KR101828801B1 - Medication dispensing device - Google Patents

Abstract

A tray support base 30 which is detachably mounted on the tray support base 30 and is provided with a plurality of medicines D aligned along the withdrawing direction; And the medicine tray 10 is inserted into the shelf body 28 together with the tray support 30 in a state where the medicine tray D is accommodated in the shelf body 28 , And a pressing member (31) for pressing the contained medicine (D) in the drawing direction.

Description

[0001] MEDICATION DISPENSING DEVICE [0002]

The present invention relates to a medicine discharge device.

Conventionally, as a medicine discharging device, for example, the following structure is known.

 Patent Documents 1 and 2 disclose a drug storage device capable of detachably mounting a plurality of cassettes accommodated in a state in which drugs are arranged in a detachable manner in a cassette holder and releasably mounting the cassette holder on a shelf plate ). In this medicine container, when the medicine is taken out of the cassette or the medicine is returned to the cassette, it is detected by the sensor provided at the head of the cassette and adjusted / .

However, in the configurations described in Patent Documents 1 and 2, the number of parts (the number of parts) is large, so that it is necessary to assemble them, and assembly precision is also required. In addition, there is a variety of different sizes of medicines, and a dedicated cassette is required for each. It is also necessary to make the cassette holder suitable for it. This not only leads to an increase in cost, but also to a low degree of freedom in placement. In addition, since the quantity of medicines is handled by management of data, data input operation is required in the initial setting. If the data is lost due to some kind of trouble, it is difficult to input the data again.

Patent Document 1: Japanese Patent Application Laid-Open No. 2001-258994 Patent Document 2: Japanese Patent Application Laid-Open No. 2001-198193

SUMMARY OF THE INVENTION It is an object of the present invention to provide a medicine discharging device which is capable of easily taking out a medicine tray from a main body of a device and facilitating the filling operation of the medicine,

According to the present invention, as a solution to the above-mentioned problem, there is provided a medicine discharging apparatus comprising: a shelf body; a tray support table which is detachably installed on the shelf body; A medicine tray provided on the shelf body and configured to hold the medicine tray together with the tray support into the shelf body in a state in which the medicine tray is accommodated in the tray tray, And a pressing member that pressurizes the contained medicine in the pulling-out direction when the pressing member is pressed.

  With this configuration, only the medicine tray can be removed, and a plurality of kinds of drugs can be simultaneously filled. The medicine tray accommodating medicines can be set by placing the tray on a tray support extended from the shelf body and pressing it into the shelf body. In this set state, the medicine contained in the medicine tray is pressed and aligned by the pressing member.

 It is preferable that the pressure member includes a counting unit for counting the quantity of the medicine in the state in which the medicine contained in the medicine tray is pressed and aligned.

 With this configuration, the quantity of medicine contained in the medicine tray can be detected only by setting the medicine tray. Separately, therefore, there is no need to enter the quantity of water manually. In addition, since the current inventory count (current inventory count) of the medicine can be detected in real time, it is not erroneously detected.

 Wherein the medicine tray is detachably mounted with a plurality of partitioning plates capable of dividing into a plurality of rows along a pulling direction so that the pressing member is movable in a direction perpendicular to the longitudinal direction of the shelf body As shown in Fig.

  According to this configuration, by changing the position of the partition plate, it is possible to flexibly deal with medicines having different sizes.

 Preferably, the medicine tray is provided with a medicine guide member, which is pressurized by the pressure member and is capable of directly pressing the medicine contained therein, in a detachable manner.

  Wherein the medicament guide member has a concave portion formed at one end and a convex portion formed at the other end, the medicament tray having a coupling portion coupled to the concave portion and a coupling portion coupled to the convex portion, It is preferable to have a hole.

 With this configuration, the direction of attachment of the medicine guide member is not wrong.

Preferably, the medicine guide member includes a guide shaft disposed in each of the columns, and a pusher portion that is reciprocally movable on the guide shaft and presses the medicine by being pressed by the pressing member.

 It is preferable that the partition plate has a concave portion formed at one end thereof and a convex portion formed at the other end thereof, and the medicine tray has a coupling portion coupled to the concave portion and a coupling hole for coupling the convex portion.

 Preferably, the medicine tray has a fall-off prevention cover for preventing the partition plate from falling off.

It is preferable that the pressing member includes a display control means for forming a display portion at an end located on the draw-out direction side of the tray support and causing the display portion to perform a predetermined display in accordance with input conditions.

  According to this configuration, the display form on the display unit is made different according to the input condition, so that the configuration can be made good for the user. For example, when the discharge of the medicine is instructed as the input condition, the display unit may be turned on in the row in which the medicine is arranged.

 The display unit may be a column in which a medicine to be discharged is accommodated based on prescription data, a column of a return destination in the case of returning a drug, ) May be displayed in a distinguishable manner.

Wherein a front door is provided on a front surface of the shelf body and a door storage part is formed on a side of the shelf body so that the door can be stored in a folded state of the opening and closing board, Wherein the first flat plate is guided so as to enter the other end of the first flat plate and the second flat plate is connected to the slide unit provided on the upper side of the other edge, Is preferably slidably supported along a guide rail provided on an upper portion of the shelf body so as to be folded forward from the front surface of the shelf body.

  With this configuration, when not in use, it is possible to prevent the medicines from being put in and out by making the shelf body fully closed by the opening / closing door. Therefore, medicines requiring attention for handling drugs such as drugs or drugs can be employed with confidence. Further, even if the medicine tray accommodated in the shelf body is disposed near the back surface (near the back surface) of the opening / closing door at the full closing position, there is no obstruction at the time of opening and closing the opening / closing door. Further, since the slide unit is guided by the guide rails, it is also possible to prevent the opening / closing door from being opened from the fully closed position.

