{ "id": "AIBD-0023", "title": "Apple Watch Fall Detection summoning help after out-of-hospital cardiac arrest", "summary": "Fall Detection on his Apple Watch Series 10 called emergency services, and he recovered fully after CPR and hospital treatment.", "date_observed": "2026-01-01", "date_basis": "event", "date_precision": "day", "benefit_status": null, "source_collection": null, "source_entry": null, "account": "A case report published on 12 August 2026 describes a 69-year-old man who collapsed from ventricular fibrillation while running alone. He was on a dead-end road, hidden behind a hedge. The paper gives no date or place. The authors' hospitals are Radboud University Medical Center, Nijmegen, and Slingeland Hospital, Doetinchem. His Apple Watch (reported as Apple Watch 10) with Fall Detection enabled detected the fall. It automatically alerted his predefined emergency contacts and the emergency medical services by calling 112. Family members reached him, found him unresponsive and began cardiopulmonary resuscitation (CPR) about 6–7 minutes after the collapse. An ambulance arrived about 1.5 minutes later, defibrillated him and restored circulation. He underwent coronary artery bypass grafting and defibrillator implantation, was discharged on day 29 and made a full neurological recovery. Two interviews identify the patient as Alwi Siebers, 69, of Varsseveld, and date the collapse to 1 January 2026. Men's Health NL (28 April 2026) opens “1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland” (1 January 2026 begins for 69-year-old Alwi Siebers as an ordinary running day; the keen runner from Varsseveld is training for the Montferland half marathon). His son Tristan says “De locatie was heel precies. Hij lag achter een heg op een afgelegen plek. Zonder die melding had ik hem niet zo snel gevonden” (the location was very precise; he was lying behind a hedge in a remote spot; without that alert I would not have found him so quickly). WANT (1 May 2026) quotes Siebers, “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon” (I know from my activity log that I started my training loop at twelve past twelve). It reproduces the alert his son received, headed “do 1 jan, 12:12”. The interviews match the paper on the man's age and the Apple Watch Series 10 with fall detection. They also match on the automatic alert to 112 and to his emergency contacts, the hedge and the remote spot. They match on the son starting CPR and the daughter giving mouth-to-mouth, and a history of asthma and bronchiectasis. They match on six days in intensive care, four bypass grafts, an ICD and a full recovery. No source names both the paper and Siebers, so the identification is inferred from these details. Men's Health says that Siebers also pressed the SOS button himself and that a pulse returned within about three minutes. The paper's timeline does not support that: CPR after 6–7 minutes, four shocks, adrenaline and amiodarone before circulation returned. The street is probable but inferred. A fire-brigade pager message of 1 January 2026 at 12:18:59 records a resuscitation on the Oude Doetinchemseweg in Varsseveld. That is a dead-end road at the western edge of the village. The map in the alert screenshot shows the pin on a side road off the Doetinchemseweg. No source names the street in connection with Siebers.", "category": "harm prevented", "unexpected": false, "purpose": "Fall Detection is built to recognize a hard fall and, if the wearer stays immobile, to call emergency services and notify contacts with the location. That is what it did.", "system": "Apple Watch Fall Detection", "model_version": null, "developer": "Apple", "deployer": null, "location": "Varsseveld, Gelderland, Netherlands", "domain": "Emergency medicine / resuscitation", "segment": "Consumer wearables", "benefit_type": "Improved Physical Health", "taxonomy_note": null, "registry_ids": {}, "ratings": [ { "group": "personal", "depth": 5, "reason": "The patient was alone and hidden from view in cardiac arrest. The automatic alerts brought CPR within 6–7 minutes. He left hospital neurologically intact, which the source presents as life-saving." } ], "ai_role": { "status": "assessed", "statement": "The paper reports that the watch recognized the fall and automatically called 112 and alerted emergency contacts. Those alerts brought responders to the man behind the hedge. Humans provided resuscitation, defibrillation, and surgery. The watch's contribution is documented in the clinical narrative, but the time to rescue or outcome without it cannot be measured from this case. Apple's documentation describes the detection and notification sequence without disclosing the classifier or model version." }, "evidence": [ { "kind": "case report", "citation": "Jansen CE, Jaspers Focks J, Manglani Rodriguez S, Pol L, Edgar R, van Royen N, Bonnes JL (2026). Wearable saving lives: a case report. Resuscitation Plus 31:101447.", "title": "Wearable saving lives: a case report", "url": "https://europepmc.org/article/PMC/PMC13543876", "date": "2026-08-12", "written_by": "independent", "quote": "The Apple Watch detected the fall and automatically alerted predefined emergency contacts as well as the emergency medical services by calling 112." }, { "kind": "news report", "citation": "Boerman, E. (2026). ‘Ik was voor drie minuten dood, maar mijn Apple Watch redde mijn leven’. Men's Health NL, April 28, 2026.", "title": "Hartstilstand tijdens hardlopen: Apple Watch redt leven", "url": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "date": "2026-04-28", "written_by": "independent", "quote": "1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland en trekt eropuit zoals hij dat al jaren doet. Toch gaat het mis. Alwi krijgt tijdens het lopen een hartstilstand." }, { "kind": "news report", "citation": "Kraak J (2026). Apple Watch Series 10 redt leven van Alwi (69) en stuurt 112-melding: zelfs Tim Cook reageert. WANT, 1 May 2026 (with the alert screenshot headed 'do 1 jan, 12:12').", "title": "Apple Watch Series 10 redt leven van Alwi (69) en stuurt 112-melding: zelfs Tim Cook reageert", "url": "https://www.want.nl/apple-watch-leven-gered-alwi-siebers/", "date": "2026-05-01", "written_by": "independent", "quote": "Het ging 1 januari van dit jaar echter mis. “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon.” Niet veel later kreeg zoon Tristan een bericht op zijn smartphone. Dat bericht was niet gestuurd door Alwi zelf, maar door zijn Apple Watch Series 10. Het was een melding dat zijn vader gevallen was." }, { "kind": "other", "citation": "112-meldingen.nl (2026). P2000 pager message, Varsseveld, 1 January 2026, 12:18:59, fire brigade Lichtenvoorde (resuscitation, privacy screen), with ambulance capcodes at 12:17 and 12:18.", "title": "Incident Oude Doetinchemseweg Varsseveld", "url": "https://112-meldingen.nl/112-varsseveld/incident-oude-doetinchemseweg-varsseveld-1402058", "date": "2026-01-01", "written_by": "unknown", "quote": "0803203 12:18:59 01-01-26 P 2 BON-02 Reanimatie (zichtscherm) Oude Doetinchemseweg Varsseveld 066371" }, { "kind": "other", "citation": "Apple. Use Fall Detection with Apple Watch, May 6, 2026; “How it works,” “What happens if your Apple Watch detects that you're immobile,” and notes 1–3.", "title": "Use Fall Detection with Apple Watch", "url": "https://support.apple.com/en-us/108896", "date": "2026-05-06", "written_by": "makers", "quote": null } ], "replication": { "produced_by": [ "Fall Detection is enabled on a worn Apple Watch with cellular or phone connectivity", "The wearer collapses with an impact the classifier recognizes and then stays immobile", "Emergency services and contacts can reach the shared location quickly" ], "must_hold": [ "The watch has connectivity at the scene", "The collapse produces a detectable fall signature", "Responders arrive within the window in which resuscitation can succeed" ], "echoes": [ { "date": "2024-05-13", "setting": "elderly man, found by his wife lying unresponsive on the floor; place and setting not stated in the abstract (authors: EMS medical director for the District of Herford and Herford Hospital, Germany); smartwatch brand not stated in the accessible abstract (full text paywalled); watch auto-reported the fall from ventricular fibrillation to the local emergency control center, the dispatcher phoned his wife, EMS resuscitated him, discharged without long-term complications (publication date)", "model_version": null, "outcome": "recurred", "source": "Grautoff & Watol (2024). Herzschr Elektrophys 35(2):140-143. https://doi.org/10.1007/s00399-024-01026-w" } ] }, "paired_incident": { "database": "AI Incident Database", "identifier": "463", "title": "Apple Devices Mistook Skiing Activities, Dialed False Distress Emergency Calls", "url": "https://incidentdatabase.ai/cite/463", "severity": null, "group": "personal", "basis": "Same developer and feature family: Apple Watch automatic emergency calling; Fall Detection summoned 112 for a collapsed runner, while Crash Detection placed false 911 calls for skiers, harming Apple Watch users and emergency dispatchers." }, "headline": "An Apple Watch called for help after a runner’s heart stopped", "metric": "CPR at 6–7 min, full neurological recovery", "comparator": { "against": "being found without the automatic alert, on a remote spot behind a hedge", "before": "Zonder die melding had ik hem niet zo snel gevonden (without that alert I would not have found him so quickly)", "after": "CPR approximately 6–7 min after collapse; full neurological recovery", "basis": "assumed", "quote": "'De locatie was heel precies. Hij lag achter een heg op een afgelegen plek. Zonder die melding had ik hem niet zo snel gevonden.'", "url": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven" }, "later": { "status": "unknown", "date": null, "note": "No development dated after the 1 January 2026 event beyond the case report and interviews already cited was found.", "quote": null, "url": null }, "value": null, "developer_country": "United States", "deployer_country": null, "unrated_because": null, "brief_notes": null, "brief": null, "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "source": null, "editor": "AIBD" }, { "date": "2026-10-20", "change": "Paired with AI Incident Database incident 463 (high confidence); severity not given by the source.", "source": "https://incidentdatabase.ai/cite/463", "editor": "AIBD" }, { "date": "2026-10-20", "change": "Noted in the account that the Netherlands is inferred from the authors' affiliations rather than stated in the case text, and removed “at home” and “Herford district” from the Grautoff & Watol echo because the abstract gives no place or setting beyond the patient lying on the floor.", "source": "https://europepmc.org/article/PMC/PMC13543876 ; https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.1007/s00399-024-01026-w&resultType=core&format=json", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Dated to 1 January 2026 and placed at Varsseveld from two interviews with the patient (Men's Health NL, WANT); the street, Oude Doetinchemseweg, is inferred from a dispatch log and the alert's map and marked as such; sources added.", "source": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer added from the organization's own site or a registry.", "source": "https://en.wikipedia.org/wiki/Apple_Inc.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "source": null, "editor": "AIBD" }, { "date": "2026-10-23", "change": "Personal benefit depth changed from 4 to 5 for the reported life-preserving outcome.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Removed the separate 2024 ventricular-fibrillation case from this patient's evidence and consolidated the two Men's Health excerpts. Retained the clinical report as the lead, the interviews for identification and contradictory details, and the pager reproduction only for contextual dispatch timing. Added the Apple documentation cited by the clinical paper for the device's behavior. Preserved that linking the anonymous patient to Alwi Siebers is an inference.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Rewrote the short title and summary in plain language, preserving the reported benefit and material limits. Added the named publication or institution to the reviewed lead source for homepage display.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Identified the AI system or feature in the supporting summary, or stated that the source does not name the software. Preserved the reported benefit and material qualifications.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Shortened the homepage supporting statement to one sentence naming the system and its contribution; retained detailed outcomes and qualifications in the case account and source notes.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Moved Apple Watch Series 10 from the AI model-version field to the documented hardware configuration. Reviewed the original clinical report, patient interviews, and Apple documentation; the deployed watchOS and classifier releases remain unreported.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Replaced “called 112” with “called emergency services” in the subtitle.", "source": null, "editor": "AIBD" } ], "confidence": "studied", "shade": "high", "claim_status": "Independently studied", "claim_basis": "Sources: one independent case report, two independent news reports, the makers' other and one other with authorship relationship unassessed. The cited evidence includes no finding by a regulator or court.", "profile": { "case_id": "AIBD-0023", "catalog_version": "1.0.0", "source_fingerprint": "8049d87606517d6e72056f910c254541f517f3b85d1f9e8ff95f9e6782ad1ebd", "collection_refs": [ { "collection_id": "aibd", "version": "snapshot-8bf7cfec9cb185aa" }, { "collection_id": "aibd", "version": "2026-10-25" }, { "collection_id": "viator", "version": "2026-10-25" }, { "collection_id": "adyt", "version": "2026-10-25" } ], "source_ids": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "families": { "strategic assessments": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "evaluations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "monetary observations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] }, "institutional decisions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "record_ids": [] } }, "fields": { "actors[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "developer": "Apple" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "developer" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "actors[].ownership_control": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "ai_contribution": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ai_role": { "status": "assessed", "statement": "The paper reports that the watch recognized the fall and automatically called 112 and alerted emergency contacts. Those alerts brought responders to the man behind the hedge. Humans provided resuscitation, defibrillation, and surgery. The watch's contribution is documented in the clinical narrative, but the time to rescue or outcome without it cannot be measured from this case. Apple's documentation describes the detection and notification sequence without disclosing the classifier or model version." } } }, "provenance": { "kind": "source_review", "basis": "Updated only the mapped fields affected by this source review. Other mapped content and review decisions