EP3452001A1 - Device and method for packaging solid medicaments, device for storing and dispensing such medicaments, and dispensing method - Google Patents

Device and method for packaging solid medicaments, device for storing and dispensing such medicaments, and dispensing method

Info

Publication number
EP3452001A1
EP3452001A1 EP17725323.4A EP17725323A EP3452001A1 EP 3452001 A1 EP3452001 A1 EP 3452001A1 EP 17725323 A EP17725323 A EP 17725323A EP 3452001 A1 EP3452001 A1 EP 3452001A1
Authority
EP
European Patent Office
Prior art keywords
drugs
bowl
removable
storage
unit dose
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
EP17725323.4A
Other languages
German (de)
French (fr)
Other versions
EP3452001B1 (en
Inventor
Grégory FOUBET
Michel FOUBET
Olivier FOUBET
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Distraimed SARL
Original Assignee
Distraimed SARL
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Distraimed SARL filed Critical Distraimed SARL
Publication of EP3452001A1 publication Critical patent/EP3452001A1/en
Application granted granted Critical
Publication of EP3452001B1 publication Critical patent/EP3452001B1/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J7/00Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
    • A61J7/0069Trays for holding or distributing medicines
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J1/00Containers specially adapted for medical or pharmaceutical purposes
    • A61J1/03Containers specially adapted for medical or pharmaceutical purposes for pills or tablets
    • BPERFORMING OPERATIONS; TRANSPORTING
    • B65CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65DCONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D25/00Details of other kinds or types of rigid or semi-rigid containers
    • B65D25/02Internal fittings
    • B65D25/04Partitions
    • B65D25/08Partitions with provisions for removing or destroying, e.g. to facilitate mixing of contents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J7/00Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
    • A61J7/0007Pill breaking or crushing devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J7/00Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
    • A61J7/0076Medicament distribution means

