FCC ID STJ80411396001

STJ-80411396001, STJ 80411396001, STJ80411396001, STJ8O411396OO1, STJ804II39600I, 5TJ80411396001

ICU Medical, Inc. Wireless USB Adapter 80411396001

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: STJ80411396001 is STJ. The remaining characters of the FCC ID, 80411396001, 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: Wireless USB Adapter

App # Purpose Date Unique ID
1 Change in Identification 2007-03-12 Qal9kaXzTyHxc2kipBl3WA==
2 Change in Identification 2007-03-12 qdzME5qWd2mweK1AfrzCLg==
3 Class II Permissive Change 2007-03-19 cC9j+2eEQRDtHj2Ua0JRDw==
4 Class II Permissive Change 2007-03-19 YNphHOwYM/0Z/9czxfixYg==
5 Class II Permissive Change 2007-05-10 F0EyXzFM0KzzP2oL04PTJw==
6 Class II Permissive Change 2007-05-10 yAPMxWFN3qWeGU6s4YE8ZA==
7 Class II Permissive Change 2007-06-27 b12sNsL/yOWSK+U+l7Xm5g==
8 Class II Permissive Change 2007-06-27 H1roSP9igoAIXgjl7PtDpA==
9 Class II Permissive Change 2007-07-30 2zWYbsAm+0qVe2QDjlMTew==
10 Class II Permissive Change 2007-07-30 czcLZ/NSvKve/wwqNhdGMA==
11 Class II Permissive Change 2016-06-07 SBGDO1UvcOSJZg8zVf7GpQ==
12 Class II Permissive Change 2019-04-12 I6EObjnG5dR/Jru4Asd6kQ==

Operating Frequencies

Device operates within approved frequencies overlapping with the following cellular bands: LTE 255,Unlicensed NII-3 DOWN | LTE 46,TD Unlicensed DOWN |
Frequency RangePower OutputRule PartsGrant Notes App #
2.412-2.462 GHz 2.4 GHz WiFi52 mW15CCC 3.1
2.412-2.462 GHz 2.4 GHz WiFi52 mW15CCC 10.1
2.412-2.462 GHz 2.4 GHz WiFi52 mW15CCC 8.1
2.412-2.462 GHz 2.4 GHz WiFi52 mW15C 2.1
2.412-2.462 GHz 2.4 GHz WiFi52 mW15CCC 6.1
5.15-5.35 GHz41 mW15E 1.1
5.18-5.24 GHz 5 GHz WiFi40 mW15ECC 9.1
5.18-5.24 GHz 5 GHz WiFi40 mW15ECC 7.1
5.18-5.24 GHz 5 GHz WiFi40 mW15ECC 5.1
5.18-5.24 GHz 5 GHz WiFi40 mW15ECC 4.1
5.18-5.24 GHz 5 GHz WiFi40 mW15E38, CC 11.1
5.18-5.24 GHz 5 GHz WiFi40 mW15ECC 12.1
5.26-5.32 GHz 5 GHz WiFi DFS40 mW15ECC, ND 9.2
5.26-5.32 GHz 5 GHz WiFi DFS40 mW15ECC, ND 7.2
5.26-5.32 GHz 5 GHz WiFi DFS40 mW15ECC, ND 5.2
5.26-5.32 GHz 5 GHz WiFi DFS40 mW15ECC, ND 4.2
5.26-5.32 GHz 5 GHz WiFi DFS40 mW15E38, CC 11.2
5.26-5.32 GHz 5 GHz WiFi DFS40 mW15ECC 12.2
5.5-5.7 GHz 5 GHz WiFi49 mW15ECC, ND 9.3
5.5-5.7 GHz 5 GHz WiFi49 mW15ECC, ND 7.3
5.5-5.7 GHz 5 GHz WiFi49 mW15ECC, ND 5.3
5.5-5.7 GHz 5 GHz WiFi49 mW15ECC, ND 4.3
5.5-5.7 GHz 5 GHz WiFi49 mW15E38, CC 11.3
5.5-5.7 GHz 5 GHz WiFi49 mW15ECC 12.3
5.725-5.825 GHz41 mW15CCC 3.2
5.725-5.825 GHz41 mW15CCC 10.2
5.725-5.825 GHz41 mW15CCC 8.2
5.725-5.85 GHz41 mW15C 2.2
5.725-5.825 GHz41 mW15CCC 6.2
5.745-5.825 GHz 5 GHz WiFi41 mW15E49, CC 11.4
5.745-5.825 GHz 5 GHz WiFi41 mW15ECC 12.4

