JP6418045B2 - PTP packaging sheet delivery system - Google Patents

Description

The present invention relates to a PTP packaging sheet payout system.

Conventionally, for the packaging of medicines, the use of a PTP packaging sheet (Press-Through-Package) in which an aluminum foil or the like is attached to plastic has become the mainstream in the world. There is a PTP packaging sheet dispensing device as in Patent Document 1 that automatically dispenses this PTP packaging sheet based on prescription data without human intervention. In this PTP packaging sheet dispensing apparatus, it is possible to cut and dispense the accommodated PTP packaging sheet according to the number of locks to be dispensed. For example, a PTP packaging sheet containing one tablet can be cut out from a PTP packaging sheet containing 12 tablets. However, if it is in the form of a PTP packaging sheet containing one tablet in this way, it becomes a small size, and the tablet is accidentally taken while being wrapped in the PTP packaging sheet. Things are happening. In such a situation, the corner of the PTP packaging sheet pierces the throat and poses a serious danger to the human body. The swallowed PTP wrapping sheet is difficult to take out by itself, is difficult to be reflected in an X-ray photograph, takes out for a long time with an endoscope, and increases the burden on the body. In addition, the Ministry of Health, Labor and Welfare has notified medical institutions, pharmacies, etc. to take measures to prevent accidental ingestion.

In view of such a situation, various countermeasures have been considered. For example, in a PTP packaging sheet dispensing device, it has been considered to deal with such that the dispensing is not performed in the form of a PTP packaging sheet containing one tablet. Moreover, even if it is not dispensed in the form of a PTP packaging sheet in which one tablet is accommodated by the PTP packaging sheet dispensing apparatus, it may be in the form of a PTP packaging sheet in which one tablet is accommodated with scissors by a human hand. it can. Patent Document 2 discloses that a protrusion is provided between a pocket portion that accommodates a tablet of a PTP packaging sheet and a pocket portion adjacent to the pocket portion, so that cutting with a blade such as scissors is discouraged.

JP 2011-041789 A JP2013-100128A

However, if the PTP packaging sheet containing one tablet is not dispensed by the PTP packaging sheet dispensing apparatus as described above, the function as a PTP packaging sheet dispensing apparatus that is a dispensing robot for realizing automation of dispensing. It will limit a part of. In addition, as in Patent Document 2, in order to prevent cutting in the form of a PTP packaging sheet containing one tablet by human hand, many kinds of PTPs sold by many pharmaceutical manufacturers are used. Since it is necessary to provide protrusions on all of the packaging sheets, it is not realistic. Moreover, in the case of a small tablet, even if it is a PTP packaging sheet containing two or more tablets, it may become a size that can be taken, and the possibility of accidental ingestion arises.

The present invention has been made to solve such a situation, and the discharged PTP packaging sheet has a size that can be taken without restricting the function of the PTP packaging sheet dispensing apparatus. However, the purpose is to reliably prevent accidental ingestion.

PTP packaging sheet is paid out, whether or not there is a possibility of accidental ingestion of the PTP packaging sheet to be dispensed, or whether or not there is a high possibility of accidental ingestion, the determination unit may accidentally ingest There is a PTP packaging sheet dispensing system that performs an accidental ingestion preventing process for preventing accidental ingestion of the PTP packaging sheet when it is determined that there is a high possibility of accidental ingestion.

According to the present invention, when it is determined whether or not there is a high possibility of accidental ingestion, or when it is determined that there is a high possibility of accidental ingestion, the accidental ingestion preventing process for preventing accidental ingestion of the payout target PTP packaging sheet is performed. Therefore, even if the dispensed PTP packaging sheet is of a size that can be taken, accidental ingestion can be reliably prevented.

The structural example of the PTP packaging sheet delivery system which concerns on this embodiment is shown. The form of the PTP packaging sheet which concerns on this embodiment is shown. The example of an internal structure of the PTP packaging sheet delivery apparatus which concerns on this embodiment is shown. The example of the accidental ingestion prevention judgment table is shown. The example of a sheet expansion member is shown. The example of the medicine bag printed by the printing process is shown.

  Embodiments according to the present invention will be described below with reference to the accompanying drawings. However, in the following description, the types, combinations, shapes, relative arrangements, and the like of the components are not intended to limit the technical scope of the present invention unless otherwise specified. Where appropriate, terms indicating a specific direction or position (for example, “up”, “down”, “front”, “back”, “one end”, “other end”, etc.) are used. The use of the term is for facilitating the understanding of the invention with reference to the drawings, and the technical scope of the present invention is not limited by the meaning of the term.

  FIG. 1 shows a configuration example of a PTP packaging sheet dispensing system 1 according to this embodiment in a medical institution (hospital, pharmacy, etc.). The PTP packaging sheet dispensing system 1 may be configured by a single PTP packaging sheet dispensing device 15 or may be configured by arranging a plurality of PTP packaging sheet dispensing devices 15 in parallel as shown in FIG. Further, a tray supply unit 2 is provided on the upstream side (left side in FIG. 1) of the PTP packaging sheet dispensing system 1, and a tray stacking unit 3 is provided on the downstream side (right side in FIG. 1). In this case, a transport line 4 (belt conveyor or the like) may be provided to transport the tray 5 supplied from the tray supply unit 2 to the transport line 4 from the upstream side to the downstream side.

