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LF52990129901

Medtronic, Inc.
29901 - FCC ID LF529901 - Medtronic, Inc.
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Application Details

Equipment Class
DTS - Digital Transmission System
Date of Grant
Jul 08, 2013
Application Purpose
Original Equipment
Date of Application
Jul 08, 2013
Equipment Note
29901
Frequency Range
5755.00000000 - 5795.00000000
Company
Medtronic, Inc.
Country
United States

Documents & Files

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Users Manual

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Cover Letter(s)

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External Photos

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ID Label/Location Info

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Operational Description

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RF Exposure Info

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Test Report

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Test Setup Photos

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Document Text

Text extracted from the exhibit documents filed with the FCC. Open a document above to read the original.

Users Manual

Medtronic Confidential CRDMRef_R1.1 M945141A001_fc.fm 4/27/12 10:00 am 7" x 9" (178 mm x 229 mm) M945141A001Rev BRefer to the “Reference manual” category in doc#163256 for Printing Instructions. CARELINK ENCORE TM 29901 Programmer for Medtronic and Vitatron Devices Reference Manual 29901/SW028: VSH02: M945141A001Rev BRefer to the “Reference manual” category in doc#163256 for Printing Instructions. Medtronic Confidential CRDMRef_R1.1 M945141A001_fc.fm 4/27/12 10:00 am 7" x 9" (178 mm x 229 mm) A guide for setting up and using the CareLink Encore 29901 Programmer. Printing instructions: doc#163256; refer to 'Reference manuals' row in the applicable table.501346-089 M945141A001B Medtronic Confidential Composed: 2012-04-26 10:35:22 XSL-Stylesheet H - Reference manual 12-MAY-2011 CARELINK ENCORE ™ 29901 Reference Manual Printing instructions: doc#163256; refer to 'Reference manuals' row in the applicable table.501346-089 M945141A001B Medtronic Confidential Composed: 2012-04-26 10:35:22 XSL-Stylesheet H - Reference manual 12-MAY-2011 The following list includes trademarks or registered trademarks of Medtronic in the United States and possibly in other countries. All other trademarks are the property of their respective owners. CareLink, CareLink Encore, Marker Channel, Medtronic, Paceart, SessionSync, Vitatron Contents 1 Introduction to the programmer.......................................8 1.1 Explanation of packaging and product symbols..........................8 1.2 About this guide....................................................11 1.3 Description........................................................11 1.4 Intended use.......................................................12 1.5 Warnings..........................................................12 1.6 Precautions........................................................15 1.7 Declaration of Conformity............................................17 1.8 Regulatory compliance..............................................17 1.9 Programmer functions...............................................18 1.10 Security features of the programmer...................................19 1.11 Software requirements...............................................20 1.12 Compatible components.............................................20 1.13 Obtain technical manuals............................................21 2 Set up the programmer..............................................22 2.1 System components................................................22 2.2 Programmer button panel............................................25 2.3 Basic setup........................................................26 2.4 Charge the battery..................................................32 2.5 Use external printers................................................35 3 Configure the programmer...........................................40 3.1 Display screen features..............................................40 3.2 About the Between Patient Sessions tool palette........................43 3.3 Change the language setting.........................................44 3.4 Use the on-screen keyboard..........................................45 3.5 View and update programmer location and hardware information..........45 3.6 Adjust programmer time and date.....................................46 3.7 Select audible tones.................................................47 3.8 Check the software version...........................................48 3.9 Select other software................................................49 Printing instructions: doc#163256; refer to 'Reference manuals' row in the applicable table.501346-089 MedtronicCARELINK ENCORE ™ 29901 Reference Manual5 M945141A001B Medtronic Confidential Composed: 2012-04-26 10:35:22 XSL-Stylesheet H - Reference manual 12-MAY-2011 3.10 Remove other software applications...................................49 3.11 Improve the detection of pacing artifacts...............................50 3.12 Start the Demonstrations option.......................................50 3.13 Configure network using the Network Configuration window...............51 4 Update programmer software using the Software Distribution Network...........................................................54 4.1 The Software Distribution Network....................................54 4.2 Connect to the SDN using a wired network connection...................54 4.3 Connect to the SDN using a wireless network connection.................59 5 Conduct a patient session...........................................62 5.1 Prepare for a patient session.........................................62 5.2 Initiate a patient session.............................................69 5.3 Electronic Strip Chart (eStrip) recorder.................................73 5.4 Emergency VVI button...............................................76 5.5 End a patient session................................................77 5.6 Store components..................................................78 6 Manage session data and reports.....................................79 6.1 Session data.......................................................79 6.2 Reports............................................................79 6.3 Save to a PDF file...................................................79 6.4 Save to USB.......................................................80 6.5 View reports that are saved to media..................................81 6.6 View reports on the programmer using PDF Viewer......................82 6.7 Viewing and printing PDF files on a computer...........................82 6.8 Manage patient data privacy..........................................83 6.9 Set the interval for report deletion.....................................86 7 SessionSync (Optional)..............................................88 7.1 About SessionSync.................................................88 7.2 Enable and disable SessionSync........…

