FCC ID: SH6MDBT42TV BLE Module

Version: A Issued Date: 2020/07/02 Approval Sheet

(Product): Bluetooth Low Energy Module

(Model No.): MDBT42TV Series (Chip Antenna) MDBT42TV P Series (PCB Antenna) Index 1. Overall Introduction ...................................................................................................... 3 1.1. Application ............................................................................................................ 3 1.2. Features ............................................................................................................... 4 2. Product Dimension ....................................................................................................... 5 2.1. PCB Dimensions & Pin Indication ......................................................................... 5 2.2. Recommended Layout of Solder Pad ................................................................... 7 2.3. RF Layout Suggestion (aka Keep-Out Area) ....................................................... 11 2.4. Footprint & Design Guide ................................................................................... 13 2.5. Pin Assignment ................................................................................................... 14 3. Main Chip Solution ...................................................................................................... 15 4. Specification ................................................................................................................ 16 4.1. Absolute Maximum Ratings ................................................................................ 16 4.2. Operation Conditions .......................................................................................... 16 4.3. Electrical Specifications ...................................................................................... 17 5. FCC Compliance .......................................................................................................... 22 6. 7. NCC ...................................................................................................................... 27 IC Caution .................................................................................................................... 25 1. Overall Introduction Raytacs MDBT42TV & MDBT42TV-P is a BT 5.1 stack (Bluetooth low energy or BLE) module designed based on Nordic nRF52805 SoC solution, which incorporates: GPIO, SPI, UART, I2C, and ADC interfaces for connecting peripherals and sensors. Features:

1. Dual Transmission mode of BLE & 2.4Ghz RF upon customer preference. 2. Compact size with (L) 8.3 x (W) 5.8 x (H) 1.3 mm. 3. Low power requirements, ultra-low peak, average and idle mode power consumption. 4. Be compatible with a large installed base of mobile phones, tablets and computers. 5. Fully coverage of BLE software stack. 6. BLE & RF transmission switching helps products fit all operation system and most hardware. 1.1. Application Data bridge Proprietary protocol devices Network processor Beacons Smart Home sensors Presenters/Stylus Health monitoring Drug delivery Asset tags Toys Retail tags and labels 1.2. Features Multi-protocol 2.4GHz radio 32-bit ARM Cortex M4 processor 192KB flash programmed memory and 24KB RAM Software stacks available as downloads Application development independent from protocol stack On-air compatible with nRF51, nRF24AP and nRF24L series Programmable output power from +4dBm to -20dBm RSSI RAM mapped FIFOs using EasyDMA Flexible and configurable 10 pin GPIO Programmable peripheral interface - PPI Full set of digital interface all with Easy DMA including:

1 x Hardware SPI master ; 1 x Hardware SPI slave 1 x two-wire master ; 1 x two-wire slave 1 x UART (CTS / RTS) 2 channel 12-bit / 200KSPS ADC 128-bit AES ECB / CCM / AAR co-processor Low power 32MHz crystal and RC oscillators Wide supply voltage range 1.7V to 3.6V On-chip DC/DC buck converter Individual power management for all peripherals Timer counter 3x 32-bit 2 x 24-bit RTC 2. Product Dimension 2.1. PCB Dimensions & Pin Indication MDBT42TV PCB Size (in mm) Min. Norm MAX.

- 0.15

+ 0.2 8.3 5.8 1.3 L W H MDBT42TV-P PCB Size (in mm) Min. Norm MAX.

- 0.15

+ 0.2 8.3 5.8 1.3 L W H 2.2. Recommended Layout of Solder Pad Graphs are all in Top View, Unit in mm. 2.3. RF Layout Suggestion (aka Keep-Out Area) Please follow below instruction to have better wireless performance. Make sure to keep the No-Ground-Pad as wider as possible when there is no enough space in your design. No-Ground Pad should be included in the corresponding position of the antenna in EACH LAYER. center. Place the module towards the edge of PCB to have better performance than placing it on the Welcome to send us your layout in PDF for review at service@raytac.com or your contact at Raytac with title Layout reviewing Raytac model no.YOUR companys name. Examples of NOT RECOMMENDED layout 2.4. Footprint & Design Guide Please visit Support page of our website to download. The package includes footprint, 2D/3D drawing, reflow graph and recommended spec for external 32.768khz. 2.5. Pin Assignment Pin No. Name Pin function Description GND Ground The pad must be connected to a solid ground plane SWDIO Digital I/O Serial Wire debug I/O for debug and programming SWDCLK Digital input Serial Wire debug clock input for debug and programming P0.21 Digital I/O General-purpose digital I/O RESET Configurable as system RESET pin