Exhibits

Available Exhibits

App #Document Type Submitted
Available
12 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (179 kB)
2019-04-12
2019-04-12
12 Test ReportTest Report
Adobe Acrobat PDF (560 kB)
2019-04-12
2019-04-12
12 Agent AuthorizationCover Letter(s)
Adobe Acrobat PDF (461 kB)
2019-04-12
2019-04-12
12 Cover LetterCover Letter(s)
Adobe Acrobat PDF (24 kB)
2019-04-12
2019-04-12
11 UNII-3 AttestationTest Report
Adobe Acrobat PDF (108 kB)
2016-06-07
2016-06-07
11 Confid LtrCover Letter(s)
Adobe Acrobat PDF (299 kB)
2016-06-07
2016-06-07
11 Auth LtrCover Letter(s)
Adobe Acrobat PDF (157 kB)
2016-06-07
2016-06-07
11 Cvr LtrCover Letter(s)
Adobe Acrobat PDF (26 kB)
2016-06-07
2016-06-07
10 SAR ReportRF Exposure Info
Adobe Acrobat PDF (562 kB)
2007-07-30
2007-07-30
10 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-07-30
2007-07-30
10 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-07-30
2007-07-30
10 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (673 kB)
2007-07-30
2007-07-30
10 SAR attachment 2RF Exposure Info
Adobe Acrobat PDF (953 kB)
2007-07-30
2007-07-30
10 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (548 kB)
2007-07-30
2007-07-30
10 Host PhotosExternal Photos
Adobe Acrobat PDF (136 kB)
2007-07-30
2007-07-30
10 User ManualUsers Manual
Adobe Acrobat PDF (329 kB)
2007-07-30
2007-07-30
10 AntennanParts List/Tune Up Info
Adobe Acrobat PDF (58 kB)
2007-07-30
2007-07-30
10 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (64 kB)
2007-07-30
2007-07-30
10 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-07-30
2007-07-30
9 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-07-30
2007-07-30
9 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-07-30
2007-07-30
9 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (673 kB)
2007-07-30
2007-07-30
9 SAR attachment 2RF Exposure Info
Adobe Acrobat PDF (953 kB)
2007-07-30
2007-07-30
9 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (548 kB)
2007-07-30
2007-07-30
9 SAR ReportRF Exposure Info
Adobe Acrobat PDF (562 kB)
2007-07-30
2007-07-30
9 Host PhotosExternal Photos
Adobe Acrobat PDF (136 kB)
2007-07-30
2007-07-30
9 ManualUsers Manual
Adobe Acrobat PDF (329 kB)
2007-07-30
2007-07-30
9 AntennanParts List/Tune Up Info
Adobe Acrobat PDF (58 kB)
2007-07-30
2007-07-30
9 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (64 kB)
2007-07-30
2007-07-30
9 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-07-30
2007-07-30
7 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-06-27
2007-06-27
7 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (535 kB)
2007-06-27
2007-06-27
7 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-06-27
2007-06-27
7 SAR attachment 2RF Exposure Info
Adobe Acrobat PDF (1449 kB)
2007-06-27
2007-06-27
7 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (593 kB)
2007-06-27
2007-06-27
7 SAR ReportRF Exposure Info
Adobe Acrobat PDF (576 kB)
2007-06-27
2007-06-27
7 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (227 kB)
2007-06-27
2007-06-27
7 ReportTest Report
Adobe Acrobat PDF (578 kB)
2007-06-27
2007-06-27
7 ManualUsers Manual
Adobe Acrobat PDF (1180 kB)
2007-06-27
2007-06-27
7 LabelID Label/Location Info
Adobe Acrobat PDF (327 kB)
2007-06-27
2007-06-27
7 Antenna PhotosExternal Photos
Adobe Acrobat PDF (211 kB)
2007-06-27
2007-06-27
7 Host PhotosExternal Photos
Adobe Acrobat PDF (362 kB)
2007-06-27
2007-06-27
7 TCB Q and ACover Letter(s)
Adobe Acrobat PDF (17 kB)
2007-06-27
2007-06-27
7 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (181 kB)
2007-06-27
2007-06-27
7 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-06-27
2007-06-27
8 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-06-27
2007-06-27
8 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (535 kB)
2007-06-27
2007-06-27
8 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-06-27
2007-06-27
8 SAR attachment 2RF Exposure Info
Adobe Acrobat PDF (1449 kB)
2007-06-27
2007-06-27
8 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (593 kB)
2007-06-27
2007-06-27
8 SAR ReportRF Exposure Info
Adobe Acrobat PDF (576 kB)
2007-06-27
2007-06-27
8 User ManualUsers Manual
Adobe Acrobat PDF (1180 kB)
2007-06-27
2007-06-27
8 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (231 kB)
2007-06-27
2007-06-27
8 ReportTest Report
Adobe Acrobat PDF (649 kB)
2007-06-27
2007-06-27
8 Antenna photosExternal Photos
Adobe Acrobat PDF (211 kB)
2007-06-27
2007-06-27
8 FCC LabelID Label/Location Info
Adobe Acrobat PDF (327 kB)
2007-06-27
2007-06-27
8 Host photosExternal Photos
Adobe Acrobat PDF (362 kB)
2007-06-27
2007-06-27
8 TCB Q and ACover Letter(s)
Adobe Acrobat PDF (17 kB)
2007-06-27
2007-06-27
8 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-06-27
2007-06-27
8 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (181 kB)
2007-06-27
2007-06-27
5 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-05-10
2007-05-10
5 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-05-10
2007-05-10
5 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-05-10
2007-05-10
5 SAR attachment 2 2RF Exposure Info
Adobe Acrobat PDF (275 kB)
2007-05-10
2007-05-10
5 SAR attachment 2 1RF Exposure Info
Adobe Acrobat PDF (288 kB)
2007-05-10
2007-05-10
5 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (545 kB)
2007-05-10
2007-05-10
5 SAR ReportRF Exposure Info
Adobe Acrobat PDF (540 kB)
2007-05-10
2007-05-10
5 ManualUsers Manual
Adobe Acrobat PDF (2157 kB)
2007-05-10
2007-05-10
