FCC ID STJ-20677
Models 20679, 11971-04, 12391-04: Plum A+ Module
by ICU Medical, Inc.
Grantee Code: STJ Product Code: 20677
Latest application date: 2005-06-06
FCC ID Device Details
| FCC ID | STJ-20677 |
|---|---|
| Mirrors | fcc.id | gov | fccid.ai |
| Grantee Code | STJ |
| Product Code | 20677 |
| Applicant Business | ICU Medical, Inc. 🇺🇸 |
| Related Domains |  icumed.com |
| Equipment Class | Models 20679, 11971-04, 12391-04: Plum A+ Module |
| Test Firm | MET Laboratories |
Operating Frequencies
| Frequency Range | Application Purpose | Final Action Date |
|---|---|---|
| 2412-2462 MHz | Class II permissive change or modification of presently authorized equipment | 2005-06-06 |
| 2412-2462 MHz | Original Equipment | 2005-05-25 |
Exhibits
| Document | Type | Available | File |
|---|---|---|---|
| Installation Manual | Users Manual | 2005-05-25 | PDF 77.3 KB |
| Replacement Installation Guide | Users Manual | 2005-05-25 | PDF 142.2 KB |
| Users Manual | Users Manual | 2005-05-25 | PDF 1.8 MB |
| Internal Photo 1 | Internal Photos | 2005-05-25 | PDF 125.7 KB |
| Internal Photo 2 | Internal Photos | 2005-05-25 | PDF 123.3 KB |
| Internal Photo 3 | Internal Photos | 2005-05-25 | PDF 122.3 KB |
| Internal Photo 4 | Internal Photos | 2005-05-25 | PDF 125.2 KB |
| Internal Photo 5 | Internal Photos | 2005-05-25 | PDF 124.6 KB |
| Internal Photo 6 | Internal Photos | 2005-05-25 | PDF 125.7 KB |
| Internal Photo 7 | Internal Photos | 2005-05-25 | PDF 122.8 KB |
| Internal Photo 8 | Internal Photos | 2005-05-25 | PDF 32 KB |
| External Photo 1 | External Photos | 2005-05-25 | PDF 125.2 KB |
| External Photo 2 | External Photos | 2005-05-25 | PDF 127.8 KB |
| External Photo 3 | External Photos | 2005-05-25 | PDF 126.7 KB |
| External Photo 4 | External Photos | 2005-05-25 | PDF 128.5 KB |
| External Photo 5 | External Photos | 2005-05-25 | PDF 125.6 KB |
| Label Information | ID Label/Location Info | 2005-05-25 | PDF 239.9 KB |
| Label Location | ID Label/Location Info | 2005-05-25 | PDF 614.6 KB |
| Antenna Description | Operational Description | 2005-05-25 | PDF 116.8 KB |
| Operational Description | Operational Description | 2005-05-25 | PDF 41.4 KB |
| Test Setup Photo 1 | Test Report | 2005-05-25 | PDF 127.8 KB |
| Test Setup Photo 2 | Test Setup Photos | 2005-05-25 | PDF 56.8 KB |
| Test Setup Photo 3 | Test Setup Photos | 2005-05-25 | PDF 61 KB |
| Test Setup Photo 4 | Test Setup Photos | 2005-05-25 | PDF 130.4 KB |
| Test Report | Test Report | 2005-06-06 | PDF 2.9 MB |
| SAR Test Report | Test Report | 2005-05-25 | PDF 2.9 MB |
| Test Report | Test Report | 2005-05-25 | PDF 942.7 KB |
| Agent Authorization Letter | Cover Letter(s) | 2005-06-06 | PDF 109.9 KB |
| Confidentiality Letter | Cover Letter(s) | 2005-06-06 | PDF 132.9 KB |
| Equipment Authorization Letter | Cover Letter(s) | 2005-06-06 | PDF 882.1 KB |
| Permissive Change Application Letter | Cover Letter(s) | 2005-06-06 | PDF 175.5 KB |
| Agent Authorization Letter | Cover Letter(s) | 2005-05-25 | PDF 105.6 KB |
| Confidentiality Letter | Cover Letter(s) | 2005-05-25 | PDF 82.7 KB |
| Form 731 Application | Cover Letter(s) | 2005-05-25 | PDF 18.9 KB |
| Modular Approval Form | Cover Letter(s) | 2005-05-25 | PDF 304.5 KB |
| TCB Agreement | Cover Letter(s) | 2005-05-25 | PDF 1,003.5 KB |
| Radio Block Diagram Metadata only | Block Diagram | PDF 71.3 KB | |
| Assembly Drawing Metadata only | Schematics | PDF 257 KB |
Application Information
| Application ID | KRBMlMDnuxm6xtjdRkzKJw== |
|---|---|
| Final Action Date | 2005-06-06 |
| Application Purpose | Class II permissive change or modification of presently authorized equipment |
| Applicant FRN | 0012322509 |
| Model | 20677 |
| Frequency Range | 2412-2462 MHz |
| Equipment Class | DTS - Digital Transmission System |
| Device Description | Models 20679, 11971-04, 12391-04: Plum A+ Module |
| Responsible Party | Chaitanya M Srinivasamurthy, Section Manager, chaitanya.srinivasamurthy@icumed.com , 2247062518 |
| Test Firm | Alvin Ilarina, MET Laboratories, ailarina@metlabs.com  , 408-919-3774 |
| TCB Email | tcbinfo@metlabs.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 | Single Modular Approval |
| 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 |
| Grant Comments | Modular Approval. Power Output is Conducted. This device has been shown to comply with the RF Exposure requirements with 0 cm spacing from the host device(s) as documented in this filing. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter. OEM installers and end-users must be provided with specific operating instructions for satisfying RF exposure compliance requirements. The Maximum Near Body SAR measurements are 0.0059W/kg. |
Applications
| Application ID | Date | Purpose |
|---|---|---|
| KRBMlMDnuxm6xtjdRkzKJw== | 2005-06-06 | Class II permissive change or modification of presently authorized equipment |
