spencer Health Solutions SPN02 Smart in-home medication dispenser User Manual

HAP Innovations, LLC Smart in-home medication dispenser Users Manual

Users Manual

11778.01_DRAFTthis is my spencer device user guideCustomer Support: 866-972-3196Model spn02 for Use with spencer RellManufacturer: HAP Innovations, LLC • Morrisville, NChelloimspencer.com
11778.01_DRAFTdevice user guide intended use helloimspencer.com 22intended use 1 spencer device is a daily assist medication reminder system intended to provide users pre-packed medications by a pharmacist on a pre-determined dosing schedule. 2 spencer device incorporates wireless technology and an electronic display as a means for communication, for audio-visual reminders, and to track and store a history of the user’s compliance with the dosing schedule.3 spencerAssist is a mobile and web application that works with spencer device and allows users and caregivers to track medication adherence, medication reminders and health information.4 spencerCare is a web application that works with spencer device and allows only the professional care team to track medication adherence and health information and to communicate with the user.5 spencer assists seniors living in a home setting and any age person at risk of non-compliance with a prescribed medication schedule. 6 spencer device, spencerAssist and spencerCare are not intended to be used for primary diagnosis, treatment decisions, or be used for active patient monitoring.Patent InformationSee helloimspencer.com.FCC Part 15This device complies with Part 15 of the FCC Rules and with Industry Canada license-exempt RSS standard(s). Operation is subject to the following conditions: (1) this device may not cause harmful interference, and (2) this device must accept any interference received, including interference that may cause undesired operation, and (3) Changes or modications made to this equipment not expressly approved by HAP Innovations, LLC may void the FCC authorization to operate this equipment.Le présent appareil est conforme aux CNR d’Industrie Canada applicables aux appareils radio exempts de licence. L’exploitation est autorisée aux conditions suivantes: (1) l’appareil ne doit pas produire de brouillage, et (2) l’utilisateur de l’appareil doit accepter tout brouillage radioélectrique subi, même si le brouillage est susceptible d’en compromettre le fonctionnement, (3) Les changements ou modications apportées à cet équipement non expressément approuvée par HAP Innovations, LLC peuvent annuler l’autorisation FCC d’utiliser cet équipement.Cautions and WarningsPlease read this manual before using spencer. Especially note important safety information on page 7.Contact your healthcare provider for any health-related questions and Customer Support for any spencer device-related questions.
11778.01_DRAFTdevice user guide table of contents helloimspencer.com 33table of contentsgetting started • Overview. . . . . . . . . . . . . . . . . . . . . . . . .6• Important Safety Info . . . . . . . . . . . . . . . . . . 7• Contacting Support . . . . . . . . . . . . . . . . . . . 9• Features . . . . . . . . . . . . . . . . . . . . . . . . . 9• Navigating Your spencer Device. . . . . . . . . . . . 10Touch Screen; About Child Lock; Screen Navigation; Colors, Buttons & Icons; Dispense Screens; Help Screens. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10• Setting Up . . . . . . . . . . . . . . . . . . . . . . . 12• Loading The Rell . . . . . . . . . . . . . . . . . . . 14dispensing your meds • Normal Dispense . . . . . . . . . . . . . . . . . . . 16• Opening The Pack . . . . . . . . . . . . . . . . . . . 18• Escalated Dispense . . . . . . . . . . . . . . . . . . 18• Missed Dispense . . . . . . . . . . . . . . . . . . . 18• Completed Rell . . . . . . . . . . . . . . . . . . . . 19main menu • Main Menu. . . . . . . . . . . . . . . . . . . . . . . 21• Meds On The Go . . . . . . . . . . . . . . . . . . . 21• Your Schedules . . . . . . . . . . . . . . . . . . . . 22Medicines, Appointments . . . . . . . . . . . . . . . . . . . . . . . 22Video Appointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23• See Your Meds . . . . . . . . . . . . . . . . . . . . 25• Readings. . . . . . . . . . . . . . . . . . . . . . . . 25Enter Glucose Reading . . . . . . . . . . . . . . . . . . . . . . . . . 25View Past Readings . . . . . . . . . . . . . . . . . . . . . . . . . . 26settings & help • Settings & Help Menu . . . . . . . . . . . . . . . . . 28• Health Contact. . . . . . . . . . . . . . . . . . . . . 28• Video Tutorials . . . . . . . . . . . . . . . . . . . . . 29• Help . . . . . . . . . . . . . . . . . . . . . . . . . . 29Replace Rell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Shutdown, Advanced. . . . . . . . . . . . . . . . . . . . . . . . . . 31Version, Network: Cell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Network: Wi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33Bluetooth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34• Alert Volume . . . . . . . . . . . . . . . . . . . . . . 37• Child Lock . . . . . . . . . . . . . . . . . . . . . . . 37Turn Child Lock On/O . . . . . . . . . . . . . . . . . . . . . . . . . 37Set Security Pin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
additional info • Quick Fixes . . . . . . . . . . . . . . . . . . . . . . 41Object In The Dispenser, Bright Light . . . . . . . . . . . . . . . . . . . . . . . . . 41• Error Messages . . . . . . . . . . . . . . . . . . . . 42• Terms & Components . . . . . . . . . . . . . . . . . 43• Questions?. . . . . . . . . . . . . . . . . . . . . . . 43• Specications . . . . . . . . . . . . . . . . . . . . . 4411778.01_DRAFTdevice user guide table of contents (cont.) helloimspencer.com 44
