Aquarius

HANDLE Vital Signs Monitor

Operator’s Manual
Attention： Before operating, please read this
Manual carefully. Please keep this Manual properly
for future reference.

Product Name: Handheld Vital Signs Monitor

 Table of Contents

Chapter I Overview ........................................................ 8

1.1 Introduction ................................................ 8

Chapter Ⅱ Main parts & accessories .......................... 11

2.1 Button and indicator light ..................... 11

2.2. Power socket .......................................... 13

2.3. Reset button............................................ 14

2.4. Ports ....................................................... 15

2.5. Mounting hole ......................................... 16

2.6. Accessories ............................................. 17

Chapter Ⅲ Interface .................................................... 18

3.1 Main interface .......................................... 18

3.2 NIBP Measurement Interface ................... 19

3.3 NIBP Measurement Result Interface ........ 19

3.4 Spo2 Measurement Interface ................... 20

3.5 Temperature Measurement Interface ....... 21

3.6 System menu ........................................... 21

3.6.1 Work mode Setup: ................... 22

3.6.2 NIBP setup .............................. 23

3.6.3 Temperature unit：℃，℉ ....... 23

 3.6.4 Alarm setup：Set the alarm limit of

each parameter ................................ 24

3.6.5 System set up: System

Parameters Set Up ........................... 25

3.6.6 Review: Measurement Results

Review.............................................. 27

Chapter Ⅳ NIBP Measurement ................................... 33

4.1 General .................................................... 33

4.2 NIBP measurement .................................. 34

4.3 Operation Instruction ................................ 39

4.4 NIBP errors and possible causes of error 42

 4.5 Maintain and Clean .................................. 44

Chapter Ⅴ SpO2 Measurement .................................. 47

5.1 Measurement Parameters ....................... 47

5.2 Measurement instruction .......................... 47

5.3 Cautions ......................................... 48

5.4 SPO2 Possible Cuases of error ............... 49

Chapter ⅥTemperature Measurement ........................ 51

6.1 Connection Mode ..................................... 51

6.2 Possilbe Cuases of error .......................... 52

Chapter Ⅶ Specifications ............................................ 53

Equipment Classification (IEC 60601-1) ........ 53

Accuracy range .............................................. 57

Measurement accuracy.................................. 57
 Chapter I Overview

1.1 Introduction

The Aquarius is mainly used to measure blood pressure,

Spo2, temperature and pulse rate. This monitor is

suitable for adult, pediatric or neonatal patients, and

could be applied in general ward, including, but not

limited to, ICU, CCU or ambulance, and so forth.

WARNING This equipment must be operated by

professional clinical doctor or trained

healthcare professionals. Personnel who

is not authorized or trained cannot do any

operations for monitoring procedure.

NOTE The illustrations in this manual may be

slightly different than actual device due

to device revision.

Safety

Degree of protection against electric shock: Type BF

Applied.

The Aquarius is suitable for adult, pediatric, or neonatal

patients: vital signs monitoring. Under the spot

measurement mode, it stores up to 100 users’ data (200

records for each users). Under the monitoring mode, it

stores 48 hours of measurement data, with a friendly

interface, 3.5” color TFT screen, data review functions,

including data listing, data trend chart.

Under audio and visual alarm mode, the red light flashes

when power is low. When measuring data beyond the

alarm limit, the font of the result data becomes red with

audio alarm. The user can turn on or off alarms per

needs.

Note

The device will shut off itself automatically under spot

measurement mode within 3Min of no measuring
operating.
 Chapter Ⅱ Main parts & accessories

2.1 Button and indicator light

Fig. 2.1.1 button and indicator light

 Power switch

Switchon/off

Mute

Press this key to suspend or resume the alarm

loudspeaker

Function 1

Carry out functions as indicated by text showing on

the lower left corner of screen

Function 2

Carry out functions as indicated by text showing on

the lower right corner of screen

Select

Choose different options on setting menu

Alarm light

Red light flashes when alarm

Power light

Red light flashes when charging or in low power.

Green light flashes when fully charged. No flashing
under normal conditions.

2.2. Power socket

Fig. 2.2.1 power socket

Note

Please use the power adapter offered by GOLDCARE

only. Don't use device while charging.

2.3. Reset button

Fig. 2.3.1 reset button

Open the protecting shell, and plug a needle into the

reset hole. Press hard, the device will be reset.
Note

USB function is not offered in current version.

2.4. Ports

Fig. 2.4.1 ports

2.5. Mounting hole

Fig. 2.5.1 mounting hole

Note

Mounting hole is used with accessories from other

manufacturers such as accessories on stand of

infusion pump.

2.6. Accessories

A.Adult cuff, 1pc

B.NIBP extension hose, 1 pc

C.Spo2 sensor, 1 pc

D.Temperature probe, 1 pc

E.Power adapter, 1pc

F. User manual, 1pc

 Chapter Ⅲ Interface

3.1 Main interface

Note
After the internal memory is full, the earliest records will

be overwritten.