Definitions

  • the invention relates to a device and a method for packaging at least one unit dose of medicaments in divided solid form - in particular not completely pulverulent, preferably non-pulverulent - such as for example tablets, tablets, capsules, capsules, pills, lozenges, dragees ... to a patient.
  • the invention also relates to a device for storing and dispensing at least one unit dose of such drugs and a method of dispensing at least one unit dose of such drugs for administration to a patient.
  • a weekly pill for the storage and delivery of solid medicaments to a patient, the pillbox having 28 thermoformed drug storage cells in a PVC support, each cell of the pillbox being compartmentalized, sized to receive a unit dose of medication (s) and detachable weekly pill organizer.
  • Each cell of the weekly pill organizer is closed by a sealing label applied and glued on the PVC support.
  • Each sealing label is adapted to be torn and allow the taking of drugs contained in a cell.
  • the cells of such a weekly pillbox are divided into four columns of seven cells, each column of cells corresponding to one of four daily units, each line corresponding to four units taken on the same day of the week.
  • Each cell of such a weekly pill has a plurality of compartments formed by the PVC support, each compartment being separated from adjacent compartments by a wall formed by the PVC support forming the pill pillar.
  • Such a weekly pill organizer allows storage of a plurality of drugs separated from each other and makes it possible to prevent distinct drugs, comprising distinct active ingredients, from being in contact in a weekly pill cell during their storage.
  • Such a pill has however disadvantages. On the one hand, it allows the patient, the different drugs being separated from each other, to make a selection of different individualized drugs when the cell is open, consisting of keeping certain drugs and to reject other drugs when taking unit of medicines. Such a selection may allow the patient to escape taking a particular medication. Such a rejection is likely to lead to adverse consequences for the patient: at best, the treatment loses its therapeutic efficacy, at worst, the absence of taking this drug leads to the development of adverse side effects to the patient.
  • such a weekly pillbox requires the transfer of the drugs contained in a cell in a separate container side of the pill to take the drugs. Indeed, such a pillbox does not allow to manually take drugs one by one in each compartment of the cell because of the inconvenience provided by the wall separating two adjacent compartments.
  • the invention therefore aims to overcome these disadvantages.
  • the invention therefore relates to a device and a packaging method, a storage and dispensing device and a method for dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not entirely pulverulent, preferably non-pulverulent - Such as for example tablets, tablets, capsules, capsules, pills, lozenges, dragees ..., to limit - especially to completely eliminate - the risk of drug selection by the patient when taking medication
  • the invention therefore aims at such a storage and dispensing device and a method of dispensing at least one unitary dose of such drugs which are secured.
  • the invention is directed to a device and a packaging method, a storage and dispensing device and a method for dispensing at least one unitary dose of such drugs which at the same time make it possible to store separate drugs, some of which others, limiting the risks of interactions between different drugs during storage, but also a secure distribution of drugs, that is to say, limiting the risk of drug selection by the patient.
  • the invention aims in particular at such a device for storing and dispensing at least one unit dose of such medicaments, the use of which by a patient is facilitated.
  • the invention is aimed in particular at such a device for storing and dispensing at least one unit dose of such medicaments that does not require the use of an auxiliary container such as a cup separate from the pill dispenser for delivery to the patient of unitary drug intake.
  • Certain aspects of the invention are also aimed in combination at providing a device and a packaging method, a storage and dispensing device and a method for dispensing at least one unitary dose of such medicaments enabling the patient to be made available.
  • a unit dosage of solid drug in the divided state for mixing with a flowing food composition - particularly a compote or a jam - so that the patient can ingest the mixture without difficulty.
  • the invention relates to a device for packaging at least one unit dose of medicaments in divided solid dosage form - in particular not entirely pulverulent, preferably non-pulverulent - forming at least one storage and distribution cell.
  • unitary uptake - that is, intended to be administered to a patient at a predetermined time - each cell comprising:
  • a bowl delimiting a storage volume of such a unitary catch; a lid adapted to close the storage volume;
  • a compartmentalization adapted to be able to extend into the storage volume of the bowl and to delimit therein a plurality of compartments making it possible to keep unit-taking medicaments separated from each other; characterized in that the partitioning extending in the bowl is removable relative to the bowl.
  • the invention therefore relates to a device for packaging at least one unit dose of medicaments in divided solid dosage form, adapted to form at least one storage and dispensing cell of such a unitary dose, the packaging device comprising:
  • each bowl delimiting a storage volume of such a unitary catch
  • each lid being adapted to close the storage volume of a bowl
  • each partitioning being adapted to be able to extend into the storage volume of a bowl and delimit therein a a plurality of compartments for maintaining unit-dose drugs separate from one another;
  • each partition is removable relative to a bowl.
  • unit dosage of drugs usually means a set of drugs that are intended to be administered substantially in a single dose to a patient at a given time, said set of drugs being consistent with the dosage a medical prescription for the treatment of at least one pathology affecting this patient. It may be a separate set of drugs consisting of drugs of different dosage forms and / or comprising distinct active substances and / or dosages of different active substances.
  • a unit dose of drugs may also comprise a plurality of identical drugs, that is to say comprising a plurality of drugs comprising the same active substance (s), with the same dosage of the drug. active substance (s) and under the same form (s) galenic (s).
  • any solid dosage form divided little pulverulent or non-pulverulent can be stored in a device according to the invention and distributed from this device.
  • the non-pulverulent solid dosage form may be selected from the group consisting of tablets, cachets, capsules, capsules, pills, lozenges, lozenges, etc.
  • a device for storing and dispensing at least one unit dose of medicaments according to the invention in which at least one partition is removable at the opening of at least one storage and dispensing cell.
  • such drugs in fact allows secure storage of at least one unit dose of drugs before opening at least one cell containing this unit dose of drugs, the different drugs of the unitary take of drugs being separated when the cell of storage and distribution is closed. It thus allows a storage of the different drugs of a unit dose of drugs in the state separated from each other by avoiding any contact between the different medicines and avoiding any interference between these drugs during storage. It also allows for easy grouping and dispensing of unit dose medications of mixed drugs into the cuvette when the storage cell is open and the removable partition is removed from the cuvette. They also found that a device and a packaging method according to the invention make it possible to form a device for storing and dispensing at least one unit dose of medicaments.
  • the packaging device is free of drugs and comprises at least one bowl, at least one lid and at least one removable partition in the dissociated state (in the form of a "kit"), the (the) bowl (s), the (s) lid (s) and the (s) partition (s) removable (s) being separated from each other and adapted to be able -after assembly with the unit dose of drugs- at least one cell for storing and dispensing at least one unit dose of drugs, at least one such cell containing a unit dose of drugs.
  • the packaging device is in the partially assembled state, that is to say in a state in which the removable partition (s) is (are) disposed in the storage volume (s) by forming with the cup (s) storage compartments, the (s) lid (s) not closing the opening of the (s) ) bowl (s).
  • a packaging device is used during a process for preparing a device for storing and dispensing at least one unit dose of medicaments. It is used during a distribution step of at least one unit dose of drugs in compartments of a packaging device according to the invention prior to the introduction of the lid.
  • the cup (s) and the removable partition (s) are arranged to receive drugs before the introduction of the (of) lid (s), the closure of the bowl (s) and the formation of the cell (s).
  • the bowl has a peripheral shoulder defining an opening of the bowl, the lid being formed of a sealing film adapted to adhere to P peripheral shoulder of the bowl.
  • each bowl-in particular each bowl- has a peripheral shoulder delimiting an opening of the bowl -particularly of each bowl-, at least one lid -particularly each lid-being formed of a sealing film adapted to be able to adhere on P peripheral shoulder of the bowl -particularly of each bowl-.
  • the peripheral shoulder of each cuvette forms a surface -particularly a substantially planar surface-for receiving and adhering the sealing film to the cuvette, the cuvette containing a removable partition and a unitary plug of drugs, the adhesion of the film sealing on the peripheral shoulder of the bowl for closing the cuvette and forming a cell for storing and dispensing at least one unit dose of medicaments.
  • the closure film has a main face, called the adhesive face, having at least one adhesive zone arranged to be able to adhere to the peripheral shoulder of the bowl.
  • said adhesive face of the sealing film is coated with an adhesive material.
  • the sealing film is formed of an adhesive material.
  • the sealing film is formed of an adhesive cellulosic material, especially adhesive paper.
  • the sealing film comprises a removable protective film of the adhesive material, the removable protective film being removable on at least a portion of the surface of the sealing film. Any type of adhesive material may be used as long as the removable film is compatible with drug contact.
  • the sealing film has a precut of subsequent opening of the cell by tearing the film shutter. Such pre-cut allows on the one hand the subsequent opening of the cell containing the unit dose of drugs and on the other hand the extraction of removable partitioning.
  • the sealing film is formed of an essentially cellulosic material - especially paper - of which said adhesive face is self-adhesive and coated with a removable protective film.
  • said adhesive face has an adhesive peripheral zone covered with a removable protective silicone film and is adapted to be bonded to the peripheral shoulder of the bowl when the silicone film is removed. , and a central area, preferably non-adhesive intended to extend opposite the storage space / volume, the storage space / volume containing the removable partitioning and the unit dose of drugs.
  • said adhesive face has a second adhesive zone, extending inwardly from the peripheral zone, also covered with a removable film portion and adapted to be bonded at least on a peripheral rim of the removable partitioning when said removable film portion is removed.
  • the tearing of the sealing film concomitantly allows the opening of the cell and the extraction of the removable partitioning.
  • the closure film has a second main face, called the printed face, opposite to said adhesive face and having at least one inscription.
  • said printed face has at least one inscription intended to identify the patient, to identify the drug (s), to identify the date of taking medication (s) and / or to identify the time of taking of medication (s).
  • the registration can take any form identifiable by the patient, by the prescriber, by a caregiver or by means of an identifier reader. It can be for example writing characters, a color code, a bar code or a QR code. It may be for patients visually impaired, Braille writing.
  • Said printed face has inscriptions relating to the patient and / or the medical prescription.
  • the bowl is elongated in a main direction of elongation and has:
  • each bowl is elongated in a main direction of elongation and has:
  • the bowl has a depth extending perpendicular to the main direction of elongation, perpendicular to the width and less than the width, in particular between 10 mm and 20 mm.
  • each cuvette has a depth extending perpendicularly to the main direction of elongation, perpendicular to the width and of less than the width -in particular between 10 mm and 20 mm- . None prevents, however, that, according to some other embodiments of the invention, the depth is of greater value than the width.
  • each bowl of the packaging device may be identical. None prevents however to provide that at least two bowls of the packaging device have dimensions different and to adapt the dimensions of each shutter film and the dimensions of each removable partition to the dimensions of each bowl.
  • each cuvette is formed of a material chosen from the group consisting of thermoplastic materials and thermosetting materials.
  • the thermoplastic material may be selected from the group consisting of polystyrene (PS), polyethylene (PE), polyethylene terephthalate (PET), low density polyethylene (LDPE), polypropylene (PP), polycarbonate (PC), acrylonitrile butadiene styrene (ABS), polyvinyl chloride (PVC), polymethyl methacrylate (PMMA), impact polystyrene (SB) and mixtures thereof.
  • PS polystyrene
  • PE polyethylene
  • PET polyethylene terephthalate
  • LDPE low density polyethylene
  • PP polypropylene
  • PC polycarbonate
  • ABS acrylonitrile butadiene styrene
  • PVC polyvinyl chloride
  • PMMA polymethyl methacrylate
  • SB impact polystyrene
  • each bowl is formed of a transparent material.
  • each removable partition is formed of a material selected from the group consisting of thermoplastic materials and thermosetting materials.
  • the constituent material of the bowl may be identical to or different from the material constituting the partitioning.
  • the packaging device is adapted to be able to receive drugs and to form a plurality of storage and dispensing cells of a plurality of unitary taps of such drugs, the the plurality of storage and dispensing cells being bonded together in the form of a tray of storage and dispensing cells.
  • each cell of the plurality of drug storage and delivery cells is bound to adjacent cells by breakable bonds having facilitated partitioning precuts of each cell and adjacent cells.
  • Each cell of the drug storage and dispensing device formed from the packaging device is therefore detachable from the drug storage and dispensing device and adjacent cells.
  • the packaging device is adapted to form a pill organizer weekly, the number of cells forming the storage tray being chosen to allow one, two, three or four unit dose (s) of drugs per day for seven days of weekly treatment.
  • a packaging device according to the invention advantageously comprises 28 cells for storing and dispensing 28 unit doses of medicaments.
  • the packaging device is a device for packaging a plurality of unitary taps of such medicaments, comprising:
  • a closure sheet of the plurality of cuvettes formed of a plurality of sealing films, each sealing film being adapted to be able to seal a bowl, and;
  • each partition of the plurality of removable partitions being adapted to:
  • the packaging device is free of drugs.
  • the packaging device is in the at least partially dissociated state (in the form of a "kit"), the plurality of cuvettes, the plurality of covers and the plurality of removable partitions not forming a plurality of storage cells of a plurality of unit doses of drugs.
  • the closure sheet comprises a plurality of sealing films, the closure sheet and the sealing films being dimensioned so that each film of the plurality of films forming the sheet can seal the film. opening a cuvette of the packaging device.
  • the sealing sheet has pre-cuts arranged to allow the separation of a sealing film.
  • the blanks of the blanking sheet extend in accordance with pre-cuts of the plurality of storage wells of the receiving tray and allow the separation of a cell from the plurality of cells for dispensing a unitary grip of medication to a patient.
  • the packaging device comprises a plurality of removable partitions connected to each other in the form of a partition plate and so that each partition of the plurality of removable partitions can cooperate. with a bowl of the plurality of cuvettes of the drug receiving and storage tray and forming in each cuvette a plurality of compartments.
  • each partition of the plurality of removable partitions is related to the adjacent removable partitions by means of a link having a precut.
  • each cuvette of the plurality of cuvettes of the drug receiving tray has a peripheral shoulder for bonding a sealing film bordering the opening of the cuvette.
  • each cuvette having a peripheral shoulder for bonding a sealing film bordering the opening of the cuvette the peripheral adhesive shoulders of the plurality of cuvettes are substantially coplanar. The plurality of coplanar peripheral shoulders allows an application of the closure sheet of the plurality of cuvettes so as to close the space / storage volume of each cuvette of the cuvette. plurality of cuvettes and to form a device for storing and dispensing at least one unit dose of such drugs.
  • the plurality of cuvettes of the storage tray of the unitary grip of such drugs is a drug receptacle in which each cuvette of the receptacle is bonded to the adjacent cuvettes by means of bonds having easy separation precuts of the cell and adjacent cells.
  • the closure sheet of the plurality of cuvettes also has separation pre-cuts of each closure film and of each cell of the drug receiving tray, the pre-cuts of the sealing sheet being complementary to the pre-cuts of the tray. reception.
  • each sealing film of the sealing sheet also has opening pre-cuts of each corresponding cell by tearing the sealing film.
  • the drug receiving tray is formed of a material selected from the group consisting of thermoplastic materials and thermosetting materials. It is possible to obtain the drug storage tray by thermoforming a thermoplastic material, forming in a single step the plurality of cuvettes and precuts.
  • the packaging device comprises:
  • pre-cut drug receiving tray forming a plurality of juxtaposed cuvettes
  • the tray is pre-cut so as to allow the separation of the cups from each other manually (by tearing pre-cuts).
  • the sheet is precut so as to allow the separation of the shutter films from each other manually (by tearing pre-cuts).
  • the set of removable partitions is pre-cut so as to allow the separation of removable partitions from each other manually (by tearing pre-cuts).
  • different pre-cuts are adapted to allow the separation of the bowl, the sealing film and the removable partitioning of the same cell manually simultaneously (by simultaneous tearing of the different pre-cuts) in a single gesture. It is thus possible to separate a cell from a storage and dispensing device according to the invention obtained with such a packaging device, this cell containing a unitary grip of such drugs, for distribution to the patient.
  • each removable partition has a plurality of drug separation walls and forms, in cooperation with the bottom of the cuvette, a plurality of drug storage compartments in the cuvette in which it is positioned.
  • each- removable partitioning is a bottomless partitioning.
  • Such removable partitioning is configured to allow a lateral separation of drugs from a unit dose of drugs in the bowl when the removable partitioning extends into the storage volume of the bowl and delimits in cooperation with the bowl a plurality of compartments to keep unit-dose drugs separate from each other.
  • Such removable partition is also configured to allow a release of drugs in a form not separated from each other in the bowl by simply extracting the removable partition from the bowl.
  • Such removable partitioning has between two adjacent walls a drug holding lumen of the unit dose of drugs in contact with the bottom of the bowl.
  • Such removable partitioning is adapted so that the drugs of the unit dose of drugs remain in a form not separated from each other in the bowl after removal of removable partitioning.
  • the removable partitioning has between 2 and 10 partitions and forms in the bowl between 3 and 11 compartments.
  • the removable partition has 6 partitions and forms in the bowl 7 drug storage compartments.
  • the removable partitioning can form in the bowl more than 7 drug storage compartments.
  • the partitions of the removable partition may be of any form adapted to allow the storage of a plurality of drugs in the separated state.
  • the partitions of the removable partition are dimensioned to form in cooperation with the bottom of the cuvette, a plurality of drug storage compartments in a form separated from each other when the removable partition is positioned in the cuvette.
  • the bulkheads of the removable partition are dimensioned to be able to extend substantially in contact with the bottom of the bowl, but not secured to the bottom of the bowl and so as to provide the light for keeping the medicaments in contact with the bottom of the bowl, especially when storing the drugs separated from each other and during the extraction of removable partitioning.
  • Removable partitioning does not in itself constitute a drug storage compartment or a drug storage basin.
  • the removable partitioning is a bottomless partition comprising transverse partitions (that is to say adapted to extend transversely in the bowl) providing a light between two adjacent partitions, this light for the passage of drugs.
  • the partitions of the removable partitioning can be equidistant and form compartments of the same size in the bowl.
  • the partitions of the removable partitioning form in the bowl compartments of different sizes.
  • Such a device makes it possible to store and dispense at least one unit dose of drugs having different size medications.
  • at least two compartments have different sizes.
  • the partitions can have any shape since they allow the formation of compartments in the bowl, the bottom of each compartment being formed by the bottom of the bowl.
  • Each partition may have two opposite main faces substantially parallel. It may also have two opposite non-parallel main faces so that the compartments formed in the bowl are flared upwards, that is to say towards the face of the partition intended to receive the lid. Such upwardly flared compartments allow easy filling of the bowl.
  • the compartments formed in the bowl are flared downwards, that is to say towards the bottom of the bowl.
  • Such compartments flared down to facilitate the spread of drugs at the bottom of the bowl.
  • the bowl has a bottom, said storage floor, and a side wall, said storage floor and the side wall defining the storage volume of the unit dose of medication.
  • said storage floor is substantially plane.
  • a bottom portion of the bowl forms a recess for collecting medicaments of the unit dose of medication adapted to be able to receive the medicaments and to contain them, and to allow their crushing - especially their grinding- in the recess.
  • the bottom of the cuvette is formed from said storage floor and the recess and extends continuously between said storage floor and the recess.
  • the recess allows a grouping of medicaments of the unit dose of drugs in the recess after extraction of the removable partitioning, crushing - especially grinding - of the drugs and the formation of a unitary grip of powdered drug maintained in the recess.
  • the recess is dimensioned to be able to contain the drugs of the unit dose of drugs. It is also sized to be able to receive a device for crushing drugs in the recess and allow the crushing - especially grinding - drugs in the recess.
  • the recess has a wall, said wall of the recess, of substantially symmetrical shape of revolution-in particular cylindrical of revolution-.
  • said wall of the recess can be of frustoconical shape.
  • the recess has a bottom of the recess. The bottom of the recess can be plane.
  • the bottom of the recess can be smooth. It may also have asperities dimensioned to be able to cooperate with a crushing member - especially a pestle - and allow crushing - especially grinding - drugs.
  • the material forming the recess, its shape, the thickness of the bottom of the recess and said wall of the recess, the asperities forming the bottom of the recess are chosen to allow crushing - in particular an effective grinding of the drugs and to receive a food flowing and its mixture with the crushed drugs.
  • the crushed medicaments are in the form of a solid in the divided state of small particle size, especially in the form of a powder.
  • the recess is a deformable recess between a retracted form in which the recess does not allow the crushing of drugs and an expanded form in which the recess has a depth adapted to receive the drugs and allow their crushing.
  • a deformable recess may be a retractable recess / deployable along an axis perpendicular to said storage fund of the cuvette.
  • Such a deformable recess limits the size of the packaging device when the deformable recess is in the retracted position. he also allows the collection of drugs from the unitary taking of drugs and crushing - especially grinding - drugs when the deformable recess is in the extended position and the dispensing device is in the crushing position.
  • Such a deformable recess may have a lateral wall forming successive transverse folds arranged to allow deformation said accordion deformation.
  • Said storage base and the recess allow, after opening the cell and extracting the removable partition of the storage bowl, a collection of drugs from a unit dose of drugs in the recess by simply sliding the drugs between said storage bottom and the recess in which the drugs are held for crushing or grinding, mixing them in the recess with a flowing food, and making them easier for the patient.
  • the recess and said storage bottom together form the bottom of the bowl so that the medicaments of the unit dose of drugs can be driven, after removal of the removable partition, from said storage bottom to the recess by sliding on the storage floor by a simple inclination of the bowl allowing a sliding of the drugs between said storage floor and the reinforcement.
  • the recess forms a crushing mortar-in particular grinding-drugs of the unit dose of drugs.
  • the recess and said storage bottom being formed of the same material, the recess and said storage bottom having different thicknesses, the thickness of the material forming the recess being greater than thickness of the material forming said storage floor.
  • the material forming said bottom of storage of the bowl and the material forming the recess from having the same thickness.
  • the recess has a bending stiffness greater than the flexural rigidity of said storage bottom.
  • the recess has a bending stiffness substantially equal to the bending rigidity of said storage bottom.
  • the bowl is formed by thermoforming a thermoplastic material or a thermosetting material.
  • the invention also extends to a method for packaging at least one unit dose of medicaments in divided solid dosage form, in which a packaging device according to the invention is used to obtain a storage and dispensing device. at least one unit dose of drugs according to the invention, ready for use.
  • the invention therefore extends to such a method of manufacturing a device for storing and dispensing at least one unit dose of such medicaments in which a packaging device according to the invention is used.
  • the invention extends to a method for packaging at least one unit dose of medicaments in divided solid form -particularly not entirely pulverulent, preferably non-pulverulent-, in which:
  • a removable partition is placed in one compartment in each bowl of the packaging device
  • a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not completely pulverulent, preferably non-pulverulent - is ready to be dispensed or made available to a patient.
  • Such a distribution of drugs is made by any appropriate means. It can be a manual distribution performed by an operator. It can also be an automated distribution performed by an automaton according to the medical prescription. It can also be a semi-automated distribution in which an operator is assisted by an automaton for detecting and validating the distribution of drugs.
  • variable inscriptions are printed on the lid-in particular at least one personal data relating to the patient to be treated and / or at least one data relating to a medical prescription.
  • the cover being a sealing film, to print at least one personal data relating to the patient to be treated and / or at least one data relating to the medical prescription before the application of the closure film to the bowl .
  • such an impression is made by means of a printer.
  • nothing prevents the printing of at least one personal data relating to the patient to be treated and / or at least one piece of data relating to the medical prescription on the drug storage tray after the application of the film. shutter on the bowl.
  • the lid being a sealing film having a main face, said adhesive face, having at least one adhesive zone arranged to be able to adhere to the peripheral shoulder of a bowl, said adhesive face being protected by a removable protective film, removing the removable protective film and applying the sealing film on the (the) bowl (s) comprising the (s) partitioning (s) removable (s) and at least a unit dose of drugs.
  • the invention also extends to a storage device and dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not completely pulverulent, preferably non-pulverulent - obtained by a packaging method according to the invention.
  • the invention also extends to a device for storing and dispensing at least one unit dose of medication obtained from a packaging device according to the invention.
  • the invention therefore extends to a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not entirely pulverulent, preferably non-pulverulent -, each unit dose being intended to be administered to a patient at a predetermined time and distributed in a cell for storing and distributing such a unitary catch, each cell comprising:
  • a bowl delimiting a storage volume of such a unitary catch and containing such a unitary catch
  • a lid adapted to close the storage volume
  • a partitioning extending in the storage volume and delimiting therein a plurality of storage compartments holding drugs of the unitary plug separated from each other, the partitioning extending in the bowl;
  • the invention thus relates to such a device for storing and dispensing at least one unit dose of such drugs in which at least one storage cell is closed and contains a unit dose of drugs.
  • the invention thus relates to such a storage and dispensing device which is furnished with at least one unitary grip of such drugs and ready for use by a patient or in use by a patient.
  • the removable partitioning is adapted to be extracted from the bowl, the drugs are then no longer separated from each other in the bowl after removal of removable partitioning.
  • the removable partitioning is secured to the cover so as to allow, during the opening of the storage cell, a simultaneous extraction of the removable partition from the bowl and a random distribution medicines in the bowl.
  • the dispensing operation of a unit dose of medicaments is simplified and makes it possible to form in the cuvette, in a single step, a unit dose of medicaments, the removal of which by the patient is easy and without having to use an auxiliary container.
  • the removable partition extends into the bowl without connection to the lid so that the opening of the bowl allows extraction of the removable partition from the bowl after the opening of the bowl and a subsequent mixing of the drugs in the bowl.
  • the removable partition is separated from the cover so that the opening of the storage cell requires a delayed extraction (that is to say after removal of the cover) removable partitioning out of the bowl to form a random distribution of drugs in the bowl.
  • the removable partition advantageously has gripping means adapted to facilitate the extraction of the removable partitioning later to the opening of the cell.
  • the removable partition has a tab for gripping and extracting removable partitioning.
  • a portion of the bottom of the bowl forms a recess for collecting the medicaments of the unit dose of medicaments.
  • the medicaments of the unit dose of medicaments contained in the cell are distributed in the storage compartments formed by the partitioning in the storage volume.
  • the bottom of the cuvette being formed of the reinforcement and a bottom portion, said storage floor, substantially plane, the medicaments of the unit dose of drugs contained in the cell are distributed in the storage compartments formed by the partitioning, by the storage floor and by the cover.
  • the storage compartments formed by the partitioning, by the storage floor and by the cover.
  • the storage and distribution device comprises a plurality of storage cells linked to each other in the form of a storage and dispensing tray of drugs (or pillbox). At least one-in particular each storage cell of the storage tray is formed of a removable partition, a cuvette and a lid forming a storage volume containing a unit dose of drugs separated from each other.
  • the cover is a shutter sheet of the plurality of cells, the shutter film being formed of a plurality of shutter films, the sheet and the shutter films being dimensioned so that each film of shutter the plurality of sealing films seals the opening of a bowl of the plurality of cuvettes.
  • At least one-particularly each bowl having a bottom, a part of the bottom of at least one-particularly Each bowl forms a recess sized to be able to contain the drugs and to allow their crushing - especially grinding - in the recess.
  • each storage cell of the device for storing and dispensing such medicaments contains a unit dose of such drugs corresponding to a medical prescription.
  • the storage cells are linked to each other by pre-cuts adapted to allow the separation of each cell from adjacent cells by manual tearing of these pre-cuts.
  • the sealing sheet has pre-cuts arranged to allow separation of films from the sealing sheet.
  • the blanks of the blanking sheet extend in concordance with pre-cuts of the plurality of storage bowls and with pre-cuts of the plurality of removable partitions, so as to allow the separation of a single cell from the plurality of cells. for dispensing a single unit dose of medication to a patient.
  • the precuts are adapted to allow the separation of a cell by simultaneous tearing of the different precuts in a single gesture, manually.
  • the storage and distribution device according to the invention in the form of a plate has a plurality of eyelets for hooking and storage of the plate in a vertical position.
  • the invention also extends to a method of providing a unit dose of drugs in divided solid dosage form, in which a device according to the invention is used.
  • the invention therefore also extends to a method of providing a unit dose of drugs in divided solid dosage form, wherein a device according to the invention is used.
  • the invention extends in particular to a method for dispensing at least one unit dose of medicaments in divided solid form - in particular not entirely pulverulent, preferably non-pulverulent - to a patient, wherein:
  • a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form; in particular not entirely pulverulent, preferably non-pulverulent, according to the invention is chosen;
  • the removable partitioning is extracted from the cell so that the drugs are no longer separated from each other in the bowl, and;
  • the unit dose of medication is distributed to the patient.
  • a cell for storing and distributing such a unitary tap is separated from the storage device, and then;
  • the removable partitioning is extracted from this cell so that the drugs are no longer separated from each other in the bowl, and;
  • the unit dose of medication is distributed to the patient.
  • the cover is removed and the removable partition is extracted simultaneously, the removable partition being secured to the cover.
  • a bottom portion of the bowl forming a recess for collecting and crushing - particularly grinding - medicaments of the unit dose of drugs sized to be able to receive the drugs and to contain them, the drugs are moved into the recess after removal of the removable partitioning and a crushing - in particular a grinding - drugs of the unit dose of drugs is carried out in the recess.
  • the crushing is carried out, in particular grinding, by any appropriate means.
  • the crushing and / or grinding is carried out for example by means of a pestle, the recess serving as a crushing mortar.
  • Such crushing is carried out by rotating the pestle along an axis substantially orthogonal to the plane of opening of the bowl, the pest exerting a compression of the drugs in the recess and their crushing.
  • the recess has a substantially symmetrical shape of revolution - in particular cylindrical revolution - and adapted to allow a pool of drugs in the recess and cooperate with such a pestle and allow crushing of drugs.
  • Such a physical means of disintegrating drugs is chosen which does not modify the chemical composition - in particular of the chemical composition of the active ingredients - of the unit dose of medicaments.
  • the dish is placed in a concave support formed of a solid material and having a hollow shape complementary to the convex outer face of the bowl.
  • a concave support formed of a solid material and having a hollow shape complementary to the convex outer face of the bowl.
  • a flowing food is added to the unit dosage of crushed medicaments and the mixture of the flowing food and the unit dosage of drugs is dispensed to the patient.
  • the invention also relates to a device for packaging at least one unit dose of medicaments, a method for packaging at least one unit dose of medicinal products in which a packaging device according to the invention is chosen, a device storing and dispensing at least one unit dose of medicaments and a method of dispensing at least one unit dose of medicaments to a patient, characterized in combination by all or some of the characteristics mentioned above or after.
  • FIG. 1 is a perspective view of a packaging device according to a first embodiment of the invention adapted to form a single cell and shown in the dissociated state prior to the packaging of a unit dose of drugs;
  • FIG. 2 is a perspective view of a packaging device according to a second variant of the invention adapted to form a plurality of cells and represented in the dissociated state prior to the packaging of a plurality of unitary plugs; medicines;
  • Figure 3 is a longitudinal sectional view perpendicular to the median plane of the bowl of a first variant of a packaging device according to the invention as shown in Figure 1;
  • FIG. 4 is a cut-away perspective view of a storage and dispensing device according to the invention obtained by assembling a packaging device as represented in FIG. 1 and a unit dose of drugs;
  • FIG. 5 is a longitudinal sectional view perpendicular to the median plane of the bowl of a cell of a device for storing and dispensing a unit dose of medicament according to the invention in a state of distribution of a catch unit of drugs;
  • FIG. 6 is a perspective view of a packaging device according to a particular aspect of the invention adapted to form a single cell and shown in the dissociated state prior to the packaging of a unit dose of drugs;
  • FIG. 7 is a longitudinal sectional view perpendicular to the median plane of the bowl of a cell of a particular aspect of a device for storing and dispensing a unit dose of medicament according to the invention
  • FIG. 8 is an illustration of a particular aspect of a method for dispensing a unit dose of drugs according to the invention.
  • FIGS. 1 to 8 The packaging devices and the devices for storing and dispensing at least one unit dose of drugs according to the invention shown in FIGS. 1 to 8 are given solely by way of nonlimiting examples. In these figures, the scales and the relative dimensions are not necessarily respected.
  • a packaging device 1 according to the invention shown in FIG. 1 comprises a bowl 1 1 for storing a unit dose of medicaments.
  • the bowl 11 shown in Figure 1 is free of drugs.
  • the bowl 1 1 is formed of a compatible material to be brought into contact with the drugs of the unitary catch.
  • the bowl 1 1 is preferably formed of a single piece of a thermoplastic material, for example polyvinyl chloride (PVC) or a thermosetting material.
  • the bowl 11 may for example be obtained by thermoforming the thermoplastic material.
  • the thermoplastic material is preferably transparent and allows visualization of the unit dose of medication packaged in the device 1 in the assembled state, filled with drugs and ready for use by a patient.
  • the bowl 11 has a storage volume 15 of a unit dose of drugs limited by substantially flat side walls 14 and a bottom 16 also substantially planar.
  • the side walls 14 and the bottom 16 provide an opening opening of the bowl 11 and the storage volume 15.
  • the bowl 11 shown in FIG. 1 being of substantially rectangular parallelepiped shape, the opening of the bowl 11 is of rectangular shape and has an internal receiving and centering rim 17 of the removable partition and a peripheral collar 18 for bonding the lid. 12 on the substantially flat upper face of the peripheral shoulder 18.
  • the inner rim 17 has a substantially flat upper face and adapted to cooperate with a lower face complementary to a peripheral rim 19 of the removable partition 13.
  • the peripheral shoulder 18 may have a discontinuity 3 adapted and dimensioned to be able to receive a tab 2 gripping removable partition 13.
  • the peripheral shoulder 18 of the opening of the bowl 1 1 being of rectangular shape, the discontinuity 3 preferably extends to one of the longitudinal ends of the bowl 1 1. It is possible that the peripheral shoulder 18 has at least one other lateral discontinuity 4 extending in the length of the bowl and adapted to receive a breakable link tongue 5 extending between two adjacent removable partitions 13.
  • the device shown in FIG. 1 has a removable partition 13 adapted and dimensioned to be positioned in the storage volume 15 of the bowl 1 1.
  • the removable partition 13 has a plurality of transverse partitions 6 adapted to accommodate, with the bowl 1 1 and the lid 12, a plurality of drug storage compartments of a unit dosage of drugs. Medicines of the unit dose of drugs are then separated from each other by the transverse partitions 6 during storage.
  • Each transverse partition 6 shown in FIG. 1 has two non-parallel main faces and forms compartments 20 flared towards the bottom 16 of the bowl in the bowl 1 1 by increasing the surface area of the bottom of the bowl accessible to the drugs of the unitary and improving grip. the distribution of these drugs at the bottom of the bowl.
  • each transverse wall having two non-parallel main faces they form in the bowl upwardly flared compartments, that is to say compartments in which the opening has a surface greater than the surface of the background.
  • Such upwardly flared compartments allow easier access to the compartments as they are filled. Combining these two advantages, nothing prevents that each transverse partition has two parallel main faces.
  • the removable partition 13 has a peripheral rim 19 of the removable partition adapted to cooperate with the internal rim 17 of the bowl 1 1 and so that the substantially flat upper face of the peripheral shoulder 18 and the upper face of the peripheral rim 19 of the removable partition are coplanar and may, where appropriate, form with one another the bonding surface of the cover 12.
  • the device shown in FIG. 1 has a cover 12 sized to close the storage volume.
  • This cover 12 may be formed of an adhesive material on one of its main faces, called the adhesive face. It may be an adhesive cellulosic material, in particular adhesive paper.
  • One of the main faces of the cover 12 is adapted to be placed facing the storage volume and provided with a layer of an adhesive material protected by a protective film on the entire surface of the cover 12, when the device 1 according to the invention is in the dissociated state (in the form of a "kit"), the bowl 1 1, the lid 12 and the removable partition 13 being adapted to form a closed storage cell of a unit dose of drugs, containing the unit dose of drugs, or when the device 1 according to the invention is in the partially assembled state, that is to say in which the removable partitioning 13 is disposed in the storage volume 15 forming, in cooperation with the bowl 1 1, drug storage compartments 20, the lid 12 does not obturating the opening of the bowl 1 1.
  • a peripheral portion of the protective film of the cover 12 can be removed so that the peripheral portion of the corresponding cover 12 can be glued to the peripheral shoulder 18 of the opening of the bowl 1 1, the unit dose of drugs being distributed in drug storage compartments.
  • the device 1 is a device for storing a unit dose of drugs, filled with drugs and ready for use by a patient.
  • a peripheral portion of the protective film of the cover 12 can be removed so that the peripheral portion of the corresponding cover 12 can be glued to the peripheral shoulder 18 of the opening of the bowl 1 1, the unit dose of drugs being distributed in the drug storage compartments.
  • the lid also has a main face opposite to the adhesive face having inscriptions 9 that can be read by the patient, by the medical staff or by a barcode or QR code reader.
  • the inscriptions 9 may relate to the identity of the patient and / or the date and time of the unit dose of medication and / or the medical prescription, including the nature, dose and posology of the patient. (medication).
  • the lid 12 has a pre-cut 8 adapted to allow the opening of the storage cell 10 of the unit dose of drugs.
  • the lid 12 also has a tongue 7 for opening the cell 10 adapted to allow the patient to grasp the end of the lid 12, tear the lid 12 according to the precut 8, remove the removable partition 13 from the bowl 1 1, and forming the unit dosage of drugs.
  • the cover 12 is glued only on the peripheral shoulder 18 of the bowl 11 and, where appropriate on the end of the tongue 2 of the removable partition 13 securing.
  • the opening of the cell 10 by tearing the lid 12 according to the precut 8 is not accompanied by the simultaneous extraction of the partition 13 removable.
  • a subsequent step of extraction of the removable partitioning 13 is necessary to form the unitary take of drugs in the bowl 1 1.
  • the precut 8 is chosen and dimensioned to allow the subsequent extraction step partitioning 13 removable without requiring additional tearing of the cover 12.
  • the cover 12 is bonded to the peripheral shoulder 18 of the bowl 1 1 and on the peripheral rim 19 of the removable partition 13.
  • the tearing of the cover 12 according to the precut 8 positioned between the bonding zone of the peripheral shoulder 18 of the bowl 11 and the bonding zone of the peripheral rim 19 of the removable partition 13 is accompanied by the opening of the storage cell 10 but also and simultaneously the extraction of the partitioning 13 removable.
  • a second variant of a device 1 according to the invention shown in FIG. 2 comprises a plurality of storage cuvettes 21 associated with each other.
  • the storage bowls 21 are free of drugs.
  • the plurality of storage cuvettes 21 is organized in the form of a column of 7 cuvettes 11, each cuvette 11 corresponding to a daily dose of drugs.
  • the device 1 according to the invention shown in FIG. 2 thus allows a unitary and daily dose of medicaments, once a day, for 7 days. Of course, nothing prevents the device 1 according to the invention has 4 columns of 7 cuvettes 11, each column of 7 cuvettes 11 corresponding to one of the 4 taken daily (breakfast, lunch, dinner and bed) of drugs.
  • the device 1 according to the invention can therefore be a weekly pill pillar.
  • Each cuvette 11 of the plurality of drug storage cuvettes 21 is separated from the adjacent cuvettes 11 by a connection provided with a precut 24 for separating the cuvettes 11.
  • Each removable partition 13 of the plurality of removable partitions 23 is separated from the cuvettes 11.
  • Each lid 12 of the plurality of lids 22 is separated from the adjacent lids 12 by a precut 27 for separating the lids 12.
  • each cell formed of a bowl 1 1, a removable partition 13, a lid 12 and comprising a unit dose of drugs can be separated from the other cells of the plurality of cells by simple cutting by taking advantage of the combined effect of the pre-cut 24 for separating the cuvettes 1 1, the breakable link tab 5 and the precut 27 of the lid 12.
  • FIG. 3 An exploded view in longitudinal section in the median plane of a drug-free storage cell 10 is shown in FIG. 3.
  • the storage cell 10 comprises a cuvette 11 determining a volume 15 dedicated to the storage of drugs, limited by walls 14 lateral planar and a bottom 16 also planar.
  • the bowl 1 1 has a flange 17 internal shaped to be able to support and center, in combination with a shoulder 18, the partitioning 13 removable in the bowl 1 1.
  • the bowl 1 1 also has a peripheral shoulder 18 for bonding the cover 12 on the flat upper face of the shoulder 18 ⁇ .
  • the removable partition 13 has a plurality of transverse partitions 6 adapted to be able, in cooperation with the bowl 1 1 when the peripheral rim 19 of the removable partition 13 rests on the inner rim 17 of the bowl 11, forming a plurality of storage compartments 20 of drugs of a unit dose of drugs, the drugs being in the state separated from each other.
  • a peripheral portion of the protective film of the cover 12 can be removed so that the peripheral portion of the corresponding cover 12 forms a bonding edge 25 and can be glued to the peripheral shoulder 18 of the opening of the bowl 11, the unit dosage of drugs being distributed in the drug storage compartments.
  • the removable partitioning 13 does not adhere to the lid 12 so that it is not extracted from the bowl at the opening of the cell 10.
  • FIG. 4 represents a device according to a first variant of the invention formed of a single cell 10 in the state packed with a unit dose of medicaments.
  • the cell 10 comprises a storage bowl 11, a removable partition 13 disposed in the volume formed by the bowl 1 1 and a lid 12 bonded to the peripheral shoulder 18 of the bowl 11.
  • Medicines 26 in divided solid dosage form are disposed in at least two storage compartments.
  • the drugs 26 are likely to be in contact with the protective film of the adhesive layer over the entire surface of the lid 12 without adhering to the lid and without altering the properties of the drugs 26.
  • the drugs 26 are not likely to be in contact with the adhesive layer portion of the cover 12 free of protective film and adhered to the shoulder 18 device of the bowl 11.
  • a device 1 according to the invention in a state of provision of a patient with a unit dose of medication is shown in longitudinal section in the median plane in FIG. 5.
  • This device 1 is formed from a cell As shown in Figure 4 and comprising a unit dosage of drugs.
  • the cover 12 is associated by peripheral bonding to the removable partitioning 13 so that the opening of the cell by tearing of the cover 12 according to the opening pre-cuts of the cover 12 is accompanied by an extraction of the partitioning 13 removable from the bowl 1 1 and a release of drugs from the unit dose of drugs in the bowl 1 1.
  • FIG. 6 shows a container 1 1 free of drugs.
  • the bowl 1 1 is formed of a single piece of a thermoplastic material, for example polyvinylchloride (PVC).
  • the bowl 11 may for example be obtained by thermoforming the thermoplastic material.
  • the bowl 11 delimits a storage volume 15 of the unit dose of medicaments limited by substantially flat lateral walls 14 and a bottom 16 which is also substantially plane.
  • the bowl 1 1 shown in Figure 6 has a bottom 16 comprising a bottom 30 of drug storage.
  • the drug storage fund 30 is substantially flat and extends, when the removable partition 13 is placed in the storage volume of the bowl 11, facing the transverse partitions 6 of the partitioning and forms with these transverse partitions 6 compartments 20 maintenance of unit-dose drugs, separated from each other.
  • the bottom 16 of the bowl 1 1 shown in Figure 6 has a recess 31 forming a drug receptacle of a unit dose of drugs.
  • the recess 31 may have any shape. Preferably, the recess 31 is of symmetrical shape of revolution.
  • the recess 31 has a mechanical strength chosen to allow crushing and / or grinding of the drugs contained in the recess.
  • the recess 31 is formed of a material whose mechanical strength, in particular the mechanical resistance to abrasion, and the thickness are chosen to allow crushing and / or grinding.
  • the material forming the recess 31 is selected to be in contact with a food and allow the mixing of the crushed / ground medicaments with a flowing food and the setting of the mixture formed by the patient.
  • the recess 31 forms a mortar for crushing and / or grinding the medicaments of the unit dosage of drugs.
  • the nature and thickness of the material forming the recess are adapted to allow the crushing of the drugs.
  • the nature and thickness of this material are adapted according to the crushing mode of the drugs using either a pestle or an external electric crushing device.
  • the recess may have a substantially smooth inner surface. However, nothing prevents that at least a portion of inner surface of the recess has asperities (or "teeth”) cooperating with the pestle to crush the drugs.
  • the bottom 16 of the bowl 1 1 is flat, smooth and allows a slip of drugs unit drug taking from the bottom 30 of drug storage to the recess 31 by simple inclination of the bowl.
  • a device 1 according to a particular aspect of the invention in a state of provision of a patient with a unit dose of medication is shown in longitudinal section in the median plane in FIG. 7.
  • This device 1 is formed from of a cell 10 as shown in Figure 5.
  • the cover 12 is associated by peripheral bonding to the partitioning 13 removable so that the opening of the cell by tearing the cover 12 according to the pre-cut opening of the lid 12 is accompanied by an extraction of the partitioning 13 removable from the bowl 1 1, a release of drugs from the unit dose of drugs in the bowl 1 1 and a slip of the drugs of the unit catch of medicaments from the drug storage fund 30 to the recess 31 by simple inclination of the bowl 11.
  • the medicaments of the unit dose of drugs confined in the recess 31 are capable of being crushed in the recess 31 so as to form a recess 31. powder, the powder being then mixed with a flowing food such as jam or compote so that it can be consumed more easily by the patient.
  • the crushing and / or grinding of the drugs of the plurality of drugs is carried out by any appropriate means, for example by means of a pestle 40 as shown in FIG. 8, the recess 31 acting as a crushing mortar.
  • the pestle 40 is used in the usual manner, by exerting with the pestle 40 a pressure on the drugs held between the recess 31 and the pestle 40 and by pruning 40 a rotational movement causing the crushing / grinding of the drugs.
  • the duration of the crushing / grinding is adapted according to the particle size desired for the unit dose of crushed medicaments.
  • the opening of the cell by tearing of the lid according to the pre-cut opening of the lid is not does not accompany a simultaneous extraction of removable partitioning out of the bowl.
  • the invention also relates to a method of packaging at least one unit dose of drugs in divided solid dosage form for storage and distribution.
  • a device according to the invention is selected comprising at least one storage cell for a unit dose of medicaments, at least one removable partition and at least one cover.
  • Each removable partition is placed in a bowl so as to provide in each bowl a plurality of compartments adapted to be able to keep the unit-taking drugs separated from each other. other.
  • the cell (s) are closed by applying a lid on the opening of each cell.
  • the unit dose of drug and the device according to the invention filled with the unit dose of drugs are then ready to be dispensed to a patient.
  • a plateau called weekly platter, is chosen from cuvettes associated with each other by detachable links and divided into 4 columns and 7 lines corresponding to four daily holds (breakfast, lunch, dinner, bed) for 7 days.
  • the compartments in which the drugs of the unit dose of drugs are to be placed are transparently displayed through the cup (s).

