FCC ID YYJ-5390144

YYJ5390144, YYJ 5390144, YYJ-5390144, YYJ-539O144, YYJ-5390I44, YYJ-S390144

GE Medical Systems, LLC WUSB Host Radio -5390144

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: YYJ-5390144 is YYJ. The remaining characters of the FCC ID, -5390144, 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: WUSB Host Radio

App # Purpose Date Unique ID
1 Original Equipment 2011-01-11 EwvNQzD6t9lPR3rzgdNYJg==
2 Class II Permissive Change 2011-07-15 99aw6NwBW810uv3VGWRQMA==
3 Class II Permissive Change 2016-10-03 29HNT4/VguXPAcqa3wfIzQ==

Exhibits

Available Exhibits

App #Document Type Submitted
Available
3 Test Setup PhotosTest Setup Photos
Adobe Acrobat PDF (822 kB)
2016-09-30
2016-10-03
3 Test ReportTest Report
Adobe Acrobat PDF (1858 kB)
2016-09-30
2016-10-03
3 External PhotosExternal Photos
Adobe Acrobat PDF (210 kB)
2016-09-30
2016-10-03
3 CommentsCover Letter(s)
Adobe Acrobat PDF (16 kB)
2016-09-30
2016-10-03
3 Agency LetterCover Letter(s)
Adobe Acrobat PDF (39 kB)
2016-09-30
2016-10-03
3 Cover LetterCover Letter(s)
Adobe Acrobat PDF (17 kB)
2016-09-30
2016-10-03
3 Agent AuthCover Letter(s)
Adobe Acrobat PDF (32 kB)
2016-09-30
2016-10-03
2 Setup Photos - prTest Setup Photos
Adobe Acrobat PDF (330 kB)
2011-07-07
2011-07-15
2 Internal Photos - prInternal Photos
Adobe Acrobat PDF (831 kB)
2011-07-07
2011-07-15
2 External Photos - prExternal Photos
Adobe Acrobat PDF (913 kB)
2011-07-07
2011-07-15
2 Label Exhibit - prtID Label/Location Info
Adobe Acrobat PDF (512 kB)
2011-07-07
2011-07-15
2 Attestation Letters - printableAttestation Statements
Adobe Acrobat PDF (40 kB)
2011-07-07
2011-07-15
2 Confidentiality Request Letter - printableCover Letter(s)
Adobe Acrobat PDF (39 kB)
2011-07-07
2011-07-15
2 Class II filing notes - printableCover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-07-07
2011-07-15
2 Cover Letter - printableCover Letter(s)
Adobe Acrobat PDF (19 kB)
2011-07-07
2011-07-15
2 Confidentiality Request LetterCover Letter(s)
Adobe Acrobat PDF (39 kB)
2011-06-21
2011-07-15
2 Class II filing notesCover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-21
2011-07-15
2 Class II PC requestCover Letter(s)
Adobe Acrobat PDF (107 kB)
2011-06-21
2011-07-15
2 Attestation lettersAttestation Statements
Adobe Acrobat PDF (40 kB)
2011-06-21
2011-07-15
2 Internal PhotosInternal Photos
Adobe Acrobat PDF (831 kB)
2011-06-21
2011-07-15
2 External PhotosExternal Photos
Adobe Acrobat PDF (913 kB)
2011-06-21
2011-07-15
2 User manualUsers Manual
Adobe Acrobat PDF (847 kB)
2011-06-21
2011-07-15
2 Setup PhotosTest Setup Photos
Adobe Acrobat PDF (330 kB)
2011-06-21
2011-07-15
2 Test ReportTest Report
Adobe Acrobat PDF (4047 kB)
2011-06-21
2011-07-15
2 RF Exposure InfoRF Exposure Info
Adobe Acrobat PDF (35 kB)
2011-06-21
2011-07-15
2 Label ExhibitID Label/Location Info
Adobe Acrobat PDF (512 kB)
2011-06-21
2011-07-15
2 Authorization LetterAttestation Statements
Adobe Acrobat PDF (14 kB)
2011-06-21
2011-07-15
2 Cover LetterCover Letter(s)
Adobe Acrobat PDF (19 kB)
2011-06-21
2011-07-15
1 FCC ID LabelID Label/Location Info
Adobe Acrobat PDF (34 kB)
2010-11-16
2011-01-11
1 Updated Modular Approval LetterCover Letter(s)
Adobe Acrobat PDF (158 kB)
2010-12-16
2011-01-11
1 Updated Letter of ConfidentialityCover Letter(s)
Adobe Acrobat PDF (15 kB)
2010-12-16
2011-01-11
1 External PhotoExternal Photos
JPEG Image (403 kB)
2010-11-24
2011-02-04
1 Test ReportTest Report
Adobe Acrobat PDF (793 kB)
2010-11-17
2011-01-11
1 Board and AntennaInternal Photos
JPEG Image (262 kB)
2010-11-16
2011-02-04
1 Internal BottomInternal Photos
JPEG Image (403 kB)
2010-11-16
2011-02-04
1 Internal TopInternal Photos
JPEG Image (354 kB)
2010-11-16
2011-02-04
1 Theory of OperationOperational Description
Adobe Acrobat PDF (76 kB)
2010-11-16
2011-01-11
1 Users ManualUsers Manual
Adobe Acrobat PDF (1343 kB)
2010-11-16
2011-01-11
1 Agency LetterCover Letter(s)
Adobe Acrobat PDF (10 kB)
2010-11-16
2011-01-11

