This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement be tween Intertek

and its Client. Intertek's responsibility and liabi lity are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to th e Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only t he Client is authorized to permit copying or distri bution of this report and then only in its entirety. Any use of th e Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The observation s and test results in this report are relevant only to the sample test ed. This report by itself does not imply that the m aterial, product, or

service is or has ever been under an Intertek certi fication program.

Page 1 of 122



# EMC TEST REPORT

Report Number: 101869034GRR-014 Project Number: G101869034

Report Issue Date: May 29, 2015

Product Designation: Dumog Oxygen Concentrator

Standards: IEC 60601-1-2 ed3.0 (2007-03)

RTCA DO-160, Rev. G (December 8, 2010)



### Tested by: Client : Intertek Testing Services NA, Inc.
4700 Broadmoor Avenue Suite 200 Kentwood, Michigan 49512 Andy Voto/Oxus America, Inc.

2676 Paldan Dr. Auburn Hills, MI 48326

Report prepared by Report reviewed by

Kyle Selleck EMC Project Engineer Michael Koffink
North American EMC Technical Lead

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 1 Introduction and Conclusion

The tests indicated in section 2.0 were performed o n the product constructed as described in section 4 .0. The remaining test sections are the verbatim text f rom the actual data sheets used during the investigation. These test sections include the test name, the specified test Method, a list of the act ual Test Equipment Used, documentation Photos, Results and r aw Data. No additions, deviations, or exclusions have been made from the standard(s) unless specific ally noted.

Based on the results of our investigation, we have concluded the product tested complies with the requirements of the standard(s) indicated. The resu lts obtained in this test report pertain only to th e item(s) tested.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 2 Test Summary

Section Test full name Test Date Result

3 Client Information --

4 Description of Equipment Under Test --

5 System Setup and Method --

6 Radiated Emissions CISPR11 ed5.0 (with A1:2010)
RTCA DO

- 160 rev. G , Section 21 (December 8, 2010) April 8, 2015 April 20, 2015 Pass

Pass

7 AC Mains Conducted Emissions
CISPR11 ed 5. 0 ( with A1: 2010) February 10, 2015 Pass

8 Harmonics IEC 61000-3-2 ed4.0 (2014-05) February 10, 2015 Pas s

9 Flicker
IEC 61000

- 3

- 3 ed 3 .0 (20 13

- 0 5 ) February 10, 2015 Pass

10 Electro-Static Discharge Immunity Test IEC 61000-4-2 ed2.0 (2008-12) RTCA DO-160 rev. G, Section 25 (December 8, 2010) February 13, 2015 February 16, 2015 Pass

Pass

11 Radiated, Radio-Frequency, Electromagnetic Immun ity IEC 61000-4-3 ed3.0 (with A1:2007+A2:2010) RTCA DO-160 rev. G, Section 20 (December 8, 2010) February 10, 2015 January 17 – 18, 2015 Pass

Pass

12 Electrical Fast Transient/Burst Immunity Test
IEC 61000

- 4

- 4 ed3.0 (2012

- 04) February 19, 2015 Pass

13 Immunity to Surges IEC 61000-4-5 ed3.0 (2014-05) February 19, 2015 Pas s

14 Conducted, Radio-Frequency, Electromagnetic Immu nity Test IEC 61000-4-6 ed2.0 (with A1:2004+A2:2006) February 10, 2015 Pass

15 Power Frequency Magnetic Field Immunity Test
IEC 61000

- 4

- 8 ed2.0 (2009

- 09) February 12, 2015 Pass

16 Voltage Dips/Interruptions Immunity Test IEC 61000-4-11 ed2.0 (2004-03) February 19, 2015 P ass

17 Magnetic Effects RTCA DO-160 rev. G (December 8, 2010) February 19, 2015 Pass

18 Section 5 User Information and Guidance Tables --

19 Revision History --

Notes:

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 3 Client Information

This EUT was tested at the request of:

Company: Oxus America, Inc.

2676 Paldan Dr. Auburn Hills, MI 48326

Contact: Andy Voto Telephone: 248-299-3300

Fax: N/A

Email: avoto@oxusamerica.com



### 4 Description of Equipment Under Test

Equipment Under Test Description Ma nufacturer Model Number Serial Number Dumog Oxygen Concentrator Oxus America, Inc. N/A DU000002

Receive Date: 01/27/2015

Received Condition: Good

Type: Production

Description of Equipment Under Test (provided by cl ient )

The Portable Oxygen Concentrator is intended to pro vide supplemental oxygen in a home, institutional, or travel environment. The Portable Oxygen Concentrato r is intended to deliver concentrated oxygen for ad ult patients with chronic pulmonary diseases such as ch ronic bronchitis, emphysema, asthma, or lung cancer

, those in the terminal stage of cancer, or any patie nt requiring supplemental oxygen. The device is por table, enabling patients who need an oxygen device to be t reated at home according to a clinician’s prescript ion or direction. The Portable Oxygen Concentrator is a pr escription-only device, is not intended for use in lifesupporting or life-sustaining situations, and is pr ovided non-sterile. It is designed to be used indoo rs or outdoors.

The Portable Oxygen Concentrator is not intended to be used:

• In life-supporting or life-sustaining situations.

• In an operating or surgical environment.

• With a non-adult population.

• In conjunction with flammable anesthetic or flamma ble materials

Equipment Under Test Power Configuration Rated Voltage Rated Current Rated Frequency Number of Phases

100 – 240 2 50/60 1

Operating modes of the EUT:

No. Descriptions of EUT Exercising

1 Continuous Mode

2 Pulse Mode

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 5 System Setup and Method

Cables

ID Description Length (m) Shielding Ferrites Termination

1 AC Power Cord 3 None See Section 6.3. AC Plug and 8-pin circular

connector



### 5.1 Method:

Configuration as required by IEC 60601-1-2. Testing for RTCA DO-160, Rev G was only tested for battery operated mode.



### 5.1.1 EUT Block Diagram:

Image 5-1: Oxygen Concentrator Block Diagram.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 5.2 EUT Performance Criteria and Monitoring:

Performance as required by IEC 60601-1-2. Basic Saf ety and Essential Performance must be maintained throughout testing.

Product Essential Functions:

No. Description

1 Provide supplemental oxygen to patient.

Description of how pe rformance was observed during testing :

No. Description

1 Visual Monitoring of EUT

General notes:

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 6 Radiated Emissions

6.1 Method

Tests are performed in accordance with CISPR 11, an d RTCA DO-160, Rev G, Section 21, Category M.

TEST SITE: Three-Meter Chamber (IEC 60601-1-2)

The Three-Meter Chamber is a semi-anechoic chamber utilized for measuring emissions at a distance of
three meters. The dimensions of the Three-Meter cha mber are: 18.0 ft. in length, 25.8 ft. in width, 16 .0 ft. in height. A turntable built into the floor of the chamber is used to rotate test samples per methods
described in CISPR 16 for radiated emissions. An an tenna mast is used with a Bi-Log antenna to measure emissions from the samples under test at different height requirements described in CISPR 16.

TEST SITE: Small-Mil and Large-Mil Chamber (RTCA DO-160G)

The Small-Mil and Large-Mil Chamber are semi-anecho ic chambers utilized for performing EMC testing.
The dimensions of the Small-Mil Chamber are: 12.13 ft. in length, 16.25 ft. in width, and 10.08 ft. in height. The dimensions of the Large-Mil Chamber are: 15.9 f t. in length, 20.0 ft. in width, and 9.6 ft. in hei ght. Each Chamber holds a test bench with a ground plane made of copper. The ground plane is connected to the chamber ground using copper straps that meet cr iteria required by RTCA DO-160.

Measurement Uncertainty (IEC 60601-1-2)

Measurement Frequency Range Expanded Uncertainty (k=2) Ucispr

Radiated Emissions, 3m 30-1000 MHz 5.12 6.3

Sample Calculation

The field strength is calculated by adding the Ante nna Factor and Cable Factor, and subtracting the Am plifier Gain (if any) from the measured reading. The basic equation with a sample calculation is as follows:

FS = RA + AF + CF - AG Where FS = Field Strength in dB μ V/m

RA = Receiver Amplitude (including preamplifier) in dB μ V
CF = Cable Attenuation Factor in dB

AF = Antenna Factor in dB AG = Amplifier Gain in dB

In the following table(s), the reading shown on the data table reflects the preamplifier gain. An exa mple for the calculations in the following table is as follows.

Assume a receiver reading of 52.0 dB μ V is obtained. The antenna factor of 7.4 dB and c able factor of 1.6 dB is added. The amplifier gain of 29 dB is subtracted, giving a fie ld strength of 32 dB μ V/m. This value in dB μ V/m was converted to its corresponding

level in μ V/m.