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Abstract

The invention relates to a device (1) for packaging at least one unit dose of medicaments in a divided solid pharmaceutical form forming at least one cell for storing and dispensing such a unit dose, each cell comprising: - a dish (11) delimiting a storage volume (15) for such a unit dose; - a cover (12) designed to close the storage volume; - partitioning (13) designed to be able to extend through the storage volume of the dish and delimit a plurality of compartments (20) therein for keeping the medicaments of the unit dose separate from one another; characterized in that the partitioning (13) extending through the dish (11) is removable from the dish (11). The invention also relates to a packaging method, a device for storing and dispensing such medicaments, and a method for dispensing such medicaments to a patient.

Description

DISPOSITIF ET PROCÉDÉ D'EMBALLAGE DE MÉDICAMENTS SOLIDES, DISPOSITIF DE STOCKAGE ET DE DISTRIBUTION DE TELS  DEVICE AND METHOD FOR PACKAGING SOLID MEDICINES, DEVICE FOR STORING AND DISTRIBUTING SUCH
MÉDICAMENTS ET PROCÉDÉ DE DISTRIBUTION  DRUGS AND DISTRIBUTION METHOD
L'invention concerne un dispositif et un procédé d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- tels que par exemple des comprimés, des cachets, des gélules, des capsules, des pilules, des pastilles, des dragées... à un patient. L'invention vise également un dispositif de stockage et de distribution d'au moins une prise unitaire de tels médicaments et un procédé de distribution d'au moins une prise unitaire de tels médicaments en vue de son administration à un patient.  The invention relates to a device and a method for packaging at least one unit dose of medicaments in divided solid form - in particular not completely pulverulent, preferably non-pulverulent - such as for example tablets, tablets, capsules, capsules, pills, lozenges, dragees ... to a patient. The invention also relates to a device for storing and dispensing at least one unit dose of such drugs and a method of dispensing at least one unit dose of such drugs for administration to a patient.
On connaît de FR 2 913 333 un pilulier hebdomadaire permettant le stockage et la délivrance de médicaments solides à un patient, le pilulier présentant 28 cellules de stockage de médicaments thermoformées dans un support en PVC, chaque cellule du pilulier étant compartimentée, dimensionnée pour recevoir une prise unitaire de médicament(s) et détachable du pilulier hebdomadaire. Chaque cellule du pilulier hebdomadaire est obturée par une étiquette d'obturation appliquée et collée sur le support en PVC. Chaque étiquette d'obturation est adaptée pour pouvoir être déchirée et permettre la prise des médicaments contenus dans une cellule. Les cellules d'un tel pilulier hebdomadaire sont réparties selon quatre colonnes de sept alvéoles, chaque colonne de cellules correspondant à l'une de quatre prises unitaires quotidiennes, chaque ligne correspondant aux quatre prises unitaires d'un même jour de la semaine.  From FR 2 913 333 a weekly pill is known for the storage and delivery of solid medicaments to a patient, the pillbox having 28 thermoformed drug storage cells in a PVC support, each cell of the pillbox being compartmentalized, sized to receive a unit dose of medication (s) and detachable weekly pill organizer. Each cell of the weekly pill organizer is closed by a sealing label applied and glued on the PVC support. Each sealing label is adapted to be torn and allow the taking of drugs contained in a cell. The cells of such a weekly pillbox are divided into four columns of seven cells, each column of cells corresponding to one of four daily units, each line corresponding to four units taken on the same day of the week.
Chaque cellule d'un tel pilulier hebdomadaire présente une pluralité de compartiments formés par le support en PVC, chaque compartiment étant séparé de compartiments adjacents par une paroi formée par le support en PVC formant le pilulier. Un tel pilulier hebdomadaire permet un stockage d'une pluralité de médicaments séparés les uns des autres et permet d'éviter que des médicaments distincts, comprenant des principes actifs distincts, puissent être en contact dans une cellule du pilulier hebdomadaire lors de leur stockage. Un tel pilulier présente cependant des inconvénients. D'une part, il permet au patient, les différents médicaments étant séparés les uns des autres, de réaliser une sélection des différents médicaments individualisés lorsque la cellule est ouverte, consistant à garder certains médicaments et à rejeter d'autres médicaments lors de la prise unitaire de médicaments. Une telle sélection peut permettre au patient d'échapper à la prise d'un médicament particulier. Un tel rejet est de nature à entraîner des conséquences néfastes chez le patient : au mieux, le traitement perd de son efficacité thérapeutique, au pire, l'absence de prise de ce médicament conduit au développement d'effets secondaires préjudiciables au patient. Each cell of such a weekly pill has a plurality of compartments formed by the PVC support, each compartment being separated from adjacent compartments by a wall formed by the PVC support forming the pill pillar. Such a weekly pill organizer allows storage of a plurality of drugs separated from each other and makes it possible to prevent distinct drugs, comprising distinct active ingredients, from being in contact in a weekly pill cell during their storage. Such a pill has however disadvantages. On the one hand, it allows the patient, the different drugs being separated from each other, to make a selection of different individualized drugs when the cell is open, consisting of keeping certain drugs and to reject other drugs when taking unit of medicines. Such a selection may allow the patient to escape taking a particular medication. Such a rejection is likely to lead to adverse consequences for the patient: at best, the treatment loses its therapeutic efficacy, at worst, the absence of taking this drug leads to the development of adverse side effects to the patient.
D'autre part, un tel pilulier hebdomadaire nécessite de transférer les médicaments contenus dans une cellule dans un récipient annexe distinct du pilulier en vue de la prise des médicaments. En effet, un tel pilulier ne permet pas de prélever manuellement les médicaments un à un dans chaque compartiment de la cellule en raison de la gêne procurée par la paroi séparant deux compartiments adjacents.  On the other hand, such a weekly pillbox requires the transfer of the drugs contained in a cell in a separate container side of the pill to take the drugs. Indeed, such a pillbox does not allow to manually take drugs one by one in each compartment of the cell because of the inconvenience provided by the wall separating two adjacent compartments.
On connaît également de US2015/0014203 un dispositif de présentation de médicaments dans lequel un blister formé d'un film plastique semi -rigide formant une pluralité de cuvettes closes par un feuillet d'aluminium adhérent sur le film plastique semi-rigide est monté sur un support présentant des lumières de réception des cuvettes du blister, l'ensemble du support et du blister étant placé dans un étui de présentation de médicaments. Chaque cuvette contient un médicament unique. Un tel dispositif présente également les inconvénients susmentionnés.  Also known from US2015 / 0014203 a drug presentation device in which a blister formed of a semi-rigid plastic film forming a plurality of cups closed by a sheet of aluminum adherent on the semi-rigid plastic film is mounted on a support having blister cup receiving lights, the entire holder and blister being placed in a drug presentation case. Each bowl contains a single drug. Such a device also has the aforementioned drawbacks.
L'invention vise donc à pallier ces inconvénients.  The invention therefore aims to overcome these disadvantages.
Egalement, dans le cadre du traitement de certaines pathologies, par exemple dans le cadre de pathologies neurodégénératives, il est avantageux de pouvoir mettre à disposition du patient une prise unitaire de médicament solide à l'état divisé et de faible granulométrie en mélange avec une composition alimentaire coulante -notamment une compote ou une confiture-, de sorte que le patient puisse ingérer le mélange sans difficulté. Le pilulier hebdomadaire de FR 2 913 333 ne permet pas de mettre un tel mélange à disposition du patient sans nécessiter un transfert des médicaments de la prise unitaire dans un récipient annexe distinct du pilulier pour faciliter l'ingestion de la prise unitaire de médicaments. Also, in the context of the treatment of certain pathologies, for example in the context of neurodegenerative pathologies, it is advantageous to be able to provide the patient with a unit dose of solid medicament in the divided state and of small granulometry in admixture with a composition. flowing food - especially a compote or jam - so that the patient can ingest the mixture without difficulty. The weekly pill dispenser of FR 2 913 333 does not make it possible to make such a mixture available to the patient without requiring a transfer of the medicaments from the unitary dose into a separate auxiliary container of the pill box to facilitate the ingestion of the unit dose of drugs.
Certains aspects de l'invention visent donc également à pallier ces inconvénients.  Some aspects of the invention therefore also seek to overcome these disadvantages.
L'invention vise donc un dispositif et un procédé d'emballage, un dispositif de stockage et de distribution et un procédé de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- tels que par exemple des comprimés, des cachets, des gélules, des capsules, des pilules, des pastilles, des dragées..., permettant de limiter -notamment de supprimer totalement- le risque de sélection de médicaments par le patient lors d'une prise de médicaments.  The invention therefore relates to a device and a packaging method, a storage and dispensing device and a method for dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not entirely pulverulent, preferably non-pulverulent - Such as for example tablets, tablets, capsules, capsules, pills, lozenges, dragees ..., to limit - especially to completely eliminate - the risk of drug selection by the patient when taking medication
L'invention vise donc un tel dispositif de stockage et de distribution et un procédé de distribution d'au moins une prise unitaire de tels médicaments qui sont sécurisés.  The invention therefore aims at such a storage and dispensing device and a method of dispensing at least one unitary dose of such drugs which are secured.
Ainsi, l'invention vise un dispositif et un procédé d'emballage, un dispositif de stockage et de distribution et un procédé de distribution d'au moins une prise unitaire de tels médicaments qui permettent en même temps un stockage de médicaments séparés les uns des autres, limitant les risques d'interactions entre différents médicaments lors du stockage, mais aussi une distribution sécurisée de médicaments, c'est-à-dire limitant les risques de sélection de médicaments par le patient.  Thus, the invention is directed to a device and a packaging method, a storage and dispensing device and a method for dispensing at least one unitary dose of such drugs which at the same time make it possible to store separate drugs, some of which others, limiting the risks of interactions between different drugs during storage, but also a secure distribution of drugs, that is to say, limiting the risk of drug selection by the patient.
L'invention vise en particulier un tel dispositif de stockage et de distribution d'au moins une prise unitaire de tels médicaments dont l'utilisation par un patient est facilitée. L'invention vise en particulier un tel dispositif de stockage et de distribution d'au moins une prise unitaire de tels médicaments qui ne nécessite pas l'utilisation d'un récipient annexe tel qu'un gobelet distinct du pilulier pour la distribution au patient de la prise unitaire de médicaments. Certains aspects de l'invention visent également en combinaison à proposer un dispositif et un procédé d'emballage, un dispositif de stockage et de distribution et un procédé de distribution d'au moins une prise unitaire de tels médicaments permettant une mise à disposition du patient d'une prise unitaire de médicament solide à l'état divisé en vue de son mélange avec une composition alimentaire coulante -notamment une compote ou une confiture-, de sorte que le patient puisse ingérer le mélange sans difficulté. The invention aims in particular at such a device for storing and dispensing at least one unit dose of such medicaments, the use of which by a patient is facilitated. The invention is aimed in particular at such a device for storing and dispensing at least one unit dose of such medicaments that does not require the use of an auxiliary container such as a cup separate from the pill dispenser for delivery to the patient of unitary drug intake. Certain aspects of the invention are also aimed in combination at providing a device and a packaging method, a storage and dispensing device and a method for dispensing at least one unitary dose of such medicaments enabling the patient to be made available. a unit dosage of solid drug in the divided state for mixing with a flowing food composition - particularly a compote or a jam - so that the patient can ingest the mixture without difficulty.
Pour ce faire, l'invention concerne un dispositif d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente-, formant au moins une cellule de stockage et de distribution d'une telle prise unitaire -c'est à dire destinés à être administrés à un patient à un moment prédéterminé-, chaque cellule comprenant :  To this end, the invention relates to a device for packaging at least one unit dose of medicaments in divided solid dosage form - in particular not entirely pulverulent, preferably non-pulverulent - forming at least one storage and distribution cell. such unitary uptake - that is, intended to be administered to a patient at a predetermined time - each cell comprising:
- une cuvette délimitant un volume de stockage d'une telle prise unitaire ; - un couvercle adapté pour clore le volume de stockage ;  a bowl delimiting a storage volume of such a unitary catch; a lid adapted to close the storage volume;
- un cloisonnement adapté pour pouvoir s'étendre dans le volume de stockage de la cuvette et y délimiter une pluralité de compartiments permettant de maintenir des médicaments de la prise unitaire séparés les uns des autres ; caractérisé en ce que le cloisonnement s 'étendant dans la cuvette est amovible par rapport à la cuvette.  a compartmentalization adapted to be able to extend into the storage volume of the bowl and to delimit therein a plurality of compartments making it possible to keep unit-taking medicaments separated from each other; characterized in that the partitioning extending in the bowl is removable relative to the bowl.
L'invention concerne donc un dispositif d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée, adapté pour pouvoir former au moins une cellule de stockage et de distribution d'une telle prise unitaire, le dispositif d'emballage comprenant :  The invention therefore relates to a device for packaging at least one unit dose of medicaments in divided solid dosage form, adapted to form at least one storage and dispensing cell of such a unitary dose, the packaging device comprising:
- au moins une cuvette, chaque cuvette délimitant un volume de stockage d'une telle prise unitaire ;  at least one bowl, each bowl delimiting a storage volume of such a unitary catch;
- au moins un couvercle, chaque couvercle étant adapté pour clore le volume de stockage d'une cuvette ;  at least one lid, each lid being adapted to close the storage volume of a bowl;
- au moins un cloisonnement, chaque cloisonnement étant adapté pour pouvoir s'étendre dans le volume de stockage d'une cuvette et y délimiter une pluralité de compartiments permettant de maintenir des médicaments de la prise unitaire séparés les uns des autres ; at least one partitioning, each partitioning being adapted to be able to extend into the storage volume of a bowl and delimit therein a a plurality of compartments for maintaining unit-dose drugs separate from one another;
caractérisé en ce que chaque cloisonnement est amovible par rapport à une cuvette. characterized in that each partition is removable relative to a bowl.
Dans tout le texte, l'expression « prise unitaire de médicaments » désigne de façon habituelle un ensemble de médicaments qui sont destinés à être administrés sensiblement en une seule prise à un patient à un moment donné, ledit ensemble de médicaments étant conforme à la posologie d'une prescription médicale destinée au traitement d'au moins une pathologie affectant ce patient. Il peut s'agir d'un ensemble de médicaments distincts formé de médicaments de formes galéniques distinctes et/ou comprenant des substances actives distinctes et/ou des dosages de substances actives distinctes. Une prise unitaire de médicaments peut aussi comprendre une pluralité de médicaments identiques, c'est-à-dire comprendre une pluralité de médicaments comprenant la(les) même(s) substance(s) active(s), avec un même dosage de la (des) substance(s) active(s) et sous la(les) même(s) forme(s) galénique(s).  Throughout the text, the term "unit dosage of drugs" usually means a set of drugs that are intended to be administered substantially in a single dose to a patient at a given time, said set of drugs being consistent with the dosage a medical prescription for the treatment of at least one pathology affecting this patient. It may be a separate set of drugs consisting of drugs of different dosage forms and / or comprising distinct active substances and / or dosages of different active substances. A unit dose of drugs may also comprise a plurality of identical drugs, that is to say comprising a plurality of drugs comprising the same active substance (s), with the same dosage of the drug. active substance (s) and under the same form (s) galenic (s).
Toute forme galénique solide divisée peu pulvérulente ou non pulvérulente peut être stockée dans un dispositif selon l'invention et distribuée à partir de ce dispositif. En particulier, la forme galénique solide non pulvérulente peut être choisie dans le groupe formé de comprimés, des cachets, des gélules, des capsules, des pilules, des pastilles, des dragées, etc.  Any solid dosage form divided little pulverulent or non-pulverulent can be stored in a device according to the invention and distributed from this device. In particular, the non-pulverulent solid dosage form may be selected from the group consisting of tablets, cachets, capsules, capsules, pills, lozenges, lozenges, etc.
Les inventeurs ont constaté qu'un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments selon l'invention, dans lesquels au moins un cloisonnement est amovible à l'ouverture d'au moins une cellule de stockage et de distribution de tels médicaments permet en fait un stockage sécurisé d'au moins une prise unitaire de médicaments avant l'ouverture d'au moins une cellule renfermant cette prise unitaire de médicaments, les différents médicaments de la prise unitaire de médicaments étant séparés lorsque la cellule de stockage et de distribution correspondante est close. Il permet donc un stockage des différents médicaments d'une prise unitaire de médicaments à l'état séparés les uns des autres en évitant tout contact entre les différents médicaments et en évitant toute interférence entre ces médicaments lors de leur stockage. Il permet aussi un regroupement et une distribution facilitée des médicaments de la prise unitaire de médicaments mélangés dans la cuvette lorsque la cellule de stockage est ouverte et que le cloisonnement amovible est retiré de la cuvette. Ils ont également constaté qu'un dispositif et un procédé d'emballage selon l'invention permettent de former un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments. The inventors have found that a device for storing and dispensing at least one unit dose of medicaments according to the invention, in which at least one partition is removable at the opening of at least one storage and dispensing cell. such drugs in fact allows secure storage of at least one unit dose of drugs before opening at least one cell containing this unit dose of drugs, the different drugs of the unitary take of drugs being separated when the cell of storage and distribution is closed. It thus allows a storage of the different drugs of a unit dose of drugs in the state separated from each other by avoiding any contact between the different medicines and avoiding any interference between these drugs during storage. It also allows for easy grouping and dispensing of unit dose medications of mixed drugs into the cuvette when the storage cell is open and the removable partition is removed from the cuvette. They also found that a device and a packaging method according to the invention make it possible to form a device for storing and dispensing at least one unit dose of medicaments.
Selon une première variante de l'invention, le dispositif d'emballage est exempt de médicaments et comprend au moins une cuvette, au moins un couvercle et au moins un cloisonnement amovible à l'état dissocié (sous forme de « kit »), la(les) cuvette(s), le(s) couvercle(s) et le(s) cloisonnement(s) amovible(s) étant séparés les uns des autres et adaptés pour pouvoir former -après assemblage avec la prise unitaire de médicaments- au moins une cellule de stockage et de distribution d'au moins une prise unitaire de médicaments, au moins une telle cellule contenant une prise unitaire de médicaments.  According to a first variant of the invention, the packaging device is free of drugs and comprises at least one bowl, at least one lid and at least one removable partition in the dissociated state (in the form of a "kit"), the (the) bowl (s), the (s) lid (s) and the (s) partition (s) removable (s) being separated from each other and adapted to be able -after assembly with the unit dose of drugs- at least one cell for storing and dispensing at least one unit dose of drugs, at least one such cell containing a unit dose of drugs.
Selon une deuxième variante de l'invention, le dispositif d'emballage est à l'état partiellement assemblé, c'est-à-dire dans un état dans lequel le(s) cloisonnement(s) amovible(s) est(sont) disposé(s) dans le(s) volume(s) de stockage en formant avec la(les) cuvette(s) des compartiments de stockage, le(s) couvercle(s) n'obturant pas l'ouverture de la(des) cuvette(s).  According to a second variant of the invention, the packaging device is in the partially assembled state, that is to say in a state in which the removable partition (s) is (are) disposed in the storage volume (s) by forming with the cup (s) storage compartments, the (s) lid (s) not closing the opening of the (s) ) bowl (s).
Un dispositif d'emballage selon la deuxième variante de l'invention est utilisé lors d'un procédé de préparation d'un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments. Il est utilisé lors d'une étape de répartition d'au moins une prise unitaire de médicaments dans des compartiments d'un dispositif d'emballage selon l'invention préalablement à la mise en place du couvercle. Dans cette configuration d'un dispositif d'emballage à l'état partiellement assemblé, la(les) cuvette(s) et le(s) cloisonnement(s) amovible(s) sont disposés pour recevoir des médicaments avant la mise en place du(des) couvercle(s), l'obturation de la (des) cuvette(s) et la formation de la (des) cellule(s). Avantageusement et selon l'une ou l'autre des première et deuxième variantes de l'invention, la cuvette présente un épaulement périphérique délimitant une ouverture de la cuvette, le couvercle étant formé d'un film d'obturation adapté pour pouvoir adhérer sur P épaulement périphérique de la cuvette. A packaging device according to the second variant of the invention is used during a process for preparing a device for storing and dispensing at least one unit dose of medicaments. It is used during a distribution step of at least one unit dose of drugs in compartments of a packaging device according to the invention prior to the introduction of the lid. In this configuration of a packaging device in the partially assembled state, the cup (s) and the removable partition (s) are arranged to receive drugs before the introduction of the (of) lid (s), the closure of the bowl (s) and the formation of the cell (s). Advantageously and according to one or other of the first and second variants of the invention, the bowl has a peripheral shoulder defining an opening of the bowl, the lid being formed of a sealing film adapted to adhere to P peripheral shoulder of the bowl.
Avantageusement, au moins une cuvette -notamment chaque cuvette- présente un épaulement périphérique délimitant une ouverture de la cuvette -notamment de chaque cuvette-, au moins un couvercle -notamment chaque couvercle- étant formé d'un film d'obturation adapté pour pouvoir adhérer sur P épaulement périphérique de la cuvette -notamment de chaque cuvette-. L' épaulement périphérique de chaque cuvette forme une surface -notamment une surface sensiblement plane- de réception et d'adhésion du film d'obturation sur la cuvette, la cuvette contenant un cloisonnement amovible et une prise unitaire de médicaments, l'adhésion du film d'obturation sur P épaulement périphérique de la cuvette permettant l'obturation de la cuvette et la formation d'une cellule de stockage et de distribution d'au moins une prise unitaire de médicaments.  Advantageously, at least one bowl -in particular each bowl- has a peripheral shoulder delimiting an opening of the bowl -particularly of each bowl-, at least one lid -particularly each lid-being formed of a sealing film adapted to be able to adhere on P peripheral shoulder of the bowl -particularly of each bowl-. The peripheral shoulder of each cuvette forms a surface -particularly a substantially planar surface-for receiving and adhering the sealing film to the cuvette, the cuvette containing a removable partition and a unitary plug of drugs, the adhesion of the film sealing on the peripheral shoulder of the bowl for closing the cuvette and forming a cell for storing and dispensing at least one unit dose of medicaments.
Avantageusement et selon certains modes de réalisation de l'invention, le film d'obturation présente une face principale, dite face adhésive, présentant au moins une zone adhésive disposée pour pouvoir adhérer sur P épaulement périphérique de la cuvette. Avantageusement et selon certains modes de réalisation de l'invention, ladite face adhésive du film d'obturation est revêtue d'un matériau adhésif. Avantageusement et selon l'invention, le film d'obturation est formé d'un matériau adhésif. Avantageusement, le film d'obturation est formé d'un matériau cellulosique adhésif, notamment de papier adhésif. Avantageusement, le film d'obturation comprend un film amovible de protection du matériau adhésif, le film amovible de protection étant amovible sur au moins une partie de surface du film d'obturation. Tout type de matériau adhésif peut être utilisé, dès lors que le film amovible est compatible avec un contact avec des médicaments. Avantageusement, le film d'obturation présente une prédécoupe d'ouverture ultérieure de la cellule par déchirement du film d'obturation. Une telle prédécoupée permet d'une part l'ouverture ultérieure de la cellule contenant la prise unitaire de médicaments et d'autre part l'extraction du cloisonnement amovible. Advantageously and according to some embodiments of the invention, the closure film has a main face, called the adhesive face, having at least one adhesive zone arranged to be able to adhere to the peripheral shoulder of the bowl. Advantageously and according to some embodiments of the invention, said adhesive face of the sealing film is coated with an adhesive material. Advantageously and according to the invention, the sealing film is formed of an adhesive material. Advantageously, the sealing film is formed of an adhesive cellulosic material, especially adhesive paper. Advantageously, the sealing film comprises a removable protective film of the adhesive material, the removable protective film being removable on at least a portion of the surface of the sealing film. Any type of adhesive material may be used as long as the removable film is compatible with drug contact. Advantageously, the sealing film has a precut of subsequent opening of the cell by tearing the film shutter. Such pre-cut allows on the one hand the subsequent opening of the cell containing the unit dose of drugs and on the other hand the extraction of removable partitioning.
Avantageusement, selon certains modes de réalisation de l'invention, le film d'obturation est formé d'un matériau essentiellement cellulosique -notamment de papier- dont ladite face adhésive est autocollante et revêtue d'un film amovible de protection.  Advantageously, according to some embodiments of the invention, the sealing film is formed of an essentially cellulosic material - especially paper - of which said adhesive face is self-adhesive and coated with a removable protective film.
