Test report_15.247 (BT LE)

FCC ID: Z64-2564N

Test Report

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FCCID_2716626

FCC C2PC Test Report FCC ID : Z64-2564N Equipment : CC2564 Bluetooth HCI Module Model No. : CC2564MODA Brand Name : Texas Instruments Applicant : Texas Instruments Inc Address : 12500 TI Blvd, Dallas USA 75243 Standard : 47 CFR FCC Part 15.247 Received Date : Jul. 01, 2015 Tested Date : Jul. 01 ~ Jul. 06, 2015 We, International Certification Corp., would like to declare that the tested sample has been evaluated and in compliance with the requirement of the above standards. The test results contained in this report refer exclusively to the product. It may be duplicated completely for legal use with the approval of the applicant. It shall not be reproduced except in full without the written approval of our laboratory. Approved & Reviewed by: Gary Chang / Manager Ty: XXX Report No.: FR3D0402-02AE Page : 1 of 24 Report Version: Rev. 01

Table of Contents 1 GENERAL DESCRIPTION .................................................................................................................... 5 1.1 Information.............................................................................................................................................. 5 1.2 Local Support Equipment List ................................................................................................................ 7 1.3 Test Setup Chart .................................................................................................................................... 7 1.4 Test Equipment List and Calibration Data .............................................................................................. 8 1.5 Test Standards ....................................................................................................................................... 9 1.6 Measurement Uncertainty ...................................................................................................................... 9 2 TEST CONFIGURATION .....................................................................................................................10 2.1 Testing Condition .................................................................................................................................10 2.2 The Worst Test Modes and Channel Details .......................................................................................10 3 TRANSMITTER TEST RESULTS........................................................................................................11 3.1 Conducted Emissions ...........................................................................................................................11 3.2 Emissions in Restricted Frequency Bands ...........................................................................................14 4 TEST LABORATORY INFORMATION ...............................................................................................24 Report No.: FR3D0402-02AE Page : 2 of 24 Report Version: Rev. 01

Release Record Report No. Version Description Issued Date FR3D0402-02AE Rev. 01 Initial issue Aug. 14, 2015 Report No.: FR3D0402-02AE Page : 3 of 24 Report Version: Rev. 01

Summary of Test Results FCC Rules Test Items Measured Result [dBuV]: 0.486MHz 15.207 AC Power Line Conducted Emissions Pass 31.57 (Margin -14.66dB) - AV 15.247(d) [dBuV/m at 3m]: 4804.00MHz Radiated Emissions Pass 15.209 51.97 (Margin -2.03dB) - AV Report No.: FR3D0402-02AE Page : 4 of 24 Report Version: Rev. 01

1 General Description 1.1 Information This report is prepared for FCC class II change. This report is issued as a supplementary report to original ICC report no. FR3D0402AE. The modification is concerned with adding new antenna and model name. In this report, conducted emission and radiated emission tests had been re-tested and only its data was presented in the following sections. 1.1.1 Product Details The following models are provided to this EUT. Model Antenna type Gain (dBi) Remark CC2564MODN Chip -1.38 Original CC2564MODA Chip 1.69 C2PC 1.1.2 Specification of the Equipment under Test (EUT) RF General Information Frequency Range Bluetooth Ch. Freq. (MHz) Channel Number Data Rate (MHz) Mode 2400-2483.5 V4.0 LE 2402-2480 0-39 [40] 1 Mbps Note 1: Bluetooth LE (Low energy) uses GFSK modulation. 1.1.3 Antenna Details Ant. No. Type Connector Gain (dBi) Remarks 1 Chip 1.69 N/A --- 1.1.4 Power Supply Type of Equipment under Test (EUT) Power Supply Type 3.3Vdc from host 1.1.5 Accessories N/A Report No.: FR3D0402-02AE Page : 5 of 24 Report Version: Rev. 01

1.1.6 Channel List Frequency band (MHz) 2400~2483.5 Frequency Frequency Frequency Frequency Channel Channel Channel Channel (MHz) (MHz) (MHz) (MHz) 37 2402 9 2422 18 2442 28 2462 0 2404 10 2424 19 2444 29 2464 1 2406 38 2426 20 2446 30 2466 2 2408 11 2428 21 2448 31 2468 3 2410 12 2430 22 2450 32 2470 4 2412 13 2432 23 2452 33 2472 5 2414 14 2434 24 2454 34 2474 6 2416 15 2436 25 2456 35 2476 7 2418 16 2438 26 2458 36 2478 8 2420 17 2440 27 2460 39 2480 1.1.7 Test Tool and Duty Cycle Test tool HCI Tester V.3.0.0.24 1.1.8 Power Setting Test Frequency (MHz) Modulation Mode 2402 2440 2480 GFSK/1Mbps 0x18 0x19 0x19 Report No.: FR3D0402-02AE Page : 6 of 24 Report Version: Rev. 01

