FCC ID PQC-MX40WLAN2

PQCMX40WLAN2, PQC MX40WLAN2, PQC-MX40WLAN2, PQC-MX4OWLAN2, POC-MX40WLAN2, P0C-MX40WLAN2

Philips Medical Systems North America Co. INTELLIVUE MX40 WLAN2 PATIENT WORN DEVICE

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: PQC-MX40WLAN2 is . The remaining characters of the FCC ID, -MX40WLAN2, 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.

Application: INTELLIVUE MX40 WLAN2 PATIENT WORN DEVICE
Equipment Class: NII - Unlicensed National Information Infrastructure TX

Philips Medical Systems North America Co.

Full Company Details: Philips Medical Systems North America Co. - PQC
Company Code: PQC
Address:
   Philips Medical Systems North America Co.
   3000 Minuteman Road
   Andover, MA 01810-1099
   United States

App #	Purpose	Date	Unique ID
1	Original Equipment	2012-04-30	9e6o7XrBF17HdivE5eNNEQ==
2	Original Equipment	2012-04-30	cnyqPXCUyAiTPTasXHRA9A==

Approved Operating Frequencies

App #	Frequency Range	Power Output	Rule Parts	Grant Notes
1.1	5180-5320	0.02245	15E	CC
1.2	5500-5580	0.04604	15E	CC
1.3	5660-5700	0.04766	15E	CC
1.4	5745-5805	0.06655	15E	CC
2.1	2412-2462	0.083	15C	CC
2.2	2405-2480	0.0006	15C	CC

Exhibits

All Available Documents

App #	Document	Type	Submitted / Available
1	USERS MANUAL	Users Manual / Adobe Acrobat PDF (2659 kB)	2012-04-30 / 2012-04-30
1	LABEL COVER LETTER	Cover Letter(s) / Adobe Acrobat PDF (37 kB)	2012-04-30 / 2012-04-30
1	AGENCY LETTER	Cover Letter(s) / Adobe Acrobat PDF (30 kB)	2012-04-30 / 2012-04-30
1	LABEL LOCATION	ID Label/Location Info / Adobe Acrobat PDF (18 kB)	2012-04-30 / 2012-04-30
1	CONFIDENTIAL REQUEST LETTER	Cover Letter(s) / Adobe Acrobat PDF (43 kB)	2012-04-30 / 2012-04-30
1	LABEL SAMPLE	ID Label/Location Info / Adobe Acrobat PDF (57 kB)	2012-04-30 / 2012-04-30
1	COVER LETTER	Cover Letter(s) / Adobe Acrobat PDF (28 kB)	2012-04-30 / 2012-04-30
1	RF EXPOSURE	RF Exposure Info / Adobe Acrobat PDF (206 kB)	2012-04-30 / 2012-04-30
1	EXTERNAL PHOTOS	External Photos / Adobe Acrobat PDF (125 kB)	2012-04-30 / 2012-04-30
1	INTERNAL PHOTOS	Internal Photos / Adobe Acrobat PDF (524 kB)	2012-04-30 / 2012-06-14
1	TEST SETUP PHOTOS	Test Setup Photos / Adobe Acrobat PDF (162 kB)	2012-04-30 / 2012-04-30
1	TEST REPORT	Test Report / Adobe Acrobat PDF (4699 kB)	2012-04-30 / 2012-04-30
1	ADHOC LETTER	Cover Letter(s) / Adobe Acrobat PDF (34 kB)	2012-04-30 / 2012-04-30
2	USERS MANUAL	Users Manual / Adobe Acrobat PDF (2659 kB)	2012-04-30 / 2012-04-30
2	LABEL COVER LETTER	ID Label/Location Info / Adobe Acrobat PDF (37 kB)	2012-04-30 / 2012-04-30
2	ADHOC LETTER	Cover Letter(s) / Adobe Acrobat PDF (34 kB)	2012-04-30 / 2012-04-30
2	LABEL SAMPLE	ID Label/Location Info / Adobe Acrobat PDF (57 kB)	2012-04-30 / 2012-04-30
2	AUTHORIZATION LETTER	Cover Letter(s) / Adobe Acrobat PDF (30 kB)	2012-04-30 / 2012-04-30
2	LABEL LOCATION	ID Label/Location Info / Adobe Acrobat PDF (18 kB)	2012-04-30 / 2012-04-30
2	CONFIDENTIAL REQUEST LETTER	Cover Letter(s) / Adobe Acrobat PDF (43 kB)	2012-04-30 / 2012-04-30
2	INTERNAL PHOTOS	Internal Photos / Adobe Acrobat PDF (524 kB)	2012-04-30 / 2012-06-14
2	RF EXPOSURE	RF Exposure Info / Adobe Acrobat PDF (162 kB)	2012-04-30 / 2012-04-30
2	COVER LETTER	Cover Letter(s) / Adobe Acrobat PDF (28 kB)	2012-04-30 / 2012-04-30
2	TEST REPORT SRR	Test Report / Adobe Acrobat PDF (612 kB)	2012-04-30 / 2012-04-30
2	TEST SETUP PHOTOS	Test Setup Photos / Adobe Acrobat PDF (162 kB)	2012-04-30 / 2012-04-30
2	EXTERNAL PHOTOS	External Photos / Adobe Acrobat PDF (125 kB)	2012-04-30 / 2012-04-30
2	TEST REPORT	Test Report / Adobe Acrobat PDF (1311 kB)	2012-04-30 / 2012-04-30