Avantageusement, selon certains modes de réalisation de l'invention, ladite face adhésive présente une zone périphérique adhésive recouverte d'un film siliconé amovible de protection et est adaptée pour pouvoir être collée sur l'épaulement périphérique de la cuvette lorsque le film siliconé est retiré, et une zone centrale, de préférence non adhésive destinée à s'étendre en regard de l'espace/du volume de stockage, l'espace/le volume de stockage contenant le cloisonnement amovible et la prise unitaire de médicaments.  Advantageously, according to certain embodiments of the invention, said adhesive face has an adhesive peripheral zone covered with a removable protective silicone film and is adapted to be bonded to the peripheral shoulder of the bowl when the silicone film is removed. , and a central area, preferably non-adhesive intended to extend opposite the storage space / volume, the storage space / volume containing the removable partitioning and the unit dose of drugs.
Rien n'empêche cependant que ladite face adhésive présente une deuxième zone adhésive, s 'étendant vers l'intérieur de la zone périphérique, elle aussi recouverte d'une partie de film amovible et adaptée pour pouvoir être collée au moins sur un rebord périphérique du cloisonnement amovible lorsque ladite partie de film amovible est retirée. Dans cette configuration, le déchirement du film d'obturation permet de façon concomitante l'ouverture de la cellule et l'extraction du cloisonnement amovible.  Nothing prevents however that said adhesive face has a second adhesive zone, extending inwardly from the peripheral zone, also covered with a removable film portion and adapted to be bonded at least on a peripheral rim of the removable partitioning when said removable film portion is removed. In this configuration, the tearing of the sealing film concomitantly allows the opening of the cell and the extraction of the removable partitioning.
Avantageusement et selon l'invention, le film d'obturation présente une deuxième face principale, dite face imprimée, opposée à ladite face adhésive et présentant au moins une inscription.  Advantageously and according to the invention, the closure film has a second main face, called the printed face, opposite to said adhesive face and having at least one inscription.
Avantageusement, ladite face imprimée présente au moins une inscription visant à identifier le patient, à identifier le(s) médicament(s), à identifier la date de la prise de médicament(s) et/ou à identifier l'heure de la prise de médicament(s). L'inscription peut prendre toute forme identifiable par le patient, par le prescripteur, par un personnel soignant ou au moyen d'un lecteur d'identifiant. Il peut s'agir par exemple de caractères d'écriture, d'un code couleur, d'un code barre ou d'un code QR. Il peut s'agir, pour des patients malvoyants, d'inscriptions en écriture braille. Ladite face imprimée présente des inscriptions relatives au patient et/ou à la prescription médicale. Advantageously, said printed face has at least one inscription intended to identify the patient, to identify the drug (s), to identify the date of taking medication (s) and / or to identify the time of taking of medication (s). The registration can take any form identifiable by the patient, by the prescriber, by a caregiver or by means of an identifier reader. It can be for example writing characters, a color code, a bar code or a QR code. It may be for patients visually impaired, Braille writing. Said printed face has inscriptions relating to the patient and / or the medical prescription.
Avantageusement, selon certains modes de réalisation de l'invention, la cuvette est de forme allongée selon une direction principale d'allongement et présente :  Advantageously, according to some embodiments of the invention, the bowl is elongated in a main direction of elongation and has:
- une plus grande dimension parallèle à la direction principale d'allongement de la cuvette -notamment de valeur comprise entre 60 mm et 150 mm-, et ;  a larger dimension parallel to the main direction of elongation of the bowl -particularly between 60 mm and 150 mm, and;
- une largeur selon une direction perpendiculaire à la direction principale d'allongement de valeur comprise entre 20 mm et 50 mm.  a width in a direction perpendicular to the main direction of value elongation of between 20 mm and 50 mm.
Avantageusement, selon ce mode de réalisation de l'invention, chaque cuvette est de forme allongée selon une direction principale d'allongement et présente :  Advantageously, according to this embodiment of the invention, each bowl is elongated in a main direction of elongation and has:
- une plus grande dimension parallèle à la direction principale d'allongement de la cuvette -notamment de valeur comprise entre 60 mm et 150 mm-, et ;  a larger dimension parallel to the main direction of elongation of the bowl -particularly between 60 mm and 150 mm, and;
- une largeur selon une direction perpendiculaire à la direction principale d'allongement de valeur comprise entre 20 mm et 50 mm.  a width in a direction perpendicular to the main direction of value elongation of between 20 mm and 50 mm.
Avantageusement et selon l'invention, la cuvette présente une profondeur s 'étendant perpendiculairement à la direction principale d'allongement, perpendiculairement à la largeur et de valeur inférieure à la largeur, notamment comprise entre 10 mm et 20 mm.  Advantageously and according to the invention, the bowl has a depth extending perpendicular to the main direction of elongation, perpendicular to the width and less than the width, in particular between 10 mm and 20 mm.
Avantageusement et selon certains modes de réalisation de l'invention, chaque cuvette présente une profondeur s 'étendant perpendiculairement à la direction principale d'allongement, perpendiculairement à la largeur et de valeur inférieure à la largeur -notamment comprise entre 10 mm et 20 mm-. Rien n'empêche cependant que, selon certains autres modes de réalisation de l'invention, la profondeur soit de valeur supérieure à la largeur.  Advantageously and according to some embodiments of the invention, each cuvette has a depth extending perpendicularly to the main direction of elongation, perpendicular to the width and of less than the width -in particular between 10 mm and 20 mm- . Nothing prevents, however, that, according to some other embodiments of the invention, the depth is of greater value than the width.
Les dimensions de chaque cuvette du dispositif d'emballage peuvent être identiques. Rien n'empêche cependant de prévoir qu'au moins deux cuvettes du dispositif d'emballage présentent des dimensions différentes et d'adapter les dimensions de chaque film d'obturation et les dimensions de chaque cloisonnement amovible aux dimensions de chaque cuvette. The dimensions of each bowl of the packaging device may be identical. Nothing prevents however to provide that at least two bowls of the packaging device have dimensions different and to adapt the dimensions of each shutter film and the dimensions of each removable partition to the dimensions of each bowl.
Avantageusement et selon l'invention, chaque cuvette est formée d'un matériau choisi dans le groupe formé des matériaux thermoplastiques et des matériaux thermodurcissables. Le matériau thermoplastique peut-être choisi dans le groupe formé du polystyrène (PS), du polyéthylène (PE), du poly(téréphtalate d'éthylène) (PET), du polyéthylène basse densité (PEBD), du polypropylène (PP), du polycarbonate (PC), de Pacrylonitrile butadiène styrène (ABS), du polychlorure de vinyle (PVC), du polyméthacrylate de méthyle (PMMA), du polystyrène choc (SB) et de leurs mélanges. Avantageusement, chaque cuvette est formée d'un matériau transparent.  Advantageously and according to the invention, each cuvette is formed of a material chosen from the group consisting of thermoplastic materials and thermosetting materials. The thermoplastic material may be selected from the group consisting of polystyrene (PS), polyethylene (PE), polyethylene terephthalate (PET), low density polyethylene (LDPE), polypropylene (PP), polycarbonate (PC), acrylonitrile butadiene styrene (ABS), polyvinyl chloride (PVC), polymethyl methacrylate (PMMA), impact polystyrene (SB) and mixtures thereof. Advantageously, each bowl is formed of a transparent material.
Avantageusement, chaque cloisonnement amovible est formé d'un matériau choisi dans le groupe formé des matériaux thermoplastiques et des matériaux thermodurcissables. Le matériau constitutif de la cuvette peut être identique ou différent du matériau constitutif du cloisonnement.  Advantageously, each removable partition is formed of a material selected from the group consisting of thermoplastic materials and thermosetting materials. The constituent material of the bowl may be identical to or different from the material constituting the partitioning.
Avantageusement, selon certains modes de réalisation de l'invention, le dispositif d'emballage est adapté pour pouvoir recevoir des médicaments et pour former une pluralité de cellules de stockage et de distribution d'une pluralité de prises unitaires de tels médicaments, les cellules de la pluralité de cellules de stockage et de distribution étant liées entre elles sous forme d'un plateau de cellules de stockage et de distribution de médicaments. En particulier, chaque cellule de la pluralité de cellules de stockage et de distribution de médicaments est liée aux cellules adjacentes par des liaisons sécables présentant des prédécoupes de séparation facilitée de chaque cellule et des cellules adjacentes. Chaque cellule du dispositif de stockage et de distribution de médicaments formé à partir du dispositif d'emballage est donc détachable du dispositif de stockage et de distribution de médicaments et des cellules adjacentes.  Advantageously, according to some embodiments of the invention, the packaging device is adapted to be able to receive drugs and to form a plurality of storage and dispensing cells of a plurality of unitary taps of such drugs, the the plurality of storage and dispensing cells being bonded together in the form of a tray of storage and dispensing cells. In particular, each cell of the plurality of drug storage and delivery cells is bound to adjacent cells by breakable bonds having facilitated partitioning precuts of each cell and adjacent cells. Each cell of the drug storage and dispensing device formed from the packaging device is therefore detachable from the drug storage and dispensing device and adjacent cells.
En particulier, selon un mode de réalisation préférentiel de l'invention, le dispositif d'emballage est adapté pour pouvoir former un pilulier hebdomadaire, le nombre de cellules formant le plateau de stockage étant choisi pour permettre une, deux, trois ou quatre prise(s) unitaire(s) de médicaments par jour pendant sept jours de traitement hebdomadaires. Un tel dispositif d'emballage selon l'invention comprend avantageusement 28 cellules de stockage et de distribution de 28 prises unitaires de médicaments. In particular, according to a preferred embodiment of the invention, the packaging device is adapted to form a pill organizer weekly, the number of cells forming the storage tray being chosen to allow one, two, three or four unit dose (s) of drugs per day for seven days of weekly treatment. Such a packaging device according to the invention advantageously comprises 28 cells for storing and dispensing 28 unit doses of medicaments.
Avantageusement, selon ce mode de réalisation préférentiel de l'invention, le dispositif d'emballage est un dispositif d'emballage d'une pluralité de prises unitaires de tels médicaments, comprenant :  Advantageously, according to this preferred embodiment of the invention, the packaging device is a device for packaging a plurality of unitary taps of such medicaments, comprising:
- une pluralité de cuvettes liées les unes aux autres sous forme d'un plateau de réception de médicaments ;  a plurality of cuvettes linked to each other in the form of a drug receiving tray;
- une feuille d'obturation de la pluralité de cuvettes formé d'une pluralité de films d'obturation, chaque film d'obturation étant adapté pour pouvoir obturer une cuvette, et ;  - A closure sheet of the plurality of cuvettes formed of a plurality of sealing films, each sealing film being adapted to be able to seal a bowl, and;
- une pluralité de cloisonnements amovibles -notamment liés les uns aux autres sous forme d'un plateau de cloisonnements amovibles-, chaque cloisonnement de la pluralité de cloisonnements amovibles étant adapté pour :  a plurality of removable partitions, in particular connected to each other in the form of a plate of removable partitions, each partition of the plurality of removable partitions being adapted to:
• pouvoir s'étendre dans le volume de stockage d'une cuvette en y délimitant une pluralité de compartiments ;  • being able to extend into the storage volume of a bowl by delimiting a plurality of compartments therein;
• pouvoir former -après réception d'une prise unitaire de tels médicaments et d'un couvercle- une cellule de stockage et de distribution d'une prise unitaire de médicaments dans laquelle au moins deux médicaments de la prise unitaire de médicaments sont séparés l'un de l'autre, et ;  To be able to form, after receiving a unit dose of such medicaments and a lid, a cell for storing and dispensing a unit dose of medicaments in which at least two drugs of the unit dose of drugs are separated; one of the other, and;
• pouvoir être extrait de la cuvette, de façon que les médicaments ne soient pas séparés les uns des autres dans la cuvette après extraction du cloisonnement.  • be able to be extracted from the bowl, so that the drugs are not separated from each other in the bowl after extraction of the partitioning.
Avantageusement et selon l'invention, le dispositif d'emballage est exempt de médicaments. Le dispositif d'emballage est à l'état au moins partiellement dissocié (sous forme de « kit »), la pluralité de cuvettes, la pluralité de couvercles et la pluralité de cloisonnements amovibles ne formant pas une pluralité de cellules de stockage d'une pluralité de prises unitaires de médicaments. Avantageusement et selon l'invention, la feuille d'obturation comprend une pluralité de films d'obturations, la feuille d'obturation et les films d'obturation étant dimensionnés pour que chaque film de la pluralité de films formant la feuille puisse obturer l'ouverture d'une cuvette du dispositif d'emballage. La feuille d'obturation présente des prédécoupes disposées pour permettre la séparation d'un film d'obturation. Les prédécoupes de la feuille d'obturation s'étendent en concordance avec des prédécoupes de la pluralité de cuvettes stockage du plateau de réception et permettent la séparation d'une cellule de la pluralité de cellules en vue de la distribution d'une prise unitaire de médicaments à un patient. Advantageously and according to the invention, the packaging device is free of drugs. The packaging device is in the at least partially dissociated state (in the form of a "kit"), the plurality of cuvettes, the plurality of covers and the plurality of removable partitions not forming a plurality of storage cells of a plurality of unit doses of drugs. Advantageously and according to the invention, the closure sheet comprises a plurality of sealing films, the closure sheet and the sealing films being dimensioned so that each film of the plurality of films forming the sheet can seal the film. opening a cuvette of the packaging device. The sealing sheet has pre-cuts arranged to allow the separation of a sealing film. The blanks of the blanking sheet extend in accordance with pre-cuts of the plurality of storage wells of the receiving tray and allow the separation of a cell from the plurality of cells for dispensing a unitary grip of medication to a patient.
Avantageusement, selon certains mode de réalisation de l'invention, le dispositif d'emballage comprend une pluralité de cloisonnements amovibles liés les uns aux autres sous forme d'un plateau de cloisonnements et de façon que chaque cloisonnement de la pluralité de cloisonnements amovibles puisse coopérer avec une cuvette de la pluralité de cuvettes du plateau de réception et de stockage de médicaments et former dans chaque cuvette une pluralité de compartiments. De préférence, chaque cloisonnement de la pluralité de cloisonnements amovibles est lié aux cloisonnements amovibles adjacents au moyen d'une liaison présentant une prédécoupe. Cependant, rien n'empêche qu'au moins un cloisonnement -notamment chaque cloisonnement- puisse être sous la forme d'un cloisonnement amovible séparé des autres cloisonnements du dispositif d'emballage selon l'invention.  Advantageously, according to some embodiments of the invention, the packaging device comprises a plurality of removable partitions connected to each other in the form of a partition plate and so that each partition of the plurality of removable partitions can cooperate. with a bowl of the plurality of cuvettes of the drug receiving and storage tray and forming in each cuvette a plurality of compartments. Preferably, each partition of the plurality of removable partitions is related to the adjacent removable partitions by means of a link having a precut. However, nothing prevents that at least one partitioning - particularly each partitioning - can be in the form of a removable partition separate from the other partitions of the packaging device according to the invention.
Avantageusement et selon l'invention, chaque cuvette de la pluralité de cuvettes du plateau de réception de médicaments présente un épaulement périphérique de collage d'un film d'obturation bordant l'ouverture de la cuvette. Avantageusement et selon l'invention, chaque cuvette présentant un épaulement périphérique de collage d'un film d'obturation bordant l'ouverture de la cuvette, les épaulements périphériques de collage de la pluralité de cuvettes sont sensiblement coplanaires. La pluralité d'épaulements périphériques coplanaires permet une application de la feuille d'obturation de la pluralité de cuvettes de façon à clore Γ espace/le volume de stockage de chaque cuvette de la pluralité de cuvettes et à former un dispositif de stockage et de distribution d'au moins une prise unitaire de tels médicaments. Advantageously and according to the invention, each cuvette of the plurality of cuvettes of the drug receiving tray has a peripheral shoulder for bonding a sealing film bordering the opening of the cuvette. Advantageously and according to the invention, each cuvette having a peripheral shoulder for bonding a sealing film bordering the opening of the cuvette, the peripheral adhesive shoulders of the plurality of cuvettes are substantially coplanar. The plurality of coplanar peripheral shoulders allows an application of the closure sheet of the plurality of cuvettes so as to close the space / storage volume of each cuvette of the cuvette. plurality of cuvettes and to form a device for storing and dispensing at least one unit dose of such drugs.
Avantageusement, la pluralité de cuvettes du plateau de stockage de la prise unitaire de tels médicaments est un réceptacle de médicaments dans lequel chaque cuvette du réceptacle est liée aux cuvettes adjacentes au moyen de liaisons présentant des prédécoupes de séparation facilité de la cellule et des cellules adjacentes. Avantageusement, la feuille d'obturation de la pluralité de cuvettes présente aussi des prédécoupes de séparation de chaque film d'obturation et de chaque cellule du plateau de réception de médicaments, les prédécoupes de la feuille d'obturation étant complémentaires des prédécoupes du plateau de réception. Avantageusement, chaque film d'obturation de la feuille d'obturation présente aussi des prédécoupes d'ouverture de chaque cellule correspondante par déchirement du film d'obturation.  Advantageously, the plurality of cuvettes of the storage tray of the unitary grip of such drugs is a drug receptacle in which each cuvette of the receptacle is bonded to the adjacent cuvettes by means of bonds having easy separation precuts of the cell and adjacent cells. . Advantageously, the closure sheet of the plurality of cuvettes also has separation pre-cuts of each closure film and of each cell of the drug receiving tray, the pre-cuts of the sealing sheet being complementary to the pre-cuts of the tray. reception. Advantageously, each sealing film of the sealing sheet also has opening pre-cuts of each corresponding cell by tearing the sealing film.
Avantageusement, le plateau réception de médicaments est formé d'un matériau choisi dans le groupe formé des matériaux thermoplastiques et des matériaux thermodurcissables. Il est possible d'obtenir le plateau de stockage de médicaments par thermoformage d'un matériau thermoplastique, en formant en une seul étape la pluralité de cuvettes et les prédécoupes.  Advantageously, the drug receiving tray is formed of a material selected from the group consisting of thermoplastic materials and thermosetting materials. It is possible to obtain the drug storage tray by thermoforming a thermoplastic material, forming in a single step the plurality of cuvettes and precuts.
Avantageusement et selon l'invention, le dispositif d'emballage comprend :  Advantageously and according to the invention, the packaging device comprises:
- un plateau de réception de médicaments, prédécoupé formant une pluralité de cuvettes juxtaposées ;  - a pre-cut drug receiving tray forming a plurality of juxtaposed cuvettes;
- une feuille prédécoupée de films d'obturation, et ;  a pre-cut sheet of shutter films, and
- un ensemble prédécoupé de cloisonnements amovibles.  - a pre-cut set of removable partitions.
Le plateau est prédécoupé de façon à permettre la séparation des cuvettes les unes des autres manuellement (par déchirement des prédécoupes). La feuille est prédécoupée de façon à permettre la séparation des films d'obturation les uns des autres manuellement (par déchirement des prédécoupes). L'ensemble des cloisonnements amovibles est prédécoupé de façon à permettre la séparation des cloisonnements amovibles les uns des autres manuellement (par déchirement des prédécoupes). En outre, de préférence, les différentes prédécoupes sont adaptées pour permettre la séparation de la cuvette, du film d'obturation et du cloisonnement amovible d'une même cellule manuellement simultanément (par déchirement simultané des différentes prédécoupes) en un seul geste. On peut ainsi séparer une cellule d'un dispositif de stockage et de distribution selon l'invention obtenu avec un tel dispositif d'emballage, cette cellule contenant une prise unitaire de tels médicaments, pour la distribuer au patient. The tray is pre-cut so as to allow the separation of the cups from each other manually (by tearing pre-cuts). The sheet is precut so as to allow the separation of the shutter films from each other manually (by tearing pre-cuts). The set of removable partitions is pre-cut so as to allow the separation of removable partitions from each other manually (by tearing pre-cuts). In addition, preferably, different pre-cuts are adapted to allow the separation of the bowl, the sealing film and the removable partitioning of the same cell manually simultaneously (by simultaneous tearing of the different pre-cuts) in a single gesture. It is thus possible to separate a cell from a storage and dispensing device according to the invention obtained with such a packaging device, this cell containing a unitary grip of such drugs, for distribution to the patient.
Avantageusement et selon l'invention, chaque cloisonnement amovible présente une pluralité de cloisons de séparation de médicaments et forme en coopération avec le fond de la cuvette une pluralité de compartiments de stockage de médicaments dans la cuvette dans laquelle il est positionné.  Advantageously and according to the invention, each removable partition has a plurality of drug separation walls and forms, in cooperation with the bottom of the cuvette, a plurality of drug storage compartments in the cuvette in which it is positioned.
Avantageusement et selon l'invention, au moins un -notamment chaque- cloisonnement amovible est un cloisonnement sans fond. Un tel cloisonnement amovible est configuré pour permettre une séparation latérale de médicaments d'une prise unitaire de médicaments dans la cuvette lorsque le cloisonnement amovible s'étend dans le volume de stockage de la cuvette et y délimite en coopération avec la cuvette une pluralité de compartiments permettant de maintenir des médicaments de la prise unitaire séparés les uns des autres. Un tel cloisonnement amovible est également configuré pour permettre une libération des médicaments sous une forme non séparés les uns des autres dans la cuvette par simple extraction du cloisonnement amovible hors de la cuvette.  Advantageously and according to the invention, at least one -notamment each- removable partitioning is a bottomless partitioning. Such removable partitioning is configured to allow a lateral separation of drugs from a unit dose of drugs in the bowl when the removable partitioning extends into the storage volume of the bowl and delimits in cooperation with the bowl a plurality of compartments to keep unit-dose drugs separate from each other. Such removable partition is also configured to allow a release of drugs in a form not separated from each other in the bowl by simply extracting the removable partition from the bowl.
Un tel cloisonnement amovible présente entre deux cloisons adjacentes une lumière de maintien de médicaments de la prise unitaire de médicaments en contact avec le fond de la cuvette. Un tel cloisonnement amovible est adapté pour que les médicaments de la prise unitaire de médicaments restent sous une forme non séparés les uns des autres dans la cuvette après extraction du cloisonnement amovible.  Such removable partitioning has between two adjacent walls a drug holding lumen of the unit dose of drugs in contact with the bottom of the bowl. Such removable partitioning is adapted so that the drugs of the unit dose of drugs remain in a form not separated from each other in the bowl after removal of removable partitioning.
Avantageusement, le cloisonnement amovible présente entre 2 et 10 cloisons et forme dans la cuvette entre 3 et 11 compartiments. Avantageusement, le cloisonnement amovible présente 6 cloisons et forme dans la cuvette 7 compartiments de stockage de médicaments. Bien entendu, sans sortir de la portée de protection de l'invention, le cloisonnement amovible peut former dans la cuvette plus de 7 compartiments de stockage de médicaments. Les cloisons du cloisonnement amovible peuvent être de toute forme adaptée pour permettre le stockage d'une pluralité de médicaments à l'état séparé. Les cloisons du cloisonnement amovible sont dimensionnées pour pouvoir former en coopération avec le fond de la cuvette, une pluralité de compartiments de stockage de médicaments sous une forme séparés les uns des autres lorsque le cloisonnement amovible est positionné dans la cuvette. Les cloisons du cloisonnement amovible sont dimensionnées pour pouvoir s'étendre sensiblement au contact du fond de la cuvette, mais non solidaire du fond de la cuvette et de façon à ménager la lumière de maintien des médicaments en contact avec le fond de la cuvette, en particulier lors du stockage des médicaments séparés les uns des autres et lors de l'extraction du cloisonnement amovible. Advantageously, the removable partitioning has between 2 and 10 partitions and forms in the bowl between 3 and 11 compartments. Advantageously, the removable partition has 6 partitions and forms in the bowl 7 drug storage compartments. Of course, without departing from the scope of protection of the invention, the removable partitioning can form in the bowl more than 7 drug storage compartments. The partitions of the removable partition may be of any form adapted to allow the storage of a plurality of drugs in the separated state. The partitions of the removable partition are dimensioned to form in cooperation with the bottom of the cuvette, a plurality of drug storage compartments in a form separated from each other when the removable partition is positioned in the cuvette. The bulkheads of the removable partition are dimensioned to be able to extend substantially in contact with the bottom of the bowl, but not secured to the bottom of the bowl and so as to provide the light for keeping the medicaments in contact with the bottom of the bowl, especially when storing the drugs separated from each other and during the extraction of removable partitioning.
Le cloisonnement amovible ne constitue en lui-même ni un compartiment de stockage de médicaments ni une cuvette de stockage de médicaments. En particulier, le cloisonnement amovible est un cloisonnement sans fond comprenant des cloisons transversales (c'est-à-dire adaptées pour s'étendre transversalement dans la cuvette) ménageant une lumière entre deux cloisons adjacentes, cette lumière permettant le passage de médicaments. Ainsi, l'extraction du cloisonnement amovible hors de la cuvette contenant les médicaments n'entraine pas l'extraction des médicaments hors de la cuvette, les médicaments restant logés dans la cuvette.  Removable partitioning does not in itself constitute a drug storage compartment or a drug storage basin. In particular, the removable partitioning is a bottomless partition comprising transverse partitions (that is to say adapted to extend transversely in the bowl) providing a light between two adjacent partitions, this light for the passage of drugs. Thus, the extraction of removable partitioning out of the cuvette containing the drugs does not lead to the extraction of drugs out of the cuvette, the drugs remaining housed in the cuvette.
