CH706004B1 - Method of assisting the filling of a pill box and device for its implementation. - Google Patents
Method of assisting the filling of a pill box and device for its implementation. Download PDFInfo
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- CH706004B1 CH706004B1 CH00914/13A CH9142013A CH706004B1 CH 706004 B1 CH706004 B1 CH 706004B1 CH 00914/13 A CH00914/13 A CH 00914/13A CH 9142013 A CH9142013 A CH 9142013A CH 706004 B1 CH706004 B1 CH 706004B1
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07F—COIN-FREED OR LIKE APPARATUS
- G07F11/00—Coin-freed apparatus for dispensing, or the like, discrete articles
- G07F11/005—Special arrangements for insuring that only one single article may be dispensed at a time
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/007—Heating or cooling appliances for medical or therapeutic treatment of the human body characterised by electric heating
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/0069—Trays for holding or distributing medicines
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- G—PHYSICS
- G06—COMPUTING; CALCULATING OR COUNTING
- G06E—OPTICAL COMPUTING DEVICES; COMPUTING DEVICES USING OTHER RADIATIONS WITH SIMILAR PROPERTIES
- G06E1/00—Devices for processing exclusively digital data
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07F—COIN-FREED OR LIKE APPARATUS
- G07F11/00—Coin-freed apparatus for dispensing, or the like, discrete articles
- G07F11/02—Coin-freed apparatus for dispensing, or the like, discrete articles from non-movable magazines
- G07F11/44—Coin-freed apparatus for dispensing, or the like, discrete articles from non-movable magazines in which magazines the articles are stored in bulk
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- G—PHYSICS
- G07—CHECKING-DEVICES
- G07F—COIN-FREED OR LIKE APPARATUS
- G07F17/00—Coin-freed apparatus for hiring articles; Coin-freed facilities or services
- G07F17/0092—Coin-freed apparatus for hiring articles; Coin-freed facilities or services for assembling and dispensing of pharmaceutical articles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J2205/00—General identification or selection means
- A61J2205/10—Bar codes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J2205/00—General identification or selection means
- A61J2205/60—General identification or selection means using magnetic or electronic identifications, e.g. chips, RFID, electronic tags
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
- G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
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- General Physics & Mathematics (AREA)
- Physics & Mathematics (AREA)
- Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Life Sciences & Earth Sciences (AREA)
- Theoretical Computer Science (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- Medical Treatment And Welfare Office Work (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
Abstract
Pour la délivrance de doses de médicaments destinés à être affectées en fonction d’une prescription (1) dans des compartiments (41) d’un pilulier (40), le procédé selon l’invention comprend des étapes dans lesquelles on saisit la prescription (1) à l’aide d’un système de traitement de données (10, 30, 31), on dispose au-dessus du pilulier une plaque de contrôle comprenant des alvéoles positionnées en regard des compartiments du pilulier, et pour chaque médicament prescrit: on identifie les alvéoles en regard de chaque compartiment où une dose de médicament doit être placée à l’aide d’une unité d’éclairage conçue pour éclairer sélectivement lesdites alvéoles selon des instructions de préparation générées en fonction de la prescription saisie, on remplit chaque alvéole identifiée avec la dose de médicament, et on vérifie par des moyens logiciels d’analyse et de traitement d’image le remplissage avant d’autoriser le transfert des doses de médicaments vers les compartiments du pilulier.
Description
Description [0001] La présente invention concerne, selon un de ses aspects, un procédé d’assistance au remplissage d’un pilulier avec des doses de médicament destinées à être affectées en fonction d’une prescription dans des compartiments du pilulier, chaque compartiment dudit pilulier correspondant à un temps de prise d’une dose de médicament, ce procédé comprenant des étapes de saisie de la prescription au moyen d’un système de traitement de données et des étapes de préparation des doses de médicament correspondant à la prescription saisie, consistant à remplir les compartiments du pilulier avec les doses de médicament selon des instructions de préparation du pilulier générées par le système de traitement de données permettant d’identifier les compartiments à remplir en fonction de la prescription saisie.
[0002] L’invention s’applique notamment à la préparation et à la distribution de médicaments sous forme de comprimés à des patients hébergés en établissement de santé, tel qu’un établissement hospitalier ou une maison de retraite par exemple.
[0003] La distribution de médicaments est un acte pharmaceutique consistant à délivrer le ou les médicaments au patient à qui il est administré, en fonction d’une prescription médicale, qui indique la posologie, la durée du traitement, ainsi que la fréquence de prise du médicament concerné. La délivrance de médicaments en établissement hospitalier nécessite de collecter et traiter les prescriptions des patients et de préparer, pour chaque prescription et chaque médicament mentionné dans la prescription, normalement sous la responsabilité d’un pharmacien, les doses de médicaments correspondantes, dont le nombre dépend de la durée du traitement, du nombre de prises journalières et de la quantité de produit par prise journalière. Lors de la phase de préparation, chaque dose de médicament est déconditionnée et reconditionnée dans au moins un emballage se présentant classiquement sous la forme d’un pilulier comportant une pluralité de compartiments où l’on place les doses de médicaments à prendre pendant une certaine période, chaque compartiment correspondant alors à un temps de prise de dose de médicament. Dans le cadre de la présente description, le terme pilulier s’entend sous sa forme générique, dans la mesure où il existe des piluliers destinés à organiser la prise des médicaments pour la journée ou pour la semaine, par exemple, et recouvre donc aussi bien un pilulier quotidien, un pilulier hebdomadaire, etc. Les piluliers ainsi préparés en fonction des prescriptions sont ensuite distribués aux patients concernés.
