FOR-A D40d User manual

Ownerʼs Manual
Manual del Propietario
Blood Glucose Plus Blood Pressure Monitoring System
Sistema de Monitoreo de Glucosa y Medidor de
Presión Arterial
D40 Series

3
Dear FORA D40 System Owner:
Thank you for purchasing the FORA D40 Blood Glucose plus Blood
Pressure Monitoring System. This manual provides important information
which helps you to operate this system smoothly. Before using this
product, please read the following contents thoroughly and carefully.
This system is intended to be used by a single patient. According to the
clinical studies from the American Diabetes Association, 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 levels and blood pressure by yourself at any place, any time. In
addition, 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.
Version 4.0 2017/12
311-3261000-041
EnglishEnglish

4
IMPORTANT SAFETY PRECAUTIONS
READ BEFORE USE
● The meter and lancing device are for single patient use. Do not share
them with anyone including other family members! Do not use on
multiple patients!
● All parts of the kit are considered biohazardous and can potentially
transmit infectious diseases, even after you have performed cleaning
and disinfection.
For more information, please visit
1.“FDA Public Health Notification: 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/
ucm234889.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
1. Use this device ONLY for the intended use described.
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 if it is 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.

5
7. Before using this device to test blood glucose, read all instructions
thoroughly and practice the test. Do all quality control checks as
directed.
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 device 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 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.
12. Do NOT use this device in close proximity to sources of strong
electromagnetic radiation, as these may interfere with the correct
operation.
KEEP THESE INSTRUCTIONS IN A SAFE PLACE

6
TABLE OF CONTENTS
BEFORE YOU BEGIN 08
Important Information 08
Intended Use 09
Test Principle 10
Contents of System 11
Meter Overview 12
Display Screen 14
Test Strip 15
SETTING THE METER 16
THE FOUR MEASURING MODES 19
Control Solution Testing 20
Performing a Control Solution Test 20
TESTING WITH BLOOD SAMPLE 22
Preparing the Lancing Device for Blood Testing 23
Preparing the Puncture Site 23
Performing a Blood Glucose Test 24
Alternative Site Testing 27
TESTING YOUR BLOOD PRESSURE 28
Before Measurement 28
Fitting the Cuff Correctly 28
Proper Measurement Position 30
Taking Measurements 30
METER MEMORY 33
Reviewing Test Results 33
Reviewing Day Average Results 34
DOWNLOADING RESULTS 35

7
MAINTENANCE 40
Battery 40
Caring for Your Meter 43
SYSTEM TROUBLESHOOTING 48
Result Readings 48
Error Messages 49
Troubleshooting 51
DETAILED INFORMATION 53
SPECIFICATIONS 55
FEDERAL COMMUNICATIONS COMMISION (FCC) STATEMENT 57

8
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 samples 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 ownerʼs manual, call your healthcare professional.
● We do not recommend using this product on severely hypotensive
individuals or patients in shock. Please consult the healthcare
professional before use.

9
Intended Use
FORA D40 Blood Glucose plus Blood Pressure Monitoring System is
intended to be used for the quantitative measurement of glucose (sugar)
in fresh capillary whole blood samples drawn from the fingertips, palm,
forearm, and upper arm. This system is intended to be used by a single
person and should not be shared.
The system is intended for self testing outside the body (in vitro
diagnostic use) at home. This system should not be used for the
diagnosis of or screening for diabetes, nor for neonatal use.
Alternative site testing should be done only during steady – state times
(when glucose is not changing rapidly).
This system is also intended to be used as a non-invasive measuring
system of systolic and diastolic blood pressure and pulse rate of an
adult individual at home. The blood pressure is measured by using an
inflatable cuff wrapped around the arm.
The meter contains some speaking functions but it has not been
validated for use by visually impaired users.

10
Test Principle
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 reaction
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 atrial or ventricular premature beats or
atrial fibrillation. It may produce reading errors.

11
Test strip, control solution, sterile lancet and lancing device with one
clear cap may be purchased separately. Please make sure you have
those items needed for a blood glucose test beforehand. Please contact
the place of purchase or call customer service at 1-888-307-8188 for
availability.
Contents of System
Your new FORA D40 system kit includes:
1
4
5
8
9
73
6
2
Four AA alkaline Batteries
(for FORA D40c and FORA D40d)
One Rechargeable Li-Ion Battery
(for FORA D40g)
Pressure Cuff
AC Power Adaptor (for FORA D40g only)
Meter
Ownerʼs Manual
Protective Wallet
Quick Start User Guide /
Warranty Card
Daily Log Book
NOTE:
If any items are missing from your kit or opened prior to use, please contact local
customer services or place of purchase for assistance.
1 432
6 7 8 9
5
BloodGlucose Plus Blood
PressureMonitoring System

12
Meter Overview
19
16
17
18
Pressure
Cuff
Back
12
Side
13
14
15
Front
(FORA D40d)
6 7
1
4
5
2
3
1011 89
Front
(FORA D40g)
Front
(FORA D40c)
6 7
1
4
5
2
3
1011 89
6 7
1
4
5
2
3
1011 89

