JP2002153540A - Medicine housing apparatus - Google Patents

Abstract

PROBLEM TO BE SOLVED: To realize a medicine housing apparatus which achieves a less burden on workers mentally. SOLUTION: This apparatus is provided with a number of medicine cassettes 20 which are so formed as to allow housing of medicines 1 in alignment while having an inlet/outlet formed at an end of an alignment path to allow not only taking out of the medicines but also forcing thereof in, a support means 10 adapted to detachably support the medicine cassettes 20 with the inlet/outlet exposed, a counting means for determining the number of medicines housed into the medicine cassettes 20, a return site presenting means 35 for presenting a site at which the medicines 1 are taken out from those in the medicine cassettes 20 according to an input of notified return, and a return warning means 37 which performs an immediate confirmation to determine whether or not any medicine cassette 20 involved is contained in those presented by the return site presenting means 35 responding to the forcing of the medicines 1 into the medicine cassette 20 while giving a warning according to the result of the confirmation. This enables accurate determination of the medicines housed while allowing even confirmation of the medicines at the returning moment without impairing ease of moving in or out them.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medicine storage device for storing medicines used in a medical field or the like in a number of cassettes and the like.
The present invention relates to a medicine storage device capable of grasping the number of stored medicines for each cassette. The chemicals include ampules, vials,
In addition to injections such as contrast agents, pharmaceuticals such as tablets and powders contained in boxes and bottles and auxiliary medicines are also applicable. Infusions contained in containers such as bottles and bags are also included in the chemicals.

[0002]

2. Description of the Related Art Conventionally, at a medical site such as an operating room, medicines such as injection medicines are set and prepared beforehand in a procedure such as an operation, so that treatments can be easily performed. However, it is necessary to have enough medicines during the treatment, so prepare extra medicines, return the surplus medicines to pharmacies etc. after the treatment is over, and count the medicines used during the treatment . The work is mainly carried out by medical assistants such as nurses and nurses and direct medical workers, and is carried out in such a way as to fish in buckets and other disposal containers. In many cases, their duties include entering the amount of use of the medicines in a medicine management form and inputting them into a medicine inventory management computer system.

[0003] When leaving a medical site such as an operating room, there are some medicine storage devices for storing medicines and the like, in addition to those simply storing medicines, as well as those having an automatic removal mechanism and the like added thereto. . In the former, the management of stored chemicals is entirely left to a human such as an operator. In contrast, in the latter,
In order to detect replenishment timing, etc., some of them are provided with a weighing means and a counting means in order to automatically manage stored chemicals instead of leaving it to a person. As such a weighing / counting means, a storage position is fixedly determined for each medicine and a sensor is provided for each medicine, or the number of stored medicines is measured based on a unit weight by weighing each storage container. There are ones that calculate, and ones that count the number of chemicals that have moved when the shelves for storage are withdrawn.

[0004]

However, these medicine storage devices have their respective advantages and disadvantages even if they are used as storage devices used in places other than the medical field. For example, if it is only storage, it is possible to put in and take out freely, but automatic management of stored medicine is difficult, and if automatic removal is convenient, it is difficult to return surplus items even if it is convenient to take out. However, the number of stored items is limited, and the accuracy of calculating by weighing is low. For this reason, when a large number of cassettes are arranged to store a large number of
All that was done was to detect if the cassette was empty.

However, it is necessary to know that replenishment and the like are necessary only after the cassette is emptied, and then to start the work of replenishment and the like. It becomes difficult to provide a suitable chemical when needed, and it is not satisfactory for use in medical sites and the like. In addition, when there is no stock and it takes time until additional deliveries and the like, a big problem occurs. Furthermore, since many medicines such as injection medicines have an expiration date, in the case of such medicines, they are stored in cassettes in that order and taken out, so when medicines taken out but not used are returned, If it cannot be returned to the same cassette, or if it can be returned, the order of the rows will be changed.

[0006] However, the reason why it is not used in medical practice is that it is difficult to use. In particular,
Although the treatment content and necessary medicines are frequently changed according to the progress of the operation and the patient's condition, etc., the medicines must be provided promptly without any delay in response to that.
This is because, in the conventional medicine storage device, the necessary medicine cannot be obtained without pressing the switch or pulling out the drawer and waiting at least one breath. For this reason, at the medical site, setting medicines such as injection medicines on trays and providing them for surgery, grasping the amount of medicines used, etc., still requires the work of direct medical staff such as nurses. Has become.