Avantageusement et selon l'invention, les cloisons du cloisonnement amovible peuvent être équidistantes et former des compartiments de même taille dans la cuvette. Cependant, il est aussi possible que les cloisons du cloisonnement amovible forment dans la cuvette des compartiments de tailles différentes. Un tel dispositif permet de stocker et de distribuer au moins une prise unitaire de médicaments présentant des médicaments de tailles différentes. Avantageusement, au moins deux compartiments présentent des tailles distinctes.  Advantageously and according to the invention, the partitions of the removable partitioning can be equidistant and form compartments of the same size in the bowl. However, it is also possible that the partitions of the removable partitioning form in the bowl compartments of different sizes. Such a device makes it possible to store and dispense at least one unit dose of drugs having different size medications. Advantageously, at least two compartments have different sizes.
Rien n'empêche également que le nombre de cloisons diffère d'un cloisonnement amovible à l'autre. Les cloisons peuvent présenter toute forme dès lors qu'elles permettent la formation de compartiments dans la cuvette, le fond de chaque compartiment étant formé par le fond de la cuvette. Chaque cloison peut présenter deux faces principales opposées sensiblement parallèles. Elle peut également présenter deux faces principales opposées non parallèles de sorte que les compartiments formés dans la cuvette soient évasés vers le haut, c'est-à-dire vers la face du cloisonnement destinée à recevoir le couvercle. De tels compartiments évasés vers le haut permettent un remplissage facilité de la cuvette. Rien n'empêche cependant que les compartiments formés dans la cuvette soient évasés vers le bas, c'est-à-dire vers le fond de la cuvette. De tels compartiments évasés vers le bas permettent de faciliter l'étalement des médicaments au fond de la cuvette. Nothing also prevents the number of partitions differs from one removable partition to another. The partitions can have any shape since they allow the formation of compartments in the bowl, the bottom of each compartment being formed by the bottom of the bowl. Each partition may have two opposite main faces substantially parallel. It may also have two opposite non-parallel main faces so that the compartments formed in the bowl are flared upwards, that is to say towards the face of the partition intended to receive the lid. Such upwardly flared compartments allow easy filling of the bowl. Nothing prevents however that the compartments formed in the bowl are flared downwards, that is to say towards the bottom of the bowl. Such compartments flared down to facilitate the spread of drugs at the bottom of the bowl.
Avantageusement et selon l'invention, la cuvette présente un fond, dit fond de stockage, et une paroi latérale, ledit fond de stockage et la paroi latérale délimitant le volume de stockage de la prise unitaire de médicament. Avantageusement, selon certains modes de réalisation de l'invention, ledit fond de stockage est sensiblement plan.  Advantageously and according to the invention, the bowl has a bottom, said storage floor, and a side wall, said storage floor and the side wall defining the storage volume of the unit dose of medication. Advantageously, according to some embodiments of the invention, said storage floor is substantially plane.
Avantageusement, en combinaison et selon un autre aspect de l'invention, une partie de fond de la cuvette forme un renfoncement de collecte des médicaments de la prise unitaire de médicaments adapté pour pouvoir recevoir les médicaments et les contenir, et pour permettre leur concassage -notamment leur broyage- dans le renfoncement. Le fond de la cuvette est formé dudit fond de stockage et du renfoncement et s'étend continûment entre ledit fond de stockage et le renfoncement.  Advantageously, in combination and according to another aspect of the invention, a bottom portion of the bowl forms a recess for collecting medicaments of the unit dose of medication adapted to be able to receive the medicaments and to contain them, and to allow their crushing - especially their grinding- in the recess. The bottom of the cuvette is formed from said storage floor and the recess and extends continuously between said storage floor and the recess.
Avantageusement et selon cet autre aspect de l'invention, le renfoncement permet un regroupement des médicaments de la prise unitaire de médicaments dans le renfoncement après extraction du cloisonnement amovible, le concassage -notamment le broyage- des médicaments et la formation d'une prise unitaire de médicament à l'état de poudre maintenue dans le renfoncement.  Advantageously and according to this other aspect of the invention, the recess allows a grouping of medicaments of the unit dose of drugs in the recess after extraction of the removable partitioning, crushing - especially grinding - of the drugs and the formation of a unitary grip of powdered drug maintained in the recess.
Le renfoncement est dimensionné pour pouvoir contenir les médicaments de la prise unitaire de médicaments. Il est également dimensionné pour pouvoir recevoir un dispositif de concassage de médicaments dans le renfoncement et permettre le concassage -notamment le broyage- des médicaments dans le renfoncement. Ainsi, avantageusement et selon cet autre aspect de l'invention, le renfoncement présente une paroi, dite paroi du renfoncement, latérale de forme sensiblement symétrique de révolution -notamment cylindrique de révolution-. Avantageusement, ladite paroi du renfoncement peut être de forme tronconique. Avantageusement et selon cet autre aspect de l'invention, le renfoncement présente un fond du renfoncement. Le fond du renfoncement peut être plan. Il peut également être de forme sensiblement arrondie et adaptée pour permettre un concassage des médicaments, en particulier au moyen d'un organe de concassage et/ou de broyage tel qu'un pilon. Le fond du renfoncement peut être lisse. Il peut également présenter des aspérités dimensionnées pour pouvoir coopérer avec un organe de concassage -notamment un pilon- et permettre un concassage -notamment un broyage- des médicaments. The recess is dimensioned to be able to contain the drugs of the unit dose of drugs. It is also sized to be able to receive a device for crushing drugs in the recess and allow the crushing - especially grinding - drugs in the recess. Thus, advantageously and according to this other aspect of the invention, the recess has a wall, said wall of the recess, of substantially symmetrical shape of revolution-in particular cylindrical of revolution-. Advantageously, said wall of the recess can be of frustoconical shape. Advantageously and according to this other aspect of the invention, the recess has a bottom of the recess. The bottom of the recess can be plane. It may also be of substantially rounded shape and adapted to allow crushing of the drugs, in particular by means of a crushing and / or grinding member such as a pestle. The bottom of the recess can be smooth. It may also have asperities dimensioned to be able to cooperate with a crushing member - especially a pestle - and allow crushing - especially grinding - drugs.
Le matériau formant le renfoncement, sa forme, l'épaisseur du fond du renfoncement et de ladite paroi du renfoncement, les aspérités formant le fond du renfoncement sont choisis pour permettre un concassage -notamment un broyage- efficace des médicaments et pour recevoir un aliment coulant et son mélange avec les médicaments concassés. Les médicaments concassés sont sous forme d'un solide à l'état divisé de faible granulométrie, notamment sous forme d'une poudre.  The material forming the recess, its shape, the thickness of the bottom of the recess and said wall of the recess, the asperities forming the bottom of the recess are chosen to allow crushing - in particular an effective grinding of the drugs and to receive a food flowing and its mixture with the crushed drugs. The crushed medicaments are in the form of a solid in the divided state of small particle size, especially in the form of a powder.
Avantageusement, selon certains modes de réalisation de l'invention le renfoncement est un renfoncement déformable entre une forme rétractée dans laquelle le renfoncement ne permet pas le concassage des médicaments et une forme déployée dans laquelle le renfoncement présente une profondeur adaptée pour recevoir les médicaments et permettre leur concassage. Un tel renfoncement déformable peut être un renfoncement rétractable/déployable selon une axe perpendiculaire audit fond de stockage de la cuvette. Un tel renfoncement déformable permet de limiter l'encombrement du dispositif d'emballage lorsque le renfoncement déformable est en position rétractée. Il permet également la collecte des médicaments de la prise unitaire de médicaments et le concassage -notamment le broyage- des médicaments lorsque le renfoncement déformable est en position déployée et que le dispositif de distribution est en position de concassage. Un tel renfoncement déformable peut présenter une paroi latérale formant des plis transversaux successifs agencés pour permettre une déformation dite déformation en accordéon. Advantageously, according to some embodiments of the invention the recess is a deformable recess between a retracted form in which the recess does not allow the crushing of drugs and an expanded form in which the recess has a depth adapted to receive the drugs and allow their crushing. Such a deformable recess may be a retractable recess / deployable along an axis perpendicular to said storage fund of the cuvette. Such a deformable recess limits the size of the packaging device when the deformable recess is in the retracted position. he also allows the collection of drugs from the unitary taking of drugs and crushing - especially grinding - drugs when the deformable recess is in the extended position and the dispensing device is in the crushing position. Such a deformable recess may have a lateral wall forming successive transverse folds arranged to allow deformation said accordion deformation.
Ledit fond de stockage et le renfoncement permettent, après ouverture de la cellule et extraction du cloisonnement amovible de la cuvette de stockage, une collecte des médicaments d'une prise unitaire de médicaments dans le renfoncement par simple glissement des médicaments entre ledit fond de stockage et le renfoncement dans lequel les médicaments sont maintenus en vue de leur concassage ou de leur broyage, de leur mélange dans le renfoncement avec un aliment coulant et de leur prise facilitée par le patient.  Said storage base and the recess allow, after opening the cell and extracting the removable partition of the storage bowl, a collection of drugs from a unit dose of drugs in the recess by simply sliding the drugs between said storage bottom and the recess in which the drugs are held for crushing or grinding, mixing them in the recess with a flowing food, and making them easier for the patient.
Selon cet aspect de l'invention, le renfoncement et ledit fond de stockage forment ensemble le fond de la cuvette de sorte que les médicaments de la prise unitaire de médicaments peuvent être entraînés, après extraction du cloisonnement amovible, à partir dudit fond de stockage vers le renfoncement par glissement sur le fond de stockage par une simple inclinaison de la cuvette permettant un glissement des médicaments entre ledit fond de stockage et le renforcement.  According to this aspect of the invention, the recess and said storage bottom together form the bottom of the bowl so that the medicaments of the unit dose of drugs can be driven, after removal of the removable partition, from said storage bottom to the recess by sliding on the storage floor by a simple inclination of the bowl allowing a sliding of the drugs between said storage floor and the reinforcement.
Avantageusement et selon cet aspect de l'invention, le renfoncement forme un mortier de concassage -notamment de broyage- des médicaments de la prise unitaire de médicaments.  Advantageously and according to this aspect of the invention, the recess forms a crushing mortar-in particular grinding-drugs of the unit dose of drugs.
Avantageusement et selon certains aspects de l'invention, le renfoncement et ledit fond de stockage étant formés d'un même matériau, le renfoncement et ledit fond de stockage présentant des épaisseurs différentes, l'épaisseur du matériau formant le renfoncement étant supérieure à l'épaisseur du matériau formant ledit fond de stockage. Rien n'empêche cependant que le matériau formant ledit fond de stockage de la cuvette et le matériau formant le renfoncement présentent une même épaisseur.  Advantageously and according to certain aspects of the invention, the recess and said storage bottom being formed of the same material, the recess and said storage bottom having different thicknesses, the thickness of the material forming the recess being greater than thickness of the material forming said storage floor. However, there is nothing to prevent the material forming said bottom of storage of the bowl and the material forming the recess from having the same thickness.
Avantageusement et selon certains aspects de l'invention, le renfoncement présente une rigidité en flexion supérieure à la rigidité en flexion dudit fond de stockage. Cependant, selon certains autres aspects de l'invention, le renfoncement présente une rigidité en flexion sensiblement égale à la rigidité en flexion dudit fond de stockage. Advantageously and according to certain aspects of the invention, the recess has a bending stiffness greater than the flexural rigidity of said storage bottom. However, according to certain other aspects of the invention, the recess has a bending stiffness substantially equal to the bending rigidity of said storage bottom.
Avantageusement et selon cet aspect de l'invention, la cuvette est formée par thermoformage d'un matériau thermoplastique ou d'un matériau thermodurcissable.  Advantageously and according to this aspect of the invention, the bowl is formed by thermoforming a thermoplastic material or a thermosetting material.
Selon certains aspects de l'invention, rien n'empêche que certaines cuvettes de la pluralité de cuvette présentent un tel renfoncement et que d'autres cuvettes de la pluralité de cuvette ne présentent pas un tel renfoncement.  According to certain aspects of the invention, there is nothing to prevent certain bowls of the plurality of bowls having such a recess and that other bowls of the plurality of bowls do not have such a recess.
L'invention s'étend également à un procédé d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée, dans lequel on utilise un dispositif d'emballage selon l'invention pour obtenir un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments selon l'invention, prêt à l'emploi. L'invention s'étend donc à un tel procédé de fabrication d'un dispositif de stockage et de distribution d'au moins une prise unitaire de tels médicaments dans lequel on utilise un dispositif d'emballage selon l'invention.  The invention also extends to a method for packaging at least one unit dose of medicaments in divided solid dosage form, in which a packaging device according to the invention is used to obtain a storage and dispensing device. at least one unit dose of drugs according to the invention, ready for use. The invention therefore extends to such a method of manufacturing a device for storing and dispensing at least one unit dose of such medicaments in which a packaging device according to the invention is used.
En particulier, l'invention s'étend à un procédé d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente-, dans lequel :  In particular, the invention extends to a method for packaging at least one unit dose of medicaments in divided solid form -particularly not entirely pulverulent, preferably non-pulverulent-, in which:
- on choisit un dispositif d'emballage selon l'invention ;  a packaging device according to the invention is chosen;
- on place un cloisonnement amovible dans une -notamment dans chaque- cuvette du dispositif d'emballage ;  a removable partition is placed in one compartment in each bowl of the packaging device;
- on répartit des médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- dans au moins deux compartiments de stockage formés par le cloisonnement amovible placé dans la cuvette -notamment dans chaque cuvette-, (conformément à une prescription médicale destinée à un patient) et ; - on clôt la cuvette -notamment chaque cuvette- du dispositif comprenant les médicaments par application du couvercle. On forme ainsi un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- prêt à être distribué ou mis à disposition d'un patient. - Dispensing drugs in divided solid dosage form - in particular not completely pulverulent, preferably non-pulverulent - in at least two storage compartments formed by removable partitioning placed in the bowl -particularly in each bowl- (according to a medical prescription) intended for a patient) and; - Closing the bowl -notamment each bowl- of the device comprising the drugs by applying the lid. Thus, a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not completely pulverulent, preferably non-pulverulent - is ready to be dispensed or made available to a patient.
On réalise une telle répartition des médicaments par tout moyen approprié. Il peut s'agir d'une répartition manuelle réalisée par un opérateur. Il peut aussi s'agir d'une distribution automatisée réalisée par un automate selon la prescription médicale. Il peut aussi s'agir d'une distribution semi automatisée dans laquelle un opérateur est assisté d'un automate de détection et de validation de la répartition des médicaments.  Such a distribution of drugs is made by any appropriate means. It can be a manual distribution performed by an operator. It can also be an automated distribution performed by an automaton according to the medical prescription. It can also be a semi-automated distribution in which an operator is assisted by an automaton for detecting and validating the distribution of drugs.
Avantageusement et selon l'invention, on imprime des inscriptions variables sur le couvercle -notamment au moins une donnée personnelle relative au patient à soigner et/ou au moins une donnée relative à une prescription médicale-. Il est possible, le couvercle étant un film d'obturation, d'imprimer au moins une donnée personnelle relative au patient à soigner et/ou au moins une donnée relative à la prescription médicale avant l'application du film d'obturation sur la cuvette. On réalise par exemple une telle impression au moyen d'une imprimante. Rien n'empêche cependant de réaliser l'impression d'au moins une donnée personnelle relative au patient à soigner et/ou d'au moins une donnée relative à la prescription médicale sur le plateau de stockage de médicaments après l'application du film d'obturation sur la cuvette.  Advantageously and according to the invention, variable inscriptions are printed on the lid-in particular at least one personal data relating to the patient to be treated and / or at least one data relating to a medical prescription. It is possible, the cover being a sealing film, to print at least one personal data relating to the patient to be treated and / or at least one data relating to the medical prescription before the application of the closure film to the bowl . For example, such an impression is made by means of a printer. However, nothing prevents the printing of at least one personal data relating to the patient to be treated and / or at least one piece of data relating to the medical prescription on the drug storage tray after the application of the film. shutter on the bowl.
Avantageusement et selon l'invention, le couvercle étant un film d'obturation présentant une face principale, dite face adhésive, présentant au moins une zone adhésive disposée pour pouvoir adhérer sur l'épaulement périphérique d'une cuvette, ladite face adhésive étant protégée par un film protecteur amovible, on retire le film protecteur amovible et on applique le film d'obturation sur la(les) cuvette(s) comprenant le(s) cloisonnement(s) amovible(s) et au moins une prise unitaire de médicaments.  Advantageously and according to the invention, the lid being a sealing film having a main face, said adhesive face, having at least one adhesive zone arranged to be able to adhere to the peripheral shoulder of a bowl, said adhesive face being protected by a removable protective film, removing the removable protective film and applying the sealing film on the (the) bowl (s) comprising the (s) partitioning (s) removable (s) and at least a unit dose of drugs.
L'invention s'étend également à un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- obtenu par un procédé d'emballage selon l'invention. L'invention s'étend également à un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments obtenu à partir d'un dispositif d'emballage selon l'invention. The invention also extends to a storage device and dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not completely pulverulent, preferably non-pulverulent - obtained by a packaging method according to the invention. The invention also extends to a device for storing and dispensing at least one unit dose of medication obtained from a packaging device according to the invention.
L'invention s'étend donc à un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente-, chaque prise unitaire étant destinée à être administrée à un patient à un moment prédéterminé et répartie dans une cellule de stockage et de distribution d'une telle prise unitaire, chaque cellule comprenant :  The invention therefore extends to a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form - in particular not entirely pulverulent, preferably non-pulverulent -, each unit dose being intended to be administered to a patient at a predetermined time and distributed in a cell for storing and distributing such a unitary catch, each cell comprising:
- une cuvette délimitant un volume de stockage d'une telle prise unitaire et contenant une telle prise unitaire ;  a bowl delimiting a storage volume of such a unitary catch and containing such a unitary catch;
- un couvercle adapté pour clore le volume de stockage ;  a lid adapted to close the storage volume;
- un cloisonnement s 'étendant dans le volume de stockage et y délimitant une pluralité de compartiments de stockage maintenant des médicaments de la prise unitaire séparés les uns des autres, le cloisonnement s 'étendant dans la cuvette ;  a partitioning extending in the storage volume and delimiting therein a plurality of storage compartments holding drugs of the unitary plug separated from each other, the partitioning extending in the bowl;
caractérisé en ce que le cloisonnement s'étendant dans la cuvette est amovible par rapport à la cuvette. L'invention concerne donc un tel dispositif de stockage et de distribution d'au moins une prise unitaire de tels médicaments dans lequel au moins une cellule de stockage est close et contient une prise unitaire de médicaments. L'invention concerne donc un tel dispositif de stockage et de distribution qui est garni d'au moins une prise unitaire de tels médicaments et prêt à être utilisé par un patient ou en cours d'utilisation par un patient.  characterized in that the partitioning extending into the bowl is removable relative to the bowl. The invention thus relates to such a device for storing and dispensing at least one unit dose of such drugs in which at least one storage cell is closed and contains a unit dose of drugs. The invention thus relates to such a storage and dispensing device which is furnished with at least one unitary grip of such drugs and ready for use by a patient or in use by a patient.
Avantageusement et selon l'invention, le cloisonnement amovible est adapté pour pouvoir être extrait de la cuvette, les médicaments n'étant alors plus séparés les uns des autres dans la cuvette après extraction du cloisonnement amovible. Avantageusement et selon certains modes de réalisation particuliers de l'invention, le cloisonnement amovible est solidaire du couvercle de façon à permettre, lors de l'ouverture de la cellule de stockage, une extraction simultanée du cloisonnement amovible hors de la cuvette et une répartition aléatoire des médicaments dans la cuvette. Dans ce mode de réalisation d'un dispositif selon l'invention, l'opération de distribution d'une prise unitaire de médicaments est simplifiée et permet de former dans la cuvette, en une seule étape, une prise unitaire de médicaments dont le prélèvement par le patient est facilité et sans avoir à utiliser un récipient annexe. Advantageously and according to the invention, the removable partitioning is adapted to be extracted from the bowl, the drugs are then no longer separated from each other in the bowl after removal of removable partitioning. Advantageously and according to certain particular embodiments of the invention, the removable partitioning is secured to the cover so as to allow, during the opening of the storage cell, a simultaneous extraction of the removable partition from the bowl and a random distribution medicines in the bowl. In this embodiment of a device according to the invention, the dispensing operation of a unit dose of medicaments is simplified and makes it possible to form in the cuvette, in a single step, a unit dose of medicaments, the removal of which by the patient is easy and without having to use an auxiliary container.
Rien n'empêche cependant que, dans d'autres modes de réalisation, le cloisonnement amovible s'étende dans la cuvette sans liaison avec le couvercle de façon que l'ouverture de la cuvette permette une extraction du cloisonnement amovible hors de la cuvette postérieurement à l'ouverture de la cuvette et un mélange subséquent des médicaments dans la cuvette.  Nothing prevents however that, in other embodiments, the removable partition extends into the bowl without connection to the lid so that the opening of the bowl allows extraction of the removable partition from the bowl after the opening of the bowl and a subsequent mixing of the drugs in the bowl.
Avantageusement et selon d'autres modes de réalisation particuliers de l'invention, le cloisonnement amovible est séparé du couvercle de façon que l'ouverture de la cellule de stockage nécessite une extraction différée (c'est-à-dire après enlèvement du couvercle) du cloisonnement amovible hors de la cuvette pour former une répartition aléatoire des médicaments dans la cuvette.  Advantageously and according to other particular embodiments of the invention, the removable partition is separated from the cover so that the opening of the storage cell requires a delayed extraction (that is to say after removal of the cover) removable partitioning out of the bowl to form a random distribution of drugs in the bowl.
Dans ces autres modes de réalisation, le cloisonnement amovible présente avantageusement des moyens de préhension adaptés pour faciliter l'extraction du cloisonnement amovible ultérieurement à l'ouverture de la cellule. Par exemple, le cloisonnement amovible présente une languette de préhension et d'extraction du cloisonnement amovible.  In these other embodiments, the removable partition advantageously has gripping means adapted to facilitate the extraction of the removable partitioning later to the opening of the cell. For example, the removable partition has a tab for gripping and extracting removable partitioning.
Avantageusement, en combinaison et selon un autre aspect d'un dispositif de stockage et de distribution d'une prise unitaire de médicaments selon l'invention, une partie de fond de la cuvette forme un renfoncement de collecte des médicaments de la prise unitaire de médicaments adapté pour pouvoir recevoir les médicaments et les contenir, et pour permettre leur concassage -notamment leur broyage- dans le renfoncement. Selon cet autre aspect de l'invention, les médicaments de la prise unitaire de médicaments contenus dans la cellule sont répartis dans les compartiments de stockage formés par le cloisonnement dans le volume de stockage. En particulier, le fond de la cuvette étant formé du renforcement et d'une partie de fond, dit fond de stockage, sensiblement plan, les médicaments de la prise unitaire de médicaments contenus dans la cellule sont répartis dans les compartiments de stockage formés par le cloisonnement, par le fond de stockage et par le couvercle. Rien n'empêche cependant que l'un des médicaments de la prise unitaire de médicaments soit stocké dans le renfoncement. L'un des compartiments de stockage est alors formé par le renfoncement, par le cloisonnement et par le couvercle. Advantageously, in combination and according to another aspect of a device for storing and dispensing a unit dose of medicaments according to the invention, a portion of the bottom of the bowl forms a recess for collecting the medicaments of the unit dose of medicaments. adapted to be able to receive the drugs and contain them, and to allow their crushing - especially grinding - in the recess. According to this other aspect of the invention, the medicaments of the unit dose of medicaments contained in the cell are distributed in the storage compartments formed by the partitioning in the storage volume. In particular, the bottom of the cuvette being formed of the reinforcement and a bottom portion, said storage floor, substantially plane, the medicaments of the unit dose of drugs contained in the cell are distributed in the storage compartments formed by the partitioning, by the storage floor and by the cover. However, there is nothing to prevent one of the medicines from taking a unit of medication from being stored in the recess. One of the storage compartments is then formed by the recess, the partition and the cover.
