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Copyright Garmin 2018
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Travis Johnson
11 years at Garmin
3 Years for Garmin Health
Global Product
Lead
Based at Garmin HQ in Kansas
CityLead Digital Health Strategy
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aviation
automotive
marinefitness
outdoor
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2003
2018
wearables
timeline
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Water proof
Vertical
integration
Data Accuracy
Batte
ry
life
design
principles
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To improve people’s health by creating world class devices,
providing a connected ecosystem, and developing software
products that enable the detection and management of significant
medical conditions.
our
mission
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markets
Corporate
Wellness
Population
Health
Patient
Monitoring
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Why are HRV and
Pulse Ox Important
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Photoplethysmography
How does Optical Heart Rate WORK?
PPGPPG is a technique that uses optical sensors to measure changes in blood volume. PPG can
detect heart rate by sensing the small changes in volume in the capillary layer just below the
epidermis as the pulse pressure wave transits the wrist area.
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Optical Heart
Enemies of good data
Challenges
Skin contact and device fit
– Gapping
– Ambient Light
Blood flow
– Early stages of workout
– Low temperatures
Fitzpatrick Scale of Skin Tones
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WACKY WILD ARM MOVEMENT
Stop talking with your hands and hold still
The “Kermit the frog” Effect
Motion artifact,
not pulse.
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HRV OR BBI
WORDS HAVE MEANING
WHICH IS WHICH?Heart Rate Variability is the variation of your pulse, beat over beat. When an ECG is used, those
beats are the RR Intervals.
When PPG is used, it’s known as Beat-to-Beat Intervals (BBI).
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Why do we care?
Hrv is medically significant
Hrv is meaningfulLeading indicator for …
• Stress and Recovery
• Sleep Stage Classification
• Real-Time Drowsiness Detection
• Overall Energy Levels
• Breathing Relaxation
• Respiration
• Mental Health
• Chronic Disease Classification
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Pulse Ox
Blood Oxygenation Levels
(SPO2)
Pulse ox is the saturation of oxygen in your blood.
Knowing your saturation levels can help determine
how your body is acclimating to changes in altitude
and lower levels may indicate abnormal health
conditions*.
Ideal >95%
Normal 90-100%
Moderate 80-89%
Low 70-79%
Harmful <70%
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Why do we care?
SPo2 is medically significant
• Elevation Acclimation
• Sleep Quality and Sleep Apnea
• Chronic Obstructive Pulmonary Diseases
• Asthma, Allergies
• Early Indications of Illness
• Chronic Disease Management
• Opioid Addiction Management
• Telehealth, Remote Patient monitoring
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Advanced Sleep
Improved onset/wake detection
Vastly improved classification + REM
Based on HRV and Motion
Algorithm developed against polysomnograph
data scored by trained sleep study technicians
Deep sleep typically occurs early in the sleep window,
usually between 1 and 3 hours total
3 to 4 REM cycles is typical, varying in length
Improved Sleep Detection and Classification
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Pulse Ox Sleep Tracking
Pulse Ox during Sleep
Night Time SPo2
Measures Sp02 levels during sleep
Graphs show values for easy understanding
Vívosmart 4
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Software
as a
Medical
Device
SAMD– Federally regulated, medical Software Products
Same Sensor Platform – Not Regulated
Health and
Fitness
Detection,
Diagnosis,
Condition
Management
Consumer Applications Medical/Regulated Software Applications
135
Irregular Heart Rhythm
Seek Medical Advice
*Just Examples
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Sleep APNEA
Steps toward a regulated Software feature
Apnea is a serious sleep disorder
characterized by frequent breathing
interruptions leading to
dangerous drops in blood oxygenation
(Pulse Ox).
One of the most untreated undiagnosed
conditions.
Leads to mood disorders, memory problems,
chronic fatigue, heart arrhythmias, heart
attacks, and stroke!
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Atrial Fibrillation
Irregular heart Rhythms
Heart Arrhythmia
Normal ECG – Regular pattern between beats
AFib – Notice “saw tooth” pattern between beats
Does not necessarily mean high pulse
Also highly under-diagnosed
Usually not found until a heart attack or
stroke occurs and it is too late
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Solution Convergence
Wellness Required in Health/Life Insurance
At-Home Screening for Conditions instead of
Overnight Hospital Stays
Immediate Consultation via Telehealth and
Monitoring of Care pLan Remotely
Non-Traditional Health Care and
Insurance Brands
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Copyright Garmin 2018