PHC-11AC1-A Combined WLAN and Bluetooth Module

Philips Health Systems - Class II Permissive Change

222 Jacobs St


philips.com

Listed Certified Devices

Brand Device Name Model Type Certification Date
Philips Health Systems PHC-11AC1-A Combined WLAN and Bluetooth Module PHC-11AC1 FCC ID 2023-06-16
FCC Application Details
EquipmentRivet Networks 2x2 11ac Wireless Adapter with Bluetooth 4.1, NGFF525A
FRN0027781111
Grantee Code2ATC9
Product Code-PHC-11AC1
Applicant BusinessPhilips Health Systems
Business Address222 Jacobs St , Cambridge, Massachusetts United States 02141
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantMark Nolin – Sr. Network Engineer
Applicant Phone
Applicant Fax1 978 659 7561
Applicant Email[email protected]
Applicant MailStop
Test FirmBureau Veritas CPS (H.K.) Ltd., Taoyuan Branch
Test Firm ContactRichard Chen
Test Firm Phone
Test Firm Fax+886-(0)3-211-5834
Test Firm Email[email protected]
Certified ByMark Nolin –
Philips Health Systems PHC-11AC1-A Combined WLAN and Bluetooth Module PHC-11AC1 FCC ID 2022-02-18
FCC Application Details
EquipmentPHC-11AC1-A Combined WLAN and Bluetooth Module
FRN0027781111
Grantee Code2ATC9
Product Code-PHC-11AC1
Applicant BusinessPhilips Health Systems
Business Address222 Jacobs St , Cambridge, Massachusetts United States 02141
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantMark Nolin – Sr. Network Engineer
Applicant Phone
Applicant Fax1 978 659 7561
Applicant Email[email protected]
Applicant MailStop
Test FirmLaird Connectivity LLC
Test Firm ContactAdam Alger
Test Firm Phone
Test Firm Fax262 375 4248
Test Firm Email[email protected]
Certified ByMark Nolin – Sr. Lab Manager
Philips Health Systems Rivet Networks 2x2 11ac Wireless Adapter with Bluetooth 4.1, NGFF525A PHC-11AC1 FCC ID 2021-08-10
FCC Application Details
EquipmentRivet Networks 2x2 11ac Wireless Adapter with Bluetooth 4.1, NGFF525A
FRN0027781111
Grantee Code2ATC9
Product Code-PHC-11AC1
Applicant BusinessPhilips Health Systems
Business Address222 Jacobs St , Cambridge, Massachusetts United States 02141
TCB ScopeA4: UNII devices & low power transmitters using spread spectrum techniques
TCB Email[email protected]
ApplicantMark Nolin – Sr. Network Engineer
Applicant Phone
Applicant Fax1 978 659 7561
Applicant Email[email protected]
Applicant MailStop
Test FirmBureau Veritas CPS (H.K.) Ltd., Taoyuan Branch
Test Firm ContactRichard Chen
Test Firm Phone
Test Firm Fax+886-(0)3-211-5834
Test Firm Email[email protected]
Certified ByMark Nolin –
Philips Health Systems PHC-11AC1-A Combined WLAN and Bluetooth Module PHC-11AC1 FCC ID 2020-07-21
FCC Application Details
EquipmentRivet Networks 2x2 11ac Wireless Adapter with Bluetooth 4.1, NGFF525A
FRN0027781111
Grantee Code2ATC9
Product Code-PHC-11AC1
Applicant BusinessPhilips Health Systems
Business Address222 Jacobs St , Cambridge, Massachusetts United States 02141
TCB ScopeA1: Low Power Transmitters below 1 GHz (except Spread Spectrum), Unintentional Radiators, EAS (Part 11) & Consumer ISM devices
TCB Email[email protected]
ApplicantMark Nolin – Sr. Network Engineer
Applicant Phone
Applicant Fax1 978 659 7561
Applicant Email[email protected]
Applicant MailStop
Test FirmBureau Veritas CPS (H.K.) Ltd., Taoyuan Branch
Test Firm ContactRichard Chen
Test Firm Phone
Test Firm Fax+886-(0)3-211-5834
Test Firm Email[email protected]
Certified ByMark Nolin –

Further Details May Be Available From: fcc.id/2ATC9PHC11AC1 or fcc.report/FCC-ID/2ATC9PHC11AC1


DescriptionExhibit TypeFile TypeDisplay TypeFile SizeSubmission DateDate Available

