JP2000354620A - Medicine subdividing apparatus - Google Patents

Abstract

PROBLEM TO BE SOLVED: To support manual scattering works utilizing various data related to prescription data and medicine, by feeding the quantity corresponding to an integral part by an automatic medicine-feeding means, and feeding only the quantity corresponding to a decimal part by manual hand sowing means, when the quantity of medicine to be subdivided is indivisible by the reference quantity. SOLUTION: An input operation unit 1 reads the content of prescription data from a host computer 3, divides a does for respective medicine-taking periods into an integral part and a decimal part, and totals the kinds and the numbers of medicine to be hand sowed for collective subdividing, and the result is displayed on a CRT display. When hand sowed medicine exists in a subdividing command, a medicine subdividing packaging mechanical unit 2 displays an instruction of a hand sowing description on a liquid crystal display 17, and the instruction of the hand sowing description is printed by a printer 18. When a pharmaceutist manually sows the medicine in a medicine hand sowing part 15 and sets a key switch, the medicine is fed from a medicine feeder part 14 and a medicine hand sowing part 15, and packaged by a medicine packaging part 16.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medicine packaging device for dividing a medicine into packaging paper, such as a tablet packaging machine or a powder packaging machine used in medical institutions such as hospitals and dispensing pharmacies.
The present invention relates to a medicine packaging apparatus characterized by a function of supporting a manual medicine dispensing operation.

[0002]

2. Description of the Related Art Conventionally, as a medicine packaging apparatus for dividing and packaging a medicine by inputting prescription data, there is a medicine packing apparatus provided with a medicine feeder and a medicine distributing apparatus (Japanese Patent Application Laid-Open Nos. 2-269602 and 8-208). No. 164906). The medicine feeder automatically supplies a desired number of medicines specified from a large number of medicines contained. The medicine distributing device is used for supplying a medicine which must be prepared manually such as a half tablet which cannot be supplied by a medicine feeder.

Further, as another medicine packaging apparatus, a manual prescription waiting for the execution of a prescription is discriminated, the name of the medicine is printed, and an operator selects the manual prescription to temporarily stop the medicine packaging machine. (See Japanese Patent No. 2509822).

[0004] Further, as another medicine packaging apparatus, there is one in which a large number of tablet packaging machines are centrally controlled by one controller (see Japanese Patent Publication No. 3-59).

[0005]

However, the conventional medicine packaging apparatus has the following problems.

For example, when 1.5 tablets are separately packaged, even if the tablets are contained in a medicine feeder, all the tablets must be hand-dispersed in a medicine dispensing apparatus. Poor workability.

[0007] Further, in the manual dispensing operation, since only the name of the medicine is displayed, there is a possibility that an operator may mistakenly mistake the medicine itself or mistakenly divide the medicine at each time of taking the medicine. Is also inadequate.

[0008] Further, since only the name of the medicine, the number of packages, and the like are printed, the operator must recognize how many medicines are required when going to pick up the medicines required for manual distribution. No. For example, if one day's worth is half a tablet's worth of 7 days, it is necessary to calculate that the number is 3.5 (four after the decimal point), and the prescription after morning, afternoon and after dinner In some cases, however, the only time to take it is after breakfast. In particular, when there are a plurality of hand-painted prescriptions, the risk of making a mistake increases.

[0009] In addition, in the case of carrying out batch packaging in which a plurality of prescription data are packaged in a lump, if a manual prescription is included in the package, it is necessary to go to a storage shelf every time necessary medicine is taken. Occurs, the work is interrupted, and the work efficiency is poor.

Although the amount of manual work varies depending on the contents of the prescription specified by the doctor, it is difficult to make an appropriate judgment because the grasp is based on the experience of the worker.

It is an object of the present invention to provide a medicine packaging apparatus provided with integrated convenient functions for supporting manual dispensing work using prescription data and various data on medicines.

[0012]

According to the present invention, as means for solving the above problems, there are provided an automatic medicine supply means for automatically supplying a medicine, and a manual dispersion for supplying a medicine prepared in advance by hand in one package. In a drug packaging device including a drug supply unit and a packaging unit that packages the drug supplied from each of the supply units based on the prescription data, the ratio of the amount of drug to be packaged to the reference amount is represented by an integer part. The medicine is divided into decimal parts, the medicine corresponding to the integer part is supplied from the medicine automatic supply means, and the medicine corresponding to the decimal part is supplied from the manual medicine supply means.

According to this configuration, if the amount of the medicine to be packaged is indivisible by a reference amount (one for a solid preparation and a predetermined gram number for a powdered medicine is the reference amount), it corresponds to an integer part. By supplying the amount from the automatic medicine supply means, only the amount corresponding to the decimal part can be supplied from the manual medicine supply means. Therefore, the amount of medicine to be prepared in the manually-dispersed medicine supply means can be suppressed and efficient preparation can be performed.