are preserved.", "record_fields": [ "ai_role" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial", "display": { "answer": "The clinical report states that the watch detected the fall, called emergency services, and alerted emergency contacts. Responders found the man behind a hedge and treated his cardiac arrest. The report does not establish how quickly he would have been found without the watch.", "editor_note": "" } }, "ai_relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "category": "harm prevented", "ai_role": { "status": "assessed", "statement": "The paper reports that the watch recognized the fall and automatically called 112 and alerted emergency contacts. Those alerts brought responders to the man behind the hedge. Humans provided resuscitation, defibrillation, and surgery. The watch's contribution is documented in the clinical narrative, but the time to rescue or outcome without it cannot be measured from this case. Apple's documentation describes the detection and notification sequence without disclosing the classifier or model version." } } }, "provenance": { "kind": "source_review", "basis": "Updated only the mapped fields affected by this source review. 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}, "economics[].realization": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].recipient_payer": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].return_payback": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "economics[].valuation_method": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "monetary observations" }, "evaluations[].ai_uplift": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].comparator": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].design": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].effect": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].exposure": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].id": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].measurement_method": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].metric": { "state": "not_assessed", "provenance": { "kind": "legacy_record", "basis": "Mapped from the existing case description without a new external source review.", "record_fields": [ "metric" ], "source_refs": [] }, "review_state": "not_assessed", "coverage": "partial", "family": "evaluations", "display": { "answer": "CPR at 6–7 min, full neurological recovery", "editor_note": "" } }, "evaluations[].reproduction_materials": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].setting_sample": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "evaluations[].uncertainty_limitations": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "evaluations" }, "external_references[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "paired_incident": { "database": "AI Incident Database", "identifier": "463", "title": "Apple Devices Mistook Skiing Activities, Dialed False Distress Emergency Calls", "url": "https://incidentdatabase.ai/cite/463", "group": "personal", "basis": "Same developer and feature family: Apple Watch automatic emergency calling; Fall Detection summoned 112 for a collapsed runner, while Crash Detection placed false 911 calls for skiers, harming Apple Watch users and emergency dispatchers." } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "paired_incident" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "follow_up[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "later": { "status": "unknown", "note": "No development dated after the 1 January 2026 event beyond the case report and interviews already cited was found." } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "later" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "human_oversight": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "id": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "id": "AIBD-0023" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "id" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "infrastructure_dependencies[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].beneficiaries": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].beneficiary_count": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].benefit_type": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "benefit_type": "Improved Physical Health" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "benefit_type" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].claim": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "account": "A case report published on 12 August 2026 describes a 69-year-old man who collapsed from ventricular fibrillation while running alone. He was on a dead-end road, hidden behind a hedge. The paper gives no date or place. The authors' hospitals are Radboud University Medical Center, Nijmegen, and Slingeland Hospital, Doetinchem. His Apple Watch (reported as Apple Watch 10) with Fall Detection enabled detected the fall. It automatically alerted his predefined emergency contacts and the emergency medical services by calling 112. Family members reached him, found him unresponsive and began cardiopulmonary resuscitation (CPR) about 6–7 minutes after the collapse. An ambulance arrived about 1.5 minutes later, defibrillated him and restored circulation. He underwent coronary artery bypass grafting and defibrillator implantation, was discharged on day 29 and made a full neurological recovery. Two interviews identify the patient as Alwi Siebers, 69, of Varsseveld, and date the collapse to 1 January 2026. Men's Health NL (28 April 2026) opens “1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland” (1 January 2026 begins for 69-year-old Alwi Siebers as an ordinary running day; the keen runner from Varsseveld is training for the Montferland half marathon). His son Tristan says “De locatie was heel precies. Hij lag achter een heg op een afgelegen plek. Zonder die melding had ik hem niet zo snel gevonden” (the location was very precise; he was lying behind a hedge in a remote spot; without that alert I would not have found him so quickly). WANT (1 May 2026) quotes Siebers, “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon” (I know from my activity log that I started my training loop at twelve past twelve). It reproduces the alert his son received, headed “do 1 jan, 12:12”. The interviews match the paper on the man's age and the Apple Watch Series 10 with fall detection. They also match on the automatic alert to 112 and to his emergency contacts, the hedge and the remote spot. They match on the son starting CPR and the daughter giving mouth-to-mouth, and a history of asthma and bronchiectasis. They match on six days in intensive care, four bypass grafts, an ICD and a full recovery. No source names both the paper and Siebers, so the identification is inferred from these details. Men's Health says that Siebers also pressed the SOS button himself and that a pulse returned within about three minutes. The paper's timeline does not support that: CPR after 6–7 minutes, four shocks, adrenaline and amiodarone before circulation returned. The street is probable but inferred. A fire-brigade pager message of 1 January 2026 at 12:18:59 records a resuscitation on the Oude Doetinchemseweg in Varsseveld. That is a dead-end road at the western edge of the village. The map in the alert screenshot shows the pin on a side road off the Doetinchemseweg. No source names the street in connection with Siebers.", "benefit_type": "Improved Physical Health" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "benefit_type" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].distribution": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].duration": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].id": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].stakeholder_group": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "ratings": [ { "group": "personal", "depth": 5, "reason": "The patient was alone and hidden from view in cardiac arrest. The automatic alerts brought CPR within 6–7 minutes. He left hospital neurologically intact, which the source presents as life-saving." } ] } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "ratings" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "outcomes[].status": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].tradeoffs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "outcomes[].unexpected": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "unexpected": false, "purpose": "Fall Detection is built to recognize a hard fall and, if the wearer stays immobile, to call emergency services and notify contacts with the location. That is what it did." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "unexpected", "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "places[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "location": "Varsseveld, Gelderland, Netherlands", "developer_country": "United States" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "location", "developer_country" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "purpose": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "purpose": "Fall Detection is built to recognize a hard fall and, if the wearer stays immobile, to call emergency services and notify contacts with the location. That is what it did." } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "purpose" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "record_dates": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "date_observed": "2026-01-01", "date_basis": "event", "date_precision": "day", "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "editor": "AIBD" }, { "date": "2026-10-20", "change": "Paired with AI Incident Database incident 463 (high confidence); severity not given by the source.", "source": "https://incidentdatabase.ai/cite/463", "editor": "AIBD" }, { "date": "2026-10-20", "change": "Noted in the account that the Netherlands is inferred from the authors' affiliations rather than stated in the case text, and removed “at home” and “Herford district” from the Grautoff & Watol echo because the abstract gives no place or setting beyond the patient lying on the floor.", "source": "https://europepmc.org/article/PMC/PMC13543876 ; https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.1007/s00399-024-01026-w&resultType=core&format=json", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Dated to 1 January 2026 and placed at Varsseveld from two interviews with the patient (Men's Health NL, WANT); the street, Oude Doetinchemseweg, is inferred from a dispatch log and the alert's map and marked as such; sources added.", "source": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer added from the organization's own site or a registry.", "source": "https://en.wikipedia.org/wiki/Apple_Inc.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" }, { "date": "2026-10-23", "change": "Personal benefit depth changed from 4 to 5 for the reported life-preserving outcome.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Removed the separate 2024 ventricular-fibrillation case from this patient's evidence and consolidated the two Men's Health excerpts. Retained the clinical report as the lead, the interviews for identification and contradictory details, and the pager reproduction only for contextual dispatch timing. Added the Apple documentation cited by the clinical paper for the device's behavior. Preserved that linking the anonymous patient to Alwi Siebers is an inference.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Rewrote the short title and summary in plain language, preserving the reported benefit and material limits. Added the named publication or institution to the reviewed lead source for homepage display.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Identified the AI system or feature in the supporting summary, or stated that the source does not name the software. Preserved the reported benefit and material qualifications.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Shortened the homepage supporting statement to one sentence naming the system and its contribution; retained detailed outcomes and qualifications in the case account and source notes.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Moved Apple Watch Series 10 from the AI model-version field to the documented hardware configuration. Reviewed the original clinical report, patient interviews, and Apple documentation; the deployed watchOS and classifier releases remain unreported.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Replaced “called 112” with “called emergency services” in the subtitle.", "editor": "AIBD" } ] } }, "provenance": { "kind": "curatorial", "basis": "Clarified the emergency call in the subtitle without changing the underlying evidence.", "record_fields": [ "date_observed", "revisions", "date_basis", "date_precision" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "replication.attempts[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "replication": { "produced_by": [ "Fall Detection is enabled on a worn Apple Watch with cellular or phone connectivity", "The wearer collapses with an impact the classifier recognizes and then stays immobile", "Emergency services and contacts can reach the shared location quickly" ], "must_hold": [ "The watch has connectivity at the scene", "The collapse produces a detectable fall signature", "Responders arrive within the window in which resuscitation can succeed" ], "echoes": [ { "date": "2024-05-13", "setting": "elderly man, found by his wife lying unresponsive on the floor; place and setting not stated in the abstract (authors: EMS medical director for the District of Herford and Herford Hospital, Germany); smartwatch brand not stated in the accessible abstract (full text paywalled); watch auto-reported the fall from ventricular fibrillation to the local emergency control center, the dispatcher phoned his wife, EMS resuscitated him, discharged without long-term complications (publication date)", "outcome": "recurred", "source": "Grautoff & Watol (2024). Herzschr Elektrophys 35(2):140-143. https://doi.org/10.1007/s00399-024-01026-w" } ] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "replication.conditions": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "replication": { "produced_by": [ "Fall Detection is enabled on a worn Apple Watch with cellular or phone connectivity", "The wearer collapses with an impact the classifier recognizes and then stays immobile", "Emergency services and contacts can reach the shared location quickly" ], "must_hold": [ "The watch has connectivity at the scene", "The collapse produces a detectable fall signature", "Responders arrive within the window in which resuscitation can succeed" ], "echoes": [ { "date": "2024-05-13", "setting": "elderly man, found by his wife lying unresponsive on the floor; place and setting not stated in the abstract (authors: EMS medical director for the District of Herford and Herford Hospital, Germany); smartwatch brand not stated in the accessible abstract (full text paywalled); watch auto-reported the fall from ventricular fibrillation to the local emergency control center, the dispatcher phoned his wife, EMS resuscitated him, discharged without long-term complications (publication date)", "outcome": "recurred", "source": "Grautoff & Watol (2024). Herzschr Elektrophys 