Receiver Federal Communication Commission Equipment Authorization Devision, Application Processing Branch 7435 Oakland Mills Road Columbia, MD 21048 Certification and Engineering Bureau Industry Canada Spectrum Engineering Branch 3701 Carling Avenue, Building 94 Ottawa, Ontario K2H 8S2 Subject:
FCC Certification Number:
Only applicable for IC certification:
ISED Company Number:
HVIN (Hardware Ver. ID):
HMN: (Host Marketing Name) 11936A AM_AU5_KIT312 N/A Limited Modular Approval Statement 2ACAHAU5ITE Date:
2022-05-02 UPN: (Unique Product No) PMN: (Product Marketing Name) AM_AU5_KIT312 FVIN: (Firmware Version Identification Number) AU5ITE N/A TO WHOM IT MAY CONCERN Pursuant to Paragraphs RSP-100 Issue 12 August 2019 Annex D and CFR 15.212, we herewith declare for our module. Yes No *
Modular approval requirement
(a) The radio elements must have the radio frequency circuitry shielded. Physical/discrete and tuning capacitors may be located external to the shield but must be on the module assembly.
*Please provide a detailed explanation if the answer is No.:
There is no complete RF shield attached to the radio module, only the ground layer in its PCB. Therefore, we are only requesting a limited modular approval for the module. There is no tuning or adjustment after installation of the module.
(b) The module shall have buffered modulation/data input(s) (if such inputs are provided) to ensure that the module will comply with the requirements set out in the applicable RSS standard / FCC part 15 under conditions of excessive data rates or over-
modulation.
*Please provide a detailed explanation if the answer is No.:
X X SBO Hearing A/S, Kongebakken 9, 2765 Smorum - DK-Denmark, CVR-no.: 39818558, www.sbohearing.com X X X
(c) The module shall have its own power supply regulation on the module. This is to ensure that the module will comply with the requirements set out in the applicable standard regardless of the design of the power supplying circuitry in the host device which houses the module.
*Please provide a detailed explanation if the answer is No.:
(d) The module shall comply with the provisions for external power amplifiers and antennas detailed in this standard. The equipment certification submission shall contain a detailed description of the configuration of highest antenna gain for each type of antenna.
*Please provide a detailed explanation if the answer is No.:
(e) The module shall be tested for compliance with the applicable standard in a stand-alone configuration, i.e. the module must not be inside another device during testing.
*Please provide a detailed explanation if the answer is No.:
(f) The module shall comply with applicable RSS-102 exposure requirements and any applicable FCC RF exposure requirement which are based on the intended configuration/integration in a host.
*Please provide a detailed explanation if the answer is No.:
Only applicable for FCC certification:
(g) The module must be equipped with either a permanently affixed label or must be capable of electronically displaying its FCC identification number.
*Please provide a detailed explanation if the answer is No.:
The module is intended to be used inside SBO Hearing and affiliated OEM branded hearing instruments only (Oticon, Bernafon, Sonic, Philips etc.), which are too small to carry the IC label legible without magnification. Therefore, the label is put in the installation guide and/or user manual, but not on the products carrying the module inside. Only applicable for FCC certification:
(i) The modular transmitter complies with all applicable FCC rules. Instructions for maintaining compliance are given in the user instructions.
(X) X X If you have any questions, please feel free to contact us at the address shown below SBO Hearing A/S, Kongebakken 9, 2765 Smorum - DK-Denmark, CVR-no.: 39818558, www.sbohearing.com Signed on behalf of SBO Hearing A/S, Per Klaus Nielsen Certification Manager, Regulatory Affairs SBO Hearing A/S, Kongebakken 9 2765 Smorum - DK-Denmark Phone: +45 3913 7100 INFO for applicant: LMA may be granted when one or more of the requirements in the table above cannot be demonstrated. LMA will also be issued in those instances where applicants can demonstrate that they will retain control over the final installation of the device, such that compliance of the end product is assured. In such cases, an operating condition on the LMA for the module must state that the module is only approved for use when installed in devices produced by a specific manufacturer. When LMA is sought, the application for equipment certification must specifically state how control of the end product, into which the module will be installed, will be maintained, such that full compliance of the end product is always ensured. SBO Hearing A/S, Kongebakken 9, 2765 Smorum - DK-Denmark, CVR-no.: 39818558, www.sbohearing.com