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Cover Letter(s)

WTD 12.7.3 FCC Compliance Opinion MDTR0119 Information about the Applicant Grantee (Company Name) Medtronic Inc. FCC Contact Person Charles S. Farlow Address 8200 Coral Sea Street N. E. City, State, Zip Moundsview, MN 55112 Job Number MDTR0119 Model CareLink Encore Programmer Model 29901 FCC ID LF529901 Agent Yogendra Shaw, Janet Gavidia, Jacko Chen Approval Type Original Equipment Class DSS Part 15 Spread Spectrum Transmitter DTS Digital Transmission System NII National Information Infrastructure DCD Low Power Transmitter below 1.75 MHz DXX Low Power Communications Device Transmitter Rule Part 15.247, 15.407, 15.225, 15.209 Overview Medtronic, Inc. is seeking original approval for their CareLink Encore Programmer. The programmer is used to interrogate and program selected Medtronic implantable devices. It contains an 802.11 a/b/g/n, Bluetooth, 13.56 MHz RFID, and a 175 kHz inductive telemetry radios. Confidentiality requested for allowed files. Request is properly addressed and referenced. Recommendation All items have been resolved and completed to my satisfaction; therefore I recommend this application for approval. Signature Dave Tolman, TCB Committee 9/5/2012

Cover Letter(s)

FCC Home | Search | RSS | Updates | E-Filing | Initiatives | Consumers | Find People Office of Engineering and Technology Subject: Response to Inquiry to FCC (Tracking Number 769154) (TCB) From: <[email protected]> Date: 7/1/2013 10:11 AM To: <[email protected]> Link to Federal Communications Commission Home Office of Engineering and Technology Inquiry on 06/26/2013 : Inquiry: An applicant, Medtronic Inc, has requested long term confidential treatment of their internal photos. I've attached their request for confidentiality letter. The device is a medical patient programmer that is not available for purchase by the general public. Medtronic has a history of obtaining long term confidential treatment of their internal photos. Reference: FCC ID: LF5MICSW2. Based upon this prior history, and the justification they've provided in the attached letter, we are seeking the Commission's permission to upload the internal photos as long-term confidential exhibits. We understand this would be a waiver to the policy stated in FCC KDB 726920 D02 v02, Item c. FCC response on 07/01/2013 The confidentiality request is acceptable as stated under the guidance of KDB #726920 dated 12/3/2012. You may upload the internal photos. Attachment Details: Request for confidentiality letter Do not reply to this message. Please select the Reply to an Inquiry Response link from the OET Inquiry System to add any additional information pertaining to this inquiry. Response to Inquiry to FCC (Tracking Number 769154) (TCB) 1 of 17/1/2013 10:14 AM

ID Label/Location Info

Part 15 S ttatement Enco FC ore 29901 CC Label L FCC Subm Location Ph mission hotos Enco FC ore 29901 CC Label L FCC Subm Location Ph mission hotos

