FCC ID RBV-029
Omnipod 5
by Insulet Corporation
Grantee Code: RBV Product Code: 029
Latest application date: 2021-02-10
FCC ID Device Details
| FCC ID | RBV-029 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | RBV |
| Product Code | 029 |
| Applicant Business | Insulet Corporation 🇺🇸 |
| Related Domains |  insulet.com |
| Equipment Class | Omnipod 5 |
| Test Firm | Washington Laboratories, Ltd. |
Linked Records
Barcode records decoded from published FCC label exhibits or linked by an explicit FCC ID reference on a product page.
| UPC / GTIN | Linked product |
|---|---|
| 10385083000114 GTIN-14 | Insulet Corporation Omnipod 5 Pods. Includes the below Model/REF Numbers: 1. POD-OMNI-I1-6720. 2. POD-OMNI-I1-6220. 3. OMNI-I1-6729 (10-Pack), OMNI-I1-6720 (Single Pod). 4. OMNI-I1-6220. 5. OMNI-I1-6720. 6. BLE-H1-529 (10-Pack), BLE-H1-520 (Single Pod). 1. Model/REF Number: POD-OMNI-I1-6720. Pack UDI-DI: 20385083000579. Single Pod UDI-DI: 10385083000527. Lot Numbers: PH1U01032521, PH1U01102521, PH1U12102421, PH1U12172421, PH1U11212421, PH1U1 Brand: Insulet Corporation · Model: 029 · SKU: 1. Model/REF Number: POD-OMNI-I1-6720. Pack UDI-DI: 20385083000579. Single Pod UDI-DI: 10385083000527. Lot Numbers: PH1U01032521, PH1U01102521, PH1U12102421, PH1U12172421, PH1U11212421, PH1U1 Source: FCC label |
| 10385083000138 GTIN-14 | Omnipod 5 029 Brand: Insulet Corporation · Model: 029 Source: FCC label |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2402-2480 MHz | Original Equipment | 2021-02-10 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| User Manual | Users Manual | 2021-08-10 | PDF 3 MB |
| Internal Photos | Internal Photos | 2021-08-10 | PDF 1.5 MB |
| External Photos | External Photos | 2021-02-10 | PDF 1.2 MB |
| Label and Location | ID Label/Location Info | 2021-02-10 | PDF 1.2 MB |
| Test Setup Photos | Test Setup Photos | 2021-02-10 | PDF 764.2 KB |
| Test Report | Test Report | 2021-02-10 | PDF 2.1 MB |
| Agent Authorization | Cover Letter(s) | 2021-02-10 | PDF 207 KB |
| Confidentiality Letter | Cover Letter(s) | 2021-02-10 | PDF 385.5 KB |
| MPE Report | RF Exposure Info | 2021-02-10 | PDF 144.2 KB |
| Block Diagram Metadata only | Block Diagram | PDF 231.8 KB | |
| Schematics Metadata only | Schematics | PDF 598.1 KB | |
| Operational Description Metadata only | Operational Description | PDF 133.1 KB | |
| BOM Metadata only | Parts List/Tune Up Info | PDF 644.1 KB |
Application Information
| Application ID | 5/15ZH/A4v0FkKhuzQ+j4w== |
|---|---|
| Final Action Date | 2021-02-10 |
| Application Purpose | Original Equipment |
| Applicant FRN | 0007720857 |
| Model | 029 |
| Frequency Range | 2402-2480 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | Omnipod 5 |
| Responsible Party | Chuck Vadala, Sr Director, Systems Engineering, cvadala@insulet.com , 978-600-7639 |
| Test Firm | Steve Koster, Washington Laboratories, Ltd., stevek@wll.com  , 301-216-1500 |
| TCB Email | hotline@acbcert.com  |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | Yes |
| Short-Term Confidentiality Date | 08/10/2021 |
| Long-Term Confidentiality | Yes |
| Grant Deferral | No |
| Modular Equipment | Does not apply |
| Composite Device | No |
| Composite Part | No |
| Cognitive Radio | No |
| Authorization Waiver | No |
| Authorization Waiver Approved | No |
| Section 5301 Certification | Yes |
| Related OET Knowledge DataBase Inquiry | No |
| Grant Comments | Output power is conducted. This device meets the SAR exemption threshold listed in KDB447498 and is authorized for portable or mobile operation. Installers and end-users must be provided with transmitter installation and operation conditions for satisfying RF exposure compliance. The antenna(s) used for this transmitter must not transmit simultaneously with any other antenna or transmitter, except in accordance with FCC multi- transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures and RF exposure compliance. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| 5/15ZH/A4v0FkKhuzQ+j4w== | 2021-02-10 | Original Equipment |
Equipment Authorization
| Frequency | Output | Rules |
|---|---|---|
| 2402-2480 MHz | 0.0019000 | 15C |
Grants
TCB Grant - Application 5/15ZH/A4v0FkKhuzQ+j4w==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
ACB, Inc. 6731 Whittier Avenue Suite C110 McLean, VA 22101 |
Date of Grant: 02/10/2021 Application Dated: 02/10/2021 |
| Insulet Corporation |
| 600 Technology Park Drive |
| Suite 200 |
| Billerica, MA 01821-4150 |
| Attention: Chuck Vadala , Sr Director, Systems Engineering |
| 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: | RBV-029 |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.0019 |
| Output power is conducted. This device meets the SAR exemption threshold listed in KDB447498 and is authorized for portable or mobile operation. Installers and end-users must be provided with transmitter installation and operation conditions for satisfying RF exposure compliance. The antenna(s) used for this transmitter must not transmit simultaneously with any other antenna or transmitter, except in accordance with FCC multi- transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures and RF exposure compliance. |
EAS Grant - Application 5/15ZH/A4v0FkKhuzQ+j4w==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
Insulet Corporation 600 Technology Park Drive Suite 200 Billerica, MA 01821-4150 United States |
Date of Grant: 02/10/2021 Application Dated: 02/10/2021 |
| Attention: Chuck Vadala , Sr Director, Systems Engineering |
| 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: | RBV-029 |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.0019 |
| Output power is conducted. This device meets the SAR exemption threshold listed in KDB447498 and is authorized for portable or mobile operation. Installers and end-users must be provided with transmitter installation and operation conditions for satisfying RF exposure compliance. The antenna(s) used for this transmitter must not transmit simultaneously with any other antenna or transmitter, except in accordance with FCC multi- transmitter product procedures. Grantee must provide installation and operating instructions for complying with FCC multi-transmitter product procedures and RF exposure compliance. |
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