Medtronic MiniMed ADDENDUM TO TEST REPORT A. Carelink USB 2.4 Model: MMT-7306CL. Tested To The Following Standards:

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1 Medtronic MiniMed ADDENDUM TO TEST REPORT A Carelink USB 2.4 Model: MMT-7306CL Tested To The Following Standards: FCC Part 15 Subpart C Sections and Date of issue: February 10, 2015 This test report bears the accreditation symbol indicating that the testing performed herein meets the test and reporting requirements of ISO/IEC under the applicable scope of EMC testing for CKC Laboratories, Inc. We strive to create long-term, trust based relationships by providing sound, adaptive, customer first testing services. We embrace each of our customers unique EMC challenges, not as an interruption to set processes, but rather as the reason we are in business. This report contains a total of 37 pages and may be reproduced in full only. Partial reproduction may only be done with the written consent of CKC Laboratories, Inc.

2 TABLE OF CONTENTS Administrative Information... 3 Test Report Information... 3 Revision History... 3 Report Authorization... 3 Test Facility Information... 4 Software Versions... 4 Site Registration & Accreditation Information... 4 Summary of Results... 5 Conditions During Testing... 5 Equipment Under Test... 6 Peripheral Devices... 6 FCC Part 15 Subpart C AC Conducted Emissions (a)(2) 6dB Occupied Bandwidth (b)(3) Maximum Output Power (d) Radiated Spurious Emissions (e) Power Spectral Density Supplemental Information Measurement Uncertainty Emissions Test Details Page 2 of 37

3 ADMINISTRATIVE INFORMATION Test Report Information REPORT PREPARED FOR: Medtronic MiniMed Devonshire Street Northridge, CA REPORT PREPARED BY: Dianne Dudley CKC Laboratories, Inc Sierra Pines Drive Mariposa, CA Representative: Bob Vitti Project Number: Customer Reference Number: DATE OF EQUIPMENT RECEIPT: November 4, 2013 DATE(S) OF TESTING: November 4-6, 2013 Revision History Original: Testing of Carelink USB 2.4, Model: MMT-7306CL to FCC Part 15 Subpart C Sections and Addendum A: To correct the labels in the Power Output (b)(3) table by removing the word bandwidth in the Corrections due to bandwidth, cables, amplifiers & antennas (db) header and correcting the last column header from ERP Watts to Conducted Power (Watts). Addendum B: To correct an error in the value description of LISN, Asset # The value listed was 5uH and it should have been 50uH. Report Authorization The test data contained in this report documents the observed testing parameters pertaining to and are relevant for only the sample equipment tested in the agreed upon operational mode(s) and configuration(s) as identified herein. Compliance assessment remains the client s responsibility. This report may not be used to claim product endorsement by A2LA or any government agencies. This test report has been authorized for release under quality control from CKC Laboratories, Inc. Steve Behm Director of Quality Assurance & Engineering Services CKC Laboratories, Inc. Page 3 of 37

4 Test Facility Information Our laboratories are configured to effectively test a wide variety of product types. CKC utilizes first class test equipment, anechoic chambers, data acquisition and information services to create accurate, repeatable and affordable test results. TEST LOCATION(S): CKC Laboratories, Inc rd Drive S.E., Suite A Bothell, WA Software Versions CKC Laboratories Proprietary Software Version EMITest Emissions Immunity Site Registration & Accreditation Information Location CB # TAIWAN CANADA FCC JAPAN Brea A US0060 SL2-IN-E-1146R 3082D A-0147 Page 4 of 37

5 SUMMARY OF RESULTS Standard / Specification: FCC Part 15 Subpart C Description Test Procedure/Method Results Conducted Emissions FCC Part 15 Subpart C Section / ANSI C63.4 Pass 6dB Occupied Bandwidth Maximum Output Power Radiated Spurious Emissions / Bandedge Power Spectral Density FCC Part 15 Subpart C Section (a)(2) / FHSS DA / DTS KDB / ANSI C63.4 FCC Part 15 Subpart C Section (b)(3) / FHSS DA / DTS KDB / ANSI C63.4 FCC Part 15 Subpart C Section (d) / FHSS DA / DTS KDB / ANSI C63.4 FCC Part 15 Subpart C (e) / FHSS DA / DTS KDB / ANSI C63.4 Pass Pass Pass Pass Conditions During Testing This list is a summary of the conditions noted for or modifications made to the equipment during testing. Summary of Conditions None Page 5 of 37

