FOR-A D10 User manual

FORA D10
BLOOD GLUCOSE
PLUS BLOOD PRESSURE
MONITORING SYSTEM
English
311-3224100-006
Version 4.0 2012/12

2
Thank you for choosing
D10
BLOOD GLUCOSE PLUS
BLOOD PRESSURE
MONITORING SYSTEM
This product can assist you in monitoring your blood glucose level as well
as your blood pressure. You can visit our website www.foracare.com/usa
to view other updated instructions or product information.
This owner’s manual contains important information that you must
know about your system. Please read it carefully and keep it for
future reference.
For other questions regarding this system, please contact your local
customer service. For all other questions, contact your health care
professional for assistance.

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IMPORTANT SAFETY PRECAUTIONS
READ BEFORE USE
●Users need to adhere to Standard Precautions when handling
or using this device. All parts of the glucose monitoring system
should be considered potentially infectious and are capable
of transmitting blood-borne pathogens between patients and
healthcare professionals. For more information, refer to
“Guideline for Isolation Precautions: Preventing Transmission of
Infectious Agents in Healthcare Settings 2007”,
http://www.cdc.gov/hicpac/2007ip/2007isolationprecautions.html
●The meter should be disinfected after use on each patient.
This Blood Glucose Monitoring System may only be used for
testing multiple patients when Standard Precautions and the
manufacturer’s disinfection procedures are followed.
●Only auto-disabling, single use lancing devices may be used
with this device.
For more information on the risk of blood-borne pathogen transmission from
blood glucose meter and lancing devices, please refer to:
1. “FDA Public Health Notication: Use of Fingerstick Devices on More than
One Person Poses Risk for Transmitting Bloodborne Pathogens: Initial
Communication” (2010)
http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm224025.
htm
2. “CDC Clinical Reminder: Use of Fingerstick Devices on More than One
Person Poses Risk for Transmitting Bloodborne Pathogens” (2010)
http://www.cdc.gov/injectionsafety/Fingerstick-DevicesBGM.html

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1. Use this device ONLY for the intended use described.
2. Do NOT use accessories which are not specied by the
manufacturer.
3. Do NOT use the device if it is not working properly or if it is
damaged.
4. Do NOT use the equipment in places where aerosol sprays are
being used, or where oxygen is being administered.
5. This device does NOT serve as a cure for any symptoms or
diseases. The data measured is for reference only.
6. Before using this device to test blood glucose, read all
instructions thoroughly and practice the test. Carry out all the
quality control checks as directed.
7. Keep the device and testing equipment away from young
children. Small items such as the battery cover, batteries, test
strips, lancets and vial caps are choking hazards.
8. Use of this device in a dry environment, especially if synthetic
materials are present (synthetic clothing, carpets etc.) may
cause damaging static discharges that may cause erroneous
results.
9. Do not use this device in close proximity to sources of strong
electromagnetic radiation, as these may interfere with the
accurate operation.
10.Read all instructions thoroughly and practice the test before
using the product to test your blood glucose. Do all quality
control checks as directed and consult with a diabetes
healthcare professional.
KEEP THESE INSTRUCTIONS IN A SAFE PLACE

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TABLE OF CONTENTS
BEFORE YOU START 07
Warnings and Precautions 07
Detailed Information 08
ABOUT THIS SYSTEM 10
Intended Use 10
Principle of Measurement 11
Alternative Site Testing 12
Content of the System 14
Appearance and Key Function of the Monitor 15
LCD Screen 16
Test Strip 17
BEFORE USE 18
Battery Installation and Replacement 18
Setting the Monitor 20
BLOOD GLUCOSE MEASUREMENT 23
Important Information 23
Checking with FORA Control Solution 24
Important Control Solution Information 25
Performing a Control Solution Test 26
Testing Your Blood Glucose 29
Reading Your Result 35
Comparing Monitor and Laboratory Results 36

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BLOOD PRESSURE MEASUREMENT 38
Suggestions Before Measuring 38
Correct Application of the Pressure Cuff 39
Testing Your Blood Pressure 40
MONITOR MEMORY 42
Viewing Results on the Monitor 42
Viewing the Average Blood Glucose Results 43
Viewing Results on a Personal Computer 44
TAKING CARE OF YOUR MONITOR & STRIPS 45
Caring for Your Meter 45
Storage 50
TROUBLESHOOTING 52
Error Message 52
Problem in Operation 54
SPECIFICATIONS 59

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BEFORE YOU START
Warnings and Precautions
The FORA D10 system is designed for use on individuals age
16 and above. It shall NOT be used under any circumstances
on newborns, infants or persons who cannot communicate.
This device does NOT serve as a cure for any symptoms or
diseases. The data measured are for reference only. Always
consult your physician to have the results interpreted.
This device is NOT able to take measurements in the presence
of common arrhythmia, such as arterial or ventricular premature
beats or arterial brillation. It may produce reading error.
Do NOT use the device for purposes other than measuring
blood glucose and blood pressure for human beings.
Do NOT apply the cuff to areas other than your wrist.

