Pivotell Advance GSM User manual

Pivotell® Advance GSM
Automatic Pill Dispenser
Instructions
Note: When opening for the first time, the lid is unlocked.
The key and battery case securing screw can be found inside the dispenser. 130418 AG-14

INTRODUCTION:
The Pivotell® Advance GSM Automatic Pill Dispenser reminds the user by means of an alarm
and flashing light when to take their medication. It will make the correct dose available at the
correct time of day or night, whilst keeping secure all other pills . Medication is dispensed from
an internal tray containing 28 sections.
Maximum number of daily alarm settings - 24.
SMS AND E-MAIL WARNING MESSAGES
The dispenser can be programmed to send SMS warning messages to up to three family
members or carers and one e-mail warning message if medication has not been taken within
the programmed dosage time (Dose Not Taken). It will additionally send warnings to confirm
Dose Dispensed and to alert Low Battery / Device Upside Down / Four Doses Remaining and
Device Error.
The dispenser incorporates a number of other important features:
SECURITY – When operating in ‘SECURE’ mode a self-locking shutter over the lid opening
prevents access to the medication tray except at the time that medication is programmed to be
available. This prevents the possibility of the user double dosing or tampering with the
medication tray.
When the dispenser lid is closed the shutter locks making the medication tray inaccessible. At
the dosage time the tray will advance clockwise a half section releasing the shutter. The alarm
sounds and the light flashes to alert the user.
The medication can be accessed by turning the dispenser over and pouring the pills into the
hand or suitable container. The shutter will swing open as the dispenser is tilted allowing the
medication to fall out.
When the dispenser ‘beeps’ (at approx. 135°) the alarm will be cancelled and the dispenser can
be returned to the upright position.
2.

INTRODUCTION (Continued)
When operating in ‘SECURE’ mode the shutter in the lid of the Advance dispenser is always locked
except at the dosage and subsequent ‘AFTER’ time (i.e the time set for the alarm to continue).
The dispenser detects when the medication has been dispensed and locks the shutter 2 minutes after
dispensing by rotating a further half section thereby preventing access to the tray.
The shutter will also lock if medication is not dispensed within the programmed alarm time set by the
‘AFTER’ time. This time can be set from 5 minutes to 5 hours.
This function eliminates the possibility of the user taking two doses within a short time.
Note: The user / carer has the option of switching the SECURE function ‘OFF’ if preferred.
DISPLAY
The LCD display is visible though the lid allowing the user and carer to view:
•the date and time,
•the time that the next dose is due
•number of doses remaining
•the battery level
When the dispenser is horizontal the display shows the Date and the Time in sequence.
At the alarm time ’TAKE MED’ is displayed.
When tilted forward slightly (between 15 and 40 degrees) the display will show in sequence:
NEXT DOSE 16:30 MON || DOSES LEFT 9 || B (battery level) 75% || DATE: 26 MAR 2016
(the values shown above are examples only).
When only 4 doses remain the horizontal display will additionally show DOS 04. After this dose has been
dispensed DOS 03, DOS 02, DOS 01 and finally DOS 00 will be displayed in sequence with the DATE
and CLOCK
When the battery capacity is less than 20% the horizontal display will show LOWBATT in sequence with
the DATE and CLOCK
This LCD display feature enables the user, carers and family members to make a visual check on the
status of the dispenser without having to open it.
SMS (TEXT) AND E-MAIL MESSAGING
Dose not taken : The dispenser will send two SMS alerts to up to three nominated responder’s mobile
phone number (s) and one e-mail, if it has not detected that the dose has been dispensed after (a) half
of the programmed alarm period has elapsed and (b) at the end of that period.
For example, if the alarm time is set for 2 hours, a ‘Dose not taken’ message will be sent after 1 hour and
again after 2 hours. The first message gives the responder time to contact the user before the dispenser
shutter locks ( see above –SECURITY)
Device upside down: Warning messages will be sent if the dispenser is left upside down for more than
3 minutes (providing this is more than 3 minutes before a programmed dosage time).
Low Battery: Warning messages will be sent when 20% of battery life remains.
4 Doses Only Remaining : Warning messages will be sent when 4 doses remain in the medication tray to
remind the carer or family member to re-fill or replace the tray.
Device Error: A warning message will be sent if the device malfunctions for some reason , e.g. the tray
does not rotate properly due to an obstruction.
3.
-

Initiating Procedure and Programming
•Open the battery case and insert a SIM card in the dispenser GSM module.
•Remove the battery isolating strip and then replace the battery case cover
•Go to the Careousel GSM Administration Centre : http://ac.pharmacell-ms.com/
•If you are an existing user log in to the Careousel Administration Centre –you may have been
supplied a username and password with your dispenser.
•If you were not supplied a username and password, create a New User on the Administration
Centre; click on New User? Click here to register
•Enter your details
•Create a User Name (your e-mail address) and Password and save.
•Click on ‘Back to Login’ and Login as the User..
•Click on ‘New Dispenser
4.
Battery Compartment
showing the GSM module
and SIM Card in position
USING THE DISPENSER FOR THE FIRST TIME
Open the lid as illustrated –place an index
finger in the lid opening and press in the catch
with a thumb. Lift the lid.
The key and battery case securing screw can be
found in one of the pill compartments.

