When nearly 30 years ago Dr. Jacob Fraden invented an ear thermometer working on this second principle, the infraredlightsensor was so large that he needed a narrow gold-plated reflective tube to channel the light from the ear drum to the sensor.
It also uses an accelerometer and light sensors to snap an image when a person enters a new environment, and an infraredsensor to take one when it detects the body heat of a person in front of the wearer.