FCC ID ESCCRMN11906

ESC-CRMN11906, ESC CRMN11906, ESCCRMN11906, ESCCRMN119O6, ESCCRMNII906, E5CCRMN11906

Boston Scientific Corporation Implantable Defibrillator CRMN11906

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: ESCCRMN11906 is ESC. The remaining characters of the FCC ID, CRMN11906, 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

App # Purpose Date Unique ID
1 Original Equipment 2008-05-20 trxodP3XZ0FyXXDU8tFrQw==
2 Class II Permissive Change 2011-01-04 guiP5zyH4JzY2bYhcfKFpA==

Operating Frequencies

Device operates within approved frequencies overlapping with the following cellular bands: CDMA 12,800 MHz PAMR DOWN |
Frequency RangeRule Parts App #
916.5 MHz15C 2.1
916.5 MHz15C 1.1

Exhibits

Available Exhibits

App #Document Type Submitted
Available
2 WaiverCover Letter(s)
Adobe Acrobat PDF (29 kB)		 2012-05-31
2011-01-04
2 waiverCover Letter(s)
Adobe Acrobat PDF (201 kB)		 2011-12-06
2011-01-04
1 waiverCover Letter(s)
Adobe Acrobat PDF (201 kB)		 2011-12-06
2008-05-20
2 Confidentiality letterCover Letter(s)
Adobe Acrobat PDF (65 kB)		 2010-12-17
2011-01-04
2 Cover letterCover Letter(s)
Adobe Acrobat PDF (86 kB)		 2010-12-17
2011-01-04
1 Correspondence ResponseCover Letter(s)
Adobe Acrobat PDF (146 kB)		 2008-05-20
2008-05-20
1 Request Of ConfidentialityCover Letter(s)
Adobe Acrobat PDF (121 kB)		 2008-05-20
2008-05-20
1 FCC DA-07-3160 OrderAttestation Statements
Adobe Acrobat PDF (101 kB)		 2008-05-19
2008-05-20
1 FCC DA-06-2316 OrderAttestation Statements
Adobe Acrobat PDF (113 kB)		 2008-05-19
2008-05-20
1 Withdrawal of DeferralCover Letter(s)
Adobe Acrobat PDF (88 kB)		 2008-05-15
2008-05-20
1 FDA Approval LetterAttestation Statements
Adobe Acrobat PDF (2285 kB)		 2008-05-15
2008-05-20
1 Notice of FDA ApprovalAttestation Statements
Adobe Acrobat PDF (321 kB)		 2008-05-15
2008-05-20
1 FDA submittal noticeAttestation Statements
Adobe Acrobat PDF (42 kB)		 2008-03-21
2008-05-20
1 Part 2 Teligen ManualUsers Manual
Adobe Acrobat PDF (2113 kB)		 2008-01-04
2008-05-20
1 Teligen Part 1 ManualUsers Manual
Adobe Acrobat PDF (2695 kB)		 2008-01-04
2008-05-20
1 Cognis Part 4 ManualUsers Manual
Adobe Acrobat PDF (1756 kB)		 2008-01-04
2008-05-20
1 Cognis Part 3 ManualUsers Manual
Adobe Acrobat PDF (1419 kB)		 2008-01-04
2008-05-20
1 Cognis Part 2 Manual - fccidUsers Manual
Adobe Acrobat PDF (2038 kB)		 2008-01-04
2008-05-20
1 Cognis Part 1 ManualUsers Manual
Adobe Acrobat PDF (1838 kB)		 2008-01-04
2008-05-20
1 RF ExhibitRF Exposure Info
Adobe Acrobat PDF (109 kB)		 2008-01-04
1 Request of ConfidentialityCover Letter(s)
Adobe Acrobat PDF (126 kB)		 2008-01-04
2008-05-20
1 External PhotosExternal Photos
Adobe Acrobat PDF (423 kB)		 2008-01-04
2008-05-20
1 ID LabelID Label/Location Info
Adobe Acrobat PDF (221 kB)		 2008-01-04
2008-05-20
1 Test ReportTest Report
Adobe Acrobat PDF (3286 kB)		 2008-01-04
2008-05-20
1 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (222 kB)		 2008-01-04
2008-05-20
1 Cover LetterCover Letter(s)
Adobe Acrobat PDF (124 kB)		 2008-01-04
2008-05-20

