TÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

# TEST RESULT SUMMARY

RTCA/DO-160E: 2004: Section 21 RF Ra diated Emissions - Category M

COMPANY NAME VBOX Incorporated

COMPANY ADDRESS 2342 East County Road J White Bear Lake MN 55110

EQUIPMENT DESCRIPTION VBOX Trooper - Portable Oxygen Concentrator

MODEL NUMBER(S) TE STED A-01050

SERIAL NUMBER(S) TEST ED DemoUnit-1

TEST REPORT NUMBER NC1000473.1

TEST DATE(S) 04 August 2010
TÜV SÜD America Inc, as an independent testing laboratory, declares that the equipment tested as specified above conforms to the requirements of RTCA/DO-160E Envir onmental Conditions and Test Procedures for Airborne Equipment, December 9, 2004, Section 21, RF Radiated Emissions, Category M.

It is the manufacturer's responsibility to assure that additi onal production units of this model are manufactured with identical electrical and mechanical characte ristics. Any modifications necessary for compliance made during testing on the above mentioned date(s) must be implemented in all production units for compliance to be maintained.

Date: 24 September 2010 Tested by: Approved by:

Location: New Brighton MN Scott Hager Gerald V Anderson USA EMC Technician Senior EMC Engineer

Not TransferableTÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

### REVISION RECORD

REVISION TOTAL NUMBER OF PAGES DATE DESCRIPTION

23 24 September 2010 Initial ReleaseTÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

### TEST EQUIPMENT Use of the calibrated equipment listed in this report ensu res traceability to national and international standards.

Test # Test Description / Performed by 1 RTCA/DO-160E Sec 21 RE / SDH



### Cal Code/ Test # Mfr Model Serial Description Due Date Asset ID 1 AGT E4440A MY42510427 Spectrum Analyzer PSA G 27 May 11 NBLE03366 1 AHS 200/550-1B 230 Ant .01-60 MHz Active Rod B 05 Oct 10 NBLE02634 1 AHS SAS-571 812 Antenna DRG Horn G 17 Jun 11 NBLE10473 1 EM 6912 635 Antenna, Bicon 20 -300MHz G 10 Aug 10 NBLE03346 1 HP 8447D 2727A05471 Preamp 0.1-1000 MHz B 03 Mar 11 NBLE02672 1 MQ AMF5D010180 390148 Pre-Amplifier 0.1-18 GHz G 27 Oct 10 NBLE02610 1 TE 4106 2014 Ridge Guide Antenna G 23 Mar 11 NBLE02355



### CALIBRATION CODES Cal Code B = Calibration verification performed internally Cal Code G = Calibration performed by an accredited outside source. Cal Code Y = Calibration not required when used with other calibrated equipment.

MANUFACTURER CODES AGT Agilent Technologies AHS AH Systems EM Electro-Metrics HP Hewlett-Packard MQ Miteq TE TensorTÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

### Test-setup photo(s): RTCA/DO-160E - Sec 21 RF Radiated Emissions 2 MHz to 25 MHzTÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

### Test-setup photo(s): RTCA/DO-160E - Sec 21 RF Radiated Emissions 25 MHz to 200 MHzTÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

### Test-setup photo(s): RTCA/DO-160E - Sec 21 RF Radiated Emissions 200 MHz to 1000 MHzTÜV SÜD AMERICA INC 1775 Old Hwy 8 NW, Suite 104 New Brighton MN 55112-1891 USA Tel: 651 631 2487 Fax: 651 638 0285 Rev. 09080 3 

### Test-setup photo(s): RTCA/DO-160E - Sec 21 RF Radiated Emissions 1000 MHz to 6000 MHz

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 1 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Report Number: 1 Frequency Transducer POL Ant Dist Side EM Type OP Mode Notes: P/F? 2.000 MHz - 10.000 MHz Active Rod V 1 m Front N/A Ambient Pass

