IN-TOUCH MONITORING MD.2 Users Manual
Contents
1. BEFORE YOU USE THIS MD 2 MEDICATION DISPENSING AND MONITORING SYSTEM BE SURE TO READ AND UNDERSTAND THESE SAFE USE AND USER S MANUAL amp INSTRUCTIONS IF YOU DO NOT UNDERSTAND THESE INSTRUCTIONS CALL THE IN TOUCH MONITORING CUSTOMER SUPPORT CENTER 1 800 679 6744 AND YOUR QUESTIONS WILL BE ANSWERED DO NOT USE THE MD 2 MEDICATION DISPENSING SYSTEM UNTILL YOU YOUR CAREGIVER OR OTHER PERSON RESPONSIBLE FOR LOADING AND SETTING UP THE UNIT UNDERSTAND THESE INSTRUCTIONS COMPLETELY As you know medication and drugs taken other than as prescribed by a medical practitioner pharmacy or drug manufacturer may cause serious injury and death If the MD 2 Medication Dispensing System is not used in conformity with the prescribed medication dosage amount frequency of use and medication instructions furnished to In Touch Monitoring by you your caregiver or your authorized healthcare provider serious injury or death may result In Touch Monitoring relies on you to assure the accuracy compatibility completeness timeliness and correct information so that the MD 2 Medication Dispensing System may perform according to its designed purpose This document contains important product information instructions for safe use and operation PLEASE SAVE THESE INSTRUCTIONS You may want to make reference to it in the future as it contains important information about the operation safe use and maintenance of this MD 2 Medication Dispe2. Re orient or relocate the receiving antenna Increase the separation between the equipment and receiver Connect the equipment into an outlet on a circuit different from that to which the receiver is connected Consult the dealer or an experienced radio TV technician for help Canadian EMI Specification Compliance Statement This Class B digital apparatus meets all requirements of the Canadian Interference Causing Equipment Regulations Cet appareil numerique de la classe B respecte toutes les exigences du Reglement sur le materiel brouilleur du Canada 46 Appendix A SS RPNADMNARWNEOS SSS CANN PWN MD 2 Users Manual Medication Message List No Message Time for your Insulin Take medicine with food May cause drowsiness No food with meds for 2 hrs Take extra fluids with meds Time to change your catapress patch Time to change your estrogen patch Time to change your Duragesic patch Time to put on a new nitro patch Time to remove your nitro patch Time for your nasal spray Time for your mouth inhaler Take medicine on an empty stomach Do not drink alcohol with this medication Take medicines with juice Take medicine with milk Time for your eyedrops Do not drive while taking this medication 47 MD 2 Users Manual Dear Pharmacist or Physician Your client has recently installed the MD 2 Personal Medication Dispensing System This device reminds yo
3. 10 Unloading Medication from the MD 2 You may need to remove medication cups from the MD 2 due to a medication change a loading mistake a jammed cup or a power outage The following functions allow you to remove medication cups 1 Unload Begins with the last day of medication loaded and works backward 2 Purge Allows the machine to be emptied without regard to a schedule Unloading Medication Cups Unload begins with the last day of medication loaded in the MD 2 and works toward the present day s medication The number of cups to be removed as well as the date the medication was to be delivered is displayed on the screen Press the Help key The display will read The MD 2 is positioning its medication cup cylinder to the last day of loaded medications When the unit is finished the display will read a d 3 Cup S e L o Sun 8 22 Pre S OK K en S y Wh Done You may now remove the number of cups displayed on the screen When you are done with this day s medication press the OK key The display will read ont inue Unloading Meds ontinue Quit To continue unloading the medication cups press the OK key while the Continue field is flashing Repeat the Unload steps until you are finished To exit the Unload function press the Right arrow until the Quit field is flashing Press the OK key The display will return to the normal operating display 32 MD 2 Users Manual Purge Function Purge allows the
4. Special instructions such as Take with food can also be announced Locking Storage Compartment MD 2 can be pre loaded with a maximum of 60 medication cups The locking compartment keeps medications safe and in order a Keypad designed for easy setup is located in the locking medication compartment to prevent accidental changes or tampering Battery Backup system provides alternate power for up to 18 hours sections Figure 4 2 depicts the keypad layout of the MD 2 11 MD 2 Users Manual Figure 4 2 Keypad Layout Emergency Load Run This key will return the MD 2 to normal operation after you have used other keypad features Load This key is used to load medication cups into the unit after they have been appropriately filled by the caregiver After pressing this key the medication cup cylinders move to the correct position and the machine voices Cups must be loaded upside down This allows the caregiver to begin loading the machine with cups The display on the front of the machine and the MD 2 voice instructs the caregiver as to how many cups to load into the unit for each day after the dosing schedule has been programmed into the MD 2 Setup This function allows you to set the time adjust display brightness and speaker volume These functions are initially set by the Support Center when the medication schedule is programmed Help This key provides information on use of the system It
5. x 14 tall It has an audio speaker an LCD message screen a high intensity red alert light and a dispense button all located on the front of the unit A power cord connector telephone line connections and On Off slide switch are located in the rear of the unit A 13 function keypad is located on the right side of the machine behind the locked door Also located behind the door are the medication cup cylinders the missed medication storage area and access to the battery pack The specific location of each item can be seen in Figure 4 FIGURE 4 1 VIEW OF UNIT Locked Front View LC IesmgeZemen E Medicahon P ehweny Fed Akr Light umm Pispeming Button Unlocked Side View 10 MD 2 Users Manual amp Medication Cups are comfortable to hold and have secure lids to prevent spills Each reusable cup can hold 20 25 pills and supplements As many as six cups doses can be delivered per day Keypad Overview With the 12 function keypad you direct the scheduling and loading of medications into the machine The keypad also directs a number of other functions that will be discussed in later Dispensing Button is designed for seniors special needs Easy to see and feel it is conveniently oversized and requires only gentle push for one button dispensing Medication Reminders Each dose is announced by a loud clear voice and tone adjustable volume a text message and a flashing red light
6. Current time is displayed on the low right hand corner of the screen System status field is displayed on the center of the lower line 2 Screen with flashing System OK N Dose 0 1 Hr 1 4 System OK The flashing field indicates that the user has missed one or more doses of medication Missed dose status can be determined through the Status key on the keypad Notification of caregivers is attempted when a dose is missed 3 Delivery Message f Your Med i PI se p Button Q0 NO The time of day will remain along with Time for Your Medication Please Use Button message on the screen Press the large delivery button on the front of the unit The display message will also be voiced by the MD 2 once per minute A bright red light will flash Itis time for the user to take their medication The MD 2 will continue in this mode for up to 45 minutes If the user has not pressed the delivery button during this time the MD 2 will add loud beeps to the voiced message It will continue this operation for up to an additional 45 minutes If the user has still failed to get their medication the MD 2 will terminate this display and mode place the missed dose into the missed dose storage bin and will attempt caregiver notification 26 MD 2 Users Manual 4 End of Day Message No Mor d ne Today 0 4 10 59P lt 1 1 Go No more medication is scheduled for delivery today Time of day and the current
7. If the Review function is used to check all of the medication cups the MD 2 may cycle back to this cylinder for another day s medication and the screen will say Check Cup 4 6 The lower right corner of the display screen will indicate which cups go with the displayed date The cups are numbered as in the example below The cup at the bottom of the tube in number 1 the next one up is number 2 ect through number 6 If there are 4 or more dosing periods per day there will be no more than one calendar date per medication cylinder Figure 4 3 Example of Multiple Days Medication Cups in Medication cup cylinders Cup Loading Diagram Day 11 Cups loaded with Covers towards the bottom Day 1 Once you have verified that the medication cups are loaded properly press the OK key The display will read uz edicine Cups in Motion lease Wait The MD 2 is positioning its cylinders to the next day s medications The display will read 30 MD 2 Users Manual Check 3 Cups Sun 8 2 2 Continue Qu Continue repeating the review steps until you are satisfied that all medications are loaded correctly When you are finished press the right arrow key until the Quit field is flashing Press OK The display will return to its normal operation N X Dose Hr i 1 6 System OK 59 gt 3 2 MD 2 stops the Review function automatically when it reaches the end of the medications loaded 31 MD 2 Users Manual
