Apple Watchs blood oxygen monitor is for wellness, not medicine

 theverge.com  09/16/2020 13:15:00   Nicole Wetsman

The new Apple Watch Series 6 includes a sensor that allows the watch to measure blood oxygen levels. The device is a long-awaited addition to Apples suite of health tools, but it tracks oxygen levels at the wrist, which can be less accurate than measurements typically gathered at the fingertip.

Most oxygen sensors, including Apples, measure the amount of oxygen in your blood using light. These devices are called pulse oximeters, and they typically clip on to your fingertip. A standard version sends both red and infrared light through the finger, where theres lots of blood close to the surface. A protein in the blood absorbs more infrared light when it has oxygen and more red light when its doesnt. A sensor on the other side of the finger calculates how much of each type of light travels through, providing an oxygen reading.

The Apple Watch Series 6 also has red and infrared lights, but instead of sending that light through a body part, it measures the lights reflection. Its the same strategy used by Garmin and Fitbit, which already have similar blood oxygen features. But the reflective method at the wrist may be less accurate, especially when oxygen levels start to drop, according to some research. There are a few reasons why: outside light sources might be able to skew the reflected light, and compared to a finger, the outside of the wrist doesnt have as many blood vessels close to the surface of the skin.

The Apple Watchs blood oxygen sensor isnt a medical device and wont be able to diagnose or monitor any medical conditions. The company says the feature is simply there to help users understand their fitness and wellness. But Apple did connect the feature back to the COVID-19 pandemic during the product announcement: Blood oxygen and pulse oximetry are terms that weve heard a lot about during the COVID pandemic, said Sumbul Ahmad Desai, Apples VP of health.

Early on in the pandemic, doctors found that monitoring COVID-19 patients using pulse oximeters could help detect serious problems with their oxygen levels before they started to feel short of breath. The gadgets suddenly became a must-have item and flew off the shelves, creating shortages. Some people turned to devices like Garmin watches as a workaround. Others called for Apple to activate sensors that were built into older versions of the watch and appeared capable of measuring blood oxygen levels.

Blood oxygen monitors in non-medical, wearable devices like the Apple Watch are fairly new, so there hasnt been much independent evaluation to see how well they actually match up to typical fingertip monitors. Apple isnt saying that its blood oxygen measure can treat a medical condition, so it doesnt need to get clearance from the Food and Drug Administration, which would require coughing up some of that reliability data.

Normally, a wellness-focused feature that offers some information about your oxygen levels could still be useful information and a good party trick. But there are risks to relying on inaccurate blood oxygen metrics, especially during the COVID-19 pandemic. This disease is weird. Unlike many illnesses, health care workers cant always trust that a patients symptoms will accurately indicate how sick they are. They need help from reliable devices that can help both patients and caregivers get an accurate read on the situation.

Apple and the other smartwatch makers havent cleared that bar yet. Theres a good chance theyll publish some data on their blood oxygen sensors eventually  Apple is partnering with outside researchers to study ways their tech could be used to monitor health conditions from asthma to COVID-19. But until thats available, its still probably a good idea to be a bit skeptical of smartwatch oxygen readings  and maybe get a second opinion.

« Go back