ForaCare DUO ultima Installation guide

ForaCare Suisse AG
Blood Pressure Monitor and 2 in 1 Device
FAQs
Version: Rev 4.1
Release date: 08 Jul. 2019
Editor: Dean Chiu

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Table of contents
General Blood Pressure Meter Questions…………………………………………………
Q1. What are the general features of FORA’s blood pressure monitor? .....................4
Q2. How accurate is FORA’s Blood Pressure Monitor?…………………………………6
Q3. What are the recommended values for blood pressure?…………………………6
Q4.When I take measurements and never get the same reading, is the device
inaccurate?........................................................................…………………………7
Q5.Are there differences between taking a blood pressure reading on the right arm vs.
left arm?………………………………………………………………………………….8
Q6.Which pressure is more important about hypertension -- the Systolic or Diastolic
blood pressure?…………………………………………………………………………8
Q7. What are the things I need to check for before measuring my blood pressure so
as to avoid varied readings?.................................................................................
Q8. What is the accurate way to fit the cuff?................................................................9
Q9. What is the accurate position to measure my blood pressure?...........................10
Q10. What is Auscultatory Mode? Which FORA’s Device can use it? Where we can
get the direction about using Auscultatory Mode?..............................................11
Q11.What does Oscillometric Mode mean?...............................................................11
Spare Parts –Cuff
Q12.Does the size of the cuff matter? How do I determine the cuff size that I
need?..................................................................................................................11
Q13. What are the cuff sizes?…………………………………………………………….12
Q14. What is the most common situation when cuff is out of life
expectancy?.....................................................................................................12
Q15. What is the average life expectancy of a monitor cuff?.....................................12
Cleaning and Storage

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Q16. How do I clean my blood pressure monitor?………………………………….......12
Q17. How do I store my blood pressure monitor?………………………………………13
Common troubleshooting
Q18. Is it normal that my blood pressure is variable?……………………………….....13
Q19. What is the international standard of blood pressure?………………………….14
Q20. My blood pressure results appear to be abnormal –what should I do?………16
Q21. What are the common measuring error reasons?............................................16

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General Blood Pressure Meter Questions:
Q1: What are the general features of FORA’s blood pressure monitor?
Name
DUO ultima
DUO ultima Pro
ACTIVE plus
ACTIVE WIRELESS
plus
Model No.
D40 a/b/g
D40 Pro
P30 Plus
P30 Plus BT
2 in 1 Technology
(BP + BG)


IRB Technology




AVG Technology




Auscultatory Option



Memory Capacity
864
864
60
200
User Name
1
1
1
1
Date/Time
Indication




Large Display &
Operation Button




All-in-one Button
Operation
Talking Guidance

Data Connection
USB (D40 a/b/g)
BT (D40b)/ GPRS (D40g)
USB
N/A
Bluetooth
Power Source
6V AA4/ 3.7V Li-lon4
(D40g)
DC-6V Power Adaptor
6V AA4
DC-6V Power Adaptor
6V AA4
DC-6V Power Adaptor
6V AA4
DC-6V Power Adaptor
Clinical Validated




Strip Enzyme
(For Blood
Glucose )
GOD
GOD
No Coding Required
(For Blood Glucose)


Ketone Warning
(For Blood Glucose)


Other features
7, 14, 21, 28, 60, 90 Day
Average
7, 14, 21, 28, 60, 90 Day
Average
Software Support
Healthcare
TeleHealth
Healthcare
TeleHealth
N/A
iFORA BP
IFORA MP
TeleHealth

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Name
Diamond
CUFF BP
Basic Plus
Model No.
P80
P31 Plus
2 in 1 Technology
(BP + BG)
IRB Technology


AVG Technology

Auscultatory Option
Memory Capacity
200
100
User Name
1
1
Date/Time
Indication


Large Display &
Operation Button

All-in-one Button
Operation

Talking Guidance
Data Connection
Bluetooth
N/A
Power Source
6V AA4
6V A1
Clinical Validated


Strip Enzyme
(For Blood
Glucose )
No Coding Required
(For Blood Glucose)
Ketone Warning
(For Blood Glucose)
Other features
iFORA BP APP
Software Support
iFORA BP
iFORA MP
Healthcare
TeleHealth

