There is provided a pulse oximeter circuit including a feedback circuit configured to receive a digital output signal of a multi-bit sigma-delta modulator and generate a pulse width modulated signal (PWM). The PWM signal is directed to a first switching circuit and a D flip-flop. The first switching circuit provides a first or second reference voltage as a feedback signal to the multi-bit sigma-delta modulator. The D flip-flop generates a sample and hold signal. The sample and hold signal controls a second switching circuit coupled to the input of the multi-bit sigma-delta modulator.