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Samsung Electronics | Company Profile

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COMPANY PROFILE / BIOSENSORS

Samsung Electronics
A smartphone maker that puts biosensors in a watch and a ring, with some features authorized or cleared in the U.S. and Korea

Samsung Electronics appears in a biosensor series not because it sells diagnostic instruments or glucose meters, but because the "BioActive Sensor" on the Galaxy Watch and the Galaxy Ring (which the company describes as combining optical pulse-wave, electrocardiogram and bioelectrical impedance sensing in one), and some of the software features that run on it, are the subject of U.S. Food and Drug Administration (FDA) authorizations and clearances. In the FDA databases we found three lines of biosignal-related features: an ECG app, irregular heart rhythm notifications and sleep apnea notifications. Blood pressure estimation has been announced by the company as cleared by Korea's Ministry of Food and Drug Safety (MFDS), but we could not find a record at the FDA. Body composition and various indices are labelled by the company as not for diagnosis. This profile sets out, from primary sources only, what the company puts into this area, which features were authorized or cleared under which pathway, and how much it discloses.

Sources: Samsung Electronics 2025 Business Report and quarterly results announcements, FDA public documents (De Novo decision summary and 510(k) summaries), Samsung Newsroom announcements and product pages, and ClinicalTrials.gov, used as primary material. Last updated October 2026.

What this article covers
  1. Samsung Electronics in 30 seconds, and where it stands in biosensors
  2. The logo and how the name is written
  3. Where the company sits in the field
  4. Scale
  5. Resources committed to biosensors (including the regulatory position)
  6. What it has done so far
  7. What comes next
  8. What the company is aiming for in biosensors
  9. Map of partnerships in biosensors
  10. Technologies, products and services
  11. The risks this company carries
  12. Glossary, references and claim-to-source audit

1. Samsung Electronics in 30 seconds, and where it stands in biosensors

LEGAL NAMESamsung Electronics Co., Ltd.Known in Japanese as Samusun Denshi
HEADQUARTERSSuwon, Gyeonggi-do, Korea129 Samsung-ro, Yeongtong-gu
LISTINGKorea Stock ExchangeListed on 11 June 1975 (Business Report)
CATEGORY IN THIS FIELDWearables & consumer devices
(a user of sensors)
Not a dedicated maker of sensor parts or diagnostic instruments
GROUP SALES (2025)KRW 333.6 trillionConsolidated; up 10.9% (our calculation)
R&D EXPENDITURE (2025)KRW 37.75 trillion11.3% of sales. Wearable and health spending alone is not disclosed
FDA AUTHORIZATIONS AND CLEARANCES (BIOSIGNALS)3 feature lines, 5 records1 De Novo and 4 510(k) records, 2020-2026
MAIN SIGNALS AND TECHNOLOGYElectrocardiogram, optical pulse wave
blood oxygen (during sleep)
Rhythm suggestive of AFib, breathing disturbances in sleep. Blood pressure estimation has no FDA record
The one point to grasp first

Samsung's biosensor features fall into three regulatory layers Our calculation. The first layer holds features with FDA authorization or clearance (the ECG app, irregular rhythm notifications and sleep apnea notifications). The second holds features the company says Korea's MFDS has cleared, but for which we could not find an FDA record (blood pressure estimation). The third holds features the company labels "not for diagnosis" or "for wellness only" (body composition, Heart Health Score, Vitals and various indices) Sourced. The key point is that on the same watch, the regulatory position differs by feature and by country.

Please note

This article is an explainer on companies and regulation. It is not diagnosis, treatment or advice on how to read any measurement for an individual reader, and it does not recommend using any product. Please ask a healthcare professional what a notification or measurement means and whether to seek care. Performance figures are results of specific studies described in FDA documents and are meaningful only together with their conditions (population, reference method and analysis set).

2. The logo and how the name is written

A note on naming: the legal entity is Samsung Electronics Co., Ltd. and the FDA databases use the same applicant name. Galaxy Watch, Galaxy Ring, Samsung Health and Samsung Health Monitor are product and app names, not corporate names. "BioActive Sensor" is the name of a sensor, and "Sleep Apnea Feature" and "ECG Monitor App" are names of features. Other companies in the same group (Samsung Medison, Samsung Display, Samsung Biologics and so on) are separate legal entities. The logo image is the one that samsung.com specifies as its "logo" in the site's structured data.

Official website: https://www.samsung.com/

3. Where the company sits in the field

Four types of company involved in biosensors Even among "sensor companies", the setting, the customer and the regulatory burden differ greatly Diabetes & CGM IVD & POCT Wearables & consumer Materials and parts Continuous glucose sensing Sells analyzers, reagents Daily sensing in a device Enzymes and electrodes Dexcom / Abbott Medtronic / Senseonics Roche / bioMérieux Siemens Healthineers Apple / Samsung Oura and others Toyobo / Paragraf and others Sensor and clinical data Installed analyzer base Many users, wide reach Material performance Regulation and payers Test volume and payers Limits on medical claims End-product demand Samsung is mainly a wearables & consumer company; regulatory treatment differs by feature FDA coverage is for three feature lines; blood pressure only has a Korean announcement
Fig. 1 The four types of company involved in biosensors, and where Samsung Electronics sits. The classification is our own, and the companies shown are examples drawn from those covered in this series Our calculation. Samsung's type reflects our reading of its Business Report and FDA documents. It is not a company that sells sensor parts or diagnostic instruments.

Samsung Electronics' main category is wearables & consumer devices. Its main businesses are smartphones, televisions, home appliances and semiconductors, and its biosensing is offered as features combining the Galaxy Watch and Galaxy Ring with the Samsung Health app on a smartphone Sourced. We assign no secondary category: we could not confirm a continuous glucose monitor or an in vitro diagnostic instrument currently on sale from its official materials Our calculation. (In the past, clinical evaluations of a portable in vitro diagnostic device called "LABGEO" were registered on ClinicalTrials.gov, but they are listed as terminated in 2014 and we could not trace what followed; see Section 6.) As our explainers on wearable biosensors and on regulatory categories for medical devices and home use describe, the regulatory burden depends on what is measured and what is claimed.

4. Scale

Samsung Electronics is a very large company spanning semiconductors, smartphones, televisions, home appliances, displays and automotive electronics (Harman), and the company as a whole is not the subject here. We give group-wide figures briefly and cover what bears on biosensors from Section 5 onward.

