FCC ID ESCCRM629013

ESC-CRM629013, ESC CRM629013, ESCCRM629013, ESCCRM629O13, ESCCRM6290I3

Boston Scientific Corporation 6290

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: ESCCRM629013 is . The remaining characters of the FCC ID, CRM629013, 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.

Boston Scientific Corporation

Full Company Details: Boston Scientific Corporation - ESC
Company Code: ESC
Address:
   Boston Scientific Corporation
   4100 Hamline Avenue North M/S 10-203
   St. Paul,, MN 55112-5798
   United States
App # Purpose Date Unique ID
1 Class II Permissive Change 2015-02-05 FUiELdRWBxOGhb8byhSH3Q==
2 Original Equipment 2013-09-26 gbNdsh55wa3TwJfgwTrovQ==
3 Class II Permissive Change 2015-03-26 jVqJKk5uQn0lmwuzolFKcg==

Approved Operating Frequencies

App # Frequency RangePower OutputToleranceEmission DesignatorRule Parts
1.1402.15-404.850.000021989ppm142KF1D95I
1.2402.82-403.510.000007640ppm180KF1D95I
2.1402.15000000-404.850000000.000021989.0000000000ppm142KF1D95I
3.1402.15-404.850.000021989ppm142KF1D95I
3.2402.82-403.510.000019340ppm180KF1D95I

Exhibits

All Available Documents

App # Document Type Submitted / Available
1 User ManualUsers Manual / Adobe Acrobat PDF (3921 kB) 2015-02-05 / 2015-02-05
1 Test ReportTest Report / Adobe Acrobat PDF (783 kB) 2015-02-05 / 2015-02-05
1 Test setup photosTest Setup Photos / Adobe Acrobat PDF (686 kB) 2015-02-05 / 2015-02-05
1 compliance opinionCover Letter(s) / Adobe Acrobat PDF (18 kB) 2015-02-05 / 2015-02-05
1 LBT reportTest Report / Adobe Acrobat PDF (1354 kB) 2015-02-05 / 2015-02-05
1 Cover letterCover Letter(s) / Adobe Acrobat PDF (134 kB) 2015-02-05 / 2015-02-05
1 User ManualUsers Manual / Adobe Acrobat PDF (3921 kB) 2015-02-05 / 2015-02-05
1 Agetn Authorization letterCover Letter(s) / Adobe Acrobat PDF (89 kB) 2015-02-05 / 2015-02-05
1 User ManualUsers Manual / Adobe Acrobat PDF (3921 kB) 2015-02-05 / 2015-02-05
1 Request for confidentialityCover Letter(s) / Adobe Acrobat PDF (91 kB) 2015-02-05 / 2015-02-05
2 RF ExposureRF Exposure Info / Adobe Acrobat PDF (580 kB) 2013-09-26 / 2013-09-26
2 Agent Authorization letterCover Letter(s) / Adobe Acrobat PDF (56 kB) 2013-09-26 / 2013-09-26
2 Test ReportTest Report / Adobe Acrobat PDF (2450 kB) 2013-09-26 / 2013-09-26
2 Request for ConfidentialityCover Letter(s) / Adobe Acrobat PDF (71 kB) 2013-09-26 / 2013-09-26
2 Antenna InfoOperational Description / Adobe Acrobat PDF (72 kB) 2013-09-26 / 2013-09-26
2 Test setup photosTest Setup Photos / Adobe Acrobat PDF (1918 kB) 2013-09-26 / 2013-09-26
2 Internal PhotosInternal Photos / Adobe Acrobat PDF (292 kB) 2013-09-26 / 2014-03-25
2 Cover letterCover Letter(s) / Adobe Acrobat PDF (95 kB) 2013-09-26 / 2013-09-26
2 Tuneup ProcedureParts List/Tune Up Info / Adobe Acrobat PDF (66 kB) 2013-09-26 / 2013-09-26
2 ID LabelID Label/Location Info / Adobe Acrobat PDF (125 kB) 2013-09-26 / 2013-09-26
2 Compliance OpinionCover Letter(s) / Adobe Acrobat PDF (20 kB) 2013-09-26 / 2013-09-26
2 User ManualUsers Manual / Adobe Acrobat PDF (4365 kB) 2013-09-26 / 2013-09-26
2 LBT reportTest Report / Adobe Acrobat PDF (632 kB) 2013-09-26 / 2013-09-26
2 External PhotosExternal Photos / Adobe Acrobat PDF (199 kB) 2013-09-26 / 2013-09-26
3 Test reportTest Report / Adobe Acrobat PDF (797 kB) 2015-03-26 / 2015-03-26
3 Test setup photosTest Setup Photos / Adobe Acrobat PDF (920 kB) 2015-03-26 / 2015-03-26
3 Compliance OpinionCover Letter(s) / Adobe Acrobat PDF (18 kB) 2015-03-26 / 2015-03-26
3 Cover letterCover Letter(s) / Adobe Acrobat PDF (323 kB) 2015-03-26 / 2015-03-26
3 Agent Authorization letterCover Letter(s) / Adobe Acrobat PDF (68 kB) 2015-03-26 / 2015-03-26
3 Request for confidentialityCover Letter(s) / Adobe Acrobat PDF (154 kB) 2015-03-26 / 2015-03-26

