Table 1 Overview of devices used in the application studiess

From: EEG-based headset sleep wearable devices

Device/study

Medical Certificate

Integrated Sensors

Wet/Dry

# of EEG electrodes

EEG Electrode Placement

Validation Results (average)

Compliance with Menghini et al14. Guidelinesa

Forehead

Dreem19

FDA-registered

EEG, 3D accelerometer, pulse oximeter

Dry

5

O1, O2, Fpz, F7, F8

κ = 0.7518

Yes

Sleep Profiler149

MDSAP ISO 13485, EN ISO 13485, EC

EEG, EOG, EMG, ECG, accelerometer, PPG, nasal pressure transducer (optional), pulse oximeter (optional)

Dry

3

AF7, AF8, Fpz

κ = 0.6721

Yes

      

κ = 0.07–0.6222

Mostly yes (no B-A plots or CIs)

      

κ = 0.6323

Mostly yes (no CIs)

Cognionics headband150

N/R

EEG

Dry

4

F3, A1, F4, A2

Accuracy = 74%24

Mostly yes (no B-A plots or CIs)

Sleepgraph151

Japanese Medical Device Certification 231AHBZX00001000

EEG, EMG, EOG

Wet

2

(Fp1, M2) + 2 EOGs

κ = 0.80152

Mostly yes (no CIs)

Somnowatch plus EEG153

DIN EN ISO 13485 and 93/42/EEC

EEG, EOG, EMG, ECG, actigraphy

Wet

2 or 6

Fp2, A157/ F3, F4, A1, A2, AFz, FCz154

κ = 0.78 (using 6 EEG electrodes)34

Mostly yes (no CIs)

iSleep115

No certificate (prototype)

EEG

Dry

1

Fp1115

Accuracy = 87.5% (for sleep onset detection)155

No

Sleepscope156

Japanese Medical Device Certification: 225ADBZX00020000

EEG

Wet

2

Fpz, M1157

κ = 0.75157

Mostly yes (no CIs)

Prototype bipolar EEG (Neury)31

No certificate (prototype)

EEG

Wet

4

Subject specific

N/R31

No

Ear

Individualized 6-electrode silicone ear-EEG158

No certificate (prototype)

Ear-EEG

Dry

6 per ear

ELA, ELB, ELE, ELI, ELG, ELK, ERA, ERB, ERE, ERI, ERG, ERK

κ ≈ 0.6136

Partially yes (no B-A plots, CIs, discrepancy analysis, outlier handling)

      

κ = 0.7337

Yes

      

κ ≈ 0.7438

Partially yes (no B-A plots, CIs, discrepancy analysis, outlier handling)

      

κ = 0.7239

Partially yes (no B-A plots, CIs, discrepancy analysis)

Neck

Zmachine Insight+159

FDA-cleared

EEG

Wet

2

A1, A2

κ = 0.7253

Mostly yes (no CIs)

      

κ = 0.8552

Mostly yes (no CIs)

  1. The symbol “≈” is used to represent the average κ value which is calculated based on the confusion matrix provided in the original study.
  2. A1 and A2 are synonymous with M1 and M2, respectively.
  3. B-A Bland-Altman, CI confidence interval, ECG electrocardiography, EEG electroencephalography, EMG electromyography, EOG electrooculography, PPG photoplethysmography.
  4. aThe guideline by Menghini et al for evaluating the performance of sleep trackers against gold-standard PSG included epoch-by-epoch analysis, standard accuracy metrics (sensitivity, specificity, F1 score, accuracy, Cohen’s Kappa), stage-specific sensitivity and specificity, Bland-Altman plots, discrepancy analysis (bias and limits of agreement), confidence intervals for accuracy metrics and biases, handling outliers, and a standardized analytical framework involving multiple sleep experts14.