When Consumer Devices Become Medical Devices: Things You May Not Know but Should

Emily Hu
Women in Technology
3 min readJan 20, 2024

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Your everyday devices are entering the medical arena. But how much can you trust them?

As technology advances and becomes more accessible, our everyday devices are making the leap into the medical realm. Take a moment to think about your smart scale or smartwatch — it’s not just about body fat percentage and steps anymore; these devices now tout medical functions such as blood pressure monitors and ECGs. The landscape is changing, and it’s critical to navigate this new terrain with caution.

FDA approval is a gold standard in the medical world, and many consumer devices proudly showcase it. However, there’s a catch: just because one feature gets the FDA nod doesn’t necessarily mean the entire device has been clinically tested or FDA approved.

Your fitness wearable, for example, may be FDA-approved to detect atrial fibrillation. It’s a reassuring credential, no doubt, but what about the other bells and whistles, such as the heart rate monitor or stress tracking? These items might not have undergone the same scrutiny, potentially leaving them inaccurate or unverified without regulatory oversight.

So, as a consumer, what should you know?

FDA Approval Is for a Function, not the Entire Device:

Understand that the FDA evaluates specific functions, not the device as a whole. Your smart watch’s ECG reading might be spot-on, but its HRV tracker could be playing a different game.

Accuracy Varies Across Features:

Each device feature collects specific measurements for a distinct purpose and should undergo an initial validation where it’s tested against that function’s current gold standard. For instance, the accuracy of your Fitbit smartwatch’s heart rate monitor might have been tested by comparing its readings against those of a standard chest-strap heart rate monitor. Similarly, the ECG readings on your Withings scale were probably benchmarked against a standard hospital ECG. However, not every tool in these devices undergoes the same rigorous testing process. The clinical validation results that earned FDA approval for measuring atrial fibrillation in a device don’t necessarily apply to every aspect of your smartwatch. Your device’s heart rate monitor, stress tracking, and EKG readings, despite residing in the same sleek casing, are distinct components with different variables that could impact their accuracy. So, just because one measurement is accurate, don’t assume a uniformity of precision across all functions. Understanding the limitations of each feature ensures a more informed interpretation of your device’s health insights.

This Data is For Not Making Medical Decisions:

Keeping the above in mind, your device’s medical capabilities don’t shield it from occasional inaccuracies, especially in the functions that haven’t undergone FDA review. Relying solely on your gadget for health decisions can potentially result in misinformation. Even features approved by the FDA for medical purposes may present challenges, giving false negatives, where it fails to detect an actual problem, or false positives, where it mistakenly signals a problem that doesn’t exist. It also remains unclear how clinically useful or relevant some of this data might actually be. It’s essential to recognize that while consumer devices may provide valuable insights, they should not be the basis for self-diagnosis. Any suspicion or concern arising from the device’s data should be promptly validated through the proper medical channels.

Stay Informed, Read the Fine Print:

Don’t be swayed by the FDA label alone. Look into the details. Check which features went through regulatory hoops and which slipped through without scrutiny. For features of particular significance to you, take a deeper dive into the reported accuracy of that specific component. You might be surprised by how inaccurate some of the features really are.

Consult the Experts:

When in doubt, consult your doctor. They can provide context, ensuring that your device’s data aligns with your overall health picture.

Now that our consumer devices boast a multitude of features, including FDA-approved medical functionalities, navigating their capabilities is more confusing than ever. It remains important to exercise caution and avoid falling into the trap of blindly trusting every measurement. While one aspect might proudly bear the FDA seal of approval, it doesn’t grant a universal guarantee of accuracy across the entire device. So, next time you step on that smart scale or check your health tracker, remember — not all features are created equal. Stay savvy, stay informed, and tread carefully in this amazing new world of innovation.

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Emily Hu
Women in Technology

FDA Clinical Trials Expert | Biomedical Engineer | 4x All Time Powerlifting World Record Holder | Author | Angel Investor