helloimspencer.com 5511778.01_DRAFTgetting started
11778.01_DRAFTdevice user guide overview of spencer device helloimspencer.com 66overviewspencer makes taking multiple medications simple.An in-home medication dispenser, your spencer device is a new way to connect you with your pharmacist and care teams to help you stay on track with your medications and health goals. The pictures below help you locate some key features. Also, see features on page 9.lid refill tubmedication refilltouch screendispenserpower buttonusb portpower cordcarrying case
device user guide important safety info helloimspencer.com 7711778.01_DRAFTimportant safety info• Follow all instructions. • Place spencer device in an indoor living area, on a hard, dry, at surface.• Do not place near any heat sources such as radiators, heat registers, stoves, or other equipment that produces heat. • Do not block any ventilation openings. Do not remove any exterior covers from the device.• The power plug is the main means of disconnecting this device. Install this device so that the power plug can be easily unplugged from the outlet if necessary.• Do not plug the device into an electrical outlet that is controlled by a wall switch, as someone could accidentally turn o the power.• Do not modify the polarized power plug. A polarized plug has two blades with one wider than the other. The wide blade is provided for your safety. If the polarized plug does not t into your outlet, consult with an electrician to update your outlet.• To reduce the risk of electrical shock or re, do not place the device in or near water or other liquids, or expose it to rain.• Do not insert hands, ngers or other foreign objects inside the device while it is powered. If a liquid pill “spills” in the rell tub, do not continue use of spencer. If a pack is cut during dispense and a liquid pill is missing, contact Customer Support immediately at 866-972-3196. continued on next page
device user guide important safety info (cont.) helloimspencer.com 8811778.01_DRAFT• To clean the touch screen, wipe gently with a microber screen-cleaning cloth or a clean cloth lightly dampened with water. To clean other exterior plastics and the rell tub, wipe gently with a Super Sani Cloth™ and let air dry. The urethane roller inside the tub may be cleaned with isopropyl alcohol only and let air dry. Clean the tub and roller only when the rell has been removed. • The device has a rechargeable backup battery that is not removable. Only authorized service personnel should replace batteries. If the battery is in use because of no electrical power, the device continues to dispense medication until the battery charge is exhausted. A solid green light in the top right corner of the front face indicates the device is plugged in. When battery power is in use, the green light ashes.• Only use manufacturer approved accessories with this device. • Refer all servicing to qualied service personnel. Servicing is required when the device is not operating normally or has been damaged in any way including, power cord or plug is damaged, liquid has been spilled in the device, objects have fallen into the device, or the device has been dropped.• When disposing of this device, please contact the manufacturer or local authorities for proper disposal method.
device user guide contacting support, features helloimspencer.com 9911778.01_DRAFTfeaturesBluetooth DevicesOption that lets you connect to bluetooth health devices for spencer to collect additional health data.Child LockOption to lock the system for anyone who does not know the personal identication number (PIN). You set the PIN.DesignSleek design that ts on the countertop.Dispense Reminders• Alert tone with adjustable volume; sound intensies for escalated dispense.• Flashing light that increases in frequency for escalated dispense.• Change in screen color from blue (normal) to amber (escalated) to red (missed).Meds on the GoOption that lets you dispense medications for specic dates and times that you are going to be away from your spencer device.RellsContainingMedPacks• Spooled specically for you by your pharmacist.• Easy to load into device.Secure Data Storage1Records of your spencer transactions and communications with your pharmacy; these are protected so that they are secure and only visible to designated individuals.See Your PillsOption to see name, strength, picture, and description for each type of medication in your spencer rell.spencerAssist Mobile application for iOS or Android that tracks adherence and readings such as weight, blood pressure, glucose, blood oxygen, and heart rate.UsabilityLarge, easy-to-read font; clear, to-the-point instructions; colors that indicate certain statuses.USB PortSlot for charging compatible devices.Video TutorialsShort videos explaining how to use your spencer device. Touch Settings & Help, then Video Tutorials, to display a list of videos. See video tutorials on page 29.Your ScheduleOption to view dispense schedule, both previous and pending; missed and manual dispenses are labeled.1 NOTE The information is protected and adheres to the Federal Health Insurance Portability and Accountability Act (HIPAA).contacting support• If spencer directs you to call your pharmacist for medication-related questions or issues, you can nd the pharmacy contact information by touching Settings & Help, then Health Contact. Also, see health contact on page 28. • For help with the device itself, call the Customer Support number: 866-972-3196.