| 2bzNWhkWyVLoiqr0RjLmpQ== | 2005-05-25 | Original Equipment |
Equipment Authorization
| Frequency | Output | Rules |
|---|---|---|
| 2412-2462 MHz | 0.0910000 | 15C |
Grants
TCB Grant - Application KRBMlMDnuxm6xtjdRkzKJw==
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Eurofins Electrical and Electronic Testing NA, Inc 914 W. Patapsco Avenue Baltimore, MD 21230-3432 |
Date of Grant: 06/06/2005 Application Dated: 06/06/2005 |
| ICU Medical, Inc. |
| 951 Calle Amanecer |
| San Clemente, CA 92673 |
| Attention: Chaitanya Srinivasamurthy , Section Manager |
| 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: | STJ-20677 |
| Name of Grantee: | ICU Medical, Inc. |
| Equipment Class: | Digital Transmission System |
| Notes: | Models 20679, 11971-04, 12391-04: Plum A+ Module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2412.0 - 2462.0 | 0.091 |
| Modular Approval. Power Output is Conducted. This device has been shown to comply with the RF Exposure requirements with 0 cm spacing from the host device(s) as documented in this filing. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter. OEM installers and end-users must be provided with specific operating instructions for satisfying RF exposure compliance requirements. The Maximum Near Body SAR measurements are 0.0059W/kg. |
EAS Grant - Application KRBMlMDnuxm6xtjdRkzKJw==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
ICU Medical, Inc. 951 Calle Amanecer San Clemente, CA 92673 United States |
Date of Grant: 06/06/2005 Application Dated: 06/06/2005 |
| Attention: Chaitanya Srinivasamurthy , Section Manager |
| 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: | STJ-20677 |
| Name of Grantee: | ICU Medical, Inc. |
| Equipment Class: | Digital Transmission System |
| Notes: | Models 20679, 11971-04, 12391-04: Plum A+ Module |
| Modular Type: | Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2412.0 - 2462.0 | 0.091 |
| Modular Approval. Power Output is Conducted. This device has been shown to comply with the RF Exposure requirements with 0 cm spacing from the host device(s) as documented in this filing. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter. OEM installers and end-users must be provided with specific operating instructions for satisfying RF exposure compliance requirements. The Maximum Near Body SAR measurements are 0.0059W/kg. |
| Mail To: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| TCB | GRANT OF EQUIPMENT AUTHORIZATION |
TCB |
| Certification | ||
| Issued Under the Authority of the | ||
| Federal Communications Commission | ||
| By: |
|
Eurofins Electrical and Electronic Testing NA, Inc 914 W. Patapsco Avenue Baltimore, MD 21230-3432 |
Date of Grant: 05/25/2005 Application Dated: 05/25/2005 |
| ICU Medical, Inc. |
| 951 Calle Amanecer |
| San Clemente, CA 92673 |
| Attention: Chaitanya Srinivasamurthy , Section Manager |
| 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: | STJ-20677 |
| Name of Grantee: | ICU Medical, Inc. |
| Equipment Class: | Digital Transmission System |
| Notes: | PlumA + with MedNet Wireless Enabled Infuser |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2412.0 - 2462.0 | 0.091 |
| Limited Modular Approval. Power Output is Conducted. This device has been shown to comply with the RF Exposure requirements with 0 cm spacing from the host device(s) as documented in this filing. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter. OEM installers and end-users must be provided with specific operating instructions for satisfying RF exposure compliance requirements. The Maximum Near Body SAR measurements are 0.015W/kg. |
EAS Grant - Application 2bzNWhkWyVLoiqr0RjLmpQ==
| COPY |
FEDERAL COMMUNICATIONS COMMISSION WASHINGTON, D.C. 20554 GRANT OF EQUIPMENT AUTHORIZATION |
COPY |
| Certification |
|
ICU Medical, Inc. 951 Calle Amanecer San Clemente, CA 92673 United States |
Date of Grant: 05/25/2005 Application Dated: 05/25/2005 |
| Attention: Chaitanya Srinivasamurthy , Section Manager |
| 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: | STJ-20677 |
| Name of Grantee: | ICU Medical, Inc. |
| Equipment Class: | Digital Transmission System |
| Notes: | PlumA + with MedNet Wireless Enabled Infuser |
| Modular Type: | Limited Single Modular |
| Grant Notes | FCC Rule Parts | Frequency Range (MHZ) | Output Watts | Frequency Tolerance | Emission Designator |
| 15C | 2412.0 - 2462.0 | 0.091 |
| Limited Modular Approval. Power Output is Conducted. This device has been shown to comply with the RF Exposure requirements with 0 cm spacing from the host device(s) as documented in this filing. This device and its antenna(s) must not be co-located or operating in conjunction with any other antenna or transmitter. OEM installers and end-users must be provided with specific operating instructions for satisfying RF exposure compliance requirements. The Maximum Near Body SAR measurements are 0.015W/kg. |
| Mail To: |