FI20185085A1 - Method for dose dispensing of medicines, and dose dispenser for medicines - Google Patents

Abstract

The method employs a drug delivery device (1) comprising a control system, a space for drug doses, a drug delivery mechanism, and the method for delivering a dose of drug from the drug delivery device (1). The drug delivery mechanism moves any requested dose of drug in the drug delivery device (1) to the next available. The drug delivery device (1) includes a confined space for storing drug doses within the device, as well as a control system and memory. The drug delivery device (1) comprises a plurality of substantially similar drug delivery trays (8) disposed adjacent to one another in a row and column defining support (17) and having at least one empty space (17d), i.e. the drug delivery tray (17). 8) free space.

Description

The invention relates to a method for dispensing doses of medicaments as set out in the preamble of claim 1 and to a medicament dispensing device as set out in the preamble to claim 11.

The method for dispensing a dose of medicaments according to the present invention and a medicament dispensing device, hereinafter for short, is suitable for use preferably for dispensing a medicament at home, which need to be controlled, for example, by home care staff or relatives. Examples of use include home care for the elderly and home care for the disabled and the mentally handicapped.

The automatic dose distribution of medicines in a resident's home is a rapidly growing area of pharmaceutical care internationally. In Finland and other developed countries, the number of elderly people, and especially their average number of medicines, has been increasing, making it more difficult to control the correct use of medicines for the elderly 20. Drug dose distribution has begun to be developed specifically to facilitate drug delivery for the elderly. The elderly often have access to many different and different types of medicines, and remembering to take them and taking the medicines themselves is difficult for the elderly and they often need help with it. In mechanical automatic dose dispensing, drugs are dispensed into bags or containers on a per-dose basis, so the patient only needs to remember to take their dose when the device offers it for them to take. One function of a drug delivery device is to reduce the number of home care client visits that occur solely for the purpose of administering drugs.

Remembering to take doses of medication, especially at the right time, is problematic for many elderly people. With automatic dosing and reversal, it is possible to ensure that all medicines are taken, as long as the dose is taken at the time indicated on it. Various alarm devices have been developed to help with this. Dose distribution via drug delivery devices allows easy use of drugs by monitoring relatives or

20185085 PRH 31 -01-2018 by home care staff, for example via a portable smart device.

In a prior art drug delivery device, a so-called drug clock, the delivery device is supplemented with, for example, the next 14 or 28 doses of drug from the customer and the delivery device is closed. The dispensing device has a simple clock device which rotates the drug dose compartments inside the device so that the drug dose can be withdrawn from the device 10 through an opening in the device at the correct time.

In another prior art drug delivery device, the customer's two 15-week-old drugs are loaded into the delivery device in the form of a sachet roll provided by a pharmacy or medical facility. The sachet roll contains the required number of individual heat-sealed sachets in a row for the customer's need for two weeks. The dispensing machine next serves the customer 20 alternating sachets in a timely manner from inside the device.

In a third solution according to the prior art, the drug doses are loaded inside the dispensing device into drug dose containers, from which the drug doses are served in a timely manner to the customer in a predetermined order.

A common disadvantage of all the above-mentioned known solutions is their inflexibility with respect to drug dose distribution, since they are intended only for so-called continuous long-term drugs. Inside the drug dispensing device, the drug doses are loaded sequentially, i.e. sequentially, and they are also discharged from the machine only sequentially. Thus, it is very difficult or impossible to change the doses of medicine inside the machine, and it is not easy to flexibly add a new course of medicine to, among other things, 35 drug delivery devices. These dispensers usually need to be disassembled and rearranged,

20185085 PRH 31 -01-2018 if there is a single change in drug dosages. This is a time consuming process and takes a lot of staff resources. In addition, this is a measure that endangers the safety of the drug, as the risk of dispensing errors increases when the drugs 5 have to be rearranged inside the device. Solutions according to these techniques cannot dispense drugs that vary in dose or need to be taken, or, for example, short courses of antibiotics. In addition, only tablets, capsules, and certain effervescent tablets are suitable for these drug delivery devices, making it impossible to dispense other dosage forms.

A further problem with medicated watch types is that the dosage device must be turned over in one hand and the medications must be dropped from there into the other free hand, which is a difficult procedure for many elderly people. The device is small in size, so its capacity is quite small and it can also easily get drowned in household items. The user interface of the device is complex and the screen is small, and especially difficult for the elderly 20 to see.

A big problem with medication sachets is also that the customer has to tear or cut the sachet open before the medication can be taken out of the sachet. At this point, medications can get25 ways to drip from the bag to the floor and for an old person, tearing the bag or cutting with scissors can be overwhelmingly difficult, often at least a cumbersome and uncertain procedure.

