1972072R-FCC statement for SAR not required

FCC ID: WAP3028

Test Report

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FCCID_4455835

SAR Exemption Evaluation Report Product Name : EZ-BT WICED Module Model No. : CYBT-423054-02,CYBT-423028-02， CYBT-423060-02 FCC ID : WAP3028 Applicant : Cypress Semiconductor Address : 198 Champion Ct, San Jose, California 95134 United States Date of Receipt : July. 11, 2019 Test Date : July. 12, 2019~ Aug. 23, 2019 Issued Date : Aug. 26, 2019 Report No. : 1972072R-RF-US-P20V02 Report Version : V 1.0 The test results presented in this report relate only to the object tested. This report shall not be reproduced, except in full, without the written approval of the Issuing CB Testing Laboratory. The measurement result is considered in conformance with the requirement if it is within the prescribed limit, It is not necessary to calculate the uncertainty associated with the measurement result. This report is not used for social proof in China (or Mainland China) market.

Report No: 1972072R-RF-US-P20V02 Tes t R ep o rt Ce r tif ica t io n Issued Date : Aug. 26, 2019 Report No. : 1972072R-RF-US-P20V02 Product Name : EZ-BT WICED Module Applicant : Cypress Semiconductor Address : 198 Champion Ct, San Jose, California 95134 United States Manufacturer : Cypress Semiconductor Address : 198 Champion Ct, San Jose, California 95134 United States Model No. : CYBT-423054-02,CYBT-423028-02,CYBT-423060-02 FCC ID : WAP3028 EUT Voltage : DC 1.8~3.6V Applicable Standard : KDB 447498 D01v06 Test Result : Complied Performed Location : DEKRA Testing & Certification (Suzhou) Co., Ltd. No.99 Hongye Rd., Suzhou Industrial Park, Suzhou, 215006, Jiangsu, China TEL: +86-512-6251-5088 / FAX: +86-512-6251-5098 FCC Registration Number: CN1199 Documented By : ( Adm. Specialist: Kitty Li ) Reviewed By : (Senior Project Manager: Frank He ) Approved By : (Engineering Supervisor: Jack Zhang) Page: 2 of 5

Report No: 1972072R-RF-US-P20V02 1. RF Exposure Evaluation 1.1. Limits According to KDB 447498 D01 General RF Exposure Guidance v06 4.3.1 Standalone SAR test exclusion considerations 1) The 1-g and 10-g SAR test exclusion thresholds for 100 MHz to 6 GHz at test separation distances ≤ 50 mm are determined by: [(max. power of channel, including tune-up tolerance, mW)/(min. test separation distance, mm)] · [√f(GHz)] ≤ 3.0 for 1-g SAR and ≤ 7.5 for 10-g extremity SAR,where • f(GHz) is the RF channel transmit frequency in GHz • Power and distance are rounded to the nearest mW and mm before calculation • The result is rounded to one decimal place for comparison • 3.0 and 7.5 are referred to as the numeric thresholds in the step 2 below The test exclusions are applicable only when the minimum test separation distance is ≤ 50 mm and for transmission frequencies between 100 MHz and 6 GHz. When the minimum test separation distance is < 5 mm, a distance of 5 mm according to 5) in section 4.1 is applied to determine SAR test exclusion. 2) At 100 MHz to 6 GHz and for test separation distances > 50 mm, the SAR test exclusion threshold is determined according to the following, and as illustrated in Appendix B: a) [Power allowed at numeric threshold for 50 mm in step 1) + (test separation distance - 50 mm)·( f(MHz)/150)] mW, at 100 MHz to 1500 MHz b) [Power allowed at numeric threshold for 50 mm in step 1) + (test separation distance - 50 mm)·10] mW at > 1500 MHz and ≤ 6 GHz 3) The 1-g and 10-g SAR test exclusion thresholds for below 100 MHz at test separation distances ≤ 50 mm are determined by: a) The power threshold at the corresponding test separation distance at 100 MHz in step 2) is multiplied by [1 + log(100/f(MHz))] for test separation distances > 50 mm and < 200 mm b) The power threshold determined by the equation in a) for 50 mm and 100 MHz is multiplied by ½ for test separation distances ≤ 50 mm c) SAR measurement procedures are not established below 100 MHz. When SAR test exclusion cannot be applied, a KDB inquiry is required to determine SAR evaluation requirements for any test results to be acceptable. Note: when the minimum test separation distance is < 5 mm, a distance of 5 mm is applied to determine SAR test exclusion. Page: 3 of 5

Report No: 1972072R-RF-US-P20V02 1.2. Test Procedure Software provided by client enabled the EUT to transmit and receive data at lowest, middle and highest channel individually. The temperature and related humidity: 18℃and 78％ RH. 1.3. Test Result of RF Exposure Evaluation Product : EZ-BT WICED Module Test Item : RF Exposure Evaluation Test Site : AC-6  Antenna Gain: Model No. N/A Antenna manufacturer N/A Antenna Delivery 1*TX+1*RX 2*TX+2*RX 3*TX+3*RX Antenna technology SISO Basic CDD MIMO Sectorized Beam-forming Antenna Type Dipole External Sectorized PIFA PCB Internal Ceramic Chip Antenna Monopole Antenna Ant Gain Antenna Technology (dBi) SISO -1 Page: 4 of 5

Report No: 1972072R-RF-US-P20V02 Based on The 1-g and 10-g SAR test exclusion thresholds for 100 MHz to 6 GHz at test separation distances ≤ 50 mm and the formula below: Maximum conducted tune-up power is 4.55 dBm for BT5.0 Stand-alone Pmax Pmax Distance Exposure calculation Test Band f(GHz) SAR Test Condition result exclusion (dBm) (mw) (mm) threshold BT5.0 Body 4.55 2.85 5 2.48 0.90 3.00 No Conclusion: 2.4GHz SAR was not required. The End Page: 5 of 5


Document Created: 2019-09-16 13:45:36
Document Modified: 2019-09-16 13:45:36
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