[0014] In addition to the automatic medicine supply means, the manual medicine supply means, and the packaging means, a plurality of medicine division and packaging mechanism units provided with display means, and the medicine division and packaging mechanism unit based on prescription data. An input operation unit for selecting any of the above and packaging the corresponding drug,
Displaying the image of the medicine to be manually spread, the medicine identification symbol, or the storage shelf number on the display means of the corresponding medicine division and packaging mechanism unit is preferable in that the medicine to be manually spread can be surely confirmed. .

In addition, when the number of medicines to be manually spread or the number of manually spread medicines is calculated for each prescription data and is displayed on the display means of the corresponding medicine dividing and packaging mechanism unit, the preparation of the medicine to be manually spread is efficiently performed. This is preferable in that it can be carried out in the following manner.

Each of the medicine dividing and packaging mechanism units is provided with a printing means, and, based on the prescription data, a medicine identification code, a storage shelf number, the number, or the number of hand-packed medicines corresponding to the medicine to be distributed. Printing by the printing means of the divided packaging mechanism unit is preferable in that it is possible to reliably perform confirmation when preparing a manually spread medicine from the storage shelf.

Further, each of the medicine dividing and packaging mechanism units is provided with an informing means, and the informing means of the corresponding medicine dividing and packaging mechanism unit notifies that there is a medicine to be manually distributed based on the prescription data. You may.

Further, based on a plurality of prescription data, the medicine to be automatically supplied and the medicine to be manually distributed are classified, and only the medicine which can be packaged only by the automatic supply is packed first. It is preferable in that the manual medicine can be prepared by the manual medicine supply means.

Further, the input operation unit further includes a display means for calculating the type and the number of medicines to be manually distributed,
Displaying on the display means is preferable in that it can be easily prepared according to the display contents.

[0020] Further, among the above-mentioned medicine dividing and packaging mechanism units, a unit for packing a manually spread medicine may be selectable.

In addition, if the number of hand-dispersed prescriptions, the number of hand-dispatched packages, or the type and number of medicines to be hand-disputed is tabulated and recorded based on the prescription data, it is possible to accurately grasp the amount of manual dispensing work. This is preferable in that evaluation becomes possible.

[0022]

Embodiments of the present invention will be described below with reference to the accompanying drawings.

FIG. 1 shows a unit configuration of a medicine packaging apparatus according to this embodiment. The details of each unit will be described later.

The medicine packaging apparatus includes one input operation unit 1 and one or more medicine dividing and packaging mechanism units 2. Each unit of the medicine dividing and packaging mechanism unit 2 is assigned a unit number and used for identification and control.

Although the input operation unit 1 and the medicine dividing and packaging mechanism unit 2 are connected by high-speed serial communication, any connection / communication system such as a general-purpose bus connection or a network (LAN) connection may be used.

The input operation unit 1 is a unit for inputting prescription data and operating the entire medicine packaging apparatus.
A packaging command for operating the medicine dividing and packaging mechanism unit 2 is transmitted to each machine.

As will be described later, the medicine dividing and packaging mechanism unit 2 receives a packaging command and includes a large number of medicine feeders 14 and medicine dispersing parts 15 to divide and pack medicines at each dose time. It is a unit of the mechanism.

The input operation unit 1 can receive prescription data from the host computer 3 by connecting to the host computer 3, but the host computer 3 may be omitted.

The input operation unit 1 in the medicine packaging apparatus includes:
As shown in FIG. 2, a multi-channel communication unit 4 for communication with each machine of the medicine dividing and packaging mechanism unit 2, a CRT display 5, a keyboard 6, a mouse 7, and a hard disk device 8 are provided. The whole is controlled by a central processing unit 9 (CPU). Further, a photograph image of the medicine is input by the digital still camera 10.

The CRT display 5, keyboard 6, and mouse 7 are used for inputting prescription data and inputting data of various files. The host computer 3 is for receiving prescription data from an external system.
Since the prescription data can be newly input only with the display 5, the keyboard 6, and the mouse 7, the host computer 3 may be omitted.

Note that, in place of the digital still camera 10, an image scanner, a CD-ROM for reading a PhotoCD,
Any device for the same purpose, such as a ROM drive or a floppy disk drive that reads a floppy disk (FD) storing a photographic image, may be used. Moreover, since the device is used only when registering a medicine image, there is no need to constantly connect the device. In addition to a photographic image, a caption character or a picture can be combined, or an illustration can be used.