  FIG. 2 shows a form of the PTP packaging sheet 10 according to the present embodiment. The PTP packaging sheet 10 includes an ear part 11, a pocket part 12, and a sheet part 13. The pocket portion 12 is made of a material such as plastic, and swells in a semi-spherical shape from the sheet portion 13 and is formed in a shape that can accommodate a tablet. FIG. 2A shows the PTP packaging sheet 10 in which 12 tablets are stored in the pocket portion 12, and FIG. 2B is a diagram in which a part of the PTP packaging sheet 10 is cut and 5 tablets are stored. 2 (c) shows the PTP packaging sheet 10 containing one tablet, and FIG. 2 (d) shows the ear 11 cut from FIG. 2 (c). The PTP packaging sheet 10 of the form made is shown. Compared to FIG. 2 (a), FIG. 2 (c) is overwhelmingly small and may be accidentally swallowed. Further, in FIG. 2D, the ear portion 11 is cut, and the size is higher than that in FIG. Moreover, FIG.2 (e) has shown the PTP packaging sheet 10 in which the tablet of 2 tablets was accommodated, and a magnitude | size is smaller than FIG.2 (d). Thus, even if the tablet accommodated in the PTP packaging sheet 10 is not one tablet, there is a possibility of accidental ingestion depending on the size of the tablet.

  A PTP packaging sheet dispensing apparatus 15 shown in FIG. 1 includes a number of cassettes 8 and a robot 9. The cassette 8 can accommodate a plurality of PTP packaging sheets 10 in the form of FIGS. 2A to 2E and other forms. Moreover, in the PTP packaging dispensing apparatus 15, when the form of the PTP packaging sheet 10 of FIG. 2A and the form of the PTP packaging sheet 10 such as FIGS. 2B to 2E are mixed and accommodated, It may be accommodated in different cassettes 8 according to the form, or a plurality of rooms may be provided in the cassette 8 and accommodated separately. The robot 9 can move within the range of the front surface of the PTP packaging sheet dispensing device 15, receives the PTP packaging sheet 10 from the cassette 8, conveys it, and dispenses the tray 5. The PTP packaging sheet dispensing device 15 or the robot 9 may include a cutting mechanism for forming the PTP packaging sheet 10 in the form shown in FIGS. 2B to 2E, etc. A cutting mechanism may be provided separately from 15 and the robot 9.

  In the tray supply unit 2, a plurality of empty trays 5 are set in a stacked state. And it supplies to the conveyance line 4 in an order from the tray 5 located in the lowest part. The tray 5 supplied to the transport line 4 is transported below the PTP packaging sheet dispensing device 15, and the PTP packaging sheet dispensing device 15 operates the corresponding PTP packaging sheet 10 on the cassette 8 and the cassette 9 based on the prescription data. And pay it out to tray 5. The tray 5 from which the PTP packaging sheet 10 has been dispensed is further conveyed to the tray stacking unit 3, and a list (prescription data) of the dispensed PTP packaging sheet 10 is printed from the journal printer 6 of the tray stacking unit 3. Sheets (instructions) are supplied. Then, they are stacked on the upper side of the tray stacking unit 3. The tray stacking unit 3 is provided with an LED 7 at each position where the tray 5 is stacked. When the sensor detects that the tray 5 has been stacked, the LED is turned on, and the payout of the PTP packaging sheet to be paid out to the tray 5 is completed. Notify that In addition, it may replace with LED7 and may be comprised with a liquid crystal panel etc., and a patient name etc. may be displayed.

  By the way, if the payout of all the PTP packaging sheets 10 included in the prescription data cannot be completed due to a shortage or the like, the tray stacking unit 3 turns on LEDs 7 of different colors or characters such as “hand”. Is displayed so that the user can recognize that there is a PTP packaging sheet 10 that needs to be manually replenished. Also, the PTP packaging sheet 10 that could not be paid out is printed on the instructions printed out by the journal printer 6 and paid out to each tray 5, or the fact that the payout is not completed is emphasized (for example, in red). It may be printed.

  FIG. 3 shows the internal configuration of the PTP packaging sheet dispensing apparatus 15 according to this embodiment. The PTP packaging sheet dispensing apparatus 15 includes a cassette 8, a robot 9, a determination unit, a storage unit, an attachment unit, and a control unit. Since the cassette 8 and the robot 9 have been described above, a description thereof will be omitted. The determination unit determines whether or not there is a possibility of accidental ingestion of the PTP packaging sheet 10 paid out by the robot 9, or whether or not there is a high possibility of accidental ingestion. (The method of determining whether or not there is a possibility is described later in paragraph 0021 and later.) In the storage unit, the PTP packaging sheet dispensing device 15 has transmitted it from a known prescription ordering system. Prescription data or prescription order input to the PTP packaging sheet dispensing device 15 using the QR code information printed on the keyboard, touch panel, prescription, etc., and the form and number of PTP packaging sheets 10 accommodated in the cassette 8 And the like. In the attachment portion, when the determination unit determines that there is a possibility that the PTP packaging sheet 10 to be paid out may be accidentally swallowed or that there is a high possibility that it will be accidentally swallowed, the PTP packaging sheet 10 to be paid out is displayed in FIG. The seat expansion member 14 shown in a) is attached. The sheet expansion member 14 may be any member that prevents the PTP packaging sheet 10 from being swallowed, and the material, shape, size, weight, and the like are not limited. For example, if the sheet expansion member 14 is a thick paper of 5 cm × 5 cm, it is difficult to swallow, and even if it can be swallowed, it can be conceived. Moreover, the apparatus which discharges | emits the sheet | seat expansion member 14 may be provided in the PTP packaging sheet delivery apparatus, and the apparatus installed separately may be sufficient as it.