6 EQUIPMENT UNDER TEST Carelink USB 2.4 Manuf: Medtronic MiniMed Model: MMT-7306CL Serial: PC F EQUIPMENT UNDER TEST (EUT) PERIPHERAL DEVICES The EUT was tested with the following peripheral device(s): Mouse Manuf: Model: Serial: Laptop Manuf: Model: Serial: Microsoft X NA Dell Latitude E6320 Headphones Manuf: Monster Model: DNA Serial: 5W64574YRF AC/DC Adaptor Manuf: Dell Model: DA90PE3-00 Serial: NA Page 6 of 37

7 FCC PART 15 SUBPART C This report contains EMC emissions test results under United States Federal Communications Commission (FCC) 47 CFR 15C requirements for Unlicensed Radio Frequency Devices, Subpart C - Intentional Radiators AC Conducted Emissions Test Data Sheets Test Location: CKC Laboratories, Inc rd Drive SE, Suite A Bothell, WA (425) Customer: Medtronic MiniMed Specification: AC Mains - Quasi-peak Work Order #: Date: 11/4/2013 Test Type: Conducted Emissions Time: 12:08:08 Equipment: Carelink USB 2.4 Sequence#: 10 Manufacturer: Medtronic MiniMed Tested By: Steven Pittsford Model: MMT-7306CL 120V 60Hz S/N: PC F Test Equipment: ID Asset # Description Model Calibration Date Cal Due Date T1 ANP05435 Attenuator PE /5/ /5/2014 T2 ANP05546 Cable Heliax 3/27/2013 3/27/2015 T3 ANP05547 Cable Heliax 9/7/2012 9/7/2014 T4 AN uH LISN-Line 3816/2 12/9/ /9/2013 AN uH LISN-Neutral 3816/2 12/9/ /9/2013 T5 AN02871 Spectrum Analyzer E4440A 4/11/2013 4/11/2015 T6 AN02611 High Pass Filter HE K B 4/18/2012 4/18/2014 Equipment Under Test (* = EUT): Function Manufacturer Model # S/N Carelink USB 2.4* Medtronic MiniMed MMT-7306CL PC F Support Devices: Function Manufacturer Model # S/N Mouse Microsoft X NA Headphones Monster DNA 5W64574YRF Laptop Dell Latitude E6320 NA AC/DC Adaptor Dell DA90PE3-00 NA Page 7 of 37

8 Test Conditions / Notes: Temperature: 21 C Pressure: 102.7kPa Humidity: 32% Frequency: 150k-30MHz EUT is located on the top of the test table 80cm over the ground plane. EUT is connected to support laptop via a 6 foot long USB extender. Ports are filled on the support laptop. EUT is in Transmitting. Ext Attn: 0 db Measurement Data: Reading listed by margin. Test Lead: Line # Freq Rdng T1 T2 T3 T4 Dist Corr Spec Margin Polar T5 T6 MHz dbµv db db db db Table dbµv dbµv db Ant k Line QP k Line QP k Line QP M Line M Line M Line k Line QP k Line QP k Line QP M Line k Line QP M Line k Line QP k Line ^ k Line k Line ^ k Line Page 8 of 37

9 k ^ k M k ^ k k ^ k k ^ k k ^ k k QP k ^ k k ^ k k ^ k k k ^ k k ^ k k QP Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Line Page 9 of 37

