NBS for pre-procedural planning

Navigated Brain Stimulation System

At Nexstim we are using our decades of scientific research to help treat and diagnose the human brain noninvasively. As the world’s leading company combining TMS with 3D brain imaging, we offer unsurpassed technology solutions for the drug-free treatment of brain diseases and disorders. We help the human brain heal itself.

The NBS 5 Motor Mapping System comprises the following

  • Mobile Nexstim cart
  • Nexstim TMS stimulator
  • Nexstim stimulation coil
  • Stereotactic camera (arm-mounted tracking unit)
  • 6-channel Nexstim EMG
  • NBS computer system with dual 23” displays, PC and NBS software
  • Three-pedal foot switch
  • Nexstim cooling unit (optional)
  • Electronically-adjustable patient chair
  • System also includes tracking tools:
  • NBS head tracker, coil tracker and digitizing pen


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NBS 5 Speech Mapping System with NexSpeech®

The NexSpeech® 2 module comprises the following components:

1. NexSpeech Presentation Set, including:

  • LCD unit for displaying image stacks to the patient
  • Video camera for recording speech behavior in baseline and stimulation sessions

2. NexSpeech Camera and Display Holder

3. Single-use NexSpeech Head Tracker

4. NexSpeech 2 main software and Analyzer software (installed on NBS System PC)

Other components are Nexstim NBS System devices.

Indications for use

Nexstim NBS® System 5 and NexSpeech are cleared by the Food and Drug Administration (FDA, K112881).

The Nexstim Navigated Brain Stimulation (NBS) System 5 is indicated for non-invasive mapping of the primary motor cortex of the brain to its cortical gyrus.

The Nexstim NBS System 5 provides information that may be used in the assessment of the primary motor cortex for pre-procedural planning.

Nexstim NexSpeech®, when used together with the NBS System 5, is indicated for non-invasive localization of cortical areas that do not contain essential speech function. NexSpeech® provides information that may be used in pre-surgical planning in patients undergoing brain surgery.

Intra-operatively, the localization information provided by NexSpeech® is intended to be verified by direct cortical stimulation.The Nexstim NBS System 5 and NBS System 5 with NexSpeech® are not intended to be used during a surgical procedure. The Nexstim NBS System 5 and NBS System 5 with NexSpeech® are intended to be used by trained clinical professionals.

nTMS makes surgery safer, the resection rates are higher and—in the end—the outcomes are better.

Bernhard Meyer, MD, Professor & Chair,
Department of Neurosurgery, Klinikum rechts der Isar, Technical University of Munich, Germany.