FCC ID XKYIPG1000

XKY-IPG1000, XKY IPG1000, XKYIPG1000, XKYIPG1OOO, XKYIPGI000, XKY1PG1000

Nevro Corporation Senza Implantable Pulse Generator IPG1000

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: XKYIPG1000 is XKY. The remaining characters of the FCC ID, IPG1000, 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.

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Application: Senza Implantable Pulse Generator
Equipment Class: TNT - Licensed Non-Broadcast Transmitter Worn on Body
Short Link: fcc.id/XKYIPG1000
Sources: FCC.gov | FCC.report
Registered By: Nevro Corporation - XKY (United States)

App #	Purpose	Date	Unique ID
1	Original Equipment	2015-01-27	WzUvHeFATCAInC95keAXmQ==

Operating Frequencies

Frequency Range	Power Output	Tolerance	Emission Designator	Rule Parts	Grant Notes	Line Entry
402-405 MHz		39.0000000000ppm	237KF1D	95I	IT	1

Exhibits

Document	Type	Submitted Available
Users Manual	Users Manual Adobe Acrobat PDF (1296 kB)	2015-01-27 2015-05-14
Test Configuration Photographs	Test Setup Photos Adobe Acrobat PDF (1023 kB)	2015-01-27 2015-05-14
Test Report	Test Report Adobe Acrobat PDF (333 kB)	2015-01-27 2015-01-27
SAR Exclusion	RF Exposure Info Adobe Acrobat PDF (93 kB)	2015-01-27 2015-01-27
Label Information	ID Label/Location Info Adobe Acrobat PDF (219 kB)	2015-01-27 2015-01-27
External Photographs	External Photos Adobe Acrobat PDF (269 kB)	2015-01-27 2015-01-27
Confidentiality Request	Cover Letter(s) Adobe Acrobat PDF (157 kB)	2015-01-27 2015-01-27
Agent authorization	Cover Letter(s) Adobe Acrobat PDF (93 kB)	2015-01-27 2015-01-27
Cover Letter	Cover Letter(s) Adobe Acrobat PDF (24 kB)	2015-01-27 2015-01-27
Attestation	Attestation Statements Adobe Acrobat PDF (172 kB)	2015-01-27 2015-01-27
KDB 891373 Confidentiality Request	Operational Description Adobe Acrobat PDF (59 kB)	2015-01-27
Operational Description	Operational Description Adobe Acrobat PDF (296 kB)	2015-01-27
Block Diagram	Block Diagram Adobe Acrobat PDF (290 kB)	2015-01-27
Internal Photographs	Internal Photos Adobe Acrobat PDF (624 kB)	2015-01-27
Tune Up Procedure	Parts List/Tune Up Info Adobe Acrobat PDF (285 kB)	2015-01-27
Parts List	Parts List/Tune Up Info Adobe Acrobat PDF (299 kB)	2015-01-27
Schematics	Schematics Adobe Acrobat PDF (52 kB)	2015-01-27

Application Forms

1 (2015-01-27)

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	Nevro Corporation
FCC Registration Number (FRN):	0018672352
Alphanumeric FCC ID:	XKYIPG1000
Unique Application Identifier:	WzUvHeFATCAInC95keAXmQ==
Line one:	4040 Campbell Ave
City:	Menlo Park
State:	California
Country:	United States
Zip Code:	94025

TCB Information

TCB Application Email Address:	svtcb@nts.com
TCB Scope:	B2: General Mobile Radio And Broadcast Services equipment in the following 47 CFR Parts 22 (non-cellular) 73, 74, 90, 95 & 97

FCC ID

Grantee Code:	XKY
Product Code:	IPG1000

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

Name:

Jon Parker

Telephone Number:

6504333210

Extension:

Fax Number:	6502519415
Email:	parker@nevro.com

Technical Contact

Firm Name:	National Technical Systems - Silicon Valley
First Name:	David
Last Name:	Bare
Line 1:	41039 Boyce Road
City:	Fremont
State:	California
Country:	United States
Zip Code:	94538

Telephone Number:

510 578 3500

Extension:

Fax Number:	510 440 9525
E-Mail:	svdoc@nts.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?: Yes

If so, specify the short-term confidentiality release date (MM/DD/YYYY format): 05/14/2015
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: TNT - Licensed Non-Broadcast Transmitter Worn on Body
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant):	Senza Implantable Pulse Generator

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Does not apply

Application Purpose

Application is for: Original Equipment

Composite/Related Equipment

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

Is the equipment in this application part of a system that operates with, or is marketed with, another device that requires an equipment authorization? Yes

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 listed is 0.000000046 W EIRP

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: David Bare

Title of authorized signature: Chief Engineer

Complete items below if agent signs the application:

Firm Name: National Technical Systems - Silicon Valley

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:

510-578-3500

Fax Number: 510-440-9525

E-mail: svdoc@nts.com

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:

National Technical Systems - Silicon Valley
41039 Boyce Road
Fremont, CA 94538

Date of Grant: 01/27/2015

Application Dated: 01/27/2015

Nevro Corporation

4040 Campbell Ave

Menlo Park, CA 94025

Attention: Jon Parker

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:	XKYIPG1000

Name of Grantee:	Nevro Corporation

Equipment Class:	Licensed Non-Broadcast Transmitter Worn on Body
Notes:	Senza Implantable Pulse Generator

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
IT	95I	402.0 - 405.0	0E-7	39.0 PM	237KF1D

Output power listed is 0.000000046 W EIRP

IT:	Implanted Transmitter

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

Nevro Corporation
4040 Campbell Ave
Menlo Park, CA 94025
United States

Date of Grant: 01/27/2015

Application Dated: 01/27/2015

Attention: Jon Parker

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:	XKYIPG1000

Name of Grantee:	Nevro Corporation

Equipment Class:	Licensed Non-Broadcast Transmitter Worn on Body
Notes:	Senza Implantable Pulse Generator
Modular Type:	Does not apply

Grant Notes	FCC Rule Parts	Frequency Range (MHZ)	Output Watts	Frequency Tolerance	Emission Designator
IT	95I	402.0 - 405.0	0E-7	39.0 PM	237KF1D

Output power listed is 0.000000046 W EIRP

IT:	Implanted Transmitter

Mail To:

EA855819

FCC ID XKYIPG1000

XKY-IPG1000, XKY IPG1000, XKYIPG1000, XKYIPG1OOO, XKYIPGI000, XKY1PG1000

Nevro Corporation Senza Implantable Pulse Generator IPG1000

Purchase on Amazon: Senza Implantable Pulse Generator

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