How to save an open .pdf file in Adobe Acrobat 10 with VBA - vb.net

I am writing an application in Microsoft Visual Studio which will open a pdf file from a database. Acrobat 10 is installed on the host machine.
I want to:
Detect that the .pdf file has been opened
Save the .pdf file to a given directory once it has been opened
I could always use the mouse pointer to navigate to "file", "save as" and save the file, however I want this to work on multiple machines with varying screen sizes.
I hope there is a way with the supporting libraries that this can be done, thank you!

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