OnDemand 400 Multi-Med Operator’s Guide P/N: 60-5001 Issued: December 5, 2014 Revision: Rev B © 2014 MTS Medication Technologies Copyright © 2014, MTS Medication Technologies. All rights reserved. This manual contains information that is confidential and proprietary to MTS – Medication Technologies. This manual has been prepared solely for the benefit of MTS customers and their employees. Any reproduction, distribution, or disclosure of any of the contents of this document, in whole or in part, without the prior written consent of MTS – Medication Technologies, is prohibited. The programs described herein are subject to a restricted use license and can only be used in conjunction with this application. MTS USA MTS Medication Technologies 2003 Gandy Blvd. N St. Petersburg Florida USA 33702 Tel: 1-727-576-6311 www.mts-mt.com MTS UK MTS Medication Technologies International, Ltd Unit 6b Millennium Way Leeds LS115AL United Kingdom Tel: +44 (0) 113-270-0723 www.mts-mt.co.uk OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B MTS GERMANY MTS Medication Technologies GmbH Robert-Bosch-Str. 7 64293 Darmstadt Germany Tel: +49 615 1800-1650 © 2014 MTS Medication Technologies Table of Contents 1 Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 The Role of an Operator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Additional Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Contacting MTS Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Safety Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Who Should Operate the OnDemand Multi-Med . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Machine Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Machine Safety Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 System Guards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Safety Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Main Power Disconnect Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Emergency Stops (E-stops) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Main Air Shut-off Valve/Air Preparation System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Secondary Air Shut-Off Valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Air Shut-Off Valve Open and Close Positions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Suggested Lockout Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Safety and Information Symbols in This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 System Components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Pill Dispensing Unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cassettes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cassette Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cassette Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cassette Tester . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X-Y Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Transition Tray and Block . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Med-Load Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Main Table Bar Code Scanner. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inspection Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Card Slide and Platen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Seal Station . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Foil Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Label Printer/Applicator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Operator Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical Cabinet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hand-held Bar Code Scanners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OnDemand Server . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OnDemand Workstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . © 2014 MTS Medication Technologies 16 16 18 18 19 20 21 22 22 23 24 25 26 26 27 27 28 28 29 30 OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 2 Table of Contents Operating Software . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Omnicell Interface Services (OIS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OnDemand Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OnDemand Main. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Device Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OnDemand Database . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Backup Utility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 31 32 32 32 32 Device Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Status Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Safety Circuit Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-stop Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Guard Door Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fill Component Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Stop Input and Amplifier Fault Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cassette Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Starting the Fill Process. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Setting the Heat Sealer Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Resolving Inventory Problems. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Manually Adding Medication to a Card. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reprint Foil Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Seal Card Button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RFID Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Shutting Down Device Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 38 38 39 39 39 40 41 41 42 43 45 45 46 46 OnDemand Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Verifying Interface Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Viewing Interface Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessing Interface Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Prescription Viewer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Search Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Button Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Selecting Prescriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Event Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Viewing Rejected Orders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Viewing Rejected Orders in Prescription Viewer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 48 49 49 50 51 51 51 53 54 Operating the OnDemand Multi-Med . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55 Daily Operating Tasks for the OnDemand 400. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Performing Daily Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Preparing the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Replacing the Block. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Verifying Orders Sent From the Pharmacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Creating a Package Queue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enabling the Packaging Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 55 55 55 56 59 59 62 © 2014 MTS Medication Technologies Table of Contents 3 Managing Cassettes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adding Pills to a Cassette. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Increasing the Number of Lots for a Cassette . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Processing Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Applying Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . After Processing the Queue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Shutting Down the OnDemand Multi-Med . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 64 66 67 69 70 70 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 Cassette Feeder Base Errors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Updating Cassette RFID Tag IDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Emergency Stop Conditions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Device Monitor Shutdown Error. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Filling Errors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reprocessing Rejected Cards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Reprocessing Completed Damaged Cards. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RFID Service Errors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71 71 72 73 74 75 76 76 Printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Adjustments for Double-Ply Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Connecting the Dancer Bar Hanger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 OnDemand Job Log Sheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85 OnDemand Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87 Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN-1 © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 4 Table of Contents OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Introduction 1 The Role of an Operator Introduction This manual describes how to operate an OnDemand Multi-Med system to create medication cards. The Role of an Operator OnDemand Multi-Med is a medication packaging system that speeds the process of creating cards with multiple kinds of medications. The system reads pharmacy orders, selects medications stored in cassettes, and fills cards with the selected medications. The operator assembles each card and ensures each is properly labeled. As an OnDemand Multi-Med operator, you: Load the OnDemand Multi-Med with the required medications and packaging material. Ensure medication cards are properly filled. Ensure each card is correctly labeled. Perform routine system maintenance. Perform system troubleshooting. Important: Do not attempt to operate the OnDemand Multi-Med unless you have been trained by MTS personnel in OnDemand Multi-Med operation and safety precautions. The following table further describes your role when operating the OnDemand Multi-Med. Component Purpose Your Role Pill dispensing unit The pill dispensing unit holds up to 40 cassettes containing different medications. Ensure that the OnDemand Multi-Med is loaded with the correct cassettes to fill the cards in the packaging queue. The OnDemand Multi-Med selects medications for each order from the loaded cassettes to fill medication cards. Foil printer If a package requires a medication that is not currently on a cassette or the package calls for a half-dose of a medication, manually add those pills to the card. The foil printer is used when a printed foil is required on the card. The foil is printed with the medication name and quantity in each blister. Label printer Includes an applicator that automatically applies an order label to the card. Seal station Uses heat to seal pills inside the package © 2014 MTS Medication Technologies Ensure that each printer is loaded with the appropriate foil/ labels and that the labels print out correctly. For example, examine each label for complete information and proper alignment. Check that the sealer maintains the correct temperature. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 2 Introduction Additional Information Component Purpose Your Role Device Monitor software Operates and monitors OnDemand Multi-Med components. Learn how to read the Device Monitor window to monitor card processing and identify problems that might interfere with packaging medications. OnDemand Main software Organizes package (contents and order in the queue) based on orders sent from the pharmacy. Use OnDemand Main to: Keeps a database of all medications and which cassettes they are in. Create package queue Manage cassette exchanges Manage cassette inventory Create reports Print bag labels Additional Information This manual provides instructions for operating the OnDemand Multi-Med. You can also refer to the following manuals: OnDemand Main User’s Guide, p/n 60-5002 OnDemand Multi-Med Installation Guide, p/n OnDemand Multi-Med Maintenance Guide, p/n OnDemand Cassette Tester User’s Guide, p/n Contacting MTS Support For US-based customers, call: Technical support: 1-800-671-0587 Customer service (consumable orders): 1-800-845-0053 For customers located outside of the US, call: Technical support: +44 (0) 113-386-7515 (Tech Service option) E-mail support: [email protected] OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Safety Instructions 3 Who Should Operate the OnDemand Multi-Med Safety Instructions “Precautions” “Machine Safety” “Machine Safety Labels” “System Guards” “Safety Devices” “Suggested Lockout Procedure” “Safety and Information Symbols in This Manual” Important: Before operating the OnDemand Multi-Med system, review the safety information in this chapter. Who Should Operate the OnDemand Multi-Med Do not attempt to operate the OnDemand Multi-Med unless you have been trained by MTS personnel in OnDemand Multi-Med operation and safety precautions. Caution: Do not attempt to operate or perform any maintenance on this or any equipment unless you have followed all safety precautions and lockout/tagout procedures. If questions, contact your supervisor before doing any work on this equipment. Precautions Note the following precautions while operating the OnDemand Multi-Med: Only authorized and trained personnel should operate the machine. Unauthorized modification of OnDemand Multi-Med hardware or software is strictly prohibited. Only use parts provided by MTS when replacing OnDemand Multi-Med components. MTS will not be liable for failure if unauthorized parts are used. Avoid wearing loose or baggy clothing to avoid snagging on moving equipment parts. Wear gloves when handling medications to avoid contact with medication. Wear gloves when cleaning machine parts to avoid contact with the cleaning agent (70% isopropyl alcohol). Wear impervious gloves, safety glasses, a synthetic apron, and protective clothing when handling the supplied grease (Optimol Longtime PD 00) used to grease the slide rail bearings. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B 4 Safety Instructions Machine Safety Machine Safety The following OnDemand Multi-Med components are potentially hazardous to operators: Seal station – The platen presents a crushing and burn hazard. Avoid inserting your hand or fingers under the platen. Slide tray – The slide tray presents a potential for pinched fingers. Always use the handle to move the slide tray. Label applicator – The tamp pad on the label applicator presents a crushing hazard. Avoid inserting your hand or fingers under the tamp pad while the label applicator is in operation. X-Y table – The X-Y table’s moving parts are a pinching and crushing hazard. Never insert your hand or fingers into the X-Y table while power is enabled. Electrical panel(s) – Electric shock hazard. Never touch electrical panel components without following lockout/tagout procedures. See Suggested Lockout Procedure on page 14. Air compressor – Air compressor hazards might include excessive pressure, flying objects, mechanical failures, fires, explosions, and dangerous noise levels. OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Safety Instructions 5 Machine Safety Labels Machine Safety Labels Printed safety labels on the OnDemand Multi-Med indicate potential safety hazards at specific machine locations. Before operating the machine, review all labels and their meaning so that you clearly understand the safety issues for each location. Label Definition Indicates potential danger from moving parts, electrical systems, or heated components. Do not run the machine with guard doors open or guards removed. See System Guards on page 8. Before beginning, ask nearby personnel to stand clear. Do not reach over or under guards. Electrical hazards are in specific areas of the machine, and you must turn off and lock out the UPS before servicing. Even after you cut off main system power, the UPS battery is still functioning. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B 6 Safety Instructions Machine Safety Labels Label Definition The surface on and around the heat sealer can cause a burn or injury. Beware of potential crushing injuries, such as the heat seal station, or moving parts on the machine, such as the platen on the label applicator. Beware of potential eye damage caused by machine light-emitting diodes (LEDs). Compressed air in the machine’s pneumatic system is hazardous. Lock out the incoming compressed air and release pressure before servicing equipment. See Suggested Lockout Procedure on page 14. An explosion hazard is possible. Use a static discharge device before touching internal components because of sensitive electrical components. Do not operate the machine with a guard removed. See System Guards on page 8. OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Safety Instructions 7 Machine Safety Labels Label Definition Access is not permitted to unauthorized personnel. Advises you to wear protective clothing to avoid exposure to potential hazards. Insert the safety lock for this device. Read the documentation for this machine or device before operating it. Contact MTS Technical Support before powering down the computer or you may lose data. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B 8 Safety Instructions System Guards System Guards The OnDemand Multi-Med has guards and guard doors to protect the operator from moving components, electrical, or burn hazards. Heat sealer guard – The guard is a protective cover that helps prevent accidental contact with the heat sealer. X-Y table left and right guard doors – Sensors detect when the doors are open and send an alarm indication to Device Monitor software. Compressed air is isolated and drained from the system and high-voltage power is cut off to system parts. Electrical cabinet doors – Sensors detect when the doors are open and send an alarm indication to Device Monitor software. Compressed air is isolated and drained from the system and high-voltage power is cut off to system parts. OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Safety Instructions 9 Safety Devices Cassette drive guards – The cassette drive guard plates are only removed to service cassette drive components and sensors. Safety Devices The OnDemand Multi-Med has the following safety devices: Main power switch Emergency stops Air shut-off valve Main Power Disconnect Switch The main power disconnect switch turns off power to the OnDemand Multi-Med. The switch is typically installed within 10-15 feet of the machine. Its location depends on the site-specific layout. On Position Off Position The main power disconnect switch cuts power to the system and is the primary electrical lockout/ tagout device. Always use lockout/tagout procedures when servicing the OnDemand Multi-Med. The electrical cabinet main power switch turns power on or off inside the electrical cabinet. As soon as you turn the switch to the Off position, power to all machine components is cut off. However, the UPS will maintain power to the server, SATO printer, and server monitor when this switch is in the Off position until the UPS battery expires. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B 10 Safety Instructions Safety Devices WARNING: When the electrical cabinet main power switch is in the Off position, power is still live on the line coming into the cabinet from the main power disconnect. Emergency Stops (E-stops) The OnDemand Multi-Med has two emergency stop pushbuttons. These pushbuttons are mounted at the seal station and med-load station. OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Safety Instructions 11 Safety Devices When you press an E-stop, the OnDemand Multi-Med immediately halts and the air to the pneumatic devices is drained. Press to engage the E-stop. Twist and pull up to release the E-stop. Main Air Shut-off Valve/Air Preparation System Note the following: The air preparation system consists of a specific filter/regulator/gauge combination. The main air pressure shut-off valve is located at the air preparation system inlet. The main air pressure shut-off valve isolates the air pressure energy source from the machine. Caution: Always close this valve when servicing the machine. Verify that all air pressure is vented from the system after closing this valve before servicing the machine. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B 12 Safety Instructions Safety Devices Air Pressure Gauge Air Shut-Off Valve Secondary Air Shut-Off Valve A secondary air shut-off valve is located at the label applicator station. OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Safety Instructions 13 Safety Devices Air Shut-Off Valve Open and Close Positions You twist the valve to turn it on and off. When turned to the SUP position (SUP is visible on the valve cap), the valve is open. When turned to EXH, the valve is closed. Insert Lock Here When the valve is closed, you can insert a lock for lockout/tagout. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B 14 Safety Instructions Suggested Lockout Procedure Suggested Lockout Procedure To lock out the OnDemand Multi-Med: 1. Announce lockout to other personnel. 2. Turn power off at the main panel. 3. Turn lockout power to the Off position. 4. Put the power lockout key in your pocket. 5. Clear the machine of all personnel. 6. Test lockout by pressing the Power On button. 7. Block, chain, or release stored energy sources. 8. Clear the machine of personnel before restarting the machine. 9. Take out the power lockout key from your pocket. 10. Unlock the lockout device. 11. Turn on power at the main panel. 12. Announce that the machine is on to all personnel. Safety and Information Symbols in This Manual This manual uses the following safety and information symbols: Symbol Definition Important: Indicates potential effect on other areas of system, i.e., if you change this option it will cause another option to operate differently. Or, if you choose to do this your warranty may be voided. Caution: Indicates potential interruption or harm to equipment: hardware and/ or software, including customer’s project files. WARNING: Indicates potential bodily harm, such as electrical shock. OnDemand 400 Multi-Med Operaor’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 15 System Components The following picture shows the OnDemand Multi-Med system components. (6) (7) (8) (5) (4) (1) (2) (3) (14) (13) (12) (11) (10) (9) (1) Label/printer applicator (8) OnDemand Server Not Shown: (2) Monitor (9) Electrical Cabinet Bar code scanner (3) Heat Sealer (10) Med-Load Station OnDemand workstation (4) Foil Printer (11) Uninterruptible power supply (UPS) Main table (5) Pill dispensing unit (12) Card slider and inspection station Printer Table (6) Funnel (13) Main table (7) X-Y Assembly (14) Printer table © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 16 System Components Pill Dispensing Unit Pill Dispensing Unit The pill dispenser can hold 40 pill cassettes which are installed on individual motorized cassette feeder bases. Based on each order requirements, OnDemand Multi-Med software activates individual cassettes to release pills. Pills drop into a funnel that leads to pill retainers in the X-Y table on the way to filling card blisters. Cassettes Pill Dispensing Unit Funnel X-Y Table Med-Load Station Cassettes The OnDemand Multi-Med uses radio frequency identification (RFID) technology to identify which cassettes are loaded on the feeder bases. Each cassette is customized to hold one kind of medication. When pills are dispensed from a cassette on a feeder base, the base spins the custom cassette vane inside the cassette, allowing pills to drop out one at a time. Medication ID Cassette Bar Code OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B Custom Vane (Inside) Unique Cassette ID © 2014 MTS Medication Technologies System Components 17 Cassettes At the base of each cassette is an RFID tag that is programmed with the cassette’s unique ID. Each feeder base has an RFID sensor. The OnDemand Multi-Med identifies a cassette and determines its location on the pill dispensing unit using the RFID tag on the bottom of each cassette. Tip RFID Tag The cassette base also has an attached tip. Pills drop from the vane through the tip. Tips vary in size depending on the pill. Whenever a cassette is loaded onto or unloaded from the machine, the RFID sensor sends a status update to the OnDemand software. OnDemand software also tracks cassette inventory. The OnDemand database has a record for each cassette, including how many pills to maintain in the cassette and the pill lot number. You can view cassette records using the OnDemand Main at the OnDemand workstation (see Cassette Maintenance in the OnDemand Main User’s Guide). A cassette that is loaded on a feeder base is considered on device. If it is removed from the feeder base, the cassette is considered off device. Cassette Bar Code Feeder Base Bar Code The cassette bar code lets you use a bar code scanner to read the cassette ID. You can scan the bar code if the cassette is not on a feeder or on the cassette reader ( Cassette Reader on page 18). © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 18 System Components Cassettes Cassette Components A cassette only has one partition, either the brush or the plain partition. Spacer Cassette Cup C-Clip Brush Partition Metal Partition Tip Sample Case Lid Vane Sample Case Cassette Lid Desiccant Pack Lid Desiccant Pack Cassette Reader You use the cassette reader when adding a cassette to the system or performing cassette inventory maintenance, such as adding pills to a cassette or removing expired lots. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 19 Cassettes The following photos show how to load a cassette onto the cassette reader. Cassette Tester The cassette tester lets you verify that a cassette is correctly releasing pills. Cassette Pill Cup You place the cassette on the cassette tester and check that at least 30 tablets drop successfully into the pill cup. Adjust the partition by tightening or loosening the 2 partition screws to ensure that the cassette performs correctly. Note: If the medication is fragile, lining the inside of the tray with a paper tissue will help prevent potential breakages. See the OnDemand Cassette Tester User’s Guide for details on how to use the cassette tester. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 20 System Components Cards Cards The OnDemand Multi-Med can pack medications into either bi-fold or tri-fold cards. You assemble a card by laying a card on the platen and inserting the blister. After the machine fills the card, you slide the card into the heat seal to seal the card package. Blisters in tri-fold cards are enclosed with a foil label. The foil automatically prints from the foil printer after the card is filled, before you heat seal the package. The OnDemand system tracks the card by scanning the card bar code as it moves from station to station. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 21 X-Y Table X-Y Table The X-Y table is located below the pill dispensing unit and funnel. It consists of two independent magnetic motor-driven actuators. The actuators move the upper pill retainer which fills with pills dropping from the cassettes into the funnel. Upper Pill Retainer Left Door Funnel Magnetic Guard Door Sensors Lower Pill Retainer Funnel Right Door When you first enable the X-Y loader: 1. The pill dispensing unit fills the upper pill retainer with pills for the first card in the queue. 2. The upper pill retainer drops its contents into the lower pill retainer. 3. The pill dispensing unit fills the upper pill retainer with pills for the second card in the queue. The machine is now ready for you to start filling cards. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 22 System Components Med-Load Station Transition Tray and Block The transition tray sits below the lower pill retainer and holds the transition block. The transition block guides pills as they drop from the lower pill retainer into the card. You use different transition blocks for different card types. The top of the transition tray is the same for all blocks. The bottom of the transition block differs for each card type. Med-Load Station The med-load station is directly below the X-Y table. After both pill retainers are filled, you slide the card into the med-load station and press both Fill/Seal buttons (see Operator Controls on page 27) to fill the card. Table Bar Code Scanner (Card below) Slide Tray with Inserted Card and Blister Transition Tray When you press the Fill/Seal buttons: 1. The platen lifts up to the transition tray. 2. The lower pill retainer releases the pills which pass through the transition tray into the card. 3. The platen is lowered. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 23 Med-Load Station Main Table Bar Code Scanner After a card is filled and the platen is lowered, the main table bar code scanner reads the card’s unique bar code. You use the status window for the OnDemand Multi-Med operating software, Device Monitor, to check if the scan was successful. Device Monitor displays in the monitor over the main table. It indicates whether the scan succeeded. A successful scan is indicated by a green light; a red light indicates an unsuccessful scan. If a scan is unsuccessful, slide the card into the med-load station and back, checking Device Monitor for a good read. You cannot complete a package without a successful scan. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 24 System Components Inspection Station Inspection Station The inspection station is at the center of the main table. Card Slide with 28-Day Ten At the inspection station, you do the following: 1. Assemble the card and slide it into the med-load station. 2. After the card is filled, inspect the card to ensure that it has been filled properly. 3. If manually added medications are required—half tablets or medications that are not in a cassette—add those to the card. 4. Apply a foil label to the package, if required. The foil printer automatically prints the label after the card bar code is scanned at the med-load station and after manually added pills (if any) have been completed in Device Monitor. 5. Fold the card before moving the card into the seal station. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 25 Card Slide and Platen Card Slide and Platen You use the card slide to move the card between stations. The platen in the card slide can be exchanged according to card type, bi-fold and tri-fold. WARNING: Always use the card slide knob when moving cards between stations to avoid pinching or crushing fingers. Platen Card Slide Knob © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 26 System Components Seal Station Seal Station The seal station heats glue on the cards to seal them closed. You slide the folded and filled card into the seal station and press both Fill/Seal buttons (see Operator Controls on page 27) to seal the card. WARNING: Avoid inserting your hand or fingers under the platen because of a crushing and burn hazard. Foil Printer The foil printer creates labels that identify the content of each blister. When a card requires a foil label, the system automatically prints the foil after the filled card exits the med-load station and after manually added pills (if any) have been completed in Device Monitor. You manually apply the foil to the card. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 27 Label Printer/Applicator Label Printer/Applicator The label printer/applicator creates a label for each card. After a card is sealed, you take it to the label printer where it reads the card bar code and automatically prints and applies the label. Operator Controls Operator controls are at either side of the main table. Controls include: Emergency Stop – Use an E-stop button to safely stop the OnDemand Multi-Med in an emergency situation. Power On – The Power On button: Starts the OnDemand Multi-Med and is lit while the machine is operational Resets the machine after an emergency stop or a fault Illuminates when power is on Fill/Seal – You simultaneously press both buttons to: Fill a card with pills when it is in the med-load station Seals a card when it is in the heat sealer Pressing the Fill/Seal buttons raises the card platen to the transition tray on the X-Y station. Pills drop from the lower pill retainer through the transition block and into the blister and card below. Note: Press both the Fill and Seal buttons to activate filling or sealing. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 28 System Components Electrical Cabinet Location of Control Buttons Electrical Cabinet The electrical cabinet contains all the system electrical cabling. At the rear of the cabinet is the main power disconnect. The electrical cabinet main power switch turns power on or off inside the electrical cabinet. As soon as you turn the switch to the Off position, power to all machine components is cut off. However, the UPS will maintain power to the server, SATO printer, and server monitor when this switch is in the Off position. Caution: Even when the electrical cabinet main power switch is in the Off position, the power is still live on the line coming into the cabinet from the main power disconnect. Hand-held Bar Code Scanners Two hand-held bar code scanners are provided. The wireless scanner is at the OnDemand workstation ( OnDemand Workstation on page 30) to read card or cassette bar codes. The wired scanner attached to the OnDemand server ( OnDemand Server on page 29) is used for scanning card bar codes when creating cards. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies System Components 29 OnDemand Server OnDemand Server The OnDemand server runs the following software: OnDemand database – Contains a record of all orders, medications, cassettes, and users. OnDemand interface – Pharmacy orders are sent from the pharmacy system to the OnDemand database over the interface. See Prescription Viewer on page 49. Note: The OnDemand interface might be installed on the OnDemand workstation, depending on your site setup. Device monitor – Operates OnDemand Multi-Med components and order processing ( Device Monitor on page 33). Backup software – Software that automatically backs up the OnDemand database onto the workstation. The monitor for the OnDemand server is located over the main table. The keyboard for the OnDemand server is in a tray attached to the main table. OnDemand Server Monitor OnDemand Server Keyboard © 2014 MTS Medication Technologies OnDemand Server OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 30 System Components OnDemand Server OnDemand Workstation The OnDemand Multi-Med includes a separate workstation. The workstation runs the OnDemand Main application ( Operating Software on page 31) for managing the packaging queue and cassette inventory. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating Software 31 Omnicell Interface Services (OIS) Operating Software The OnDemand system software is made up of: Omnicell Interface Services OnDemand Interface OnDemand Main Device Monitor OnDemand Database, and the Backup Utility. Omnicell Interface Services (OIS) Prescription information flows from your PIS first into the OIS. OIS enables us to make your installation site-configurable so we can make updates without requiring a new software build, which gives us the ability to more easily reconfigure data between your PIS and OnDemand. If your PIS makes a change to your data, we can incorporate that change in a more timely manner through the OIS interface. The MTS Integration team works with you to gather information so we can appropriately configure the OIS layer for your pharmacy. OnDemand Interface The OnDemand Multi-Med fills pharmacy orders that are sent from the pharmacy information system, through the OIS, and then onto the OnDemand system. All orders sent by the pharmacy come through the OIS and OnDemand interfaces. The interface automatically retrieves and processes orders and reports order processing errors. You need to watch for order errors to ensure that all orders sent from the pharmacy system are completed for all patients. The OnDemand interface runs on either the workstation or the server, depending on your site setup. See OnDemand Interface on page 47. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 32 Operating Software OnDemand Main OnDemand Main OnDemand Main enables you to manage the package queue and cassette inventory. In addition, you can view items in the OnDemand formulary and run reports. OnDemand Main includes the following modules: Package Queue – Organize orders sent from the pharmacy into a queue for packaging. You can queue orders by batch ID, facility, patient, or priority code. You can also select individual orders. Cassette Maintenance – Add pills to or remove pills from cassettes. You can also adjust cassette lot information and add new cassettes to the OnDemand system. Item Maintenance – View medication records in the OnDemand formulary. Security & Users – Add users to the OnDemand system and assign them system privileges. Reports – Create and print a variety of system reports. Patient Maintenance – View and edit information about patients associated with orders in the package queue. Cassette/Queue Manager – View cassette inventory needs for queued orders. Cassette Exchange Manager (CEM) – View cassette inventory needs for queued orders. Using CEM, you load and unload cassettes from the feeder bases according to which cassettes are required as orders are being processed. Fill Scheduler – View orders in the queue by date. OnDemand Main runs on the OnDemand workstation. See the OnDemand Main User’s Guide for complete information on using OnDemand Main. Device Monitor You use Device Monitor to operate the OnDemand Multi-Med. You use Device Monitor to start the filling process, monitor system operation, and identify system errors. See Device Monitor on page 33. OnDemand Database Orders sent from the pharmacy are stored in the OnDemand database. You use OnDemand Main software to select and queue orders for packaging. You can also use OnDemand Main to view medication and cassette records stored in the database. Information in the database is also used to track cards as they are processed and to create reports. Backup Utility The OnDemand database is automatically backed up to the workstation. Backups are performed incrementally throughout the day. A full backup occurs daily, usually at night. Backups operate transparently. However, you should regularly confirm that the backup application is running by verifying that the backup icon appears in the Window system tray. If there is no icon, contact MTS Support. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 33 Device Monitor Device Monitor allows you to operate the OnDemand Multi-Med. The Device Monitor window displays the status of all OnDemand Multi-Med components and lists information about packages currently in process. The Device Monitor window includes the information and options described in the following graphics and tables. Cassette Status Component Status Sealer Status Package Status Field Description Device Status Displays the status of OnDemand Multi-Med circuits, control buttons, door guards, and fill components. Fields are: Green when a device is operational Yellow when transitioning Red when inactive or not operational Stop Inputs/ Amplifier Faults © 2014 MTS Medication Technologies Indicate alignment errors in X-Y table components. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 34 Device Monitor Field Description Machine Diagram Shows the currently active OnDemand Multi-Med component. Cassette Status Displays feeder bases by number and indicates if the base is currently loaded with a cassette. Gray box – Empty feeder base. Black box – A cassette is loaded on a feeder base. For example, a cassette is loaded on #13, while #3 is an empty feeder base. Red box – An unrecognized cassette is loaded on a feeder base (#12 and #16). Device Monitor only recognizes cassettes by RFID tag or if they are in the OnDemand database. Green box – The cassette is in use. The cassette on #15 is currently dropping pills into the upper platen. Yellow box- feeder base (#2) has been disabled by Tech Support pending service for a faulty motor, reader or COM port. Orange box- The feeder base (#17) has a faulty RFID. Shutdown Device Monitor Shuts down the Device Monitor process. You use this option as part of the end-of-day shutdown procedure. Enable XY Load Starts the fill process. You enable the OnDemand Multi-Med when you are ready to package medications. When this button is red, the X-Y is disabled. When this button is green, the X-Y is enabled. Disable Heater Disables the heating process at the seal station. Set Heating Temperature After entering a temperature in the Set Temperature field, click Set Heating Temperature to start sealer heating. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 35 Field Description Current Temperature Displays the current sealer temperature in Fahrenheit or Centigrade. Normal operating temperature is 329º F or 165º C. Set Temperature Lets you set the sealer temperature. You must click Set Heating Temperature to start sealer heating. Temperature Display The Device Monitor includes a graphical thermometer that shows current sealer temperature and LEDs that provide the following information: In Sealing Range – When green, the sealer is at the correct temperature for sealing cards. Heater Elements – When green, the sealer heating elements are operating. Heating – When green, the sealer is heating. Create Card Click Create Card to manually create a card. Always wait until all machine-filled cards have completed processing to avoid creating split cards. Add Medication When displayed, you manually fill the card with the medication indicated onscreen. Seal Card See Seal Card Button on page 45. Log Out Allows operator to log out of Device Monitor without shutting down the device. Accept Click Accept after reviewing a rejected card and verifying that the card contents are correct. MedLoad BarCode Displays the bar code of the card in the med-load station and status of the bar code read. Reprint Foil Click to reprint a foil. See Reprint Foil Button on page 45. Printer BarCode Displays the bar code of the card at the label printer and status of the bar code read. Reset Printer Click to reset the label printer. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 36 Device Monitor Field Description Open Active Log File Click to view the OnDemand Multi-Med log file. The log file contains a history of cards that have been filled. Package Details Shows package details for up to three cards. The upper grid displays information about cards in the upper and lower pill retainers. The lower grid displays information about the card in the med-load station. Details include: Status – Card processing status: upper pill dispenser, lower pill dispenser, med-load station Patient – The patient name Drug – The medication that is being packaged Pill Count – The current count of this medication’s pills going into this package Address – The feeder base ID Cassette –The cassette ID Qty/Blister – The number of this medication’s pills going into each blister Logging In / Out of Device Monitor 1. If the monitor display is turned off, turn on the Device Monitor display by clicking the button at the lower right corner of the monitor. 