I got on this thread quite a while ago after researching my first false positive when I closed the car door with my hand on the door.
I also considered fall detection a significant factor for the purchase, thinking it might pay off when the weather permits bicycle riding. The series 4 ECG thing was just a kicker.
So, until last week that one detection was the only false positive. Then, while shoveling some snow, I pushed the shovel under some hard frozen ice in the street and my wrist was buzzing. Canceling the fall detection was hindered by gloves and jackets.
I'd like Apple to publicize something about the algorithm used to distinguish motion from a fall. It seems like the depth and frequency of the signal both seem important. I can see how distinguishing fall signal from noise and motion is non-trivial.
In spite of my two false alarms, I'm keeping it enabled.
And, all this discussion has me wondering... what other worn devices that do fall have detection are there and what is their false positive rate? Anybody have anything? A quick Google search found mostly button operated devices and figuring which actually detect and alert without intervention was going to take time.
Anyway, it has been valuable to hear from people who have more serious issues and how Apple responded.