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Q2: How accurate is FORA’s Blood Pressure Monitor?
In order to ensure its accuracy, the FORA’s blood pressure monitor has passed the
ESH 2010 validation (European Society of Hypertension 2010), which ensures its
accuracy. The ESH international protocol compares results of the FORA’s device with
those of a mercury manometer. The test should be followed specific testing
requirement and are processed and analysed in order to guarantee the medical
reliability of the blood pressure monitor. The FORA blood pressure monitor is
accurate in static pressure within ± 3 mmHg (or ±2 %of reading) and ± 4% in pulse
rate readings.
Q3: What are the recommended values for blood pressure?
Based on 2013 ESH-ESC Practice Guidelines for Management of Arterial
Hypertension, the Office BP is usually higher than ambulatory and home BP and the
difference increases as office BP increases.
Generally speaking, hypertension defines high blood pressure readings:
1. Office blood pressure:
(1) Systolic Blood Pressure ≥140
(2) Diastolic Blood Pressure ≥90
2. Self-measurement at home:
(1) Systolic Blood Pressure ≥135
(2) Diastolic Blood Pressure ≥85
The term ‘white-coat’ or ‘isolated office’ hypertension refers to a condition in which BP
is elevated in the office at repeated visits and normal out of the office either on
ambulatory blood pressure monitoring or on home blood pressure monitoring.
Conversely, BP may be normal in the office and abnormally high out of the medical
environment, which is termed ‘masked’ or ‘isolated ambulatory’ hypertension.
Please classify your blood pressure levels according to the following table.

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1. Definitions and classification of office blood pressure levels (mmHg)
2. Definitions of hypertension by office and out-of-office (Home) blood pressure
levels
Source: The European Society of Hypertension and European Society of Cardiology Task Force Members. 2013
ESH-ESC Practice Guidelines for the Management ofArterial Hypertension. Journal of Hypertension 2013,
31:1925–1938.
Q4: When I take measurements and never get the same reading, is the device
inaccurate?
No.
(1) Blood pressure always fluctuates during the day, therefore:
2 measurements taken one after the other will be different.

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Average taken over multiple readings is more relevant than a single
measurement. Therefore several measurements are necessary.
(2) Some external elements can influence your blood pressure level: caffeine, tea,
alcohol, tobacco, Stress, Emotional status and Physical activities.
(3) Incorrect using way or cuff size of blood pressure monitor.
(4) Timing of taking measurements. Try to take readings at the same general times
each day (for example, once in the morning and once at night) for comparison
purposes.
Q5: Are there differences between taking a blood pressure reading on the right arm
vs. left arm?
Blood pressure measurement values vary from the left arm to the right arm. The
average is generally within 10 mmHg (millimeters of mercury) for most individuals.
We suggest you to use FORA’s blood pressure monitors on the left arm as they are
validated through clinical studies using the left arm. You should talk to your doctor
before using the right arm to take a measurement.
Q6: Which pressure is more important about hypertension -- the Systolic or Diastolic
blood pressure?
Both of them are important about hypertension.
When systolic pressure is higher, the heart is squeezing and pushing the blood round
the body and it gives the best idea of your risk of having a stroke or heart attack.
Having a raised systolic blood pressure but normal or low diastolic blood pressure is
called Isolated Systolic Hypertension (ISH) and carries an increased risk of
developing heart attacks or strokes and should be treated.
Diastolic blood pressure is also the risk indicator about stroke or heart attack. Some
studies suggest that, in people aged younger than 40 years, diastolic blood pressure
is a better way of assessing risk. It could be that diastolic blood pressure becomes