  In a judgment part, when the tablet accommodated in the PTP packaging sheet of payout is one tablet, it is judged that there is a possibility that the PTP packaging sheet may be accidentally swallowed or that there is a high possibility of swallowing. The number of tablets stored in the PTP packaging sheet 10 to be paid out is determined based on the prescription data stored in the storage unit and the storage information in the cassette 8. What is necessary is just to determine the number of locks as long as it is a determination unit, a storage unit, or another device capable of performing other arithmetic processes. The accommodation information is information such as the type of the tablet accommodated in the cassette 8, the expiration date of the tablet, the number of PTP packaging sheets 10 accommodated, the form in which the PTP packaging sheet 10 is accommodated. This form includes the form shown in FIGS. 2A to 2E. For example, when the prescription data is a dispensing of 12 tablets of medicine A, one PTP packaging sheet 10 containing 12 tablets of tablets as shown in FIG. If there is, the single PTP packaging sheet 10 will be dispensed from the cassette 8, and the PTP packaging sheet 10 containing only one tablet will not be dispensed. Judged that there is no possibility of accidental ingestion. As an example in the case where one tablet is dispensed, the prescription data is the dispensing of 13 tablets of medicine A, and two PTP packaging sheets 10 containing 12 tablets are housed in the cassette 8 housing medicine A. If there is, the PTP packaging sheet 10 containing only one tablet is cut from one PTP packaging sheet 10 and the remaining one PTP packaging sheet 10. PTP packaging sheet 10 after being cut out, paid out in the form of FIG. 2 (c) or FIG. 2 (d), and the determination unit is likely to accidentally swallow or is likely to swallow to decide. As an example in which another one tablet is dispensed, the prescription data is the dispensing of six medicines A, and there are PTP packaging sheet 10 in which one tablet is accommodated in cassette 8 containing medicine A and 12 tablets. There may be a case where a single PTP packaging sheet 10 is stored. In this case, the PTP packaging sheet 10 containing 1 tablet and the PTP packaging sheet 10 cut into the PTP packaging sheet 10 containing 12 tablets and containing 5 tablets Pay out. In addition to the above examples, various ways of paying out the PTP packaging sheet 10 containing one tablet are conceivable. And if a judgment part judges that there is a possibility that it may accidentally ingest to the PTP packaging sheet 10 of payout object, or the possibility of accidental ingestion is high, it will give an attachment instruction | indication to an attachment part. This attachment instruction may not be performed by the determination unit, but may be performed by a device capable of performing another communication.

  In the attachment portion, if it is determined that the PTP packaging sheet 10 may be accidentally swallowed by the determination unit, or if it is determined that there is a high possibility of accidental swallowing, the PTP packaging sheet 10 may be swallowed as an accidental swallowing prevention process. An attachment process for attaching the sheet expansion member 14 for prevention is performed. Specifically, it is a process of attaching the sheet expansion member 14 shown in FIG. 5A to the PTP packaging sheet 10. For example, when the PTP packaging sheet 10 shown in FIGS. 2C to 2E is paid out from the cassette 8, the attachment portion attaches the sheet expansion member 14 to the paid-out PTP packaging sheet 10 as shown in FIG. Form like this. As an example, the size of the sheet expansion member is 5 centimeters × 5 centimeters. Since the PTP packaging sheet 10 is delivered to the patient in a form that cannot be physically swallowed, the patient can be reliably prevented from swallowing the PTP packaging sheet 10 as it is. Moreover, as a form of the PTP packaging sheet 10 to which the sheet expansion member 14 is attached, various forms can be used as long as the patient cannot physically swallow other than those shown in FIGS. 5 (a) and 5 (b). Can be considered. For example, it can be formed into a shape that is elongate and cannot be put in the mouth, or a form that is unlikely to be put into the mouth like a star shape. In addition, it may be possible to print on the sheet expansion member 14 in large red letters, such as a precaution for the patient such as “please take out from the PTP packaging sheet before drinking”, and the effect of preventing accidental ingestion can be further expected. . The attachment portion may be provided in the PTP packaging sheet dispensing device 15 or may be a separate attachment portion.

