FCC ID ESCCRM312005

ESC-CRM312005, ESC CRM312005, ESCCRM312005, ESCCRM312OO5, ESCCRM3I2005, ESCCRM31200S, E5CCRM312005

Boston Scientific Corporation Model 3120 CRM312005

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: ESCCRM312005 is ESC. The remaining characters of the FCC ID, CRM312005, 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: Model 3120

App # Purpose Date Unique ID
1 Original Equipment 2005-06-13 h/qR1J+wJqANkZMMy7FpJQ==
2 Original Equipment 2005-06-13 w1R8ikDBQdEyHJsBZGv0yQ==
3 Class II Permissive Change 2009-08-04 U3lA/20A8jIFuS2KkBdWfQ==
4 Class II Permissive Change 2009-08-04 ZASLHQnSpFnboTZbVDYAsA==

Operating Frequencies

Frequency RangeRule PartsGrant Notes App #
68 kHz15CCC 2.1
68 kHz15CCC 4.1
902.5-927.5 MHz15CCC 1.1
902.5-927.5 MHz15CCC 3.1

Exhibits

Available Exhibits

App #Document Type Submitted
Available
4 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (828 kB)		 2009-08-04
2009-08-04
4 Test ReportTest Report
Adobe Acrobat PDF (1785 kB)		 2009-08-04
2009-08-04
4 Cover letterCover Letter(s)
Adobe Acrobat PDF (230 kB)		 2009-08-04
2009-08-04
4 Compliance OpinionCover Letter(s)
Adobe Acrobat PDF (15 kB)		 2009-08-04
2009-08-04
4 Antenna InfoOperational Description
Adobe Acrobat PDF (1038 kB)		 2009-08-04
2009-08-04
3 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (828 kB)		 2009-08-04
2009-08-04
3 Test ReportTest Report
Adobe Acrobat PDF (1785 kB)		 2009-08-04
2009-08-04
3 Cover letterCover Letter(s)
Adobe Acrobat PDF (230 kB)		 2009-08-04
2009-08-04
3 Compliance OpinionCover Letter(s)
Adobe Acrobat PDF (15 kB)		 2009-08-04
2009-08-04
3 Antenna InfoOperational Description
Adobe Acrobat PDF (1038 kB)		 2009-08-04
2009-08-04
2 Compliance OpinionCover Letter(s)
Adobe Acrobat PDF (29 kB)		 2005-06-13
2005-06-13
2 Users ManualUsers Manual
Adobe Acrobat PDF (679 kB)		 2005-06-13
2005-06-13
2 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (1045 kB)		 2005-06-13
2005-06-13
2 RF ExposureRF Exposure Info
Adobe Acrobat PDF (6 kB)		 2005-06-13
2005-06-13
2 Request for ConfidentialityCover Letter(s)
Adobe Acrobat PDF (237 kB)		 2005-06-13
2005-06-13
2 Test Report 3Test Report
Adobe Acrobat PDF (1969 kB)		 2005-06-13
2005-06-13
2 Test Report 2Test Report
Adobe Acrobat PDF (2610 kB)		 2005-06-13
2005-06-13
2 Test Report 1Test Report
Adobe Acrobat PDF (1731 kB)		 2005-06-13
2005-06-13
2 Internal PhotosInternal Photos
Adobe Acrobat PDF (1249 kB)		 2005-06-13
2005-06-13
2 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (358 kB)		 2005-06-13
2005-06-13
2 External PhotosExternal Photos
Adobe Acrobat PDF (267 kB)		 2005-06-13
2005-06-13
2 Cover Letter from agentCover Letter(s)
Adobe Acrobat PDF (8 kB)		 2005-06-13
2005-06-13
2 Antenna Info 915 MHz InternalOperational Description
Adobe Acrobat PDF (28 kB)		 2005-06-13
2005-06-13
2 Antenna Info 915 MHz ExternalOperational Description
Adobe Acrobat PDF (518 kB)		 2005-06-13
2005-06-13
2 Antenna Info 68 kHzOperational Description
Adobe Acrobat PDF (134 kB)		 2005-06-13
2005-06-13
2 Agent Authorization LetterCover Letter(s)
Adobe Acrobat PDF (269 kB)		 2005-06-13
2005-06-13
1 Compliance OpinionCover Letter(s)
Adobe Acrobat PDF (29 kB)		 2005-06-13
2005-06-13
1 Users ManualUsers Manual
Adobe Acrobat PDF (679 kB)		 2005-06-13
2005-06-13
1 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (1045 kB)		 2005-06-13
2005-06-13
1 RF ExposureRF Exposure Info
Adobe Acrobat PDF (6 kB)		 2005-06-13
2005-06-13
1 Request for ConfidentialityCover Letter(s)
Adobe Acrobat PDF (237 kB)		 2005-06-13
2005-06-13
1 Test Report 3Test Report
Adobe Acrobat PDF (1969 kB)		 2005-06-13
2005-06-13
1 Test Report 2Test Report
Adobe Acrobat PDF (2610 kB)		 2005-06-13
2005-06-13
1 Test Report 1Test Report
Adobe Acrobat PDF (1731 kB)		 2005-06-13
2005-06-13
1 Internal PhotosInternal Photos
Adobe Acrobat PDF (1249 kB)		 2005-06-13
2005-06-13
1 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (358 kB)		 2005-06-13
2005-06-13
1 External PhotosExternal Photos
Adobe Acrobat PDF (267 kB)		 2005-06-13
2005-06-13
1 Cover letter from agentCover Letter(s)
Adobe Acrobat PDF (8 kB)		 2005-06-13
2005-06-13
1 915 MHz Intenral AntennaOperational Description
Adobe Acrobat PDF (28 kB)		 2005-06-13
2005-06-13
1 Antenna Info 915 MHz External AntennaOperational Description
Adobe Acrobat PDF (518 kB)		 2005-06-13
2005-06-13
1 Antenna Info 68 kHz antennaOperational Description
Adobe Acrobat PDF (134 kB)		 2005-06-13
2005-06-13
1 Agent Authorization LetterCover Letter(s)
Adobe Acrobat PDF (269 kB)		 2005-06-13
2005-06-13