It is preferable that the opening and closing door has a finger-pinching preventing structure which is an elastic guide piece protruding from a boundary portion between the first flat plate and the second flat plate when folded to prevent the finger from being caught.

 With this configuration, when the opening and closing door is opened and closed, the finger is not caught in the boundary portion between the first and second flat plates, and can be used reliably.

 Wherein the opening and closing door has a shaft portion rotatably supported by the slide unit and a rotary piece rotatably installed on the first flat plate and rotatably connected to the shaft portion, And a coupling support portion to which the shaft portion is coupled when it is positioned at the closed position.

 With this configuration, it is possible to prevent the opening / closing door from being opened from the fully closed position by a simple and inexpensive method.

 A stock number calculating means (inventory number calculating means) for calculating a current inventory number of the medicine on the basis of the counting result of the counting unit of the pressing member; and inventory management means (inventory management means) for managing the number of discharged or returned medicines based on the current inventory number of the medicines calculated by the inventory number calculation means desirable.

 With this configuration, it is possible to reliably manage not only the current number of inventories of medicines, but also who made medicines.

 It is preferable that the inventory management means manages whether or not the discharge position, the discharge number, the return position, or the return number of the medicine is appropriate based on the prescription data, and warns through the warning means when it is inappropriate.

 With this configuration, there is no possibility that the discharge or return is wrong, and it can be used safely.

Wherein the inventory management means identifies an individual by the personal authentication apparatus when the medicine discharged from the medicine tray is discarded or damaged, and prescription data including the medicine is specified, It is preferable that the reason for discarding breakage is inputted after the medicament is selected and the discarding failure process is executed by specifying the individual again by the personal authentication device.

 With this configuration, it is possible to appropriately manage important processes such as waste disposal processing and to prevent the occurrence of troubles in advance.

It is preferable that, when there is an alternative medicine agent of the discarded or broken medicine, the inventory management means executes the discharge processing of the substitute medicine after the input of the reason for the discard breakage.

According to the present invention, since only the medicine tray can be removed and the medicine filling operation can be performed, the filling operation can be performed easily and quickly. Further, the medicine tray which has been filled with the medicine can be set by simply placing it on the tray support table drawn out from the shelf body and pushing it into the shelf body. Further, in this set state, since the medicine in the medicine tray is pressed forward by the pressing member, the discharge operation of the medicine can be started immediately and smoothly.

1 is a perspective view showing an example of a medicine discharging device according to the present embodiment.
Fig. 2 is a perspective view showing the main unit of Fig. 1. Fig.
Fig. 3 is a perspective view showing the medicine containing unit of Fig. 1; Fig.
Fig. 4 is a perspective view showing a state in which the opening and closing door is moved to the deployed position from Fig. 3;
5 is a partial perspective view showing an upper part of the opening and closing door of Fig.
Fig. 6 is a schematic perspective view showing an upper portion of the opening and closing door of Fig. 4 and a part of the upper guide rail.
Fig. 7 is a perspective view showing a part of the upper portion, the upper guide rail and the slide rail of the opening / closing door of Fig. 4;
8 is a schematic plan view showing the opening and closing state of the opening and closing door of Fig.
9 is a partial perspective view showing the lower portion of the opening and closing door of Fig. 4 and its guide structure.
Fig. 10 (a) is a schematic perspective view showing a state where the door is opened when the door is fully opened, and Fig. 10 (b) is a schematic perspective view showing a state in which the door is located at the storage position.
11 is a perspective view showing a state in which a medicine tray placed on a tray support table is pulled out from the tray shelf shown in Fig.
Fig. 12 is a perspective view showing a state in which the medicine tray is removed from Fig. 11;
Fig. 13A is a perspective view showing the medicine tray of Fig. 11 (the medicine guide member is not shown in the drawing), and Fig. 13B is a perspective view of the medicine tray from below when the medicine tray is housed.
Fig. 14 (a) is a perspective view showing a state in which the medicine tray is removed from Fig. 11, and Fig. 14 (b) is a perspective view showing the medicine guide member and the urging member.
Fig. 15A is a perspective view showing the partition plate in Fig. 13A, Fig. 15B is a schematic partial plan sectional view showing an example of the partition plate, and Fig. 15C is a view showing another example of the partition plate.
16 is a block diagram of the medicine discharging apparatus according to the present embodiment.
Fig. 17 is a flowchart showing the contents of the medicine discharge processing by the medicine discharge apparatus according to the present embodiment.
18 is a flowchart showing the contents of the medicine discharge processing by the medicine discharge apparatus according to the present embodiment.
Fig. 19 is a flowchart showing the contents of the medicine discharge process by the medicine discharge device according to the present embodiment.
Fig. 20 is a flowchart showing the contents of the medicine discharge processing by the medicine discharge apparatus according to the present embodiment.
Fig. 21 is a flowchart showing the contents of the medicine discharge processing by the medicine discharge apparatus according to the present embodiment.
22 is a flowchart showing the contents of the medicine discharge process by the medicine discharge device according to the present embodiment.
Fig. 23 is a diagram showing a menu screen displayed on the display device of Fig. 2;
Fig. 24 is a view showing a patient selection screen displayed on the display device of Fig. 2; Fig.
Fig. 25 is a diagram showing a patient selection screen (instruction mode) displayed on the display device of Fig. 2; Fig.
Fig. 26 is a view showing a discharge task screen (instruction mode) displayed on the display device of Fig. 2;
Fig. 27 is a view showing a discharge job screen (bed number selection mode) displayed on the display device of Fig. 2;
28 is a view showing a return work screen displayed on the display device of Fig.
Fig. 29 is a view showing a waste disposal work screen displayed on the display device of Fig. 2; Fig.
Fig. 30 is a view showing a waste disposal specification screen displayed on the display device of Fig. 2; Fig.
FIG. 31 is a view showing a charge list output screen displayed on the display device of FIG. 2. FIG.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. In the following description, terms (for example, terms including "image", "lower", "side", "stage") indicating a specific direction or position are used as necessary, Use is made to facilitate understanding of the invention with reference to the drawings, and the technical scope of the present invention is not limited by the meanings of the terms. Also, the following description is merely exemplary in nature and is not intended to limit the invention, its application, or uses thereof.

