510(k) Report

510(k) · Cleared

Cleared

NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar, NeuroStar Advanced Therapy for Mental Health

K220127510(k) TraditionalCleared Jul 15, 2022178-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

Neuronetics, Inc. · OBP Transcranial Magnetic Stimulator

Cleared on Jul 15, 2022 as substantially equivalent to K210201 (Brainsway, Ltd., 2021) and 7 other predicates after a 178-day review. Its family tree reaches back 7 generations to 2008. 16 later devices descend from it.

Decided
Jul 15, 2022
Review
178 days
Class
Class II
Product code
OBP
Recalls
None
Predicates
9

Its longest line of descent runs back 7 generations to DEN070003 (2008). 10 ancestors in all. 16 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2021: 1 other ancestor2018: 1 other ancestor2013: 1 other ancestor2023: 4 descendants cleared2022: 1 descendant cleared2026: 5 descendants cleared2025: 5 descendants cleared2024: 1 descendant cleared×2: 2 generations cleared close together, DEN070003 (2008), K083538 (2008) K130233 · Neurostar TMS Therapy System · Neuronetics · 2013K133408 · Neurostar TMS Therapy System · Neuronetics · 2014K160703 · NeuroStar TMS Therapy System · Neuronetics, Inc. · 2016K161519 · NeuroStar TMS Therapy System · Neuronetics, Inc. · 2016K201158 · NeuroStar Advanced Therapy · Neuronetics, Inc. · 202020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors 1 generation forward: 5 descendants2 generations forward: 4 descendants3 generations forward: 6 descendants4 generations forward: 1 descendant K201158 · NeuroStar Advanced Therapy · Neuronetics, Inc. · 2020K161519 · NeuroStar TMS Therapy System · Neuronetics, Inc. · 2016K160703 · NeuroStar TMS Therapy System · Neuronetics, Inc. · 2016K133408 · Neurostar TMS Therapy System · Neuronetics · 2014K130233 · Neurostar TMS Therapy System · Neuronetics · 2013K083538 · Neurostar TMS Therapy System, Model 1.1 · Neuronetics · 2008 · recalledDEN070003 · Neurostar TMS System · Neuronetics · 2008−50
  1. Root · 7 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
  2. 6 generations backK083538 Neurostar TMS Therapy System, Model 1.1Neuronetics · 2008 · Recalled
  3. 5 generations backK130233 Neurostar TMS Therapy SystemNeuronetics · 2013
  4. 4 generations backK133408 Neurostar TMS Therapy SystemNeuronetics · 2014
  5. 3 generations backK160703 NeuroStar TMS Therapy SystemNeuronetics, Inc. · 2016
  6. 2 generations backK161519 NeuroStar TMS Therapy SystemNeuronetics, Inc. · 2016
  7. 1 generation backK201158 NeuroStar Advanced TherapyNeuronetics, Inc. · 2020
  8. This deviceK220127 NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System…Neuronetics, Inc. · 2022
  9. Descendant · cites it directly · 13 of its ownK230029 NeuroStar Advanced Therapy System (Version 3.7)Neuronetics · 2023
  10. Descendant · 2 generations on · 7 of its ownK231926 NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc. · 2024 · Recalled
  11. Descendant · 2 generations on · 3 of its ownK251119 MagVenture TMS Therapy SystemTonica Elektronik A/S · 2025
  12. Descendant · 3 generations on · 1 of its ownK243700 Apollo TMS Therapy SystemMag & More GmbH · 2025
  13. Descendant · 3 generations on · 1 of its ownK251125 MagVenture TMS Therapy SystemTonica Elektronik A/S · 2025

Showing 5 of 16 descendants. See all descendants

Descendants cleared per year

2022: 12023: 42024: 12025: 52026: 5
2022high 5 (2025) · low 1 (2022)2026

Most influential descendants

Showing 5 of 16 · See all
  • K230029NeuroStar Advanced Therapy System (Version 3.7)Neuronetics · 2023 · cites it directly13descendants
  • K231926NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc. · 2024 · 2 generations on7descendants
  • K251119MagVenture TMS Therapy SystemTonica Elektronik A/S · 2025 · 2 generations on3descendants
  • K243700Apollo TMS Therapy SystemMag & More GmbH · 2025 · 3 generations on1descendant
  • K251125MagVenture TMS Therapy SystemTonica Elektronik A/S · 2025 · 3 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7DEN070003Neurostar TMS SystemNeuronetics2008—
−6K083538Neurostar TMS Therapy System, Model 1.1Neuronetics20081
−5K130233Neurostar TMS Therapy SystemNeuronetics2013—
−4K133408Neurostar TMS Therapy SystemNeuronetics2014—
−3K160703NeuroStar TMS Therapy SystemNeuronetics, Inc.2016—
−2K161519NeuroStar TMS Therapy SystemNeuronetics, Inc.2016—
−1K201158NeuroStar Advanced TherapyNeuronetics, Inc.2020—
0 (this device)K220127NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar…Neuronetics, Inc.2022—
+1K230029NeuroStar Advanced Therapy System (Version 3.7)Neuronetics2023—
+2K231926NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc.20241
+2K251119MagVenture TMS Therapy SystemTonica Elektronik A/S2025—
+3K243700Apollo TMS Therapy SystemMag & More GmbH2025—
+3K251125MagVenture TMS Therapy SystemTonica Elektronik A/S2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201310
201810
202110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202340
202410
202550
202650
FIG. 1 — Lineage of K220127, 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
Get a 510(k) Report

