K Number
K220819
Manufacturer
Date Cleared
2022-08-26

(158 days)

Product Code
Regulation Number
882.5805
Reference & Predicate Devices
Predicate For
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

The BrainsWay Deep TMS™ 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.

Device Description

The BrainsWay Deep TMS™ System enables direct non-invasive activation of deep brain structures. Transcranial magnetic stimulation (TMS) is a non-invasive technique used to apply brief magnetic pulses to the brain. The pulses are administered by passing high currents through an electromagnetic coil placed adjacent to a patient's scalp. The pulses induce an electric field in the underlying brain tissue. When the induced field is above a certain threshold and is directed in an appropriate orientation relative to the brain's neuronal pathways, localized axonal depolarizations are produced, thus activating neurons in the targeted brain structure. The BrainsWay Deep TMS™ System is composed of the following main components: Cart (TMS Neurostimulator, Cooling System, Positioning Device), and Helmet (Aiming Apparatus, Electromagnetic Coil (H7 Coil), Cap).

AI/ML Overview

The provided text from the FDA 510(k) summary does not contain acceptance criteria or a study that directly proves the device meets those specific criteria in the way typically seen for AI/ML devices with quantitative performance metrics.

Instead, the document details a non-inferiority study to demonstrate that a modified version of a device (BrainsWay Deep TMS™ System with H7 Coil) is as safe and effective as a previously cleared predicate device (BrainsWay Deep TMS™ System with H1 Coil). The "acceptance criteria" in this context are implicitly that the new device performs at least as well as the predicate device within a defined non-inferiority margin for key clinical outcomes.

Here's a breakdown of the requested information based on the provided text:

1. A table of acceptance criteria and the reported device performance

Acceptance Criteria (Non-inferiority Limit)Reported Device Performance (H7 vs H1 Coil)
Upper limit of one-sided 95% CI for the difference in change from baseline in HDRS-21 at 6 weeks is lower than 3 (non-inferiority limit).Upper limit of one-sided 95% CI was 1.9.
No statistically significant difference in response rates and remission rates at week 6.Response rates and remission rates at week 6 were not statistically significantly different.
No statistically significant difference in the incidence of adverse events.No statistically significant difference in the incidence of any adverse events reported.

2. Sample size used for the test set and the data provenance

  • Sample size: 169 subjects total.
    • Specific breakdown by H7 and H1 coil groups is not explicitly stated, but the study was a "Randomized Controlled Trial," implying subjects were divided between these two groups.
  • Data provenance: Prospective, Multicenter. Country of origin not specified, but the study was titled "Multicenter H7 vs H1 Study."

3. Number of experts used to establish the ground truth for the test set and the qualifications of those experts

The "ground truth" in this study relates to clinical outcomes over time (e.g., changes in HDRS-21 scores). These scores are typically assessed by trained clinicians, often psychiatrists or psychologists, but the exact number of experts or their specific qualifications for this study are not detailed in the provided text. Scores like HDRS-21 are standardized clinical assessments, not typically "established" by multiple experts for each patient like in imaging adjudication.

4. Adjudication method for the test set

Not explicitly stated. Clinical rating scales like HDRS-21 are usually administered by trained raters, potentially with inter-rater reliability checks, but a formal adjudication method like "2+1" or "3+1" is not mentioned as it would be for diagnostic imaging studies.

5. If a multi-reader multi-case (MRMC) comparative effectiveness study was done, If so, what was the effect size of how much human readers improve with AI vs without AI assistance

No, this was not an MRMC comparative effectiveness study involving human readers with or without AI assistance. It was a clinical trial comparing two different device configurations (H7 coil vs. H1 coil) for direct patient treatment. The device itself is a treatment system, not a diagnostic AI tool. Therefore, an effect size of human reader improvement with AI assistance is not applicable.

6. If a standalone (i.e. algorithm only without human-in-the-loop performance) was done

Not applicable. The device is a deep transcranial magnetic stimulation (TMS) system for treating Major Depressive Disorder, not an algorithm or AI system used for diagnosis or image analysis in a standalone capacity.

7. The type of ground truth used

The ground truth used was clinical outcome data from patient assessments, specifically changes in the Hamilton Depression Rating Scale (HDRS-21) and Hamilton Anxiety Rating Scale (HARS) scores, as well as response and remission rates. These are standard measures of treatment efficacy in psychiatry.