[0004] In most hospitals, however, the dispensing of drugs, and in particular the preparation and distribution of medicines, is carried out by the healthcare staff, so that the administration of the doses of medicines is not In reality not completely carried out under the responsibility of the pharmacist. Such a procedure for the delivery of medicinal products therefore poses a risk to patients, given the large number of patient-specific prescriptions to be followed by the nursing staff and the often tedious manual preparation which may result Numerous errors during the realization of the packaging, such as, for example, a poor positioning of a dose of drug in a compartment,
For this reason, various technical solutions for assisting the delivery of medicinal products have been implemented, in particular with a view to facilitating and relieving the tasks of manual preparation of the doses of medicinal product devolved to the nursing staff.
[0006] Such a solution is known, in particular by the example given in patent document FR 2 894 133. This document thus describes a solution for packaging medicaments in the form of tablets in the compartments of a pill, Function of a prescription, which is previously entered by means of a data processing system, which enables the user to be guided to perform the task of filling the pillbox compartments, according to instructions for preparing the pillbox generated by the system of Data processing according to the prescription entered. These instructions are provided in the form of a visual presentation of the pillbox in its filling position with identification of the pill compartments to be filled, carried out by means of a computer screen.
[0007] This solution therefore provides technical assistance to the operator, helping him to allocate the doses of medicament in the pillbox, without however compensating for the possible occurrence of errors in the performance of this task, in the Insofar as this assistance is only based on a visual inspection by the operator of the work carried out, with regard to the visual presentation of the pillbox displayed on the computer screen. This solution therefore does not make it possible to achieve a sufficient level of safety in the phase of preparation of the doses of medicament, nor elsewhere in the phase of distribution of these doses reconditioned in pillboxes to the patients.
SUMMARY OF THE INVENTION The object of the present invention is to eliminate these disadvantages by proposing a process for the delivery of medicaments for improving the safety of the whole process of dispensing medicinal products within healthcare establishments, ranging from the preparation of drug doses And, in particular, their repackaging in pillboxes, to their distribution to patients.
[0009] To this end, the method for delivering medicaments according to the invention, otherwise conforming to the generic definition given by the foregoing preamble, is essentially characterized in that: [0010] Of the pillbox in its filling position a control plate comprising cells designed to be positioned opposite the compartments of the pillbox, each cell being provided with an opening made in its bottom and provided with a removable trap, designed to provide an access To the underlying compartment of the pillbox when the hatch is open and, for each medicament of the prescription entered, the following operations are repeated:[0012] the cells of the control plate arranged opposite each pill compartment where a dose of medicament is to be placed is identified by means of an illumination unit designed to selectively illuminate said cells according to the instructions of [0013] the light-filled cells are filled with the dose of drug, the correct filling of the cells with the drug doses is checked by software analysis and image processing means and, in the case of Success of the check, the hatch of the cells is controlled in the open position in order to transfer the dose of medicament from each filled cell into the underlying compartment, and [0016] the hatch of the cells is controlled in the closed position.By means of an illumination unit designed to selectively illuminate said cells according to the generated preparation instructions, each illuminated cell is filled with the dose of drug, it is checked by software analysis means And image processing the correct filling of the cells with the drug doses and, in the event of success of the check, the hatch of the cells is controlled in the open position to transfer the dose of medicament from each filled cell into the The underlying compartment, and [0016] the hatch of the cells is controlled in the closed position.By means of an illumination unit designed to selectively illuminate said cells according to the generated preparation instructions, each illuminated cell is filled with the dose of drug, it is checked by software analysis means And image processing the correct filling of the cells with the drug doses and, in the event of success of the check, the hatch of the cells is controlled in the open position to transfer the dose of medicament from each filled cell into the The underlying compartment, and [0016] the hatch of the cells is controlled in the closed position.The correct filling of the cells with the drug doses is verified by software analysis and image processing means and, if the verification is successful, the trap of the cells is controlled in the open position For transferring the dose of medicament from each filled cell into the underlying compartment, and [0016] the trap of the cells is controlled in the closed position.The correct filling of the cells with the drug doses is verified by software analysis and image processing means and, if the verification is successful, the trap of the cells is controlled in the open position For transferring the dose of medicament from each filled cell into the underlying compartment, and [0016] the trap of the cells is controlled in the closed position.
[0017] Ainsi, l’opérateur est guidé pas à pas et les doses de médicament ne sont effectivement transférées dans les compartiments concernés du pilulier depuis les alvéoles de la plaque de contrôle qu’après une validation automatisée de l’opération courante de remplissage à l’aide de moyens logiciels d’analyse et de traitement d’image. En conséquence, d’éventuelles erreurs de préparation sont avantageusement détectées en temps réel, au fur et à mesure du remplissage des compartiments du pilulier avec les doses de médicament mentionnées dans la prescription, ce qui permet donc d’assister techniquement l’opérateur à chaque étape de remplissage du pilulier tout en garantissant que chaque pilulier a bien été rempli conformément à la prescription saisie.
