FOR-A D40 Series User manual

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Dear System Owner:
Thank you for purchasing the FORA D40 Blood Glucose plus Blood
Pressure Monitoring System. This manual provides important infor-
mation which helps you to operate this system smoothly. Before
using this product, please read the following contents thoroughly
and carefully.
According to the clinical studies from American Diabetes Associa-
tion, elevated blood pressure often accompanies adult diabetes
patients. These studies also suggest that diabetes patients could
reduce the risk of cardiovascular diseases by managing their
blood glucose levels and blood pressure. Therefore, with easy
operation of this FORA D40 Blood Glucose plus Blood Pressure
Monitoring System, you can easily monitor your blood glucose lev-
els and blood pressure by yourself at any place, any time. In addi-
tion, this system can help you and your healthcare professionals to
monitor and adjust your treatment plans, and keep your diabetes
and blood pressure under control.
If you have other questions regarding this product, please contact
the place of purchase.
D40
Version 2.0 2011/07 311-3261000-002
English

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IMPORTANT SAFTY INSTRUCTIONS
READ BEFORE USE
1. Use this device ONLY for the intended use described in this
manual.
2. Do NOT use accessories which are not specified by the
manufacturer.
3. Do NOT use the device if it is not working properly or
damaged.
4. Do NOT use the equipment where aerosol sprays are being
used or where oxygen is being administered.
5. Do NOT use under any circumstances on newborns or
infants.
6. This device does NOT serve as a cure for any symptoms
or diseases. The data measured is for reference only.
Always consult your physician to have the results interpreted.
7. Before using this device to test blood glucose, read all
instructions thoroughly and practice the test. Do all quality
control checks as directed.

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8. Keep the device and testing supplies away from young
children. Small items such as the battery cover, batteries,
test strips, lancets and vial caps are choking hazards.
9. Keep the equipment and its flexible cord away from hot
surfaces.
10. Do NOT apply the cuff to areas other than the place
directed.
11. Use of this instrument in a dry environment, especially if
synthetic materials are present (synthetic clothing, carpets
etc.) may cause damaging static discharges that may
cause erroneous results.
12. Do NOT use this instrument in close proximity to sources of
strong electromagnetic radiation, as these may interfere
with the correct operation.
13.Proper maintenance and periodically calibration are
essential to the longevity of your device. If you are
concerned about your accuracy of measurement, please
contact local customer service for help.
KEEP THESE INSTRUCTIONS IN A SAFE PLACE

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TABLE OF CONTENTS
IMPORTANT SAFETY PRECAUTIONS 02
BEFORE YOU BEGIN 06
Important Information 06
Intended Use 07
Test Principle 07
Contents of System 08
Monitor Overview 09
Screen Display 11
Test Strip 12
Speaking Function 13
Features 17
SETTING THE MONITOR 18
TESTING YOUR BLOOD GLUCOSE 23
The Four Measuring Modes 23
CONTROL SOLUTION TESTING 25
Performing a Control Solution Test 26
TESTING WITH BLOOD SAMPLE 29
Preparing the Lancing Device for Blood Testing 29
Preparing the Puncture Site 30
Alternative Site Testing 32
Performing a Blood Glucose Test 33

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TESTING YOUR BLOOD PRESSURE 37
Before Measurement 37
Taking a Single Measurement 40
Measurement Average Mode 41
MONITOR MEMORY 43
Reviewing Test Results 43
Reviewing Day Average Results 44
DOWNLOADING RESULTS ONTO A COMPUTER 46
MAINTENANCE 52
Battery 52
Using AC Adapter 55
Caring for Your Monitor 57
Caring for Your Test Strips 58
Important Control Solution Information 59
SYSTEM TROUBLESHOOTING 60
Result Readings 60
Error Messages 62
Troubleshooting 66
DETAILED INFORMATION 69
Reference Values 69
Comparing Monitor and Laboratory Results 71
SYMBOL INFORMATION 73
SPECIFICATIONS 74

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BEFORE YOU BEGIN
Important Information
•Severe dehydration and excessive water loss may cause readings
which are lower than actual values. If you believe you are suffering
from severe dehydration, consult a healthcare professional
immediately.
•If your blood glucose results are lower or higher than usual, and
you do not have symptoms of illness, first repeat the test. If you
have symptoms or continue to get results higher or lower than
usual, follow the treatment advice of your healthcare professional.
•Use only fresh whole blood sample to test your blood glucose.
Using other substances will lead to incorrect results.
•If you are experiencing symptoms that are inconsistent with your
blood glucose test results and you have followed all instructions
described in this owner’s manual, call your healthcare professional.
•We do not recommend using this product on severely hypotensive
individuals or patients in shock. Readings which are lower than
actual values may occur for individuals experiencing a
hyperglycaemic-hyperosmolar state, with or without ketosis.
Please consult the healthcare professional before use.