2. If necessary, log in to Windows using your Windows user ID and password. 3. Right-click the Device Monitor icon and select Open. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 37 4. Log in to Device Monitor using your OnDemand user ID and password. You use the same user ID and password to log in to the OnDemand server and the OnDemand workstation. 5. An operator can log off the Device Monitor by selecting the Log Out button. The device will finish processing the current card without shutting down the Device Monitor. Another operator then can log in and continue packaging. Device Monitor runs a system check. The system check is complete when onscreen sensor indicators for the safety circuits, power supplies, emergency stops, and guard doors turn green. Note: The temperature sensor indicator stays red until the seal station reaches the desired temperature sealing range © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 38 Device Monitor Status Indicators Status Indicators The following describes Device Monitor status indicators. If components are functional, their status is green. If there is a component error, the status displays red. You cannot start the OnDemand Multi-Med (Enable XY is disabled) until all status indicators are green. Safety Circuit Status When safety circuits are functioning, the status indicators are all green. If a circuit fails, its status is indicated in red. A safety circuit error indicates that some part of the circuitry has failed. The failure could be caused by a faulty sensor or equipment problems. For example, if system air pressure falls below operating range (below 90 psi), its status indicator will turn red. Air pressure faults can be anywhere along the system from the air pressure gauge to the air compressor and might simply be a failed sensor. When you see a safety circuit error, contact MTS Technical Support. E-stop Status When you press an E-stop, the OnDemand Multi-Med immediately halts and air to pneumatic devices is drained. E-stop button status is displayed in the Device Monitor window. The Enable XY changing from green to red. Device Monitor displays a message indicating that an E-stop had been pressed and shuts down. After you resolve the error, restart Device Monitor. The E-stop button status will have changed from red to green. Click Enable XY to restart the system. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 39 Status Indicators Guard Door Status To ensure safety, guard doors must remain closed when the OnDemand Multi-Med is operational. If a guard door is open, Device Monitor displays a warning, such as in the following sample. Close the indicated guard door and click Continue. Fill Component Status Fill components include the funnel and transition block. If either is not placed correctly, Device Monitor displays component status in red. Check that the funnel is correctly seated over the funnel block. If a transition block error, check that the transition block was installed correctly. When replacing the block, you must ensure that it is oriented so that the nut is in the top right corner as you face the machine. Also be sure the transition tray drawer is closed. After you resolve the error, the status will change from red to green. Click Enable XY to restart the system. Stop Input and Amplifier Fault Status If a problem occurs in a stop input or amplifier, you will see a check next to the component in the Stop Inputs/Amplifier Faults area of the Device Monitor window. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 40 Device Monitor Cassette Errors Sometimes a stop input error might be as simple as an open guard door over the X-Y table. If you see a limit error, the X-Y system might have breached its normal forward or reverse position limit. In that case, repositioning the arm to its normal position will correct the error. If you see a limit error after replacing the upper pill retainer after routine maintenance, try repositioning the upper pill retainer. After you resolve the error, the status changes from red to green. Click Enable XY Load to restart the system. Important: If you have a stop input error that you cannot correct, contact MTS Technical Support. Cassette Errors Device Monitor reports cassette errors. In the following example, the cassette on feeder base #17 has a faulty RFID reader. Feeder base #2 is faulty and has been taken offline and should not be used. A red border shows cassettes that have been placed on the feeder base, however, are not registered in OnDemand Main. If you remove the cassette on feeder base 14, you will see the following: OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 41 Starting the Fill Process You can resolve the error as follows: Retry – Replace the missing cassette, check Retry, and click Continue. The OnDemand MultiMed will attempt to complete the fill requirements for the current blister. Ignore – Check Ignore and click Continue. The OnDemand Multi-Med will cancel the pill drop into the current blister. However, if the same medication is going into other card blisters, Device Monitor will re-display the error message. Reject – Check Reject and click Continue. The OnDemand Multi-Med will no longer attempt to fill the card with the medication from the missing cassette. Starting the Fill Process Before starting the fill process, you need to create a packaging queue in OnDemand Main. At Device Monitor, click Enable XY Load. The button transitions from red to yellow to green. Setting the Heat Sealer Temperature To set the heat sealer temperature in Device Monitor, enter the desired temperature in the Set Temperature field and click Set Heating Temperature. Note: The sealer will take several minutes to reach the proper sealing temperature after initial startup. The following indicators provide heating status: Thermometer The thermometer gives a visual indication of the platen temperature. In Sealing Range When green, the heat sealer is at proper temperature. Heater Elements Indicates in red that the heating elements are hot. Heating Indicates in red that the heat sealer is heating. Click Disable Heating to turn off the heat sealer. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 42 Device Monitor Resolving Inventory Problems Resolving Inventory Problems While you can use Device Monitor to identify which cassettes are required during the packaging process, it is more efficient to manage inventory from OnDemand Main. Cassette Exchange Manager calculates inventory needs before cards get to the machine. See “Cassette Exchange Manager” in the OnDemand Main User’s Guide. In the following example, you have queued an order containing the following medications some of which have low, depleted, or expired inventory: Diovan (valsartan) 320 mg caps Pantoprazole 40 mg tabs Fluoxetine 20 mg caps Aspirin 325 mg tabs Paracetamol 500 tabs The Partial Card Fill window indicates that inventory for Diovan and Pantoprazole is either low or has expired and identifies which cassettes the drugs are in. You will need to replenish these cassettes. Fluoxetine is not available in a cassette. If the cassette has not yet been added to the OnDemand system, use Cassette Maintenance to add it. Or, you can add this drug manually when the card is at the inspection station. The cassette for aspirin is off device. You need to load the cassette. When Device Monitor reports an inventory problem, you can do one of the following: Cancel all orders for the card. All orders are removed from the queue and return to unprocessed status. You can re-queue them later. The OnDemand Multi-Med processes the next job in the queue. Manually add the medication to the card. All listed orders are returned to unprocessed status. You will manually add the medication after the card leaves the med-load station. Address the cassette error. Device Monitor will report a problem if: There is not enough medication in the cassette to fill the whole card. The required cassette is not on the device. Cassette inventory has expired. You need to update the cassette if the medication in the cassette is expired or due to expire shortly. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 43 Manually Adding Medication to a Card You can replace or add to cassette inventory using OnDemand Main Cassette Maintenance. See “Cassette Maintenance” in the OnDemand Main User’s Guide. If issues have not been resolved, Device Monitor will display an error message after you click Submit. Manually Adding Medication to a Card When a package requires medications that are not available in a cassette or requires partial doses (some part of a single pill), you will manually fill the card with those medications. When the OnDemand Multi-Med is processing a card that requires manual filling, the Add Medication button displays in yellow at the Device Monitor. The OnDemand Multi-Med will not generate a printed foil until after you have added the pills and verified this on the system. The window will show what the machine filled and the sub-total of pills already in the card. Important: If you do not click Add Medication, the pills requiring manual fill are skipped. These medications will not appear on the package foil and label and remain in the manual add process view of the packaging queue. You will need to use the Create Card function to process these manual adds in another card. 1. Click Add Medication. Device Monitor displays a medication card matrix for the number of pills filled by the machine. Hovering the pointer over the drug name reveals more information including administration dates and times. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 44 Device Monitor Manually Adding Medication to a Card 2. Select a drug from the list. The window displays the selected drug. The matrix indicates where to add pills to the card. Optional: Scan the bar code on the container to confirm that the medication is a match. Drug List The Selected Drug Where to add the Selected Drug 3. Insert the pills as indicated and click Complete. 4. Repeat Steps 2 and 3 until you have added all medications. 5. Click Done to return to the Device Monitor window. 6. The foil printer automatically prints a foil for the card. 7. Seal and label the card as you would normally do. If required to scan a bar code for manually added medications and the container does not have one, there is an optional manual override. An operator’s profile can reflect this permission to limit the number of users the ability to override the system. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Device Monitor 45 Reprint Foil Button Reprint Foil Button Click the Reprint Foil button to generate an additional foil for a card that is in the process of being filled or to generate a duplicate foil for a card that has been previously completed on the OnDemand Multi-Med. If there are prescriptions in the med-load station, clicking Reprint Foil generates a duplicate foil for orders currently in the med-load station. If no orders are being processed, you can reprint a foil for a card that has already been sealed. When prompted, scan the bar code of the card that requires the foil, then click the Print Foil button. Click Exit to cancel. Seal Card Button Click Seal Card to seal a card. Clicking Seal Card turns the button yellow and changes the label to Cancel Seal. Clicking Seal Card also disables pill dispensing. Click Cancel Seal when you are finished. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 46 Device Monitor RFID Operation RFID Operation Each cassette has an RFID sensor at its base. When you add a cassette to the OnDemand database, the medication in that cassette is mapped to the cassette ID and the cassette ID is mapped to an RFID tag. Whenever you replace a cassette on a feeder base, OnDemand software detects the change, automatically recognizing that a new medication is now loaded on the machine. If the RFID tag monitoring service or the hardware used to support this service are not functioning properly, Device Monitor will display the following message: You can still fill cards, but without RFID monitoring, you must ensure that the cassettes are correctly loaded onto the feeder bases by manually scanning cassettes onto the device. See RFID Service Errors on page 76. Shutting Down Device Monitor Important: Do not click X in the upper-right corner of the window. 1. Click the Disable XY Load button. 2. Click the Shutdown Device Monitor button. 3. Press an Emergency Stop button. 4. Clear the inspection and seal station of any extra cards and blisters. 5. Turn off the monitor. Important: Do not turn off power to the OnDemand server. If you need to turn off the server, contact MTS Technical Support. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Interface 47 Verifying Interface Operation OnDemand Interface The OnDemand interface does the following: Processes pharmacy orders from the pharmacy information system. Converts the data into individual doses with dosing times. Records the data in the OnDemand database. Reports failed or incomplete orders. The OnDemand interface displays order errors in a pop-up window. Whenever you see failed or incomplete orders, notify the pharmacy. The pharmacy can correct and re-send the order, ensuring all patient orders are completed. The OnDemand interface runs on either the server or the workstation, depending on how your system is set up. You can: View interface status Display processed orders Select and print order details View event log information Verifying Interface Operation The interface automatically starts when a user logs in to the server or workstation. You can verify that the OnDemand interface is operational by checking the system tray in the monitor window. Look for an interface icon (gears) in the system tray in the lower right corner of the window. The icon displays a green arrow when processing orders. OnDemand Interface Icon © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 48 OnDemand Interface Viewing Interface Status If it is not running, you can restart the OnDemand interface by double-clicking the OnDemand interface shortcut on the Windows desktop. Viewing Interface Status Double-click the OnDemand Interface icon to view interface status. This window includes the following information: Field Description Interface Version The current version of the OnDemand interface. Pharmacy Interface The pharmacy system ID. Connection Status The current status of the interface. The information displayed here depends on the pharmacy system type: For file-based pharmacy systems, this field shows the directory that the OnDemand interface monitors and the name of the file the interface is currently processing. For network connection-based pharmacy systems, this field displays the connection status, such as disconnected, connected, or waiting for connection. Batch ID The ID of the last batch processed. Date Processed The date and time when the batch was processed by the interface. Count The number of records processed since the last time you reset the counts using the Reset Counts button. Error Count The number of records processed that contained errors since the last time you reset the counts using the Reset Counts button. Duplicate Count The number of duplicate prescriptions processed by the interface since the last time you reset the counts using the Reset Counts button. Ignore Count The number of records that have been ignored by the interface since the last time you reset the counts using the Reset Counts button. The database ignores certain kinds of records, such as orders for liquids or creams that the machine does not package OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Interface 49 Accessing Interface Options Window options include: View log – Launches the interface Event Viewer application (See Event Viewer on page 51) Reset counts – Resets the counts that are displayed in the window Prescriptions – Launches the Prescription Viewer application (See Prescription Viewer on page 49) Accessing Interface Options Right-clicking the OnDemand interface icon displays an options menu. OnDemand Interface – Launches the interface status window. Open Event Viewer – Launches the event viewer, which allows you to see interface event log information. The event log is primarily used by MTS Support for troubleshooting. Open Prescription Viewer – Launches the prescription viewer, which allows you to view all orders processed by the interface. Exit – Shuts down the interface. Before you can exit the interface, you will be prompted for a user name and password. Prescription Viewer You can use Prescription Viewer to view prescriptions processed by the interface, including any errors that might be associated with an order. You can click an order that had an error to see error details in the lower pane of the window. Selected Order Error Description © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 50 OnDemand Interface Prescription Viewer The Prescription Viewer provides the following information: Field Description Processed Time The date and time the prescription was processed by the interface Batch ID The batch ID this prescription is associated with Prescription Number The unique prescription number for this order Facility The facility the patient resides in Patient The patient associated with this prescription Drug The drug name Original Prescription The pharmacy prescription number for this order Number Result The result of the processing: Completed, Duplicate, Error, or Skipped Search Options To view prescriptions by status, select a status option from the Filter By Status pulldown list. The window immediately displays all orders for the specified status. An order status can be: Completed – The order processed successfully. Duplicate – The order was rejected because it was a duplicate order. Error – The order failed to process due to an error. Skipped – The order was ignored. To search for a specific order: 1. Select a search category from the Look In pulldown list. You can search by any of the column headings. 2. Type search text in the Find What field. 3. Check Match Whole Word if searching for an exact match of what you typed in the Find What field. 4. Click Start Date to search from a specific date. When you click Start Date, a calendar pops up. Use the calendar to select a date. 5. Click Refresh Data to view search results. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Interface 51 Event Viewer Button Options Click the Prescription Viewer buttons to perform the following tasks: Refresh Data – Refreshes the prescription list showing any new prescriptions that have been processed. Also click Refresh Data to view search results. Print Selected – Prints selected prescriptions. Exit – Exits Prescription Viewer. Selecting Prescriptions To select prescriptions, choose from the following: All prescriptions – Click on the upper left block as shown below. Range of contiguous prescriptions – Left-click on the first order in the selection and, still holding the mouse down, move it to the last prescription in the selection. Individual prescriptions – To select one prescription, click on that prescription. To select more than one prescription that are not contiguous, click each prescription while holding down the Ctrl key. Event Viewer The Event Viewer shows events and errors that affect the OnDemand interface. This option is typically used by MTS Support for system troubleshooting. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 52 OnDemand Interface Event Viewer Events can be: Informational – Reflects normal order processing Warning – Describes an error that does not force an OnDemand interface failure Error – Indicates an error that forced the OnDemand interface to fail The following information is displayed for each event: Field Description Date/Time The date and time that the event occurred Severity The severity of the error Source The source of the error Message The message associated with the event Stack Trace An optional stack trace of the event if it contains an error Inner Exception An optional inner exception if the event is an error and contains an inner exception Click buttons to perform the following tasks: Detail – Shows details of the currently selected event. When you click Detail, a window opens showing the event details. Use the left and right arrows to scroll through the events list. Click Print to print the event details. Click Exit to close the window. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Interface 53 Viewing Rejected Orders Start Date – Sets how far back events should be displayed. When you click Start Date, a calendar pops up. Use the calendar to select a date. Severity Filter – Filters events by severity. Exit – Exits Event Viewer. Viewing Rejected Orders The OnDemand interface validates all orders sent from the pharmacy. It rejects an order if: Order information is missing or incomplete. A failure occurred while it was transmitted. It is a duplicate order. Failed orders must be corrected or re-sent from the pharmacy. When the OnDemand interface rejects an order, it displays a pop-up error window listing the rejected order and the reason it was rejected, such as in the following example. Click Print All to print all listed prescriptions with errors. Click Exit to close the pop-up window. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 54 OnDemand Interface Viewing Rejected Orders in Prescription Viewer Viewing Rejected Orders in Prescription Viewer Use Prescription Viewer to view all failed orders. 1. Right-click the OnDemand interface icon to display the options menu. 2. Click Open Prescription Viewer. 3. Select Error from the Filter By Status pulldown list. The window immediately displays all orders with errors. 4. Click on an order to view error details. 5. If desired, click Print Selected to access print options to print the list of errors. 6. Click Confirm and Exit to exit the window. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 55 Daily Operating Tasks for the OnDemand 400 Operating the OnDemand Multi-Med Daily Operating Tasks for the OnDemand 400 To efficiently operate the OnDemand Multi-Med, perform these tasks on a daily basis: 1. Keep the machine clean and perform daily and weekly maintenance (see the OnDemand Multi-Med Maintenance Guide). 2. Ensure that the machine is prepared for the type of cards being used. This includes checking the platen and transition block and ensuring the printers are properly loaded with the correct media and functioning. 3. Power up the system. 4. Use Dose Viewer to ensure that all orders were successfully received from the pharmacy. 5. Use Package Queue in OnDemand Main to select orders for packaging (for more details see “Package Queue” in the OnDemand Main User’s Guide). 6. Use Cassette Exchange Manager in OnDemand Main to top up inventory needed for the job and place required cassettes on the device (see “Cassette Exchange Manager” in the OnDemand Main User’s Guide). 7. Print a list of manual adds from Package Queue and assemble the required medications. 8. Enable the filling process using Device Monitor. 9. While the heat sealer is heating up, use Cassette Exchange Manager in OnDemand Main to identify cassette inventory needs (for more details see “Cassette Exchange Manager” in the OnDemand Main User’s Guide). Load the required cassettes before starting Device Monitor. 10. Start filling cards. At the same time you are packaging cards, continue to monitor cassette inventory using Cassette Exchange Manager. Load and unload cassettes and refill them as required. Performing Daily Maintenance Before turning on power, clean the machine using the daily maintenance procedures provided in the OnDemand Multi-Med Maintenance Guide. Note: You can also do maintenance at the end of a packaging run. However, MTS recommends performing maintenance in the morning when all dust in the system is settled and the heat sealer is cold. Preparing the Equipment Before starting, ensure the following: The card and blister stock you have selected match the card type selected in the Package Queue window. The correct foil format is loaded on the foil printer. The printers are loaded and operational. See the manufacturer manuals for details on replacing ribbons and labels. The platen in the slide tray is the correct one to use for the orders you are packaging. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 56 Operating the OnDemand Multi-Med Preparing the Equipment The transition block in the med-load area is correct for the selected card type. You need to check the bottom of the transition block. This part of the block differs for each type of card. The top side is the same for all card types. If you need to replace the block, see the following directions. Replacing the Block 1. Open the transition tray and remove the transition block. 3. Orient the block so that the nut is in the top right corner as you face the machine. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 2. Insert the replacement transition block into the transition tray, ensuring that the locating nut on the block is correctly oriented. 4. Close the transition tray drawer. © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 57 Preparing the Equipment Powering Up the OnDemand Multi-Med Important: Review precautions and machine safety guidelines in Safety Instructions on page 3 before operating the machine. 1. Verify that the main power supply is on. On Position Off Position 2. Verify that the compressed air is on. Air Pressure Gauge Air Shut-Off Valve 3. Twist and pull up to release both depressed E-stop buttons. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 58 Operating the OnDemand Multi-Med Preparing the Equipment 4. Press the green Power On button. Power is on when the green button is illuminated. 5. Turn on the OnDemand server monitor. 6. Using your Windows login, log in to the OnDemand server. Note: You should not need to power up the server. The OnDemand server should always be left on. 7. Right-click the Device Monitor icon and select Open. 8. Log in to Device Monitor using your OnDemand user ID and password. Use the same login to log in to the OnDemand server and the OnDemand workstation. If you do not have an OnDemand account, see your site administrator. For information about adding users to OnDemand see “User Maintenance” in the OnDemand Main User’s Guide. The system performs a series of checks. The sensor indicators for the safety circuits, power supplies, E-stops, and guard doors will turn green. The temperature sensor indicator will stay red until the Seal Station reaches the desired temperature sealing range. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 59 Verifying Orders Sent From the Pharmacy 9. The OnDemand server automatically backs up the database to the OnDemand workstation. Verify that the backup is running by checking for the back-up icon in the system tray. The icon is green when the drive is actively backing up data; it is yellow when idle; it is red if there is an error. 10. Log in to the OnDemand workstation using the Windows user ID and password provided by your site system administrator. 11. Right-click the OnDemand Main icon on the Windows desktop. 12. Click Open from the displayed menu. The OnDemand Main window and login prompt display. 13. Enter your user name and password at the login prompt and click OK. 14. Proceed to Verifying Orders Sent From the Pharmacy on page 59. Verifying Orders Sent From the Pharmacy Verify that all orders sent from the pharmacy were successfully sent to the OnDemand database. The OnDemand Interface displays a pop-up error window listing rejected orders ( Viewing Rejected Orders on page 53). Or, use Prescription Viewer to find orders with errors ( Viewing Rejected Orders in Prescription Viewer on page 54). Creating a Package Queue Use the OnDemand Main Package Queue module to view and select unprocessed orders for packaging. Selected orders go into a queue that is sent to the OnDemand Multi-Med for filling and packing. 1. Using OnDemand Main at the OnDemand workstation, select Package Queue from the Modules menu or click the Package Queue icon on the toolbar to open the Package Queue window. Package Queue automatically shows unprocessed orders. To verify, ensure that Unprocessed is selected in the Process Views pulldown list. 2. In the left pane, double-click a folder to view orders sent from the pharmacy organized by category. For example, double-clicking Facility reveals folders for individual facilities. 3. Click a facility folder to show the orders for that facility. The orders display in the right pane. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 60 Operating the OnDemand Multi-Med Creating a Package Queue 4. Select orders for packaging by clicking the order checkbox for individual orders or clicking Select All to select all orders. You can click Select None to clear selected orders. 5. If your site supports multiple package types, select a package type from the Packages dropdown list and click Save Settings. 6. Click Create Queue to create the packaging queue. OnDemand Main checks for expired inventory. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 61 Creating a Package Queue Note: When orders call for medications that are undefined or are partial tables, OnDemand Multi-Med automatically presumes that you will be adding those medications manually. When the packages are being filled, Device Monitor prompts you to add them. For example, the following figure indicates that cassettes required to fill this patient’s order have expired medication Expired Inventory Order Details You can do one of the following: Go to Cassette Maintenance to remove expired lots (See “Removing Expired Lots” in the Cassette Maintenance chapter of the OnDemand Main User’s Guide.). Then return to the Package Queue inventory errors window and click Re-Check All. Remove the problem order (click Remove Orders). You can resolve the inventory issue later and add it to a subsequent queue. Cancel the entire job (click Cancel Job). No queue is created and all selected orders are returned to the unprocessed state. Click Print List to print all orders that are displayed in the inventory errors window. 7. If you have resolved all inventory errors, clicking Re-Check All returns you to the main Package Queue display. To see cards that are now in the queue: a. Select Loaded for Packaging from the Process Views dropdown list. b. In the Loaded for Packaging view you now see cards, but because the application is not graphical, one card is actually listed multiple times—once for each medication it contains. c. In the left pane, double-click the Facility folder, then click on the facility to display the queued cards. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 62 Operating the OnDemand Multi-Med Enabling the Packaging Process Queued Cards 8. Select Manual Adds from the Process Views dropdown list. 9. Click Print List to print a list of all medications required for the queue. Use the list as a picklist for assembling required medications. 10. Use Cassette Exchange Manager to make any refill suggestions and place the required cassettes on the device before enabling the packaging process. 11. Now that you have created a queue, use Device Monitor ( Enabling the Packaging Process on page 62) to activate the machine. Enabling the Packaging Process Click the Enable XY Load button at the Device Monitor. The X-Y table is activated, filling the upper and lower pill retainers. Each retainer now has the pills for the first two cards. The machine is not ready until the heat sealer has heated to operating temperature. Proceed to Managing Cassettes on page 63. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 63 Managing Cassettes Managing Cassettes Use Cassette Exchange Manager (CEM) to monitor your cassette needs while packaging orders in the queue. See “Cassette Exchange Manager” in the OnDemand Main User’s Guide. Using OnDemand Main at the OnDemand workstation, open CEM. The window shows all orders in the queue that need a cassette intervention—add, exchange, refill—to complete a patient card. 1. CEM displays the package queue in the order that cards are processed and filled. Use the Sort Jobs By option to select how you want to sort jobs in the queue. 2. Use the Group Exchanges By option to select whether you want the group cassette exchanges by patient or by block. With a big queue, grouping by block can reduce the number of times you go to the machine to exchange cassettes. 3. Go through the list starting at the first line to determine: Which cassettes are required for upcoming cards – CEM indicates which cassette to remove (Remove Cassette) and which to replace it with (Add Cassette) from which feeder base (Feeder Base). Which cassettes require refilling and by what amount – If a cassette is low on inventory, CEM shows how many to add in the Refill Suggestions column. When to add or remove cassettes – You exchange cassettes in the displayed sequence up to the red line. A red entry indicates that at least one of the preceding cards requires the medication that is currently on that feeder. Do not remove the cassette until you see that the entry is no longer displayed in red. The red line moves as the cards are filled. Note: Using CEM to manage cassette exchanges is more efficient than using Device Monitor because the machine continues to operate without interrupting the operator. 4. Click Refresh Now frequently while processing orders. 5. See the following to make adjustments to cassette inventory. Adding Pills to a Cassette on page 64 Increasing the Number of Lots for a Cassette on page 66 6. Proceed to Processing Cards on page 67. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 64 Operating the OnDemand Multi-Med Managing Cassettes Adding Pills to a Cassette If a cassette is low on pills or has expired lots, use Cassette Maintenance to add pills to cassettes or to remove expired lots. Important: Review the precautions in Safety Instructions on page 3 before handling medications. 1. Select Cassette Maintenance from the Modules menu. The Cassette Maintenance window displays. 2. Unload a cassette and place on the cassette reader. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 65 Managing Cassettes 3. Click the Add or Adjust Medication button. The Add or Adjust Medication window displays. 4. Update the following information as required: Qty Added or Adjusted – Number of pills added to (or removed from) the cassette. Lot Number – Medication lot number provided by the manufacturer. Expiration Date – Medication expiration date provided by the manufacturer. Minimum – The quantity you want to maintain in inventory. If the item drops below this level, you will have to restock the cassette. Maximum – Maximum quantity stored in this cassette. Use this amount to calculate how many pills you need to restock the cassette. For example, if cassette inventory falls to the minimum level, subtract the minimum from the maximum to determine how many pills to add to the cassette. 5. Click Save at the prompt. 6. At the confirmation window: a. Scan the bar code on the medication container. b. Click Continue. 7. Load the cassette back onto the machine. 8. Click Exit to return to the Cassette Maintenance window. Note: If the bar code does not match what OnDemand Multi-Med expects and you have the required access, you can override the bar code confirmation by entering your user name and password. Be sure that you have the correct medication for the cassette. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 66 Operating the OnDemand Multi-Med Managing Cassettes Increasing the Number of Lots for a Cassette If you are adding pills to a cassette and need to add another lot to a cassette, use Item Maintenance to increase the number of lots allowed for that cassette. 1. Select Item Maintenance from the Modules menu. The Item Maintenance window displays. 2. Use the search and sort options to find the record you are updating or scan the cassette bar code to display the item record. 3. Use the up and down arrows in the Lots Per Cassette field to select the number of lots permitted on a cassette. 4. Click Save Changes. 5. Click Exit to close the Item Maintenance window. Note: The oldest lot on a cassette is printed on package labels. Be sure to regularly remove expired lots. Otherwise, labels are inaccurate. See “Removing Expired Lots” in the OnDemand Main User’s Guide. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 67 Processing Cards Processing Cards Review the precautions and machine safety guidelines in Safety Instructions on page 3 before operating the machine. To process cards: Note: Each OnDemand card is pre-printed with a unique bar code that is scanned and recorded in the OnDemand Multi-Med database and cross-referenced with the patient order. 1. Place a card over the platen in the slide tray at the main table, aligning it with the platen cavities. 2. Insert the blister. 3. Using the slide tray knob, slide the card into the med-load area until it stops. A proximity sensor detects that the card is correctly in position inside the station. If the med-load sensor status displays green, the card is in the correct position. 4. Press both Fill/Seal buttons at the same time. The platen lifts up and the lower pill retainer releases the pills into the card. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 68 Operating the OnDemand Multi-Med Processing Cards Seal Station Foil Printer Med-Load Station Card Slide with Platen Slide Tray Knob 5. Wait for the Device Monitor to display a good read of the card bar code, then, slide the card back out to the inspection station. Note: If a scan is unsuccessful, slide the card into the med-load station and back again, checking the Device Monitor for a good read. You cannot complete a package without a successful scan. 6. At the inspection station, check that the card was filled correctly. 7. If the card requires manual adds, Device Monitor will display the Add Medication button in yellow. 8. Click Add Medication. Device Monitor displays the medication card matrix. 9. Select a drug from the list. The window displays the selected drug. The matrix indicates where to add pills to the card. a. If required, enter the medication lot number and expiration date. b. Insert the pills as indicated and click Complete. c. Repeat until you have added all medications. d. Click Exit to return to the Device Monitor window. Drug List The Selected Drug Where to add the Selected Drug OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Operating the OnDemand Multi-Med 69 Applying Labels 10. If used, the foil printer automatically prints a foil label. 11. Check that the text on the foil has printed correctly. If the foil fails to print correctly, click Reprint Foil. If the foil paper was installed correctly, see the manual for the foil printer. 12. Carefully place the foil over the card blisters, print side up. 13. Fold the card and slide the card into the seal station. WARNING: Beware of the heat surface, which could be very hot. 14. Press both Fill/Seal buttons at the same time. The heat seal seals the pills into the card. 15. Slide the card out from the seal station and check for proper sealing. Applying Labels Depending on your site, you might have several label printers. Label printer/applicator for bi-fold cards Label printer/applicator for tri-fold cards Bag label printer You use the printer/applicator to create prescription labels for all medications in the package. The bag label prints a label for a bag that holds the patient cards or the label for the front of the card. 1. Insert the sealed card under the printer/applicator tamp pad. A scanner at the printer / applicator scans the card bar code and automatically prints a label and applies it to the package. 2. If a bag label is required, use the OnDemand Main Apply Label utility. a. Select Apply Label from the Utility Menu. b. Scan the card bar code. c. Card information displays in the Apply Label window. d. Ensure that the medication displayed in the window is the same as what is in the card © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 70 Operating the OnDemand Multi-Med After Processing the Queue Note: If needed, click Apply Second Label at the Device Monitor to print a second label. 5. Click Print Label to print the label. 6. Examine the label to ensure it printed correctly. 7. Apply the label to the card or bag. See “Apply Label Utility” in the OnDemand Main User’s Guide. After Processing the Queue After queued cards have been completed, you should always check for rejected orders. Orders are rejected if the photo eye sensor in the cassette feeder base detects an incorrect pill count. If you don’t manually correct the card, the card label will print with the drug name printed twice. To check for rejected cards, select Rejected from the OnDemand Main Process Views pulldown list. See Reprocessing Rejected Cards on page 75 to process rejected cards. You should also check for any remaining cards requiring manual adds. To check for manual adds, select Manual Adds from the OnDemand Main Process View pulldown list. Use the Device Monitor Create Card function to complete any remaining manual add orders. Shutting Down the OnDemand Multi-Med 1. At the Device Monitor, click the Disable XY Load button. 2. Select the Shutdown Device Monitor button. 3. Depress an E-stop button. 4. Clear the inspection station of any extra cards and blisters. 5. Turn off the server monitor. 6. At the OnDemand workstation, click Log Out on the OnDemand Main screen. Turn off workstation monitor. Important: Do not power off the OnDemand workstation. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Troubleshooting 71 Cassette Feeder Base Errors Troubleshooting Cassette Feeder Base Errors The following describes common feeder base errors: If you remove a cassette when it is dropping medication, OD400 displays the following error message: The feeder base location will indicate an empty feeder (gray box) in the Device Monitor window. Replace the cassette on the feeder base and check the Retry option box on the Cassette Attention Required message box and click Continue. Actively Filling Base out of Service Cassette Not in OnDemand Main Faulty RFID Reader Empty Feeder Base If you load a cassette without properly setting up the RFID tag, the feeder base location displays in red. See Updating Cassette RFID Tag IDs on page 71. Updating Cassette RFID Tag IDs Do the following if the RFID tag ID has not been set up for a cassette. 1. Log in to OnDemand Main and select Cassette Maintenance from the Modules menu. The Cassette Maintenance window displays. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 72 Troubleshooting Emergency Stop Conditions 2. Load the cassette onto the cassette reader. You will see the following message: 3. Scan the cassette bar code. 4. Click Yes at the prompt. 