RA = 52.0 dB μ V
AF = 7.4 dB/m
CF = 1.6 dB
AG = 29.0 dB

FS = 32 dB μ V/m

To convert from dB μ V to μ V or mV the following was used:

UF = 10 (NF / 20) where UF = Net Reading in μ V NF = Net Reading in dB μ V

Example:

FS = RA + AF + CF – AG = 52.0 + 7.4 + 1.6 – 29.0 = 32.0

UF = 10 (32 dB μ V / 20) = 39.8 μ V/m

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 6.2 Test Equipment Used:

IEC 60601-1-2

Asset Description Manufacturer Model Serial Cal Date Cal Due
166006 PRE-AMPLIFIER, 0.1k - 1.3G HP 8447D 1644A009 33 10/21/2014 10/21/2015
166724 CABLE, RF; A82-0303-240, 20 FT TELEDYNE MFR- 57500 13-05-401 06/06/2014 06/06/2015

166723 CABLE, RF; A82

- 0303

- 240, 20 FT TELEDYNE MFR

- 57500 13

- 05

- 402 06/06/2014 06/06/2015
166422 CONTROLLER; MULTI DEVICE ETS EMCO 2090 00126 579 VBU VBU 166726 CABLE, RF; A82-0303-072, 6 FT TELEDYNE MFR-5 7500 13-05-405 06/06/2014 06/06/2015

166420 RECEIVER RHODE & SCHWARZ ESU40 100235 07/14/2014 07/14/2015
166644 ANTENNA, 26M - 6G ETS-LINDGREN 3142D 0011406 7 12/4/2014 12/4/2015

RTCA DO-160G Small-Mil Chamber

Asset Description Manufacturer Model Serial Cal Date Cal Due
166365 RECEIVER, 20Hz - 40G RHODE & SCHWARZ ESU40 1 00171 11/25/2014 11/25/2015
166736 CABLE; RF, A82-0303-072: 6 FT TELEDYNE MFR-5 7500 13-05-402 06/06/2014 06/06/2015

166608 CABLE, RF, DC

- 18G MINI CIRCUITS APC

- 15FT

- NMNM+ 0641A 09/18/2014 09/18/2015
166611 CABLE, RF, DC - 18G MINI CURCUITS APC-15FT-N MNM+ 0643A 10/27/2014 10/27/2015

166300 DRG ANTENNA 1G - 18G EMCO 3115 9211-3957 10/28/2014 10/28/2015

166588 ANTENNA, BICON COM

- POWER AB 900 15234 12/22/2014 12/22/2015
166025 ANTENNA, DRG, 200M - 2G EMCO 3106 9210-2525 09/24/2014 09/24/2015
166006 PRE-AMPLIFIER, 0.1k - 1.3G HP 8447D 1644A00933 10/21/2014 10/21/2015

1666 58 PRE

- AMP, 20M

- 18G A.H. SYSTEMS PAM

- 0118P 336 06/06/2014 06/06/2015

RTCA DO-160G Large-Mil Chamber

Asset Description Manufacturer Model Serial Cal Date Cal Due
166026 ANTENNA, DRG, 200M - 2G ETS 3106 2701 08/08/2014 08/08/2015
166006 PRE-AMPLIFIER, 0.1k - 1.3G HP 8447D 1644A00933 10/21/2014 10/21/2015

166733 CABLE; RF, A82

- 0303

- 240, 20 FT TELEDYNE MFR

- 57500 13

- 05

- 405 06/06/2014 06/06/2015
166607 CABLE, RF, DC - 18G MINI CIRCUITS APC-6FT-NM NM+ 0665A 09/18/2014 09/18/2015
166605 RECEIVER, 20Hz - 26.5G RHODE & SCHWARZ ESIB 26 100189 01/28/2015 01/28/2016

166735 CABLE; RF, A82

- 0303

- 072, 6 FT TELEDYNE MFR

- 57500 13

- 05

- 401 06/06/2014 06/06/2015

Software Utilized:

Name Manufacturer Version

TILE ETS Lindgren 6.0.4.621



### 6.3 Results:

The sample tested was found to Comply with addition al ferrites.

Two ferrites were added:

(1) Motor Phase lead harness between the main circu it board assembly and the compressor. a. Ferrite info: Supplier - Steward p/n 28B0500-300

b. 2 turns (2) DC cable of the AC power adapter a. Ferrite info: Supplier - Shenzhen Jinglilai Elec tronics Co., Ltd. p/n F5K RH16*28*7

b. 3 turns

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 6.4 Setup Photographs:

Image 6-1: Radiated Emissions, IEC 60601-1-2, Test Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 6-2: Radiated Emissions, RTCA DO-160G, Test Setup, 100 M Hz to 200 MHz, Vertical Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 6-3: Radiated Emissions, RTCA DO-160G, Test Setup, 100 M Hz to 200 MHz, Horizontal Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 6-4: Radiated Emissions, RTCA DO-160G, Test Setup, 200 M Hz to 1 GHz, Vertical Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 6-5: Radiated Emissions, RTCA DO-160G, Test Setup, 200 M Hz to 1 GHz, Horizontal Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 6-6: Radiated Emissions, RTCA DO-160G, Test Setup, 1 GHz to 6 GHz, Vertical Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 6-7: Radiated Emissions, RTCA DO-160G, Test Setup, 1 GHz to 6 GHz, Horizontal Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 6.5 Plots/Data:

Intertek Testing Services

RADIATED EMISSIONS, 3m

Horizontal QP and Peak

30.00M 100.00M 1.00G Frequency Hz 0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 50.0Amplitude dBuV/m

Company: Oxus America, Inc. Contact: Andy Voto

04:53:43 PM, Tuesday, April 07, 2015 Operator: U.Tabbsum Group 1 Class B Limit

Pre-Scan

Graph 6-1: Radiated Emissions, IEC 60601-1-2, Ambient Scan, Ho rizontal Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

RADIATED EMISSIONS, 3m

Vertical QP and Peak

30.00M 100.00M 1.00G Frequency Hz 0 10.0 20.0 30.0 40.0 50.0Amplitude dBuV/m

Company: Oxus America, Inc. Contact: Andy Voto

04:22:55 PM, Tuesday, April 07, 2015 Operator: U.Tabbsum Group 1 Class B Limit

Pre-Scan

Graph 6-2: Radiated Emissions, IEC 60601-1-2, Ambient Scan, Ve rtical Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

RADIATED EMISSIONS, 3m

Horizontal QP and Peak

30.00M 100.00M 1.00G Frequency Hz 0 10.0 20.0 30.0 40.0 50.0Amplitude dBuV/m

Company: Oxus America, Inc. Contact: Andy Voto

10:33:56 AM, Thursday, April 09, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Serial # - DU000002

Voltage Mode - 120 Volts, 60 Hz

Mode of Operation - Conitnuous Mode Group 1 Class B Limit

Pre-Scan

Quasi-Peak Measurements

Graph 6-3: Radiated Emissions, IEC 60601-1-2, Test Scan, 120 V olts, 60 Hz, Horizontal Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

RADIATED EMISSIONS, 3m

Vertical QP and Peak

30.00M 100.00M 1.00G Frequency Hz 0 10.0 20.0 30.0 40.0 50.0Amplitude dBuV/m

Company: Oxus America, Inc. Contact: Andy Voto

10:45:52 AM, Thursday, April 09, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Serial # - DU000002

Voltage Mode - 120 Volts, 60 Hz

Mode of Operation - Conitnuous Mode Group 1 Class B Limit

Pre-Scan

Quasi-Peak Measurements

Graph 6-4: Radiated Emissions, IEC 60601-1-2, Test Scan, 120 V olts, 60 Hz, Vertical Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 6-1: Radiated Emissions, IEC 60601-1-2, Quasi-Peak Measu rement, 120 Volts, 60 Hz.
Radiated Emissions, Quasi-peak measurements

Frequency Polarity Quasi-Peak

Measurement Quasi-Peak Limit Margin

MHz dBμV dBμV

51.17 Horizontal 18.014 40 -21.986

73.32 Horizontal 31.881 40 -8.119

145.38 Horizontal 22.98 40 -17.02

233.4 Horizontal 39.505 47 -7.495

321.11 Horizontal 32.219 47 -14.781

808.53 Horizontal 25.875 47 -21.125

49.78 Vertical 29.17 40 -10.83

73.28 Vertical 32.686 40 -7.314

121.91 Vertical 31.949 40 -8.051

236.25 Vertical 38.04 47 -8.96

399.93 Vertical 25.631 47 -21.369

577.44 Vertical 27.667 47 -19.333

753.24 Vertical 22.593 47 -24.407

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

RADIATED EMISSIONS, 3m

Horizontal QP and Peak

30.00M 100.00M 1.00G Frequency Hz 0 10.0 20.0 30.0 40.0 50.0Amplitude dBuV/m

Company: Oxus America, Inc. Contact: Andy Voto

08:57:17 AM, Thursday, April 09, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Serial # - DU000002

Voltage Mode - 230 Volts, 50 Hz

Mode of Operation - Conitnuous Mode Group 1 Class B Limit

Pre-Scan

Quasi-Peak Measurements

Graph 6-5: Radiated Emissions, IEC 60601-1-2, Test Scan, 230 V olts, 50 Hz, Horizontal Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

RADIATED EMISSIONS, 3m

Vertical QP and Peak

30.00M 100.00M 1.00G Frequency Hz 0 10.0 20.0 30.0 40.0 50.0Amplitude dBuV/m

Company: Oxus America, Inc. Contact: Andy Voto

09:06:51 AM, Thursday, April 09, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Serial # - DU000002

Voltage Mode - 230 Volts, 50 Hz

Mode of Operation - Conitnuous Mode QP Class B Limit

Pre-Scan

Quasi-Peak Measurements

Graph 6-6: Radiated Emissions, IEC 60601-1-2, Test Scan, 230 V olts, 50 Hz, Vertical Polarity.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 6-2: Radiated Emissions, IEC 60601-1-2, Quasi-Peak Measu rement, 230 Volts, 50 Hz.
Radiated Emissions, Quasi-peak measurements

Frequency Polarity Quasi-Peak

Measurement Quasi-Peak Limit Margin

MHz dBμV dBμV

50.83 Horizontal 18.343 40 -21.657

75.41 Horizontal 27.841 40 -12.159

145.69 Horizontal 19.677 40 -20.323

235.65 Horizontal 34.861 47 -12.139

320.12 Horizontal 29.535 47 -17.465

772.11 Horizontal 20.057 47 -26.943

50.95 Vertical 30.576 40 -9.424

73.91 Vertical 31.789 40 -8.211

123.11 Vertical 30.575 40 -9.425

228.68 Vertical 33.585 40 -6.415

401.44 Vertical 29.676 47 -17.324

630.8 Vertical 23.26 47 -23.74

50.95 Vertical 30.576 40 -9.424

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek, Grand Rapids, MI

RTCA DO-160G, Sec.21, Cat.M

Horizontal Polarity Plot, EUT Test Data

100.0M 1.0G 6.0G Frequency (MHz) -10.0 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0Amplitude (dBuV/m)

Company: Oxus America Inc. Client Name: Andy Voto

02:19:52 PM, Monday, April 20, 2015 Operator: L.Heerisnk EUT Name - DUMOG Oxygen Concentrator