Operational Description

CARELINK ENCORE PROGRAMMER 29901 ANTENNA ADDITIONAL DETAILS Inductive Telemetry BluetoothWi‐FiRFID Max/Peak Gain (dBi)1.878.67 TypeWire CoilIntegralPIFALoop ManufacturerPrecision Incorporated PCB EtchYageo CorpYageo Corp Part NumberM939274A001N/A CAN43130WLPE0291 2 and CAN43130WLPE0291 CAN43130RFPE02911 Loss of Antenna Cable (dB)0000 ‐Yogi Shah May 30, 2012 Page 2 of 7 Enco B ore 29901 luetooth M FCC Subm Module Ph mission hotos Page 2 of 3

RF Exposure Info

Medtronic Inc. CARELINK ENCORE™ 29901 Report No. MDTR0119.2 Rev 01 Report Prepared By www.nwemc.com 1-888-EMI-CERT © 2012 Northwest EMC, Inc 22975 NW Evergreen Parkway Suite 400 Hillsboro, Oregon 97124 Certificate of Evaluation Medtronic Inc. Model: CARELINK ENCORE™ 29901 Emissions Test Description Specification Test Method Pass/Fail Maximum Permissible Exposure FCC 2.1091:2012 OET Bulletin 65, Supplement C Ed 01-01 Pass Approved By: Donald Facteau, IS Manager This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government of the United States of America. Product compliance is the responsibility of the client, therefore the tests and equipment modes of operation represented in this report were agreed upon by the client, prior to testing. This Report may only be duplicated in its entirety. The results of this test pertain only to the sample(s) tested. The specific description is noted in each of the individual sections of the test report supporting this certificate of test. Northwest EMC Revision History Revision 05/05/03 Revision Number Description Date Page Number 01 Corrected EUT product name 5/4/12 2 01 Corrected details on datasheet 5/4/12 8 Accreditations and Authorizations Revision 02/21/2012 United States FCC - Designated by the FCC as a Telecommunications Certification Body (TCB). Certification chambers, Open Area Test Sites, and conducted measurement facilities are listed with the FCC. A2LA - Accredited by A2LA to ISO / IEC Guide 65 as a product certifier. This allows Northwest EMC to certify transmitters to FCC and IC specifications. NVLAP - Each laboratory is accredited by NVLAP to ISO 17025. The scope includes radio, ITE, and medical standards from around the world. See: http://www.nwemc.com/accreditations/ Canada IC - Recognized by Industry Canada as a Certification Body (CB). Certification chambers and Open Area Test Sites are filed with IC. European Union European Commission – Validated by the European Commission as a Conformity Assessment Body (CAB) under the EMC directive and as a Notified Body under the R&TTE Directive. Australia/New Zealand ACMA - Recognized by ACMA as a CAB for the acceptance of test data. Korea KCC / RRA - Recognized by KCC’s RRA as a CAB for the acceptance of test data. Japan VCCI - Associate Member of the VCCI. Conducted and radiated measurement facilities are registered. Taiwan BSMI – Recognized by BSMI as a CAB for the acceptance of test data. NCC - Recognized by NCC as a CAB for the acceptance of test data. Singapore IDA – Recognized by IDA as a CAB for the acceptance of test data. Hong Kong OFTA – Recognized by OFTA as a CAB for the acceptance of test data. Vietnam MIC – Recognized by MIC as a CAB for the acceptance of test