AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

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.

Device Description

The NeuroStar Advanced Therapy System is a transcranial magnetic stimulation device. Specifically, it is a computerized, electromechanical medical device that produces and delivers non-invasive maqnetic fields to induce electrical currents targeting specific regions of the cerebral cortex. 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 the brain's neuronal pathway, localized axonal depolarizations are produced, thus activating neurons in the targeted brain region.

The NeuroStar Advanced Therapy System is an integrated system consisting of a combination of the following components:

  • Mobile Console .
  • System Software .
  • . Treatment Chair
  • Ferromagnetic Treatment Coil
  • . Head Support System
  • SenStar® Connect Treatment Link & SenStar® Treatment Link ●
  • . MT Cap
  • TrakStar™ Patient Data Management System ●
  • D-Tect™ MT Accessory ●

The proposed change to the NeuroStar Advanced Therapy System that is the subject of this 510(k) is the addition of the NeuroStar D-Tect™ MT Accessory, which is a non-sterile, multi-use device that provides an optional method to aid in the Motor Threshold (MT) hunt process. This device is used to provide indication and amplitude of hand movement during this process. The D-Tect™ MT Accessory includes a user display interface and a human hand interface with builtin sensors for measuring thumb and finger movements. The device is a standalone accessory that does not communicate or interact with the NeuroStar Advanced Therapy System, except for receiving pulse signals in order to sync data collection. Use of the device is optional, and provides an alternative, quantitative method to determine the MT compared to the standard of care, which includes a qualitative, visual assessment. The D-Tect™ MT Accessory is only used during the Motor Threshold (MT) determination process, which is only performed the first time a patient is seen by the doctor and is performed prior to the first treatment session.

AI/ML Overview

This document describes a 510(k) premarket notification for the NeuroStar D-Tect™ MT Accessory, an addition to the NeuroStar Advanced Therapy System. The accessory is designed to aid in the Motor Threshold (MT) hunt process by providing an optional, quantitative method to determine the MT, as an alternative to the standard qualitative, visual assessment.

Acceptance Criteria and Device Performance:

The document does not specify quantified acceptance criteria or reported device performance metrics in the format of a table for the D-Tect™ MT Accessory itself. Instead, it relies on demonstrating that the D-Tect™ MT Accessory does not introduce new questions of safety or effectiveness and that the overall NeuroStar Advanced Therapy System, with the addition of this accessory, continues to conform to established performance standards.

The closest information related to performance is the statement that the device provides an "indication and amplitude of hand movement" during the MT hunt process.

Study Information:

The document explicitly states: "There is no clinical testing required to support this submission."
Therefore, the following points associated with clinical studies are not applicable or provided:

  1. Sample size used for the test set and the data provenance: Not applicable as no clinical testing was performed for this submission.
  2. Number of experts used to establish the ground truth for the test set and the qualifications of those experts: Not applicable as no clinical testing was performed for this submission.
  3. Adjudication method (e.g., 2+1, 3+1, none) for the test set: Not applicable as no clinical testing was performed for this submission.
  4. 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: Not applicable. The device is not an AI-assisted diagnostic tool that would involve human readers or MRMC studies.
  5. If a standalone (i.e., algorithm only without human-in-the-loop performance) was done: Not applicable as no clinical testing was performed for this submission. The D-Tect™ MT Accessory is a physical device that provides quantitative data to aid a human operator, not a standalone algorithm.
  6. The type of ground truth used (expert consensus, pathology, outcomes data, etc.): Not applicable as no clinical testing was performed for this submission.
  7. The sample size for the training set: Not applicable as no clinical testing was performed for this submission.
  8. How the ground truth for the training set was established: Not applicable as no clinical testing was performed for this submission.

Non-clinical Testing:

The device's acceptance is primarily based on non-clinical performance and usability testing. These tests conform to the following recognized consensus standards:

  • ISO 10993-1
  • ANSI AAMI ES60601-1
  • IEC 60601-1-2
  • IEC 60601-1-6

Additionally, usability testing was completed in accordance with IEC 60601-1-6 Edition 3.1 2013-10 and the FDA Guidance Document: "Applying Human Factors and Usability Engineering to Medical Devices."

