510(k) Report

510(k) · Cleared

Recalled · Class II · 2026

NeuroStar Advanced Therapy System (All previously cleared models)

K231926510(k) TraditionalCleared Mar 22, 2024266-day reviewClass II21 CFR 882.5805Recalls 1

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 Mar 22, 2024 as substantially equivalent to K230029 (Neuronetics, 2023) after a 266-day review. Its family tree reaches back 11 generations to 2008. 7 later devices descend from it. It has been recalled once.

Decided
Mar 22, 2024
Review
266 days
Class
Class II
Product code
OBP
Recalls
1
Predicates
1

Its longest line of descent runs back 11 generations to DEN070003 (2008). 24 ancestors in all. 7 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2022: 1 other ancestor2020: 1 other ancestor2016: 2 other ancestors2021: 1 other ancestor2019: 1 other ancestor2018: 2 other ancestors2017: 3 other ancestors2015: 1 other ancestor2013: 1 other ancestor2025: 4 descendants cleared2026: 3 descendants clearedReference device: K083538 · Neurostar TMS Therapy System, Model 1.1 · Neuronetics · 2008 · recalledReference device: K130233 · Neurostar TMS Therapy System · Neuronetics · 2013Reference device: K133408 · Neurostar TMS Therapy System · Neuronetics · 2014Reference device: K160703 · NeuroStar TMS Therapy System · Neuronetics, Inc. · 2016Reference device: K161519 · NeuroStar TMS Therapy System · Neuronetics, Inc. · 2016Reference device: K201158 · NeuroStar Advanced Therapy · Neuronetics, Inc. · 2020Reference device: K213543 · NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar, NeuroStar Advanced Therapy for Mental Health · Neuronetics, Inc. · 2021Reference device: K222230 · NeuroStar, NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar Advanced Therapy System for Mental Health · Neuronetics, Inc. · 2022×2: 2 generations cleared close together, DEN070003 (2008), K083538 (2008) K130233 · Neurostar TMS Therapy System · Neuronetics · 2013K133408 · Neurostar TMS Therapy System · Neuronetics · 2014K143531 · Rapid Therapy System · Magstim Company Limited · 2015 · recalledK160309 · Neurosoft TMS · Teleemg, LLC · 2016K171967 · MagVita TMS Therapy System · Tonica Elektronik A/S · 2017K173620 · Mag Vita TMS Therapy System w/Theta Burst Stimulation · Tonica Elektronik A/S · 2018K193006 · MagVenture TMS Therapy – for treatment of OCD, MagVenture TMS Therapy system · Tonica Elektronik A/S · 2020K212289 · NeuroStar Advanced Therapy for adjunctive treatment of OCD, NeuroStar Advanced Therapy System, NeuroStar TMS Therapy System, NeuroStar Advanced Therapy for Mental Health, NeuroStar · Neuronetics, Inc. · 2022K230029 · NeuroStar Advanced Therapy System (Version 3.7) · Neuronetics · 202320052010201520202025
  1. Root · 11 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
  2. 7 generations between
  3. 3 generations backK193006 MagVenture TMS Therapy – for treatment of OCD, MagVenture TMS…Tonica Elektronik A/S · 2020
  4. 2 generations backK212289 NeuroStar Advanced Therapy for adjunctive treatment of OCD…Neuronetics, Inc. · 2022
  5. 1 generation backK230029 NeuroStar Advanced Therapy System (Version 3.7)Neuronetics · 2023
  6. This deviceK231926 NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc. · 2024
  7. Descendant · cites it directly · 1 of its ownK243700 Apollo TMS Therapy SystemMag & More GmbH · 2025
  8. Descendant · cites it directly · 1 of its ownK251125 MagVenture TMS Therapy SystemTonica Elektronik A/S · 2025
  9. Descendant · cites it directly · 1 of its ownK243869 Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0…The Magstim Company Limited · 2025
  10. Descendant · 2 generations on · 0 of its ownK260691 BTL-699BTL Industries, Inc. · 2026
  11. Descendant · 2 generations on · 0 of its ownK260560 Apollo TMS Therapy System;Apollo light TMS Therapy SystemMag & More GmbH · 2026
Show all 11 generations
  1. Root · 11 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
  2. 10 generations backK083538 Neurostar TMS Therapy System, Model 1.1Neuronetics · 2008 · Recalled
  3. 9 generations backK130233 Neurostar TMS Therapy SystemNeuronetics · 2013
  4. 8 generations backK133408 Neurostar TMS Therapy SystemNeuronetics · 2014
  5. 7 generations backK143531 Rapid Therapy SystemMagstim Company Limited · 2015 · Recalled
  6. 6 generations backK160309 Neurosoft TMSTeleemg, LLC · 2016
  7. 5 generations backK171967 MagVita TMS Therapy SystemTonica Elektronik A/S · 2017
  8. 4 generations backK173620 Mag Vita TMS Therapy System w/Theta Burst StimulationTonica Elektronik A/S · 2018
  9. 3 generations backK193006 MagVenture TMS Therapy – for treatment of OCD, MagVenture TMS…Tonica Elektronik A/S · 2020
  10. 2 generations backK212289 NeuroStar Advanced Therapy for adjunctive treatment of OCD…Neuronetics, Inc. · 2022
  11. 1 generation backK230029 NeuroStar Advanced Therapy System (Version 3.7)Neuronetics · 2023
  12. This deviceK231926 NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc. · 2024

