| Brand Name | NEUROSTAR |
| Common Device Name | TMS |
| Manufacturer (Section D) |
| NEURONETICS, INC. |
| 3222 phoenixville pike |
| malvern PA 19355 |
|
| Manufacturer (Section G) |
| NEURONETICS, INC. |
| 3222 phoenixville pike |
|
| malvern PA 19355 |
|
| Manufacturer Contact |
|
robin
fatzinger
|
| 3222 phoenixville pike |
| malvern, PA 19355
|
|
8776007555
|
|
| MDR Report Key | 22956987 |
| Report Number | 3004824012-2025-00049 |
| Device Sequence Number | 15919720 |
| Product Code |
OBP
|
| UDI-Device Identifier | 00850005944058 |
| UDI-Public | 00850005944058 |
| Combination Product (Y/N) | N |
| Initial Reporter State | TN |
| Initial Reporter Country | US |
| PMA/510(K) Number | K201158 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Serviced by Third Party (Y/N) | Unknown |
| Reporter Type |
Manufacturer
|
| Report Source |
Health Professional,User Facility |
| Initial Reporter Occupation |
Other Health Care Professional
|
| Type of Report
| Initial |
| Report Date (Section B) |
09/03/2025 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
No
|
| Operator of Device |
Health Professional
|
| Device Model Number | NEUROSTAR ADVANCED THERAPY SYSTEM 3.6 |
| Device Catalogue Number | 81-03315-000 |
| Was Device Available for Evaluation? |
No
|
| Is the Reporter a Health Professional? |
Yes
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/06/2025 |
| Initial Report FDA Received Date | 09/03/2025 |
| Was Device Evaluated by Manufacturer? (Y/N) |
No
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
Concomitant Medical Products and Therapy/Usage Dates | ATIVAN.; BUSPIRONE.; LEXAPRO.; PROPANOLOL.; TRINTELLIX. |
| Outcome Attributed to Adverse Event |
Other;
|
| Patient Age | 61 YR |
| Patient Sex | Female |
| Patient Ethnicity | Non Hispanic |
| Patient Race | White |