8. Support Center staff will attempt to notify the caregivers The Caregiver The most important element of the success of the MD 2 is the caregiver The correct filling of medication cups and proper loading of the MD 2 in a timely manner is the responsibility of the caregiver Any problems reported by the MD 2 such as missed medications machine empty etc are also the responsibility of the caregiver to rectify MD 2 Users Manual 3 List of Equipment The MD 2 comes complete with the following items as standard equipment MD 2 dispenser unit AC Power adapter 12 ft Telephone hook up cable Battery Pack w 8 C cell batteries Keys for Door Lock two plastic User s Manual Warranty Card First months supply of dispense cups with lids quantity 100 Medication cup loading tray Optional equipment and services available for the MD 2 include Extended Support Center services Deluxe Medication Cup Loading Aide Station Travel Cord Adapter this plugs into the power source or cigarette lighter of your auto Replacement items available from IMD for the MD 2 include Medication cups and lids 100 per package order P N IMD 5 753 Client Information and Medication Dosage Worksheets order P N IMD 6 004 Replacement items commercially available MD 2 include C cell batteries IMD recommends use of high quality alkaline batteries MD 2 Users Manual 4 Your New MD 2 Physical Description of Dispensing System The MD 2 is 13 x 12
9. caregiver Thank you This is the IMD MEDICINE DISPENSER calling from user ph The MD 2 needs service Please press 1 key to acknowledge this message 1 key pressed by caregiver Thank you This is the IMD MEDICINE DISPENSER calling from user ph The MD 2 is almost empty Please press 1 key to acknowledge this message 1 key pressed by caregiver Thank you This is the IMD MEDICINE DISPENSER calling from user ph The MD 2 batteries need to be replaced Please press 1 key to acknowledge this message 1 key pressed by caregiver Thank you 34 MD 2 Users Manual The MD 2 attempts to call up to 4 different caregiver telephone numbers It will play back a pre recorded message describing why it is calling Caregivers must press the 1 key on their telephone when asked to do so to acknowledge receipt of message When the MD 2 hears the 1 key it will know a caregiver as opposed to an answering machine or voice mail has heard and understood the message NOTE The MD 2 will not leave a message on an answering machine or in voice mail It will assume the caregiver cannot respond to the message and will attempt three additional calls Also note that the caregiver must be using a touch tone telephone for the MD 2 to hear the 1 key If the first caregiver has not responded after four attempts the MD 2 automatically calls the next caregiver number on the list The sequence continues until a careg
10. caregiver to empty the machine without regard to any schedule For example the user experiences a power outage and the batteries are completely drained When power is restored the MD 2 will power up but will have lost all knowledge of the dosage schedule and what medications were loaded In this instance all medication cups must be removed and the MD 2 must be reprogrammed and reloaded To start the Purge function press the Help key The display will read Use the right arrow key until Purge is flashing Press the OK key The display will read Cups in Motion it The MD 2 is positioning its medication cup cylinders This will take up to two minutes then the display will read Remove Cups Press OK Key When Done Remove all cups in medication cup cylinders and press OK key The display will read oading Meds it Continue the Purge steps until you are finished unloading all medication cups from the machine When you are finished press the Right arrow until the Quit field is flashing Press the OK key The screen will display d y for Setup 10 06 System OK 11 26A The MD 2 is ready to be reprogrammed with the medication schedule see Section 5 and reloaded with medication 33 11 Telephone Functions and Features MD 2 Users Manual The MD 2 shares the user telephone line to communicate with caregivers and the IMD Support Center It should not interfere in any way with normal user telephone operations The MD 2 can
11. day s date are still displayed continuously 5 Empty Message U i Empty 22 1 4 Syst OK ao gt The unit has run out of medication Time of day and today s date are still displayed continuously Caregiver notification will be attempted when there is no more medication to be dispensed 27 MD 2 Users Manual 9 Additional Features Along with its normal medication delivery the MD 2 has several helpful features These features include 1 early dose delivery capability 2 status capability 3 reviewing medication Early Dose Feature The MD 2 is equipped with an early dose feature that allows you to take medication cups out of the unit ahead of schedule This allows the user to be away for a few hours days etc You may remove as many early doses as needed To begin the operation unlock the door and press the Early Dose button The display will read Ready for E y se Yes 224 The Yes field will be flashing Press OK The display will read Fetching Meds Scheduled For 12 Wed 10 14 The MD 2 will display the schedule delivery time for the medications you have just requested Your medication will be delivered within two minutes Once the medication cup has been delivered the display will return to its normal operating mode If you wish to take another dose from the MD 2 press the Early Dose button again Each time you press the Early Dose button one medication cup will
12. the unit Follow the directions in Section 4 Unpacking and Preparing Your MD 2 for Use to re establish the power and telephone connections to the MD 2 You must reprogram see Section 5 the MD 2 and reload the medication cups 39 MD 2 Users Manual If your unit still does not operate properly please call our Support Center at 800 679 6744 They will arrange to ship a replacement unit to you right away 13 Frequently Asked Questions For your convenience IMD has compiled a list of answers to your most frequently asked questions on the installation and operation of the MD 2 They have been arranged in categories to make it easier for you to find answers quickly Installation Questions Telephone Related Questions Q Do I need a special telephone line to use the MD 2 A No the MD 2 plugs into your existing telephone line just like an extension phone or answering machine Q Will my MD 2 work with other special telephone equipment I have connected telephone amplifier Caller ID units etc A The MD 2 has been designed to be as compatible as possible with other telephone related equipment found in the home If the MD 2 is connected directly to your telephone line you should experience no problems General Questions Q Where should I put the MD 2 in the home A The MD 2 should be located someplace where the alerts can be easily heard and seen It should also be placed fairly near a wall outlet and a telephone ou
13. them confused when re loading them Once all cups are out reload the machine in the usual manner with the cups upside down How do I check that I loaded the MD 2 correctly The Review function allows you to check medication cups already loaded in the machine See Section 10 My user has a new prescription to take How do I add this new medication to the medication cups already loaded in the MD 2 Use the Unload feature described in Section 11 to unload all of the cups in your machine You may then add or change the medications in the cups and load as usual General Why does my MD 2 make a rat tat tat noise instead of its normal voice occasionally A computer chip used by the MD 2 makes an occasional rat tat tat sound instead of the normal voice No operations are affected by this annoying sound What happens if there is a power failure Does my MD 2 lose all of its programming The MD 2 will run on a fresh battery pack for at least 12 hours If you let the battery run low you have not loaded the fresh battery pack or your power outage lasted beyond the 43 MD 2 Users Manual 12 hour limit the machine could lose the programming information When you have direct power unload the medication cups following the Purge instructions in Section 10 then call the Support Center to reprogram your machine See Section 5 System OK keeps flashing on the screen What does that mean and how do I get it to stop blinking Syste