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(11)

(12)

(13)

(14)

(15)

(16)

(17) P0.20 P0.14 P0.18 P0.16 P0.12 P0.05 AIN3 P0.04 AIN2 P0.01 XL2 P0.00 XL1 VDD GND DCC

(10) GND Ground The pad must be connected to a solid ground plane Digital I/O General-purpose digital I/O Digital I/O General-purpose digital I/O Digital I/O General-purpose digital I/O Digital I/O General-purpose digital I/O Digital I/O General-purpose digital I/O Digital I/O General-purpose digital I/O Analog input SAADC input Digital I/O General-purpose digital I/O Analog input SAADC input Digital I/O General-purpose digital I/O Analog input Connection to 32.768khz crystal (LFXO) Digital I/O General-purpose digital I/O Analog input Connection to 32.768khz crystal (LFXO) Power Ground Power Power-supply pin The pad must be connected to a solid ground plane DC/DC converter output pin 1V3 regulator supply decoupling. Input from DC/DC converter. Output from 1V3 LDO

(18) DEC4 Power

(19) GND Ground The pad must be connected to a solid ground plane 3. Main Chip Solution RF IC Crystal Frequency Nordic NRF52805 32MHZ 32MHz crystal is already inside the module. 4. Specification Any technical spec shall refer to Nordics official documents as final reference. 4.1. Absolute Maximum Ratings 4.2. Operation Conditions 4.3. Electrical Specifications 4.3.1. General Radio Characteristics 4.3.2. Radio Current Consumption (Transmitter) 4.3.3. Radio Current Consumption (Receiver) 4.3.4. Transmitter Specification 4.3.5. Receiver Operation 4.3.6. RX Selectivity 4.3.7. RX Intermodulation 4.3.8. Radio Timing Parameters 4.3.9. RSSI Specifications 4.3.10. CPU 4.3.11. Power Management 21 5. FCC Compliance This equipment has been tested and found to comply with the limits for a Class 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 the radio communications. However, there are no guarantees that interference will not occur in a particular installation. Troubleshooting If this equipment does cause harmful interference to radio reception, which can be determined by turning the equipment off and on, the user is encouraged to correct the interference by one or more of the following instructions. Reorient or relocate the receiving antenna. Increase the separation between the equipment and receiver. Consult dealer or an experienced radio technician. Conditions Operation is subject to the following conditions This device may not cause harmful interference. This device must accept any interference received, including interference that may cause undesired operation. FCC Caution This device complies with Part 15 of the FCC rules. Operation is subject to the following two conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation. Any changes or modifications not expressly approved by the party responsible for compliance could void the authority to operate equipment. RF Exposure FCC RF Radiation Exposure Statement:

1. This Transmitter must not be co-located or operating in conjunction with any other antenna or transmitter. 2. For body worn operation, this device has been tested and meets FCC RF exposure guidelines. When used with an accessory that contains metal may not ensure compliance with FCC RF exposure guidelines. 22 This device complies with Part 15 of the FCC Rules. Operation is subject to the following two conditions:

1) this device may not cause harmful interference and 2) this device must accept any interference received, including interference that may cause undesired operation. Required End Product Labeling Any device incorporating this module must include an external, visible, permanent marking or label which states: Contains FCC ID: SH6MDBT42TV Applicable FCC Rules This module has been tested and found to comply with the following requirements for Modular Approval. Part 15.247 - Operation within the bands 902-928 MHz, 2400-2483.5 MHz, and 5725-5850 MHz. Additional testing, Part 15 Subpart B disclaimer The modular transmitter is only FCC authorized for the specific rule parts (i.e., FCC transmitter rules) listed on the grant, and that the host product manufacturer is responsible for compliance to any other FCC rules that apply to the host not covered by the modular transmitter grant of certification. The final host product still requires Part 15 Subpart B compliance testing with the modular transmitter installed. Test Modes This device uses various test mode programs for test set up which operate separate from production firmware. Host integrators should contact the grantee for assistance with test modes needed for module/host compliance test requirements. Antennas The following external antenna type have been approved for use with this module. Radio Model Antenna Type Freq.