The object of the present invention is to obviate the above-mentioned drawbacks and to provide a reliable, flexible, reliable and inexpensive method for drug dose delivery. It is also an object to provide a medicament dispensing device, hereinafter also for short, a device which is easily movable from one place to another and easy and quick to install 35 and very easy to use for the elderly and other groups of users. The method according to the invention is characterized by what is set forth in claim 1

20185085 PRH 31 -01-2018 in the character section. Accordingly, the drug delivery device according to the invention is characterized by what is set forth in the characterizing part of claim 11. Other embodiments of the invention are characterized by what is stated in the other claims.

The drug delivery method of the invention uses a drug delivery device comprising a control system, a space for drug doses, and a mechanism for moving drug doses for 10 minutes, and wherein the drug dose is provided from the drug delivery device. The drug dose movement mechanism is used to transport any requested dose of drug in the drug delivery device to the next serving. The drug delivery device of the invention includes a confined space 15 for storing drug doses within the device, as well as a control system and memory. The drug delivery device comprises a plurality of substantially similar drug delivery trays arranged in rows and columns on a support space forming a bounded space side by side, and that the support tray has at least one void, i.e., a drug delivery tray-free location to which any drug delivery tray adjacent to the void space can be moved.

The main advantage of the solution according to the invention for the drug delivery devices according to the prior art is its flexibility and ease of use. The device has an opening and closing serving station with space for a drug delivery tray and a drug delivery container, which can be, for example, a traditional plastic medicine cup used in healthcare. The drug delivery container is placed on a drug delivery tray, which device may have, for example, 48 pieces in a 7x7 position matrix, with one slot being empty to allow movement of the drug delivery trays. The serving dose of the medicine to be served is brought to the customer 35 via the serving station, and in addition, all the customer's next period is loaded into the machine one by one via the same serving station.

20185085 PRH 31 -01-2018 den week, drug doses. In the solution according to the invention, it is possible to flexibly bring any empty or dosing tray with a medicine dosing container from inside the device to the serving station. This differs drastically from the devices 5, where the drug doses are distributed sequentially, in a certain predetermined order. Flexible import of drug delivery trays to the serving station brings clear benefits to the solution. This allows, among other things, easy and quick drug changes, such as the addition of surprising courses of medication10 to pre-filled drug dose containers or the addition of drug courses to their own drug dose containers. A drug change can be a complete switch from a long-term drug to another drug. Prior art automatic drug delivery devices are in practice able to handle only regular regular medications without the possibility of making drug changes to the dosages in the devices. In addition to the above, the solution according to the invention is able to flexibly and reliably dispense medications to be taken periodically, such as medications, and also medications to be taken if necessary, such as painkillers for sudden pain conditions. In this case, it is prepared in advance to reserve a medicine to be taken if necessary at certain drug dosing points, and when the need arises to take this medicine, the responsible nurse can remotely drive the medicine to be taken to the customer's service station.

Another advantage is the suitability of the solution according to the invention for different types of drugs, such as pills, capsules, chewable tablets and liquids. The solutions can use, for example, standard drug dose containers used in nursing, which are familiar to customers, and which can be equipped with a tight lid.

The versatile applications of the solution according to the invention include, among others, normal elderly households, as the lack of reliable drug distribution is one of the major

20185085 PRH 31 -01-2018 factor that the elderly person can no longer live alone at home and the elderly person must be transferred to institutional housing. The easy-to-use and reliable drug delivery device of the present invention contributes to prolonging the home life of the elderly, increasing their independence and level of health, which in turn significantly reduces the cost of health care for the elderly.

In the following, the invention will be described in more detail by means of sold application examples with reference to the accompanying simplified and schematic drawings, in which:

Fig. 2 shows a simplified and oblique side and top view of one drug delivery device used in the method of the invention in the ground state, Fig. 2 shows a drug delivery device as shown in Fig. 1, Fig. 5a shows a medicament dispensing device as shown in Fig. 2 with the lid and walls removed, Fig. 5b shows a top view and a front lid and serving station removed with a medicament dispensing device as shown in Fig. 5a; and a partially sectioned mechanism for moving the drug delivery trays of the drug delivery device, Fig. 7a shows one simplified and obliquely seen from the side and top in the serving station7

20185085 PRH 31-01-2018 identification of the drug delivery tray and identification of the presence of the drug delivery dose, and Figure 7b shows a simplified and oblique side and top view of the identification of the drug delivery tray and identification of the drug delivery dose code at the serving station.

