## Report Number: SC1308738 Page i

- Report Administration

Revision :

Number: 0 Issued: August 30, 2013

Report Administration

R eport Number : SC1308738 Revision Number: 0

EQUIPMENT TESTED: Portable Oxygen Concetrator

MODEL/ PART NO(S): Model 4000

SERIAL NO(S): Sample # 4

TEST DATE(S): S tarting : August 30, 2013 Completing: August 30, 2013

PREPARED FOR: Caire In c.

12230 World Trade Drive, Suite 100

San Diego, CA 92128

CLIENT REQUESTER: Name: Lorenzo Subido Tel: 858

- 202

- 3161

E

- mail : lorenzo.subido@chartindustries.com

TEST LOCATION: TÜV SÜD America

San Diego (Mira Mesa) Laboratory

10040 Mesa Rim Road

San Diego, CA 92121

Tel: 858 678 1400

Prepared By: Name: James E. Morris Tel: 858

- 673

- 1453

E

- mail: jmorris@tuvam.com

The information presented in this report is, to the best of our knowledge, true and correct in all respects.

Tested By: Written By: Reviewed B y:

Signature:

Name: James E Morris James E Morris David Gray

Title: Senior EMC Engineer Senior EMC Engineer EMC Engineer

TÜV SÜD America, Inc.’s reports apply only to the specific sample tested under stated test conditions. It is the manufactur er’s responsibility to

assure the continued compliance of production units of this model. TÜV SÜD America, Inc. shall have no liability for any ded uctions, inferences or

generalizations drawn by the client or others from TÜV SÜD America, Inc.’s issued rep orts.

This report is the confidential property of the client. As a mutual protection to our clients, the public and TÜV SÜD Americ a, Inc., extracts from the

test report shall not be reproduced, except in full, without TÜV SÜD America, Inc.’s written appro val. The client shall not use this report to claim

product endorsement by A2LA or any agency of the U.S. Government. (TÜV SÜD America, Inc.’s (San Diego, California) A2LA Lab Code: 2955

- 13 .)

TÜV SÜD America, Inc. and its professional staff hold government

and professional organization certifications for

AAMI, ACIL, AEA, ANSI, IEEE, A2LA, NIST and VCCI.

## Report Number: SC1308738 Page ii

- Report Administration

Revision :

Number: 0 Issued: August 30, 2013

VERSION HISTORY

Version # Implemented

By Revision

Date Page

Numbers

Revised Total Number

of Pages Reason

N/A J. Morris 30 August, 2013 N/A 22 Initial Release

## Report Number: SC1308738 Page 1 of 22

- Directory

Revision Number: 0 Issued: August 30, 2013

Directory

Table of Contents

REPORT ADMINISTRATIO N

................................ ................................ ................................ ..... 1

VERSION HISTORY

................................ ................................ ................................ ................... 2

DIRECTORY

................................ ................................ ................................ .............................. 1

TABLE OF CONTENTS

................................ ................................ ................................ ............. 1

LIST OF TABLES

................................ ................................ ................................ ....................... 2

LIST OF PHOTOGRAPHS

................................ ................................ ................................ ......... 2

1.0 TEST STANDARDS / DOC UMENTS

................................ ................................ .............. 3

2.0 SUMMARY

................................ ................................ ................................ ..................... 3

5.0 TEST CONFIGURATION A ND GENERAL TEST PROC EDURES .

................................ . 4

6.0 TEST SPECIFICATION D EVIATIONS:

................................ ................................ ........... 4

7.0 STATEMENT OF MEASURE MENT UNCERTAINTY

................................ ...................... 4

8.0 MODIFICATIONS REQUIR ED TO PASS:

................................ ................................ ....... 4

9.0 GENERAL CONFIGURATIO N AND BONDING TEST PROCEDURES

........................... 5

APPENDIX A.

................................ ................................ ................................ ............................. 6

SECTION 21 RADIATED RF EMMISIONS Category M

. ................................ .............................. 6

APPENDIX B.