APP # 1 (2012-04-30) Documents

TEST REPORT
2012-04-30 / 2012-04-30 Test Report / Adobe Acrobat PDF (4699 kB)
USERS MANUAL
2012-04-30 / 2012-04-30 Users Manual / Adobe Acrobat PDF (2659 kB)
LABEL SAMPLE
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (57 kB)
LABEL COVER LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (37 kB)
COVER LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (28 kB)
AGENCY LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (30 kB)
TEST SETUP PHOTOS
2012-04-30 / 2012-04-30 Test Setup Photos / Adobe Acrobat PDF (162 kB)
OPERATIONAL DESCRIPTION
2012-04-30 / N/A Operational Description / Adobe Acrobat PDF (209 kB)
LABEL LOCATION
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (18 kB)
EXTERNAL PHOTOS
2012-04-30 / 2012-04-30 External Photos / Adobe Acrobat PDF (125 kB)
CONFIDENTIAL REQUEST LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (43 kB)
ADHOC LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (34 kB)
TUNE UP PROCEDURE
2012-04-30 / N/A Parts List/Tune Up Info / Adobe Acrobat PDF (45 kB)
LABEL SAMPLE
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (57 kB)
PARTS LIST
2012-04-30 / N/A Parts List/Tune Up Info / Adobe Acrobat PDF (73 kB)
INTERNAL PHOTOS
2012-04-30 / 2012-06-14 Internal Photos / Adobe Acrobat PDF (524 kB)
COVER LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (28 kB)
AGENCY LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (30 kB)
USERS MANUAL
2012-04-30 / 2012-04-30 Users Manual / Adobe Acrobat PDF (2659 kB)
RF EXPOSURE
2012-04-30 / 2012-04-30 RF Exposure Info / Adobe Acrobat PDF (206 kB)
RF EXPOSURE
2012-04-30 / 2012-04-30 RF Exposure Info / Adobe Acrobat PDF (206 kB)
LABEL COVER LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (37 kB)
EXTERNAL PHOTOS
2012-04-30 / 2012-04-30 External Photos / Adobe Acrobat PDF (125 kB)
BLOCK DIAGRAM
2012-04-30 / N/A Block Diagram / Adobe Acrobat PDF (33 kB)
INTERNAL PHOTOS
2012-04-30 / 2012-06-14 Internal Photos / Adobe Acrobat PDF (524 kB)
SCHEMATICS
2012-04-30 / N/A Schematics / Adobe Acrobat PDF (170 kB)
TEST SETUP PHOTOS
2012-04-30 / 2012-04-30 Test Setup Photos / Adobe Acrobat PDF (162 kB)
LABEL LOCATION
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (18 kB)
TEST REPORT
2012-04-30 / 2012-04-30 Test Report / Adobe Acrobat PDF (4699 kB)
CONFIDENTIAL REQUEST LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (43 kB)
ADHOC LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (34 kB)