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Intended Use
This system is a 2 in 1 system designed to measure blood glucose
outside the human body (in vitro diagnostic use) and to measure
blood pressure non-invasively. It is intended for use in the home and in
clinical settings as an aid to monitoring the effectiveness of diabetes
control.
It shall not be used for the diagnosis of diabetes and hypertension, or
for the testing of neonates.
Test Principle
Your system measures the amount of sugar (glucose) in whole blood.
The glucose testing is based on the measurement of electrical current
generated by the reaction of glucose with the reagent of the strip. Your
monitor measures the current, calculates the blood glucose level, and
displays the result. The strength of the current produced by the reac-
tion depends on the amount of glucose in the blood sample.
The blood pressure is measured non-invasively at the arm based on
the Oscillometric method.
This device is NOT able to take measurements in the presence of
common arrhythmia, such as arterial or ventricular premature beats or
arterial fibrillation. It may produce reading errors.

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Contents of System
Your new FORA D40 system kit includes:
6
6
1
1
10
11
12
10
4
4
8
8
5
5
9
9
3
3
7
7
2
2
Lancing Device with One Clear Cap
Batteries
Test Strips
Control Solutions
Sterile Lancets
Pressure Cuff (arm type)
Monitor
Owner’s Manual
Protective Wallet
Quick Start User Guide
Daily Log Book
Warranty Card
11 12
NOTE
All items can be purchased separately and some accessories may not be
included in the kit. If you wish to purchase any accessories, please contact
our local customer service.

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Monitor Overview
Front
Side
Back
Pressure Cuff
13
14
15
18
19
17
16
10 11
8
9
7
2
3
4
5
1
6
12

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TEST SLOT
Insert test strip here to turn the
monitor on for testing.
DISPLAY SCREEN
RF BUTTON (For FORA D40b and
D40g)
Assists you with wireless data
transmission.
AVERAGE BUTTON (For FORA
D40a)
Assists you with blood pressure
average mode.
S BUTTON
Enter and confirm the monitor
settings.
M BUTTON
Enter the monitor memory.
ON/OFF BUTTON
To start a single blood pressure
measurement.
USER SELECTION BUTTON
Assist you with user number
selection.
SPEAKER
RF INDICATOR
Indicates a wireless data trans-
mission.
1
3
4
2
6
10
14
11
15
12
16
17
13
18
19
8
5
9
7
USB INDICATOR
Indicates when a USB cable
plug inserted.
POWER INDICATOR
Indicates the power status of
the device.
BATTERY COMPART-
MENT
AC/DC ADAPTER PORT
Connect to a power supply.
USB LINK PORT
Download test results with a
cable connection.
STRIP EJECTOR
Eject the used strip by push-
ing up this button.
AIR JACK
PRESSURE CUFF
AIR TUBE
AIR PLUG
Connect to air jack.

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Screen Display
Date
Systolic Pressure Symbol
Measurement Mode
Systolic Pressure Value
Diastolic Pressure Symbol
Diastolic Pressure Value
Volume Symbol
Special Message
Time
Code Number
Unit for Blood Glucose
Unit for Blood Pressure
Memory Mode Symbol
Battery Symbol
Result Indicator
Day Average Result
Pulse Rate
Blood Drop Symbol
Test Strip Symbol
User Number
Heart Symbol - for IHB
Detection (Irregular
Heart Beat)
1
8
6
4
7
5
3
2
9
10
11
12
13
14
15
16
17
18
19
20
21
18 19
20 21
8
7
2
3
4
5
1
6
9
10
11
12
13
14
15
16
17

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Test Strip
NOTE
The FORA D40 monitor should only be used with FORA D40 Test Strips.
Using other test strips with this meter can produce inaccurate results.
ATTENTION:
The front side of test strip with FORA Logo
should face up when inserting test strip.
Test results might be wrong if the contact bar
is not fully inserted into the test slot.
Front
Absorbent Hole
Apply a drop of blood here.
The blood will be automatically absorbed.
Conrmation Window
This is where you confirm 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 firmly until it will go no
further.
1
4
3
2

