FCC ID EW4C95
Bluetooth HCI Module
by Mitsumi Electric Co Ltd
Grantee Code: EW4 Product Code: C95
Latest application date: 2023-02-21
FCC ID Device Details
| FCC ID | EW4C95 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | EW4 |
| Product Code | C95 |
| Applicant Business | Mitsumi Electric Co Ltd 🇯🇵 |
| Related Domains |  mitsumi.co.jp |
| Equipment Class | Bluetooth HCI Module |
| Test Firm | Bureau Veritas CPS (H.K.) Ltd., Taoyuan Branch |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2402-2480 MHz | Class II permissive change or modification of presently authorized equipment | 2023-02-21 |
| 2402-2480 MHz | Class II permissive change or modification of presently authorized equipment | 2023-02-21 |
| 2402-2480 MHz | Original Equipment | 2015-05-15 |
| 2402-2480 MHz | Original Equipment | 2015-05-15 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| User Manual.pdf | Users Manual | 2015-11-11 | PDF 38.6 KB |
| Internal Photo | Internal Photos | 2023-02-21 | PDF 69.2 KB |
| Internal Photos.pdf | Internal Photos | 2015-11-11 | PDF 236.6 KB |
| External Photo | External Photos | 2023-02-21 | PDF 147.6 KB |
| External photos | External Photos | 2023-02-21 | PDF 147.6 KB |
| External Photos.pdf | External Photos | 2015-11-11 | PDF 242.4 KB |
| Label Location & Label Sample_rev.pdf | ID Label/Location Info | 2015-05-15 | PDF 203.3 KB |
| Test Setup Photos | Test Setup Photos | 2023-08-20 | PDF 281.1 KB |
| Test Set Up Photo.pdf | Test Setup Photos | 2015-11-11 | PDF 224.4 KB |
| Reference Antenna Infomation | Test Report | 2023-02-21 | PDF 1.3 MB |
| Test Report FCC 15.247 (BT BLE) | Test Report | 2023-02-21 | PDF 398.4 KB |
| Test Report FCC 15.247 (BT EDR) | Test Report | 2023-02-21 | PDF 434.3 KB |
| Test Report (DSS)_rev.pdf | Test Report | 2015-05-15 | PDF 1.3 MB |
| Test Report (DTS)_rev.pdf | Test Report | 2015-05-15 | PDF 492.6 KB |
| Attestation of Cover List | Cover Letter(s) | 2023-02-21 | PDF 51.6 KB |
| Attestation of US Agent for Service of Process | Cover Letter(s) | 2023-02-21 | PDF 164.9 KB |
| Description of Permissive Change | Attestation Statements | 2023-02-21 | PDF 142.7 KB |
| Confidentiality Request Letter | Cover Letter(s) | 2023-02-21 | PDF 90.7 KB |
| Description of Permissive Change Metadata only | Cover Letter(s) | 2023-02-21 | PDF 142.7 KB |
| Modular approval letter | Cover Letter(s) | 2023-02-21 | PDF 87.6 KB |
| PoA Letter | Cover Letter(s) | 2023-02-21 | PDF 49.9 KB |
| Power of Attorney | Cover Letter(s) | 2023-02-21 | PDF 49.9 KB |
| Product Certification Representative Auth Letter | Cover Letter(s) | 2023-02-21 | PDF 91.6 KB |
| Product Certification Representative Auth letter | Cover Letter(s) | 2023-02-21 | PDF 91.6 KB |
| Confidentiality Request (long-term).pdf | Cover Letter(s) | 2015-05-15 | PDF 82.9 KB |
| Confidentiality Request (short-term).pdf | Cover Letter(s) | 2015-05-15 | PDF 82.9 KB |
| Cover Letter (Agent Authorization).pdf | Cover Letter(s) | 2015-05-15 | PDF 109.5 KB |
| Cover Letter (Modular Approval Request).pdf | Cover Letter(s) | 2015-05-15 | PDF 123.3 KB |
| RF Exposure Info (MPE).pdf | RF Exposure Info | 2015-05-15 | PDF 55.3 KB |
| Block Diagram Metadata only | Block Diagram | PDF 49.2 KB | |
| Block Diagram.pdf Metadata only | Block Diagram | PDF 55.7 KB | |
| Schematics Metadata only | Schematics | PDF 184.3 KB | |
| Schematics.pdf Metadata only | Schematics | PDF 158.4 KB | |
| Operational Description Metadata only | Operational Description | PDF 299.8 KB | |
| Operational Description.pdf Metadata only | Operational Description | PDF 46.6 KB |
Application Information
| Application ID | uMGhtO3F5j7Xk+zNuK7+/A== |
|---|---|
| Final Action Date | 2023-02-21 |
| Application Purpose | Class II permissive change or modification of presently authorized equipment |
| Applicant FRN | 0033187782 |
| Model | C95 |
| Frequency Range | 2402-2480 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | Bluetooth HCI Module |
| Responsible Party | Masashi Tsuchida, tsuchida.masashi@mitsumi.co.jp , 81-42-310-5822 |
| Test Firm | Richard Chen, Bureau Veritas CPS (H.K.) Ltd., Taoyuan Branch, richard.chen@bureauveritas.com  , +886-(0)3-260-0884 |
| TCB Email | certification@bureauveritas.com |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 08/20/2023 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Single Modular Approval |
| Composite Device | Yes |
| Composite Part | No |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
| Grant Comments | Permissive Change to address new Integrated Circuit marking name from Broadcom to Infineon. Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| uMGhtO3F5j7Xk+zNuK7+/A== | 2023-02-21 | Class II permissive change or modification of presently authorized equipment |
| 7vvi2lo9mWU2x5DVTJc2Zg== | 2023-02-21 | Class II permissive change or modification of presently authorized equipment |
| dEA78CSSvN1lbAr0vPAzEg== | 2015-05-15 | Original Equipment |
| ACbPiPrDQj9zyN6gc+9i6w== | 2015-05-15 | Original Equipment |
Equipment Authorization
Grants