APP # 1 (2015-02-05) Documents

Cover letter
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (134 kB)
User Manual
 2015-02-05 / 2015-02-05 Users Manual / Adobe Acrobat PDF (3921 kB)
Test Report
 2015-02-05 / 2015-02-05 Test Report / Adobe Acrobat PDF (783 kB)
User Manual
 2015-02-05 / 2015-02-05 Users Manual / Adobe Acrobat PDF (3921 kB)
LBT report
 2015-02-05 / 2015-02-05 Test Report / Adobe Acrobat PDF (1354 kB)
Test setup photos
 2015-02-05 / 2015-02-05 Test Setup Photos / Adobe Acrobat PDF (686 kB)
compliance opinion
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (18 kB)
Operational Description
 2015-02-05 / N/A Operational Description / Adobe Acrobat PDF (141 kB)
LBT report
 2015-02-05 / 2015-02-05 Test Report / Adobe Acrobat PDF (1354 kB)
Cover letter
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (134 kB)
Request for confidentiality
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (91 kB)
Agetn Authorization letter
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (89 kB)
User Manual
 2015-02-05 / 2015-02-05 Users Manual / Adobe Acrobat PDF (3921 kB)
Agetn Authorization letter
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (89 kB)
Test Report
 2015-02-05 / 2015-02-05 Test Report / Adobe Acrobat PDF (783 kB)
compliance opinion
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (18 kB)
User Manual
 2015-02-05 / 2015-02-05 Users Manual / Adobe Acrobat PDF (3921 kB)
Request for confidentiality
 2015-02-05 / 2015-02-05 Cover Letter(s) / Adobe Acrobat PDF (91 kB)
Test setup photos
 2015-02-05 / 2015-02-05 Test Setup Photos / Adobe Acrobat PDF (686 kB)