3.2 NIBP Measurement Interface

When measuring NIBP, the M AP bar displays real-time

blood pressure data and current measurement
information.

3.3 NIBP Measurement Result Interface

If there is blood pressure measurement error, device

shows error code on the screen.

 Note

When Spo2 sensor is plugged in, the pulse rate is from

the Spo2 calculation; otherwise the pulse rate is from

blood pressure calculation.

3.4 Spo2 Measurement Interface

3.5 Temperature Measurement Interface

3.6 System menu

Turn on the device, press “Set” button to enter the

system setup menu.
 Fig. 3.6 System menu

3.6.1 Work mode Setup:

SPOT & Monitoring mode

Under spot mode, the device will shut off automatically
with no measuring operating within 3Min, otherwise the
results are recorded once every 30 seconds.

Under Monitoring mode, the device works continuously,

the results are recorded once every 2 seconds.

3.6.2 NIBP setup

Measure Mode：Manual, Auto, Stat

Patient Type：ADU, PED, NEO

Pressure unit：mmHg, KPa

Measuring Interval: measuring interval can be set under

AUTO Mode,

3.6.3 Temperature unit：℃，℉

3.6.4 Alarm setup：Set the alarm limit of each parameter

Fig.3.6.4 Alarm

SYS alarm range： 40〜280mmHg

DIA alarm range： 10〜220mmHg

Spo2 alarm range：100%~0%

Temperature alarm range：45~18℃

Pulse rate alarm range：0〜250BPM

3.6.5 System set up：System Parameters Set Up

Fig. 3.6.5 system setup

Low Power Mode：

Under SPOT mode and low power mode is on, the

device will shut off automatically with no measuring
operating within 3Min. If the low power mode is off, it will
not shut off.

Note

Under monitoring mode, Low Power Mode is

unavailable.

Bluetooth: On/Off

Note

The Bluetooth function is not available in current version

of device.

Language: English, Chinese

Brightness: Level 1,Level 2

Time: Adjustable

Set ID(under Spot mode): select ID, New ID, Delete ID

Default Configuration:

To Restore the Default Factory Settings

Machine Maintenance: password “0000”

Machine Information: Version No.

3.6.6 Review: Measurement Results Review

Choose “OK”, System will return to “Review” Menu:

Fig.3.6.6 Review Menu

3.6.6.1 Table

NIBP Table：Time，SYS，DIA，PR

Spo2 Table：Time，SPO2，PR

Temperature Table ：Time，TEMP

3.6.6.2 Trend Chart

NIBP Trend Chart

 Fig.3.6.6.1 NIBP Trend Chart

The trend chart shows SYS, DIA and Pulse rate by

different color, the left vertical axis represents the NIBP,

the right vertical axis represents the pulse rate. The

horizontal axis represents time, the trend chart includes

ID, Pages, Date( time range in this page ), to view all

the data through all the pages.

Spo2 Trend Chart

Fig.3.6.6.1 NIBP Trend Chart

The spo2 trend chart displays spo2, pulse rate, the left

vertical axis is oxgen saturation in percent, the right

vertical axis is pulse rate, the horizontal axis is the

measurement time.

Temperature Trend Chart

The temperature trend displays temperature data, the

unit is either Fahrenheit or Celsius.

 Fig.3.6.6.2 Temperature Trend Chart

Chapter Ⅳ NIBP Measurement

4.1 General

NIBP monitoring adopts oscillometry

technology；
 Measurement mode: manual, auto

Measure systolic, mean , diastolic blood

pressure and pulse rate

Applies to people: adult, ped & neo；

Warning

Do not measure NIBP on patients with

sickle-cell disease or with any skin damage.

People with severe blood flow problems, or

blood disorders, should consult physician before using
the device, as the arm cuff inflation may cause bruising.

Select the correct patient type. Especially for

neonatal patients, do not apply the higher adult inflation,
over-pressure limits of measurement time

4.2 NIBP measurement

Warning: Make sure inflatable hose connect with the

cuff and the monitor, and the hose is not folded or

twisted.
1. Insert the inflatable hose into the NIBP socket.

2. Tie the blood pressure cuff on the patient’s arm (Fig.

4.2.1):

Make sure that the cuff is completely deflated.

Adjust an appropriate cuff size for the patient,

and make sure that the symbol “φ” exactly on

the appropriate artery. Ensure that the cuff is

not wrapped too tightly. Otherwise, it may

even cause ischemia.

 Fig. 4.2.1 Cuff usage

Note

The width of the cuff should be either 40% of the limb

circumference (50% for neonates) or 2/3 of the upper

arm length. The inflatable part of the cuff should be long

enough to encircle 50-80% of the limb. The wrong size of

cuff can cause erroneous readings.