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Speaking Function
FORA D40 “speaks”aloud with step-by-step instructions to guide you
through the process of blood glucose testing. The following table tells
you when and what the monitor “speaks”.
WHEN
does the monitor speak?
WHAT
does the monitor speak?
Thank you for using this product.
The user’s number is one,
please select the user’s number.
The user’s number is (number),
please relax during measure-
ment.
Room temperature out of range,
unable to measure.
The blood glucose is (number)
milligram per deciliter.
You are now in setting mode.
The year is (number).
The month is (month).
The day is (number).
The hour is (number).
The minute is (number).
The time is (12/24) hour mode.
Voice volume is (number).
When the monitor is turned on to
begin a blood pressure measure-
ment.
When room temperature is
outside operating range of 10°C
to 40°C (50°F to 104°F).
When the glucose test is com-
pleted (the result appears on
display).
When the monitor is in the set-
ting mode.

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WHEN
does the monitor speak?
WHAT
does the monitor speak?
When the monitor is in the set-
ting mode.
Delete memory record func-
tion, press M key to clear all the
records.
The year is (number). The month
is (month). The day is (num-
ber). The hour is (number). The
minute is (number). The time
is (12/24) hour mode. Voice
volume is (number).
Have a nice day.
When the test strip is inserted
into the monitor.
When the glucose test result is
outside measurement range of
20 to 600 mg/dL (1.1 to 33.3
mmol/L).
When power is insufficient.
Thank you for using this product.
Test strip is inserted. Today’s
day is (number), the time is
(number), the user’s number is
one, please apply blood onto the
test strip.
Now testing.
The user’s number is one. Your
blood glucose is (number) mil-
ligram per deciliter.
The blood glucose is out of
range, unable to measure.
Battery is dead, please replace.

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WHEN
does the monitor speak?
WHAT
does the monitor speak?
When the monitor is in blood
glucose measurement mode.
You are now in testing mode.
This is before meal measure-
ment.
This is after meal measurement.
You are now in control solution
mode.
When the blood pressure test is
completed (the result appears
on display).
When the monitor is in memory
mode.
Your systolic blood pressure is
(number) millimeter of mercury,
the diastolic blood pressure is
(number) millimeter of mercury
and the heart rate is (number)
beats per minute.
Thank you for using this product.
Today’s date is (number), the
time is (number), you are now
in memory mode, the user’s
number is one, please select the
user’s number.

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WHEN
does the monitor speak?
WHAT
does the monitor speak?
When the monitor is in memory
mode.
When the monitor is in day aver-
age mode.
Memory record for (time), your
blood glucose is (number) milli-
gram per deciliter. Your memory
record for (time). Your systolic
blood pressure is (number)
millimeter of mercury, the dia-
stolic blood pressure is (number)
millimeter of mercury and the
heart rate is (number) beats per
minute.
Thank you for using this product.
You are now in day average
mode, the user’s number is one,
please select the user’s number.
The user’s number is (number),
the 7-,14-,21-,28,,60-,90- day
blood glucose average is (num-
ber)

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Features
There are three subtypes of FORA D40 system available. Each one of
them offers a different way to transmit allowing users to choose their
own desired ways to manage their test results. These feature functions
are listed as below:
Model Data Transmission Function
Test results can be viewed on
the PC through the USB cable
connection.
Test results can be viewed
on the PC through a wireless
connection by using Bluetooth
technology.
Test results can be viewed
through a wireless connection by
using GPRS.

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Before using your monitor for the first time or if you change the meter
battery, check and update these settings. Make sure you complete the
steps below and have your desired settings saved.
► Entering the setting mode
Start with the monitor off (no test strip
inserted). Press until the monitor turns
on.
Step 1
Setting the date.
With the year flashing, press until the
correct year appears. Press .
With the month flashing, press until
the correct month appears. Press .
SETTING THE MONITOR

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With the day flashing, press until
the correct day appears. Press .
Step 2
Setting the time
With the hour flashing, press until
the correct hour appears. Press .
With the minute flashing, press until
the correct minute appears. Press .
Step 3
Setting the time format
Press to select the desired time
format --- 12h or 24h. Press .

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Step 4
Setting the speaking volume
There are seven (7) speaking volume options to let you choose. Press
until the desired speaking volume appears. Press .
Volume 0 indicates that the speaking function is turned off, and will
not display “”. Volume 1 to 7 indicates speaking volume from low
to high, and “”will be displayed during testing.
This function is referring to the GPRS service. If “On”is selected, your
result will be transmitted right after the test.
Step 5
Setting the auto-send
Press to select the auto-send On or OFF. Press .