FCC ID 2AVN4-21101

2AVN421101, 2AVN4 21101, 2AVN4-21101, 2AVN4-211O1, 2AVN4-2II0I

Galvani Bioelectronics Inc. Implantable Pulse Generator 21101

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: 2AVN4-21101 is 2AVN4. The remaining characters of the FCC ID, -21101, 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.

Purchase on Amazon: Implantable Pulse Generator

Application: Implantable Pulse Generator
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/2AVN4-21101
Sources: FCC.gov | FCC.report
Registered By: Galvani Bioelectronics Inc. - 2AVN4 (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2021-12-29	6ON3H67TvXguAfvuxgKFkw==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	Grant Notes	Line Entry
2.402-2.48 GHz	0.5164 mW	15C	IT	1

Exhibits

Document	Type	Submitted Available
RF Exposure Exemption	RF Exposure Info Adobe Acrobat PDF (266 kB)	2021-12-14 2021-12-29
MANUAL part 2	Users Manual Adobe Acrobat PDF (678 kB)	2021-11-19 2022-05-18
MANUAL part 1	Users Manual Adobe Acrobat PDF (5890 kB)	2021-11-19 2022-05-18
LABEL AND LOCATION	ID Label/Location Info Adobe Acrobat PDF (433 kB)	2021-11-19 2021-12-29
EXTERNAL PHOTOS	External Photos Adobe Acrobat PDF (986 kB)	2021-11-19 2022-05-18
INTERNAL PHOTOS	Internal Photos Adobe Acrobat PDF (735 kB)	2021-11-19 2022-05-18
TEST SETUP PHOTOS	Test Setup Photos Adobe Acrobat PDF (456 kB)	2021-11-19 2022-05-18
TEST REPORT	Test Report Adobe Acrobat PDF (2194 kB)	2021-11-19 2021-12-29
LETTER OF AGENCY	Cover Letter(s) Adobe Acrobat PDF (75 kB)	2021-11-19 2021-12-29
CONFIDENTIALITY REQUEST	Cover Letter(s) Adobe Acrobat PDF (114 kB)	2021-11-19 2021-12-29
OPERATIONAL DESCRIPTION	Operational Description Adobe Acrobat PDF (1146 kB)	2021-11-19
BLOCK DIAGRAM	Block Diagram Adobe Acrobat PDF (565 kB)	2021-11-19
RF EXPOSURE	RF Exposure Info Adobe Acrobat PDF (272 kB)	2021-11-19 2021-12-29
SCHEMATICS	Schematics Adobe Acrobat PDF (586 kB)	2021-11-19

Application Forms

1 (2021-12-29)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Galvani Bioelectronics Inc.
FCC Registration Number (FRN):	0029132941
Alphanumeric FCC ID:	2AVN421101
Unique Application Identifier:	6ON3H67TvXguAfvuxgKFkw==
Line one:	269 East Grand Ave
City:	SOUTH SAN FRANCISCO
State:	California
Country:	United States
Zip Code:	94080

TCB Information

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

FCC ID

Grantee Code:	2AVN4
Product Code:	-21101

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

Name:	Rizwan Bashirullah
Title:	Director, Product Development

Telephone Number:

9196961039

Extension:

Fax Number:	6502460992
Email:	rizwan.x.bashirullah@galvani.bio

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?: Yes

If so, specify the short-term confidentiality release date (MM/DD/YYYY format): 05/18/2022
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):	Implantable Pulse Generator

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? Yes

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? Yes

Test Firm Information

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

Firm Name: IntertekTesting Services NA Inc.

First Name: Charles

Last Name: Parker

Telephone Number:

650-463-2900

Extension:

Fax Number: 650 463 2910

E-mail: charles.parker@intertek.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is Peak 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: Rizwan Bashirullah

Title of authorized signature: Product Development Director

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:

Intertek Testing Services NA, Inc.
70 Codman Hill Road
Boxborough, MA 01719

Date of Grant: 12/29/2021

Application Dated: 11/19/2021

Galvani Bioelectronics Inc.

269 East Grand Ave

SOUTH SAN FRANCISCO, CA 94080

Attention: Rizwan Bashirullah , Director, Product Development

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:	2AVN4-21101

Name of Grantee:	Galvani Bioelectronics Inc.

Equipment Class:	Digital Transmission System
Notes:	Implantable Pulse Generator

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
IT	15C	2402.0 - 2480.0	0.0005164

Output power listed is Peak conducted.

IT:	Implanted Transmitter

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

Galvani Bioelectronics Inc.
269 East Grand Ave
SOUTH SAN FRANCISCO, CA 94080
United States