14. there is a doctor s appointment scheduled only load the MD 2 for two or three days after the appointment That way if your doctor changes your medication there will be fewer cups to change To start loading the MD 2 with medication cups press the Load function key If the unit has not been completely set up i e clock needs to be set and or a schedule needs to be programmed you will be reminded via a display message what must still be set up in order to load Refer to Section 5 Setting Up the Unit for further direction When all setups are complete the screen will display Medicine Cups in Motion Please Wait The MD 2 will take up to two minutes to position the medication cup cylinders Once the unit has finished positioning the MD 2 will voice Please load six medicine cups and the display will read d 6 C L up Sat 8 21 P SS OK ke en S y Wh 22 MD 2 Users Manual In the above example six cups are to be loaded for Saturday August 21 Cups must go into the unit with the lid facing down i e cup upside down The first delivery of the day goes in first last delivery of the day in last When all cups requested on the screen have been inserted into the unit press the OK key This informs the MD 2 that you have loaded one day of medication The display will now read Co inue Load 0 Meds Co Qu i If you have more days of medication to load press OK while the Continue field is active flashing Unless prompted
15. AGES careant prede e ten 33 MACHINE ERROR MESSAGE nr FRU ERE ERE HS P Hr 35 Removing Jammied 35 MACHINE STOPPED MESSAGE 45 Manual Unloading When Medication Cup Cylinder Turns Freely eese eene 37 Manual Unloading When Medication Cup Cylinder Is Stuck eese eren nen nee eene 37 Re assembling the Unit esimiesten ee prie ede reete ao eee epe Dea Pare Ree a NE T Ea dee nee doen dee 38 13 FREQUENTLY ASKED QUESTIONS eese eere eere ennt seen sen seen seen seen seen neon seen seen seen 39 14 LIST OF IMPORTANT PHONE 8 2 neenon seen ss ene onse enses 44 15 REGULATORY AGENCY INFORMATION 2 1 aeos seen seen seen seen 44 TELEPHONE CONNECTION INFORMATION csssssecccccceccsssssecccceecceuseseeccceeeeuaaseeeccccesssauneseecccsessauenseeceeesssauaneeecceeeeeaas 44 Telephone Company Information 44 FCC EMISSIONS COMPLIANCE STATEMENT sscccccccccessseeccccccneesssescccccseceenseeeccccsseeansesececesseeaenseececesssuaanseeececeeeaes 44 CANADIAN EMI SPECIFICATION COMPLIANCE 5 1 2 1000 006000000000000 000 46 MD 2 Users Manual 1 Introduction Congratulations and thank you for choosing In Touc
16. Infouch Companionship Monitoring IN TOUCH MONITORING MD 2 Users Manual Revision G 12 99 Disclaimer The information in this document is subject to change without notice While the information contained is accurate to the best of our ability In Touch Monitoring assumes no liability or responsibility for omissions or errors MD 2 Users Manual A word about safety A personal note to the CARGIVER from In Touch Monitoring Dear CAREGIVER If you are uncertain as to whether the MD 2 Unit is appropriate or suitable for use by a person for whom you have accepted Caregiver healthcare responsibilities check with a physician or other healthcare specialist familiar with the person s current physical and mental condition The MD 2 Unit is provided to you at your request to assist you in the delivery of healthcare medications to a person for whom you have accepted CAREGIVER healthcare responsibility Its sole purpose is to assist in dispensing medication In Touch Monitoring relies on you to provide timely and accurate information to fulfill the medication delivery function of the MD 2 Unit Always keep the machine locked at all times Thank you for choosing the MD 2 Unit to assist you in health care In Touch Monitoring MD 2 Users Manual SAFE USE INSTRUCTIONS OPERATION INSTRUCTIONS AND THE LIMITED WARRANTY OF THE D 2 MEDICATION DISPENSING UNI
17. Is Stuck Before you begin with the manual unloading procedure when the medication cup cylinder is stuck you need to have the following hand tools available 1 Philips screw driver Small flat blade screw driver If the MD 2 appears to have a medication cup stuck internally and you have been unable to free it up through the Machine Error Corrective Action Procedure OR the MD 2 has otherwise broken or malfunctioned and you can not get the medication out of the unit in any other manner such as lifting cups out through the medication cup cylinders then and only then should you perform the following corrective action steps 38 MD 2 Users Manual Cover Removal Procedure Step 1 Step 2 Step 3 Step 4 Step 5 Step 6 Step 7 Turn the MD 2 off use the power switch in back of unit just unplugging the wall transformer will not do it Unplug the AC adapter from the wall outlet Unplug the AC power cord from the back of the unit You will be removing the cover from the unit If there is not enough headroom to do this where the MD 2 is currently placed move it to a suitable table or workspace Remove the door Open the door and swing it all the way back and then lift upwards The door will lift off its hinges Place the door on a clean flat surface away from the MD 2 Remove the top cover Gently pry off the round plug located on the top of the machine using the flat blade screwdriver prying it from the door side of
18. MD 2 product label applied to the base of the unit In most areas the sum of the RENs of all devices on the line should not exceed five 5 0 If too many devices are attached they may not ring properly The telephone company also may make changes in its technical operations and procedures over time If such changes affect the compatibility of or use of this device the telephone company is required to give adequate notices of these changes FCC Emissions Compliance Statement Warning Changes or modifications to this unit not expressly approved by the party responsible for compliance could void user s authority to operate this equipment 45 MD 2 Users Manual NOTE This equipment has been tested and found to comply with the limits for a Class B digital device pursuant to Part 15 of the FCC Rules These limits are designed to provide reasonable protection against harmful interference in a residential installation This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with the instructions may cause harmful interference to radio communications However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to radio or television reception which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures
19. TOWS 13 UNPACKING AND PREPARING YOUR MD 2 FORUSB 13 POWERING UP THE UNIT ssscccccccccccsssseeccceceecusseeeccccceeaeusseecccceesauasseecccceeeauseseeeeceeeesauanseeceeeessuuesseecceesssaaaeeeeeees 13 INFORMATION 5 5 15 SETTING UP THE 17 DOWNLOADING THE SCHEDULE eee enn nn 18 LOAD CAPACITIES 5 5 eire vobi wi wis uibs thia hib 19 PROCEDCURE FOR FILLING MEDICATION 8 7 2 0000000000000000000000000 20 LOADING AN EMPTY MD 2 a INITIAL LOADING OF DAILY 8 2 21 RE LOADING OF DAILY MEDICATIONS 22 FPC Sereen 24 VOUT AE sci MEILEN LAE 24 NORMAL OPERATING MODE 25 EARLY DOSEFEATURE honneur cu tue o cr rU 27 STATUS EUNGTION 2 2 e bcr ea eben Ei near ree vie Pe 27 Ge tremite 28 MD 2 Users Manual 10 UNLOADING MEDICATION FROM THE 2 0 00 0 0 0 31 11 TELEPHONE FUNCTIONS AND 0 3 CAREGIVER TELEPHONE MESS
20. also provides access to the Unload and Purge medication cup functions 12 MD 2 Users Manual Status This key provides multiple functions 1 Information on missed doses if any 2 How many days of medication remain until the MD 2 needs to be reloaded 3 If the battery pack needs to be replaced Early Dose This key allows the caregiver to take medication cups out of the MD 2 ahead of schedule This function is used when the user is planning to be away from the MD 2 for any dosing period Multiple medication cups can be taken out sequentially when the user is away from the MD 2 from hours to days This does not disrupt the ongoing scheduled functioning of the machine The caregiver assumes responsibility for delivering medication cups taken from the unit Schedule This key allows the Support Center to program your MD 2 with your medication schedule OK This key acts as an Accept or Enter key When a selection field is flashing on the display zm pressing this key will accept verify or okay the flashing selection An example of a selection can be seen in the following display BOLD text represents a flashing field on the screen Example Setup Opti ns gt gt Time LCD T Quit The OK key also is used to save a setting on the screen In the following example pressing the OK key will set the time Save screen setting example Day H Mon 0 02 1 oz Bi lt oa Left am
21. are easily handled filled and opened They provide clean sealed storage for the medication The MD 2 can deliver up to 6 medication cups per day Each medication cup is delivered to the user at a scheduled time of the day The schedule is loaded into the MD 2 by the IMD Support Center via telephone connection Schedule information needs to be entered once and can be easily adjusted as medication needs change The MD 2 also provides an as needed PRN medication delivery feature A programmable time interval between deliveries allows the user to have a medication as needed but not more often than prescribed by your provider The total medication capacity of the MD 2 depends on the number of cups to be delivered per day and whether or not the PRN feature is in use Table 2 1 summarizes the medication handling capacity of the MD 2 Table 2 1 MD 2 Capacity vs Medication Deliveries Day Without PRN With PRN Delivery Rate Capacity Days Capacity Days 1 delivery day 40 days 28 days 2 delivery day 30 days 21 days 3 delivery day 20 days 14 days 4 to 6 delivery day 10 days 7 days The MD 2 uses several ways to get your attention when it is time to take your medication To communicate medication reminders and directions the unit announces voice messages Additionally these messages are printed on the front of the machine A bright red light also flashes when medication is available for delivery The MD 2 attempts caregiver phone notif