35(2):140-143. https://doi.org/10.1007/s00399-024-01026-w" } ] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "revision_history[]": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "revisions": [ { "date": "2026-10-20", "change": "Record drafted from the cited sources.", "editor": "AIBD" }, { "date": "2026-10-20", "change": "Paired with AI Incident Database incident 463 (high confidence); severity not given by the source.", "source": "https://incidentdatabase.ai/cite/463", "editor": "AIBD" }, { "date": "2026-10-20", "change": "Noted in the account that the Netherlands is inferred from the authors' affiliations rather than stated in the case text, and removed “at home” and “Herford district” from the Grautoff & Watol echo because the abstract gives no place or setting beyond the patient lying on the floor.", "source": "https://europepmc.org/article/PMC/PMC13543876 ; https://www.ebi.ac.uk/europepmc/webservices/rest/search?query=DOI:10.1007/s00399-024-01026-w&resultType=core&format=json", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Dated to 1 January 2026 and placed at Varsseveld from two interviews with the patient (Men's Health NL, WANT); the street, Oude Doetinchemseweg, is inferred from a dispatch log and the alert's map and marked as such; sources added.", "source": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Benefit type set to Improved Physical Health under Trustible's full taxonomy of 23 types; it was Improved Accessibility among the six first used.", "source": "https://trustible.ai/post/a-framework-for-measuring-the-benefits-of-ai/", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Added what the benefit is measured against from the cited sources.", "source": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Country of the developer added from the organization's own site or a registry.", "source": "https://en.wikipedia.org/wiki/Apple_Inc.", "editor": "AIBD" }, { "date": "2026-10-21", "change": "Prose pass: a rating reason, account, purpose, the system's part rewritten in shorter sentences with abbreviations expanded; facts, figures and quotations unchanged.", "editor": "AIBD" }, { "date": "2026-10-23", "change": "Personal benefit depth changed from 4 to 5 for the reported life-preserving outcome.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Removed the separate 2024 ventricular-fibrillation case from this patient's evidence and consolidated the two Men's Health excerpts. Retained the clinical report as the lead, the interviews for identification and contradictory details, and the pager reproduction only for contextual dispatch timing. Added the Apple documentation cited by the clinical paper for the device's behavior. Preserved that linking the anonymous patient to Alwi Siebers is an inference.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Rewrote the short title and summary in plain language, preserving the reported benefit and material limits. Added the named publication or institution to the reviewed lead source for homepage display.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Identified the AI system or feature in the supporting summary, or stated that the source does not name the software. Preserved the reported benefit and material qualifications.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Shortened the homepage supporting statement to one sentence naming the system and its contribution; retained detailed outcomes and qualifications in the case account and source notes.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Moved Apple Watch Series 10 from the AI model-version field to the documented hardware configuration. Reviewed the original clinical report, patient interviews, and Apple documentation; the deployed watchOS and classifier releases remain unreported.", "source": "https://europepmc.org/article/PMC/PMC13543876", "editor": "AIBD" }, { "date": "2026-10-24", "change": "Replaced “called 112” with “called emergency services” in the subtitle.", "editor": "AIBD" } ] } }, "provenance": { "kind": "curatorial", "basis": "Clarified the emergency call in the subtitle without changing the underlying evidence.", "record_fields": [ "revisions" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "sector": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "domain": "Emergency medicine / resuscitation", "segment": "Consumer wearables" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "domain", "segment" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "sources[].access_version": { "state": "value_present", "value": { "kind": "structured", "data": { "reviewed_on": "2026-10-24", "versions_and_access": [ { "source_url": "https://europepmc.org/article/PMC/PMC13543876", "access_url": "https://www.ebi.ac.uk/europepmc/webservices/rest/PMC13543876/fullTextXML", "status": "Full clinical text and references read." }, { "source_url": "https://support.apple.com/en-us/108896", "version": "May 6, 2026 documentation; later than the reported January event." } ], "limitations": [ "The clinical paper and interviews conflict on manual SOS and the time to return of circulation.", "No source explicitly links the named interviewee to the anonymous clinical case. The street remains inferred.", "The exact Apple classifier, learning method and deployed version are not disclosed in the cited device documentation.", "The original emergency dispatch record and raw watch logs were not available." ] } }, "provenance": { "kind": "source_review", "basis": "Read the available originals and relevant source chains, with unresolved access and evidentiary limits recorded explicitly.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete", "display": { "answer": "The clinical report and patient interviews describe the rescue. They differ on manual SOS activation and the time to return of circulation. Emergency dispatch records and raw watch logs are unavailable.", "editor_note": "" } }, "sources[].citation_locator": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "case report", "citation": "Jansen CE, Jaspers Focks J, Manglani Rodriguez S, Pol L, Edgar R, van Royen N, Bonnes JL (2026). Wearable saving lives: a case report. Resuscitation Plus 31:101447.", "title": "Wearable saving lives: a case report", "url": "https://europepmc.org/article/PMC/PMC13543876", "date": "2026-08-12", "written_by": "independent", "quote": "The Apple Watch detected the fall and automatically alerted predefined emergency contacts as well as the emergency medical services by calling 112." }, { "kind": "news report", "citation": "Boerman, E. (2026). ‘Ik was voor drie minuten dood, maar mijn Apple Watch redde mijn leven’. Men's Health NL, April 28, 2026.", "title": "Hartstilstand tijdens hardlopen: Apple Watch redt leven", "url": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "date": "2026-04-28", "written_by": "independent", "quote": "1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland en trekt eropuit zoals hij dat al jaren doet. Toch gaat het mis. Alwi krijgt tijdens het lopen een hartstilstand." }, { "kind": "news report", "citation": "Kraak J (2026). Apple Watch Series 10 redt leven van Alwi (69) en stuurt 112-melding: zelfs Tim Cook reageert. WANT, 1 May 2026 (with the alert screenshot headed 'do 1 jan, 12:12').", "title": "Apple Watch Series 10 redt leven van Alwi (69) en stuurt 112-melding: zelfs Tim Cook reageert", "url": "https://www.want.nl/apple-watch-leven-gered-alwi-siebers/", "date": "2026-05-01", "written_by": "independent", "quote": "Het ging 1 januari van dit jaar echter mis. “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon.” Niet veel later kreeg zoon Tristan een bericht op zijn smartphone. Dat bericht was niet gestuurd door Alwi zelf, maar door zijn Apple Watch Series 10. Het was een melding dat zijn vader gevallen was." }, { "kind": "other", "citation": "112-meldingen.nl (2026). P2000 pager message, Varsseveld, 1 January 2026, 12:18:59, fire brigade Lichtenvoorde (resuscitation, privacy screen), with ambulance capcodes at 12:17 and 12:18.", "title": "Incident Oude Doetinchemseweg Varsseveld", "url": "https://112-meldingen.nl/112-varsseveld/incident-oude-doetinchemseweg-varsseveld-1402058", "date": "2026-01-01", "written_by": "unknown", "quote": "0803203 12:18:59 01-01-26 P 2 BON-02 Reanimatie (zichtscherm) Oude Doetinchemseweg Varsseveld 066371" }, { "kind": "other", "citation": "Apple. Use Fall Detection with Apple Watch, May 6, 2026; “How it works,” “What happens if your Apple Watch detects that you're immobile,” and notes 1–3.", "title": "Use Fall Detection with Apple Watch", "url": "https://support.apple.com/en-us/108896", "date": "2026-05-06", "written_by": "makers" } ] } }, "provenance": { "kind": "source_review", "basis": "Updated only the mapped fields affected by this source review. Other mapped content and review decisions are preserved.