Evaluation of the Brainsway Deep Transcranial Magnetic Stimulation (TMS) H-Coil in the Treatment of Major Depression Disorder

Exclusion Criteria

• •A history of schizophrenia, any psychotic disorder, PTSD, bipolar disorder, OCD, eating disorders (e.g., anorexia nervosa, bulimia) or substance abuse
• •A history of panic disorder, social anxiety disorder or personality disorder (such as antisocial, schizotypal, histrionic, borderline, narcissistic) as assessed by the investigator to be primary, causing a higher degree of distress or impairment than MDD.
• •A history of any significant medical disease (i.e., cardiovascular, gastrointestinal, etc.)
• •A history of seizures, at risk for seizure (e.g., history of significant head trauma with loss of consciousness for greater than or equal to 5 minutes or familial or personal history of epilepsy) or have been diagnosed with a seizure disorder.
• •Undergone rTMS treatment, Vagus Nerve Stimulation, or Deep Brain Stimulation.
• •Received ECT within the last 3 months or failed to respond to ECT treatment.
• •Individuals with a significant neurological disorder or insult including:
• •* Any condition likely to be associated with increased intracranial pressure
• •* Space occupying brain lesion
• •* Any history of seizure EXCEPT those therapeutically induced by ECT
• •* History of cerebrovascular accident
• •* Transient ischemic attack within two years
• •* Cerebral aneurysm
• •* Dementia
• •* Parkinson's disease
• •* Huntington's chorea
• •* Multiple sclerosis
• •Individuals with hearing loss.
• •Any intracranial implant such as aneurysm clips, shunts, stimulators, cochlear implants, or electrodes, or any other metal object within or near the head, excluding the mouth, that cannot be safely removed.
• •A cardiac pacemaker, implanted medication pump, intracardiac line, or acute, unstable cardiac disease.
• •Use of fluoxetine within 6 weeks of the randomization visit.
• •Use of a Monoamine Oxidase Inhibitor (MAOI) within 2 weeks of the randomization visit.
• •Present suicidal risk as assessed by the investigator.
• •Implanted neurostimulators.
• •History of abnormal MRI.
• •If participating in psychotherapy, must have been in stable treatment for at least 3 months prior to entry into the study, with no anticipation of change in the frequency of therapeutic sessions, or the therapeutic focus over the duration of the rTMS trial.
• •Clinically significant laboratory abnormality, in the opinion of the Investigator based on CBC and biochemistry.
• •Women of childbearing potential and not using a medically accepted form of contraception when engaging in sexual intercourse.
• •Women: if pregnant, planning on becoming pregnant, or currently nursing.