10.000 MHz - 25.000 MHz Active Rod V 1 m Front N/A Ambient Pass

25.000 MHz - 30.000 MHz Biconical V 1 m Front N/A Ambient Pass

30.000 MHz - 100.000 MHz Biconical V 1 m Front N/A Ambient Pass

100.000 MHz - 200.000 MHz Biconical V 1 m Front N/A Ambient Pass

200.000 MHz - 400.000 MHz DRG V 1 m Front N/A Ambient Pass

400.000 MHz - 1.000 GHz DRG V 1 m Front N/A Ambient Pass

1.000 GHz - 6.000 GHz DRG V 1 m Front N/A Ambient Pass

Peak Over/Under Limit Va lue: -17.17dB @ 1080.000MHz

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 2 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Report Number: 2 Frequency Transducer POL Ant Dist Side EM Type OP Mode Notes: P/F? 25.000 MHz - 30.000 MHz Biconical H 1 m Front N/A Ambient Pass

30.000 MHz - 100.000 MHz Biconical H 1 m Front N/A Ambient Pass

100.000 MHz - 200.000 MHz Biconical H 1 m Front N/A Ambient Pass

200.000 MHz - 400.000 MHz DRG H 1 m Front N/A Ambient Pass

400.000 MHz - 1.000 GHz DRG H 1 m Front N/A Ambient Pass

1.000 GHz - 6.000 GHz DRG H 1 m Front N/A Ambient Pass

Peak Over/Under Limit Va lue: -16.09dB @ 1085.000MHz

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 3 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Report Number: 3 Frequency Transducer POL Ant Dist Side EM Type OP Mode Notes: P/F? 2.000 MHz - 10.000 MHz Active Rod V 1 m Front N/A Fully OP Pass

10.000 MHz - 25.000 MHz Active Rod V 1 m Front N/A Fully OP Pass

25.000 MHz - 30.000 MHz Biconical V 1 m Front N/A Fully OP Pass

30.000 MHz - 100.000 MHz Biconical V 1 m Front N/A Fully OP Pass

100.000 MHz - 200.000 MHz Biconical V 1 m Front N/A Fully OP Pass

200.000 MHz - 400.000 MHz DRG V 1 m Front N/A Fully OP Pass

400.000 MHz - 1.000 GHz DRG V 1 m Front N/A Fully OP Pass

1.000 GHz - 6.000 GHz DRG V 1 m Front N/A Fully OP Pass

Peak Over/Under Limit Va lue: -11.42dB @ 2.496MHz

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 4 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Report Number: 4 Frequency Transducer POL Ant Dist Side EM Type OP Mode Notes: P/F? 25.000 MHz - 30.000 MHz Biconical H 1 m Front N/A Fully OP Pass

30.000 MHz - 100.000 MHz Biconical H 1 m Front N/A Fully OP Pass

100.000 MHz - 200.000 MHz Biconical H 1 m Front N/A Fully OP Pass

200.000 MHz - 400.000 MHz DRG H 1 m Front N/A Fully OP Pass

400.000 MHz - 1.000 GHz DRG H 1 m Front N/A Fully OP Pass

1.000 GHz - 6.000 GHz DRG H 1 m Front N/A Fully OP Pass

Peak Over/Under Limit Value: -17.10dB @ 1025.000MHz

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 5 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Subreport Number: 1

Polarity: V Emission Type: N/A Mode of Operation: Ambient Notes:

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 6 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Peak Tabular Data - Peak Definitions are: 6.0 dB drop for a peak. All peaks within 12.0 dB of the limit. There are no peaks within 12.0 dB of the limit.

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 7 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Equipment Description and Info:

Probe Type Probe Model Calibration File Cal Due Date(YYYYMMDD) Probe Description

Active Rod SN-230 C:\EMC\XD\AR230.09 20101005 Active Rod Emissions Antenna Active Rod SN-230 C:\EMC\XD\AR230.09 20101005 Active Rod Emissions Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG SAS 571 SN812 C:\EMC\XD\RGAH-812.10 20110617 Gold DRG Antenna

Preamp ID Calibration File Cal Due Date(YYYYMMDD) None c:\emc\emissions\preamps\zero.txt 22222222 None c:\emc\emissions\preamps\zero.txt 22222222 NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

Hi Freq - NBLE2610 c:\emc\emiss ions\preamps\2610_09.txt 20101027

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 8 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Subreport Number: 2

Polarity: H Emission Type: N/A Mode of Operation: Ambient Notes:

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 9 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Peak Tabular Data - Peak Definitions are: 6.0 dB drop for a peak. All peaks within 12.0 dB of the limit. There are no peaks within 12.0 dB of the limit.