Avantageusement et selon une variante préférentielle de l'invention, le dispositif de stockage et de distribution comprend une pluralité de cellules de stockage liées les unes aux autres sous forme d'un plateau de stockage et de distribution de médicaments (ou pilulier). Au moins une -notamment chaque- cellule de stockage du plateau de stockage est formée d'un cloisonnement amovible, d'une cuvette et d'un couvercle formant un volume de stockage contenant une prise unitaire de médicaments séparés les uns des autres. Dans cette variante, le couvercle est une feuille d'obturation de la pluralité de cellules, le film d'obturation étant formé d'une pluralité de films d'obturation, la feuille et les films d'obturation étant dimensionnés pour que chaque film de la pluralité de films d'obturation obture l'ouverture d'une cuvette de la pluralité de cuvettes.  Advantageously and according to a preferred variant of the invention, the storage and distribution device comprises a plurality of storage cells linked to each other in the form of a storage and dispensing tray of drugs (or pillbox). At least one-in particular each storage cell of the storage tray is formed of a removable partition, a cuvette and a lid forming a storage volume containing a unit dose of drugs separated from each other. In this variant, the cover is a shutter sheet of the plurality of cells, the shutter film being formed of a plurality of shutter films, the sheet and the shutter films being dimensioned so that each film of shutter the plurality of sealing films seals the opening of a bowl of the plurality of cuvettes.
Avantageusement, selon cet aspect particulier d'un dispositif de stockage et de distribution d'une prise unitaire de médicaments selon l'invention, au moins une -notamment chaque- cuvette présentant un fond, une partie du fond d'au moins une -notamment de chaque- cuvette forme un renfoncement dimensionné pour pouvoir contenir les médicaments et pour permettre leur concassage -notamment leur broyage- dans le renfoncement.  Advantageously, according to this particular aspect of a device for storing and dispensing a unit dose of medicaments according to the invention, at least one-particularly each bowl having a bottom, a part of the bottom of at least one-particularly Each bowl forms a recess sized to be able to contain the drugs and to allow their crushing - especially grinding - in the recess.
Avantageusement et selon l'invention, chaque cellule de stockage du dispositif de stockage et de distribution de tels médicaments contient une prise unitaire de tels médicaments correspondant à une prescription médicale. Advantageously and according to the invention, each storage cell of the device for storing and dispensing such medicaments contains a unit dose of such drugs corresponding to a medical prescription.
Avantageusement et selon l'invention, les cellules de stockage sont liées les unes aux autres par des prédécoupes adaptées pour permettre la séparation de chaque cellule des cellules adjacentes par déchirement manuel de ces prédécoupes.  Advantageously and according to the invention, the storage cells are linked to each other by pre-cuts adapted to allow the separation of each cell from adjacent cells by manual tearing of these pre-cuts.
La feuille d'obturation présente des prédécoupes disposées pour permettre la séparation de films de la feuille d'obturation. Les prédécoupes de la feuille d'obturation s'étendent en concordance avec des prédécoupes de la pluralité de cuvettes de stockage et avec des prédécoupes de la pluralité de cloisonnements amovibles, de façon à permettre la séparation d'une cellule unique de la pluralité de cellules en vue de la distribution d'une unique prise unitaire de médicaments à un patient. De préférence, les prédécoupes sont adaptées pour permettre la séparation d'une cellule par déchirement simultané des différentes prédécoupes en un seul geste, manuellement.  The sealing sheet has pre-cuts arranged to allow separation of films from the sealing sheet. The blanks of the blanking sheet extend in concordance with pre-cuts of the plurality of storage bowls and with pre-cuts of the plurality of removable partitions, so as to allow the separation of a single cell from the plurality of cells. for dispensing a single unit dose of medication to a patient. Preferably, the precuts are adapted to allow the separation of a cell by simultaneous tearing of the different precuts in a single gesture, manually.
Avantageusement, le dispositif de stockage et de distribution selon l'invention sous forme de plateau présente une pluralité d'œillets d'accrochage et de stockage du plateau en position verticale.  Advantageously, the storage and distribution device according to the invention in the form of a plate has a plurality of eyelets for hooking and storage of the plate in a vertical position.
L'invention s'étend également à un procédé de mise à disposition d'une prise unitaire de médicaments sous forme galénique solide divisée, dans lequel on utilise un dispositif selon l'invention. L'invention s'étend donc également à un procédé de fourniture d'une prise unitaire de médicaments sous forme galénique solide divisée, dans lequel on utilise un dispositif selon l'invention.  The invention also extends to a method of providing a unit dose of drugs in divided solid dosage form, in which a device according to the invention is used. The invention therefore also extends to a method of providing a unit dose of drugs in divided solid dosage form, wherein a device according to the invention is used.
L'invention s'étend en particulier à un procédé de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvémlente, de préférence non pulvérulente- à un patient, dans lequel :  The invention extends in particular to a method for dispensing at least one unit dose of medicaments in divided solid form - in particular not entirely pulverulent, preferably non-pulverulent - to a patient, wherein:
- un dispositif (ledit dispositif de stockage et de distribution correspondant à une prescription médicale) de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- selon l'invention est choisi ; a device (said storage and dispensing device corresponding to a medical prescription) for storing and dispensing at least one unit dose of medicaments in divided solid dosage form; in particular not entirely pulverulent, preferably non-pulverulent, according to the invention is chosen;
- le couvercle d'une cellule du dispositif de stockage et de distribution correspondant à la prise unitaire de médicaments est retiré, et ;  the lid of a cell of the storage and dispensing device corresponding to the unit dose of medicaments is removed, and
- le cloisonnement amovible est extrait de la cellule de façon que les médicaments ne soient plus séparés les uns des autres dans la cuvette, et ;  the removable partitioning is extracted from the cell so that the drugs are no longer separated from each other in the bowl, and;
- la prise unitaire de médicaments est distribuée au patient.  - the unit dose of medication is distributed to the patient.
Avantageusement et selon l'invention :  Advantageously and according to the invention:
- un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form
-notamment non intégralement pulvérulente, de préférence non pulvérulente- selon l'invention est choisi, puis ; in particular not entirely pulverulent, preferably non-pulverulent, according to the invention is chosen, then;
- une cellule de stockage et de distribution d'une telle prise unitaire est séparée du dispositif de stockage, puis ;  a cell for storing and distributing such a unitary tap is separated from the storage device, and then;
- le couvercle de cette cellule du dispositif de stockage et de distribution correspondant à la prise unitaire de médicaments est retiré, et ;  the lid of this cell of the storage and dispensing device corresponding to the unit dose of drugs is removed, and
- le cloisonnement amovible est extrait de cette cellule de façon que les médicaments ne soient plus séparés les uns des autres dans la cuvette, et ;  the removable partitioning is extracted from this cell so that the drugs are no longer separated from each other in the bowl, and;
- la prise unitaire de médicaments est distribuée au patient.  - the unit dose of medication is distributed to the patient.
Avantageusement et selon l'invention, on retire le couvercle et on extrait le cloisonnement amovible simultanément, le cloisonnement amovible étant solidaire du couvercle.  Advantageously and according to the invention, the cover is removed and the removable partition is extracted simultaneously, the removable partition being secured to the cover.
Avantageusement, en combinaison et selon un autre aspect d'un procédé de distribution d'une prise unitaire de médicaments selon l'invention, une partie de fond de la cuvette formant un renfoncement de collecte et de concassage -notamment de broyage- des médicaments de la prise unitaire de médicaments dimensionné pour pouvoir recevoir les médicaments et les contenir, on déplace les médicaments dans le renfoncement après extraction du cloisonnement amovible et un concassage -notamment un broyage- des médicaments de la prise unitaire de médicaments est effectué dans le renfoncement. On réalise le concassage -notamment le broyage- par tout moyen approprié. Avantageusement, on réalise le concassage et/ou le broyage par exemple au moyen d'un pilon, le renfoncement faisant office de mortier de concassage. On réalise un tel concassage par rotation du pilon selon un axe sensiblement orthogonal au plan d'ouverture de la cuvette, le pilon exerçant une compression des médicaments dans le renfoncement et leur écrasement. De préférence, le renfoncement présente une forme sensiblement symétrique de révolution -notamment cylindrique de révolution- et adaptée pour pouvoir permettre un regroupement des médicaments dans le renfoncement et coopérer avec un tel pilon et permettre un concassage des médicaments. Advantageously, in combination and according to another aspect of a method of dispensing a unit dose of medicaments according to the invention, a bottom portion of the bowl forming a recess for collecting and crushing - particularly grinding - medicaments of the unit dose of drugs sized to be able to receive the drugs and to contain them, the drugs are moved into the recess after removal of the removable partitioning and a crushing - in particular a grinding - drugs of the unit dose of drugs is carried out in the recess. The crushing is carried out, in particular grinding, by any appropriate means. Advantageously, the crushing and / or grinding is carried out for example by means of a pestle, the recess serving as a crushing mortar. Such crushing is carried out by rotating the pestle along an axis substantially orthogonal to the plane of opening of the bowl, the pest exerting a compression of the drugs in the recess and their crushing. Preferably, the recess has a substantially symmetrical shape of revolution - in particular cylindrical revolution - and adapted to allow a pool of drugs in the recess and cooperate with such a pestle and allow crushing of drugs.
Rien n'empêche de réaliser le concassage -notamment le broyage- par tout autre moyen physique de désintégration des médicaments. On choisit un tel moyen physique de désintégration des médicaments qui ne modifie pas la composition chimique -notamment de la composition chimique des matières actives- de la prise unitaire de médicaments.  There is nothing to prevent crushing - particularly grinding - by any other physical means of disintegrating the drugs. Such a physical means of disintegrating drugs is chosen which does not modify the chemical composition - in particular of the chemical composition of the active ingredients - of the unit dose of medicaments.
Avantageusement, on place la cuvette en applique dans un support concave formé d'un matériau solide et présentant une forme en creux complémentaire de la face externe convexe de la cuvette. Un tel support concave permet d'une part le maintien de la forme du renfoncement et un blocage en rotation de la cuvette lors du concassage des médicaments.  Advantageously, the dish is placed in a concave support formed of a solid material and having a hollow shape complementary to the convex outer face of the bowl. Such a concave support makes it possible on the one hand to maintain the shape of the recess and to block rotation of the bowl during the crushing of the medicaments.
Selon cet autre aspect d'un procédé de distribution selon l'invention, un aliment coulant est ajouté à la prise unitaire de médicaments concassés et le mélange de l'aliment coulant et de la prise unitaire de médicaments est distribué au patient.  According to this other aspect of a dispensing method according to the invention, a flowing food is added to the unit dosage of crushed medicaments and the mixture of the flowing food and the unit dosage of drugs is dispensed to the patient.
L'invention concerne également un dispositif d'emballage d'au moins une prise unitaire de médicaments, un procédé d'emballage d'au moins une prise unitaire de médicaments dans lequel est choisi un dispositif d'emballage selon l'invention, un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments et un procédé de distribution d'au moins une prise unitaire de médicaments à un patient, caractérisés en combinaison par tout ou partie des caractéristiques mentionnées ci-dessus ou ci- après. The invention also relates to a device for packaging at least one unit dose of medicaments, a method for packaging at least one unit dose of medicinal products in which a packaging device according to the invention is chosen, a device storing and dispensing at least one unit dose of medicaments and a method of dispensing at least one unit dose of medicaments to a patient, characterized in combination by all or some of the characteristics mentioned above or after.
D'autres buts, caractéristiques et avantages de l'invention apparaîtront à la lecture de la description suivante donnée à titre non limitatif et qui se réfère aux figures annexées, dans lesquelles :  Other objects, features and advantages of the invention will become apparent on reading the following non-limiting description which refers to the appended figures, in which:
- la figure 1 est une vue en perspective d'un dispositif d'emballage selon une première variante de l'invention adapté pour former une cellule unique et représenté à l'état dissocié préalablement à l'emballage d'une prise unitaire de médicaments ;  - Figure 1 is a perspective view of a packaging device according to a first embodiment of the invention adapted to form a single cell and shown in the dissociated state prior to the packaging of a unit dose of drugs;
- la figure 2 est une vue en perspective d'un dispositif d'emballage selon une deuxième variante de l'invention adapté pour former une pluralité de cellules et représenté à l'état dissocié préalablement à l'emballage d'une pluralité de prises unitaires de médicaments ;  FIG. 2 is a perspective view of a packaging device according to a second variant of the invention adapted to form a plurality of cells and represented in the dissociated state prior to the packaging of a plurality of unitary plugs; medicines;
- la figure 3 est une vue en coupe longitudinale perpendiculaire au plan médian de la cuvette d'une première variante d'un dispositif d'emballage selon l'invention tel que représenté en figure 1 ;  - Figure 3 is a longitudinal sectional view perpendicular to the median plane of the bowl of a first variant of a packaging device according to the invention as shown in Figure 1;
- la figure 4 est une vue en perspective avec arraché d'un dispositif de stockage et de distribution selon l'invention obtenu par assemblage d'un dispositif d'emballage tel que représenté en figure 1 et d'une prise unitaire de médicaments ;  FIG. 4 is a cut-away perspective view of a storage and dispensing device according to the invention obtained by assembling a packaging device as represented in FIG. 1 and a unit dose of drugs;
- la figure 5 est une vue en coupe longitudinale perpendiculaire au plan médian de la cuvette d'une cellule d'un dispositif de stockage et de distribution d'une prise unitaire de médicament selon l'invention dans un état de distribution d'une prise unitaire de médicaments ;  - Figure 5 is a longitudinal sectional view perpendicular to the median plane of the bowl of a cell of a device for storing and dispensing a unit dose of medicament according to the invention in a state of distribution of a catch unit of drugs;
- la figure 6 est une vue en perspective d'un dispositif d'emballage selon un aspect particulier de l'invention adapté pour former une cellule unique et représenté à l'état dissocié préalablement à l'emballage d'une prise unitaire de médicaments ;  - Figure 6 is a perspective view of a packaging device according to a particular aspect of the invention adapted to form a single cell and shown in the dissociated state prior to the packaging of a unit dose of drugs;
- la figure 7 est une vue en coupe longitudinale perpendiculaire au plan médian de la cuvette d'une cellule d'un aspect particulier d'un dispositif de stockage et de distribution d'une prise unitaire de médicament selon l'invention, et ; - la figure 8 est une illustration d'un aspect particulier d'un procédé de distribution d'une prise unitaire de médicaments selon l'invention. - Figure 7 is a longitudinal sectional view perpendicular to the median plane of the bowl of a cell of a particular aspect of a device for storing and dispensing a unit dose of medicament according to the invention, and; FIG. 8 is an illustration of a particular aspect of a method for dispensing a unit dose of drugs according to the invention.
Les dispositifs d'emballage et les dispositifs de stockage et de distribution d'au moins une prise unitaire de médicaments selon l'invention représentés aux figures 1 à 8 sont donnés uniquement à titre d'exemples non limitatifs. Sur ces figures, les échelles et les dimensions relatives ne sont pas nécessairement respectées.  The packaging devices and the devices for storing and dispensing at least one unit dose of drugs according to the invention shown in FIGS. 1 to 8 are given solely by way of nonlimiting examples. In these figures, the scales and the relative dimensions are not necessarily respected.
Un dispositif 1 d'emballage selon l'invention représenté en figure 1 comprend une cuvette 1 1 de stockage d'une prise unitaire de médicaments. La cuvette 11 représentée en figure 1 est exempte de médicaments. La cuvette 1 1 est formée d'un matériau compatible pour pouvoir être mis en contact avec les médicaments de la prise unitaire. La cuvette 1 1 est de préférence formée d'une seule pièce d'un matériau thermoplastique, par exemple de polychlorure de vinyle (PVC) ou d'un matériau thermodurcissable. La cuvette 1 1 peut être par exemple obtenue par thermoformage du matériau thermoplastique. Le matériau thermoplastique est de préférence transparent et permet une visualisation de la prise unitaire de médicaments conditionnée dans le dispositif 1 à l'état assemblé, garni de médicaments et prêt à être utilisé par un patient.  A packaging device 1 according to the invention shown in FIG. 1 comprises a bowl 1 1 for storing a unit dose of medicaments. The bowl 11 shown in Figure 1 is free of drugs. The bowl 1 1 is formed of a compatible material to be brought into contact with the drugs of the unitary catch. The bowl 1 1 is preferably formed of a single piece of a thermoplastic material, for example polyvinyl chloride (PVC) or a thermosetting material. The bowl 11 may for example be obtained by thermoforming the thermoplastic material. The thermoplastic material is preferably transparent and allows visualization of the unit dose of medication packaged in the device 1 in the assembled state, filled with drugs and ready for use by a patient.
La cuvette 11 présente un volume 15 de stockage d'une prise unitaire de médicaments limité par des parois 14 latérales sensiblement planes et par un fond 16 également sensiblement plan. Les parois 14 latérales et le fond 16 ménagent une ouverture débouchante de la cuvette 11 et du volume 15 de stockage. La cuvette 11 représentée en figure 1 étant de forme sensiblement parallélépipède rectangle, l'ouverture de la cuvette 1 1 est de forme rectangulaire et présente un rebord 17 interne de réception et de centrage du cloisonnement 13 amovible et un épaulement 18 périphérique de collage du couvercle 12 sur la face supérieure sensiblement plane de l' épaulement 18 périphérique. Le rebord 17 interne présente une face supérieure sensiblement plane et apte à coopérer avec une face inférieure complémentaire d'un rebord 19 périphérique du cloisonnement 13 amovible. L'épaulement 18 périphérique peut présenter une discontinuité 3 adaptée et dimensionnée pour pouvoir recevoir une languette 2 de préhension du cloisonnement 13 amovible. L'épaulement 18 périphérique de l'ouverture de la cuvette 1 1 étant de forme rectangulaire, la discontinuité 3 s'étend de préférence à l'une des extrémités longitudinales de la cuvette 1 1. Il est possible que l'épaulement 18 périphérique présente au moins une autre discontinuité 4 latérale s 'étendant dans la longueur de la cuvette et adaptée(s) pour recevoir une languette 5 de liaison sécable s 'étendant entre deux cloisonnements 13 amovibles adjacents. The bowl 11 has a storage volume 15 of a unit dose of drugs limited by substantially flat side walls 14 and a bottom 16 also substantially planar. The side walls 14 and the bottom 16 provide an opening opening of the bowl 11 and the storage volume 15. The bowl 11 shown in FIG. 1 being of substantially rectangular parallelepiped shape, the opening of the bowl 11 is of rectangular shape and has an internal receiving and centering rim 17 of the removable partition and a peripheral collar 18 for bonding the lid. 12 on the substantially flat upper face of the peripheral shoulder 18. The inner rim 17 has a substantially flat upper face and adapted to cooperate with a lower face complementary to a peripheral rim 19 of the removable partition 13. The peripheral shoulder 18 may have a discontinuity 3 adapted and dimensioned to be able to receive a tab 2 gripping removable partition 13. The peripheral shoulder 18 of the opening of the bowl 1 1 being of rectangular shape, the discontinuity 3 preferably extends to one of the longitudinal ends of the bowl 1 1. It is possible that the peripheral shoulder 18 has at least one other lateral discontinuity 4 extending in the length of the bowl and adapted to receive a breakable link tongue 5 extending between two adjacent removable partitions 13.
Le dispositif représenté en figure 1 présente un cloisonnement 13 amovible adapté et dimensionné pour pouvoir être positionné dans le volume 15 de stockage de la cuvette 1 1. Le cloisonnement 13 amovible présente une pluralité de cloisons 6 transversales adaptées pour ménager, avec la cuvette 1 1 et le couvercle 12, une pluralité de compartiments 20 de stockage des médicaments d'une prise unitaire de médicaments. Les médicaments de la prise unitaire de médicaments sont alors séparés les uns des autres par les cloisons 6 transversales pendant leur stockage. Chaque cloison 6 transversale représentée en figure 1 présente deux faces principales non parallèles et forment dans la cuvette 1 1 des compartiments 20 évasés vers le fond 16 de la cuvette en augmentant la surface du fond de la cuvette accessible aux médicaments de la prise unitaire et améliorant la répartition de ces médicaments au fond de la cuvette. Cependant, il est possible que chaque cloison transversale présentant deux faces principales non parallèles, elles forment dans la cuvette des compartiments évasés vers le haut, c'est-à-dire des compartiments dans lesquels l'ouverture présente une surface supérieure à la surface du fond. De tels compartiments évasés vers le haut permettent un accès plus facile aux compartiments lors de leur remplissage. Combinant ces deux avantages, rien n'empêche que chaque cloison transversale présente deux faces principales parallèles.  The device shown in FIG. 1 has a removable partition 13 adapted and dimensioned to be positioned in the storage volume 15 of the bowl 1 1. The removable partition 13 has a plurality of transverse partitions 6 adapted to accommodate, with the bowl 1 1 and the lid 12, a plurality of drug storage compartments of a unit dosage of drugs. Medicines of the unit dose of drugs are then separated from each other by the transverse partitions 6 during storage. Each transverse partition 6 shown in FIG. 1 has two non-parallel main faces and forms compartments 20 flared towards the bottom 16 of the bowl in the bowl 1 1 by increasing the surface area of the bottom of the bowl accessible to the drugs of the unitary and improving grip. the distribution of these drugs at the bottom of the bowl. However, it is possible that each transverse wall having two non-parallel main faces, they form in the bowl upwardly flared compartments, that is to say compartments in which the opening has a surface greater than the surface of the background. Such upwardly flared compartments allow easier access to the compartments as they are filled. Combining these two advantages, nothing prevents that each transverse partition has two parallel main faces.
Le cloisonnement 13 amovible présente un rebord 19 périphérique du cloisonnement amovible adapté pour coopérer avec le rebord 17 interne de la cuvette 1 1 et de façon que la face supérieure sensiblement plane de l'épaulement 18 périphérique et la face supérieure du rebord 19 périphérique du cloisonnement amovible soient coplanaires et puissent, le cas échéant, former l'une avec l'autre la surface de collage du couvercle 12. The removable partition 13 has a peripheral rim 19 of the removable partition adapted to cooperate with the internal rim 17 of the bowl 1 1 and so that the substantially flat upper face of the peripheral shoulder 18 and the upper face of the peripheral rim 19 of the removable partition are coplanar and may, where appropriate, form with one another the bonding surface of the cover 12.
Le dispositif représenté en figure 1 présente un couvercle 12 dimensionné pour clore le volume 15 de stockage. Ce couvercle 12 peut être formé en un matériau adhésif sur l'une seule de ses faces principales, dite face adhésive. Il peut s'agir d'un matériau cellulosique adhésif, en particulier de papier adhésif. L'une des faces principales du couvercle 12 est adaptée pour être placée en regard du volume 15 de stockage et munie d'une couche d'un matériau adhésif protégée par un film protecteur sur toute la surface du couvercle 12, lorsque le dispositif 1 selon l'invention est à l'état dissocié (sous forme de « kit »), la cuvette 1 1, le couvercle 12 et le cloisonnement 13 amovible étant adaptés pour pouvoir former une cellule close de stockage d'une prise unitaire de médicaments, contenant la prise unitaire de médicaments, ou lorsque le dispositif 1 selon l'invention est à l'état partiellement assemblé, c'est-à-dire dans lequel le cloisonnement 13 amovible est disposé dans le volume 15 de stockage en formant, en coopération avec la cuvette 1 1, des compartiments 20 de stockage de médicaments, le couvercle 12 n'obturant pas l'ouverture de la cuvette 1 1.  The device shown in FIG. 1 has a cover 12 sized to close the storage volume. This cover 12 may be formed of an adhesive material on one of its main faces, called the adhesive face. It may be an adhesive cellulosic material, in particular adhesive paper. One of the main faces of the cover 12 is adapted to be placed facing the storage volume and provided with a layer of an adhesive material protected by a protective film on the entire surface of the cover 12, when the device 1 according to the invention is in the dissociated state (in the form of a "kit"), the bowl 1 1, the lid 12 and the removable partition 13 being adapted to form a closed storage cell of a unit dose of drugs, containing the unit dose of drugs, or when the device 1 according to the invention is in the partially assembled state, that is to say in which the removable partitioning 13 is disposed in the storage volume 15 forming, in cooperation with the bowl 1 1, drug storage compartments 20, the lid 12 does not obturating the opening of the bowl 1 1.
Une partie périphérique du film protecteur du couvercle 12 est susceptible de pouvoir être retirée de sorte que la partie périphérique du couvercle 12 correspondante puisse être collée sur Pépaulement 18 périphérique de l'ouverture de la cuvette 1 1, la prise unitaire de médicaments étant répartie dans les compartiments 20 de stockage de médicaments. Après collage du couvercle 12 sur la cuvette 1 1 renferment le cloisonnement 13 amovible et la prise unitaire de médicaments, le dispositif 1 est un dispositif de stockage d'une prise unitaire de médicaments, garni de médicaments et prêt à être utilisé par un patient.  A peripheral portion of the protective film of the cover 12 can be removed so that the peripheral portion of the corresponding cover 12 can be glued to the peripheral shoulder 18 of the opening of the bowl 1 1, the unit dose of drugs being distributed in drug storage compartments. After gluing the lid 12 to the bowl 1 1 enclose the removable partitioning 13 and the unit dosage of drugs, the device 1 is a device for storing a unit dose of drugs, filled with drugs and ready for use by a patient.