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "sources[].id": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "role": "Retained evidence sources in reviewed order" }, "provenance": { "kind": "curatorial", "basis": "Preserved existing source identifiers and appended the material technical source where applicable.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete" }, "sources[].language": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "sources[].relationship": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "evidence": [ { "kind": "case report", "citation": "Jansen CE, Jaspers Focks J, Manglani Rodriguez S, Pol L, Edgar R, van Royen N, Bonnes JL (2026). Wearable saving lives: a case report. Resuscitation Plus 31:101447.", "title": "Wearable saving lives: a case report", "url": "https://europepmc.org/article/PMC/PMC13543876", "date": "2026-08-12", "written_by": "independent", "quote": "The Apple Watch detected the fall and automatically alerted predefined emergency contacts as well as the emergency medical services by calling 112." }, { "kind": "news report", "citation": "Boerman, E. (2026). ‘Ik was voor drie minuten dood, maar mijn Apple Watch redde mijn leven’. Men's Health NL, April 28, 2026.", "title": "Hartstilstand tijdens hardlopen: Apple Watch redt leven", "url": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "date": "2026-04-28", "written_by": "independent", "quote": "1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland en trekt eropuit zoals hij dat al jaren doet. Toch gaat het mis. Alwi krijgt tijdens het lopen een hartstilstand." }, { "kind": "news report", "citation": "Kraak J (2026). Apple Watch Series 10 redt leven van Alwi (69) en stuurt 112-melding: zelfs Tim Cook reageert. WANT, 1 May 2026 (with the alert screenshot headed 'do 1 jan, 12:12').", "title": "Apple Watch Series 10 redt leven van Alwi (69) en stuurt 112-melding: zelfs Tim Cook reageert", "url": "https://www.want.nl/apple-watch-leven-gered-alwi-siebers/", "date": "2026-05-01", "written_by": "independent", "quote": "Het ging 1 januari van dit jaar echter mis. “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon.” Niet veel later kreeg zoon Tristan een bericht op zijn smartphone. Dat bericht was niet gestuurd door Alwi zelf, maar door zijn Apple Watch Series 10. Het was een melding dat zijn vader gevallen was." }, { "kind": "other", "citation": "112-meldingen.nl (2026). P2000 pager message, Varsseveld, 1 January 2026, 12:18:59, fire brigade Lichtenvoorde (resuscitation, privacy screen), with ambulance capcodes at 12:17 and 12:18.", "title": "Incident Oude Doetinchemseweg Varsseveld", "url": "https://112-meldingen.nl/112-varsseveld/incident-oude-doetinchemseweg-varsseveld-1402058", "date": "2026-01-01", "written_by": "unknown", "quote": "0803203 12:18:59 01-01-26 P 2 BON-02 Reanimatie (zichtscherm) Oude Doetinchemseweg Varsseveld 066371" }, { "kind": "other", "citation": "Apple. Use Fall Detection with Apple Watch, May 6, 2026; “How it works,” “What happens if your Apple Watch detects that you're immobile,” and notes 1–3.", "title": "Use Fall Detection with Apple Watch", "url": "https://support.apple.com/en-us/108896", "date": "2026-05-06", "written_by": "makers" } ] } }, "provenance": { "kind": "source_review", "basis": "Updated only the mapped fields affected by this source review. Other mapped content and review decisions are preserved.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "partial" }, "sources[].upstream_sources": { "state": "value_present", "value": { "kind": "structured", "data": { "reviewed_on": "2026-10-24", "lead_source_ref": "AIBD-0023-source-0001", "retained_source_order": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "origins": [ { "url": "https://europepmc.org/article/PMC/PMC13543876", "contribution": "Original clinical narrative establishes CPR timing, resuscitation, surgery and neurological recovery.", "locator": "Case report; case presentation and discussion; reference 5.", "relationship": "Treating clinical authors report the episode, separately from the device manufacturer.", "source_refs": [ "AIBD-0023-source-0001" ], "display_name": "Resuscitation Plus" }, { "url": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "contribution": "Interview supplies the name, January 1 event date, family testimony and conflicting SOS/recovery details.", "locator": "Opening narrative and quotations from Alwi and Tristan Siebers.", "relationship": "Original interview. The source does not identify the anonymized journal patient.", "source_refs": [ "AIBD-0023-source-0002" ] }, { "url": "https://www.want.nl/apple-watch-leven-gered-alwi-siebers/", "contribution": "Separate interview and reproduced alert screenshot provide date, watch model and location context.", "locator": "Patient and son interviews; screenshot headed “do 1 jan, 12:12”.", "relationship": "Original reporting from the same witnesses, not another clinical evaluation.", "source_refs": [ "AIBD-0023-source-0003" ] }, { "url": "https://112-meldingen.nl/112-varsseveld/incident-oude-doetinchemseweg-varsseveld-1402058", "contribution": "Reproduced P2000 dispatch gives contextual street and time.", "locator": "Message 0803203, January 1, 2026, 12:18:59.", "relationship": "Intermediary reproduction of emergency traffic. It does not identify the patient.", "source_refs": [ "AIBD-0023-source-0004" ] }, { "url": "https://support.apple.com/en-us/108896", "contribution": "Manufacturer describes automatic calling, immobility timing, connection requirements and false alerts.", "locator": "How it works; immobility section; notes 1–3.", "relationship": "Primary technical description from Apple, not validation of this rescue.", "source_refs": [ "AIBD-0023-source-0005" ] } ], "claim_chains": [ { "claim": "Resuscitation and recovery", "path": [ "https://europepmc.org/article/PMC/PMC13543876" ], "finding": "Clinical case is the original source. Its patient identity and event date are not disclosed." }, { "claim": "Identity, date, and street", "path": [ "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "https://www.want.nl/apple-watch-leven-gered-alwi-siebers/", "https://112-meldingen.nl/112-varsseveld/incident-oude-doetinchemseweg-varsseveld-1402058" ], "finding": "Interview details support an inferred match. The pager entry establishes a dispatch, not the identity of the patient." }, { "claim": "Detection and automatic calls", "path": [ "https://europepmc.org/article/PMC/PMC13543876", "Reference 5", "https://support.apple.com/en-us/108896" ], "finding": "Apple describes functional behavior and connection limits. The case report's separate DETECT-2 reference concerns a different experimental system and