New Dispenser:
Enter the settings in four steps:
Step 1 –Phone Number and user information Step 2 - Dispenser settings
Step 3 - SMS services and SIM card Step 4 - View settings
Step 1 - Phone number and user information
Enter the following details (Fields marked * are mandatory)
•Dispenser (choose Careousel Advance GSM)
•Dispenser location (Choose ‘All Locations’)
•Dispenser SIM (phone) number prefix with the country code e.g ’ 44 ‘, and omit the initial ‘0’.
•Dispenser Serial Number
•Name of the User –The name or other identification of the dispenser user (up to 23 characters)
This name will be used in the SMS and e-mail messages together with the message.
•The address and contact details of the user.
•The name of the primary person who is to receive the message
•The receiving mobile phone number(s) and / or e-mail address–prefix the number with the
country code e.g ‘49’ and delete the initial ‘0’ e.g: 497850123456.
•The time periods that messages are to be sent to individual numbers can be set (e.g. 0700 to
2100). If messages are to be sent to one or all of the numbers at all times the corresponding
time windows can be left blank.
•Select the SMS receiver’s preferred language
•Select the current local date and time.
Click on ‘Save User / Next Step’
5.

Sound: Select a sound (High 2 is the loudest) If no sound is required select ‘none’.
Flashing Light: Select either ‘on’ or ‘off’.
Battery type: Select either ALC (Alkaline –supplied) or Re-chargeable (NIMH)
Secure: Select ‘On’ (recommended) or ‘Off’ - see page 12 for explanation
Daylight saving time: Select ‘Europe / USA or None’, as required, for automatic daylight saving adjustment.
Hours: 24 hour or 12 hour AM/PM formats ( 24 hr clock recommended).
Doses/Alarms
Doses: Up to 24 doses / alarms per 24 hours can be programmed. Select the number of Doses. Enter the
required medication times in each field.
Before ( allows medication to be accessed before the programmed dosage time)
Set to the required time (up to 5 hours) or if this function is not required set at ‘ 00’.
Note: If the user is at all confused we recommend that this function is not activated.
After:
Set the time the alarm will continue to sound if the medication is not dispensed (up to 5 hours)
Dispenser Start:
It is possible to delay the time at which the dispenser will start to operate. This function is useful if the
dispenser is being filled, for example, by a pharmacy and is not being delivered to the user until a later date.
Set the Year (YY) Month (MM) Date (DD) and Hour (HH) that you wish the dispenser to start operating. The
time (HH) should be in advance of the first dose to be dispensed for the user.
If the function is not required do not set.
6.
The Administration Centre screen will move to Step 2 –Dispenser Settings
Step 2 - Dispenser Settings

Step 2 Dispenser Settings (Continued)
Dispenser Stop
It is possible to stop the dispenser’s operation at a future date and time. This function is useful if two or
more dispensers are being used by a user in sequence and ensures that only one dispenser is active at
one time.
Set the Year (YY) Month (MM) Date (DD) and Hour (HH) that you wish the dispenser to stop operating.
The time (HH) should be set after the last dose to be dispensed for the user.
If this function is not required set the year (YY) to a distant future year e.g YY38
Filled –(the number of doses placed in the medication tray when filled –see page 3 above)
This function enables the display warning ‘DOSES LEFT’
Set the number of doses placed in the medication tray when filled using buttons 2 and 3.
When no doses remain the display will show ‘ ---- ‘.
Click on ‘Save / Next Step’
Step 3 - SMS services and SIM-card
SMS services
Tick the messages that you wish to be sent from the following options:
Dose not taken Device error Device Upside Down
4 Doses remaining Low Battery Dose Dispensed
SIM-card
Enter the value of credit on the SIM card (if applicable). In the case of a ‘Pay as you go’ SIM this should be
updated each time the SIM is topped up.
Enter the SMS cost per message sent (this varies according to the mobile network operator)
Note: - the sim balance is a guide only for your reference and not linked to the SIM.
Click on ‘SAVE’
7.