Indicator (KRW million)20242025Change
Group sales (consolidated)300,870,903333,605,938+10.9% (our calculation)
Operating profit (consolidated)32,725,96143,601,051+33.2% (our calculation)
Profit for the period (consolidated)34,451,35145,206,805+31.2% (our calculation)
R&D expenditure (company-wide)35,021,53137,754,815+7.8% (11.3% of sales)

The fiscal year runs from January to December. The headquarters in Korea (separate basis, including employees on leave) had 128,881 employees on 31 December 2025 (50,817 in the DX Division and 78,064 in the DS Division); we could not obtain a consolidated headcount from the materials we checked Sourced. The MX (mobile) business, which covers the watch and ring, is reported together with the Networks business. For the fourth quarter of 2025, MX and Networks posted sales of KRW 29.3 trillion and operating profit of KRW 1.9 trillion; for the second quarter of 2026, sales of KRW 33.2 trillion and an operating loss of KRW 0.7 trillion Sourced. The company says the MX business achieved "double-digit annual profit" in 2025 through, among other things, "stable sales of tablets and wearables", but sales and profit for wearables alone are not disclosed.

Please note

"MX business figures" and "biosensor figures" are not the same thing. The ECG and sleep apnea features are provided as part of a device, and sales, profit and users by feature are not disclosed; this article does not estimate them Not yet confirmed. Group sales in the second quarter of 2026 were KRW 171.5 trillion, and the company says sales of its DS (semiconductor) Division rose 56% quarter on quarter (a movement in a business unrelated to biosensors).

5. Resources committed to biosensors (including the regulatory position)

Samsung Electronics does not disclose staffing, spending or investment limited to wearable health. The table below shows, for four viewpoints, what primary sources confirm and what they do not ("not stated" is itself a finding).

ResourceWhat primary sources confirmCategory
People128,881 employees at the Korean headquarters (separate basis, 31 December 2025). Company announcements name the heads of the "Health R&D Group" and the "Digital Health Team" of the MX Business, but headcount for health R&D is not disclosedSourced / partly undisclosed
Money (R&D and investment)Company-wide R&D expenditure was KRW 37,754.8 billion in 2025 (11.3% of sales; the company calls it a record). R&D and capital spending limited to wearable health are not disclosedSourced / partly undisclosed
Outside investments, acquisitions, joint ventures and divestmentsSamsung acquired 100% of the shares of Xealth, Inc., a U.S. digital health platform for healthcare providers, on 16 October 2025 (Business Report). The agreement was announced on 8 July 2025; the price was not confirmed. The company says Xealth connects more than 500 U.S. hospitals and more than 70 digital health companiesSourced / price not confirmed
Universities, research institutions and public fundingStanford University (sleep apnea collaboration; ClinicalTrials.gov lists a Stanford-led study with Samsung as collaborator, 152 participants), Massachusetts General Hospital (a clinical validation study and a GLP-1 therapy study), Chung-Ang University Gwangmyeong Hospital (syncope prediction) and Wonju Severance Christian Hospital (a smartwatch blood-pressure estimate versus ambulatory blood pressure monitoring, 30 participants). Public funding: government subsidies against company-wide R&D were about KRW 14.4 billion in 2025 (no breakdown for health)Sourced / partly undisclosed

Regulatory position (as far as FDA public documents and company announcements confirm)

The table below lists, among FDA 510(k) database (openFDA) records under applicants whose name contains "Samsung Electronics", five biosignal-related records and one related historical record, plus the functions for which we could not confirm an FDA or Korean position. De Novo authorization (classification of a new type of low-to-moderate-risk device), 510(k) clearance (substantial equivalence to an existing device) and PMA approval are separate pathways. We found no PMA record for the applicant name "Samsung" in the openFDA PMA search Sourced.

FeatureUse (summary of the regulator's document)PathwayDateSource
Samsung ECG Monitor ApplicationOn a Galaxy Watch and Galaxy phone, records and displays a single-lead (Lead I-like) ECG and classifies AFib versus sinus rhythm. Over the counter (OTC), ages 22 and over. Not a substitute for diagnosis510(k) clearance K201168 (21 CFR 870.2345, QDA; predicate: Apple's DEN180044)4 August 2020Reference 5
ECG Monitor App with Irregular Heart Rhythm Notification (IHRN)Analyzes the photoplethysmograph (PPG) pulse signal for rhythm suggestive of AFib and prompts the user to record an ECG. OTC, ages 22 and over. The absence of a notification does not mean the absence of disease510(k) clearance K230292 (21 CFR 870.2790, QDB / QDA; primary predicate: Apple's DEN180042; secondary: K201168)2 May 2023Reference 6
Samsung ECG App v1.3Adds "high heart rate (non-AFib)" and "AFib with high heart rate" to the ECG classifications510(k) clearance K240909 (predicate: K230292; reference device: Apple's K201525)2 August 2024Reference 7
Sleep Apnea FeatureFor users 22 and over without a sleep apnea diagnosis, uses changes in blood oxygen (SpO2) to flag breathing disruptions suggestive of moderate-to-severe obstructive sleep apnea over two nights (within 10 days). Not a substitute for diagnosis. OTCDe Novo authorization DEN230041 (21 CFR 868.2378, Class II, QZW). Created this device typeSubmitted 31 May 2023 / decided 6 February 2024Reference 8
Sleep Apnea Feature v2.0Ages 18 and over. Galaxy Watch or Galaxy Ring. From PPG, accelerometer and PPG-derived pulse oximetry, a positive result is given if the two-night average is 15 or more breathing disruptions per hour (a binary result). Includes a PCCP510(k) clearance K261011 (predicate: DEN230041; reference device: Apple's K240929)20 July 2026Reference 9
S Health (historical record)A mobile app for use at home to review and monitor vital signs such as blood pressure, blood glucose and weight from optional add-on devices (not a watch sensor feature)510(k) clearance K132148 (product code DRG)4 December 2013Reference 10
Blood pressure estimation (Samsung Health Monitor)Company description: requires calibration with a cuff (every four weeks); not intended for diagnosis or treatment; available in select markets onlyKorea's MFDS clearance announced by the company (2020). No FDA record found (no match in the openFDA 510(k) search)2020References 11, 12, 13
Body composition (BIA), Antioxidant Index, AGEs, Heart Health Score, VitalsCompany description: for wellness and personal reference only, not for diagnosis or treatmentNo FDA or Korean regulatory position found-References 14, 15, 16

The company says the sleep apnea feature obtained approval from Korea's MFDS (announced 5 October 2023), De Novo authorization from the FDA, and approval from Brazil's National Health Surveillance Agency (ANVISA; announced April 2025), and is available in 78 markets (March 2026, company). The content of each country's permission differs, so this article is written within the scope of the U.S. FDA documents Sourced.