device user guide navigating your spencer device helloimspencer.com 101011778.01_DRAFTnavigating your spencer deviceTouch ScreenThe device touch screen guides you through the dispensing process and various actions when you touch certain areas of the screen. For example, touching Dispense with your nger tells the device you are ready to receive your current medications. The device rotates through various screen savers when it is in an idle state. An example is shown here.When the device is idle, just touch the screen to “wake it up” and display the Home screen. About Child LockIf you have turned the child lock on, you must enter your personal identication number (PIN) for most actions. NOTE If you forget your PIN, call Customer Support to get a backup PIN.Screen NavigationAll Menu screens allow navigation back or home.1 Home ScreenDisplays the date, time, Main Menu and Settings & Help.NOTE If you move spencer to a dierent time zone, unless you have a cell connection, the Home screen displays the time from the original time zone.2 Lock Icon with “Dispensing is locked” Note Indicates that Child Lock is turned on.3 Box or Label at Top of ScreenNames the screen you are currently on (the “active” screen).4 Back ArrowTouch to go to the previous screen.5 Home IconTouch to go to the Home screen.continued on next page1 2 3 4 5
device user guide navigating your spencer device helloimspencer.com 111111778.01_DRAFTColors, Buttons & IconsThe colors, buttons, and icons for screens are explained below.6 Grey ButtonButton is not active (function cannot be performed until another is complete).7 Blue ButtonButton is active. Touch to perform the named function.8 Green ButtonGreen indicates that the named screen is currently active.Dispense ScreensThe home screen changes when it is time to dispense your medications.9 Blue Normal-Dispense ScreenReminds you to take meds during the normal dispense time.10 Amber Escalated-Dispense ScreenWarns that the dispense time has almost passed.11 Red Missed-Meds ScreenWarns that you have missed your medications.Help ScreensThe home screen is hidden when an error occurs.12 Sample Error ScreenIndicates a system error and what action to take.13 Help ButtonTouch for information about how to get your medications or correct an error.NOTE Error Messages are explained in error messages on page 42.6 7 8 9 10 11 12 13
device user guide setting up helloimspencer.com 121211778.01_DRAFT1 2 3 setting up1 Take your spencer device out of the carrying case. 2 Set it on a hard, dry, at surface, out of direct sunlight. 3 Plug it in.• The device automatically turns on. (You do not need to use the power button to turn the device on.) An introduction screen is displayed.4 • Then, a screen like this is displayed.4 Touch Read Now.• A screen like this is displayed.5 Read the information all the way to the end, touching the Up and Down buttons to scroll through the information. 6 When you have nished reading the information, touch Disagree or Agree.continued on next page5 6
device user guide setting up (cont.) helloimspencer.com 131311778.01_DRAFT• Next, the Welcome screen is displayed, giving you the option to watch the video or go to the Home screen.7 To watch the video, touch Play. See video tutorials on page 29.8 To go to the Home screen, touch the Home icon.• If you touch Home at this point, a screen like this is displayed. (Any other time you touch Home, you are taken to the Home screen.)9 Touch Open Lid.• The lid opens so you can insert the rell.1 2 3 4 5 6 7 8 9
device user guide loadingtherell helloimspencer.com 141411778.01_DRAFTloading the refill1 Align the front of the rell with the front of the spencer device. 2 Insert the rell into the device, ensuring that it is seated securely.3 Gently close the lid until it catches and nishes closing itself.• The Rell Loading screen is displayed. 4 Touch Yes on both screens to conrm your name. 5 Touch OK if the time is correct. • NOTE If you move spencer to a dierent time zone, unless you have a cell connection, the Home screen displays the time from the original time zone.• If the name or time is not correct, contact Customer Support at 866-972-3196. • The Home screen is displayed. This is an example of the Home screen.• The blue buttons on the Home screen link you to other options: Main Menu and Settings & Help.1 2 3 4 5
helloimspencer.com 151511778.01_DRAFTdispensing your meds
device user guide normal dispense helloimspencer.com 161611778.01_DRAFTnormal dispenseWhen the dispense time arrives, a blue screen is displayed to tell you it is time for your medications; the dispense button ashes, and an alert is played.• In this sample screen, the normal time range to take the 10 am dose is between 9:30 am and 10:30 am.1 Touch the screen (anywhere).• A screen like this is displayed. The blue status bar tells you the status of the dispense.• NOTE Do not touch the pack until it is ready!1 2 • When ready, a screen like this is displayed. The dispenser ashes blue to let you know the meds are ready.• This screen shows that 1 pack out of 1 is ready. The number of packs will vary. (For example, if there are 4 packs, it would read 1 of 4, 2 of 4, etc.)2 Remove each pack of medication from the dispenser.• Conrm your name, date, and time on the pack before taking your medicine.continued on next page
device user guide normal dispense (cont.) helloimspencer.com 171711778.01_DRAFT1 2 • Reminders, questions, or other messages may be displayed at the end of a dispense time. This screen is an example.3 If the message requires a response, touch the appropriate button on the screen. In this example, touch OK.4 Answer any question by touching the appropriate answer. • A question can have between three and ve possible answers, such as shown in these examples.• After responding to messages and questions, or if you do not respond within a certain amount of time, you return to the Home screen.4 3
device user guide opening the pack, escalated dispense, missed… helloimspencer.com 181811778.01_DRAFTopening the packWith the printed side facing you, tear gently from the upper right corner and straight down the right side. Stop partway down to prevent the pills from falling out.escalated dispenseIf the normal reminder goes unnoticed for a while, an amber screen is displayed to tell you that limited time is left to take your medications; the dispense button ashes, and a louder alert is played.To dispense your meds, follow the steps in normal dispense on page 16.missed dispenseIf the escalated dispense reminder expires, a red screen is displayed and the light ashes red. • The Missed Dispense screen is displayed when you have missed a dose (or doses).• The Missed Dispense/Active Window screen is displayed to tell you when you have missed a dose (or doses) AND that your next dose is now due.1 Touch any part of the screen to dispense all missed doses. continued on next page1