According to one embodiment, the verification of the good filling of the cells of the control plate comprises operations during which: [0019] at least one image is acquired of the cells filled with the control plate by means of: A digital camera disposed above the control plate is distinguished, each dose of drug present in the acquired image is distinguished, [0021] each dose of distinguished drug is identified in the acquired image, and [0022] The positioning and the identification of each dose of distinguished drug in the acquired image with the prescribed prescription are compared and the filling of the cells of the control plate is validated if the positioning and the identification of each dose of Distinguished medication in the acquired image corresponds to the prescription entered.
[0024] Avantageusement, lors de l’opération d’acquisition d’image, on peut éclairer à l’aide de l’unité d’éclairage les alvéoles de la plaque de contrôle où une dose de médicament doit être placée en utilisant une longueur d’onde et une intensité lumineuse prédéterminées, adaptées au médicament concerné et propres à favoriser la distinction des doses de médicament dans l’image acquise en vue de leur identification.
[0025] Avantageusement, l’identification de chaque dose de médicament distinguée dans l’image acquise consiste à comparer la représentation visuelle de la dose de médicament distinguée dans l’image acquise à une représentation visuelle de référence du médicament concerné, stockée dans une base de données de référence accessible par les moyens logiciel d’analyse et de traitement d’image.
[0026] L’identification de chaque dose de médicament comprend en outre avantageusement la détermination d’une information de comptage de la dose de médicament.
According to one embodiment, in a centralized database hosted on a central server of the data processing system, prescribing information is memorized, comprising, for each prescribed prescription, a patient identifier, drug identifiers Referred to in the prescribed prescription and, for each drug identifier, a duration of treatment, a number of daily intakes, daily dose of medicinal product and traceability information of the medicinal product, and in that said prescribing information is duplicated Stored in association in said centralized database, in a memory of a radiofrequency identification tag fitted to the filled pill box in accordance with said prescribed prescription.
Advantageously, in the centralized database, in association with the prescribing information corresponding to each prescribed prescription, an identifier of the radiofrequency identification tag equipping the filled pill box in accordance with said prescribed prescription is also stored.
Preferably, said information stored in association with the centralized database is duplicated for each prescription entered in a local database stored in the memory of at least one portable terminal connected to the central server hosting the database Centralized via a wireless communication network and in that the local database stored in the memory of the portable terminal is synchronized in real time with the centralized database.
The invention also relates, in another of its aspects, to a device for assisting the filling of a pillbox with doses of medicament intended to be affected as a function of a prescription in pillbox compartments, each compartment Of the pill device corresponding to a setting time of a dose of medicament, said device comprising means for generating pill preparation instructions from prescription information entered into a database and means for guiding filling of the pill According to the instructions for preparing the pillbox generated, making it possible to identify the compartments of the pill box to be filled in accordance with the prescribed prescription,Characterized in that it comprises a control plate suitable for being placed above a tray accommodating the pillar in its filling position, said control plate comprising cavities intended to be filled with the doses of medicament and To be positioned facing the compartments of the pillbox, each pocket being provided with an opening made in its bottom and being provided with a removable trap, designed to provide access to the underlying compartment of the pillbox, said guide means comprising a An illumination unit of the control plate which is controlled by means of the preparation instructions and designed to selectively illuminate the cells of the control plate arranged opposite each pill compartment where a dose of medicament is to be placed,Said device further comprising at least one digital camera placed above the control plate and intended to acquire at least one image of the cells of the control plate, cooperating with own analysis and image processing software means Checking the correct filling of the selected cells by means of the lighting unit and means for controlling the opening of the cell hatch if the check is successful in transferring the doses of medicament into the compartments Underlying assets of the pillbox.Cooperating with software analysis and image processing means suitable for checking the correct filling of the selected cells with the aid of the lighting unit and means for controlling the opening of the cell trap in case Of successful verification, to transfer the drug doses into the corresponding underlying compartments of the pill.Cooperating with software analysis and image processing means suitable for checking the correct filling of the selected cells with the aid of the lighting unit and means for controlling the opening of the cell trap in case Of successful verification, to transfer the doses of drug into the corresponding underlying compartments of the pill.
[0031] Selon un mode de réalisation, l’unité d’éclairage comprend une pluralité de modules d’éclairage élémentaires conçus pour éclairer chacun respectivement une alvéole de la plaque de contrôle et des moyens de contrôle de ces modules d’éclairage propres à commander un éclairage des doses de médicament dans les alvéoles lors de l’acquisition de l’image par la caméra numérique, selon une longueur d’onde et une intensité prédéterminées, adaptées au médicament concerné.
[0032] De préférence, les modules d’éclairage élémentaires comprennent des diodes électroluminescentes.
According to one embodiment, the removable hatch of the cells of the control plate is constituted by a movable plate provided with a plurality of slots between which there remain solid zones, an upper surface of which is placed against a bottom surface of The control plate facing the pillbox and capable of sliding along this lower surface between a first position where the slots of the movable plate are disposed opposite the openings made in the bottom of the pockets of the control plate, Access from the pits to the underlying compartments of the pillbox is opened and a second position where the solid areas of the movable plate are disposed opposite the openings made in the bottom of the pockets of the control plate,Whereby access from the alveoli to the underlying compartments of the pill is closed.
