FCC ID Q4D-SC1132

Q4DSC1132, Q4D SC1132, Q4D-SC1132, Q4D-SCII32, Q4D-5C1132, O4D-SC1132, 04D-SC1132

Boston Scientific Neuromodulation Corporation SC-1132, SC-1140, DB-1140 SC1132

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: Q4D-SC1132 is Q4D. The remaining characters of the FCC ID, -SC1132, 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: SC-1132, SC-1140, DB-1140

App # Purpose Date Unique ID
1 Original Equipment 2012-07-25 NyuTnYyC3tlfty6vCet7sQ==
2 Class II Permissive Change 2016-08-05 kF2RP2WN16EAiNnXB/v/aA==

Operating Frequencies

Frequency RangeRule PartsGrant Notes App #
125 kHz Radio-Frequency Identification15CIT 1.1
125 kHz Radio-Frequency Identification15CIT 2.1

Exhibits

Available Exhibits

App #Document Type Submitted
Available
2 Test setup photosTest Setup Photos
Adobe Acrobat PDF (489 kB)
2016-08-05
2016-08-05
2 Test ReportTest Report
Adobe Acrobat PDF (393 kB)
2016-08-05
2016-08-05
2 Internal PhotosInternal Photos
Adobe Acrobat PDF (612 kB)
2016-08-05
2017-02-01
2 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (195 kB)
2016-08-05
2016-08-05
2 External PhotosExternal Photos
Adobe Acrobat PDF (1242 kB)
2016-08-05
2017-02-01
2 Cover letterCover Letter(s)
Adobe Acrobat PDF (393 kB)
2016-08-05
2016-08-05
1 Additional User Manual 3Users Manual
Adobe Acrobat PDF (236 kB)
2012-07-19
2012-12-09
1 Additional User Manual 2Users Manual
Adobe Acrobat PDF (214 kB)
2012-07-19
2012-12-09
1 Additional User Manual 1Users Manual
Adobe Acrobat PDF (21 kB)
2012-07-19
2012-12-09
1 Updated Test Setup Photos exhibitTest Setup Photos
Adobe Acrobat PDF (347 kB)
2012-07-13
2012-12-09
1 Agent Authorization letterCover Letter(s)
Adobe Acrobat PDF (356 kB)
2012-06-28
2012-07-25
1 Response to request for signed cover letterCover Letter(s)
Adobe Acrobat PDF (271 kB)
2012-06-27
2012-07-25
1 Cover letter requesting exhibit to be superceded 6-19-12Cover Letter(s)
Adobe Acrobat PDF (6 kB)
2012-06-19
2012-07-25
1 Updated Test Report 6-19-12Test Report
Adobe Acrobat PDF (211 kB)
2012-06-19
2012-07-25
1 Request for confidentialityCover Letter(s)
Adobe Acrobat PDF (337 kB)
2012-06-12
2012-07-25
1 User Manual 3Users Manual
Adobe Acrobat PDF (214 kB)
2012-06-12
2012-12-09
1 User Manual 2Users Manual
Adobe Acrobat PDF (513 kB)
2012-06-12
2012-12-09
1 User Manual 1Users Manual
Adobe Acrobat PDF (21 kB)
2012-06-12
2012-12-09
1 Internal PhotosInternal Photos
Adobe Acrobat PDF (820 kB)
2012-06-12
2012-12-09
1 ID LabelID Label/Location Info
Adobe Acrobat PDF (437 kB)
2012-06-12
2012-07-25
1 External PhotosExternal Photos
Adobe Acrobat PDF (2677 kB)
2012-06-12
2012-12-09
1 Cover letterCover Letter(s)
Adobe Acrobat PDF (478 kB)
2012-06-12
2012-07-25

APP # 2 (2016-08-05)