5 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (134 kB)
2007-05-10
2007-05-10
5 Test ReportTest Report
Adobe Acrobat PDF (583 kB)
2007-05-10
2007-05-10
5 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (354 kB)
2007-05-10
2007-05-10
5 Host PhotosExternal Photos
Adobe Acrobat PDF (205 kB)
2007-05-10
2007-05-10
5 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (72 kB)
2007-05-10
2007-05-10
5 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-05-10
2007-05-10
6 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-05-10
2007-05-10
6 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-05-10
2007-05-10
6 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-05-10
2007-05-10
6 SAR attachment 2 2RF Exposure Info
Adobe Acrobat PDF (275 kB)
2007-05-10
2007-05-10
6 SAR attachment 2 1RF Exposure Info
Adobe Acrobat PDF (288 kB)
2007-05-10
2007-05-10
6 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (545 kB)
2007-05-10
2007-05-10
6 SAR ReportRF Exposure Info
Adobe Acrobat PDF (540 kB)
2007-05-10
2007-05-10
6 User ManualUsers Manual
Adobe Acrobat PDF (2157 kB)
2007-05-10
2007-05-10
6 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (134 kB)
2007-05-10
2007-05-10
6 Test ReportTest Report
Adobe Acrobat PDF (620 kB)
2007-05-10
2007-05-10
6 Host PhotosExternal Photos
Adobe Acrobat PDF (205 kB)
2007-05-10
2007-05-10
6 Host LabelID Label/Location Info
Adobe Acrobat PDF (354 kB)
2007-05-10
2007-05-10
6 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (72 kB)
2007-05-10
2007-05-10
6 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-05-10
2007-05-10
4 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-03-19
2007-03-19
4 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-03-19
2007-03-19
4 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-03-19
2007-03-19
4 SAR attachment 2 2RF Exposure Info
Adobe Acrobat PDF (1641 kB)
2007-03-19
2007-03-19
4 SAR attachment 2 1RF Exposure Info
Adobe Acrobat PDF (748 kB)
2007-03-19
2007-03-19
4 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (598 kB)
2007-03-19
2007-03-19
4 SAR ReportRF Exposure Info
Adobe Acrobat PDF (1076 kB)
2007-03-19
2007-03-19
4 User ManualUsers Manual
Adobe Acrobat PDF (3723 kB)
2007-03-19
2007-03-19
4 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (236 kB)
2007-03-19
2007-03-19
4 Test ReportTest Report
Adobe Acrobat PDF (1925 kB)
2007-03-19
2007-03-19
4 Internal PhotosInternal Photos
Adobe Acrobat PDF (452 kB)
2007-03-19
2007-03-19
4 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (454 kB)
2007-03-19
2007-03-19
4 External PhotosExternal Photos
Adobe Acrobat PDF (191 kB)
2007-03-19
2007-03-19
4 Turbo Mode Attestation letterCover Letter(s)
Adobe Acrobat PDF (140 kB)
2007-03-19
2007-03-19
4 Adhoc Mode Attestaton letterCover Letter(s)
Adobe Acrobat PDF (145 kB)
2007-03-19
2007-03-19
4 Request for ConfidentialityCover Letter(s)
Adobe Acrobat PDF (195 kB)
2007-03-19
2007-03-19
4 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (170 kB)
2007-03-19
2007-03-19
4 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-19
2007-03-19
3 SAR attachment 5RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-03-19
2007-03-19
3 SAR attachment 4RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-03-19
2007-03-19
3 SAR attachment 3RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-03-19
2007-03-19
3 SAR attachment 2 2RF Exposure Info
Adobe Acrobat PDF (1641 kB)
2007-03-19
2007-03-19
3 SAR attachment 2 1RF Exposure Info
Adobe Acrobat PDF (748 kB)
2007-03-19
2007-03-19
3 SAR attachment 1RF Exposure Info
Adobe Acrobat PDF (598 kB)
2007-03-19
2007-03-19
3 SAR ReportRF Exposure Info
Adobe Acrobat PDF (1076 kB)
2007-03-19
2007-03-19
3 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (221 kB)
2007-03-19
2007-03-19
3 Test ReportTest Report
Adobe Acrobat PDF (1198 kB)
2007-03-19
2007-03-19
3 User ManualUsers Manual
Adobe Acrobat PDF (3723 kB)
2007-03-19
2007-03-19
3 Internal PhotosInternal Photos
Adobe Acrobat PDF (452 kB)
2007-03-19
2007-03-19
3 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (454 kB)
2007-03-19
2007-03-19
3 External PhotosExternal Photos
Adobe Acrobat PDF (191 kB)
2007-03-19
2007-03-19
3 Turbo Mode Attestation letterCover Letter(s)
Adobe Acrobat PDF (140 kB)
2007-03-19
2007-03-19
3 Adhoc Mode Attestaton letterCover Letter(s)
Adobe Acrobat PDF (145 kB)
2007-03-19
2007-03-19
3 Class II Permissive Change LetterCover Letter(s)
Adobe Acrobat PDF (170 kB)
2007-03-19
2007-03-19
3 Request for ConfidentialityCover Letter(s)
Adobe Acrobat PDF (195 kB)
2007-03-19
2007-03-19
3 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-19
2007-03-19
2 External PhotosExternal Photos
Adobe Acrobat PDF (534 kB)
2007-03-12
2007-03-12
2 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (479 kB)
2007-03-12
2007-03-12
2 Hospira Request LetterCover Letter(s)
Adobe Acrobat PDF (238 kB)
2007-03-12
2007-03-12
2 D Link Authorization LetterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-03-12
2007-03-12
2 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-12
2007-03-12
1 External PhotosExternal Photos
Adobe Acrobat PDF (534 kB)
2007-03-12
2007-03-12
1 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (479 kB)
2007-03-12
2007-03-12
1 Hospira Request LetterCover Letter(s)
Adobe Acrobat PDF (238 kB)
2007-03-12
2007-03-12
1 D Link Authorization LetterCover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-03-12
2007-03-12
1 Authorization LetterCover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-12
2007-03-12