The CPU 9 has a built-in memory 11 (RAM) for storing various data. This memory 11 is used as a prescription data memory for storing prescription data and other memories (work areas, variables, etc. in processing). use. Further, the CPU 9 has a built-in control program 12 (ROM) for controlling the entire medicine packaging apparatus.

The hard disk device 8 stores a prescription file for storing prescription data, a batch prescription file for storing batch prescription data such as an in-hospital prescription, a manual drug data file for storing data relating to drugs to be manually spread, There are a hand-distribution disable setting file for setting hand-distribution prohibition, a manual-distribution medicine totaling record file for counting and recording hand-distributed medicines, and various master files for storing related information such as when inputting prescription data. Various master files include
Drug master, patient master, usage master, clinical department master,
A doctor master, a ward master, and a prescription classification master are included. However, since the files other than the medicine master file are files having a simple configuration for storing codes and names, description thereof will be omitted.

As shown in FIG. 3, the drug master file is a data file for registering various data on drugs for each drug code, and is used for the operation of the drug packaging apparatus. The data of the medicine master file is input on a medicine master registration screen activated from the menu screen (both screens are not shown).

In FIG. 3, the drug code is a unique code for each drug, such as a contraction of a drug abbreviated by removing the cloudy point, so that the pharmacist can easily input the code. For example, capsules
In the case of D, the reading is changed from "capsule X-day" to "kafusete". The drug name indicates the name of the drug, and the unit indicates the unit of the drug. The form code is a code for classifying medicines by form in a dispensing operation. "Packing" means automatically feeding and packaging from the drug feeder. “Manual distribution” means supplying and packaging from a manual distribution supply unit. "Heat seal" means to deliver to a patient a heat seal package packaged by a pharmaceutical manufacturer. “Packed in tablets” = 11, “Manually spread in tablets” = 12, “Heat seal in tablets” = 13, “Packed in capsules” = 14,
“Manually disperse in capsules” = 15, “heat seal in capsules” = 16, “packing in powders” = 17, “manually disperse in powders” = 18, “heat seal with powders” = 19, etc. . The medicine feeder number refers to the number of a medicine feeder that contains a medicine to be automatically packaged.

As shown in FIG. 4, the manually-dispensed medicine data file is a data file for registering various data on the medicine to be manually dispensed for each medicine code. The data of the manual medicine data file is entered on a manual medicine data file registration screen activated from the menu screen (both screens are not shown).

In FIG. 4, the medicine code of the medicine to be manually distributed is input as the medicine code. This medicine code is registered in the medicine master file. The medicine image uses image data of the appearance of the medicine. An illustration may be used instead of a photographic image. In short, the shape of the drug (circular,
Any image can be used as long as the image can be distinguished from an ellipse, a hexagon, a sphere, a cylinder, etc.), a color, a dividing line (two-parting line, four-parting line) and the like.
The format of the image data is BMP, JPEG, GIF, TI
Anything, such as FF, is acceptable. As the medicine identification symbol, an identification mark that is stamped or printed on the main body of the medicine is used. The storage shelf number is the number of the shelf that stores the drug, a shelf that stores the heat-sealed package packed by the pharmaceutical manufacturer, a medicine bottle that has been unsealed with the heat-sealed package in advance, and a medicine bottle or tablet that has been pre-filled. Is divided into half tablets, etc. to make it possible to distinguish from medicine bottles.

As shown in FIG. 5, the manual distributing setting file is a data file for registering whether manual distributing is permitted or not for each unit of the medicine dividing and packaging mechanism unit 2. The data of the non-spreading setting file is input on a screen for registering a non-spreading setting file activated from the menu screen (both screens are not shown). In FIG. 5, the machine number is the machine number of the medicine dividing and packaging mechanism unit 2. In the hand-spraying impossible flag, the hand-spreading of the medicine is input as “OK” = 0 and “Impossible” = 1.

The CRT display 5, keyboard 6, mouse 7, hard disk drive 8, and CPU
9 may be a personal computer.

The hard disk device 8 is an independent file server device (with a built-in CPU), and a client / server configuration in which a central processing unit (CPU) is connected to a server device as a client terminal via a network (LAN). Good.

Further, regarding the communication with the medicine dividing and packaging mechanism unit 2, instead of using the multi-channel communication unit 4, the medicine dividing and packaging mechanism unit 2 may be connected to the same network (LAN) for communication. .

As shown in FIG. 6, the medicine dividing and packaging mechanism unit 2 of the medicine packaging apparatus includes a communication section 13 for communication with the input operation unit 1, a medicine feeder section 14 for medicine supply and packing, and a medicine hand. It is provided with a sowing unit 15, a medicine packaging unit 16, a liquid crystal display 17 for data display, a printer 18 for data printing, a buzzer 19 for notifying an operator by sound, and a key switch 20 for operation input, and is controlled by the CPU 9. Is done. The printer 18 may be of any type such as thermal, impact dot, and ink jet. The key switch 20 for operation input may be a touch panel mounted on the display surface of the liquid crystal display 17.

