States
Nexstim Plc (NXTMH:HEX) (“Nexstim” or “Company”) announces having received an NBS System 6 order from a hospital in Massachusetts, United States. Nexstim released the NBS 6 in the spring of 2023 and announced first order for the system on November 14. The NBS System 6 is a new generation system that makes Nexstim’s established TMS technology even more intuitive to use and allows for an expansion of system capabilities over time. Currently FDA approved for the treatment of major depressive disorder (MDD), the system has been created to answer to the needs of Nexstim’s current and potential customers. More information on the NBS System 6 is available on Nexstim’s website at https://www.nexstim.com/healthcare-professionals/nbs-6 . Mikko Karvinen, CEO of Nexstim, comments: “We are happy to announce having received our second NBS System 6 order within a week from our first order. Our client base consists of both private clinics and hospitals, and this order demonstrates the interest in our new product from both customer groups. We find ourselves in a good position to continue our important expansion both in the US hospitals and clinics for the end of 2023 and our strategy period that extends to 2024.”
Further information is available on the website www.nexstim.com, or by contacting:
Mikko Karvinen, CEO
About Nexstim Plc
Nexstim is a Finnish, globally operating growth-oriented medical technology company. Our mission is to enable personalized and effective diagnostics and therapies for challenging brain diseases and disorders. Nexstim has developed a world-leading non-invasive brain stimulation technology for navigated transcranial magnetic stimulation (nTMS) with highly sophisticated 3D navigation providing accurate and personalized targeting of the TMS to the specific area of the brain. Nexstim’s Diagnostics Business focuses on commercialization of the Navigated Brain Stimulation (NBS) system. The NBS System 5 is the only FDA cleared and CE marked navigated TMS system for pre-surgical mapping of the speech and motor cortices of the brain. Nexstim’s Therapy Business markets and sells the NBS System 6 which is FDA cleared for marketing and commercial distribution for the treatment of major depressive disorder (MDD) in the United States. In Europe, the NBS 6 system is CE marked for the treatment of major depression and chronic neuropathic pain. Nexstim shares are listed on Nasdaq First North Growth Market Finland. For more information, please visit www.nexstim.com

Nexstim Receives NBS System 6 Order from Hospital in United States

the United States
Nexstim Plc (NXTMH:HEX) (“Nexstim” or “Company”) announces that its’ US subsidiary, Nexstim, Inc. has received the first order for a new NBS 6 therapy system. Nexstim will deliver the NBS System 6 and support services to a private clinic located in North Carolina, United States. The NBS 6 is a new generation Nexstim system that was released in the spring of 2023. The NBS System 6 is FDA approved for the treatment of major depressive disorder (MDD). It is a combined system that has been built on Nexstim’s unique, clinically established technology. The modular product design allows for an expansion of system capabilities over time. The new solution creates long-term value for Nexstim’s customers and investors. More information on the NBS System 6 is available on Nexstim’s website at https://www.nexstim.com/healthcare-professionals/nbs-6
Mikko Karvinen, CEO of Nexstim, comments: “One of our key strategic objectives for 2023 is launching the new NBS 6 product, enabling easy-to-use systems and the use of future additional modules in the same system. The launch and development of the new product generation is an essential part of Nexstim’s operations during the 2020-2024 strategy period. We are extremely happy to announce the first customer order for our new system generation and welcome this new private clinic in North Carolina to our growing number of US therapy clinic customers.”
Further information is available on the website www.nexstim.com, or by contacting:
Mikko Karvinen, CEO
About Nexstim Plc
Nexstim is a Finnish, globally operating growth-oriented medical technology company. Our mission is to enable personalized and effective diagnostics and therapies for challenging brain diseases and disorders. Nexstim has developed a world-leading non-invasive brain stimulation technology for navigated transcranial magnetic stimulation (nTMS) with highly sophisticated 3D navigation providing accurate and personalized targeting of the TMS to the specific area of the brain. Nexstim’s Diagnostics Business focuses on commercialization of the Navigated Brain Stimulation (NBS) system. The NBS System 5 is the only FDA cleared and CE marked navigated TMS system for pre-surgical mapping of the speech and motor cortices of the brain. Nexstim’s Therapy Business markets and sells the NBS System 6 which is FDA cleared for marketing and commercial distribution for the treatment of major depressive disorder (MDD) in the United States. In Europe, the NBS 6 system is CE marked for the treatment of major depression and chronic neuropathic pain. Nexstim shares are listed on Nasdaq First North Growth Market Finland. For more information, please visit www.nexstim.com
Attachment