1.2 Local Support Equipment List Support Equipment List No. Equipment Brand Model FCC ID Signal cable / Length (m) 1 Notebook DELL E5420 DoC USB, 1.8m non-shielded. WSDT-700XX_ 2 Fixture Ampak --- --- EVB_V00 1.3 Test Setup Chart Test Setup Diagram Report No.: FR3D0402-02AE Page : 7 of 24 Report Version: Rev. 01

1.4 Test Equipment List and Calibration Data Test Item Conducted Emission Test Site Conduction room 1 / (CO01-WS) Instrument Manufacturer Model No. Serial No. Calibration Date Calibration Until EMC Receiver R&S ESCS 30 100169 Oct. 17, 2014 Oct. 16, 2015 LISN SCHWARZBECK Schwarzbeck 8127 8127-667 Nov. 17, 2014 Nov. 16, 2015 LISN SCHWARZBECK Schwarzbeck 8127 8127-666 Nov. 26, 2014 Nov. 25, 2015 (Support Unit) RF Cable-CON Woken CFD200-NL CFD200-NL-001 Dec. 31, 2014 Dec. 30, 2015 50 ohm terminal NA 50 04 Apr. 15, 2015 Apr. 14, 2016 (Support Unit) Measurement AUDIX e3 6.120210k NA NA Software Note: Calibration Interval of instruments listed above is one year. Test Item Radiated Emission Test Site 966 chamber 2 / (03CH02-WS) Instrument Manufacturer Model No. Serial No. Calibration Date Calibration Until Spectrum Analyzer R&S FSV40 101499 Dec. 31, 2014 Dec. 30, 2015 Receiver R&S ESR3 101657 Jan. 15, 2015 Jan. 14, 2016 Bilog Antenna SCHWARZBECK VULB9168 VULB9168-524 Oct. 16, 2014 Oct. 15, 2015 Horn Antenna SCHWARZBECK BBHA 9120 D BBHA 9120 D 1095 Oct. 14, 2014 Oct. 13, 2015 1G-18G Horn Antenna SCHWARZBECK BBHA 9170 BBHA 9170517 Nov. 10, 2014 Nov. 09, 2015 18G-40G Loop Antenna R&S HFH2-Z2 11900 Nov. 10, 2014 Nov. 09, 2015 Preamplifier Burgeon BPA-530 100218 Nov. 10, 2014 Nov. 09, 2015 Preamplifier Agilent 83017A MY39501309 Sep. 29, 2014 Sep. 28, 2015 Preamplifier EMC EMC184045B 980192 Aug. 26, 2014 Aug. 25, 2015 RF Cable HUBER+SUHNER SUCOFLEX104 MY16140/4 Dec. 16, 2014 Dec. 15, 2015 RF Cable HUBER+SUHNER SUCOFLEX104 MY16018/4 Dec. 16, 2014 Dec. 15, 2015 RF Cable HUBER+SUHNER SUCOFLEX104 MY16015/4 Dec. 16, 2014 Dec. 15, 2015 LF cable 3M Woken CFD400NL-LW CFD400NL-003 Dec. 16, 2014 Dec. 15, 2015 LF cable 10M Woken CFD400NL-LW CFD400NL-004 Dec. 16, 2014 Dec. 15, 2015 Measurement AUDIX e3 6.120210g NA NA Software Note: Calibration Interval of instruments listed above is one year. Report No.: FR3D0402-02AE Page : 8 of 24 Report Version: Rev. 01

C Infernational Certification Corp. 1.5 Test Standards According to the specification of EUT, the EUT must comply with following standards and KDB documents. 47 CFR FCC Part 15.247 ANSI C63.10—2013 FCC KDB 558074 D01 DTS Meas Guidance v03r03 1.6 Measurement Uncertainty I1SO/IEC 17025 requires that an estimate of the measurement uncertainties associated with the emissions test results be included in the report. The measurement uncertainties given below are based on a 95% confidence level (based on a coverage factor (k=2) Measurement Uncertainty Parameters Uncertainty Bandwidth +34.134 Hz Conducted power +0.808 dB Power density +0.463 dB Conducted emission +2.670 dB AC conducted emission +2.92 dB Radiated emission < 1GHz +3.62 dB Radiated emission > 1GHz +5.6 dB Report No.: FR3D0402—02AE Page : 9 of 24 Report Version: Rev. 01