The medicine feeder unit 14 supplies a designated number of designated medicines from a large number of medicine feeders for each medicine to the medicine packaging unit 16.

The medicine dispersing section 15 manually dispenses the necessary number of medicines to the divided cells corresponding to each package of the medicine packaging, and supplies the divided medicine to the medicine packaging section 16.

The medicine wrapping section 16 divides the medicine supplied every time of taking the medicine from the medicine chute between the folds obtained by folding the heat-fusible wrapping paper (packing sheet) drawn from the wrapping paper roll into two. The package is dropped, and the vertical and horizontal sides of the packaging paper are heat-sealed and sealed, so that a packaging bag containing the medicine is continuously formed.

Next, the operation of the medicine packaging apparatus will be described for the input operation unit 1 and the medicine dividing and packaging mechanism unit 2 separately.

First, the medicine packaging operation in the input operation unit 1 will be described with reference to the flowchart shown in FIG.

First, a menu screen (not shown) shown in FIG.
The "input prescription data" screen shown in Fig. 7 is started. However, in the initial state, the data input fields are all empty. Then, the contents of the prescription data are read from the host computer 3 (step S1).

The prescription data read from the host computer 3 includes only various codes in order to reduce the amount of communication data. For this reason, when displaying the contents of the prescription data, reading processing of name data and the like from various master files is performed using various codes as search keys.
For example, since only the medicine code “Shioue” is stored in the received data, the medicine name “Tablet A” is read from the medicine master file (FIG. 3). Here, the drug code refers to a unique code for each drug, which is shortened by removing the cloudy point from the abbreviation of the drug so that the pharmacist can easily input the drug code (for example, “Jozaie” is “Shioue”).

If different prescription data is read by mistake, the "cancel" button is clicked with the mouse 7 to delete the displayed contents. If the desired prescription data is not displayed, the "prescription search" button is clicked with the mouse 7, and the prescription data registered in the prescription file is conditionally searched, called, and displayed. For example, the patient number "9
When a "Prescription search" button is clicked after inputting "30265581" with the keyboard, the corresponding prescription data is displayed.

The prescription data can be input directly with the keyboard 6 or the mouse 7, or can be a prescription file in which all past prescriptions are registered, or a batch prescription file in which prescriptions such as hospitalized prescriptions are registered collectively. You can also call from. Confirm that there is no correction etc. in the display contents of the prescription data, and click the "Input OK" button with the mouse 7,
The prescription data is registered in the prescription file, and the process proceeds to the next step “Creation of manually spread medicine data” (step S2) for the single prescription data. If only the prescription data is to be registered in the prescription file, the user clicks the “input only” button.

When calling from the batch prescription file, click the "Batch prescription" button, and the batch prescription screen (FIG. 9) is different from the prescription data input screen (FIG. 8).
Is displayed. Here, a plurality of prescription data are grouped by a collective code that can be arbitrarily assigned. Therefore, when the collective code is entered on the keyboard, the patient number, patient name, department, and ward of a plurality of prescription data registered in advance are displayed as shown in the example of FIG. When the "batch packaging" button is clicked on with the mouse 7, the process proceeds to the next step "creation of manually-distributed medicine data" (step S2) for a plurality of prescription data shown in FIG.

Incidentally, the batch prescription data is registered in advance as follows.

