510(k) · Cleared
ClearedHorizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS Therapy System (Horizon 3.0 with StimGuide Pro); Horizon® 3.0 TMS Therapy System (Horizon 3.0)
Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly
The Magstim Company Limited · OBP Transcranial Magnetic Stimulator
Cleared on Mar 17, 2025 as substantially equivalent to K231926 (Neuronetics, Inc., 2024) after a 90-day review. Its family tree reaches back 12 generations to 2008. 1 later device descends from it.
- Decided
- Mar 17, 2025
- Review
- 90 days
- Class
- Class II
- Product code
- OBP
- Recalls
- None
- Predicates
- 1
Its longest line of descent runs back 12 generations to DEN070003 (2008). 25 ancestors in all. 1 later device descends from it, 1 citing it directly.
- Root · 12 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
- 8 generations between
- 3 generations backK212289 NeuroStar Advanced Therapy for adjunctive treatment of OCD…Neuronetics, Inc. · 2022
- 2 generations backK230029 NeuroStar Advanced Therapy System (Version 3.7)Neuronetics · 2023
- 1 generation backK231926 NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc. · 2024 · Recalled
- This deviceK243869 Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0…The Magstim Company Limited · 2025
- Descendant · cites it directly · 0 of its ownK252358 Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6)Nexstim Oyj · 2026
Show all 12 generations
- Root · 12 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
- 11 generations backK083538 Neurostar TMS Therapy System, Model 1.1Neuronetics · 2008 · Recalled
- 10 generations backK130233 Neurostar TMS Therapy SystemNeuronetics · 2013
- 9 generations backK133408 Neurostar TMS Therapy SystemNeuronetics · 2014
- 8 generations backK143531 Rapid Therapy SystemMagstim Company Limited · 2015 · Recalled
- 7 generations backK160309 Neurosoft TMSTeleemg, LLC · 2016
- 6 generations backK171967 MagVita TMS Therapy SystemTonica Elektronik A/S · 2017
- 5 generations backK173620 Mag Vita TMS Therapy System w/Theta Burst StimulationTonica Elektronik A/S · 2018
- 4 generations backK193006 MagVenture TMS Therapy – for treatment of OCD, MagVenture TMS…Tonica Elektronik A/S · 2020
- 3 generations backK212289 NeuroStar Advanced Therapy for adjunctive treatment of OCD…Neuronetics, Inc. · 2022
- 2 generations backK230029 NeuroStar Advanced Therapy System (Version 3.7)Neuronetics · 2023
- 1 generation backK231926 NeuroStar Advanced Therapy System (All previously cleared models)Neuronetics, Inc. · 2024 · Recalled
- This deviceK243869 Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0…The Magstim Company Limited · 2025
Most influential descendants
Showing 1 of 1 · See all- K252358Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6)Nexstim Oyj · 2026 · cites it directly0descendants
View FIG. 1 as a table
Line of descent and top descendants
| Generation | Number | Device | Applicant | Decided | Recalls |
|---|---|---|---|---|---|
| −12 | DEN070003 | Neurostar TMS System | Neuronetics | 2008 | — |
| −11 | K083538 | Neurostar TMS Therapy System, Model 1.1 | Neuronetics | 2008 | 1 |
| −10 | K130233 | Neurostar TMS Therapy System | Neuronetics | 2013 | — |
| −9 | K133408 | Neurostar TMS Therapy System | Neuronetics | 2014 | — |
| −8 | K143531 | Rapid Therapy System | Magstim Company Limited | 2015 | 3 |
| −7 | K160309 | Neurosoft TMS | Teleemg, LLC | 2016 | — |
| −6 | K171967 | MagVita TMS Therapy System | Tonica Elektronik A/S | 2017 | — |
| −5 | K173620 | Mag Vita TMS Therapy System w/Theta Burst Stimulation | Tonica Elektronik A/S | 2018 | — |
| −4 | K193006 | MagVenture TMS Therapy – for treatment of OCD, MagVenture TMS Therapy system | Tonica Elektronik A/S | 2020 | — |
| −3 | K212289 | NeuroStar Advanced Therapy for adjunctive treatment of OCD, NeuroStar Advanced… | Neuronetics, Inc. | 2022 | — |
| −2 | K230029 | NeuroStar Advanced Therapy System (Version 3.7) | Neuronetics | 2023 | — |
| −1 | K231926 | NeuroStar Advanced Therapy System (All previously cleared models) | Neuronetics, Inc. | 2024 | 1 |
| 0 (this device) | K243869 | Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS… | The Magstim Company Limited | 2025 | — |
| +1 | K252358 | Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6) | Nexstim Oyj | 2026 | — |
Other ancestors by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2013 | 1 | 0 |
| 2015 | 1 | 0 |
| 2016 | 2 | 0 |
| 2017 | 3 | 0 |
| 2018 | 2 | 0 |
| 2019 | 1 | 0 |
| 2020 | 1 | 0 |
| 2021 | 1 | 0 |
| 2022 | 1 | 0 |
Descendants by year cleared
| Year cleared | Devices | With a Class I recall |
|---|---|---|
| 2026 | 1 | 0 |
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 K251119 MagVenture TMS Therapy Systemscore 21.8 · 11 generations · no Class I recall
- #2 Held for the reportin the report
- #3 Held for the reportin the report
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.