Advantageously, the device further comprises means for reading / writing a radiofrequency identification tag intended to identify the pillbox.
Finally, according to another of its aspects, a management system for the delivery of drugs to patients comprises a computer connected to a central server hosting a centralized database, the computer comprising means Method of entering a prescription and means for introducing prescribing information into the centralized database comprising, for each prescribed prescription, a patient identifier, drug identifiers mentioned in the prescribed prescription and, for each drug identifier, A duration of treatment, a number of daily intakes, and a daily dose of drug and drug traceability information,Said system further comprising means for packaging medicines in the form of doses of medicament in compartments of a pill box as a function of a prescribed prescription and first means for reading / writing of radiofrequency identification tags capable of duplicating The prescribing information entered into the centralized database for said prescription in a memory of a radio frequency identification tag fitted to the pillbox, said computer comprising means for recording the identifier of said radio frequency identification tag in the Centralized database in association with the corresponding prescribing information,Said system further comprising at least one portable terminal embedding a local database duplicating the centralized database and adapted to be connected to the central server hosting the centralized database via a wireless communication network, Way to real-time synchronization of centralized and local databases,Said portable terminal further comprising means for inputting to the local database timestamp information of drug dose distribution and drug dose distribution status as the drug dose distribution Contained in the pillbox and second means for reading / writing radiofrequency identification tags adapted to store in said memory of the radiofrequency identification tag associated with the pillbox the said timestamp and status information.
BRIEF DESCRIPTION OF THE DRAWINGS Other features and advantages of the invention will emerge from a reading of the following description of a particular embodiment of the invention, given by way of non-limiting indication, with reference to the appended drawings on Which: FIG. 1 shows schematically a drug delivery system according to the present invention; FIG. 2 schematically shows an embodiment of a device for the preparation of medication doses used in the drug delivery system of the present invention, FIG. 3 illustrates a detail of the device of FIG. 2.
[0037] The drug delivery system shown in FIG. 1 comprises a computer 10, for example of the PC type, installed in a hospital, connected to a device 20 for the preparation of doses of medicines, which will be described in greater detail hereinafter, and to a central server 30 hosting a base of Centralized data 31.
The computer 10 is equipped with pharmaceutical software enabling, in particular, the entry of a prescription 1 for medicinal products as well as the recording in the centralized database 31 of the prescription information comprising, for each prescription entered, The identification of the patient, the identifiers of the medicinal products mentioned in the prescription and, for each medicinal product identifier, a treatment duration, a number of daily intakes, the daily dose of medicinal product and the traceability information of the medicinal product , Its expiration date, etc.).
The computer 10 is also equipped with specific software according to the invention enabling the device 20 to be controlled for the preparation of drug doses. The device 20 for the preparation of doses of medicament has the role of assisting, medicament by medication, an operator in operations of preparation and conditioning of the doses of drug in a pill box for each prescription entered. These operations consist, for a given prescription, of filling compartments 41 of a pillbox 40 with the medicines mentioned in the prescription, guided therein by instructions for preparing the pillbox generated by the specific software fitted to the computer 10. The instructions Of preparation prepared according to a prescribed prescription allow, on the one hand,
An embodiment of the device 20 for preparing and packaging pills of medicaments is described with reference to FIGS. 2 and 3. According to this embodiment, the pillar 40 is a weekly pill, comprising a plurality of compartments, for example 28, each corresponding to a predefined time range of a given day of the week. The device 20 comprises a central block 21, on which is mounted a plate 22 intended to receive the pillar in its filling position. The plate 22 is surmounted by a control plate 23. This plate is designed to be placed above the pillar in its filling position. The control plate 23 is provided with a plurality of cells 231 intended to be positioned opposite the compartments of the pillbox placed beneath it.
The removable hatch 24 is for example formed by a movable plate 24, provided with a plurality of slots between which there remain solid zones. The upper surface of this movable plate 24 is disposed against a lower surface of the control plate 24 and is slidable therealong between a first position where the slots of the movable plate are disposed opposite the openings 232 in the Whereby access from the pits to the underlying compartments of the pill is left open and a second position where the solid areas of the movable plate are disposed opposite the openings in The bottom of the cells of the control plate,
The device 20 is also equipped with an upper block 25 disposed above the central block and in which are placed on the one hand means for guiding the filling of the pillbox and, on the other hand, means for Control of this operation.
The guide means are constituted by an illumination unit 26, preferably located within the upper block 25, above the control plate 24. The procedure is as follows. In view of the prescribed prescription for a given medication of the latter, the preparation instructions generated by the specific software provided to the computer 10 are instructions intended to control the lighting unit 26 in order to illuminate only the cells 231 of the computer Which are arranged opposite the compartments of the pill box where a dose of this medication is to be placed.
In this way, the cells whose positioning corresponds to the compartments of the pillbox in which a dose of medicament is to be placed are clearly indicated to the operator, who then places the expected medicinal dose in each of them.
The lighting unit 26 comprises, for example, a plurality of elementary lighting modules with light-emitting diodes, each designed to illuminate a cell of the control plate. Each cell can thus be illuminated by an independent elementary lighting module.
In a variant, each independent lighting module forming the illumination unit can be arranged under the control plate, respectively under each cell of the control plate intended to be illuminated.