APP # 3 (2016-10-03)

App # Document Type Submitted
Available
3 Test Setup Photos Test Setup Photos
Adobe Acrobat PDF (822 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00
3 Test Report Test Report
Adobe Acrobat PDF (1858 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00
3 External Photos External Photos
Adobe Acrobat PDF (210 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00
3 Comments Cover Letter(s)
Adobe Acrobat PDF (16 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00
3 Agency Letter Cover Letter(s)
Adobe Acrobat PDF (39 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00
3 Cover Letter Cover Letter(s)
Adobe Acrobat PDF (17 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00
3 Agent Auth Cover Letter(s)
Adobe Acrobat PDF (32 kB)
2016-09-30 00:00:00
2016-10-03 00:00:00

APP # 2 (2011-07-15)

App # Document Type Submitted
Available
2 Setup Photos - pr Test Setup Photos
Adobe Acrobat PDF (330 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Internal Photos - pr Internal Photos
Adobe Acrobat PDF (831 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 External Photos - pr External Photos
Adobe Acrobat PDF (913 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Label Exhibit - prt ID Label/Location Info
Adobe Acrobat PDF (512 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Attestation Letters - printable Attestation Statements
Adobe Acrobat PDF (40 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Confidentiality Request Letter - printable Cover Letter(s)
Adobe Acrobat PDF (39 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Class II filing notes - printable Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Cover Letter - printable Cover Letter(s)
Adobe Acrobat PDF (19 kB)
2011-07-07 00:00:00
2011-07-15 00:00:00
2 Confidentiality Request Letter Cover Letter(s)
Adobe Acrobat PDF (39 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Class II filing notes Cover Letter(s)
Adobe Acrobat PDF (18 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Class II PC request Cover Letter(s)
Adobe Acrobat PDF (107 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Attestation letters Attestation Statements
Adobe Acrobat PDF (40 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Internal Photos Internal Photos
Adobe Acrobat PDF (831 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 External Photos External Photos
Adobe Acrobat PDF (913 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 User manual Users Manual
Adobe Acrobat PDF (847 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Setup Photos Test Setup Photos
Adobe Acrobat PDF (330 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Test Report Test Report
Adobe Acrobat PDF (4047 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 RF Exposure Info RF Exposure Info
Adobe Acrobat PDF (35 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Label Exhibit ID Label/Location Info
Adobe Acrobat PDF (512 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Authorization Letter Attestation Statements
Adobe Acrobat PDF (14 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00
2 Cover Letter Cover Letter(s)
Adobe Acrobat PDF (19 kB)
2011-06-21 00:00:00
2011-07-15 00:00:00

APP # 1 (2011-01-11)