Figure 1 shows a simplified and oblique side and top view of one of the drug delivery devices 1 used in the method 10 according to the invention in the basic state. In its basic state, the drug delivery device 1 is closed and the customer's drug doses are dispensed inside. The drug delivery device 1 is securely closed on, among other things, the lid 2a, the walls 2b, the front panel 2c and the serving station 3 on the lid 3a. The front panel 2c of the drug dispensing device 1 has its own user interface 1 with one function switch 4 and notification elements 5a, 5b: a speaker 5a and optionally a light edge 5b, which in this application example is an LED light edge circulating the serving station 3. Inside the drug delivery device 1 there are, among other things, the mechanisms for moving the drug doses, the device 1's own control system and memory, computer network connection elements, mains power supplies and a spare battery.

Fig. 2 shows a medicament dispensing device 1 as shown in Fig. 1, in which the lid 3a of the serving station 3 is slid open behind the front panel 2c and the medication dose is displayed at the serving station 3. The rear door 3b of the serving station 3 is slid closed, preventing other medications from inside the dispensing device 1 to take.

The drug delivery devices 1 can be easily manufactured to different capacities according to the customer's needs with small production arrangements. A very common capacity requirement is 35 two-week drugs three times a day, requiring 3x2x7 doses, or 42 doses. Other commonly used capacity needs are e.g.

20185085 PRH 31 -01-2018 medication for one week three times a day, when the capacity requirement is 3x1x7 pieces, ie 21 doses of medication. In addition to the exact capacity requirement, it is also good to leave spare places in the drug dispensing device 1, in which case it is natural to manufacture a drug dispensing device according to a 7x7 matrix, for example 42. Reserve slots are used to provide flexibility. They contain medication and / or medication to be taken if necessary. For customers who use a lot of medicines, the filling interval of the device can also be adjusted differently to full weeks, in which case the filling interval can be, for example, 10 or 12 days.

The individual drug doses are dispensed into the drug delivery device 1 into drug dose containers 9, which may, for example, be well known to the customer standard nursing drug dose containers 9. Because the solution uses standard, lid-accessible drug dose containers 9, flexibly accommodate drugs 20 of different compositions, such as pills. capsules, chewable tablets and liquids. At the time of a single drug intake, the serving station 3 can be programmed to be delivered in the drug dose containers 9 first, for example dry drugs and immediately afterwards liquid drugs.

In the drug delivery device 1, each drug delivery container 9 is placed on an individually identified drug delivery tray 8. When the medicament dosage container 9 with the required medicaments is introduced into the medicament dispensing device 1 on the medicament dispensing platform 8, 30 the medicament dosage container stores its own unique date and time information from which it has been transferred to the device control system. The same date and time information is also stored on this uniquely identified drug delivery platform 8 from when that 35 drug doses are to be served to the customer. The medicament dispensing device 1 comprises a clock device known for its exact date, day of the week and time of day. Using a watch device for a dose of medicine

20185085 PRH 31 -01-2018 The rolling device 1 timely brings to the serving station 3 a medicine dosing tray 8 and a medicine dosing container 9, which contains the correct medicine dose for the customer. When the medicament dispensing container 9 is brought to the serving station 3, the medicament dispensing device 1 alerts the user by means of warning means 5a, 5b, for example by sound signals through the loudspeaker 5a and by illuminating or flashing the lighting member 6 and / or illuminating the LED lights. If necessary, the medicine dispensing device 1 can also guide the customer in taking the medicine through the loudspeaker 5a.

Various operating parameters can be easily programmed into the control system of the drug delivery device 1, which may vary according to, for example, the place of use and the type of customer. One of the above-mentioned operating parameters is, for example, the serving time, i.e. the time for which the drug dose is kept available to the customer at the serving station 3 before the serving station 3 is closed. The serving time can be programmed, for example, for one hour, and an additional operating parameter could be, for example, audible remarks every 20 minutes via the loudspeaker that the dose of medicine can be taken from the serving station 3. A lighting member 6, such as an LED lamp, illuminates the serving station 3, whereby the medicine dose container 9 is clearly visible to the customer. The serving station 3 has a sensing element 7, such as a camera, which monitors the next 25 dose containers 9 to be taken. In this way, the system constantly has information on whether the customer has already taken the delivered dose of medicine. As soon as the sensor member 7 detects the intake of the medicine, the lid 3a of the serving station 3 can be closed. In addition, the system may also acknowledge the successful intake of the drug to the customer by its voice message through the speaker 5a.

Fig. 3 shows the control mechanisms of the medicament dispensing device 1 and Fig. 4 shows a simplified and oblique side and top view of the medication dispenser 15. The medication dispensing device 1 operates in its basic state completely independently by an externally supplied current, and in the event of a power failure by a built-in backup battery.