data. Russia GOST – Accredited by Certinform VNIINMASH, CERTINFO, SAMTES, and Federal CHEC to perform EMC and Hygienic testing for Information Technology products to GOST standards. Locations Revision 2/23/12 Oregon Labs EV01-EV12 22975 NW Evergreen Pkwy, #400 Hillsboro, OR 97124 (503) 844-4066 California Labs OC01-OC13 41 Tesla Irvine, CA 92618 (949) 861-8918 New York Labs WA01-WA04 4939 Jordan Rd. Elbridge, NY 13060 (315) 685-0796 Minnesota Labs MN01-MN08 9349 W Broadway Ave. Brooklyn Park, MN 55445 (763) 425-2281 Washington Labs SU01-SU07 14128 339 th Ave. SE Sultan, WA 98294 (360) 793-8675 VCCI C-1071, R-1025, G-84, C-2687, T-1658, R-2318 R-1943, G-85, C-2766, T-1659, G-548 R-3125, G-86, G-141, C-3464, T-1634 R-871, G-83, C-3265, T-1511 Industry Canada 2834D-1, 2834D-2 2834B-1, 2834B-2, 2834B-3 2834E-1 2834C-1 Northwest EMC Product Description Rev 11/17/06 Party Requesting the Evaluation Company Name: Medtronic Inc. Address: 8200 Coral Sea Street N.E. City, State, Zip: Mounds View, MN 55112 Test Requested By: Janet Gavidia Models: CARELINK ENCORE TM 29901 Date of Evaluation: May 3, 2012 Information Provided by the Party Requesting the Evaluation Functional Description of the EUT (Equipment Under Test): The Programmer is used to interrogate and program selected Medtronic implantable devices. It contains 802.11a/b/g/n and Bluetooth radio modules. Objective: To demonstrate compliance with FCC requirements for RF exposure for 2.1091 mobile devices. NORTHWEST EMC OVERVIEW COMPLIANCE WITH 2.1091 COMPLIANCE WITH FCC KDB 447498 D01 Mobile Portable RF Exposure V04 FCC LIMITS FOR MPE Limits for General Population /Uncontrolled Exposure: 47 CFR 1.1310 METHOD OF EVALUATION Maximum Permissible Exposure (MPE) XMit 2008.12.29 Frequency Range Electric Field Strength Magnetic Field StrengthPower Density “Mobile devices that operate in the Cellular Radiotelephone Service, the Personal Communications Services, the Satellite Communications Services, the General Wireless Communications Service, the Wireless Communications Service, the Maritime Services and the Specialized Mobile Radio Service authorized under subpart H of part 22 of this chapter, parts 24, 25, 26 and 27 of this chapter, part 80 of this chapter (ship earth stations devices only) and part 90 of this chapter are subject to routine environmental evaluation for RF exposure prior to equipment authorization or use if they operate at frequencies of 1.5 GHz or below and their effective radiated power (ERP) is 1.5 watts or more, or if they operate at frequencies above 1.5 GHz and their ERP is 3 watts or more. Unlicensed personal communications service devices, unlicensed millimeter wave devices and unlicensed NII devices authorized under §§15.253, 15.255, and 15.257, and subparts D and E of part 15 of this chapter are also subject to routine environmental evaluation for RF exposure prior to equipment authorization or use if their ERP is 3 watts or more or if they meet the definition of a portable device as specified in §2.1093(b) requiring evaluation under the provisions of that section. All other mobile and unlicensed transmitting devices are categorically excluded from routine environmental evaluation for …