App # Document Type Submitted
Available
1 FCC ID Label ID Label/Location Info
Adobe Acrobat PDF (34 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00
1 Updated Modular Approval Letter Cover Letter(s)
Adobe Acrobat PDF (158 kB)
2010-12-16 00:00:00
2011-01-11 00:00:00
1 Updated Letter of Confidentiality Cover Letter(s)
Adobe Acrobat PDF (15 kB)
2010-12-16 00:00:00
2011-01-11 00:00:00
1 External Photo External Photos
JPEG Image (403 kB)
2010-11-24 00:00:00
2011-02-04 00:00:00
1 Test Report Test Report
Adobe Acrobat PDF (793 kB)
2010-11-17 00:00:00
2011-01-11 00:00:00
1 Board and Antenna Internal Photos
JPEG Image (262 kB)
2010-11-16 00:00:00
2011-02-04 00:00:00
1 Internal Bottom Internal Photos
JPEG Image (403 kB)
2010-11-16 00:00:00
2011-02-04 00:00:00
1 Internal Top Internal Photos
JPEG Image (354 kB)
2010-11-16 00:00:00
2011-02-04 00:00:00
1 Theory of Operation Operational Description
Adobe Acrobat PDF (76 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00
1 Users Manual Users Manual
Adobe Acrobat PDF (1343 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00
1 Agency Letter Cover Letter(s)
Adobe Acrobat PDF (10 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00
1 System Label ID Label/Location Info
Adobe Acrobat PDF (227 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00
1 Modular Approval Letter Cover Letter(s)
Adobe Acrobat PDF (252 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00

APP # 2 (2011-07-15)

App # Document Type Submitted
Available
2 Schematics Schematics
Adobe Acrobat PDF (128 kB)
2011-06-21 00:00:00
N/A

APP # 1 (2011-01-11)

App # Document Type Submitted
Available
1 Block Diagram Block Diagram
Adobe Acrobat PDF (27 kB)
2010-11-16 00:00:00
N/A
1 Schematic Schematics
Adobe Acrobat PDF (124 kB)
2010-11-16 00:00:00
N/A
1 Bill of Materials Parts List/Tune Up Info
Adobe Acrobat PDF (16 kB)
2010-11-16 00:00:00
N/A

APP # 2 (2011-07-15)

App # Document Type Submitted
Available
2 Theory Of Operation Operational Description
Adobe Acrobat PDF (76 kB)
2011-06-21 00:00:00
N/A

APP # 1 (2011-01-11)

App # Document Type Submitted
Available
1 Request for Confidentiality Cover Letter(s)
Adobe Acrobat PDF (9 kB)
2010-11-16 00:00:00
2011-01-11 00:00:00

APP # 2 (2011-07-15)

App # Document Type Submitted
Available
2 Block Diagram Block Diagram
Adobe Acrobat PDF (31 kB)
2011-06-21 00:00:00
N/A

Correspondence

APP # 2 (2011-07-15)

App # Document Type
2 Incoming Correspondence generated [Jul 7 2011] 2011-07-07 11:00:45
oeteascv
2 [Re-Sent]Confidential letter to applicant generated [Jul 11 2011] 2011-07-11 10:04:21
oeteascv

Application Forms

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: GE Medical Systems, LLC
FCC Registration Number (FRN): 0009572553
Alphanumeric FCC ID: YYJ5390144
Unique Application Identifier: EwvNQzD6t9lPR3rzgdNYJg==
Line one: 3000 N. Grandview Blvd
City: Waukesha
State: Wisconsin
Country: United States
Zip Code: 53188

TCB Information

FCC ID
Grantee Code: YYJ
Product Code: -5390144

Person at the applicant's address to receive grant or for contact
Name: John L Schmidt
Title: Regulatory Affairs Leader - XRay
Telephone Number: 262-548-4964 Extension:
Fax Number: 262-548-2032
Email: john.l.schmidt@med.ge.com
Mail Stop: W709

Technical Contact
Firm Name:
TDK RF Solutions
First Name: Bill
Last Name: Hall
Line 1:
1101 Cypress Creek Rd
City: Cedar Park
State: Texas
Country:
United States
Zip Code: 78613
Telephone Number:
512-492-3426