 1 shows a medicine discharging apparatus according to the present embodiment. Here, the medicine discharging device is configured to include the main body unit 1 and the two medicine receiving units 2.

2, the main body unit 1 is provided with a display device 3 at the uppermost stage, and a prescription information printing printer 4, a journal printer 5, a fingerprint authentication device 6 and a barcode A reader 7 is provided, and a refrigerator 8 is provided at the lower end. As described later (to be described later), the display device 3 is capable of executing each process when a predetermined display is made. The prescription information printing printer 4 ejects a patient name or a sheet on which a bar code is printed. The journal printer 5 ejects the label on which the patient information and the information of the discharge medicine are printed. The fingerprint authentication device 6 is for specifying the user of the medicine discharge device. However, any device that can perform personal authentication, such as a vein authentication device or an input device for inputting an ID and a password, may be employed in place of the fingerprint authentication device 6. [ The barcode reader 7 reads a barcode such as a prescription (prescription), a sheet printed by the prescription information printing printer 4, a label printed by the journal printer 5, etc., and uses it to specify prescription data, medicines and the like. The refrigerator 8 accommodates medicines (for example, utemerin injection, atonin, sandostatin, etc.) that require refrigeration preservation.

 3 and 4, the medicine receiving unit 2 is provided with a plurality of tray racks 9 arranged in the vertical direction therein, and the medicines D are accommodated in the respective tray racks 9 The medicine tray 10 is placed.

The medicine receiving unit 2 has a substantially rectangular parallelepiped shape, and a front opening portion is openable and closable by the opening and closing door 11. 5, 6 and 9, upper and lower guide rails 12 and 13 are provided at the upper and lower edges of the front opening of the medicine accommodating unit 2, respectively. The upper side guide rail 12 is constituted by a pair of rails 12a and 12b provided at predetermined intervals in the front-rear direction as shown in Fig. The lower side guide rail 13 is provided with an upstanding wall (standing wall) rising from the front side and has a substantially L-shaped cross section.

7 and 9, a storage rail 14 extending upward and downward and extending rearward is disposed at one edge of one side (one side) of the medicine accommodation unit 2 have. The storage rail 14 has a groove shape and guides upper and lower ends (upper and lower ends) of the opening and closing door 11 in a folded state as described later. A stopper 15 for restricting the movement position of the opening / closing door 11 is attached to the rear end side (rear end side) of the storage rail 14. The stopper 15 is made of an elastic material such as urethane or the like and stops the opening and closing door 11 without giving an impact force. A storage cover 16 is provided below the front upper side of the upper storage rail to guide the slide unit 20 provided at the upper end of the door 11. Between the upper and lower storage rails 14, three auxiliary guide rails 17 are arranged at substantially equal intervals. In the vicinity of the upper and lower storage rails 14, guide rollers 14a for guiding both sides of the opened / closed door 11 in a folded state are provided. The guide roller 14a is arranged so as to prevent the second flat plate 19 from intruding into the storage position when the opening and closing door 11 is located at the fully closed position (fully closed position). By folding the opening / closing door 11, the slide door hinge 19a for supporting the second flat plate 19 is configured to avoid a position where it does not interfere with the opening / closing door 11. [

The opening and closing door 11 is constituted by a pair of flat plates (a first flat plate 18 and a second flat plate 19) rotatably connected by a hinge 11a as shown in Fig. A horizontal wall (horizontal wall) 18a and a horizontal wall 19a protruding rearward are formed in the upper part of the first flat plate 18 and the second flat plate 19, respectively. A cut portion 18b is formed on the horizontal wall 18a of the first flat plate 18 on the side opposite to the connecting portion of the second flat plate 19. [ Further, a slide unit 20 is provided above the rim of the first flat plate 18. The slide unit 20 is provided with a pair of rotatable rollers 21 so that the slide unit 20 can slide on the guide rail 12 on the upper side of the medicine accommodating unit 2 at the full closing position Position) to the deployed position (full-open position). The slide unit 20 moves to a position where it is covered by the storage cover 16 when the roller 21 rolls to the deployed position of the opening and closing door 11. [ Further, a shaft portion (22) protrudes downward from the slide unit (20). The shaft portion 22 is supported by a plurality of rotary pieces 23 arranged in the vertical direction on the edge portion of the first flat plate 18. The roller 21 of the slide unit 20 rolls on the upper guide rail 12 and the horizontal wall 18a of the first flat plate 18 The shaft portion 22 is engaged with the cut portion 18b formed in the base portion 18a. In this state, the opening and closing door 11 prevents the slide unit 20 from moving forward by the upper guide rail 12 and the lower end of the first flat plate 18 by the lower guide rail 13, Since the receiving shaft portion 22 is engaged with the cut portion 18b, the stable full closed state is maintained. When the opening / closing door 11 is rotated from the fully closed position to the deployed position (door opening operation), the shaft portion 22 rotates and the engagement with the cut portion 18b is released. Therefore, the roller 21 can smoothly move on the guide rail 12 without changing the position of the slide unit 20 by the door opening operation.

On the front surface of the first flat plate 18, a knob 24 is provided as shown in Fig. The handle 24 is provided with an open grasp portion (open grasp) for operating the opening and closing door 11 by engaging with fingers on the upper edge portion and the left edge portion, respectively, when viewed from the front with the opening and closing door 11 positioned at the full- (Finger portion) 25 and an extraction grip portion (extraction grip finger portion) 26, respectively. The opening grip portion 25 is suitable for grasping when operated between a full closing position for flattening the opening and closing door 11 and a unfolding position for folding the opening and closing door 11 into a double closed position. As shown in Fig. 10, the pull-out gripper 26 is suitable for gripping when it is moved from the retracted position to the deployed pull-out position in the folded state.