Nexstim Receives First Order for NBS 6 Therapy System in the United States

Register
Nexstim Plc (NXTMH:HEX) ("Nexstim" or "Company") announced on November 3, 2023 that between 1 April and 2 October 2023, a total of 1,000 Nexstim Plc’s new shares have been subscribed for with the company's stock options 2020A. These shares subscribed for under the stock options have been registered in the Trade Register on November 8, 2023, as of which date the new shares will establish shareholder rights. After the trade registration the total amount of shares for Nexstim Plc is 6,765,562. The shares will be traded in the Nasdaq Helsinki Plc’s First North Growth Market Finland marketplace as an additional lot with the company’s old shares starting November 9, 2023. The terms and conditions of stock option programs with additional information are available on the company's website at https://www.nexstim.com/investors/. Further information is available on the website www.nexstim.com, or by contacting:
Leena Niemistö, Chair of Board of Directors
+358 9 2727 170
About Nexstim Plc
Nexstim is a Finnish, globally operating growth-oriented medical technology company. Our mission is to enable personalized and effective diagnostics and therapies for challenging brain diseases and disorders. Nexstim has developed a world-leading non-invasive brain stimulation technology for navigated transcranial magnetic stimulation (nTMS) with highly sophisticated 3D navigation providing accurate and personalized targeting of the TMS to the specific area of the brain. Nexstim’s Diagnostics Business focuses on commercialization of the Navigated Brain Stimulation (NBS) system. The NBS System 5 is the only FDA cleared and CE marked navigated TMS system for pre-surgical mapping of the speech and motor cortices of the brain. Nexstim’s Therapy Business markets and sells the NBS System 6 which is FDA cleared for marketing and commercial distribution for the treatment of major depressive disorder (MDD) in the United States. In Europe, the NBS 6 system is CE marked for the treatment of major depression and chronic neuropathic pain. Nexstim shares are listed on Nasdaq First North Growth Market Finland. For more information, please visit www.nexstim.com
Attachment

Nexstim Plc’s New Shares Have Been Registered in Trade Register

2020A
Nexstim Plc (NXTMH:HEX) ("Nexstim" or "Company") announces that between 1 April and 2 October 2023, a total of 1,000 Nexstim Plc’s new shares has been subscribed for with the company's stock options 2020A. For subscriptions made with the stock options 2020A, the entire subscription price of EUR 2,000.00 will be entered in the reserve for invested unrestricted equity. After the trade registration the total amount of shares is 6,765,562. The shares subscribed for under the stock options 2020A will be registered in the Trade Register on 6 November 2023, as of which date the new shares will establish shareholder rights. The shares will be traded in the Nasdaq Helsinki Plc’s First North Growth Market Finland marketplace as an additional lot with the company’s old shares as of 7 November 2023. The terms and conditions of stock option programs with additional information are available on the company's website at https://www.nexstim.com/investors/. Further information is available on the website www.nexstim.com, or by contacting:
Leena Niemistö, Chair of Board of Directors
+358 9 2727 170
About Nexstim Plc
Nexstim is a Finnish, globally operating growth-oriented medical technology company. Our mission is to enable personalized and effective diagnostics and therapies for challenging brain diseases and disorders. Nexstim has developed a world-leading non-invasive brain stimulation technology for navigated transcranial magnetic stimulation (nTMS) with highly sophisticated 3D navigation providing accurate and personalized targeting of the TMS to the specific area of the brain. Nexstim’s Diagnostics Business focuses on commercialization of the Navigated Brain Stimulation (NBS) system. The NBS System 5 is the only FDA cleared and CE marked navigated TMS system for pre-surgical mapping of the speech and motor cortices of the brain. Nexstim’s Therapy Business markets and sells the NBS System 6 which is FDA cleared for marketing and commercial distribution for the treatment of major depressive disorder (MDD) in the United States. In Europe, the NBS 6 system is CE marked for the treatment of major depression and chronic neuropathic pain. Nexstim shares are listed on Nasdaq First North Growth Market Finland. For more information, please visit www.nexstim.com
Attachment

