - Recognized by Industry Canada as a Certification Body (CB). Certification chambers and Open Area Test Sites are filed with IC. European Union European Commission – Validated by the European Commission as a Conformity Assessment Body (CAB) under the EMC directive and as a Notified Body under the R&TTE Directive. Australia/New Zealand ACMA - Recognized by ACMA as a CAB for the acceptance of test data. Korea KCC / RRA - Recognized by KCC’s RRA as a CAB for the acceptance of test data. Japan VCCI - Associate Member of the VCCI. Conducted and radiated measurement facilities are registered. Taiwan BSMI – Recognized by BSMI as a CAB for the acceptance of test data. NCC - Recognized by NCC as a CAB for the acceptance of test data. Singapore IDA – Recognized by IDA as a CAB for the acceptance of test data. Hong Kong OFTA – Recognized by OFTA as a CAB for the acceptance of test data. Vietnam MIC – Recognized by MIC as a CAB for the acceptance of test data. Russia GOST – Accredited by Certinform VNIINMASH, CERTINFO, SAMTES, and Federal CHEC to perform EMC and Hygienic testing for Information Technology products to GOST standards. Report No. ALCO0180 4/17

LOCATIONS REV 2013.02.26 Oregon California New York Minnesota Washington Labs EV01-12 Labs OC01-13 Labs NY01-04 Labs MN01-08 Labs NC01-05,SU02,SU07 22975 NW Evergreen Pkwy 41 Tesla 4939 Jordan Rd. 9349 W Broadway Ave. 19201 120th Ave. NE Hillsboro, OR 97124 Irvine, CA 92618 Elbridge, NY 13060 Brooklyn Park, MN 55445 Bothell, WA 98011 (503) 844-4066 (949) 861-8918 (315) 685-0796 (763) 425-2281 (425) 984-6600 VCCI A-0108 A-0029 A-0109 A-0110 Industry Canada 2834D-1, 2834D-2 2834B-1, 2834B-2, 2834B-3 2834E-1 2834C-1 NVLAP NVLAP Lab Code: 200630-0 NVLAP Lab Code: 200676-0 NVLAP Lab Code: 200761-0 NVLAP Lab Code: 200881-0 NVLAP Lab Code: 200629-0 Report No. ALCO0180 5/17

MEASUREMENT UNCERTAINTY REV 2013.03.8 Measurement Uncertainty When a measurement is made, the result will be different from the true or theoretically correct value. The difference is the result of tolerances in the measurement system that cannot be completely eliminated. To the extent that technology allows us, it has been our aim to minimize this error. Measurement uncertainty is a statistical expression of measurement error qualified by a probability distribution. A measurement uncertainty estimation has been performed for each test per our internal quality document WP 342. The estimation is used to compare the measured result with its "true" or theoretically correct value. The expanded measurement uncertainty (K=2) for each test is listed below. Our measurement data meets or exceeds the measurement uncertainty requirements of the applicable specification; therefore, the test data can be compared directly