Users of the Apple Watch in the US have not have had the ability to use the blood oxygen monitoring feature since late 2023 due to a legal fight with a company named Masimo. You can catch up on all the events here. But earlier today, that fight seems to have taken a bit of a plot twist. Earlier today, Apple posted this on their website:

Now that implies that they have done the work required to get around the Masimo patent. Meaning that Masimo did not get paid to go away. But there are still questions about how this “redesigned blood oxygen feature” will work. And if Apple watch users will get this software update. I think we’ll get the answers to both those questions at 1PM EST today as that’s when these updates will be released. I’ll be poking around these updates once I get them installed. Assuming that Canadians will get these updates of course. But if you have any feedback about them, please leave a comment below.

How Does The Blood Oxygen Feature For Apple Watch Work For Americans?
Posted in Commentary with tags Apple on August 14, 2025 by itnerdEarlier today, Apple release watchOS 11.6.1 and iOS 18.6.1 which re-enabled support for those who had dormant blood oxygen sensors in their Apple Watches. This is a big deal for Americans as they have been without the feature since 2023, while the rest of the world has this feature.
Now I downloaded these updates and I noticed nothing that was any different than usual. Which is that you test your blood oxygen level using your Apple Watch and the result is displayed on your Apple Watch. For US customers it’s different. When you test our blood oxygen levels on Apple Watch, instead of displaying the measurement on the Apple Watch, you’re directed to the Health app on your iPhone for the results because that’s where the results are calculated.
So Apple is playing a bit of a game here to bypass the patent that Masimo has when it comes to this sort of thing. My guess is that Apple is going this route to make sure that they sell as many Apple Watches as possible in the US when the new models hit the streets this fall. Plus not having blood oxygen available in the US likely hamstrung their Vitals feature which gives you an indication of whether you’re coming down with something or you’re fine. I’m open to alternate theories so post away in the comments below with yours.
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