................................ ................................ ................................ ........................... 11

Accreditations

................................ ................................ ................................ .............................. 11

## Report Number: SC1308738 Page 2 of 22

- Directory

Revision Number: 0 Issued: August 30, 2013

List of Tables

Table 1: Test Summaries and Results

................................ ................................ ................................ ................................ 5

Table 2: SECTION 21 RADIATED RF EMMISIONS Test Equipment List

................................ ................................ .......... 7



## List of Photographs

P hotograph 1: SECTION 21 RADIATED RF EMMISIONS 100 MHz to 200 MHz,

................................ ............................. 8

Photograph 2: SECTION 21 RADIATED RF EMMISIONS 200 MHz to 1 GHz,

................................ ................................ . 9

Photograph 3: SECTION 21 RADIATED RF EMMISIONS 1 GHz to 6 GHz,

................................ ................................ .... 10

## Report Number: SC1308738 Page 3 of 22

- Error! Reference source

not found.

Revision:

Number: 0 Issued: August 30, 2013

1.0 TEST STANDARDS / DOCUMENTS

1.1 The following documents were applicable to the preparation and performance of the EMC tests

discussed:

RTCA/DO

- 160G : Electromagnetic Emission and Susceptibility Requirements for the Control of

Electromagnetic Interfere nce

Other Documents: None

2.0 SUMMARY

2.1 Description of Equipment under Test: :

Caire Model 4000 Portable Oxygen Concentrator

.

2.2 Power Requirements :

The EUTs were designed to operate with internal battery for normal operational modes.

The EUT was not teste d in charging mode as this is not a operational condition aboard aircraft.

2.3

Deviations from the Test Plan :

None

2.4 Recommendations

. None

2.5 TEST SPECIFICATION DEVIATIONS:

Additions To: None

Exclusions From: None

3.0 STATEMENT OF MEASUREMENT UNCERTAINTY

The dat a and results referenced in this document are accurate. The reader is cautioned that there is some

measurement variability due to the tolerances of the test equipment that can contribute to a nominal product

measurement uncertainty. Furthermore, componen t differences and manufacturing process variability of production

units similar to that tested may result in additional product uncertainty. If necessary, refer to the test lab for the

actual measurement uncertainty for specific tests.

4.0 MODIFICATIONS REQU IRED TO PASS:

No modifications were implemented.

## Report Number: SC1308738 Page 4 of 22

- Error! Reference source

not found.

Revision:

Number: 0 Issued: August 30, 2013

5.0 TEST CONFIGURATION AND GENERAL TEST PROCEDURES

.

5.1 Description of Test Site

The testing was performed at TÜV SÜD America, Inc., San Diego, California, within a Shielded Room, 20’

x 28’ x 16’, Metal, Semi

- Anechoic Chamber.

5.2 Sequence of Testing

The test sequence was followed per the test engineer’s discretion.

5.3 Ambient Measurements

Ambient surveys were performed to establish background noise levels where needed. For each ambient

survey, EMI test equipment conf iguration was as it would be for the test. Receiver sweep speed,

bandwidth, etc. was the same during the ambient survey as during testing. The frequency range for each

test method was swept and measured levels recorded. As a minimum, ambient levels were 6 dB below the

applicable test limit.

5.4 Instrumentation

Calibration intervals and requirements of all measurement instrumentation used were in accordance with

ANSI/NCSL Z540

- 1

- 1994. All instruments and model numbers used during testing a re listed in each test

section.

5.5 Table 1 : Test Summaries and Results lists the EMI/EMC tests perfor med and the compliance results.

6.0 TEST SPECIFICATION DEVIATIONS:

Additions To: None

Exclusions From: None

7.0 STATEMENT OF MEASUREMENT UNCERTAINTY

The data an d results referenced in this document are accurate. The reader is cautioned that there is some

measurement variability due to the tolerances of the test equipment that can contribute to a nominal product

measurement uncertainty. Furthermore, component di fferences and manufacturing process variability of

production units similar to that tested may result in additional product uncertainty. If necessary, refer to the test

lab for the actual measurement uncertainty for specific tests.

8.0 MODIFICATIONS REQUIRED TO PASS:

Oscillator crystals were grounded.

## Report Number: SC1308738 Page 5 of 22

- Error! Reference source

not found.

