FCC ID V5A-NOXBLEMOD

V5ANOXBLEMOD, V5A NOXBLEMOD, V5A-N0XBLEM0D, V5A-NOXBLEMOD, VSA-NOXBLEMOD

Nox Medical BT LE Module NOXBLEMOD

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: V5A-NOXBLEMOD is V5A. The remaining characters of the FCC ID, -NOXBLEMOD, 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: BT LE Module

Application: BT LE Module
Equipment Class: DTS - Digital Transmission System
Short Link: fcc.id/V5A-NOXBLEMOD
Sources: FCC.gov | FCC.report
Registered By: Nox Medical - V5A (Iceland)

App #	Purpose	Date	Unique ID
1	Original Equipment	2019-08-14	Lf9Vrd+jTn9CX1+IKf+D1g==

Operating Frequencies

Frequency Range	Power Output	Rule Parts	Line Entry
2.402-2.48 GHz	4.7 mW	15C	1

Exhibits

Document	Type	Submitted Available
Installation Manual	Users Manual Adobe Acrobat PDF (354 kB)	2019-08-14 2019-08-14
Test Set-Up Photos	Test Setup Photos Adobe Acrobat PDF (742 kB)	2019-08-14 2019-08-14
Test Report	Test Report Adobe Acrobat PDF (1350 kB)	2019-08-14 2019-08-14
RF Exposure Analysis	RF Exposure Info Adobe Acrobat PDF (1241 kB)	2019-08-14 2019-08-14
Labelling	ID Label/Location Info Adobe Acrobat PDF (249 kB)	2019-08-14 2019-08-14
Internal Photos	Internal Photos Adobe Acrobat PDF (1023 kB)	2019-08-14 2019-08-14
External Photos	External Photos Adobe Acrobat PDF (614 kB)	2019-08-14 2019-08-14
Modular Checklist Letter	Cover Letter(s) Adobe Acrobat PDF (1469 kB)	2019-08-14 2019-08-14
Confidentiality Letter	Cover Letter(s) Adobe Acrobat PDF (662 kB)	2019-08-14 2019-08-14
Authorization Letter	Cover Letter(s) Adobe Acrobat PDF (596 kB)	2019-08-14 2019-08-14
Additional Information	Operational Description Adobe Acrobat PDF (499 kB)	2019-08-14
Operational Description	Operational Description Adobe Acrobat PDF (371 kB)	2019-08-14
Block Diagram	Block Diagram Adobe Acrobat PDF (190 kB)	2019-08-14
Schematics	Schematics Adobe Acrobat PDF (448 kB)	2019-08-14

Application Forms

1 (2019-08-14)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Nox Medical
FCC Registration Number (FRN):	0016743833
Alphanumeric FCC ID:	V5ANOXBLEMOD
Unique Application Identifier:	Lf9Vrd+jTn9CX1+IKf+D1g==
Line one:	Katrinartuni 2
City:	Reykjavik
State:	N/A
Country:	Iceland
Zip Code:	IS-105

TCB Information

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

FCC ID

Grantee Code:	V5A
Product Code:	-NOXBLEMOD

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

Name:	Kolbrun Eydis Ottosdottir
Title:	Chief Compliance Officer

Telephone Number:

+3545707170

Extension:

Fax Number:	+3545707170
Email:	keo@noxmedical.com

Technical Contact

Firm Name:	Nox Medical
First Name:	Gunnar
Middle Name:	-
Last Name:	Sigurdsson
Line 1:	Katrinartuni 2
Line 2:	-
P.O. Box:	-
City:	Reykjavik
Country:	Iceland
Zip Code:	IS-105

Telephone Number:

+354 847 4220

Extension:

Fax Number:	-
E-Mail:	gunnar@noxmedical.com

Non Technical Contact

Firm Name:	Nox Medical
First Name:	Ingibjorn
Middle Name:	-
Last Name:	Steinudottir
Line 1:	Katrinartuni 2
Line 2:	-
P.O. Box:	-
City:	Reykjavik
Country:	Iceland
Zip Code:	IS-105

Telephone Number:

+354 575 7178

Extension:

Fax Number:	-
E-Mail:	inga@noxmedical.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):	BT LE Module

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Single Modular Approval

Application Purpose

Application is for: Original Equipment

Composite/Related Equipment

Is the equipment in this application a composite device subject to an additional equipment authorization? No

Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? No

Test Firm Information

Name of test firm and contact person on file with the FCC:

Firm Name: UL International Germany GmbH

First Name: Bernd

Last Name: Woerl

Telephone Number:

4971149002031

Extension:

Fax Number: -

E-mail: bernd.woerl@ul.com

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Power is conducted. The module is compliant with both FCC rule parts 2.1091 (mobile) and 2.1093 (portable) RF exposure evaluation. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. The host integrator must follow the integration instructions provided by the module manufacturer and ensure that the composite-system end product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules and to KDB Publication 996369 The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module.

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: Kolbrun Eydis Ottosdottir

Title of authorized signature: Chief Compliance Officer

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

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

UL VS Ltd
Pavilion A Ashwood Park, Ashwood Way
Basingstoke, RG23 8BG
United Kingdom

Date of Grant: 08/14/2019

Application Dated: 08/14/2019

Nox Medical

Katrinartuni 2

Reykjavik, IS-105
Iceland

Attention: Kolbrun Ottosdottir , Chief Compliance Officer

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:	V5A-NOXBLEMOD

Name of Grantee:	Nox Medical

Equipment Class:	Digital Transmission System
Notes:	BT LE Module
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.0047

Power is conducted. The module is compliant with both FCC rule parts 2.1091 (mobile) and 2.1093 (portable) RF exposure evaluation. Co-location of this module with other transmitters that operate simultaneously are required to be evaluated using the FCC multi-transmitter procedures. The host integrator must follow the integration instructions provided by the module manufacturer and ensure that the composite-system end product complies with the FCC requirements by a technical assessment or evaluation to the FCC rules and to KDB Publication 996369 The module grantee is responsible for providing the documentation to the system integrator on restrictions of use, for continuing compliance of the module.

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

Nox Medical
Katrinartuni 2
Reykjavik, IS-105
Iceland

Date of Grant: 08/14/2019

Application Dated: 08/14/2019

Attention: Kolbrun Ottosdottir , Chief Compliance Officer

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:	V5A-NOXBLEMOD

Name of Grantee:	Nox Medical

Equipment Class:	Digital Transmission System
Notes:	BT LE Module
Modular Type:	Single Modular

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
	15C	2402.0 - 2480.0	0.0047

Mail To:

EA292581

FCC ID V5A-NOXBLEMOD

V5ANOXBLEMOD, V5A NOXBLEMOD, V5A-N0XBLEM0D, V5A-NOXBLEMOD, VSA-NOXBLEMOD

Nox Medical BT LE Module NOXBLEMOD

Purchase on Amazon: BT LE Module

Operating Frequencies

Exhibits

Application Forms

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

Grants

Grants authorize equipment for operation at approved frequencies and sale within the USA. Click an above grant to view details