FCC ID YSGVR124

YSG-VR124, YSG VR124, YSGVR124, YSGVRI24, Y5GVR124

SORIN CRM Implantable cardioverter defibrillator VR124

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: YSGVR124 is YSG. The remaining characters of the FCC ID, VR124, 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: Implantable cardioverter defibrillator
Equipment Class: TNT - Licensed Non-Broadcast Transmitter Worn on Body
Short Link: fcc.id/YSGVR124
Sources: FCC.gov | FCC.report
Registered By: SORIN CRM - YSG (France)

App #	Purpose	Date	Unique ID
1	Original Equipment	2014-02-10	Xn41uV/bGutg0E6j8Tp4Qw==

Operating Frequencies

Frequency Range	Power Output	Tolerance	Emission Designator	Microprocessor	Rule Parts	Grant Notes	Line Entry
402-405 MHz	0.0002 mW	8.4200000000ppm	182KF1	ZL70102	95I	IT	1

Exhibits

Document	Type	Submitted Available
119405-638393K_T-Cr2014-01-20-SORIN CRM-VR 124-402-405MHz	Test Report Adobe Acrobat PDF (1123 kB)	2014-01-22 2014-02-10
MISC444B_SM_IMD_System Description for question 3	Operational Description Adobe Acrobat PDF (496 kB)	2014-01-08 2014-02-10
INTENSIA VR 124_differences vs VR 9250 for question 2	Operational Description Adobe Acrobat PDF (253 kB)	2014-01-08 2014-02-10
U136-A for question 2	ID Label/Location Info Adobe Acrobat PDF (45 kB)	2013-12-23 2014-02-10
U135-A for question 2	ID Label/Location Info Adobe Acrobat PDF (61 kB)	2013-12-23 2014-02-10
More details for question 6	Operational Description Adobe Acrobat PDF (133 kB)	2013-12-23 2014-02-10
MISC1582B for question 7	Operational Description Adobe Acrobat PDF (124 kB)	2013-12-23 2014-02-10
cover letter FCC for question 7	Cover Letter(s) Adobe Acrobat PDF (17 kB)	2013-12-23 2014-02-10
YSGVR124-Test setup	Test Setup Photos Adobe Acrobat PDF (231 kB)	2013-11-07 2014-02-10
VR124 Internal view of equipment	Internal Photos Adobe Acrobat PDF (1222 kB)	2013-11-07 2014-03-27
VR 124 External view of equipement	External Photos Adobe Acrobat PDF (85 kB)	2013-11-07 2014-02-10
MISC 1665A (SAR)	RF Exposure Info Adobe Acrobat PDF (1417 kB)	2013-11-07 2014-02-10
Manual EU INTENSIA VR124_U148	Users Manual Adobe Acrobat PDF (906 kB)	2013-11-07 2014-03-27
FCC-Label YSGVR124	ID Label/Location Info Adobe Acrobat PDF (136 kB)	2013-11-07 2014-02-10
FCC-Cover letter-YSGVR124	Cover Letter(s) Adobe Acrobat PDF (265 kB)	2013-11-07 2014-02-10
FCC-confidential request YSGVR124 TNB	Cover Letter(s) Adobe Acrobat PDF (400 kB)	2013-11-07 2014-02-10
Agency Authorization letter Sorin	Attestation Statements Adobe Acrobat PDF (135 kB)	2013-11-07 2014-02-10
VR124 Block diagram	Block Diagram Adobe Acrobat PDF (3090 kB)	2013-11-07
112624-622708-Q-Cr2012-05-16-T-SORIN-VR9250-2.4GHz	Test Report Adobe Acrobat PDF (601 kB)	2013-11-07 2014-02-10
MISC1582A (technical description)	Operational Description Adobe Acrobat PDF (146 kB)	2013-11-07 2014-02-10
INTENSIA_Block diagrams for question 1	Block Diagram Adobe Acrobat PDF (145 kB)	2014-01-08
INTENSIA_Electrical schematics for question 1	Schematics Adobe Acrobat PDF (498 kB)	2014-01-08
FCC ID LABEL	ID Label/Location Info Adobe Acrobat PDF (136 kB)	2013-11-07 2014-02-10
112624-622708-P-Cr2012-10-22-T-SORIN-VR9250-402-405MHz	Test Report Adobe Acrobat PDF (912 kB)	2013-11-07 2014-02-10
VR124 BOM	Parts List/Tune Up Info Adobe Acrobat PDF (3090 kB)	2013-11-07
119405-638393K-T-SORIN CRM	Test Report Adobe Acrobat PDF (1154 kB)	2013-11-07 2014-02-10
VR124 Schematics	Schematics Adobe Acrobat PDF (3090 kB)	2013-11-07
119405-638393L-T-SORIN CRM	Test Report Adobe Acrobat PDF (1116 kB)	2013-11-07 2014-02-10
INTENSIA_Block diagrams_electrical schematics for questions 3 4 and 5	Block Diagram Adobe Acrobat PDF (630 kB)	2013-12-23

