510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

Nexstim Eximia Navigated Brain Stimulation System

K091457510(k) AbbreviatedCleared Dec 8, 2009204-day reviewClass II21 CFR 882.1870Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Nexstim OY · GWF Stimulator, Electrical, Evoked Response

Cleared on Dec 8, 2009 after a 204-day review. FDA’s file for it is a 510(k) statement, which names no predicate. 2 later devices descend from it. It has been recalled once.

Decided
Dec 8, 2009
Review
204 days
Class
Class II
Product code
GWF
Recalls
1
Predicates
0

2 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2011: 1 descendant cleared2012: 1 descendant cleared20052010201520202025
  1. This deviceK091457 Nexstim Eximia Navigated Brain Stimulation SystemNexstim OY · 2009
  2. Descendant · cites it directly · 0 of its ownK112881 Nexstim Navigated Brain Stimulation (NBS) System 4, Nexstim NBS…Nexstim OY · 2012 · Recalled
  3. Descendant · cites it directly · 0 of its ownK101887 Confident Surgery Suite 300, Model CSS300Surgiceye GmbH · 2011

Most influential descendants

Showing 2 of 2 · See all
  • K112881Nexstim Navigated Brain Stimulation (NBS) System 4, Nexstim NBS System 4 with Nexspeech…Nexstim OY · 2012 · cites it directly0descendants
  • K101887Confident Surgery Suite 300, Model CSS300Surgiceye GmbH · 2011 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K091457Nexstim Eximia Navigated Brain Stimulation SystemNexstim OY2009—
+1K112881Nexstim Navigated Brain Stimulation (NBS) System 4, Nexstim NBS System 4 with…Nexstim OY20121
+1K101887Confident Surgery Suite 300, Model CSS300Surgiceye GmbH2011—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201210
FIG. 1 — Lineage of K091457, 2009–2012Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA 510(k) statement (indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in GWF? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new GWF device

  1. #1 K263010 ISIS Headboxes, ISIS Neurostimulator, ISIS…score 17.5 · 19 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against?

FDA’s file for it is a 510(k) statement, which names no predicate.

What descends from it? (2)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K112881Nexstim Navigated Brain Stimulation (NBS) System 4, Nexstim NBS System 4 with Nexspeech…Nexstim OY20120
K101887Confident Surgery Suite 300, Model CSS300Surgiceye GmbH20110

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Mar 14, 2017Class IIZ-2319-2017Use errorSoftware defect: the NBS software may accidentally generate duplicate copies of one or several files.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K112881 (Nexstim OY, 2012) has gone furthest, with 0 descendants of its own.

How does its category compare?

All GWF devices

GWF Stimulator, Electrical, Evoked Response: FDA decisions, review times, recalls and adverse event reports over 20 years. 2009, this device’s year, is highlighted.

FDA decisions per year · GWF

1in 2025

2007: 32008: 22009: 52010: 32011: 22012: 42013: 32014: 12015: 22016: 12017: 32019: 12020: 12021: 22022: 22023: 22024: 42025: 12026 (partial year): 3
2007high 5 (2009) · low 0 (2018)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GWF

92in 2024

2007: 69 days median2009: 178 days median2010: 269 days median2012: 230 days median2013: 174 days median2017: 169 days median2024: 92 days median2026 (partial year): 125 days median
2007high 269 (2010) · low 69 (2007)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · GWF

2so far in 2026, the most since 2007

2012: 12015: 12026 (partial year): 2
2007high 2 (2026) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · GWF

1,034in 2025

2007: 22008: 12009: 12010: 42011: 102012: 442013: 892014: 252015: 222016: 202017: 602018: 582019: 942020: 652021: 552022: 452023: 1502024: 8542025: 1,034
2007high 1,034 (2025) · low 1 (2008)2025

MAUDE reports naming product code GWF, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
200736902
20082—01
2009517801
2010326904
20112—010
20124230144
20133174089
20141—025
20152—122
20161—020
20173169060
20180—058
20191—094
20201—065
20212—055
20222—045
20232—0150
20244920854
20251—01,034
202631252—

What is it indicated for?

The Nexstim eXimia Navigated Brain Stimulation System (NBS System) is indicated for non-invasive mapping of the primary motor cortex of the brain to its cortical gyrus. The NBS System provides information that may be used in the assessment of the primary motor cortex for pre-procedural planning. The NBS System is not intended to be used during a surgical procedure. The NBS System is intended to be used by trained clinical professionals.

Indications for use as stated in the FDA 510(k) statement.

Cite this page

510(k) Report. “K091457: Nexstim Eximia Navigated Brain Stimulation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K091457

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026