Serial Number - DU000002

Mode of Operation - Ambient

Graph 6-7: Radiated Emissions, RTCA DO-160G, Ambient Scan, Hor izontal Polarity, Small-Mil Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek ,Grand Rapids, MI

RTCA DO-160G, Sec.21, Cat.M

Vertical Polarity, EUT Test Data

100.0M 1.0G 6.0G Frequency (Hz) -10.0 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0Amplitude (dBuV/m)

Company: Oxus America Inc. Client Name: Andy Voto

02:13:57 PM, Monday, April 20, 2015 Operator: L.Heerisnk EUT Name - DUMOG Oxygen Concentrator

Serial Number - DU000002

Mode of Operation - Ambient

Graph 6-8: Radiated Emissions, RTCA DO-160G, Ambient Scan, Ver tical Polarity, Small-Mil Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek ,Grand Rapids, MI

RTCA DO-160G, Sec.21, Cat.M

Vertical Polarity, EUT Test Data

200.0M 1.0G Frequency (Hz) -10.0 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Limit Level (dBuV/m)

Company: Oxus America Inc. Client Name: Andy Voto

01:28:43 PM, Monday, April 20, 2015 Operator: L.Heerisnk EUT Name - DUMOG Oxygen Concentrator

Serial Number - DU000002

Mode of Operation - Ambient

Graph 6-9: Radiated Emissions, RTCA DO-160G, Ambient Scan, Ver tical Polarity, Large-Mil Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek, Grand Rapids, MI

RTCA DO-160G, Sec.21, Cat.M

Horizontal Polarity Plot, EUT Test Data

100.0M 1.0G 6.0G Frequency (MHz) -10.0 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0Amplitude (dBuV/m)

Company: Oxus America Inc. Client Name: Andy Voto

03:13:33 PM, Monday, April 20, 2015 Operator: L.Heerisnk EUT Name - DUMOG Oxygen Concentrator

Serial Number - DU000002

Mode of Operation - Battery Mode

Graph 6-10: Radiated Emissions, RTCA DO-160G, Test Scan, Batter y Mode, Horizontal Polarity, SmallMil Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek ,Grand Rapids, MI

RTCA DO-160G, Sec.21, Cat.M

Vertical Polarity, EUT Test Data

100.0M 1.0G 6.0G Frequency (Hz) -10.0 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0 80.0Amplitude (dBuV/m)

Company: Oxus America Inc. Client Name: Andy Voto

02:38:48 PM, Monday, April 20, 2015 Operator: L.Heerisnk EUT Name - DUMOG Oxygen Concentrator

Serial Number - DU000002

Mode of Operation - Battery Mode

Graph 6-11: Radiated Emissions, RTCA DO-160G, Test Scan, Batter y Mode, Vertical Polarity, Small-Mil

Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek ,Grand Rapids, MI

RTCA DO-160G, Sec.21, Cat.M

Vertical Polarity, EUT Test Data

200.0M 1.0G Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Limit Level (dBuV/m)

Company: Oxus America Inc. Client Name: Andy Voto

08:19:39 AM, Tuesday, April 21, 2015 Operator: L.Heerisnk EUT Name - DUMOG Oxygen Concentrator

Serial Number - DU000002

Mode of Operation - Battery Mode

Graph 6-12: Radiated Emissions, RTCA DO-160G, Test Scan, Batter y Mode, Vertical Polarity, Large-Mil
Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Test Personnel: U. Tabbsum (IEC 60601-1-2)

L. Heersink (RTCA DO-160) Test Date: April 8, 2015 (IEC 60601-1-2) April 20,21, 2015 (RTCA DO-160G) Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck

Product Standard: IEC 60601-1-2

RTCA DO-160 Limit Applied: CISPR 11 Group 1 Class B RTCA DO-160G, Class M.

Input Voltage: 120, and 230 Vac (IEC 60601-1-2)

Battery Operation (RTCA DO-160)

Pretest Verification w/ Ambient Signals or
BB Source: Ambient Scan Ambient Temperature: 23.0 oC (IEC 60601-1-2)

Relative Humidity: 33.8 % (IEC 60601

- 1

- 2) Atmospheric Pressure: 994.5 mbars (IEC 60601-1-2)

Note: RTCA DO-160G was performed in two chambers du e to availability and program scheduling. Testing was started in the Small-Mil Chamber and th en completed in the Large-Mil Chamber.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 7 AC Mains Conducted Emissions

7.1 Method

Tests are performed in accordance with CISPR 11.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height is used for testing. The copper test bench is grounded to the chamber with copper straps attached to the ground plane of the reverberation chamber per requirements of RTCA DO-160, Rev G. The Reverberation Chamber was used specifically as a shielded test area for testing.

Measurement Uncertainty (IEC 60601-1-2)

Measurement Frequency Range Expanded Uncertainty (k =2) Ucispr

AC Line Conducted Emissions 150 kHz - 30 MHz 1.1 3. 4

Sample Calculations

The following is how net line-conducted readings we re determined:

NF = RF + LF + CF + AF Where NF = Net Reading in dB μ V RF = Reading from receiver in dB μ V
LF = LISN or ISN Correction Factor in dB
CF = Cable Correction Factor in dB

AF = Attenuator Loss Factor in dB

To convert from dB μ V to μ V or mV the following was used:

UF = 10 (NF / 20) where UF = Net Reading in μ V NF = Net Reading in dB μ V

Example:

NF = RF + LF + CF + AF = 28.5 + 0.2 + 0.4 + 20.0 = 49.1 dB μ V

UF = 10 (49.1 dB μ V / 20) = 285.1 μ V/m

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 7.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due

166775 LISN, 15A COM

- POWER LI

- 215A 191996 12/10/2014 12/10/2015
166729 CABLE, RF; A82-0303-240, 20 FT TELEDYNE MFR- 57500 13-05-404 06/06/2014 06/06/2015
166625 PULSE LIMITER; 0357.8810.54 RHODE & SCHWARZ ESH3-Z2 100270 04/28/2014 04/28/2015

166420 RECEIVER RHODE & SCHWARZ ESU40 100235 07/14/2014 07/14/2015

Software Utilized:

Name Manufacturer Version

TILE ETS Lindgren 6.0.4.621



### 7.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 7.4 Setup Photographs:

Image 7-1: Conducted Emissions, Oxygen Concentrator, General T est Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 7.5 Plots/Data:

Intertek Testing Services

Conducted Emissions

Line 1, Ambient

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude (dBuV)

Company: Oxus America, Inc. Contact: Andy Voto

06:45:02 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Power Mode - 120 Volts, 60 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Average Limit

Graph 7-1: Conducted Emissions, Ambient Scan, Line 1, 120 Volt s, 60 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 2, Ambient

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude dBuV

Company: Oxus America, Inc. Contact: Andy Voto

06:41:54 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Power Mode - 120 Volts, 60 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Average Limit

Graph 7-2: Conducted Emissions, Ambient Scan, Line 2, 120 Volt s, 60 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 1

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude (dBuV)

Company: Oxus America, Inc. Contact: Andy Voto

06:27:56 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Voltage Mode - 120 Volts, 60 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Quasi-Peak Results

Average Limit

Average Results

Graph 7-3: Conducted Emissions, Oxygen Concentrator Test, Line 1, 120 Volts, 60 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 7-1: Conducted Emissions, Oxygen Concentrator Test Tabu lar Data, Line 1, 120 Volts, 60 Hz.

Conducted Emissions. Oxygen Concentrator, 120 Volts , 60 Hz, Line 1.

Frequency Quasi-Peak

Measurement Quasi-Peak

Limit Quasi-Peak

Margin Average

Measurement Average

Limit Average

Margin
(MHz) (dBμV) (dBμV) (dBμV) (dBμV)



### 0.206 45.896 63.365 -17.469 14.017 53.365 -39.348

0.742 31.629 56 -24.371 21.087 46 -24.913

1.44 32.043 56 -23.957 20 46 -26

2.33 31.338 56 -24.662 23.497 46 -22.503

5.51 38.734 60 -21.266 27.571 50 -22.429

29 31.426 60 -28.574 23.995 50 -26.005

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 2

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude (dBuV)

Company: Oxus America, Inc. Contact: Andy Voto

06:37:32 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Voltage Mode - 120 Volts, 60 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Quasi-Peak Results

Average Limit

Average Results

Graph 7-3: Conducted Emissions, Oxygen Concentrator Test, Line 2, 120 Volts, 60 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 7-2: Conducted Emissions, Oxygen Concentrator Test Tabu lar Data, Line 2, 120 Volts, 60 Hz.

Conducted Emissions. Oxygen Concentrator, 120 Volts , 60 Hz, Line 1.

Frequency Quasi-Peak

Measurement Quasi-Peak

Limit Quasi-Peak

Mar gin Average

Measurement Average

Limit Average

Margin
(MHz) (dBμV) (dBμV) (dBμV) (dBμV)



### 0.442 28.659 57.024 -28.365 19.643 47.024 -27.381

1.02 31.621 56 -24.379 19.109 46 -26.891

2.67 30.947 56 -25.053 22.325 46 -23.675

3.69 34.26 56 -21.74 22.564 46 -23.436

5.6 34.143 60 -25.857 23.709 50 -26.291

25.6 31.783 60 -28.217 24.369 50 -25.631

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 1, Ambient

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude dBuV

Company: Oxus America, Inc. Contact: Andy Voto

03:58:35 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Voltage Mode - 230 Volts, 50 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Average Limit

Graph 7-5: Conducted Emissions, Ambient Scan, Line 1, 230 Volt s, 50 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 2, Ambient

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude (dBuV)

Company: Oxus America, Inc. Contact: Andy Voto

04:03:24 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Voltage Mode - 230 Volts, 50 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Average Limit

Graph 7-6: Conducted Emissions, Ambient Scan, Line 2, 230 Volt s, 50 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 1

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude (dBuV)

Company: Oxus America, Inc. Contact: Andy Voto

05:48:27 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Voltage Mode - 230 Volts AC, 50 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Quasi-Peak Results

Average Limit

Average Results

Graph 7-7: Conducted Emissions, Oxygen Concentrator Test, Line 1, 230 Volts, 50 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 7-3: Conducted Emissions, Oxygen Concentrator Test Tabu lar Data, Line 1, 230 Volts, 50 Hz.

