510(k) Report

510(k) · Cleared

Cleared

Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6)

K253098510(k) TraditionalCleared Mar 20, 2026178-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 Oyj · OBP Transcranial Magnetic Stimulator

Cleared on Mar 20, 2026 as substantially equivalent to K241518 (The Magstim Company Limited, 2024) after a 178-day review. Its family tree reaches back 13 generations to 2008.

Decided
Mar 20, 2026
Review
178 days
Class
Class II
Product code
OBP
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to DEN070003 (2008). 29 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 1 other ancestor2020: 2 other ancestors2019: 2 other ancestors2016: 3 other ancestors2018: 2 other ancestors2017: 5 other ancestors2015: 1 other ancestorReference device: K182700 · Nexstim Navigated Brain Therapy (NBT) System 2 · Nexstim Plc · 2019Reference device: K171902 · Nexstim Navigated Brain Therapy (NBT) System 2 · Nexstim Plc · 2017Reference device: K182768 · TMS-Cobot TS MV · Axilum Robotics · 2019×2: 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 · recalledK162935 · Rapid2 Therapy System · Magstim Company, Ltd. · 2017 · recalledK171051 · HORIZON Therapy System · Magstim Company, Ltd. · 2017K180907 · HORIZON TMS Therapy System · Magstim Company, Ltd. · 2018 · recalledK182853 · HORIZON TMS Therapy System · Magstim Company, Ltd. · 2019 · recalledK211389 · Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0, Horizon 3.0 with Navigation · Magstim Company, Ltd. · 2021K222171 · Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0, H3.0, Horizon 3.0 with StimGuide+ · Magstim Company, Ltd. · 2023K232235 · Magstim®Horizon® 3.0 TMS Therapy System; Horizon® 3.0 System; Horizon® 3.0; Horizon® 3.0 with Navigation; Horizon® 3.0 with StimGuide Pro · The Magstim Company, Ltd. · 2023K241518 · 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) · The Magstim Company Limited · 202420052010201520202025
Other ancestors, by generation 4 generations back: 1 other ancestor5 generations back: 5 other ancestors6 generations back: 7 other ancestors7 generations back: 3 other ancestors K241518 · 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) · The Magstim Company Limited · 2024K232235 · Magstim®Horizon® 3.0 TMS Therapy System; Horizon® 3.0 System; Horizon® 3.0; Horizon® 3.0 with Navigation; Horizon® 3.0 with StimGuide Pro · The Magstim Company, Ltd. · 2023K222171 · Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0, H3.0, Horizon 3.0 with StimGuide+ · Magstim Company, Ltd. · 2023K211389 · Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0, Horizon 3.0 with Navigation · Magstim Company, Ltd. · 2021K182853 · HORIZON TMS Therapy System · Magstim Company, Ltd. · 2019 · recalledK180907 · HORIZON TMS Therapy System · Magstim Company, Ltd. · 2018 · recalledK171051 · HORIZON Therapy System · Magstim Company, Ltd. · 2017K162935 · Rapid2 Therapy System · Magstim Company, Ltd. · 2017 · recalledK143531 · Rapid Therapy System · Magstim Company Limited · 2015 · recalledK133408 · 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 · 2008−10−50
  1. Root · 13 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
  2. 9 generations between
  3. 3 generations backK222171 Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon…Magstim Company, Ltd. · 2023
  4. 2 generations backK232235 Magstim®Horizon® 3.0 TMS Therapy System; Horizon® 3.0 System…The Magstim Company, Ltd. · 2023
  5. 1 generation backK241518 Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0…The Magstim Company Limited · 2024
  6. This deviceK253098 Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6)Nexstim Oyj · 2026
Show all 13 generations
  1. Root · 13 generations backDEN070003 Neurostar TMS SystemNeuronetics · 2008
  2. 12 generations backK083538 Neurostar TMS Therapy System, Model 1.1Neuronetics · 2008 · Recalled
  3. 11 generations backK130233 Neurostar TMS Therapy SystemNeuronetics · 2013