STEP 4 –View Settings
‘View Settings’ allows you to view all of the settings on one page. If you need to adjust any setting go back to
Step 1, Step 2 or Step 3. Click on ‘Save’ in each step once adjustments have been made.
DOWNLOAD THE SETTINGS TO THE DISPENSER
Press button 2 for two seconds. The dispenser will activate the GSM module, contact the Administration Centre
and download all the dispenser settings.
The display will move through the following sequence:
Time: e.g 12:00 / Tray Z / SMS TR / TX - - > (Transmitting) / TX OK /RX < - - (Receiving) / RX OK and then
restart, showing the software version, e.g. AG-014 (may vary according to the programme version installed)/
Battery capacity as % / and the time e.g 15:30 and DATE
The dispenser is now programmed.
When you are satisfied that the dispenser has been programmed successfully, click on ‘Log Out’.
If required the settings can be checked by pressing buttons 1 and 3 (see Manual Setting Instructions). Take care
not to inadvertently alter the settings.
Any subsequent adjustments to the settings made in the Administration Centre must be downloaded to the
dispenser by pressing button 2.
RE-FILLING AND REPLACING THE MEDICATION TRAY
At the beginning of each medication cycle (each time that the dispenser medication tray is replaced with a
full one or refilled with medication) the dispenser should be re-set by pressing Button 2.
This will update all of the settings (including the number of doses left) and upload the actual dispensing times of
the previous medication cycle to the Administration Centre . This can then be viewed in the Dispenser
Reports/Dosage section (see page 9).
8.

DISPENSER REPORTS
Dosage: The Pivotell Advance GSM dispenser records the times that previous medication has been
dispensed and will upload this data to the Administration Centre. This is recorded and shown in the report
“Dosage”.
Dispenser: The Administration Centre will record the complete history of messages to and from the
Dispenser, this is shown in the report “Dispenser”.
GENERAL INFORMATION
BATTERY REMOVAL
Please note that if the batteries are removed and not replaced immediately the clock should be re-set to
the correct time by pressing button 2. The Administration Centre will then be contacted and the dispenser
re-set to the correct time.
MANUAL SETTING OF THE DISPENSER
Settings entered manually will not be recorded by the Administration Centre.
SIM Card Balance:
Please note that the SIM card balance shown in Step 3 is a guide only. The actual balance remaining should
be checked with the network operator, or if the SIM was supplied by Pivotell, contact us for your balance.
TEST FUNCTION
The rotation, light and sound functions can be tested and demonstrated by pressing and holding all three
buttons until TEST is displayed.
Press button 1 to test the light.
Press button 3 to start a whole alarm-sequence:
1. The display will show ‘DEMO’, the tray will move one half section to the open position, the alarm will
sound and the light will flash.
2. ‘TAKE MED’ will be displayed for up to 20 seconds during which time the dispenser can be tilted until it
‘beeps’ to demonstrate medication being dispensed.
3. ‘CLOSE’ will then be displayed and the tray will move forward one half section to the closed position.
If the dispenser is not tilted as in 2. above ‘CLOSE’ will be displayed after 20 seconds and an SMS warning
message and an e-mail message ‘Dose not taken’ will be sent to the nominated mobile phone number(s).
MOBILE NETWORK RECEPTION
To test that the dispenser is communicating with the mobile network, whilst in TEST mode, press and hold
down Button 2. The Display will show GSM -1 followed by GSM + 2 and then GSM +1 or GSM +5 (in the
case of a roaming sim). If GSM +1 or +5 is not displayed there is no network reception from the SIM card
network operator at that location. It may be necessary to use a different network operator.
Press and hold button 1 to leave the TEST function.
TEST Message
To send a Test SMS and e-mail message press and hold down Button 3 for 8 seconds. The display will
show in sequence:
BEFORE / TIME or DATE / SMS TR / TX ---> / TX OK / SMS and then revert to the Time and Date.
9.

MANUAL PROGRAMMING
The Careousel Advance GSM dispenser can be programmed manually. The dispenser will operate
normally but will not send SMS and E-mail warning messages unless these have been previously
entered in the Administration Centre and downloaded to the dispenser as described in page 8 above.
DISPENSER SETTINGS
The dispenser is set using the three buttons:
Button 1 is used for moving to the next function
Buttons 2 and 3 are used to change the settings in each function
There are two setting menus :-
Menu A:-To access - press Button 1
Functions: CLOCK DATE DOSES ALARMS
Menu B:-To access - press and hold Button 3 until ‘BEFORE’ is displayed.
Functions: BEFORE AFTER SOUND LIGHT FILLED BATT
SECURE HOURS DLS START STOP RECORD
After completion of settings in Menu A or B press button 1 and hold down for three seconds to
restore to normal operation.
If there is no programming activity in Menu A the display will automatically return to
normal after 25 seconds.
If there is no programming activity in Menu B the display will return to normal after 5 minutes.
Menu A (accessed through Button 1)
Note: To ensure correct operation it is most important that both the ‘Clock’ and the ‘Date ‘ are
set before the dispenser is used. When the dispenser is first activated the display will prompt the
setting of the Clock and then the Date.
CLOCK:
Press Button 1 until ‘’CLOCK’’ is visible on the display.
Set the correct time by pressing Buttons 2 or 3. You can fast forward or reverse the
time by pressing and holding down these buttons.
DATE
Press Button 1 again - ‘’DATE’’ is visible on the display
Wait a few seconds. YY will displayed.
Using buttons 2 and 3: Set the Year (YY) then press 1
Set the Month (MM) then press 1
Set the Date (DD) then press 1
DOSES:
‘DOSES’ will be displayed
Wait a few seconds and then adjust the number of doses per day using buttons 2 and 3.
Press button 1
10.