Having examined cybersecurity and the escalating arms race between digital threats and defensive innovation, this chapter turns to digital health, a domain where data security considerations increasingly intersect with patient monitoring and clinical decision support.
Digital health bridges the worlds of medicine and computing, encompassing a broad range of technologies designed to capture, analyze, and act upon health-related data. This chapter traces the evolution of digital health patenting — from early patient monitoring devices through the electronic health records revolution to the current era of AI-driven clinical decision support and robotic surgery.
Growth Trajectory
Figure 1
Digital Health Patents Grew 6.3x From 2,012 in 2009 to 12,766 in 2024, Coinciding With HITECH and COVID-19
Annual digital health patent count by CPC codes, tracking growth trajectory.
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Annual count and share of utility patents classified under digital health CPC codes, 1976–2025. The two most prominent inflection points coincide with the 2009 HITECH Act, which mandated EHR adoption, and the 2020 COVID-19 pandemic, which was followed by rapid expansion of telemedicine and remote monitoring adoption. Grant year shown. Application dates are typically 2–3 years earlier.
The growth trajectory of digital health patents coincides with regulatory mandates (HITECH Act), public health emergencies (COVID-19), and advances in sensor technology, wireless connectivity, and cloud computing.
Figure 2
Digital Health's Share of Total Patents Rose From 0.44% in 1976 to 3.92% in 2024, a Structural Shift
Digital health patents as a share of all utility patents, showing reallocation toward healthcare tech.
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Percentage of all utility patents classified under digital health CPC codes. The upward trend indicates that digital health patenting growth is not merely tracking overall patent expansion but represents a disproportionate concentration of inventive effort in healthcare technology.
The growing share of digital health patents among all patents demonstrates a genuine reallocation of inventive effort toward healthcare technology, associated with regulatory incentives, demographic trends, and the digitization of clinical workflows.
Digital Health Subfields
Figure 3
Patient Monitoring Leads at 36% of Digital Health Patents; Surgical Robotics and Informatics Grew Fastest
Patent counts by digital health subfield over time.
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Patent counts by digital health subfield over time. Patient monitoring — encompassing vital signs, diagnostic imaging, and physiological signals — constitutes the largest category. Surgical robotics and health informatics have exhibited the most rapid growth in recent years.
The shift toward health informatics and surgical robotics coincides with a broader transformation from passive data capture to active clinical decision-making, as AI and robotic technologies are associated with more sophisticated clinical interventions.
Leading Organizations
Figure 4
Philips (2,909 Patents), Medtronic, Intuitive Surgical, and Covidien Lead in Digital Health Patent Volume
Organizations ranked by digital health patent count, showing concentration among medical device firms.
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Organizations ranked by total digital health patents. The data indicate a concentration among established medical device manufacturers and diversified healthcare technology conglomerates, reflecting the capital-intensive nature of medical device R&D and the regulatory barriers to entry.
The dominance of established medical device firms reflects the substantial regulatory, clinical validation, and manufacturing requirements that characterize healthcare technology innovation.
Top Inventors
Figure 5
Frederick E. Shelton IV Leads Digital Health Inventors With 734 Patents, Affiliated With a Major Device Firm
Primary inventors ranked by digital health patent count, showing individual output distribution.
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Primary inventors ranked by total digital health patents. The distribution exhibits pronounced skewness, with a small number of highly productive individuals — often associated with leading medical device companies — accounting for a disproportionate share of output.
The concentration of digital health patenting among a small cohort of prolific inventors mirrors the broader superstar pattern in innovation, amplified by the specialized clinical and engineering expertise required in medical technology.
Geographic Distribution
Figure 6
The US Accounts for 66% of Digital Health Patents; Japan, Germany, and Israel Follow
Countries ranked by digital health patents based on inventor location.
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Countries ranked by total digital health patents based on primary inventor location. The United States maintains a substantial lead, while Japan, Germany, Israel, and South Korea reflect the global distribution of medical device and health technology R&D.
The geographic distribution of digital health patents reflects both the concentration of major medical device headquarters and the distributed nature of clinical research partnerships across advanced economies.