APP # 2 (2012-04-30) Documents

TEST REPORT SRR
2012-04-30 / 2012-04-30 Test Report / Adobe Acrobat PDF (612 kB)
USERS MANUAL
2012-04-30 / 2012-04-30 Users Manual / Adobe Acrobat PDF (2659 kB)
OPERATIONAL DESCRIPTION
2012-04-30 / N/A Operational Description / Adobe Acrobat PDF (209 kB)
LABEL COVER LETTER
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (37 kB)
EXTERNAL PHOTOS
2012-04-30 / 2012-04-30 External Photos / Adobe Acrobat PDF (125 kB)
ADHOC LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (34 kB)
ADHOC LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (34 kB)
TEST SETUP PHOTOS
2012-04-30 / 2012-04-30 Test Setup Photos / Adobe Acrobat PDF (162 kB)
PARTS LIST
2012-04-30 / N/A Parts List/Tune Up Info / Adobe Acrobat PDF (73 kB)
LABEL SAMPLE
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (57 kB)
AUTHORIZATION LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (30 kB)
INTERNAL PHOTOS
2012-04-30 / 2012-06-14 Internal Photos / Adobe Acrobat PDF (524 kB)
AUTHORIZATION LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (30 kB)
USERS MANUAL
2012-04-30 / 2012-04-30 Users Manual / Adobe Acrobat PDF (2659 kB)
RF EXPOSURE
2012-04-30 / 2012-04-30 RF Exposure Info / Adobe Acrobat PDF (162 kB)
LABEL LOCATION
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (18 kB)
CONFIDENTIAL REQUEST LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (43 kB)
LABEL COVER LETTER
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (37 kB)
BLOCK DIAGRAM
2012-04-30 / N/A Block Diagram / Adobe Acrobat PDF (33 kB)
INTERNAL PHOTOS
2012-04-30 / 2012-06-14 Internal Photos / Adobe Acrobat PDF (524 kB)
SCHEMATICS
2012-04-30 / N/A Schematics / Adobe Acrobat PDF (170 kB)
RF EXPOSURE
2012-04-30 / 2012-04-30 RF Exposure Info / Adobe Acrobat PDF (162 kB)
COVER LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (28 kB)
LABEL LOCATION
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (18 kB)
CONFIDENTIAL REQUEST LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (43 kB)
TEST REPORT SRR
2012-04-30 / 2012-04-30 Test Report / Adobe Acrobat PDF (612 kB)
TEST REPORT
2012-04-30 / 2012-04-30 Test Report / Adobe Acrobat PDF (1311 kB)
TEST SETUP PHOTOS
2012-04-30 / 2012-04-30 Test Setup Photos / Adobe Acrobat PDF (162 kB)
LABEL SAMPLE
2012-04-30 / 2012-04-30 ID Label/Location Info / Adobe Acrobat PDF (57 kB)
EXTERNAL PHOTOS
2012-04-30 / 2012-04-30 External Photos / Adobe Acrobat PDF (125 kB)
COVER LETTER
2012-04-30 / 2012-04-30 Cover Letter(s) / Adobe Acrobat PDF (28 kB)
TEST REPORT
2012-04-30 / 2012-04-30 Test Report / Adobe Acrobat PDF (1311 kB)

Correspondence

All Correspondence

App #	Document	Date
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:23:40
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:24:58
2	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:23:14
2	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:24:32

APP # 1 (2012-04-30)

App #	Document	Type
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:23:40
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:24:58

APP # 2 (2012-04-30)

App #	Document	Type
2	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:23:14
2	[Re-Sent]Short-Term Confidential Expiration Email generated [Jun 6 2012]	2012-06-07 08:24:32

Grants

TCB Grant from App #1 (2012-04-30)

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

Timco Engineering, Inc.
849 NW State Road 45 <BR>P.O. Box 370,
Newberry, FL 32669

Date of Grant: 04/30/2012

Application Dated: 04/30/2012

Philips Medical Systems North America Co.