Various attachment parts are conceivable as the attachment part. For example, when using the sheet expansion member 14 having an adhesive surface, the attachment portion grips the PTP packaging sheet 10 with the gripping member 35 described in Patent Document 1, and the like on the surface other than the pocket portion 12 on the pocket portion 12 side. Similarly, the sheet expansion member 14 may be attached to the PTP packaging sheet 10 by bringing the adhesive surface of the gripped sheet expansion member 14 into close contact. In addition, the surface other than the pocket portion 12 of the PTP packaging sheet 10 and the surface of the sheet expansion member 14 are overlapped, and the overlapped surface is heat sealed to attach the sheet expansion member 14 to the PTP packaging sheet 10. do it. In this case, the sheet expansion member 14 may be made of a material that can be pasted by applying heat to melt the glue. The sheet expansion member 14 is preferably attached to the pocket portion 12 side because it does not get in the way when taking out the tablet from the PTP packaging sheet 10, but the sheet expansion member 14 may be attached to the surface opposite to the pocket portion 12 side, In this case, it may be attached to a place other than the position where the tablet is discharged.

  The controller controls the operation of the PTP packaging sheet dispensing device 15. When prescription data is transmitted from a known prescription ordering system or when a prescription order is input to the PTP packaging sheet dispensing device 15 using QR code information printed on a keyboard, touch panel, prescription, etc., the prescription data and Based on the storage information of the PTP packaging sheet 10 stored in the cassette 8 stored in the storage unit, the operation is controlled so as to move the robot 9 to the desired cassette 8. The PTP packaging sheet 10 paid out from the cassette 8 is conveyed by the robot 9 and discharged to the tray 5. In addition, when the control unit determines that the PTP packaging sheet 10 to be paid out may be accidentally swallowed or is highly likely to be swallowed by the determination unit, the attachment unit causes the PTP packaging sheet to be paid out. 10 so that the seat expansion member 14 is attached to the control unit 10. Further, when the attachment portion is provided separately from the PTP packaging sheet dispensing device 15, the robot 9 is moved to the attachment portion, and control is performed so that the robot 9 receives the PTP packaging sheet 10 that has been attached at the attachment portion. do it.

  A method of determining “whether or not there is a possibility” of erroneously drinking the PTP packaging sheet 10 to be paid out by the determination unit will be described with reference to each of the accidental ingestion prevention determination tables of FIGS. . The accidental ingestion prevention determination table may be included in the determination unit, or may be stored in a storage unit or another device. “Possible” can be defined in various ways. In FIG. 4A, it is defined whether there is a possibility of accidental ingestion with respect to the number of tablets stored in the PTP packaging sheet 10 to be paid out. The number of tablets is shown as the item “number of tablets”, the possibility is shown as the item “possible”, and it is possible to judge whether there is a possibility of accidental ingestion by the column where both items intersect. . When the item “number of tablets” is 1 tablet, it is indicated as “1”, when the item “number of tablets” is 2 tablets, it is indicated as “2”, and when the item “number of tablets” is “3 ↑”, the number of tablets is 3 tablets. It is shown above. When there is a possibility of accidental ingestion, “○” is shown in the intersecting column, and when there is no possibility of accidental ingestion, “X” is shown in the intersecting column. For example, when the number of tablets accommodated in the PTP packaging sheet 10 to be paid out is one, the intersection column between the item “number of tablets” “1” and the item “possible” is indicated by “◯”. It is judged that there is a possibility of accidental ingestion. In addition, when the number of tablets accommodated in the PTP packaging sheet 10 to be paid out is 3, the intersection column between the item “number of tablets” “3” and the item “possible” indicates “×”. It is judged that there is no possibility of accidental ingestion.

  As another example, in FIG. 4B, it is defined whether there is a possibility of accidental ingestion based on the three items of the item “drug type”, the item “number of tablets”, and the item “possible”. doing. In FIG. 4 (a), whether or not there is a possibility of accidental ingestion is defined based on the number of tablets regardless of the drug type. In FIG. 4 (b), an error is determined based on the drug type and the number of tablets. Since it defines whether or not there is a possibility of drinking, it is possible to define whether or not there is a possibility of drinking more accurately. For example, when the medicine A accommodated in the PTP packaging sheet 10 to be paid out is one tablet, the crossing column between “1” of the item “number of tablets” of medicine A and the item “possible” is “◯”. It is judged that there is a possibility of accidental ingestion, and it is judged that there is a possibility of accidental ingestion because it indicates “○” even in the case of 2 tablets of A medicine. Since “x” is indicated, it is determined that there is no possibility of accidental ingestion. Therefore, if an accidental ingestion prevention determination table is defined as shown in FIG. 4B, there is a possibility that even a PTP packaging sheet 10 containing two tablets as shown in FIG. The resulting tablet can be precisely defined.