Figure 7
California (31,787) and Massachusetts (8,097) Lead US Digital Health Patenting, Near Device/IT Hubs
US states ranked by digital health patents based on inventor location.
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US states ranked by total digital health patents based on primary inventor location. California's lead reflects Silicon Valley's health technology ecosystem, while Massachusetts's strong second-place position reflects its concentration of medical device firms, health IT companies, and academic medical centers.
The geographic clustering of digital health patents in California and Massachusetts reflects distinct innovation ecosystems: Silicon Valley's technology-driven health startups and Boston's established medical device and health IT corridor.
Quality Indicators
Figure 8
Digital Health Technology Scope Rose From 1.86 to 3.0 CPC Subclasses (1990–2024)
Average claims, backward citations, and technology scope for digital health patents by year.
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Average claims, backward citations, and technology scope for digital health patents by year. The upward trend in technology scope suggests that digital health patents increasingly span multiple CPC subclasses, consistent with the interdisciplinary nature of healthcare technology.
Rising technology scope reflects the interdisciplinary nature of digital health, where innovations increasingly bridge medical device engineering, signal processing, software, and clinical science.
Digital Health Patenting Strategies
The leading digital health patent holders pursue different strategies. Some firms concentrate on patient monitoring hardware, while others emphasize health informatics and clinical decision support. A comparison of subfield portfolios across major holders reveals where each organization concentrates its inventive effort and identifies areas of emerging competition.
Digital Health as a Cross-Domain Technology
A defining characteristic of digital health is its diffusion across multiple technology domains. By tracking how frequently digital health patents also carry CPC codes from other technology areas, it is possible to measure the spread of healthcare technology into computing, chemistry, and other sectors — and conversely, the adoption of external technologies within healthcare.
Figure 9
Digital Health Patents: 14.47% Co-Occurrence With Electricity (Section H) in 2024
Digital health patents co-classified with other CPC sections, measuring cross-domain integration.
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Percentage of digital health patents that also carry CPC codes from each non-primary section. Rising lines indicate increasing integration between digital health and that technology sector. The most notable pattern is the growing co-occurrence with Electricity (Section H, encompassing electronic circuits and communication) and Performing Operations (Section B, encompassing surgical instruments and transporting).
The cross-domain diffusion of digital health patents is consistent with its characterization as an integrative technology that draws on computing, materials science, and clinical methodologies to deliver healthcare innovations.
The Complexity of Digital Health Innovation
Since the mid-1990s, digital health patents have involved more inventors per patent than non-digital-health patents, and this gap has widened over time as the complexity of integrating clinical, engineering, and regulatory requirements has grown. Corporate assignees dominate, reflecting the multidisciplinary nature of modern healthcare technology.
Figure 10
Digital Health Patents Average 3.4 Inventors per Patent in 2024, Exceeding the 3.2 Non-Digital-Health Average
Average inventors per patent for digital health vs. non-digital-health utility patents by year.
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Average number of inventors per patent for digital health versus non-digital-health utility patents, 1976–2025. Before the mid-1990s, digital health team sizes were comparable to or slightly smaller than non-digital-health patents. Since then, digital health teams have grown larger, reflecting the increasing need for expertise spanning biomedical engineering, software development, clinical science, and regulatory affairs.
Since the mid-1990s, digital health patents have involved larger teams than non-digital-health patents, a pattern that reflects the growing multidisciplinary demands of integrating clinical knowledge, engineering expertise, and regulatory compliance.
Figure 11
Corporate Assignees Account for 99% of Digital Health Patents; University Informatics Growing
Distribution of digital health patents by assignee type (corporate, university, government, individual) over time.
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Distribution of digital health patent assignees by type over time. Corporate assignees have dominated throughout, consistent with the capital-intensive requirements of medical device R&D. University contributions have grown in absolute terms, particularly in health informatics and clinical decision support.
The corporate dominance of digital health patenting reflects the substantial capital, regulatory expertise, and clinical validation infrastructure required to bring medical technologies to market.