 Adult /Ped /Neo reusable NIBP cuff:

Patient type Circumferenc Cuff width Hose

Neo 10〜19cm 8cm 1.5m or

3m
Ped 18〜26cm 10.6cm

Adult 1 25〜35cm 14cm

Adult 2 33〜47cm 17cm

Thigh 46〜66cm 21cm

Neo /Ped/ Adult disposable NIBP cuff:

Size Circumference Cuff width Tube length

1 3.1〜5.7cm 2.5cm 1.5m or 3m

2 4.3〜8.0cm 3.2cm

3 5.8〜10.9cm 4.3cm

4 7.1〜13.1cm 5.1cm
Make sure that the cuff size is within the range.

3. Connect the cuff and the inflatable hose. The chosen

limb for taking the measurement should be placed at the

same level as the patient’s heart. You can adjust the

measurement results as below:

If the cuff is placed higher than the heart level, add
0.75mmHg (0.10kPa) per each centimeter gap.

If it is placed lower than the heart level, deduct

0.75mmHg (0.10kPa) per each centimeter gap.

4. Check the correct NIBP measurement mode that is

suitable for your patient type.

5. Press button function 2 to start testing

4.3 Operation Instruction

1. Perform Automatic measurement

User can set the measurement interval time to start

automatic measurement. System will work according to

the interval time.

2. Stop automatic measurement

During automatic measurement, press the STOP

button to stop measuring, system will start next

automatic measurement after 30s.

3. Perform manual measurement

 Press the “Meas” button to start the manual
measurement

During the non-working time of the automatic

measurement, press the Meas button can start manual
measurement. If press the Stop button later, the system
will stop manual measurement and continue automatic
measurement.

Warming

If liquid spilled on the monitor or accessories,

especially when liquid enters into the monitor, please
stop using the vital sign monitor and contact related
service personnel.

According to the patient situation, oscilloetric

measurement has some limits. This measurement
method requires to find the regular pulse
waveform generated by the arterial pressure. The
following situations may cause a longer measurement
time or unreliable values:

Patient moving

Arrhythmia

Artificial heart-lung machine

Quick Pressure Change

Severe shock

Limited heart rate

Obese patient
 4.4 NIBP error and possible cause of error

Error Cause

SysErr Self-test fail

SysErr2 NIBP module system error

CuffLoose cuff is too loose or cuff not connect

CuffErr Use NEO cuff under adult mode

Leakage valve or gas circuit leak

PressErr NIBP Valves is not working appropriately

Weak patient’s pulse is too weak or cuff is loose

OverRange patient’s blood pressure exceeds the

measurement range

Motion During measurement, motion artifact in

signal or too much interference

Protect0 Cuff pressure exceeds the range, Adult：

300mmHg, Neo：150mmHg

Saturate Too large signal amplitude caused by

motion or other reasons

TimeOut Adult: cuff pressure over 2kPa（15mmHg）

last for more than 3minutes

 Neo: cuff pressure over 0.67kPa（5mmHg）

last for more than 90s

Reset NIBP module reset

4.5 Maintain and Clean

Warming

Don’t press the rubber hose

Don’t make the cleansing liquid into the vital

sign monitor and the charge dock, which may
damage the monitor

When cleaning the monitor, only wipe the case

Reusable NIBP Cuffs

Sterilize it in hot air drying oven, gas or radiation

sterilization. Remember take off the rubber hose before
sterilization. Cuff can be cleaned by hand-wash or
machine-wash(hand-wash can extend service life ), but
do not dry-clean. Remember to take off the rubber hose
before cleaning.

Fig. 4.5.1 take off the rubber hose from the cuff
Disposable NIBP Cuff

Disposable NIBP cuff can be used for only one patient, it

can not be disinfected or be sterilized under high

pressure steam.
 Chapter Ⅴ SpO2 Measurement

5.1 Measurement Parameters

Arterial oxygen saturation(SpO2): Oxyhemoglobin

percentage of total hemoglobin

Pleth waveform（Pleth）: patients pulse signal

Pleth waveform

Pulse Rate: pulse per minute

Index bar: in proportion to the pulse strength

Blood flow perfusion index: PI values reflect the

situation of pulsatile blood flow,which reflect the
ability of blood flow perfusion. The larger the
pulsation of the blood flow, the higher the PI value.

5.2 Measurement instruction

Adult SPO2 sensor for adult:

1) connect the SPO2 sensor appropriately

2) Press the power button to turn on the monitor

 3) Put the patient’s fingertip into the SPO2 sensor
appropriately

5.3 Cautions

1) Must use the SPO2 sensor shipped with the

monitor

2) The SPO2 sensor should be on the opisthenar to

ensure the fingernail cover the light from the sensor

3) Keep the SPO2 sensor stable to get accurate

measurement results

4) When the SPO2 sensor or the patient is moving,

the measurement results is not accurate

5) Don’t put the SPO2 sensor and the NIBP cuff on a

same limb.