cannot establish the deployed Apple model." } ], "limitations": [ "The clinical paper and interviews conflict on manual SOS and the time to return of circulation.", "No source explicitly links the named interviewee to the anonymous clinical case. The street remains inferred.", "The exact Apple classifier, learning method and deployed version are not disclosed in the cited device documentation.", "The original emergency dispatch record and raw watch logs were not available." ], "excluded_or_consolidated_sources": [ { "url": "https://doi.org/10.1007/s00399-024-01026-w", "reason": "Different 2024 patient; cannot corroborate the 2026 episode." }, { "url": "https://www.menshealth.nl/nieuws/hartstilstand-tijdens-hardlopen-apple-watch-redt-leven", "reason": "Second excerpt of the same Men's Health article." } ], "review_scope": "Traced the claims in this case through accessible original publications and relevant embedded references, tables, appendices, corrections, and supplements. The stated access limits remain unresolved.", "system_identity_review": { "reviewed_on": "2026-10-24", "hardware_source_ref": "AIBD-0023-source-0001", "technical_source_ref": "AIBD-0023-source-0005", "locators": [ "Clinical report: Case description, opening paragraph", "Clinical report: reference 5", "Apple: Here's how it works; What happens if your Apple Watch detects that you're immobile" ], "finding": "The sources establish Apple Watch Series 10 and Fall Detection. They do not establish the installed watchOS version, a separate classifier name, or its release.", "excluded_identification": "The DETECT-2 algorithm in reference 10 of the clinical report is a different experimental system and cannot identify the classifier installed on the patient's Apple Watch." } } }, "provenance": { "kind": "source_review", "basis": "Read the available originals and relevant source chains, with unresolved access and evidentiary limits recorded explicitly.", "record_fields": [ "evidence" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete", "display": { "answer": "Treating clinicians describe the rescue and recovery. Separate patient and family interviews supply the name, date, and watch hardware. Apple explains how Fall Detection works, without verifying this rescue.", "editor_note": "" } }, "strategic_assessments[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial", "family": "strategic assessments" }, "summary": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "summary": "Fall Detection on his Apple Watch Series 10 called emergency services, and he recovered fully after CPR and hospital treatment.", "account": "A case report published on 12 August 2026 describes a 69-year-old man who collapsed from ventricular fibrillation while running alone. He was on a dead-end road, hidden behind a hedge. The paper gives no date or place. The authors' hospitals are Radboud University Medical Center, Nijmegen, and Slingeland Hospital, Doetinchem. His Apple Watch (reported as Apple Watch 10) with Fall Detection enabled detected the fall. It automatically alerted his predefined emergency contacts and the emergency medical services by calling 112. Family members reached him, found him unresponsive and began cardiopulmonary resuscitation (CPR) about 6–7 minutes after the collapse. An ambulance arrived about 1.5 minutes later, defibrillated him and restored circulation. He underwent coronary artery bypass grafting and defibrillator implantation, was discharged on day 29 and made a full neurological recovery. Two interviews identify the patient as Alwi Siebers, 69, of Varsseveld, and date the collapse to 1 January 2026. Men's Health NL (28 April 2026) opens “1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland” (1 January 2026 begins for 69-year-old Alwi Siebers as an ordinary running day; the keen runner from Varsseveld is training for the Montferland half marathon). His son Tristan says “De locatie was heel precies. Hij lag achter een heg op een afgelegen plek. Zonder die melding had ik hem niet zo snel gevonden” (the location was very precise; he was lying behind a hedge in a remote spot; without that alert I would not have found him so quickly). WANT (1 May 2026) quotes Siebers, “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon” (I know from my activity log that I started my training loop at twelve past twelve). It reproduces the alert his son received, headed “do 1 jan, 12:12”. The interviews match the paper on the man's age and the Apple Watch Series 10 with fall detection. They also match on the automatic alert to 112 and to his emergency contacts, the hedge and the remote spot. They match on the son starting CPR and the daughter giving mouth-to-mouth, and a history of asthma and bronchiectasis. They match on six days in intensive care, four bypass grafts, an ICD and a full recovery. No source names both the paper and Siebers, so the identification is inferred from these details. Men's Health says that Siebers also pressed the SOS button himself and that a pulse returned within about three minutes. The paper's timeline does not support that: CPR after 6–7 minutes, four shocks, adrenaline and amiodarone before circulation returned. The street is probable but inferred. A fire-brigade pager message of 1 January 2026 at 12:18:59 records a resuscitation on the Oude Doetinchemseweg in Varsseveld. That is a dead-end road at the western edge of the village. The map in the alert screenshot shows the pin on a side road off the Doetinchemseweg. No source names the street in connection with Siebers." } }, "provenance": { "kind": "curatorial", "basis": "Clarified the emergency call in the subtitle without changing the underlying evidence.", "record_fields": [ "summary", "account" ], "source_refs": [], "reviewed_on": "2026-10-24" }, "review_state": "record_mapped", "coverage": "partial" }, "systems[].autonomy_permissions": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].component_role": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].deployment_configuration": { "state": "value_present", "value": { "kind": "structured", "data": { "hardware": { "manufacturer": "Apple", "model": "Apple Watch Series 10", "source_wording": "Apple Watch 10", "source_ref": "AIBD-0023-source-0001", "locator": "Case description, opening paragraph" }, "feature": "Fall Detection", "feature_enabled": true, "operating_system": { "name": "watchOS", "status": "not reported for this case" }, "classifier_version": { "status": "not reported for this case" }, "qualification": "The named patient is an inferred match between the anonymous clinical report and the interviews. No software version is inferred from the hardware or event date." } }, "provenance": { "kind": "source_review", "basis": "Separated the reported watch hardware and enabled feature from the undisclosed operating-system and classifier releases.", "record_fields": [ "system", "model_version" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete", "display": { "answer": "Apple Watch Series 10 with Fall Detection.", "editor_note": "The Series 10 identification comes from interviews matched to the anonymous clinical report by the circumstances of the collapse and rescue (references 1–3). Neither source explicitly confirms that match." } }, "systems[].inputs_outputs": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "systems[].model_name": { "state": "not_reported", "provenance": { "kind": "source_review", "basis": "Read the case evidence and the relevant original technical documentation; no case-specific model identity or release was disclosed.", "record_fields": [], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "reason": "Apple names the Fall Detection feature but does not disclose a separate name