Copyright Garmin 2018

Travis Johnson

11 years at Garmin

3 Years for Garmin Health

Global Product

Lead

Based at Garmin HQ in Kansas

CityLead Digital Health Strategy

aviation

automotive

marinefitness

outdoor

2003

2018

wearables

timeline

Water proof

Vertical

integration

Data Accuracy

Batte

ry

life

design

principles

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

markets

Corporate

Wellness

Population

Health

Patient

Monitoring

Why are HRV and

Pulse Ox Important

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.

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

WACKY WILD ARM MOVEMENT

Stop talking with your hands and hold still

The “Kermit the frog” Effect

Motion artifact,

not pulse.

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).

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

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%

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

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

Pulse Ox Sleep Tracking

Pulse Ox during Sleep

Night Time SPo2

Measures Sp02 levels during sleep

Graphs show values for easy understanding

Vívosmart 4

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

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!

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

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

Copyright Garmin 2018