22. be dispensed and the MD 2 will return to normal operating mode N X D 0 4 Hr 1 se 17 M 4 System OK 1 1 1 i Status Function The status function provides operational and missed dose information The MD 2 shows the last 4 missed doses The Status function also provides the caregiver with battery status and how many days are remaining until the machine is empty When the status field on the screen is flashing i e System OK flashing your user has missed one or more medication deliveries To ask the MD 2 current missed dose status press the Status key The display will read Remove Miss Press OK Ke lt 50 gt 28 MD 2 Users Manual You are being instructed to remove all missed dose cups from the missed cup tray behind the keypad and then press OK The display will provide information on the doses missed including the date and time of the missed dose In the example below the first dose that was missed was on 8 21 at 11 45 AM Use the Up or Down arrow key to scroll through the missed dose number flashing 1 field on screen The time the dose was missed as well as the date missed will appear on the screen Once you are done reading the missed delivery information press the Run key to return to normal operations Once you press Run the MD 2 logs any future missed doses If the status field on the normal screen is not flashing pressing the Status key will display the following messag
23. by the MD 2 do not load a partial day of medication The MD 2 will reposition its medication cup cylinders for the next day and begin the daily load sequence again When you are finished loading the MD 2 use the right or left arrow key until Quit is flashing Press OK The display will return to the normal operating display N X Dose 02 Hr 2 3 Mi 0 1 System 08 594A You have successfully loaded medication into the MD 2 The unit is now in its normal delivery mode of operation Re Loading Daily Medications When you know there is a doctor s appointment scheduled only load the MD 2 for two or three days after the appointment That way if your doctor changes your medication there will be fewer cups to change Press the Load function key The screen will display Select Load A The MD 2 may take up to 2 minutes to position its medication cup cylinders The MD 2 will voice Please load six medicine cups and the display will read 23 MD 2 Users Manual The MD 2 informs you exactly how many cups to load into the machine as well as the day of the week and the calendar date that the medications will be delivered To load properly cups must go into the unit with the removable lid down i e cup upside down The first delivery of the day goes in first last delivery of the day in last When cups have been inserted in to the unit as prompted on the display press the OK key This tells the MD 2 that you have loaded one day
24. by your user see Section 7 for a description of this Status feature Step 3 Press the Run key after you have read the missed dose status information If the MD 2 did not sit with it s missed dose bin full overnight then it will continue as normal There MAY be additional missed dose s depending upon delivery schedule Messages on the screen will inform you of this If the MD 2 was allowed to sit with its missed dose storage bin full overnight or longer then you will have to check and reload medication in the unit WARNING DEPENDING UPON HOW LONG THE MD 2 WAS LEFT IN THE MACHINE STOPPED CONDITION YOU MAY HAVE MEDICATION CUPS LEFT IN THE MEDICATION TUBES CHECK VERY CAREFULLY AS YOU RELOAD THE UNIT Manual Unloading When Medication Cup Cylinder Mechanism Turns Freely If the medication cup cylinder mechanism turns freely power on the unit and use the Purge feature to remove all medication cups from the machine see Section 11 for directions on using the Purge feature If you cannot access the Purge feature open door then GENTLY rotate the cup cylinder mechanism until a tube of cups is aligned with the medication cup loading port With your finger or a pencil slide the cups up and out the top of the medication cup cylinders Rotate the medication cup cylinders to the next position and repeat the removal of cups You will need to check all ten cylinders and remove all cups Manual Unloading When Medication Cup Cylinder Mechanism
25. e Failure A jammed cup is a problem you can fix at home Cups inserted upside down bottom of the cup facing up the lid MUST be facing down or the use of deformed or crushed cups are the most common causes of a cup jam Removing Jammed Cups Step 1 Turn the MD 2 off use the power switch in back of unit and unplug the unit from the wall outlet Step 2 the door 36 MD 2 Users Manual Step 3 Examine the cups that are visible in the medication cup cylinders If any cups facing up i e lids facing upward then cups are loaded incorrectly See the Manual Unloading Procedure Step 4 With a light touch GENTLY try to rotate the medication cup cylinder mechanism accessible through the medication cup load position DO NOT FORCE the mechanism It normally turns with only a modest amount of effort Try rotating the mechanism in both directions If the medication cup cylinder mechanism doesn t turn properly go to Step 5 Step 5 Reach up into the cup delivery ramp located to the left of the dispense button and GENTLY try to rotate the medication cup transport DO NOT FORCE the mechanism It normally turns with only a modest amount of effort If the medication cup transport mechanism turns properly rotate it until it is centered over the ramp delivery A cup may come out as you do this If a cup does come out be sure to remove the medication and then discard the cup DO NOT REUSE A CUP THAT HAS JAMMED If the medicati
26. e on the screen Days Unt i Empty 12 Battery OK The battery status will be either OK or Replace A reading of 0 days until empty indicates the MD 2 is empty This message will remain on the screen for approximately 3 seconds The unit will automatically return to normal operations after a few seconds Reviewing Medication The number of medication cups in the MD 2 can be checked at any time by using the Review function To use the Review function press the Load key The display will read Select Loading Mode Load Review Use the Left or Right arrow keys until the Review field is flashing Press the OK key The display will read Medicine Cups in Motion Plea se Wait The MD 2 will take up to two minutes to position it medication cup cylinders The display will read 3 Cups Sat 8 121 i 29 MD 2 Users Manual The MD 2 informs the caregiver how many cups should be loaded in the unit for each day Medication cups are visible to the caregiver in the medication cup cylinders In this example 3 cups are loaded for Saturday August 21 Note To accommodate multiple days there may be instances when there are more cups visible in the medication cup cylinders than the MD 2 reports on the screen If the user has 3 or less dosing periods per day there may be multiple calendar days of medication stacked in each cylinder In this example when the screen first says Check Cup 1 3 it is referring to the bottom 3 cups in the stack
27. e pressed completely and securely on the cups otherwise the MD 2 may jam Once the cups have been filled with medication the caregiver is responsible for loading them into the MD 2 The loading port is located to the right and above the keypad refer to Figure 4 1 Accuracy in loading the unit is critical Double check each cup before inserting it into the machine Check for the right medication in the right dose cup as well as making sure the lid of the dose cup is securely and completely closed Note As the machine is loaded all cups must be placed with their removable cover facing down Failure to insert cups in the unit in the proper upside down position will result in a malfunction of the unit cups will jam in the machine The MD 2 delivers medication cups from the bottom of the stack The first cup loaded is the first cup delivered and corresponds with Dose 1 in schedule the second cup loaded corresponds to the 2nd cup delivered and Dose 2 of the schedule etc Throughout the loading process the MD 2 will inform you by a voice message and through the display feature exactly how many medication cups to place in the machine The MD 2 voice will instruct you as to the number of cups you will need to load and the display will indicate the number of cups the day of the week and the calendar date that is being loaded as noted in the following example a d 6 Cup S e L o Sat 8 21 Pre s OK k en S y Wh Done For each day loaded