8. The sample size for the training set

Not applicable. This device is a medical device for treatment, not an AI/ML algorithm that requires a "training set" in the conventional sense. The "study" described (CTP-0002-00) is a clinical trial to demonstrate safety and effectiveness for regulatory approval.

9. How the ground truth for the training set was established

Not applicable for the same reason as point 8.

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August 26, 2022

BrainsWay Ltd. % Ahava Stein Regulatory Consultant A. Stein - Regulatory Affairs Consulting Ltd. 20 Hata'as Str., Suite 21 Kfar Saba, 4442518 Israel

Re: K220819

Trade/Device Name: BrainsWay Deep TMS System Regulation Number: 21 CFR 882.5805 Regulation Name: Repetitive Transcranial Magnetic Stimulation System Regulatory Class: Class II Product Code: OBP Dated: March 16, 2022 Received: March 21, 2022

Dear Ahava Stein:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. Although this letter refers to your product as a device, please be aware that some cleared products may instead be combination products. The 510(k) Premarket Notification Database located at https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfpmn/pmn.cfm identifies combination product submissions. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part

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801); medical device reporting of medical device-related adverse events) (21 CFR 803) for devices or postmarketing safety reporting (21 CFR 4, Subpart B) for combination products (see https://www.fda.gov/combination-products/guidance-regulatory-information/postmarketing-safety-reportingcombination-products); good manufacturing practice requirements as set forth in the quality systems (QS) regulation (21 CFR Part 820) for devices or current good manufacturing practices (21 CFR 4. Subpart A) for combination products; and, if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21 CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to https://www.fda.gov/medical-device-safety/medical-device-reportingmdr-how-report-medical-device-problems.

For comprehensive regulatory information about medical devices and radiation-emitting products, including information about labeling regulations, please see Device Advice (https://www.fda.gov/medicaldevices/device-advice-comprehensive-regulatory-assistance) and CDRH Learn (https://www.fda.gov/training-and-continuing-education/cdrh-learn). Additionally, you may contact the Division of Industry and Consumer Education (DICE) to ask a question about a specific regulatory topic. See the DICE website (https://www.fda.gov/medical-device-advice-comprehensive-regulatoryassistance/contact-us-division-industry-and-consumer-education-dice) for more information or contact DICE by email (DICE@fda.hhs.gov) or phone (1-800-638-2041 or 301-796-7100).

Sincerely,

for Pamela Scott Assistant Director DHT5B: Division of Neuromodulation and Physical Medicine Devices OHT5: Office of Neurological and Physical Medicine Devices Office of Product Evaluation and Quality Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known) K220819

Device Name BrainsWay Deep TMS™ System

Indications for Use (Describe)

The BrainsWay Deep TMS™ 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.

Type of Use (Select one or both, as applicable)

Prescription Use (Part 21 CFR 801 Subpart D)
Over-The-Counter Use (21 CFR 801 Subpart C)

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510(K) SUMMARY

BRAINSWAY DEEP TMS™ SYSTEM

510(k) Number K220819

Applicant Name:

Company Name:BrainsWay LtdBrainsWay Ltd.
Address:19 Hartom St. (Bynet Bldg)Har Hotzvim, Jerusalem, ISRAEL 9777518Tel: +972-2-5813140Fax: +972-2-5812517E-mail: ahava@asteinrac.com
Contact Person:Official Correspondent:Ahava Stein
Company Name:A. Stein - Regulatory Affairs Consulting Ltd.
Address:18 Hata'as Str., Suite 21Kfar Saba 4442518 IsraelTel: + 972-9-7670002Fax: +972-9-7668534E-mail: ahava@asteinrac.com
Date Prepared:March 16, 2022
Trade Name:BrainsWay Deep TMS™ System
Common Name:Transcranial Magnetic Stimulation System
Classification Name:CFR Classification section 882.5805; (Product Code OBP)
Classification:Class II Medical Device

Predicate Device:

The subject device is substantially equivalent to the BrainsWay Deep TMS™ Systems (Model 102 and 104) ("predicate device") cleared in 510(k) K210201 and to the reference predicate devices, the BrainsWay Deep TMS™ Systems, DEN170078 and K183303.