As shown in Fig. 8, a finger-jamming preventing structure is employed at the boundary between the first flat plate 18 and the second flat plate 19. As shown in Fig. In other words, in this finger-pinching preventing structure, the inclined surface 18c and the inclined surface 19c are formed at the edge portions adjacent to the first flat plate 18 and the second flat plate 19, respectively. In the clearance between the first flat plate 18 and the second flat plate 19, elastic guide pieces 27 are disposed. The elastic guide piece 27 is substantially C-shaped in cross section so that when the opening and closing door 11 is folded, the first flat plate 18 and the second flat plate 19 protrude gradually in a gap formed between the adjacent edge portions Respectively. Therefore, when the opening / closing door 11 is moved from the deployed position to the full-closed position, the elastic guide piece 27 protrudes convexly in the gap between the first flat plate 18 and the second flat plate 19, .

11, the tray rack 9 is provided with a tray support base 30 in the form of a frame that can be pulled forward by a slide rail 29 provided on the inner surface of the shelf body 28 and on both sides of the shelf body 28 do. In the shelf body 28, a plurality of pressing members 31 are detachably arranged in the width direction. The pressurizing member 31 is provided on a long casing 32 having an opening upward as shown in Fig. 14 (b) (33). The pressing portion 33 is guided by one side surface portion of the casing 32 and is provided with a constant force spring (a constant load spring; a long plate spring bent at a constant curvature, and a restoring force, And is capable of moving toward the front side. An LED 34 (Light Emitting Diode) is provided as a display portion in the front portion of the pressing member 31, and is turned on, blinked, or turned off appropriately in different colors depending on the case as described later.

Thus, the pressing member 31 is integrally formed with a static load spring, an LED, or the like, and is detachable corresponding to the shelf body 28. Therefore, the attachment position can be freely changed according to the attachment position of the partition plate 37 of the medicine tray 10 described later. That is, the pressing member 31 is arranged so as not to interfere with the partition plate 37. Since a plurality of pressing members 31 are disposed in a space where the interval between the partition plates 37 is wide (in the case of the medicine D having a large width dimension), the pressure state of the medicine is stabilized even if the weight is large, It is possible to reliably arrange the medicine at a position that is easy to take out. In this case, a large pusher portion 44 may be attached to the plurality of drug guide members 38. In addition, in the case where a plurality of pressing members 31 are disposed in one medicament-receiving space, the number of medicines D to be counted may be one.

The tray support 30 has a rear end plate 35 as shown in Fig. A plurality of blowing holes 36 are formed in the rear end plate 35 and used for inflow of cold air when used in the refrigerator 8. [

The number of medicines D (ampoules, vials, or housed in a box) accommodated in the tray shelf 9 is determined by the difference in length (drawn-out dimension) of the portion of the band- By detecting a change in electrical resistance caused by the electric field. That is, as shown in FIG. 16, in the storage unit of the control device 48, the size of the medicine D accommodated in advance based on the drawing dimension of the band-shaped spring due to the difference in electric resistance and the width dimension of the accommodated medicine (D) And calculates the number.

It is also preferable to install an erroneous installation prevention means (erroneous installation prevention means) not shown in the drawing so that the medicine tray 10 is mounted on the predetermined tray support 30. As the erroneous installation preventing means, for example, mounting projections having different shapes are formed on the respective medicine trays 10, and mounting holes corresponding to the projections of the respective medicine trays 10 are formed on the respective tray supporting tables 30 Respectively. This makes it possible to reliably prevent the medicine tray 10 from being mounted on the tray support 30 after the medicine tray 10 is removed from the tray support 30 in a charging operation or the like.

The medicine tray 10 is a square frame shaped to be removably mounted on the tray support 30 drawn out from the tray shelf 9 as shown in Fig. The medicine tray 10 is configured to divide the compartment in the width direction by a plurality of partition plates 37. The partition plate 37 is detachable, and its attachment position is freely selectable. 14, a medicine guide member 38 is detachably disposed between the partition plates 37 in the same manner as the partition plate 37. As shown in Fig. Each of the medicine guide members 38 is provided corresponding to the pressing member 31 so that protrusions (or groove portions) formed at the front ends thereof are coupled to a drop prevention cover 37a Is prevented. When the medicine tray 10 is placed on a table or the like, a projection 39 is provided on the lower surface of the rear end so that it gradually decreases toward the front. Thus, the medicines D can be made to be aligned from the front side by their own weight. Further, the medicine D on the rear end side is guided to the front side by the medicine guide member 38 and does not collapse.

As shown in Fig. 15, the partition plate 37 is formed to have a thickness of about 3 mm, and a concave portion 40 to which the coupling portion is coupled is formed at one end side (one end side) And convex portions 41 that are engaged with the holes are formed, respectively. The mounting direction of the partition plate 37 is not changed. It is preferable that the partition plate 37 can be disposed such that the interval between adjacent ones can be as narrow as possible. For example, if the positions of the concavities and convexities are alternately arranged at both ends, the interval between the partition plates 37 can be further reduced. 15 (b), it is possible to dispose the partition plate 37 having a large thickness in accordance with the size thereof, or to dispose the partition plate 37, A spacer (not shown) may be disposed on the facing surface (between the drug D and the opposed surface).

Specifically, when the partition plate 37 having a thickness of about 3 mm is used, the engaging portion of the medicine tray 10 and the engaging hole 10a are used. Therefore, as shown in Fig. 15 (c) It is necessary to set the interval between adjacent partition plates 37 to 15 mm. For this reason, the drug (D) is bent and bent and arranged, and an error occurs in the count result. Thus, as shown in Fig. 15 (b), the thickness dimension of the partition plate 37 is increased and the joining structure of both ends is formed in a concavo-convex shape (the positions of concave and convex portions are reversed from each other at both ends) By setting the interval of the partition plates 37 to be 12 mm, the medicines D can be aligned in a line, and the quantity of the medicines D can be accurately counted.