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Detailed Information
Reference Values
Blood glucose monitoring plays an important role in diabetes con-
trol. A long-term study showed that keeping blood glucose levels
close to normal can reduce the risk of diabetes complications by
up to 60%*1. The results provided by this system can help you and
your healthcare professional monitor and adjust your treatment plan
to gain better control of your diabetes.
*1: ADA Clinical Practice Recommendations 2003.
Please consult your doctor to determine a target range that
works best for you.
Time of day
Fasting and before meal
2 hours after meals
Normal plasma glucose range for people
without diabetes (mg/dL)
Less than 100 mg/dL (5.6 mmol/L)
Less than 140 mg/dL (7.8 mmol/L)
Source: American Diabetes Association (2012). Clinical Practice Rec-
ommendations. Diabetes Care, 35 (Supplement 1): S1–S100.

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Blood Pressure
Clinical studies show that the diabetes in adult is often accompa-
nied by elevated blood pressure. People with diabetes can reduce
their heart risk by managing their blood pressure along with dia-
betes treatment*2. Knowing your blood pressure patterns can help
determine whether or not your body is in good condition. Human
blood pressure naturally increases after reaching middle age. This
symptom is a result of continuous aging of the blood vessel.
Other causes include obesity, lack of exercise, and cholesterol
(LDL) adhering to the blood vessels. Rising blood pressure accel-
erates hardening of the arteries, making the body becomes more
susceptible to apoplexy and coronary infarction. The WHO (World
Health Organization) published the following guidelines for blood
pressure range:
Source:1999 WHO/ISH guidelines for the management of hypertension.
*2: American Diabetes Association: The Diabetes-Heart Disease Link Sur
veying Attitudes, Knowledge and Risk (2002).
80
120
130
140
160
180
85 90 100 110
Optimal
High-Normal
Normal
Grade 1 Hypertension (“mild”)
Grade 2 Hypertension (“moderate”)
Grade 3 Hypertension (“severe”)
(mmHg)
Systolic
Diastolic

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ABOUT THIS SYSTEM
Intended Use
The FORA D10 system is a 2 in 1 system designed to measure
blood glucose outside of human body and to measure blood pres-
sure non-invasively. It is intended for use in the home and in clinical
settings. It shall not be used for the diagnosis of diabetes and hyper-
tension, or for the testing of newborns.
The talking functions on the meter is not intended for use by visually
impaired users.
AST of this system can be used only during steady-state blood glu-
cose conditions as described in the section of “Alternative Site Test-
ing (AST)".

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Principle of Measurement
Blood glucose is based on the measurement of electrical current
generated by the reaction of glucose with the reagent of the strip.
The monitor measures the current and displays the corresponding
blood glucose level. The strength of the current produced by the
reaction depends on the amount of glucose in the blood sample.
Blood pressure is measured non-invasively at the wrist based on
the Oscillometric method.
Both functions work separately independent of the other (one mea-
surement either blood glucose or blood pressure at a time) in order
to avoid any interference problems.

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Alternative Site Testing (AST)
Important: There are limitations for doing AST (Alternative Site
Testing).
● AST results should not be used for CGM calibration.
● AST results should not be used for insulin
dosing calculations.
Please consult your healthcare professional
before you begin AST.
What is AST?
Alternative site testing (AST) refers to when
individuals check their blood glucose levels
using areas of the body other than ngertip.
This system allows AST at the palm, the fore-
arm, the upper arm, the calf or the thigh with
results as reliable as those obtained from ngertip testing.
What’s the advantage?
Fingertips feel pain more readily because they are full of nerve end-
ings (receptors). Since nerve endings are not so condensed at other
body sites, tests performed there will be less painful.
When to use AST?
Food, medication, illness, stress and exercise can affect blood glu-
cose levels.Capillary blood at the ngertip reects these changes
faster than capillary blood at other sites. Therefore, when testing
blood glucose during or immediately after a meal or physical exer-
cise, results from AST and ngertip may be signicantly different.

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We strongly recommend you perform AST ONLY during the follow-
ing intervals:
• In a pre-meal(more than 2 hours since the last meal) or fasting
state.
• Two or more hours after taking insulin.
• Two or more hours after exercise.
Do NOT use AST if:
• You think your blood glucose is low.
• You are unawareness of hypoglycemia.
• Your AST results do not correspond with the way you feel.
• You are testing for hyperglycemia.
• Your routine glucose results are often uctuating.
How to increase the accuracy?
Stimulating blood perfusion by rubbing the puncture site prior to
blood extraction has a signicant inuence on the glucose value
obtained. Blood from the site without rubbing exhibits a measurably
different glucose concentration than blood from the nger. When
the puncture site is rubbed prior to blood extraction, the difference
is markedly reduced.
Please follow suggestions below before puncturing the skin:
• Rub the puncture site approximately 20 seconds before
penetration.
• Use a clear cap (included in the kit) instead while setting the
lancing device.