First, a collective code is arbitrarily inputted by a keyboard and a name corresponding to the collective code is inputted (for example, collective code "611" and name "6th floor east ward No.
1 "). Next, in order to designate a plurality of prescription data, line data including a patient number, a medical department code, and a ward code (for example, a patient number “93026581”, a medical department code “01”, and a ward code “61”) are input. (Each name is read from various master files and displayed). The “★” mark and the highlighted line indicate the line data currently being processed, and the line can be arbitrarily moved by the up / down arrow keys or the mouse 7 click. To insert line data in the middle of the batch order, clicking the "blank line insertion" button with the mouse 7 lowers the line data of the current line by one line and inserts blank line data. Then, the patient number, the department code, and the ward code are newly input in the blank line. Clicking on the "Delete row" button deletes the row data of the current row and packs the row data below it. Click the Cancel button to dismiss the window.
When the "prescription input" button is clicked, the contents of the prescription data corresponding to the line data of the current line are displayed on the prescription data input screen (FIG. 8). In FIG. 8, when a "new input" button is clicked, the prescription data being displayed at that time is saved for later saving and then the display is deleted. Thereby, any prescription data can be newly input from the patient number. In this case, for example, the patient number “93026”
581 ", the patient name (kana, kanji), gender, and date of birth are read from the patient master file and displayed. The age is automatically calculated and displayed from the date of birth and today's date. The exchange number is the number of a “medical voucher” that is given in advance at the end of the transaction only for an outpatient. In the example of the prescription data (FIG. 8), the prescription classification is "02" hospitalized (inpatient), and the exchange number is meaningless, so "0000" is input. When each code is input for the department, doctor, ward, and prescription category, name data is read out from the corresponding various master files and displayed (for example, code “01” in the department)
Is displayed as "Internal Medicine". ). "Prescription No."
The column is "Prescription", which is a set of drug (s) and usage
Are consecutive numbers. This "prescription" can be input in plurals. The “code” input field is a field for inputting a medicine code or a usage code. When the code is input, the name data is read from the medicine master file or the usage master file and displayed. In the “code” input field, a medicine code is usually input (for example, “Shioue”), but when a “/” symbol is input at the beginning, a usage code is input after that (for example, “201”). The usage name corresponding to “201” is “minute 2 after breakfast / dinner”). In the usage line in which the usage code is input, a usage name is displayed, and then a “days” input field is displayed and the number of days is input (for example, “7 days”). The "dose" column is a column for inputting the daily dose of the drug. The unit is read out from the medicine master file (FIG. 3) and displayed. The “dose timing” column is a column for inputting a single dose obtained by dividing a daily dose for each dose period. One dose is the number (tablet number) for solid preparations such as tablets, capsules, and pills, but is the gram number for powders. In the case of a solid preparation, one becomes a reference amount, and in powders, a predetermined number of grams becomes a reference amount (the same applies hereinafter). The form code in the "form" column is read out from the medicine master file (FIG. 3) and displayed. When the "input only" button is clicked with mouse 7, prescription data is registered. Then, when the "registration" button is clicked with the mouse 7 on the batch prescription screen (FIG. 9), these data are registered in a batch file as a set. Note that, when the “end” button in FIG. 8 is clicked, this screen is ended and the screen returns to the menu screen.

Following step S1, hand-dispersed data is created from each drug data in the prescription data (step S2). When the form is “packing” and a single dose at each dose time has a decimal part, the single dose is divided into an integer part and a decimal part, and drug data of only the decimal part is created. Further, the form of the medicine data is set to “hand-spread” as shown in FIG. In the case of the example of FIG. 8, since the single dose of “tablet A” is “1.5”, FIG.
The one-time amount of the medicine data having the form “package” like “0” is changed to “1”. Then, the single amount of the manually-dispensed medicine data is set to “0.5”.

Further, the number of medicines required for manual distribution and the number of packages to be manually distributed are calculated (step S3). The number of hand-wounds is obtained by multiplying the daily amount by the number of days, and the number of hand-wound packages is obtained by multiplying the number of times of taking ("2" in the morning and evening) by the number of days. In the case of the example of FIG. 10, the hand-distributed amount of “tablet A” is equivalent to seven days of one tablet per day, so the hand-distributed number is “7”, and the number of doses is “2”. 14 ".

Next, the prescription data (FIG. 13) after calculating the number of hand-dispersed medicines and the number of packages are added to a first-in first-out packing queue (step S4).

Here, it is determined whether or not the prescription data added to the packaging queue is a batch packaging (step S5). If the prescription data is “batch order = 0”, it is a single package, and if “batch order ≠ 0”, it is a batch.

In the case of single packaging, the process proceeds to the previous step "assignment of a prescription data to a machine" (step S8). In the case of batch packaging, the prescription data with hand-dispersed medicines are rearranged and put together at the rear (step S6). In this rearrangement, first, a plurality of prescription data are added to the packaging queue in the order of the batch prescription. In the case of the example of FIG. 11, there are five batch prescription data (the prescription contents are as shown in FIG. 13), and the five prescription data are added to the packing queue in a batch order as shown in FIG. 11 (a). I do. And "1" in batch order
As shown in FIG. 11B, "2", "3", "4", and "5" are grouped in the rear part without disturbing the original order, and "2""4""5"" 1 ”to“ 3 ”.

Subsequently, the types and numbers of hand-dispersed medicines in the package shown in FIG. 13 are totaled and displayed on the CRT display 5 of the input operation unit 1 as shown in FIG. 12 (step S7). The screen for counting the manually-distributed medicines is displayed in a window different from the screen for inputting prescription data (FIG. 8).
In the case of the example in FIG. 12, the drug “tablet A” having the form “manually” is obtained by adding “7” and “3.5” to “10.5”. To delete the window, click the "Cancel" button.