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more important when it is very high. There is some evidence to suggest that, for
example, a blood pressure of 180/120mmHg gives a greater risk of stroke or heart
attack than 180/100mmHg.
Q7: What are the things I need to check for before measuring my blood pressure so
as to avoid varied readings?
(1) Avoid caffeine, tea, alcohol and tobacco for at least 30 minutes before the
measurement.
(2) Wait 30 minutes after exercising or bathing before the measurement.
(3) Sit or lie down for at least 10 minutes before the measurement.
(4) Take a 5-10-minute break between measurements. This break can be longer (the
rest time should be more than 30 mins after doing exercises) if necessary,
depending on your physical condition.
(5) Blood pressure varies between each arm. Always measure your blood pressure
on the same arm.
(6) The accurate size and way to fit the cuff.
(7) The accurate measuring position.
Q8: What is the accurate way to fit the cuff?
A. Stretch your left (right) arm in front of you with your palm facing up. Slide and
place the cuff onto your arm with the air tube and artery mark region (in red)
toward the lower arm.
B. Wrap and tighten the cuff above your elbow. The red line on the edge of the
cuff should be approximately 0.8 to 1.2 inches (2 to 3 cm) above your elbow.
Align the tube over the main arteries on the inside.

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Diamond CUFF BP (P80)
C. Leave a little free space between the arm and the cuff. You should be able to
fit 2 fingers between them.
D. Press the hook material firmly against the pile material. The top and bottom
edges of the cuff should be tightened evenly around your upper arm.
Q9: What is the accurate position to measure my blood pressure?
(1) Sit down for at least 10 minutes before the measurement.
(2) Place your elbow on a flat surface. Relax your hand with the palm facing up.
(3) Makes sure the cuff is positioned around the same height as the location of your
heart (15 cm lower than the heart may result in a higher reading around 10
mmHg).
(4) Press the Start button. The device will turn on and the cuff will begin to inflate
automatically. Remain still and do not talk or move during the measurement.
P30 plus, P30 Plus BT, P31 Plus, D40a/b/g and
D40 Pro
Diamond CUFF BP (P80)
P30 plus, P30 Plus BT, P31 Plus, D40a/b/g and
D40 Pro

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Q10: What is Auscultatory Mode? Which FORA’s Device can use it? Where we can
get the direction about using Auscultatory Mode?
(1) This is the manual method involves applying a stethoscope to the arm and
listening to the pulse while the air is slowly let out from the cuff (the Korotkoff
method). Only well trained persons may use this mode to measure blood pressure
manually.
(2) The FORA’s BPMs can use it that are:
DUO ultimate Pro (D40 Pro), Active plus (P30 Plus) and ACTIVE WIRELESS plus
(P30 Plus BT).
(3) Please refer to the owner’s manual for each BPM. There is clear direction for
Auscultatory Mode in Measuring Blood Pressure section. The systolic pressure is
the maximum pressure in an artery at the moment when the heart is beating and
pumping blood through the body. The diastolic pressure is the lowest pressure in
an artery in the moments between beats when the heart is resting.
Q11: What does Oscillometric mode mean?
The Oscillometric method of measuring blood pressure with an automated cuff yields
valid estimates of mean pressure. Oscillometric technology measures the vibration of
your blood traveling through your arteries and converts the movement into digital
readings. All FORA’s digital BPMs are default oscillometric mode.
Spare Parts - Cuff:
Q12: Does the size of the cuff matter? How do I determine the cuff size that I need?
(1) In order to get the correct measuring values, the appropriate size cuff for your arm
is very important. If you use the wrong size, you will get inaccurate reading values
and even error messages from your blood pressure monitor.
(2) You can use a cloth tape to measure the circumference of your upper arm
between your elbow and shoulder.

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Q13: What are the cuff sizes?
There is a wide range of cuffs which come with our blood pressure monitors. The
cuff size 24 ~ 43 cm (9.4~16.9 inches) fits almost all adults. Please contact us if you
require a smaller size: 19~25 cm (7.5 ~ 9.8 inches) or medium: 25~35 (9.8 ~ 13.8
inches).
Q14: What is the most common situation when cuff is out of life expectancy?
Cuff is the consumables. If the cuff is out of the life expectancy or overuse, it will be
air leakage in rubber part between bladder and tube. The pressure monitor will
display Error-1 message on the screen. Please replace new cuff to solve this problem.
Q15: What is the average life expectancy of a monitor cuff?
The general average life expectancy is around 3,000 using times. It could be involved
by your storage condition too.
Cleaning and Storage:
Q16: How do I clean my blood pressure monitor?
(1) To clean the device exterior, wipe it with a cloth moistened with tap water or a mild
cleaning agent, then dry the device with a soft dry cloth. Do NOT flush with water.
(2) Do NOT use organic solvents to clean the device.
(3) Do NOT wash or iron the pressure cuff.