APP # 2 (2013-09-26) Documents

Tuneup Procedure
 2013-09-26 / 2013-09-26 Parts List/Tune Up Info / Adobe Acrobat PDF (66 kB)
Request for Confidentiality
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (71 kB)
RF Exposure
 2013-09-26 / 2013-09-26 RF Exposure Info / Adobe Acrobat PDF (580 kB)
Frequency Block Diagram
 2013-09-26 / N/A Block Diagram / Adobe Acrobat PDF (113 kB)
Agent Authorization letter
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (56 kB)
Agent Authorization letter
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (56 kB)
User Manual
 2013-09-26 / 2013-09-26 Users Manual / Adobe Acrobat PDF (4365 kB)
Test Report
 2013-09-26 / 2013-09-26 Test Report / Adobe Acrobat PDF (2450 kB)
RF Exposure
 2013-09-26 / 2013-09-26 RF Exposure Info / Adobe Acrobat PDF (580 kB)
ID Label
 2013-09-26 / 2013-09-26 ID Label/Location Info / Adobe Acrobat PDF (125 kB)
Request for Confidentiality
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (71 kB)
Antenna Info
 2013-09-26 / 2013-09-26 Operational Description / Adobe Acrobat PDF (72 kB)
Antenna Info
 2013-09-26 / 2013-09-26 Operational Description / Adobe Acrobat PDF (72 kB)
Test setup photos
 2013-09-26 / 2013-09-26 Test Setup Photos / Adobe Acrobat PDF (1918 kB)
Schematics
 2013-09-26 / N/A Schematics / Adobe Acrobat PDF (168 kB)
Internal Photos
 2013-09-26 / 2014-03-25 Internal Photos / Adobe Acrobat PDF (292 kB)
Internal Photos
 2013-09-26 / 2014-03-25 Internal Photos / Adobe Acrobat PDF (292 kB)
Compliance Opinion
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (20 kB)
Cover letter
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (95 kB)
Tuneup Procedure
 2013-09-26 / 2013-09-26 Parts List/Tune Up Info / Adobe Acrobat PDF (66 kB)
Test Report
 2013-09-26 / 2013-09-26 Test Report / Adobe Acrobat PDF (2450 kB)
LBT report
 2013-09-26 / 2013-09-26 Test Report / Adobe Acrobat PDF (632 kB)
ID Label
 2013-09-26 / 2013-09-26 ID Label/Location Info / Adobe Acrobat PDF (125 kB)
Cover letter
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (95 kB)
Compliance Opinion
 2013-09-26 / 2013-09-26 Cover Letter(s) / Adobe Acrobat PDF (20 kB)
Test setup photos
 2013-09-26 / 2013-09-26 Test Setup Photos / Adobe Acrobat PDF (1918 kB)
User Manual
 2013-09-26 / 2013-09-26 Users Manual / Adobe Acrobat PDF (4365 kB)
Operational Description
 2013-09-26 / N/A Operational Description / Adobe Acrobat PDF (97 kB)
LBT report
 2013-09-26 / 2013-09-26 Test Report / Adobe Acrobat PDF (632 kB)
External Photos
 2013-09-26 / 2013-09-26 External Photos / Adobe Acrobat PDF (199 kB)
External Photos
 2013-09-26 / 2013-09-26 External Photos / Adobe Acrobat PDF (199 kB)

APP # 3 (2015-03-26) Documents

Agent Authorization letter
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (68 kB)
Test report
 2015-03-26 / 2015-03-26 Test Report / Adobe Acrobat PDF (797 kB)
Test setup photos
 2015-03-26 / 2015-03-26 Test Setup Photos / Adobe Acrobat PDF (920 kB)
Compliance Opinion
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (18 kB)
Test setup photos
 2015-03-26 / 2015-03-26 Test Setup Photos / Adobe Acrobat PDF (920 kB)
Compliance Opinion
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (18 kB)
Cover letter
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (323 kB)
Cover letter
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (323 kB)
Operational Description
 2015-03-26 / N/A Operational Description / Adobe Acrobat PDF (226 kB)
Agent Authorization letter
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (68 kB)
Request for confidentiality
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (154 kB)
Request for confidentiality
 2015-03-26 / 2015-03-26 Cover Letter(s) / Adobe Acrobat PDF (154 kB)
Test report
 2015-03-26 / 2015-03-26 Test Report / Adobe Acrobat PDF (797 kB)

Grants

TCB Grant from App #1 (2015-02-05)

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: 02/05/2015

Application Dated: 02/05/2015
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:  ESCCRM629013
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Licensed Non-Broadcast Station Transmitter
Notes: 6290
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
95I 402.15  -  404.85 0.0000219 89.0  PM 142KF1D
95I 402.82  -  403.51 0.0000076 40.0  PM 180KF1D

Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.

EAS Grant from App #1 (2015-02-05)

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: 02/05/2015

Application Dated: 02/05/2015
 
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:  ESCCRM629013
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Licensed Non-Broadcast Station Transmitter
Notes: 6290
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
95I 402.15  -  404.85 0.0000219 89.0  PM 142KF1D
95I 402.82  -  403.51 0.0000076 40.0  PM 180KF1D

Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.



Mail To:


EA373217

TCB Grant from App #2 (2013-09-26)

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: 09/26/2013

Application Dated: 09/26/2013
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:  ESCCRM629013
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Licensed Non-Broadcast Station Transmitter
Notes: 6290
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
95I 402.15  -  404.85 0.0000219 89.0  PM 142KF1D

Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.