APP # 12 (2019-04-12)

App # Document Type Submitted
Available
12 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (179 kB)
2019-04-12 00:00:00
2019-04-12 00:00:00
12 Test Report Test Report
Adobe Acrobat PDF (560 kB)
2019-04-12 00:00:00
2019-04-12 00:00:00
12 Agent Authorization Cover Letter(s)
Adobe Acrobat PDF (461 kB)
2019-04-12 00:00:00
2019-04-12 00:00:00
12 Cover Letter Cover Letter(s)
Adobe Acrobat PDF (24 kB)
2019-04-12 00:00:00
2019-04-12 00:00:00

APP # 11 (2016-06-07)

App # Document Type Submitted
Available
11 UNII-3 Attestation Test Report
Adobe Acrobat PDF (108 kB)
2016-06-07 00:00:00
2016-06-07 00:00:00
11 Confid Ltr Cover Letter(s)
Adobe Acrobat PDF (299 kB)
2016-06-07 00:00:00
2016-06-07 00:00:00
11 Auth Ltr Cover Letter(s)
Adobe Acrobat PDF (157 kB)
2016-06-07 00:00:00
2016-06-07 00:00:00
11 Cvr Ltr Cover Letter(s)
Adobe Acrobat PDF (26 kB)
2016-06-07 00:00:00
2016-06-07 00:00:00

APP # 10 (2007-07-30)

App # Document Type Submitted
Available
10 SAR Report RF Exposure Info
Adobe Acrobat PDF (562 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (673 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 SAR attachment 2 RF Exposure Info
Adobe Acrobat PDF (953 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (548 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 Host Photos External Photos
Adobe Acrobat PDF (136 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 User Manual Users Manual
Adobe Acrobat PDF (329 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 Antennan Parts List/Tune Up Info
Adobe Acrobat PDF (58 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (64 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
10 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00

APP # 9 (2007-07-30)

App # Document Type Submitted
Available
9 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (673 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 SAR attachment 2 RF Exposure Info
Adobe Acrobat PDF (953 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (548 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 SAR Report RF Exposure Info
Adobe Acrobat PDF (562 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 Host Photos External Photos
Adobe Acrobat PDF (136 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 Manual Users Manual
Adobe Acrobat PDF (329 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 Antennan Parts List/Tune Up Info
Adobe Acrobat PDF (58 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (64 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00
9 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-07-30 00:00:00
2007-07-30 00:00:00

APP # 7 (2007-06-27)

App # Document Type Submitted
Available
7 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (535 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 SAR attachment 2 RF Exposure Info
Adobe Acrobat PDF (1449 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (593 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 SAR Report RF Exposure Info
Adobe Acrobat PDF (576 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Setup Photos Test Setup Photos
Adobe Acrobat PDF (227 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Report Test Report
Adobe Acrobat PDF (578 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Manual Users Manual
Adobe Acrobat PDF (1180 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Label ID Label/Location Info
Adobe Acrobat PDF (327 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Antenna Photos External Photos
Adobe Acrobat PDF (211 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Host Photos External Photos
Adobe Acrobat PDF (362 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 TCB Q and A Cover Letter(s)
Adobe Acrobat PDF (17 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (181 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
7 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00

APP # 8 (2007-06-27)

App # Document Type Submitted
Available
8 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (535 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 SAR attachment 2 RF Exposure Info
Adobe Acrobat PDF (1449 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (593 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 SAR Report RF Exposure Info
Adobe Acrobat PDF (576 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 User Manual Users Manual
Adobe Acrobat PDF (1180 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 Setup Photos Test Setup Photos
Adobe Acrobat PDF (231 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 Report Test Report
Adobe Acrobat PDF (649 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 Antenna photos External Photos
Adobe Acrobat PDF (211 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 FCC Label ID Label/Location Info
Adobe Acrobat PDF (327 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 Host photos External Photos
Adobe Acrobat PDF (362 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 TCB Q and A Cover Letter(s)
Adobe Acrobat PDF (17 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00
8 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (181 kB)
2007-06-27 00:00:00
2007-06-27 00:00:00