to the specification limit to determine compliance. The calculations for estimating measurement uncertainty are based upon ETSI TR 100 028 (or CISPR 16-4-1 as applicable), and are available upon request. The following table represents the Measurement Uncertainty (MU) budgets for each of the tests that may be contained in this report. Test + MU - MU Frequency Accuracy (Hz) 0.12 -0.01 Amplitude Accuracy (dB) 0.49 -0.49 Conducted Power (dB) 0.41 -0.41 Radiated Power via Substitution (dB) 0.69 -0.68 Temperature (degrees C) 0.81 -0.81 Humidity (% RH) 2.89 -2.89 Field Strength (dB) 3.80 -3.80 AC Powerline Conducted Emissions (dB) 2.94 -2.94 Report No. ALCO0180 6/17

PRODUCT DESCRIPTION WTD 12.5.23 Client and Equipment Under Test (EUT) Information Company Name: Alcon Laboratories, Inc. Address: 20511 Lake Forest Drive City, State, Zip: Lake Forest, CA 92630 Test Requested By: Thai Lam Model: Centurion ® Footswitch First Date of Test: August 14, 2013 Last Date of Test: August 14, 2013 Receipt Date of Samples: August 14, 2013 Equipment Design Stage: Production Equipment Condition: No Damage Information Provided by the Party Requesting the Test Functional Description of the EUT (Equipment Under Test): The Centurion® Vision System utilizes the Centurion® Vision System footswitch. It has a foot pedal and on/off toe switches (horizontal and vertical). The Centurion® footswitch can be used wirelessly or can be wired to the console. The footswitch contains radio transmitter module and operates in the frequency band of 2.4 GHz. Testing Objective: The applicant desires to add a new ceramic patch antenna, WPC25A with MMCX connector (maximum gain is 5dBi) to the modular approval of the RF module FCC ID: RI7XE61. Additional radiated spurious emissions testing, documented in this report, was performed to demonstrate compliance under FCC 15.247 for the new (additional) antenna. Report No. ALCO0180 7/17

CONFIGURATIONS WTD 12.5.23 Configuration ALCO0180- 1 EUT Description Manufacturer Model/Part Number Serial Number Centurion® Footswitch Alcon Laboratories, Inc. 215-1016-502 1301364805X Report No. ALCO0180 8/17

MODIFICATIONS WTD 12.5.23 Equipment Modifications Item Date Test Modification Note Disposition of EUT Spurious Tested as No EMI suppression Scheduled testing 1 8/14/2013 Radiated delivered to devices were added or was completed. Emissions Test Station. modified during this test. Report No. ALCO0180 9/17