Conducted Emissions. Oxygen Concentrator, 120 Volts , 60 Hz, Line 1.

Frequency Quasi-Peak

Measurement Quasi-Peak

Limit Quasi-Peak

Margin Average

Measurement Average

Limit Average

Margin
(MHz) (dBμV) (dBμV) (dBμV) (dBμV)



### 1.33 31.689 56 -24.311 20.465 46 -25.535

2.33 30.485 56 -25.515 22.762 46 -23.238

3.25 31.259 56 -24.741 20.593 46 -25.407

5.6 38.476 60 -21.524 27.456 50 -22.544

13.1 28.939 60 -31.061 23.222 50 -26.778

28.4 31.489 60 -28.511 23.963 50 -26.037

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Intertek Testing Services

Conducted Emissions

Line 2

150.0K 1.0M 10.0M 30.0M Frequency (Hz) 0 10.0 20.0 30.0 40.0 50.0 60.0 70.0Amplitude (dBuV)

Company: Oxus America, Inc. Contact: Andy Voto

05:58:41 PM, Tuesday, February 03, 2015 Operator: U.Tabbsum EUT Name - Dumog Oxygen Concentrator

Voltage Mode - 230 Volts AC, 50 Hz

Serial # - DU000002

EUT Mode of Operation - Continuous Mode Peak Scan

Quasi-Peak Limit

Quasi-Peak Results

Average Limit

Average Results

Graph 7-8: Conducted Emissions, Oxygen Concentrator Test, Line 2, 230 Volts, 50 Hz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 7-4: Conducted Emissions, Oxygen Concentrator Test Tabu lar Data, Line 2, 230 Volts, 50 Hz.

Conducted Emissions. Oxygen Concentrator, 120 Volts , 60 Hz, Line 1.

Frequency Quasi-Peak

Meas urement Quasi-Peak

Limit Quasi-Peak

Margin Average

Measurement Average

Limit Average

Margin
(MHz) (dBμV) (dBμV) (dBμV) (dBμV)



### 1.11 31.259 56 -24.741 18.662 46 -27.338

2.97 34.176 56 -21.824 21.438 46 -24.562

5.75 34.156 60 -25.844 24.887 50 -25.113

19.2 29.803 60 -30.197 21.21 50 -28.79

23.2 29.667 60 -30.333 22.208 50 -27.792

27.6 30.737 60 -29.263 23.667 50 -26.333

Test Personnel: U. Tabbsum Test Date: February 3, 2014 Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck Product Standard: IEC 60601-1-2 Limit Applied: Gro up 1, Class B Input Voltage: 120 Vac, 240 Vac

Pretest Verification w/ Ambient Signals or
BB Source: YES Ambient Temperature: 21.3 oC

Relative Humidity: 11.5 %

Atmospheric Pressure: 1001.8 mbars

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 8 Harmonics

8.1 Method

Tests are performed in accordance with IEC 61000-3- 2.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber.



### 8.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due

166520 SIGNAL CONDITIONI NG UNIT; LUMPED IMPEDANCE SCHAFFNER CCN

- 1000

- 1 72516 01/27/2015 01/27/2016
166519 **FRO** POWER SOURCE; 3kVA AC SCHAFFNER NSG- 1007 57689 01/27/2015 01/27/2016

Software Utilized:

Name Manufacturer Version

WIN 21000 TESEQ 3.2.0.35



### 8.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 8.4 Setup Photographs:

Image 8-1: H armonic Current Emissions, Oxygen Concentrator Test Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 8.5 Plots/Data: 

### Harmonics – Class-A per Ed. 3.2 (2009)(Run time)

EUT: DUMOG Oxygen Concentrator, DU000002 Tested by: U.Tabbsum Test category: Class-A per Ed. 3.2 (2009) (European limits) Test Margin: 100
Test date: 2/10/2015 Start time: 9:37:57 PM End tim e: 9:58:18 PM Test duration (min): 20 Data file name: H-000025.ct s_data Comment: Continuous Mode Customer: Andy Voto/Oxus America,Inc.

Test Result: Pass Source qualification: No rmal

Current & voltage waveforms



## -1.5 -1.0 -0.5 0.0 0.5 1.0 1.5

-300 -200 -100 0 100 200 300Current (Amps)Voltage (Volts)

Harmonics and Class A limit line European Limits



## 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5Current RMS(Amps)



## Harmonic #

4 8 12 16 20 24 28 32 36 40

Test result: Pass Worst harmonic was #3 with 6 .92% of the limit.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### Current Test Result Summary (Run time)

EUT: DUMOG Oxygen Concentrator, DU000002 Tested by: U.Tabbsum Test category: Class-A per Ed. 3.2 (2009) (European limits) Test Margin: 100
Test date: 2/10/2015 Start time: 9:37:57 PM End tim e: 9:58:18 PM Test duration (min): 20 Data file name: H-000025.ct s_data Comment: Continuous Mode Customer: Andy Voto/Oxus America,Inc.

Test Result: Pass Source qualification: N ormal THC(A): 0.17 I-THD(%): 26.46 POHC(A): 0.000 POHC Limit(A): 0.251 Highest parameter values during test: V_RMS (Volts): 229.93 Frequency(Hz): 50.00 I_Peak (Amps): 1.330 I_RMS (Amps): 0.720 I_Fund (Amps): 0.668 Crest Factor: 2.192 Power (Watts): 150.8 Power Factor: 0.953

Harm# Harms(avg) 100%Limit %of Limit Harms(max) 150 %Limit %of Limit Status

2 0.009 1.080 0.8 0.012 1.620 0.77 Pass
3 0.159 2.300 6.9 0.162 3.450 4.70 Pass
4 0.002 0.430 0.4 0.003 0.645 0.40 Pass
5 0.041 1.140 3.6 0.047 1.710 2.77 Pass
6 0.002 0.300 0.5 0.002 0.450 0.54 Pass
7 0.014 0.770 1.9 0.015 1.155 1.33 Pass
8 0.001 0.230 0.5 0.002 0.345 0.52 Pass
9 0.006 0.400 1.5 0.008 0.600 1.28 Pass
10 0.001 0.184 0.4 0.001 0.276 0.48 Pass
11 0.008 0.330 2.4 0.009 0.495 1.87 Pass
12 0.001 0.153 0.4 0.001 0.230 0.45 Pass
13 0.005 0.210 2.6 0.006 0.315 1.84 Pass
14 0.001 0.131 0.6 0.001 0.197 0.66 Pass
15 0.006 0.150 4.2 0.007 0.225 3.06 Pass
16 0.001 0.115 0.6 0.001 0.173 0.69 Pass
17 0.006 0.132 4.7 0.009 0.199 4.37 Pass
18 0.001 0.102 1.0 0.002 0.153 1.16 Pass
19 0.005 0.118 4.0 0.006 0.178 3.56 Pass
20 0.001 0.092 1.2 0.002 0.138 1.29 Pass
21 0.006 0.107 5.5 0.010 0.161 6.09 Pass
22 0.001 0.084 1.2 0.002 0.125 1.46 Pass
23 0.003 0.098 2.8 0.005 0.147 3.13 Pass
24 0.001 0.077 1.4 0.002 0.115 1.57 Pass
25 0.004 0.090 3.9 0.005 0.135 3.84 Pass
26 0.001 0.071 1.1 0.002 0.106 1.46 Pass
27 0.004 0.083 4.4 0.005 0.125 3.76 Pass
28 0.001 0.066 1.3 0.002 0.099 1.57 Pass
29 0.003 0.078 3.6 0.005 0.116 4.09 Pass
30 0.001 0.061 1.1 0.001 0.092 1.40 Pass
31 0.003 0.073 3.8 0.004 0.109 3.73 Pass
32 0.001 0.058 1.2 0.001 0.086 1.38 Pass
33 0.002 0.068 3.4 0.004 0.102 3.87 Pass
34 0.000 0.054 0.8 0.001 0.081 0.93 Pass
35 0.002 0.064 2.8 0.002 0.096 2.52 Pass
36 0.000 0.051 0.7 0.001 0.077 0.96 Pass
37 0.002 0.061 3.1 0.002 0.091 2.52 Pass
38 0.000 0.048 0.9 0.001 0.073 0.98 Pass
39 0.002 0.058 3.3 0.003 0.087 3.51 Pass
40 0.001 0.046 1.2 0.001 0.069 1.45 Pass

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### Voltage Source Verification Data (Run time)

EUT: DUMOG Oxygen Concentrator, DU000002 Tested by: U.Tabbsum Test category: Class-A per Ed. 3.2 (2009) (European limits) Test Margin: 100
Test date: 2/10/2015 Start time: 9:37:57 PM End tim e: 9:58:18 PM Test duration (min): 20 Data file name: H-000025.ct s_data Comment: Continuous Mode Customer: Andy Voto/Oxus America,Inc.