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 10 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Equipment Description and Info:

Probe Type Probe Model Calibration File Cal Due Date(YYYYMMDD) Probe Description

Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG SAS 571 SN812 C:\EMC\XD\RGAH-812.10 20110617 Gold DRG Antenna

Preamp ID Calibration File Cal Due Date(YYYYMMDD) NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

Hi Freq - NBLE2610 c:\emc\emiss ions\preamps\2610_09.txt 20101027

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 11 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Subreport Number: 3

Polarity: V Emission Type: N/A Mode of Operation: Fully OP Notes:

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 12 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Peak Tabular Data - Peak Definitions are: 6.0 dB drop for a peak. All peaks within 12.0 dB of the limit. Frequency (MHz) Receiver (dB) Transducer (dB) Cable Loss (dB) Preamp (dB) Final Data (dB) Limit Differential (dB) 2.496 27.38 0.60 0.16 0.00 28.14 39.56 -11.42 3.928 25.95 0.70 0.21 0.00 26.86 38.66 -11.80

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 13 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Equipment Description and Info:

Probe Type Probe Model Calibration File Cal Due Date(YYYYMMDD) Probe Description

Active Rod SN-230 C:\EMC\XD\AR230.09 20101005 Active Rod Emissions Antenna Active Rod SN-230 C:\EMC\XD\AR230.09 20101005 Active Rod Emissions Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG SAS 571 SN812 C:\EMC\XD\RGAH-812.10 20110617 Gold DRG Antenna

Preamp ID Calibration File Cal Due Date(YYYYMMDD) None c:\emc\emissions\preamps\zero.txt 22222222 None c:\emc\emissions\preamps\zero.txt 22222222 NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

Hi Freq - NBLE2610 c:\emc\emiss ions\preamps\2610_09.txt 20101027

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 14 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Subreport Number: 4

Polarity: H Emission Type: N/A Mode of Operation: Fully OP Notes:

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 15 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Peak Tabular Data - Peak Definitions are: 6.0 dB drop for a peak. All peaks within 12.0 dB of the limit. There are no peaks within 12.0 dB of the limit.

# Radiated Emissions

Test Report #: NC1000473 Test Area: 3 FACE DEFINITION B (TOP VIEW) L R T = Top U = Under Side F (Front) EUT Model #: A-01050 Date: 8/4/2010

EUT Serial #: DemoUnit-1 EUT Po wer: 8.4 VDC Temperature: 23  C

Test Method: RTCA/DO-160E Section 21 R adiated Emissions Air Pressure: 98.1 kPa

Customer: VBOX Relative Humidity: 48.9 %

EUT Description: Portable Oxygen Concentrator Page: 

### 16 of 16

Notes:

Data File Name: T:\04xx\0473\Data\RE\0473RE01-New.dat

Tested by: Scott D Hager Mode of Operation Key # Description
1 Printed Signature 2

Reviewed by: Gerald V. Anderson 3 4 5

3 Printed Signature T:\04xx\0473\Rpt_Docs\0473RE01-SDH-gva.doc 

## Equipment Description and Info:

Probe Type Probe Model Calibration File Cal Due Date(YYYYMMDD) Probe Description

Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna Biconical SN-0635 C:\EMC\XD\BCEM0635.09 20100810 Biconical Antenna DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG 4106 SN2014 C:\EMC\XD\RG2014.10 20110323 Ridge Guide Antenna 200- 1000MHz DRG SAS 571 SN812 C:\EMC\XD\RGAH-812.10 20110617 Gold DRG Antenna