PredicateDeviceManufacturer510(k) No.
MainBrainsWay Deep TMS™ SystemBrainsWay Ltd.K210201
ReferenceBrainsWay Deep TMS™ SystemBrainsWay Ltd.K183303
ReferenceBrainsWay Deep TMS™ SystemBrainsWay Ltd.DEN170078

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Device Description:

The BrainsWay Deep TMS™ System enables direct non-invasive activation of deep brain structures. Transcranial magnetic stimulation (TMS) is a non-invasive technique used to apply brief magnetic pulses to the brain. The pulses are administered by passing high currents through an electromagnetic coil placed adjacent to a patient's scalp. The pulses induce an electric field in the underlying brain tissue. When the induced field is above a certain threshold and is directed in an appropriate orientation relative to the brain's neuronal pathways, localized axonal depolarizations are produced, thus activating neurons in the targeted brain structure.

The BrainsWay Deep TMS™ System is composed of the following main components:

    1. Cart
    • a) TMS Neurostimulator
    • b) Cooling System
    • c) Positioning Device
    1. Helmet
    • a) Aiming Apparatus (i.e., ruler/grid)
    • b) Electromagnetic Coil (H7 Coil)
    • c) Cap

The BrainsWay TMS neurostimulator is connected to the electromagnetic H7 Coil, which in turn is connected to the patient's head. The helmet aiming apparatus is used to position the BrainsWay H7 Coil at the correct position on the patient's head. The cooling system maintains the electromagnetic coil at ambient temperature. The stimulator generates a changing electric current within the coil, which induces the magnetic field. The magnetic field causes a second inductance of inverted electric charge specifically in the prefrontal cortex. Deep TMS stimulation in the area of the prefrontal cortex has been shown to be therapeutically beneficial for the following indication for use.

Intended Use/Indication for Use:

The BrainsWay Deep TMS™ 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.

Performance Standards:

The BrainsWay Deep TMS™ System complies with the following FDA recognized consensus standards:

  • . EC 60601-1 Medical Electrical Equipment - Part 1: General requirements for basic safety and essential performance (Ed 3.1. 2005 + CORR.1:2006 + CORR.2:2007 + A1:2012)

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  • IEC 60601-1-2 Medical Electrical Equipment Part 1-2: General requirements for . basic safety and essential performance - Collateral standard: Electromagnetic disturbances - Requirements and test (Ed 4 2014)
  • IEC 62304 Medical Devices Software life-cycle processes (2006 + A1:2015) ●
  • ISO 10993-5 Biological evaluation of medical devices Part 5: Tests for in vitro . cytotoxicity (1999)
  • ISO 10993-10 Biological evaluation of medical devices Part 10: Tests for . irritation and delayed-type hypersensitivity (2002)
  • ISO 14971 Medical devices Application of risk management to medical devices ● (2nd Ed. 2007, (R) 2016)

Non-Clinical (Bench) Performance Data:

Tests were conducted on the BrainsWay Deep TMS™ System. The tests were performed according to the FDA Guidance Document Class II Special Controls Guidance Document: Repetitive Transcranial Magnetic Stimulation (rTMS) Systems. These tests included Output Waveform, Electrical Field Spatial Distribution, and Magnetic Field Strength Gradient Testing. The results of the performance tests demonstrated that the BrainsWay Deep TMSTM System is substantially equivalent to the predicate device.

Animal Performance Data / Histology Data:

Not Applicable

Clinical Performance Data:

The safety and effectiveness and substantial equivalence of the BrainsWay Deep TMS™ device for the treatment of MDD and Anxiety symptoms in MDD was demonstrated in the Multicenter H7 vs H1 Study (A Prospective Multicenter Double Blind Randomized Controlled Trial to Compare the Efficacy of the H7 Coil to H1 Coil Deep Transcranial Magnetic Stimulation (Deep TMS) in Subjects with Major Depression Disorder (MDD)), Protocol No. CTP-0002-00. The purpose of the study was to compare the safety and effectiveness of the BrainsWay Deep TMS™ H7 Coil compared to the H1 Coil for the treatment of Major Depressive Disorder (MDD).

Baseline demographic and main effectiveness information is provided in Tables 1 and 2 below.