Test Result: Pass Source qualification: No rmal

Highest parameter values during test: Voltage (Vrms): 229.93 Frequency(Hz): 50.00 I_Peak (Amps): 1.330 I_RMS (Amps): 0.720 I_Fund (Amps): 0.668 Crest Factor: 2.192 Power (Watts): 150.8 Power Factor: 0.953

Harm# Harmonics V-rms Limit V-rms % of Limit Status

2 0.016 0.460 3.48 OK
3 0.498 2.069 24.06 OK
4 0.025 0.460 5.38 OK
5 0.019 0.920 2.09 OK
6 0.026 0.460 5.70 OK
7 0.012 0.690 1.68 OK
8 0.005 0.460 1.18 OK
9 0.050 0.460 10.81 OK
10 0.007 0.460 1.62 OK
11 0.015 0.230 6.44 OK
12 0.015 0.230 6.44 OK
13 0.005 0.230 2.08 OK
14 0.006 0.230 2.41 OK
15 0.013 0.230 5.48 OK
16 0.010 0.230 4.36 OK
17 0.009 0.230 4.01 OK
18 0.017 0.230 7.38 OK
19 0.008 0.230 3.55 OK
20 0.011 0.230 4.67 OK
21 0.013 0.230 5.71 OK
22 0.003 0.230 1.40 OK
23 0.005 0.230 2.05 OK
24 0.004 0.230 1.56 OK
25 0.005 0.230 2.36 OK
26 0.003 0.230 1.38 OK
27 0.008 0.230 3.54 OK
28 0.003 0.230 1.36 OK
29 0.007 0.230 3.24 OK
30 0.007 0.230 3.04 OK
31 0.006 0.230 2.75 OK
32 0.003 0.230 1.16 OK
33 0.005 0.230 2.07 OK
34 0.003 0.230 1.19 OK
35 0.006 0.230 2.69 OK
36 0.004 0.230 1.55 OK
37 0.007 0.230 3.00 OK
38 0.004 0.230 1.82 OK
39 0.008 0.230 3.45 OK
40 0.007 0.230 2.93 OK

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Test Personnel: U. Tabbsum Test Date: February 10, 2015 Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck Product Standard: IEC 60601-1-2 Limit Applied: Cla ss A Input Voltage: 230 Vac

Pretest Verification w/

Artifact : NO Ambient Temperature: 21.7 oC

Relative Humidity: 16.8 %

Atmospheric Pressure: 992.5 mbars

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 9 Flicker

9.1 Method

Tests are performed in accordance with IEC 61000-3- 3.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber.



### 9.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due

166520 SIGNAL CONDITIONING UNIT; LUMPED IMPEDANCE SCHAFFNER CCN

- 1000

- 1 72516 01/27/2015 01/27/2016
166519 **FRO** POWER SOURCE; 3kVA AC SCHAFFNER NSG- 1007 57689 01/27/2015 01/27/2016

Software Utilized:

Name Manufacturer Version

WIN 21000 TESEQ 3.2.0.35



### 9.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 9.4 Setup Photographs:

Image 8-1: Flicker Emissions, Oxygen Concentrator Test Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 9.5 Plots/Data:



### Flicker Test Summary per EN/IEC61000-3-3 (Run time )

EUT: DUMOG Oxygen Concentrator Tested by: U.Tabbsum Test category: All parameters (European limits) Tes t Margin: 100
Test date: 2/10/2015 Start time: 11:53:41 PM End ti me: 1:54:02 AM Test duration (min): 120 Data file name: F-000027.c ts_data Comment: Continuous Mode Customer: Andy Voto/Oxus America, Inc.

Test Result: Pass Status: Test Completed

Pst i and limit line European Limits



## 0.25 0.50 0.75 1.00Pst0:04:010:14:010:24:010:34:010:44:010:54:011:04:011:14:011:24:011:34:011:44:011:54:01

Plt and limit line



## 0.1 0.2 0.3 0.4 0.5 0.6Plt1:54:01

Parameter values recorded during the test: Vrms at the end of test (Volt): 229.65 Highest dt (%): 0.00 Test limit (%): 3.30 Pass Time(mS) > dt: 0.0 Test limit (mS): 500.0 Pass Highest dc (%): 0.00 Test limit (%): 3.30 Pass Highest dmax (%): 0.00 Test limit (%): 6.00 Pass Highest Pst (10 min. period): 0.149 Test li mit: 1.000 Pass Highest Plt (2 hr. period): 0.121 Tes t limit: 0.650 Pass

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Test Personnel: U. Tabbsum Test Date: February 10, 2015 Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck Product Standard: IEC 60601-1-2 Limit Applied: All Flicker Parameters Input Voltage: 230 Vac

Pretest Verification w/

Artifact : NO Ambient Temperature: 21.7 oC

Relative Humidity: 16.8 %

Atmospheric Pressure: 992.5 mbars

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 10 Electrostatic Discharge Immunity Test

10.1 Method

Tests are performed in accordance with IEC 61000-4- 2, and RTCA DO-160, Rev. G.

TEST SITE: Large-Mil Control Room (IEC 60601-1-2)

The Large-Mil Control Room is a shielded support chamber for the Large-Mil Se mi-Anechoic chamber. The

control room is shielded with ferrite tile and stai nless-steel walls. The dimensions of the Large-Mil Control Room are: 12 ft. in length, 10.1 ft. in width, 8.1 ft. i n height.

TEST SITE: Small-Mil Chamber (RTCA DO-160, Rev. G)

The Small-Mil Chamber is a semi-anechoic chamber designed for EMC testin g. The Small-Mil Chamber dimensions are: 12.1 ft. in length, 16.3 ft. in wid th, 10.1 ft. in height. A test bench with a copper ground plane is attached to the chamber grounding per RTCA DO-160, Rev G.



### 10.2 Test Equipment Used (IEC 60601-1-2):

Asset Description Manufacturer Model Serial Cal Date Cal Due

166399 SIMULATOR, ESD, 0

- 30,000 V SCHAFFNER NSG

- 438 302 10/27/2014 10/27/2015 166399.1 CABLE, WIRE WITH (2) 470k OHM RESISTORS IN TERTEK NA NONE VBU VBU 166399.2 CABLE: WIRE WITH (2) 470k OHM RESISTORS IN TERTEK NA NONE VBU VBU

166400 PISTOL, ESD SCHAFFNER NSG

- 438 302 10/27/2014 10/27/2015
166400.1 ESD TIP, CONTACT DISCHARGE SCHAFFNER 403-5 47B N/A VBU VBU
166400.2 ESD TIP, AIR DISCHARGE SCHAFFNER 403-546 N /A VBU VBU

166402 R

- C NETWORK, 150pF / 330 OHMS SCHAFFNER N/A UNKN 10/27/2014 10/27/2015



### 10.3 Test Equipment Used (RTCA DO-160, Rev. G):

Asset Description Manufacturer Model Serial Cal Date Cal Due
166399 SIMULATOR, ESD, 0 - 30,000 V SCHAFFNER NSG-4 38 302 10/27/2014 10/27/2015

166400 PISTOL, ESD SCHAFFNER NSG

- 438 302 10/27/2014 10/27/2015
166400.2 ESD TIP, AIR DISCHARGE SCHAFFNER 403-546 N /A VBU VBU 166402 R-C NETWORK, 150pF / 330 OHMS SCHAFFNER N/A UNKN 10/27/2014 10/27/2015



### 10.4 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 10.5 Setup Photographs:

Image 10-1: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Front Side, AC Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-2: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Back Side, AC Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-3: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Left Side, AC Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-4: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Right Side, AC Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-5: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Front Side, Battery

Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-6: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Back Side, Battery

Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-7: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Left Side, Battery Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-8: Electrostatic Discharge, Indirect Effects, Vertical Coupling Plane, Right Side, Battery

Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-9: Electrostatic Discharge, Indirect Effects, Horizont al Coupling Plane, AC and Battery

Powered.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-10: Electrostatic Discharge, DO-160, Rev. G, Test Setup

.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-11: Electrostatic Discharge

, Test Point, Front Panel.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-12: Electrostatic Discharge

, Test Point, Back Panel.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-13: Electrostatic Discharge

, Test Point, Top Panel and Display.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-14: Electrostatic Discharge

, Test Point, AC Connector Shell, Battery Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 10-15: Electrostatic Discharge

, Test Point, AC Connector Shell, AC Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 10.6 Data:

Test
Point Discharge

Voltage Type Test Voltages, Polarities and Result Classification

2 kV 4 kV 6 kV 8 kVAir Discharges only above 8 kV 15 kV __ kV

Pos Neg Pos Neg Pos Neg Pos Neg Pos Neg Pos Neg Oxygen Concentrator, Battery Mode (RTCA DO-160G 15 kV only)

1 Air Pass Pass

2 Air Pass Pass

3 Air Pass Pass

4 Air Pass Pass

5 Air Pass Pass

6 Air Pass Pass

7 Air Pass Pass

8a Air Pass Pass

Oxygen Concentrator, AC Mode (IEC 60601

- 1

- 2 only)

HCP Contact A A A A A A

VCP Con tact A A A A A A

1 Air A A A A A A

2 Air A A A A A A

3 Air A A A A A A

4 Air A A A A A A

5 Air A A A A A A

6 Air A A A A A A

7 Air A A A A A A

8a Contact A A A A A A

8B Contact A A A A A A

9 Air A A A A A A

Test Personnel: L. Heersink Test Date: February 13, 2015 (IEC 60601-1-2) February 16, 2015 (RTCA DO

- 160G) Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck

Product Standard: IEC 60601-1-2

RTCA DO-160, Rev. G Test Levels: See Table Above

Input Voltage: Battery, 120 Vac Performance Criteria: See Report Section 5.3

Waveform Verified on Oscilloscope: No Ambient Temperature: 20.9 oC (IEC 60601-1-2)

19.7 oC (RTCA DO-160G)

Rela tive Humidity: 47.3 % (IEC 60601-1-2)

25.7 % (RTCA DO

- 160G) 470k x 2 Strap(s)

Verified: 940k Ω Atmospheric

Pressure: 997.3 mbars (IEC 60601-1-2)

998.6 mbars (RTCA DO

- 160G)

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 11 Radiated, radio-frequency, electromagnetic field immunity test

11.1 Method

Tests are performed in accordance with IEC 61000-4- 3, and RTCA DO-160, Rev. G, Section 20.

TEST SITE: Three-Meter Chamber (IEC 60601-1-2)

The Three-Meter Chamber is a semi-anechoic chamber utilized for performing radiated immunity at a
distance of three meters. The dimensions of the Thr ee-Meter chamber are: 18.0 ft. in length, 25.8 ft. in width, 16.0 ft. in height. Mobile absorber cones ar e placed between the sample under test and the transmitting antenna to reduce floor reflections du ring testing.

