SlideShare a Scribd company logo
1 of 15
PULSE
OXIMETRY
Akash Sardar
Student(4th Year)
Bio Medical Engineering Dept.
INTRODUCTION
The first oximeter was introduced by
Karl Matthews –in the year 1935.
 First oximeter to measure O2
saturation.
Dr.Takuo Aoyagi (1972)
 Pulsatile changes in absorption of
red and infra-red light to measure
arterial oxygen saturation.
PULSE- OXIMETER
A pulse-oximeter measures the
amount of saturated oxygen in blood.
It is a non-invasive method.
 It depends on The combination of
both Beer’s Law and Lambert’s Law.
BEER-LAMBERT LAW
 The combination of both Beer’s Law and
Lambert’s Law
 Beer-Lambert’s Law– The absorption of
light is proportional to the concentration
and thickness of the sample.
THE INSTRUMENT
PRINCIPLES
 Pulse oximetry is based on the differential
absorption of light by oxyhemoglobin and
deoxyhemoglobin.
 The oxygenated blood absorbs red light
while the deoxygenated blood absorbs
infrared light.
PRINCIPLES
 Pulse oximeter
consists of two
light emitting
diodes at
660nm&
940nm.
 Isobestic point.
BLOCK DIAGRAM
PROCEDURE
A photo detector in the sensor measures
unabsorbed light from the LEDs.
PROCEDURE
The resulting signal is inverted and
resembles as per the diagram below.
BLOOD CONCENTRATION
FACTORS EFFECTING THE PULSE
OXIMETER READING
 Major body motion .
 Blood flow blocked due to pressure on arms
or fingers .
 Probe attached incorrectly .
 Excessive ambient light (panel lamp,
fluorescent lamp, infrared heating lamp,
direct sunlight, etc.)
PURPOSE OF THE PULSE
OXIMETER
Screening for sleep apnea syndrome.
Hospitalization of patients with chronic
respiration diseases.
If a patient’s blood oxygenation is
unstable.
Home oxygen therapy.
THANK YOU

More Related Content

What's hot

What's hot (20)

Pulse oximetry slidefinal abc
Pulse oximetry slidefinal abcPulse oximetry slidefinal abc
Pulse oximetry slidefinal abc
 
Pulse Oximetry
Pulse OximetryPulse Oximetry
Pulse Oximetry
 
Pulse oximetry
Pulse oximetryPulse oximetry
Pulse oximetry
 
Pulse oximetry
Pulse oximetryPulse oximetry
Pulse oximetry
 
Pulse oxymetry
Pulse oxymetryPulse oxymetry
Pulse oxymetry
 
Pulse oximetry capnography
Pulse oximetry capnography Pulse oximetry capnography
Pulse oximetry capnography
 
Pulse oximeter
Pulse oximeterPulse oximeter
Pulse oximeter
 
ARTERIAL BLOOD GAS ANALYSING MACHINE
ARTERIAL BLOOD GAS ANALYSING MACHINEARTERIAL BLOOD GAS ANALYSING MACHINE
ARTERIAL BLOOD GAS ANALYSING MACHINE
 
Measurement of Blood Oxygen Saturation with a Pulse Oximeter
Measurement of Blood Oxygen Saturation with a Pulse OximeterMeasurement of Blood Oxygen Saturation with a Pulse Oximeter
Measurement of Blood Oxygen Saturation with a Pulse Oximeter
 
PULSE OXIMETRY
PULSE OXIMETRYPULSE OXIMETRY
PULSE OXIMETRY
 
Pulse oximeter
Pulse oximeterPulse oximeter
Pulse oximeter
 
Suction machine..
Suction machine..Suction machine..
Suction machine..
 
Pulseoximeter and Plethysmography by Pandian M
Pulseoximeter and Plethysmography by Pandian MPulseoximeter and Plethysmography by Pandian M
Pulseoximeter and Plethysmography by Pandian M
 
Spirometer basics
Spirometer   basicsSpirometer   basics
Spirometer basics
 
Multipara monitor
Multipara monitorMultipara monitor
Multipara monitor
 
Capnography
Capnography Capnography
Capnography
 
Sphygmomanometer
SphygmomanometerSphygmomanometer
Sphygmomanometer
 
Non invasive blood pressure monitoring
Non invasive blood pressure monitoringNon invasive blood pressure monitoring
Non invasive blood pressure monitoring
 
Respiratory monitoring
Respiratory monitoringRespiratory monitoring
Respiratory monitoring
 
Non Invasive and Invasive Blood pressure monitoring RRT
Non Invasive and Invasive Blood pressure monitoring RRTNon Invasive and Invasive Blood pressure monitoring RRT
Non Invasive and Invasive Blood pressure monitoring RRT
 

Similar to Pulse oximetry.