Further, the prescription data is allocated to the respective units of the medicine dividing and packaging mechanism unit 2 so that the processing load is equal (step S8). At this time, the manual dispensing prescription is not assigned to the number set as “impossible” in the manual dispensing impossible setting file (FIG. 5). In the case of the example of FIG. 5, since only the first machine can be hand-sprayed, all hand-wound prescriptions are assigned to the first machine.

Further, the number of hand-wound prescriptions, the number of hand-wound packages, the type and number of hand-wound medicines are totaled for each date and for each machine to be packed, and recorded in the hand-wound medicine totaling record file (step S9). . The manual spread medicine record file is a file that records the status of manual spread work, a file that records the number of pre-dispatched prescriptions / packages for each date and unit, and a file that records the number of manual prescriptions and packages for each date and unit.
It consists of a file that records the number of manual spreads for each drug. The data configuration is as shown in FIG. The pharmacist converts the contents of the manually distributed medicine totaling record file into a CSV (comma-separated value) format file, and prints it on a form such as a list using spreadsheet software to check.

In the example of the hand-distribution prohibition setting file (FIG. 5), the number of hand-wound prescriptions is “1 + 1 = 2” and the number of hand-wound packages is “14+
7 + 14 = 35 ", two types of hand-dispersed drugs," Tablet A "is" 10.5 "," Tablet C "is" 21 ", and the data is stored in the hand-drawn drug count record file (FIG. 14). Record. In FIG. 14, the date is the date of manual distribution, the machine number is the number of the machine to which the manual prescription is assigned, the manual prescription number is the number of the manual prescription, the manual packaging number is the number of the manual packaging, and the drug code. Indicates the drug code registered in the drug master file (FIG. 3), and the number indicates the number of drugs required for manual dispensing.

In the example in which the prescription data (FIGS. 13 and 8) of the batch prescription is packaged, the medicine dividing and packaging mechanism unit 2
15 to 18 show the configuration of the packaging command transmitted to the server.

In FIG. 15, the unit number is the prescription data (FIG. 1).
3, the number of the machine to which the label is assigned, the packaging number is the serial number of the packaging command, the manual number is the serial number of the manual prescription, and the manual buzzer sound is 0/1 = no manual buzzer sound The number of packages indicates the number of fractions × the number of days, that is, the total number of packages in this package, and the number of drugs indicates the number of drug data that follows. The exchange number, patient name (kana), patient name (kanji), usage, fraction, and number of days are the same as the prescription data (FIGS. 13 and 8).

In FIG. 16, the medicine feeder number is the number of the medicine feeder for automatically supplying the medicine, and the medicine feeder number in the medicine master file is acquired using the medicine code in the prescription data (FIG. 13) as a search key. . The drug name and the dose per dose are the same as the prescription data (FIG. 13). Since the medicine image, the medicine identification code, the storage shelf number, the number of manual spreads, and the number of manual spreads are "drug feeder number $ 000", there is no data.

In FIG. 17, since the medicine feeder number is “medicine feeder number = 000”, the medicine is manually distributed. The drug name and the dose per dose are the same as the prescription data (FIG. 13). The medicine image, the medicine identification symbol, and the storage shelf number are obtained by using the medicine code in the prescription data (FIG. 13) as a search key to acquire each data in the manually distributed medicine data file (FIG. 4). The number of hand-distributions and the number of hand-distribution packages are the same as each data of the prescription data (FIG. 13).

In FIG. 18, the medicine feeder number indicates the number of the medicine feeder for automatically supplying the medicine, and the medicine feeder number in the medicine master file is acquired using the medicine code in the prescription data (FIG. 13) as a search key. . The drug name and the dose per dose are the same as the prescription data (FIG. 13). The medicine image, medicine identification code, storage shelf number, number of handbags, and number of handbags are "Drug feeder number $ 000"
So there is no data.

In FIG. 15 to FIG. 18, after the data such as the patient number and the like, there are three drug data “Tablets A in automatic packaging”.
"Manually prepared tablets A" and "automatically packaged capsules B" follow.

Then, the medicine dividing and packaging mechanism unit 2
The packaging command (FIGS. 15 to 18) is transmitted to each of the assigned units (step S10). When each machine is busy, a packaging command is added to the transmission queue and transmitted in parallel after a certain time.

After that, the "end" button is clicked on the prescription data input screen (FIG. 8) to end this screen and return to the menu screen (not shown) (step S11). If not, the process returns to step S1 and repeats from reading the prescription data.

Next, the operation of each medicine dividing and packaging mechanism unit 2 will be described with reference to the flowchart shown in FIG.

