12524730-S1V1 FCC Report RF Exposure

FCC ID: XPY2AGQN4NNN

RF Exposure Info

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FCCID_4071756

FCC Part 1 Subpart I FCC Part 2 Subpart J RF EXPOSURE REPORT FOR Smart Pill Bottle MODEL NUMBER: 900-00003 Rev A FCC ID: XPY2AGQN4NNN REPORT NUMBER: 12524730-S1V1 ISSUE DATE: 10/24/2018 Prepared for AdhereTech 11 Broadway, Suite 457 New York, NY 10004 USA Prepared by UL VERIFICATION SERVICES INC. 47173 BENICIA STREET FREMONT, CA 94538, U.S.A. TEL: (510) 771-1000 NVLAP LAB CODE 200065-0

REPORT NO: 12524730-S1V1 DATE: 10/24/2018 FCC ID: S5EST10417 Revision History Issue Rev. Date Revisions Revised By V1 10/24/2018 Original issue Page 2 of 6 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. .

REPORT NO: 12524730-S1V1 DATE: 10/24/2018 FCC ID: S5EST10417 TABLE OF CONTENTS 1. ATTESTATION OF TEST RESULTS ................................................................................. 4 2. TEST METHODOLOGY ..................................................................................................... 5 3. REFERENCES ................................................................................................................... 5 4. FACILITIES AND ACCREDITATION ................................................................................. 5 5. DEVICE UNDER TEST ....................................................................................................... 5 5.1. Description ................................................................................................................... 5 5.2. Wireless Technologies and Output Power ................................................................... 5 6. DUTY CYCLE POWER CORRECTION .............................................................................. 6 7. STANDALONE SAR TEST EXCLUSION CONSIDERATIONS .......................................... 6 8. SIMULTANEOUS TRANSMISSION SAR ANALYSIS ........................................................ 6 Page 3 of 6 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. .

REPORT NO: 12524730-S1V1 DATE: 10/24/2018 FCC ID: S5EST10417 1. ATTESTATION OF TEST RESULTS COMPANY NAME: AdhereTech 11 Broadway, Suite 457 New York, NY 10004 USA DUT DESCRIPTION: Smart Pill Bottle MODEL: 900-00003 Rev A SERIAL NUMBER: N/A APPLICABLE STANDARDS STANDARD TEST RESULTS FCC PART 1 SUBPART I & PART 2 SUBPART J Pass Note: The results documented in this report apply only to the tested sample, under the conditions and modes of operation as described herein. This document may not be altered or revised in any way unless done so by UL Verification Services Inc. and all revisions are duly noted in the revisions section. Any alteration of this document not carried out by UL Verification Services Inc. will constitute fraud and shall nullify the document. Approved & Released For UL Verification Services Inc. By: Dave Weaver Operations Leader UL Verification Services Inc. Page 4 of 6 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. .

REPORT NO: 12524730-S1V1 DATE: 10/24/2018 FCC ID: S5EST10417 2. TEST METHODOLOGY All calculations were made in accordance with FCC KDB 447498 D01 v06. 3. REFERENCES Output power, Duty cycle is excerpted from the applicable test reports or client declarations. 4. FACILITIES AND ACCREDITATION The test sites and measurement facilities used to collect data are located at 47173 and 47266 Benicia Street, Fremont, California, USA UL Verification Services Inc. is accredited by NVLAP, Laboratory Code 200065-0. 5. DEVICE UNDER TEST 5.1. Description The AdhereTech Smart Pill Bottle is a device intended to generate alerts and reminders for pre- determined medication dosing schedules. The device in is a sleep state for 99% of its life and only powers on and connects very infrequently to deliver small packets of data. The device powers on, connects to the base-station, and powers down as a function of two data events: 1. Auto check-in, and 2. Dose event. For any given medication dose schedule (1, 2, or 3 doses per day) the device will perform one auto check-in event and one dose event. The auto check-in is scheduled by the device using an internal real-time clock and the dose event is triggered by the user opening and closing the bottle cap. In a worst-case scenario there could be two data events in a 30-minute window. This would be one auto check-in and one dose event (i.e. the bottle has an auto check-in and then the user opens the bottle within 30 minutes). During any given data event the device transmits for no more than 3 seconds (one second for cell tower registration and two seconds to deliver and receive one packet of data equal to no more than 2 kB). 5.2. Wireless Technologies and Output Power Wireless technologies Frequency bands Maximum Output Power LTE 2, 4 and 12 200mW for all bands Page 5 of 6 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. .

REPORT NO: 12524730-S1V1 DATE: 10/24/2018 FCC ID: S5EST10417 6. DUTY CYCLE POWER CORRECTION The device supports LTE bands 2, 4 and 12. The minimum LTE bitrate, assuming an allocation of 1 RB, is around 300 kb/s. The amount of data transferred per transmission is less than 2 kB so 2 seconds to transfer the data is conservative. The maximum transmit power for any supported band is 200 mW. The worst-case duty cycle over a thirty-minute period (1800 seconds) is calculated assuming 6 seconds of total transmission time as described in Section 5. Duty Cycle = 6/1800 = 0.0033 Scaling the output power based upon duty cycle gives 200 x 0.0033 = 0.66 mW 7. STANDALONE SAR TEST EXCLUSION CONSIDERATIONS From KDB 447498, for transmission frequencies 100 MHz to 6 GHz and test separation distances ≤ 50 mm, the 1-g SAR test exclusion thresholds are determined by the following: [(max. power of channel, including tune-up tolerance, mW) / (min. test separation distance, mm)] · [√f(GHz)] ≤ 3.0 where:  f(GHz) is the RF channel transmit frequency in GHz;  Power and distance are rounded to the nearest mW and mm before calculation;  For a separation distance of less than 5mm, 5mm is used. The result is rounded to one decimal place for comparison with the 3.0 threshold. The table below shows that at the maximum power for all bands and technologies, after accounting for source-based and operational duty cycles, and for a separation distance of 5mm or less, SAR test exclusion applies. The device was assessed the 1g SAR limits. Max. tune-up Min. test SAR test RF Exposure Frequency tolerance RF Air interface separation exclusion Conditions (GHz) (mW) distance (mm) Result* LTE Band 2 Body-w orn 1.910 1 5 0.3 LTE Band 4 Body-w orn 1.755 1 5 0.3 LTE Band 12 Body-w orn 0.716 1 5 0.2 Conclusion: *: The computed value is ≤ 3; therefore, this qualifies for SAR test exclusion. 8. SIMULTANEOUS TRANSMISSION SAR ANALYSIS Simultaneous transmission is not supported. END OF REPORT Page 6 of 6 UL Verification Services Inc. Doc. No.: 1.0 This report shall not be reproduced without the written approval of UL Verification Services Inc. .


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Document Modified: 2019-03-24 12:25:37
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