13
Display Screen
RF Button
(for FORA D40d and FORA D40g)
Assists you with wireless data
transmission.
AVERAGE Button (for FORA D40c)
Assists you with blood pressure
average mode.
S Button
To enter and confirm the meter
settings.
M Button
To enter the meter memory.
User Selection Button
(for FORA D40c and FORA D40d)
Assist you with user number
selection.
AVERAGE Button (for FORA D40g)
Assist you with blood pressure
average mode.
Speaker
On/Off Button
To start a single non-invasive blood
pressure measurement.
Power Indicator
Indicates the power status of the
device.
USB Indicator
Indicates when an USB plug
is inserted.
RF Indicator
Indicates a wireless data
transmission.
Test Slot
Insert test strip here to turn
the meter on for testing.
Battery Compartment
Strip Ejector
Eject the used strip by
pushing up this button.
AC/DC Adapter Port
Connect to a power supply.
USB Link Port
(for FORA D40c and FORA
D40g only)
Pressure Cuff
Air Tube
Air Plug
Connect to air jack.
Air Jack
1
2
4
3
5
6
7
8
9
10
11
12
13
15
16
18
17
19
14

14
Display Screen
Date
Systolic Pressure Symbol
Measuring Mode
Systolic Pressure Value
Diastolic Pressure Symbol
Diastolic Pressure Value
Volume Symbol
Ketone Warning
User Number
(for FORA D40c and
FORA D40d)
1
2
3
5
4
6
7
9
8
Heart Symbol- for IHB Detection
(Irregular Heart Beat)
Pulse Rate
Day Average Result
Battery Symbol
Memory Mode Symbol
Unit for Blood Pressure
Unit for Blood Glucose
Time
Test Strip Symbol
Blood Drop Symbol
13
16
12
11
10
15
14
17
18
19
9
1
2
3
5
6
7
8
4
1819
14
11
10
12
15
16
17
13

15
Test Strip
Test Strip Handle
Hold this part to
insert the test strip
into the slot.
Confirmation Window
This is where you confirm
if enough blood has been
applied to the absorbent
hole in the strip.
Contact Bars
Insert this end of the test
strip into the meter. Push
it in firmly until it will go
no further.
Absorbent Hole
Apply a drop of blood
here. The blood will be
automatically absorbed.
ATTENTION:
The front side of test strip should face up when
inserting test strip.
Test results might be wrong if the contact bar is not fully
inserted into the test slot.
NOTE:
The FORA D40 meter should only be used with FORA D40 Test Strips. Using
other test strips with this meter may produce inaccurate results.

16
Entering the Setting Mode
Start with the meter off (no test strip
inserted). Press until the meter turns
on.
1. Setting the date and the time
With the year flashing, press until the
correct year appears. Press .
With the month flashing, press until
the correct month appears. Press .
With the day flashing, press until the
correct day appears. Press .
With the hour flashing, press until the
correct hour appears. Press .
With the minute flashing, press until
the correct minute appears. Press .
SETTING THE METER
This device is equipped with voice function to guide you through the
process of blood glucose and blood pressure testing.
Before using your meter 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.

17
2. Selecting the speaking volume
There are seven (7) speaking volume
options to choose from. Press until
the desired speaking volume appears. To
confirm your selection, press .
3. Choose a language
Press to select L1 / L2. The default
language for the meter is L1, which is
English; L2 is Spanish. To confirm your
selection, press .
4. Setting the auto-send (for FORA D40d
or FORA D40g)
Press to select the auto-send On or
OFF. Press . This function is for the
Bluetooth transmission or 3G service.
If “On”is selected, your result will be
transmitted right after each test.
5. Deleting the memory
If you do not wish to delete the saved
results, press to skip this step.
Otherwise, as the “dEL”and the
symbol are flashing on the display, and
all of the user numbers are also flashing,
press twice to delete ALL results.
If you wish to delete the memory of an
individual user only, press to select the
user, then press twice.

18
Press to turn off the meter.
The voice guide repeats all settings
before shutdown.
NOTE:
• These parameters can ONLY be changed in the setting mode.
• If the meter is idle for 3 minutes during the setting mode, it will switch off
automatically.
User Number Selection (for FORA D40c
and FORA D40d)
This system provides up to four users
for blood pressure measuring functions.
Each userʼs test results are stored
separately under each user number.
1. Press to select the desired user
number.
2. Press to confirm. The voice guide
will repeat the selected number and then
turn off automatically.
NOTE:
In blood glucose testing, the meter will always display user number 1 during
the process and the glucose results are stored under user number 1 only in the
meter memory.

19
You can switch between each mode by:
1. Start with the meter switched off.
Insert a test strip to turn on the meter.
THE FOUR MEASURING MODES
The meter provides you with four modes for measuring, General, AC, PC
and QC.
MODES
General Tests
(not displayed)
AC
PC
QC
USE WHEN
any time of day without regard to time since last
meal
no food intake for at least 8 hours
2 hours after a meal
testing with the control solution
2. Press to switch between General,
AC, PC and QC mode.

20
Control Solution Testing
FORA Control Solution contains a known amount of glucose that reacts
with test strips and is used to ensure your meter and test strips are
working together correctly.
Do a control solution test when:
● you first receive the meter,
● at least once a week to routinely check the meter and test strips,
● you begin using a new vial of test strips,
● you suspect the meter or test strips are not working properly,
● your blood glucose test results are not consistent with how you feel, or
if you think the results are not accurate,
● testing process or
● you have dropped or think you may have damaged the meter.
Performing a Control Solution Test
1. Insert the test strip to turn on the
meter
Insert the test strip into the meter. Wait
for the meter to display “”and “”.
2. Press to mark this test as a
control solution test