App #	Document	Date
1	Incoming Correspondence generated [Jan 22 2014]	2014-01-27 09:20:56 Stephen.Jackson
1	Incoming Correspondence generated [Jan 8 2014]	2014-01-13 08:58:16 Stephen.Jackson
1	[Re-Sent]Short-Term Confidential Expiration Email generated [Mar 19 2014]	2014-03-19 13:30:28 Stephen.Jackson
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 10:00:48 Stephen.Jackson
1	Incoming Correspondence generated [Jan 22 2014]	2014-01-27 09:22:17 Stephen.Jackson
1	Incoming Correspondence generated [Jan 8 2014]	2014-01-13 08:58:43 Stephen.Jackson
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 10:01:15 Stephen.Jackson
1	Incoming Correspondence generated [Jan 31 2014]	2014-02-10 08:32:25 oeteascv
1	Incoming Correspondence generated [Jan 8 2014]	2014-01-13 08:59:09 Stephen.Jackson
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 10:01:42 Stephen.Jackson
1	Incoming Correspondence generated [Jan 31 2014]	2014-02-10 08:32:53 oeteascv
1	[Re-Sent]E-Mail generated [Dec 20 2013]	2013-12-23 08:41:47 oeteascv
1	Incoming Correspondence generated [Jan 8 2014]	2014-01-13 08:59:38 Stephen.Jackson
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 10:02:11 Stephen.Jackson
1	Incoming Correspondence generated [Feb 4 2014]	2014-02-10 08:43:22 oeteascv
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 09:59:28 Stephen.Jackson
1	[Re-Sent]E-Mail generated [Jan 9 2014]	2014-01-13 09:02:50 Stephen.Jackson
1	[Re-Sent]E-Mail generated [Dec 24 2013]	2013-12-31 10:04:27 Stephen.Jackson
1	[Re-Sent]Confidential letter to applicant generated [Feb 10 2014]	2014-02-10 10:56:11 oeteascv
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 09:59:54 Stephen.Jackson
1	[Re-Sent]E-Mail generated [Jan 10 2014]	2014-01-13 09:04:17 Stephen.Jackson
1	[Re-Sent]E-Mail generated [Jan 2 2014]	2014-01-02 17:04:55 Stephen.Jackson
1	[Re-Sent]Short-Term Confidential Letter to Applicant generated [Feb 10 2014]	2014-02-10 10:56:37 oeteascv
1	Incoming Correspondence generated [Dec 23 2013]	2013-12-31 10:00:22 Stephen.Jackson

App #

Document

Date

Incoming Correspondence generated [Jan 22 2014]

2014-01-27 09:20:56
Stephen.Jackson

Incoming Correspondence generated [Jan 8 2014]

2014-01-13 08:58:16
Stephen.Jackson

[Re-Sent]Short-Term Confidential Expiration Email generated [Mar 19 2014]

2014-03-19 13:30:28
Stephen.Jackson

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 10:00:48
Stephen.Jackson

Incoming Correspondence generated [Jan 22 2014]

2014-01-27 09:22:17
Stephen.Jackson

Incoming Correspondence generated [Jan 8 2014]

2014-01-13 08:58:43
Stephen.Jackson

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 10:01:15
Stephen.Jackson

Incoming Correspondence generated [Jan 31 2014]

2014-02-10 08:32:25
oeteascv

Incoming Correspondence generated [Jan 8 2014]

2014-01-13 08:59:09
Stephen.Jackson

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 10:01:42
Stephen.Jackson

Incoming Correspondence generated [Jan 31 2014]

2014-02-10 08:32:53
oeteascv

[Re-Sent]E-Mail generated [Dec 20 2013]

2013-12-23 08:41:47
oeteascv

Incoming Correspondence generated [Jan 8 2014]