  As another example, the upper table in FIG. 4C defines whether or not there is a possibility of accidental ingestion with respect to the size of the PTP packaging sheet 10 to be paid out. The size of the PTP packaging sheet 10 to be paid out is shown as the item “size (area)”, the possibility is shown as the item “possible”, and there is a possibility of accidental ingestion due to the column where both items intersect. It is possible to judge whether or not there is. Since the intersection column of the item “size (area)” “1.01 ↑” and the item “possible” indicates “x”, the size of the PTP packaging sheet 10 to be paid out is 1. In the case of 01 square centimeters or more, it can be determined that there is no possibility of accidental ingestion. Since the intersection column between the item “size (area)” “1.00 ↓” and the item “possible” indicates “◯”, the size of the PTP packaging sheet 10 to be paid out is 1. If it is less than 00 square centimeters, it can be determined that there is a possibility of accidental ingestion. Since the crossing column of the item “size (area)” “0.64 ↓” and the item “possible” indicates “◯”, the size of the PTP packaging sheet 10 to be paid out is set to 0. If it is less than 64 square centimeters, it can be determined that there is a possibility of accidental ingestion. In the lower table of FIG. 4C, the size of one tablet unit for each drug type is shown. The drug type is shown as the item “drug type”, and the size of one tablet unit is shown as the item “size of one tablet unit”. It can be determined from the upper table and the lower table in FIG. 4C whether or not there is a possibility of accidentally ingesting the PTP packaging sheet 10 to be paid out. For example, when the PTP packaging sheet 10 to be paid out is one A medicine, the size of the A medicine is specified as 0.49 square centimeters from the lower table in FIG. From the upper table, it can be determined that there is a possibility of accidental ingestion because the size is 1.00 square centimeters or less. In addition, when the PTP packaging sheet 10 to be dispensed is 2 medicines A, the size of medicine A is specified as 0.49 square centimeters from the lower table in FIG. Doubled and specified as 0.98 square centimeters. From the upper table in FIG. 4C, the size is 1.00 square centimeters or less, so it can be determined that there is a possibility of accidental ingestion in this case as well. In addition, when the PTP packaging sheet 10 to be paid out is 3 tablets of medicine A, the size of medicine A is specified as 0.49 square centimeters from the lower table of FIG. Tripled and specified as 1.47 square centimeters. From the table on the upper side of FIG. 4C, the size is 1.01 square centimeters or more, so it can be determined that there is no possibility of accidental ingestion in this case.

  A method of determining “whether or not it is highly likely” that the determination unit erroneously swallows the PTP packaging sheet 10 to be paid out will be described using each of the accidental ingestion prevention determination tables of FIGS. . The accidental ingestion prevention determination table may be included in the determination unit, or may be stored in a storage unit or another device. “High possibility” can be defined in various ways. In FIG. 4A, it is defined whether there is a possibility of accidental ingestion with respect to the number of tablets stored in the PTP packaging sheet 10 to be paid out. The number of tablets is shown as the item “number of tablets”, the possibility is shown as the item “high possibility”, and it is possible to judge whether or not there is a high possibility of accidental ingestion by the column where both items intersect. . When the item “number of tablets” is 1 tablet, it is indicated as “1”, when the item “number of tablets” is 2 tablets, it is indicated as “2”, and when the item “number of tablets” is “3 ↑”, the number of tablets is 3 tablets. It is shown above. When there is a high possibility of accidental ingestion, “○” is shown in the intersecting column, and when there is a high possibility of accidental ingestion, “X” is shown in the intersecting column. For example, when the number of tablets accommodated in the PTP packaging sheet 10 to be paid out is 1, the intersection column between the item “number of tablets” “1” and the item “highly probable” indicates “◯”. Therefore, it is judged that there is a high possibility of accidental ingestion. In addition, when the number of tablets accommodated in the PTP packaging sheet 10 to be paid out is 2 tablets or more than 3 tablets, the possibility of accidental ingestion is not high because each crossing column indicates “x”. Judge.

  As another example, in FIG. 4B, it is defined whether or not there is a high possibility of accidental ingestion based on the three items of the item “drug type”, the item “number of tablets”, and the item “high possibility” doing. In FIG. 4 (a), it is defined whether there is a high possibility of accidental ingestion based on the number of tablets regardless of the drug type, but in FIG. 4 (b), an error is determined based on the drug type and the number of tablets. Since it is defined whether or not there is a high possibility of drinking, it is possible to define whether or not there is a high possibility of accidental ingestion. For example, when the medicine A accommodated in the PTP packaging sheet 10 to be paid out is one tablet, the crossing column of “1” of the item “number of tablets” of medicine A and the item “high possibility” is “◯”. It is judged that there is a high possibility of accidental ingestion, and in the case of A medicine 2 tablets and 3 tablets or more, the possibility of accidental ingestion is not high because each crossing column indicates “X” Deciding. Therefore, if the accidental ingestion prevention determination table is defined as shown in FIG. 4B, the possibility of accidental ingestion is high when the PTP packaging sheet 10 to be dispensed is one tablet, and the accidental ingestion occurs when there are two tablets. It is possible to define more accurately whether or not the possibility of accidental ingestion is high, such that the possibility is not high.