TEST SITE: Small-Mil Chamber (RTCA DO-160, Rev. G)

The Small-Mil Chamber is a semi-anechoic chamber designed for EMC testin g. The Small-Mil Chamber dimensions are: 12.1 ft. in length, 16.3 ft. in wid th, 10.1 ft. in height. A test bench with a copper ground plane is attached to the chamber grounding per RTCA DO-160, Rev G.



### 11.2 Test Equipment Used (IEC 60601-1-2):

Asset Description Manufacturer Model Serial Cal Date Cal Due
166418 SIGNAL GENERATOR, 100k - 43.5G RHODE & SCHWA RZ SMF100A 101769 11/26/2014 11/26/2015
166439 PROBE, FIELD, 3M - 18G AMPLIFIER RESEARCH FP 7018 311648 06/27/2014 06/27/2015

166428 METER, TEMP / HUMIDITY OMEGA ITHX

- SD 0390027 01/08/2015 01/08/2016
166366 AMPLIFIER, 1 - 2G, 250W CPI VZL-6943J2 J1293 4H0 VBU VBU 166367 AMPLIFIER, 2 - 8G, 250 W CPI VZS/C-6963J2 J1 2935H0 VBU VBU

166482 CAMERA, DIGITAL, (CCTV) ETS 4340

- 03 00 125511 VBU VBU

166300 DRG ANTENNA 1G - 18G EMCO 3115 9211-3957 10 /28/2014 10/28/2015
166369 AMPLIFIER RF 80M - 1000M, 1000W AMPLIFIER RE SEARCH 1000W1000C 0333951 VBU VBU

166388 ANTENNA, LOG PERIODIC, RECEIVE, 80M

- 2G ETS

- LINDGREN 3144 00101884 02/12/2 010 VBU 166615 CABLE, RF, DC - 18G MINI CIRCUITS APC-15FT-N MNM+ 0656A 09/18/2014 09/18/2015
166583 CABLE, RF, 70 FT ROSENBERGER U6C-23590-NN 05 10 VBU VBU



### 11.3 Test Equipment Used (RTCA DO-160, Rev. G):

Asset Description Manufacturer Model Serial Cal Date Cal Due
166007 GENERATOR, SIGNAL, 9k - 2.5G IFR 2025 202302 /892 04/03/2014 04/03/2015

166014 METER, POWER, 10k

- 8G BOONTON 4232A 60601 02/13/2014 02/13/2015
166374 SIGNAL GENERATOR, 9k - 6G RHODE & SCHWARZ SM B100A 104227 03/05/2014 03/05/2015
166584 MONITOR, FIELD AMPLIFIER RESEARCH FM 7004 03 36167 VBU VBU

166567 ATTENUATOR, 20dB, 300W, DC to 1G PASTERNACK PE7031

- 20 N/A 04/04/2014 04/04/2015
166366 AMPLIFIER, 1 - 2G, 250W CPI VZL-6943J2 J1293 4H0 VBU VBU 166406 ANTENNA, 0.8 - 5G, 1500 W AMPLIFIER RESEARCH ATH800M5GA 0334151 VBU VBU

166388 ANTENNA, LOG PERIODIC, RECEIVE, 80M

- 2G ETS

- LINDGREN 3144 00101884 02/12/2010 VBU 166439 PROBE, FIELD, 3M - 18G AMPLIFIER RESEARCH FP 7018 311648 06/27/2014 06/27/2015
166369 AMPLIFIER RF 80M - 1000M, 1000W AMPLIFIER RE SEARCH 1000W1000C 0333951 VBU VBU
166732 CABLE; RF, A82-0303-072, 6 FT TELEDYNE MFR-5 7500 13-05-409 06/06/2014 06/06/2015

166730 CABLE, RF; A82

- 0303

- 072, 6 FT TELEDYNE MFR

- 57500 13

- 05

- 407 09/02/2014 09/02/2015
166756 RF CABLE, 6 FT, DC - 18GHz HUBER & SUHNER RG 393/11N/11N1830mm none VBU VBU
166663 CABLE, RF; 200MHz to 8GHz, 20FT. BROWN PASTE RNACK RG393/U N/A VBU VBU

Software Utilized:

Name Manufacturer Version

TILE ETS Lindgren 6.0.4.621



### 11.4 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 11.5 Setup Photographs:

Image 11-1: Radiated Immunity, Oxygen Concentrator, Test setup, 0 Degree Orientation, Battery

Powered Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-2: Radiated Immunity, Oxygen Concentrator, Test setup, 0 Degree Orientation, AC Powered

Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-3: Radiated Immunity, Oxygen Concentrator, Test setup, 90 Degree Orientation, Battery

Powered Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-4: Radiated Immunity, Oxygen Concentrator, Test setup, 90 Degree Orientation, AC Powered

Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-5: Radiated Immunity, Oxygen Concentrator, Test setup, 180 Degree Orientation, Battery

Powered Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-6: Radiated Immunity, Oxygen Concentrator, Test setup, 180 Degree Orientation, AC Powered

Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-7: Radiated Immunity, Oxygen Concentrator, Test setup, 270 Degree Orientation, Battery

Powered Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-8: Radiated Immunity, Oxygen Concentrator, Test setup, 270 Degree Orientation, AC Powered

Mode.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-9: Radiated Immunity, Empty Room Calibration, DO-160, Rev. G, Vertical Polarity,
100 MHz to 1 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-10: Radiated Immunity, Empty Room Calibration, DO-160, Rev. G, Horizontal Polarity,
100 MHz to 1 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-11: Radiated Immunity, Empty Room Calibration, DO-160, Rev. G, Vertical Polarity,
1 GHz to 2 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-12: Radiated Immunity, Empty Room Calibration, DO-160, Rev. G, Horizontal Polarity.
1 GHz to 2 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-13: Radiated Immunity, Oxygen Concentrator Test, DO-160 , Rev. G, Vertical Polarity,
100 MHz to 1 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-14: Radiated Immunity, Oxygen Concentrator Test, DO-160 , Rev. G, Horizontal Polarity,
100 MHz to 1 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-15: Radiated Immunity, Oxygen Concentrator Test, DO-160 , Rev. G, Vertical Polarity,
1 GHz to 2 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 11-15: Radiated Immunity, Oxygen Concentrator Test, DO-160 , Rev. G, Horizontal Polarity,
1 GHz to 2 GHz.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 11.6 Data:

Test

Distance (m) Field

Level (V/m) Frequency

Range

MHz Antenna Polarity, Azimuths and Result Classificatio n Vertical Horizontal

0 90 180 270 0 90 180 270 IEC 60601-1-2, AC Powered Mode

3 3 80

- 2500 A A A A A A A A IEC 60601-1-2, Battery Powered Mode

3 3 80

- 2500 A A A A A A A A RTCA DO-160 G, Battery Powered Mode

Test

Distance (m) Field

Level (V/m) Frequency

Range

MHz Vertical Horizontal

1 1 100

- 2000 Pass Pas s

Test Personnel: L. Heersink/U. Tabbsum Test Date: February 10, 2015 (IEC 60601-1-2) January 17 –18, 2015 (RTCA DO-160)

Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck Modulation: Required Performance: AM Modulation, 90% depth, 1 kHz sine wave.

See Report Section 5.3

Product Standard: IEC 60601-1-2

RTCA DO-160, Rev. G Test Levels: See Table Above Input Voltage: Battery, 230 Vac

Field Level Monitored: YES Ambient Temperature: 21.7 oC (IEC 60601-1-2)

Relative Humidity: 16.8 % (IEC 60601-1-2)

Atmospheric Pressure: 992.5 mbars (IEC 60601

- 1

- 2)

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions:

For the RTCA DO-160, Rev. G portion, the Oxygen Co ncentrator was tested on a non-conductive foam support instead of on the ground plane during testi ng as required per standard. This was acceptable fo r testing as it created a harsher test environment fo r the Oxygen Concentrator.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 12 Electrical Fast Transient/Burst Immunity Test

12.1 Method

Tests are performed in accordance with IEC 61000-4- 4.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber. In this c ase the chamber is just being used as a shielded room not i n the reverberation mode.



### 12.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due
166501 MULTIFUNCTION TEST GENERATOR, .5 KV TO 6 KV TRANSIENTS TESEQ NSG 3060 1321 06/16/2014 06/16/201 5

166500 AUTOMATED 1-PHASE COUPLING/DECOUPLING NETWOR K TESEQ CDN 3061 1314 06/16/2014 06/16/2015

Software Utilized:

Name Manufacturer Version

WIN 3000 TESEQ 1.0.0



### 12.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 12.4 Setup Photographs:

Image 12-1: Electrical Fast Transients, Oxygen Concentrator Tes t Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 12.5 Test Data:

Test

Point Coupling

Method Test Voltages, Polarities, and Result Classificatio n

0.25kV 0.5kV 1 kV 2 kV 4 kV

pos neg pos neg pos neg pos neg pos neg

AC Mains Direct A A A A A A A A

Test Personnel: K. Selleck Test Date: February 19, 2015

Supervising/Reviewing

Engineer: (Where Applicable) NA Pulse Repetition Frequency: Required Performance: 100kHz See Report Section 5.3

Product Standard: IEC 60601-1-2 Test Levels: See T able Above Input Voltage: 100 Vac, 240 Vac

Waveform Verified with

O’Scope: NO Ambient Temperature: 21.3 oC

Relative Humidity: 7.0 %

Atmospheric Pressure: mbars

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 13 Immunity to Surge

13.1 Method

Tests are performed in accordance with IEC 61000-4- 5.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber. In this c ase the chamber is just being used as a shielded room not i n the reverberation mode.



