ForaCare 6 Connect Installation guide

Version: Rev 5.3
Release date: 9 Mar. 2022
Editor: Joey Yang
ForaCare Suisse AG
Blood Glucose and Multi-Functional
Monitoring System FAQs

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Table of contents
Troubleshooting 4
Q1. Troubleshoot abnormal results and error messages 4
Power 5
Q2. How long will my battery last? 5
Q3. Would low battery cause inaccurate test results? 5
Q4. Would replacing the battery cause memory loss? 5
Q5. Why does my meter display a battery symbol? 5
General Blood Glucose Questions 6
Q6. Which test strips do my FORA BGMs use? 6
Q7. What do I need to know before using FORA’s BGMs? 9
Q8. Why do I need to code my meter before use, and how? 10
Q9. Ｗhat situations may cause incorrect measurements? 11
Q10. How do I know if sufficient blood has been applied to the test strip? 12
Q11. What does the clinical validation on FORA’s BGMs mean? 12
Q12. Why do I get different results in successive measurements using the same
meter? 13
Q13. What are the precautions for lancing devices? 14
Q14. What is Alternative Site Testing (AST)? 14
Q15. Which testing sites can be used with FORA’s BGMs? 15
Q16. When do I use AST? 15
Q17. What is a ketone warning? 16
Q18. Can hematocrit levels affect the result? 16
Caring for Your Devices 17
Q19. How do I clean my FORA BGM? 17
Q20. When should I clean and disinfect my FORA BGM? 17
Q21. How do I clean my lancing device? 17
Q22. How do I dispose of my FORA BGM? 17
Test Strips 18
Q23. How are the test strips used with FORA’s BGMs? 18
Blood Glucose Strips 18
3 in 1 (BG/HCT/HB) Test Strip 20
β-Ketone (KB) Strip 21
Urine Acid (UA) and Total Cholesterol (TCH) Strip 22
Q24. Can I use the FORA’s test strips on an airplane? 23
Q25. Can I use FORA’s test strips if I am on oxygen therapy? 23
Control Solution 24
Q26. How do I do the control solution test? 24
Q27. Where can I find the control solution range? 25
Q28. Reasons for abnormal results in control solution tests. 25

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Universal Tone 26
Q29. What is universal tone, and which devices have this function? 26
Q30. How do I interpret the universal tone? 27
Q31. How does universal tone recall results? 28
Data Management 29
Q32. What are the platforms for blood glucose management? 29
Q33. What are the supported operating systems in FORA Healthcare system
software? 30
Q34. How do I switch the blood glucose unit in iFORA BG? 31
Q35. What does Bolus Calculator do in iFORA HM? 32
Q36. What is the difference between Bluetooth V3 and V4? 34
Q37. How do FORA BGMs transmit data and manage media? 35

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Troubleshooting
Q1. Troubleshoot abnormal results and error messages
Item
Outcome of defect
Root Cause
Solution
1
A significant fluctuation
between measurements.
(1) Using old or expired test
strips.
(2) The blood samples were
obtained from different sites
each time.
(3) Waited too long to insert the
test strip into the device.
(4) The blood samples are
contaminated. (e.g. the
pricked site is not clean)
(1) The strips could be
expired or malfunctioned
due to improper storage.
Please use new strips
within the expiry date.
(2) Please obtain blood
samples from the same
site.
(3) Please insert the test strip
as soon as you collect the
blood sample.
(4) Please wash your hand
before testing.
2
The results might be
higher
(1) Excess plasma in the blood
sample due to excessively
squeezing of the fingertip.
(2) The test strip has expired or
is affected by temperature
and humidity.
(3) Patient’s health conditions:
a. Medications.
b. Time and dosage of
insulin administered.
c. HCT level.
d. Interference factors in the
diet, such as vitamin C
(ascorbic acid), glutathione
(antioxidant), and uric acid
(for GDH strips).
e. Patient Hydration level.
(1) Conduct the test again.
Do not excessively
squeeze the pricked site.
We recommend wiping off
the first drop of blood and
using the second drop of
blood (to avoid effusion
tissue fluid).
(2) Please open another vial
and use new strips to do
the test again.
(3) Please check with your
doctor to make sure your
status is suitable for
measuring blood glucose
without any interference.
3
Error message: E-U/ Err
24
(1) Insertion of a used test strip.
(2) The blood sample was
inserted before the blood
drop symbol.
Repeat the test with a new
test strip. Wait for the “blood
drop”symbol to blink, then do
a retest using a proper
amount of blood.
4
Error message:E-b/ Err
36
Battery power is too low for the
meter to operate.
Replace or charge the
batteries before conducting
the test.
5
Error message: E-F
Strip was removed soon after
applying blood and not given
enough time to be absorbed by
the absorption hole
Repeat the test with a new
test strip and wait for the
result.
6
The BGM keeps
beeping until it is out of
the battery.
The Electronic component is
defective in PCBA.
Please contact FORA
customer service for a repair
or replacement.

