ForaCare TD-3260 User manual

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Fora Comfort 2 in 1 Blood Glucose plus Blood
Pressure Monitoring System
Version 1.0
2007/09/03
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IMPORTANT SAFETY INSTRUCTIONS
READ THIS BEFORE USING
The following basic safety precautions should always be taken.
1. Close supervision is necessary when the device is used by, on, or near
children, handicapped persons or invalids.
2. Use the device only for the intended use described in this manual.
3. Do not use strips and control solutions which are not supplied by the
manufacturer.
4. Do not use the device if it is not working properly, or if it has suffered any
damage.
5. Before using any product to test your blood glucose, read all instructions
thoroughly and practice the test. Do all quality control checks as directed and
consult with a diabetes healthcare professional.
KEEP THESE INSTRUCTIONS
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Table of Contents
BEFORE YOU START 05
Warnings and Precautions 05
HealthInformation 06
ABOUT THIS SYSTEM 08
Intended Use 08
Principle of Measurement 08
AlternativeSiteTesting(AST) 09
ContentoftheSystem 11
Appearance and Key Function of the Monitor 12
LCDDisplay 14
Appearance of the Test Strip 15
PREPARATIONS BEFORE USE 16
BatteryInstallationandReplacement 16
SettingtheMonitor 18
HOWTOMEASUREBLOODGLUCOSE 21
CodingtheMonitor 22
Checking the Code 23
CheckingtheSystemwithControlSolutions 24
ImportantControlSolutionInformation 25
DoingaControlSolutionTest 26
Testing Your Blood Glucose 28
Special Message 35
Comparing Monitor and Laboratory Results 36
HOWTOMEASUREBLOODPRESSURE 37
Suggestions before Measuring 37
Test Your Blood Pressure 38
HOWTOUSETHEMEMORYFEATURES 40
ViewingMemoryintheMonitor 40
Deletingmemory 41
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HOWTOTAKECAREOFYOURMONITOR 42
Cleaning 42
Storage 42
Monitor storage 42
Strip storage 43
Control storage 44
PROBLEM-SOLVING GUIDE 45
ERROR MESSAGE 46
ProbleminOpertation 47
SPECIFICATIONS 49
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BEFORE YOU START
Warnings and Precautions
The Fora comfort 2 in 1 blood glucose plus blood
pressure monitoring system is designed for use on
individuals age 16 and above. It shall NOT be used:
1. To diagnose newborns with diabetes.
2. On infants or persons who cannot communicate.
This device does NOT serve as a cure of any symptoms
or disease. The data measured are only for reference.
Always consult your physician to have the results
interpreted.
This device is NOT able to measure in the presence of
common arrhythmia, such as arterial or ventricular
premature beats or arterial fibrillation. It may produce
reading error.
Do NOT use the device for purposes other than
measuring blood glucose and blood pressure for human
beings.
Do NOT wrap the pressure cuff on anything besides your
arm.
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Health Information
Blood Glucose
Blood glucose monitoring plays an important role in diabetes control. A
long-term study showed that keeping blood glucose levels close to normal
can reduce the risk of diabetes complications by up to 60%*1. The results you
get with the Fora comfort 2 in 1 blood glucose plus blood pressure monitoring
system can help you and your healthcare professional monitor and adjust your
treatment plan to gain better control of your diabetes.
Time of day Plasma glucose range (mg/dL)
for people without diabetes
Your target range
(mg/dL)
Fasting and before meal*1a 70-110 mg/dL
(3.9 – 6.1 mmol/L)
2 hours after meals*1b Less than 140 mg/dL
(7.8 mmol/L)
*1a: Sacks, DB in “Carbohydrates”, Burtis, CA, Ashwood, ER (ed), Tietz Textbook of
Clinical Chemistry, Philadelphia, WB Saunders Company, 1999.
*1b: ADA Clinical Practice Recommendations 2003
Please work with your doctor to determine a target range that works best for
you.
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Blood Pressure
Clinical studies show that the adult diabetes is often accompanied by elevated
blood pressure. People with diabetes can reduce their heart risk by managing
their blood pressure along with diabetes treatment*2. Knowing your routine
blood pressure trend tells whether your body is in good condition or not.
Human blood pressure naturally increases after reaching middle age.
This symptom is a result of continuous aging of the blood vessel. Further
causes include obesity, lack of exercise, and cholesterol (LDL) adhering to the
blood vessels. Rising of blood pressure accelerates hardening of the arteries,
and the body becomes more susceptible to apoplexy and coronary infarction.