Preamp ID Calibration File Cal Due Date(YYYYMMDD) NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

NBLE02672 c:\emc\emissions\preamps\NBLE02672_3-3- 10.txt 20110303

Hi Freq - NBLE2610 c:\emc\emiss ions\preamps\2610_09.txt 20101027

## Form



# EMC Test Plan and Constructional Data Form

FILE: EMCU_F09.02E, REVISION 10, Effective: 20 Feb 2008 Page 1 of 6 PLEASE COMPLETE THIS DOCUMENT IN FULL, ENTERING N/A IF THE FIELD IS NOT APPLICABLE. IF TESTING RESULTS IN MODIFICATIONS TO THE EQUIPMENT, PLEASE SUBMIT A REVISED TP/CDF INDICATING THOSE MODIFICATIONS. NOTE: This information will be input into your test report as shown below. Press the F1 key at any time to get HELP for the current field selected. 

### Company: VBOX Inc

Address: 2342 East County Road J
White Bear Lake, MN 55110

Contact: Ted Jagger Position: Regulatory & Test

Phone: 651-407-6206 Fax:

E-mail Address: vboxinc@qwestoffice.net

General Equipment Description -- NOTE: This information will be input into your test report as shown below. 

### EUT Description Portable Oxygen Concentrator

EUT Name VBOX Trooper

Model No.: A-01050 Serial No.: DemoUnit-1 Product Options: Std Configurations to be tested: Device w/ Battery and Devcie with Pwr Supply

Equipment Modification ( If applicable, indicate modifications since EUT was last tested. If modifications are made during this testing, submit revised TP/CDF after testing is complete.)



### Modifications since last test: NA Modifications made during test: NA

Test Objective(s): Please indicate the tests to be performed, ente ring the applicable standard(s) where noted.



### EMC Directive 2004/108/EC (EMC) FCC: Class A B Part Std: VCCI: Class A B Machinery Directive 89/392/EEC (EMC) BSMI: Class A B (Separate Report) 

### Std: Canada: Class A B Medical Device Directive 93/42/EEC (EMC) Australia: Class A B Std: 60601-1-2 Other: Vehicle Directive: 2001/3/EC (EMC) 2004/104/EC (EMC) Other Vehicle Std: 

### FDA Reviewers Guidance for Premarket Notification Submissions (EMC)

Third Party Certification, if appli cable (*Signature on Page 6 Required) Attestation of Conformity (AoC)* EMC Certification (used with Octagon Mark)* Statement of Compliance (previously CoC)* Compliance Document* Protection Class (N/A for vehicles) Class I Class II Class III (Press F1 when field is selected to show additi onal information on Protection Class.)



### FCC / TCB Certification Industry Canada / FCB Certification E-Mark Certification Taiwan Certification

## Form



# EMC Test Plan and Constructional Data Form

FILE: EMCU_F09.02E, REVISION 10, Effective: 20 Feb 2008 Page 2 of 6 

### Attendance Test will be: Attended by the customer Unattended by the customer

Failure - Complete this section if testing w ill not be attended by the customer. If a failure occurs, TÜV SÜD America should: Call contact listed above, if not available then stop testing. (After hrs phone): Continue testing to complete test series. Continue testing to define corrective action. Stop testing.

EUT Specifications and Requirements

Length: 7inch Width: 3inch Height: 6inch Weight: 4 lb

Power Requirements Regulations require testing to be performed at typical power ratings in the countries of intended use. (i.e., European power is typically 230 VAC 50 Hz or 400 VAC 50 Hz, single and three phase, respectively) 

### Voltage: 90-240 (If battery powered, make sure battery life is sufficient to complete testing.)



### # of Phases: 1

Current (Amps/phase(max)): 5 Current (Amps/phase(nominal)):

Other

Other Special Requirements Tested with Battery 8.4 VDC (Li-Ion Battery Pack) and Tested with PWR supply 8.4 VDC output

Typical Installation and/or Operating Environment (ie. Hospital, Small Busine ss, Industrial/Factory, etc.) Residential, Hospital, Vehicle, Airp lane, Where ever a person lives.