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Power
Q2. How long will my battery last?
Depending on which FORA device you own, the BGMs provide a battery life of 150 to
1000 measurements. The battery’s lifespan can vary considerably by how it is used,
maintained, and charged. Temperature and testing frequency are also important
factors.
Q3. Would low battery cause inaccurate test results?
FORA meters provide accurate test results even in low battery.
Q4. Would replacing the battery cause memory loss?
No, replacing the battery does not affect the test results stored in the memory.
Q5. Why does my meter display a battery symbol?
It means battery power is extremely low when the “ &E-b”symbol appears on the
screen. You need to charge or replace the battery immediately.
The detailed explanations about the battery capacity areas the following stages:
1. Low battery symbol: 30％.
2. E-b on display (turn off automatically): 20％.
3. No reaction when turning on: 10％.
4. Dead battery: ＜10％

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General Blood Glucose Questions
Q6. Which test strips do my FORA BGMs use?
1. FORA 6 Series
Meter
BG Strip
(ACS045)
BG/HCT/HB
(3 in 1) Strip
(ACS051)
β- Ketone Strip
(ACS053)
Uric Acid Strip
(ACS057)
Total Cholesterol
Strip
(ACS055)
FORA 6 Plus
(GD81)
FORA 6 Connect
(GD82)
FORA 6 GTel
(GD84)

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2. FORA Diamond Series & FORA ADVANCED Pro/ COMFORT Pro Series
Meter
BG Strip
(ACS044)
Meter
BG Strip
(ACS047)
BG/HCT/HB
(3 in 1) Strip
(ACS050)
β- Ketone Strip
(ACS052)
FORA Diamond
PRIMA (DM10)
FORA
ADVANCED Pro
(GD40 g/h)
FORA Diamond
VOICE
(DM20)
FORA COMFORT
Pro
(GD40 a/b)
FORA Diamond
MINI
(DM30a/b)
FORA Diamond
GD50
(GD50a/b)

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3. FORA Comfort Series:
Meter
BG Strip
(ACS042)
BG Strip
(ACS041)
BG Strip
(ACS043)
FORA COMFORT
plus (G30a)
FORA COMFORT
plus mini (G71a)
FORA COMFORT
basic G20 (G20a)
FORA COMFORT
check G40 (G40a)

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Q7. What do I need to know before using FORA’s BGMs?
1. The β-Ketone, total cholesterol, and uric acid test strips shall NOT be used on
newborns.
2. Use the devices ONLY for the intended use described in the manual.
3. For single use only.
4. Do NOT use expired test strips; the results might be inaccurate. The expiration
date is printed on every vial (or foil).
5. Do NOT use accessories that are not specified by the manufacturer.
6. Do NOT use the device if it is not working properly or damaged.
7. 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.
8. Before using this device to test blood glucose, BG/HCT/Hb,β-Ketone, total
cholesterol, and uric acid, read all instructions thoroughly and practice the test.
9. 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.
10. Using this instrument while synthetic materials are present (synthetic clothing,
carpets, etc.) may cause damaging static discharges that cause erroneous
results.
11. Do NOT use this instrument near sources of strong electromagnetic radiation, as
these may interfere with the correct operation.
12. Proper maintenance and storage are 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.

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Q8. Why do I need to code my meter before use, and how?
FORA’s devices do not need coding except for special strips: β-Ketone, Urine Acid,
and Total Cholesterol test strips.
You would need to code 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.
Procedure:
(1) Insert the code strip into the test slot of the device. Wait for the device to display
the code number.
(2) Make sure the numbers on the 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.
(3) Remove the code strip. The display shows “OFF”, telling that the meter has
finished coding and is ready for β-ketone/ Total cholesterol/ Uric acid testing.

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Q9. Ｗhat situations may cause incorrect measurements?
1. Use only fresh whole blood samples to perform a test. Using other substances
can lead to incorrect results.
2. Results may be inaccurate when you have abnormally low blood pressure or are
in shock.
3. Severe dehydration and excessive water loss may cause lower glucose values. If
you believe you are suffering from severe dehydration, consult a healthcare
professional immediately.
4. Readings that 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.
5. A high concentration of acetaminophen, bilirubin, hemoglobin, methyldopa, and
ascorbic acid in uric acid measurement may affect the test results.
6. The user is suggested to perform a uric acid test in the morning after fasting for
12 hours.
7. In total cholesterol measurements, there is no significant interference in the
presence of methyl DOPA, acetaminophen, uric acid, dopamine, gentistic acid,
ascorbic acid, ibuprofen, salicylate (when at physiological or therapeutical levels).
Glucose levels up to 476 mg/dL (13.89 mmol/L) also do not affect the results
significantly.
8. Use ONLY heparin for anticoagulation of whole blood samples. Please do NOT
use EDTA for anticoagulation.