Document 6604538
Mirror: FCCID.io - 6604538
RFx not applicable
RF Exposure InfoAdobe Acrobat PDFpdf140.35 K2023-06-162023-06-16

Document 6604532
Mirror: FCCID.io - 6604532
Covered List Attestation
Attestation StatementsAdobe Acrobat PDFpdf345.49 K2023-06-162023-06-16

Document 6604531
Mirror: FCCID.io - 6604531
US Agent for SoP
Attestation StatementsAdobe Acrobat PDFpdf353.96 K2023-06-162023-06-16

Document 6604530
Mirror: FCCID.io - 6604530
Application Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf209.38 K2023-06-162023-06-16

Document 6604490
Mirror: FCCID.io - 6604490
SAR Test Set- Up Photos
Test Setup PhotosAdobe Acrobat PDFpdf733.48 K2023-06-162023-06-16

Document 6604489
Mirror: FCCID.io - 6604489
SAR Report (2)
RF Exposure InfoAdobe Acrobat PDFpdf2.76 M2023-06-162023-06-16

Document 6604488
Mirror: FCCID.io - 6604488
SAR Report (1)
RF Exposure InfoAdobe Acrobat PDFpdf2.44 M2023-06-162023-06-16

Document 6604487
Mirror: FCCID.io - 6604487
Application Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf209.38 K2023-06-162023-06-16

Document 6604486
Mirror: FCCID.io - 6604486
Covered List Attestation
Attestation StatementsAdobe Acrobat PDFpdf345.49 K2023-06-162023-06-16

Document 6604485
Mirror: FCCID.io - 6604485
US Agent for SoP
Attestation StatementsAdobe Acrobat PDFpdf353.96 K2023-06-162023-06-16

Document 6604484
Mirror: FCCID.io - 6604484
Power Table
Operational DescriptionAdobe Acrobat PDFpdf589.5 K2023-06-162023-06-16

Document 5688309
Mirror: FCCID.io - 5688309
Attestation
Attestation StatementsAdobe Acrobat PDFpdf163.28 K2022-02-182022-02-18

Document 5688308
Mirror: FCCID.io - 5688308
Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf205.59 K2022-02-182022-02-18

Document 5687958
Mirror: FCCID.io - 5687958
Attestation
Attestation StatementsAdobe Acrobat PDFpdf163.28 K2022-02-182022-02-18

Document 5687957
Mirror: FCCID.io - 5687957
Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf205.59 K2022-02-182022-02-18

Document 5382457
Mirror: FCCID.io - 5382457
Label Location
ID Label/Location InfoAdobe Acrobat PDFpdf72.64 K2021-08-092021-08-10

Document 5382456
Mirror: FCCID.io - 5382456
Label
ID Label/Location InfoAdobe Acrobat PDFpdf912.99 K2021-08-092021-08-10

Document 5382455
Mirror: FCCID.io - 5382455
External Photos
External PhotosAdobe Acrobat PDFpdf111.88 K2021-08-092021-08-10

Document 5382454
Mirror: FCCID.io - 5382454
Agent Authorization Letter
Cover Letter(s)Adobe Acrobat PDFpdf1.47 M2021-08-092021-08-10

Document 5382453
Mirror: FCCID.io - 5382453
Change in ID Request Letter
Cover Letter(s)Adobe Acrobat PDFpdf1.15 M2021-08-092021-08-10

Document 5382452
Mirror: FCCID.io - 5382452
Original Grantee Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf601.95 K2021-08-092021-08-10

Document 5382428
Mirror: FCCID.io - 5382428
Label Location
ID Label/Location InfoAdobe Acrobat PDFpdf72.64 K2021-08-092021-08-10

Document 5382427
Mirror: FCCID.io - 5382427
Label
ID Label/Location InfoAdobe Acrobat PDFpdf912.99 K2021-08-092021-08-10

Document 5382426
Mirror: FCCID.io - 5382426
External Photos
External PhotosAdobe Acrobat PDFpdf111.88 K2021-08-092021-08-10

Document 5382425
Mirror: FCCID.io - 5382425
Agent Authorization Letter
Cover Letter(s)Adobe Acrobat PDFpdf1.47 M2021-08-092021-08-10

Document 5382424
Mirror: FCCID.io - 5382424
Change in ID Request Letter
Cover Letter(s)Adobe Acrobat PDFpdf1.15 M2021-08-092021-08-10