 Since the inside of the medicine tray 10 is divided by the partition plate 37 as described above, even if the medicine D having a small outer diameter such as an ampule is provided, the partition plate 37 can be disposed along the side surface thereof, (The drug D does not overlap each other in the width direction of the column), it is possible to avoid the occurrence of defects that can not be properly counted by the counting section 31a.

  Further, the partitioning plate 37 can be provided with a slip prevention guide piece 42 for medicine. The slip-off preventing guide piece 42 is substantially L-shaped, bent upward in the horizontal direction after extending along the partition plate 37, and is capable of guiding the upper end surface of the medicine D in the horizontal portion.

A plurality of engaging portions (not shown in the figure) are formed in the width direction on the front end inner surface of the medicine tray 10, and a plurality of engaging portions (not shown in the drawing) are formed on the rear end inner surface (10a) are formed. These engaging portions and engaging holes 10a are used for attaching the partition plate 37 to the medicine tray 10 at an arbitrary position in accordance with the size of the medicine D. [ A fall prevention cover 37a for the partition plate 37 is provided at the front end and the rear end of the medicine tray 10, respectively. Even if the medicine tray 10 is detached from the tray support 30 and placed on a table or the like, there is no possibility that the partition plate 37 floats up from the medicine tray 10 and fails to fall out.

14 (a), the medicine guide member 38 is attached with the pusher portion 44 so as to be capable of reciprocating along the guide shaft 43. As shown in Fig. A first engaging portion 45 is formed at the distal end of the guide shaft 43 and a second engaging portion 46 is formed at the rear end thereof. Although the first engaging portion 45 and the second engaging portion 46 are substantially C-shaped in cross section, the tip portion of the first engaging portion 45 is a simple convex shape, The tip portion is different in that it is branched in the width direction. By making this shape different, the direction of attachment to the medicine tray 10 is not changed. The pusher portion 44 is formed on the bottom surface of the pusher portion 44 with a coupling support portion 47. The pusher portion 44 is pressed or pressed against the pressing portion 33 of the pressing member 31, .

The medicine tray 10 is detached from the tray support 30 and placed on a table or the like to receive the medicine D as shown in Fig. 13 (b). When the medicine tray 10 is placed on the tray support 30 and moved into the shelf body 28, the pressing portion 33 of the pressing member 31 is pressed back against the elastic force of the static load spring. The pusher portion 44 which engages or contacts the pressurizing portion 33 presses the medicines D forward from the rear of the row of the medicines D toward the rear end. Thus, the medicine contained in the medicine tray 10 is in a state of being aligned from the front side without any gap.

The counting process of the medicine D by the counting section 31a of the pressing member 31 is performed by the control device 48 as shown in Fig. In the control device 48, it is possible to print a label or drug shortage table as will be described later on the basis of the prescription data, drug data or free mode entered through the network or directly input by a keyboard or the like, The lighting state of the LED 34 of the member 31 is changed or the display state of the display device 3 is changed.

Next, the operation of the medicine ejection apparatus having the above-described configuration will be described with reference to the flowcharts of Figs. 17 to 21. Fig.

First, when the power of the medicine discharging device is turned on (step S1), the start-up screen is displayed on the display device 3, and then the screen is switched to the menu screen shown in Fig. 22 (step S2). (D) discharge treatment, return treatment of the drug (D), disposal / breakage treatment of the drug (D), treatment (D) of the drug (D) A door lock process, and an interrupt process.

(Drug discharge treatment)

In the medicine discharge treatment, it is possible to carry out either the case of discharging the medicine (D) in the prescription unit, the case of discharge in the medicine unit or the case of discharging it freely.

When the instruction eject button is touched on the menu screen in the case of ejecting to the prescription unit, the authentication instruction screen prompting individual authentication is popped up (step S4) as shown in Fig. Thus, if the fingerprint of the index finger is read by the fingerprint authentication device 6, it is checked whether or not the user is a registered user (step S5).

If the registered user is authenticated, the screen is switched to the patient selection screen shown in Fig. 25 (step S6). When the corresponding patient is selected (touch operation) (step S7), the discharge screen shown in Fig. 26 is switched to the discharge screen (step S8) so that discharge of the medicine D can be started (step S9). However, if there is a prescription, the prescription data may be specified by reading the barcode printed thereon with the barcode reader 7 or by inputting the prescription number by the keyboard, and the medicine D discharge process may be performed .

In the discharge of the medicine D, the medicine name is displayed on the discharge screen as a list, and the LED 34, which is the display part provided on the pressing member 31 for the row in which the medicine is aligned sequentially from above, is lit in green. As a result, it is possible to know at a glance whether a pharmacist or a nurse can discharge the medicine (D) from the heat. In this case, when there are a plurality of medicines D to be discharged, all the LEDs 34 in the corresponding column may be lighted. It is also possible to display the remaining amount of the drug D to be discharged by segment display of the display portion.

The medicine D on the back side is pressed forward by the pressing member 31 when the corresponding medicine D is taken out from the head portion of the medicine tray 10 by manual operation of the pharmacist or nurse ). Thus, the counting process of the medicine D by the pressing member 31 is executed, and it is detected that one medicine D is taken out. In this case, the medicines D are arranged in a line by the partition plate 37. Therefore, even if the electrical resistance changes as described above, the remaining amount of the drug D can be accurately determined.

When the discharging of the medicine D is completed in this way (step S10), the prescription information printing printer 4 is driven to print a label relating to the discharged medicine D (vial, etc.) and patient information etc. S11). In step S12, it is judged whether or not the remaining amount of the drug D is zero or not (step S12). If the remaining amount of the drug D is zero or not, (Step S13). Thus, it is possible to know which drug (D) should be supplemented. In this case, if the LED 34 of the corresponding row is turned on in red, it is convenient to know at which glance at which row the medicine D should be replenished.