Extension:
Fax Number: 512-258-0740
E-Mail:

Non Technical Contact
Firm Name: TDK RF Solutions
First Name: Neal
Last Name: Mellen
Line 1: 1101 Cypress Creek Rd
City: Cedar Park
State: Texas
Country: United States
Zip Code: 78613
Telephone Number: 480-766-0702 Extension:
Fax Number: 512-258-0740
E-Mail: neal.mellen@us.tdk.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):   02/04/2011
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:   UWB - Ultra Wideband Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): WUSB Host Radio - BG1

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited 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?   Yes


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   TDK RF Solutions, Inc.
First Name:   Robert
Last Name:   Sutton
Telephone Number: 512-258-9478 Extension: 103
Fax Number:  512-258-0740
E-mail:  rsutton@tdkrf.com

Grant Comments
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:  Bill Hall
Title of authorized signature:  Test Engineer

Complete items below if agent signs the application:

Firm Name:  TDK RF Solutions
Name:  Bill Bill Bill
Line 1:  Bill
Line 2:  Bill
P.O. Box:  Bill
City:  Bill
State:  Bill
Country:  Bill
Zip Code:  Bill
Telephone Number:  512-492-3426
Fax Number:  512-258-0740
E-mail:  bhall@tdkrf.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: GE Medical Systems, LLC
FCC Registration Number (FRN): 0009572553
Alphanumeric FCC ID: YYJ5390144
Unique Application Identifier: 99aw6NwBW810uv3VGWRQMA==
Line one: 3000 N. Grandview Blvd
City: Waukesha
State: Wisconsin
Country: United States
Zip Code: 53188

TCB Information

FCC ID
Grantee Code: YYJ
Product Code: -5390144

Person at the applicant's address to receive grant or for contact
Name: John L Schmidt
Title: Regulatory Affairs Leader - XRay
Telephone Number: 262-548-4964 Extension:
Fax Number: 262-548-2032
Email: john.l.schmidt@med.ge.com
Mail Stop: W709

Technical Contact
Firm Name:
DLS Electronic Systems, Inc.
First Name: Adam
Last Name: Alger
Line 1:
166 South Carter Street
City: Genoa City
State: Wisconsin
Country:
United States
Zip Code: 53128
Telephone Number:
262-279-0210

Extension:
Fax Number: 262-279-3630
E-Mail:

Non Technical Contact
Firm Name: DLS Electronic Systems, Inc.
First Name: Jill
Last Name: Stumpf
Line 1: 166 South Carter Street
City: Genoa City
State: Wisconsin
Country: United States
Zip Code: 53128
Telephone Number: 262-279-0210 Extension:
Fax Number: 262-279-3630
E-Mail: jstumpf@dlsemc.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:   UWB - Ultra Wideband Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): WUSB Host Radio

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

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?   Yes


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   DLS Electronic Systems, Inc.
First Name:   William
Last Name:   Stumpf
Telephone Number: 262-279-0210 Extension:
Fax Number:  262-279-3630
E-mail:  bstumpf@dlsemc.com

Grant Comments
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:  William M. Stumpf
Title of authorized signature:  OATS Manager

Complete items below if agent signs the application:

Firm Name:  DLS Electronic Systems, Inc.
Name:  William (Bill) William (Bill) William (Bill)
Line 1:  William (Bill)
Line 2:  William (Bill)
P.O. Box:  William (Bill)
City:  William (Bill)
State:  William (Bill)
Country:  William (Bill)
Zip Code:  William (Bill)
Telephone Number:  262-279-0210
Fax Number:  262-279-3630
E-mail:  bstumpf@dlsemc.com

Application for Equipment Authorization FCC Form 731 TCB Version


Applicant Information
Applicant's complete, legal business name: GE Medical Systems, LLC
FCC Registration Number (FRN): 0009572553
Alphanumeric FCC ID: YYJ5390144
Unique Application Identifier: 29HNT4/VguXPAcqa3wfIzQ==
Line one: 3000 N. Grandview Blvd
City: Waukesha
State: Wisconsin
Country: United States
Zip Code: 53188