Each medicine dividing and packaging mechanism unit 2 receives a packaging command (FIGS. 15 to 18) from the input operation unit 1 (step S21), and receives the packaging command (FIGS. 15 to 1).
8) It is determined whether or not there is a hand-dispersed medicine (step S22). If “medicine feeder number = 000”, it is a hand-dispersed medicine. If there is no manually spread medicine, the process proceeds to the previous step "supply and pack medicine" (step S28).

If there is a hand-sprayed medicine, it is first determined whether or not "hand-sprayed buzzer sound = 1" in the packaging command (FIGS. 15 to 18) (step S23). "Hand-playing buzzer sound =
If "1", a buzzer sound different from the error sound is sounded by the buzzer 19, and the manual spreading is notified (step S24). For example, assume that the error sound is “beep-beep ...” and the manual buzzer sound is “beep-beep…”.

Subsequently, as shown in FIG. 20, an instruction for manual prescription is displayed on the liquid crystal display 17 (step S).
25). In FIG. 20, the medicine image of the medicine “tablet A” to be manually spread, the medicine identification symbol, the storage shelf number, the number of hand-distributions, and the number of hand-distribution packages are displayed. Here, as shown in the rearrangement of FIG. 11, the instruction of the manual prescription of "batch order = 1" is displayed first.

Further, as shown in FIG.
The instruction of the manual prescription is printed (step S26). Then, the pharmacist hands the medicine to the medicine hand dispensing unit 15,
The "set" key of the key switch 20 is pressed to set "set" (step S27). In FIG. 21, the medicine identification symbol of the medicine “tablet A” to be hand-sprayed, the storage shelf number, the number of hand-sprays, and the number of hand-sprayed packages are printed. The printer 18
Is mounted on the front of the medicine dividing and packaging mechanism unit 2 and prints over several lines are turned 180 degrees so that the printed contents can be read while the printed paper is sent out. Here, as shown in the rearrangement of FIG. 11, the instructions of the manual dispensing prescription are printed in the order of “batch order = 1” and “batch order = 3”.

When the hand-dispersed medicine is set, the medicine is supplied from the medicine feeder unit 14 and the medicine hand-dispersion unit 15 and packed in the medicine packaging unit 16 (step S28). When the operation of the medicine division packaging for the packaging command is completed in this way,
Returning to step S21, the process is repeated from the reception of the packaging command.

[0078]

As is clear from the above description, according to the medicine packaging apparatus of the present invention, the ratio of the amount of medicine to be packaged to the reference amount is divided into an integer part and a decimal part, and the ratio is divided into integer parts. The corresponding medicine is automatically supplied from the medicine automatic supply means,
Since the medicine corresponding to the decimal part is supplied from the hand-sprayed medicine supply means, the degree of automation of the automatic packaging process is increased, the hand-spreading work by the operator can be reduced, and the work efficiency can be improved.

Since the image of the medicine to be manually spread, the medicine identification symbol, or the storage shelf number is displayed on the display means of the corresponding medicine dividing and packaging mechanism unit, the operator can easily check the medicine. In addition, it is possible to prevent human error such as a mistake of medicine by an operator.

Since the number of medicines to be manually spread or the number of manually spread medicines for each prescription data is calculated and displayed on the display means of the corresponding medicine dividing and packaging mechanism unit, the burden of preparation work by the operator is reduced.

Based on the prescription data, the medicine identification code, storage shelf number, number, or the number of hand-packed medicines to be hand-spread is
Since printing is performed by the printing means, the operator does not need to rely only on the memory, and the work load is reduced. In addition, a dispensing operation can be recorded by pressing a seal of the operator's name on continuously printed paper. This record can be used to clarify the responsibility for dispensing errors.

Based on the prescription data, the fact that there is a medicine to be manually distributed is notified by the notification means.
The necessity of the manual spreading work can be recognized in advance, and the interruption of the work can be eliminated.

Based on a plurality of prescription data, the medicine to be automatically supplied and the medicine to be manually distributed are classified, and only the medicine which can be packaged only by the automatic supply is packaged first. The time is harmonized with the preparation work by the worker, and the work efficiency is improved.

Since the type and number of medicines to be manually distributed are calculated and displayed on the display means, the burden of preparation work by the operator is reduced.

Since the unit for packaging the manually-dispersed medicine among the medicine dividing and packaging mechanism units can be selected, it is possible to make settings for reducing the moving distance of the worker and improving the workability.

On the basis of the prescription data, the number of manual prescriptions,
Since the number of hand-dispersed packages or the type and number of medicines to be manually-dispersed is totaled and recorded, it is possible to accurately grasp and evaluate the amount of manual-disposal work.

[Brief description of the drawings]

FIG. 1 is a diagram showing a unit configuration of a medicine packaging device.

