FCC ID 2AGUHINCAP

2AGUH-INCAP, 2AGUH INCAP, 2AGUHINCAP, 2AGUH1NCAP

Companion Medical, Inc. InPen Basal Smart Cap Insulin Injector INCAP

An FCC ID is the product ID assigned by the FCC to identify wireless products in the market. The FCC chooses 3 or 5 character "Grantee" codes to identify the business that created the product. For example, the grantee code for FCC ID: 2AGUHINCAP is 2AGUH. The remaining characters of the FCC ID, INCAP, are often associated with the product model, but they can be random. These letters are chosen by the applicant. In addition to the application, the FCC also publishes internal images, external images, user manuals, and test results for wireless devices. They can be under the "exhibits" tab below.

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Application: InPen Basal Smart Cap Insulin Injector
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/2AGUHINCAP
Sources: FCC.gov | FCC.report
Registered By: Companion Medical, Inc. - 2AGUH (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2021-05-20	xdnTuS6kpbfbLWwJg8YwbQ==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	Line Entry
2.402-2.48 GHz	0.12 mW	15C	1

Exhibits

Document	Type	Submitted Available
ID Label and Location	ID Label/Location Info Adobe Acrobat PDF (147 kB)	2021-05-13 2021-05-20
Users Manual	Users Manual Adobe Acrobat PDF (355 kB)	2021-05-13 2021-05-20
Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (566 kB)	2021-05-13 2021-05-20
Test Report	Test Report Adobe Acrobat PDF (3143 kB)	2021-05-13 2021-05-20
RF Exposure Report	RF Exposure Info Adobe Acrobat PDF (231 kB)	2021-05-13 2021-05-20
External Photos	External Photos Adobe Acrobat PDF (227 kB)	2021-05-13 2021-05-20
Cover Letter	Cover Letter(s) Adobe Acrobat PDF (162 kB)	2021-05-13 2021-05-20
Authorization Letter	Cover Letter(s) Adobe Acrobat PDF (107 kB)	2021-05-13 2021-05-20
Confidentiality Letter	Cover Letter(s) Adobe Acrobat PDF (92 kB)	2021-05-13 2021-05-20
Operational Description	Operational Description Adobe Acrobat PDF (35 kB)	2021-05-13
Internal photos	Internal Photos Adobe Acrobat PDF (372 kB)	2021-05-13
Parts List / Tune Up Info	Parts List/Tune Up Info Adobe Acrobat PDF (215 kB)	2021-05-13
Block Diagram	Block Diagram Adobe Acrobat PDF (53 kB)	2021-05-13
Schematics	Schematics Adobe Acrobat PDF (318 kB)	2021-05-13

Application Forms

1 (2021-05-20)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Companion Medical, Inc.
FCC Registration Number (FRN):	0025120858
Alphanumeric FCC ID:	2AGUHINCAP
Unique Application Identifier:	xdnTuS6kpbfbLWwJg8YwbQ==
Line one:	12230 World Trade Drive, #100
City:	San Diego
State:	California
Country:	United States
Zip Code:	92128

TCB Information

TCB Application Email Address:	tcbinfo@ckc.com
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	2AGUH
Product Code:	INCAP

Person at the applicant's address to receive grant or for contact

Name:	Jasper Benke
Title:	Vice President, RA/QA/CA

Telephone Number:

858-522-0252

Extension:

Fax Number:	858-522-0252
Email:	jasper.benke@medtronic.com

Technical Contact

Firm Name:	Medtronic Minimed
First Name:	Martin
Last Name:	Iwanowicz
Line 1:	12230 World Trade Drive
Line 2:	Suite 100
City:	San Diego
State:	California
Country:	United States
Zip Code:	92112

Telephone Number:

858-522-0252

Extension:

E-Mail:

martin.w.iwanowicz@medtronic.com

Non Technical Contact

Firm Name:	Medtronic Minimed
First Name:	Mahtab
Last Name:	Moberg
Line 1:	18000 Devonshire Blvd
City:	Northridge
State:	California
Country:	United States
Zip Code:	91325

Telephone Number:

818-576-4347

Extension:

E-Mail:

mahtab.m.moberg@medtronic.com

Long-Term Confidentiality

Does this application include a request for confidentiality for any portion(s) of the data contained in this application pursuant to 47 CFR § 0.459 of the Commission Rules?: Yes

Short-Term Confidentiality

Does short-term confidentiality apply to this application?: No

If so, specify the short-term confidentiality release date (MM/DD/YYYY format):
Note: If no date is supplied, the release date will be set to 45 calendar days past the date of grant.