for the classifier used in this case.", "review_state": "reviewed", "coverage": "complete", "display": { "answer": "Apple’s classifier for Fall Detection. Apple does not publish a separate model name.", "editor_note": "" } }, "systems[].model_version": { "state": "not_reported", "provenance": { "kind": "source_review", "basis": "Read the case evidence and the relevant original technical documentation; no case-specific model identity or release was disclosed.", "record_fields": [ "model_version" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "reason": "The clinical report and patient interviews identify the watch hardware and Fall Detection, but they do not state the installed watchOS version or the classifier release. Apple Watch Series 10 is hardware, not an AI model version.", "review_state": "reviewed", "coverage": "complete", "display": { "answer": "The installed software and classifier versions are not disclosed.", "editor_note": "" } }, "systems[].product_name": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "system": "Apple Watch Fall Detection" } }, "provenance": { "kind": "source_review", "basis": "Identified the reported product or pipeline from its original case and technical sources; kept hardware, underlying model, and software release distinct.", "record_fields": [ "system" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0002", "AIBD-0023-source-0003", "AIBD-0023-source-0004", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete" }, "systems[].provider": { "state": "value_present", "value": { "kind": "text", "text": "Apple" }, "provenance": { "kind": "source_review", "basis": "The case identifies an Apple Watch, and Apple documents its Fall Detection feature.", "record_fields": [ "developer" ], "source_refs": [ "AIBD-0023-source-0001", "AIBD-0023-source-0005" ], "reviewed_on": "2026-10-24" }, "review_state": "reviewed", "coverage": "complete" }, "taxonomy_crosswalks[]": { "state": "not_assessed", "review_state": "not_assessed", "coverage": "partial" }, "title": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "title": "Apple Watch Fall Detection summoning help after out-of-hospital cardiac arrest", "headline": "An Apple Watch called for help after a runner’s heart stopped" } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "title", "headline" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" }, "version": { "state": "value_present", "value": { "kind": "identifiers", "identifiers": [ "8049d87606517d6e72056f910c254541f517f3b85d1f9e8ff95f9e6782ad1ebd" ], "role": "SHA-256 of normalized original case data" }, "provenance": { "kind": "curatorial", "basis": "Recomputed the fingerprint after clarifying the subtitle.", "record_fields": [ "summary", "revisions" ], "source_refs": [], "reviewed_on": "2026-10-24" }, "review_state": "record_mapped", "coverage": "complete" }, "workflow": { "state": "value_present", "value": { "kind": "record_fields", "fields": { "account": "A case report published on 12 August 2026 describes a 69-year-old man who collapsed from ventricular fibrillation while running alone. He was on a dead-end road, hidden behind a hedge. The paper gives no date or place. The authors' hospitals are Radboud University Medical Center, Nijmegen, and Slingeland Hospital, Doetinchem. His Apple Watch (reported as Apple Watch 10) with Fall Detection enabled detected the fall. It automatically alerted his predefined emergency contacts and the emergency medical services by calling 112. Family members reached him, found him unresponsive and began cardiopulmonary resuscitation (CPR) about 6–7 minutes after the collapse. An ambulance arrived about 1.5 minutes later, defibrillated him and restored circulation. He underwent coronary artery bypass grafting and defibrillator implantation, was discharged on day 29 and made a full neurological recovery. Two interviews identify the patient as Alwi Siebers, 69, of Varsseveld, and date the collapse to 1 January 2026. Men's Health NL (28 April 2026) opens “1 januari 2026 begint voor de 69-jarige Alwi Siebers als een gewone hardloopdag. De fanatieke loper uit Varsseveld is in training voor de halve marathon van Montferland” (1 January 2026 begins for 69-year-old Alwi Siebers as an ordinary running day; the keen runner from Varsseveld is training for the Montferland half marathon). His son Tristan says “De locatie was heel precies. Hij lag achter een heg op een afgelegen plek. Zonder die melding had ik hem niet zo snel gevonden” (the location was very precise; he was lying behind a hedge in a remote spot; without that alert I would not have found him so quickly). WANT (1 May 2026) quotes Siebers, “Ik weet via mijn activiteitenlog dat ik om twaalf over twaalf aan mijn trainingsrondje begon” (I know from my activity log that I started my training loop at twelve past twelve). It reproduces the alert his son received, headed “do 1 jan, 12:12”. The interviews match the paper on the man's age and the Apple Watch Series 10 with fall detection. They also match on the automatic alert to 112 and to his emergency contacts, the hedge and the remote spot. They match on the son starting CPR and the daughter giving mouth-to-mouth, and a history of asthma and bronchiectasis. They match on six days in intensive care, four bypass grafts, an ICD and a full recovery. No source names both the paper and Siebers, so the identification is inferred from these details. Men's Health says that Siebers also pressed the SOS button himself and that a pulse returned within about three minutes. The paper's timeline does not support that: CPR after 6–7 minutes, four shocks, adrenaline and amiodarone before circulation returned. The street is probable but inferred. A fire-brigade pager message of 1 January 2026 at 12:18:59 records a resuscitation on the Oude Doetinchemseweg in Varsseveld. That is a dead-end road at the western edge of the village. The map in the alert screenshot shows the pin on a side road off the Doetinchemseweg. No source names the street in connection with Siebers.", "replication": { "produced_by": [ "Fall Detection is enabled on a worn Apple Watch with cellular or phone connectivity", "The wearer collapses with an impact the classifier recognizes and then stays immobile", "Emergency services and contacts can reach the shared location quickly" ], "must_hold": [ "The watch has connectivity at the scene", "The collapse produces a detectable fall signature", "Responders arrive within the window in which resuscitation can succeed" ], "echoes": [ { "date": "2024-05-13", "setting": "elderly man, found by his wife lying unresponsive on the floor; place and setting not stated in the abstract (authors: EMS medical director for the District of Herford and Herford Hospital, Germany); smartwatch brand not stated in the accessible abstract (full text paywalled); watch auto-reported the fall from ventricular fibrillation to the local emergency control center, the dispatcher phoned his wife, EMS resuscitated him, discharged without long-term complications (publication date)", "outcome": "recurred", "source": "Grautoff & Watol (2024). Herzschr Elektrophys 35(2):140-143. https://doi.org/10.1007/s00399-024-01026-w" } ] } } }, "provenance": { "kind": "legacy_record", "basis": "Preserved from the existing AIBD record; external sources were not rechecked.", "record_fields": [ "account", "replication" ], "source_refs": [] }, "review_state": "record_mapped", "coverage": "partial" } }, "summary": { "total": 91, "addressed": 91, "known": 34, "reviewed": 15, "record_mapped": 21, "not_assessed": 55, "complete": false, "by_state": { "value_present": 34, "not_reported": 2, "unresolved": 0, "not_assessed": 55, "not_applicable": 0, "withheld": 0, "source_unavailable": 0 } } } }