A materials engineer's view: "three sensors in one" and the skin interface

The company describes the BioActive Sensor as one chip combining an optical pulse-wave (PPG) sensor, an electrocardiogram (ECG) sensor and a bioelectrical impedance (BIA) sensor, carried on the Galaxy Watch since the Watch4 (2021) Sourced. The FDA documents list platform tests that include material safety for skin contact, thermal safety for skin contact, resistance to electrostatic discharge and water ingress, and blood-oxygen accuracy under low perfusion (the sleep apnea De Novo and the v2.0 510(k)). Blood-oxygen accuracy was compared against arterial-line arterial oxygen saturation (the standard ISO 80601-2-61:2017) on subjects of varied skin tones Sourced. With dry electrodes (ECG), multi-wavelength green, red and infrared light (blood oxygen) and BIA electrodes, the more skin-contact parts there are, the more contact stability and resistance to sweat and dryness would be expected to matter for signal quality, but we could not confirm the specific electrode or window materials Not yet confirmed.

6. What it has done so far

WhenWhat happenedWhy it matters
November 2013 to September 2014Clinical evaluations of a portable in vitro diagnostic device, the "LABGEO PT10" (a hepatic panel, 32 participants) among others, are registered on ClinicalTrials.gov with Samsung Electronics as lead sponsor (status: terminated)A past venture into in vitro diagnostics. We could not trace what followed from our materials
4 December 2013The mobile app "S Health" received 510(k) clearance (K132148)An app for viewing blood pressure, blood glucose and weight data from optional devices, not a watch sensor feature
May-June 2020On 24 May the company announced that the ECG function of the Samsung Health Monitor app had been cleared by Korea's MFDS. Blood pressure estimation had also been cleared by the MFDS earlier in 2020, and on 18 June it launched in Korea for the Galaxy Watch Active2Provided in Korea as medical-device software ahead of the FDA
4 August 2020The ECG Monitor App (K201168) received 510(k) clearance. The predicate was Apple's ECG app (DEN180044)Entered the same category on the strength of another company's De Novo
2021The Galaxy Watch4 began carrying the BioActive Sensor (which the company describes as putting PPG, ECG and BIA on one chip)Three kinds of signal taken by one component
2 May 2023The ECG Monitor App with irregular heart rhythm notification (K230292) received 510(k) clearance. The primary predicate was Apple's IRNF (DEN180042)A notification function was added
5 October 2023Announced that the sleep apnea feature had been approved by Korea's MFDSKorea first
6 February 2024 (announced 10 February)The sleep apnea feature (DEN230041) received FDA De Novo authorization (submitted 31 May 2023)Created a new device type, "OTC device to assess risk of sleep apnea" (21 CFR 868.2378). Apple later used it as a predicate
2 August 2024ECG App v1.3 (K240909) received 510(k) clearance, adding a high-heart-rate classificationReference device: Apple's ECG 2.0 (K201525)
8 April 2025Announced a sleep apnea collaboration with Stanford Medicine; approval by Brazil's ANVISA brought availability to 29 marketsClinicalTrials.gov lists a Stanford-led, Samsung-supported study (152 participants, December 2024 to December 2025)
8 July / 16 October 2025Announced an agreement to acquire Xealth (8 July). Acquired 100% of the shares on 16 October (Business Report)Acquired a platform that connects watch data to the workflows of healthcare providers
13 March 2026In a World Sleep Day announcement, said the sleep apnea feature is available in 78 marketsThe number of markets is the company's statement
7 and 28 May 2026Announced a syncope-prediction study with Chung-Ang University Gwangmyeong Hospital (7 May) and a GLP-1 therapy study with Massachusetts General Hospital (28 May)Both are announcements of research, not of feature authorization or availability
4 June 2026Announced a Samsung Health update (Vitals, Heart Health Score, Daily Cardio Load, Fitness Index and others), stating "for wellness only, not for the diagnosis or treatment of any medical condition"The group of features not taken through regulation
20 July 2026Sleep Apnea Feature v2.0 (K261011) received 510(k) clearance. It covers the Galaxy Ring in addition to the Galaxy Watch, and the age is now 18 and overAn example of a ring appearing in an FDA document
22 July 2026Announced the Galaxy Watch9 and Galaxy Watch Ultra2, describing an "upgraded" sleep apnea featureWe could not confirm how this corresponds to the FDA document (Section 7)

7. What comes next

MGH GLP-1 THERAPY STUDY100 adults (planned)Galaxy Watch8 BIA and activity data compared with DXA (an imaging test of body composition). No results yet
MGH CLINICAL VALIDATION STUDYRegistered completion: December 2026An estimated date on ClinicalTrials.gov (NCT05767593; validation of a mental-health index)
TIE-UP WITH XEALTH"Connected Care" conceptThe Business Report says Xealth's hospital platform will be combined with the company's mobile and wearable technology
BLOOD GLUCOSE MEASUREMENTNo official plan foundGlucose is not among the three sensors of the BioActive Sensor

Primary sources also contain the following Not yet confirmed.

  • The company says it will keep improving the sleep apnea feature, but gives no timing or specification (March 2026 announcement).
  • The July 2026 announcement says the upgraded sleep apnea feature analyzes breathing disruptions per hour with AI and classifies them into three levels. The FDA document cleared the same month (K261011), by contrast, describes a binary result: positive if the two-night average is 15 or more per hour. We could not confirm how the two correspond (a difference of country or version, or not).
  • The FDA document (K261011) contains a predetermined change control plan (PCCP), which defines in advance the scope and validation methods of software changes after clearance.
What we could not confirm

Whether a U.S. FDA submission exists for blood pressure estimation; an official description of work on new measurement targets such as glucose; R&D spending, capital spending and headcount limited to wearable health; the price paid for Xealth; a consolidated headcount; sales or users by feature; and how the three-level sleep apnea classification of the Galaxy Watch9 corresponds to the FDA document. None of these is stated in the Business Report, FDA documents or official announcements we checked.

