FCC ID RBV-ATLAS

RBVATLAS, RBV ATLAS, RBV-ATLAS, RBV-ATLA5

Insulet Corporation Omnipod Dash Pod ATLAS

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: RBV-ATLAS is RBV. The remaining characters of the FCC ID, -ATLAS, 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: Omnipod Dash Pod

Application: Omnipod Dash Pod
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/RBV-ATLAS
Sources: FCC.gov | FCC.report
Registered By: Insulet Corporation - RBV (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2025-02-21	40suv9tSTSYgpp5oIEYdKw==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	Line Entry
2.402-2.48 GHz	0.991 mW	15C	1

Exhibits

Document	Type	Submitted Available
RF Exhibit	RF Exposure Info Adobe Acrobat PDF (372 kB)	2025-02-21 2025-02-21
Manual Part 3	Users Manual Adobe Acrobat PDF (2695 kB)	2025-02-21 2025-02-21
Manual Part 2	Users Manual Adobe Acrobat PDF (5362 kB)	2025-02-21 2025-02-21
Manual Part 1	Users Manual Adobe Acrobat PDF (5709 kB)	2025-02-21 2025-02-21
Label Location	ID Label/Location Info Adobe Acrobat PDF (182 kB)	2025-02-21 2025-02-21
Label	ID Label/Location Info Adobe Acrobat PDF (412 kB)	2025-02-21 2025-02-21
External Photos	External Photos Adobe Acrobat PDF (4092 kB)	2025-02-21 2025-02-21
Internal Photos	Internal Photos Adobe Acrobat PDF (1226 kB)	2025-02-21 2025-02-21
Test Setup Photos	Test Setup Photos Adobe Acrobat PDF (4641 kB)	2025-02-21 2025-02-21
Test Report	Test Report Adobe Acrobat PDF (2571 kB)	2025-02-21 2025-02-21
Antenna Datasheet	Test Report Adobe Acrobat PDF (648 kB)	2025-02-21 2025-02-21
US Agent	Attestation Statements Adobe Acrobat PDF (179 kB)	2025-02-21 2025-02-21
Covered List Attestation	Attestation Statements Adobe Acrobat PDF (157 kB)	2025-02-21 2025-02-21
Letter of Agency	Cover Letter(s) Adobe Acrobat PDF (178 kB)	2025-02-21 2025-02-21
Confidentiality Request	Cover Letter(s) Adobe Acrobat PDF (192 kB)	2025-02-21 2025-02-21
Block Diagram	Block Diagram Adobe Acrobat PDF (84 kB)	2025-02-21
Opertational Description	Operational Description Adobe Acrobat PDF (52 kB)	2025-02-21
Operational Description	Operational Description Adobe Acrobat PDF (1829 kB)	2025-02-21
Schematics	Schematics Adobe Acrobat PDF (672 kB)	2025-02-21

Application Forms

1 (2025-02-21)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Insulet Corporation
FCC Registration Number (FRN):	0027827682
Alphanumeric FCC ID:	RBVATLAS
Unique Application Identifier:	40suv9tSTSYgpp5oIEYdKw==
Line one:	100 Nagog Park
City:	Acton
State:	Massachusetts
Country:	United States
Zip Code:	01720

TCB Information

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

FCC ID

Grantee Code:	RBV
Product Code:	-ATLAS

Person at the applicant's address to receive grant or for contact

Name:	Tricia Sarvia
Title:	Senior Manager, System Engineering

Telephone Number:

617-462-4438

Extension:

Fax Number:	978-408-4191
Email:	tsarvia@insulet.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?: No

If so, specify the short-term confidentiality release date (MM/DD/YYYY format):
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):	Omnipod Dash Pod

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: Intertek Testing Services NA Inc.

First Name: Yaqing

Last Name: Liu

Telephone Number:

9786358662

Extension:

E-mail: yaqing.liu@intertek.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power is conducted. This device meets the SAR exemption threshold listed in KDB447498 and is authorized for portable or mobile operation.

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: Tricia Sarvia

Title of authorized signature: Senior Manager, Systems Engineering

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:

Intertek Testing Services NA, Inc.
70 Codman Hill Road
Boxborough, MA 01719

Date of Grant: 02/21/2025

Application Dated: 02/21/2025

Insulet Corporation

100 Nagog Park

Acton, MA 01720

Attention: Tricia Sarvia , Senior Manager, System 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-ATLAS

Name of Grantee:	Insulet Corporation

Equipment Class:	Digital Transmission System
Notes:	Omnipod Dash Pod

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.000991

Output power is conducted. This device meets the SAR exemption threshold listed in KDB447498 and is authorized for portable or mobile operation.

COPY	FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION	COPY
Certification

Insulet Corporation
100 Nagog Park
Acton, MA 01720
United States