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A pulse oximeter works on the principle of spectrophotometry which deals with visible light. When the pulse oximeter is placed on the fingertip or toe or earlobe of the person, it beams multiple small rays of light that pass through the blood in that specific part of the body.
The light sensors in the pulse oximeter measure the number of blood cells that carry oxygen and those which do not. It is observed that the oxygenated blood is darker than the deoxygenated blood. Therefore, the highly sensitive light sensors in the pulse oximeter detect the variations of light absorption patterns between the oxygen-carrying blood and non-oxygen blood and translate into a reading.