10 Page 10 of 37

11 Test Location: CKC Laboratories, Inc rd Drive SE, Suite A Bothell, WA (425) Customer: Medtronic MiniMed Specification: AC Mains - rage Work Order #: Date: 11/4/2013 Test Type: Conducted Emissions Time: 12:20:52 Equipment: Carelink USB 2.4 Sequence#: 11 Manufacturer: Medtronic MiniMed Tested By: Steven Pittsford Model: MMT-7306CL 120V 60Hz S/N: PC F Test Equipment: ID Asset # Description Model Calibration Date Cal Due Date T1 ANP05435 Attenuator PE /5/ /5/2014 T2 ANP05546 Cable Heliax 3/27/2013 3/27/2015 T3 ANP05547 Cable Heliax 9/7/2012 9/7/2014 AN uH LISN-Line 3816/2 12/9/ /9/2013 T4 AN uH LISN-Neutral 3816/2 12/9/ /9/2013 AN02871 Spectrum Analyzer E4440A 4/11/2013 4/11/2015 T5 AN02611 High Pass Filter HE K B 4/18/2012 4/18/2014 Equipment Under Test (* = EUT): Function Manufacturer Model # S/N Carelink USB 2.4* Medtronic MiniMed MMT-7306CL PC F Support Devices: Function Manufacturer Model # S/N Mouse Microsoft X NA Headphones Monster DNA 5W64574YRF Laptop Dell Latitude E6320 NA AC/DC Adaptor Dell DA90PE3-00 NA Test Conditions / Notes: Temperature: 21 C Pressure: 102.7kPa Humidity: 32% Frequency: 150k-30MHz EUT is located on the top of the test table 80cm over the ground plane. EUT is connected to support laptop via a 6 foot long USB extender. Ports are filled on the support laptop. EUT is in Transmitting. Page 11 of 37

12 Ext Attn: 0 db Measurement Data: Reading listed by margin. Test Lead: Neutral # Freq Rdng T1 T2 T3 T4 Dist Corr Spec Margin Polar T5 MHz dbµv db db db db Table dbµv dbµv db Ant k Neutr QP k Neutr QP M Neutr k Neutr QP k Neutr QP +0.1 ^ k Neutr k Neutr QP M Neutr M Neutr M Neutr k Neutr ^ k Neutr k Neutr +0.7 ^ k Neutr k Neutr ^ k Neutr k Neutr +0.3 ^ k Neutr k Neutr +0.4 ^ k Neutr k Neutr QP +0.1 ^ k Neutr k Neutr Page 12 of 37

13 ^ k k ^ k k ^ k k ^ k Neutr Neutr Neutr Neutr Neutr Neutr Neutr Page 13 of 37

14 Test Setup Photos Page 14 of 37

15 15.247(a)(2) 6dB Occupied Bandwidth Test Conditions / Setup The EUT s antenna is non-removable, thus the data will be gathered through radiated measurements. The EUT is located on top of a Styrofoam table, 80cm over the ground plane. The EUT is connected to support laptop via a 6 foot long USB extender. Ports are filled on the support laptop. Test Conditions: Temp: 23 C Humidity: 31% Pressure: 102.5kPa Freq: MHz Engineer Name: Steven Pittsford Test Equipment Asset # Description Model Manufacturer Cal Date Cal Due AN01467 Horn Antenna-ANSI EMCO 9/16/2013 9/16/ C63.5 Calibration AN03209 Preamp 83051A Agilent 3/5/2013 3/5/2015 ANP05546 Cable Heliax Andrews 3/27/2013 3/27/2015 ANP05547 Cable Heliax Andrews 9/7/2012 9/7/2014 AN02871 Spectrum Analyzer E4440A Agilent 4/11/2013 4/11/2015 Test Data Frequency (MHz) 6dB Bandwidth MHz MHz MHz Page 15 of 37

