This high throughput system is designed to fill, cap and package around 20000 vials per day and was delivered to a UK based diagnostics company in 2013. The system is designed to work in a clean sterile environment as the vials are used in a medically approved product. Empty vials and caps are loaded in storage hoppers which have enough capacity for 16 hours operation. Empty, flat pack boxes are loaded in stacks. The system fills vials with 0.5ml of ‘product’ with better than 1% accuracy, before capping the screw cap vials and loading into the automatically folded boxes. A number of automatic quality checks are built into the system including cap torque measurement of every vial, product stirrer monitoring, and image analysis of completed boxes. Completed boxes are stacked on trolleys to make box unloading fast and efficient.