| Type | Number | Device | Decided |
|---|---|---|---|
| * | K231926 | NeuroStar Advanced Therapy System (All previously cleared models)Summary page 5…C. Legally Marketed Predicate Devices Table 1 – List of Predicate Devices Predicate# Predicate Trade Name (Primary Predicate is listed first) Product Code K231926 NeuroStar Advanced Therapy System OBP K241518 Horizon® 3.0 TMS Therapy System (Hor… | 2024 |
| † | K241518 | Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS Therapy System… | 2024 |
| † | K232235 | Magstim®Horizon® 3.0 TMS Therapy System; Horizon® 3.0 System; Horizon® 3.0; Horizon® 3.0… | 2023 |
What descends from it? (1)
1 later device cites it directly; ranked here by how many devices descend from each in turn.
| Number | Device | Decided | Descendants |
|---|---|---|---|
| K252358 | Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6) | 2026 | 0 |
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 17 years and passes through 6 companies; a new generation was cleared every 1.1 years on median.
- 3 of the 25 ancestors have a recall of any class.
- Of its descendants, K252358 (Nexstim Oyj, 2026) has gone furthest, with 0 descendants of its own.
- 3 other devices also cite its predicate K231926.
How does its category compare?
All OBP devicesOBP Transcranial Magnetic Stimulator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.
FDA decisions per year · OBP
12in 2025
2026 to Oct 25, outlined.
Median 510(k) review, days · OBP
125in 2025
Receipt to decision; years with fewer than 3 clearances left blank.
Recalls per year · OBP
1in 2018
Class I (0 since 2007) Class II/III not classified
Adverse event reports per year · OBP
81in 2025
MAUDE reports naming product code OBP, not matched to any one device; reports are not rates.
View these four charts as a table
| Year | Decisions | Median 510(k) review, days | Recalls (Class I) | MAUDE reports |
|---|---|---|---|---|
| 2007 | 0 | — | 0 | 0 |
| 2008 | 2 | — | 0 | 0 |
| 2009 | 0 | — | 1 | 3 |
| 2010 | 0 | — | 0 | 0 |
| 2011 | 0 | — | 0 | 5 |
| 2012 | 0 | — | 0 | 3 |
| 2013 | 2 | — | 0 | 1 |
| 2014 | 1 | — | 0 | 0 |
| 2015 | 2 | — | 0 | 3 |
| 2016 | 3 | 101 | 0 | 6 |
| 2017 | 8 | 73 | 0 | 3 |
| 2018 | 4 | 144 | 1 | 6 |
| 2019 | 3 | 156 | 0 | 12 |
| 2020 | 1 | — | 0 | 12 |
| 2021 | 5 | 132 | 0 | 15 |
| 2022 | 6 | 168 | 0 | 59 |
| 2023 | 7 | 119 | 0 | 43 |
| 2024 | 5 | 266 | 0 | 50 |
| 2025 | 12 | 125 | 0 | 81 |
| 2026 | 8 | 176 | 1 | — |
What is it indicated for?
For Adults: Horizon 3.0 TMS Therapy Systems are indicated for the treatment of Major Depressive Disorder (MDD) in adult patients who have failed to achieve satisfactory improvement from prior antidepressant medication in the current episode, as well as an adjunct for the treatment of adult patients suffering from Obsessive-Compulsive Disorder (OCD).
For Adolescents: Horizon 3.0 TMS Therapy Systems are indicated as an adjunct for the treatment of MDD in adolescent patients (age 15-21).
Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.
https://510kreport.com/device/K243869 · printed Nov 6, 2026
Cite this page
510(k) Report. “K243869: Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS Therapy System (Horizon 3.0 with StimGuide Pro); Horizon® 3.0 TMS Therapy System (Horizon 3.0).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K243869
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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