510(k) Report

510(k) · Cleared

Cleared

Nexstim Navigated Brain Therapy (NBT) System 2

K182700510(k) TraditionalCleared Mar 22, 2019176-day reviewClass II21 CFR 882.5805

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

Nexstim Plc · OBP Transcranial Magnetic Stimulator

Cleared on Mar 22, 2019 as substantially equivalent to K173620 (Tonica Elektronik A/S, 2018) and 1 other predicate after a 176-day review. Its family tree reaches back 8 generations to 2008. 3 later devices descend from it.

Decided
Mar 22, 2019
Review
176 days
Class
Class II
Product code
OBP
Recalls
None
Predicates
2

Its longest line of descent runs back 8 generations to DEN070003 (2008). 14 ancestors in all. 3 later devices descend from it, 1 citing it directly.

  1. Root · 8 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
  2. 7 generations backK083538 Neurostar TMS Therapy System, Model 1.1Neuronetics · 2008 · Recalled
  3. 6 generations backK130233 Neurostar TMS Therapy SystemNeuronetics · 2013
  4. 5 generations backK133408 Neurostar TMS Therapy SystemNeuronetics · 2014
  5. 4 generations backK143531 Rapid Therapy SystemMagstim Company Limited · 2015 · Recalled
  6. 3 generations backK160309 Neurosoft TMSTeleemg, LLC · 2016
  7. 2 generations backK171967 MagVita TMS Therapy SystemTonica Elektronik A/S · 2017
  8. 1 generation backK173620 Mag Vita TMS Therapy System w/Theta Burst StimulationTonica Elektronik A/S · 2018
  9. This deviceK182700 Nexstim Navigated Brain Therapy (NBT) System 2Nexstim Plc · 2019
  10. Descendant · cites it directly · 2 of its ownK220177 Magnus Neuromodulation System (MNS) with SAINT Technology, Model…Magnus Medical, Inc. · 2022
  11. Descendant · 2 generations on · 0 of its ownK260189 MagVenture Accelerated TMS (aTMS) Therapy SystemTonica Elektronik A/S · 2026
  12. Descendant · 2 generations on · 0 of its ownK251449 BrainsWay Deep TMS SystemBrainsway, Ltd. · 2025

Most influential descendants

Showing 3 of 3 · See all
  • K220177Magnus Neuromodulation System (MNS) with SAINT Technology, Model Number 1001KMagnus Medical, Inc. · 2022 · cites it directly2descendants
  • K260189MagVenture Accelerated TMS (aTMS) Therapy SystemTonica Elektronik A/S · 2026 · 2 generations on0descendants
  • K251449BrainsWay Deep TMS SystemBrainsway, Ltd. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8DEN070003Neurostar TMS SystemNeuronetics2008—
−7K083538Neurostar TMS Therapy System, Model 1.1Neuronetics20081
−6K130233Neurostar TMS Therapy SystemNeuronetics2013—
−5K133408Neurostar TMS Therapy SystemNeuronetics2014—
−4K143531Rapid Therapy SystemMagstim Company Limited20153
−3K160309Neurosoft TMSTeleemg, LLC2016—
−2K171967MagVita TMS Therapy SystemTonica Elektronik A/S2017—
−1K173620Mag Vita TMS Therapy System w/Theta Burst StimulationTonica Elektronik A/S2018—
0 (this device)K182700Nexstim Navigated Brain Therapy (NBT) System 2Nexstim Plc2019—
+1K220177Magnus Neuromodulation System (MNS) with SAINT Technology, Model Number 1001KMagnus Medical, Inc.2022—
+2K260189MagVenture Accelerated TMS (aTMS) Therapy SystemTonica Elektronik A/S2026—
+2K251449BrainsWay Deep TMS SystemBrainsway, Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201510
201610
201740

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202510
202610
FIG. 1 — Lineage of K182700, 2008–2026Source: 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 summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in OBP? 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 OBP device

  1. #1 K251119 MagVenture TMS Therapy Systemscore 21.8 · 11 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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What was it cleared against? (2)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K173620Mag Vita TMS Therapy System w/Theta Burst Stimulation
Summary page 4
…Predicate Predicate Equivalent Devices: Device 510(k) Number Manufacturer / Model Nexstim Navigated K173620 Tonica Electronik A/S / Mag Brain Therapy Vita TMS Therapy System…
Tonica Elektronik A/S2018—
*K171902Nexstim Navigated Brain Therapy (NBT) System 2
Summary page 5
…Page 1 of 11 510(k) Summary provided in accordance with 21 CFR §807.92(c) K171902 Nexstim, Plc / Nexstim NBT® System 2…
Nexstim Plc2017—
†K171481MagVita TMS Therapy SystemTonica Elektronik A/S2017—
†K160703NeuroStar TMS Therapy SystemNeuronetics, Inc.2016—

Also cleared against K173620: 8 other devices →

What descends from it? (3)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K220177Magnus Neuromodulation System (MNS) with SAINT Technology, Model Number 1001KMagnus Medical, Inc.20222

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 11 years and passes through 5 companies; a new generation was cleared every 1.1 years on median.
  • 2 of the 14 ancestors have a recall of any class.
  • Of its descendants, K220177 (Magnus Medical, Inc., 2022) has gone furthest, with 2 descendants of its own.
  • 8 other devices also cite its predicate K173620.

How does its category compare?

All OBP devices

OBP Transcranial Magnetic Stimulator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · OBP

12in 2025

2008: 22013: 22014: 12015: 22016: 32017: 82018: 42019: 32020: 12021: 52022: 62023: 72024: 52025: 122026 (partial year): 8
2007high 12 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OBP

125in 2025

2016: 101 days median2017: 73 days median2018: 144 days median2019: 156 days median2021: 132 days median2022: 168 days median2023: 119 days median2024: 266 days median2025: 125 days median2026 (partial year): 176 days median
2007high 266 (2024) · low 73 (2017)2026

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

Recalls per year · OBP

1in 2018

2009: 12018: 12026 (partial year): 1
2007high 1 (2009) · low 0 (2007)2026

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

Adverse event reports per year · OBP

81in 2025

2009: 32011: 52012: 32013: 12015: 32016: 62017: 32018: 62019: 122020: 122021: 152022: 592023: 432024: 502025: 81
2007high 81 (2025) · low 0 (2007)2025

MAUDE reports naming product code OBP, 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
20070—00
20082—00
20090—13
20100—00
20110—05
20120—03
20132—01
20141—00
20152—03
2016310106
201787303
2018414416
20193156012
20201—012
20215132015
20226168059
20237119043
20245266050
202512125081
202681761—

What is it indicated for?

Nexstim Navigated Brain Therapy (NBT®) System 2 is indicated for the treatment of Major Depressive Disorder in adult patients who have failed to achieve satisfactory improvement from prior antidepressant medication in the current episode.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K182700: Nexstim Navigated Brain Therapy (NBT) System 2.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182700

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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