### 13.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due
166501 MULTIFUNCTION TEST GENERATOR, .5 KV TO 6 KV TRANSIENTS TESEQ NSG 3060 1321 06/16/2014 06/16/201 5

166500 AUTOMATED 1-PHASE COUPLING/DECOUPLING NETWOR K TESEQ CDN 3061 1314 06/16/2014 06/16/2015

Software Utilized:

Name Manufacturer Version

WIN 3000 TESEQ 1.0.0



### 13.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 13.4 Setup Photographs:

Image 13-1: Voltage Surge Immunity, Oxygen Concentrator Test se tup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 13.5 Test Data:

Test Test Voltages, Polarities, and Result Classificatio n

0.5kV 1kV 2kV 4kV

pos neg pos neg pos neg pos neg

L1

- N, at 90 deg A A A A A A A A

L1

- N, at 180 deg A A A A A A A A

L1

- N, at 270 deg A A A A A A A A

Test Personnel: K. Selleck Test Date: February 19, 2015 Supervising/Reviewing

Engineer: (Where Applicable) NA

Product Standard: IEC 60601

- 1

- 2 Test Levels: See Table Above Input Voltage: 100 Vac, 240 Vac Performance Criteria: See Report Section 5.3

Waveform Verified on Oscilloscope: NO Ambient Temperature: 21.3 oC

Relative Humidity: 7.0 %

Atmospheric Pressure: mbars

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 14 Conducted, radio-frequency, electromagnetic fiel d immunity test

14.1 Method

Tests are performed in accordance with IEC 61000-4- 6.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber. In this c ase the chamber is just being used as a shielded room not i n the reverberation mode.



### 14.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due
166493 SIGNAL ANALYZER, 9k - 30G RHODE & SCHWARZ FS V 100976 06/06/2014 06/06/2015
166010 AMPLIFIER, POWER, 10k - 250M AR 250A250 2306 5 VBU VBU
166374 SIGNAL GENERATOR, 9k - 6G RHODE & SCHWARZ SM B100A 104227 03/05/2014 03/05/2015
166014 METER, POWER, 10k - 8G BOONTON 4232A 60601 0 2/13/2014 02/13/2015

166684 COUPLING / DECOUPLING NETWORK TESEQ CDN M432 33666 09/24/2014 09/24/2015

166029 COUPLER, DUAL DIRECTIONAL, 10k

- 4 00M WERLATONE C5339 11371 01/27/2010 VBU 166684.1 TERMINATION; 50-150 Ohm TESEQ CAL U100A 34 333 09/24/2014 09/24/2015
166684.2 TERMINATION; 50-150 Ohm TESEQ TRA U150 342 62 09/24/2014 09/24/2015

166551 CABLE; RF, 15 FT, DC

- 18G MINI CIRCUITS CBL

- 15FT

- NM NM+ 4537 VBU VBU
166655 ATTENUATOR; 20dB, 100 W, DC - 1.5G PASTERNAC K PE7021-20 N/A VBU VBU

166616 CABLE, RF, DC - 18G MINI CIRCUITS CBL-6FT-NM NM+ 61481 09/18/2014 09/18/2015
166540 CABLE; RF, 6 FT, DC - 18G MINI CIRCUITS CBL- 6FT-NMNM+ 60758 VBU VBU

16 6693 CABLE, RF, 6 FT, DC

- 18GHz MINI CIRCUITS CBL

- 6FT

- NMNM+ 56290 VBU VBU 166656 ATTENUATOR; 20dB, 100 W, DC - 1.5G PASTERNAC K PE7021-20 N/A VBU VBU
166538 CABLE; RF, 25 FT, DC - 18G MINI CIRCUITS CBL -25FT-NMNM+ 58589 VBU VBU

166547 CABLE; RF, 10 FT, DC - 18G MINI CIRCUITS CBL -10FT-NMNM+ 61112 VBU VBU
166015 SENSOR, POWER, 10k - 8G BOONTON 51011-EMC 32 123 04/03/2014 04/03/2015

Software Utilized:

Name Manufacturer Version

TILE ETS Lindgren 6.0.4.621



### 14.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 14.4 Setup Photographs:

Image 14-1: Conducted RF Immunity, CDN Calibration Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 14-2: Conducted RF Immunity, Oxygen Concentrator Test Set up.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 14.5 Test Data:

Injection Device Type Port Description Test Level (Vrms) Result
Classification CDN AC Mains Input 3 A

Test Personnel: U. Tabbsum Test Date: February 10, 2015

Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck Modulation: Required Performance: AM Modulation 80% depth with

1 kHz sine wave. See Report Section 5.3

Product Standard: IEC 60601-1-2 Test Levels: See T able Above Input Voltage: 230 Vac

Test Level Verification

Performed: YES Ambient Temperature: 21.7 oC

Relative Humidity: 16.8 % RH

Atmospheric Pressure: 992.5 mbars

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 15 Power Frequency Magnetic Field Immunity Test

15.1 Method

Tests are performed in accordance with IEC 61000-4- 8.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber. In this c ase the chamber is just being used as a shielded room not i n the reverberation mode.



### 15.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due
166519 **FRO** POWER SOURCE; 3kVA AC SCHAFFNER NSG- 1007 57689 01/27/2015 01/27/2016

166676 TRANSFORMER DONGAN 61-1465SH none VBU VBU

166767 LOOP, MAGNETIC FIELD, 1M X 1M, 100A FCC F-10 00-4-8/9/10-L-1M 28 VBU VBU

130463 POWER SUPPLY, AC CHROMA 61512 615120000190 12/09/2010 VBU 166711 METER, TRUE RMS, CLAMP FLUKE 376 22440812 04/07/2014 04/07/2015
166429 METER, TEMP / HUMIDITY OMEGA ITHX-SD 0390026 12/04/2014 12/04/2015

130571 SENSOR; PRESSURE 0 - 23 pisa PAROSCIENTIFIC 745-23A 126119 04/22/2014 04/22/2015



### 15.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 15.4 Setup Photographs:

Image 15-1: Magnetic Field Immunity, Oxygen Concentrator Test S etup, X-Axis, Battery Operated.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 15-2: Magnetic Field Immunity, Oxygen Concentrator Test S etup, Y-Axis, Battery Operated.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 15-3: Magnetic Field Immunity, Oxygen Concentrator Test S etup, Z-Axis, Battery Operated.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 15-4: Magnetic Field Immunity, Oxygen Concentrator Test S etup, X-Axis, AC Operated.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 15-5: Magnetic Field Immunity, Oxygen Concentrator Test S etup, Y-Axis, AC Operated.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 15-6: Magnetic Field Immunity, Oxygen Concentrator Test S etup, Z-Axis, AC Operated.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 15.5 Test Data:

Mode/ EUT AC Input Test

Level (A/m) Frequency

(Hz) Result Classification

X – Axis Y – Axis Z – Axis

Continuous/120 Vac 3 60 A A A

Continuous/230 Vac 3 50 A A A Continuous/Battery 3 60 A A A Continuous/Battery 3 50 A A A

Test Personnel: U. Tabbsum Test Date: February 12, 2015 Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck

Product Standard: IEC6060 1

- 1

- 2 Test Levels: See Table Above Input Voltage: 120 Vac, 230 Vac, Battery Performan ce Criteria: See Report Section 5.3

Ambient Field Level: Not Taken Ambient Temperature: 22.4 o C

Relative Humidity: 9.9 % RH

Test Field Level
Verifi ed: Yes Atmospheric Pressure: 997.3 mbars

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 16 Voltage Dips / Interruptions Immunity Tests

16.1 Method

Tests are performed in accordance with IEC 61000-4- 11.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing. The
dimensions of the Reverberation Chamber are: 18.2 f t. in length, 28 ft. in width, 10.1 ft. in height. A copper test bench with dimensions of 8.0 ft. in length, 5 ft. i n width, and 2.3 ft. in height. The copper test ben ch is grounded to the chamber with copper straps attached to the g round plane of the reverberation chamber. In this c ase the chamber is just being used as a shielded room not i n the reverberation mode.



### 16.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due
166501 MULTIFUNCTION TEST GENERATOR, .5 KV TO 6 KV TRANSIENTS TESEQ NSG 3060 1321 06/16/2014 06/16/201 5

166500 AUTOMATED 1-PHASE COUPLING/DECOUPLING NETWOR K TESEQ CDN 3061 1314 06/16/2014 06/16/2015
166498 STEP TRANSFORMER, 16A / 250v TESEQ INA 6502-CIB 148 VBU VBU

Software Utilized:

Name Manufacturer Version

WIN 3000 TESEQ 1.0.0



### 16.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 16.4 Setup Photographs:

Image 16-1: Voltage Dips and Interruptions, Oxygen Concentrator Test Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 16.5 Test Data:

Specification Rated

Voltage (Vac) Frequency

(Hz) Voltage

Test

Level (%) Voltage

Dip (%) Test Voltage (Vac) Duration Result

Classification

0 deg 180

deg

<5%UT for 0.5 Cycle 100 50 0 100 0 0.5 Cycle A A
40%UT for 5 Cycles 100 50 40 60 40 5 Cycles A A
70%UT for 25 Cycles 100 50 70 30 70 25 Cycles A A

<5%UT for 5 Seconds 100 50 0 100 0 5 Seconds A A

<5%UT for 0.5 Cycles 240 50 0 100 0 0.5 Cycle A A
40%UT for 5 Cycles 240 50 40 60 96 5 Cycles A A
70%UT for 25 Cycles 240 50 70 30 168 25 Cycles A A

<5%UT for 5 Seconds 240 50 0 100 0 5 Seconds A A

Test Personnel: K. Selleck Test Date: February 19, 2015 Supervising/Reviewing

Engineer: (Where Applicable) NA

Product Standard: IEC 60601-1-2 Test Levels: See T able Above Input Voltage: 100 Vac, 240 Vac Performance Criter ia: See Report Section 5.3

Waveform Verified on Oscilloscope: NO Ambient Temperature: 21.3 o C

R elative Humidity: 7.0 %

Atmospheric Pressure: mbars

Notes:

(1) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 17 Magnetic Effects

17.1 Method

Tests are performed in accordance with RTCA DO-160, Rev G.

TEST SITE: Reverberation Chamber

The Reverberation Chamber is a shielded chamber designed specifically for re verberation testing.
The dimensions of the Reverberation Chamber are: 18 .2 ft. in length, 28 ft. in width, 10.1 ft. in heig ht. A copper test bench with dimensions of 8.0 ft. in l ength, 5 ft. in width, and 2.3 ft. in height. The c opper test bench is grounded to the chamber with copper s traps attached to the ground plane of the

reverberation chamber. In this case the chamber is just being used as a shielded room not in the

reverberation mode.