What was it cleared against? (9)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
*K210201Deep Transcranial Magnetic Stimulation (DTMS) System
Summary page 4
…ation: 21 CFR 882.5805 Product Code: OBP Predicate Devices: Primary Predicate: Brainsway Deep Transcranial Magnetic Stimulation (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K1…
Brainsway, Ltd.2021—
*K201158NeuroStar Advanced Therapy
Summary page 4
…Primary Predicate: Brainsway Deep Transcranial Magnetic Stimulation (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K130233, K083538) Page 1 of 13 ===…
Neuronetics, Inc.2020—
*K161519NeuroStar TMS Therapy System
Summary page 4
…Predicate: Brainsway Deep Transcranial Magnetic Stimulation (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K130233, K083538) Page 1 of 13 === Page 5 =…
Neuronetics, Inc.2016—
*K160703NeuroStar TMS Therapy System
Summary page 4
…scranial Magnetic Stimulation (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K130233, K083538) Page 1 of 13…
Neuronetics, Inc.2016—
*K133408Neurostar TMS Therapy System
Summary page 4
…Magnetic Stimulation (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K130233, K083538) Page 1 of 13…
Neuronetics2014—
*K130233Neurostar TMS Therapy System
Summary page 4
…Stimulation (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K130233, K083538) Page 1 of 13…
Neuronetics2013—
*K083538Neurostar TMS Therapy System, Model 1.1
Summary page 4
…on (K210201) Predicate: NeuroStar Advanced Therapy System (K201158, K161519, K160703, K133408, K130233, K083538) Page 1 of 13 510k Sum…
Neuronetics20081
*DEN070003Neurostar TMS System
Our reading of the summary gave K061053, which is not in FDA’s 510(k) list. The device the summary names is FDA’s De Novo DEN070003, Neurostar TMS System (Neuronetics), granted Oct 7, 2008; older De Novo requests were first filed under a 510(k) number, so this links to the grant.
Neuronetics2008—
Kept off the family treeDEN060153NeuroStar Advanced Therapy System
Not in FDA’s 510(k), De Novo or PMA lists as we hold them (a misreading, a typo, or a number FDA does not list), so it is kept off the family tree
Summary page 6
…ivalent to the FDA-cleared Brainsway Deep TMS (K210201). • The predicate device, NeuroStar Advanced Therapy System, was previously cleared by the FDA under DEN060153/K061053, K083538, K130233 and K133408, K160703, K160703, K161519, and K201158. • The subject device changes remain…

Also cleared against K210201: 2 other devices →

What descends from it? (16)

See all 16

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

NumberDeviceApplicantDecidedDescendants
K230029NeuroStar Advanced Therapy System (Version 3.7)Neuronetics202313
K233621NeuroStar Advanced Therapy System (Version 3.8)Neuronetics20231
K260560Apollo TMS Therapy System;Apollo light TMS Therapy SystemMag & More GmbH20260
K223154Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0, H3.0, Horizon…Magstim Company, Ltd.20230
K222230NeuroStar, NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar…Neuronetics, Inc.20220

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 14 years and passes through 2 companies; a new generation was cleared every 1.6 years on median.
  • 1 of the 10 ancestors has a recall of any class.
  • Of its descendants, K230029 (Neuronetics, 2023) has gone furthest, with 13 descendants of its own.
  • 2 other devices also cite its predicate K210201.

How does its category compare?

All OBP devices

OBP Transcranial Magnetic Stimulator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, 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?

The NeuroStar Advanced Therapy System is indicated for the treatment of depressive episodes and for decreasing anxiety symptoms for those who may exhibit comorbid anxiety symptoms in adult patients suffering from Major Depressive Disorder (MDD) and who failed to achieve satisfactory improvement from previous antidepressant medication treatment in the current episode.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220127: NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar, NeuroStar Advanced Therapy for Mental Health.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220127

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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