FCC ID: U28TVBOX01 TV Adapter

PurPoSe of ThiS guide TV Sound TrAnSmiTTer oVerVieW uSing The STreAmer And SuPPorT ProduCT APProVAl PreCAuTionS And mArkingS ProduCT APProVAl PreCAuTionS And mArkingS Before your hearing instruments can receive the TV sound, the TV Sound Transmitter must be connected to the TV and a power outlet. This is an easy guide through the installation of the TV Sound Transmitter. Once the installation is complete this manual is no longer required. Back B C A All needed parts for the installation are included in the package. TV connection Power connection The connection parts are packed in numbered boxes from 1 to 3. The numbers are referring to each step in the installation. front Power indicator Light Meaning Solid Power on Off Power off StatuS indicator Meaning Light Connected Solid to streamer and stream-

ing TV sound Stand-by Pairing Off Flashing Place the TV Sound Transmitter in suitable spot close to the TV. For using the Streamer with the TV Sound Transmitter, refer to the user guide. Turn o the TV Sound Transmitter The TV Sound Transmitter uses very little power so it is not necessary to turn it off . Tv sound range TV Sound Transmitter has a range of about 10 meters depend-

ing on furnitures and placement. Connection with scart adapter If you connect the TV Sound Transmitter with the scart adapter you will only hear audio from the TV tuner with TV Sound Transmitter. Audio from other sources such as DVD or VCR will not be played in the hearing instruments. This is a limitation of the scart connector. For further support or tips you can check the ConnectLine information on www.connectlineURL.com This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, includ-

ing interference that may cause undesired operation of the device. Changes or modifications not expressly approved by the party responsible for compliance could void the users authority to operate the equipment. To comply with FCC RF exposure requirements, the device and the antenna for this device must be installed to ensure a minimum separation distance of 20 cm or more from a persons body. Other operating configurations should be avoided. note: This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try to correct the interference by one or more of the following measures:

- Reorient or relocate the receiving antenna.

- Increase the separation between the equipment and receiver.

- Connect the equipment into an outlet on a circuit different from that to which the receiver is connected.

- Consult the dealer or an experienced radio/TV technician for help. Oticon hereby declares that this TV Sound Transmitter, TV 75-01 is in compli-

ance with the essential requirements and other relevant provisions of Directive 1999/5/EC. Declaration of conformity is available at:

Oticon A/S Kongebakken 9 DK-2765 Smrum Denmark www.oticon.com 0678 Waste from electronic equipment must be handled according to local regulations. Use the following switch mode power supply with your TV Sound Transmitter:

Fuhua, Model No. UE10W-050020SPC, Input: 100-240V AC 150mA 50-60Hz, Output: 5V DC 200mA WArningS The TV Sound Transmitter is not a toy and therefore should be kept out of the reach of children and anyone else who might swallow parts or otherwise cause injury to themselves. Special attention should be paid to the smaller components in order to prevent children from swallowing them and choking. If a part is swallowed, see a doctor immediately. The safety of the use of the TV Sound Transmitter with an auxiliary input cable is determined by external signal source. When the input cable is connected to mains operated equipment, this equipment must comply with IEC-60065, IEC-60601 or equivalent safety standards. The TV Sound Transmitter is designed to comply with the most stringent Standards of International Electromagnetic Compatibility. However, the TV Sound Transmitter might cause interference with other medical devices. Please contact relevant personnel to obtain a permission before using the TV Sound Transmitter in hospitals or similar venues. 9 0

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0 0 0 1 0 9 6 8 0 9 ConneCTing To PoWer ConneCTing To TV oPTionAl AdAPTerS for ConneCTing To TV oPTionAl AdAPTerS for ConneCTing To TV oPTion 1: SCArT ConneCTion oPTion 2: heAdPhone ConneCTion inSTAllATion guide TV Sound Transmitter A B Begin the installation by connecting power to the TV Sound Transmitter. Connect the TV to the TV Sound Transmitter. Use the TV cord from box no. 2. Use the Power adapter from box no. 1.

- Plug the power adapter into the wall socket or another power source.