After that, it is determined whether or not the medicine discharge process should be terminated based on whether there is prescription data of the next patient or not (step S14). If there is prescription data of the next patient, the procedure returns to step S6 and repeats the same processing. When the medicine discharge processing ends, the menu screen is switched to the standby state.

If it is necessary to discharge the medicine D in the absence of prescribed data in the first-aid treatment or the like, the instructed ejection button is touched to perform personal authentication in the same manner as described above, and the patient is selected on the patient selection screen, After switching to the work screen and specifying the drug (D) to be discharged, the discharge of the drug (D) may be started. In this case, if the patient name can not be specially designated, the patient selection screen may be displayed to display the bed number selection screen shown in Fig. 27, and the patient may be specified by the bed number in which the patient is accommodated.

Even if the patient is selected on the patient selection screen, the user does not switch to the discharge job screen (there is no data to be switched) when the prescription data is not prepared, so the corresponding medicine D is discharged from the tray shelf 9 as it is . In this case, it is detected that the medicine D is discharged by the counting unit 31a of the pressing member 31, and the data is updated.

In the medicine discharge process, the number of changes in the number of inventories is managed based on the counting result of the counting section 31a provided in the pressing member 31 of each row.

That is, as shown in the flowchart of FIG. 22, it is determined whether the current stock number has decreased or increased (step S61). If the current number of inventories has decreased, it is determined whether or not the discharge of the medicine D (out of the instruction) from the non-target heat of the instructed discharge (step S62). Whether or not the substance was discharged out of the indication was whether or not it was detected that the drug D was discharged from the counting section 31a provided in the pressing member 31 of any one column in which the drug D not being picked in the prescription was housed It is judged by whether. If it is determined that the discharge is not instructed, a warning is displayed on the display device 3 (step S63). If it is determined that the medicine D is discharged from the heat targeted for discharge, it is determined whether or not the discharge number exceeds or exceeds the designated discharge number (step S64). Whether or not the discharge amount is exceeded is judged based on the count result of the counting unit 31a of the corresponding column. If the medicine D has been discharged beyond the discharge amount of the prescription data, a warning is displayed indicating that the discharge amount is exceeded (step S65). If it is not the discharge other than the instruction but does not exceed the quantity indicated in the discharge water prescription, it is judged that the proper discharge has been performed and the current inventory number is updated (step S66).

If the current number of stocks has increased, it is judged whether or not the return is directed to a column other than the designated column (returning from the instruction) (step S67). This determination is made based on the detection result of the counting unit 31a provided in the pressing member 31 other than the heat to which the medicine D is to be returned, as in step S62. If it is not instructed to return, the warning is displayed on the display device 3 (step S68). If it is not a non-instructed return, it is judged whether or not the number of returned drugs exceeds the amount of discharged drug D (step S69). This determination is made based on the count result in the counting unit 31a of the column for which the drug D is to be returned, as in step S64. If it is judged that it is exceeded, a warning is displayed on the display device 3 that the number of returns is exceeded (step S70). If the number of the return destination and the number of the return are correct, it is determined that appropriate return has been made and the current number of stocks is updated (step S66).

As described above, the counting unit 31a provided in the pressing member 31 of each row detects the increase or decrease in the number of the present inventories and counts the quantity thereof, so that it is possible to reliably prevent misfire or misfire. In addition, when the warning is displayed, if the discharge or return is not properly performed again, the contents of the worker's ID and the contents thereof may be stored. Accordingly, the history of the discharge and return of the drug (D) can be managed.

(Drug return treatment)

When the discharged drug D is returned to the medicine tray 10, if it is determined in step S3 that the return button has been touched, the personal authentication screen is displayed as shown in Fig. 19 (step S21 (Step S22), and switches to the patient selection screen (step S23). The bar code of the prescription containing the drug D to be returned is read by the bar code reader 7 or the patient (prescription) is specified (touch operation) on the patient (discharge prescription) selection screen (step S24 , And switches to the return work screen shown in Fig. 28 (step S25). If the drug D to be returned is specified on the return work screen, the return processing is executed (step S26). Here, the LED 34 of the column to be returned is blinked. Accordingly, the worker can grasp the return position of the medicine D at a glance, thereby making it possible to efficiently perform the return work. When the drug (D) is returned to the corresponding column, the data is updated because the quantity is counted. Thereafter, when the return processing is completed (step S27), the journal printer 5 prints the return list (step S28) and returns to the menu screen.

As described above, in the medicine returning process, the medicine D to be returned by prescription or the patient's specification can be returned to the corresponding column after specifying which patient's prescription is based. Therefore, the medicine D can be reliably returned to the original place.

(Disposal / disposal of medicines)

If it is determined that the waste disposal button has been touched in step S3 in the case where the ampoule is damaged or need to be disposed, the personal authentication screen is displayed as shown in Fig. 20 (step S31) After personal authentication (step S32), the screen is switched to the patient (discharge prescription) selection screen (step S33). When a barcode such as a prescription is read by the bar code reader 7 or a corresponding patient (prescription) is selected (step S34), the screen is switched to the waste disposal work screen related to the prescription of the patient (Step S35). When the drug (D) or the broken medicine (D) to be disused is selected on the waste disposal work screen, the screen is switched to the waste disposal specification input screen shown in FIG. 30 (step S36) Prompting input. When these inputs are completed, the contents are stored (step S37), and personal authentication is again performed (step S38). Here, it is determined whether or not there is an alternative medicine (step S39-1), and if there is an alternative medicine, the discharge process is executed (step S39-2), and if not, the data is updated by discarding the medicine D (Step S39-3).

