FOR-A 6 Plus User manual

Multi-Functional Monitoring System
2020/03 311-0000000-043
Owner's Manual

2
Safety Information 04
Important Information 05
Introduction 06
Intended Use 06
Test Principle 06
Product Overview 06
Screen Display 07
Getting Started 08
Initial Setup 08
Before Testing 10
Calibration 10
How to Code Your Meter (for β-ketone/ Total cholesterol/ Uric acid test) 10
Checking the Code Number 10
Testing With Blood Sample 11
Test Strip Appearance 11
Inserting a Test Strip 12
Preparing the Lancing Device 12
Obtaining the Blood Sample 13
Performing A Test 15
Ketone Warning 16
Announcement of Test Result by Universal Tone 17
Disposing Used Test Strip and Lancet 17
Control Solution Testing 18
Reviewing Test Results 19
Announcement of Memory Result by Universal Tone 21

3
Transferring Data 21
Data Transmission Via USB/ Strip_Port_ Comm Cable (FORA 6 Plus) 21
Data Transmission Via Bluetooth (FORA 6 Connect) 22
Maintenance 23
Changing Battery 23
Caring for Your Device 24
Device Storage 24
Meter Disposal 24
Caring for Your Test Strips 25
Important Control Solution Information 25
Detailed Information 26
Symbol Information 27
Troubleshooting 28
Result Readings 28
Error Message 29
Announcement of Error Message by Universal Tone 31
Blood Glucose Measurement 31
Specications 33
Warranty Terms and Conditions 34

Read the following Safety Information thoroughly before using the device.
• Use this device ONLY for the intended use described in this manual.
• Do NOT use accessories which are not specied by the manufacturer.
• Do NOT use the device if it is not working properly or damaged.
• This device does NOT serve as a cure for any symptoms or diseases. The
data measured is for reference only. Always consult your doctor to have the
results interpreted.
• The blood glucose and the blood glucose/ hematocrit/ hemoglobin test strips
can be used for the testing of newborns.
• The β-Ketone, total cholesterol and uric acid test strips shall NOT be used for
the testing of newborns.
• Before using this device, read all instructions thoroughly and practice the test.
Carry out all the quality control checks as directed.
• 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.
• Do NOT use this instrument in close proximity to sources of strong
electromagnetic radiation, as these may interfere with the correct operation.
• Proper maintenance as well as timely calibration of the device together with
the control solution is essential in ensuring the longevity of your device. If you
are concerned about the accuracy of the measurement, please contact the
place of purchase or customer service representative for assistance.
KEEP THESE INSTRUCTIONS IN A SAFE PLACE
4
Safety Information

5
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 test results are lower or higher than usual, and you do not have
symptoms of illness, rst 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 perform a test. Using other substances
will lead to incorrect results.
• If you are experiencing symptoms that are inconsistent with your test results
and you have followed all the instructions given in this owner’s manual, contact
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.
• The measurement unit used for indicating the concentration of blood glucose
can have mg/dL or mmol/L. The approximate calculation rule for conversion of
mg/dL in mmol/L is:
mg/dL Divided by 18 = mmol/L
mmol/L Times 18 = mg/dL
For example:
1) 120 mg/dL ÷ 18 = 6.6 mmol/L
2) 7.2 mmol/L x 18 = 129 mg/dL approximately

6
Introduction
Intended Use
This system is intended for use outside the body (in vitro diagnostic use) by
people with diabetes at home and by health- care professionals in clinical
settings as an aid to monitor the effectiveness of diabetes control. It is intended
to be used for the quantitative measurement of the blood glucose, hematocrit,
hemoglobin, ß-ketone, total cholesterol and uric acid levels in whole blood. It
should not be used for the diagnosis of diabetes.
Professionals may test with capillary and venous blood sample. Use only heparin
for anticoagulation of whole blood.
Home use is limited to capillary blood from the nger tip and the approved sites.
Test Principle
With different types of test strips, your FORA 6 Plus / Connect Multi-functional
Monitoring System allows you to measure the amount of blood glucose,
hematocrit, hemoglobin, β-Ketone, total cholesterol and uric acid levels in whole
blood. The testing is based on the measurement of electrical current generated
by the reaction of different substance with the reagent of the strip. The meter
measures the current, calculates the blood glucose, hematocrit, hemoglobin,
β-Ketone, total cholesterol or uric acid, and displays the result.
The strength of the current produced by the reaction depends on the amount of
the substance in the blood sample.

