ForaCare D20 No-Coding User manual

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Dear System Owner:
Thank you for purchasing the ForaCare D20 No-Coding 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 follow-
ing 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 op-
eration of this ForaCare D20 No-Coding 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 2013/01 311-3263100-006
English

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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/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
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.

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6. This device does NOT serve as a cure for any symptoms or diseases. The
data measured is for reference only.
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 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 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 electro
magnetic 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 10
Test Strip 11
Speaking Function 12
SETTING THE MONITOR 14
TESTING YOUR BLOOD GLUCOSE 18
Control Solution Testing 18
Performing a Control Solution Test 19
TESTING WITH BLOOD SAMPLE 22
Preparing the Lancing Device for Blood Testing 22
Preparing the Puncture Site 23
Alternative Site Testing 25
Performing a Blood Glucose Test 27
TESTING YOUR BLOOD PRESSURE 30
Before Measurement 30
Taking a Single Measurement 33

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MONITOR MEMORY 34
Reviewing Test Results 34
Reviewing Day Average Results 35
DOWNLOADING RESULTS ONTO A COMPUTER 36
MAINTENANCE 37
Battery 37
Using AC Adapter 39
Caring for Your Monitor 40
Caring for Your Test Strips 43
Important Control Solution Information 44
SYSTEM TROUBLESHOOTING 45
Result Readings 45
Error Messages 46
Troubleshooting 48
DETAILED INFORMATION 51
Reference Values 51
Comparing Monitor and Laboratory Results 53
SPECIFICATIONS 55

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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
hyperglycemic-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 at home 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. It is intended to be used by a single person
and should not be shared.
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 ForaCare D20 No-Coding system kit includes:
Test strips, control solutions, lancing device or sterile lancets may not
be included in the kit (please check the contents on your product box).
They may be purchased separately. Please make sure you have those
items needed for a blood glucose test beforehand.
NOTE
If any items are missing from your kit or opened before use, please contact
local customer service or place of purchase for assistance.
1 432
7
8
9
6Warranty Card
Lancing Device with One Clear Cap
(Optional)
4 x 1.5V AA alkaline batteries
Protective Storage Case
1
4
5
3
2
Monitor
Owner’s Manual
Pressure Cuff (arm type)
Quick Start User Guide
Daily Log Book
65 8 97

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Monitor Overview
Front Back Side
Test Slot
Insert test strip here to turn the
monitor on for testing.
Display Screen
C Button
Enter control solution test.
On/Off Button
To start a single NIBP measurement.
Speaker
M Button
Enter the monitor memory.
S Button
Enter and confirm the monitor
settings.
AC/DC Adapter Port
Connect to a power supply.
Battery Compartment
USB Link Port
Download test results with
a cable connection.
Air Plug
Connect to air jack.
Air Tube
Pressure Cuff
Air jack
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Screen Display
Test Strip Symbol
Volume Symbol
Code Number
Special Message
Systolic Pressure Value
Battery Symbol
Indicator Symbol
Heart Symbol
Pulse Rate
Day Average Result
Diastolic Pressure Value
Memory Mode Symbol
Control Mode Symbol
Diastolic Pressure Symbol
Blood Drop Symbol
Unit for Blood Pressure
Unit for Blood Glucose
Systolic Pressure Symbol
Date/Time
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Test Strip
NOTE
The ForaCare D20 No-Coding monitor should only be used with FORA D20
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 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.
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
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3
2

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Speaking Function
ForaCare D20 No-Coding “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?
When turn on the monitor.
When room temperature is
outside operating range, which
is 50°F to 104°F (10°C to 40°C).
When the monitor is ready to test
the glucose measurement. (sym-
bol appears on display)
When the glucose test is
completed (the result appears
on display) or when entering the
memory mode.
When the blood pressure test is
completed (the result appears
on display) or when entering the
memory mode.
WHAT
does the monitor speak?
Thank you for using FORA
Telehealth product. Please relax
during measurement.
Room temperature out of range,
unable to measure.
Please apply blood into the strip.
The blood glucose is (number)
milligram per deciliter/ millimole
per liter.
The 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.

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WHEN
does the monitor speak?
When the glucose test result is
outside measurement range,
which is 20 to 600 mg/dL (1.1
to 33.3 mmol/L).
WHAT
does the monitor speak?
The blood glucose out of range,
unable to measure.
This monitor has some speaking functions but has not been validated
for use by visually impaired users.

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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 unit of
measurement.
Press to select
mmHg or Kpa (the
default setting is
mmHg). Press .

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Step 4
Deleting the memory.
While “dEL”and a flashing “”symbol appear on the display along
with user numbers, if you do not wish to delete the saved results,
press to skip this step. If you wish to delete ALL the results, press
twice.
Step 5
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.

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Step 6
Choose a language.
Press to select LAn1 / LAn2. The default language is English (LAn
1). LAn2 is Spanish.
Congratulations! You have completed all settings!
NOTE
•These parameters can ONLY be changed in the setting mode.
•If the monitor is idle for 3 minutes during the setting mode, it will turn off
automatically.

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TESTING YOUR BLOOD GLUCOSE
Control Solution Testing
FORA Control Solution contains a known amount of glucose that re-
acts with test strips and is used to ensure your monitor and test strips
are working together correctly.
Do a control solution test when:
•you first receive the monitor
•at least once a week to routinely check the monitor and test strips
•you begin using a new vial of test strips
•you suspect the monitor 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 monitor.

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Step 2
Press to mark this test as a control
solution test.
With “CTL”displayed, the monitor will not
store your test result in memory. If you press
again, the “CTL”will disappear and this
test is no longer a control solution test.
WARNING
When doing the control solution test, you have to mark it so that the test
result will not be stored in the memory. Failure to do so will mix up the blood
glucose test results with the control solution test results in memory.
Performing a Control Solution Test
Step 1
Insert the test strip to turn on the monitor.
Insert the test strip into the monitor. Wait for the monitor to display
the test strip and blood drop symbol.

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Step 3
Apply 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 monitor to move the absorbent hole of test strip to touch the
drop. Once the confirmation window fills completely, the monitor will
begin counting down.
To avoid contaminating the control solution, do not directly apply
control solution onto a strip.
Step 4
Read and Compare the Result.
After counting down to 0, the test result of control solution will appear
on the display. Compare this result with the range printed on the test
strip vial and it should fall within this range. If not, please read the
instructions again and repeat the control solution test.