C Infernational Certification Corp. 2 Test Configuration 2.1 Testing Condition Test Item Test Site Ambient Condition Tested By AC Conduction COO1—WwS 22°C / 68% Kevin Ma . nsl o Mark Liao Radiated Emissions O3CHO2—WS 22—26°C / 61—63% Felix Sung » FCC site registration No.: 657002 > IC site registration No.: 10807A—2 2.2 The Worst Test Modes and Channel Details , Test Frequency Data Rate Test Testitem Mode (MHz) (Mbps) Configuration AC Power Line Conducted Emissions BT LE 2402 1Mbps Radiated Emissions s 1GHz BT LE 2402 1Mbps Radiated Emissions > 1GHz BT LE 2402, 2440, 2480 1Mbps NOTE: 1. The EUT was pretested with 3 orientations placed on the table for the radiated emission measurement — X, Y, and Z—plane. The Z—plane results were found as the worst case and were shown in this report. Report No.: FR3D0402—02AE Page : 10 of 24 Report Version: Rev. 01

3 Transmitter Test Results 3.1 Conducted Emissions 3.1.1 Limit of Conducted Emissions Conducted Emissions Limit Frequency Emission (MHz) Quasi-Peak Average 0.15-0.5 66 - 56 * 56 - 46 * 0.5-5 56 46 5-30 60 50 Note 1: * Decreases with the logarithm of the frequency. 3.1.2 Test Procedures 1. The device is placed on a test table, raised 80 cm above the reference ground plane. The vertical conducting plane is located 40 cm to the rear of the device. 2. The device is connected to line impedance stabilization network (LISN) and other accessories are connected to other LISN. Measured levels of AC power line conducted emission are across the 50 Ω LISN port. 3. AC conducted emission measurements is made over frequency range from 150 kHz to 30 MHz. 4. This measurement was performed with AC 120V/60Hz 3.1.3 Test Setup Report No.: FR3D0402-02AE Page : 11 of 24 Report Version: Rev. 01

3.1.4 Test Result of Conducted Emissions Modulation Mode GFSK Test Freq. (MHz) 2402 Power Phase Line Note 1: Level (dBuV) = Read Level (dBuV) + LISN Factor (dB) + Cable Loss (dB). 2: Over Limit (dB) = Level (dBuV) – Limit Line (dBuV). Report No.: FR3D0402-02AE Page : 12 of 24 Report Version: Rev. 01

Modulation Mode GFSK Test Freq. (MHz) 2402 Power Phase Neutral Note 1: Level (dBuV) = Read Level (dBuV) + LISN Factor (dB) + Cable Loss (dB). 2: Over Limit (dB) = Level (dBuV) – Limit Line (dBuV). Report No.: FR3D0402-02AE Page : 13 of 24 Report Version: Rev. 01

C Infernational Certification Corp. 3.2 Emissions in Restricted Frequency Bands 3.2.1 Limit of Emissions in Restricted Frequency Bands Restricted Band Emissions Limit Frequency Range (MHz)| Field Strength (uV/m) |Field Strength (dBuV/m)| Measure Distance (m) 0.009~0.490 2400/F(kHz) 48.5 — 13.8 300 0.490~1.705 24000/F(kHz) 33.8 — 23 30 1.705~30.0 30 29 30 30~88 100 40 3 88~216 150 43.5 3 216~960 200 46 3 Above 960 500 54 3 Note 1: Qusai—Peak value is measured for frequency below 1GHz except for 9—90 kHz, 110—490 kHz frequency band. Peak and average value are measured for frequency above 1GHz. The limit on average radio frequency emission is as above table. The limit on peak radio frequency emissions is 20 dB above the maximum permitted average emission limit Note 2: Measurements may be performed at a distance other than what is specified provided. When performing measurements at a distance other than that specified, the results shall be extrapolated to the specified distance using an extrapolation factor as below, Frequency at or above 30 MHz: 20 dB/decade Frequency below 30 MHz: 40 dB/decade. 3.2.2 Test Procedures 1. Measurement is made at a semi—anechoic chamber that incorporates a turntable allowing a EUT rotation of 360°. A continuously—rotating, remotely—controlled turntable is installed at the test site to support the EUT and facilitate determination of the direction of maximum radiation for each EUT emission frequency. The EUT is placed at test table. For emissions testing at or below 1 GHz, the table height is 80 cm above the reference ground plane. For emission measurements above 1 GHz, the table height is 1.5 m 2. Measurement is made with the antenna positioned in both the horizontal and vertical planes of polarization. The measurement antenna is varied in height (1m ~4m) above the reference ground plane to obtain the maximum signal strength. Distance between EUT and antenna is 3 m. 3. This investigation is performed with the EUT rotated 360%, the antenna height scanned between 1 m and 4 m, and the antenna rotated to repeat the measurements for both the horizontal and vertical antenna polarizations. Note: 1. 120kHz measurement bandwidth of test receiver and Quasi—peak detector is for radiated emission below 1GHz. 2. RBW=1MHz, VBW=3MHz and Peak detector is for peak measured value of radiated emission above 1GHz. 3. RBW=1MHz, VBW=1/T and Peak detector is for average measured value of radiated emission above 1GHz. Report No.: FR3D0402—02AE Page : 14 of 24 Report Version: Rev. 01

