Frequently Asked Questions

Brain Ultimate is the ONLY TMS system using pure deionized water cooling instead of transformer oil. This revolutionary difference provides several key advantages:

• Safety: No risk of oil leaks or contamination
• Efficiency: Operates continuously without cooling breaks
• Maintenance: Simple annual water replacement vs. complex oil changes
• Performance: Consistent treatment delivery all day long

Combined with our affordable pricing and comprehensive Brain Ultimate Cloud connectivity, we offer the most advanced accessible TMS solution in the market.

Transcranial Magnetic Stimulation (TMS) is an FDA-cleared, non-invasive treatment that uses magnetic fields to stimulate specific areas of the brain. Here's how it works:

• Magnetic Pulses: The device generates focused magnetic field pulses
• Brain Stimulation: These pulses pass painlessly through the skull to stimulate targeted brain regions
• Neural Activity: The stimulation modulates neural activity in mood-regulating areas
• Treatment Effect: Repeated sessions lead to lasting improvements in depression and other conditions

Brain Ultimate TMS has been FDA-cleared for treating Major Depressive Disorder (MDD) and Obsessive-Compulsive Disorder (OCD), with proven efficacy in clinical studies.

Brain Ultimate offers the most competitive pricing in the industry for FDA-cleared TMS technology. Our pricing structure includes:

• TMS Device: Contact us for current equipment pricing
• Brain Ultimate Cloud: $150/month for complete practice connectivity
• Practice Setup Packages: Starting at $3,799 (includes billing setup and training)

We also offer flexible financing options to make Brain Ultimate accessible to practices of all sizes. Contact our team for a personalized quote and ROI analysis.

The Brain Ultimate M-Series offers industry-leading specifications:

• Frequency Range: 0.1 - 100 Hz
• Intensity: 0 - 120% Motor Threshold
• Cooling System: Patented deionized water (24/7 operation)
• Protocols: 4 FDA-cleared (Standard MDD, Enhanced MDD, iTBS, OCD)
• Pulse Type: Biphasic
• Software: QuickStim v3.3.8+ with cloud connectivity

Our system is compatible with major neuronavigation systems and includes comprehensive safety features like automatic temperature monitoring and emergency stop capabilities.

Brain Ultimate Cloud is our HIPAA-compliant cloud platform that transforms how you manage your TMS practice:

• Multi-Device Sync: Connect all your TMS machines to one system
• Remote Access: Access patient data and protocols from anywhere
• Custom Shards: Each practice gets its own secure, isolated cloud environment
• Automatic Backups: Never worry about data loss
• Practice Analytics: Track performance and patient outcomes

Pricing: $150/month (monthly), $900/6 months, or $1,650/year (save 1 month). Setup typically takes 2-3 business days with full support from our team.

Brain Ultimate TMS is FDA-cleared for the following conditions:

• Major Depressive Disorder (MDD): Primary indication with excellent outcomes
• Obsessive-Compulsive Disorder (OCD): Newly FDA-cleared protocol

Our system offers 4 FDA-cleared treatment protocols to address different patient needs and preferences:

• Standard MDD Protocol: 19 minutes
• Enhanced MDD Protocol: 37 minutes
• iTBS Protocol: 3 minutes 12 seconds (accelerated treatment)
• OCD Protocol: 18 minutes

A typical TMS session with Brain Ultimate follows this process:

1. Preparation: Patient removes magnetic-sensitive items and is seated comfortably
2. Positioning: The TMS coil is positioned precisely over the treatment area
3. Motor Threshold: (First session only) We determine the optimal stimulation level
4. Treatment: Magnetic pulses are delivered according to the selected protocol
5. Monitoring: Our QuickStim software tracks the session progress

Patients remain awake and alert throughout. They may feel a tapping sensation and hear clicking sounds (earplugs provided). After treatment, patients can immediately resume normal activities.

A standard TMS treatment course typically involves:

• Frequency: 5 sessions per week (Monday-Friday)
• Duration: 4-6 weeks for acute treatment
• Total Sessions: 20-30 sessions typically

Session length varies by protocol:

• Standard MDD: 19 minutes
• Enhanced MDD: 37 minutes
• iTBS: 3 minutes 12 seconds (allows more patients per day)
• OCD: 18 minutes

Intermittent Theta Burst Stimulation (iTBS) is our newest FDA-cleared protocol that revolutionizes TMS treatment:

• Duration: Just 3 minutes 12 seconds
• Efficacy: Comparable to standard 37-minute protocols
• Mechanism: Delivers 600 pulses in triplet bursts at 50Hz
• Benefits: Dramatically increases patient throughput

This accelerated protocol allows you to treat more patients per day while maintaining treatment effectiveness, significantly improving practice efficiency and patient access to care.

Through our partnership with Metro NeuroHealth, we offer comprehensive practice setup packages:

• Scale Up Package ($3,799):
  • Policies, procedures, and customized forms
  • Billing setup with all payer networks
  • 2 TMS operations training courses
• Accelerator Package ($6,300):
  • Everything in Scale Up Package
  • Contracting & credentialing for 8 payer networks
  • Rate negotiations included

Additional services available include website development, SEO/marketing, and ongoing operational support.

Getting started with Brain Ultimate is straightforward:

1. Schedule a Demo: See our technology in action
2. Receive Quote: Get customized pricing for your practice
3. Choose Setup Package: Select the support level you need
4. Installation & Training: Our team handles everything
5. Launch: Start treating patients with confidence

Timeline: Most practices are operational within 4-6 weeks from order placement. We provide comprehensive training and ongoing support to ensure your success.

Brain Ultimate TMS has modest space requirements:

• Minimum Room Size: 10' x 12' (120 sq ft)
• Electrical: Standard 110-240V outlet
• Environment: Temperature-controlled clinical space
• Included: Ergonomic patient chair and all necessary equipment

Our compact design and efficient cooling system mean you don't need special ventilation or complex infrastructure. The system operates quietly and fits comfortably in most clinical settings.

TMS is generally well-tolerated with minimal side effects:

• Common (mild):
  • Scalp discomfort at treatment site (usually decreases over time)
  • Mild headache (treatable with over-the-counter pain relievers)
  • Facial muscle twitching during treatment
• Rare:
  • Seizures (extremely rare, less than 0.1%)
  • Temporary hearing issues if earplugs not used

TMS does NOT cause the side effects common with antidepressants such as weight gain, sexual dysfunction, sedation, or gastrointestinal issues.

TMS is contraindicated for patients with non-removable metal in or near the head:

• Aneurysm clips or coils
• Stents in neck or brain
• Deep brain stimulators
• Metallic implants in ears or eyes
• Shrapnel or bullet fragments
• Facial tattoos with metallic ink
• Any other metal devices near the head

Note: Dental fillings and braces are generally safe. Always conduct thorough screening before treatment.

Yes, Brain Ultimate TMS has full FDA clearance:

• FDA Clearance: K230735 (September 2023)
• Cleared Indications: Major Depressive Disorder and OCD

Insurance Coverage: Most major insurance companies now cover TMS for treatment-resistant depression, including:

• Medicare
• Blue Cross Blue Shield
• Aetna
• Cigna
• United Healthcare

Our billing support team (through Metro NeuroHealth) helps with prior authorizations and insurance verification.