The approval Apple got is "informational only", it's not a medical device. But the information seemingly spurs people to go to doctors, as appropriate, and get a sound medical opinion. The watch isn't supposed to render a medical diagnosis. But people are claiming the "information" spurred them to go to a doctor.
I believe you are correct. The FDA website does not list the watch as an approved device and I looked at 2017, 2018 and current year. At the Press Statement, it explains about the Apple app and it was the only thing I can find.
https://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm620246.htm
While it is a unique device to measure your vitals, hopefully it will spur the individual to maintain and continue a regular excercise routine and having a healthy eating habit.
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