  4. 10 generations backK133408 Neurostar TMS Therapy SystemNeuronetics · 2014
  5. 9 generations backK143531 Rapid Therapy SystemMagstim Company Limited · 2015 · Recalled
  6. 8 generations backK162935 Rapid2 Therapy SystemMagstim Company, Ltd. · 2017 · Recalled
  7. 7 generations backK171051 HORIZON Therapy SystemMagstim Company, Ltd. · 2017
  8. 6 generations backK180907 HORIZON TMS Therapy SystemMagstim Company, Ltd. · 2018 · Recalled
  9. 5 generations backK182853 HORIZON TMS Therapy SystemMagstim Company, Ltd. · 2019 · Recalled
  10. 4 generations backK211389 Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon…Magstim Company, Ltd. · 2021
  11. 3 generations backK222171 Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon…Magstim Company, Ltd. · 2023
  12. 2 generations backK232235 Magstim®Horizon® 3.0 TMS Therapy System; Horizon® 3.0 System…The Magstim Company, Ltd. · 2023
  13. 1 generation backK241518 Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0…The Magstim Company Limited · 2024
  14. This deviceK253098 Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6)Nexstim Oyj · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13DEN070003Neurostar TMS SystemNeuronetics2008—
−12K083538Neurostar TMS Therapy System, Model 1.1Neuronetics20081
−11K130233Neurostar TMS Therapy SystemNeuronetics2013—
−10K133408Neurostar TMS Therapy SystemNeuronetics2014—
−9K143531Rapid Therapy SystemMagstim Company Limited20153
−8K162935Rapid2 Therapy SystemMagstim Company, Ltd.20173
−7K171051HORIZON Therapy SystemMagstim Company, Ltd.2017—
−6K180907HORIZON TMS Therapy SystemMagstim Company, Ltd.20183
−5K182853HORIZON TMS Therapy SystemMagstim Company, Ltd.20192
−4K211389Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0…Magstim Company, Ltd.2021—
−3K222171Magstim Horizon 3.0 TMS Therapy System, Horizon 3.0 System, Horizon 3.0, H3.0…Magstim Company, Ltd.2023—
−2K232235Magstim®Horizon® 3.0 TMS Therapy System; Horizon® 3.0 System; Horizon® 3.0…The Magstim Company, Ltd.2023—
−1K241518Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS…The Magstim Company Limited2024—
0 (this device)K253098Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6)Nexstim Oyj2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
201510
201630
201750
201820
201920
202020
202210
FIG. 1 — Lineage of K253098, 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
*K241518Horizon® 3.0 TMS Therapy System (Horizon 3.0 Inspire); Horizon® 3.0 TMS Therapy System…
Summary page 5
…ry Predicate Primary Predicate Manufacturer / Reference Devices: 510(k) Number Model Nexstim Navigated K241518 Horizon® 3.0 TMS Therapy Brain Stimulation System (Horizon 3.0 Insp…
The Magstim Company Limited2024—
†K182700Nexstim Navigated Brain Therapy (NBT) System 2Nexstim Plc2019—
†K171902Nexstim Navigated Brain Therapy (NBT) System 2Nexstim Plc2017—
†K182768TMS-Cobot TS MVAxilum Robotics2019—

What descends from it?

No later submission names this one as a predicate yet.

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 18 years and passes through 6 companies; a new generation was cleared every 11 months on median.
  • 6 of the 29 ancestors have a recall of any class.

How does its category compare?

All OBP devices

OBP Transcranial Magnetic Stimulator: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, 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 Nexstim Navigated Brain Stimulation (NBS) 6 System 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, as well as an adjunct for the treatment of adult patients suffering from Obsessive Compulsive Disorder (OCD).

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K253098: Nexstim Navigated Brain Stimulation (NBS) 6 System (NBS6).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K253098

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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