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Baseline Characteristics% (n/N)
SexMale39.1% (66/169)
Female60.9% (103/169)
MaritalStatusMarried43.2% (73/169)
Single36.1% (61/169)
Divorced17.8% (30/169)
Widower3.0% (5/169)
RaceCaucasian80.5% (136/169)
Afro-American6.5% (11/169)
Hispanic7.7% (13/169)
Other5.9% (10/169)
EducationLess than 9 years of education1.2% (2/169)
9 to 12 years of education18.9% (32/169)
Over 12 years of education78.1% (132/169)
Unknown1.8% (3/169)
Age (years)N169
Mean (SD)45.4 (11.67)
Median [Range]46.6 [22.1;68.9]

Table 1: Demographic Characteristics

Table 2 - Key Baseline Effectiveness Assessments

Safety and Effectiveness Scales
N
HDRS-21169
Mean (SD)24.0 (3.48)
Median [Range]24.0 [19;36]
N
HARS168
Mean (SD)19.5 (6.21)
Median [Range]19.0 [6;43]

The primary effectiveness endpoint was the change from baseline in HDRS-21 scores to the 6-week visit. In both study groups there was a statistically significant reduction in HDRS-21 scores. The repeated measure model showed that the difference between the slopes of at 6 weeks was found non-statistically significant (p=0.8). The upper limit of the one-sided 95% CI's was 1.9, i.e., lower than 3, which is the non-inferiority limit, therefore the study is deemed successful. The response rates and the remission rates at the week 6 visit were not found statistically significantly different between the H7 and H1 Coil treatment groups.

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Table 3: Difference in Change from Baseline in HDRS-21 at 6 Week Visit (Repeated
Measures Model)
EstimateStandardErrorp-value95% CIUpper limit of one-sided 95% CI
Difference in Change from Baselinein HDRS-21 at 6 weeks (H7 vs H1)0.2291.0200.8231[-1.789;2.246]1.918

According to these results, it may be concluded that the BrainsWay Deep TMS™ treatment with the H7 Coil is as effective as treatment with the H1 Coil.

There was also no statistically significant difference in the incidence of any of the adverse events reported between the treatment groups. Therefore, we can conclude that the safety of the BrainsWay Deep TMS™ device with the H7 Coil is similar to the safety with the H1 Coil.

Substantial Equivalence:

The subject BrainsWay Deep TMS™ devices (Models 102 and 104) with the H7 Coil are substantially equivalent to the previously cleared BrainsWay Deep TMS 110 devices (also manufactured by BrainsWay Ltd., and the subject of 510(k) K210201 (Models 102 and 104). A comparison table is provided below comparing the intended use and basic technological characteristics of the subject BrainsWay Deep TMSTM device with the H7 Coil to the intended use and basic technological characteristics of the previously cleared BrainsWay Deep TMS™ devices. A Discussion of the Similarities and Differences between the subject BrainsWay Deep TMS™1 devices with the H7 Coil and the previously cleared BrainsWay Deep TMSTM devices is found following the comparison table.

