MD.2 Users Manual Interactive Medical Developments, L.C. www.imd2.com MD.2 Users Manual 12/01/05 Disclaimer The information in this document is subject to change without notice. While the information contained is accurate to the best of our ability, Interactive Medical Developments assumes no liability or responsibility for omissions or errors.
MD.2 Users Manual A word about safety… A personal note to the CAREGIVER from Interactive Medical Developments, L.C.: 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.
MD.2 Users Manual SAFE USE INSTRUCTIONS, OPERATION INSTRUCTIONS AND THE LIMITED WARRANTY OF THE MD.2 MEDICATION DISPENSING UNIT. BEFORE YOU USE THIS MD.2 MEDICATION DISPENSING AND MONITORING SYSTEM, BE SURE TO READ AND UNDERSTAND THESE SAFE USE AND USER’S MANUAL & INSTRUCTIONS. IF YOU DO NOT UNDERSTAND THESE INSTRUCTIONS, CALL THE INTERACTIVE MEDICAL DEVELOPMENT CUSTOMER SUPPORT CENTER (1-877-472-9037) AND YOUR QUESTIONS WILL BE ANSWERED. DO NOT USE THE MD.
MD.2 Users Manual • • • • • • • DO NOT fail to call the INTERACTIVE MEDICAL DEVELOPMENTS, L.C. Customer Support Center with any question about the operation of this MD.2 Medication dispensing System. Do NOT use the MD.2 Medication Dispensing System to dispense any liquids, injectables or patches. Attempting to load these substances will damage either the unit or the medication and will void all warranty claims. ALWAYS lock the MD.
MD.2 Users Manual 1. INTRODUCTION.................................................................................................................................5 2. DESCRIPTION OF THE SYSTEM ...................................................................................................6 THE MD.2.....................................................................................................................................................6 THE SUPPORT CENTER .......................................
MD.2 Users Manual 10. UNLOADING MEDICATION FROM THE MD.2 ........................................................................30 UNLOADING MEDICATION CUPS ........................................................................................................30 PURGE........................................................................................................................................................31 11. TELEPHONE FUNCTIONS AND FEATURES..................................................
MD.2 Users Manual 1. Introduction Congratulations and thank you for choosing Interactive Medical Developments, L.C. (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.
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 ! WARNING 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.
MD.2 Users Manual 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.
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 Rechargeable Batteries Keys for Door Lock (two plastic) User’s Manual Telephone splitter Supply of dispense cups with lids, quantity 100 Medication cup loading tray Instruction Video Replacement components are available for the MD.2. Please refer to the list on page 61 at the back of this manual.
MD.2 Users Manual 4. Your New MD.2 Physical Description of Dispensing System The MD.2 is 13" x 12" 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 12 function keypad is located on the right side of the machine, behind the locked door.
MD.2 Users Manual 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 sections. Figure 4.2 depicts the keypad layout of the MD.2. Figure 4.2 Keypad Layout Run This key will return the MD.2 to normal operation after you have used other keypad features.
MD.2 Users Manual 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 also provides access to the Unload and Purge medication cup functions. 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.
MD.2 Users Manual Example > > S e t u p T i m e O p t i o n s L C D V o l Q u i t 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: M o n / D a y 0 1 / 0 2 H r M i n 1 2 : 5 6 A Y e a r 1 9 9 9 Left & 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.
MD.2 Users Manual c. Remove the foam 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(s) 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.
MD.2 Users Manual 5. Setting Up the MD.2 The process to set up your MD.2 includes: 1. Installing the machine (p. 12 & 13) 2. Completing and submitting the worksheets (p. 14 & 15) 3. Downloading the schedule (p. 17) 4. Loading the MD.2 (p. 18-20) Information Sheets The MD.2 is programmed through the IMD Support Center. The setup is fast and easy.
MD.2 Users Manual 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 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.
MD.2 Users Manual 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. 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.
MD.2 Users Manual 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 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.
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 six doses per day/ 7 days per week) which will help organize the medication cups as you are the filling them.
MD.2 Users Manual Procedure for Filling Medication Cups ! WARNING 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 OR NITROGLYCERIN CAN BE DISPENSED THROUGH THIS MACHINE!!! However, reminder messages to use this type of medication can be included in the medication schedule.
MD.2 Users Manual Loading an Empty MD.2 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. 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.
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.
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.
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: < < S e t u p O p t i o n s T i m e L C D V o l Q u i t 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.
MD.2 Users Manual 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 e x t D o s e : 0 1 H r 1 0 / 1 4 S y s t e m O K 1 7 M i n 1 0 : 1 3 A The time until the next dose is displayed on the top line. Today’s date is displayed in the lower left hand corner of the screen.
MD.2 Users Manual 4. End of Day Message: N o M o r e M e d i c i n e 1 0 / 1 4 G o o d D a y T o d a y 1 0 : 5 9 P No more medication is scheduled for delivery today. Time of day and the current day’s date are still displayed continuously. 5. Empty Message: U n i t E m p t y R e a d y 1 0 / 1 4 S y s t e m O K t o L o a d 1 2 : 5 9 A The unit has run out of medication. Time of day and today's date are still displayed continuously.