  As another example, the upper table of FIG. 4C defines whether or not there is a high possibility of accidental ingestion with respect to the size of the PTP packaging sheet 10 to be paid out. The size of the PTP packaging sheet 10 to be paid out is shown as the item “size (area)”, the possibility is shown as the item “highly probable”, and there is a possibility of accidental ingestion due to the column where both items intersect. It can be judged whether it is high or not. Since the intersection column of the item “size (area)” “1.01 ↑” and the item “high possibility” indicates “x”, the size of the PTP packaging sheet 10 to be paid out is 1. In the case of 01 square centimeters or more, it can be determined that the possibility of accidental ingestion is not high. Since the intersection column of the item “size (area)” “1.00 ↓” and the item “high possibility” indicates “x”, the size of the PTP packaging sheet 10 to be paid out is 1. If it is less than 00 square centimeters, it can be determined that the possibility of accidental ingestion is not high. Since the intersection column between the item “size (area)” “0.64 ↓” and the item “high possibility” indicates “◯”, the size of the PTP packaging sheet 10 to be paid out is set to “0”. If it is 64 square centimeters or less, it is determined that there is a high possibility of accidental ingestion. In the lower table of FIG. 4C, the size of one tablet unit for each drug type is shown. The drug type is shown as the item “drug type”, and the size of one tablet unit is shown as the item “size of one tablet unit”. It can be determined from the upper table and the lower table in FIG. 4C whether or not there is a high possibility of accidental ingestion of the PTP packaging sheet 10 to be paid out. For example, when the PTP packaging sheet 10 to be paid out is one A medicine, the size of the A medicine is specified as 0.49 square centimeters from the lower table in FIG. From the upper table, since the size is 0.64 square centimeters or less, it can be determined that there is a high possibility of accidental ingestion. In addition, when the PTP packaging sheet 10 to be dispensed is 2 medicines A, the size of medicine A is specified as 0.49 square centimeters from the lower table in FIG. Doubled and specified as 0.98 square centimeters. From the table on the upper side of FIG. 4C, the size is not less than 0.64 square centimeters, so it can be determined that the possibility of accidental ingestion is not high.

As the accidental ingestion prevention determination table in FIGS. 4A to 4C, only the “possible” item for accidentally ingesting the PTP packaging sheet 10 to be paid out may be provided, or the payout target may be provided. Only the item “high possibility” of accidentally swallowing the PTP packaging sheet 10 may be provided, or both items may be provided.

  As described above, in the present invention, when the determination unit determines that there is a possibility that the PTP packaging sheet 10 to be paid out may be accidentally swallowed, or that there is a high possibility that the PTP packaging sheet 10 to be paid out is accidentally swallowed, The attachment portion attaches the sheet expansion member 14 to the PTP packaging sheet 10, and the PTP packaging sheet 10 is delivered to the patient in a form that cannot be physically swallowed. Therefore, the patient swallows the PTP packaging sheet 10 as it is. Can be surely prevented. Therefore, it is possible to prevent one tablet PTP packaging sheet 10 from being dispensed without restricting the function of the PTP packaging sheet dispensing apparatus 15 and accidentally swallowing one tablet PTP packaging sheet 10 as it is. . Further, as the accidental ingestion preventing process, in addition to the attaching process by the attaching part described above, a notifying process for notifying an instruction to attach the sheet expanding member 14 to the PTP packaging sheet 10 to be paid out, and the sheet expanding member 14 on the PTP packaging sheet 10 A printing process for printing an instruction to attach the sheet expansion member, a discharge process for discharging the sheet expansion member 14 in order to attach the sheet expansion member 14 to the PTP packaging sheet 10, and the like can be considered. Each of the mishandling prevention processing other than the attachment processing is described below. However, the accidental ingestion prevention process is not limited to these processes, and can be variously changed according to various operations.

  A notification process as an example of the accidental ingestion prevention process will be described. Preventing accidental ingestion of PTP packaging sheet 10 as an accidental ingestion process when it is determined that there is a possibility of accidental ingestion of PTP packaging sheet 10 to be paid out or a possibility of accidental ingestion being high In order to do so, a notification process is performed. As the notification process, for example, if electronic paper for displaying patient information and prescription information is provided on the tray 5, “there is one PTP packaging sheet” on the electronic paper, “PTP that may be accidentally swallowed” Information such as “with packaging sheet” may be displayed. If it is displayed on the electronic paper, the pharmacist can confirm this and give the patient instructions to prevent accidental ingestion or attach the sheet expansion member 14 to the PTP packaging sheet 10 so that it cannot be physically swallowed. . As another example of the notification process, information may be transmitted to a portable terminal capable of displaying prescription data and a medication schedule used by the pharmacist, or transmitted to a reception terminal where the pharmacist faces the patient. If the information is sent to the mobile terminal, the pharmacist knows that the corresponding prescription data includes the payout of the PTP packaging sheet 10 that needs to be prevented from accidental ingestion. Or form it. If information is transmitted to the reception terminal, the pharmacist can confirm that there is a PTP packaging sheet 10 that needs to prevent accidental ingestion at the reception terminal when instructing the patient to take the medicine, and the patient is surely informed about prevention of accidental ingestion. Can provide guidance. Further, when taking a medication instruction, if the pharmacist determines that there is a possibility that the patient may accidentally ingest even if he / she gives a medication instruction regarding prevention of accidental ingestion, the seat expansion member 14 is physically prevented from being swallowed on the spot. Or one PTP packaging sheet 10 can be replaced with two or three or more PTP packaging sheets 10. It is also conceivable to perform notification processing by voice. For example, when accounting is performed at the reception terminal or when a medicine is delivered, a sound such as “there is one PTP packaging sheet” or “there is a PTP packaging sheet that may be accidentally swallowed” may be played. . If the notification process is performed in this way, even if the pharmacist or medical staff is not conscious, it is possible to recognize that there is a possibility of accidental ingestion or that there is a high possibility of accidental ingestion. .