3000 Minuteman Road

Andover, MA 01810-1099

Attention: Delroy Smith , Principal Scientist / Project Leader

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:	PQC-MX40WLAN2

Name of Grantee:	Philips Medical Systems North America Co.

Equipment Class:	Unlicensed National Information Infrastructure TX
Notes:	INTELLIVUE MX40 WLAN2 PATIENT WORN DEVICE

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15E	5180.0 - 5320.0	0.02245
CC	15E	5500.0 - 5580.0	0.04604
CC	15E	5660.0 - 5700.0	0.04766
CC	15E	5745.0 - 5805.0	0.06655

Power listed is conducted. This device is restricted to indoor use only within the 5150-5250MHz band. This device is approved for operation in the Wireless Medical Telemetry Service. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-users must be provided with specific operating instructions for satisfying RF exposure compliance.

CC:	This device is certified pursuant to two different Part 15 rules sections.

EAS Grant from App #1 (2012-04-30)

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

Philips Medical Systems North America Co.
3000 Minuteman Road
Andover, MA 01810-1099
United States

Date of Grant: 04/30/2012

Application Dated: 04/30/2012

Attention: Delroy Smith , Principal Scientist / Project Leader

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:	PQC-MX40WLAN2

Name of Grantee:	Philips Medical Systems North America Co.

Equipment Class:	Unlicensed National Information Infrastructure TX
Notes:	INTELLIVUE MX40 WLAN2 PATIENT WORN DEVICE
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15E	5180.0 - 5320.0	0.02245
CC	15E	5500.0 - 5580.0	0.04604
CC	15E	5660.0 - 5700.0	0.04766
CC	15E	5745.0 - 5805.0	0.06655

CC:	This device is certified pursuant to two different Part 15 rules sections.

Mail To:

EA685231

TCB Grant from App #2 (2012-04-30)

TCB	GRANT OF EQUIPMENT AUTHORIZATION	TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

Timco Engineering, Inc.
849 NW State Road 45 <BR>P.O. Box 370,
Newberry, FL 32669

Date of Grant: 04/30/2012

Application Dated: 04/30/2012

Philips Medical Systems North America Co.

3000 Minuteman Road

Andover, MA 01810-1099

Attention: Delroy Smith , Principal Scientist / Project Leader

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:	PQC-MX40WLAN2

Name of Grantee:	Philips Medical Systems North America Co.

Equipment Class:	Digital Transmission System
Notes:	Intellivue MX40 WLAN2 Patient Worn Device

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15C	2412.0 - 2462.0	0.083
CC	15C	2405.0 - 2480.0	0.0006

Power listed is conducted. This device is approved for operation in the Wireless Medical Telemetry Service. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-users must be provided with specific operating instructions for satisfying RF exposure compliance.

CC:	This device is certified pursuant to two different Part 15 rules sections.

EAS Grant from App #2 (2012-04-30)

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

Philips Medical Systems North America Co.
3000 Minuteman Road
Andover, MA 01810-1099
United States

Date of Grant: 04/30/2012

Application Dated: 04/30/2012

Attention: Delroy Smith , Principal Scientist / Project Leader

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:	PQC-MX40WLAN2

Name of Grantee:	Philips Medical Systems North America Co.

Equipment Class:	Digital Transmission System
Notes:	Intellivue MX40 WLAN2 Patient Worn Device
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
CC	15C	2412.0 - 2462.0	0.083
CC	15C	2405.0 - 2480.0	0.0006

CC:	This device is certified pursuant to two different Part 15 rules sections.