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.
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. T o t a l D o s e s M i s s e d 2 D o s e 1 0 8 / 2 1 1 1 : 4 5 A Use the Up or Down arrow key to scroll through the missed dose number (flashing 1 field on screen).
MD.2 Users Manual 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. 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”.
MD.2 Users Manual 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 e x t D o s e : 0 2 1 0 / 0 6 S y s t e m H r O K 2 3 M i n 1 2 : 5 9 A The MD.2 stops the Review function automatically when it reaches the end of the medications loaded.
MD.2 Users Manual 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.
MD.2 Users Manual Purge Function Purge allows the 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.
MD.2 Users Manual 11. Telephone Functions and Features 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 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. When the MD.2 unit connects to a caregiver there will be a 6-7 second delay before the MD.2 voices the message.
MD.2 Users Manual The MD.2 attempts to call up to 4 different caregiver telephone numbers. It will play back a prerecorded 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 complete message on an answering machine or in voice mail.
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.
MD.2 Users Manual Step 3. Examine the cups that are visible in the medication cup cylinders. If any cups are 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.
MD.2 Users Manual A medication cup will eject down the normal delivery 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 by your user (see Section 9, for a description of this Status feature). Step 3. Press the Run key after you have read the missed dose status information.
MD.2 Users Manual Step 3. 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. Step 4. 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 Step 5.
MD.2 Users Manual 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.
MD.2 Users Manual Q: Will I have a higher telephone bill each month because of the MD.2? A: All calls to the IMD Support Center are toll free. If caregivers are all local calls, then there should be no additional telephone costs. Q: Will the call caregiver function work with my caregivers' pager/answering machine/etc.? A: No. The MD.
MD.2 Users Manual Scheduled Delivery 8 AM Time between Deliveries Alert Time 4 Hrs 90 Min 6 Hrs 90 Min 2 Hrs 60 Min 90 Min 12 PM 6 PM 8 PM In the example above, the closest two delivery times are 2 hours apart, so the MD.2 will assign one hour (1/2 of 2 hours) as the medication alert time between the 6 pm and 8 pm dose. For other delivery times, in the example above, that are 3 or more hours apart, the alert time is 90 minutes. Q: How closely can I schedule medication deliveries? A: The MD.
MD.2 Users Manual Q: What should I do if I place cups in the machine the wrong way (cup side up)? A: 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 10 for instructions.) Place cups back in the medication cup fill station so as not to get them confused when re-loading them.
MD.2 Users Manual Q: 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? A: 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 9 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.
MD.2 Users Manual 14. List of important phone numbers For assistance with your MD.2, please call Support Center toll free (877) 472-9037. For assistance with billing information, please call toll free (877) 563-2632. 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.
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.
MD.2 Users Manual Appendix A. Notice to Installers / Caregivers Rechargeable Battery Your MD.2 is shipped with a rechargeable battery installed and partially charged. Once the MD.2 is connected to its normal power source, it should take no more than 36 hours to fully charge the battery. Note the caregiver can examine the charge capacity of the battery at any time by pressing the Status button on the MD.2.
MD.2 Users Manual Appendix A. Notice to Installers / Caregivers continued Replacing the Battery The battery can be replaced on site as needed, provided the following precautions and instructions are strictly followed: Precautions: Use only approved MD.2 manufacturer supplied replacement battery. Contact your MD.2 reseller for replacement battery. The battery contains hazardous materials and must be disposed of properly. Your MD.2 reseller can assist you if necessary.
MD.2 Users Manual Appendix B. Medication Message List 0. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23.
Appendix C.
USER & CAREGIVER WORKSHEET Interacative Medical Developments Please use this form to provide user and caregiver contact information prior to calling the Support Center. When this is completed, either Fax (1-603- 472-4807), call in (1-877-472-9037) or mail this information. MD.2 Serial Number: (The serial number is located on the label inside the locked door.
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USER & CAREGIVER WORKSHEET Interacative Medical Developments Please use this form to provide user and caregiver contact information prior to calling the Support Center. When this is completed, either Fax (1-603- 472-4807), call in (1-877-472-9037) or mail this information. MD.2 Serial Number: (The serial number is located on the label inside the locked door.
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55
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57
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MD.2 Users Manual Dear Pharmacist or Physician, Your client, _______________________________, has recently installed (Your name) the MD.2 Personal Medication Dispensing System. This device reminds your 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.
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MD.2 Users Manual Appendix D. Replacement Parts Interactive Medical Developments, L.C. • • • • • • • • Replacement Cups & Lids (200/package) Replacement Key for Door Lock Medication Cup Loading Tray AC Power Transformer/Adapter Instruction Video Quick Reference Guide Document Pack (user's manual, set-up instructions, & re-load instructions) Telephone cable For pricing or to order replacement parts please call our Billing Center at 1-877-563-2632 (ask for an IMD Representative).
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