APP # 4 (2009-08-04)

App # Document Type Submitted
Available
4 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (828 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
4 Test Report Test Report
Adobe Acrobat PDF (1785 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
4 Cover letter Cover Letter(s)
Adobe Acrobat PDF (230 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
4 Compliance Opinion Cover Letter(s)
Adobe Acrobat PDF (15 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
4 Antenna Info Operational Description
Adobe Acrobat PDF (1038 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00

APP # 3 (2009-08-04)

App # Document Type Submitted
Available
3 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (828 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
3 Test Report Test Report
Adobe Acrobat PDF (1785 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
3 Cover letter Cover Letter(s)
Adobe Acrobat PDF (230 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
3 Compliance Opinion Cover Letter(s)
Adobe Acrobat PDF (15 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00
3 Antenna Info Operational Description
Adobe Acrobat PDF (1038 kB)		 2009-08-04 00:00:00
2009-08-04 00:00:00

APP # 2 (2005-06-13)

App # Document Type Submitted
Available
2 Compliance Opinion Cover Letter(s)
Adobe Acrobat PDF (29 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Users Manual Users Manual
Adobe Acrobat PDF (679 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (1045 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 RF Exposure RF Exposure Info
Adobe Acrobat PDF (6 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (237 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Test Report 3 Test Report
Adobe Acrobat PDF (1969 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Test Report 2 Test Report
Adobe Acrobat PDF (2610 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Test Report 1 Test Report
Adobe Acrobat PDF (1731 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Internal Photos Internal Photos
Adobe Acrobat PDF (1249 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (358 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 External Photos External Photos
Adobe Acrobat PDF (267 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Cover Letter from agent Cover Letter(s)
Adobe Acrobat PDF (8 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Antenna Info 915 MHz Internal Operational Description
Adobe Acrobat PDF (28 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Antenna Info 915 MHz External Operational Description
Adobe Acrobat PDF (518 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Antenna Info 68 kHz Operational Description
Adobe Acrobat PDF (134 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
2 Agent Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (269 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00

APP # 1 (2005-06-13)

App # Document Type Submitted
Available
1 Compliance Opinion Cover Letter(s)
Adobe Acrobat PDF (29 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Users Manual Users Manual
Adobe Acrobat PDF (679 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (1045 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 RF Exposure RF Exposure Info
Adobe Acrobat PDF (6 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (237 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Test Report 3 Test Report
Adobe Acrobat PDF (1969 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Test Report 2 Test Report
Adobe Acrobat PDF (2610 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Test Report 1 Test Report
Adobe Acrobat PDF (1731 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Internal Photos Internal Photos
Adobe Acrobat PDF (1249 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (358 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 External Photos External Photos
Adobe Acrobat PDF (267 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Cover letter from agent Cover Letter(s)
Adobe Acrobat PDF (8 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 915 MHz Intenral Antenna Operational Description
Adobe Acrobat PDF (28 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Antenna Info 915 MHz External Antenna Operational Description
Adobe Acrobat PDF (518 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Antenna Info 68 kHz antenna Operational Description
Adobe Acrobat PDF (134 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Agent Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (269 kB)		 2005-06-13 00:00:00
2005-06-13 00:00:00
1 Frequency Block Diagram 68 kHz Block Diagram
Adobe Acrobat PDF (7 kB)		 2005-06-13 00:00:00
N/A

APP # 2 (2005-06-13)