APP # 5 (2007-05-10)

App # Document Type Submitted
Available
5 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 SAR attachment 2 2 RF Exposure Info
Adobe Acrobat PDF (275 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 SAR attachment 2 1 RF Exposure Info
Adobe Acrobat PDF (288 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (545 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 SAR Report RF Exposure Info
Adobe Acrobat PDF (540 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 Manual Users Manual
Adobe Acrobat PDF (2157 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 Setup Photos Test Setup Photos
Adobe Acrobat PDF (134 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 Test Report Test Report
Adobe Acrobat PDF (583 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (354 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 Host Photos External Photos
Adobe Acrobat PDF (205 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (72 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
5 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00

APP # 6 (2007-05-10)

App # Document Type Submitted
Available
6 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 SAR attachment 2 2 RF Exposure Info
Adobe Acrobat PDF (275 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 SAR attachment 2 1 RF Exposure Info
Adobe Acrobat PDF (288 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (545 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 SAR Report RF Exposure Info
Adobe Acrobat PDF (540 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 User Manual Users Manual
Adobe Acrobat PDF (2157 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 Setup Photos Test Setup Photos
Adobe Acrobat PDF (134 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 Test Report Test Report
Adobe Acrobat PDF (620 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 Host Photos External Photos
Adobe Acrobat PDF (205 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 Host Label ID Label/Location Info
Adobe Acrobat PDF (354 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (72 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00
6 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-05-10 00:00:00
2007-05-10 00:00:00

APP # 4 (2007-03-19)

App # Document Type Submitted
Available
4 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 SAR attachment 2 2 RF Exposure Info
Adobe Acrobat PDF (1641 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 SAR attachment 2 1 RF Exposure Info
Adobe Acrobat PDF (748 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (598 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 SAR Report RF Exposure Info
Adobe Acrobat PDF (1076 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 User Manual Users Manual
Adobe Acrobat PDF (3723 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Setup Photos Test Setup Photos
Adobe Acrobat PDF (236 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Test Report Test Report
Adobe Acrobat PDF (1925 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Internal Photos Internal Photos
Adobe Acrobat PDF (452 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (454 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 External Photos External Photos
Adobe Acrobat PDF (191 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Turbo Mode Attestation letter Cover Letter(s)
Adobe Acrobat PDF (140 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Adhoc Mode Attestaton letter Cover Letter(s)
Adobe Acrobat PDF (145 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (195 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (170 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
4 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00

APP # 3 (2007-03-19)

App # Document Type Submitted
Available
3 SAR attachment 5 RF Exposure Info
Adobe Acrobat PDF (790 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 SAR attachment 4 RF Exposure Info
Adobe Acrobat PDF (688 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 SAR attachment 3 RF Exposure Info
Adobe Acrobat PDF (1096 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 SAR attachment 2 2 RF Exposure Info
Adobe Acrobat PDF (1641 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 SAR attachment 2 1 RF Exposure Info
Adobe Acrobat PDF (748 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 SAR attachment 1 RF Exposure Info
Adobe Acrobat PDF (598 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 SAR Report RF Exposure Info
Adobe Acrobat PDF (1076 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Setup Photos Test Setup Photos
Adobe Acrobat PDF (221 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Test Report Test Report
Adobe Acrobat PDF (1198 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 User Manual Users Manual
Adobe Acrobat PDF (3723 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Internal Photos Internal Photos
Adobe Acrobat PDF (452 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (454 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 External Photos External Photos
Adobe Acrobat PDF (191 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Turbo Mode Attestation letter Cover Letter(s)
Adobe Acrobat PDF (140 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Adhoc Mode Attestaton letter Cover Letter(s)
Adobe Acrobat PDF (145 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Class II Permissive Change Letter Cover Letter(s)
Adobe Acrobat PDF (170 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (195 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00
3 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-19 00:00:00
2007-03-19 00:00:00

APP # 2 (2007-03-12)

App # Document Type Submitted
Available
2 External Photos External Photos
Adobe Acrobat PDF (534 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
2 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (479 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
2 Hospira Request Letter Cover Letter(s)
Adobe Acrobat PDF (238 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
2 D Link Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
2 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00

APP # 1 (2007-03-12)

App # Document Type Submitted
Available
1 External Photos External Photos
Adobe Acrobat PDF (534 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
1 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (479 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
1 Hospira Request Letter Cover Letter(s)
Adobe Acrobat PDF (238 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
1 D Link Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (20 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00
1 Authorization Letter Cover Letter(s)
Adobe Acrobat PDF (534 kB)
2007-03-12 00:00:00
2007-03-12 00:00:00

APP # 3 (2007-03-19)