EUT Power Cable Permanent OR Removable Length (in meters): 2 Shielded OR Unshielded Not Applicable

## Form



# EMC Test Plan and Constructional Data Form

FILE: EMCU_F09.02E, REVISION 10, Effective: 20 Feb 2008 Page 3 of 6 

### EUT Interface Ports and Cables

Type During Test Shielding

Termination Connector Type Port Termination Type

EXAMPLE:
RS232     2   Foil over braid Coaxial Metallized 9- pin D-Sub Characteristic Impedance 6  

## Form



# EMC Test Plan and Constructional Data Form

FILE: EMCU_F09.02E, REVISION 10, Effective: 20 Feb 2008 Page 4 of 6 

### EUT Software

.


### Revision Level: V7-10
Description: VBOX O2 Assembly language program on a 18F6722 chip.

Equipment Under Test (EUT) Operating Modes to be Tested -- list the operating modes to be used during test. It is recommended the equipment be tested while operating in a typical operation mode. FCC testing of personal computers and/or peripherals requires that a simple program generate a complete line of upper case H’s. Provide a general description of all sof tware, firmware, and PLD algorithms used in the equipment. List all code modules as described above, wi th the revision level used dur ing testing. Consult with your TÜV Product Service Representative if additional assistance is required.



### 1. Device battery powered 8.4VDC

2. Device PWR supply powered 8.4 VDC

3.

Equipment Under Test (EUT) System Components -- List and describe all components which are part of the EUT. For FCC & Taiwan testing a minimum configuration is required. (ie. Mouse, Printer, M onitor, External Disk Drive, Motherboard, e tc) 

### Description Model # Serial # FCC ID #
PWR Supply- CUI DTM090500UCP128-C1 1026

Charger Battery-CellCon 452541-LB 1309

## Form



# EMC Test Plan and Constructional Data Form

FILE: EMCU_F09.02E, REVISION 10, Effective: 20 Feb 2008 Page 5 of 6 

### Support Equipment -- List and describe all support equipment which is not part of the EUT. (i.e. peripherals, simulators, etc) This information is required for FCC & Taiwan testing. Description Model # Serial # FCC ID #



### Oscillator Frequencies

Manufacturer Frequency Derived Frequency Component # / Location Description of Use



### Power Supply

Manufacturer Model # Serial # Type



### Switched-mode: (Frequency) Linear Other:

Switched-mode: (Frequency) Linear Other:

Power Line Filters

Manufacturer Model # Location in EUT

## Form



# EMC Test Plan and Constructional Data Form

FILE: EMCU_F09.02E, REVISION 10, Effective: 20 Feb 2008 Page 6 of 6 

### Critical EMI Components (Capacitors, ferrites, etc.)

Description Manufacturer Part # or Value Qty Component # / Location



### EMC Critical Detail -- Describe other EMC Design details used to reduce high frequency noise.



### PLEASE ENTER NAMES BELOW (INSERT ELECTRONIC SIGNATURE IF POSSIBLE) Authorization (Signature Required if a Third Party Certification is checked on pg 1)

Customer authorization to perform tests according to this test plan. Date

Test Plan/CDF Prepared By (please print) 

### Date

## Form



# EMC Block Diagram Form

FILE: EMCU_F09.04E, REVISION 7, Effective: 14 February 2008 Page 1 of 1 

### System Configuration Block Diagram -- Provide a line drawing identifying the EUT, simulators, support equipment, I/O cables, power cables, and any ot her pertinent components to be used during testing. Use a dashed line to separate the equipm ent in the testing field versus equipment outside testing field.



### or

Authorization Signatures

Customer authorization to perform tests according to this test plan. Date

Test Plan/CDF Prepared By (please print) 

### Date Device Oxygen Concentrator

Device Oxygen Concentrator Battery 8.4 VDC
out

PWR Supply 8.4 VDC out 90-240 ac in