However, in the above drug disposal / breakage treatment, when the discharge of the substitute drug (D) is required, the drug (D) can be discharged. In this case, the LED 34 of the column corresponding to the discarded or broken medicine D may be turned on to indicate the discharge site. The LED 34 may be turned off at the point of time when the medicine D is discharged by the amount of the discarded or broken portion. Accordingly, it is possible to quickly and surely discharge only the medicines (D) which are discarded or broken.

(Drug charging treatment)

When it is judged that the filling button has been touched in step S3, the personal authentication screen is displayed as shown in Fig. 21 (step S41 (Step S42), and switches to the charge list screen shown in Fig. 31 (step S43). The charge list screen displays on the display device 3 the drugs D determined to be charged on the basis of the counting result of the counting section 31a provided in the pressing member 31 of each row ). In addition, for the medicines (D) to be listed, the list is printed by the journal printer 5 (step S45). On the paper on which the list is printed, a bar code is printed corresponding to each drug D in addition to the medicine name. When the bar code is read by the bar code reader 7, the display content of the display device 3 is switched to the charging operation screen (step S46). Here, the bar code of the label attached to the drug D to be charged is read out, and it is confirmed whether or not the drug D is suitable for charging (step S47). do. At this time, in order to prevent a mistake (error) at the time of actual charging, the LED 34 of the column of the drug D to be charged may be turned on to indicate the charging place.

As described above, since the confirmation work is also performed on the medicine to be filled, it is possible to prevent a mistake (mistake) that the other medicine D is wrongly charged. In addition, when the filling station is incorrect, it is counted that the number of receptions of the drug (D) in the heat different from the heat to be originally charged is increased. In this case, it is preferable to display the fact or error on the display device 3. Also, even if the charge destination is correct, it is also assumed that the charge amount is exceeded. In this case as well, error display may be performed based on the counting result of the drug (D).

Although the above-described processes are omitted and the medicine D to be charged by the bar code reader 7 is stored in the medicine list D (step S42) The barcode may be read out from the attached paper and immediately switched to the charging job screen so that each row of the medicine tray 10 may be suitably filled with medicines D. [ In this case, the LED 34 of the corresponding column may be blinked by reading the bar code. Accordingly, the charging place is not mistaken.

(Door lock processing)

In each of the above processes, the opening and closing door 11 may be kept in the fully closed state until the individual authentication is completed. For example, when it is not preferable to take out the drug (D) to be handled easily, such as a drug or a drug. Here, the locked state of the opening and closing door 11 is released after completion of personal authentication. (Not shown) for detecting that the opening and closing door 11 is closed, a lock mechanism (not shown) for locking the opened opening and closing door 11 in a closed state, a lock sensor (Not shown in the drawings). Further, the user logs out the user's personal authentication when each process in the medicine ejection apparatus is finished. If it is not detected by the door sensor or the lock sensor even though log out is performed, error notification is performed. As the error notification, the fact that the opening / closing door 11 is not in the locked state by the full closing may be determined by the LEDs on the display device 3 or the upper part of the apparatus, or both. With this configuration, when the user logs out, the user can set the lock state to the fully closed state. In addition, when the opening / closing door 11 is closed but not detected by the lock sensor, the user can confirm that there is a possibility that the lock mechanism has failed. In this case, it is possible to strictly manage the medicine D by moving the medicine D that needs attention. And may not be able to log out until it is detected by the lock sensor.

(Interrupt processing)

The interrupt process can be executed when there is a surgeon or an ambulance patient and it is necessary to discharge the medicine urgently while the medicament discharging process or the like is being executed. In other words, an interrupt button is displayed on the screen (for example, the discharge job screen). Thus, when this interrupt button is touched, interrupt processing is started. In this case, all the other processes are brought into the non-executable state. In the interrupt processing, the same processing as the above medicine discharge processing is performed. When the discharge operation of the corresponding medicine is completed, the interrupt processing is terminated after the personal authentication processing, and the processing returns to the original processing.

Further, the present invention is not limited to the configuration described in the above embodiment, and various modifications are possible.

Although the above embodiment is configured to include one main body unit 1 and two medicine containing units 2, the number of the medicine containing units 2 is not limited to this, but may be one or more than three . Further, if the tray shelf 9 is provided in the main body unit 1, the medicine receiving unit 2 may be unnecessary.

In the above embodiment, the LED 34 is provided at the front end of the pressing member 31 as the display portion, but it may be provided at the front portion of the tray support 30. With this configuration, even when the user pulls out the tray support 30 without removing the tray 10, the LED 34 can be easily seen from the front of the tray support 30 by eye.

A tray sensor for detecting the tray 10 may be provided on each tray support 30. The tray sensor may notify that the tray 10 is not mounted when the tray 10 containing the medicine D is not detected in the medicine discharging process. The user can confirm that the tray 10 does not exist as a cause that the medicine D can not be discharged.

The width of the LED 34 is preferably equal to or smaller than the width of the smallest drug D. A maximum of 17 LEDs 34 may be provided in the width direction of the tray support 30, and the number of the LEDs 34 may be set according to the arrangement of the medicines D. Further, when the medicine is set at the center position of the width of the medicament (D), the user can visually confirm which medicines (D) will be the target. Further, the periphery of each LED 34 may be surrounded by a light shielding member or the like. In this case, since the light does not leak to the place where the LED 34 which does not emit light exists, the user can confirm the LED 34 which is emitting light with an eye.

It is also possible to provide a sensor for detecting that the opening and closing door is folded. It is possible to perform the medicine discharging process only when folded, so that the opening and closing door 11, the medicine D and the medicine receiving unit 2 do not interfere with each other.