App # Document Type Submitted
Available
3 Block Diagram Block Diagram
Adobe Acrobat PDF (129 kB)
2007-03-19 00:00:00
N/A

APP # 4 (2007-03-19)

App # Document Type Submitted
Available
4 Block Diagram Block Diagram
Adobe Acrobat PDF (129 kB)
2007-03-19 00:00:00
N/A

APP # 11 (2016-06-07)

App # Document Type Submitted
Available
11 NII Security SDR Software/Security Inf
Adobe Acrobat PDF (45 kB)
2016-06-07 00:00:00
N/A

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: Qal9kaXzTyHxc2kipBl3WA==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Change in identification of presently authorized equipment. Original FCC ID: KA2DWLAG132A1 Grant Date: 03/25/2005

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band.
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:  Mike Heckrotte
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: qdzME5qWd2mweK1AfrzCLg==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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): Wireless USB Adapter

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:   Change in identification of presently authorized equipment. Original FCC ID: KA2DWLAG132A1 Grant Date: 03/25/2005

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band.
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:  Mike Heckrotte
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: cC9j+2eEQRDtHj2Ua0JRDw==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: YNphHOwYM/0Z/9czxfixYg==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to activate the 5.47-5.725GHz band and include a specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: F0EyXzFM0KzzP2oL04PTJw==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: yAPMxWFN3qWeGU6s4YE8ZA==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: b12sNsL/yOWSK+U+l7Xm5g==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include a specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: H1roSP9igoAIXgjl7PtDpA==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

TCB Information
TCB Application Email Address: mike.kuo@ccsemc.com
TCB Scope: A4: UNII devices & low power transmitters using spread spectrum techniques

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Thu
Last Name:   Chan
Telephone Number: 510-771-1122 Extension:
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature:  Senior EMC Supervisor (AGENT)

Complete items below if agent signs the application:

Firm Name:  Compliance Certification Services
Name:  Thu Thu Thu
Line 1:  Thu
Line 2:  Thu
P.O. Box:  Thu
City:  Thu
State:  Thu
Country:  Thu
Zip Code:  Thu
Telephone Number:  510-771-1000
Fax Number:  510-661-0888
E-mail:  thu.chan@ccsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: 2zWYbsAm+0qVe2QDjlMTew==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

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

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include a new specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Highest reported SAR values in this Infusion Pump configuration are: 0.095 W/kg 2.4 GHz-band; 0.441 W/kg 5.2 GHz-band; 0.278 W/kg 5.5GHz band; 0.581 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: czcLZ/NSvKve/wwqNhdGMA==
Line one: 755 Jarvis Drive
City: Morgan Hill
State: California
Country: United States
Zip Code: 95037

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

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Ashwin Patel
Telephone Number: 408-782-3516 Extension:
Fax Number: 408-782-8432
Email: ashwin.patel@hospira.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?:   No

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): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   Compliance Certification Services
First Name:   Barbara
Last Name:   Judge
Telephone Number: 510-771-1104 Extension: 104
Fax Number:  510-661-0888
E-mail:  bjudge@ccsemc.com

Grant Comments
Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Class II Permissive Change to include a new specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Highest reported SAR values in this Infusion Pump configuration are: 0.095 W/kg 2.4 GHz-band; 0.441 W/kg 5.2 GHz-band; 0.278 W/kg 5.5GHz band; 0.581 W/kg 5.8 GHz-band.
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:  Thu Chan
Title of authorized signature: 

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: Hospira, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: SBGDO1UvcOSJZg8zVf7GpQ==
Line one: 275 North Field Drive
City: Lake Forest
State: Illinois
Country: United States
Zip Code: 60045

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

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Chaitanya Srinivasamurthy
Title: Section Manager
Telephone Number: 224-212-5715 Extension:
Fax Number: 224-212-7910
Email: chaitanya.srinivasamurthy@hospira.com

Technical Contact
Firm Name:
National Technical Systems - Silicon Valley
First Name: Mark
Last Name: Hill
Line 1:
41039 Boyce Road
City: Fremont
State: California
Country:
United States
Zip Code: 94538
Telephone Number:
5105783500

Extension:
2110
Fax Number: 510
E-Mail:

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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized equipment

Composite/Related Equipment
Is the equipment in this application a composite device subject to an additional equipment authorization?   Yes
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:   National Technical Systems - Silicon Valley
First Name:   David
Last Name:   Bare
Telephone Number: 510-578-3500 Extension:
Fax Number:  510 578 3510
E-mail:  david.bare@nts.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. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. Highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Class II Permissive Change to update UNII-3 band.
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:  Mark Hill
Title of authorized signature:  Staff Engineer

Complete items below if agent signs the application:

Firm Name:  National Technical Systems - Silicon Valley
Name:  Mark Mark Mark
Line 1:  Mark
Line 2:  Mark
P.O. Box:  Mark
City:  Mark
State:  Mark
Country:  Mark
Zip Code:  Mark
Telephone Number:  5105783500 Extension:  2110
Fax Number:  5104409525
E-mail:  svdoc@nts.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: ICU Medical, Inc.
FCC Registration Number (FRN): 0012322509
Alphanumeric FCC ID: STJ80411396001
Unique Application Identifier: I6EObjnG5dR/Jru4Asd6kQ==
Line one: 951 Calle Amanecer
City: San Clemente
State: California
Country: United States
Zip Code: 92673