The WHO (world health organization) published the guideline of blood
pressure range:
Source: 1999 WHO/ISH guidelines for the management of hypertension
*2: American Diabetes Association: The Diabetes-Heart Disease Link
Surveying Attitudes, Knowledge and Risk (2002)
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ABOUT THIS SYSTEM
Intended Use
The Fora Comfort TD-3260 2 in 1 Blood Glucose plus Blood Pressure
Monitoring System is indicated for the quantitative measurement of glucose in
fresh whole blood (capillary blood from the finger, the palm, the forearm, the
upper-arm, the calf and the thigh) for self testing by persons with diabetes in
the home or by healthcare professionals in healthcare facilities. The system is
also intended to be used to measure non-invasively the systolic and diastolic
blood pressure and pulse rate of an adult individual, over age 16, at home.
Principle of Measurement
Blood glucose is based on the measurement of electrical current generated by
the reaction of glucose with the reagent of the strip. The monitor measures the
current and displays the corresponding blood glucose level. The strength of the
current produced by the reaction depends on the amount of glucose in the
blood sample.
Blood pressure is measured non-invasively at the wrist based on the
Oscillometric method.
Both functions work separately (one measurement either blood glucose or
blood pressure at a time) to avoid any interference problems.
Major Features
The greatest feature of this system is that you can view results on the PC
through wireless connection using Zigbee Gateway technology. It provides a
simply way to transmit data into your PC.
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Alternative Site Testing (AST)
Important: There are limitations for doing AST.
Please consult your healthcare professional before you do AST.
What is AST?
Alternative site testing (AST) means that
people use parts of the body other than
fingertips to check their blood glucose
levels. This system provides you to test
on the palm, the forearm, the upper arm,
the calf, or the thigh with the equivalent
results to fingertip testing.
What’s the advantage?
Fingertips feel pain more readily
because they are full of nerve endings
(receptors). At other body sites, since
nerve endings were not so condensed,
you will not feel as much pain as at the
fingertip.
When to use AST?
Food, medication, illness, stress and exercise can affect blood glucose levels.
Capillary blood at fingertip reflects these changes faster than capillary blood at
other sites. Therefore when testing blood glucose during or immediately after
meal, physical exercise, or any other event, take blood sample from your finger
only.
We strongly recommend you doAST ONLY in the following intervals:
In 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.
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Do NOT use AST if:
You think your blood glucose is low.
You are unawareness of hypoglycemia.
Your AST results do not match the way you feel.
You are testing for hyperglycemia.
Your routine glucose results are often fluctuating.
You are pregnant.
How to increase the accuracy?
Stimulating blood perfusion by rubbing the puncture site prior to blood
extraction has a significant influence on the glucose value obtained.
Blood from the site without rubbing exhibits a measurably different glucose
concentration than blood from the finger. When the puncture site was rubbed
prior to blood extraction, the difference was significantly reduced.
Please follow suggestions below before getting a drop of blood:
Rub the puncture site about 20 seconds before penetration.
Use a clear cap (included in the kit) instead while setting the lancing device.
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Content of the System
These products have been designed, tested, and proven to work together as a
system to produce accurate blood glucose test results. Use only the same
brand-name test strips and a control solution with the blood glucose and blood
pressure monitor.
CAUTION
Check your system to be sure that it is unopened prior to use and that it
contains all parts listed above. If either of these conditions occurred, please
return your system to the place of purchase.
Please note that Fora comfort test strips, lancets, TaiDoc control
solution are optional and are not included in the standard kit. Please ask
your local agent for help.
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1. Blood glucose and blood
pressuremonitor x1 6. A clear cap X1
2.Pressurecuff x1 7.Carrybag X1
3. Owner’s manual X1 8. Zigbee gateway adaptor X1
4.Quick using card X1
5. Lancing device x1