TCB Information
TCB Application Email Address: hotline@acbcert.com
TCB Scope: A2: Low Power Transmitters (except Spread Spectrum) and radar detectors operating above 1 GHz

FCC ID
Grantee Code: YYJ
Product Code: -5390144

Person at the applicant's address to receive grant or for contact
Name: Gary P Michalek
Title: Product Regulatory Compliance
Telephone Number: 262-548-2275 Extension:
Fax Number: 262-548-2032
Email: gary.michalek@med.ge.com
Mail Stop: W709
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:   UWB - Ultra Wideband Transmitter
Description of product as it is marketed: (NOTE: This text will appear below the equipment class on the grant): WUSB Host Radio

Related OET KnowledgeDataBase Inquiry
Is there a KDB inquiry associated with this application?  No

Modular Equipment
Modular Type:  Limited Single Modular Approval

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?   Yes


Test Firm Information
Name of test firm and contact person on file with the FCC:
Firm Name:   D.L.S. Electronic Systems, Inc.
First Name:   Brian
Last Name:   Mattson
Telephone Number: 847-537-6400 Extension:
Fax Number:  847-537-6488
E-mail:  brianm@dlsemc.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 adding a replacement antenna.
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:  William Martin Stumpf
Title of authorized signature:  OATS Manager

Complete items below if agent signs the application:

Firm Name:  D.L.S. Electronic Systems, Inc.
Name:  William William William
Line 1:  William
Line 2:  William
P.O. Box:  William
City:  William
State:  William
Country:  William
Zip Code:  William
E-mail:  bstumpf@dlsemc.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:

  ACB, Inc.
6731 Whittier Avenue Suite C110
McLean, VA 22101
Date of Grant: 10/03/2016

Application Dated: 09/30/2016
GE Medical Systems, LLC
3000 N. Grandview Blvd
Waukesha, WI 53188
 
Attention: Gary Michalek , Product Regulatory Compliance

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:  YYJ-5390144
Name of Grantee:  GE Medical Systems, LLC
Equipment Class: Ultra Wideband Transmitter
Notes: WUSB Host Radio
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15F 3168.0  -  4752.0  
15F 6336.0  -  7920.0  

Class II Permissive Change adding a replacement antenna.

COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

GE Medical Systems, LLC
3000 N. Grandview Blvd
Waukesha, WI 53188
United States
  Date of Grant: 10/03/2016

Application Dated: 09/30/2016
 
Attention: Gary Michalek , Product Regulatory Compliance

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:  YYJ-5390144
Name of Grantee:  GE Medical Systems, LLC
Equipment Class: Ultra Wideband Transmitter
Notes: WUSB Host Radio
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15F 3168.0  -  4752.0  
15F 6336.0  -  7920.0  

Class II Permissive Change adding a replacement antenna.



Mail To:


EA864411
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

GE Medical Systems, LLC
3000 N. Grandview Blvd
Waukesha, WI 53188
United States
  Date of Grant: 07/15/2011

Application Dated: 06/21/2011
 
Attention: Gary Michalek , Product Regulatory Compliance

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:  YYJ-5390144
Name of Grantee:  GE Medical Systems, LLC
Equipment Class: Ultra Wideband Transmitter
Notes: WUSB Host Radio
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15F 3168.0  -  4752.0  
15F 6336.0  -  7920.0  



Mail To:


EA181635
COPY FEDERAL COMMUNICATIONS
COMMISSION
WASHINGTON, D.C. 20554

GRANT OF EQUIPMENT
AUTHORIZATION
COPY
Certification

GE Medical Systems, LLC
3000 N. Grandview Blvd
Waukesha, WI 53188
United States
  Date of Grant: 01/11/2011

Application Dated: 11/16/2010
 
Attention: Gary Michalek , Product Regulatory Compliance

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:  YYJ-5390144
Name of Grantee:  GE Medical Systems, LLC
Equipment Class: Ultra Wideband Transmitter
Notes: WUSB Host Radio - BG1
Modular Type: Limited Single Modular
Grant Notes  FCC Rule Parts Frequency
Range (MHZ)
Output
Watts
Frequency
Tolerance
Emission
Designator
15F 3168.0  -  4752.0  



Mail To:


EA610916

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