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

FCC ID
Grantee Code: STJ
Product Code: 80411396001

Person at the applicant's address to receive grant or for contact
Name: Chaitanya M Srinivasamurthy
Title: Section Manager
Telephone Number: 2247062518 Extension:
Fax Number: 2247062518
Email: chaitanya.srinivasamurthy@icumed.com

Technical Contact
Firm Name:
National Technical Systems
First Name: David
Last Name: Bare
Line 1:
41039 Boyce Road
City: Fremont
State: California
Country:
United States
Zip Code: 94538
Telephone Number:
510-5783500

Extension:
Fax Number: 510-4409525
E-Mail:

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?:   No

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:   NII - Unlicensed National Information Infrastructure TX
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): Wireless USB Adapter

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:   Class II permissive change or modification of presently authorized 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:   National Technical Systems
First Name:   David
Last Name:   Bare
Telephone Number: 510-578-3500 Extension:
Fax Number:  510 578 3510
E-mail:  david.bare@nts.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. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. Highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Class II Permissive Change to update UNII-3 band.
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:  Deniz Demirci
Title of authorized signature:  Senior Wireless / EMC Engineer - NTS

Complete items below if agent signs the application:

Firm Name:  National Technical Systems
Name:  David David David
Line 1:  David
Line 2:  David
P.O. Box:  David
City:  David
State:  David
Country:  David
Zip Code:  David
Telephone Number:  510-5783500
Fax Number:  510-4409525
E-mail:  svdoc@nts.com

Applications are submitted for FCC ID and Grant requests. Click an above application to view details

Grants

TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 07/30/2007

Application Dated: 07/30/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15E 5180.0  -  5240.0 0.04  
CC ND 15E 5260.0  -  5320.0 0.04  
CC ND 15E 5500.0  -  5700.0 0.049  

Class II Permissive Change to include a new specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band.

Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

Highest reported SAR values in this Infusion Pump configuration are: 0.095 W/kg 2.4 GHz-band; 0.441 W/kg 5.2 GHz-band; 0.278 W/kg 5.5GHz band; 0.581 W/kg 5.8 GHz-band.


CC: This device is certified pursuant to two different Part 15 rules sections.
ND: This UNII device complies with the Transmit Power Control (TPC) and Dynamic Frequency Selection (DFS) requirements in Section 15.407(h).
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 06/27/2007

Application Dated: 06/27/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15E 5180.0  -  5240.0 0.04  
CC ND 15E 5260.0  -  5320.0 0.04  
CC ND 15E 5500.0  -  5700.0 0.049  

Class II Permissive Change to include a specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

CC: This device is certified pursuant to two different Part 15 rules sections.
ND: This UNII device complies with the Transmit Power Control (TPC) and Dynamic Frequency Selection (DFS) requirements in Section 15.407(h).
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/19/2007

Application Dated: 03/19/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Digital Transmission System
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.052  
CC 15C 5725.0  -  5825.0 0.041  

Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

CC: This device is certified pursuant to two different Part 15 rules sections.
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 07/30/2007

Application Dated: 07/30/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Digital Transmission System
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.052  
CC 15C 5725.0  -  5825.0 0.041  

Class II Permissive Change to include a new specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band.

Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

Highest reported SAR values in this Infusion Pump configuration are: 0.095 W/kg 2.4 GHz-band; 0.441 W/kg 5.2 GHz-band; 0.278 W/kg 5.5GHz band; 0.581 W/kg 5.8 GHz-band.


CC: This device is certified pursuant to two different Part 15 rules sections.
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 05/10/2007

Application Dated: 05/10/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15E 5180.0  -  5240.0 0.04  
CC ND 15E 5260.0  -  5320.0 0.04  
CC ND 15E 5500.0  -  5700.0 0.049  

Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

CC: This device is certified pursuant to two different Part 15 rules sections.
ND: This UNII device complies with the Transmit Power Control (TPC) and Dynamic Frequency Selection (DFS) requirements in Section 15.407(h).
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 06/27/2007

Application Dated: 06/27/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Digital Transmission System
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.052  
CC 15C 5725.0  -  5825.0 0.041  

Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

CC: This device is certified pursuant to two different Part 15 rules sections.
>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  National Technical Systems
41039 Boyce Road
Fremont, CA 94538
Date of Grant: 04/12/2019

Application Dated: 04/12/2019
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:  STJ80411396001
Name of Grantee:  ICU Medical, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15E 5180.0  -  5240.0 0.04  
CC 15E 5260.0  -  5320.0 0.04  
CC 15E 5500.0  -  5700.0 0.049  
CC 15E 5745.0  -  5825.0 0.041  

Output power is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. Highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Class II Permissive Change to update UNII-3 band.