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Test Report

FCC CFR47 PART 15 SUBPART C INDUSTRY CANADA RSS-210 ISSUE 7 CERTIFICATION TEST REPORT FOR BLUETOOTH TRANSCEIVER MODULE MODEL NUMBER: BCM92070MD_REF FCC ID: QDS-BRCM1043 IC: 4324A-BRCM1043 REPORT NUMBER: 08U12247-11 ISSUE DATE: JANUARY 19, 2009 Prepared for BROADCOM CORPORATION 190 MATHILDA PLACE SUNNYVALE, CA 94086, U.S.A. Prepared by COMPLIANCE CERTIFICATION SERVICES 47173 BENICIA STREET FREMONT, CA 94538, U.S.A. TEL: (510) 771-1000 FAX: (510) 661-0888 REPORT NO: 08U12247-11 DATE: JANUARY 19, 2009 FCC ID: QDS-BRCM1043 IC: 4324A-BRCM1043 Page 2 of 68 COMPLIANCE CERTIFICATION SERVICES FORM NO: CCSUP4031B 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of CCS. Revision History Rev. Issue Date Revisions Revised By --- 01/19/09 Initial Issue T. Chan REPORT NO: 08U12247-11 DATE: JANUARY 19, 2009 FCC ID: QDS-BRCM1043 IC: 4324A-BRCM1043 Page 3 of 68 COMPLIANCE CERTIFICATION SERVICES FORM NO: CCSUP4031B 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of CCS. TABLE OF CONTENTS 1. ATTESTATION OF TEST RESULTS.................................................................................... 4 2. TEST METHODOLOGY ........................................................................................................ 5 3. FACILITIES AND ACCREDITATION.................................................................................... 5 4. CALIBRATION AND UNCERTAINTY .................................................................................. 5 4.1. MEASURING INSTRUMENT CALIBRATION ............................................................... 5 4.2. MEASUREMENT UNCERTAINTY................................................................................ 5 5. EQUIPMENT UNDER TEST ................................................................................................. 6 5.1. DESCRIPTION OF EUT................................................................................................ 6 5.2. MAXIMUM OUTPUT POWER....................................................................................... 6 5.3. DESCRIPTION OF AVAILABLE ANTENNAS............................................................... 6 5.4. SOFTWARE AND FIRMWARE..................................................................................... 6 5.5. WORST-CASE CONFIGURATION AND MODE .......................................................... 6 5.6. DESCRIPTION OF TEST SETUP................................................................................. 7 6. TEST AND MEASUREMENT EQUIPMENT ......................................................................... 9 7. ANTENNA PORT TEST RESULTS .................................................................................... 10 7.1.1. 20 dB AND 99% BANDWIDTH............................................................................ 10 7.1.2. HOPPING FREQUENCY SEPARATION ............................................................ 17 7.1.3. NUMBER OF HOPPING CHANNELS................................................................. 19 7.1.4. AVERAGE TIME OF OCCUPANCY.................................................................... 24 7.1.5. OUTPUT POWER ............................................................................................... 31 7.1.6. CONDUCTED SPURIOUS EMISSIONS............................................................. 36 8. RADIATED TEST RESULTS .............................................................................................. 45 8.1. TRANSMITTER ABOVE 1 GHz .................................................................................. 46 8.1.1. GFSK MODE ....................................................................................................... 46 8.1.2. 8PSK MODULATION .......................................................................................... 51 8.2. RECEIVER ABOVE 1 GHz ......................................................................................... 56 8.3. WORST-CASE BELOW 1 GHz................................................................................... 57 9. AC POWER LINE CONDUCTED EMISSIONS ................................................................... 59 10. MAXIMUM PERMISSIBLE EXPOSURE ........................................................................ 62 11. SETUP PHOTOS ............................................................................................................ 65 REPORT NO: 08U12247-11 DATE: JANUARY 19, 2009 FCC ID: QDS-BRCM1043 IC: 4324A-BRCM1043 Page 4 of 68 COMPLIANCE CERTIFICATION SERVICES FORM NO: CCSUP4031B 47173 BENICIA STREET, FREMONT, CA 94538, USA TEL: (510) 771-1000 FAX: (510) 661-0888 This report shall not be reproduced except in full, without the written approval of CCS. 1. ATTESTATION OF TEST RESULTS COMPANY NAME: BROADCOM CORPORATION 190 MATHILDA PLACE SUNNYVALE, CA 94086, U.S.A. EUT DESCRIPTION: BLUETOOTH TRANSCEIVER MODULE MODEL: BCM92070MD_REF SERIAL NUMBER: 0000P2 (Radiated), 0000P1 (Conducted) DATE TESTED: JANUARY 8 - 13, 2009 APPLICABLE STANDARDS STANDARD TEST RESULTS CFR 47 Part 15 Subpart C Pass INDUSTRY CANADA RSS-210 Issue 7 Annex 8 Pass INDUSTRY CANADA RSS-GEN Issue 2 Pass Compliance Certification Services, Inc. (CCS) tested the above equipment in accordance with the requirements set forth in the above standards. All indications of Pass/Fail in this report are opinions expressed by CCS based on interpretations and/or observations of test results. The test results show that the equipment tested is capable of demonstrating compliance with the requirements as documented in this report. Note: The results documented in this report apply only to the tested sample, under the conditions and modes of operation as described herein. This document may not be altered or revised in any way unless don…