5. The RFID tag ID will be saved to the database. Click OK at the prompt. The RFID tag ID will be displayed in the Cassette Address Data area of the Cassette Maintenance window. Emergency Stop Conditions E-stop conditions might occur: If you press an E-stop button Open a guard door while the machine is filling cards Air pressure falls below the minimum pressure value OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Troubleshooting 73 Device Monitor Shutdown Error An E-stop condition removes stored potential energy from the system: air is released from pneumatic systems and power is cut to motors. If you press the E-stop button, Device Monitor will shut down. You need to reset the system using the Power On button and restart Device Monitor. If you open a guard door, you will see the guard door status change from green to red in Device Monitor. Close the guard door and click Continue in the Device Monitor window. If low air pressure causes the E-stop condition, inspect the air system for a reason for the decreased pressure. You might need to call MTS Technical Support before you can restart the system. Device Monitor Shutdown Error If Device Monitor accidentally shuts down while processing a queue, the filling process stops. You will need to restart Device Monitor. If you cannot restart Device Monitor after it was closed down incorrectly, do the following: 1. Click Ctrl+Alt+Delete on your keyboard. 2. Click Task Manager. 3. Find the following applications: Device Monitor Med Drop Fill Device 4. Highlight the applications and click End Task. 5. If any other messages appear, select End Now. 6. Close Task Manager by clicking the X in upper right corner of the window. 7. Right-click the Device Monitor icon and select Open. 8. Log in to Device Monitor using your OnDemand user ID and password. When Device Monitor is shut down incorrectly during the filling process, you need to clean out the X-Y table when you re-launch Device Monitor. The cleanout procedure addresses partially filled cards still in the X-Y table. You need to complete these cards before the next patient’s medication can be started. Device Monitor lists the medications and their location in the X-Y table. 9. Place a card and blister in the slide tray platen and slide into the med-load station. 10. Click Start Cleanout. 11. Click Yes at the prompt: © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 74 Troubleshooting Filling Errors 12. Press both Fill/Seal buttons at the same time. The pills will be dispensed into the card. Even if there are no pills, complete the fill to simulate the process to generate a GOOD READ. 13. Follow usual process of sealing the card and printing labels. 14. After you complete clean out, there will be no patients listed on the screen. 15. Click Done. The OnDemand Multi-Med is now ready to complete the job that was interrupted when Device Monitor was shut down incorrectly or a new queue can be processed and then completed. Filling Errors If a cassette jams during the filling process, Device Monitor displays the feeder base in red to indicate a dispensing error. Device Monitor displays the cassette error detail and prompts you to retry, ignore, or reject the error. Retry – Clear the cassette jam, then select this option by checking the Retry box and clicking Continue to continue processing cards. The system will try to drop the pill again. Ignore – Choose this option by checking the Ignore box and clicking Continue to add the medication manually. Reject – Choose this option by checking the Reject box and clicking Continue to reject the card. The card label will print with the drug name twice on the label. If needed, the cards that have been rejected can be re-processed. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Troubleshooting 75 Reprocessing Rejected Cards If a sensor on the feeder base does not register a pill drop or registers that an incorrect number of pills has dropped, Device Monitor highlights the problem card in red in the package details area of the window. Refer to the procedures for your site to determine which option to use. If reprocessing is allowed, see Reprocessing Rejected Cards on page 75. Reprocessing Rejected Cards If a card has been rejected by the OnDemand system, you need to reprocess that order. You can find rejected orders by selecting Rejected from the Process Views pulldown list. Note: See “Handling Rejected Cards” in the Package Queue chapter of the OnDemand Main User’s Guide. 1. Select Package Queue from the OnDemand Main Modules menu. 2. Select Rejected from the Process Views pulldown list. 3. From the left pane, double-click a folder to view orders that have been rejected. 4. Click the check box for the orders you want to reprocess or click Select All. 5. Click Reset Queue. 6. If required, provide your user name and password and click Accept. 7. Click Yes at the confirmation prompt. 8. The order will be returned to the unprocessed state. Select Unprocessed from the Process Views pulldown list to view and select the order for processing. 9. Process cards are usual. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 76 Troubleshooting Reprocessing Completed Damaged Cards Reprocessing Completed Damaged Cards If a card has been damaged or is rejected after it has been completed, you need to reprocess that card. You will need to select the card from the list of completed cards in the Complete process view. Take care when selecting a card. In the Complete view you see cards, but because the application is not graphical, one card is actually listed multiple times—once for each medication it contains. To identify a card, look at the card bar code in the Card ID column. All the medications that go into that card will have the same card bar code. Use the slider bar to view the Card ID column. 1. Select Package Queue from the OnDemand Main Modules menu. 2. Select Complete from the Process Views pulldown list. 3. From the left pane, double-click a folder to view orders that have been completed. 4. Click the check box for the orders you want to reprocess. 5. Click Reset Queue. 6. If required, provide your user name and password and click Accept. 7. Click Yes at the confirmation prompt. 8. The order will be returned to the unprocessed state. Select Unprocessed from the Process Views pulldown list to view and select the order for processing. 9. Process cards are usual. RFID Service Errors If there is an error detected regarding the status of the RFID readers and the COM ports, Device Monitor will display the message “Missing COM Ports have been reported by the Cassette Monitoring Service. Contact MTS Technical Support for assistance. Until RFID service is restored, you will need to load and unload cassettes manually. When RFID service fails, the machine presumes all feeder bases are now empty. To continue processing cards, you will need to manually scan each cassette on and off the feeder base using the wireless bar code scanner to read the cassette ID and feeder base ID. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Troubleshooting 77 RFID Service Errors 1. When RFID service fails, Device Monitor displays an error message and attempts to restart the service. If Device Monitor cannot restart service, it displays a prompt describing what you need to do to operate without RFID service. Do not click Shutdown. Instead, proceed to OnDemand Main at the OnDemand workstation. 2. Click Confirm Inventory Scanning from the Utility menu. 3. At the prompt, confirm that you are turning on manual inventory scanning by entering your user name and password and click Override. You need to be authorized to perform this step. 4. Verify that manual scanning is in effect. Device Monitor displays the following message: 5. To reload inventory on the machine, open Cassette Maintenance in OnDemand Main. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 78 Troubleshooting RFID Service Errors 6. Select a cassette and click Move Cassette. The Move Cassette window displays. Using the OnDemand workstation’s wireless bar code scanner, go to the machine and scan a feeder base. Important: Do not use the OnDemand server bar code scanner. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Troubleshooting 79 RFID Service Errors 1. The Move Cassette window displays the scanned feeder base location. Click Save in the Move Cassette window or scan the Save bar code located on the machine. 2. Do the following for the remaining cassettes until they are all loaded on the machine: a. Scan the bar code on the cassette. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 80 Troubleshooting RFID Service Errors b. Scan the next feeder base bar code. c. Scan the Save bar code. If the machine was processing a queue when the RFID service failed, use Cassette Exchange Manager to determine your inventory needs for queued cards. If you need to add inventory to a cassette, you will need to use the Cassette Maintenance Move Cassette button to move the cassette off and back onto the feeder. Then, click Enable XY Load at Device Monitor to restart the filling process. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Printers 81 Adjustments for Double-Ply Labels Printers For complete information about printers, see the product instructions provided with the printers or find them online: Cab printers: http://www.cab.de/print-apply/a+-and-a1000 SATO printers: http://www.satoamerica.com/Images/CMSImage_98_38.pdf Adjustments for Double-Ply Labels The following image is of a Cab A6+ printer. When printing double-ply labels for tri-fold cards, you need to make adjustments to the Cab A6+ printer to allow double-ply labels to pull freely. The adjustment requires connecting the dancer bar hanger to the printer dancer bar. This raises the dancer bar and releases pressure from labels Important: The dancer bar hanger is used specifically for double-ply labels. Ensure that the dancer bar hanger has been disconnected before printing other types of labels. Connecting the Dancer Bar Hanger To connect the dancer bar hanger, use a 3 mm hex key: 1. Raise the printer lid to access the inside of the printer. 2. Remove the screw and washer securing the hanger in place. © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 82 Printers Connecting the Dancer Bar Hanger Hanger Screw Dancer Bar Dancer Bar Hanger 3. Position the hanger over the bar. 4. Replace and secure the hanger screw and washer. OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Printers 83 Connecting the Dancer Bar Hanger 5. Replace and secure the hanger screw and washer. Hanger Screw Dancer Bar © 2014 MTS Medication Technologies Dancer Bar Hanger OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 84 Printers Connecting the Dancer Bar Hanger OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Job Log Sheet 85 OnDemand Job Log Sheet Record number of items that occur or check the relevant box. Use one sheet per day. Day/Date Day/Date Technician Name Technician Name Job Number Job Number Start Time of Batch Run Start Time of Batch Run Med-Load Med-Load Cassette Errors Cassette Errors Gate Errors Gate Errors Barcode Errors Barcode Errors Label Jam Label Jam Printer not releasing Label Printer not releasing Label Incorrect Quantity in Blister Incorrect Quantity in Blister Missing Quantity of Medication Missing Quantity of Medication Medication Jumped Quantity Medication Jumped Quantity Card not sealed properly Card not sealed properly End Time of batch run End Time of batch run Total Quantity of Rejected cards Total Quantity of Rejected cards MTS Technical Support Informed MTS Technical Support Informed © 2014 MTS Medication Technologies OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B 86 OnDemand Job Log Sheet Day/Date Day/Date Technician Name Technician Name Job Number Job Number Start Time of Batch Run Start Time of Batch Run Med-Load Med-Load Cassette Errors Cassette Errors Gate Errors Gate Errors Barcode Errors Barcode Errors Label Jam Label Jam Printer not releasing Label Printer not releasing Label Incorrect Quantity in Blister Incorrect Quantity in Blister Missing Quantity of Medication Missing Quantity of Medication Medication Jumped Quantity Medication Jumped Quantity Card not sealed properly Card not sealed properly End Time of batch run End Time of batch run Total Quantity of Rejected cards Total Quantity of Rejected cards MTS Technical Support Informed MTS Technical Support Informed OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Glossary 87 OnDemand Glossary A actuator Motor-driven linear motion devices. air compressor A device that provides air to power the machine. air dryer A device that removes moisture from compressed air. anvil On conveyor systems, the anvil is the component that is raised to stabilize a card as the label printer/applicator tamp head applies the label to the card. The base of the heat sealer is also an anvil. B bar code A series of vertical bars that uniquely identify an item or medication. Bar codes appear on cassettes and on OnDemand medication punch cards. bar code scanner An optical scanning device that reads bar code labels. The bar code scanner can be hand-held or embedded in a device. blister A plastic tray with cavities that is inserted into a card and filled with medications. blister station For automated packaging systems, the blister station consists of a stack of blisters and a rotating arm that automatically removes a blister from the stack and inserts it into a card. button The control device that is typically pressed to activate. An exception is the E-stop button which is pressed to activate (stop the system) and twisted and pulled to reset. C card See medication punch card. card station AccuFlex/Express II: The card station consists of a stack of cards and a rotating arm that automatically removes a card from the stack and inserts it onto a platen. carousel Primary and Secondary sides of the Express II that hold active cassettes needed for current job. cassette Container that holds pills for dispensing. cassette gripper Gripping device mounted to robot arm used to grab cassettes. coliseum Curved wall around the robot that stores up to 114 cassettes reside. © 2014 MTS Medication Technologies OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B 88 OnDemand Glossary coliseum address Address of a cassette location in the coliseum. control panel Large panel that contains system electrical controls. conveyor Device that transports cards to the printer label/ applicator for label application. D danger zone Any area, machine