FIG. 2 is a block diagram showing a device configuration of an input operation unit in the medicine packaging device.

FIG. 3 is a chart showing a medicine master file.

FIG. 4 is a chart showing a manual medicine data file;

FIG. 5 is a chart showing a manual distributable setting file.

FIG. 6 is a block diagram showing a device configuration of a medicine dividing and packaging mechanism unit in the medicine packing apparatus.

FIG. 7 is a flowchart showing a medicine packaging process.

FIG. 8 is a diagram showing an input screen for prescription data.

FIG. 9 is a diagram showing an input / packaging screen for batch prescription.

FIG. 10 is a diagram showing prescription data of a hand-dispersed medicine.

FIG. 11 is a diagram illustrating rearrangement of a packaging queue.

FIG. 12 is a diagram showing a tallying screen of manually-dispensed medicines in a package.

FIG. 13 is a diagram showing contents of prescription data of a batch prescription.

FIG. 14 is a diagram showing a manual spread medicine totaling record file.

FIG. 15 is a diagram showing a configuration of a packaging command.

FIG. 16 is a diagram showing a configuration of a packaging command.

FIG. 17 is a diagram showing a configuration of a packaging command.

FIG. 18 is a diagram showing a configuration of a packaging command.

FIG. 19 is a flowchart showing processing in each unit of the medicine dividing and packaging mechanism unit.

FIG. 20 is a view showing an instruction screen of a manual prescription.

FIG. 21 is a diagram showing a print content of an instruction for a manual prescription.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Input operation unit 2 ... Drug division and packaging mechanism unit 3 ... Host computer 4 ... Multi-channel communication part 5 ... CRT display 6 ... Keyboard 7 ... Mouse 8 ... Hard disk drive 9 ... CPU 10 ... Digital still camera 11 ... Memory 12 ... Control Program 13 ... Communication unit 14 ... Drug feeder unit 15 ... Drug distribution unit 16 ... Drug packaging unit 17 ... Liquid crystal display 18 ... Printer 19 ... Buzzer 20 ... Key switch

Claims (9)

[Claims] 1. A medicine automatic supply means for automatically supplying a medicine, a manually-dispersed medicine supply means for supplying a medicine prepared one by one by hand, and a supply from each of the supply means based on prescription data. A packaging device for packaging the medicine, wherein the ratio of the amount of medicine to be packaged to the reference amount is divided into an integer part and a decimal part, and the medicine corresponding to the integer part is automatically supplied to the medicine. And a medicine corresponding to a fractional part is supplied from the manual medicine supply means. 2. A plurality of medicine dividing and packaging mechanism units each having a display means in addition to the automatic medicine supplying means, the manual medicine supplying means, and the packaging means, and the medicine dividing and packaging mechanism unit based on prescription data. And an input operation unit for selecting any one of the above and packing the corresponding medicine, and displaying the image of the medicine to be manually spread, the medicine identification symbol, or the storage shelf number on the display means of the corresponding medicine dividing and packaging mechanism unit. The drug packaging device according to claim 1, wherein: 3. The medicine packaging according to claim 2, wherein the number of medicines to be manually spread or the number of manually spread medicines is calculated for each prescription data and displayed on the display means of the corresponding medicine division and packaging mechanism unit. apparatus. 4. Each of the medicine dividing and packaging mechanism units includes a printing means, and, based on prescription data, a medicine identification code, a storage shelf number, the number, or the number of hand-packed medicines of the medicine to be hand-dispensed, 4. The medicine packaging apparatus according to claim 2, wherein printing is performed by a printing unit of the division packaging mechanism unit. 5. Each of the medicine dividing and packaging mechanism units has a notifying means, respectively, and indicates that there is a medicine to be manually distributed based on prescription data.
5. The method according to claim 2, wherein the information is notified by the notification means of the corresponding medicine dividing and packaging mechanism unit.
A drug packaging device according to the item. 6. A method according to claim 1, wherein the medicine to be automatically supplied and the medicine to be manually distributed are classified based on a plurality of prescription data, and only the medicine which can be packaged only by the automatic supply is packaged first. 6. The drug packaging device according to any one of items 5 to 5. 7. The input operation unit according to claim 2, further comprising display means for calculating the type and number of medicines to be hand-dispensed and displaying the calculated and displayed numbers on the display means. 3. The drug packaging device according to item 1. 8. The medicine dividing and packaging mechanism unit,
The drug packaging device according to any one of claims 2 to 7, wherein a unit for packaging the manually-dispersed drug can be selected. 9. The method according to claim 1, wherein the number of hand-wound prescriptions, the number of hand-wound packages, or the type and number of medicines to be hand-wound are totaled and recorded based on the prescription data. 2. The drug packaging device according to claim 1.