7
Product Overview
1. Test Strip Slot / Strip Port
Comm (FORA 6 Plus)
9. Bluetooth Indicator
(FORA 6 Connect)
4. Battery
Compartment
5. Display Screen 8. UP Button
7. MAIN Button
6. Down Button
2. Strip Indication Light
3. Test Strip Ejector

8
Screen Display
1
3
5
7
8
11
12
14
15161718
13
9
6
4
2
10
1. Ketone Symbol / Ketone
Warning
2. Total Cholesterol Symbol
3. Test Result
4. QC Mode
QC – control solution testing
5. Measurement Mode
AC - before meal
PC - after meal
Gen - any time of day
6. Memory Symbol
7. Day Average
8. Warning Symbol
9. Hemoglobin Symbol
10. Date & Time
11. Hematocrit Level
12. Measurement Unit
13. Uric Acid Symbol
14. Blood Glucose Symbol
15. Low battery Symbol
16. Universal Tone Symbol
17. Test Strip Symbol
18. Blood Drop Symbol

9
Getting Started
Initial Setup
Please follow the initial setup procedure before using the device for the rst time
or after you have replaced the battery. When the battery power is extremely low
and “ & ” appears on the screen, the meter cannot be turned on.
Step 1: Enter the Setting Mode
1. The meter turns on automatically once a new battery is inserted.
2. Start with the meter off (no test strip inserted). Press and hold and at the
same time.
Step 2: Conguring the Settings (Date, Time, Universal Tone, Memory
Deletion and Reminder Alarm)
Press or to adjust the value or enable/disable the setting. Then press MAIN
button to conrm the setting and switch to another eld.
Set [Minute]
Set [Year] Set [Month] Set [Day] Set [Hour]
Set [Beep
On, Universal
Tone, Beep
Off]
Delete Memory
Records

10
Set [Reminder
Alarm]
Set [Alarm
Time (Hour)]
Set [Alarm
Time (Minute)]
Note:
• Press to select Beep On, Universal Tone On or Beep Off. Press MAIN
button to conrm.
• When Universal Tone is turned on, the meter guides you through the blood
glucose test using beep tones; it also outputs the result as a series of beeps.
• When Beep is turned off, the alarm function will remain effective.
• During memory deletion, select “ ”to keep all saved results.
• You may set it up to four reminder alarms.
• To turn off the alarm, press or to change On to OFF. Press MAIN button
to conrm.
• When the alarm goes off, the device will automatically turn on. Press to
mute the alarm. If you do not press , the device will beep for 2 minutes then
switch off.
• If the device is idle for 3 minutes during the setting mode, it will turn off
automatically.

11
Before Testing
Calibration
You must calibrate the meter every time you begin to use a new vial of β-ketone/
Total cholesterol/ Uric acid test strips by setting the meter with the correct code.
Test results may be inaccurate if the code number displayed on the monitor does
not match the number printed on the strip label or strip foil pack.
How to Code Your Meter (for β-ketone/ Total cholesterol/ Uric acid test)
1. Insert the code strip when the monitor is off. Wait until the code number
appears on the display.
Note:
• Make sure the code numbers on display, code strip, and test strip vial or foil
pack are the same. The code strip should be within the expiry date; otherwise,
an error message may appear.
2. Remove the code strip, the display will show “OFF”. This tells you that the
meter has nished coding and is ready for β-ketone/ Total cholesterol/ Uric
acid testing.
Checking the Code Number
You need to make sure that the code number displayed on the meter matches
the number on your test strip vial or foil pack before you proceed. If it matches,
you can proceed with your test. If the codes do not match, please stop testing
and repeat the calibration procedure. If the problem persists, contact Customer
Service for help.
NOTICE:
The codes used in this manual are examples only; your meter may display a
different code.
WARNING:
• It is important to make sure that the LCD displayed code is the same as the
code on your test strip vial or foil pack before testing. Failure to do so will get
inaccurate results.
• If the LCD displayed code is not the same as the code on your test strip vial
and the code number cannot be updated, please contact Customer Service for
assistance.