The overarching conclusion is that the addition of the D-Tect™ MT Accessory, while providing an optional quantitative method for MT determination, does not alter the fundamental safety or effectiveness of the NeuroStar Advanced Therapy System, which has existing regulatory clearances (predicate devices listed: K083538, K130233, K133408, K160703, K161519, K201158, K213543, and K220127). The accessory's function is to aid in a process, not to independently make diagnostic or treatment decisions.

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Image /page/0/Picture/0 description: The image shows the logo of the U.S. Food and Drug Administration (FDA). On the left is the Department of Health & Human Services logo. To the right of that is the FDA logo in blue, with the words "U.S. FOOD & DRUG" stacked on top of the word "ADMINISTRATION".

August 24, 2022

Neuronetics, Inc. Amanda Pentecost, PhD Regulatory Affairs Specialist 3222 Phoenixville Pike Malvern, PA 19355

Re: K222230

Trade/Device Name: NeuroStar TMS Therapy System, NeuroStar Advanced Therapy System, NeuroStar Advanced Therapy System for Mental Health Regulation Number: 21 CFR 882.5805 Regulation Name: Repetitive Transcranial Magnetic Stimulation System Regulatory Class: Class II Product Code: OBP Dated: July 21, 2022 Received: July 25, 2022

Dear Dr. Pentecost:

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

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requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 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 (OS) 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 mediation-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

Submission Number (if known)

K222230

Device Name

NeuroStar D-Tect MT Accessory (81-00241-000)

Indications for Use (Describe)

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.

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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Image /page/3/Picture/0 description: The image shows the logo for NeuroStar. The logo is purple and features the word "NeuroStar" in a stylized font. Below the word "NeuroStar" is the phrase "Advanced Therapy for Mental Health" in a smaller font. To the right of the word "NeuroStar" is a graphic of a star with a person in the middle.

510(k) Summary

Date Prepared:July 19, 2022
Applicant:Neuronetics, Inc.3222 Phoenixville PikeMalvern, PA 19355
Contact Person:Amanda Pentecost, PhDRegulatory Affairs SpecialistPhone: 610-640-4202, ext. 1132Email: amanda.pentecost@neurostar.com
Secondary Contact:Robin Fatzinger, RACSr. Director, Regulatory AffairsPhone: 610-640-4202, ext. 1064Email: robin.fatzinger@neurostar.com
Device Trade Name:NeuroStarNeuroStar TMS Therapy SystemNeuroStar Advanced Therapy SystemNeuroStar Advanced Therapy System for Mental Health
Device Common Name:Transcranial Magnetic Stimulator
Classification:21 CFR 882.5805
Product Code:OBP
Predicate Device:NeuroStar Advanced Therapy System (K083538, K130233,K133408, K160703, K161519, K201158, K213543, and K220127)

Image /page/3/Picture/6 description: The image shows a logo with the letters 'NS' in a stylized, sans-serif font. The letters are purple. Above the letters is a graphic of three stylized figures with outstretched arms, also in purple. The figures are arranged in a semi-circle, suggesting unity or collaboration. The overall design is simple and modern.

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Device Description / Technological Characteristics:

The NeuroStar Advanced Therapy System is a transcranial magnetic stimulation device. Specifically, it is a computerized, electromechanical medical device that produces and delivers non-invasive maqnetic fields to induce electrical currents targeting specific regions of the cerebral cortex. 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 the brain's neuronal pathway, localized axonal depolarizations are produced, thus activating neurons in the targeted brain region.

The NeuroStar Advanced Therapy System is an integrated system consisting of a combination of the following components:

  • Mobile Console .
  • System Software .
  • . Treatment Chair
  • Ferromagnetic Treatment Coil
  • . Head Support System
  • SenStar® Connect Treatment Link & SenStar® Treatment Link ●
  • . MT Cap
  • TrakStar™ Patient Data Management System ●
  • D-Tect™ MT Accessory ●

The proposed change to the NeuroStar Advanced Therapy System that is the subject of this 510(k) is the addition of the NeuroStar D-Tect™ MT Accessory, which is a non-sterile, multi-use device that provides an optional method to aid in the Motor Threshold (MT) hunt process. This device is used to provide indication and amplitude of hand movement during this process. The D-Tect™ MT Accessory includes a user display interface and a human hand interface with builtin sensors for measuring thumb and finger movements. The device is a standalone accessory that does not communicate or interact with the NeuroStar Advanced Therapy System, except for receiving pulse signals in order to sync data collection. Use of the device is optional, and provides an alternative, quantitative method to determine the MT compared to the standard of care, which includes a qualitative, visual assessment. The D-Tect™ MT Accessory is only used during the Motor Threshold (MT) determination process, which is only performed the first time a patient is seen by the doctor and is performed prior to the first treatment session.