CC: This device is certified pursuant to two different Part 15 rules sections.
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: 04/12/2019

Application Dated: 04/12/2019
 
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:  STJ80411396001
Name of Grantee:  ICU Medical, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15E 5180.0  -  5240.0 0.04  
CC 15E 5260.0  -  5320.0 0.04  
CC 15E 5500.0  -  5700.0 0.049  
CC 15E 5745.0  -  5825.0 0.041  

Output power is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. Highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Class II Permissive Change to update UNII-3 band.


CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To:


EA238505
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/12/2007

Application Dated: 03/12/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15E 5150.0  -  5350.0 0.041  

Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band.

>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/12/2007

Application Dated: 03/12/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Digital Transmission System
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15C 2412.0  -  2462.0 0.052  
15C 5725.0  -  5850.0 0.041  

Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band.

>
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  National Technical Systems - Silicon Valley
41039 Boyce Road
Fremont, CA 94538
Date of Grant: 06/07/2016

Application Dated: 06/07/2016
Hospira, Inc.
275 North Field Drive
Lake Forest, IL 60045
 
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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
38 CC 15E 5180.0  -  5240.0 0.04  
38 CC 15E 5260.0  -  5320.0 0.04  
38 CC 15E 5500.0  -  5700.0 0.049  
49 CC 15E 5745.0  -  5825.0 0.041  

Output power is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. Highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Class II Permissive Change to update UNII-3 band.

38: This device has shown compliance, in all grant-listed U-NII sub-bands, with the new rules for U-NII devices adopted under Docket No. 13-49 and may be marketed, manufactured or imported after the June 1, 2016 transition deadline.
49: The device has been approved under § 15.407(b)(4)(ii) for antenna gains of 10 dBi or less and cannot be manufactured, marketed, sold or imported after March 2, 2020.
CC: This device is certified pursuant to two different Part 15 rules sections.
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

Hospira, Inc.
275 North Field Drive
Lake Forest, IL 60045
United States
  Date of Grant: 06/07/2016

Application Dated: 06/07/2016
 
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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Modular Type: Does not apply
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
38 CC 15E 5180.0  -  5240.0 0.04  
38 CC 15E 5260.0  -  5320.0 0.04  
38 CC 15E 5500.0  -  5700.0 0.049  
49 CC 15E 5745.0  -  5825.0 0.041  

Output power is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. Highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in all Infusion Pump configurations are: 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band. Class II Permissive Change to update UNII-3 band.


38: This device has shown compliance, in all grant-listed U-NII sub-bands, with the new rules for U-NII devices adopted under Docket No. 13-49 and may be marketed, manufactured or imported after the June 1, 2016 transition deadline.
49: The device has been approved under § 15.407(b)(4)(ii) for antenna gains of 10 dBi or less and cannot be manufactured, marketed, sold or imported after March 2, 2020.
CC: This device is certified pursuant to two different Part 15 rules sections.

Mail To:


EA908190
TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 05/10/2007

Application Dated: 05/10/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Digital Transmission System
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15C 2412.0  -  2462.0 0.052  
CC 15C 5725.0  -  5825.0 0.041  

Class II Permissive Change to include specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

CC: This device is certified pursuant to two different Part 15 rules sections.
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TCB GRANT OF EQUIPMENT
AUTHORIZATION
TCB
Certification
Issued Under the Authority of the
Federal Communications Commission
By:

  UL Verification Services Inc. (formerly UL CCS)
47173 Benicia Street
Fremont, CA 94538
Date of Grant: 03/19/2007

Application Dated: 03/19/2007
Hospira, Inc.
755 Jarvis Drive
Morgan Hill, CA 95037
 
Attention: Ashwin Patel

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:  STJ80411396001
Name of Grantee:  Hospira, Inc.
Equipment Class: Unlicensed National Information Infrastructure TX
Notes: Wireless USB Adapter
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
CC 15E 5180.0  -  5240.0 0.04  
CC ND 15E 5260.0  -  5320.0 0.04  
CC ND 15E 5500.0  -  5700.0 0.049  

Class II Permissive Change to activate the 5.47-5.725GHz band and include a specific infusion pump host configuration. Output is conducted. SAR compliance has been established in the laptop computer configurations with USB slot configurations as tested in this filing, and can be used in laptop computers with substantially similar physical dimensions, construction, and electrical and RF characteristics. Compliance of this device in all final host configurations is the responsibility of the Grantee. End-users must be provided with specific information required to satisfy RF exposure compliance for all final host devices. Operations in the 5.15-5.25 GHz band are restricted to indoor-only use. The antenna(s) used for this transmitter must not be co-located or operating in conjunction with any other antenna or transmitter within a host device. The highest reported body SAR values for this composite filing are: 0.36 W/kg 2.4 GHz-band; 0.36 W/kg 5.2 GHz-band; 0.42 W/kg 5.8 GHz-band. Highest reported SAR values in the Infusion Pump configuration 0.78 W/kg 2.4 GHz-band; 1.458 W/kg 5.2 GHz-band; 1.416 W/kg 5.5GHz band; 0.826 W/kg 5.8 GHz-band.

CC: This device is certified pursuant to two different Part 15 rules sections.
ND: This UNII device complies with the Transmit Power Control (TPC) and Dynamic Frequency Selection (DFS) requirements in Section 15.407(h).
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Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details