20185085 with the help of PRH 31 -01-2018. The daily distribution of drug doses takes place by means of the device's internal control system and the clock device, and is thus not dependent on, for example, the operation of the data network 10a. Normally, however, the drug delivery device 1 is connected via a data network 10a to a centralized management system 13, which is typically a cloud service operating on the Internet. The management system 13 contains information on the doses of medication fed to the medicament dispensing device 1, their successful taking or non-taking 10.

The drug delivery device 1 transmits information on the intake of the drug dose to the management system 13 via the data network 10a, whereby the customer's intake of the drug can be monitored, for example, by the responsible nurse. If the sensor member 7 does not detect the intake of the drug by a certain time limit, the device closes the serving station 3 and sends an alarm to the management system 13, which in turn via the data network 10b can alert the responsible person to his personal device 11, such as a smartphone, PDA, tablet or tablet. In this case, the person in charge can contact the customer, for example by telephone, or go on site to check the situation. When the customer is reached and is ready 25 to take his dose, the responsible nurse can use his intelligent device 11 to contact the management system 13, which directs the dispensing device 1 to re-offer the forgotten dose to the serving station 3. If the missed dose can no longer be served to the customer, the dispenser 1 can keep the missed dose. which dose can be processed later, for example when filling new drugs.

The drug delivery device management systems (13) and through them 35 the drug delivery devices 1 themselves can also be monitored and operated centrally, for example from the home care unit 14 via a data network 10c. Commonly used

20185085 PRH 31 -01-2018 The way to control the drug delivery device 1 and to control the taking of individual drug doses is with the help of personal intelligent devices 11. The smart device 11 can be either by the customer himself or by another responsible person, such as a relative, a self-care provider or an external care provider. The intelligent device 11 is not directly connected to the drug dispensing device 1, but always connects to the management system 13 via the data network 10b and all the administrations and functions performed by the intelligent device 11 to the drug dispensing device 1 take place via the management system 13.

The smart device 11 has means, such as an application 12, with which the drug delivery device 1 can be managed via the management system 13. The application 12 is used, for example, to manage the filling of the drug dispensing device 1 with drug doses at regular intervals, such as every two weeks. The nurse in charge has the customer's drug doses pre-dispensed into the drug dose containers 9. For example, the drug dose containers 9 may be pre-made at the home care facility 14 20 for the drug dose trays 15 according to Figure 4. The application 12 requests the medicine dispensing device 1 to bring one / the next medicine dose tray 8 to the serving station 3. The application 12 determines the time, date / day and time of the medicine serving tray 8 brought to this serving station 3, and sets the set, the camera acting as the sensor member 7 reads the unique identification code on the side of the drug delivery tray 8, which is unique to the drug delivery tray 8. The control system of the drug delivery device 1 connects the identification code of the drug delivery platform 8 to a given time, stores this combined information in the memory of the drug delivery device 1 35 and sends the combined information via the data network 10a to the cloud management system 13.

20185085 PRH 31 -01-2018 corresponded to all other medication taking times for the entire desired period.

Filling of medicines can also be done without the intelligent device 11, 5 by utilizing the function switch 4 in the user interface of the medicine dispensing device 1 and a filling routine pre-programmed in the control system of the device 1. In this case, the filling mode is activated by a special press of the function switch 4, for example by holding down the function switch 4 for 10 consecutive periods of 10 seconds. When the filling mode is activated, the control system of the device 1 drives to the serving station 3 of the first medication tray 8 and by voice command 5a instructs the nurse / filler to place the first medication dose container 9 on the medication tray 8. The attendant then presses the function switch once. associates this identification code with a pre-programmed time, stores this combined information in the memory of the drug delivery device 1 and 20 sends the combined information via the data network 10a to the cloud management system 13. The system then takes the drug dose inside the device 1, brings a new drug delivery platform 8 to the serving station 3 and the process continues. the collection times for the entire desired period have been processed and the drug doses have been filled into the drug delivery device 1.

Since the solution according to the invention is able to transport any of the requested drug delivery trays 8 in the drug dispensing device 1 to the next serving station 3 by means of the movement mechanism of the drug delivery tray 8, the invention advantageously solves problems which the current solutions have not solved. Particularly problematic in automatic drug delivery is the modification and replenishment of drug doses fed into devices 35. Changing / supplementing drug doses comes into play when the client receives, for example, a change in the drug prescribed by a doctor or, for example, a temporary course of medication, such as a course of antibiotics. When in the solution according to the invention there is a need to change or supplement the drug doses already filled in the device 1, changes and additions can be made flexibly with the help of the application 12 5 of the intelligent device 11.