App # Document Type Submitted
Available
2 Frequency Block Diagram 915 MHz Block Diagram
Adobe Acrobat PDF (82 kB)		 2005-06-13 00:00:00
N/A
2 Operational Description Operational Description
Adobe Acrobat PDF (367 kB)		 2005-06-13 00:00:00
N/A
2 Schematics 915 MHz Schematics
Adobe Acrobat PDF (188 kB)		 2005-06-13 00:00:00
N/A

APP # 1 (2005-06-13)

App # Document Type Submitted
Available
1 Schematics 68 kHz Schematics
Adobe Acrobat PDF (530 kB)		 2005-06-13 00:00:00
N/A

APP # 2 (2005-06-13)

App # Document Type Submitted
Available
2 Frequency Block Diagram 68 kHz Block Diagram
Adobe Acrobat PDF (7 kB)		 2005-06-13 00:00:00
N/A

APP # 1 (2005-06-13)

App # Document Type Submitted
Available
1 Frequency Block Diagram 915 MHz Block Diagram
Adobe Acrobat PDF (82 kB)		 2005-06-13 00:00:00
N/A
1 Operational Description Operational Description
Adobe Acrobat PDF (367 kB)		 2005-06-13 00:00:00
N/A

APP # 2 (2005-06-13)

App # Document Type Submitted
Available
2 Schematics 68 kHz Schematics
Adobe Acrobat PDF (530 kB)		 2005-06-13 00:00:00
N/A

APP # 1 (2005-06-13)

App # Document Type Submitted
Available
1 Schematics 915 MHz Schematics
Adobe Acrobat PDF (188 kB)		 2005-06-13 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Boston Scientific Corporation
FCC Registration Number (FRN): 0009700170
Alphanumeric FCC ID: ESCCRM312005
Unique Application Identifier: h/qR1J+wJqANkZMMy7FpJQ==
Line one: 4100 Hamline Avenue North
Line two: M/S 10-203
City: St. Paul,
State: Minnesota
Country: United States
Zip Code: 55112-5798

TCB Information
TCB Application Email Address: dtolman@nwemc.com
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: ESC
Product Code: CRM312005

Person at the applicant's address to receive grant or for contact
Name: James Kippola
Title: Electrical Engineer
Telephone Number: 651-581-3635 Extension:
Fax Number: 651-582-2830
Email: james.kippola@bsci.com
Mail Stop: 10-203
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:   DXT - Part 15 Low Power Transceiver, Rx Verified
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Model 3120

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?   Yes
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:   Northwest EMC, Inc.
First Name:   Greg
Last Name:   Kiemel
Telephone Number: 503-844-4066 Extension: 1110
Fax Number:  503-844-3826
E-mail:  gkiemel@nwemc.com

Grant Comments
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:  Yogendra Shah
Title of authorized signature:  Principal Engineer - Guidant

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Boston Scientific Corporation
FCC Registration Number (FRN): 0009700170
Alphanumeric FCC ID: ESCCRM312005
Unique Application Identifier: w1R8ikDBQdEyHJsBZGv0yQ==
Line one: 4100 Hamline Avenue North
Line two: M/S 10-203
City: St. Paul,
State: Minnesota
Country: United States
Zip Code: 55112-5798

TCB Information
TCB Application Email Address: dtolman@nwemc.com
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: ESC
Product Code: CRM312005

Person at the applicant's address to receive grant or for contact
Name: James Kippola
Title: Electrical Engineer
Telephone Number: 651-581-3635 Extension:
Fax Number: 651-582-2830
Email: james.kippola@bsci.com
Mail Stop: 10-203
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:   DCD - Part 15 Low Power Transmitter Below 1705 kHz
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Model 3120

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?   Yes
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:   Northwest EMC, Inc.
First Name:   Greg
Last Name:   Kiemel
Telephone Number: 503-844-4066 Extension: 1110
Fax Number:  503-844-3826
E-mail:  gkiemel@nwemc.com

Grant Comments
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:  Yogendra Shah
Title of authorized signature:  Principal Engineer - Guidant

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Boston Scientific Corporation
FCC Registration Number (FRN): 0009700170
Alphanumeric FCC ID: ESCCRM312005
Unique Application Identifier: U3lA/20A8jIFuS2KkBdWfQ==
Line one: 4100 Hamline Avenue North
Line two: M/S 10-203
City: St. Paul,
State: Minnesota
Country: United States
Zip Code: 55112-5798

TCB Information
TCB Application Email Address: dghizzone@nwmec.com
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: ESC
Product Code: CRM312005

Person at the applicant's address to receive grant or for contact
Name: James Kippola
Title: Electrical Engineer
Telephone Number: 651-581-3635 Extension:
Fax Number: 651-582-2830
Email: james.kippola@bsci.com
Mail Stop: 10-203
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?:   No