Mail To:

EA577026

Applications for this FCC ID

Form App # 1 (2012-04-30)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Philips Medical Systems North America Co.
FCC Registration Number (FRN):	0004980637
Alphanumeric FCC ID:	PQCMX40WLAN2
Unique Application Identifier:	9e6o7XrBF17HdivE5eNNEQ==
Line one:	3000 Minuteman Road
City:	Andover
State:	Massachusetts
Country:	United States
Zip Code:	01810-1099

TCB Information

TCB Application Email Address:	TEI@TIMCOENGR.COM
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	PQC
Product Code:	-MX40WLAN2

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

Name:	Delroy Smith
Title:	Principal Scientist / Project Leader

Telephone Number:

+ 1 978 659 3382

Extension:

Fax Number:	1-978-685-5624
Email:	delroy.smith@philips.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?: Yes

If so, specify the short-term confidentiality release date (MM/DD/YYYY format): 06/14/2012
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: NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):	INTELLIVUE MX40 WLAN2 PATIENT WORN DEVICE

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? Yes

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: Compliance Worldwide, Inc.

First Name: Mark

Last Name: McSweeney

Telephone Number:

603-887-3903

Extension:

Fax Number: 603 887 6445

E-mail: mark@complianceworldwide.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is conducted. This device is restricted to indoor use only within the 5150-5250MHz band. This device is approved for operation in the Wireless Medical Telemetry Service. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-users must be provided with specific operating instructions for satisfying RF exposure compliance.

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: LARRY STILLINGS

Title of authorized signature: PRESIDENT

Form App # 2 (2012-04-30)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Philips Medical Systems North America Co.
FCC Registration Number (FRN):	0004980637
Alphanumeric FCC ID:	PQCMX40WLAN2
Unique Application Identifier:	cnyqPXCUyAiTPTasXHRA9A==
Line one:	3000 Minuteman Road
City:	Andover
State:	Massachusetts
Country:	United States
Zip Code:	01810-1099

TCB Information

TCB Application Email Address:	TEI@TIMCOENGR.COM
TCB Scope:	A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID

Grantee Code:	PQC
Product Code:	-MX40WLAN2

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

Name:	Delroy Smith
Title:	Principal Scientist / Project Leader

Telephone Number:

+ 1 978 659 3382

Extension:

Fax Number:	1-978-685-5624
Email:	delroy.smith@philips.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?: Yes

If so, specify the short-term confidentiality release date (MM/DD/YYYY format): 06/14/2012
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):	Intellivue MX40 WLAN2 Patient Worn Device

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? Yes

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: Compliance Worldwide, Inc.

First Name: Larry

Last Name: Stillings

Telephone Number:

603-887-3903

Extension:

201

Fax Number: 603-887-6445

E-mail: LStillings@cw-inc.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power listed is conducted. This device is approved for operation in the Wireless Medical Telemetry Service. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter except in accordance with FCC multi-transmitter product procedures. End-users must be provided with specific operating instructions for satisfying RF exposure compliance.

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

SECTION 5301 (ANTI-DRUG ABUSE) CERTIFICATION:

Does the applicant or authorized agent so certify? Yes

Applicant/Agent Certification:

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.

Signature of Authorized Person Filing: LARRY STILLINGS

Title of authorized signature: PRESIDENT

FCC ID PQC-MX40WLAN2

PQCMX40WLAN2, PQC MX40WLAN2, PQC-MX40WLAN2, PQC-MX4OWLAN2, POC-MX40WLAN2, P0C-MX40WLAN2

Philips Medical Systems North America Co. INTELLIVUE MX40 WLAN2 PATIENT WORN DEVICE

Philips Medical Systems North America Co.

Approved Operating Frequencies

Exhibits

All Available Documents

APP # 1 (2012-04-30) Documents

APP # 2 (2012-04-30) Documents

Correspondence

All Correspondence

APP # 1 (2012-04-30)

APP # 2 (2012-04-30)

Grants

TCB Grant from App #1 (2012-04-30)

EAS Grant from App #1 (2012-04-30)

TCB Grant from App #2 (2012-04-30)

EAS Grant from App #2 (2012-04-30)

Applications for this FCC ID

Form App # 1 (2012-04-30)

Form App # 2 (2012-04-30)

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