The application 12 asks the system to bring the time to be changed / replenished the drug dose container 9 to the serving station 3. Make the necessary changes / additions to the medicine dose container 9 and acknowledge the change / replenishment 10, closing the serving station 3 and returning the modified / supplemented dose container 9 to the device 1

20185085 PRH 31 -01-2018

Another problem with current solutions is the administration of occasionally needed drugs, such as analgesics. In practice, current solutions do not support the taking of occasional drugs at all, but these drugs are taken separately and the drug delivery device cannot be utilized in their distribution. The solution according to the invention also supports the taking of occasional drugs, such as analgesics. During the dose filling phase, the drug dose container capacity of device 1 does not need to be reserved for fully timed drug doses, but device 1 has additional drug dose containers 9. For example, device dispenser 1 with 7x7-1 or 48 necessary, leaving six more dose containers 9 for occasional medications free. Each of these free drug dose containers 9 is filled with 30 randomly administered drugs. When the customer needs to take such a medicine, the device 1 is programmed to bring the medicine to the serving station 3, for example when the operating switch 4 is pressed. Alternatively, the customer can contact a nurse who, by means of the intelligent device 11, requests the lifting device 1 of the medicine35 to bring the randomly taken medicine to the serving station 3. Alternatively, several randomly required 14 are dispensed into one free medicine container 9

20185085 PRH 31 -01-2018 and the customer is brought this medicine dose container 9 whenever necessary to the serving station, from where he can take the necessary amount of medicine. In this way, several different occasionally needed drugs can also be administered, if necessary.

Fig. 5a shows the drug dispensing device 1 shown in Fig. 2 with the lid 2a and walls 2b removed and Fig. 5b shows the top view and the front cover 2c and 10 the serving station 3 removed with the medicine dispensing device 1 shown in Fig. 5a. The medicine dispensing device 1 is divided into

In the upper part 16a there is a substantially straight railing support base 17, viewed from above, with a flat and slippery base 17a and a rim 17b revolving around the base. The support base 17 is attached to the upper surface of the midsole 16. On top of the base 17a of the support base 17 there are substantially rectangular, preferably e.g. liquid-like, drug delivery trays 8. The drug delivery trays 8 rest freely on the base 17a and are arranged in rolls so that the side edges of the drug delivery trays 8 are closest to the edge side edges. The rows and columns of the drug delivery trays 8 on the support tray 17 are perpendicular to each other and the rows and columns form an XY matrix. The support tray 17 comprises a protrusion 3c located inside the serving station 3 so that from inside the medicament dispensing device 1, on the base 17a of the support tray 17 from 17c, one medicament dispensing tray 8 can be slid onto the protrusion 3c. The three edges of the protrusion 3c have a rim 17b, preventing the drug delivery tray 8 from sliding off the protrusion 3c. The drug delivery trays 8 do not completely fill the rectangular area of the base 17a of the support base 17, since there are at least one less drug delivery trays 8 in the device 1 than is required to fill the rectangular area of the base 17a when the location of the protrusion 3c is not taken into account. In the solution according to this application example, the area of the rectangular base 17a would accommodate 7x7, i.e. 49 drug delivery trays, but the solution uses 48 drug delivery trays 8. This leaves one empty space 17d on the base 17a, i.e. a space 5 free of the drug delivery tray 8. Due to the empty space 17d, the drug delivery trays 8 are movable on the base 17a of the support tray 17. By sliding one of the drug delivery trays 8 into the empty space 17d, this empty space 17d is filled and a new empty space 17d is formed at another location of the support tray 17, 10 where the drug delivery trays 8 have been moved.

Fig. 6a shows a top view and a simplified view of the movement mechanism of the drug delivery trays of the drug delivery device 1, and Fig. 6b shows a side view and a partial section of the movement mechanism of the drug delivery trays of the drug delivery device 1.

20185085 PRH 31 -01-2018

In the lower part 16b there is a mechanism for moving the drug delivery trays 8. A single drug delivery tray 8 or a plurality of drug delivery trays 20 to form a segment on the base 17a of the support tray 17 is moved by a conveyor member 18. The conveyor member 18 comprises a pedestal element 28, guide members 27, an electromagnet 25 and a sensor 26. The drug delivery trays 8 and the support tray 17 are preferably of non-magnetic material. In the center of the bottom of each drug delivery tray 8 is a magnetic counter member 24, such as a permanent magnet. When the electromagnet 25 is electrically activated, a strong magnetic field is generated between the electromagnet 25 and the counterpart 24 of the drug delivery tray 8, which allows the drug delivery platform 8 30 to slide over the base 17a of the support base 17 as the electromagnet 25 of the conveyor member 18 is moved horizontally. When the electromagnet 25 is turned off, the magnetic field between the electromagnet 25 and the drug delivery tray 8 is weakened, whereby the conveyor member 18 cannot move the drug delivery tray 8 having the above-ground magnetic counter member 24 and the conveyor member 18 becomes freely movable. The conveyor member 18 is moved