Figure 12
Traditional Medical Device Firms Hold 3,722 Digital Health Patents Versus 796 for Big Tech, but Big Tech Is Growing
Patent counts by assignee category: traditional med-device firms, Big Tech entrants, and all others.
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Med-device category includes Medtronic, Becton Dickinson, Boston Scientific, Stryker, Siemens Healthineers, Philips, Abbott, Edwards, Baxter, Intuitive Surgical. Big Tech includes Apple, Google, Microsoft, Amazon, Samsung, Meta.
Having documented the growth of digital health in the patent system, the analysis reveals a domain undergoing rapid transformation. The convergence of patient monitoring hardware with AI-driven clinical decision support, the expansion of telemedicine accelerated during the COVID-19 pandemic, and the growth of surgical robotics collectively point toward a future in which the boundaries between medical devices and computing platforms become increasingly indistinct. The organizational strategies documented here are explored further in Assignee Composition, while the broader relationship between digital health and artificial intelligence is examined in the chapter on Artificial Intelligence.
Analytical Deep Dives
For metric definitions and cross-domain comparisons, see the ACT 6 Overview.
Figure 13
Incumbents Account for 87% of Digital Health Patents in 2024, Consistent With Growth Led by Established Firms
Annual patent counts decomposed by entrants (first patent in domain that year) versus incumbents.
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Entrants are assignees filing their first digital health patent in a given year. Incumbents had at least one prior-year patent. Grant year shown.
Figure 14
Digital Health Top-Decile Citation Share Held Near 17–25% (1990–2020), Stable Despite Volume Growth
Share of domain patents in the top decile of system-wide forward citations by grant year × CPC section.
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Top decile computed relative to all utility patents in the same grant year and primary CPC section. Rising share indicates domain quality outpacing the system; falling share indicates dilution.
Figure 15
Top-4 Digital Health Concentration Peaked at 12.0% in 2009, Declining to 6.8% by 2025 (Through September)
Share of annual patents held by the top 4 organizations, measuring concentration in digital health.
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CR4 computed as the sum of the top 4 organizations' annual patent counts divided by total digital health patents. The moderate peak reflects Philips and Medtronic's early dominance, while the decline coincides with technology firms entering the medical device space after the HITECH Act.
Digital health's low concentration is consistent with the sector's fragmented competitive landscape, where medical device incumbents, technology firms, and academic medical centers each contribute significant but non-dominant patent volumes.
Figure 16
Digital Health Subfield Diversity Rose From 0.48 in 1976 to 0.92 by 2025 (Through September)
Normalized Shannon entropy of subfield distributions, measuring evenness across digital health.
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Normalized Shannon entropy of digital health subfield patent distributions. The increase from 0.48 to 0.92 reflects the evolution from narrow patient monitoring devices to a broad ecosystem spanning surgical robotics, health informatics, telemedicine, wearable diagnostics, and AI-assisted imaging.
The diversification trajectory is consistent with digital health's transition from standalone medical devices to integrated systems requiring expertise across electronics, software, biomaterials, and clinical science.
Figure 17
2010s Digital Health Entrants Average 77.5 Patents/Year versus 22.5 for 1970s Entrants
Mean patents per active year for top organizations grouped by decade of first digital health filing.
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Mean patents per active year for top digital health organizations grouped by entry decade. The 3.4x increase from 1970s to 2010s cohorts reflects the acceleration of digital health patenting coinciding with the HITECH Act, smartphone proliferation, and COVID-19.
The sharp velocity increase for 2010s entrants coincides with the convergence of consumer electronics and medical devices, where technology firms like Apple and Google brought aggressive patent strategies to the health domain.
Figure 18
Digital Health Filings Peaked at 11,827 in 2019 While Grants Reached 12,766 in 2024 — a 5-Year Lag
Annual filings vs. grants for digital health, showing the examination pipeline.
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Digital health exhibits one of the longest filing-to-grant lags among ACT 6 domains. Filings peaked in 2019 and have moderated, but grants continued climbing through 2024, surpassing the filing peak. The extended lag likely reflects the technical complexity of examining patents that span both medical device and software domains.
Data coverage: January 1976 through September 2025. All 2025 figures reflect partial-year data.