In addition, a dialogue screen (not shown) is provided to equip the device 20, in order to indicate to the operator all the useful information as defined above, making it possible to assist the operator in the Current filling operation. This dialogue screen can advantageously be fixed to the uprights of the device supporting the central block and the upper block of the device.
A system for reading optical codes (bar code, datamatrix, etc.) can also be integrated into the device 20, making it possible to read information present in this form on the packaging of drugs. In this manner, the operator in charge of the filling operation is able to read this information on the package via the optical reading system during the deconditioning of the dose of medication, thus enabling the system to verify That the information read from the package corresponds to the expected medicinal product, taking account of the prescribing information stored in the centralized database. In the event of an error, an alert can be triggered by any means and the filling operation is suspended, otherwise the operation continues normally.
The device 20 is also equipped with control means, in the form of at least one digital camera 27, placed above the control plate 23 and intended to acquire an image of the cells 231 of the plate During the filling operation thereof. The camera 27 cooperates with software analysis and image processing means implemented by the computer 10 and making it possible to verify the correct filling of the selected cells by means of the illumination unit 26.
A high-resolution color camera is preferably used and the number of cameras and the focal length are calculated so that there is at least 30 pixels to represent a solid drug.
During the operation of acquiring the image of the cells of the control plate, the illuminating unit 26 illuminates the cells 231 of the control plate where a dose of drug Is supposed to be placed, using a predetermined wavelength and luminous intensity, adapted to the medicament concerned and capable of favoring the distinction of drug doses in the acquired image with a view to their identification by the analysis software means and Image processing. Indeed, depending on the composition of the drug, the image formed on the CCD or CMOS sensor of the camera will vary. Also, the lighting unit 26 comprises means for controlling the lighting modules, For controlling illumination of drug doses in the cells when the image is acquired by the digital camera at a predetermined wavelength and intensity adapted to the medicament concerned. In particular, each elementary lighting module is capable of delivering light rays in at least two wavelengths, corresponding for example to infrared, ultraviolet, red, green, blue, the entire visible spectrum , Etc. Each module is piloted separately in both wavelength and luminous intensity so that the illumination provided can be adapted to the medicament concerned by the filling operation. Each elementary light module is capable of providing light rays in at least two wavelengths, corresponding for example to infrared, ultraviolet, red, green, blue, the entire visible spectrum, etc. Each module is piloted separately in both wavelength and luminous intensity so that the illumination provided can be adapted to the medicament concerned by the filling operation. Each elementary light module is capable of providing light rays in at least two wavelengths, corresponding for example to infrared, ultraviolet, red, green, blue, the whole visible spectrum, etc. Each module is piloted separately in both wavelength and luminous intensity so that the illumination provided can be adapted to the medicament concerned by the filling operation.
[0052] L’unité d’éclairage 26 présente donc une double fonction puisqu’elle permet d’une part, d’indiquer à l’opérateur les alvéoles 231 de la plaque de contrôle 23 dans lesquelles il doit mettre une dose de médicament et, d’autre part, lors de l’acquisition de l’image de contrôle, d’éclairer la dose de médicament mise dans les alvéoles sous la longueur d’onde et l’intensité les plus appropriées pour les moyens logiciels d’analyse et de traitement d’image.
[0053] Plus précisément, les moyens logiciels d’analyse et de traitement d’image sont conçus pour distinguer chaque dose de médicament présente dans l’image acquise, identifier chaque dose de médicament ainsi distinguée et déterminer leur positionnement, de même qu’un comptage de chacune de ces doses, et pour valider l’opération courante de remplissage des alvéoles si l’identification, le positionnement et le comptage de chaque dose de médicament qui a pu être distinguée dans l’image acquise correspond à ce qui était attendu eu égard aux informations de prescription mémorisées.
For the identification of each dose of medicament by the analysis and treatment software means, the visual representation of the detected drug dose in the acquired image is compared with a reference visual representation of the drug concerned, stored In a reference database accessible by the software for analysis and image processing.
[0055] Cette dernière pourra par exemple être construite à l’aide d’un module d’apprentissage permettant, pour chaque médicament susceptible d’être traité au niveau du dispositif 20 pour la préparation de doses de médicament, d’une part de définir les réglages d’éclairage optimaux en termes d’intensité et de longueur d’onde, destinés à être utilisés par les moyens de contrôle de l’unité d’éclairage, et de fournir la représentation visuelle de référence dans ces conditions de réglage, qui servira alors de base pour la recherche automatique.
The device 20 also comprises means for controlling the opening of the hatch of the cells making it possible to transfer the doses of medicament introduced into the cells of the control plate to the corresponding underlying compartments of the pillbox, The current filling operation has been validated using the software for image analysis and processing.
Thus, the device 20 makes it possible to avoid the problems of incorrect positioning of a dose of medicament in a pillbox compartment. In addition, the image analysis and processing software means of the device 20 make it possible to verify automatically and in real time whether a dose of medicament which has been introduced into a pocket of the control plate during the filling operation In progress, corresponds well to the expected dose with regard to the stored prescribing information. A drug identification of the detected dose is performed, as is a count of the detected dose. If the drug and the quantity identified are correct, that is, they correspond to the prescribed prescribing information, the next drug is passed on.