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Appearance and Key Function of the Monitor
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Test Slot
For Feature 1
Blood Glucose
Test
Zigbee Indicator
For Feature 5
Wireless
Connection
Memory Button
For Feature 3
Memory Recall
Power Button
For Feature 2
Blood Pressure Test
RF Button
For Feature 5
Wireless Connection
Set Button
For Feature 4
Monitor Setting
LCD Display
Test result is
displayed with
symbols and
simple messages.

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LCD Display
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Appearance of the Test Strip
Your system measures the amount of sugar (glucose) in whole blood. Blood is
applied to the absorbent hole of the test strip and is automatically drawn into
the reaction chamber where the reaction takes place.
See pages 21-36, How to measure blood glucose, for complete instructions.
NOTE
We recommend that you should hold the test strip by the Test Strip Handle only
when you perform blood glucose test. Do not hold the Absorbent Hole in order
to avoid contamination.
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PREPARATIONS BEFORE USE
Battery Installation and Replacement
Your monitor comes with batteries already installed. When replacing, use
ONLY 1.5VAA size alkaline batteries for best performance and longest life.
Low Power Signal
The monitor will remind you when the power is getting low by displaying two
different messages:
1. Battery Symbol appears while you perform tests
(Fig. 1).This means it is about time to change the batteries
although still 30 more measurements can be made.
2. Battery Symbol flashes by itself and the monitor
cannot perform any measurement (Fig. 2). This means you
must change the batteries immediately.
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(Fig. 1)
(Fig. 2)

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Make sure the monitor is off before replacing the batteries.
STEP 1- Press the edge of the battery cover
and pull up (Fig. 3). Lift the battery cover and
remove the batteries inside.
STEP 2- Insert four 1.5V AA size alkaline
batteries. Make sure the + (positive)
and–(negative) marks match as indicated in
the battery compartment (Fig. 4). If inserted
correctly, you will hear a "beep".
CAUTION
1. Do not use different type, date or brand name batteries together. Use only
new batteries of the required size and type.
2. Replacing the batteries does not affect previous test results stored in the
monitor. But you may need to update the settings.
3. Batteries might leak chemicals if not used for a long time. Remove the
batteries if you are not going to use the device for an extended period (i.e. 3
months or more).
4. As with all small batteries, the batteries should be kept away from small
children who still put things in their mouths. If they are swallowed, promptly
see a doctor for help.
5. Discard batteries according to your local regulations.
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(Fig. 3)
(Fig. 4)

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Setting the Monitor
Your monitor comes with the time, date, units and ambient temperature preset.
These options may be changed any time to fit your needs. They also need to
be set again when you change the batteries.
How to set the monitor?
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STEP 1- Start with the Monitor Turned Off.
Press the S button to enter the Setting Mode.
STEP3 - Press the S button to select what you
would like to change. The selected one will be
flashing. Press the M button to make the
change.(Fig 7)
STEP 2- The year will appear first.(Fig. 6)
STEP 4- The date and day will appear
automatically.Press the M button to select
the changes you made and press the S
button move on to next step.(Fig 8)
(Fig. 5)
(Fig. 6)
(Fig. 7)
(Fig. 8)
(Fig. 5)

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STEP 5- The hour and minute will appear
automatically.Press the M button to select the
changes you made and press S button move on to
next step.(Fig. 9)
STEP 6- The blood glucose unit*3will appear
automatically.Press the M button to select the
changes you made and press the S button move
on to next step.(Fig. 10)
STEP 6- The blood pressure unit will appear
automatically.Press the M button to select the
changes you made and press the S button move
on to next step.(Fig.11)
STEP 7- The ambient temperature will appear
automatically.Press the M button to select the
changes you made and press the S button move
on to next step.(Fig 12)
STEP 8- You may also press the button any
time to turn off the monitor and exit the Setting
Mode.(Fig.13)
(Fig. 9)
(Fig. 10)
(Fig. 11)
(Fig. 12)
(Fig. 13)

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NOTE
The time, date, unit of measurement and unit of temperature can ONLY be
changed in the setting mode. Therefore, when you perform a glucose
testing or blood pressure testing, those parameters are not possible to be
changed.
*3: The milligram per deciliter (mg/dL) is the standard unit in the United
States. The millimole per liter (mmol/L) is the standard unit in Canada. Use
of the wrong unit of measure may cause you to misinterpret your blood
glucose level, and may lead to incorrect treatment.
While the monitor is in the setting mode, if no button is pressed for 3
minutes, the monitor will turn off automatically.
You may also press the button any time to turn off the monitor and exit
the Setting Mode.
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