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Q10. How do I know if sufficient blood has been applied to the test strip?
If insufficient blood is applied, an error beep occurs, and an error code appears on
the screen (please refer to the Owner’s manual and check error messages.) Please
review the instructions and repeat the test with a new test strip.
To ensure enough blood has been applied, the front side of the 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.
Q11.What does the clinical validation on FORA’s BGMs mean?
The clinical validation is a testament to the accuracy of FORA’s blood glucose
monitors. The glucose testing value should comply with the international standard:
EN ISO 15197:2015
Analytical performance evaluation 95% of the measurement to fall:
±15mg/ dL at glucose concentrations＜100mg/ dL (＜5.55mmol/L)
±15% at glucose concentrations≧100mg/ dL (≧5.55mmol/L)

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Q12.Why do I get different results in successive measurements using
the same meter?
(1) Test strip problems:
A. Test strip expired
B. Test strip contaminated or damaged
C. Not enough blood applied to the test strip
(2) Meter problems:
A. The meter is damaged.
B. Wrong code between test strip and meter
C. Unknown electronic elements defect
(3) The blood sampling surface is not clean, make sure to wash your hands before
doing the test.
(4) Improper blood obtaining:
A. Excessively squeezing your finger can cause too much tissue fluid in the
blood samples and get the wrong measuring value.
B. If you are using a site other than your fingertip and you think the reading is
wrong, test again using blood from a fingertip. Blood samples from alternate
sites are not as accurate as fingertip samples when your blood sugar level is
rising or falling quickly.
(5) Extreme temperatures or humidity:
A. Keep your glucose meter and test strips at proper operating temperature
and humidity based on the Owner’s manual in each meter and strip.
(6) The number of red blood cells in your blood:
A. If you are dehydrated or your red blood cell count is low (anemia), your test
results may be less accurate. Please refer to the Owner’s manual and
consult a doctor to check the suitable hematocrit range for testing.

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Q13.What are the precautions for lancing devices?
1. Never share a lancet or a lancing device.
2. Always use a new, sterile lancet. Lancets are for single use only.
3. Avoid getting hand lotion, oils, dirt, or debris in or on the lancets and the lancing
device.
4. The used lancet may potentially be biohazardous. Discard it according to your
local regulations.
Q14.What is Alternative Site Testing (AST)?
Alternative site testing (AST) refers to measuring of blood glucose levels using other
body areas other than the fingertips. The FORA test strips allow AST to be performed.
Please consult your health care professional before performing AST.

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Q15. Which testing sites can be used with FORA’s BGMs?
1. Home use
(1) Fingertips (capillary), palm, forearm, and upper arm blood are the alternative
testing sites because of theAST technology in all FORA’s glucose and
BG/HCT/HB (3 in 1) test strips.
(2) Fingertips (capillary) blood is the only testing site inβ-Ketone, urine acid, and
total cholesterol test strips.
2. Professional use
(1) Arterial blood can only be used on FORA 6 blood glucose test strips and FORA 6
BG/HCT/HB (3 in 1) test strips.
(2) Venous and capillary blood can be used on FORA’s all blood glucose,
BG/HCT/HB (3 in 1), β-Ketone, urine acid, and total cholesterol test strips.
Q16.When do I use AST?
1. We strongly recommend that you use 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.
2. Do NOT use AST if:
•You think your blood glucose is low.
•You may not notice if you are hypoglycemic.
•Your AST results are inconsistent with the way you feel.
•You are testing for hyperglycemia.
•Your routine glucose results often fluctuate.

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Q17. What is a ketone warning?
When your blood glucose result is higher than 240 mg/dL (13.3 mmol/L), the meter
displays the blood glucose reading as well as a Ketone warning (flashing 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.
Q18. Can hematocrit levels affect the result?
Hematocrit levels can affect results whether the sample is obtained from a forearm or
a finger stick. You should refer to the specification of each BGM’s Haematocrit
tolerance range. For example, suppose the meter’s hematocrit tolerance range is
30% to 55%. In that case, that indicates hematocrit levels less than 30% may cause
falsely high readings, and hematocrit levels greater than 55% may cause falsely low
readings. If the patient does not know their hematocrit level, they should consult their
health care professional.