- Plug the power cord into the power connection marked A.

- Check that power is turned on and there is a solid green light in the Power indicator on the front of the TV Sound Transmitter.

- Connect the black plug on the TV cord to the connector marked B.

- Connect the red and white connectors to the AUDIO OUT terminals on the TV. (typically marked L - R AUDIO OUT and found on the TV back or bottom panel). If the TV has is no L - R RCA Phono OUTPUT, an adapter should be used for connecting the TV cord. Then proceed to step 3. The installation is now complete and can be checked by using your Streamer (refer to the user guide). If an adapter must be used for connecting the TV cord to the TV set, this is found in box no. 3. If installation completed in step 2, box no. 3 is not used!

SCART CONNECTION using the SCART adapter.

- Connect the Audio cord to the red and white terminals on the SCART adapter and plug it into the TVs SCART connection. If you have a DVD or a Sat box connected to the SCART, you should use option 2 instead. HEADPHONE CONNECTION using the Jack adapter.

- Connect the TV cord to the jack adapter and plug it into the TVs headphone output. The head phone output may be found on the side or front of the TV. Notice: The TV speakers may be muted when connecting to the headphone output.

oticon PEOPLE FIRST AUTHORIZATION LETTER To: Federal Communications Commission 7435 Oaklanf Mills Road Columbia, MD 21046 To whom it may concern:

FCC ID: U28TVBOX01 We, the undersigned, hereby authorize SGS-CSTC Standards Technical Services Co., Ltd. (SGS) to act on our behalf, as our agent, in the following matters related to the FCC approval of our product: report submittal, related correspondence, the signing of all documents relating to these matters, and any other lawful activity necessary to obtain such certification. Any act carried out by SGS within the scope of this authorization shall have the same effects as our own. This authorization shall expire 6 months from original date. If you have any questions regarding the authorization, please dont hesitate to contact us. Thank you. Sincerely, Name, position Applicant:: Oticon A/S Tel: +4539177100 Fax: +4539277900 Email: smo@oticon.dk

oticon PEOPLE FIRST Smgrum the 13" of February 2009 Authorization To whom it might concern I the undersigned hereby authorize Steen Mortensen to act on the behalf of Oticon A/S as regards to the FCC approval, registration and listing of the product TV adapter model number TV 75-01 Yours sincerely Oticon A/S _ O,. LEZ oo Ze Sa P- paltes Us Lars Bresler Gp S; ey any Qry, 2 9 Quality Management, Regulatory affairs ie

oticon PEOPLE FIRST Declaration Le To: Federal Communications Commission 7435 Oaklanf Mills Road Columbia, MD 21046 To whom it may concern:

We, Oticon A/S, apply for FCC ID of Permissive II change due to the product name is changed from TV sound transmitter to TV adapter for marketing purposes. We declare that the design, electrical circuitry or construction is identical without any change to the existing device covered by the FCC ID mentioned below. Original FCC Grant Information:

Product Name: TV sound transmitter Model No.: TV 75-01 FCC ID: U28TVBOX01 Trade mark: Oticon, Bernafon, Phonic Ear Original grant date: 02/10/2009 New FCC Grant Information:

Product Name: TV adapter Model No.: TV 75-01 FCC ID: U28TVBOX01 Brand Name: Oticon, Bernafon, Phonic Ear Thank you. Oticon A/S Sincerely, Kongebakken 9 Steen Mortensen, Regulatory affairs & development, 2009-3-3 Name, position, date Applicant: Oticon A/S Tel: +4539177100 Fax: +4539277900 Email: smo@oticon.dk

oticon PEOPLE FIRST Smgrum the 16" of January 2009 Authorization To whom it might concern

| the undersigned hereby authorize Steen Mortensen to act on the behalf of Oticon A/S as regards to the FCC approval, registration and listing of the product TV Audio Transmitter model number TV 75-01 Oticon A/S Yours sincerely Oticon A/S o Lars Bresler Quality Management, Regulatory affairs

oticon PEOPLE FIRST 19th of January 2009 Equipment Authorisation Division Federal Communications Commission 7435 Oakland Mills Road Columbia, MD 21046 FCC ID: U28TVBOX01 Product Name: TV Sound Transmitter. Request for Confidentiality Pursuant to Sections 0.457 and 0.459 of the commissions rules, we hereby request that the following documents be held confidential:

