Medtronic MiniMed Inc.

1641-EX-ST-2016

Status: Grant Expired Due to New License

WK9XMQ
2016-12-05

Documents and Communications: [refresh]

Description	Category	Date
Grant E-mail Notification generated [Dec 5 2016]	Correspondence	2016-12-05
Exhibit A STA Modification Request	Text Documents	2016-11-16
EXHIBIT A STA Modification Request	Text Documents	2016-11-16
EXHIBIT A STA Modification Request	Text Documents	2016-11-16

Application Form:

OET Special Temporary Authority Report

FEDERAL COMMUNICATIONS COMMISSION
APPLICATION FOR SPECIAL TEMPORARY AUTHORITY

Applicant Name

Name of Applicant:

Medtronic MiniMed Inc.

Address

Attention:	Robert Vitti
Street Address:	18000 Devonshire Street
P.O. Box:
City:	Northridge
State:	CA
Zip Code:	91325
Country:	United States
E-Mail Address:	[email protected]

Best Contact

Give the following information of person who can best handle inquiries pertaining to this application:
Last Name: Francis
First Name: Joshua
Title: Principal Electrical Engineer
Phone Number: (763) 505-2303

Explanation

Please explain in the area below why an STA is necessary:
Product development requires experiments to be conducted prior to device approval to demonstrate safety and efficacy of the products, as well as the suitability of wireless technologies for our intended data transmission purpose. Applicant seeks a Special Temporary Authority to conduct studies in the 2400- 2483.SMHz band, and in residential environments, as permitted under Part 5 of the Commissions rules.

Purpose of Operation

Please explain the purpose of operation:

The product subject of application provides for transmission of data via short-range wireless link.

Information

Callsign:	WK9XMQ
Class of Station:	MO
Nature of Service:	Experimental

Requested Period of Operation

Operation Start Date:	01/02/2017
Operation End Date:	04/28/2017

Manufacturer

Manufacturer	Model Number	No. Of Units	Experimental
List below transmitting equipment to be installed (if experimental, so state) if additional rows are required, please submit equipment list as an exhibit:
Medtronic MiniMed Inc.	Spark Recorder	65	Yes

Certification

Neither the applicant nor any other party to the application is subject to a denial of Federal benefits that includes FCC benefits pursuant to Section 5301 of the Anti-Drug Abuse Act of 1988, 21 U.S.C. Section 862, because of a conviction for possession or distribution of a controlled substance. The applicant hereby waives any claim to the use of any particular frequency or electromagnetic spectrum as against the regulatory power of the United States because of the prvious use of the same, whether by license or otherwise, and requests authorization in accordance with this application. (See Section 304 of the Communications Act of 1934, as amended.) The applicant acknowledges that all statements made in this application and attached exhibits are considered material representations, and that all the exhibits part hereof and are incorporated herein as if set out in full in this application; undersigned certifies that all statements in this application are true, complete and correct to the best of his/her knowledge and belief and are made in good faith. Applicant certifies that construction of the station would NOT be an action which is likely to have a significant environmental effect. See the Commission's Rules, 47 CFR1.1301-1.1319.

Signature of Applicant (Authorized person filing form):	Jodie Rogers
Title of Applicant (if any):	RF Program Manager, Regulatory Affairs
Date:	2016-11-16 00:00:00.0

Station Location

	City	State	Latitude	Longitude	Mobile	Radius of Operation
	Northridge	California	North 34 15 54	West 118 31 30	Northridge CA	80.00

Datum: NAD 83
Is a directional antenna (other than radar) used? No
Exhibit submitted: No
(a) Width of beam in degrees at the half-power point:
(b) Orientation in horizontal plane:
(c) Orientation in vertical plane:
Will the antenna extend more than 6 meters above the ground, or if mounted on an existing building, will it extend more than 6 meters above the building, or will the proposed antenna be mounted on an existing structure other than a building? No
(a) Overall height above ground to tip of antenna in meters:
(b) Elevation of ground at antenna site above mean sea level in meters:
(c) Distance to nearest aircraft landing area in kilometers:
(d) List any natural formations of existing man-made structures (hills, trees, water tanks, towers, etc.) which, in the opinion of the applicant, would tend to shield the antenna from aircraft:

Action	Frequency	Station Class	Output Power/ERP	Mean Peak	Frequency Tolerance (+/-)	Emission Designator	Modulating Signal
New	2402.00000000-2480.00000000 MHz	MO	10.000000 mW 10.000000 mW	P	0.00200000 %	945KF1D	DTS

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