When the filling of the pill box corresponding to a given prescription is completed, the prescription information stored in association with the centralized database 31 is duplicated in a memory of a radiofrequency identification label fitted to the pillbox. To do this, the device 20 comprises means for reading / writing a radiofrequency identification tag making it possible to carry out the operations of recording the prescription information in the memory of the radiofrequency identification label fitted to the pillbox. These read / write means are preferably integrated at a lower slide 28 of the central block 21, intended to receive the pellet which has just been filled,
[0059] Par ailleurs, pour chaque prescription saisie, on mémorise dans le même temps dans la base de données centralisée 31, l’identifiant de l’étiquette d’identification par radiofréquence identifiant le pilulier rempli conformément à cette prescription saisie.
Once the pill bottles have been filled, the phase of dispensing the medicines to the patients is based on the use of portable terminals 50, enabling, during this distribution phase, to carry out checks between the drug dose (s) distributed and Centralized database storing all prescribing information but also validating the dispensing of drug dose (s) and updating the centralized database with drug dose distribution information as Distribution of drug doses of a pill, comprising, in particular, timestamp information of dose distribution and dose distribution status, indicating, for example, whether the dose has been correctly dispensed, or whether the dose has Not been distributed,Or if the patient refused the dose.
To this end, each portable terminal 50 comprises means for connecting to the central server 30 hosting the centralized database 31 via a wireless communication network 60, for example a Wi-Fi network. Thus, in the connected mode, each portable terminal 50 is able to carry out the checks and the updating on the centralized database.
[0062] Chaque terminal portable 50 embarque également une base de données locale 51 prévue pour dupliquer la base de données centralisée et apte à être synchronisée en temps réel avec la base de données centralisé 31 lorsque le terminal portable 50 est connecté au serveur central 30 hébergeant la base de données centralisée 31. Le terminal portable est prévu pour enregistrer les informations de distribution de doses de médicament dans cette base de données locale, qui sera ensuite synchronisée avec la base de données centralisée, permettant ainsi avantageusement de pallier à d’éventuelles pertes de connexion. Le terminal portable 50 comprend encore des moyens 52 de lecture/écriture d’étiquettes d’identification par radiofréquence, lui permettant d’enregistrer des informations dans la mémoire d’une étiquette d’identification par radiofréquence équipant un pilulier et de lire le contenu d’une telle mémoire, comme on le verra par la suite.
In summary, for each prescribed prescription, all the prescribing information, making it possible in particular to ensure the traceability of the corresponding drug doses introduced into the distribution circuit via the filling of a pillbox, is therefore recorded both in The centralized database and duplicated on the memory of the radiofrequency identification label fitted to the pillbox, as well as on the local database onboard each portable terminal.
A first chain for securing the delivery of drugs according to the invention is thus constituted by the central server hosting the centralized database storing for each prescription the corresponding prescription information by the device for preparing drug doses enabling Guiding and automatically checking for each prescription the filling of the compartments of a pill box with drug doses according to the stored prescription information and by the portable terminal when it cooperates in a connected mode with the central server hosting the database Centralized to perform verification and updating of the centralized database during the distribution of drug doses. This first chain of
Claims (14)
1. A method for assisting the filling of a pill box with doses of medicament intended to be affected as a function of a prescription in compartments of the pillbox, each compartment of the corresponding pillbox, At a dosage time of a drug dose, the method comprising steps of capturing the prescription (1) by means of a data processing system (10, 30, 31) and steps of preparing the doses of The medication corresponding to the prescribed prescription (1), which consists in filling the compartments (41) of the pill (40) with the doses of medicament according to instructions for preparing the pillbox generated by the data processing system making it possible to identify the compartments Filling according to the prescribed prescription, characterized in that:A control plate (23) comprising cells (231) intended to be positioned facing the compartments of the pillbox, each aperture being provided with an opening (232) made in its filling position And provided with a removable trapdoor (241), designed to provide access to the underlying compartment of the pillbox when the trap door is open, and for each medication of the prescribed prescription, the following operations are repeated in which: (231) of the control plate (23) arranged opposite each pill compartment where a dose of medicament is to be placed, by means of an illumination unit (26) designed to selectively illuminate said cells according to The prepared preparation instructions,Each illuminated cell is filled with the dose of drug, the correct filling of the cells with the drug doses is checked by software analysis and image processing means and, if the check is successful, the door is controlled Of the cells in the open position to transfer the dose of medicament from each filled cell into the underlying compartment, and the trap of the cells is controlled in the closed position.
2. The method as claimed in claim 1, characterized in that the checking of the correct filling of the cells of the control plate comprises operations in which at least one image of the cells filled with the control plate is acquired by means of at least A digital camera (27) disposed above the control plate (23), distinguishing each dose of drug present in the acquired image, identifying each dose of distinguished drug in the acquired image, and comparing the positioning And identifying each distinguished drug dose in the acquired image with the prescribed prescription and validating the filling of the cells of the control plate if the positioning and identification of each distinguished drug dose in the acquired image Corresponds to the prescription entered.
3. The method as claimed in claim 2, wherein, during the image acquisition operation, the illumination unit (26) illuminates the cells of the control plate, where one Dose of drug is placed using a predetermined wavelength and luminous intensity adapted to the medicament concerned and capable of promoting the distinction of drug doses in the acquired image for identification.