Indications for Use:

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.

Image /page/4/Picture/18 description: The image shows a logo with the letters 'NS' in a stylized font. The letters are purple and appear to be connected. Above the letters, there are three abstract figures that resemble people with outstretched arms, arranged in a semi-circle. These figures are also purple and contribute to the overall design of the logo.

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Image /page/5/Picture/0 description: The image shows the logo for NeuroStar, a company that provides advanced therapy for mental health. The logo features the word "NeuroStar" in a stylized font, with the words "Advanced Therapy for Mental Health" underneath. To the right of the word "NeuroStar" is a star-shaped design with human figures at each point.

Performance Standards:

The use of the D-Tect™ MT Accessory with the NeuroStar Advanced Therapy System has been tested and conforms to the following recognized consensus standards:

  • . ISO 10993-1
  • ANSI AAMI ES60601-1 ●
  • IEC 60601-1-2 ●
  • IEC 60601-1-6

Non-clinical Testing:

The contents of this 510(k) complies with the FDA Guidance Document: "Class II Special Controls Guidance Document: Repetitive Transcranial Magnetic Stimulation (rTMS) Systems - Guidance for Industry and Food and Drug Administration Staff." Non-clinical performance testing was performed according to the standards listed above.

Additionally, usability testing was completed in accordance with IEC 60601-1-6 Edition 3.1 2013-10 and also following FDA Guidance Document: "Applying Human Factors and Usability Engineering to Medical Devices."

Clinical Testing:

There is no clinical testing required to support this submission.

Image /page/5/Picture/15 description: The image shows a logo with the letters 'NS' in a bold, sans-serif font. The letters are purple. Above the letters, there are three stylized figures that appear to be people holding hands, also in purple. To the right of the letters, there is a curved, swooping line that resembles a stylized star or comet tail, also in purple. The overall design is simple and modern.

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Image /page/6/Picture/0 description: The image is a logo for NeuroStar, a company that provides advanced therapy for mental health. The logo is purple and features the word "NeuroStar" in a bold, sans-serif font. Below the word "NeuroStar" is the phrase "Advanced Therapy for Mental Health" in a smaller, sans-serif font. To the right of the word "NeuroStar" is a stylized star shape. The star shape is made up of several curved lines that come together to form a point.

Technological Comparison:

NeuroStar Advanced Therapy System(Subject Device)NeuroStar Advanced Therapy System(Predicate Device)Explanation ofDifferences
Indications for UseThe NeuroStar Advanced Therapy Systemis indicated 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 inthe current episode.The NeuroStar Advanced Therapy Systemis indicated 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 episode.No Difference
Intended UseMajor Depressive Disorder (MDD) andcomorbid anxiety symptomsMajor Depressive Disorder (MDD) andcomorbid anxiety symptomsNo Difference
Anatomical SitesLeft dorsolateral prefrontal cortexLeft dorsolateral prefrontal cortexNo Difference
Target PopulationAdult patientsAdult patientsNo Difference
Clinical SettingInpatient and outpatient settings,including physician's offices and clinics,hospitals, and general medical/surgicalhospitalsInpatient and outpatient settings, includingphysician's offices and clinics, hospitals,and general medical/surgical hospitalsNo Difference
MaterialsStandard materials commonly used in themanufacture of electrical medical devicesStandard materials commonly used in themanufacture of electrical medical devicesNo Difference
BiocompatibilityPatient-contacting device components usestandard materials compliant with ISO10993-1 that are commonly used inconsumer products and medical deviceapplicationsPatient-contacting device components usestandard materials compliant with ISO10993-1 that are commonly used inconsumer products and medical deviceapplicationsNo Difference
DesignComputerized, electromechanical medicaldevices that use integrated systems todeliver TMS therapyComputerized, electromechanical medicaldevices that use integrated systems todeliver TMS therapyNo Difference
Energy SourcePower console with magnetic coil fordelivery for magnetic energyPower console with magnetic coil fordelivery for magnetic energyNo Difference
Electrical Safety & EMCIEC 60601-1 compliantIEC 60601-1-2 compliantIEC 60601-1 compliantIEC 60601-1-2 compliantNo Difference
SterilityNo parts of the device, accessories orcomponents are required to be sterilizedNo parts of the device, accessories orcomponents are required to be sterilizedNo Difference
Coil TypeFerromagneticIron coreInternal cooling fanFerromagneticIron coreInternal cooling fanNo Difference
Coil Positioning SystemIntegrated into Head Support SystemLaser-aided coil placementIntegrated into Head Support SystemLaser-aided coil placementNo Difference
Treatment Schedule5 days per week for 4-6 weeksTotal of 20-30 treatment sessions5 days per week for 4-6 weeksTotal of 20-30 treatment sessionsNo Difference
Device Components• Mobile Console• Ferromagnetic Coil for deliveringtreatment• Head Support System for coilpositioning• MT Cap for coil positioning• D-Tect™ MT Accessory for MTlocation and level determination• Multi-use disposable for contactsensing and magnetic field quality control• TrakStar System for recording patientdata• Mobile Console• Ferromagnetic Coil for deliveringtreatment• Head Support System for coilpositioning• MT Cap for coil positioning• Multi-use disposable for contactsensing and magnetic field quality control• TrakStar System for recording patientdataDifferentThe addition ofthe D-Tect™ MTAccessory is thesubject of thisspecial 510(k).
%MT Range25% to 140% MT25% to 140% MTNo difference
Pulses per Second (PPS)RangeFor treatment: 1 to 30 PPSFor MT determination: 0.1-0.3 PPSFor treatment: 1 to 30 PPSFor MT determination: 0.1-0.3 PPSNo difference
Induced Electric Field at2 cm at 1.0 SMT135 V/m (Nominal)135 V/m (Nominal)No difference
Pulse TypeBiphasic SinusoidBiphasic SinusoidNo difference
Pulse Width185 µS (Nominal)185 µS (Nominal)No difference
Standard Treatment:Level: 120% MT with allowableadjustmentsRepetition Rate: 10 PPSStimulation Time: 4 sInter-train Interval: As low as 11 sSession Duration: As low as 18.75 minPulses per Session: 3000Sessions per Week: 5Standard Treatment:Level: 120% MT with allowableadjustmentsRepetition Rate: 10 PPSStimulation Time: 4 sInter-train Interval: As low as 11 sSession Duration: As low as 18.75 minPulses per Session: 3000Sessions per Week: 5No difference
Treatment ProtocolsNeuroBurst Treatment:Level: 80-120% MT with allowableadjustmentsStimulation Time: 2 sInter-train Interval: 8 sPulses per Burst: 3Interpulse Interval: 20 msSession Duration: 3.3 minPulses per Session: 600Bursts per Second: 5Amplitude: 0.22-2.08 SMT (<5% drop)NeuroBurst Treatment:Level: 80-120% MT with allowableadjustmentsStimulation Time: 2 sInter-train Interval: 8 sPulses per Burst: 3Interpulse Interval: 20 msSession Duration: 3.3 minPulses per Session: 600Bursts per Second: 5Amplitude: 0.22-2.08 SMT (<5% drop)No difference
Treatment Level RangeStandard Treatment:0.22 to 2.08 SMTCalibrated linear outputStandard Treatment:0.22 to 2.08 SMTCalibrated linear outputNo difference
NeuroBurst Treatment:0.22 to 1.9 SMT80-120% MT<5% dropNeuroBurst Treatment:0.22 to 1.9 SMT80-120% MT<5% dropNo difference
Stimulation Time PulseTrain Duration RangeStandard Treatment:1 PPS: 1 to 600 s>1 PPS: 1 to 20 sStandard Treatment:1 PPS: 1 to 600 s>1 PPS: 1 to 20 sNo difference
NeuroBurst Treatment:1 to 10 sNeuroBurst Treatment:1 to 10 sNo difference
Inter-train Interval RangeStandard Treatment:1 PPS: 0 to 600 s>1 PPS: 10 to 60 sStandard Treatment:1 PPS: 0 to 600 s>1 PPS: 10 to 60 sNo difference
NeuroBurst Treatment:1 to 60 sNeuroBurst Treatment:1 to 60 sNo difference
Pulses per TreatmentSessionStandard Treatment:Nominal: 3000Maximum: 5000Standard Treatment:Nominal: 3000Maximum: 5000No difference
NeuroBurst Treatment:Nominal: 600Maximum: 2000NeuroBurst Treatment:Nominal: 600Maximum: 2000No difference
Pulses per Burst (PPB)NeuroBurst Treatment:1 to 5NeuroBurst Treatment:1 to 5No difference
Interpulse IntervalNeuroBurst Treatment:20 to 2000 msNeuroBurst Treatment:20 to 2000 msNo difference
Bursts per Second (BPS)NeuroBurst Treatment:0.1 to 20.0 HzNeuroBurst Treatment:0.1 to 20.0 HzNo difference