Document 5382423
Mirror: FCCID.io - 5382423
Original Grantee Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf601.95 K2021-08-092021-08-10

Document 5382390
Mirror: FCCID.io - 5382390
Label Location
ID Label/Location InfoAdobe Acrobat PDFpdf72.64 K2021-08-092021-08-10

Document 5382389
Mirror: FCCID.io - 5382389
Label
ID Label/Location InfoAdobe Acrobat PDFpdf912.99 K2021-08-092021-08-10

Document 5382388
Mirror: FCCID.io - 5382388
External Photos
External PhotosAdobe Acrobat PDFpdf111.88 K2021-08-092021-08-10

Document 5382387
Mirror: FCCID.io - 5382387
Agent Authorization Letter
Cover Letter(s)Adobe Acrobat PDFpdf1.47 M2021-08-092021-08-10

Document 5382386
Mirror: FCCID.io - 5382386
Change in ID Request Letter
Cover Letter(s)Adobe Acrobat PDFpdf1.15 M2021-08-092021-08-10

Document 5382385
Mirror: FCCID.io - 5382385
Original Grantee Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf601.95 K2021-08-092021-08-10

Document 4814413
Mirror: FCCID.io - 4814413
Antenna Description (7)
Operational DescriptionAdobe Acrobat PDFpdf481.61 K2020-07-172020-07-21

Document 4814412
Mirror: FCCID.io - 4814412
Antenna Description (6)
Operational DescriptionAdobe Acrobat PDFpdf2.12 M2020-07-172020-07-21

Document 4814411
Mirror: FCCID.io - 4814411
Antenna Description (5)
Operational DescriptionAdobe Acrobat PDFpdf2.21 M2020-07-172020-07-21

Document 4814410
Mirror: FCCID.io - 4814410
Antenna Description (4)
Operational DescriptionAdobe Acrobat PDFpdf413.08 K2020-07-172020-07-21

Document 4814409
Mirror: FCCID.io - 4814409
Antenna Description (3)
Operational DescriptionAdobe Acrobat PDFpdf748.17 K2020-07-172020-07-21

Document 4814408
Mirror: FCCID.io - 4814408
Antenna Description (2)
Operational DescriptionAdobe Acrobat PDFpdf325.22 K2020-07-172020-07-21

Document 4814407
Mirror: FCCID.io - 4814407
Antenna Description (1)
Operational DescriptionAdobe Acrobat PDFpdf85.81 K2020-07-172020-07-21

Document 4814393
Mirror: FCCID.io - 4814393
Users Manual
Users ManualAdobe Acrobat PDFpdf214.87 K2020-07-172021-01-17

Document 4814392
Mirror: FCCID.io - 4814392
EMC Test Set-up Photos
Test Setup PhotosAdobe Acrobat PDFpdf468.76 K2020-07-172021-01-17

Document 4814391
Mirror: FCCID.io - 4814391
EMC Test Report
Test ReportAdobe Acrobat PDFpdf2.99 M2020-07-172020-07-21

Document 4814389
Mirror: FCCID.io - 4814389
MPE Report
RF Exposure InfoAdobe Acrobat PDFpdf570.66 K2020-07-172020-07-21

Document 4814386
Mirror: FCCID.io - 4814386
External Photos
External PhotosAdobe Acrobat PDFpdf389.1 K2020-07-172021-01-17

Document 4814385
Mirror: FCCID.io - 4814385
ID Label and Location
ID Label/Location InfoAdobe Acrobat PDFpdf145.13 K2020-07-172020-07-21

Document 4814384
Mirror: FCCID.io - 4814384
ID Label and Location
ID Label/Location InfoAdobe Acrobat PDFpdf145.13 K2020-07-172020-07-21

Document 4814383
Mirror: FCCID.io - 4814383
Internal Photos
Internal PhotosAdobe Acrobat PDFpdf282.71 K2020-07-172021-01-17

Document 4814382
Mirror: FCCID.io - 4814382
External Photos
External PhotosAdobe Acrobat PDFpdf389.1 K2020-07-172021-01-17

Document 4814381
Mirror: FCCID.io - 4814381
Modular Approval Checklist
Cover Letter(s)Adobe Acrobat PDFpdf1.37 M2020-07-172020-07-21

Document 4814380
Mirror: FCCID.io - 4814380
Cover Letter
Cover Letter(s)Adobe Acrobat PDFpdf147.43 K2020-07-172020-07-21