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2025: 42026: 3
2025high 4 (2025) · low 3 (2026)2026

Most influential descendants

Showing 5 of 7 · See all
  • K243700Apollo TMS Therapy SystemMag & More GmbH · 2025 · cites it directly1descendant
  • K251125MagVenture TMS Therapy SystemTonica Elektronik A/S · 2025 · cites it directly1descendant
  • K243869Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS Therapy System…The Magstim Company Limited · 2025 · cites it directly1descendant
  • K260691BTL-699BTL Industries, Inc. · 2026 · 2 generations on0descendants
  • K260560Apollo TMS Therapy System;Apollo light TMS Therapy SystemMag & More GmbH · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11DEN070003Neurostar TMS SystemNeuronetics2008—
−10K083538Neurostar TMS Therapy System, Model 1.1Neuronetics20081
−9K130233Neurostar TMS Therapy SystemNeuronetics2013—
−8K133408Neurostar TMS Therapy SystemNeuronetics2014—
−7K143531Rapid Therapy SystemMagstim Company Limited20153
−6K160309Neurosoft TMSTeleemg, LLC2016—
−5K171967MagVita TMS Therapy SystemTonica Elektronik A/S2017—
−4K173620Mag Vita TMS Therapy System w/Theta Burst StimulationTonica Elektronik A/S2018—
−3K193006MagVenture TMS Therapy – for treatment of OCD, MagVenture TMS Therapy systemTonica Elektronik A/S2020—
−2K212289NeuroStar Advanced Therapy for adjunctive treatment of OCD, NeuroStar Advanced…Neuronetics, Inc.2022—
−1K230029NeuroStar Advanced Therapy System (Version 3.7)Neuronetics2023—
0 (this device)K231926NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc.2024—
+1K243700Apollo TMS Therapy SystemMag & More GmbH2025—
+1K251125MagVenture TMS Therapy SystemTonica Elektronik A/S2025—
+1K243869Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS…The Magstim Company Limited2025—
+2K260691BTL-699BTL Industries, Inc.2026—
+2K260560Apollo TMS Therapy System;Apollo light TMS Therapy SystemMag & More GmbH2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201310
201510
201620
201730
201820
201910
202010
202110
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202540
202630
FIG. 1 — Lineage of K231926, 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? (1)

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
*K230029NeuroStar Advanced Therapy System (Version 3.7)
Summary page 5
…anial Magnetic Stimulator Classification: 21 CFR 882.5805 Product Code: OBP Predicate Devices: Primary Predicate ‐ NeuroStar Advanced Therapy System: K230029 Reference Predicates ‐ NeuroStar Advanced Therapy System: K083538, K130233, K133408,…
Neuronetics2023—
†K083538Neurostar TMS Therapy System, Model 1.1Neuronetics20081
†K130233Neurostar TMS Therapy SystemNeuronetics2013—
†K133408Neurostar TMS Therapy SystemNeuronetics2014—
†K160703NeuroStar TMS Therapy SystemNeuronetics, Inc.2016—
†K161519NeuroStar TMS Therapy SystemNeuronetics, Inc.2016—
†K201158NeuroStar Advanced TherapyNeuronetics, Inc.2020—
†K213543NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar, NeuroStar…Neuronetics, Inc.2021—
†K222230NeuroStar, NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar…Neuronetics, Inc.2022—

Also cleared against K230029: 3 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K243700Apollo TMS Therapy SystemMag & More GmbH20251
K251125MagVenture TMS Therapy SystemTonica Elektronik A/S20251
K243869Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS Therapy System…The Magstim Company Limited20251
K251391BrainsWay Deep TMS SystemBrainsway, Ltd.20250

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 24, 2026Class IIZ-0142-2027Nonconforming Material/ComponentCables are not in conformance with the product specifications required in the production of the HP Coil Assembly.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 16 years and passes through 5 companies; a new generation was cleared every 1.1 years on median.
  • 2 of the 24 ancestors have a recall of any class.
  • Of its descendants, K243700 (Mag & More GmbH, 2025) has gone furthest, with 1 descendant of its own.
  • 3 other devices also cite its predicate K230029.

How does its category compare?

All OBP devices

OBP Transcranial Magnetic Stimulator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, 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?

NeuroStar Advanced Therapy is indicated as an adjunct for the treatment of Major Depressive Disorder (MDD) in adolescent patients (age 15-21).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231926: NeuroStar Advanced Therapy System (All previously cleared models).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231926

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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