(MHz) Max. Peak Antenna Gain (dBi) BLE BLE MDBT42TV MDBT42TV-P Chip PCB 2402-2480 2402-2480

-5.81

-6.50 In the end product, the antenna(s) used with this transmitter must be installed and must not be co-located or operation in conjunction with any other antenna or transmitter except in 23 accordance with FCC multi-transmitter product procedures. End Product Labeling This transmitter module is authorized only for use in device where the antenna may be installed such that 5mm may be maintained between the antenna and users. The final end product must be labeled in a visible area with the following:

Contains FCC ID: SH6MDBT42TV Manual Information to the End User The OEM integrator has to be aware not to provide information to the end user regarding how to install or remove this RF module in the users manual of the end product which integrates this module. The end user manual shall include all required regulatory information/warming as shown in this manual. 24 6. IC Caution This device contains licence-exempt transmitter(s)/receiver(s) that comply with Innovation, Science and Economic Development Canadas licence-exempt RSS(s). Operation is subject to the following two conditions:

1. This device may not cause interference. 2. This device must accept any interference, including interference that may cause undesired operation of the device. Avis Canadien Lmetteur/rcepteur exempt de licence contenu dans le prsent appareil est conforme aux CNR dInnovation, Sciences et Dveloppement conomique Canada applicables aux appareils radio exempts de licence. Lexploitation est autorise aux deux conditions suivantes :

1. Lappareil ne doit pas produire de brouillage;

2. Lappareil doit accepter tout brouillage radiolectrique subi, mme si le brouillage est susceptible den compromettre le fonctionnement. RF Radiation Exposure Statement:

1. To comply with the Canadian RF exposure compliance requirements, this device and its antenna must not be co-located or operating in conjunction with any other antenna or transmitter. 2. For body worn operation, this phone has been tested and meets RF exposure guidelines when used with an accessory that contains no metal. Use of other accessories may not ensure compliance with RF exposure guidelines. Dclaration de l'exposition aux radiations RF:

1. Pour se conformer aux exigences de conformit RF canadienne l'exposition, cet appareil et son antenne ne doivent pas tre co-localiss ou fonctionnant en conjonction avec une autre antenne ou transmetteur. 2. Pour le fonctionnement du corps, ce tlphone a t test et rpond aux directives d'exposition RF lorsqu'il est utilis avec un accessoire qui ne contient pas de mtal. Utilisation d'autres accessoires peut ne pas assurer le respect des directives d'exposition RF. Required End Product Labeling Any device incorporating this module must include an external, visible, permanent marking or label which states: Contains IC : 8017A-MDBT42TV Obligation d'tiquetage du produit final:

Tout dispositif intgrant ce module doit comporter un externe, visible, marquage permanent ou une tiquette qui dit: "Contient IC : 8017A-MDBT42TV 25 Antennas This radio transmitter has been approved by Industry Canada to operate with the antenna types listed below with the maximum permissible gain indicated. Antenna types not included in this list, having a gain greater than the maximum gain indicated for that type, are strictly prohibited for use with this device. Antennes Cet metteur radio a t approuv par Industrie Canada pour fonctionner avec les types d'antenne numrs ci-dessous avec le gain maximal admissible indiqu . types d'antennes non inclus dans cette liste , ayant un gain suprieur au gain maximum indiqu pour ce type , sont strictement interdits pour une utilisation avec cet appareil. Radio ISED HVIN Antenna Type Freq. (MHz) Antenna Gain BLE BLE MDBT42TV MDBT42TV-P Chip PCB 2402-2480 2402-2480 Max. Peak

(dBi)

-5.81

-6.50 26 7. NCC NCC LP0002 _ 3.8.2 ID XXXXX 27

Raytac Corporation FCC ID: SHEMDBT42TV IC: 8017A-MDBT42TV CMIIT ID: XXXXXXXXXX Model No.: MDBT42TV Raytac Corporation FCC ID: SHEMDBT42TV IC: 8017A-MDBT42TV CMIIT ID: XXXXXXXXXX Model No.: MDBT42TV Raytac Corporation FCC ID: SHEMDBT42TV IC: 8017A-MDBT42TV CMIIT ID: XXXXXXXXXX Model No.: MDBT42TV-P

SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia 30024 United States Applicant Declaration Applicant Legal Business Name Raytac Corp. 5F., No.3, Jiankang Rd., Zhonghe Dist., New Taipei City, 23586, Taiwan Address Grantee Code FCC ID Contact Email Contact Phone Authorized Contact Name Venson Liao SH6 SH6MDBT42TV venson@raytac.com