28. en the Up arrow key is pressed the higher the contrast will get If less contrast is desired press the Down arrow key The more times the Down arrow is pressed the weaker the contrast will be When you are finished press OK The display will return to the following setup screen Setup Opt ons i lt lt Time LCD Vo Quit Vol Volume Setting From the main setup screen use the Right or Left arrow key until the Vol field flashes on the display screen Press OK The display will read Volume Don d Adjustment DA st Up OK Quit Press the Up arrow key to raise the volume press the Down arrow key to lower the volume NOTE Each time you press the UP or DOWN arrow key the unit will voice Thank You There are only three volume setting to choose from low medium default setting and high When you have set the volume press OK The display will return to the main setup screen Use the right arrow key until Quit is flashing Setup Options 25 MD 2 Users Manual Time LCD Vol Quit 8 Operating the MD 2 Normal Operating Mode The MD 2 begins its normal operation after loading the unit Once in normal operating mode you will see one of five different screen types displayed They are 1 In Between Deliveries Screen N Dose 0 1 Hr 1 4 System OK oS in 3A The time until the next dose is displayed on top line Today s date is displayed in the lower left hand corner of the screen
29. est e Wait f eas This self test operation takes one to two minutes Once the unit has successfully passed its self test and has aligned its medication cup cylinders the screen will read Ready for Setup System OK 12 00 Additionally MD 2 voice will say System OK Ready for setup A default time setting will be flashing in the lower right corner 15 MD 2 Users Manual 5 Setting Up the MD 2 The process to set up your MD 2 includes 1 Installing the machine p 13 amp 14 2 Completing and submitting the worksheets 3 Downloading the schedule p 18 4 Loading the MD 2 p 19 21 Information Sheets The MD 2 is programmed through the IMD Support Center The setup is fast and easy Prior to contacting the IMD Support Center the following information sheets need to be completed These blank forms are located in the back of this user manual 1 The Subscriber and Monitoring Information 2 pages 2 The User Medication Worksheet 1 page This information can be faxed or called in to the Support Center using the numbers below IMD Support Center Operator Assistance Line 800 679 6744 toll free IMD Support Center Fax Line 954 776 1219 IMD Support Center In Touch Monitoring User and Caregiver Information Form These forms are located in the back of this manual For your convenience a sample form with user information examples have also been provided Please refer to the example forms as you fi
30. example forms as you fill in your worksheet The User Medication Worksheet asks for the dosing times medications and messages of the User These are the actual instructions that will be programmed into the MD 2 IT IS CRITICAL THAT THIS INFORMATION IS ACCURATE You will find the form and an example in the Appendix 1 Complete the User Name and Serial Number for your MD 2 The serial number is located on the label inside the locked door of the unit 17 MD 2 Users Manual 2 The MD 2 is programmed according to the information that you provide If the information is the same for every day of the week you need only to fill in Sunday information and write same in the remaining days of the week If you want to vary your schedule you will need to write in exact information for each day of the week This grid will also be used as a cup loading guide A Medications For each dosing time write in the medications you take in the large box You may also include insulin or inhaler time patch application time and patch removal time B Dosing Time For each dosing period write in the exact time of day you would like to have these medications dispensed C Messages Look at each prescription container and identify any Specific instructions that are labeled for each prescribed medication Match any special label instructions with one of the messages listed on the Message List located in the back of this manual in Appendix A Write in the messa
31. ge number under the correct medication Make sure you fill in all rows D Message Only If you wish to have a reminder only to take your inhalant eye drop medication patch or injectable include the time you wish to be reminded in your medication schedule along with the appropriate message from the Appendix list In the medication space write REMINDER ONLY When both forms are complete the information can be faxed or called in to the Support Center using the numbers below IMD Support Center Operator Assistance Line 800 679 6744 toll free IMD Support Center Fax Line 954 776 1219 IMD Support Center In Touch Monitoring Setting up the MD 2 Table 5 1 describes the way that message types will be displayed during the set up and programming of your MD 2 Table 5 1 Programming References Display Messages Bold text represents flashing text on display screen Bold Italics text represents display heading Keys Bold text represents actual keys to be pressed to perform described operation 18 MD 2 Users Manual Once the User and Caregiver Information Sheet and the User Medication Worksheet are complete and sent to the IMD Support Center via telephone fax or mail there are three steps to programming the MD 2 Step 1 Call the IMD Support Center operator 1 877 472 9037 Step 2 Tell the operator the user name and the serial number of the MD 2 Step 3 Instruct the Support Center that you are ready to have
32. h Monitoring s IMD MD 2 The MD 2 has been designed for anyone looking for help in taking their medication Your new MD 2 system addresses medication scheduling problems by providing a simple to use reliable medication delivery system Key benefits of the MD 2 include Medication is delivered at a time you set Loaded properly the MD 2 cannot double or overdose medication to the user e The delivery unit is simple to use Medication is delivered with the push of a button MD uses a number of gentle but effective attention getting techniques to let you know when your medication should be taken The MD 2 holds from 10 days to over 1 month s worth of medication e The MD 2 helps maintain a level of independence for the user e The MD provides peace of mind for the caregiver by relieving the stress worry and time associated with medication delivery to the user MD 2 Users Manual 2 Description of the System The MD 2 has three elements the medication delivery unit the IMD Support Center and the caregiver The MD 2 The MD 2 delivers medication in special FDA USDA approved 1 oz plastic cups and lids Each cup is filled with one dosing period of capsule or pill medication Liquids inhalants patches and injectables cannot be dispensed from the MD 2 Never load nitroglycerin into the MD 2 However reminder messages to use this type of medication can be included in the medication schedule The medication cups
33. ication when The user misses their medication 2 The MD 2 is almost out of medication MD 2 Users Manual 3 The MD 2 detects that its batteries are low 4 The MD 2 detects that AC power has been interrupted for any period of time temporary power outage 5 The MD 2 is allowed to go empty 6 The MD 2 flashes a machine error The MD 2 calls the caregiver s and informs them via a pre recorded voice message of an above mentioned problem or event During the phone notification the caregiver will need to accept responsibility for handling the problem and will then be asked to respond to the voice message by pressing the 1 key on the telephone If the caregiver does not respond by pressing the 1 key on the telephone the MD 2 will continue to call up to four caregivers 4 tries per caregiver If it fails to contact any caregivers the MD 2 then calls the Support Center The Support Center The Support Center provides 24 hour monitoring as well as programming and scheduling medication delivery times into the MD 2 Should a medication delivery be missed and the MD 2 is unable to reach any of the caregivers the Support Center staff will make additional contacts On a daily basis the MD 2 reports to the Support Center on a toll free call using the user s telephone line Medication delivery machine status and other information is reported to the Support Center Should the MD 2 not check in at its prescribed time the
34. iver responds by pressing the 1 key Should no caregiver respond the MD 2 calls the Support Center The Support Center will attempt to notify caregivers 35 MD 2 Users Manual 12 Trouble shooting Your MD 2 will provide years of trouble free operation when properly used and cared for No adjustments or periodic service is needed by your MD 2 There are no serviceable parts or repairs that can be made by the user so any service must be performed by factory trained technicians Should your unit fail to operate properly please call toll free 877 472 9037 to coordinate replacement or repair of your unit Your MD 2 has extensive built in test capabilities It monitors its own operations reporting detected problems to both you through messages on the display and the Support Center Problems are reported through trouble report messages The MD 2 has two error messages Machine Error and Machine Stopped Machine Error Message Machine Error 09 27 SERVICE 12 15p The machine error message indicates a problem with the internal MD 2 mechanism The most common reason for this message is a medication cup jammed in the machine The MD 2 also uses indicator lights to help further pinpoint the error condition Refer to Table 13 1 Table 13 1 Indicator Light Error Meaning Indicator Error Detected Probable Cause Home Repairable Light Flash Count 2 Flashes Electronic Failure Not home repairable Medication Tube Delivery Failure Telephon
