IMD MD.2 User manual

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.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. Interactive
Medical Developments, L.C. 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.
It is NOT the purpose of the MD.2 Unit to serve as an alternative monitoring system for
patient well being or for any other purpose other than the delivery of healthcare
medication according to its design. The MD.2 Unit can only provide its medication
dispensing function with your careful assistance and follow up.
Thank you for choosing the MD.2 Unit to assist you in health care.
Interactive Medical Developments, L.C.

MD.2 Users Manual
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 & 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.2 MEDICATION DISPENSING SYSTEM UNTIL
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 Interactive Medical Developments,
L.C. by you, your caregiver or your authorized healthcare provider, serious injury or death may
result. Interactive Medical Developments, L.C. 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 Dispensing 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
•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.
•DO NOT load any medication into this machine that is used for emergency or life threatening
conditions, such as sublingual nitroglycerin.
•Do not fail to immediately report any malfunction or operational failure of this MD.2
Medication Dispensing System directly to the Interactive Medical Developments, L.C.
Customer Support Center at 1-877-472-9037.
SAFE USE INSTRUCTIONS,
OPERATION INSTRUCTIONS AND
THE LIMITED WARRANTY OF THE
MD.2 MEDICATION DISPENSING UNIT.
WARNING
!

MD.2 Users Manual
2
•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.2 Medication Dispensing Unit after loading medication according to
the User’s Manual & Instructions.
•ALWAYS immediately report any failure to dispense medication according to prescribed
medication dosage and frequency to the Interactive Medical Developments, L.C. Customer
Support Center at 1-877-472-9037.
•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 & Instructions.
•DO NOT attempt to take apart, modify or in any other 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.
•NEVER permit children to have access to or 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 INSTRUCTIONS. IF YOU
DO NOT UNDERSTAND THESE INSTRUCTIONS, CALL INTERACTIVE MEDICAL
DEVELOPMENTS, L.C. CUSTOMER SUPPORT (1-877-472-9037). DO NOT USE THE
MD.2 MEDICATION DISPENSING SYSTEM UNTIL YOU, YOUR CAREGIVER, OR
OTHER PERSON RESPONSIBLE FOR LOADING AND SETTING UP THE UNIT,
UNDERSTAND THESE INSTRUCTIONS COMPLETELY.

MD.2 Users Manual
3
1. INTRODUCTION.................................................................................................................................5
2. DESCRIPTION OF THE SYSTEM ...................................................................................................6
THE MD.2.....................................................................................................................................................6
THE SUPPORT CENTER............................................................................................................................7
THE CAREGIVER .......................................................................................................................................7
3. LIST OF EQUIPMENT ........................................................................................................................8
4. YOUR NEW MD.2.................................................................................................................................9
PHYSICAL DESCRIPTION OF DISPENSING SYSTEM.........................................................................9
KEYPAD OVERVIEW ...............................................................................................................................10
Run........................................................................................................................................................10
Load......................................................................................................................................................10
Setup .....................................................................................................................................................11
Help.......................................................................................................................................................11
Status.....................................................................................................................................................11
Early Dose ............................................................................................................................................11
Schedule................................................................................................................................................11
OK.........................................................................................................................................................11
Left & Right Arrows .............................................................................................................................12
Up & Down Arrows..............................................................................................................................12
UNPACKING AND PREPARING YOUR MD.2 FOR USE .....................................................................12
POWERING UP THE UNIT ......................................................................................................................13
5. SETTING UP THE MD.2 ...................................................................................................................14
INFORMATION SHEETS..........................................................................................................................14
SETTING UP THE MD.2..........................................................................................................................16
DOWNLOADING THE SCHEDULE........................................................................................................17
6. LOADING THE MD.2.........................................................................................................................18
LOAD CAPACITIES ..................................................................................................................................18
PROCEDURE FOR FILLING MEDICATION CUPS...............................................................................19
LOADING AN EMPTY MD.2...................................................................................................................20
INITIAL LOADING OF DAILY MEDICATIONS....................................................................................20
RE-LOADING OF DAILY MEDICATIONS.............................................................................................21
7. ADJUSTING YOUR MD.2..................................................................................................................23
SET UP KEY ..............................................................................................................................................23
Time.......................................................................................................................................................23
LCD (Screen Brightness)......................................................................................................................23
Volume...................................................................................................................................................23
8. OPERATING THE MD.2....................................................................................................................24
NORMAL OPERATING MODE ...............................................................................................................24
9. ADDITIONAL FEATURES................................................................................................................26
EARLY DOSE FEATURE..........................................................................................................................26
STATUS FUNCTION .................................................................................................................................26
REVIEWING MEDICATION ....................................................................................................................27