3.2.3 Test Setup Radiated Emissions below 1 GHz Radiated Emissions above 1 GHz Report No.: FR3D0402-02AE Page : 15 of 24 Report Version: Rev. 01

3.2.4 Transmitter Radiated Unwanted Emissions (Below 1GHz) Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Note 3: All spurious emissions below 30MHz are more than 20 dB below the limit. Report No.: FR3D0402-02AE Page : 16 of 24 Report Version: Rev. 01

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Note 3: All spurious emissions below 30MHz are more than 20 dB below the limit. Report No.: FR3D0402-02AE Page : 17 of 24 Report Version: Rev. 01

3.2.5 Transmitter Radiated Unwanted Emissions (Above 1GHz) for GFSK Modulation GFSK Test Freq. (MHz) 2402 Polarization Horizontal Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Report No.: FR3D0402-02AE Page : 18 of 24 Report Version: Rev. 01

Modulation GFSK Test Freq. (MHz) 2402 Polarization Vertical Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Report No.: FR3D0402-02AE Page : 19 of 24 Report Version: Rev. 01

Modulation GFSK Test Freq. (MHz) 2440 Polarization Horizontal Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Report No.: FR3D0402-02AE Page : 20 of 24 Report Version: Rev. 01

Modulation GFSK Test Freq. (MHz) 2440 Polarization Vertical Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Report No.: FR3D0402-02AE Page : 21 of 24 Report Version: Rev. 01

Modulation GFSK Test Freq. (MHz) 2480 Polarization Horizontal Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Report No.: FR3D0402-02AE Page : 22 of 24 Report Version: Rev. 01

Modulation GFSK Test Freq. (MHz) 2480 Polarization Vertical Note 1: Emission Level (dBuV/m) = SA Reading (dBuV/m) + Factor* (dB) *Factor includes antenna factor , cable loss and amplifier gain Note 2: Margin (dB) = Emission level (dBuV/m) – Limit (dBuV/m). Report No.: FR3D0402-02AE Page : 23 of 24 Report Version: Rev. 01

C Infernational Certification Corp. 4 Test laboratory information Established in 2012, ICC provides foremost EMC & RF Testing and advisory consultation services by our skilled engineers and technicians. Our services employ a wide variety of advanced edge test equipment and one of the widest certification extents in the business. International Certification Corp, it is our definitive objective is to institute long term, trust—based associations with our clients. The expectation we set up with our clients is based on outstanding service, practical expertise and devotion to a certified value structure. Our passion is to grant our clients with best EMC / RF services by oriented knowledgeable and accommodating staff. Our Test sites are located at Linkou District and Kwei Shan Hsiang. Location map can be found on our website http://www.icertifi.com.tw. Linkou Kwei Shan Kwei Shan Site II Tel: 886—2—2601—1640 Tel: 886—3—271—8666 Tel: 886—3—271—8640 No. 30—2, Ding Fwu Tsuen, Lin Kou No. 3—1, Lane 6, Wen San 3rd No. 14—1, Lane 19, Wen San 3rd District, New Taipei City, Taiwan, St., Kwei Shan Hsiang, Tao Yuan St., Kwei Shan Hsiang, Tao Yuan R.0.C. Hsien 333, Taiwan, R.0.C. Hsien 333, Taiwan, R.0.C. If you have any suggestion, please feel free to contact us as below information Tel: 886—3—271—8666 Fax: 886—3—318—0155 Email: ICC_Service@icertifi.com.tw ==END= Report No.: FR3D0402—02AE Page : 24 of 24 Report Version: Rev. 01


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Document Modified: 2019-06-24 09:32:52
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