20185085 PRH 31 -01-2018 under the support base 17 in the first direction by means of a first actuator 30, such as an electric motor, and in a second direction, perpendicular to the first direction, by means of a second actuator 32, such as an electric motor. 5 Seen from above, the first direction is referred to as the X direction and the second direction is referred to as the Y direction. An electromagnet 25 is attached to a pedestal element 28, to the lower surface of which a toothed belt 29 is attached, which toothed belt 29 can be rotated in the X-direction 10 between two gears 31. The electric motor 30 has a gear which moves the toothed belt 29 and the conveyor member 18 attached thereto in the X-direction. The conveyor member 18 has guide members 27 which rest on the X-direction handlebar 23 and hold the conveyor member 18 in exactly the right X15 coordinate direction.

All of the above-mentioned components 18, 23, 25, 26, 27, 28, 29 and 30 of the X-direction moving mechanism of the conveyor member 18 are on the Y-moving carriage 20. The sled 20 moves from the top of the device 1 in the X-Y coordinate system only in the Yaxel direction. The carriage 20 is supported by the Y-direction guide members 22 on the Y-direction guide rods 21. The carriage 20 is moved in the Y-direction by an electric motor 32 fixed to the bottom part 2d of the device 1. Attached to the lower surface 25 of the carriage 20 is a toothed belt 33 which can be rotated in the Y direction between two gears 34. The electric motor 32 has a gear which moves the toothed belt 33 and the carriage 20 attached thereto. The electric motors 30 and 32 are precision motors and the control system closely monitors their rotational movements and rotation history, so that the control system always has precise information about the position of the conveyor member 18 in the X-Y coordinate system. One typical accuracy for a single electric motor pulse is 0.33 millimeter motion in the X-Y coordinate system.

On top and in the middle of the electromagnet 25 of the conveyor member 18 is a sensor 26 which detects the

20185085 PRH 31 -01-2018 drug delivery trays 8 from the magnetic counterpart 24 in the middle thereof. The sensor sensor 26 is used to determine the exact locations of the drug delivery trays 18 and the empty space 17d on the support tray 17. 5

The sensor 26 is also used to automatically detect situations in which the transfer of the drug delivery tray 8 fails, for example due to the second drug delivery trays 8 in front, which measure the transfer or friction in the transfer of the drug delivery platform 8 to such an extent that it does not move to the desired target. to the location on the support platform 17. The control system's automatic troubleshooting process can measure after each transfer whether the transfer was successful. One measurement can measure any of the drug delivery trays 8 on the support tray 17.

The length of the segment provides information on the locations of the centers of the drug delivery trays 8, i.e., the magnetic counterparts 24. The measurements of the locations of the drug delivery trays 8 can be performed sequentially so much that the problem resolution process can determine which drug delivery trays 8 prevent transfer. These blocking drug delivery trays 8 are then moved away from the front and the initial transfer can be performed. If there are no inhibitory drug delivery trays 8, there is another obstacle, for example increased friction due to debris, dust, etc. In this case, the troubleshooting process can measure how much of the drug delivery tray 8 was transferred after the transfer attempt. The desired number of shifts of drug delivery medium 8 can also be repeated to reach the target. If the transfer cannot be completed at all, the problem resolution30 process sends information about the need for maintenance to the management system 13.

In the normal mode of operation, the drug dispensing device 1 operates on mains current or on the supply of an external voltage source, for example connected to the mains supply 35, for example at a voltage of 12 volts. However, the lower part 16b of the device 1 has a spare battery 35 in case the mains power supply fails. The back-up battery 35 ensures that in the event of a power failure, the operation of the medicament dispensing device 1 can continue normally for even more medications. When the mains power is restored, the backup battery 35 is automatically recharged.

20185085 PRH 31 -01-2018

Fig. 7a shows a simplified and oblique side and top view of the identification of the medicament dispenser 8 in the serving station 3 and the presence of the medicament dispenser 9 10; The serving station has a sliding rear door 3b, 15 which is opened when a medicament dispensing tray 8 and a medicament dispensing container 9 are introduced into the projection 3c of the serving dispenser 3 from inside the medicament dispensing device 1, or when the medicament dispensing tray 8 and medication dispenser 9 are inserted inside the device 1. When the front panel door 3a of the serving station 3 is opened, the rear door 3b is always in the closed position.