APP # 2 (2011-01-04)

App # Document Type Submitted
Available
2 Waiver Cover Letter(s)
Adobe Acrobat PDF (29 kB)		 2012-05-31 00:00:00
2011-01-04 00:00:00
2 waiver Cover Letter(s)
Adobe Acrobat PDF (201 kB)		 2011-12-06 00:00:00
2011-01-04 00:00:00

APP # 1 (2008-05-20)

App # Document Type Submitted
Available
1 waiver Cover Letter(s)
Adobe Acrobat PDF (201 kB)		 2011-12-06 00:00:00
2008-05-20 00:00:00

APP # 2 (2011-01-04)

App # Document Type Submitted
Available
2 Confidentiality letter Cover Letter(s)
Adobe Acrobat PDF (65 kB)		 2010-12-17 00:00:00
2011-01-04 00:00:00
2 Cover letter Cover Letter(s)
Adobe Acrobat PDF (86 kB)		 2010-12-17 00:00:00
2011-01-04 00:00:00

APP # 1 (2008-05-20)

App # Document Type Submitted
Available
1 Correspondence Response Cover Letter(s)
Adobe Acrobat PDF (146 kB)		 2008-05-20 00:00:00
2008-05-20 00:00:00
1 Request Of Confidentiality Cover Letter(s)
Adobe Acrobat PDF (121 kB)		 2008-05-20 00:00:00
2008-05-20 00:00:00
1 FCC DA-07-3160 Order Attestation Statements
Adobe Acrobat PDF (101 kB)		 2008-05-19 00:00:00
2008-05-20 00:00:00
1 FCC DA-06-2316 Order Attestation Statements
Adobe Acrobat PDF (113 kB)		 2008-05-19 00:00:00
2008-05-20 00:00:00
1 Withdrawal of Deferral Cover Letter(s)
Adobe Acrobat PDF (88 kB)		 2008-05-15 00:00:00
2008-05-20 00:00:00
1 FDA Approval Letter Attestation Statements
Adobe Acrobat PDF (2285 kB)		 2008-05-15 00:00:00
2008-05-20 00:00:00
1 Notice of FDA Approval Attestation Statements
Adobe Acrobat PDF (321 kB)		 2008-05-15 00:00:00
2008-05-20 00:00:00
1 FDA submittal notice Attestation Statements
Adobe Acrobat PDF (42 kB)		 2008-03-21 00:00:00
2008-05-20 00:00:00
1 Part 2 Teligen Manual Users Manual
Adobe Acrobat PDF (2113 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Teligen Part 1 Manual Users Manual
Adobe Acrobat PDF (2695 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Cognis Part 4 Manual Users Manual
Adobe Acrobat PDF (1756 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Cognis Part 3 Manual Users Manual
Adobe Acrobat PDF (1419 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Cognis Part 2 Manual - fccid Users Manual
Adobe Acrobat PDF (2038 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Cognis Part 1 Manual Users Manual
Adobe Acrobat PDF (1838 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 RF Exhibit RF Exposure Info
Adobe Acrobat PDF (109 kB)		 2008-01-04 00:00:00
N/A
1 Request of Confidentiality Cover Letter(s)
Adobe Acrobat PDF (126 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 External Photos External Photos
Adobe Acrobat PDF (423 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 ID Label ID Label/Location Info
Adobe Acrobat PDF (221 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Test Report Test Report
Adobe Acrobat PDF (3286 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (222 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Cover Letter Cover Letter(s)
Adobe Acrobat PDF (124 kB)		 2008-01-04 00:00:00
2008-05-20 00:00:00
1 Internal Photos Internal Photos
Adobe Acrobat PDF (89 kB)		 2008-01-04 00:00:00
N/A
1 Block Diagram Block Diagram
Adobe Acrobat PDF (29 kB)		 2008-01-04 00:00:00
N/A
1 LF Schematics Schematics
Adobe Acrobat PDF (88 kB)		 2008-03-05 00:00:00
N/A