App # Document Type Submitted
Available
2 Test setup photos Test Setup Photos
Adobe Acrobat PDF (489 kB)
2016-08-05 00:00:00
2016-08-05 00:00:00
2 Test Report Test Report
Adobe Acrobat PDF (393 kB)
2016-08-05 00:00:00
2016-08-05 00:00:00
2 Internal Photos Internal Photos
Adobe Acrobat PDF (612 kB)
2016-08-05 00:00:00
2017-02-01 00:00:00
2 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (195 kB)
2016-08-05 00:00:00
2016-08-05 00:00:00
2 External Photos External Photos
Adobe Acrobat PDF (1242 kB)
2016-08-05 00:00:00
2017-02-01 00:00:00
2 Cover letter Cover Letter(s)
Adobe Acrobat PDF (393 kB)
2016-08-05 00:00:00
2016-08-05 00:00:00

APP # 1 (2012-07-25)

App # Document Type Submitted
Available
1 Additional User Manual 3 Users Manual
Adobe Acrobat PDF (236 kB)
2012-07-19 00:00:00
2012-12-09 00:00:00
1 Additional User Manual 2 Users Manual
Adobe Acrobat PDF (214 kB)
2012-07-19 00:00:00
2012-12-09 00:00:00
1 Additional User Manual 1 Users Manual
Adobe Acrobat PDF (21 kB)
2012-07-19 00:00:00
2012-12-09 00:00:00
1 Updated Test Setup Photos exhibit Test Setup Photos
Adobe Acrobat PDF (347 kB)
2012-07-13 00:00:00
2012-12-09 00:00:00
1 Agent Authorization letter Cover Letter(s)
Adobe Acrobat PDF (356 kB)
2012-06-28 00:00:00
2012-07-25 00:00:00
1 Response to request for signed cover letter Cover Letter(s)
Adobe Acrobat PDF (271 kB)
2012-06-27 00:00:00
2012-07-25 00:00:00
1 Cover letter requesting exhibit to be superceded 6-19-12 Cover Letter(s)
Adobe Acrobat PDF (6 kB)
2012-06-19 00:00:00
2012-07-25 00:00:00
1 Updated Test Report 6-19-12 Test Report
Adobe Acrobat PDF (211 kB)
2012-06-19 00:00:00
2012-07-25 00:00:00
1 Request for confidentiality Cover Letter(s)
Adobe Acrobat PDF (337 kB)
2012-06-12 00:00:00
2012-07-25 00:00:00
1 User Manual 3 Users Manual
Adobe Acrobat PDF (214 kB)
2012-06-12 00:00:00
2012-12-09 00:00:00
1 User Manual 2 Users Manual
Adobe Acrobat PDF (513 kB)
2012-06-12 00:00:00
2012-12-09 00:00:00
1 User Manual 1 Users Manual
Adobe Acrobat PDF (21 kB)
2012-06-12 00:00:00
2012-12-09 00:00:00
1 Internal Photos Internal Photos
Adobe Acrobat PDF (820 kB)
2012-06-12 00:00:00
2012-12-09 00:00:00
1 ID Label ID Label/Location Info
Adobe Acrobat PDF (437 kB)
2012-06-12 00:00:00
2012-07-25 00:00:00
1 External Photos External Photos
Adobe Acrobat PDF (2677 kB)
2012-06-12 00:00:00
2012-12-09 00:00:00
1 Cover letter Cover Letter(s)
Adobe Acrobat PDF (478 kB)
2012-06-12 00:00:00
2012-07-25 00:00:00
1 Operational Description Operational Description
Adobe Acrobat PDF (108 kB)
2012-06-12 00:00:00
N/A
1 Supplemental Operational Description Information (CONFIDENTIAL) Operational Description
Adobe Acrobat PDF (388 kB)
2012-07-25 00:00:00
N/A
1 Frequency Block Diagram Block Diagram
Adobe Acrobat PDF (10 kB)
2012-06-12 00:00:00
N/A
1 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (733 kB)
2012-06-12 00:00:00
2012-12-09 00:00:00

APP # 2 (2016-08-05)

App # Document Type Submitted
Available
2 operational description Operational Description
Adobe Acrobat PDF (179 kB)
2016-08-05 00:00:00
N/A
2 Schematics Schematics
Adobe Acrobat PDF (39 kB)
2016-08-05 00:00:00
N/A