TCB Grant - Application uMGhtO3F5j7Xk+zNuK7+/A==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Bureau Veritas Consumer Products Services, Inc. 775 Montague Expressway Milpitas, CA 95035 |
Date of Grant: 02/21/2023 Application Dated: 02/17/2023 |
| Mitsumi Electric Co Ltd |
| 2-11-2,Tsurumaki,Tama-shi |
| Tokyo,206-8567, Japan |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Digital Transmission System |
| Notes: | Bluetooth HCI Module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.001 |
| Permissive Change to address new Integrated Circuit marking name from Broadcom to Infineon. Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
EAS Grant - Application uMGhtO3F5j7Xk+zNuK7+/A==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Mitsumi Electric Co Ltd 2-11-2,Tsurumaki,Tama-shi Tokyo,206-8567, Japan |
Date of Grant: 02/21/2023 Application Dated: 02/17/2023 |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Digital Transmission System |
| Notes: | Bluetooth HCI Module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.001 |
| Permissive Change to address new Integrated Circuit marking name from Broadcom to Infineon. Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Bureau Veritas Consumer Products Services, Inc. One Distribution Center Circle Suite #1 Littleton, MA 01460 |
Date of Grant: 05/15/2015 Application Dated: 05/15/2015 |
| Mitsumi Electric Co Ltd |
| 2-11-2,Tsurumaki,Tama-shi |
| Tokyo,206-8567, Japan |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | Bluetooth HCI module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.002 |
| Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
EAS Grant - Application dEA78CSSvN1lbAr0vPAzEg==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Mitsumi Electric Co Ltd 2-11-2,Tsurumaki,Tama-shi Tokyo,206-8567, Japan |
Date of Grant: 05/15/2015 Application Dated: 05/15/2015 |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | Bluetooth HCI module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.002 |
| Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
| Mail To: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Bureau Veritas Consumer Products Services, Inc. One Distribution Center Circle Suite #1 Littleton, MA 01460 |
Date of Grant: 05/15/2015 Application Dated: 05/15/2015 |
| Mitsumi Electric Co Ltd |
| 2-11-2,Tsurumaki,Tama-shi |
| Tokyo,206-8567, Japan |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Digital Transmission System |
| Notes: | Bluetooth HCI module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.001 |
| Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
EAS Grant - Application ACbPiPrDQj9zyN6gc+9i6w==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Mitsumi Electric Co Ltd 2-11-2,Tsurumaki,Tama-shi Tokyo,206-8567, Japan |
Date of Grant: 05/15/2015 Application Dated: 05/15/2015 |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Digital Transmission System |
| Notes: | Bluetooth HCI module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.001 |
| Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Bureau Veritas Consumer Products Services, Inc. 775 Montague Expressway Milpitas, CA 95035 |
Date of Grant: 02/21/2023 Application Dated: 02/17/2023 |
| Mitsumi Electric Co Ltd |
| 2-11-2,Tsurumaki,Tama-shi |
| Tokyo,206-8567, Japan |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | Bluetooth HCI Module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.002 |
| Permissive Change to address new Integrated Circuit marking name from Broadcom to Infineon. Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
EAS Grant - Application 7vvi2lo9mWU2x5DVTJc2Zg==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Mitsumi Electric Co Ltd 2-11-2,Tsurumaki,Tama-shi Tokyo,206-8567, Japan |
Date of Grant: 02/21/2023 Application Dated: 02/17/2023 |
| Attention: Masashi Tsuchida |
| NOT TRANSFERABLE |
| EQUIPMENT AUTHORIZATION is hereby issued to the named GRANTEE, and is VALID ONLY for the equipment identified hereon for use under the Commission's Rules and Regulations listed below. |
| FCC IDENTIFIER: | EW4C95 |
| Name of Grantee: | Mitsumi Electric Co Ltd |
| Equipment Class: | Part 15 Spread Spectrum Transmitter |
| Notes: | Bluetooth HCI Module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| CC | 15C | 2402.0 - 2480.0 | 0.002 |
| Permissive Change to address new Integrated Circuit marking name from Broadcom to Infineon. Output power listed is conducted. Single Modular Approval for mobile RF Exposure condition. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product guidelines. Approval is limited to OEM installation only. OEM integrators and end-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance. This grant is valid only when the device is sold to OEM integrators and the OEM integrators are instructed to ensure that the end user has no manual instructions to remove or install the device. Only those antenna(s) tested with the device or similar antenna(s) with equal or lesser gain may be used with this transmitter. |
| CC: | This device is certified pursuant to two different Part 15 rules sections. |
| Mail To: |