2014-01-13 08:59:38
Stephen.Jackson

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 10:02:11
Stephen.Jackson

Incoming Correspondence generated [Feb 4 2014]

2014-02-10 08:43:22
oeteascv

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 09:59:28
Stephen.Jackson

[Re-Sent]E-Mail generated [Jan 9 2014]

2014-01-13 09:02:50
Stephen.Jackson

[Re-Sent]E-Mail generated [Dec 24 2013]

2013-12-31 10:04:27
Stephen.Jackson

[Re-Sent]Confidential letter to applicant generated [Feb 10 2014]

2014-02-10 10:56:11
oeteascv

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 09:59:54
Stephen.Jackson

[Re-Sent]E-Mail generated [Jan 10 2014]

2014-01-13 09:04:17
Stephen.Jackson

[Re-Sent]E-Mail generated [Jan 2 2014]

2014-01-02 17:04:55
Stephen.Jackson

[Re-Sent]Short-Term Confidential Letter to Applicant generated [Feb 10 2014]

2014-02-10 10:56:37
oeteascv

Incoming Correspondence generated [Dec 23 2013]

2013-12-31 10:00:22
Stephen.Jackson

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version

Applicant Information

Applicant's complete, legal business name:	SORIN CRM
FCC Registration Number (FRN):	0020190344
Alphanumeric FCC ID:	YSGVR124
Unique Application Identifier:	Xn41uV/bGutg0E6j8Tp4Qw==
Line one:	4, Avenue de Reamur
Line two:	92140
City:	CLAMART
State:	N/A
Country:	France

TCB Information

FCC ID

Grantee Code:	YSG
Product Code:	VR124

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

Name:

CHATURA PATHIRAGE

Telephone Number:

+33146013358

Extension:

Email:

chatura.pathirage@sorin.com

Technical Contact

Firm Name:	SORIN CRM
First Name:	Barou
Last Name:	Philippe
Line 1:	Parc d'affaires NOVEOS
Line 2:	4 Avenue Reaumur
P.O. Box:	92140
City:	Clamart
Country:	France

E-Mail:

philippe.barou@sorin.com

Non Technical Contact

Firm Name:	SORIN CRM
First Name:	Varomme
Last Name:	Olivier
Line 1:	Parc d'affaires NOVEOS
Line 2:	4 Avenue Reaumur
P.O. Box:	92140
City:	Clamart
Country:	France

Telephone Number:

+33146013379

Extension:

E-Mail:

olivier.varomme@sorin.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): 03/27/2014
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):	Implantable cardioverter defibrillator

Related OET KnowledgeDataBase Inquiry

Is there a KDB inquiry associated with this application? No

Modular Equipment

Modular Type: Does not apply

Application Purpose

Application is for: Original Equipment

Composite/Related Equipment

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

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

Test Firm Information

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

Firm Name: LCIE

First Name: Sandie

Last Name: Caudal

Telephone Number:

00-33-1-40-95-62-28

Extension:

Fax Number: 00-33-1-40-95-63-43

E-mail: sandie.caudal@lcie.fr

Grant Comments

Enter any text that you would like to appear at the bottom of the Grant of Equipment Authorization:
Output power is 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: Philippe Sissoko

Title of authorized signature: Technical manager

Complete items below if agent signs the application:

Firm Name: LCIE

Name: Sissoko Sissoko Sissoko

Line 1: Sissoko

Line 2: Sissoko

P.O. Box: Sissoko

City: Sissoko

State: Sissoko

Country: Sissoko

Zip Code: Sissoko

Telephone Number:

+33(0)630839572

E-mail: philippe.sissoko@lcie.fr

Grants

This application does not exist.

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

SORIN CRM
4, Avenue de Reamur 92140
CLAMART,
France

Date of Grant: 02/10/2014

Application Dated: 11/07/2013

Attention: CHATURA PATHIRAGE

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:	YSGVR124

Name of Grantee:	SORIN CRM

Equipment Class:	Licensed Non-Broadcast Transmitter Worn on Body
Notes:	Implantable cardioverter defibrillator
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	2E-7	8.42 PM	182KF1

Output power is EIRP.

IT:	Implanted Transmitter

Mail To:

EA866630

FCC ID YSGVR124

YSG-VR124, YSG VR124, YSGVR124, YSGVRI24, Y5GVR124

SORIN CRM Implantable cardioverter defibrillator VR124

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Operating Frequencies

Exhibits

Correspondence

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