device user guide misseddispense(cont.),completedrell helloimspencer.com 191911778.01_DRAFT• A screen like this is displayed.• Remember not to touch the pack until it’s ready.2 Take the pack from the dispenser when the screen says the pack has been dispensed.• After you remove the pack, a screen like this is displayed:3 Touch OK and contact your healthcare professional if you are not perfectly clear about what to do with the late meds. completed refillOnce all packs have been dispensed from the rell, a screen like this will be shown. 1 Touch Open Lid to open the lid and put in your next rell.• If you do not have another rell, please contact your pharmacist right away.2 3 1
helloimspencer.com 202011778.01_DRAFTmain menu
device user guide main menu, meds on the go helloimspencer.com 212111778.01_DRAFTmain menu1 On the Home screen, touch Main Menu.• The Main Menu screen is displayed, showing the following options:• Meds on the GoTo dispense meds ahead of time for a period that you dene.• Your Schedule To see past and upcoming dispense times.• See Your MedsTo see pictures of your meds with their names and dosage.• ReadingsTo enter glucose (blood sugar) levels and view past entries for these.1 meds on the goHome > Main Menu1 On the Main Menu screen, touch Meds on the Go.• The Meds on the Go screen is displayed. The minimum number of doses to dispense is 1. The maximum is the number of doses you have left in your rell.2 Touch More or Less to change to the number of doses you want to dispense. • A message is displayed below the number asking you to conrm the date and time for the last to-go dose. (The rst to-go dose is the next one on your schedule.)3 Touch Yes if the date and time is accurate.• The Conrm Dates screen is displayed and the Dispense button ashes. • NOTE If you touch No, you are returned to the Main Menu screen.4 Review the dates and times to be sure they are accurate. A If the dates are accurate, touch Dispense. The doses are dispensed and recorded as “manual” in spencer. Remember to take the doses at the times designated on each pack. spencer will not alert you for med packs dispensed with Meds on the Go.B If not accurate, touch the back arrow and adjust the dates and times on the Meds on the Go screen. • For instructions on adjusting dates and times, go back to step 2.1 2 3 4
device user guide your schedule, see your pills helloimspencer.com 222211778.01_DRAFTyour schedulesHome > Main Menu1 On the Main Menu screen, touch Your Schedules.• The Your Schedules screen is displayed, showing the following menu options:• Medicines To see your previous and pending dispenses for the current rell.• Appointments To see your upcoming video appointments.medicinesHome > Main Menu > Your Schedules1 On the Your Schedules screen, touch Medicines.• This sample screen shows missed, dispensed, and pending doses. 2 Touch Newer and Older to scroll through the schedule for the current rell. 1 1 2 appointmentsHome > Main Menu > Your Schedules1 On the Your Schedules screen, touch Appointments.• A screen like this is displayed.2 Touch Up and Down to scroll through your appointments.• If you have no appointments scheduled, a screen like this is displayed. • For instructions on requesting an appointment, see health contact on page 28.1 2
device user guide video chat helloimspencer.com 232311778.01_DRAFTvideo appointmentAt your request, a member of your care team can schedule a video appointment to discuss your medications or any issues you may have that are related to your use of spencer. For instructions on requesting an appointment, see health contact on page 28.Before starting a video appointment, note the following:• A higher signal strength ensures a higher quality call. To check your signal strength or add a wireless network, see network on page 32.• The appointment will not be interrupted by dose alerts. To prevent missing a dose, do not schedule appointments to occur during dose alerts, or limit appointments to under 2 hours. Dispense alerts resume after the appointment has ended.• If a pack is in the dispenser when an appointment is scheduled to begin, the appointment will not start. If a pack is in the dispenser within the start and end times for the appointment, the appointment starts when you remove the pack. 1 At the appointment time, the spencer device displays a screen indicating that it is time for your video chat. Touch the screen (anywhere) to start the call. • NOTE The alert will stop after 10 minutes or at the appointment’s end time, whichever is shorter.• A screen similar to this one is displayed as the call connects.• If the call cannot connect, a screen similar to this one is displayed. If you suspect a network issue, touch Try Again. If your care manager was unavailable, touch Exit. • When the call connects, a screen like this is displayed.2 Use the buttons at the bottom of the screen to adjust the volume as needed.• The volume level (0-10) is displayed between the volume buttons.continued on next page1 2
device user guide video appointment (cont.) helloimspencer.com 242411778.01_DRAFT1 2 3 When you’re nished with the appointment, touch End Call.• A screen like this is displayed.3 4 4 Touch Yes to end the video appointment.• If you miss a scheduled appointment, a screen like this is displayed
enter glucose readingHome > Main Menu > Readings1 On the Today’s Readings screen, touch the arrow button beside Glucose.• The Blood Sugar screen is displayed.2 Enter your new glucose number in mg/dl, using the up and down arrows.continued on next pagedevice user guide readings, enter glucose reading helloimspencer.com 252511778.01_DRAFTsee your medsHome > Main Menu1 On the Main Menu screen, touch See Your Meds.• The See Your Meds screen is displayed, providing the names and strengths of your meds. Pictures and/or descriptions are also provided.2 Touch Up and Down to scroll and see all your pill types.• In this example, the Up arrow button is grey, indicating that the button is not active (i.e., Crestor is the top of the list). You can scroll down but not up.1 2 1 2 readingsHome > Main Menu1 On the Main Menu screen, touch Readings.• The Today’s Readings screen is displayed, showing the most recent readings with the option to select one of the following:• Glucose To enter your glucose levels and view past entries.• In this example, the Up arrow button is grey, indicating that the button is not active (i.e., Scale is the top of the list). You can scroll down but not up.1