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:   DXT - Part 15 Low Power Transceiver, Rx Verified
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Model 3120

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Northwest EMC, Inc.
First Name:   Greg
Last Name:   Kiemel
Telephone Number: 503-844-4066 Extension: 1110
Fax Number:  503-844-3826
E-mail:  gkiemel@nwemc.com

Grant Comments
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:  James Kippola
Title of authorized signature:  Electrical Engineer

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Boston Scientific Corporation
FCC Registration Number (FRN): 0009700170
Alphanumeric FCC ID: ESCCRM312005
Unique Application Identifier: ZASLHQnSpFnboTZbVDYAsA==
Line one: 4100 Hamline Avenue North
Line two: M/S 10-203
City: St. Paul,
State: Minnesota
Country: United States
Zip Code: 55112-5798

TCB Information
TCB Application Email Address: dghizzone@nwmec.com
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: ESC
Product Code: CRM312005

Person at the applicant's address to receive grant or for contact
Name: James Kippola
Title: Electrical Engineer
Telephone Number: 651-581-3635 Extension:
Fax Number: 651-582-2830
Email: james.kippola@bsci.com
Mail Stop: 10-203
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?:   No

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:   DCD - Part 15 Low Power Transmitter Below 1705 kHz
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Model 3120

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Northwest EMC, Inc.
First Name:   Greg
Last Name:   Kiemel
Telephone Number: 503-844-4066 Extension: 1110
Fax Number:  503-844-3826
E-mail:  gkiemel@nwemc.com

Grant Comments
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:  James Kippola
Title of authorized signature:  Electrical Engineer

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

Grants

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

  Northwest EMC, Inc.
22975 NW Evergreen Parkway, Suite 400
Hillsboro, OR 97124
 Date of Grant: 06/13/2005

Application Dated: 06/13/2005
Boston Scientific Corporation
4100 Hamline Avenue North
M/S 10-203
St. Paul,, MN 55112-5798
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transceiver, Rx Verified
Notes: Model 3120
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 902.5  -  927.5  


CC: This device is certified pursuant to two different Part 15 rules sections.
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Boston Scientific Corporation
4100 Hamline Avenue North M/S 10-203
St. Paul,, MN 55112-5798
United States 		  Date of Grant: 06/13/2005

Application Dated: 06/13/2005
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transceiver, Rx Verified
Notes: Model 3120
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 902.5  -  927.5  


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To:


EA183291
TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  Northwest EMC, Inc.
22975 NW Evergreen Parkway, Suite 400
Hillsboro, OR 97124
 Date of Grant: 08/04/2009

Application Dated: 08/04/2009
Boston Scientific Corporation
4100 Hamline Avenue North
M/S 10-203
St. Paul,, MN 55112-5798
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transceiver, Rx Verified
Notes: Model 3120
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 902.5  -  927.5  


CC: This device is certified pursuant to two different Part 15 rules sections.
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Boston Scientific Corporation
4100 Hamline Avenue North M/S 10-203
St. Paul,, MN 55112-5798
United States 		  Date of Grant: 08/04/2009

Application Dated: 08/04/2009
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transceiver, Rx Verified
Notes: Model 3120
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 902.5  -  927.5  


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To:


EA782607
TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  Northwest EMC, Inc.
22975 NW Evergreen Parkway, Suite 400
Hillsboro, OR 97124
 Date of Grant: 06/13/2005

Application Dated: 06/13/2005
Boston Scientific Corporation
4100 Hamline Avenue North
M/S 10-203
St. Paul,, MN 55112-5798
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: Model 3120
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 0.068  -  0.068  


CC: This device is certified pursuant to two different Part 15 rules sections.
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Boston Scientific Corporation
4100 Hamline Avenue North M/S 10-203
St. Paul,, MN 55112-5798
United States 		  Date of Grant: 06/13/2005

Application Dated: 06/13/2005
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: Model 3120
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 0.068  -  0.068  


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To:


EA640919
TCB GRANT OF EQUIPMENT
AUTHORIZATION		 TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  Northwest EMC, Inc.
22975 NW Evergreen Parkway, Suite 400
Hillsboro, OR 97124
 Date of Grant: 08/04/2009

Application Dated: 08/04/2009
Boston Scientific Corporation
4100 Hamline Avenue North
M/S 10-203
St. Paul,, MN 55112-5798
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: Model 3120
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 0.068  -  0.068  


CC: This device is certified pursuant to two different Part 15 rules sections.
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Boston Scientific Corporation
4100 Hamline Avenue North M/S 10-203
St. Paul,, MN 55112-5798
United States 		  Date of Grant: 08/04/2009

Application Dated: 08/04/2009
 
Attention: James Kippola , Electrical Engineer

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:  ESCCRM312005
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: Model 3120
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
CC 15C 0.068  -  0.068  


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To:


EA456249

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