Une partie périphérique du film protecteur du couvercle 12 est susceptible de pouvoir être retirée de sorte que la partie périphérique du couvercle 12 correspondante peut être collée sur l'épaulement 18 périphérique de l'ouverture de la cuvette 1 1, la prise unitaire de médicaments étant répartie dans les compartiments 20 de stockage de médicaments. Le couvercle présente aussi une face principale opposée à la face adhésive présentant des inscriptions 9 susceptibles d'être lues par le patient, par le personnel médical ou par un lecteur de code -barres ou de code QR. Les inscriptions 9 peuvent être relatives à l'identité du patient et/ou à la date et à l'heure de la prise unitaire de médicaments et/ou à la prescription médicale, notamment à la nature, à la dose et à la posologie du (des) médicament(s). A peripheral portion of the protective film of the cover 12 can be removed so that the peripheral portion of the corresponding cover 12 can be glued to the peripheral shoulder 18 of the opening of the bowl 1 1, the unit dose of drugs being distributed in the drug storage compartments. The lid also has a main face opposite to the adhesive face having inscriptions 9 that can be read by the patient, by the medical staff or by a barcode or QR code reader. The inscriptions 9 may relate to the identity of the patient and / or the date and time of the unit dose of medication and / or the medical prescription, including the nature, dose and posology of the patient. (medication).
Le couvercle 12 présente une prédécoupe 8 adaptée pour permettre l'ouverture de la cellule 10 de stockage de la prise unitaire de médicaments. Le couvercle 12 présente également une languette 7 d'ouverture de la cellule 10 adaptée pour permettre au patient de saisir l'extrémité du couvercle 12, déchirer le couvercle 12 selon la prédécoupe 8, retirer le cloisonnement 13 amovible hors de la cuvette 1 1, et formant la prise unitaire de médicaments.  The lid 12 has a pre-cut 8 adapted to allow the opening of the storage cell 10 of the unit dose of drugs. The lid 12 also has a tongue 7 for opening the cell 10 adapted to allow the patient to grasp the end of the lid 12, tear the lid 12 according to the precut 8, remove the removable partition 13 from the bowl 1 1, and forming the unit dosage of drugs.
Dans un premier mode de réalisation particulier de l'invention, le couvercle 12 est collé uniquement sur l'épaulement 18 périphérique de la cuvette 11 et, le cas échéant sur l'extrémité de la languette 2 de préhension du cloisonnement 13 amovible. Dans ce mode de réalisation, l'ouverture de la cellule 10 par déchirement du couvercle 12 selon la prédécoupe 8 ne s'accompagne pas de l'extraction simultanée du cloisonnement 13 amovible. Dans ce mode de réalisation, une étape ultérieure d'extraction du cloisonnement 13 amovible est nécessaire pour former la prise unitaire de médicaments dans la cuvette 1 1. Bien entendu, la prédécoupe 8 est choisie et dimensionnée pour permettre l'étape ultérieure d'extraction du cloisonnement 13 amovible sans nécessiter un déchirement supplémentaire du couvercle 12.  In a first particular embodiment of the invention, the cover 12 is glued only on the peripheral shoulder 18 of the bowl 11 and, where appropriate on the end of the tongue 2 of the removable partition 13 securing. In this embodiment, the opening of the cell 10 by tearing the lid 12 according to the precut 8 is not accompanied by the simultaneous extraction of the partition 13 removable. In this embodiment, a subsequent step of extraction of the removable partitioning 13 is necessary to form the unitary take of drugs in the bowl 1 1. Of course, the precut 8 is chosen and dimensioned to allow the subsequent extraction step partitioning 13 removable without requiring additional tearing of the cover 12.
Dans un deuxième mode de réalisation particulier de l'invention, le couvercle 12 est collé sur l'épaulement 18 périphérique de la cuvette 1 1 et sur le rebord 19 périphérique du cloisonnement 13 amovible. Dans ce deuxième mode de réalisation, le déchirement du couvercle 12 selon la prédécoupe 8 positionnée entre la zone de collage de l'épaulement 18 périphérique de la cuvette 11 et la zone de collage du rebord 19 périphérique du cloisonnement 13 amovible s'accompagne de l'ouverture de la cellule 10 de stockage mais également et simultanément de l'extraction du cloisonnement 13 amovible. In a second particular embodiment of the invention, the cover 12 is bonded to the peripheral shoulder 18 of the bowl 1 1 and on the peripheral rim 19 of the removable partition 13. In this second embodiment, the tearing of the cover 12 according to the precut 8 positioned between the bonding zone of the peripheral shoulder 18 of the bowl 11 and the bonding zone of the peripheral rim 19 of the removable partition 13 is accompanied by the opening of the storage cell 10 but also and simultaneously the extraction of the partitioning 13 removable.
Une deuxième variante d'un dispositif 1 selon l'invention représenté en figure 2 comprend une pluralité de cuvettes 21 de stockage associées les unes aux autres. Dans cette deuxième variante représentée, les cuvettes 21 de stockage sont exemptes de médicaments. La pluralité de cuvettes 21 de stockage est organisée sous la forme d'une colonne de 7 cuvettes 1 1 , chaque cuvette 11 correspondant à une prise quotidienne de médicaments. Le dispositif 1 selon l'invention représenté en figure 2 permet donc une prise unitaire et quotidienne de médicaments, une fois par jour, pendant 7 jours. Bien entendu, rien n'empêche que le dispositif 1 selon l'invention présente 4 colonnes de 7 cuvettes 11, chaque colonne de 7 cuvettes 11 correspondant à l'une des 4 prises quotidiennes (petit-déjeuner, déjeuner, souper et coucher) de médicaments. Le dispositif 1 selon l'invention peut donc être un pilulier hebdomadaire.  A second variant of a device 1 according to the invention shown in FIG. 2 comprises a plurality of storage cuvettes 21 associated with each other. In this second variant shown, the storage bowls 21 are free of drugs. The plurality of storage cuvettes 21 is organized in the form of a column of 7 cuvettes 11, each cuvette 11 corresponding to a daily dose of drugs. The device 1 according to the invention shown in FIG. 2 thus allows a unitary and daily dose of medicaments, once a day, for 7 days. Of course, nothing prevents the device 1 according to the invention has 4 columns of 7 cuvettes 11, each column of 7 cuvettes 11 corresponding to one of the 4 taken daily (breakfast, lunch, dinner and bed) of drugs. The device 1 according to the invention can therefore be a weekly pill pillar.
Chaque cuvette 11 de la pluralité de cuvettes 21 de stockage de médicaments est séparée des cuvettes 1 1 adjacentes par une liaison munie d'une prédécoupe 24 de séparation des cuvettes 1 1. Chaque cloisonnement 13 amovible de la pluralité de cloisonnements 23 amovibles est séparé des cloisonnements 13 amovibles adjacents par une languette 5 de liaison sécable et de séparation des cloisonnements 13 amovibles. Chaque couvercle 12 de la pluralité de couvercles 22 est séparé des couvercles 12 adjacents par une prédécoupe 27 de séparation des couvercles 12. Ainsi chaque cellule formée d'une cuvette 1 1, d'un cloisonnement 13 amovible, d'un couvercle 12 et comprenant une prise unitaire de médicaments peut être séparée des autres cellules de la pluralité de cellules par simple découpage en tirant bénéfice de l'effet combiné de la prédécoupe 24 de séparation des cuvettes 1 1, de la languette 5 de liaison sécable et de la prédécoupe 27 du couvercle 12.  Each cuvette 11 of the plurality of drug storage cuvettes 21 is separated from the adjacent cuvettes 11 by a connection provided with a precut 24 for separating the cuvettes 11. Each removable partition 13 of the plurality of removable partitions 23 is separated from the cuvettes 11. removable partitions 13 adjacent by a tab 5 of breakable connection and separation of removable partitions 13. Each lid 12 of the plurality of lids 22 is separated from the adjacent lids 12 by a precut 27 for separating the lids 12. Thus each cell formed of a bowl 1 1, a removable partition 13, a lid 12 and comprising a unit dose of drugs can be separated from the other cells of the plurality of cells by simple cutting by taking advantage of the combined effect of the pre-cut 24 for separating the cuvettes 1 1, the breakable link tab 5 and the precut 27 of the lid 12.
Une vue éclatée en coupe longitudinale dans le plan médian d'une cellule 10 de stockage exempte de médicaments est représentée en figure 3. La cellule 10 de stockage comprend une cuvette 11 déterminant un volume 15 dédié au stockage de médicaments, limité par des parois 14 latérales planes et par un fond 16 également plan. La cuvette 1 1 présente un rebord 17 interne conformé pour pouvoir supporter et centrer, en combinaison avec un épaulement 18, le cloisonnement 13 amovible dans la cuvette 1 1. La cuvette 1 1 présente aussi un épaulement 18 périphérique de collage du couvercle 12 sur la face supérieure plane de Γ épaulement 18 périphérique. Le cloisonnement 13 amovible présente une pluralité de cloisons 6 transversales adaptées pour pouvoir, en coopération avec la cuvette 1 1 lorsque le rebord 19 périphérique du cloisonnement 13 amovible repose sur le rebord 17 interne de la cuvette 11, former une pluralité de compartiments 20 de stockage de médicaments d'une prise unitaire de médicaments, les médicaments étant à l'état séparés les uns des autres. An exploded view in longitudinal section in the median plane of a drug-free storage cell 10 is shown in FIG. 3. The storage cell 10 comprises a cuvette 11 determining a volume 15 dedicated to the storage of drugs, limited by walls 14 lateral planar and a bottom 16 also planar. The bowl 1 1 has a flange 17 internal shaped to be able to support and center, in combination with a shoulder 18, the partitioning 13 removable in the bowl 1 1. The bowl 1 1 also has a peripheral shoulder 18 for bonding the cover 12 on the flat upper face of the shoulder 18 Γ . The removable partition 13 has a plurality of transverse partitions 6 adapted to be able, in cooperation with the bowl 1 1 when the peripheral rim 19 of the removable partition 13 rests on the inner rim 17 of the bowl 11, forming a plurality of storage compartments 20 of drugs of a unit dose of drugs, the drugs being in the state separated from each other.
Une partie périphérique du film protecteur du couvercle 12 est susceptible de pouvoir être retirée de sorte que la partie périphérique du couvercle 12 correspondante forme un bord 25 de collage et puisse être collé sur Γ épaulement 18 périphérique de l'ouverture de la cuvette 11 , la prise unitaire de médicaments étant répartie dans les compartiments 20 de stockage de médicaments. Dans ce mode de réalisation, le cloisonnement 13 amovible n'adhère pas au couvercle 12 de sorte qu'il n'est pas extrait de la cuvette à l'ouverture de la cellule 10.  A peripheral portion of the protective film of the cover 12 can be removed so that the peripheral portion of the corresponding cover 12 forms a bonding edge 25 and can be glued to the peripheral shoulder 18 of the opening of the bowl 11, the unit dosage of drugs being distributed in the drug storage compartments. In this embodiment, the removable partitioning 13 does not adhere to the lid 12 so that it is not extracted from the bowl at the opening of the cell 10.
La figure 4 représente un dispositif selon une première variante de l'invention formé d'une cellule 10 unique à l'état garni d'une prise unitaire de médicaments. La cellule 10 comprend une cuvette 11 de stockage, un cloisonnement 13 amovible disposé dans le volume formé par la cuvette 1 1 et un couvercle 12 collé sur l'épaulement 18 périphérique de la cuvette 11. Des médicaments 26 sous forme galénique solide divisée -notamment non intégralement pulvérulente, de préférence non pulvérulente- sont disposés dans au moins deux compartiments 20 de stockage. Les médicaments 26 sont susceptibles de pouvoir être en contact avec le film protecteur de la couche adhésive sur toute la surface du couvercle 12 sans adhérer au couvercle et sans altérer les propriétés des médicaments 26. Les médicaments 26 ne sont pas susceptibles de pouvoir être en contact avec la partie de couche adhésive du couvercle 12 exempte de film protecteur et collée sur l'épaulement 18 périphérique de la cuvette 11. FIG. 4 represents a device according to a first variant of the invention formed of a single cell 10 in the state packed with a unit dose of medicaments. The cell 10 comprises a storage bowl 11, a removable partition 13 disposed in the volume formed by the bowl 1 1 and a lid 12 bonded to the peripheral shoulder 18 of the bowl 11. Medicines 26 in divided solid dosage form - particularly Not entirely pulverulent, preferably non-pulverulent, are disposed in at least two storage compartments. The drugs 26 are likely to be in contact with the protective film of the adhesive layer over the entire surface of the lid 12 without adhering to the lid and without altering the properties of the drugs 26. The drugs 26 are not likely to be in contact with the adhesive layer portion of the cover 12 free of protective film and adhered to the shoulder 18 device of the bowl 11.
Un dispositif 1 selon l'invention dans un état de mise à disposition d'un patient d'une prise unitaire de médicament est représenté en coupe longitudinale dans le plan médian à la figure 5. Ce dispositif 1 est formé à partir d'une cellule 10 telle que représentée en figure 4 et comprenant une prise unitaire de médicaments. Dans cet état de distribution, le couvercle 12 est associé par collage périphérique au cloisonnement 13 amovible de façon que l'ouverture de la cellule par arrachement du couvercle 12 selon les prédécoupes d'ouverture du couvercle 12 s'accompagne d'une extraction du cloisonnement 13 amovible hors de la cuvette 1 1 et d'une libération des médicaments de la prise unitaire de médicaments dans la cuvette 1 1.  A device 1 according to the invention in a state of provision of a patient with a unit dose of medication is shown in longitudinal section in the median plane in FIG. 5. This device 1 is formed from a cell As shown in Figure 4 and comprising a unit dosage of drugs. In this state of distribution, the cover 12 is associated by peripheral bonding to the removable partitioning 13 so that the opening of the cell by tearing of the cover 12 according to the opening pre-cuts of the cover 12 is accompanied by an extraction of the partitioning 13 removable from the bowl 1 1 and a release of drugs from the unit dose of drugs in the bowl 1 1.
Un aspect particulier d'un dispositif 1 d'emballage selon l'invention est représenté en figure 6. Dans un tel dispositif 1 d'emballage, le couvercle 12 et le cloisonnement 13 amovible sont tels que décrits à la figure 1. Le dispositif 1 d'emballage représenté en figure 6 présente une cuvette 1 1 exempte de médicaments. La cuvette 1 1 est formée d'une seule pièce d'un matériau thermoplastique, par exemple de polychlorare de vinyle (PVC). La cuvette 1 1 peut être par exemple obtenue par thermoformage du matériau thermoplastique.  A particular aspect of a packaging device 1 according to the invention is shown in FIG. 6. In such a packaging device 1, the lid 12 and the removable partition 13 are as described in FIG. 1. The device 1 FIG. 6 shows a container 1 1 free of drugs. The bowl 1 1 is formed of a single piece of a thermoplastic material, for example polyvinylchloride (PVC). The bowl 11 may for example be obtained by thermoforming the thermoplastic material.
La cuvette 11 délimite un volume 15 de stockage de la prise unitaire de médicaments limité par des parois 14 latérales sensiblement planes et par un fond 16 également sensiblement plan. La cuvette 1 1 représentée en figure 6 présente un fond 16 comprenant un fond 30 de stockage de médicaments. Le fond 30 de stockage de médicaments est sensiblement plan et s'étend, lorsque le cloisonnement 13 amovible est placé dans le volume de stockage de la cuvette 11 , en regard des cloisons 6 transversales du cloisonnement et forme avec ces cloisons 6 transversales des compartiments 20 de maintien des médicaments de la prise unitaire, séparés les uns des autres.  The bowl 11 delimits a storage volume 15 of the unit dose of medicaments limited by substantially flat lateral walls 14 and a bottom 16 which is also substantially plane. The bowl 1 1 shown in Figure 6 has a bottom 16 comprising a bottom 30 of drug storage. The drug storage fund 30 is substantially flat and extends, when the removable partition 13 is placed in the storage volume of the bowl 11, facing the transverse partitions 6 of the partitioning and forms with these transverse partitions 6 compartments 20 maintenance of unit-dose drugs, separated from each other.
Le fond 16 de la cuvette 1 1 représentée en figure 6 présente un renfoncement 31 formant un réceptacle des médicaments d'une prise unitaire de médicaments. Le renfoncement 31 peut présenter toute forme. De préférence, le renfoncement 31 est de forme symétrique de révolution. Le renfoncement 31 présente une résistance mécanique choisie pour permettre un concassage et/ou un broyage des médicaments contenus dans le renfoncement. Le renfoncement 31 est formé d'un matériau dont la résistance mécanique, notamment la résistance mécanique à l'abrasion, et l'épaisseur sont choisies pour permettre le concassage et/ou le broyage. Le matériau formant le renfoncement 31 est choisi pour pouvoir être en contact avec un aliment et permettre le mélange des médicaments concassés/broyés avec un aliment coulant et la prise du mélange formé par le patient. Le renfoncement 31 forme un mortier de concassage et/ou de broyage des médicaments de la prise unitaire de médicaments. On adapte la nature et l'épaisseur du matériau formant le renfoncement de façon à permettre le concassage des médicaments. On adapte la nature et l'épaisseur de ce matériau selon le mode de concassage des médicaments utilisant soit un pilon soit un dispositif électrique externe de concassage. Le renfoncement peut présenter une surface interne sensiblement lisse. Cependant, rien n'empêche qu'au moins une partie de surface interne du renfoncement présente des aspérités (ou « dents ») coopérant avec le pilon pour concasser les médicaments. The bottom 16 of the bowl 1 1 shown in Figure 6 has a recess 31 forming a drug receptacle of a unit dose of drugs. The recess 31 may have any shape. Preferably, the recess 31 is of symmetrical shape of revolution. The recess 31 has a mechanical strength chosen to allow crushing and / or grinding of the drugs contained in the recess. The recess 31 is formed of a material whose mechanical strength, in particular the mechanical resistance to abrasion, and the thickness are chosen to allow crushing and / or grinding. The material forming the recess 31 is selected to be in contact with a food and allow the mixing of the crushed / ground medicaments with a flowing food and the setting of the mixture formed by the patient. The recess 31 forms a mortar for crushing and / or grinding the medicaments of the unit dosage of drugs. The nature and thickness of the material forming the recess are adapted to allow the crushing of the drugs. The nature and thickness of this material are adapted according to the crushing mode of the drugs using either a pestle or an external electric crushing device. The recess may have a substantially smooth inner surface. However, nothing prevents that at least a portion of inner surface of the recess has asperities (or "teeth") cooperating with the pestle to crush the drugs.
Le fond 16 de la cuvette 1 1 est plan, lisse et permet un glissement des médicaments de la prise unitaire de médicaments à partir du fond 30 de stockage de médicaments vers le renfoncement 31 par simple inclinaison de la cuvette.  The bottom 16 of the bowl 1 1 is flat, smooth and allows a slip of drugs unit drug taking from the bottom 30 of drug storage to the recess 31 by simple inclination of the bowl.
Un dispositif 1 selon un aspect particulier de l'invention dans un état de mise à disposition d'un patient d'une prise unitaire de médicament est représenté en coupe longitudinale dans le plan médian à la figure 7. Ce dispositif 1 est formé à partir d'une cellule 10 telle que représentée en figure 5. Dans cet état de distribution, le couvercle 12 est associé par collage périphérique au cloisonnement 13 amovible de façon que l'ouverture de la cellule par arrachement du couvercle 12 selon les prédécoupes d'ouverture du couvercle 12 s'accompagne d'une extraction du cloisonnement 13 amovible hors de la cuvette 1 1, d'une libération des médicaments de la prise unitaire de médicaments dans la cuvette 1 1 et d'un glissement des médicaments de la prise unitaire de médicaments à partir du fond 30 de stockage de médicaments vers le renfoncement 31 par simple inclinaison de la cuvette 11. Les médicaments de la prise unitaire de médicaments confinés dans le renfoncement 31 sont susceptibles de pouvoir être concassés dans le renfoncement 31 de façon à former une poudre, la poudre étant ensuite mélangée avec un aliment coulant tel qu'une confiture ou une compote de façon à pouvoir être consommés plus facilement par le patient. A device 1 according to a particular aspect of the invention in a state of provision of a patient with a unit dose of medication is shown in longitudinal section in the median plane in FIG. 7. This device 1 is formed from of a cell 10 as shown in Figure 5. In this state of distribution, the cover 12 is associated by peripheral bonding to the partitioning 13 removable so that the opening of the cell by tearing the cover 12 according to the pre-cut opening of the lid 12 is accompanied by an extraction of the partitioning 13 removable from the bowl 1 1, a release of drugs from the unit dose of drugs in the bowl 1 1 and a slip of the drugs of the unit catch of medicaments from the drug storage fund 30 to the recess 31 by simple inclination of the bowl 11. The medicaments of the unit dose of drugs confined in the recess 31 are capable of being crushed in the recess 31 so as to form a recess 31. powder, the powder being then mixed with a flowing food such as jam or compote so that it can be consumed more easily by the patient.
On réalise le concassage et/ou le broyage des médicaments de la pluralité de médicaments par tout moyen approprié par exemple au moyen d'un pilon 40 comme représenté en figure 8, le renfoncement 31 faisant office de mortier de concassage. On utilise le pilon 40 de manière habituelle, en exerçant avec le pilon 40 une pression sur les médicaments maintenus entre le renfoncement 31 et le pilon 40 et en imprimant au pilon 40 un mouvement de rotation entraînant le concassage/broyage des médicaments. On adapte la durée du concassage/broyage selon la granulométrie désirée pour la prise unitaire de médicaments concassés.  The crushing and / or grinding of the drugs of the plurality of drugs is carried out by any appropriate means, for example by means of a pestle 40 as shown in FIG. 8, the recess 31 acting as a crushing mortar. The pestle 40 is used in the usual manner, by exerting with the pestle 40 a pressure on the drugs held between the recess 31 and the pestle 40 and by pruning 40 a rotational movement causing the crushing / grinding of the drugs. The duration of the crushing / grinding is adapted according to the particle size desired for the unit dose of crushed medicaments.
Dans une variante non représentée d'un dispositif selon l'invention dans lequel le couvercle n'est pas associé par collage périphérique au cloisonnement amovible, l'ouverture de la cellule par arrachement du couvercle selon les prédécoupes d'ouverture du couvercle ne s'accompagne pas d'une extraction simultanée du cloisonnement amovible hors de la cuvette. Dans cette variante, il est nécessaire d'extraire le cloisonnement amovible au moyen de la languette de préhension du cloisonnement amovible aux fins d'obtenir une libération des médicaments de la prise unitaire de médicaments dans la cuvette.  In a variant not shown of a device according to the invention in which the lid is not associated by peripheral bonding to the removable partition, the opening of the cell by tearing of the lid according to the pre-cut opening of the lid is not does not accompany a simultaneous extraction of removable partitioning out of the bowl. In this variant, it is necessary to extract the removable partition by means of the gripping tab of the removable partition to obtain a release of drugs from the unit dose of drugs in the bowl.
L'invention vise également un procédé d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée en vue de son stockage et de sa distribution. Dans un tel procédé, on choisit un dispositif selon l'invention comprenant au moins une cuvette de stockage d'une prise unitaire de médicaments, au moins un cloisonnement amovible et au moins un couvercle. On place chaque cloisonnement amovible dans une cuvette de façon à ménager dans chaque cuvette une pluralité de compartiments adaptés pour pouvoir maintenir des médicaments de la prise unitaire séparés les uns des autres. On dispose ensuite dans chaque compartiment de chaque cellule les médicaments correspondant à une prescription médicale, puis on clôt la(les) cellule(s) par application d'un couvercle sur l'ouverture de chaque cellule. La prise unitaire de médicament et le dispositif selon l'invention garni de la prise unitaire de médicaments sont alors prêts à être distribués à un patient. The invention also relates to a method of packaging at least one unit dose of drugs in divided solid dosage form for storage and distribution. In such a method, a device according to the invention is selected comprising at least one storage cell for a unit dose of medicaments, at least one removable partition and at least one cover. Each removable partition is placed in a bowl so as to provide in each bowl a plurality of compartments adapted to be able to keep the unit-taking drugs separated from each other. other. In each cell of each cell are then provided the medicinal products corresponding to a medical prescription, then the cell (s) are closed by applying a lid on the opening of each cell. The unit dose of drug and the device according to the invention filled with the unit dose of drugs are then ready to be dispensed to a patient.
En particulier, on peut réaliser un tel emballage d'une prise unitaire de médicaments dans un dispositif selon l'invention selon une méthode adaptée de la méthode décrite dans le document antérieur FR 2 942 132. On choisit un plateau, dit plateau hebdomadaire, de cuvettes associées les unes aux autres par des liaisons détachables et réparties selon 4 colonnes et 7 lignes correspondant à quatre prises quotidiennes (petit-déjeuner, déjeuner, dîner, coucher) pendant 7 jours. On dispose un cloisonnement amovible dans chaque cuvette. Il peut s'agir d'une pluralité de cloisonnements amovibles associés les uns aux autres par des liens sécables selon une configuration choisie pour que chaque cloisonnement amovible de la pluralité de cloisonnements amovibles soit disposé dans le volume d'une cuvette. On dispose le plateau de cuvettes équipé des cloisonnements amovibles en applique sur un moniteur d'un système informatique équipé d'un logiciel d'analyse d'une prescription médicale, de représentation de la distribution des médicaments de cette prescription médicale en deux dimensions dans chaque compartiment de chaque cuvette du plateau de cuvettes et d'aide à la distribution des médicaments conformément à la prescription médicale. On visualise de cette façon en transparence à travers la(les) cuvette(s) les compartiments dans lesquels doivent être placés les médicaments de la prise unitaire de médicaments.  In particular, it is possible to produce such a package of a unit dose of drugs in a device according to the invention according to a method adapted from the method described in the previous document FR 2 942 132. A plateau, called weekly platter, is chosen from cuvettes associated with each other by detachable links and divided into 4 columns and 7 lines corresponding to four daily holds (breakfast, lunch, dinner, bed) for 7 days. There is a removable partition in each bowl. It may be a plurality of removable partitions associated with each other by breakable links in a configuration chosen so that each removable partition of the plurality of removable partitions is disposed in the volume of a bowl. The tray of bowls equipped with removable partitions applied on a monitor of a computer system equipped with a software for analyzing a medical prescription, representation of the distribution of the drugs of this two-dimensional medical prescription in each compartment of each bowl of the tray of cuvettes and help with the distribution of drugs in accordance with the medical prescription. In this way, the compartments in which the drugs of the unit dose of drugs are to be placed are transparently displayed through the cup (s).
Bien entendu, cette description est donnée à titre d'exemple illustratif uniquement et l'homme du métier pourra y apporter de nombreuses modifications. Il va soi que l'invention peut faire l'objet de nombreuses variantes de réalisation et d'applications. En particulier le dimensionnement, le nombre et la forme des cuvettes, des couvercles et des cellules, la nature des matériaux des éléments constitutifs du dispositif d'emballage et du dispositif de stockage et de distribution peuvent varier sans sortir de la portée de protection de l'invention.  Of course, this description is given as an illustrative example only and the skilled person can make many changes. It goes without saying that the invention can be the subject of numerous variants and applications. In particular the size, number and shape of the cuvettes, lids and cells, the nature of the materials of the components of the packaging device and the storage and distribution device may vary without departing from the scope of protection of the 'invention.

