Apple Watch ECG Feature Receives Final Medical Approval in Japan - MacRumorsOpen MenuShow RoundupsShow Forums menuVisit ForumsOpen Sidebar
Skip to Content

Apple Watch ECG Feature Receives Final Medical Approval in Japan

Apple's ECG app and irregular heart rhythm notifications on the Apple Watch Series 4 and 5 have received domestic approval and certification from Japan's medical authorities, indicating that both features should go live in the country very soon.

ecgapplewatchinaction
The approval was confirmed by the Japanese Association for the Advancement of Medical Equipment (JAAME) on Friday, September 4, and subsequently reported by tech blog iPhone Mania today. An imminent update to Apple's watchOS will likely turn on the features for existing Apple Watch owners.

As a result of the approval, the Ochanomizu Department of Cardiology has begun moving forward with its Apple Watch Outpatient program, which will help registered patients use devices to help them record suspected arrhythmia attacks and submit them for further detailed examination.

‌Apple Watch‌ Series 4 and 5 users can generate an ECG waveform in just 30 seconds by placing their finger on the Digital Crown. The idea is that you can take this information to your doctor, if the results are abnormal, and use it as a basis to discover if you have any larger issues at hand.

japan apple watch ecg final medical approval
Apple routinely has to gain approval from government health agencies before marketing the ‌Apple Watch‌'s ECG feature in different countries. Apple won U.S. FDA clearance to promote the function when the ‌Apple Watch‌ Series 4 launched in 2018.

Japan's Pharmaceuticals and Medical Devices Agency (PMDA) updated its list of registered foreign manufacturers to include Apple as a "certified entity" in June.

Related Roundup: Apple Watch 11
Tags: ECG, Japan
Buyer's Guide: Apple Watch (Neutral)

Popular Stories

iPhone 18 Pro Deep Red Feature

iPhone 18 Pro Launching Later This Year With These 12 New Features

Wednesday March 18, 2026 7:39 am PDT by
While the iPhone 18 Pro and iPhone 18 Pro Max are not expected to launch for another six months or so, there are already plenty of rumors about the devices. It was initially reported that the iPhone 18 Pro models would have fully under-screen Face ID, with only a front camera visible in the top-left corner of the screen. However, the latest rumors indicate that only one Face ID component...
ios 26 4 yellow

Here Are Apple's Release Notes for iOS 26.4

Wednesday March 18, 2026 11:56 am PDT by
Apple provided developers and public beta testers with the release candidate versions of iOS 26.4 and iPadOS 26.4, which means we're going to see a public launch as soon as next week. The RC versions of the software include Apple's official release notes, giving us final details on what's included in the update. Apple Music - Playlist Playground (beta) generates a playlist from your...
Apple Logo Sketch Feature

Apple Has Now Unveiled Eight New Products This Month

Tuesday March 17, 2026 9:25 am PDT by
Apple has unveiled a whopping eight new products so far this March, including an iPhone 17e, iPad Air models with the M4 chip, MacBook Air models with the M5 chip, MacBook Pro models with M5 Pro and M5 Max chips, the all-new MacBook Neo, an updated Studio Display, a higher-end Studio Display XDR, and now the AirPods Max 2 this week. iPhone 17e features the same overall design as the iPhone...

Top Rated Comments

72 months ago
?Australia anyone.
Score: 17 Votes (Like | Disagree)
Biglethal69 Avatar
72 months ago
Still waiting in AUSTRALIA!!!!! APPLE!!!!!!
Score: 9 Votes (Like | Disagree)
JoshBoy Avatar
72 months ago
And Australia keeps waiting
Score: 7 Votes (Like | Disagree)
72 months ago

I live in Japan, have a series 5 I bought here and the ECG app has been live since at least around the new year. It might have just gained official approval but it's been turned on for months.
Either you have a really specific bug, or you activated your Apple Watch while overseas, because I don't know anyone that can use ECG with an Apple Watch they activated in Japan.
Score: 3 Votes (Like | Disagree)
72 months ago
I got really exited until I finished reading the end of the title.
Score: 3 Votes (Like | Disagree)
72 months ago

It wouldn't matter where a Japanese market model was activated. The ECG app will not work until the official firmware enabling it is released.

It is possible to buy overseas models here in Japan. I did for my previous Series 2. I purchased it while on a trip home in the USA. The downside of that was that I lost all ability to use Apple Pay locally here in Japan, no SUICA transit support, etc.
Thanks. I live in Japan, too. I got a Series 5 when I finally got fed up of my utterly inaccurate Fitbit.***

It's been great so far but there's no way the ECG has been active. My friend's a doctor who also happens to be an iOS developer on the side. He tried and couldn't get ECG to work on his Series 4. I'm pretty sure if it worked, he'd have been able to make it work. The previous comment you replied to had me confused and you clarified it nicely.


***Using Fitbit made me think I had a hormone imbalance and a sleep problem due to its inaccuracies. I was gaining weight even though I meticulously counted calories and keeping what I thought was a 600 calorie deficit. Then a friend loaned me his Apple Watch. My world changed. I wore both and realized I had a caloric surplus because Fitbit grossly overestimated my caloric burn.
Among other things, Fitbit would show exaggerated caloric burn and several extra flights of stairs climbed when I road a train/subway to work, but failed to measure the stairs I climbed to get to my third floor office (when not taking the elevator). It showed me burning up to 8 calories a minute by shuffling my feet, but only 30 calories burned during an hour of weight lifting. The worst part was that Fitbit offers expensive fitness coaching and I wouldn't be surprised at all if it's planned. The more people trust Fitbit, the more they doubt themselves. Then to fix themselves they pay loads of money for Fitbit trainers, ultimately becoming dependent on them to help save themselves. It almost seems like narcissistic gaslighting.
Score: 2 Votes (Like | Disagree)
Related Apple News: Health | News | World News | Business | Opinion