8. What the company is aiming for in biosensors

We separate what the company says directly from what we read into it. Inference marks our interpretation of primary sources; it is not something the company has said.

What can be readPrimary evidenceCategory
It builds the watch's health functions in two layers: "wellness" and "medical-device software"The ECG, irregular rhythm and sleep apnea features are authorized or cleared by the FDA. Vitals, Heart Health Score, body composition and various indices are explicitly stated by the company not to be for diagnosisSourced (the two layers) / Inference (the intent)
It follows a sequence of obtaining approval in Korea first and then extending to the U.S. and other countriesMFDS came first for ECG and blood pressure (2020) and sleep apnea (2023). Sleep apnea is in 78 markets (company)Sourced (the sequence) / Inference (the policy)
It enters categories opened by others by using predicate devicesThe ECG and irregular rhythm notification features used Apple's De Novo records (DEN180044, DEN180042) as predicatesSourced
It extends the measuring hardware to ringsK261011 adds the Galaxy Ring to the sleep apnea feature. The Business Report says the ring provides "customized health information"Sourced
It is moving toward the workflows of healthcare providersIt acquired Xealth (500+ hospitals) and the Business Report says it will strengthen Samsung Health through "Connected Care". Joint research with MGH, Stanford and Chung-AngSourced (acquisition, research) / Inference (the direction beyond)
It has not stepped into diagnosis-like measurement such as glucose, at least for nowGlucose is not among the BioActive Sensor's three sensors. On 21 February 2024 the FDA warned against smartwatches and smart rings that claim to measure blood glucose (no brand names given)Sourced (the specification) / Inference (the policy)
One inference in more detail

The reading that "it enters categories opened by others by using predicate devices" rests on the predicate device field of the 510(k). The ECG Monitor App (K201168) names Apple's ECG app (DEN180044) as predicate and lists the differences: the finger goes on the top button of the Samsung watch rather than Apple's Digital Crown, and the hardware and operating systems differ. The irregular rhythm notification (K230292) likewise names Apple's IRNF (DEN180042) as primary predicate Sourced. In 2024, when Apple obtained clearance for its sleep apnea notification (K240929), it in turn used Samsung's sleep apnea feature (DEN230041) as predicate. The two companies thus appear to take turns being the first to open a category and the follower Not yet confirmed. Performance figures from different studies are separate results, and we do not rank products by them.

9. Map of partnerships in biosensors

Collaboration and acquisition links centered on Samsung Electronics in biosensors Only ties stated in Samsung Newsroom, the Business Report, ClinicalTrials.gov and FDA documents Samsung Galaxy Watch Stanford University Sleep apnea collaboration (2025) Massachusetts General Hospital Validation and GLP-1 studies (2026) Chung-Ang University Gwangmyeong Hospital Syncope-prediction study (2026) Apple Mutual predicates (not a tie-up) Xealth Acquired (16 Oct 2025) Wonju Severance Hospital Smartwatch BP comparison study Joint research Acquisition (completed) Predicate in FDA files (not a tie-up)
Fig. 2 Collaboration and acquisition links centered on Samsung Electronics in biosensors. Sources: Samsung Newsroom (8 April 2025; 7 and 28 May 2026), the 2025 Business Report, ClinicalTrials.gov (NCT06603441, NCT05767593, NCT04553861) and FDA 510(k) summaries (K201168, K230292, K240929). Solid lines show joint research, the dark dashed line an acquisition (completed), and the grey dashed line a regulatory relationship that is not a partnership. Component and material suppliers are not shown because no names are disclosed.

The collaborations and acquisitions that Samsung makes public are limited to those in Samsung Newsroom, the Business Report and ClinicalTrials.gov. Component makers, material suppliers and contract manufacturers for the sensors are not named in the biosensor-related materials Sourced. We therefore cannot draw a material or component supply chain. "Predicate" in the figure refers to another company's device used as a benchmark in regulatory documents; it is not a partnership.

10. Technologies, products and services

We set out the configuration as described in company materials and FDA documents. Because conditions differ by product, we give no performance figures except those in FDA documents.

ElementWhat official materials listNote
BioActive SensorThe company describes a technology that puts an optical pulse-wave (PPG) sensor, an electrocardiogram (ECG) sensor and a bioelectrical impedance (BIA) sensor on one chip. Carried since the Galaxy Watch4 (2021)Company statement (three sensors integrated)
Optical (PPG)Multi-wavelength green, red and infrared PPG plus an accelerometer (sleep apnea De Novo document). A PPG array on the back of the watch touches the dorsal side of the wrist (K230292)Blood oxygen is also calculated from the PPG
Electrical (ECG)Dry electrodes on the back of the watch and a finger on the top button produce a single-lead ECG (K201168, K240909). The company says a measurement takes about 30 secondsAssumes the electrodes are in contact with skin
Blood pressure estimationEstimated by analyzing the PPG pulse waveform. Calibration with a cuff-type monitor is required at the start and every four weeks (28 days). The company states it is not for diagnosis or treatmentNo U.S. FDA record found
Body composition (BIA)Estimates weight, body fat, skeletal muscle, body water and basal metabolic rate. The company states it is "not intended to specifically diagnose or treat a medical condition"No FDA or Korean regulatory position found
RingThe Galaxy Ring is added to the scope of the FDA sleep apnea clearance (K261011). The document says the ring provides the same types of sensors as the Galaxy WatchRing support for other features could not be confirmed
SoftwareSleep apnea v2.0 uses a deep-learning model trained on about 2,400 recordings of concurrent in-lab polysomnography (PSG) from more than 1,100 subjects; the model was locked before verification and validationA PCCP defines the scope of updates
Performance in FDA documents (with conditions)Population and conditionsResult
ECG Monitor App (K201168)544 enrolled (268 with AFib, 261 in sinus rhythm, 15 with other arrhythmias). Reference: cardiologists' reads of a 12-lead ECG. Evaluated on recordings for which the algorithm gave a classificationAFib sensitivity 98.1% (95% CI 96.3-99.9), specificity 100% (100-100). Inconclusive 2.9% (1.1-4.7)
IHRN (K230292)888 enrolled (people at risk of AFib), 810 analyzed. Worn with a 7-day ECG patch; notifications compared with clinician-adjudicated patch ECGSubject-level sensitivity 68.0% (CI 60.5-75.5), specificity 98.8% (98.0-99.6). PPV 95.7% (94.7-96.7) on a selected set of tachograms
Sleep apnea (DEN230041)620 enrolled (47 did not complete), an enriched adult population. Two nights in a sleep lab; reference: physician assessment of PSG from an FDA-cleared PSG device. AHI of 15 or more counts as moderate-to-severeSensitivity 82.7% (167/202; 95% CI 76.7-87.6), specificity 87.7% (235/268; 83.1-91.4). The FDA document records that specificity did not meet the pre-specified acceptance criterion; the sponsor's post hoc modified calculation gave 91.1%. Insufficient data on 16.7% of nights
Sleep apnea v2.0 (K261011)An enriched population aged 18 and over wearing devices during two-night PSG. Watch 475 subjects, ring 469Watch: sensitivity 90.8% (86.0-94.4), specificity 90.3% (86.1-93.6). Ring: sensitivity 77.9% (71.5-83.5), specificity 95.9% (92.8-97.9). A result was given for 87.9% of sleep sessions on the watch and 86.0% on the ring