Nexstim Plc: Share subscriptions based on stock options 2020A

Nexstim Plc (NXTMH:HEX) (”Nexstim” or ”Company”) announces the key highlights of the Company’s business operations during Q3 2023. CEO Mikko Karvinen’s Business Update
During the third quarter of 2023, we have continued our focus on projects that are crucial for the company's strategic competitive advantage, such as improving the company's cost efficiency through our new global team structures and marketing our new NBS 6 system in both the EU and US markets. In line with our main strategic objective, we have continued to focus on profitable net sales growth, targeting a positive EBITDA for the full financial year 2023, while minimizing future capital needs. We are also continuing discussions on new strategic partnerships to further scale the use of our technology. We have continued to grow our Diagnostics (NBS) and Therapy (NBT®) Businesses with new system sales in our key markets in the United States and Europe. Between January and September 2023, we delivered a total of 9 new NBS systems and 2 new NBT® systems. In addition to these already delivered systems we had an open backlog of undelivered systems total of two NBS systems at the end of Q3 2023. In the Diagnostics Business, about 220 NBS systems have been sold to research universities and leading hospitals across the world to date. Q3 2023 was an especially busy time in our sales and marketing activities, as we have continued investing in the most significant international events in our field. In September, we participated in the Congress of Neurological Surgeons (CNS) Annual Meeting held in Washington, DC, and took part in Multimodal EEG workshop: Integrating EEG and neuronavigated TMS techniques in Milan, Italy. We also took part in the Finnish clinical neurophysiology association’s annual event held in Kuopio, Finland this year. It has been a great pleasure to meet both current and new potential customers and engage into a lot of fruitful discussions about future needs in this area. We are very happy about the continuously growing interest towards using the Nexstim system in both diagnostic and therapeutic applications. In the Therapy Business, at the end of Q3 2023 there were a total of 70 Nexstim systems with therapy capabilities installed worldwide (25 in the U.S. and 45 in Europe and the rest of the world) for the treatment of depression and chronic neuropathic pain. This number includes both NBT® systems as well as NBS systems with additional NBT® software option installed. Nexstim’s System with SmartFocus® nTMS is highly differentiated from other currently available TMS products due to its unique and highly sophisticated 3D navigation that uses its proprietary E-field algorithm to visualize the exact location, orientation, and magnitude of the stimulation. Our second key strategic goal for 2023 is launching the new NBS 6 product, enabling easy-to-use systems and the use of future additional modules in the same system. The launch and development of the new product generation is an essential part of Nexstim’s operations during the 2020-2024 strategy period. The NBS 6 is a combined system that has been built on Nexstim’s unique, clinically established technology. The modular product design allows for an expansion of system capabilities over time. The new solution creates long-term value for Nexstim’s customers and investors. The first release in April-May concerned therapy applications. Nexstim's Therapy business markets and sells the NBS System 6 system, which has FDA marketing and distribution approval for the treatment of major depression in the United States. NBS System 6 is also CE-approved in Europe for use in the treatment of major depression and chronic neuropathic pain. Nexstim unveiled the NBS 6 system at the Clinical TMS Society 11th Annual Meeting, held in Colorado Springs, Unites States on May 4 – 6th and our sales opportunities for the product have developed favorably since then. We are prepared for the first customer orders and deliveries to happen during the second half of 2023. More information on the NBS 6 system is available on Nexstim’s website: https://www.nexstim.com/healthcare-professionals/nbs-6 . Our third key strategic goal for 2023 is expanding the network of Nexstim exclusive collaboration clinics primarily in the USA and Europe. This would mean installing Nexstim systems in neuroscience clinics, in line with our revised strategy, mainly in cooperation with our partners. Our new partnerships focus on strategic investments in service organisations, especially on the vast US market, but partnerships are also possible to make targeted investments in the European market. We are very pleased with the beginning of our cooperation with Dr Kuluva and his clinic, and we believe that our cooperation creates excellent conditions for future growth. Our joint venture, PNC Management Services LLC, is our first agreement on a strategic partnership and the acquisition of a minority interest in the joint venture is our first step on this important strategic development path. This partnership allows us to work close to the patients and collect accurate information at the patient interface. In addition, the purpose of our private equity company is to further expand the network of Nexstim’s neuroscience centers in the United States. We are looking forward to continuing our cooperation with Dr Kuluva’s team of experts. Through our cooperation, Nexstim’s TMS technology can be used to treat a growing number of patients in the United States. We are currently involved in negotiations with several potential partner clinics in both the United States and Europe, and we are working hard to grow our network. Despite the tightened global political and weakened general economic outlook, our expectations continue to be positive for the last quarter of 2023. At Nexstim, we purposefully continue our work to enable personalized and effective therapies and diagnostics for challenging brain diseases and disorders. We strongly believe that our work supports the growth of shareholder value over the long term, in the form of stronger competitive advantages, rapid growth, and better financial performance. In the short term, this can be seen especially as an investment in new system sales and in building strategic partnerships. While remaining optimistic about the future, we will continue to monitor closely the situation in Ukraine as we grow our business. Further information is available on the website www.nexstim.com, or by contacting:
Mikko Karvinen, CEO
About Nexstim Plc
Nexstim is a Finnish, globally operating growth-oriented medical technology company. Our mission is to enable personalized and effective diagnostics and therapies for challenging brain diseases and disorders. Nexstim has developed a world-leading non-invasive brain stimulation technology for navigated transcranial magnetic stimulation (nTMS) with highly sophisticated 3D navigation providing accurate and personalized targeting of the TMS to the specific area of the brain. Nexstim’s Diagnostics Business focuses on commercialization of the Navigated Brain Stimulation (NBS) system. The NBS System 5 is the only FDA cleared and CE marked navigated TMS system for pre-surgical mapping of the speech and motor cortices of the brain. Nexstim’s Therapy Business markets and sells the NBS System 6 which is FDA cleared for marketing and commercial distribution for the treatment of major depressive disorder (MDD) in the United States. In Europe, the NBS 6 system is CE marked for the treatment of major depression and chronic neuropathic pain. Nexstim shares are listed on Nasdaq First North Growth Market Finland. For more information, please visit www.nexstim.com