PSA-ESCI 2012.12.14 Spurious Radiated Emissions description Testing was performed using the mode(s) of operation and configuration(s) noted within the report. The individuals and/or the organization requesting the test provided the modes, configurations and settings used to complete the evaluation. The actual test parameters are specified in the test data, this includes items such as investigated frequency range (scanned) and test levels. The testing methods and performance specifications, as well as the test site used for the evaluation are indicated in the test data. The test data represents the configuration / operating mode/ model that produced the highest emission levels as compared to the specification limit. MODES OF OPERATION Low Channel 11 (2405 MHz), Max Power (Level 1) Mid Channel 18 (2440 MHz), Max Power (Level 1) High Channel 26 (2480 MHz), Max Power (Level 1) POWER SETTINGS INVESTIGATED Battery CONFIGURATIONS INVESTIGATED ALCO0180 - 1 FREQUENCY RANGE INVESTIGATED Start Frequency 1 GHz Stop Frequency 26 GHz SAMPLE CALCULATIONS Radiated Emissions: Field Strength = Measured Level + Antenna Factor + Cable Factor - Amplifier Gain + Distance Adjustment Factor + External Attenuation TEST EQUIPMENT Description Manufacturer Model ID Last Cal. Interval Attenuator, 20db, 'SMA' Weinschel Corp 4H-20 AWB 6/7/2013 12 mo HP Filter Micro-Tronics HPM50111 HGC 11/27/2012 36 mo Pre-Amplifier Miteq AMF-6F-18002650-25-10P AOI 4/29/2013 12 mo Antenna, Horn EMCO 3160-09 AHN NCR 0 mo OC floating Cable N/A 18-26GHz RE Cables OCK 4/29/2013 12 mo OC07 Cables ESM Cable Corp. 8-18GHz cables OCY 3/7/2013 12 mo Pre-Amplifier Miteq AMF-6F-12001800-30-10P AVP 1/18/2013 12 mo Antenna, Horn EMCO 3160-08 AHK NCR 0 mo Pre-Amplifier Miteq AMF-6F-08001200-30-10P AVL 1/18/2013 12 mo Antenna, Horn ETS 3160-07 AHX NCR 0 mo OC07 Cables ESM Cable Corp. 1-8GHz cables OCX 3/7/2013 12 mo Pre-Amplifier Miteq AMF-3D-00100800-32-13P AVJ 1/18/2013 12 mo Antenna, Horn (DRG) ETS Lindgren 3115 AIR 5/26/2011 36 mo Spectrum Analyzer Agilent E4446A AAY 2/22/2013 24 mo MEASUREMENT BANDWIDTHS Frequency Range Peak Data Quasi-Peak Data Average Data (MHz) (kHz) (kHz) (kHz) 0.01 - 0.15 1.0 0.2 0.2 0.15 - 30.0 10.0 9.0 9.0 30.0 - 1000 100.0 120.0 120.0 Above 1000 1000.0 N/A 1000.0 TEST DESCRIPTION The highest gain of each type of antenna to be used with the EUT was tested. The EUT was configured for low, mid, and high band transmit frequencies. For each configuration, the spectrum was scanned throughout the specified range. In addition, measurements were made in the restricted bands to verify compliance. While scanning, emissions from the EUT were maximized by rotating the EUT on a turntable, adjusting the position of the EUT and the EUT antenna in three orthogonal axis, and adjusting measurement antenna height and polarization. A preamp and high pass filter were used for this test in order to provide sufficient measurement sensitivity. Report No. ALCO0180 10/17