16 Low Middle Page 16 of 37

17 High Page 17 of 37

18 Test Setup Photos Page 18 of 37

19 15.247(b)(3) Maximum Output Power Test Conditions / Setup The EUT s antenna is non-removable, thus the data will be gathered through radiated measurements. The formula shown below will be used to calculate the ERP. The EUT is located on top of a Styrofoam table, 80cm over the ground plane. Voltage on the laptop will be varied per FCC 15.31(e). The EUT is connected to support laptop via a 6 foot long USB extender. Ports are filled on the support laptop. Test Conditions: Temp: 21 C Humidity: 32% Pressure: 102.6kPa Freq: MHz P = (Ed)^2 / (30 * G) E = Field strength of the measurement converted to V/M d = Measurement distance in meters G = Numerical gain of the EUT's antenna relative to an isotropic radiator. P = The power in watts for which we are solving Engineer Name: Steven Pittsford Test Equipment Asset # Description Model Manufacturer Cal Date Cal Due AN01467 Horn Antenna-ANSI EMCO 9/16/2013 9/16/ C63.5 Calibration AN03209 Preamp 83051A Agilent 3/5/2013 3/5/2015 ANP05546 Cable Heliax Andrews 3/27/2013 3/27/2015 ANP05547 Cable Heliax Andrews 9/7/2012 9/7/2014 AN02871 Spectrum Analyzer E4440A Agilent 4/11/2013 4/11/2015 Page 19 of 37

20 Test Data Frequency (MHz) Input Voltage Spectrum Analyzer Measurement (dbuv) Corrections due to cables, amplifiers, antennas and (db) Corrected Reading (dbuv) Antenna Gain (dbi) Conducted Power (Watts) 102VAC * VAC * VAC * VAC * VAC * VAC * VAC * VAC * VAC *10-4 Low Page 20 of 37

21 Middle High Page 21 of 37

22 Test Setup Photos Page 22 of 37

23 15.247(d) Radiated Spurious Emissions Test Data Sheet Test Location: CKC Laboratories, Inc rd Drive SE, Suite A Bothell, WA (425) Customer: Medtronic MiniMed Specification: (d) / Radiated Spurious Emissions Work Order #: Date: 11/5/2013 Test Type: Maximized Emissions Time: 18:16:37 Equipment: Carelink USB 2.4 Sequence#: 10 Manufacturer: Medtronic MiniMed Tested By: Steven Pittsford Model: MMT-7306CL S/N: PC F Test Equipment: ID Asset # Description Model Calibration Date Cal Due Date T1 AN01467 Horn Antenna-ANSI /16/2013 9/16/2015 C63.5 Calibration T2 AN03209 Preamp 83051A 3/5/2013 3/5/2015 T3 ANP05546 Cable Heliax 3/27/2013 3/27/2015 T4 ANP05547 Cable Heliax 9/7/2012 9/7/2014 T5 AN02871 Spectrum Analyzer E4440A 4/11/2013 4/11/2015 T6 AN02741 Active Horn Antenna AMFW-5F- 12/18/ /18/ P T7 AN02742 Active Horn Antenna AMFW-5F P 12/17/ /17/2014 T8 AN Waveguide Multiple 6/7/2012 6/7/2014 T9 ANP05428 Cable PE /8/2012 6/8/2014 T10 AN02308 Preamp 8447D 4/3/2012 4/3/2014 T11 AN01996 Biconilog Antenna CBL6111C 3/2/2012 3/2/2014 T12 ANP05360 Cable RG214 12/3/ /3/2014 T13 ANP05541 Cable Heliax 4/11/2012 4/11/2014 T14 AN00052 Loop Antenna /16/2012 5/16/2014 T15 ANP05422 Cable PE /8/2012 6/8/2014 Equipment Under Test (* = EUT): Function Manufacturer Model # S/N Carelink USB 2.4* Medtronic MiniMed MMT-7306CL PC F Support Devices: Function Manufacturer Model # S/N AC/DC Adaptor Dell DA90PE3-00 NA Laptop Dell Latitude E6320 NA Headphones Monster DNA 5W64574YRF Mouse Microsoft X NA Page 23 of 37