+886-2-32340208 ext. 304 I, the undersigned, certify that I am an authorized signatory for the Applicant and therefore declare;

in accordance with 47CFR2.911(d), all of the statements herein and the exhibits attached hereto are true and correct to the best of my knowledge and belief. in accepting a Grant of Equipment Authorization issued by a TCB, under the authority of the FCC, as a result of the representations made in this application, the Applicant is responsible for:

labeling the equipment with the exact FCC ID as specified in this application,

(1)

(2) compliance statement labeling pursuant to the applicable rules,

(3) compliance of the equipment with the applicable technical rules, if the Applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCCs technical requirements. in accordance with 47 CFR 2.909 and KDB394321, the Applicant has read, understood and agrees to accept that they are the responsible party and agree to abide by their responsibilities as specified under 47 CFR 2.909 and KDB394321. in accordance with ISO17065, FCC KDB641163, FCC KDB610077, KDB394321 and RSP-100, the Applicant has read, understood, accepts and agrees to abide by the post market surveillance requirements.

(1)

(2)

(3) the Applicant understands, accepts and agrees that a sample may be requested for surveillance testing. the Applicant shall make provisions to always have a production sample available upon request by SGS, FCC and/or ISED. the Applicant shall, upon request by SGS, at the Applicants expense, provide a production sample of the requested product to SGS, FCC and/or ISED as instructed. The sample shall include all support devices, cables, software, accessories or other hardware or software required for evaluation, review, certification and audit surveillance of products certified by SGS. neither the Applicant nor any party to the application is subject to a denial of Federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 862 because of a conviction for possession or distribution of a controlled substance. See 47CFR 1.2002(b) for the definition of a party for these purposes. the Applicant has read, understood, accepts and agrees to abide by the SGS North America, Inc.(TCB) terms and conditions. Link to CFRs: https://www.fcc.gov/wireless/bureau-divisions/technologies-systems-and-innovation-division/rules-regulations-title-47 Link to KDBs: https://apps.fcc.gov/oetcf/kdb/index.cfm Link to RSP-100: https://www.ic.gc.ca/eic/site/smt-gst.nsf/eng/sf01130.html Applicant Signature:

Print Name:

Title:

*NOTE: This declaration cannot be signed by an Agent, it shall be signed by an authorized person listed in the FCC database Venson Liao R&D Manager Date:October 7, 2020 a) b) c) d) e) f) g) Applicant Declaration Rev:0.0

Date: 2020-10-07 TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 SUBJECT: Model Difference Letter for FCC: SH6MDBT42TV To Whom It May Concern:

Due to the business consideration, we hereby declare that our product of BLE Module, Model: MDBT42TV, MDBT42TV-P have as following difference Model Description:

MDBT42TV: with Chip antenna MDBT42TV-P: with PCB antenna Any questions regarding this declaration, please dont hesitate to contact us. Sincerely, _________________________________ Raytac Corp. Venson Liao / R&D Manager Phone: +886-2-32340208 ext. 304 E-Mail: venson@raytac.com

Cover Letter-Modular Approval FCC ID: SH6MDBT42TV Date: October 23, 2020 Gentlemen:

Theres a BLE Module that would like to have your authorization as a modular approval. The specific product as below, MDBT42TV, MDBT42TV-P with its designed features and specified description, meets special requirements for Full modular approval on FCC KDB996369 by cross-reference list below. Company Equipment Name Model Number FCC ID Raytac Corp. BLE Module MDBT42TV, MDBT42TV-P SH6MDBT42TV Requirement of FCC KDB996369 1. The modular tansmitter must have its own RF shielding. 2. The modular transmitter must have buffered modulation/data inputs (if such inputs are provided) to ensure that the module will comply with Part 15 requirements under conditions of excessive data rates or over-modulation. 3. The modular transmitter must have its own power supply regulation. 4. The modular transmitter must comply with the antenna and transmission system requirements of Sections 15.203, 15.204(b) and 15.204(c). The antenna must either be permanently attached or employ a unique antenna coupler