35. ll in your worksheet The User and Caregiver Information form asks basic questions about who will be getting their medication from the MD 2 the User and who is responsible for loading the medications and responding to alerts the Caregivers Caregivers should be individuals who are familiar with the User the operation of the MD 2 and who are able to check on the user and the MD 2 when there is a notification of a missed dose or other problem 1 Serial Number The serial number of your MD 2 is located on the label inside the locked door 2 User Information The name address time zone phone including area code etc of the individual who will be getting their medications from the MD 2 3 Caregiver Information A caregiver is a spouse relative neighbor friend visiting nurse agency or a home health agency The caregiver is responsible for the proper loading of the 16 MD 2 Users Manual MD 2 and responding to any calls made by the MD 2 to the caregivers The order in which caregivers 1 2 3 or 4 are listed is the same order the MD 2 will use to notify caregivers when a response is needed Please enter the exact caregiver phone number as dialed from the user s home Important In the event of a missed dose or problem the initial calls to caregivers are made directly from the MD 2 unit From the user s home is it a long distance call to notify the caregiver Please circle Y for Yes or N for No Fax and Email Thi
36. m OK flashing means that your user has missed 1 or more doses To clear the flashing you must remove the missed medication cups and press the OK key The screen will then display the number of missed doses Use the Up or Down key to display the dates and times of missed doses When you have reviewed them all press the RUN key How soon do I have to replace batteries once the Batt Low indication shows up on the screen and or when the MD 2 calls me to inform me of the low battery condition Batteries should be replaced as soon as possible when the Batt Low indicator comes on When this displays over 2 3rds of the battery energy has been used and the machine may not have enough battery power to dispense your next dose The MD 2 will run on a fully charged battery pack for approximately 3 8 hours if you had a power outage at your home My user is traveling for a few days how do I get medications out of the MD 2 Should I turn the MD 2 off while they are away The MD 2 has an Early Dose feature which is specifically intended for this situation You can use this feature to remove 1 dose to several days worth of medications See Section 10 for instructions on how to use this feature The caregiver traveling with the user will need to assume responsibility for delivering medications on time to the user Do not power off your MD 2 the MD 2 knows you have taken medication cups out early and knows when it should deliver the next dose It will be ready a
37. m packaging material from behind the MD 2 door This piece of packaging foam protects the precise moving parts in the unit during shipping Failure to remove this packaging foam will cause unit to malfunction d Connect the MD 2 to nearest telephone line outlet with the phone cable provided If a telephone must be disconnected from the wall jack the telephone may be re plugged into the convenient extension jack in the back of the MD 2 Refer to Figure 3 for location of the telephone connectors on the back of the MD 2 e Make sure the MD 2 power switch is in the off position refer to Figure 3 Plug the small end of the AC power adapter into the back of the MD 2 Plug the large end of the AC adapter into a wall outlet Note Make sure that the wall outlet is not a switched outlet i e controlled by a wall switch somewhere in the room f Install the 8 C cell battery pack into the machine by first sliding the battery pack into the machine and then connecting the battery pack to the electrical connector in unit g Save packing and box in the event of repair needed FIGURE 3 CONNECTOR PANEL LAYOUT On 14 MD 2 Users Manual ru te Telephone Connector On Off Switch Power Jack Powering Up the Unit When the MD 2 has been readied for use as outlined in the previous section it is ready to put it into service Turn the unit on by pushing the slide switch at rear of unit to the On position The display will first read Underway T
38. nd waiting when your user returns home The screen on my MD 2 reads Machine Error Service What do I do Your MD 2 has experienced a situation that can only be resolved with human intervention When the MD 2 is in this state it flashes the red lights in a distinct pattern This pattern indicates what is wrong Refer to Section 13 Table 13 1 for specific details on how to interpret and correct the situation 44 MD 2 Users Manual 14 List of important phone numbers For assistance with your MD 2 please call Support Center toll free 800 679 6744 15 Regulatory Agency Information Telephone Connection Information The Federal Communications Commission FCC has established rules that permit the use of this device to be directly connected to the telephone network The unit is provided with two standardized plugs and two standardized cables with jacks to be used to make this connection Non standard cables jacks should not be used The FCC also requires that this unit not be used on party line or coin operated telephone lines Telephone Company Information Should the telephone company request information about the devices connected to their telephone lines the following information pertains to the IMD MD 2 A Telephone number Unit is connected to Your telephone number B Ring Equivalence Number REN 0 7B C USOC jack required D FCC Registration Number 6HYUSA 33790 MD E Items B C D can be found on the
39. nsing System The unit serial number for your MD 2 Medication Dispensing Unit is located on the right panel inside the locked door I SAFE USE INSTRUCTION e DO NOT use this MD 2 Medication Dispensing System to dispense medication in any way which is not in compliance with the prescription or directions of your prescribing medical practitioner pharmacy or drug manufacturer e DO NOT load any medication into this machine that is used for emergency or life threatening conditions such as sublingual nitroglycerin MD 2 Users Manual e Do not fail to immediately report any malfunction or operational failure of this IMD 2 Medication Dispensing System directly to In Touch Monitoring Customer Support Center at 1 800 679 6744 e DO NOT fail to call In Touch Monitoring Customer Support Center with any question about the operation of this MD 2 Medication Dispensing System e DO NOT use the MD 2 Medication Dispensing System to dispense liquids injectables or patches Attempting to load these substances will damage either the unit or the medication e ALWAYS immediately report any failure to dispense medication according to prescribed medication dosage and frequency to the In Touch Monitoring Customer Support Center at 1 800 679 6744 e NEVER permit medication to be used in this MD 2 Medication Dispensing System by any individual who has not read understood the User s Manual amp Instructions e DO NOT attempt to take apart modify or in any o
40. nsume A The MD 2 consumes less than 4 watts typically and less than 10 watts when a medication cup is delivered A typical night light draws about 8 watts Schedule Setup Related Questions Q How do I change the medication schedule A Call the IMD Support Center and one our trained operators will record the new schedule information The Support Center will then reprogram the machine See Section 5 for details on this operation Q How much time do I have to take my medications once the MD 2 starts its medication alerts 41 MD 2 Users Manual A The MD 2 sets the medication availability time based on your dosing schedule It looks at each scheduled delivery time for the day and takes the lapsed time between the closest scheduled deliveries or 90 minutes whichever is shorter See example below Scheduled Delivery Time between Deliveries 8AM 4 Hrs 12PM 6 Hrs 6 PM 2 Hrs SPM The closest two delivery times are 2 hours apart so the MD 2 will assign one hour of 2 hours as the medication alert time How closely can I schedule medication deliveries The MD 2 can deliver medication cups as close as 5 minutes apart In general IMD does not recommend that you space any deliveries that close together as this gives the user a very short medication availability time or alert time Can I have different delivery times for the weekend or any day of the week Yes the MD 2 is fully capable of supporting a unique variety of sched