2 1 device user guide view past readings helloimspencer.com 262611778.01_DRAFT3 Double check that you have entered the correct value, and touch Save.• The new reading is saved with the date and time it was entered.• NOTE For instructions on measuring your weight or blood pressure, see bluetooth on page 34.view past readingsHome > Main Menu > ReadingsYou can view past readings, recorded via a bluetooth device or by manual entry (glucose).Glucose1 On the Today’s Readings screen, touch the arrow button beside Glucose.2 On the Blood Sugar screen, touch View Readings.• The Past Readings screen is displayed, showing readings with their dates and times recorded.3 Touch Newer and Older to scroll through the list. • In this example, scrolling is disabled because there are few entries.spencerAssist™spencerAssist is a mobile app that can be used to enter and view readings, such as blood pressure, weight, blood oxygen, and glucose. • The readings are displayed on your mobile app like this.1 To add a reading, click the plus icon to the right of the type of reading you want to add. When you add a reading, double-check that it is correct before you click Save. • Data entered on spencerAssist will not show up on the spencer device. However, your care team can see all your spencer device and spencerAssist data through spencerCare. • When spencerAssist is oine (such as in airplane mode), data entered is not sent to spencerCare. A message informs the care team that data cannot be retrieved.1 3 1
helloimspencer.com 272711778.01_DRAFTsettings & help
device user guide settings & help menu, health contact helloimspencer.com 282811778.01_DRAFTsettings & help menu1 On the Home screen, touch Settings & Help.• The Settings & Help screen is displayed, showing the following menu options:• Health ContactTo see information for your pharmacy, health coach, or other medical contact.• Video TutorialsTo watch videos explaining how to use spencer.• HelpTo get help, including how to replace the rell and shut spencer down.• Alert VolumeTo set the volume for spencer – for alerts and other audio features.• Child LockTo set up a Personal Identication Number (PIN) to restrict device access. This feature is optional.1 health contactHome > Settings & Help 1 On the Settings & Help screen, touch Health Contact.• The Health Contact screen is displayed, showing your health contact’s name, contact information, and hours of operation. (This is a sample screen and does not show your health contact information.)2 To request a call from your health contact, touch Request Callback.1 2 • This screen is displayed asking you to wait while the message is sent.• When the message has been sent, a screen like this one is displayed.continued on next page
device user guide health contact (cont.), video tutorials, help helloimspencer.com 292911778.01_DRAFT• If the request does not go through, a message like this one is displayed. Follow the instructions on the screen.1 2 3 helpHome > Settings & Help1 On the Settings & Help screen, touch Help.• The Help screen is displayed, showing the following menu options: • ReplaceRellTo replace the rell. • Shutdown To shut the device down. • Advanced To see the version of software, network information, or to work with Bluetooth devices.1 video tutorialsHome > Settings & Help 1 On the Settings & Help screen, touch Video Tutorials. • The Video Tutorials screen is displayed.2 Touch the tutorial you want to view. For this example, Alert Volume is selected.• The introductory screen for the tutorial is displayed.3 Use the buttons at the bottom of the tutorial screen to adjust the volume for the video, play/pause the video, and/or restart the video.• NOTE Restart changes from grey (inactive) to blue (active) once you start a video. Play changes to Pause while the video is playing.
device user guide replacerell helloimspencer.com 303011778.01_DRAFTreplace refillHome > Settings & Help > Help1 On the Help screen, touch ReplaceRell.• The Replace Rell screen is displayed.2 Touch Unlock Lid.• A conrmation screen is displayed.3 Touch Yes to conrm that you want to replace the rell.• The Ready for Rell screen is displayed, and the lid is opened slightly. • NOTE If Child Lock is on, you are asked to enter your PIN rst.4 To replace the rell: open the lid fully, remove the current rell, and insert the new rell.1 2 3 4
device user guide shutdown, advanced helloimspencer.com 313111778.01_DRAFTshutdownHome > Settings & Help > HelpYou can shut spencer down by using the touch screen or by pushing the power button in the back. Try using the touch screen rst.Using Touch Screen1 On the Help screen, touch Shutdown.• A conrmation screen is displayed.2 Touch Shutdown and the device shuts down.• NOTE If Child Lock is on, you are asked to enter your PIN rst.Power ButtonUse this method of shutting down only as a last resort. Try shutting down using the touch screen rst.1 Press down the power button in the back and hold for 10 seconds.• Device shuts down.advancedHome > Settings & Help > Help1 On the Help screen, touch Advanced. For more information, see help on page 29.• The Advanced screen is displayed, showing the following menu options:• Version To view the version of software currently installed.• Network To view your network information. • Bluetooth To work with Bluetooth devices.1 2 1 1
device user guide version, network helloimspencer.com 323211778.01_DRAFTversionHome > Settings & Help > Help > Advanced1 On the Avanced screen, touch Version.• The Version screen is displayed, showing the following information:• Serial number for your spencer device• Versions for software, hardware, and other spencer components• Software installation date• NOTE This information is helpful to the Customer Support team.networkHome > Settings & Help > Help > AdvancedCheck your network signal strength to make sure spencer can update your care team with your data. The more bars beside Signal Strength, the stronger the signal. A network connection (cell or wireless) is needed for: • your care team to view your information• you to receive information from your care team• the correct time if you move spencer to a dierent time zone1 On the Advanced screen, touch Network.• The Network screen is displayed, showing the following menu options:• Cell To review your cellular network connection.• WiFi To use a wireless network connection.Cell1 On the Network screen, touch Cell.• The Cell screen is displayed, showing the following types of information:• Network• IP address• Signal strength• NOTE This information is helpful to the Customer Support team.continued on next page1 1 1
device user guide network (cont.) helloimspencer.com 333311778.01_DRAFTWiFi1 On the Network screen, touch WiFi.• The WiFi Settings screen is displayed, showing the following types of information:• Network• IP address• Signal strength• NOTE This information is helpful to the Customer Support team.2 To add a new wireless network, touch Search.• A screen like this one is displayed while spencer searches for wireless networks.1 2 3 On the Available Networks screen, touch the arrow button next to your wireless network.4 Type in your wireless network password and touch Enter.3 4 • A screen like this one is displayed.• When your spencer device is connected to your wireless network, a screen like this one is displayed.• NOTE If you have trouble connecting to a wireless network, you may need to troubleshoot your router. If your router seems to be working correctly, call Customer Support.