PSA-ESCI 2012.12.14 EmiR5 2013.08.07 Spurious Radiated Emissions oats Work Order: ALCO0180 Date: 08/14/13 Project: None Temperature: 24.4 °C Job Site: OC07 Humidity: 48% RH Johnny Candelas.jpg Serial Number: 1301364805X Barometric Pres.: 1013.1 mbar Tested by: Johnny Candelas EUT: Centurion ® Footswitch Configuration: 1 Customer: Alcon Laboratories, Inc. Attendees: Thai Lam EUT Power: Battery Low Channel 11 (2405 MHz), Max Power (Level 1) Operating Mode: None Deviations: PN: 215-1016-502 Comments: FCC ID: R17XE61 & IC ID: 5131A-XE61 RF Module ZE61-2.4 Test Specifications Test Method FCC 15.247:2013 ANSI C63.10:2009 Run # 2 Test Distance (m) 3 Antenna Height(s) 1-4m Results Pass EN 55022 (Amds. A1:2000 A2:2003) Class B 80 70 60 50 dBuV/m 40 30 20 10 0 1000 10000 100000 MHz Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 4810.917 68.1 4.7 1.0 53.0 3.0 0.0 Horz PK 0.0 72.8 74.0 -1.2 Low Ch 11, EUT on Side 4809.008 67.8 4.7 1.2 251.0 3.0 0.0 Horz PK 0.0 72.5 74.0 -1.5 Low Ch 11, EUT standing 7216.542 60.5 12.0 1.5 208.0 3.0 0.0 Horz PK 0.0 72.5 74.0 -1.5 Low Ch 11, EUT on Side 4808.917 67.7 4.7 1.0 326.0 3.0 0.0 Vert PK 0.0 72.4 74.0 -1.6 Low Ch 11, EUT flat 12027.100 78.1 -6.4 1.2 249.0 3.0 0.0 Vert PK 0.0 71.7 74.0 -2.3 Low Ch 11, EUT on Side 4810.867 66.6 4.7 1.2 221.0 3.0 0.0 Horz PK 0.0 71.3 74.0 -2.7 Low Ch 11, EUT flat 7216.500 59.2 12.0 1.4 251.0 3.0 0.0 Vert PK 0.0 71.2 74.0 -2.8 Low Ch 11, EUT standing 7216.308 37.3 12.0 1.5 208.0 3.0 0.0 Horz AV 0.0 49.3 54.0 -4.7 Low Ch 11, EUT on Side 9621.683 79.0 -9.7 1.1 282.0 3.0 0.0 Horz PK 0.0 69.3 74.0 -4.7 Low Ch 11, EUT on Side 4809.000 64.5 4.7 1.2 114.0 3.0 0.0 Vert PK 0.0 69.2 74.0 -4.8 Low Ch 11, EUT on Side 12023.900 75.4 -6.4 1.2 272.0 3.0 0.0 Horz PK 0.0 69.0 74.0 -5.0 Low Ch 11, EUT on Side 9621.733 78.5 -9.7 1.0 264.0 3.0 0.0 Vert PK 0.0 68.8 74.0 -5.2 Low Ch 11, EUT on Side 7216.133 36.6 12.0 1.4 251.0 3.0 0.0 Vert AV 0.0 48.6 54.0 -5.4 Low Ch 11, EUT standing 4809.000 63.8 4.7 1.2 21.0 3.0 0.0 Vert PK 0.0 68.5 74.0 -5.5 Low Ch 11, EUT standing 4810.958 41.6 4.7 1.0 53.0 3.0 0.0 Horz AV 0.0 46.3 54.0 -7.7 Low Ch 11, EUT on Side 4810.867 41.1 4.7 1.2 251.0 3.0 0.0 Horz AV 0.0 45.8 54.0 -8.2 Low Ch 11, EUT standing 4811.017 41.0 4.7 1.0 326.0 3.0 0.0 Vert AV 0.0 45.7 54.0 -8.3 Low Ch 11, EUT flat 4810.933 40.7 4.7 1.2 221.0 3.0 0.0 Horz AV 0.0 45.4 54.0 -8.6 Low Ch 11, EUT flat 4810.933 39.8 4.7 1.2 114.0 3.0 0.0 Vert AV 0.0 44.5 54.0 -9.5 Low Ch 11, EUT on Side 4810.992 39.4 4.7 1.2 21.0 3.0 0.0 Vert AV 0.0 44.1 54.0 -9.9 Low Ch 11, EUT standing 12027.230 49.1 -6.4 1.2 249.0 3.0 0.0 Vert AV 0.0 42.7 54.0 -11.3 Low Ch 11, EUT on Side 9621.817 51.2 -9.7 1.1 282.0 3.0 0.0 Horz AV 0.0 41.5 54.0 -12.5 Low Ch 11, EUT on Side Report No. ALCO0180 11/17

Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 12027.170 47.7 -6.4 1.2 272.0 3.0 0.0 Horz AV 0.0 41.3 54.0 -12.7 Low Ch 11, EUT on Side 9621.900 50.9 -9.7 1.0 264.0 3.0 0.0 Vert AV 0.0 41.2 54.0 -12.8 Low Ch 11, EUT on Side 16838.280 27.5 10.1 1.2 215.0 3.0 0.0 Vert AV 0.0 37.6 54.0 -16.4 Low Ch 11, EUT on Side 16838.320 27.1 10.1 1.2 192.0 3.0 0.0 Horz AV 0.0 37.2 54.0 -16.8 Low Ch 11, EUT on Side 16838.530 46.4 10.1 1.2 215.0 3.0 0.0 Vert PK 0.0 56.5 74.0 -17.5 Low Ch 11, EUT on Side 14432.850 33.6 2.7 1.2 241.0 3.0 0.0 Vert AV 0.0 36.3 54.0 -17.7 Low Ch 11, EUT on Side 14432.800 33.1 2.7 1.3 254.0 3.0 0.0 Horz AV 0.0 35.8 54.0 -18.2 Low Ch 11, EUT on Side 14426.880 52.8 2.7 1.2 241.0 3.0 0.0 Vert PK 0.0 55.5 74.0 -18.5 Low Ch 11, EUT on Side 14432.780 52.2 2.7 1.3 254.0 3.0 0.0 Horz PK 0.0 54.9 74.0 -19.1 Low Ch 11, EUT on Side 19241.750 31.9 2.7 1.2 241.0 3.0 0.0 Vert AV 0.0 34.6 54.0 -19.4 Low Ch 11, EUT on Side 19241.670 31.3 2.7 1.2 234.0 3.0 0.0 Horz AV 0.0 34.0 54.0 -20.0 Low Ch 11, EUT on Side 16838.830 43.9 10.1 1.2 192.0 3.0 0.0 Horz PK 0.0 54.0 74.0 -20.0 Low Ch 11, EUT on Side 24051.130 28.1 4.1 1.2 74.0 3.0 0.0 Vert AV 0.0 32.2 54.0 -21.8 Low Ch 11, EUT on Side 24050.520 27.5 4.1 1.2 354.0 3.0 0.0 Horz AV 0.0 31.6 54.0 -22.4 Low Ch 11, EUT on Side 19242.450 46.8 2.7 1.2 241.0 3.0 0.0 Vert PK 0.0 49.5 74.0 -24.5 Low Ch 11, EUT on Side 19238.150 45.7 2.7 1.2 234.0 3.0 0.0 Horz PK 0.0 48.4 74.0 -25.6 Low Ch 11, EUT on Side 24048.530 44.1 4.1 1.2 74.0 3.0 0.0 Vert PK 0.0 48.2 74.0 -25.8 Low Ch 11, EUT on Side 24050.530 41.5 4.1 1.2 354.0 3.0 0.0 Horz PK 0.0 45.6 74.0 -28.4 Low Ch 11, EUT on Side Report No. ALCO0180 12/17

PSA-ESCI 2012.12.14 EmiR5 2013.08.07 Spurious Radiated Emissions oats Work Order: ALCO0180 Date: 08/14/13 Project: None Temperature: 24.4 °C Job Site: OC07 Humidity: 48% RH Johnny Candelas.jpg Serial Number: 1301364805X Barometric Pres.: 1013.1 mbar Tested by: Johnny Candelas EUT: Centurion ® Footswitch Configuration: 1 Customer: Alcon Laboratories, Inc. Attendees: Thai Lam EUT Power: Battery Mid Channel 18 (2440 MHz), Max Power (Level 1) Operating Mode: None Deviations: PN: 215-1016-502 Comments: FCC ID: R17XE61 & IC ID: 5131A-XE61 RF Module ZE61-2.4 Test Specifications Test Method FCC 15.247:2013 ANSI C63.10:2009 Run # 6 Test Distance (m) 3 Antenna Height(s) 1-4m Results Pass EN 55022 (Amds. A1:2000 A2:2003) Class B 80 70 60 50 dBuV/m 40 30 20 10 0 1000 10000 100000 MHz Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 7321.408 60.7 12.5 1.6 223.0 3.0 0.0 Vert PK 0.0 73.2 74.0 -0.8 Mid Ch 18, EUT on Side 7318.317 60.4 12.5 1.6 279.0 3.0 0.0 Horz PK 0.0 72.9 74.0 -1.1 Mid Ch 18, EUT on Side 7320.983 38.0 12.5 1.6 223.0 3.0 0.0 Vert AV 0.0 50.5 54.0 -3.5 Mid Ch 18, EUT on Side 7320.908 37.7 12.5 1.6 279.0 3.0 0.0 Horz AV 0.0 50.2 54.0 -3.8 Mid Ch 18, EUT on Side 4879.025 64.4 5.0 1.1 