41. on cup transport does not turn properly see the Manual Unloading procedure Step 6 Once you have successfully moved both the medication cup cylinder mechanism and the medication cup transport turn the power on the MD 2 using the switch in back of the machine You should see the mechanisms moving again You must now reset the dosage schedule by calling the Support Center After your medication schedule has been reprogrammed you will need to reload the medication into the machine Examine each cup carefully and throw away any damaged or bent cups or lids If your machine still has a Machine Error message call the Support Center for further assistance Machine Stopped Message The machine stopped message appears when the MD 2 missed dose storage bin is full user has missed 4 doses All MD 2 normal operations stop until the storage bin is emptied To empty the storage bin perform the following Step 1 Open the door Step 2 Press the Status key on the keypad This will start the MD 2 unloading process display will read Remove Missed Dose Cups Press OK Key When Done uf MD 2 Users Manual A medication cup will eject down the normal deliver ramp This is the fourth medication cup missed by your user The other three missed medication cups will slide onto the tabletop when you open the MD 2 door When all the missed medication cups are removed press the OK key The MD 2 will then display details on the medication missed
42. only call out and will normally be on the line for less than 1 minute 3 minutes maximum Table 12 1 summarizes the calls that can be made to a caregiver Table 12 1 Caregiver Telephone Usage Reason for Call Call Made to Missed Delivery Machine Empty AC Power Outage AC Power Restored Machine Error Machine Almost Empty Caregiver Aid Message Batteries Low Caregiver Aid Message Caregiver telephone number 1 of 4 numbers Caregiver telephone number 1 of 4 numbers Caregiver telephone number 1 of 4 numbers Caregiver telephone number 1 of 4 numbers Caregiver telephone number 1 of 4 numbers Caregiver telephone number First caregiver number only Caregiver telephone number First caregiver number only This is the IMD medicine dispenser calling from user ph Your user has missed their medication Please press 1 key to acknowledge this message 1 key pressed by caregiver Thank you This is the IMD MD 2 calling from user ph The MD 2 is empty Please press key to acknowledge this message 1 key pressed by caregiver Thank you This is the IMD medicine dispenser calling from user ph Your user s power is out Please press 1 key to acknowledge this message 1 key pressed by caregiver Thank you This is the IMD MEDICINE DISPENSER calling from user ph Your user s power is on Please press 1 key to acknowledge this message 1 key pressed by
43. p Right Arrows The triangular buttons on either side of the OK key are the selection keys Each time you press either key the active field on the front display will move one position 13 MD 2 Users Manual Up amp Down Arrows The triangular buttons above and below the OK key are the adjusting keys Pressing the Up key causes the flashing value on the screen to go up one place or value Pressing the Down key causes active flashing value on screen to go down one place or value Depressing either of these keys continuously will cause the numbers to scroll rapidly in sequence Unpacking and Preparing Your MD 2 for Use Once you have removed the MD 2 from its shipping container please follow the steps outlined to set it up properly If your MD 2 has been stored or kept in a place that is cold below 32 F 0 C for longer than two to three hours please unpack your MD 2 and let it sit in a warm room for three to five hours before setting up Do not locate in areas of high moisture such as a bathroom a Place the MD 2 on a counter or stable tabletop near an electrical outlet and a telephone wall jack This location should be in a living area that allows the user to hear the unit see the display easily as well as provide enough room to open the door when loading b Open the door of the unit by inserting the key into the lock and turning the key clockwise gently pulling the door open when the key will no longer turn c Remove the foa
44. s information is helpful and allows IMD to send you immediate verification that your MD 2 has been programmed If you do not have fax or email access please enter none If you do not have four caregivers simply fill in none in the caregiver space 4 Recordkeeping and Documentation The information requested on the second page of this worksheet assists IMD with billing record keeping and documentation It will only be used by IMD and will not be published Living Status Please circle the word that best describes the user s living situation Martial Status Please circle the word that best describes the user s marital status Insurance Information Please list your primary insurance DO NOT list policy numbers Secondary Insurance Please answer yes or no Long Term Care Insurance Please answer yes or no Medical Conditions Please list the medical conditions or diagnoses for the user Doctor s Information Please provide your primary physician s address phone number fax number and email address if available f you would like IMD to provide information about your medication usage to your physician please check the appropriate box Ouwmoonow 5 Signature and Date Sign and date the form Proceed to the User Medication Worksheet User Medication Worksheet This form is located in the back of this manual For your convenience a sample form with a user medication schedule has also been provided Please refer to the
45. sage then just call the Support Center 1 800 679 6744 and make the change You will then have to download your new information and reload the MD 2 Load Capacities The MD 2 can hold from 1 weeks to 40 days worth of medication cups depending upon the delivery schedule selected table below summarizes the delivery schedule capacity relationship Delivery Rate Capacity Days 1 delivery day 40 days 2 delivery day 30 days 3 delivery day 20 days 4 to 6 delivery day 10 days 20 MD 2 Users Manual Procedure for Filling Medication Cups CAUTION Extreme care must be used in the preparation filling and loading of the cups into the MD 2 Medication and doctor s orders must be followed exactly Load only capsules or pills into the medication cups NO LIQUIDS INHALANTS PATCHES INJECTABLES CAN BE DISPENSED THROUGH THIS MACHINE However reminder messages to use this type of medication can be included in the medication schedule Procedure for filling dose cups 1 Verify that the User Medication Worksheet messages and schedule are accurate and complete 2 Place the cup filling tray on a stable surface so that it is easily filled and checked 3 Install the empty cups in the holes in the tray with one vertical row of up to 6 doses for each day of the week If there are to be less than 6 doses for a given day leave the holes empty 4 Once all cups have been filled snap the lids on the cups securely Lids must b
46. the plug With the Phillips screwdriver unscrew the screw that holds the cover down in the recess below the plug that was just removed When the screw is loose lift the cover straight up over the medication cup cylinders of the MD 2 Place the cover on a clean flat surface away from the MD 2 With your fingers slide all medication cups out of the medication cup cylinder mechanism Also free any cups stuck in the medication cup transporter 4 disk to the left of the exposed speaker If you are disassembling the unit because of a jammed cup GENTLY check for free movement of moving parts once cups are removed Re assembling the Unit Step 1 Step 2 Step 3 Step 4 Step 5 Place the cover back onto the unit It is designed so it will only go on one way While holding the cover in place put the screw back into position and tighten the screw only until it is hand tight DO NOT OVERTIGHTEN as you could damage internal components and fasteners Snap the plug back into position on the top of the cover Note that it is also designed to only go on one way Pick up the door and align the hinges with the door in the fully opened position When both hinge pins are aligned the door will slip into place If you successfully dislodged a cup from the unit GENTLY move the medication cup cylinder mechanism to make sure it moves properly DO NOT FORCE the mechanism If the mechanism turns with a modest effort you are ready to turn on
47. ther way tamper or attempt repair of the MD 2 other than what is outlined in the User s Manual Any tampering or attempt to modify or repair this unit will immediately void all warranty claims e NEVER permit children to have access to tamper with the machine ALWAYS KEEP OUT OF REACH OF CHILDREN II OPERATING INSTRUCTIONS The attached User s Manual with written instructions is enclosed with the MD 2 Medication Dispensing and Monitoring System It provides complete information about the safe use operation and maintenance of the unit BEFORE YOU USE THIS MD 2 MEDICATION DISPENSING AND MONITORING SYSTEM BE SURE TO READ AND UNDERSTAND THESE INSTUCTIONS CALL IN TOUCH CUSTOMER SUPPORT 1 800 679 6744 DO NOT USE THE MD 2 MEDICATION DISPENSING SYSTEM UNTILL YOU YOUR CAREGIVER OR OTHER PERSON RESPONSIBLE FOR LOADING AND SETTING UP THE UNIT UNDERSTAND THESE INSTRUCTIONS COMPLETELY MD 2 Users Manual 2 DESCRIPTION OF THE SYSTEM 44 2 11 11 1 T dx cb El A det 7 THE SUPPORT CENTER 8 THECAREGIVER instants ic tai E 8 DOSE ope te rece sol 12 Schedules iet nieto tute ii dutem tite t 12 Left amp Right Arrows E Up amp DOWN AT