Software Defined/Cognitive Radio

Is this application for software defined/cognitive radio authorization? No

Equipment Class

Equipment Class: DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):	InPen Basal Smart Cap Insulin Injector

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Does not apply

Application Purpose

Application is for: Original Equipment

Composite/Related Equipment

Is the equipment in this application a composite device subject to an additional equipment authorization? No

Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? No

Test Firm Information

Name of test firm and contact person on file with the FCC:

Firm Name: Compatible Electronics, Inc.

First Name: Jeff

Last Name: Klinger

Telephone Number:

7145790500

Extension:

Fax Number: 7145791850

E-mail: jklinger@celectronics.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is conducted.

Set the grant of this application to be deferred to a specified date:
No

Equipment Authorization Waiver

Is there an equipment authorization waiver associated with this application? No

If there is an equipment authorization waiver associated with this application, has the associated waiver been approved and all information uploaded?: No

WILLFUL FALSE STATEMENTS MADE ON THIS FORM ARE PUNISHABLE BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001), AND/OR REVOCATION OF ANY STATION LICENSE OR CONSTRUCTION PERMIT (U.S. CODE, TITLE 47, SECTION 312(a)(1)), AND/OR FORFEITURE (U.S. CODE, TITLE 47, SECTION 503).

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

The applicant must certify that neither the applicant nor any party to the application is subject to a denial of Federal benefits, that include FCC benefits, pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. § 862 because of a conviction for possession or distribution of a controlled substance. See 47 CFR 1.2002(b) for the definition of a "party" for these purposes.

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

I certify that I am authorized to sign this application. All of the statements herein and the exhibits attached hereto, are true and correct to the best of my knowledge and belief. In accepting a Grant of Equipment Authorization as a result of the representations made in this application, the applicant is responsible for (1) labeling the equipment with the exact FCC ID specified in this application, (2) compliance statement labeling pursuant to the applicable rules, and (3) compliance of the equipment with the applicable technical rules. If the applicant is not the actual manufacturer of the equipment, appropriate arrangements have been made with the manufacturer to ensure that production units of this equipment will continue to comply with the FCC's technical requirements.

Authorizing an agent to sign this application, is done solely at the applicant's discretion; however, the applicant remains responsible for all statements in this application.

If an agent has signed this application on behalf of the applicant, a written letter of authorization which includes information to enable the agent to respond to the above section 5301 (Anti-Drug Abuse) Certification statement has been provided by the applicant. It is understood that the letter of authorization must be submitted to the FCC upon request, and that the FCC reserves the right to contact the applicant directly at any time.

Signature of Authorized Person Filing: Michelle Branum

Title of authorized signature: Administrative Assistant

Complete items below if agent signs the application:

Firm Name: CKC Certification Services, LLC.

Name: Michelle Michelle Michelle

Line 1: Michelle

Line 2: Michelle

P.O. Box: Michelle

City: Michelle

State: Michelle

Country: Michelle

Zip Code: Michelle

Telephone Number:

209-966-5240

Fax Number: 866-779-9776

E-mail: TCBInfo@ckc.com

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

CKC Certification Services, LLC
5046 Sierra Pines
Mariposa, CA 95338

Date of Grant: 05/20/2021

Application Dated: 05/13/2021

Companion Medical, Inc.

12230 World Trade Drive, #100

San Diego, CA 92128

Attention: Jasper Benke , Vice President, RA/QA/CA

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:	2AGUHINCAP

Name of Grantee:	Companion Medical, Inc.

Equipment Class:	Digital Transmission System
Notes:	InPen Basal Smart Cap Insulin Injector

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.00012

Power listed is conducted.

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Companion Medical, Inc.
12230 World Trade Drive, #100
San Diego, CA 92128
United States

Date of Grant: 05/20/2021

Application Dated: 05/13/2021

Attention: Jasper Benke , Vice President, RA/QA/CA

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:	2AGUHINCAP

Name of Grantee:	Companion Medical, Inc.

Equipment Class:	Digital Transmission System
Notes:	InPen Basal Smart Cap Insulin Injector
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.00012

Power listed is conducted.

Mail To:

EA668851

FCC ID 2AGUHINCAP

2AGUH-INCAP, 2AGUH INCAP, 2AGUHINCAP, 2AGUH1NCAP

Companion Medical, Inc. InPen Basal Smart Cap Insulin Injector INCAP

Purchase on Amazon: InPen Basal Smart Cap Insulin Injector

Operating Frequencies

Exhibits

Application Forms

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details