Nexstim Plc Business Update Q3 2023

Magnus Medical is a company focused on the healthcare sector, specifically in the domain of mental health. The company offers a neuromodulation system designed to restore healthy neural activity and alleviate symptoms of depression, providing a new approach to personalized neurostimulation for individuals with treatment-resistant depression. Magnus Medical primarily serves healthcare professionals and patients or caregivers dealing with depression. It was founded in 2020 and is based in Burlingame, California.

Magnus Medical

The license agreement offers both Nexstim Plc and Magnus Medical , Inc. unique operative opportunities , and we make the announcement about the agreement with great proudness .

Nexstim Plc to license technology to US-based medical technology company Magnus Medical, Inc. for the treatment of neuropsychiatric disorders

Canadian Health Solutions delivers professional health management solutions to government departments and agencies, public and private corporations, insurance industry, law firms, organized labor groups, and not-for-profit organizations.

Canadian Health Solutions

JTec Surgical distributes medical and surgical equipment.

JTec Surgical

Surgical Solutions provides hospitals and surgeons with support and equipment for surgical procedures. The company's trained technicians provide preoperative setup, intraoperative technical support, and postoperative room turnover, purchase all laparoscopic instrumentation, create surgeon-specific sets, tailored to the surgeon's individual needs and preferences, handle all repairs and maintenance on all instruments, and provide 24/7 technical support. The bottom line is Surgical Solutions is focused on decreasing costs and increasing revenue for the hospital operating room.

Surgical Solutions

Sanmina is a leading integrated manufacturing solutions provider, operating in the Electronics Manufacturing Services (EMS) market. The company offers end-to-end manufacturing solutions, focusing on delivering superior quality and support to Original Equipment Manufacturers (OEMs). These solutions include design, manufacturing, and repair of complex and innovative products. It was founded in 1980 and is based in San Jose, California.

Sanmina

Unattributed VC

Debt

Unattributed VC - II

Unattributed VC - III

Nexstim is a medical technology company with a focus on non-invasive brain stimulation technology. The company offers products that provide personalized and effective therapies and diagnostics for challenging brain diseases and disorders, such as major depressive disorder and chronic neuropathic pain. Its primary customers are in the healthcare industry, particularly those dealing with neurosurgery and mental health. It was founded in 2000 and is based in Helsinki, Finland.

Name	Title	Status
Pekka Puolakka	Founder	Current
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