1: Body unit
2:
3: Display device
4: Prescription Information Print Printer
5: Journal Printer
6: fingerprint authentication device
7: Barcode reader
8: Refrigerator
9: tray rack
10: Pharmaceutical tray
10a: engaging hole
11: Opening and closing door
11a: Hinge
12: upper guide rail
12a, 12b: rail
13: Lower guide rail
14: storage rail
14a: guide roller
15: Stopper
16: storage cover
17: Auxiliary guide rail
18: First plate
18a, 18b: horizontal wall
18c:
19: second plate
19a, 19b: horizontal wall
19c:
20: Slide unit
21: Rollers
22:
23:
24: Handle
25:
26:
27: Elastic guide piece
28: Shelf body
29: slide rail
30: Tray support
31: pressing member
31a:
32: casing
33:
34: LED
35: rear plate
36: Ventilation hole
37: compartment plate
37a: Dropout prevention cover
38: drug guide member
39: projection
40:
41:
42:
43: guide shaft
44: pusher portion
45:
46:
47:
48: Control device

Claims (18)

Shelf body and
A tray support table which is detachably installed on the shelf body,
A medicament tray detachably mounted on the tray support and accommodated in a state in which a plurality of medicines are aligned along a pulling direction,
And a pressing member provided on the shelf body,
When the medicament tray is pushed into the shelf body together with the tray support tray in a state of accommodating the medicament, the pressure member moves the received medicament in the withdrawing direction Wherein the pressurizing unit pressurizes the medicine.
The method according to claim 1,
Wherein the pressure member includes a counting unit for counting the amount of the medicine in a state in which the medicine contained in the medicine tray is pressed and aligned.
3. The method according to claim 1 or 2,
The medicine tray is detachably mounted with a partition plate capable of dividing into a plurality of rows along a drawing direction (drawing direction)
The pressing member is detachably mounted to the shelf body corresponding to each row partitioned by the partition plate
Wherein the medicine discharging device comprises:
The method of claim 3,
Wherein the medicine tray is provided with a medicine guide member which is pressurized by the pressure member and capable of directly pressing the medicine contained therein in a detachable manner in each of the columns.
5. The method of claim 4,
The medicine guide member has a concave portion at one end and a convex portion at the other end,
Wherein the medicine tray has a coupling portion that is engaged with the concave portion and a coupling hole to which the convex portion is coupled.
5. The method of claim 4,
Wherein the medicine guide member includes a guide shaft disposed in each of the columns and a pusher portion capable of reciprocating the guide shaft and urging the medicine by being pressed by the pressing member.
5. The method of claim 4,
Wherein the partition plate has a concave portion formed at one end thereof and a convex portion formed at the other end thereof,
Wherein the medicine tray has a coupling portion for coupling to the concave portion and a coupling hole for coupling the convex portion
Characterized in that the drug discharge device.
5. The method of claim 4,
Wherein the medicament tray is provided with a fall-off prevention cover for preventing the partition plate from falling off.
The method of claim 3,
Wherein the pressing member has a display portion formed at an end portion of the tray support which is positioned on the draw-
And display control means for causing the display section to perform predetermined display in accordance with input conditions
Characterized in that the drug discharge device.
10. The method of claim 9,
The display unit may be a column in which a medicine to be discharged is accommodated based on prescription data, a column of a return destination in the case of returning a drug, ) In which the heat generated by the heat source is generated is distinguishably displayed.
The method according to claim 1,
And an opening and closing door is provided on a front surface of the shelf body,
Wherein a door storage part is formed on a side of the shelf body so that the door storage part can be stored in a folded state of the opening and closing plate,
Wherein the open / close door comprises a first flat plate and a second flat plate which are adjacent to each other and which are rotatably connected to each other, the first flat plate being guided so that the other edge thereof enters the door compartment, Is slidably supported along a guide rail provided on an upper portion of the shelf body, and can be folded forward from the front surface of the shelf body.
12. The method of claim 11,
Characterized in that the opening / closing door has a finger-jamming preventing structure that is protruded from a boundary portion between the first flat plate and the second flat plate when collapsed to prevent fingers from being caught and is made of an elastic guide piece .
12. The method of claim 11,
Wherein the opening and closing door has a shaft portion rotatably supported by the slide unit and a rotary piece rotatably installed on the first flat plate and rotatably connected to the shaft portion,
The opening and closing door includes a coupling receiving portion to which the shaft portion is coupled when the door is located at the fully closed position for closing the front surface of the lathe body
Characterized in that the drug discharge device.
3. The method of claim 2,
A personal authentication device (personal authentication device)
Inventory count calculation means (inventory count calculation means) for calculating a current inventory count (current inventory count) of the medicine based on the counting result of the counting section of the pressing member,
A stock management system that manages the discharge number or the return number of the medicine based on the personal data (personal data) specified by the personal authentication device and the current stock number of the medicine calculated by the stock number calculation means Management means (stock control means)
Wherein the first and second flow paths are provided with a plurality of discharge ports.
15. The method of claim 14,
Wherein the inventory management means manages whether or not the discharge position, the discharge number, the return position or the return number of the medicine are appropriate based on the prescription data, and warns the user through the warning means in the case of inappropriate.
3. The method of claim 2,
Inventory count calculating means for calculating a current inventory count of the medicine based on the counting result of the counting unit of the pressing member,
It is managed whether or not the discharge position, the discharge number, the return position or the return number of the medicine is appropriate based on the present inventories of the medicines calculated by the above-mentioned number-of-inventories calculating means and the prescription data, and if it is inappropriate, Inventory management means
And a discharge port for discharging the medicine.
15. The method of claim 14,
Wherein the inventory management means identifies an individual by the personal authentication apparatus when the medicine discharged from the medicine tray is discarded or damaged, and prescription data including the medicine is specified, Wherein a waste breakage reason is inputted after the medicine is selected, and the individual is identified by the personal authentication device again, thereby executing the waste breakage processing.
18. The method of claim 17,
Wherein the inventory management means executes the discharge processing of the substitute medicine after the input of the cause of the waste breakage when there is an alternative medicine agent of the discarded or broken medicine.

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