Revision:

Number: 0 Issued: August 30, 2013

9.0 GENERAL CONFIGURATION AND BONDING TEST PROCEDURES

9.1 Electrical Bonding

A ground plane, having physical and electrical characteristics as defined in RTCA/DO

- 160G , was used to

electrically bond the test sample t o the shielded enclosure. Bond resistance between the test sample and ground

plane satisfied the resistance requirements for Class R bonds per ANSI

- NCSL Z540

- 1

- 1994 (i.e., 2.5 m Ω or less).

Each time the test sample was repositioned bond resistance was verified and recorded. No physical bonding to the

EUT is possible.

9.2 Test Configuration

The general EMI/EMC test configuration was as shown in photographs for each setup

.

Table 1 : Test Summaries and Results

RTCA/DO

- 160G Description Result Appendix

SECTION 21 RTCA/DO

- 160G

, SECTION 21 RADIATED RF EMMISIONS , Radiate d Emissions,

Electric Field, 100 MHz to 6 GHz , Category M Pass A

## Report Number: SC1308738 Page 6 of 22

- Appendix A

Revision Number: 0 Issued: August 30, 2013

Appendix A.

SECTION 21 RADIATED RF EMMISIONS Category M

.

## Report Number: SC1308738 Page 7 of 22

- Appendix A

Revision Number: 0 Issued: August 30, 2013

Test Conditions: SECTION 21 RADIATED RF EMMISIONS

–

The SECTION 21 RADIATED RF EMMISIONS test was performed in the following test location at the

San Diego Testing Facility:

SR 4

, Shielded Room, 20’ x 28’ x 16’, Metal, Semi

- Anechoic Chamber

Test Equipment Used:

Table 2 : SECTION 21 RADIATED RF EMMISIONS Test Equipment List

Model No.: Prop. No.: Manufacturer: Description: Serial No.: Cal Due

Date:

3115 SDGE 06475 EMCO DOUBLE RIDGE GUIDE ANT 9908

- 5927 19 Dec 13

94455

- 1 SDGE06611 Eaton Antenna , Biconical 0811 23 Aug 14

96000 SDGE06720 Eaton Antenna, Double Ridge Horn 2278 17 Nov 13

E4446A SDGE06823 Agilent SPEC TRUM ANALYZER, PSA US443300486 20 Sep 13

ZFL

- 10 00 SDGE06386 TÜV SÜD America Pre

- Amplifier

-- 07 Aug 14

AMF

- 5D

- 010180 SDGE06786 Miteq Pre

- Amplifier

-- 01 Feb 14

SML03 SDGE07496 Rohde Schwarz Signal Generator 100931 08 Aug 14

Test Specification:

Frequency : 1 00 MHz

– 6 GHz

Ambient : Performed

Test D istance : 1 meter

Antenna Polarization : Vertical / Horizontal

Electrical Continuity Check : Yes

Test Type : Peak

Bandwidths : 10kHz (100 MHz

– 400 MHz)

100 kHz ( 4 00 MHz

– .98 GHz)

1 MHz ( .98

– 6 GHz)

Result:

Positive

Remarks: See Test Plan and RTCA/DO

- 1 60G for test procedures and limit.

## Report Number: SC1308738 Page 8 of 22

- Appendix A

Revision Number: 0 Issued: August 30, 2013

Photograph of Test Setup:

SECTION 21 RADIATED RF EMMISIONS Radiated Emissions

Photograph 1 : SECTION 21 RADIATED RF EMMISIONS 100 MHz to 200 MHz,

Biconical Antenna 1 m Setup

## Report Number: SC1308738 Page 9 of 22

- Appendix A

Revision Number: 0 Issued: August 30, 2013

Photograph 2 : SECTION 21 RADIATED RF EMMISIONS 200 MHz to 1 GHz,

Double Ridge Guide 1m Setup

## Report Number: SC1308738 Page 10 of 22

- Appendix A

Revision Number: 0 Issued: August 30, 2013

Photograph 3 : SECTION 21 RADIATED RF EMMISIONS 1 GHz to 6 GHz,

Double Ridge Guide Antenna

## Report Number: SC1308738 Page 11 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

Appendix B.

Accreditations

## Report Number: SC1308738 Page 12 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 13 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 14 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 15 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 16 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 17 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 18 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 19 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013

## Report Number: SC1308738 Page 20 of 22

- Appendix B

Revision Number: 0 Issued : August 30, 2013