APP # 2 (2011-01-04)

App # Document Type Submitted
Available
2 Operational Description Operational Description
Adobe Acrobat PDF (85 kB)		 2010-12-17 00:00:00
N/A

APP # 1 (2008-05-20)

App # Document Type Submitted
Available
1 Operational Description Operational Description
Adobe Acrobat PDF (110 kB)		 2008-01-04 00:00:00
N/A
1 Correspondence Response 2 Operational Description
Adobe Acrobat PDF (93 kB)		 2008-05-20 00:00:00
N/A
1 Schematics Schematics
Adobe Acrobat PDF (89 kB)		 2008-01-04 00:00:00
N/A
1 Antenna Information Operational Description
Adobe Acrobat PDF (116 kB)		 2008-01-04 00:00:00
N/A
1 LF Frequency Block Diagram Block Diagram
Adobe Acrobat PDF (27 kB)		 2008-03-05 00:00:00
N/A

Correspondence

APP # 2 (2011-01-04)

App # Document Type
2 [Re-Sent]Confidential letter to applicant generated [Jan 4 2011] 2011-01-04 16:18:49

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: ESCCRMN11906
Unique Application Identifier: trxodP3XZ0FyXXDU8tFrQw==
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: CRMN11906

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:
Boston Scientific Corporation
First Name: Rachit
Last Name: Jain
Line 1:
4100 Hamline Avenue North
Line 2:
M/S 10-203
City: Arden Hills
State: Minnesota
Country:
United States
Zip Code: 55112
Telephone Number:
651-582-7556
Extension:
Fax Number: 651-582-2830
E-Mail:

Non Technical Contact
Firm Name: Boston Scientific Corporation
First Name: Kurtis
Last Name: Wheeler
Line 1: 4100 Hamline Avenue North
Line 2: M/S 10-203
City: Arden Hills
State: Minnesota
Country: United States
Zip Code: 55112
Telephone Number: 651-582-5051 Extension:
Fax Number: 651-582-2830
E-Mail: kurtis.wheeler@bsci.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?   Yes


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
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
This application is granted per waiver conditions in FCC ET Docket No. 05-331.
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:  Rachit Jain
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: ESCCRMN11906
Unique Application Identifier: guiP5zyH4JzY2bYhcfKFpA==
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: CRMN11906

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:
Guidant Corp. wholly owned by Boston Scentific
First Name: James
Middle Name: M
Last Name: Kippola
City: Saint Paul
State: Minnesota
Country:
United States
Zip Code: 55112
Telephone Number:
612.770.0648
Extension:
Fax Number: 651.582.2830
E-Mail:

Non Technical Contact
Firm Name: Guidant Corp. wholly owned by Boston Scentific
First Name: John
Last Name: Rymkiewicz
City: Saint Paul
State: Minnesota
Country: United States
Zip Code: 55112
Telephone Number: 651.582.6869 Extension:
Fax Number: 651.582.2830
E-Mail: john.rymkiewicz@bsci.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:   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:
This application is a 2.1043(c) change for this composite-system device.
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:  John Rymkiewicz
Title of authorized signature:  Electrical Engineer, Fellow

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

Grants

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: 01/04/2011

Application Dated: 12/17/2010
 
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:  ESCCRMN11906
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 916.5  -  916.5  

This application is a 2.1043(c) change for this composite-system device.



Mail To:


EA739946
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: 05/20/2008

Application Dated: 01/04/2008
 
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:  ESCCRMN11906
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 916.5  -  916.5  

This application is granted per waiver conditions in FCC ET Docket No. 05-331.



Mail To:


EA613017

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