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Contents of the System
The products have been designed, tested, and proven to work to-
gether as a system to produce accurate blood glucose test results.
Use only FORA D10 test strips and FORA control solution with your
FORA D10 Monitor.
Blood glucose plus
blood pressure monitor
2 x 1.5V AAA alkaline
batteries
Lancing device
Clear cap
Owner’s manual
Daily log book
Protective storage case
Warranty card
Quick start user guide
1
2
3
5
8
4
7
6
9
1 32
5
8
4
7
6
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NOTE
• If your system has been opened prior to use or does not contain all
items listed above, please return your system to the place of purchase.
• Please note that strips, control solutions (low, normal and high) and
lancets are optional. Those are not included in the standard kit. Please
contact the Customer Service at 1-888-307-8188, 1-866-469-2632 or
place of purchase for availability.

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Appearance and Key Function of the Monitor
Test Slot is where you insert test strip.
Talking Symbol indicates that the monitor has speaking
function.
M Button is used to enter memory and assist setting.
ON/OFF Button is a power button for blood pressure
measurement.
2 in 1 Symbol is a 2 in 1 system designed to measure blood
glucose and blood pressure.
Data Port is for cable connection.
Set Button is used to set up monitor.
Speaker is where voice comes from.
Wrist Cuff is used to wrap around wrist when measuring blood
pressure.
Battery Compartment.
1
3
2
5
8
10
4
7
6
9
1
5
3
42
10
7
6
9
8

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LCD Screen
Memory Mode Symbol
Temperature Symbol
Test Result & Error Message
Day Average Result
Pulse Rate
Battery Symbol
Ketone Indicator
Code
Date & Time
10
14
12
16
11
15
13
17
18
Voice Symbol
Blood Drop Symbol
Test Strip Symbol
Good Symbol
Systolic Pressure
Units for Blood Glucose
Units for Blood Pressure
Diastolic Pressure
Control Mode Symbol
1
3
2
5
8
4
7
6
9
14
16
15
13
17
18
132
10
5
8
4
7
6
9
12 11

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Test Strip
NOTE
The FORA D10 monitor should only be used with FORA D10 Test Strips.
Using other test strips with this meter can produce inaccurate results.
Absorbent Hole
Apply a drop of blood here.
The blood will be
automatically absorbed.
Conrmation Window
This is where you conrm if
enough blood has been
applied to the absorbent
hole in the strip.
Test Strip Handle
Hold this part to insert the
test strip into the slot.
Contact Bars
Insert this end of the test
strip into the meter. Push
it in rmly until it will go no
further.
ATTENTION:
Test results might be wrong if the contact
bar is not fully inserted into the test slot.
The front side of the
test strip should face
up when inserting
the test strip.
Front Back
1
4
3
2

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BEFORE USE
Battery Installation and Replacement
Use ONLY 1.5V AAA size alkaline batteries for best performance
and optimal lifespan.
When the power is getting low, the monitor will remind you by dis-
playing two different messages:
1. Battery Symbol “ ” appears with your
test result to indicate that only 30 more
measurements (either glucose tests or
blood pressure tests) can be made be-
fore power runs out.
2. Error message “E-b” shows together
with ashing “ ” and “low” to indicate
that you must change the batteries be-
fore making any measurements.

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Make sure the monitor is off when replacing the batteries.
Please remember:
• When “ ” appears, the monitor will automatically turn down the
volume for energy saving.
• Do not replace batteries with used batteries or those of a differ-
ent type/brand name. Use only new ones in required size and
type/brand.
• Replacing the batteries does not affect previously stored test re-
sults; however,the settings may need to be updated again.
• Batteries might leak chemicals if unused for a long period of
time. Remove the batteries if you are not going to use the device
for an extended period (i.e.3 months or more).
• Batteries should be kept away from small children. If they are
swallowed, promptly see a doctor for help.
• Discard batteries according to your local regulations.
Step1
Press the buckle on battery
cover and lift up to remove cover.
Step2
Replace with two new 1.5V AAA
alkaline batteries. Align the posi-
tive and negative terminals of the
batteries with the positive (+) and
negative (-) signs engraved inside
the battery compartment and close
the cover.

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Setting the Monitor
Time, date, units, memory deletion and speaking function (optional)
can be set in the monitor. Two keys are involved: Set button and M
button.
Step1
Press the Set but-
ton to start setting.
Step3
Press the M button
to make changes.
Press the Set button
to next.
Step5
Time ashes. Follow
Step3 for changes.
Step2
Year ashes rst.
Step4
Date ashes. Follow
Step3 for changes.
Step6
Unit of blood pres-
sure ashes. Follow
Step3 for changes.