device user guide bluetooth helloimspencer.com 343411778.01_DRAFTbluetoothHome > Settings & Help > Help > Advanced1 On the Advanced screen, touch Bluetooth.• The Bluetooth screen is displayed, showing the Bluetooth devices that you can use with your spencer device.• Scale To get instructions or unpair a Bluetooth scale.• Blood Pressure To get instructions or unpair a Bluetooth blood pressure monitor. • Glucose (coming soon) To get instructions or unpair a Bluetooth glucometer.• Pulse Ox (coming soon) To get instructions or unpair a Bluetooth pulse oximeter.2 Touch Up and Down to scroll and see all your devices.• In this example, the Up and Down arrow buttons are grey, indicating that the button is not active. (Scale is at the top of the list and Glucose is at the bottom of the list.) You cannot scroll up or down.Approved Bluetooth Devices• Scale A&D UC-352BLE BLE • Blood Pressure A&D UA-651BLE BLE Add Bluetooth Device1 On the Bluetooth screen, touch Add Device. 2 On the Add Device screen, select one of the following devices:A Blood Pressure To pair the blood pressure monitor with your spencer device. B Scale To pair the scale with your spencer device.• A screen like this one is displayed, showing instructions for pairing.3 Follow the on-screen instructions, and then touch Next or Continue. continued on next page1 2 1 2 3
device user guide bluetooth (cont.) helloimspencer.com 353511778.01_DRAFT2 3 • A screen like this one is displayed.• When your spencer device nds the Bluetooth device, the Available Devices screen is displayed.4 Touch Pair.• A screen like this one is displayed.• When the Bluetooth device is paired with your spencer device, the Device Paired screen is displayed.• NOTE Contact Customer Support at 866-972-3196 if you are unable to pair.4 View & Use Bluetooth Device1 On the Bluetooth screen, touch the arrow button beside a device name to view the device details.• A screen like this is displayed.• Use the Scale1 Place the scale close to your spencer device.2 Step on the scale and remain still.3 Step o the scale when “step” and “o” are alternately displayed on the scale and you hear three beeps.• The new reading is saved with the date and time it was entered.• Use the Blood Pressure Monitor1 Place the blood pressure monitor close to your spencer device.continued on next page1
Remove Bluetooth Device1 On the Bluetooth screen, touch the arrow button beside a device name to view the device details.• A screen like this is displayed.device user guide bluetooth (cont.) helloimspencer.com 363611778.01_DRAFT2 Sit comfortably with your left arm resting on a at surface and your palm up at heart level.3 Fasten the cu snugly on your upper arm. You should be able to slide two ngers underneath it.4 Press the start button on the blood pressure monitor.• When the reading is complete, the cu deates automatically.• The new reading is saved with the date and time it was entered.1 2 3 2 Touch Unpair.• The Unpair Device screen is displayed, asking if you are sure you want to unpair this device.3 Touch Yes.• A screen is displayed conrming that the device has been unpaired.
device user guide alertvolume,childlock,turnchildlocko/on helloimspencer.com 3737alert volumeHome > Settings & Help1 On the Settings & Help screen, touch Alert Volume.• The Alert Volume screen is displayed.2 Touch Increase and Decrease to adjust the volume.• NOTE The volume is for the normal dispense notication. The escalated dispense notication will be louder.child lockHome > Settings & HelpIf you have turned the Child Lock on, you must enter your personal identication number (PIN) for most actions.1 On the Settings & Help screen, touch Child Lock.• The Child Lock screen is displayed, showing the following menu options: • TurnOnChildLock/TurnOChildLock To turn Child Lock on or o, depending on the current setting.• Set Security PIN To enter a new PIN or change an existing PIN.1 1 2 1 turn child lock on/offHome > Settings & Help > Child LockNOTE To turn the Child Lock on or o, you must have a Personal Identication Number (PIN). If you need to set or change a PIN, see set security pin on page 38.When the Child Lock is ON, you must enter your personal identication number (PIN) for most actions.1 On the Child Lock screen, touch TurnOnChildLock/TurnOChildLock. (The choice depends on whether Child Lock is currently on or o.)continued on next page11778.01_DRAFT
1 device user guide turnchildlocko/on(cont.),setsecuritypin helloimspencer.com 383811778.01_DRAFT• One of the following screens is displayed:• ON This screen is displayed if Child Lock is on. • OFF This screen is displayed if Child Lock is o. • The Lock/Unlock buttons are grey (inactive) because the 4 digits are not entered yet.2 Enter your 4-digit PIN number and touch Unlock/Lock.• You are returned to the Home screen.1 DRAFT(rev#tbd)2 set security pinHome > Settings & Help > Child Lock1 If you want to change the existing Security PIN or add a PIN for the rst time, touch Set Security PIN.continued on next page
1 device user guide set security pin (cont.) helloimspencer.com 393911778.01_DRAFT• The Set Security PIN screen is displayed, asking you to enter your current PIN and/or enter a new one.2 If you are changing your current PIN, enter the current 4-digit PIN and touch Enter. If you are entering a new PIN, skip this step.3 On the Set Security PIN screen, touch the 4 digits on the screen for your new PIN and touch Set PIN.• The Set PIN button is grey in the example because the PIN has not been entered yet.• Another screen is displayed, asking you to conrm the new PIN.2 3 4 5 4 Touch the PIN digits again and touch Enter.• A screen is displayed conrming the new or changed PIN and reminding you to write it somewhere.• ON If the Child Lock is on, the Return button is displayed and you return to the Settings & Help screen.• OFF If the Child Lock is o, the Lock button is displayed. Touching it turns on the Child Lock.5 Touch Return or Lock, depending on the status of the lock.