MD.2 Users Manual
4
10. UNLOADING MEDICATION FROM THE MD.2........................................................................30
UNLOADING MEDICATION CUPS........................................................................................................30
PURGE........................................................................................................................................................31
11. TELEPHONE FUNCTIONS AND FEATURES.............................................................................32
CAREGIVER TELEPHONE MESSAGES................................................................................................32
12. TROUBLE-SHOOTING ...................................................................................................................34
MACHINE ERROR MESSAGE ................................................................................................................34
Removing Jammed Cups.......................................................................................................................34
MACHINE STOPPED MESSAGE ............................................................................................................35
Manual Unloading When Medication Cup Cylinder Turns Freely......................................................36
Manual Unloading When Medication Cup Cylinder Is Stuck..............................................................36
Re-assembling the Unit.........................................................................................................................37
13. FREQUENTLY ASKED QUESTIONS ...........................................................................................38
14. LIST OF IMPORTANT PHONE NUMBERS................................................................................43
15. REGULATORY AGENCY INFORMATION .................................................................................43
TELEPHONE CONNECTION INFORMATION......................................................................................43
Telephone Company Information .........................................................................................................43
FCC EMISSIONS COMPLIANCE STATEMENT....................................................................................43
CANADIAN EMI SPECIFICATION COMPLIANCE STATEMENT......................................................44
APPENDIX A ............................................................................................................................................45
RECHARGEABLE BATTERY INFORMATION......................................................................................45
APPENDIX B ............................................................................................................................................47
MEDICATION MESSAGE LIST...............................................................................................................47
APPENDIX C ............................................................................................................................................48
USER & CAREGIVER WORKSHEETS...................................................................................................48
USER MEDICATION SCHEDULE & WORKSHEETS...........................................................................53
PHARMACIST OR PHYSICIAN SAMPLE LETTER .............................................................................59
APPENDIX D ............................................................................................................................................61
REPLACEMENT PARTS...........................................................................................................................61

MD.2 Users Manual
5
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.
•The delivery unit is simple to use. Medication is delivered with the push of a button.
•The MD.2 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.
•The MD.2 helps maintain a level of independence for the user.
•The MD.2 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
6
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 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 total medication capacity of the MD.2 depends on the number of cups to be delivered per day.
Table 2-1 summarizes the medication handling capacity of the MD.2.
Table 2-1. MD.2 Capacity vs. Medication Deliveries / Day
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
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 notification when:
1. The user misses their medication;
2. The MD.2 is almost out of medication;
3. The MD.2 detects that its batteries are low;
WARNING
!

MD.2 Users Manual
7
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 programs and schedules medication delivery times into the MD.2 as well as
provides 24 hour monitoring. Monitoring is optional and is available for a monthly fee.
Monitoring Includes:
A. User/Machine Summary:
The MD.2 uploads on a nightly basis to The IMD Support Center. In turn via our
website www.imdsupportcenter.com you can view
•User’s recent dispense history
•Battery status
•How much medication remains in the machine
B. Missed dose:
If the user misses a dose, the machine will call up to four caregivers. If it is unable to
reach any of the caregivers, it will then call our support center and we will try and reach
caregivers. Without monitoring the machine will still call caregivers, but it will not call our
support center.
C. Support Center Help:
If you should ever have to call our support center for any type of change, question or
technical help, with monitoring there is no charge but without monitoring there is a
charge each time you call.
Please call 1-877-563-2632, and ask for an IMD representative to activate monitoring.
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.
WARNING
!

MD.2 Users Manual
8
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
9
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. 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 4.1.
FIGURE 4.1 VIEW OF UNIT
Locked Front View
Unlocked Side View
WARNING
!Always keep locked with the key stored in a safe place.

MD.2 Users Manual
10
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.
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.

MD.2 Users Manual
11
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. 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,
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)

MD.2 Users Manual
12
Example
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:
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.
Up & 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 or three hours please unpack your MD.2 and let it sit in a warm room for three to five
hours before setting it 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.
Mon/Day Hr Min Year
01/02 12:56A 1999
Setup Options
> > Time LCD Vol Quit
WARNING
!

MD.2 Users Manual
13
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. 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. Please refer to page 45 at the back of this manual for information regarding the rechargeable
battery.
g. Save packing box in the event of repair.
FIGURE 3 CONNECTOR PANEL LAYOUT
On
Off
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 into
service. Turn the unit on by pushing the slide switch at rear of unit to the On position. The
display will first read:
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:
Additionally, the MD.2 voice will say "System OK, Ready for setup". A default time setting will
be flashing in the lower right corner.
Ready for Setup
System OK 12:00A
Self Test Underway
Please Wait

MD.2 Users Manual
14
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.
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 User and Caregiver Information (1 page)
2. The User Medication Worksheet (1 page)
This information can be mailed, faxed or called in to the Support Center using the numbers below:
IMD Support Center, Operator Assistance Line [phone] (toll free)
IMD Support Center Fax Line [phone]
IMD Support Center
16 Celina Ave.
Unit 1
Nashua, NH 03063
Once the forms are received (minutes with a fax, 5-7 days via mail) or called in, the MD.2 can be
set up.
User and Caregiver Information Form
These forms are located in the back of this manual. For your convenience, sample forms with
user information examples, have also been provided. Please refer to the example forms as you fill
in your worksheets.
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.

MD.2 Users Manual
15
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.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: This 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. There must
be one caregiver listed. Cell phone or work phone numbers must be listed as separate caregivers.
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 example forms as you fill in your
worksheet.
The User Medication Worksheet asks for the dosing times, 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 C.
WARNING
!

MD.2 Users Manual
16
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. This form will also be used as a cup
loading guide.
A. Dosing Time. For each dosing period, write in the exact time of day you would like to
have these medications dispensed.
B. Messages: Look at each prescription container and identify any specific instructions that
are labeled for each prescribed medication. There can only be one message with each
dosing or message period. 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
message number under the correct medication. Make sure you fill in all rows.
C. Message Only: If you wish to have a reminder only to take your inhalant, eye drops,
medication patch or injectable, etc. 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". (This will be used as an individual
dispense time)
When both forms are complete the information can be mailed, faxed or called in to the
Support Center using the numbers below:
IMD Support Center, Operator Assistance Line [phone] (toll free)
IMD Support Center Fax Line [phone]
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
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:
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

MD.2 Users Manual
17
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. The display will read:
Support Center should be blinking. Press the OK key. The display will read:
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.
When the programming is successfully completed, the unit display will read:
(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.
Un i t Emp t y Ready to L oad
10/ 06 Sys OK 11: 26A
You Wi l l Now Have to
Load/Check Meds i n Un i t
Ca l l i ng Suppo r t Cen t e r
Please Wai t
Di
O
r
u
e
t
c
s
t
id
D
e
ia
L
l
ine A
P
c
r
c
e
e
f
s
i
s
x-
Medication Scheduling
Support Center Other

MD.2 Users Manual
18
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. 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. As long as the cups are not damaged,
they are reusable.
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 Atenolol
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
(located at the back of the manual) 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 a message) then just call the Support Center (1-877-
472-9037) 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 to 40 days worth of medication cups, depending upon the delivery
schedule selected. The 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