1. FCC ID
  2. Q4D
  3. Q4D-PSC1110W

FCC ID Q4D-PSC1110W

Precision SCS System Implantable Pulse Generator

by Boston Scientific Neuromodulation Corporation

Grantee Code: Q4D   Product Code: PSC1110W
Latest application date: 2004-12-13

FCC ID Device Details

FCC IDQ4D-PSC1110W
Mirrorsfcc.id | gov | fccid.ai
Grantee CodeQ4D
Product CodePSC1110W
Applicant BusinessBoston Scientific Neuromodulation Corporation 🇺🇸
Related Domains bsci.com
Equipment ClassPrecision SCS System Implantable Pulse Generator
Test FirmTUV America Inc.

Operating Frequencies

Frequency RangeApplication PurposeFinal Action Date
0.125 MHzOriginal Equipment2004-12-13

Exhibits

DocumentTypeAvailableFile
Lead ManualUsers Manual2004-12-13PDF 3.3 MB
Patient HandbookUsers Manual2004-12-13PDF 2.2 MB
Patient Trial GuideUsers Manual2004-12-13PDF 2.1 MB
Physician Trial Kit InsertUsers Manual2004-12-13PDF 1.2 MB
Physicians Implant ManualUsers Manual2004-12-13PDF 2.4 MB
IPG PCB Bottom ViewInternal Photos2004-12-13PDF 472.7 KB
IPG PCB Top ViewInternal Photos2004-12-13PDF 426.4 KB
IPG Bottom ViewExternal Photos2004-12-13PDF 260.4 KB
IPG Top ViewExternal Photos2004-12-13PDF 298.1 KB
IPG LabelID Label/Location Info2004-12-13PDF 22.9 KB
Location of Operational DescriptionOperational Description2004-12-13PDF 23.5 KB
Location of Test Setup PhotosTest Setup Photos2004-12-13PDF 23.5 KB
30 MHz Loop testingTest Report2004-12-13PDF 423.2 KB
TUV Test ReportTest Report2004-12-13PDF 1.3 MB
Confidentiality requestCover Letter(s)2004-12-13PDF 21.3 KB
Cover LetterCover Letter(s)2004-12-13PDF 53.7 KB
Response to 1st emailCover Letter(s)2004-12-13PDF 20.3 KB
Block Diagram Metadata onlyBlock DiagramPDF 50 KB
IPG Schematic Metadata onlySchematicsPDF 607.2 KB

Application Information

Application ID/W2wA1poK2Oj4CR5WWfvDA==
Final Action Date2004-12-13
Application PurposeOriginal Equipment
Applicant FRN0027582329
ModelPSC1110W
Frequency Range0.125 MHz
Equipment ClassDCD - Part 15 Low Power Transmitter Below 1705 kHz
Device DescriptionPrecision SCS System Implantable Pulse Generator
Responsible PartyKaoru Adair, Vice President, Regulatory Affairs, kay.adair@bsci.com , 661-949-4481
Test FirmJim Owen, TUV America Inc., jowen@TUVam.com , 8586781435
Short-Term ConfidentialityNo
Long-Term ConfidentialityYes
Grant DeferralNo
Modular EquipmentDoes not apply
Composite DeviceNo
Composite PartYes
Cognitive RadioNo
Authorization WaiverNo
Authorization Waiver ApprovedNo
Section 5301 CertificationYes
Related OET Knowledge DataBase InquiryNo

Applications

Application IDDatePurpose
/W2wA1poK2Oj4CR5WWfvDA==2004-12-13Original Equipment

Equipment Authorization

FrequencyRules
0.125 MHz15C

Grants

TCB Grant - Application /W2wA1poK2Oj4CR5WWfvDA==

This application does not exist.

EAS Grant - Application /W2wA1poK2Oj4CR5WWfvDA==

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION		 COPY
Certification

Boston Scientific Neuromodulation Corporation
25155 Rye Canyon Loop
Valencia, CA 91355
United States 		  Date of Grant: 12/13/2004

Application Dated: 08/26/2004
 
Attention: Kaoru Adair , Vice President, 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:  Q4D-PSC1110W
Name of Grantee:  Boston Scientific Neuromodulation Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: Precision SCS System Implantable Pulse Generator
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ) 		Output
Watts 		Frequency
Tolerance 		Emission
Designator
15C 0.125  -  0.125  



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