predicate BrainsWay Deep TMS™ Systems (with the H1 Coil)
TechnologicalCharacteristicBrainsWay Deep TMS™ Systems(Models 102 & 104 with the H7 Coil)BrainsWay Deep TMS™ Systems(Models 102 & 104 with H1 Coil)(K210201)
Product Code, ClassOBPClass IIOBPClass II
Indications for UseThe BrainsWay Deep TMS™ System isindicated for the treatment of depressiveepisodes and for decreasing anxietysymptoms for those who may exhibitcomorbid anxiety symptoms in adultpatients suffering from Major DepressiveDisorder (MDD) and who failed to achievesatisfactory improvement from previousantidepressant medication treatment in thecurrent episodeThe BrainsWay Deep TMS™ System isindicated for the treatment of depressiveepisodes and for decreasing anxietysymptoms for those who may exhibitcomorbid anxiety symptoms in adult patientssuffering from Major Depressive Disorder(MDD) and who failed to achievesatisfactory improvement from previousantidepressant medication treatment in thecurrent episode
TechnologicalCharacteristicBrainsWay Deep TMS TM Systems(Models 102 & 104 with the H7 Coil)BrainsWay Deep TMS TM Systems(Models 102 & 104 with H1 Coil)(K210201)
Target PopulationAdult subjects with Major DepressiveDisorderAdult subjects with Major DepressiveDisorder
Anatomical SitesHead – stimulation to the prefrontal cortexHead – stimulation to the prefrontal cortex
Environment UsedHospitals, ClinicsHospitals, Clinics
Energy Used /DeliveredElectromagnetic Energy is deliveredElectromagnetic Energy is delivered
Design:The BrainsWay Deep TMSTM System designis based on applying transcranial magneticstimulation by means of repetitive pulsetrains at a predetermined frequency.The BrainsWay Deep TMSTM System designis based on applying transcranial magneticstimulation by means of repetitive pulsetrains at a predetermined frequency.
- Mechanism of ActionThe BrainsWay Deep TMSTM System is anelectromechanical instrument that producesand delivers brief duration, rapidlyalternating (pulsed) magnetic fields toinduce electrical currents in localizedregions of the prefrontal cortex. This is anon-invasive tool for the stimulation ofcortical neurons for the treatment of adultpatients with Major Depressive Disorder(MDD).The BrainsWay Deep TMSTM System is anelectromechanical instrument that producesand delivers brief duration, rapidlyalternating (pulsed) magnetic fields toinduce electrical currents in localizedregions of the prefrontal cortex. This is anon-invasive tool for the stimulation ofcortical neurons for the treatment of adultpatients with Major Depressive Disorder(MDD).
- ComponentsThe BrainsWay Deep TMSTM Systemconsists of the following components:- Mobile Cart- Coil & Helmet Unit- Positioning Arm- Cooling System- TMS stimulator & Software (BrainsWaystimulator in Model 104 & Magstimstimulator in Model 102)The BrainsWay Deep TMSTM Systemconsists of the following components:- Mobile Cart- Coil & Helmet Unit- Positioning Arm- Cooling System- TMS stimulator & Software (Brainswaystimulator in Model 104 & Magstimstimulator in Model 102)
- AccessoriesThe BrainsWay Deep TMSTM Systemconsists of the following accessories:- Head Cap- Head Positioning Straps- EarplugsThe BrainsWay Deep TMSTM Systemconsists of the following accessories:- Head Cap- Head Positioning Straps- Earplugs
- FeaturesThe BrainsWay Deep TMSTM Systemconsists of the following features:- Determination of Motor Threshold (MT)- Coil Positioning- Administration of Treatment- System Management, including patientrecord keeping (Model 104)The BrainsWay Deep TMSTM Systemconsists of the following features:- Determination of Motor Threshold (MT)- Coil Positioning- Administration of Treatment- System Management, including patientrecord keeping (Model 104)
- DimensionsCart Dimensions:Model 102: 680x625mm / 27x25")Model 104: 680x688mm / 26.7x27"Cart Dimensions:Model 102: 680x625mm / 27x25")Model 104: 680x688mm / 26.7x27"
- WeightModel 102: 122.5 kg (270lbs)Model 104: 142 kg (313lbs)Model 102: 122.5 kg (270lbs)Model 104: 142 kg (313lbs)
TechnologicalCharacteristicBrainsWay Deep TMS™ Systems(Models 102 & 104 with the H7 Coil)BrainsWay Deep TMS™ Systems(Models 102 & 104 with H1 Coil)(K210201)
PerformanceTreatment Parameters:- Magnetic Field Intensity: 120% of thepatient's observed hand motor threshold.- Repetition rate: 18 Hz- Train duration: 2 sec- Inter-train interval: 20 sec- Number of trains: 55- Magnetic Pulses per Session: 1980- Treatment Session Duration: ~ 20 min- Sessions per Week: 5- 5 daily sessions for 4 weeks- Bi-weekly sessions for another 12 weeks(optional maintenance treatments)Treatment Parameters:- Magnetic Field Intensity: 120% of thepatient's observed hand motor threshold.- Repetition rate: 18 Hz- Train duration: 2 sec- Inter-train interval: 20 sec- Number of trains: 55- Magnetic Pulses per Session: 1980- Treatment Session Duration: ~ 20 min- Sessions per Week: 5- 5 daily sessions for 4 weeks- Bi-weekly sessions for another 12 weeks(optional maintenance treatments)
Human FactorsThe BrainsWay Deep TMS™ System uses aTMS neurostimulator software for parameterconfiguration.Patient positioning and MT determinationare done manually.The BrainsWay Deep TMS™ System uses aTMS neurostimulator software for parameterconfiguration.Patient positioning and MT determinationare done manually.
Standards MetIEC 60601-1IEC 60601-1-2IEC 62304IEC 60601-1IEC 60601-1-2IEC 62304
MaterialsPersonal Head CapPersonal Head Cap
BiocompatibilityMaterials are biocompatibleMaterials are biocompatible
Compatibility Withthe Environment andOther DevicesThe BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1-2 standard.The BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1-2 standard.
SterilityNot ApplicableNot Applicable
Electrical SafetyPower Requirements:110-120 VAC / 60 Hz220-240 VAC / 50 HzThe BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1 standard.Power Requirements:110-120 VAC / 60 Hz220-240 VAC / 50 HzThe BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1 standard.
Mechanical SafetyThe BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1 standard.The BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1 standard.
Chemical SafetyNot ApplicableNot Applicable
Thermal SafetyThe BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1 standard.The BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1 standard.
Radiation SafetyThe BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1-2 standard.The BrainsWay Deep TMS™ System arecompliant with the IEC 60601-1-2 standard.