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Caring for Your Devices
Q19. How do I clean my FORA BGM?
To clean the exterior and the areas around the slots and openings of the device, wipe
with a cloth moistened with tap water or a mild cleaning agent, then dry the device
with a soft dry cloth. Do NOT rinse with water.
Do NOT use organic solvents to clean the device.
Q20. When should I clean and disinfect my FORA BGM?
Clean your meter once a week or any time blood gets on the meter. You should also
clean the meter before letting anyone else handle it.
Q21. How do I clean my lancing device?
1. Use mild soap and water to clean the lancing device.
2. DO NOT rinse the device with water.
3. Disinfect the cap by placing it in 70% alcohol for 10 minutes, and air dry it.
4. Do NOT place the device in a dishwasher or use detergents.
Q22. How do I dispose of my FORA BGM?
A used meter should be treated as contaminated and may cause infection during
measurements. The batteries in a used meter should be removed, and the meter
should be disposed of following local regulations. Please refer to the local regulations
to discard the used blood glucose meter before removing batteries.
Blood glucose meters fall outside the scope of the European Directive 2002/96/ EC-
Directive on waste electrical and electronic equipment (WEEE).

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Test Strips
Q23. How are the test strips used with FORA’s BGMs?
Blood Glucose Strips
Model Name
ACS045
ACS047
ACS044
ACS042
Applicable meter Name
FORA 6
Plus/ Connect/ GTel
FORA
Advance Pro/
Comfort Pro
FORA
Prima/Voice/
Mini/GD50
FORA Comfort
plus/
plus mini
Enzyme Type
GDH-FAD
GDH-FAD
GDH-FAD
GOD
Sample Size
0.5 uL
0.8 uL (Advance Pro)
1.1 uL (Comfort Pro)
0.5 uL
0.5 uL
Reaction Time
5 Seconds
5 Seconds
5 Seconds
5 Seconds
Hematocrit Range
0 ~ 70%
0 ~ 70%
20 ~ 60%
20 ~ 60%
Measuring Range
10 ~ 600 mg/dL
(0.55 ~ 33.3 mmol/L)
10 ~ 600 mg/dL
(0.55 ~ 33.3 mmol/L)
20 ~ 600 mg/dL
(1.1 ~ 33.3 mmol/L)
20 ~ 600 mg/dL
(1.1 ~ 33.3 mmol/L)
Alternative Site Testing
YES AST
No AST
YES AST
YES AST
Applicable Sample
(Whole Blood)
Capillary; Venous;
Arterial
Capillary; Venous
Capillary;
Venous
Capillary
Intended use
General Patient; Dialysis;
Gestational; Neonatal
General
Patient; Dialysis;
Gestational; Neonatal
General Patient; Dialysis;
Gestational
General Patient
Code Type
NO Code Card
NO Code Card
NO Code Card
NO Code Card

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Model Name
ACS041
ACS043
Applicable meter Name
FORA Comfort
basic G20
FORA Comfort
check G40
Enzyme Type
GOD
GDH-FAD
Sample Size
0.7 uL
0.7 uL
Reaction Time
7 Seconds
7 Seconds
Hematocrit Range
20 ~ 60%
35 –60 %
Measuring Range
20 ~ 600 mg/dL
(1.1 ~ 33.3 mmol/L)
20 ~ 600 mg/dL
(1.1 ~ 33.3 mmol/L)
Alternative Site Testing
YES AST
YES AST
Applicable Sample
(Whole Blood)
Capillary;
Capillary; Venous
Intended use
General Patient
General Patient
Code Type
NO Code Card
NO Code Card

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3 in 1 (BG/HCT/HB) Test Strip
Model Name
ACS051
ACS050
Applicable meter
Name
FORA 6
Plus/ Connect/ GTel
FORA
Advance Pro
Enzyme Type
GDH-FAD
GDH-FAD
Sample Size
0.5 uL
1.1 uL
Reaction Time
5 Seconds
5 Seconds
Measuring Range
BG:
10 ~ 600 mg/dL
(0.55 ~ 33.3 mmol/L)
HCT:
0 ~ 70%
Hb:
0~23.8 g/dL
BG:
10 ~ 600 mg/dL
(0.55 ~ 33.3 mmol/L)
HCT:
0 ~ 70%
Hb:
0~23.8 g/dL
Alternative Site
Testing
YES AST
YES AST
Applicable
Sample
(Whole Blood)
Capillary; Venous; Arterial
Capillary; Venous
Intended use
General Patient; Dialysis;
Gestational; Neonatal
General Patient; Dialysis; Gestational;
Neonatal
Code Type
NO Code Card
NO Code Card