Automated storage and retrieval solutions, a Shuttle™ Vertical Lift Module (VLM) and horizontal carousel system allow medical device manufacturers to meet Good Manufacturing Practices while increasing floor space, productivity, accuracy, and efficiencies in manufacturing and distribution applications. The VLM utilizes otherwise wasted overhead space by scanning the stored items' height every time to store in the least amount of space. The system is comprised of vertically arranged trays in the front and rear of the unit, an inserter extractor platform that rides in the center and computerized controls.