14.0 3.0 0.0 Horz PK 0.0 69.4 74.0 -4.6 Mid Ch 18, EUT on Side 9757.700 77.5 -9.5 1.3 278.0 3.0 0.0 Horz PK 0.0 68.0 74.0 -6.0 Mid Ch 18, EUT on Side 12198.580 72.8 -5.7 1.2 258.0 3.0 0.0 Horz PK 0.0 67.1 74.0 -6.9 Mid Ch 18, EUT on Side 9757.717 76.3 -9.5 1.2 263.0 3.0 0.0 Vert PK 0.0 66.8 74.0 -7.2 Mid Ch 18, EUT on Side 12197.270 71.8 -5.7 1.1 258.0 3.0 0.0 Vert PK 0.0 66.1 74.0 -7.9 Mid Ch 18, EUT on Side 4879.017 60.1 5.0 1.2 199.0 3.0 0.0 Vert PK 0.0 65.1 74.0 -8.9 Mid Ch 18, EUT on Side 4880.983 39.7 5.0 1.1 14.0 3.0 0.0 Horz AV 0.0 44.7 54.0 -9.3 Mid Ch 18, EUT on Side 4880.825 37.6 5.0 1.2 199.0 3.0 0.0 Vert AV 0.0 42.6 54.0 -11.4 Mid Ch 18, EUT on Side 9761.883 49.2 -9.5 1.3 278.0 3.0 0.0 Horz AV 0.0 39.7 54.0 -14.3 Mid Ch 18, EUT on Side 9761.883 48.4 -9.5 1.2 263.0 3.0 0.0 Vert AV 0.0 38.9 54.0 -15.1 Mid Ch 18, EUT on Side 12202.400 44.5 -5.7 1.2 258.0 3.0 0.0 Horz AV 0.0 38.8 54.0 -15.2 Mid Ch 18, EUT on Side 12202.370 44.2 -5.7 1.1 258.0 3.0 0.0 Vert AV 0.0 38.5 54.0 -15.5 Mid Ch 18, EUT on Side 17083.280 28.2 10.0 1.2 263.0 3.0 0.0 Vert AV 0.0 38.2 54.0 -15.8 Mid Ch 18, EUT on Side 17083.180 27.6 10.0 1.2 189.0 3.0 0.0 Horz AV 0.0 37.6 54.0 -16.4 Mid Ch 18, EUT on Side 17082.480 47.0 10.0 1.2 189.0 3.0 0.0 Horz PK 0.0 57.0 74.0 -17.0 Mid Ch 18, EUT on Side 17078.020 46.7 10.0 1.2 263.0 3.0 0.0 Vert PK 0.0 56.7 74.0 -17.3 Mid Ch 18, EUT on Side 14642.830 33.3 3.2 1.2 270.0 3.0 0.0 Vert AV 0.0 36.5 54.0 -17.5 Mid Ch 18, EUT on Side 14642.730 32.4 3.2 1.2 220.0 3.0 0.0 Horz AV 0.0 35.6 54.0 -18.4 Mid Ch 18, EUT on Side Report No. ALCO0180 13/17

Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 19521.760 31.8 3.4 1.2 234.0 3.0 0.0 Vert AV 0.0 35.2 54.0 -18.8 Mid Ch 18, EUT on Side 14642.870 51.5 3.2 1.2 270.0 3.0 0.0 Vert PK 0.0 54.7 74.0 -19.3 Mid Ch 18, EUT on Side 19521.700 31.1 3.4 1.2 347.0 3.0 0.0 Horz AV 0.0 34.5 54.0 -19.5 Mid Ch 18, EUT on Side 14636.420 49.4 3.1 1.2 220.0 3.0 0.0 Horz PK 0.0 52.5 74.0 -21.5 Mid Ch 18, EUT on Side 24398.310 28.0 3.0 1.2 2.0 3.0 0.0 Vert AV 0.0 31.0 54.0 -23.0 Mid Ch 18, EUT on Side 24402.300 27.7 3.0 1.2 211.0 3.0 0.0 Horz AV 0.0 30.7 54.0 -23.3 Mid Ch 18, EUT on Side 19518.050 46.4 3.4 1.2 234.0 3.0 0.0 Vert PK 0.0 49.8 74.0 -24.2 Mid Ch 18, EUT on Side 19521.280 45.5 3.4 1.2 347.0 3.0 0.0 Horz PK 0.0 48.9 74.0 -25.1 Mid Ch 18, EUT on Side 24399.560 42.6 3.0 1.2 2.0 3.0 0.0 Vert PK 0.0 45.6 74.0 -28.4 Mid Ch 18, EUT on Side 24398.610 41.8 3.0 1.2 211.0 3.0 0.0 Horz PK 0.0 44.8 74.0 -29.2 Mid Ch 18, EUT on Side Report No. ALCO0180 14/17