2_sensor_oximter.pdf
2_sensor_oximter.pdf2_sensor_oximter.pdf
2_sensor_oximter.pdfaliamjd
 
New Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptxNew Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptxAniketKumar125504
 
pulseoximeter-160518140401.pptx
pulseoximeter-160518140401.pptxpulseoximeter-160518140401.pptx
pulseoximeter-160518140401.pptxSubi Babu
 
medicalbulkbuy | SlideShare
 medicalbulkbuy  | SlideShare medicalbulkbuy  | SlideShare
medicalbulkbuy | SlideSharepriya reddypogu
 
medicalbulkbuy India Pvt. Ltd. | SlideShare
 medicalbulkbuy India Pvt. Ltd. | SlideShare medicalbulkbuy India Pvt. Ltd. | SlideShare
medicalbulkbuy India Pvt. Ltd. | SlideSharePriyanka Reddypogu
 
medicalbulkbuy | SlideShare
 medicalbulkbuy  | SlideShare medicalbulkbuy  | SlideShare
medicalbulkbuy | SlideSharepriya reddypogu
 
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...HM Learnings
 
Presentation biological techinque copy
Presentation biological techinque   copyPresentation biological techinque   copy
Presentation biological techinque copyGhulamMujtabaHassan
 
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...IOSRJEEE
 
Atomic spectroscopy (AAS & AES)
Atomic spectroscopy  (AAS & AES) Atomic spectroscopy  (AAS & AES)
Atomic spectroscopy (AAS & AES) Rohan Jagdale
 
Deference between atomic absorption spectrometry and atomic emission spectrom...
Deference between atomic absorption spectrometry and atomic emission spectrom...Deference between atomic absorption spectrometry and atomic emission spectrom...
Deference between atomic absorption spectrometry and atomic emission spectrom...UMT Lahore
 

Similar to Pulse oximetry. (20)

2_sensor_oximter.pdf
2_sensor_oximter.pdf2_sensor_oximter.pdf
2_sensor_oximter.pdf
 
New Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptxNew Microsoft PowerPoint Presentation.pptx
New Microsoft PowerPoint Presentation.pptx
 
DOC-20230516..docx
DOC-20230516..docxDOC-20230516..docx
DOC-20230516..docx
 
pulse oximetry final
pulse oximetry finalpulse oximetry final
pulse oximetry final
 
pulseoximeter-160518140401.pptx
pulseoximeter-160518140401.pptxpulseoximeter-160518140401.pptx
pulseoximeter-160518140401.pptx
 
Pulse oximeter.pdf
Pulse oximeter.pdfPulse oximeter.pdf
Pulse oximeter.pdf
 
medicalbulkbuy | SlideShare
 medicalbulkbuy  | SlideShare medicalbulkbuy  | SlideShare
medicalbulkbuy | SlideShare
 
medicalbulkbuy India Pvt. Ltd. | SlideShare
 medicalbulkbuy India Pvt. Ltd. | SlideShare medicalbulkbuy India Pvt. Ltd. | SlideShare
medicalbulkbuy India Pvt. Ltd. | SlideShare
 
medicalbulkbuy slideshare
medicalbulkbuy slidesharemedicalbulkbuy slideshare
medicalbulkbuy slideshare
 
medicalbulkbuy | SlideShare
 medicalbulkbuy  | SlideShare medicalbulkbuy  | SlideShare
medicalbulkbuy | SlideShare
 
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...
How Pulse oximeter works- Principle and Limitations I SpO2 I Respiratory Phys...
 
Presentation biological techinque copy
Presentation biological techinque   copyPresentation biological techinque   copy
Presentation biological techinque copy
 
ICP Presentation
ICP PresentationICP Presentation
ICP Presentation
 
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...
Design of the Pulse Oximetry Measurement Circuit and Its Sensing System Based...
 
colorimetry
 colorimetry colorimetry
colorimetry
 
Atomic spectroscopy (AAS & AES)
Atomic spectroscopy  (AAS & AES) Atomic spectroscopy  (AAS & AES)
Atomic spectroscopy (AAS & AES)
 
Deference between atomic absorption spectrometry and atomic emission spectrom...
Deference between atomic absorption spectrometry and atomic emission spectrom...Deference between atomic absorption spectrometry and atomic emission spectrom...
Deference between atomic absorption spectrometry and atomic emission spectrom...
 
AAS.pptx
AAS.pptxAAS.pptx
AAS.pptx
 
Pulseox[1]
Pulseox[1]Pulseox[1]
Pulseox[1]
 
AAS.pptx
AAS.pptxAAS.pptx
AAS.pptx
 

Recently uploaded

Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoynarwatsonia7
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...narwatsonia7
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalorenarwatsonia7
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...Miss joya
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 

Recently uploaded (20)

Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
Russian Call Girls in Bangalore Manisha 7001305949 Independent Escort Service...
 
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service BangaloreCall Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
Call Girl Bangalore Nandini 7001305949 Independent Escort Service Bangalore
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 

Pulse oximetry.