APP # 1 (2012-07-25)

App # Document Type Submitted
Available
1 Schematics Schematics
Adobe Acrobat PDF (162 kB)
2012-06-12 00:00:00
N/A
1 Test Report Test Report
Adobe Acrobat PDF (328 kB)
2012-06-12 00:00:00
2012-07-25 00:00:00

Correspondence

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Boston Scientific Neuromodulation Corporation
FCC Registration Number (FRN): 0008832529
Alphanumeric FCC ID: Q4DSC1132
Unique Application Identifier: NyuTnYyC3tlfty6vCet7sQ==
Line one: 25155 Rye Canyon Loop
City: Valencia
State: California
Country: United States
Zip Code: 91355

TCB Information

FCC ID
Grantee Code: Q4D
Product Code: -SC1132

Person at the applicant's address to receive grant or for contact
Name: Kaoru Adair
Title: Vice President, Regulatory Affairs
Telephone Number: 661-949-4481 Extension:
Fax Number: 661-949-4843
Email: kay.adair@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?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   12/09/2012
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:   DCD - Part 15 Low Power Transmitter Below 1705 kHz
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): SC-1132

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?   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: 1110
Fax Number:  503-844-3826
E-mail:  gkiemel@nwemc.com

Grant Comments
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:  Kaoru Lee Adair
Title of authorized signature:  VP, Clinical and Regulatory Affairs

Complete items below if agent signs the application:

Firm Name:  Fish and Richardson P.C.
Name:  Joseph Joseph Joseph
Line 1:  Joseph
Line 2:  Joseph
P.O. Box:  Joseph
City:  Joseph
State:  Joseph
Country:  Joseph
Zip Code:  Joseph
Telephone Number:  202 626 7730
E-mail:  j.taylor@fr.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Boston Scientific Neuromodulation Corporation
FCC Registration Number (FRN): 0008832529
Alphanumeric FCC ID: Q4DSC1132
Unique Application Identifier: kF2RP2WN16EAiNnXB/v/aA==
Line one: 25155 Rye Canyon Loop
City: Valencia
State: California
Country: United States
Zip Code: 91355

TCB Information
TCB Application Email Address: gkiemel@nwemc.com
TCB Scope: A1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices

FCC ID
Grantee Code: Q4D
Product Code: -SC1132

Person at the applicant's address to receive grant or for contact
Name: Kaoru Adair
Title: Vice President, Regulatory Affairs
Telephone Number: 661-949-4481 Extension:
Fax Number: 661-949-4843
Email: kay.adair@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?:   Yes
If so, specify the short-term confidentiality release date (MM/DD/YYYY format):   02/01/2017
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:   DCD - Part 15 Low Power Transmitter Below 1705 kHz
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): SC-1132, SC-1140, DB-1140

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: 1110
Fax Number:  503-844-3826
E-mail:  gkiemel@nwemc.com

Grant Comments
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:  Kaoru Lee Adair
Title of authorized signature:  VP, Clinical and Regulatory Affairs

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

Grants

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: 08/05/2016

Application Dated: 08/05/2016
Boston Scientific Neuromodulation Corporation
25155 Rye Canyon Loop
Valencia, CA 91355
 
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-SC1132
Name of Grantee:  Boston Scientific Neuromodulation Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: SC-1132, SC-1140, DB-1140
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
IT 15C 0.125  -  0.125  


IT: Implanted Transmitter
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: 08/05/2016

Application Dated: 08/05/2016
 
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-SC1132
Name of Grantee:  Boston Scientific Neuromodulation Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: SC-1132, SC-1140, DB-1140
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
IT 15C 0.125  -  0.125  


IT: Implanted Transmitter

Mail To:


EA626527
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: 07/25/2012

Application Dated: 06/12/2012
 
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-SC1132
Name of Grantee:  Boston Scientific Neuromodulation Corporation
Equipment Class: Part 15 Low Power Transmitter Below 1705 kHz
Notes: SC-1132
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
IT 15C 0.125  -  0.125  


IT: Implanted Transmitter

Mail To:


EA604266

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