24 Test Conditions / Notes: Temperature: 23 C Pressure: 102.5kPa Humidity: 31% Frequency: 9k-26GHz Vertical and Horizontal Polarizations investigated CISPR Bandwidths Used. EUT is located on the top of the test table 80cm over the ground plane. EUT is connected to support laptop via a 6 foot long USB extender. Ports are filled on the support laptop. EUT is transmitting at Low, Mid and High Channels. Ext Attn: 0 db Measurement Data: Reading listed by margin. Test Distance: 3 Meters # Freq Rdng T1 T5 T9 T13 T2 T6 T10 T14 T3 T7 T11 T15 T4 T8 T12 Dist Corr Spec Margin Polar MHz dbµv db db db db Table dbµv/m dbµv/m db Ant M Vert M M M M M M M Horiz Horiz Horiz Vert Horiz Vert Vert Page 24 of 37

25 M M M M M M M M M M M M M Horiz Horiz Horiz Vert Horiz Horiz Horiz Vert Horiz Horiz Vert Horiz Vert 99 Page 25 of 37

26 M M Vert Vert M Vert 105 ^ M Vert M Vert ^ M Vert M Horiz ^ M Horiz M Vert ^ M Vert M Horiz M Horiz ^ M Horiz 120 Page 26 of 37

27 M Vert M Horiz ^ M Horiz M M M M M M M M M M Vert Horiz Horiz Vert Vert Horiz Horiz Vert Vert Horiz Page 27 of 37

28 M M M M Vert Vert Vert Horiz M Vert M Paral k k Paral Paral 99 Page 28 of 37

29 Page 29 of 37

30 Bandedge Test Plots Page 30 of 37

31 Test Setup Photos Page 31 of 37

32 15.247(e) Power Spectral Density Test Conditions / Setup The EUT s antenna is non-removable, thus the data will be gathered through radiated measurements. The formula shown below will be used to calculate the Power Spectral Density. The EUT is located on top of a Styrofoam table, 80cm over the ground plane. The EUT is connected to support laptop via a 6 foot long USB extender. Ports are filled on the support laptop. Test Conditions: Temp: 21 C Humidity: 38% Pressure: 103.1kPa Freq: MHz P = (Ed)^2 / (30 * G) E = Field strength of the measurement converted to V/M. d = Measurement distance in meters. G = Numerical gain of the EUT's antenna relative to an isotropic radiator. P = The power in watts for which we are solving. Engineer Name: Steven Pittsford Test Equipment Asset # Description Model Manufacturer Cal Date Cal Due AN01467 Horn Antenna-ANSI EMCO 9/16/2013 9/16/ C63.5 Calibration AN03209 Preamp 83051A Agilent 3/5/2013 3/5/2015 ANP05546 Cable Heliax Andrews 3/27/2013 3/27/2015 ANP05547 Cable Heliax Andrews 9/7/2012 9/7/2014 AN02871 Spectrum Analyzer E4440A Agilent 4/11/2013 4/11/2015 Page 32 of 37

33 Frequency (MHz) Spectrum Analyzer Measurement (dbuv) Test Data Corrections due to cables, amplifiers, antennas and Bandwidth (db) Corrected Reading (dbuv) Antenna Gain (dbi) Spectral Density (Watts) Spectral Density (dbm) * * * Low Page 33 of 37