Claims

REVENDICATIONS
1/- Dispositif (1) d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée formant au moins une cellule (10) de stockage et de distribution d'une telle prise unitaire, chaque cellule comprenant :  1 / - Device (1) for packaging at least one unit dose of medicaments in divided solid dosage form forming at least one cell (10) for storing and dispensing such a unit dose, each cell comprising:
- une cuvette (1 1) délimitant un volume (15) de stockage d'une telle prise unitaire ;  a bowl (1 1) delimiting a volume (15) for storing such a unitary catch;
- un couvercle (12) adapté pour clore le volume de stockage ;  a cover (12) adapted to close the storage volume;
- un cloisonnement (13) adapté pour pouvoir s'étendre dans le volume de stockage de la cuvette et y délimiter une pluralité de compartiments (20) permettant de maintenir des médicaments de la prise unitaire séparés les uns des autres ;  - a partitioning (13) adapted to be able to extend into the storage volume of the bowl and delimit a plurality of compartments (20) for maintaining separate unit grip drugs from each other;
caractérisé en ce que le cloisonnement (13) s 'étendant dans la cuvette (1 1) est amovible par rapport à la cuvette (1 1). characterized in that the partition (13) extending in the bowl (1 1) is removable relative to the bowl (1 1).
21- Dispositif selon la revendication 1 , caractérisé en ce que le cloisonnement (13) amovible est un cloisonnement sans fond.  21- Device according to claim 1, characterized in that the partitioning (13) removable is a bottomless partitioning.
3/- Dispositif selon l'une des revendications 1 ou 2, caractérisé en ce que la cuvette (1 1) présente un épaulement (18) périphérique délimitant une ouverture de la cuvette (1 1), le couvercle (12) étant formé d'un film d'obturation adapté pour pouvoir adhérer sur l'épaulement périphérique de la cuvette (1 1).  3 / - Device according to one of claims 1 or 2, characterized in that the bowl (1 1) has a shoulder (18) peripheral defining an opening of the bowl (1 1), the cover (12) being formed of a sealing film adapted to adhere to the peripheral shoulder of the bowl (1 1).
4/- Dispositif selon la revendication 3, caractérisé en ce que le film d'obturation présente une face principale, dite face adhésive, présentant au moins une zone adhésive disposée pour pouvoir adhérer sur l'épaulement périphérique de la cuvette.  4 / - Device according to claim 3, characterized in that the sealing film has a main face, called adhesive side, having at least one adhesive zone arranged to be able to adhere to the peripheral shoulder of the bowl.
5/- Dispositif selon la revendication 4, caractérisé en ce que le film d'obturation présente une deuxième face principale, dite face imprimée, opposée à ladite face adhésive et présentant au moins une inscription.  5 / - Device according to claim 4, characterized in that the sealing film has a second main face, said printed face, opposite to said adhesive face and having at least one inscription.
61- Dispositif selon l'une des revendications 1 à 5, caractérisé en ce que la cuvette (11) est de forme allongée selon une direction principale d'allongement et présente : - une plus grande dimension parallèle à la direction principale d'allongement de la cuvette de valeur comprise entre 60 mm et 150 mm, et ; 61- Device according to one of claims 1 to 5, characterized in that the bowl (11) is elongate in a main direction of elongation and has: a larger dimension parallel to the main direction of elongation of the cuvette with a value of between 60 mm and 150 mm, and
- une largeur selon une direction perpendiculaire à la direction principale d'allongement de valeur comprise entre 20 mm et 50 mm.  a width in a direction perpendicular to the main direction of value elongation of between 20 mm and 50 mm.
11- Dispositif selon la revendication 6, caractérisé en ce que la cuvette présente une profondeur s 'étendant perpendiculairement à la direction principale d'allongement, perpendiculairement à la largeur et de valeur inférieure à la largeur, notamment comprise entre 10 mm et 20 mm.  11- Device according to claim 6, characterized in that the bowl has a depth extending perpendicular to the main direction of elongation, perpendicular to the width and less than the width, in particular between 10 mm and 20 mm.
8/- Dispositif selon l'une des revendications 1 à 7, caractérisé en ce qu'il est adapté pour pouvoir former une pluralité de cellules (10) de stockage d'une pluralité de prises unitaires de tels médicaments, les cellules de la pluralité de cellules (10) de stockage étant liées les unes aux autres sous forme d'un plateau de stockage et de distribution de médicaments.  8 / - Device according to one of claims 1 to 7, characterized in that it is adapted to be able to form a plurality of cells (10) for storing a plurality of unitary catches of such drugs, the cells of the plurality storage cells (10) being bonded to each other in the form of a drug storage and dispensing tray.
91- Dispositif selon l'une des revendications 1 à 8, caractérisé en ce qu'il comprend :  91- Device according to one of claims 1 to 8, characterized in that it comprises:
- un plateau de réception de médicaments, prédécoupé formant une pluralité de cuvettes (1 1) juxtaposées ;  - A pre-cut drug receiving tray forming a plurality of juxtaposed cups (1 1);
- une feuille prédécoupée de films d'obturation, et ;  a pre-cut sheet of shutter films, and
- un ensemble prédécoupé de cloisonnements (13) amovibles.  - A pre-cut set of partitions (13) removable.
10/- Dispositif selon l'une des revendications 1 à 9, caractérisé en ce qu'une partie de fond (16) de la cuvette (1 1) forme un renfoncement (31) de collecte des médicaments de la prise unitaire de médicaments adapté pour pouvoir recevoir les médicaments et les contenir, et pour permettre leur concassage dans le renfoncement (31).  10 / - Device according to one of claims 1 to 9, characterized in that a bottom portion (16) of the bowl (1 1) forms a recess (31) for collecting drugs of the unit dosage of suitable drugs to be able to receive the drugs and to contain them, and to allow their crushing in the recess (31).
11/- Dispositif selon la revendication 10, caractérisé en ce que le renfoncement (31) est un renfoncement déformable entre une forme rétractée dans laquelle le renfoncement ne permet pas le concassage des médicaments et une forme déployée dans laquelle le renfoncement présente une profondeur adaptée pour recevoir les médicaments et permettre leur concassage.  11 / - Device according to claim 10, characterized in that the recess (31) is a deformable recess between a retracted form in which the recess does not allow the crushing of drugs and an expanded form in which the recess has a depth adapted to receive the drugs and allow them to crush.
12/- Procédé d'emballage d'au moins une prise unitaire de médicaments sous forme galénique solide divisée, dans lequel : - on choisit un dispositif (1) d'emballage selon l'une des revendications 1 à l l ; 12 / - A method of packaging at least one unit dose of medicaments in divided solid dosage form, in which: a packaging device (1) according to one of Claims 1 to 11 is chosen;
- on place un cloisonnement (13) amovible dans une cuvette (1 1) du dispositif (1) d'emballage ;  - Place a partitioning (13) removable in a bowl (1 1) of the device (1) packaging;
- on répartit des médicaments sous forme galénique solide divisée dans au moins deux compartiments (20) de stockage formés par le cloisonnement (13) amovible placé dans la cuvette (1 1), et ;  - Distributing drugs in solid dosage form divided into at least two storage compartments (20) formed by the partitioning (13) removable placed in the bowl (1 1), and;
- on clôt la cuvette (1 1) du dispositif comprenant les médicaments par application du couvercle (12).  - The cuvette (1 1) of the device comprising the drugs is closed by applying the lid (12).
13/- Procédé selon la revendication 12, caractérisé en ce que :  13 / - Method according to claim 12, characterized in that:
- on place un cloisonnement (13) amovible dans chaque cuvette (1 1) du dispositif (1) d'emballage ;  - Place a partitioning (13) removable in each bowl (1 1) of the device (1) packaging;
- on répartit des médicaments sous forme galénique solide divisée dans au moins deux compartiments (20) de stockage formés par le cloisonnement - Dispensing drugs in solid dosage form divided into at least two storage compartments (20) formed by the partitioning
(13) amovible placé dans chaque cuvette (1 1), et ; (13) removable placed in each bowl (1 1), and;
- on clôt chaque cuvette (11) du dispositif comprenant les médicaments par application du couvercle (12).  - Each cuvette (11) of the device comprising the drugs is closed by applying the lid (12).
14/- Dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée, chaque prise unitaire étant destinée à être administrée à un patient à un moment prédéterminé et répartie dans une cellule (10) de stockage et de distribution d'une telle prise unitaire, chaque cellule comprenant :  14 / - Device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form, each unit dose being intended to be administered to a patient at a predetermined time and distributed in a storage cell (10) and distributing such a unitary catch, each cell comprising:
- une cuvette (1 1) délimitant un volume (15) de stockage d'une telle prise unitaire et contenant une telle prise unitaire ;  a bowl (1 1) delimiting a volume (15) for storing such a unitary catch and containing such a unitary catch;
- un couvercle (12) adapté pour clore le volume de stockage ;  a cover (12) adapted to close the storage volume;
- un cloisonnement (13) s 'étendant dans le volume de stockage de la cuvette (11) et y délimitant une pluralité de compartiments (20) de stockage maintenant des médicaments de la prise unitaire séparés les uns des autres, le cloisonnement ( 13 ) s ' étendant dans la cuvette (11) ;  - a partitioning (13) extending into the storage volume of the bowl (11) and delimiting therein a plurality of storage compartments (20) holding unit catch drugs separated from each other, the partitioning (13) extending into the bowl (11);
caractérisé en ce que le cloisonnement (13) est amovible par rapport à la cuvette (1 1). characterized in that the partition (13) is removable relative to the bowl (1 1).
15/- Dispositif selon la revendication 14, caractérisé en ce que le cloisonnement (13) amovible est solidaire du couvercle de façon à permettre, lors de l'ouverture de la cellule (10) de stockage, une extraction simultanée du cloisonnement (13) amovible hors de la cuvette (11) et une répartition aléatoire des médicaments dans la cuvette (1 1).  15 / - Device according to claim 14, characterized in that the partitioning (13) removable is secured to the lid so as to allow, during the opening of the cell (10) storage, a simultaneous extraction of the partition (13) Removable out of the bowl (11) and a random distribution of drugs in the bowl (1 1).
16/- Dispositif selon la revendication 14, caractérisé en ce que le cloisonnement (13) amovible est séparé du couvercle de façon que l'ouverture de la cellule (10) de stockage nécessite une extraction différée du cloisonnement (13) amovible hors de la cuvette (11) pour former une répartition aléatoire des médicaments dans la cuvette (1 1).  16 / - Device according to claim 14, characterized in that the removable partition (13) is separated from the cover so that the opening of the storage cell (10) requires a delayed extraction of the partition (13) removable from the cuvette (11) to form a random distribution of drugs in the cuvette (1 1).
17/- Dispositif selon l'une des revendications 14 à 16, caractérisé en ce qu'une partie du fond (16) de la cuvette (1 1) forme un renfoncement (31) de collecte des médicaments de la prise unitaire de médicaments adapté pour pouvoir recevoir les médicaments et les contenir, et pour permettre leur concassage dans le renfoncement (31).  17 / - Device according to one of claims 14 to 16, characterized in that a portion of the bottom (16) of the bowl (1 1) forms a recess (31) for collecting drugs of the unit dosage of suitable drugs to be able to receive the drugs and to contain them, and to allow their crushing in the recess (31).
18/- Procédé de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée à un patient, dans lequel :  18 / - A method of dispensing at least one unit dose of drugs in solid dosage form divided to a patient, wherein:
- un dispositif de stockage et de distribution d'au moins une prise unitaire de médicaments sous forme galénique solide divisée selon l'une des revendications 14 à 17 est choisi ;  a device for storing and dispensing at least one unit dose of medicaments in divided solid dosage form according to one of Claims 14 to 17 is chosen;
- une cellule (10) de stockage et de distribution d'une telle prise unitaire est séparée du dispositif de stockage ;  a cell (10) for storing and distributing such a unitary tap is separated from the storage device;
- le couvercle de cette cellule (10) du dispositif de stockage et de distribution correspondant à la prise unitaire de médicaments est retiré, et ;  the lid of this cell (10) of the storage and dispensing device corresponding to the unit dose of medicaments is removed, and;
- le cloisonnement (13) amovible est extrait de cette cellule (10) de façon que les médicaments ne soient plus séparés les uns des autres dans la cuvette (1 1), et ;  - The removable partition (13) is extracted from this cell (10) so that the drugs are no longer separated from each other in the bowl (1 1), and;
- la prise unitaire de médicaments est distribuée au patient.  - the unit dose of medication is distributed to the patient.
19/- Procédé selon la revendication 18, caractérisé en ce qu'on retire le couvercle (12) et on extrait le cloisonnement (13) amovible simultanément, le cloisonnement (13) amovible étant solidaire du couvercle (12).19 / - Method according to claim 18, characterized in that the lid (12) is removed and the removable partition (13) is extracted. simultaneously, the partitioning (13) removable being secured to the cover (12).
20/- Procédé selon l'une des revendications 18 ou 19, caractérisé en ce qu'une partie de fond (16) de la cuvette (1 1) formant un renfoncement (31) de collecte et de concassage de médicaments de la prise unitaire de médicaments dimensionné pour pouvoir recevoir les médicaments et les contenir, on déplace les médicaments dans le renfoncement (31) après extraction du cloisonnement (13) amovible et un concassage des médicaments de la prise unitaire de médicaments est effectué dans le renfoncement (31). 20 / - Method according to one of claims 18 or 19, characterized in that a bottom portion (16) of the bowl (1 1) forming a recess (31) for collecting and crushing drugs of the unitary catch of drugs dimensioned to be able to receive the drugs and to contain them, the drugs are moved into the recess (31) after removal of the removable partition (13) and a crushing of the medicaments of the unit dose of medicaments is carried out in the recess (31).
EP17725323.4A 2016-05-04 2017-05-02 Device and method for packaging solid medicaments, device for storing and dispensing such medicaments, and dispensing method Active EP3452001B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FR1654048A FR3050931B1 (en) 2016-05-04 2016-05-04 DEVICE AND METHOD FOR PACKAGING SOLID MEDICINES, DEVICE FOR STORAGE AND DISTRIBUTION OF SUCH MEDICINES AND METHOD FOR DISTRIBUTION
FR1753755A FR3050932B1 (en) 2016-05-04 2017-04-28 DEVICE AND METHOD FOR PACKAGING SOLID MEDICINES, DEVICE FOR STORAGE AND DISTRIBUTION OF SUCH MEDICINES AND METHOD FOR DISTRIBUTION
PCT/FR2017/051044 WO2017191405A1 (en) 2016-05-04 2017-05-02 Device and method for packaging solid medicaments, device for storing and dispensing such medicaments, and dispensing method

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EP3452001A1 true EP3452001A1 (en) 2019-03-13
EP3452001B1 EP3452001B1 (en) 2020-09-16

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EP17725323.4A Active EP3452001B1 (en) 2016-05-04 2017-05-02 Device and method for packaging solid medicaments, device for storing and dispensing such medicaments, and dispensing method

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US (1) US10806677B2 (en)
EP (1) EP3452001B1 (en)
JP (1) JP2019518575A (en)
CN (1) CN109152696B (en)
CA (1) CA3020689A1 (en)
DK (1) DK3452001T3 (en)
ES (1) ES2837447T3 (en)
FR (2) FR3050931B1 (en)
PT (1) PT3452001T (en)
WO (1) WO2017191405A1 (en)

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Publication number Publication date
CN109152696B (en) 2021-06-18
JP2019518575A (en) 2019-07-04
US20190125629A1 (en) 2019-05-02
DK3452001T3 (en) 2020-12-21
US10806677B2 (en) 2020-10-20
FR3050932B1 (en) 2022-02-04
PT3452001T (en) 2020-12-07
EP3452001B1 (en) 2020-09-16
WO2017191405A1 (en) 2017-11-09
FR3050931B1 (en) 2022-01-07
FR3050932A1 (en) 2017-11-10
ES2837447T3 (en) 2021-06-30
FR3050931A1 (en) 2017-11-10
CN109152696A (en) 2019-01-04
CA3020689A1 (en) 2017-11-09

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