These values come from different studies with different references and populations, and they do not show which feature or company is better. The FDA documents state that the absence of a notification or result does not mean the absence of disease Sourced.

A materials engineer's view: skin tone, blood flow and contact are the weak points of optical sensing

The sleep apnea De Novo document states that optical SpO2 is known to perform less well on darker skin pigmentation, then reports this study's results by skin tone (for example sensitivity 87.5% and specificity 90.9% at Fitzpatrick 5-6) and results for 47 subjects with low baseline perfusion Sourced. The v2.0 510(k) also splits results by the Monk scale into three groups, and on the ring sensitivity differs between groups (for example 71.0% in the 5-6 group and 80.9% in the 1-4 group). The clarity of the optical window on the back of the watch, its arrangement relative to the photodiodes, and the stability of contact provided by the band or ring would be expected to help reduce such differences related to skin tone and blood flow Not yet confirmed. However, the materials of the back cover, electrodes, the inside of the ring and the bands are not stated in the official materials we checked, so we could not confirm the effect of any particular material. See also our explainers on wearable biosensors, patch sensors and skin adhesion, and electrochemical sensors.

11. The risks this company carries

RiskDetailCategory
Limits on what can be claimedAuthorizations and clearances carry conditions on use, age and history. The limitations section of the sleep apnea De Novo document says not to use the feature if diagnosed with conditions such as heart failure, atrial fibrillation, Parkinson's disease or chronic obstructive pulmonary disease, or if pregnantSourced
Performance limitsThe sleep apnea De Novo document records that specificity did not meet the pre-specified acceptance criterion. Subject-level sensitivity of the IHRN was 68.0% under the FDA study conditionsSourced
Differences in permission by marketThe company says the blood pressure feature is available only in select markets, and that availability of the sleep apnea feature and others varies by device and market and may not work where approval or registration as medical-device software has not been obtainedSourced
Correspondence between company statements and regulatory documentsWe could not confirm how the three-level sleep apnea description in the July 2026 announcement corresponds to the FDA document (binary result)Not yet confirmed
Earnings of the MX businessThe MX and Networks businesses posted an operating loss (KRW 0.7 trillion) in the second quarter of 2026. The company cites industry-wide component cost pressuresSourced
Difficulty of external verificationWearable health sales, R&D, user numbers and the Xealth price are not disclosed, so the scale of the business is hard to verify from outsideNot yet confirmed
Recalls and safety communicationsThe openFDA medical device recall search showed no record for a firm named "Samsung" (a different spelling could cause a miss)Could not be confirmed

12. Glossary

De Novo (new classification)
A pathway under which the FDA classifies a new type of low-to-moderate-risk device that has no equivalent; later devices can use it as a predicate in a 510(k).
510(k) clearance
The FDA's finding that a device is substantially equivalent to an existing (predicate) device. Distinct from PMA approval.
PCCP (predetermined change control plan)
A plan, agreed with the FDA in advance, that defines the scope and validation of software changes to be made after clearance.
MFDS
Korea's Ministry of Food and Drug Safety, which approves and clears medical-device software.
ANVISA
Brazil's National Health Surveillance Agency, which registers medical devices.
PPG (photoplethysmography)
A method that measures changes in blood volume from how light shone into the skin returns; also used to calculate blood oxygen.
SpO2 (peripheral oxygen saturation)
The share of hemoglobin in the blood that is bound to oxygen; a watch calculates it from differences in light absorption.
BIA (bioelectrical impedance analysis)
A method that passes a weak current through the body and estimates body composition from how hard it is for the current to pass.
AHI (apnea-hypopnea index)
The number of apnea and hypopnea events per hour of sleep; 15 or more is classed as moderate-to-severe.
PSG (polysomnography)
An overnight test, usually in a sleep lab, that records brain waves, breathing, blood oxygen and more; used as the reference in FDA documents.
Predicate device
The existing device to which a new device is compared for equivalence in a 510(k).
Concept image: a sleeping person's wrist-worn device and ring, with light entering the skin and returning to a sensor
Fig. 3 Concept image of how a watch-type and a ring-type sensor pick up signals from the skin during sleep (an AI-generated concept; it does not depict an actual product). It shows the light windows and electrodes touching the skin of the wrist and finger.

