FCC ID PGUVS100

PGU-VS100, PGU VS100, PGUVS100, PGUVS1OO, PGUVSI00, PGUV5100

Welch Allyn, Inc. WATY VS100

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: PGUVS100 is PGU. The remaining characters of the FCC ID, VS100, 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: WATY

Application: WATY
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/PGUVS100
Sources: FCC.gov | FCC.report
Registered By: Welch Allyn, Inc. - PGU (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2015-01-26	nYgPat84pODgAbqtEGbgpw==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	Line Entry
2.412-2.462 GHz	61.4 mW	15C	1

Exhibits

Document	Type	Submitted Available
User Manual	Users Manual Adobe Acrobat PDF (1518 kB)	2015-01-26 2015-01-26
Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (1404 kB)	2015-01-26 2015-01-26
Test Report	Test Report Adobe Acrobat PDF (2203 kB)	2015-01-26 2015-01-26
RF Exposure	RF Exposure Info Adobe Acrobat PDF (604 kB)	2015-01-26 2015-01-26
ID label	ID Label/Location Info Adobe Acrobat PDF (2179 kB)	2015-01-26 2015-01-26
Internal Photos	Internal Photos Adobe Acrobat PDF (106 kB)	2015-01-26 2015-01-26
Request for confidentiality	Cover Letter(s) Adobe Acrobat PDF (296 kB)	2015-01-26 2015-01-26
Modular approval letter	Cover Letter(s) Adobe Acrobat PDF (756 kB)	2015-01-26 2015-01-26
Agent authorization letter	Cover Letter(s) Adobe Acrobat PDF (313 kB)	2015-01-26 2015-01-26
External Photos	External Photos Adobe Acrobat PDF (216 kB)	2015-01-26 2015-01-26
Cover letter	Cover Letter(s) Adobe Acrobat PDF (373 kB)	2015-01-26 2015-01-26
Compliance Opinion	Cover Letter(s) Adobe Acrobat PDF (18 kB)	2015-01-26 2015-01-26
Antenna Info	Operational Description Adobe Acrobat PDF (306 kB)	2015-01-26 2015-01-26
Schematics	Schematics Adobe Acrobat PDF (130 kB)	2015-01-26
Frequency Block Diagram	Block Diagram Adobe Acrobat PDF (64 kB)	2015-01-26
Operational Description	Operational Description Adobe Acrobat PDF (1247 kB)	2015-01-26

Application Forms

1 (2015-01-26)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Welch Allyn, Inc.
FCC Registration Number (FRN):	0003434628
Alphanumeric FCC ID:	PGUVS100
Unique Application Identifier:	nYgPat84pODgAbqtEGbgpw==
Line one:	4341 State Street Road
City:	Skaneateles Falls
State:	New York
Country:	United States
Zip Code:	13153-0220

TCB Information

TCB Application Email Address:	dghizzone@nwemc.com
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	PGU
Product Code:	VS100

Person at the applicant's address to receive grant or for contact

Name:	Kevin Crossen
Title:	Director, Regulatory Affairs

Telephone Number:

315-685-2609

Extension:

2609

Fax Number:	800-
Email:	kevin.crossen@welchallyn.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: DTS - Digital Transmission System
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):	WATY

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Single Modular Approval

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 conducted. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and 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. Installers and end-users must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance. This transmitter is also approved for use in the Welch Allyn Spot Vision Screener Model VS100 as detailed in the filing.

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: Robert Berry

Title of authorized signature: Manager, Regulatory Affairs

Complete items below if agent signs the application:

Firm Name: Welch Allyn

Name: Robert Robert Robert

Line 1: Robert

Line 2: Robert

P.O. Box: Robert

City: Robert

State: Robert

Country: Robert

Zip Code: Robert

E-mail: rob.berry@welchallyn.com

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

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: 01/26/2015

Application Dated: 01/26/2015

Welch Allyn, Inc.

4341 State Street Road

Skaneateles Falls, NY 13153-0220

Attention: Kevin Crossen , Director, Regulatory Affairs

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:	PGUVS100

Name of Grantee:	Welch Allyn, Inc.

Equipment Class:	Digital Transmission System
Notes:	WATY
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2412.0 - 2462.0	0.0614

Output power is conducted. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and 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. Installers and end-users must be provided with antenna installation instructions and transmitter operating conditions for satisfying RF exposure compliance.

This transmitter is also approved for use in the Welch Allyn Spot Vision Screener Model VS100 as detailed in the filing.

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Welch Allyn, Inc.
4341 State Street Road
Skaneateles Falls, NY 13153-0220
United States