12
Testing With Blood Sample
Test Strip Appearance
BG B
BG BG BG B
BG BG BG B
BG BG BG B
BG BG
G
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.
12345
BG B
BG BG BG B
BG BG BG
GBG BG BG
GBG BG B
GB
BG B
BG BG BG B
BG BG BG
GBG BG BG
GBG BG B
GB
1. Blood Glucose
2. Blood Glucose / Hematocrit
/ Hemoglobin
3. β-Ketone
4. Total Cholesterol
5. Uric Acid

13
Inserting a Test Strip
Preparing the Lancing Device
Insert the test strip into its slot.
Important!
The front side of test strip should face up when inserting the test strip. Test
results might be wrong if the contact bar is not fully inserted into the test slot.
Important!
To reduce the chance of infection:
• Never share a lancet or a lancing device.
• Always use a new, sterile lancet. Lancets are for single use only.
• Avoid getting hand lotion, oils, dirt, or debris in or on the lancets and the lancing
device.
1. Remove the cap.
2. Insert a new lancet rmly into the white lancet holder cup.
3. Remove the protective disk on the lancet. Hold the lancet rmly in place and
twist off the protective disk.
4. Replace the cap until it snaps or clicks into place.
5. Rotate the dial to set the desired lancing depth.
6.Pull the cocking control out until the orange bar appears
on the release button window.

14
Obtaining the Blood Sample
Blood from sites other than the ngertip (For Blood Glucose Test Strip
Only)
Please follow the suggestions below before obtaining a drop of blood:
• Wash and dry your hands before starting.
• Select the puncture site either on your ngertips or other body parts.
• Rub the puncture site for about 20 seconds before penetration.
Blood from the ngertip
1. Press the lancing device tip rmly against the lower side of your ngertip.
2. Press the release button to prick your nger. A click indicates that the puncture
is complete.

15
Alternative site testing (AST) is when individuals check their blood glucose levels
using other areas of the body other than the ngertips. The FORA test strips
allow AST to be performed on sites other than the ngertips. Please consult your
health care professional before you begin AST.
Alternative site sample results may be different from ngertip sample results
when glucose levels are changing rapidly (e.g., after a meal, after taking insulin,
or during or after exercise).
We strongly recommend that you perform AST ONLY at the following times:
• During a pre-meal or fasting state (more than 2 hours since the last meal).
• Two hours or more after taking insulin.
• Two hours or more after exercise.
Do NOT rely on test results at an alternative sampling site, but use samples taken
from the ngertip, if any of the following applies:
• You think your blood sugar is low.
• You are not aware of symptoms when you become hypoglycemic.
• The results do not agree with the way you feel.
• After a meal.
• After exercise.
• During illness.
• During times of stress.
To obtain a blood sample from the alternative sites, please rub the puncture site
for approximately 20 seconds.
1. Replace the lancing device cap with the clear cap.
1
2
2. Pull the cocking control out until the orange bar appears on the release button
window.

16
Performing A Test
1. Insert the test strip into the test slot of the device. Wait for the device to display
the test strip “ “ and blood drop “ “.
2. Press to adjust the measuring mode, and press MAIN button to conrm it.
• General Tests ( ) - any time of day without regard to time since the last
meal.
• AC ( ) - no food intake for at least 8 hours.
• PC ( ) - 2 hours after a meal.
• QC ( ) - testing with control solution.
Important!
• Do not use results from alternative site samples to calibrate continuous glucose
monitoring systems (CGMS), or for insulin dose calculations.
• Choose a different spot each time you test. Repeated punctures at the same
spot may cause soreness and calluses.
• Avoid lancing the areas with obvious veins to avoid excessive bleeding.
• It is recommended to discard the rst drop of blood as it might contain tissue
uid, which may affect the test result.

