FCC ID ESCCRMH21004

ESC-CRMH21004, ESC CRMH21004, ESCCRMH21004, ESCCRMH21OO4, ESCCRMH2I004, E5CCRMH21004

Boston Scientific Corporation Implantable Defibrillator CRMH21004

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: ESCCRMH21004 is ESC. The remaining characters of the FCC ID, CRMH21004, 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 Defibrillator

Application: Implantable Defibrillator
Equipment Class: DXT - Part 15 Low Power Transceiver, Rx Verified
Short Link: fcc.id/ESCCRMH21004
Sources: FCC.gov | FCC.report
Registered By: Boston Scientific Corporation - ESC (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2004-06-21	qTSUFaepbHc9jNSffT+IYA==

Operating Frequencies

Frequency Range	Rule Parts	Line Entry
914 MHz	15C	1

Exhibits

Document	Type	Submitted Available
Addl Test Result Info	Test Report Adobe Acrobat PDF (273 kB)	2004-06-16 2004-06-21
Response to Ref 26935	Cover Letter(s) Adobe Acrobat PDF (36 kB)	2004-06-16 2004-06-21
Remove Deferral Request	Cover Letter(s) Adobe Acrobat PDF (25 kB)	2004-06-03 2004-06-21
External Photos	External Photos Adobe Acrobat PDF (89 kB)	2004-01-06 2004-06-21
Advance FCC Correspondence	Cover Letter(s) Adobe Acrobat PDF (31 kB)	2004-01-06 2004-06-21
Agent Confidenitiality Grant Deferral Letters	Cover Letter(s) Adobe Acrobat PDF (95 kB)	2004-01-06 2004-06-21
Attestation Letter	Attestation Statements Adobe Acrobat PDF (66 kB)	2004-01-06 2004-06-21
Physician and System Guides	Users Manual Adobe Acrobat PDF (800 kB)	2004-01-06 2004-06-21
Test Photos and Drawing	Test Setup Photos Adobe Acrobat PDF (216 kB)	2004-01-06 2004-06-21
Test Report	Test Report Adobe Acrobat PDF (764 kB)	2004-01-06 2004-06-21
SAR Test Report	RF Exposure Info Adobe Acrobat PDF (2658 kB)	2004-01-06 2004-06-21
Internal Photos	Internal Photos Adobe Acrobat PDF (285 kB)	2004-01-06 2004-06-21
ID Label Information	ID Label/Location Info Adobe Acrobat PDF (90 kB)	2004-01-06 2004-06-21
Block Diagram	Block Diagram Adobe Acrobat PDF (22 kB)	2004-01-06
Schematics	Schematics Adobe Acrobat PDF (282 kB)	2004-01-06
Addl Op Desc	Operational Description Adobe Acrobat PDF (2396 kB)	2004-03-22
Operating Description	Operational Description Adobe Acrobat PDF (58 kB)	2004-01-06

App #	Document	Date
1	Incoming Correspondence generated [Jun 16 2004]	2004-06-16 20:43:25 fcc
1	Incoming Correspondence generated [Jun 16 2004]	2004-06-16 20:48:31 fcc
1	[Re-Sent]E-Mail generated [Feb 26 2004]	2004-02-26 08:26:42 fcc
1	[Re-Sent]Confidential letter to applicant generated [Jun 21 2004]	2004-06-21 10:03:31 fcc
1	[Re-Sent]E-Mail generated [Feb 26 2004]	2004-02-26 08:27:39 fcc
1	Incoming Correspondence generated [Mar 22 2004]	2004-03-22 13:49:25 fcc
1	[Re-Sent]E-Mail generated [Jun 8 2004]	2004-06-08 15:41:08 fcc
1	Incoming Correspondence generated [Jun 16 2004]	2004-06-16 20:42:47 fcc

App #

Document

Date

Incoming Correspondence generated [Jun 16 2004]

2004-06-16 20:43:25
fcc

Incoming Correspondence generated [Jun 16 2004]

2004-06-16 20:48:31
fcc

[Re-Sent]E-Mail generated [Feb 26 2004]

2004-02-26 08:26:42
fcc

[Re-Sent]Confidential letter to applicant generated [Jun 21 2004]

2004-06-21 10:03:31
fcc

[Re-Sent]E-Mail generated [Feb 26 2004]

2004-02-26 08:27:39
fcc

Incoming Correspondence generated [Mar 22 2004]

2004-03-22 13:49:25
fcc

[Re-Sent]E-Mail generated [Jun 8 2004]

2004-06-08 15:41:08
fcc

Incoming Correspondence generated [Jun 16 2004]

2004-06-16 20:42:47
fcc

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:	ESCCRMH21004
Unique Application Identifier:	qTSUFaepbHc9jNSffT+IYA==
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

FCC ID

Grantee Code:	ESC
Product Code:	CRMH21004

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

Technical Contact

Firm Name:	TUV America Inc - Product Service
First Name:	Joel
Middle Name:	T
Last Name:	Schneider
Line 1:	19333 Wild Mountain Road
City:	Taylors Falls
State:	Minnesota
Country:	United States
Zip Code:	55084-1786

Telephone Number:

651 604 4582

Extension:

Fax Number:	651 638 0298
E-Mail:	jschneider@tuvam.com

Non Technical Contact

Firm Name:	TUV America Inc - Product Service
First Name:	Jolene
Middle Name:	S
Last Name:	Murphy
Line 1:	1775 Old Highway 8 NW
Line 2:	Suite 104
City:	New Brighton
State:	Minnesota
Country:	United States
Zip Code:	55112-1891

Telephone Number:

651 638 0271

Extension:

Fax Number:	651 638 0285
E-Mail:	jmurphy@tuvam.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: 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):	Implantable Defibrillator

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: TUV SUD America - Product Service

First Name: Joel

Last Name: Schneider

Telephone Number:

651-604-4582

Extension:

Fax Number: 651-638-0298

E-mail: jschneider@tuvam.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
SAR compliance was evaluated for the specific configuration described in this filing. The highest reported SAR value is: body, 0.08 W/kg.

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: Joel T Schneider

Title of authorized signature: Senior EMC Engineer

Complete items below if agent signs the application:

Firm Name: TUV America Inc - Product Service

Name: Joel Joel Joel

Line 1: Joel

Line 2: Joel

P.O. Box: Joel

City: Joel

State: Joel

Country: Joel

Zip Code: Joel

Telephone Number:

651 604 4582

Fax Number: 651 638 0285

E-mail: jschneider@tuvam.com

Grants

This application does not exist.

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: 06/21/2004

Application Dated: 01/06/2004

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:	ESCCRMH21004

Name of Grantee:	Boston Scientific Corporation

Equipment Class:	Part 15 Low Power Transceiver, Rx Verified
Notes:	Implantable Defibrillator
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	914.0 - 914.0

SAR compliance was evaluated for the specific configuration described in this filing. The highest reported SAR value is: body, 0.08 W/kg.

Mail To:

EA777078

FCC ID ESCCRMH21004

ESC-CRMH21004, ESC CRMH21004, ESCCRMH21004, ESCCRMH21OO4, ESCCRMH2I004, E5CCRMH21004

Boston Scientific Corporation Implantable Defibrillator CRMH21004

Purchase on Amazon: Implantable Defibrillator

Operating Frequencies

Exhibits

Correspondence

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