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Q17: How do I store my blood pressure monitor?
(1) We highly recommended removing the batteries from the blood pressure monitor
if you are not going to use the device for an extended period. Batteries may leak
chemicals and damage your monitor.
(2) Always store or transport the device in its original storage case.
(3) Avoid dropping and heavy impact.
(4) Avoid direct sunlight and high humidity. The suitable storage and operation
conditions are as the following:
BPM
Storage Conditions
Operation Conditions
P30 plus
Temperature:-20℃to 60℃(-4°F to 140°F)
Humidity: below 95% RH
Temperature:10℃to 40℃(50°F to 104°F)
Humidity: below 85% RH
P30 Plus BT
P31 Plus
Diamond
CUFF BP
Temperature: -25℃~ 70℃(-13°F to 158°F)
Humidity: 10% ~ 95%
Temperature: 5℃~ 40℃(41°F to 104°F)
Humidity: 15% ~ 93%
D40a/b/g
Temperature:-20℃to 60℃(-4°F to 140°F)
Humidity:5 - 95% RH
Temperature:10℃to 40℃(50°F to 104°F)
Humidity: below 85% RH
D40 Pro
Temperature:-20°C to 60°C (-4°F to 140°F)
Humidity: 5 - 95% RH
Temperature:10°C to 40°C (50°F to 104°F)
Humidity: below 85% RH
Common troubleshooting:
Q18: Is it normal that my blood pressure is variable?
Yes, it is quite normal for people’s blood pressure to change throughout the day and
night, stress levels, food or drink intake, recent activities, the measuring technique or
in different conditions where you may measure your blood pressure.

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Q19: What is the international standard of blood pressure?
All FORA’s BPM follow the accuracy criteria for the International Protocol of the
European Society for Hypertension (ESH), the British Hypertension Society (BHS)
and the Association for the Advancement of Medical Instrumentation (AAMI) Standard.
The specification of ESH international protocol 2010 is as following table:

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http://www.dableducational.org/accuracy_criteria.html
ESH: European Society of Hypertension (for EU)
BSH: British Society of Hypertension (for UK)
AAMI: Association for Advancement of Medical Instrumentation (for USA)
For a BPM to be considered as accurate, it must be subjected to formal validation
protocols by independent investigators. The 3 bodies stated above are the 3 most
widely accepted and recognised.

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Q20: My blood pressure results appear to be abnormal –what should I do?
If you feel your blood pressure level is abnormal, please directly consult your doctor.
You will get a proper diagnosis from him or her.
Q21: What are the common measuring error reasons?
Symptom
Cause
Solution
Error 1 message
Inflation or pressure error:
1. Cuff leakage.
2. Motor line malfunctions or
ruptures.
1. Replace the cuff.
2. Contact the local service
member to repair the device.
Error b message
Battery is too low.
Replace the batteries.
Error E message
The IC inside the device could
be damaged by unknown
reason.
Contact the local service member
to repair the device.
Nothing is displayed
after pressing the
start button.
1. Batteries exhausted or
incorrectly installed.
2. Device malfunction (PCB
board burned).
1. Replace or correctly install the
batteries.
2. Contact the local service
member to repair the device.
The pressure result
is higher/lower than
the user’s average
measurement.
1. The cuff may not fit
properly or the measuring
position is wrong.
2. There is insufficient rest
before taking the
measurement.
3. Device malfunction (the air
tube broken inside the
BPM).
4. Arm unsupported while
1. Please follow the manual to
adjust your cuff and measuring
position.
2. Please rest at least 5-10 mins
(30 mins after doing
exercises).
3. Contact the local service
member to repair the device.
4. Follow the instruction to sit and
put your measurement arm on

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sitting or standing
the supported table.
The heart rate is
higher/ lower than
the user’s average
rate.
1. Movement during the
measurement.
2. The measurement is taken
just after doing exercises.
3. Device malfunction.
1. Do not move and repeat the
measurement.
2. Rest at least 30 minutes
before repeating the
measurement.
3. Contact the local service
member to repair the device.
Please refer to the owner’s manual to check the detailed error codes and error
symptoms for different types of blood pressure monitors.