part, function, or process that might cause injury. database Contains a record of every order, patient, and medication. Device Monitor Machine operating software. dropdown list A Windows-based application list element that opens to a list of selectable options. dump valve Blow-off valve used to release pressure from a device. drawer For Tosho systems, each of the four pull-out sections is called a drawer or a cabinet. E E-stop See emergency stop. electrical cabinet The wiring cabinet for the medication packaging system. electro-mechanical technician (EMT) Personnel trained to service MTS automated packaging systems. emergency stop (E-stop) Cuts power to the system to force the machine to immediately stop operating. Pressing E-stop does not cut air pressure to the machine. energy isolation device A mechanical device that physically prevents the transmission or release of energy. energy source Any source of electrical, mechanical, hydraulic, pneumatic, chemical, thermal, or other energy. F feeder base The device on which a cassette is loaded for pill dispensing. Fill/Seal button For operator-controlled systems, pressing both Fill/Seal buttons either fills a card with pills at the med-load station or seals the medication card at the heat sealer, depending on where the card is in the process. filler plate The filler plate is the upper plate of the MTS-500 product tray. Holes in the fill plate position pills for dropping into specific types of cards. Brushes guide pills into the holes. foil printer A printer that creates a printed foil label that identifies all the pills in a card blister. OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Glossary 89 foil printer slide The component that allows the operator to pull-out the foil printer to add labels or otherwise service the printer. fold station The fold station automatically removes a blister from the stack and inserts it into a card. formulary A list of prescription medications. funnel On multi-med systems, the component that guides pills dropping from the pill dispenser into openings in the upper pill retainer in the X-Y assembly. G, H gate The plate that is part of the AccuFlex pill dispenser. The gate slides open to release pills. Han connector For multi-med systems, connector that connects main table components to the electrical cabinet. heat sealer The device that seals pills inside each card using heat. heat sealer valve The air valve that supplies air to the heat sealer. I index For systems with a revolving rotary table, the movement from one position to the next. inspection station The area on the stationery or rotary table where the operator reviews card content. inventory The inventory of pills stored in cassettes. L label printer/applicator A printer/applicator combination that prints medication labels and automatically applies the label onto the card. label printer stand The table for the label printer/applicator. light curtain The robot operating area behind where cassettes are loaded in the cassette exchange. load/unload Install or remove a cassette from its feeder base. load window The window where the operator retrieves or returns cassettes to the machine. On certain machines, the robot loads or unloads cassettes for the operator. lockout A practice for preventing the undesired operation of equipment by using a device with a lock that prevents anyone from turning on the power or energy source, and prevent the release of potentially hazardous energy while maintenance and servicing activities are being performed. lockout device A device that uses a positive means, such as a lock, to hold an energy isolating device in the safe position and prevent the energizing of a machine or equipment. © 2014 MTS Medication Technologies OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B 90 OnDemand Glossary M main air disconnect The main air supply from the compressor to the system. The main air disconnect is the device that sits between the air compressor and the OnDemand system. It might be located on the machine or separately located. You must switch off the main air disconnect before performing any system maintenance. main power disconnect The main power system switch. The main power disconnect is the device that sits between the power source and the OnDemand system. It might be located on the machine or be located separately. You must switch off the main power disconnect before performing any system maintenance. med-load station The area on the OnDemand system where pills drop from the lower pill retainer into the card blisters. medication punch card; medication card A card used for packaging medications. N National Drug Code (NDC) U.S. Food and Drug Administration (FDA) drug numbering system. A unique number for human drugs that identifies the drug manufacturer, the product strength and form, and package size. O off device A cassette is not loaded on the system. on device A cassette is loaded on the system. OnDemand Accuflex Automated pharmacy medication packaging system. OnDemand Express II High-speed automated pharmacy medication packaging system. OnDemand interface Software that connects to the pharmacy information system (PIS). Orders sent from the PIS go to the OnDemand interface, which then adds them to the OnDemand database. OnDemand interface The application used to view orders sent from the pharmacy information system (PIS), including failed or incomplete orders. OnDemand Main The application used to manage the package queue and cassette inventory and run reports. OnDemand Main runs on the OnDemand workstation. OnDemand Multi-Med International brand name for the multi-med medication packaging system. OnDemand 400 for RxMap The US-only brand name for the multi-med medication packaging system. OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies OnDemand Glossary 91 OnDemand server The computer that hosts the OnDemand database, backup software, and the Device Monitor application. OnDemand server monitor The monitor that displays the Device Monitor application. OnDemand workstation The workstation that runs the OnDemand Main application. operator controls Areas on the OnDemand system that house system control buttons such as E-stop, Reset, and Fill/Seal. order A verbal, written, or electronic order from a prescriber authorizing the preparation of a medication for administration. Orders are sent from the pharmacy to the OnDemand database for packaging on an OnDemand system. P package The completed, sealed, and labeled medication card. pharmacy information system (PIS) The pharmacy system that manages customer (patient) medication orders. The PIS sends orders to the OnDemand system for packaging. photo-eyes Electronic sensor that uses light to detect an object. pick-n-place On automated packaging systems, primary and secondary robotic arms that are used to take cassettes from the carousel to feeders or move cassettes on and off device. pill dispensing unit The component on the OnDemand system that holds the medication-filled cassettes. The pill dispensing unit consists of feeder bases onto which cassettes are mounted. pill retainer Plates with hinged doors that open to release pills. platen The plate inserted in the slider that holds the medication card and blister. printer applicator Part of the label applicator that applies the label to the cards. potential energy Energy that is due to position or stored energy. potential risk The possibility of injury or bodily harm. power indicator A light-emitting diode (LED) that indicates whether the system is powered on. Power on/Reset button Turns on power to the system. When the Power On/ Reset button is green, the system is ready for processing cards. proximity sensors (prox switch) An electronic sensor that detects metal. © 2014 MTS Medication Technologies OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B 92 OnDemand Glossary R report printer Customer-provided printer that is either directly connected to the OnDemand workstation or available over the network and used for printing OnDemand reports. radio frequency identification (RFID) Radio frequency-based technology that is used in some OnDemand systems to identify medication cassettes. When a cassette is added to an OnDemand system, the medication ID and cassette ID are mapped to an RFID ID, which is embedded in a tag at the bottom of the cassette. RFID sensors on the cassette feeder base read the ID to recognize which medication is loaded on the base. role A set of permissions created by the OnDemand superuser to and assigned to users added to the OnDemand system. S scanner Device that reads bar codes. shuttle The pill retainer that moves from the X-Y pill retainers to the rotary table. slide tray Tray containing the platen. station An area where cards are processed. For example, the card is filled with pills at the med-load station and sealed at the seal station. T tagout The placement of a tagout device on an energy isolating device, to indicate that the energy isolating device and the equipment being controlled cannot be operated until the tagout device is removed. tamp pad Plate on the printer applicator that applies the label. thermocoupler A sensor that measures temperature. teach pendant The tablet that controls the robot. transition block The removable pill retainer that locks into place on the shuttle and converts the standard drop into various card types. U, V, W uninterruptible power supply (UPS) OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B A short-term battery backup during power outages that provides power to electrical devices. A UPS also protects devices from power surges and other types of power fluctuations that can damage the device. © 2014 MTS Medication Technologies OnDemand Glossary 93 Universal Serial Bus (USB) A common type of connector for connecting devices to a controller. unload station On rotary systems, the station that comes between the heat sealer and the label applicator. user A machine user or operator. user name The ID you use at login for system authentication. vane A component of a cassette that controls the flow of pills as they drop from the cassette. The vane in each cassette is customized for each medication. workstation label printer An optional label printer installed at the OnDemand workstation. Some customer sites use this option instead of the label printer/applicator. X, Y Z X-Y assembly The area below the pill dispensing station where pill retainers are shifted to allow pills to drop from the overhead cassettes into the medication card in the medload station below. X-Y drawer The unit directly beneath the pill dispensing unit. X-Y table The two actuators that position the pill retainers in the X-Y assembly. © 2014 MTS Medication Technologies OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B 94 OnDemand Glossary OnDemand 400 Muilt-Med Operator’s Guide/60-5001 Rev B © 2014 MTS Medication Technologies Index 1 Index A D accepting a rejected card 5-35 adding lots 7-66 amplifier fault 5-39 Device Monitor 1-1, 3-23, 3-29, 4-32 login 5-36 shutdown 5-34, 7-70 shutdown error 8-73 status indicators 5-38 disabling heating 5-34 Dose Viewer 7-55 B backup 7-59 icon 4-32 utility 4-32 backup software 3-29 bar code card 3-20 cassette 3-17 bar code scanner 3-22, 3-29 main table 3-23 bi-fold card 3-20, 7-69 blisters 3-21 C Cab printer 9-81 card 3-20 blisters 3-21 card slide 3-25 cassette 3-16 bar code 3-17 errors 5-40 inventory 3-17 status 5-34 vane 3-16 cassette error resolving 5-41 cassette ID 3-17 cassette reader 3-18 cassette tester 3-19 cleaning 7-55 requirements 2-3 components cassette 3-18 viewing active 5-34 control buttons 3-27 controls 3-27 creating a queue 7-59 © 2014 Omnicell, Inc. E electrical cabinet 3-28 electrical lockout 2-9 emergency stops 2-10 E-stop 2-11, 3-27, 5-38 E-stop errors 8-72 F feeder base 3-16, 3-17 errors 8-71 fill components 5-39 fill process starting 5-34, 5-41 Fill/Seal button 3-22, 3-26, 3-27 filling error 8-74 foil 3-20 reprint 5-35 foil printer 1-1, 3-26 formulary 4-32 funnel 5-39 G grease kit 2-3 guard 2-8 guard door status 5-39 H hand-held scanner 3-29 heat sealer guard 2-8 heat sealer temperature 5-35, 5-41 Index.fm/60-5001 Rev B 2 Index I order errors 4-31, 6-47 inspection station 3-24 functions 3-24 isopropyl alcohol 2-3 P L label printer 1-1 reset 5-35 label printer/applicator 3-27 lockout procedure 2-14 lots adding 7-66 M main air pressure shut-off 2-11 main power disconnect switch 2-9 switch 2-9, 3-28 maintenance 7-55 daily 7-55 manually adding pills 5-43 manually scanning cassettes 8-76 medication packaging 1-1 med-load station 3-21, 3-22 O OIS 4-31 Omnicell Interface Services (OIS) 4-31 OnDemand database 3-29, 4-32 OnDemand interface 3-29, 4-31, 6-47 Event Viewer 6-51 icon 6-47 Prescription Viewer 6-49 restarting 6-47 search options 6-50 viewing rejected orders 6-53, 6-54 OnDemand Main 1-1, 4-32 Cassette Exchange Manager 4-32, 7-55 Cassette Maintenance 4-32 Cassette/Queue Manager 4-32 Fill Scheduler 4-32 Item Maintenance 4-32 Package Queue 4-32, 7-55, 7-59 Patient Maintenance 4-32 Reports 4-32 Security & Users 4-32 OnDemand server 3-29 operator role 1-1 OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B package details 5-36 package queue 7-59 packaging 3-20 partition 3-18, 3-19 pill dispensing unit 1-1, 3-16, 3-21 pill lot 3-17 pill retainer 3-21 platen 7-55 power-up 7-57 precautions 2-3 printer Cab 9-81 SATO 9-81 processing cards 7-55 R rejected cards 5-35 processing 8-75 reprinting foils 5-45 resolving inventory problems 5-42 RFID 3-16 manually scanning cassettes 8-76 RFID operation 5-46 RFID reader 3-17 RFID sensor 3-16 RFID tag 3-16 updating 8-71 RFID tag monitoring service 8-76 S safety circuits 5-38 safety devices 2-9 SATO printer 9-81 seal station 1-1, 3-26 sealer temperature 5-35 sealing a card 5-45 setting heat sealer temperature 5-41 slide tray 7-67 split cards 5-35 starting the fill process 5-41 stop input 5-39 T tagout 2-9 Technical Support 1-2 temperature display 5-35 thermometer 5-35 © 2014 Omnicell, Inc. Index 3 transition block 7-56 locating nut 7-56 transition tray 5-39 tri-fold card 3-20, 3-26, 7-69 V vane 3-16 verifying operation 6-47 W wireless bar code scanner 8-76 wireless scanner 3-29 workstation 3-30 X X-Y table 3-16, 3-21 © 2014 Omnicell, Inc. Index.fm/60-5001 Rev B 4 Index OnDemand 400 Multi-Med Operator’s Guide/60-5001 Rev B © 2014 Omnicell, Inc.
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