0011-EX-MN-2017

Filing overview

442 application form

Is applicant a foreign government or a representative of a foreign government?

NO

442 application form - Application for Medical Testing License

Applicant (Company) Name:

Laboratory of Sydney S. Cash; Massachusetts General Hospital

Applicant's FCC Registration Number (FRN):

0023229834

Attention To:

Sydney S. Cash

City:

Boston

Country (If not the United States):

US

E-mail Address:

scash@mgh.harvard.edu

State:

Massachusetts

Street Address:

55 Fruit Street

Zip Code:

02114

442 application form - Authorized Party to Sign

Signature Date:

2017-11-14 14:35:55.786

Signature of Applicant (Authorized person filing application):

Sydney S. Cash

Title of Person Signing Application:

Sydney S. Cash

442 application form - Eligibility Questions

Applicant affirms that they are a health care facility as defined in section 95.1103(b) of the Commission ’s rules

YES

Will this license involve clinical testing trials

YES

442 application form - Give the following information of person who can best handle inquiries pertaining to this application:

First Name:

Sydney

Last Name:

Cash

Phone Number:

617-726-3311

Title:

MD, PhD -- Associate Professor

442 application form - Initial values - Authorized Party to Sign

Signature Date:

2017-11-14 15:19:48.396

442 application form - Insert a short description of the purpose of this application, or for modifications describe what is being modified.

Narrative Comment:

This application focuses on medical devices which incorporate wireless connectivity in their design. The system, based on Bluetooth communication components, transmit electroencephalogram data from a wearable patient device to a local receiver.

442 application form - Location Information

County:

MIDDLESEX

North Latitude:

42 ° 21 ' 45 "

West Longitude:

71 ° 4 ' 7 "

442 application form - Medical Testing License Questions

Do you intend to operate on commercial mobile radio service (CMRS)?

NO

Do you intend to operate on public safety frequencies?

NO

Do you intend to use any of the federal exclusive and shared frequencies?

NO

Grant actions

Notes

Documents