  A printing process as an example of the accidental drinking prevention process will be described. Preventing accidental ingestion of PTP packaging sheet 10 as an accidental ingestion process when it is determined that there is a possibility of accidental ingestion of PTP packaging sheet 10 to be paid out or a possibility of accidental ingestion being high Print processing. As the printing process, for example, with respect to the tray 5 on which the PTP packaging sheet 10 is dispensed, the PTP packaging sheet dispensing device 15 or a printing unit (not shown) provided separately has “one PTP packaging sheet”, “ What is necessary is just to insert the paper and label which printed information, such as "There is a PTP packaging sheet which may be drunk accidentally." The pharmacist confirms this paper and label and finds that there is a payout of the PTP packaging sheet 10 that needs to be prevented from accidental ingestion. One PTP packaging sheet 10 can be replaced with two or three or more PTP packaging sheets 10. In addition, the attached label can be attached to the PTP packaging sheet 10 or connected with a stapler so that the patient can check when taking the medicine and the size can not be physically swallowed. As an example of another printing process, a medicine bag 16 as shown in FIG. 6 may be used. The medicine bag 16 can be delivered to the patient in a state where the PTP packaging sheet 10 delivered to the PTP packaging sheet delivery device 15 is accommodated. The medicine bag 16 is printed with the name of the patient, the name of the medicine contained therein, the usage, the dose, and the precautions. As shown in FIG. 6, as a precaution, if the drug A is printed as “please remove it from the PTP packaging sheet before centimeters,” the patient confirms this and keeps one PTP packaging sheet 10 as it is. You can be careful not to get caught. In addition, various information can be printed as precautions, and as shown in Fig. 6, for B medicine, "* Please pay attention to driving after taking" or in C medicine "* After taking, Car driving is forbidden. "

A discharge process as an example of the accidental drinking prevention process will be described. Preventing accidental ingestion of PTP packaging sheet 10 as an accidental ingestion process when it is determined that there is a possibility of accidental ingestion of PTP packaging sheet 10 to be paid out or a possibility of accidental ingestion being high In order to do so, a discharge process of the sheet expansion member 14 to be attached to the PTP packaging sheet 10 is performed. The discharge process is, for example, a process of discharging the sheet expansion member 14 attached to the PTP packaging sheet 10 paid out based on the prescription data to the tray 5. When this discharge process is performed, the pharmacist may manually attach the sheet expansion member 14 to the PTP packaging sheet 10.

As described above, various methods for preventing accidental ingestion can be considered. It is good also as PTP packaging sheet delivery system 1 provided with all of each of these accidental ingestion prevention processes, or a plurality of processes. In this case, the accidental ingestion prevention determination table shown in FIG. Items include “Drug type”, “Number of tablets”, “Possible”, “High possibility”, “Installation process”, “Notification process”, “Print process”, “Discharge process” If these items are arbitrarily defined, the accidental ingestion prevention determination table can be defined in more detail. For example, if there is a PTP wrapping sheet 10 to be dispensed with one A medicine, using this accidental ingestion prevention judgment table, it is judged that there is a possibility of accidental ingestion and that there is a high possibility of accidental ingestion, and attachment Processing, notification processing, and printing processing are performed. About this A medicine, since an attachment process is performed and also an alerting | reporting process and a printing process are also performed, while being able to make it physically not swallowed, a patient can be alerted | cured severely. In addition, when both the item “possible” and the item “highly probable” indicate “○”, the candidates to be output in the notification process or the print process are “possible to swallow” or “ There is information that “there is a high possibility of accidental ingestion”, but only information that “there is a high possibility of accidental ingestion” may be output in order to prevent duplication of information. In the case of A medicine 2 tablets, it is determined that there is a possibility of accidental ingestion, and attachment processing and notification processing are performed. In this case, the possibility of accidental ingestion is not high as compared with one medicine A, so the printing process is not performed. In the case of 3 tablets A, it is determined that there is no possibility of accidental ingestion and no processing is performed. In the case of 1 medicine B, it is determined that there is a possibility of accidental ingestion, and only the attachment process is performed. As described above, drug A and drug B can be arbitrarily defined so that the accidental ingestion prevention process is different even if the PTP packaging sheet 10 containing the same one tablet is dispensed. It is an accidental ingestion prevention judgment table that can cope with cases such as wanting to perform a drinking prevention process. In the case of C medicine 1 tablet, it is judged that there is a possibility of accidental ingestion, and only the discharge process is performed. The form of the PTP packaging sheet 10 is not standardized by the drug type or pharmaceutical manufacturer, and the sheet expansion member 14 may not be attached by the attachment part depending on the form, so the discharge process is performed without performing the attachment process. . In this case, the sheet expansion member 14 may be attached to the PTP packaging sheet 10 by work by a person such as a pharmacist. About D medicine, since it is judged that there is no possibility of accidental ingestion with one or more tablets, no processing is performed. By using the accidental ingestion prevention judgment table as shown in FIG. 4 (d), a plurality of accidental ingestion prevention processes can be arbitrarily defined taking into consideration the drug type and the number of tablets, and responding to all user requests. Can do.