helloimspencer.com 404011778.01_DRAFTadditional info
device user guide quickxes helloimspencer.com 414111778.01_DRAFTquick fixesObject in the DispenserIf something is in the dispenser, such as a med pack, the device may not function properly. • If this happens while you are loading the rell, or before or after dispensing medications, a screen like this is displayed.1 Touch Yes. • A screen like this is displayed.2 Clear the dispenser and touch The dispenser is clear.Bright LightIf a bright light is shining on the device, such as the sun, the device may not function properly. • If this happens while you are loading the rell, or before or after dispensing medications, a screen like this is displayed. 1 Move spencer out of the bright light and press Done.• A screen like this is displayed.2 Touch OK.1 2 1 2
device user guide error messages helloimspencer.com 424211778.01_DRAFTerror messagesError screens describe the error and how to correct it. Some screens display error codes and the technical support phone number. You may be asked to provide the error codes if you contact support.• NOTE You may contact Customer Support at 866-972-3196 with any issue or question.• This example of an error screen displays the problem, gives the phone number for support, and provides the error code.• Touch Help for specic instructions to get your meds.If an error occurs with your spencer device or rell, and you need your medication right away, you may manually take packs from the rell:1 Carefully pull the rst pack out of the rell, making sure the next pack remains inside the rell and secure under the brake.2 Tear or cut the pack from the rell using scissors at the perforation before the next pack.3 Conrm your name, date, time, and number of pills before taking the pack.4 Remove packs until you have all the medication you need.After your pack is removed, call support before putting your rell back into your spencer device.
device user guide terms & components, questions? helloimspencer.com 434311778.01_DRAFTterms & componentsBrakeSmall metal wire in the lower right of rell that holds the strip in place.DispenserThe slot (located beneath the spencer device’s touch screen) where the packs are delivered.DoseAll medications taken at a given dispense time.HIPAAHealth Insurance Portability and Accountability Act; Federal law requiring security and privacy for an individual’s health information.LidDoor-like panel at the top of the spencer device that opens and closes for inserting, securing, and removing the rell.MenuList of options on the touch screen. Examples are Main Menu and Settings & Help.PackPlastic package containing medications and identifying information as produced by a strip packaging system.spencerCareClinical portal where identifying and medical information is sent, stored securely, and accessed only according to HIPAA specications.spencerRellThe pharmacist-packaged box of spooled medication packs.Touch ScreenFront display panel that enables you to interact with spencer by touching with your nger. (Touch screens are also used on cell phones and computer tablets.)questions?Here are answers to some questions you may have. Refer to helloimspencer.com/customer-support for more questions and answers, or call Customer Support at 866-972-3196.• Can two or three people use the same device?No, each rell is customized for one person’s needs. Only one person can use a spencer device at a time.• What should I do if a prescription changes?Inform the pharmacy that your prescription has changed.• What if the Child Lock is on, and I cannot remember my PIN?Contact Customer Support at 866-972-3196.• Can spencer show me how to use a feature?Yes. For brief explanations about common subjects, see video tutorials on page 29.• What happens if there is a power outage?The system has a battery backup. If power is not restored before the battery is drained, spencer unlocks the lid automatically and allows you to remove the rell and dispense the medication manually. Each pack is labeled with a dose date and time. Tear o the packs you need when it is time for a given dose.
device user guide specications helloimspencer.com 444411778.01_DRAFTspecificationsNamespencer deviceModelspn02External DevicesThis device has a single port, a USB port, in the back, adjacent to where the power cord is attached. The spencer device does not come with any accessories that can be connected. However, it has Bluetooth functionality.BatteryThe device has a rechargeable battery that is not removable. If the battery is in use because of no electrical power, the system continues to dispense medication until the battery charge is exhausted. Since the battery is not removable, there are no user instructions for maintenance, other than to check the battery periodically to ensure it is working by unplugging and making sure spencer stays on. In case of an extended emergency that causes the battery charge to run out, the lid to the device opens automatically, enabling user to remove necessary medications.Power Requirements• Voltage: AC 120VAC +/- 10% • Power: 75W max• Frequency 60 Hz +/- 1%• Backup battery: Lithium-ionCPU• Processor: Freescale IMX6 Quad Core• Speed: 1 GHz• RAM: 1GB DDR3• Storage: 4 GB eMMC; 2 GB SD Card (optional)• Operating System: Mentor Embedded LinuxPeripherals• Display: 7" Diagonal, 800 x 480 resolution, PCAP touch screen• Camera: 5M Pixel• Microphone: Omnidirectional• Speaker: 3W Stereo• Bluetooth: 4.0 (classic and BLE)• USB: 5W Charging portSecurity• All inbound ports closed, allowing outbound trac to spencerCare only• User input through captive screen only• Communication with spencerCare uses Transport Level Security with AES 256 encryptionDevice dimensions• 13.4" deep (340mm)• 10.5" tall (267mm)• 5.3" wide (135mm)Environmental Conditions• Indoor use only• Operating Temperature: 5°C to 40°C• Storage Temperature: -20°C to 45°C• Operating Altitude Limit: 2000 meters• Humidity: Max 80% RH up to 31°C decreasing linearly to 50% RH at 40°C • Pollution Degree 2: Typical home or oce environmentSymbolsConsult instructions for useSerial numberDate of manufactureManufacturerTemperature limitationCatalog numberAvoid rain or other damp conditionsUL Certication (US & Canada)AC (Alternating Current)Double InsulatedCautionStandby powerDo not dispose of this product in general waste. Contact the manufacturer for proper disposal method.
