# STC SR04269NY

- Type: Supplemental type certificate
- Status: Current, Issued
- Holder: Air Ambulance Technology GmbH, Austria
- Description: Installation of modular EMS-SAR/DMK equipment series Part Number 117-25-20-100.000-7xx
- Applied: May 5, 2018
- Status date: November 7, 2018
- Product: Aircraft, Rotorcraft
- Certification basis: Part 21
- Data sheets: [TCDS H13EU](https://openairdocs.org/tcds/H13EU)
- Certificate PDF: https://openairdocs.org/files/sha256/f8/05/f8050ffdf79e7ced35abab4152d246e6d796141d43103b8ab5603f0a1f6a1336
- FAA DRS: https://drs.faa.gov/browse/excelExternalWindow/552EB99706F37A468625835F00511A6B.0001
- DRS record last changed: December 6, 2025
- Page: https://openairdocs.org/stc/SR04269NY

## ADs that name it (0)

None.

## Approved models (1)

- Airbus Helicopters Deutschland GmbH MBB-BK 117 D-2 ([TCDS H13EU](https://openairdocs.org/tcds/H13EU))

## What the certificate says

Read from the PDF's text layer, without the form's printed wording; the layout is lost and the order can differ. The PDF is the record.

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate This certificat e may be transferred or made available to third persons by licensing agreements in accordance with 14 CFR 21.47.

FAA Form 8110-2 (5/14) Page 1 of This certificate issued to:

Part of the

Signature

Title SR04269NY Air Ambulance Technology GmbH Lamprechtshausenerstr 65 5282 Ranshofen Austria Federal Aviation Regulations.29 Cabin Configuration -700:

1. Installation of modular EMS-SAR/DMK equipment series Part Number 117-25-20-100.000-7xx in accordance with Air Ambulance Technology Master Data Lists MDL-BK117 D2/D2m-EMS-SAR/DMK-117-25-20-100.000-700, Revision 4, dated October 3, 2017 or later EASA approved revisions.

2. Air Ambulance Technology “Instructions for Continued Airworthiness”, CMM-BK117 D2-AAT90, Revision 1, dated August 2016 or later EASA accepted revisions is required with this modification.

(See Description of Type Design Change Continued on Page 3 of 3)

1. The installer must determine whether this design change 3is compatible with previously approved modifications.

2. If the holder agrees to permit another person to use the certificate to alter the product, the holder shall give the other person written evidence of that permission.

Anthony E. Gallo Manager New York ACO Branch Airbus Helicopters Deutschland GmbH (AHD) MBB-BK 117 D-2 May 5, 2018 November 7, 2018 IMPORT H13EU 3

United States of America Department of Transportation Federal Aviation Administration Supplemental Type Certificate This certificat e may be transferred or made available to third persons by licensing agreements in accordance with 14 CFR 21.47.

FAA Form 8110-2 (5/14) Page 2 of

To (Name and address of transferee) From (Name and address of grantor) Extent of Authority (if licensing agreement):

3 SR04269NY

This certificat e may be transferred or made available to third persons by licensing agreements in accordance with 14 CFR 21.47.

FAA Form 8110-2 (5/14) Page 3 of

3 Date of Issuance: November 7, 2018 Description of Type Design Change Continued:

3. Air Ambulance Technology “Flight Manual Supplements”, FMS AAT68, Revision 2, dated September 2018 or later EASA approved revisions are required with this installation.

Cabin Configuration -600:

1. Installation of modular EMS-SAR/DMK equipment series Part Number 117-25-20-100.000-6xx including medical oxygen systems and electrical provisions, in accordance with Air Ambulance Technology Master Data Lists MDL- BK117D-2-25-20-100.000-6xx, Revision 1, dated February 20, 2017 or later EASA approved revisions.

2. Air Ambulance Technology “Instructions for Continued Airworthiness”, MMS-BK117D2-EMS-000, Initial Issue, dated February 13, 2017 or later EASA accepted revisions is required with this modification.

3. Air Ambulance Technology “Flight Manual Supplements” FMS-BK117D2-EMS-000, Revision 0, dated February 3, 2017 or later EASA approved revisions are required with this installation.

Cabin Configuration -500:

1. Installation of modular EMS-SAR/DMK equipment series cabin configurations Part Number 117-25-20-100.000-5xx including medical oxygen systems and electrical provisions, in accordance with Air Ambulance Technology Master Data Lists MDL-BK117D-2-25-20-100.000-5xx, Revision 1, dated March 1, 2017 or later EASA approved revisions.

2. Air Ambulance Technology “Instructions for Continued Airworthiness”, MMS-BK117D2-EMS-000, Initial Issue, dated February 13, 2017 or later EASA accepted revisions is required with this modification.

3. Air Ambulance Technology “Flight Manual Supplements” FMS-BK117D2-EMS-000, Revision 0, dated February 3, 2017 or later EASA approved revisions are required with this installation.

----------END---------- SR04269NY

This certificat e may be transferred or made available to third persons by licensing agreements in accordance with 14 CFR 21.47.

FAA Form 8110-2 (5/14) Page 4 of

3 SR04269NY

## Every issue (1)

- November 7, 2018: Issued, Current. [certificate](https://openairdocs.org/files/sha256/f8/05/f8050ffdf79e7ced35abab4152d246e6d796141d43103b8ab5603f0a1f6a1336)

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