13. References

  1. Samsung Electronics 2025 Business Report (year ended December 2025; 4Q Interim Report). Company profile, headquarters, listing, consolidated results, R&D, government subsidies, employees, Xealth acquisition, description of smartwatches and rings. https://images.samsung.com/is/content/samsung/assets/global/ir/docs/2025_4Q_Interim_Report.pdf
  2. Samsung Newsroom Samsung Electronics Announces Fourth Quarter and FY 2025 Results (January 2026). Annual sales and operating profit, R&D, MX business commentary. https://news.samsung.com/global/samsung-electronics-announces-fourth-quarter-and-fy-2025-results
  3. Samsung Newsroom Samsung Electronics Announces Second Quarter 2026 Results (30 July 2026). MX and Networks sales and operating loss, group sales. https://news.samsung.com/global/samsung-electronics-announces-second-quarter-2026-results
  4. U.S. Food and Drug Administration (FDA) Do Not Use Smartwatches or Smart Rings to Measure Blood Glucose Levels: FDA Safety Communication (21 February 2024). https://www.fda.gov/medical-devices/safety-communications/do-not-use-smartwatches-or-smart-rings-measure-blood-glucose-levels-fda-safety-communication
  5. U.S. Food and Drug Administration (FDA) 510(k) K201168 (Samsung ECG Monitor Application): clearance letter and 510(k) summary, 4 August 2020. Predicate DEN180044, clinical study. https://www.accessdata.fda.gov/cdrh_docs/pdf20/K201168.pdf
  6. U.S. Food and Drug Administration (FDA) 510(k) K230292 (Samsung ECG Monitor Application with Irregular Heart Rhythm Notification Feature): clearance letter and 510(k) summary, 2 May 2023. https://www.accessdata.fda.gov/cdrh_docs/pdf23/K230292.pdf
  7. U.S. Food and Drug Administration (FDA) 510(k) K240909 (Samsung ECG App v1.3): clearance letter and 510(k) summary, 2 August 2024. https://www.accessdata.fda.gov/cdrh_docs/pdf24/K240909.pdf
  8. U.S. Food and Drug Administration (FDA) De Novo Classification Request for Sleep Apnea Feature (DEN230041), decision summary. Use, limitations, sensors, clinical study, results by skin tone. https://www.accessdata.fda.gov/cdrh_docs/reviews/DEN230041.pdf
  9. U.S. Food and Drug Administration (FDA) 510(k) K261011 (Sleep Apnea Feature v2.0): clearance letter and 510(k) summary, 20 July 2026. Galaxy Watch and Galaxy Ring, clinical study, PCCP. https://www.accessdata.fda.gov/cdrh_docs/pdf26/K261011.pdf
  10. U.S. Food and Drug Administration (FDA) 510(k) K132148 (S Health): clearance letter and 510(k) summary, 4 December 2013. https://www.accessdata.fda.gov/cdrh_docs/pdf13/K132148.pdf
  11. Samsung Newsroom Samsung Launches the Samsung Health Monitor Application with Blood Pressure Measurement (18 June 2020). Korean clearance and launch of blood pressure, calibration. https://news.samsung.com/global/samsung-launches-the-samsung-health-monitor-application-with-blood-pressure-measurement
  12. Samsung Newsroom Electrocardiogram Monitoring Cleared for Galaxy Watch Active2 by South Korea's Ministry of Food and Drug Safety (24 May 2020). https://news.samsung.com/global/electrocardiogram-monitoring-cleared-for-galaxy-watch-active2-by-south-koreas-ministry-of-food-and-drug-safety
  13. U.S. Food and Drug Administration (FDA) openFDA 510(k) API (search by applicant name "Samsung Electronics"). Confirms the biosignal-related records and the absence of a blood pressure record. https://api.fda.gov/device/510k.json?search=applicant:%22Samsung%20Electronics%22&limit=100&sort=decision_date:desc
  14. Samsung Galaxy Watch9 (U.S.) product page and footnotes. FDA-regulation statement for sleep apnea, calibration and cautions for blood pressure, BIA, AGEs, ECG use. https://www.samsung.com/us/watches/galaxy-watch9/
  15. Samsung Newsroom Samsung Introduces Next-Gen Galaxy Watch Features for AI-Powered Everyday Health Companion (4 June 2026). Vitals, Heart Health Score and the "wellness only" note. https://news.samsung.com/global/samsung-introduces-next-gen-galaxy-watch-features-for-ai-powered-everyday-health-companion
  16. Samsung Newsroom [World Heart Day] Taking Care of Your Heart Every Day, Starting From Your Wrist (29 September 2026). Description of the BioActive Sensor; footnotes on blood pressure, ECG and IHRN. https://news.samsung.com/global/world-heart-day-taking-care-of-your-heart-every-day-starting-from-your-wrist
  17. Samsung Newsroom Samsung Brings Sleep Apnea Feature to Galaxy Watch Upon Approval by Korea's Ministry of Food and Drug Safety (5 October 2023). https://news.samsung.com/global/samsung-brings-sleep-apnea-feature-to-galaxy-watch-upon-approval-by-koreas-ministry-of-food-and-drug-safety
  18. Samsung Newsroom Samsung's Sleep Apnea Feature on Galaxy Watch First of Its Kind Authorized by US FDA (10 February 2024). https://news.samsung.com/global/samsungs-sleep-apnea-feature-on-galaxy-watch-first-of-its-kind-cleared-by-us-fda
  19. Samsung Newsroom Samsung Announces Collaboration With Stanford Medicine To Advance Sleep Apnea Detection and Beyond (8 April 2025). https://news.samsung.com/global/samsung-announces-collaboration-with-stanford-medicine-to-advance-sleep-apnea-detection-and-beyond
  20. Samsung Newsroom Samsung Electronics Acquires Xealth, Bridging The Gap Between Wellness and Medical Care (8 July 2025). Announcement of the acquisition agreement. https://news.samsung.com/us/samsung-electronics-acquires-xealth-bridging-gap-between-wellness-medical-care
  21. Samsung Newsroom [World Sleep Day] How Samsung Is Tackling Sleep Apnea to Energize Your Days (13 March 2026). 78 markets and technology description. https://news.samsung.com/global/world-sleep-day-how-samsung-is-tackling-sleep-apnea-to-energize-your-days
  22. Samsung Newsroom Samsung Announces World-First Breakthrough in Fainting Prediction With Galaxy Watch (7 May 2026). Joint study with Chung-Ang University Gwangmyeong Hospital. https://news.samsung.com/global/samsung-announces-world-first-breakthrough-in-fainting-prediction-with-galaxy-watch
  23. Samsung Newsroom Samsung and Massachusetts General Hospital Launch Joint Study To Investigate GLP-1 Treatment Monitoring With Galaxy Watch (28 May 2026). https://news.samsung.com/global/samsung-and-massachusetts-general-hospital-launch-joint-study-to-investigate-glp-1-treatment-monitoring-with-galaxy-watch
  24. Samsung Newsroom [Galaxy Unpacked July 2026] A First Look at Galaxy Watch Ultra2 and Galaxy Watch9 (22 July 2026). Description of the upgraded sleep apnea feature. https://news.samsung.com/global/galaxy-unpacked-july-2026-a-first-look-at-galaxy-watch-ultra2-and-galaxy-watch9
  25. ClinicalTrials.gov NCT06603441 Reliability of the Samsung Galaxy for the Detection of Moderate to Severe Obstructive Sleep Apnea (led by Stanford University; collaborator Samsung Electronics; 152 participants). https://clinicaltrials.gov/study/NCT06603441
  26. ClinicalTrials.gov NCT05767593 Clinical Validation of Samsung Smartwatch (led by Massachusetts General Hospital; collaborator Samsung Electronics). https://clinicaltrials.gov/study/NCT05767593
  27. ClinicalTrials.gov NCT04553861 Smartwatch ABPM vs. Conventional ABPM (led by Wonju Severance Christian Hospital; collaborator Samsung Electronics; 30 participants). https://clinicaltrials.gov/study/NCT04553861
  28. ClinicalTrials.gov NCT02104154 Evaluation of the Samsung LABGEO PT10 Hepatic Panel in a Point-of-Care Setting (led by Samsung Electronics; 32 participants; terminated). https://clinicaltrials.gov/study/NCT02104154
  29. U.S. Food and Drug Administration (FDA) openFDA PMA API (search by applicant name "Samsung" returned no match). https://api.fda.gov/device/pma.json?search=applicant:%22Samsung%22&limit=3
  30. U.S. Food and Drug Administration (FDA) openFDA device recall API (no match for "Samsung"). https://api.fda.gov/device/recall.json?search=recalling_firm:%22Samsung%22&limit=30
  31. Samsung Official website samsung.com (source of the logo image, specified as the logo in structured data). https://www.samsung.com/us/

