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How the Apple Watch defined modern health tech
Digital health screeners weren’t a thing until the Apple Watch. It’s shaped how we think about wearables ever since.
by Victoria Song

Victoria Song
Senior Reviewer, Wearable Tech
Posts from this author will be added to your daily email digest and your homepage feed.
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Apr 3, 2026, 2:00 PM UTC


In my humble opinion, the Series 4 was a watershed moment in wearable tech history.
| Image: Cath Virginia / The Verge, Getty Images
Victoria Song

Victoria Song
Posts from this author will be added to your daily email digest and your homepage feed.
Follow See All by Victoria Song
is a senior reporter and author of the Optimizer newsletter. She has more than 13 years of experience reporting on wearables, health tech, and more. Before coming to The Verge, she worked for Gizmodo and PC Magazine.
This isOptimizer, a weekly newsletter sent every Friday from Verge senior reviewerVictoria Songthat dissects and discusses the latest gizmos and potions that swear they’re going to change your life. Opt in for Optimizer here.
You can trace the state of health tech today to a single gadget: the Apple Watch Series 4.
Back in 2018, smartwatches and fitness bands focused on a handful of things: step count, heart rate, some light sleep monitoring, and activity logging. As a result, they were much more focused on fitness rather than overall health. Handy if you were trying to increase activity levels or lose a few pounds, but not a device that could “save your life.” That all changed with the Series 4, which introduced FDA-cleared atrial fibrillation detection — something that had never been done before on any consumer wearable. Not everyone was a fan of the feature. Critics cautioned that it wasn’t as accurate as a traditional 12-lead EKG, and many doctors weren’t sure how to interpret such novel wearable data.
Nevertheless, this sort of FDA-cleared digital screening feature is now the hallmark of what’s considered advanced consumer health tech. Every year, there are severalstoriesof howApple Watches have improved or saved lives — something that spurred rivals to pursue similar features on their own devices. Eight years after the Series 4 debuted, wearables can send an array of notifications relating to illness, sleep apnea, hypertension, and even fertility windows. And though there’s debate about such features causing health anxiety, wearable makers are racing to discover relationships between new biomarkers and enhanced longevity — hence why so many newer devices are zeroing in on recovery metrics, metabolism, and, for some reason, bodily fluids.
Given that The Verge is spending this entire week reflecting on 50 years of Apple products, we’d be remiss if we didn’t look at Apple’s role in defining this space — and what’s evolved in its wake.
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