### 17.2 Test Equipment Used:

Asset Description Manufacturer Model Serial Cal Date Cal Due

166548 COMPASS, PRECISION, CLASSIC BRUNT ON 360 DAMP F

- 2061 2610111448 01/13/2015 01/13/2016

9200-21200-01 MAGNETOMETER L-3 COMMUNICATIONS MAG-3 100 80026 12/11/2014 12/11/2015

Software Utilized:

Name Manufacturer Version

MAG/MAT-3000
Performance Monitor Software L-3 Communications 570-6342-02 Rev 1.2



### 17.3 Results:

The sample tested was found to Comply.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 17.4 Setup Photographs:

Image 17-1: Magnetic Effects, Magnetometer Measurement Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Image 17-2: Magnetic Effects, Oxygen Concentrator Test Setup.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 17.5 Test Data:

Measured Magnetic Field

(Gauss) Converted Mag Field (A/m) Test Dc

(deg) EUT Distance for Dc (cm) Result

.181 14.4 1 32 Pass

Test Personnel: U. Tabbsum Test Date: February 19, 2015 Supervising/Reviewing

Engineer: (Where Applicable) K. Selleck

Product Standard: RTCA DO

- 160, Rev G Input Voltage: Battery Test Category : Categor y A

Ambient Temperature: 22.4 oC

Relative Humidity: 9.9 %RH

Atmospheric Pressure: 999.5 mbars

Notes:

(2) The EUT met the requirements without any degrad ation of performance.

Deviations, Additions, or Exclusions: None

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 18 Section 5 User Information and Guidance Tables

5.2.1 Instructions for Use

The following statements need to be included in the users manual for all equipment and systems:

1) “Medical Electrical Equipment needs special prec autions regarding EMC and needs to be installed and put into service according to the EMC information provided in the Accompanying Documents.” 2) “Portable and Mobile RF Communications Equipment can affect Medical Electrical Equipment.”

5.2.2.1 Technical Description

The following information must be included in the A ccompanying Documents provided to the end user for all equipment and systems:

a) A list of all cables and maximum lengths of cables (if applicable), transducers and other accessories with which the manufacturer claims comp liance with the requirements of IEC60601-1-2 ed3.0 (2007-03) Sections 6.1 and 6.2. b) A warning: “The use of accessories, transducers an d/or cables other than those specified, with the exception of those sold by the manufacture r as replacement parts for internal components, may result in increased emissions or de creased immunity of the equipment or system.”
c) Guidance Table 1 must be provided to the end user. d) A warning: “The equipment or system should not be used adjacent to or stacked with other equipment and that if adjacent or stacked use is necessary, the equipment or system should be observed to verify normal operatio n in the configuration in which it will

be used.” e) A justification must be provided for each reduced compliance level that is lower than the published levels for immunity tests in IEC 60601. T he justifications must be based on physical, technological or physiological limitation s that prevent compliance with the published test levels. f) Guidance Table 2 must be provided to the end user.

5.2.2.2 Technical Description

The following information must be included in the A ccompanying Documents provided to the end user for all equipment and systems:

Guidance Tables 4 and 6 must be provided to the end user for equipment and systems that are not Life-Supporting.

5.2.2.4 Guidelines to Include

For Equipment and Systems that intentionally apply RF energy for diagnosis or treatment, the accompanying documents shall include guidelines for avoiding or identifying and resolving adverse electromagnetic effects on other equipment that may result from operation of the Equipment or System.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

5.2.2.5 Accompanying Documents to Include

For Equipment that intentionally receive RF electro magnetic energy for the purpose of their operation, the accompanying documents shall include each frequency or frequency band of reception; the preferred frequency or frequency band, if applicable, and the bandwidth of the receiving section in those bands. A warning that ME Equipment/Systems may be interfered with by other equipment, even if that other equipment complies with CISPR Emissions requirement s, must also be included.

5.2.2.6 Accompanying Documents to Include

For Equipment that include RF Transmitters, the acc ompanying documents shall include each frequency or frequency band of transmission, the type and fre quency characteristics of the modulation and the Effective Radiated Power (ERP).

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 1 – Guidance and Manufacturer’s Declaration – Emissions

All ME Equipment and ME Systems

Guidance and Manufacturer’s Declaration - Emissions The «Dumog Oxygen Concentrator» is intended for use in the electromagnetic environment specified below. The customer or user of the «Dumog Oxygen Concentrator» should ensure that it

is used in such an environment.

Emissions Test Compliance Electromagnetic Environme nt – Guidance

RF Emissions
CISPR 11 Group 1 The «Dumog Oxygen Concentrator» uses RF ene rgy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.

RF Emissions
CISPR 11 Group 2 The «Dumog Oxygen Concentrator» must emit Electromagnetic energy in order to perform its intended function. Nearby electronic equipment may

be affected.

RF Emissions
CISPR 11 Class A or B

Harmonics
IEC 61000

- 3

- 2 Class A,B,C,D or
N/A

Flicker
IEC 61000-3-3 Complies or N/A

The «Dumog Oxygen Concentrator» is suitable for use in all establishments, including domestic, and those directly connected to the public low-voltage power supply network that supplies buildings used f or domestic purposes. The «Dumog Oxygen Concentrator» is suitable for use in all establishments, other than domestic, and those directly connected to the public low-voltage power supply network that supplies buildings used f or domestic purposes.

RF Emissions
C ISPR 14

- 1 Complies The «Dumog Oxygen Concentrator» is not sui table for interconnection with other equipment.

RF Emissions
CISPR 15 Complies The «Dumog Oxygen Concentrator» is not sui table for interconnection with other equipment.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 2 – Guidance and Manufacturer’s Declaration – Immunity

All ME Equipment and ME Systems

Guidance and Manufacturer’s Declaration – Immunity The «Dumog Oxygen Concentrator» is intended for use in the electromagnetic environment specified below. The customer or user of the «Dumog Oxygen Concentrator» should ensure that it

is used in such an environment.

Immunity Test IEC 60601

Test Level Compliance

Level Electromagnetic

Environment –
Guidance

ESD
IEC 61000-4-2 ±6kV Contact

±8kV Air Floors should be wood, concrete or
ceramic tile. If floors are synthetic, the r/h

should be at least

30%

EFT
IEC 61000-4-4 ±2kV Mains
±1kV I/Os Mains power quality
should be that of a typical commercial or

ho spital environment. Surge
IEC 61000-4-5 ±1kV Differential
±2kV Common Mains power quality
should be that of a typical commercial or hospital environment. Voltage Dips/Dropout
IEC 61000-4-11 >95% Dip for 0.5 Cycle

60% Dip for 5 Cycles

30% Dip for 25 Cycles

>95% Dip for
5 Seconds Mains power quality
should be that of a typical commercial or hospital environment.
If the user of the «Dumog Oxygen
Concentrator» requires continued operation during power mains interruptions, it is

recommended that the «Dumog Oxygen
Concentrator» be powered from an uninterruptible power supply or battery. Power Frequency
50/60Hz Magnetic Field
IEC 61000-4-8 3A/m Power frequency magnetic fields should be that of a typical commercial or hospital

environment.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 4 – Guidance and Manufacturer’s Declaration – Immunity ME Equipment and ME Systems that are NOT Life-suppo rting

Guidance and Manufacturer’s Declaration – Immunity The «Dumog Oxygen Concentrator» is intended for use in the electromagnetic environment specified below. The customer or user of the «Dumog Oxygen Concentrator» should ensure that it

is used in such an environment.

Immunity Test IEC 60601 Test Level Compliance

Level Electromagnetic

Environment –
Guidance

Conducted RF
IEC 61000-4-6

Radiated RF
IEC 61000-4-3 3 Vrms

150 kHz to 80 MHz

3 V/m
80 MHz to 2.5 GHz (V1)=3Vrms

(E1)=3V/m Portable and mobile

communications equipment should be separated from the «Dumog Oxygen Concentrator» by no

less than the

distances
calculated/listed

below:

D=(3.5/V1)(Sqrt P)

150kHz to 80MHz

D=(3.5/E1)(Sqrt P)

80 to 800 MHz

D=(7/E1)(Sqrt P)
800 MHz to 2.5 GHz

where P is the max power in watts and D

is the recommended separation distance in

meters.

Field strengths from fixed transmitters, as determined by an electromagnetic site survey, should be less than the compliance levels (V1 and E1).

Interference may occur in the vicinity of equipment containing

a transmitter.

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015

Table 6 – Recommended Separation Distances between portable and mobile RF Communications equipment and the «Dumog Oxygen Concentrator» ME Equipment and ME Systems that are NOT Life-suppo rting

Recommen ded Separations Distances for the « Dumog Oxygen Concentrator » The «Dumog Oxygen Concentrator» is intended for use in the electromagnetic environment in

which radiated disturbances are controlled. The cus tomer or user of the «Dumog Oxygen Concentrator» can help prevent electromagnetic inte rference by maintaining a minimum distance between portable and mobile RF Communications Equip ment and the «Dumog Oxygen Concentrator» as recommended below, according to th e maximum output power of the communications equipment.

Max Output Power (Watts) Separation (m)

150kHz to 80MHz

D=(3.5/V1)(Sqrt P) Separation (m)

80 to 800MHz

D=(3.5/E1)(Sqrt P) Separation (m)
800MHz to 2.5GHz

D=(7/E1 )(Sqrt P)

0.01 0.116667 0.116667 0.233333

0.1 0.368932 0.368932 0.737865

1 1.166667 1.166667 2.333333

10 3.689324 3.689324 7.378648

100 11.66667 11.66667 23.33333

## Intertek

Report Number: 101869034GRR-014 Issued: 05/29/2015



### 19 Revision History

Revision

Level Date Report Number Prepared By Reviewed

By Notes

0 5/29/2015 101869034GRR-014 KS MK Original Issue