4. The method as claimed in claim 2, characterized in that the identification of each distinguished drug dose in the acquired image consists of comparing the visual representation of the distinguished drug dose in the acquired image with a visual representation of Reference of the medicinal product concerned, stored in a reference database accessible by the software for analysis and image processing.
5. The method according to claim 2, wherein the identification of each dose of medicament further comprises the determination of a drug dose count information.
6. A method according to claim 1, characterized in that prescribing information comprising a centralized database (31) hosted on a central server (30) of the data processing system is stored in association , For each prescription entered, a patient identifier, drug identifiers mentioned in the prescribed prescription and, for each medicinal product identifier, a treatment duration, a number of daily intakes, daily dose of medicinal product and Traceability of the medicinal product, and in that the said prescribing information stored in association with the said centralized database is duplicated in a memory of a radiofrequency identification label fitted to the filled pill box (40) in accordance with the said prescribed prescription.
7. The method as claimed in claim 6, wherein, in association with the prescription information corresponding to each prescribed prescription, a identifier of the identification label is stored in the centralized database Radiofrequency equipment fitted to the filled pill box in accordance with said prescribed prescription.
8. Procédé selon la revendication 6 ou 7, caractérisé en ce qu’on duplique lesdites informations mémorisées en association dans la base de données centralisée (31) pour chaque prescription saisie, dans une base de données locale (51) stockée dans la mémoire d’au moins un terminal portable (50) connecté au serveur central (30) hébergeant la base de données centralisée (31) par l’intermédiaire d’un réseau de communication sans fil (60) et en ce qu’on synchronise en temps réel la base de données locale (51) stockée dans la mémoire du terminal portable avec la base de données centralisée (31).
9. Device (20) for filling a pill box with doses of medicament intended to be allocated according to a prescription (1) in compartments of the pillbox (40), each compartment (41) of the pillbox ( 40) corresponding to a dosage time of a medication dose, said device comprising means for generating instructions for preparing the pillbox from prescription information entered into a database (31), and means for guiding the pill Filling the pill (40) according to the instructions for preparing the pill that are generated, making it possible to identify the compartments of the pill box to be filled in accordance with the prescribed prescription,Characterized in that it comprises a control plate capable of being disposed above a plate accommodating the pillar in its filling position, said control plate comprising compartments (23) 231) to be filled with the drug doses and to be positioned facing the compartments of the pill, each cell (231) being provided with an opening (232) made in its bottom and provided with a trapdoor (241) Removable device adapted to provide access to the underlying compartment of the pill, said guide means comprising an illuminating unit (26) of the control plate (23),Controlled by the preparation instructions and designed to selectively illuminate the cells of the control plate disposed opposite each pill compartment where a dose of medicament is to be placed, said device further comprising at least one digital camera ), Placed above the control plate and intended to acquire at least one image of the cells of the control plate, cooperating with software analysis and image processing means suitable for checking the correct filling of the selected cells By means of the illumination unit, and means for controlling the opening of the cell hatch when the check is successful, in order to transfer the drug doses into the corresponding underlying compartments of the pillbox.Said device further comprising at least one digital camera (27) placed above the control plate and intended to acquire at least one image of the cells of the control plate, cooperating with software analysis and processing means Of image suitable for checking the correct filling of the selected cells with the aid of the lighting unit, and means for controlling the opening of the cell hatch when the check is successful, in order to transfer the doses Of medicament in the corresponding underlying compartments of the pill.Said device further comprising at least one digital camera (27) placed above the control plate and intended to acquire at least one image of the cells of the control plate, cooperating with software analysis and processing means Of image suitable for checking the correct filling of the selected cells with the aid of the lighting unit, and means for controlling the opening of the cell hatch when the check is successful, in order to transfer the doses Of medicament in the corresponding underlying compartments of the pill.Cooperating with software analysis and image processing means suitable for checking the correct filling of the selected cells with the aid of the lighting unit and means for controlling the opening of the hatch of the cells in In the case of successful verification, to transfer the drug doses into the corresponding underlying compartments of the pill.Cooperating with software analysis and image processing means suitable for checking the correct filling of the selected cells with the aid of the lighting unit and means for controlling the opening of the hatch of the cells in In the case of successful verification, to transfer the drug doses into the corresponding underlying compartments of the pill.
10. Device according to claim 9, characterized in that the lighting unit (26) comprises a plurality of elementary lighting modules designed to illuminate respectively a cell (231) of the control plate (23) and Means for controlling these lighting modules adapted to control illumination of the doses of medicament in the alveoli when the image is acquired by the digital camera at a predetermined wavelength and intensity adapted to the medicament concerned .
11. Device according to claim 10, characterized in that the elementary lighting modules comprise light-emitting diodes.
12. Dispositif selon l’une des revendications 9 à 11, caractérisé en ce que la trappe (241) amovible des ouvertures des alvéoles de la plaque de contrôle est constituée par une plaque (24) mobile munie d’une pluralité de lumières entre lesquelles subsistent des zones pleines, dont une surface supérieure est disposée contre une surface inférieure de la plaque de contrôle (23) en regard du pilulier et apte à coulisser le long de cette surface inférieure entre une première position où les lumières de la plaque mobile sont disposées en regard des ouvertures pratiquées dans le fond des alvéoles de la plaque de contrôle, moyennant quoi l’accès depuis les alvéoles vers les compartiments sous-jacents du pilulier est ouvert, et une seconde position où les zones pleines de la plaque mobile sont disposées en regard des ouvertures pratiquées dans le fond des alvéoles de la plaque de contrôle, moyennant quoi l’accès depuis les alvéoles vers les compartiments sous-jacents du pilulier est fermé.