14. Claim-to-source audit

Claim in the articleCategorySource
Legal name, headquarters, Korea Stock Exchange listing date, employees at the Korean headquarters (DX and DS), consolidated results, R&D, government subsidiesSourcedReference 1 https://images.samsung.com/is/content/samsung/assets/global/ir/docs/2025_4Q_Interim_Report.pdf
Annual sales of KRW 333.6 trillion, operating profit of KRW 43.6 trillion, R&D of KRW 37.7 trillion, MX business double-digit annual profit, fourth-quarter 2025 MX and Networks figuresSourcedReference 2 https://news.samsung.com/global/samsung-electronics-announces-fourth-quarter-and-fy-2025-results
Second-quarter 2026 MX and Networks sales of KRW 33.2 trillion and operating loss of KRW 0.7 trillion; group sales of KRW 171.5 trillion; DS Division up 56% quarter on quarterSourcedReference 3 https://news.samsung.com/global/samsung-electronics-announces-second-quarter-2026-results
FDA warning: it has not authorized, cleared or approved any smartwatch or smart ring that measures or estimates blood glucose on its own (21 February 2024, no brands named)SourcedReference 4 https://www.fda.gov/medical-devices/safety-communications/do-not-use-smartwatches-or-smart-rings-measure-blood-glucose-levels-fda-safety-communication
ECG Monitor App (K201168): use, predicate Apple DEN180044, number of participants, sensitivity and specificity, inconclusive shareSourcedReference 5 https://www.accessdata.fda.gov/cdrh_docs/pdf20/K201168.pdf
ECG Monitor App with IHRN (K230292): use, predicate Apple DEN180042, subject-level sensitivity and specificity, PPVSourcedReference 6 https://www.accessdata.fda.gov/cdrh_docs/pdf23/K230292.pdf
ECG App v1.3 (K240909): use and the Apple K201525 reference deviceSourcedReference 7 https://www.accessdata.fda.gov/cdrh_docs/pdf24/K240909.pdf
Sleep apnea De Novo (DEN230041): use, limitations, SpO2, two-night observation, study size, sensitivity and specificity, specificity criterion not met, results by skin tone and low perfusionSourcedReference 8 https://www.accessdata.fda.gov/cdrh_docs/reviews/DEN230041.pdf
Sleep apnea v2.0 (K261011): Watch and Ring, ages 18 and over, binary result, sensitivity and specificity for 475 watch and 469 ring subjects, PCCP, results by Monk scaleSourcedReference 9 https://www.accessdata.fda.gov/cdrh_docs/pdf26/K261011.pdf
S Health (K132148): use and dateSourcedReference 10 https://www.accessdata.fda.gov/cdrh_docs/pdf13/K132148.pdf
Blood pressure estimation cleared by Korea's MFDS and launched (18 June 2020); calibration every four weeksSourcedReference 11 https://news.samsung.com/global/samsung-launches-the-samsung-health-monitor-application-with-blood-pressure-measurement
Announcement of the ECG function's MFDS clearance (24 May 2020); MFDS clearance for blood pressureSourcedReference 12 https://news.samsung.com/global/electrocardiogram-monitoring-cleared-for-galaxy-watch-active2-by-south-koreas-ministry-of-food-and-drug-safety
List of Samsung Electronics' five biosignal-related FDA records, and the absence of a blood pressure recordSourcedReference 13 https://api.fda.gov/device/510k.json?search=applicant:%22Samsung%20Electronics%22&limit=100&sort=decision_date:desc
FDA-regulation statement for sleep apnea; cautions for blood pressure, BIA, AGEs; ECG and IHRN useSourcedReference 14 https://www.samsung.com/us/watches/galaxy-watch9/
Vitals, Heart Health Score, Daily Cardio Load, Fitness Index and others stated to be for wellness onlySourcedReference 15 https://news.samsung.com/global/samsung-introduces-next-gen-galaxy-watch-features-for-ai-powered-everyday-health-companion
Description of the BioActive Sensor (PPG, ECG, BIA); footnotes on blood pressure, ECG and IHRNSourcedReference 16 https://news.samsung.com/global/world-heart-day-taking-care-of-your-heart-every-day-starting-from-your-wrist
Announcement of the sleep apnea feature's MFDS approval (5 October 2023)SourcedReference 17 https://news.samsung.com/global/samsung-brings-sleep-apnea-feature-to-galaxy-watch-upon-approval-by-koreas-ministry-of-food-and-drug-safety
Announcement of the sleep apnea feature's FDA De Novo authorization (10 February 2024); age 22 and overSourcedReference 18 https://news.samsung.com/global/samsungs-sleep-apnea-feature-on-galaxy-watch-first-of-its-kind-cleared-by-us-fda
Collaboration with Stanford Medicine (8 April 2025); ANVISA approval bringing availability to 29 marketsSourcedReference 19 https://news.samsung.com/global/samsung-announces-collaboration-with-stanford-medicine-to-advance-sleep-apnea-detection-and-beyond
Announcement of the agreement to acquire Xealth (8 July 2025)SourcedReference 20 https://news.samsung.com/us/samsung-electronics-acquires-xealth-bridging-gap-between-wellness-medical-care
Acquisition of 100% of Xealth's shares (16 October 2025); the "Connected Care" conceptSourcedReference 1 https://images.samsung.com/is/content/samsung/assets/global/ir/docs/2025_4Q_Interim_Report.pdf
World Sleep Day announcement: 78 markets; description of blood-oxygen-based detectionSourcedReference 21 https://news.samsung.com/global/world-sleep-day-how-samsung-is-tackling-sleep-apnea-to-energize-your-days
Syncope-prediction study (Chung-Ang University Gwangmyeong Hospital, 132 patients, published in European Heart Journal - Digital Health)SourcedReference 22 https://news.samsung.com/global/samsung-announces-world-first-breakthrough-in-fainting-prediction-with-galaxy-watch
GLP-1 therapy study with Massachusetts General Hospital (100 adults); description of the BioActive SensorSourcedReference 23 https://news.samsung.com/global/samsung-and-massachusetts-general-hospital-launch-joint-study-to-investigate-glp-1-treatment-monitoring-with-galaxy-watch