The serving station 3 has a lighting member 6 which illuminates the medicine dosing tray 8 in the serving station 3 and the medicine dosing container 9 placed on it. The serving station 3 has a camera acting as a quadruple 7 which describes an identification code 36 attached to the medicine dosing tray 8, such as a bar code. The unique identification code 36 of this drug delivery tray 8 in the serving station 3 is associated with the current XY location information of the drug delivery tray 8 at the serving station 3 and stored in the memory. In the future, the control system will be able to accurately calculate the variable position of the drug delivery tray 8 provided with the identification information 36 in the X-Y coordinate system on the basis of the operation of the conveyor member 18 and the change information of the motors 30 and 32. Similarly, the control system calculates the exact locations of all drug delivery trays 8 with unique identification information 36 in the X-Y coordinate system and is thus also aware of checking the location of the empty space 17d.

20185085 PRH 31 -01-2018 dip in the X-Y coordinate system. The control system continuously stores the exact location of each drug delivery tray 8 in the own memory of the drug delivery device 1 and, if necessary, also in the memory of the management system 13 located in the cloud service. When a new dose of medicine is introduced into the medicine dose tray 8 with a certain unique identification code 36 in the serving station 3, the time, date / week and time of taking the dose are determined, which is also stored in the own memory of the medicine dispenser 1 and in the cloud management system 13. Thus, in the own memory of the device 1 and in the memory of the management system 13 there is a schedule of the location of each medically dispensed tray 8 in the dispensing device 1 and 15, whereby the dispensing tray 8 and the supposed dose must be delivered from inside the dispensing device 1 to the serving station 3. with the control system of the medicament dispensing device 1, there is plenty of time to arrange the next medication 20 behind the closed lid 3a of the serving station 3 to wait for the next medication intake time. The control system monitors the clock device in the medicine dispensing device 1 and opens the lid 3a of the serving station 3 to the customer and informs the customer of the arrival of a new dose of medicine.

The sensor member 7 of the serving station 3 also monitors the dose of medicine 9 when the lid 3a of the serving station 3 is open and the dose of medicine is displayed to the customer. The sensor element 7 detects when the customer takes the dose of medicine 30 at the serving station 3 and transmits this information to the control system, which in turn transmits the information via the data network 10a to the management system 13 and finally to the responsible persons. Information that a dose has not been taken within a certain period of time is also passed on. 35

Dosage delivery systems may also generate a drug dose code 37, for example, a QR code associated with the user in the management system, the drugs in the dose, the time of administration of the drug dose, and the duration of its exposure. This drug dose code 37 can be affixed to the drug dose container 9 during the drug dose use phase. The camera, which acts as a detector5, reads the drug dose code 37 and the drug dose tray 8 identification code 36. The control system obtains this code from the drug intake and duration management system.

It will be apparent to those skilled in the art that the invention is not limited to the examples set forth above, but may vary within the scope of the claims set forth below. Thus, for example, the number of drug delivery trays in a drug delivery device may vary from what is shown in the application label.

It will also be apparent to those skilled in the art that the drug delivery trays in the support may be loosely attached to each other, however, they may be moved in the X-Y coordinate direction in the direction of the void.

Claims (18)

