Experimental Licensing System

1641-EX-ST-2016

Medtronic MiniMed Inc.

Experimental Licensing System filing 1641-EX-ST-2016 submitted by Medtronic MiniMed Inc..

Filing overview

StatusGrant Expired Due to New License
Call signWK9XMQ
Date filed2016-11-16
Status date2016-12-05
FCC sourceView the FCC filing record

Special Temporary Authority application - Address

Attention:
Robert Vitti
City:
Northridge
Country:
United States
E-Mail Address:
bob.vitti@medtronic.com
State:
CA
Street Address:
18000 Devonshire Street
Zip Code:
91325

Special Temporary Authority application - Applicant Name

Name of Applicant:
Medtronic MiniMed Inc.

Special Temporary Authority application - Best Contact

First Name:
Joshua
Last Name:
Francis
Phone Number:
(763) 505-2303
Title:
Principal Electrical Engineer

Special Temporary Authority application - Certification

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

Special Temporary Authority application - 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.

Special Temporary Authority application - Information

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

Special Temporary Authority application - Initial values - Requested Period of Operation

Operation End Date:
01/02/2017
Operation Start Date:
11/01/2016

Special Temporary Authority application - Manufacturer

Equipment 1 Experimental
Yes
Equipment 1 Manufacturer
Medtronic MiniMed Inc.
Equipment 1 Model Number
Spark Recorder
Equipment 1 No. Of Units
65

Special Temporary Authority application - Purpose of Operation

Please explain the purpose of operation:
The product subject of application provides for transmission of data via short-range wireless link.

Special Temporary Authority application - Requested Period of Operation

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

Frequencies

ActionLower MHzUpper MHzClassOutput WERP WEmissionSignal
New2402.000000002480.00000000MO10000000.00000010000000.000000945KF1DDTS

Sites

SiteLocationCoordinatesOperating areaCountyRadius
Northridge, CaliforniaNorth 34 15 54 West 118 31 30Northridge CA80.00

Grant actions

DateCategoryDescription
2016-12-05GrantGrant Generated [Dec 5 2016]

Sources and provenance

SourceSource recordRetrievedMatch
ELS1641-EX-ST-20162026-07-30 08:57:35Source Primary
Selected field provenance
FieldDisplayed valueSourceObserved
StatusGrant Expired Due to New LicenseELS 1641-EX-ST-20162026-07-30 08:57:35
Applicant NameMedtronic MiniMed Inc.ELS 1641-EX-ST-20162026-07-30 08:57:35
Call SignWK9XMQELS 1641-EX-ST-20162026-07-30 08:57:35
Receipt Date2016-11-16ELS 1641-EX-ST-20162026-07-30 08:57:35
Status Date2016-12-05ELS 1641-EX-ST-20162026-07-30 08:57:35

Documents

DocumentTypeDateStatus
Grant E-mail Notification generated [Dec 5 2016]Correspondence2016-12-05Available
EXHIBIT A STA Modification RequestText Documents2016-11-16Available
EXHIBIT A STA Modification RequestText Documents2016-11-16Available
Exhibit A STA Modification RequestText Documents2016-11-16Available
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