Announcement of the Galaxy Watch9 and Watch Ultra2 (22 July 2026); upgraded sleep apnea feature and three-level classificationSourcedReference 24 https://news.samsung.com/global/galaxy-unpacked-july-2026-a-first-look-at-galaxy-watch-ultra2-and-galaxy-watch9
Stanford-led sleep apnea study (152 participants, December 2024 to December 2025)SourcedReference 25 https://clinicaltrials.gov/study/NCT06603441
MGH-led clinical validation study (registered completion: December 2026)SourcedReference 26 https://clinicaltrials.gov/study/NCT05767593
Wonju Severance Christian Hospital study of smartwatch blood-pressure estimation versus ambulatory monitoring (30 participants)SourcedReference 27 https://clinicaltrials.gov/study/NCT04553861
LABGEO PT10 clinical evaluation (November 2013 to September 2014, 32 participants, terminated)SourcedReference 28 https://clinicaltrials.gov/study/NCT02104154
No PMA record found for the applicant name Samsung in openFDASourcedReference 29 https://api.fda.gov/device/pma.json?search=applicant:%22Samsung%22&limit=3
No medical device recall record foundSourcedReference 30 https://api.fda.gov/device/recall.json?search=recalling_firm:%22Samsung%22&limit=30
Price paid for Xealth; R&D, capital spending and headcount limited to wearable health; consolidated headcount; sales and users by featureNot yet confirmedNot stated in the Business Report or official announcements. Could not be confirmed; we do not claim they do not exist. Reference 1 https://images.samsung.com/is/content/samsung/assets/global/ir/docs/2025_4Q_Interim_Report.pdf
Whether a U.S. FDA submission exists for blood pressure estimationNot yet confirmedCould not be confirmed in the FDA database. We do not claim it does not exist. Reference 13 https://api.fda.gov/device/510k.json?search=applicant:%22Samsung%20Electronics%22&limit=100&sort=decision_date:desc
Plans for blood glucose measurementNot yet confirmedNo plan stated in official materials. Could not be confirmed. Reference 16 https://news.samsung.com/global/world-heart-day-taking-care-of-your-heart-every-day-starting-from-your-wrist
Component suppliers, and the materials of electrodes, windows, bands and the ringNot yet confirmedNot stated in the official materials we checked. Could not be confirmed. Reference 8 https://www.accessdata.fda.gov/cdrh_docs/reviews/DEN230041.pdf Reference 9 https://www.accessdata.fda.gov/cdrh_docs/pdf26/K261011.pdf
How the three-level sleep apnea classification of the Galaxy Watch9 corresponds to the FDA document (binary result)Not yet confirmedThe company's description (Reference 24) and the FDA document (Reference 9) are worded differently. The correspondence could not be confirmed. Reference 24 https://news.samsung.com/global/galaxy-unpacked-july-2026-a-first-look-at-galaxy-watch-ultra2-and-galaxy-watch9 Reference 9 https://www.accessdata.fda.gov/cdrh_docs/pdf26/K261011.pdf
The framing of Samsung as mainly a wearables & consumer company whose main businesses lie elsewhere (the type)Our calculationOur own framing, an interpretation of the Business Report (Reference 1) and FDA documents (References 5-9)
The framing that regulatory treatment falls into three layers (FDA / Korea only / wellness)Our calculationOur own framing, an interpretation of FDA documents (References 5-9) and company announcements (References 11, 12, 15)
The four-type classification and the example company namesOur calculationOur own classification; the companies are examples drawn from those covered in this series
Year-on-year change in sales, operating profit, profit and R&D (+10.9%, +33.2%, +31.2%, +7.8%)Our calculationOur own calculation from Reference 1 figures
Reading that the watch's health functions are built in two layers, wellness and medical-device softwareInferenceThis article's interpretation of the list of authorizations and clearances and the wellness-only statements (References 9, 15)
Reading that it follows a sequence of obtaining approval in Korea first and then extending elsewhereInferenceThis article's interpretation of MFDS announcements (References 12, 17) and FDA dates (References 8, 18)
Reading that it enters categories opened by others using predicates, and that two companies take turns as first mover and followerInferenceThis article's interpretation of predicate fields (References 5, 6, 8 and Apple's 510(k) summary)
Reading that it is moving toward the workflows of healthcare providersInferenceThis article's interpretation of the Xealth acquisition (References 1, 20) and joint research (References 19, 22, 23)
Reading that it has not stepped into diagnosis-like measurement such as glucoseInferenceThis article's interpretation of the sensor configuration (Reference 16) and the FDA warning (Reference 4)
The explanation that skin tone, blood flow and contact stability affect optical signalsNot yet confirmedThis article's interpretation of FDA test results (References 8, 9); the effect of particular materials could not be confirmed

Last updated 3 October 2026 / Troy Technical
Figures in this article come from Samsung Electronics' Business Report and results announcements, FDA public documents, Samsung Newsroom announcements and product pages, and ClinicalTrials.gov. No research-firm estimates or press-based figures have been used. Passages marked "Inference" are this article's interpretation of primary sources, not statements made by the company. This article is not medical advice for any individual reader.

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