spencer medical device provides notications when it’s time for your medications and dispenses them at your request.spencer has the following components:• A strip of spooled packs with individual doses of your medications; each pack has a barcode that contains its dispensing information, including your schedule and data.• A rell that holds the spooled packs; the rell also has a barcode.• spencer Cloud, which contains the encrypted information about you and your medications.• spencerCare and spencerAssist, which the healthcare provider and caregiver can use to monitor dispensing and other information.• spencer device, which has an interactive, senior-friendly screen and is designed to do the following:• Dispense according to schedule• Transfer dispense data to spencer Cloud• Allow healthcare provider intervention• Collate wellness data• Provide messages to the healthcare provider or support about missed doses, answers to questions, and malfunctionsThe following are issues that could occur with spencer during use and instructions about how to resolve them:1 ISSUE If the rell is inserted while the Home icon is touched on the device screen, the device does not register that the rell has been inserted. WORKAROUND The rell must be reinserted before the device can register the rell. Press and hold the Power button for 5 seconds to shut down the device, and then remove the rell. Press and hold the power button for 1 second to restart the device, and then reinsert the rell and close the lid.2 ISSUE The device falsely triggers an “invalid scan” error message. WORKAROUND Remove the rell, and then reinsert the rell and close the lid. If the information on the rell and pack barcode are scanned successfully, the device accepts the rell.3 ISSUE An internal error occurs during rell registration causing the lid to remain locked preventing the removal of the rell. WORKAROUND Press and hold the Power button for 5 seconds to turn o the device. The lid then unlocks, allowing removal of the rell. Press and hold the Power button for 1 second to restart the device, and then close the lid.4 ISSUE When an error occurs during a multi-pack dispense and the device must be restarted, once restarted the device starts the multi-pack count at 1 rather than the actual multi-pack count. For example, the device displays “1 of 3” rather than “3 of 3” if two packs were already dispensed before the device restart. WORKAROUND The device still dispenses the correct number of packs, therefore no further action is required.5 ISSUE When an error occurs with the last dose, the system does not display the message instructing you to insert a new rell. WORKAROUND Insert the new rell at the start date and time printed on the rell label. The device accepts the new rell.6 ISSUE When playing video tutorials through the menu option, Video Tutorials, pressing Play continuously causes the video to freeze. WORKAROUND Return to the home screen by selecting the Home icon, and then try again.7 ISSUE When you register to become a spencer patient and enter allergies and conditions, the allergies and conditions do not show on the pharmacy portal. WORKAROUND The pharmacist will ask you about any allergies or conditions as part of onboarding you into the pharmacy.8 ISSUE When registering to become a spencer patient, the name you enter does not match the name used by the pharmacy management system. WORKAROUND The pharmacist must ensure that the name (rst and last) shown in the spencerCare portal matches the name used by PASS and their pharmacy management system. If the name does not match, call HAPi customer support.9 ISSUE If the spencer device isn’t connected to a network when the rell is inserted, the drug images may not be downloaded to the device. WORKAROUND Ensure the device is connected to a network. Remove the rell, and then reinsert the rell and close the lid. If the device is connected to a network, the drug images should be available for viewing on the device.NOTE None of the issues on this page will prevent the users from taking their medication. helloimspencer.com 11370.05
device user guide section name helloimspencer.com 464611778.01_DRAFT1 completedrellonpage19.2 missed dispense on page 18.3 escalated dispense on page 18.4 opening the pouch on page 18.5 normal dispense on page 16.6 loadingtherellonpage14.7 setting up on page 12.8 navigating your spencer device on page 10.9 features on page 9.10 contacting support on page 9.11 important safety information on page 7.12 overview of spencer on page 6.13 getting started on page 5.14 dispensing your meds on page 15.15 view past readings on page 21.16 enter blood sugar on page 21.17 readings on page 25.18 see your pills on page 25.19 your schedule on page 22.20 meds on the go on page 21.21 meds & readings menu on page 21.22 advanced on page 31.23 terms & components on page 43.24 error messages on page 42.25 set security pin on page 38.26 turnchildlocko/ononpage37.27 child lock on page 37.28 alert volume on page 37.29 network on page 32.30 version on page 32.31 shutdown on page 31.32 replacerellonpage30.33 help on page 29.34 video tutorials on page 29.34-1 bluetooth on page 34.35 health contact on page 28.36 settings & help menu on page 28.37 meds & readings on page 20.38 settings & help on page 27.39 additional info on page 40.40 specicationsonpage44.41 questions? on page 43.

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