48. tlet IMD recommends the unit not be placed near a sink or in a bathroom where excessive moisture baths showers could damage the MD 2 or the medications inside the MD 2 Operational Questions Telephone Related Questions 40 MD 2 Users Manual Will the MD 2 cause me to miss any calls interfere with my calls The MD 2 only uses the telephone line when 1 a dose is missed 2 machine needs service 3 itis checking in with the Support Center None of these calls take more than a minute so your telephone line is not tied up for any significant length of time If the MD 2 needs to make a call out it first checks the telephone line to make sure it is not in use If it is in use it will try to call later Will I have a higher telephone bill each month because of the MD 2 All calls to the IMD Support Center are toll free If caregivers are all local calls then there should be no additional telephone costs Will the call caregiver function work with my caregivers pager answering machine etc No The MD 2 needs to contact the caregiver directly and expects a response pressing the 1 key on the telephone to know when a caregiver has taken responsibility for the alert the reason the MD 2 called the caregiver Pagers answer machines etc will not be able to reply properly The MD 2 will call the next caregiver in the list if it does not hear the proper response Power Related Questions Q How much power does the MD 2 co
49. ules and doses per day for each day of the week Can I schedule days where no medications are delivered No there must be at least one and no more than 6 deliveries for each day If your schedule requires you to skip a day you could deliver an empty cup or a cup filled with a candy treat on days you do not take medication This technique might also help you stay in the habit of taking your medications 42 MD 2 Users Manual Loading Questions Q I went too far in the loading procedure and have run out of medications for the day the MD 2 is asking to be loaded for To remedy this problem just finish up the loading process knowing that you did not load medications for the last day Next press the Help key followed by the OK key to activate the Unload process Follow directions on the screen and Unload the last day s worth of medications the day where the error was made Quit the Unload after removing the erroneous day s by pressing the OK key when Quit is flashing on screen For complete details see Section 11 What should I do if I place cups in the machine the wrong way cup side up You must fix this situation immediately The MD 2 is designed to work with the cups placed top side down upside down only The unit will jam with the cups facing up Use the Unload feature of the MD 2 to remove all cups from the MD 2 See Section 11 for instructions Place cups back in the medication cup fill station so as not to get
50. ur client when to take their medication and then delivers it when the dispense button is pushed The MD 2 can also remind your client of the correct way to take medications with extra fluid without food etc as well as what non oral medications need to be taken The MD 2 can be loaded for 10 to 30 days depending on your client s dosing schedule It would be very helpful if all of their medications were on the same 30 day refill cycle Any assistance you can offer to achieve this will be of great help in your client s efforts to maintain or improve their health status Sincerely yours In Touch Monitoring 1 800 679 6744 48 MD 2 Users Manual 49
51. verify the correct number of medication cups in the machine by pressing the OK key It is critical that you follow the directions on the screen 21 MD 2 Users Manual Loading an Empty MD 2 If the MD 2 is empty or if this is the initial load loading the unit will start from the current day s schedule The MD 2 will keep track of and skip medication delivery periods that have already passed Therefore for the first day the number of cups instructed to be loaded could be less than the total number of cups to be delivered for a full day For example say today is Friday 8 21 and 4 deliveries are scheduled for 8AM 12PM 4PM and 8PM and you are loading the MD 2 at 2PM From the above schedule the user should have already taken the 1st two doses of the day so the MD 2 requires that you load 2 medication cups for today The MD 2 will voice Please load two medicine cups and the following information will display on the screen L d 2 C u Fri 8 21 P ss OK K As a further example let us assume that you are loading the unit at 4PM the 3rd delivery time The MD 2 will voice Please load one medicine cup and the display will read Fri 8 21 d Cups Key when Done L P S S OR The MD 2 is asking you to load just one cup for the 8PM delivery It assumes that since you are loading at or after a delivery time you are there to physically give the medication to your user Initial Loading of Daily Medications When you know
52. worth of medication per the directions on the screen The display will now read Cont d g Meds Continu 24 i If you have more medication to load press OK while the Continue field is flashing Unless prompted by the MD 2 do not load a partial day of medication The MD 2 will re position the medication cup cylinders for the next day and begin the daily load sequence again repeat steps outlined above When you are finished loading the MD 2 use the Right or Left arrow key until Quit is flashing the display will return to the normal operating display N x Dose Hr 2 M i 0 1 System 0 5 9 gt 3 8 You have successfully loaded medication into the MD 2 The unit is now in its normal delivery mode of operation 24 MD 2 Users Manual 7 Adjusting Your MD 2 Setup Key Time display brightness and volume are adjusted with this key To start press the Setup key The display will read Setup Optio lt lt Time LCD Time The IMD Support Center will set the time time zone and Daylight Savings Time according to your region If after setup the time is incorrect call the Support Center for assistance Setup Opt ons i lt lt Time LCD Vo Quit LCD Screen Brightness From the main setup screen use the Right or Left arrow key until the LCD field flashes on the display screen Press OK The display will read djust 5 5 4 gt a 0 ce gt U p Wh
53. x doses per day 7 days per week which will help organize the medication cups as you are the filling them Never load nitroglycerin into the MD 2 Liquids inhalants patches and injectables cannot be dispensed through the medication cups or through the MD 2 machine However reminder messages to use this type of medication can be included in the medication schedule Pill or capsule medication is loaded into disposable FDA and USDA approved 1 oz plastic cups and lids Only use cups and lids provided by IMD Others will cause the MD 2 to jam Before loading the MD 2 determine the maximum number of days of medication that is available For Example 20 days supply of Lasix 15 days supply of Atenalol 18 days supply of Vitamin E Using the example above you can only load 15 complete days of medication Set up 15 days of dosing cups and fill them appropriately Try to get all of your medication refills on the same 30 day cycle Taking the enclosed letter to your pharmacist may be helpful It may take a couple of weeks to get them all on the same schedule but then you can load the MD 2 most efficiently This will also save trips to the pharmacy When you load the MD 2 for the first time only load it for a week This will allow you to be sure that the times and messages that you have chosen work for you If everything is great after a week then reload the MD 2 for the maximum number of days possible If something needs to be changed a dosing time or mes
54. your MD 2 programmed After all information has been received and reviewed with the Support Center operator the operator will instruct you to hang up the telephone and start the setup operation by pressing the Schedule key The display will read Medicat Support Direct Dial should be flashing Press the OK key You will first hear the dial tone then the electronic dialing followed by a modem squeal static tone At this same time you will also see the following message in the display If this is the first time the machine is being programmed the following temporary message will appear on the screen This should last about three seconds You Wi l Il Now Have to ad heck Meds ion Unit L o C When the programming is successfully completed the unit display will read Un t Empt R 1 i y ead gy t o L o 0 06 Sys OK 1 ad 1 26A Note The above is an example you will see the correct time and date on your screen If your MD 2 does not display the correct time date or message please call the Support Center immediately for assistance 19 MD 2 Users Manual 6 Loading the MD 2 Organizing the medication assigning dose times and determining what medications go into each cup is the responsibility of you your caregiver and or your health care provider It is not the responsibility of IMD A simple medication fill aid is included with your MD 2 This plastic coated tray is prepunched with 42 cup holes a maximum of si
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