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Apple is now banned from selling its latest Apple Watches in the US
(www.theverge.com)
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Additionally, the claimed infringement relates to the fact that it's reflective pulse oximetry using three or more sensors. Your Garmin and old Apple watch aren't infringing because they use two sensors. I think the patent in its current state should not have been granted. It would be like patenting the placement of three or more CPU sockets on motherboards that fit in a certain rack size.