6) Check all the cables and make sure the SPO2

sensor in good condition

7) After measuring, remove the SPO2 sensor from

the patient immediately

9) Don’t put the SPO2 sensor on the limb with

arteries or veins injection pipe

10) Don’t use the monitor when the patient’s pulse

rate is lower than 25BPM, otherwise, it may give
incorrect values

11) Don’t reuse a disposable SPO2 sensor

12) During long time monitoring, every 2-3 hours, you

should check if the finger and the SPO2 sensor touch
appropriately.

13) Keep measured skin clean, otherwise, it may

influence the accuracy of the SPO2 measurement

14) Sterilize the SPO2 sensor before measuring

different patient

5.4 SPO2 Error and SPO2 Possible Cause of error

Error Cause

SysErr3 SPO2 module self-test error

SysErr4 SPO2 module communication

no pulse Can’t find pulse

no Sensor SPO2 sensor not connected

Sensor off No finger in sensor

Searching Searching pulse

 Chapter Ⅵ Temperature Measurement

6.1 Connection Mode

For reusable TEMP probe, just plug it in to the TEMP

probe socket. Put the TEMP probe on the patient skin

appropriately.

Maintain and Cleaning

Warming

Turn off the device and disconnect the AC power before

cleaning the device or probe.

Reusable TEMP probe

1. Temperature of the probe shall not exceed 100 ℃
(212 ℉). It can only bear 80℃（176 ℉）~100℃（212℉）
for very short time.
2. Do not use steam sterilization.
3. Only accept detergent with alcohol sterilization

6.2 TEMP Error and Possible Cause of error

Error Cause

SysErr5 TEMP module self-test/communication err

Overrange Beyond the measurement range

 Chapter Ⅶ Specifications

Equipment Classification (IEC 60601-1)

According to the type of protection against electric shock:

Class II (on AC power) internally powered (on battery
power)

According to the degree of protection against electric

shock: Type BF Applied

Display: 3.5" Color TFT

Dimension: 146mm*67mm*30mm

Weight: 250g with rechargeable battery

Working Environment：

Temperature

Operating: 5ºC〜 40ºC

Storage/Transportation: -20ºC〜+55ºC
Humidity

Operating:15%〜80%

Storage/Transportation:≤ 95%

Altitude

700hPa~1060hPa

Power

4V, DC

P≤3.2VA

NIBP

Measuring Technology: Automatic oscillometry

technology

Mode: Manual, Auto, Stat

Measuring Interval in AUTO Mode: 1 ~ 90 (Min)

Measuring Interval in Continuous Mode: 5 (Min)

Pulse Rate Range: 40 ~ 240 (bpm)

Alarm: SYS, DIA, MEAN

Measuring Range:

Adult Mode

SYS 40 ~270 (mmHg)

MEAN 20~230(mmHg)

DIA 10 ~210 (mmHg)

Pediatric Mode

SYS 40 ~ 200 (mmHg)

MEAN 10 ~ 150 (mmHg)

DIA 20 ~ 165 (mmHg)

Neonatal Mode

SYS 40 ~ 135 (mmHg)

MEAN 20 ~ 105 (mmHg)

DIA 10 ~ 95 (mmHg)

Resolution
Pressure 1mmHg

Accuracy

Pressure

Maximum Mean error 5mmHg

Maximum Standard deviation 8mmHg

Over-pressure Protection

Adult Mode 290(mmHg)

Pediatric Mode 240 (mmHg)

Neonatal Mode 145 (mmHg)

Alarm Limit Setting

SYS 40 〜280 mmHg

DIA 10 〜220 mmHg

Measurement Range:

Spo2: 0〜100%

PR：0-254bpm
Perfusion Index: 0.05%-20%

Accuracy range

SpO2：70%-100%

PR：30-254bpm

Perfusion Index: 0.05%-20%

Measurement accuracy

SpO2:

Adult /Pedia: ±2digits（70-100％） undefined （<70%）

Neonate: ±3digits（70-100％） undefined （<70%）

On motion condition: ±3digits

Pulse rate:

Adult /Pedia: ±3digits

Neonate: ±3digits

On motion condition: ±3digits

Alarm Range：0%~100%

Temperature

Range: 25 — 45 C

Resolution: 0.1 C

Accuracy: —— 0.1 C
—

Power Source

AC power or battery

AC power:

100-240VAC, 50/60Hz, 30VA

Fuse(self-recovery):

Input fuse: 2A/250V

Fuse (battery): 60Vdc/3A(max)

Battery

Lithium ion rechargeable battery: 3.6V/4.2Ah

Work time: 8hours

Charge time: 6hours