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Test Report

SPORTON International Inc. Report Format Version: a FCC TEST REPORT Report No. : FR111315-01 FCC RADIO TEST REPORT according to 47 CFR FCC Part 15 Subpart C § 15.225 Equipment : Computing Platform Model No. : CP12L-MDT Brand Name : Medtronic Filing Type : New Application Applicant : Fimi S.r.l. Via Saul Banfi, 1-21047 Saronno (VA) Italy FCC ID : GZM802180 Manufacturer : Fimi S.r.l. Via Saul Banfi, 1-21047 Saronno (VA) Italy Received Date : Jan. 29, 2011 Final Test Date : Jul. 08, 2011 Statement The test result in this report refers exclusively to the presented test model / sample. Without written approval of SPORTON International Inc., the test report shall not be reproduced except in full. The measurements and test results shown in this test report were made in accordance with the procedures and found in compliance with the limit given in ANSI C63.4-2003 and 47 CFR FCC Part 15 Subpart C. The test equipment used to perform the test is calibrated and traceable to NML/ROC. SPORTON International Inc. No. 52 Hwa Ya 1 st Rd., Hwa Ya Technology Park, Kwei-Shan Hsiang, Tao Yuan Hsien, Taiwan, R.O.C. SPORTON International Inc. Page No. : i of ii TEL : 886-2-2696-2468 Issued Date : Jul. 06, 2011 FAX : 886-2-2696-2255 FCC ID : GZM802180 FCC TEST REPORT Report No. : FR111315-01 Table of Contents 1. SUMMARY OF THE TEST RESULT ....................................................................................................................... 2 2. GENERAL INFORMATION ...................................................................................................................................... 3 2.1 Product Details ................................................................................................................................................................................... 3 2.2 Accessories ........................................................................................................................................................................................ 3 2.3 Table for Filed Antenna ....................................................................................................................................................................... 3 2.4 Table for Test Modes .......................................................................................................................................................................... 3 2.5 Table for Testing Locations ................................................................................................................................................................. 3 2.6 Table for Supporting Units .................................................................................................................................................................. 4 2.7 Test Configurations ............................................................................................................................................................................. 4 3. TEST RESULT ......................................................................................................................................................... 6 3.1 AC Power Line Conducted Emissions Measurement .......................................................................................................................... 6 3.2 Field Strength of Fundamental Emissions and Mask Measurement .................................................................................................. 10 3.3 20dB Spectrum Bandwidth Measurement ......................................................................................................................................... 13 3.4 Radiated Emissions Measurement .................................................................................................................................................... 15 3.5 Frequency Stability Measurement ..................................................................................................................................................... 24 3.6 Antenna Requirements ..................................................................................................................................................................... 26 4. LIST OF MEASURING EQUIPMENTS .................................................................................................................. 27 5. TEST LOCATION ................................................................................................................................................... 29 6. TAF CERTIFICATE OF ACCREDITATION ........................................................................................................... 30 APPENDIX A. TEST PHOTOS ........................................................................................................................ A1 ~ A4 APPENDIX B. PHOTOGRAPHS OF EUT ..................................................................................................... B1 ~ B50 SPORTON International Inc. Page No. : ii of ii TEL : 886-2-2696-2468 Issued Date : Jul. 06, 2011 FAX : 886-2-2696-2255 FCC ID : GZM802180 FCC TEST REPORT Report No. : FR111315-01 History of This Test Report Original Issue Date: Jul. 06, 2011 Report No.: FR111315-01 ■ No additional attachment. □ Additional attachment were issued as following record: Attachment No. Issue Date Description 15.205(a) 15.209(a) 47 CFR FCC Part 15 Subpart C Further, this requirement does not apply to intentional radiators that must be professionally installed. SPORTON International Inc. Page No. : 1 of 30 TEL : 886-2-2696-2468 Issued Date : Jul. 06, 2011 FAX : 886-2-2696-2255 FCC ID : GZM802180 FCC TEST REPORT Report No. : FR111315-01 CERTIFICATE OF COMPLIANCE according to 47 CFR FCC Part 15 Subpart C § 15.225 Equipment : Computing Platform Model No. : CP12L-MDT Brand Name : Medtronic Applicant : Fimi S.r.l. Via Saul Banfi, 1-21047 Saronno (VA) Italy Sporton International as…