17
3. Obtain a blood sample.
Use the pre-set lancing device to puncture the desired site. Wipe off the rst
appeared drop of blood with a clean cotton swab. Gently squeeze the
punctured area to obtain another drop of blood. Be careful NOT to smear the
blood sample.
The blood sample size of each test should be at least,
• blood glucose test: 0.5μL
• blood glucose/ hematocrit/ hemoglobin test: 0.5μL
• β-ketone test: 0.8μL
• total cholesterol test: 3.0μL
• uric acid test: 1.0μL
4. Apply the blood sample.
Move your nger to meet the absorbent hole of the test strip and the drop will
be automatically be drawn onto the test strip. Remove your nger until the
conrmation window is lled. The meter begins to count down. Do not remove
your nger until you hear a beep sound.
BG BG
BG BG BG
BG
BG B
BG BG BG
BG
G BG BG BG BG BG
BG BG BG BG BG BG B
BG BG BG BG BG BG
G BG BG BG BG BG BG
BG BG BG BG BG BG B
GBG

18
5. Read your result.
The results of your test will appear after the meter counts down to 0. The
results will be stored automatically in the meter memory.
Blood Glucose /
Hematocrit/
Hemoglobin
Uric Acid
-Ketone Total cholesterol
BG
B
BG
B
G
BG
B
BG B
G
BG
BG
BG B
G
BG
BG
Ketone Warning
• When your blood glucose result is higher than 13.3 mmol/L (240 mg/dL), the
meter will display the blood glucose reading as well as a Ketone warning (
ashing KETONE and “ ” ).
• The ketone warning is to notify you that you may be at risk of elevated Ketone
levels and a Ketone test is recommended.
Blood Glucose

19
Announcement of Test Result by Universal Tone
The blood glucose results will be broken down into individual digits and each digit
represents the corresponding number of beeps.
The result is announced three times in succession and each time is preceded
by two quick beeps. So you will hear: 2 quick beeps – results – 2 quick beeps –
results – 2 quick beeps – result.
For mg/dL meters, the hundreds are always announced, even when the result is
below 100.
Examples:
80 mg/dL is announced as 1 long beep (0) – 1 single pause – 8 single beeps (8)
– 1 single pause – 1 long beep (0)
182 mg/dL is announced as 1 single beep (1) – 1 single pause – 8 single beeps
(8) – 1 single pause – 2 single beeps (2)
For mmol/L meters, the tens are always announced, even when the result is
below 10. The decimal point is represented by 1 quick beep.
Examples:
6.0 mmol/L is announced as 1 long beep (0) – 1 single pause – 6 single beeps
(6) – 1 single pause – 1 quick beep (.) – 1 single pause – 1 long beep (0)
Note:
Information or warnings in the form of symbols displayed together with the results
are not announced acoustically.
To remove the used test strip, simply push the Test Strip Ejector button upward to
eject the used test strip. The device will automatically turn off after the test strip is
removed.
To remove the used lancet, remove the lancet from the lancing device after you
have nished testing. Discard your used strip and lancet properly in a puncture-
resistant container.
Important!
The used lancet and test strip may be biohazards. Please consult your health-
care provider for proper disposal which complies with your local regulations.
Disposing Used Test Strip and Lancet

20
Our Control Solution contains a known amount of substance that reacts with
test strips and is used to ensure your device and test strips are working together
correctly.
Test strips, control solutions, or sterile lancets may not be included in the kit
(please check the contents on your product box). They can be purchased
separately.
Do a control solution test when:
9 you suspect the device or test strips are not working properly.
9 your test results are not consistent with how you feel, or if you think the results
are not accurate.
9 you have dropped or think you may have damaged the device.
To perform the control solution test, do the following:
1. Insert the test strip into the test slot of the device. Wait for the device to display
the test strip “ “ and blood drop “ “.
2. The meter will detect the difference between control solution and blood
samples automatically. It will automatically mark the result as a control solution
test with “QC” display.
3. Apply the control solution. Shake the control solution vial thoroughly before
use. Squeeze out a drop and wipe it off, then squeeze another drop and place
it on the tip of the vial cap. Hold the device to move the absorbent hole of the
test strip to touch the drop. Once the conrmation window is lled completely,
the device will begin counting down.
BGBGBGBGBG
BGBGBGBGB
BGBGBGBGB
G
G BG BG
BG BG BG B
BG BG
G
Control Solution Testing