FCC ID Q4D-SC1232

Q4DSC1232, Q4D SC1232, Q4D-SC1232, Q4D-SCI232, Q4D-5C1232, O4D-SC1232, 04D-SC1232

Boston Scientific Neuromodulation Corporation DB-1232, DB-1216, SC-1232, SC-1216 SC1232

WaveWriter Alpha Implantable Pulse Generator KIT SC-1232

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-SC1232 is Q4D. The remaining characters of the FCC ID, -SC1232, 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: DB-1232, DB-1216, SC-1232, SC-1216

Application: DB-1232, DB-1216, SC-1232, SC-1216
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/Q4D-SC1232
Sources: FCC.gov | FCC.report
Registered By: Boston Scientific Neuromodulation Corporation - Q4D (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2020-04-28	UNFHblIj7pR3j5/jt2yqNw==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	Grant Notes	Line Entry
2.402-2.48 GHz	1.9 mW	15C	IT	1

Exhibits

Document	Type	Submitted Available
User Manual	Users Manual Adobe Acrobat PDF (807 kB)	2020-04-28 2020-10-25
Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (638 kB)	2020-04-28 2020-10-25
Test Report	Test Report Adobe Acrobat PDF (3118 kB)	2020-04-28 2020-04-28
RF exposure	RF Exposure Info Adobe Acrobat PDF (1071 kB)	2020-04-28 2020-04-28
ID Label	ID Label/Location Info Adobe Acrobat PDF (334 kB)	2020-04-28 2020-04-28
Request for Confidentiality	Cover Letter(s) Adobe Acrobat PDF (260 kB)	2020-04-28 2020-04-28
External Photos	External Photos Adobe Acrobat PDF (917 kB)	2020-04-28 2020-10-25
Cover Letter	Cover Letter(s) Adobe Acrobat PDF (225 kB)	2020-04-28 2020-04-28
Antenna Info	Operational Description Adobe Acrobat PDF (56 kB)	2020-04-28 2020-04-28
Frequency Block Diagram	Block Diagram Adobe Acrobat PDF (82 kB)	2020-04-28
Internal Photos	Internal Photos Adobe Acrobat PDF (455 kB)	2020-04-28
Schematics	Schematics Adobe Acrobat PDF (22 kB)	2020-04-28
Operational Description	Operational Description Adobe Acrobat PDF (102 kB)	2020-04-28

Application Forms

1 (2020-04-28)

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):	0027582329
Alphanumeric FCC ID:	Q4DSC1232
Unique Application Identifier:	UNFHblIj7pR3j5/jt2yqNw==
Line one:	25155 Rye Canyon Loop
City:	Valencia
State:	California
Country:	United States
Zip Code:	91355

TCB Information

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

FCC ID

Grantee Code:	Q4D
Product Code:	-SC1232

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): 10/25/2020
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):	DB-1232, DB-1216, SC-1232, SC-1216

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: Element Materials Technology Irvine

First Name: Renee

Last Name: Walker

Telephone Number:

503-844-4066

Extension:

Fax Number: 503-648-3826

E-mail: renee.walker@element.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power listed is conducted. The antenna(s) used for the transmitter must not be collocated or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product procedures.

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

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

Element Materials Technology Portland - Evergreen
6775 NE Evergreen Parkway, Suite 400
Hillsboro, OR 97124

Date of Grant: 04/28/2020

Application Dated: 04/28/2020

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-SC1232

Name of Grantee:	Boston Scientific Neuromodulation Corporation

Equipment Class:	Digital Transmission System
Notes:	DB-1232, DB-1216, SC-1232, SC-1216

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
IT	15C	2402.0 - 2480.0	0.0019

Output power listed is conducted. The antenna(s) used for the transmitter must not be collocated or operating in conjunction with any other antenna or transmitter, except in accordance with FCC multi-transmitter product procedures.

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