Image /page/6/Picture/6 description: The image shows a logo with the letters 'NS' in a stylized font. The letters are purple and are positioned to the left of a star-like symbol. The star symbol is also purple and appears to be formed by abstract human figures with outstretched arms, creating a sense of community or connection. The overall design is simple and modern, suggesting a focus on people and collaboration.

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Image /page/7/Picture/0 description: The image shows the logo for NeuroStar. The logo is purple and features the word "NeuroStar" in a bold, sans-serif font. Below the word "NeuroStar" is the tagline "Advanced Therapy for Mental Health" in a smaller font. To the right of the word "NeuroStar" is a stylized star shape with small circles at the end of each point.

NeuroStar.com

Image /page/7/Picture/5 description: The image shows a logo with the letters 'NS' in a stylized, purple font. A star-like shape is incorporated into the design, with three abstract figures positioned around the star. The overall design is simple and modern, suggesting a focus on people and achievement.

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Image /page/8/Picture/0 description: The image shows the logo for NeuroStar. The logo is purple and consists of the word "NeuroStar" in a stylized font, with the words "Advanced Therapy for Mental Health" underneath. To the right of the word "NeuroStar" is a star-shaped design with small circles at the end of each point.

3222 Phoenixville Pike / Malvern, PA 19355

t 610 640 4202 / f 610 640 4206

NeuroStar.com

Image /page/8/Picture/5 description: The image shows a logo with the letters 'NS' in a stylized font. The letters are purple and are positioned to the left of a star-like symbol. The star is formed by curved lines that resemble people with outstretched arms, also in purple. The overall design is simple and modern.

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Image /page/9/Picture/0 description: The image contains the logo for NeuroStar, a company that provides advanced therapy for mental health. The logo features the word "NeuroStar" in a bold, purple font. Below the name is the text "Advanced Therapy for Mental Health" in a smaller font. To the right of the name is a stylized star shape with small figures at the points.

t 610 640 4202 / f 610 640 4206

NeuroStar.com

Image /page/9/Picture/5 description: The image shows a logo with the letters 'NS' in a stylized font. The letters are purple, and there is a star-like design above them, formed by abstract figures with outstretched arms. The overall design is simple and modern.

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Image /page/10/Picture/0 description: The image shows the NeuroStar logo. The logo is purple and features the word "NeuroStar" in a bold, sans-serif font. Below the word "NeuroStar" is the phrase "Advanced Therapy for Mental Health" in a smaller font. To the right of the word "NeuroStar" is a stylized star shape with three figures on top of it.

Conclusion:

The NeuroStar Advanced Therapy System and the primary predicate device have the same indications for use and the same technological characteristics. The use of the optional D-Tect™ MT Accessory does not raise any new questions of safety or effectiveness.

Image /page/10/Picture/6 description: The image shows a logo with the letters 'NS' in a stylized font. The letters are purple and are positioned next to each other. Above the letters, there are three abstract figures that appear to be people holding hands, also in purple. To the right of the letters and figures, there are curved lines that resemble a starburst or a comet tail, adding a sense of motion or energy to the logo.

§ 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.