34 Middle High Page 34 of 37

35 Test Setup Photos Page 35 of 37

36 SUPPLEMENTAL INFORMATION Measurement Uncertainty Uncertainty Value Parameter 4.73 db Radiated Emissions 3.34 db Mains Conducted Emissions 3.30 db Disturbance Power The reported measurement uncertainties are calculated based on the worst case of all laboratory environments from CKC Laboratories, Inc. test sites. Only those parameters which require estimation of measurement uncertainty are reported. The reported worst case measurement uncertainty is less than the maximum values derived in CISPR Reported uncertainties represent expanded uncertainties expressed at approximately the 95% confidence level using a coverage factor of k=2. Compliance is deemed to occur provided measurements are below the specified limits. Emissions Test Details TESTING PARAMETERS Unless otherwise indicated, the following configuration parameters are used for equipment setup: The cables were routed consistent with the typical application by varying the configuration of the test sample. Interface cables were connected to the available ports of the test unit. The effect of varying the position of the cables was investigated to find the configuration that produced maximum emissions. Cables were of the type and length specified in the individual requirements. The length of cable that produced maximum emissions was selected. The equipment under test (EUT) was set up in a manner that represented its normal use, as shown in the setup photographs. Any special conditions required for the EUT to operate normally are identified in the comments that accompany the emissions tables. The emissions data was taken with a spectrum analyzer or receiver. Incorporating the applicable correction factors for distance, antenna, cable loss and amplifier gain, the data was reduced as shown in the table below. The corrected data was then compared to the applicable emission limits. Preliminary and final measurements were taken in order to ensure that all emissions from the EUT were found and maximized. CORRECTION FACTORS The basic spectrum analyzer reading was converted using correction factors as shown in the highest emissions readings in the tables. For radiated emissions in dbµv/m, the spectrum analyzer reading in dbµv was corrected by using the following formula. This reading was then compared to the applicable specification limit. Page 36 of 37

37 SAMPLE CALCULATIONS Meter reading (dbµv) + Antenna Factor (db) + Cable Loss (db) - Distance Correction (db) - Preamplifier Gain (db) = Corrected Reading (dbµv/m) TEST INSTRUMENTATION AND ANALYZER SETTINGS The test instrumentation and equipment listed were used to collect the emissions data. A spectrum analyzer or receiver was used for all measurements. Unless otherwise specified, the following table shows the measuring equipment bandwidth settings that were used in designated frequency bands. For testing emissions, an appropriate reference level and a vertical scale size of 10 db per division were used. MEASURING EQUIPMENT BANDWIDTH SETTINGS PER FREQUENCY RANGE TEST BEGINNING FREQUENCY ENDING FREQUENCY BANDWIDTH SETTING CONDUCTED EMISSIONS 150 khz 30 MHz 9 khz RADIATED EMISSIONS 9 khz 150 khz 200 Hz RADIATED EMISSIONS 150 khz 30 MHz 9 khz RADIATED EMISSIONS 30 MHz 1000 MHz 120 khz RADIATED EMISSIONS 1000 MHz >1 GHz 1 MHz SPECTRUM ANALYZER/RECEIVER DETECTOR FUNCTIONS The notes that accompany the measurements contained in the emissions tables indicate the type of detector function used to obtain the given readings. Unless otherwise noted, all readings were made in the "positive peak" detector mode. Whenever a "quasi-peak" or "average" reading was recorded, the measurement was annotated with a "QP" or an "" on the appropriate rows of the data sheets. In cases where quasi-peak or average limits were employed and data exists for multiple measurement types for the same frequency then the peak measurement was retained in the report for reference, however the numbering for the affected row was removed and an arrow or carrot ( ^ ) was placed in the far left-hand column indicating that the row above takes precedence for comparison to the limit. The following paragraphs describe in more detail the detector functions and when they were used to obtain the emissions data. Peak In this mode, the spectrum analyzer or receiver recorded all emissions at their peak value as the frequency band selected was scanned. By combining this function with another feature called "peak hold," the measurement device had the ability to measure intermittent or low duty cycle transient emission peak levels. In this mode the measuring device made a slow scan across the frequency band selected and measured the peak emission value found at each frequency across the band. Quasi-Peak Quasi-peak measurements were taken using the quasi-peak detector when the true peak values exceeded or were within 2 db of a quasi-peak specification limit. Additional QP measurements may have been taken at the discretion of the operator. rage rage measurements were taken using the average detector when the true peak values exceeded or were within 2 db of an average specification limit. Additional average measurements may have been taken at the discretion of the operator. If the specification or test procedure requires trace averaging, then the averaging was performed using 100 samples or as required by the specification. All other average measurements are performed using video bandwidth averaging. To make these measurements, the test engineer reduces the video bandwidth on the measuring device until the modulation of the signal is filtered out. At this point the measuring device is set into the linear mode and the scan time is reduced. Page 37 of 37

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