Schematics Bill of material Component layout Block diagram Operational description e@oeee These materials contain trade secrets and proprietary information and are not customarily released to the public. The public disclosure of this information might be harmful to the company and provide unjustified benefits to our competitors. Dated 19th Day of Jan 20 09 this acon AS pakken?

oVae7165 Smorum By: 5 Steen Mortensen Signature Printed Title: Regulatory affairs & development On behalf of : Oticon A/S Telephone: _+4539177100

1. The IC test site registration for SGS Guangzhou, China (test site # 4620B-1) has expired. Please contact IC to have the site relisted with IC. I cannot complete this equipment listing on the IC REL without the site registration being reinstated. For your information, it may be 5 weeks or longer before IC will register this expired test site again. SGS: The IC test site has been changed to SGS Shenzhen, China (test site #4620C-1). Ref.: << 1350B-TVBOX01 Test report-Rev2>> and

<< 1350B-TVBOX01 IC-Application form-Rev1>>

2. Annex B of RSS-102 is missing from the IC application forms. No SAR or RF exposure evaluations are necessary for this device in accordance with Section 2.5 of RSS-102. All that is needed is a completed and signed copy of Annex B of RSS-102. SGS- The RSS-102 was added. Ref.: << 1350B-TVBOX01 IC-Application form-Rev1>>

3. Please provide an amended IC application form with the following corrections:

(a) A handwritten signature on page 2 of the IC application form,

(b) The correct type of equipment listed as spread spectrum device (2400-2483.5 MHz),

(c) The emission designator corrected using the 99% bandwidth of 1.195 MHz,

(d) The units corrected to dBuV/m @ 3m for the transmitter and receiver spurious (worst case). SGS- The above items have been revised. Ref.: << 1350B-TVBOX01 IC-Application form-Rev1>>

4. The confidentiality requests for the FCC and IC list a component layout exhibit which was not submitted in the application exhibits. Either provide an amended FCC and IC confidentiality request letter which deletes the component layout exhibit from the exhibits for which you are seeking confidentiality or provide the confidential component layout exhibit. SGS-The confidential component layout has been uploaded to database. Ref.: <<U28TVBOX01 & 1350B-TVBOX01 Component layout>>

5. The MPE analysis for the FCC is done incorrectly. Please redo this analysis using equation 3 or 4 from OET Bulletin 65. Therein power density (S in mW/cm2) is defined as: S=PG/4R2 (where P = conducted power in mW, G = numeric gain of the transmitting antenna, and R = distance of 20 cm). Your analysis yields a power density that is too high for this transmitter. SGS-Sorry to make a mistake. We have revised MPE analysis according to the standard as you mentioned. Ref.: <<U28TVBOX01 MPE report-Rev1>>

6. The AC line conducted test setup photo has an antenna covering the EUT. Please retake this photo and provide a new AC line conducted test setup photo. SGS- The setup photo have been revised. Ref.: <<U28TVBOX01 & 1350B-TVBOX01 Test setup photos-Rev1>>

7. The internal and external photo exhibits are labeled temporary confidential but no request for temporary confidentiality of these exhibits was submitted to the FCC. Please indicate whether temporary confidentiality is or is not being requested for the internal and external photo exhibits. If temporary confidentiality is being requested, please submit the appropriate letter requesting temporary confidentiality of these exhibits. If temporary confidentiality is not being requested, please indicate so in a written response (such as an email or letter). SGS-Please ignore the temporary confidential request of internal and external photo. No request for temporary confidentiality of these exhibits. 8. For your information The MPE limits from your MPE analysis do not agree with the limits in Section 1.1310 of the FCC Rules for the 300 to 1500 MHz frequency range. In your analysis, the limit is listed as F/500 but the FCC Rules show the limit as F/1500. Please correct this for future applications to avoid non-compliance or delays in obtaining equipment authorization. SGS- Thanks for your information.