In addition, what is necessary is just to set a certain definition about the item "possible" or the item "high possibility" shown in the accidental ingestion prevention determination table of Fig.4 (a)-(d). It is not limited to. For example, as another definition method, the items “age”, “patient”, and “number of accidental ingestions” may be defined. For example, if an accidental ingestion prevention determination table is defined for each “age”, even if the number of tablets contained in the PTP packaging sheet 10 to be paid out is one, an accidental ingestion prevention process may be performed or performed depending on age. You can not. For example, if an accidental ingestion prevention determination table is defined for each “patient”, even if the number of tablets contained in the PTP packaging sheet 10 to be paid out is one, an accidental ingestion prevention process may be performed or performed depending on the patient. You can not. For example, if the accidental ingestion prevention determination table is defined as “number of accidental accidental ingestions”, the number of tablets accommodated in the PTP packaging sheet 10 to be paid out based on the number of accidental accidental ingestions. Even if there is one tablet, depending on the number of accidental ingestions, the accidental ingestion prevention process may or may not be performed. In this case, the number of occurrences of accidental ingestion is recorded for each drug type, and if the number of occurrences of accidental ingestion is equal to or greater than the predetermined number, the possibility of accidental ingestion or the possibility of accidental ingestion may be defined. Moreover, it can also define as an accidental ingestion judgment prevention table combining these other defining methods and Fig.4 (a)-(d).

1: PTP packaging sheet delivery system 2: Tray supply unit 3: Tray stacking unit 4: Transport line 5: Tray 6: Journal printer 7: LED 8: Cassette 9: Robot 10: PTP packaging sheet 11: Ear 12: Pocket Part 13: Sheet part 14: Sheet expansion member 15: PTP packaging sheet dispensing device 16: Medicine bag

Claims (9)

A PTP packaging sheet dispensing system capable of dispensing a PTP packaging sheet, and whether or not there is a possibility of accidental ingestion of the PTP packaging sheet based on the drug type and the number of tablets of the PTP packaging sheet to be dispensed, or an error A determination unit that determines whether or not there is a high possibility of drinking,
When the determination unit determines that there is a possibility of accidental ingestion or that there is a high possibility of accidental ingestion, a PTP that performs an accidental ingestion prevention process for preventing accidental ingestion of the PTP packaging sheet is performed. Packaging sheet delivery system. A PTP packaging sheet dispensing system capable of dispensing a PTP packaging sheet, which may accidentally swallow the PTP packaging sheet based on the size and the number of tablets of the PTP packaging sheet to be dispensed Whether or not there is a high possibility of accidental ingestion,
When the determination unit determines that there is a possibility of accidental ingestion or that there is a high possibility of accidental ingestion, a PTP that performs an accidental ingestion prevention process for preventing accidental ingestion of the PTP packaging sheet is performed. Packaging sheet delivery system. 3. The PTP packaging sheet dispensing system according to claim 1, wherein in the accidental ingestion preventing process, a sheet expansion member is attached to a PTP packaging sheet to be dispensed. 3. The PTP packaging according to claim 1, wherein the accidental ingestion prevention process notifies that there is a possibility that the PTP packaging sheet to be dispensed may be accidentally swallowed or that there is a high possibility of accidental ingestion. Sheet payout system. 3. The PTP packaging sheet dispensing system according to claim 1, wherein, in the accidental ingestion prevention process, an instruction to attach a sheet expansion member to a PTP packaging sheet to be dispensed is notified. 2. In the accidental ingestion preventing process, a PTP packaging sheet to be paid out is likely to be accidentally swallowed or a possibility of accidental swallowing is printed on a printed material such as paper. 5. The PTP packaging sheet dispensing system according to 4. 5. The PTP packaging sheet dispensing system according to claim 1, wherein in the accidental ingestion preventing process, an instruction to attach a sheet expansion member to a PTP packaging sheet to be dispensed is printed on a printed material such as paper. 3. The PTP packaging sheet dispensing system according to claim 1, wherein in the accidental ingestion preventing process, a sheet expansion member to be attached to a PTP packaging sheet to be dispensed is discharged. The accidental ingestion prevention process is
An attachment process for attaching the sheet expansion member to the PTP packaging sheet to be paid out;
A notification process for notifying an instruction to attach the sheet expansion member to the PTP packaging sheet to be paid out;
A printing process for printing an instruction to attach a sheet expansion member to a PTP packaging sheet to be paid out on a printed material such as paper;
Including at least two processes among the discharge processes for discharging the sheet expansion member to attach the sheet expansion member to the PTP packaging sheet to be paid out,
The PTP packaging sheet dispensing system according to claim 1, wherein the determination unit determines which processing is to be performed based on a drug type and a number of tablets of a PTP packaging sheet to be dispensed.