PSA-ESCI 2012.12.14 EmiR5 2013.08.07 Spurious Radiated Emissions oats Work Order: ALCO0180 Date: 08/14/13 Project: None Temperature: 24.4 °C Job Site: OC07 Humidity: 48% RH Johnny Candelas.jpg Serial Number: 1301364805X Barometric Pres.: 1013.1 mbar Tested by: Johnny Candelas EUT: Centurion ® Footswitch Configuration: 1 Customer: Alcon Laboratories, Inc. Attendees: Thai Lam EUT Power: Battery High Channel 26 (2480 MHz), Max Power (Level 1) Operating Mode: None Deviations: PN: 215-1016-502 Comments: FCC ID: R17XE61 & IC ID: 5131A-XE61 RF Module ZE61-2.4 Test Specifications Test Method FCC 15.247:2013 ANSI C63.10:2009 Run # 10 Test Distance (m) 3 Antenna Height(s) 1-4m Results Pass EN 55022 (Amds. A1:2000 A2:2003) Class B 80 70 60 50 dBuV/m 40 30 20 10 0 1000 10000 100000 MHz Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 7441.475 59.9 12.7 1.5 283.0 3.0 0.0 Horz PK 0.0 72.6 74.0 -1.4 High Ch 26, EUT on Side 7441.417 57.4 12.7 1.6 226.0 3.0 0.0 Vert PK 0.0 70.1 74.0 -3.9 High Ch 26, EUT on Side 7441.008 36.9 12.7 1.5 283.0 3.0 0.0 Horz AV 0.0 49.6 54.0 -4.4 High Ch 26, EUT on Side 7440.958 35.8 12.7 1.6 226.0 3.0 0.0 Vert AV 0.0 48.5 54.0 -5.5 High Ch 26, EUT on Side 12402.620 63.3 4.4 1.1 259.0 3.0 0.0 Horz PK 0.0 67.7 74.0 -6.3 High Ch 26, EUT on Side 12402.680 61.0 4.4 1.2 229.0 3.0 0.0 Vert PK 0.0 65.4 74.0 -8.6 High Ch 26, EUT on Side 4961.008 60.0 5.3 1.1 22.0 3.0 0.0 Horz PK 0.0 65.3 74.0 -8.7 High Ch 26, EUT on Side 9922.017 74.3 -9.4 1.2 292.0 3.0 0.0 Horz PK 0.0 64.9 74.0 -9.1 High Ch 26, EUT on Side 9917.700 73.9 -9.4 1.2 263.0 3.0 0.0 Vert PK 0.0 64.5 74.0 -9.5 High Ch 26, EUT on Side 4960.933 37.6 5.3 1.1 22.0 3.0 0.0 Horz AV 0.0 42.9 54.0 -11.1 High Ch 26, EUT on Side 12402.520 37.6 4.4 1.1 259.0 3.0 0.0 Horz AV 0.0 42.0 54.0 -12.0 High Ch 26, EUT on Side 4960.983 35.6 5.3 1.3 61.0 3.0 0.0 Vert AV 0.0 40.9 54.0 -13.1 High Ch 26, EUT on Side 4960.950 55.5 5.3 1.3 61.0 3.0 0.0 Vert PK 0.0 60.8 74.0 -13.2 High Ch 26, EUT on Side 12402.520 36.4 4.4 1.2 229.0 3.0 0.0 Vert AV 0.0 40.8 54.0 -13.2 High Ch 26, EUT on Side 17363.380 29.1 9.8 1.2 264.0 3.0 0.0 Vert AV 0.0 38.9 54.0 -15.1 High Ch 26, EUT on Side 9921.900 48.0 -9.4 1.2 292.0 3.0 0.0 Horz AV 0.0 38.6 54.0 -15.4 High Ch 26, EUT on Side 9921.833 47.4 -9.4 1.2 263.0 3.0 0.0 Vert AV 0.0 38.0 54.0 -16.0 High Ch 26, EUT on Side 17363.750 48.1 9.8 1.2 264.0 3.0 0.0 Vert PK 0.0 57.9 74.0 -16.1 High Ch 26, EUT on Side 17363.600 27.7 9.8 1.2 184.0 3.0 0.0 Horz AV 0.0 37.5 54.0 -16.5 High Ch 26, EUT on Side 14882.850 31.8 3.9 1.2 292.0 3.0 0.0 Vert AV 0.0 35.7 54.0 -18.3 High Ch 26, EUT on Side 14882.880 31.7 3.9 1.2 289.0 3.0 0.0 Horz AV 0.0 35.6 54.0 -18.4 High Ch 26, EUT on Side 17355.780 45.3 9.8 1.2 184.0 3.0 0.0 Horz PK 0.0 55.1 74.0 -18.9 High Ch 26, EUT on Side Report No. ALCO0180 15/17

Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 24798.310 30.2 3.7 1.2 331.0 3.0 0.0 Vert AV 0.0 33.9 54.0 -20.1 High Ch 26, EUT on Side 19841.730 30.4 3.4 1.2 354.0 3.0 0.0 Vert AV 0.0 33.8 54.0 -20.2 High Ch 26, EUT on Side 19841.730 30.3 3.4 1.2 331.0 3.0 0.0 Horz AV 0.0 33.7 54.0 -20.3 High Ch 26, EUT on Side 24798.030 29.9 3.7 1.2 216.0 3.0 0.0 Horz AV 0.0 33.6 54.0 -20.4 High Ch 26, EUT on Side 14883.070 48.6 3.9 1.2 289.0 3.0 0.0 Horz PK 0.0 52.5 74.0 -21.5 High Ch 26, EUT on Side 14883.200 48.4 3.9 1.2 292.0 3.0 0.0 Vert PK 0.0 52.3 74.0 -21.7 High Ch 26, EUT on Side 24799.980 45.5 3.7 1.2 331.0 3.0 0.0 Vert PK 0.0 49.2 74.0 -24.8 High Ch 26, EUT on Side 19839.020 45.5 3.4 1.2 354.0 3.0 0.0 Vert PK 0.0 48.9 74.0 -25.1 High Ch 26, EUT on Side 19841.890 45.4 3.4 1.2 331.0 3.0 0.0 Horz PK 0.0 48.8 74.0 -25.2 High Ch 26, EUT on Side 24801.150 44.4 3.7 1.2 216.0 3.0 0.0 Horz PK 0.0 48.1 74.0 -25.9 High Ch 26, EUT on Side Report No. ALCO0180 16/17

PSA-ESCI 2012.12.14 EmiR5 2013.08.07 Spurious Radiated Emissions oats Work Order: ALCO0180 Date: 08/14/13 Project: None Temperature: 24.4 °C Job Site: OC07 Humidity: 48% RH Johnny Candelas.jpg Serial Number: 1301364805X Barometric Pres.: 1013.1 mbar Tested by: Johnny Candelas EUT: Centurion ® Footswitch Configuration: 1 Customer: Alcon Laboratories, Inc. Attendees: Thai Lam EUT Power: Battery High Channel 26 (2480 MHz), Max Power (Level 1) Operating Mode: None Deviations: EUT on Side, PN: 215-1016-502 Comments: FCC ID: R17XE61 & IC ID: 5131A-XE61 RF Module ZE61-2.4 Test Specifications Test Method FCC 15.247:2013 ANSI C63.10:2009 Run # 12 Test Distance (m) 3 Antenna Height(s) 1-4m Results Pass EN 55022 (Amds. A1:2000 A2:2003) Class B 80 70 60 50 dBuV/m 40 30 20 10 0 1000 10000 MHz Polarity/ External Transducer Distance Compared to Freq Amplitude Factor Antenna Height Azimuth Test Distance Attenuation Type Detector Adjustment Adjusted Spec. Limit Spec. (MHz) (dBuV) (dB) (meters) (degrees) (meters) (dB) (dB) (dBuV/m) (dBuV/m) (dB) Comments 2480.000 97.5 -4.8 1.7 173.0 3.0 20.0 Horz PK 0.0 112.7 Fundamental Peak Measurement 2480.000 54.9 -4.8 1.7 173.0 3.0 20.0 Horz AV 0.0 70.1 Fundamental Average Measurement 2480.000 96.4 -4.8 1.0 114.0 3.0 20.0 Vert PK 0.0 111.6 Fundamental Peak Measurement 2480.000 54.7 -4.8 1.0 114.0 3.0 20.0 Vert AV 0.0 69.9 Fundamental Average Measurement 2483.500 57.6 -4.8 1.7 173.0 3.0 20.0 Horz PK 0.0 72.4 74.0 -1.6 Marker-Delta Method = Fund - 40.28dB 2483.500 34.9 -4.8 1.7 173.0 3.0 20.0 Horz AV 0.0 50.1 54.0 -3.9 Marker-Delta Method = Fund - 20.00dB 2483.500 56.4 -4.8 1.0 114.0 3.0 20.0 Vert PK 0.0 71.6 74.0 -2.4 Marker-Delta Method = Fund - 39.98dB 2483.500 34.4 -4.8 1.0 114.0 3.0 20.0 Vert AV 0.0 49.6 54.0 -4.4 Marker-Delta Method = Fund - 20.30dB Report No. ALCO0180 17/17


Document Created: 2013-08-27 08:00:32
Document Modified: 2013-08-27 08:00:32
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