EAS Grant from App #2 (2013-09-26)

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: 09/26/2013

Application Dated: 09/26/2013
 
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:  ESCCRM629013
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Licensed Non-Broadcast Station Transmitter
Notes: 6290
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
95I 402.15  -  404.85 0.0000219 89.0  PM 142KF1D

Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.



Mail To:


EA629124

TCB Grant from App #3 (2015-03-26)

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: 03/26/2015

Application Dated: 03/26/2015
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:  ESCCRM629013
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Licensed Non-Broadcast Station Transmitter
Notes: 6290
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
95I 402.15  -  404.85 0.0000219 89.0  PM 142KF1D
95I 402.82  -  403.51 0.0000193 40.0  PM 180KF1D

Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.

EAS Grant from App #3 (2015-03-26)

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: 03/26/2015

Application Dated: 03/26/2015
 
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:  ESCCRM629013
Name of Grantee:  Boston Scientific Corporation
Equipment Class: Licensed Non-Broadcast Station Transmitter
Notes: 6290
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
95I 402.15  -  404.85 0.0000219 89.0  PM 142KF1D
95I 402.82  -  403.51 0.0000193 40.0  PM 180KF1D

Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.



Mail To:


EA651166

Applications for this FCC ID

Form App # 1 (2015-02-05)

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: ESCCRM629013
Unique Application Identifier: FUiELdRWBxOGhb8byhSH3Q==
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@nwemc.com
TCB Scope: B2: General Mobile Radio And Broadcast Services equipment in the following 47 CFR Parts 22 (non-cellular) 73, 74, 90, 95 & 97

FCC ID
Grantee Code: ESC
Product Code: CRM629013

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:   TNB - Licensed Non-Broadcast Station Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 6290

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

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.
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:  Peter Musto
Title of authorized signature:  Fellow, Electrical Engineer

Complete items below if agent signs the application:

Firm Name:  Boston Scientific
Name:  Peter Peter Peter
Line 1:  Peter
Line 2:  Peter
P.O. Box:  Peter
City:  Peter
State:  Peter
Country:  Peter
Zip Code:  Peter
E-mail:  peter.musto@bsci.com

Form App # 2 (2013-09-26)

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: ESCCRM629013
Unique Application Identifier: gbNdsh55wa3TwJfgwTrovQ==
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@nwemc.com
TCB Scope: B2: General Mobile Radio And Broadcast Services equipment in the following 47 CFR Parts 22 (non-cellular) 73, 74, 90, 95 & 97

FCC ID
Grantee Code: ESC
Product Code: CRM629013

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?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   03/25/2014
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:   TNB - Licensed Non-Broadcast Station Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 6290

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

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.
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:  Peter Musto
Title of authorized signature:  Fellow, R&D;

Complete items below if agent signs the application:

Firm Name:  Boston Scientific Corporation
Name:  Peter Peter Peter
Line 1:  Peter
Line 2:  Peter
P.O. Box:  Peter
City:  Peter
State:  Peter
Country:  Peter
Zip Code:  Peter
E-mail:  peter.musto@bsci.com

Form App # 3 (2015-03-26)

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: ESCCRM629013
Unique Application Identifier: jVqJKk5uQn0lmwuzolFKcg==
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@nwemc.com
TCB Scope: B2: General Mobile Radio And Broadcast Services equipment in the following 47 CFR Parts 22 (non-cellular) 73, 74, 90, 95 & 97

FCC ID
Grantee Code: ESC
Product Code: CRM629013

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:   TNB - Licensed Non-Broadcast Station Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): 6290

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

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power is EIRP. The antenna or antennas used for this transmitter must not be collocated or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures.
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:  Peter Musto
Title of authorized signature:  Fellow R&D;

Complete items below if agent signs the application:

Firm Name:  Boston Scientific
Name:  Peter Peter Peter
Line 1:  Peter
Line 2:  Peter
P.O. Box:  Peter
City:  Peter
State:  Peter
Country:  Peter
Zip Code:  Peter
E-mail:  peter.musto@bsci.com

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