FCC ID RBV-029C
Omnipod 5 Pod
by Insulet Corporation
Grantee Code: RBV Product Code: 029C
Latest application date: 2024-01-31
FCC ID Device Details
| FCC ID | RBV-029C |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | RBV |
| Product Code | 029C |
| Applicant Business | Insulet Corporation 🇺🇸 |
| Related Domains |  insulet.com |
| Equipment Class | Omnipod 5 Pod |
| Test Firm | Intertek Testing Services NA Inc. |
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: 029C · 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 |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2402-2480 MHz | Class II permissive change or modification of presently authorized equipment | 2024-01-31 |
| 2402-2480 MHz | Class II permissive change or modification of presently authorized equipment | 2022-06-10 |
| 2402-2480 MHz | Original Equipment | 2022-05-13 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| MANUAL | Users Manual | 2024-01-31 | PDF 5.2 MB |
| MANUAL PART 1 | Users Manual | 2022-06-10 | PDF 2.2 MB |
| MANUAL PART 2 | Users Manual | 2022-06-10 | PDF 4.4 MB |
| MANUAL PART 3 | Users Manual | 2022-06-10 | PDF 3.4 MB |
| MANUAL PART 4 | Users Manual | 2022-06-10 | PDF 4.4 MB |
| MANUAL PART 5 | Users Manual | 2022-06-10 | PDF 3.8 MB |
| MANUAL PART 6 | Users Manual | 2022-06-10 | PDF 4.7 MB |
| MANUAL PART 7 | Users Manual | 2022-06-10 | PDF 5.1 MB |
| MANUAL PART 8 | Users Manual | 2022-06-10 | PDF 5.2 MB |
| MANUAL PART 9 | Users Manual | 2022-05-13 | PDF 957.3 KB |
| INTERNAL PHOTOS | Internal Photos | 2024-01-31 | PDF 4.7 MB |
| INTERNAL PHOTOS | Internal Photos | 2022-05-13 | PDF 2.6 MB |
| EXTERNAL PHOTO | External Photos | 2022-06-10 | PDF 2.6 MB |
| LABEL | ID Label/Location Info | 2022-06-10 | PDF 450.8 KB |
| LABEL | ID Label/Location Info | 2022-05-13 | PDF 1.6 MB |
| TEST SETUP PHOTOS | Test Setup Photos | 2024-01-31 | PDF 2 MB |
| TEST SETUP PHOTOS | Test Setup Photos | 2022-05-13 | PDF 1.5 MB |
| TEST REPORT | Test Report | 2024-01-31 | PDF 5.6 MB |
| TEST REPORT | Test Report | 2022-05-13 | PDF 2.7 MB |
| COVERED LIST ATTESTATION | Attestation Statements | 2024-01-31 | PDF 334.8 KB |
| US AGENT Metadata only | Attestation Statements | 2024-01-31 | PDF 338.8 KB |
| US Agent | Attestation Statements | 2024-01-31 | PDF 342 KB |
| CONFIDENTIALITY REQUEST | Cover Letter(s) | 2024-01-31 | PDF 680 KB |
| LETTER OF AGENCY | Cover Letter(s) | 2024-01-31 | PDF 627.5 KB |
| C2PC Request Letter | Cover Letter(s) | 2022-06-10 | PDF 113.9 KB |
| AGENT AUTHORIZATION | Cover Letter(s) | 2022-05-13 | PDF 113.4 KB |
| CONFIDENTIALITY REQUEST | Cover Letter(s) | 2022-05-13 | PDF 123.6 KB |
| RF EXPOSURE | RF Exposure Info | 2024-01-31 | PDF 357.4 KB |
| RF EXHIBIT | RF Exposure Info | 2022-05-13 | PDF 1.2 MB |
| BLOCK DIAGRAM Metadata only | Block Diagram | PDF 533.2 KB | |
| BLOCK DIAGRAM Metadata only | Block Diagram | PDF 251.2 KB | |
| SCHEMATICS Metadata only | Schematics | PDF 306.5 KB | |
| SCHEMATICS Metadata only | Schematics | PDF 129.2 KB | |
| OPERATIONAL DESCRIPTION Metadata only | Operational Description | PDF 97.9 KB |
Application Information
| Application ID | HnsLLEqAVP9+jUF/vfjHtw== |
|---|---|
| Final Action Date | 2024-01-31 |
| Application Purpose | Class II permissive change or modification of presently authorized equipment |
| Applicant FRN | 0027827682 |
| Model | 029C |
| Frequency Range | 2402-2480 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | Omnipod 5 Pod |
| Responsible Party | Chuck Vadala, Sr Director, Systems Engineering, cvadala@insulet.com , 978-600-7639 |
| Test Firm | Yaqing Liu, Intertek Testing Services NA Inc., yaqing.liu@intertek.com  , 978 635 8662 |
| TCB Email | tcb_admin@intertek.com |
| TCB Scope | A4: UNII devices & low power transmitters using spread spectrum techniques |
| Short-Term Confidentiality | No |
| 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 |
|---|---|---|
| HnsLLEqAVP9+jUF/vfjHtw== | 2024-01-31 | Class II permissive change or modification of presently authorized equipment |
| B0woaSP6KjP9GA7dgyLxcQ== | 2022-06-10 | Class II permissive change or modification of presently authorized equipment |
| uDDk3/tsEF+sZne7e2AJ8w== | 2022-05-13 | Original Equipment |
Equipment Authorization
| Frequency | Output | Rules |
|---|---|---|
| 2402-2480 MHz | 0.0014300 | 15C |
Grants
TCB Grant - Application uDDk3/tsEF+sZne7e2AJ8w==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Intertek Testing Services NA, Inc. 70 Codman Hill Road Boxborough, MA 01719 |
Date of Grant: 05/13/2022 Application Dated: 05/13/2022 |
| 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-029C |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 SAW Pod |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00143 |
| 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 uDDk3/tsEF+sZne7e2AJ8w==
| 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: 05/13/2022 Application Dated: 05/13/2022 |
| 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-029C |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 SAW Pod |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00143 |
| 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. |
| Mail To: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Intertek Testing Services NA, Inc. 70 Codman Hill Road Boxborough, MA 01719 |
Date of Grant: 01/31/2024 Application Dated: 01/25/2024 |
| 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-029C |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 Pod |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00143 |
| 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 HnsLLEqAVP9+jUF/vfjHtw==
| 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: 01/31/2024 Application Dated: 01/25/2024 |
| 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-029C |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 Pod |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00143 |
| 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. |
| Mail To: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Intertek Testing Services NA, Inc. 70 Codman Hill Road Boxborough, MA 01719 |
Date of Grant: 06/10/2022 Application Dated: 06/10/2022 |
| 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-029C |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 SAW Pod |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00143 |
| 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 B0woaSP6KjP9GA7dgyLxcQ==
| 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: 06/10/2022 Application Dated: 06/10/2022 |
| 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-029C |
| Name of Grantee: | Insulet Corporation |
| Equipment Class: | Digital Transmission System |
| Notes: | Omnipod 5 SAW Pod |
| Modular Type: | Does not apply |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2402.0 - 2480.0 | 0.00143 |
| 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. |
| Mail To: |