13. Dispositif selon l’une des revendications 9 à 12, caractérisé en ce qu’il comprend des moyens de lecture/écriture d’une étiquette d’identification par radiofréquence destinée à identifier le pilulier.
14. A management system for delivering drugs to patients comprising a computer (10) connected to a central server (30) hosting a centralized database (31), the computer (10) A prescription (1) and means for introducing prescribing information into the centralized database (31) comprising, for each prescribed prescription, a patient identifier, drug identifiers mentioned in the prescribed prescription and, for each identifier of Medication, treatment time, number of daily intakes, and daily dose of medication and drug traceability information,Said system further comprising means for packaging medicaments in the form of doses of medication in compartments of a pill box as a function of a prescribed prescription, said packaging means being constituted by the assistance device (20) according to claim 13 and the radiofrequency identification tag read / write means of said drug dose preparation device (20) being adapted to duplicate the prescribing information entered into the centralized database (31) for said prescription in A memory of a radiofrequency identification tag fitted to the pillbox,Said computer (10) including means for storing the identifier of said radio frequency identification tag in the centralized database (31) in association with the corresponding prescribing information, said system further comprising at least one portable terminal 50) embedding a local database (51) duplicating the centralized database (31) and adapted to be connected to the central server (30) hosting the centralized database (31) via a communication network (60), so as to perform a real-time synchronization of the centralized and local databases,Said portable terminal further comprising means for inputting in the local database timestamp information of drug dose distribution and drug dose distribution status as the drug dose distribution Contained in the pillbox and second read / write means (52) for reading radiofrequency identification tags adapted to store in said memory of the radiofrequency identification tag associated with the pillbox the said timestamp and status information.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| FR1059199A FR2967052B1 (en) | 2010-11-08 | 2010-11-08 | METHOD FOR DELIVERING MEDICAMENTS AND DEVICE FOR IMPLEMENTING SAID METHOD |
| PCT/FR2011/052560 WO2012062986A1 (en) | 2010-11-08 | 2011-11-02 | Method for supplying medicaments and device for the implementation thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CH706004B1 true CH706004B1 (en) | 2017-04-13 |
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| CH00914/13A CH706004B1 (en) | 2010-11-08 | 2011-11-02 | Method of assisting the filling of a pill box and device for its implementation. |
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| CH (1) | CH706004B1 (en) |
| FR (1) | FR2967052B1 (en) |
| WO (1) | WO2012062986A1 (en) |
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| CN103144889A (en) * | 2012-10-08 | 2013-06-12 | 苏州艾隆科技股份有限公司 | Method and system for indicating medicine storage positions |
| EP3848294A1 (en) * | 2014-11-04 | 2021-07-14 | MTS Medication Technologies, Inc. | System for dispensing solid pharmaceuticals via robotic technology and corresponding method |
| US20170076441A1 (en) * | 2015-09-10 | 2017-03-16 | Teri Lynn Peterson | System and Method for Locating Errors in the Distribution of Prescribed Pills in an Organizer Box of Sequential Compartments Holding the Pills Therein |
| FR3054435B1 (en) | 2016-07-27 | 2021-05-28 | Sebastien Bonte | DEVICE FOR PREPARATION AND DELIVERY OF AT LEAST A FIRST DOSE OF MEDICINAL PRODUCT SUITABLE FOR ORAL ADMINISTRATION TO A FIRST PATIENT A- RESERVOIR AND ASSOCIATED DELIVERY PROCEDURE |
| FR3058048B1 (en) | 2016-10-28 | 2021-05-21 | Distraimed | MEDICINE PREPARATION AND DISTRIBUTION DEVICE AND METHOD USING SUCH A DEVICE |
| FR3089670A1 (en) * | 2018-12-10 | 2020-06-12 | Orange | Object storage device, and method using such a device |
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| WO2002025568A2 (en) * | 2000-09-22 | 2002-03-28 | Sound Vision, Inc. | Pill identification and prescription management device, system and method |
| WO2007091375A1 (en) * | 2006-02-10 | 2007-08-16 | Tosho Inc. | Manual chemical dispersing device |
| US7779614B1 (en) * | 2007-05-30 | 2010-08-24 | Walgreen Co. | Method of loading a multi-dose blister card using intermediate blister cards |
| US20090299522A1 (en) * | 2008-03-27 | 2009-12-03 | Joram Savir | Online smart pill box dispensing system |
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2010
- 2010-11-08 FR FR1059199A patent/FR2967052B1/en not_active Expired - Fee Related
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- 2011-11-02 WO PCT/FR2011/052560 patent/WO2012062986A1/en active Application Filing
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| FR2967052B1 (en) | 2012-11-30 |
| WO2012062986A1 (en) | 2012-05-18 |
| FR2967052A1 (en) | 2012-05-11 |
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