FCC ID Q4DPSC5110W
Precision SCS System External Trial Stimulator
by Boston Scientific Neuromodulation Corporation
Grantee Code: Q4D Product Code: PSC5110W
Latest application date: 2004-12-13
FCC ID Device Details
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 0.125 MHz | Original Equipment | 2004-12-13 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| Lead Manual | Users Manual | 2004-12-13 | PDF 3.3 MB |
| Patient Handbook | Users Manual | 2004-12-13 | PDF 2.2 MB |
| Patient Trial Guide | Users Manual | 2004-12-13 | PDF 2.1 MB |
| Physician Implant Manual | Users Manual | 2004-12-13 | PDF 2.4 MB |
| Physician Trial Kit Insert | Users Manual | 2004-12-13 | PDF 1.2 MB |
| ETS PCB Bottom View | Internal Photos | 2004-12-13 | PDF 339 KB |
| ETS PCB Top View | Internal Photos | 2004-12-13 | PDF 391.3 KB |
| ETS Bottom View | External Photos | 2004-12-13 | PDF 250.6 KB |
| ETS Top View | External Photos | 2004-12-13 | PDF 217.6 KB |
| ETS Label | ID Label/Location Info | 2004-12-13 | PDF 243 KB |
| Location of Operational Description | Operational Description | 2004-12-13 | PDF 23.5 KB |
| Location of Test Setup Photos | Test Setup Photos | 2004-12-13 | PDF 23.5 KB |
| 30 MHz Loop Test | Test Report | 2004-12-13 | PDF 423.2 KB |
| TUV Test Report | Test Report | 2004-12-13 | PDF 1.3 MB |
| Confidentiality request | Cover Letter(s) | 2004-12-13 | PDF 21 KB |
| Cover Letter | Cover Letter(s) | 2004-12-13 | PDF 52.1 KB |
| FCC ID response | Cover Letter(s) | 2004-12-13 | PDF 19.6 KB |
| ETS Block Diagram Metadata only | Block Diagram | PDF 48.5 KB | |
| ETS Schematic Metadata only | Schematics | PDF 593.9 KB |
Application Information
| Application ID | 8ZSfaDlmccc61Oq4+3ja9Q== |
|---|---|
| Final Action Date | 2004-12-13 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0027582329 |
| Model | PSC5110W |
| Frequency Range | 0.125 MHz |
| Equipment Class | DCD - Part 15 Low Power Transmitter Below 1705 kHz |
| Device Description | Precision SCS System External Trial Stimulator |
| Responsible Party | Kaoru Adair, Vice President, Regulatory Affairs, kay.adair@bsci.com |
| Test Firm | Jim Owen, TUV America Inc., jowen@TUVam.com |
| Short-Term Confidentiality | No |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | No |
| Composite Part | Yes |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| 8ZSfaDlmccc61Oq4+3ja9Q== | 2004-12-13 | Original Equipment |
Equipment Authorization
| Frequency | Rules |
|---|---|
| 0.125 MHz | 15C |
Grants
TCB Grant - Application 8ZSfaDlmccc61Oq4+3ja9Q==
This application does not exist.
EAS Grant - Application 8ZSfaDlmccc61Oq4+3ja9Q==
| 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: | Q4DPSC5110W |
| Name of Grantee: | Boston Scientific Neuromodulation Corporation |
| Equipment Class: | Part 15 Low Power Transmitter Below 1705 kHz |
| Notes: | Precision SCS System External Trial Stimulator |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 0.125 - 0.125 |
| Mail To: |