Document 4814378
Mirror: FCCID.io - 4814378
Authorization Letter
Cover Letter(s)Adobe Acrobat PDFpdf568.56 K2020-07-172020-07-21

Document 4814377
Mirror: FCCID.io - 4814377
Confidentiality Request
Cover Letter(s)Adobe Acrobat PDFpdf345.64 K2020-07-172020-07-21

Users Manual
Users ManualAdobe Acrobat PDF214.87 K2020-07-172021-01-17

Schematics
SchematicsAdobe Acrobat PDF104.52 K2020-07-17

Operational Description
Operational DescriptionAdobe Acrobat PDF547.12 K2020-07-17

EMC Test Set-up Photos
Test Setup PhotosAdobe Acrobat PDF468.76 K2020-07-172021-01-17

Attestation
Attestation StatementsAdobe Acrobat PDF163.28 K2022-02-182022-02-18

Confidentiality Request
Cover Letter(s)Adobe Acrobat PDF345.64 K2020-07-172020-07-21

EMC Test Report (2)
Test ReportAdobe Acrobat PDF4.71 M2020-07-172020-07-21

EMC Test Report (1)
Test ReportAdobe Acrobat PDF4.95 M2020-07-172020-07-21

Cover Letter
Cover Letter(s)Adobe Acrobat PDF147.43 K2020-07-172020-07-21

Block Diagram
Block DiagramAdobe Acrobat PDF633.15 K2020-07-17

Authorization Letter
Cover Letter(s)Adobe Acrobat PDF568.56 K2020-07-172020-07-21

Antenna Description (7)
Operational DescriptionAdobe Acrobat PDF481.61 K2020-07-172020-07-21

Antenna Description (6)
Operational DescriptionAdobe Acrobat PDF2.12 M2020-07-172020-07-21

Antenna Description (5)
Operational DescriptionAdobe Acrobat PDF2.21 M2020-07-172020-07-21

Antenna Description (4)
Operational DescriptionAdobe Acrobat PDF413.08 K2020-07-172020-07-21

Antenna Description (3)
Operational DescriptionAdobe Acrobat PDF748.17 K2020-07-172020-07-21

Antenna Description (2)
Operational DescriptionAdobe Acrobat PDF325.22 K2020-07-172020-07-21

Antenna Description (1)
Operational DescriptionAdobe Acrobat PDF85.81 K2020-07-172020-07-21

Modular Approval Checklist
Cover Letter(s)Adobe Acrobat PDF1.37 M2020-07-172020-07-21

MPE Report
RF Exposure InfoAdobe Acrobat PDF570.66 K2020-07-172020-07-21

Agent Authorization Letter
Cover Letter(s)Adobe Acrobat PDF1.47 M2021-08-092021-08-10

Internal Photos
Internal PhotosAdobe Acrobat PDF282.71 K2020-07-172021-01-17

External Photos
External PhotosAdobe Acrobat PDF111.88 K2021-08-092021-08-10

Label Location
ID Label/Location InfoAdobe Acrobat PDF72.64 K2021-08-092021-08-10

Label
ID Label/Location InfoAdobe Acrobat PDF912.99 K2021-08-092021-08-10

Change in ID Request Letter
Cover Letter(s)Adobe Acrobat PDF1.15 M2021-08-092021-08-10

Original Grantee Cover Letter
Cover Letter(s)Adobe Acrobat PDF601.95 K2021-08-092021-08-10

Application Cover Letter
Cover Letter(s)Adobe Acrobat PDF209.38 K2023-06-162023-06-16

US Agent for SoP
Attestation StatementsAdobe Acrobat PDF353.96 K2023-06-162023-06-16

RFx not applicable
RF Exposure InfoAdobe Acrobat PDF140.35 K2023-06-162023-06-16

Covered List Attestation
Attestation StatementsAdobe Acrobat PDF345.49 K2023-06-162023-06-16

EMC Test Report
Test ReportAdobe Acrobat PDF2.99 M2020-07-172020-07-21

Power Table
Operational DescriptionAdobe Acrobat PDF589.5 K2023-06-162023-06-16

SAR Test Set- Up Photos
Test Setup PhotosAdobe Acrobat PDF733.48 K2023-06-162023-06-16

SAR Report (2)
RF Exposure InfoAdobe Acrobat PDF2.76 M2023-06-162023-06-16

SAR Report (1)
RF Exposure InfoAdobe Acrobat PDF2.44 M2023-06-162023-06-16

Related FCC IDs: