FCC ID LF53023
InterStim
by Medtronic, Inc.
Grantee Code: LF5 Product Code: 3023
Latest application date: 2018-05-25
FCC ID Device Details
| FCC ID | LF53023 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | LF5 |
| Product Code | 3023 |
| Applicant Business | Medtronic, Inc. 🇺🇸 |
| Related Domains |  medtronic.com |
| Equipment Class | InterStim |
| Test Firm | Bureau Veritas Consumer Products Services, Inc. |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 0.175 MHz | Original Equipment | 2018-05-25 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| Regulatory Statements | Users Manual | 2018-11-21 | PDF 714.4 KB |
| User Manual | Users Manual | 2018-11-21 | PDF 1.3 MB |
| Manual Labeling Attestation Letter | ID Label/Location Info | 2018-05-25 | PDF 50.8 KB |
| NDA to request Long Term Confidentiality on Internal Photos | Cover Letter(s) | 2018-05-25 | PDF 50.8 KB |
| External Photo | External Photos | 2018-11-21 | PDF 1.4 MB |
| Labeling Attestation Letter | ID Label/Location Info | 2018-05-25 | PDF 50.8 KB |
| Test Setup Photo | Test Setup Photos | 2018-11-21 | PDF 176.8 KB |
| DCD Test Report | Test Report | 2018-05-25 | PDF 794 KB |
| Confidentiality Request Letter | Cover Letter(s) | 2018-05-25 | PDF 41.9 KB |
| Declaration of Similarity | Cover Letter(s) | 2018-05-25 | PDF 27.7 KB |
| Non-Routine Confidentiality Request | Cover Letter(s) | 2018-05-25 | PDF 50.8 KB |
| Power of Attorney | Cover Letter(s) | 2018-05-25 | PDF 42.3 KB |
| Project and Product Certification Representative Authorization Letter | Cover Letter(s) | 2018-05-25 | PDF 36.2 KB |
| Internal Photo Metadata only | Internal Photos | PDF 2.3 MB | |
| Block Diagram Metadata only | Block Diagram | PDF 108 KB | |
| Schematics Metadata only | Schematics | PDF 243 KB | |
| Operational Description Metadata only | Operational Description | PDF 189.7 KB |
Application Information
| Application ID | FHO9E47zWcezK12XjOqvug== |
|---|---|
| Final Action Date | 2018-05-25 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0008250839 |
| Model | 3023 |
| Frequency Range | 0.175 MHz |
| Equipment Class | DCD - Part 15 Low Power Transmitter Below 1705 kHz |
| Device Description | InterStim |
| Responsible Party | Guillaume Girard, Sr. RF Regulatory Program Manager, Guillaume.Girard@medtronic.com , 763-526-0652 |
| Test Firm | Sarb Shelopal, Bureau Veritas Consumer Products Services, Inc., Sarbjit.Shelopal@bureauveritas.com  , +1 925 963 4420 |
| TCB Email | tcb@siemic.com  |
| TCB Scope | A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 11/21/2018 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | No |
| Composite Part | No |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| FHO9E47zWcezK12XjOqvug== | 2018-05-25 | Original Equipment |
Grants
TCB Grant - Application FHO9E47zWcezK12XjOqvug==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Bureau Veritas Consumer Products Services, Inc. 775 Montague Expressway Milpitas, CA 95035 |
Date of Grant: 05/25/2018 Application Dated: 05/25/2018 |
| Medtronic, Inc. |
| 8200 Coral Sea Street NE |
| Mounds View, MN 55112 |
| Attention: Guillaume Girard , Sr. RF Regulatory Program Manager |
| 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: | LF53023 |
| Name of Grantee: | Medtronic, Inc. |
| Equipment Class: | Part 15 Low Power Transmitter Below 1705 kHz |
| Notes: | InterStim |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| IT | 15C | 0.175 - 0.175 |
| IT: | Implanted Transmitter |
EAS Grant - Application FHO9E47zWcezK12XjOqvug==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Medtronic, Inc. 8200 Coral Sea Street NE Mounds View, MN 55112 United States |
Date of Grant: 05/25/2018 Application Dated: 05/25/2018 |
| Attention: Guillaume Girard , Sr. RF Regulatory Program Manager |
| 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: | LF53023 |
| Name of Grantee: | Medtronic, Inc. |
| Equipment Class: | Part 15 Low Power Transmitter Below 1705 kHz |
| Notes: | InterStim |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| IT | 15C | 0.175 - 0.175 |
| IT: | Implanted Transmitter |
| Mail To: |