Buying Used TMS Machines
What Clinics Need to Know

New TMS systems run $70,000-$150,000+. Used or refurbished units can cost 40-60% less. If you’re starting a TMS program or adding a second location, used equipment can make real financial sense. But there are traps. Let’s walk through them.

Related: Theta Burst vs. Standard TMS · MagVenture vs NeuroStar: Figure-8 TMS Systems Compared · NeuroStar vs BrainsWay Deep TMS: Complete Comparison

What You’ll Learn

• Typical savings on used vs new TMS equipment
• What to inspect before purchasing
• Key risks of buying used
• Where to buy safely
• Recommendations for clinic buyers

Potential Savings

Prices are approximate and vary by condition, age, and what’s included.

See also: TMS for Alcohol Dependence · TMS for Stroke Rehabilitation

What to Inspect

Coil condition — this is the big one:

• TMS coils degrade with use. They have a finite lifespan measured in pulses.
• Ask for the pulse count. Most systems track this.
• A coil nearing end-of-life means a replacement bill of $5,000-$15,000 right after purchase. That eats your savings fast.
• Check for physical damage, cable wear, and connector integrity.

System software:

• Verify the software version is current and can be updated
• Confirm the manufacturer still supports that version
• Check if protocol updates (like theta burst) are included or require a paid upgrade

Calibration and safety:

• Request calibration records
• Verify the system passes manufacturer diagnostic tests
• Check safety interlocks and the emergency stop function

Risks of Used Equipment

1. No manufacturer warranty — used equipment is usually sold “as is”
2. Coil replacement costs — you might need a new coil within months
3. Software lockout — some manufacturers restrict software to authorized dealers only
4. Service limitations — the manufacturer may refuse to service equipment sold through third parties
5. Regulatory compliance — make sure the equipment meets current FDA requirements
6. Training gaps — manufacturer training may not be available for secondhand purchases

See also: TMS for Eating Disorders · FDA Clearance History for TMS Devices: A Complete Timeline

Where to Buy

• Manufacturer refurbished programs: NeuroStar and others offer certified refurbished units with limited warranties. This is the safest used option by far.
• Medical equipment dealers: Companies specializing in used psychiatric and neurological equipment
• Direct from clinics: Clinics that are closing or upgrading sometimes sell directly
• Auction sites: Higher risk, lower prices, minimal recourse if something’s wrong

Recommendations

Do: Buy manufacturer-certified refurbished when you can. Get an independent inspection before purchasing. Verify the pulse count on coils. Confirm software is current and licensable. Budget for potential coil replacement within the first year. Make sure the manufacturer will provide service (even out of warranty).

Don’t: Buy without knowing the coil pulse count. Assume software includes all protocols. Skip the service agreement conversation. Buy from unknown sellers with no recourse. Forget to budget for installation, training, and ongoing maintenance.

Used TMS equipment can save your clinic $30,000-$70,000. But those savings disappear if you need an immediate coil replacement or can’t get manufacturer support. Certified refurbished from the manufacturer is the safest path. For everything else, do your homework. Thoroughly.