Table 4: Comparison of the BrainsWay Deep TMS™ Systems (with the H7 Coil) to the predicate BrainsWay Deep TMS™ Systems (with the H1 Coil)

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DISCUSSION OF SIMILARITIES AND DIFFERENCES:

The subject BrainsWay Deep TMS™ devices (Models 102 and 104) have the same intended use and indications for use as the predicate BrainsWay Deep TMS™ devices cleared in 510(k) K210201. The subject devices and the cleared BrainsWay Deep TMS™ devices are similar in terms of their intended prescription use only, suitable for adult population, indicated for the same anatomical sites, according to the same indications for use and to be used in the same hospital and/or clinic settings.

The subject BrainsWay Deep TMS™ devices have the same mechanism of operation and use the same underlying technology as the predicate BrainsWay Deep TMS™ devices. The performance characteristics, including the Output Waveform, Electrical and Magnetic Field Distribution are substantially equivalent to the previously cleared BrainsWay Deep TMS™ devices. The subject devices, as the cleared devices, introduce similar safety features and comply with same relevant consensus standards, including electrical and mechanical safety, Electromagnetic Ddisturbances, and software validation.

The subject BrainsWay Deep TMS™ devices are composed of the same device components as the previously cleared, predicate BrainsWay Deep TMS™ devices (Model 102 and Model 104), with the exception of the coil. The subject BrainsWay Deep TMS™ devices use the H7 Coil and the predicate BrainsWay Deep TMS™ devices use the H1 Coil.

This 510(k) contains clinical data to support the safety and effectiveness of the subject BrainsWay Deep TMS™ devices with the H7 Coil for the treatment of MDD. Furthermore, the clinical data demonstrates that the BrainsWay Deep TMS™ devices with the H7 Coil are substantially equivalent in performance to the predicate BrainsWay Deep TMSTM devices with the H1 Coil for the treatment of MDD. No new questions of safety and effectiveness have arisen due to the use of the new H7 Coil.

Conclusions:

Consequently, it can be concluded that the subject BrainsWay Deep TMS™ devices (Models 102 and 104) with the H7 Coil are substantially equivalent to the predicate BrainsWay Deep TMS™ devices (Models 102 and 104) with the H1 Coil, cleared under 510(k) K210201 and therefore, the modified BrainsWay Deep TMS™ System can also be legally marketed in the USA.

§ 882.5805 Repetitive transcranial magnetic stimulation system.

(a)
Identification. A repetitive transcranial magnetic stimulation system is an external device that delivers transcranial repetitive pulsed magnetic fields of sufficient magnitude to induce neural action potentials in the prefrontal cortex to treat the symptoms of major depressive disorder without inducing seizure in patients who have failed at least one antidepressant medication and are currently not on any antidepressant therapy.(b)
Classification. Class II (special controls). The special control is FDA's “Class II Special Controls Guidance Document: Repetitive Transcranial Magnetic Stimulation System.” See § 882.1(e) for the availability of this guidance document.