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Test Report

Medtronic Inc. CARELINK ENCORE TM 29901 Report No. MDTR0119 Report Prepared By www.nwemc.com 1-888-EMI-CERT © 2012 Northwest EMC, Inc 22975 NW Evergreen Parkway Suite 400 Hillsboro, Oregon 97124 Certificate of Test Last Date of Test: December 28, 2011 Medtronic Inc. Model: CARELINK ENCORE TM 29901 Emissions Test Description Specification Test Method Pass/Fail Field Strength of Fundamental FCC 15.209:2011 ANSI C63.10:2009 Pass Spurious Radiated Emissions FCC 15.209:2011 ANSI C63.10:2009 Pass AC Powerline Conducted Emissions FCC 15.207:2011 ANSI C63.10:2009 Pass Modifications made to the product See the Modifications section of this report Test Facility The measurement facility used to collect the data is located at: Northwest EMC, Inc 9349 W Broadway Ave. Brooklyn Park, MN 55445 Phone: (763) 425-2281 Fax: (763) 424-3469 This site has been fully described ina report filed with and accepted by the FCC (Federal Communications Commission). Approved By: Tim O'Shea, Operations Manager NVLAP Lab Code: 200881-0 This report must not be used to claim product certification, approval, or endorsement by NVLAP, NIST, or any agency of the federal government of the United States of America. Product compliance is the responsibility of the client, therefore the tests and equipment modes of operation represented in this report were agreed upon by the client, prior to testing. This Report may only be duplicated in its entirety. The results of this test pertain only to the sample(s) tested. The specific description is noted in each of the individual sections of the test report supporting this certificate of test. Northwest EMC Revision History Revision 06/29/09 Barometric Pressure The recorded barometric pressure has been normalized to sea level. Revision Number Description Date Page Number 00 None Accreditations and Authorizations FCC Accredited by NVLAP for performance of FCC radio, digital, and ISM device testing. Our Open Area Test Sites, certification chambers, and conducted measurement facilities have been fully described in reports filed with the FCC and accepted by the FCC in letters maintained in our files. Northwest EMC has been accredited by ANSI to ISO / IEC Guide 65 as a product certifier. We have been designated by the FCC as a Telecommunications Certification Body (TCB). This allows Northwest EMC to certify transmitters to FCC specifications in accordance with 47 CFR 2.960 and 2.962. NVLAP Northwest EMC, Inc. is accredited under the National Voluntary Laboratory Accreditation Program (NVLAP) for satisfactory compliance with the requirements of ISO/IEC 17025 for Testing Laboratories. NVLAP is administered by the National Institute of Standard…

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Contact Information

Applicant

Guillaume Girard(Sr. RF Regulatory Program Manager)
[email protected]763-526-0652Fax: 651-367-0603

Test Firm

Element Materials Technology MinneapolisRenee Walker
[email protected]503-844-4066Fax: 503-844-3826

Technical Specifications

#Rule PartsFrequency RangePower Output
615C5.75 GHz - 5.79 GHz652.71 mW
Confidentiality
Long Term
Grant Notes
Power listed is the maximum combined conducted output. Device is operating in 2x2 Spatial Multiplexing/Cyclic Delay Diversity MIMO configurations as described in this filing. The antenna(s) used for this transmitter must be installed to provide a separation distance of at least 20 cm from all persons and must not be co-located or operating in conjunction with any other antenna or transmitter within a host device, except in accordance with FCC multi-transmitter product procedures. End-Users must be provided with transmitter operation conditions for satisfying RF exposure compliance.

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