(at all connections between the module and the antenna, including the cable). The professional installation provision of Section 15.203 is not applicable to modules but can apply to limited modular approvals under paragraph (b) of this section. 5. The modular transmitter must be tested in a stand-alone configuration, i.e., the module must not be inside another device during testing. ComplyY/N Y The EUT provides the RF shielding. See EUT photo. Y The EUT has its buffered modulation. Please see the Schematic Diagram. Y The EUT has its own power supply regulation, please see the Schematic Diagram. Y The antenna is permanently attached to the module. Y The EUT was tested with a test board, Please see test report and setup photo Y Please see exhibition label sample for the FCC ID of this module. And also in the exhibition Users manual, there are instructions give to the OEM on how to label the end product. Y The EUT is compliant with all applicable FCC rules. Details instructions for maintaining compliance are give in the User Manual. Y The EUT complies with RF exposure requirement. 6. The modular transmitter must be labeled with its own FCC ID number, and, if the FCC ID is not visible when the module is installed inside another device, then the outside of the device into which the module is installed must also display a label referring to the enclosed module. This exterior label can use wording such as the following: Contains Transmitter Module FCC ID: SH6MDBT42TV or Contains FCC ID: SH6MDBT42TV Any similar wording that expresses the same meaning may be used. The Grantee may either provide such a label, an example of which must be included in the application for equipment authorization, or, must provide adequate instructions along with the module which explain this requirement. case, a copy of these instructions must be included in the application for equipment authorization. In the latter 7. The modular transmitter must comply with any specific rule or operating requirements applicable to the transmitter and the manufacturer must provide adequate instructions along with the module to explain any such requirements. A copy of these instructions must be included in the application for equipment authorization. 8. The modular transmitter must comply with any applicable RF exposure requirements. For example, FCC Rules in sections 2.1091, 2.1093 and specific Sections of Part 15, including 15.319(i), 15.407(f), 15.253(f) and 15.255(g), require that Unlicensed PCS, UNII and millimeter wave devices perform routine environmental evaluation for RF Exposure to demonstrate compliance. In addition, spread spectrum transmitters operating under Section 15.247 are required to address RF Exposure compliance in accordance with Section 15.247(b)(4). Thank you. Sincerely, Raytac Corp. Venson Liao / R&D Manager Phone: +886-2-32340208 ext. 304 E-Mail: venson@raytac.com

Date: October 7, 2020 Confidentiality Request regarding application for FCC ID: SH6MDBT42TV 5F., No.3, Jiankang Rd., Zhonghe Dist., New Taipei City 23586, Taiwan SGS North America Inc. 620 Old Peachtree Road SUITE 100 Suwanee, Georgia United States To:

From: Raytac Corp. Regarding:

LONG TERM CONFIDENTIALITY Pursuant to 47 CFR Section 0.459 and 0.457 of the commissions rules, the applicant hereby request confidential treatment of the documents listed below, associated with the certification application referenced above. Schematic(s) Block Diagrams Operational Descriptions The documents above contain proprietary information not released to the public. Public disclosure of this information may prove harmful to the business of the applicant. SHORT TERM CONFIDENTIALITY Additionally, the applicant requests the following documents be held confidential until the device is marketed or 180 days from the grant date, whichever is less. If the device is marketed within 180 days of the Grant Date, the applicant will notify the TCB per FCC KDB 726920 D01 Confidentiality Request Procedures. External Photos Internal Photos Test Setup Photos User manual(s) Sincerely, Raytac Corp. Venson Liao / R&D Manager Phone: +886-2-32340208 ext. 304 E-Mail: venson@raytac.com

Date: October 7, 2020 TO:

Federal Communication Commission Equipment Authorization Branch 7435 Oakland Mills Road Columbia, MID 21046 Regarding FCC ID: SH6MDBT42TV To whom it may concern:

We, the undersigned, hereby authorize Kevin Tsai / Deputy Manager of SGS Compliance Certification Services Inc. to act on our behalf in all manners relating to application for equipment authorization with respect to the FCC ID above, including signing of all documents relating to these matters. Any and all acts carried out by the agent on our behalf shall have the same effect as acts of our own. We, the undersigned, hereby certify that we are not subject to a denial of federal benefits, that includes FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. 853(a). Where our agent signs the application for certification on our behalf, I acknowledge that all responsibility for complying with the terms and conditions for Certification, as specified by SGS North America, Inc., still resides with Raytac Corp.. This authorization is valid until further written notice from the applicant. Raytac Corp. Venson Liao / R&D Manager Phone: +886-2-32340208 ext. 304 E-Mail: venson@raytac.com

KDB Ref Sect 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 Requirements of KDB 996369 D03 List of applicable FCC rules Summarize the specific operational use conditions Limited module procedures Trace antenna designs RF exposure considerations Antennas Label and compliance information Information on test modes and additional testing requirements 2.10 Additional testing, Part 15 Subpart B disclaimer User Manual Page Number reference P.23 N/A N/A N/A P.22 P.23 P.23 P.5~21 section 2~4 for hardware configurations P.23 statement for supporting firmware configurations. P.23