A method for dispensing a dose of medicaments, the method using a medication dispensing device (1) comprising a control5 system, a space for medication doses, a mechanism for moving medication doses, and a method for delivering a medication dose from a medication dispensing device (1). ) 10 next dose. A method for dispensing a dose of medicaments according to claim 1, characterized in that the doses of medicaments are requested to be served on a serving device in the medicament dispensing device (1). 15 for the model (3) automatically pre-timed by the control system of the drug dispensing device (1) controlled by the clock device in the drug dispensing device (1), and / or manually by the user interface of the drug dispensing device (1), and / or the drug delivery management system (13). the drug delivery device (1) is connected. A method for dispensing medicaments according to claim 1 or 2, characterized in that the medicament dispensing device The drug doses in the tea (1) are moved in the drug delivery containers (9) by the drug delivery trays (8) included in the drug delivery device (1), which drug delivery trays (8) are moved by a magnetic field. 30 A method for dispensing medications according to claim 3, characterized in that during the step of filling the medicated doses, each medicated dose tray (8) is provided with its own individual date and time information, and that the medicated dose tray (8) and the medicated doses are moved to the serving device (3). the time information corresponds to the clock information of the drug delivery device (1). 20185085 PRH 31 -01-2018 Method for dispensing a dose of medicaments according to one of the preceding claims, characterized in that the dose of medicament is maintained at the serving station (3) for a predetermined time, and in that the identification device belonging to the medicament dispensing device (1) The four (7) identifies when a dose is taken from the serving station (3), after which this information is transmitted via the data network (10a) to the drug delivery management system (13), and that taking the dose from the serving station (3) is prevented if the dose is not taken from the serving station 10 (3). ) within a predetermined period of time and that the dose of medicine is returned to the serving station (3) for collection by means of a medicine distribution management system (13). Method for dispensing drug doses according to one of the preceding claims, characterized in that each pre-dispensed dose of drug is placed on a drug delivery tray (8) identified and given the date and time of taking the drug dose before export to the drug delivery device (1). (1) is made via a serving station (3) by means of a drug delivery management system (13) and / or a drug delivery device interface. Method for dispensing medicated doses according to one of the preceding claims, characterized in that any requested dose of medicament is next transferred to the serving station (3) by means of a medicated dispensing management system (13) and the medicated content and / or timing of the medicated dose are changed, and (1) is delivered to the serving station (3) at the request of the management system (13) and / or at the request of the user interface of the drug delivery device (1) ( 8) for which no time information has been provided. Method for drug dose distribution according to one of the preceding claims, characterized in that different types of drugs are used in the drug doses, such as silicon. 20185085 PRH 31 -01-2018 thighs and / or capsules and / or liquid medicines and / or chewable tablets. Method for dispensing medicated doses according to one of the preceding claims, characterized in that the serving dose code (37) connected to the medicated dose container (9), such as a QR code or a bar code, is read at the serving station (3), during the medicated dose serving phase and / or during the medicated dose serving phase (9). the dose-related information and the read information are sent to the management system (13). Method for dispensing doses of medicaments according to one of the preceding claims, characterized in that the method uses an intelligent device (11) and an 15 chips (12) for controlling the control system (13) of the drug delivery device (1). 11. A drug delivery device comprising a limited space for storing drug doses within the device (1) 20 and a control system and a memory, characterized in that the drug delivery device (1) comprises a plurality of substantially similar drug delivery trays (8) arranged side by side and in columns on a support space (17) forming a delimited space side by side, and that the support tray (17) has at least one empty space (17d), i.e. a space free of the drug delivery tray (8), to which any drug delivery tray (8) adjacent to the space of the empty space (17d) is movable. 30 Drug delivery device according to claim 11, characterized in that the mechanism for moving the drug delivery platforms (8) of the drug delivery device (1) comprises a conveyor member (18) arranged to move inside the drug delivery device (1) in XY directions by actuators (30, 32) such as electric motors and moving the drug delivery trays (8) in the XY directions, and that the position of the conveyor member (18) in the drug delivery device (1) is continuously 20185085 PRH 31-01-2018 the control system and memory of the lifting device (1) are known, and that each drug delivery tray (8) comprises a unique identification information (36), and that the location of each drug delivery tray (8) containing the unique identification information (36) in the drug delivery device (1) is continuously known to the control system and memory of the drug delivery device (1). Drug delivery device according to Claim 11 or 12, characterized in that the conveyor member (18) comprises 10 on and off electromagnet (25), and that the drug delivery tray (8) comprises a counter-element (24) which, when above the conveyor member (18), is magnetically attached to the activated electromagnet (25) of the conveyor member (18). Drug delivery device according to one of the preceding claims 11 to 13, characterized in that the device suitably comprises 7x3-1 drug delivery trays (8) and preferably 7x5-1 drug delivery trays (8). 20 and most preferably 7x7-1 drug delivery trays (8). Drug delivery device according to one of the preceding claims 11 to 14, characterized in that the support base (17) The base (17a) has a substantially flat slippery surface, and that the support base (17) is substantially rectangular, and that the drug delivery trays (8) are substantially rectangular, and that the support base comprises a protrusion (3c) inside the serving station (3), and that the support base (17) the base (17a) is rotated throughout by a rim (17b) which rises upwards from the plane of the base (17a). Drug delivery device according to one of the preceding claims 11 to 15, characterized in that the 35 rows and columns are perpendicular to each other, and that the rows and columns form an XY matrix in which one cell is an empty space (17d), and that the location of the empty space (17d) on the support base (17) is arranged to change the drug delivery trays (8). ) by transferring. Drug dispensing device according to one of the preceding claims 11 to 16, characterized in that the conveyor member (18) comprises a sensor (26) which detects the drug delivery trays (8) in the support base (17), and in that the sensor (26) is arranged for use in 18) and an empty space (17d) for determining exact locations. Drug delivery device according to one of the preceding claims 11 to 17, characterized in that the drug dose is contained in a drug dose container (9) on the drug delivery tray (8), which 15 ka is a drug dosage container commonly used in healthcare.