However, in such a conventional method,
Persons engaged in medical procedures such as operations that require tension on site,
Even after the end of the direct action, they must continue to carry out foreign management tasks, so they are not easily relieved of tension, and such persons are burdened physically and mentally. In addition, if the ampoule or the like of the injection is broken or a syringe or the like is mixed, the operation becomes more difficult and difficult. Therefore, in order to reduce the work load, it is also required to improve the medicine storage device so that it can be used easily even in the medical field, and to be able to know the used amount of the drug and the like without having to enumerate the workers on site. You.

[0008] For this purpose, a medicine storage device for removably storing a large number of medicines and auxiliary medicines using a large number of medicine cassettes should be able to quickly take out and obtain necessary medicines. And to be able to always return the medicines in their original order,
It is an important issue to always be able to accurately grasp the number of stored medicines for each medicine cassette even when the medicine cassette is taken in and out. Therefore, it is a basic object of the present invention to realize a medicine storage device in which the medicines can be held in one hand and the medicines can be returned without disturbing the rows and the storage state can be grasped more accurately.

Further, if the usability is improved as described above, there is a need not only for the improvement but also for a further demand. Specifically, even though it is easier to take out and take in medicines, workers and users are not required to return excess medicines not only during or after the operation that requires tension, but also after the completion. In order to carry out the work quickly and properly, considerable attention must be maintained, and the mental burden is not lost, so there has been a demand for further improvement such as reducing the burden. come. Therefore, it is technically necessary to further improve the medicine storage device so as to store various forms of medicines and appropriately manage the medicines without destroying a suitable manual operation mode at the medical site. Will be an issue.

SUMMARY OF THE INVENTION The present invention has been made to solve such a problem, and it is possible to accurately ascertain the stored chemicals and perform confirmation upon return without impairing the ease of access of the chemicals. Accordingly, it is an object of the present invention to realize a medicine storage device in which not only the workability of the operation procedure and the like but also the mental load is reduced.

[0011]

Means for Solving the Problems First to fourth solving means invented to solve such problems are as follows.
The configuration and operation and effect will be described below.

[First Solution] A medicine storage device according to the first solution is formed so as to be able to store and store medicines at the end of the alignment path, as described in claim 1 of the present invention. A large number of medicine cassettes (first medicine cassettes) each having an entrance which can be pushed in addition to extracting medicines.
Supporting means capable of detachably supporting the medicine cassette (directly or with a cassette holder interposed) with the entrance being exposed, and counting means for determining the number of stored medicines in the medicine cassette; Return place presenting means for presenting a place (all or a part) of the medicine cassettes from which the medicines have been extracted in response to the input of the return notice, and immediately after the medicines are pushed into the medicine cassettes Return warning means for checking whether the medicine cassette is included in the presenting object of the return place presenting means and selectively issuing a warning in accordance with the result of the check.

Here, the above “exposed state” includes:
The state is not limited to the state where the entire surface is exposed, and even the state where the entire surface is exposed inside the opening or the like is included as long as the state is visible and the hand or finger can reach. Further, it is not necessary to always expose the door, and it is sufficient that the exposed state can be easily and promptly secured at least at the time of use by opening and closing the door and the cover. In addition, the above-mentioned “input of return notice” is performed by operating an input member such as a keyboard to switch the operation mode of the apparatus before returning the medicines.
Typical examples include, but are not limited to, even if the operation mode is not clearly switched, as long as it is an input event that can cause the operation of presenting the return place before returning the medicines Applicable.

In the medicine storage device according to the first solution, the medicines stored in each medicine cassette are taken out as necessary or in large quantities in preparation for use at the time of use. At this time, the cassettes are sequentially extracted from the entrance of the cassette in the order of arrangement. And, among the extracted chemicals, those that have not been used are pushed in from the extracted entrance and returned to the original cassette. Thus, the medicines taken out from the head of the row are simply returned to the head of the row. Therefore, by simply arranging the medicines in the order of the expiration date when the cartridges are arranged and stored in the cassette, the occurrence of an undesired expiration can be reduced naturally even if the medicines are frequently taken in and out thereafter.

In addition, since the medicine cassettes are lined up with their doors exposed, the medicines can be taken in and out directly with a finger or the like while a user such as a doctor checks the medicines with his / her own eyes. Therefore, it is possible to obtain necessary chemicals and return excess chemicals in a single operation. There is no indirect action such as switch operation or wasted time such as waiting for conveyance. In addition, since the entrances and exits of the chemicals in the cassettes are easy to see and take in and out as described above, it is possible to accumulate more cassettes without impairing the usability. Furthermore, even if there is such an in / out, since the number of stored chemicals in each cassette is determined by the counting means, the storage state of the chemicals can be accurately determined in real time even if the inside of the cassette is not visible or hard to see. Can be grasped.

Further, if the worker inputs a return notice to the medicine storage device prior to the return of the medicines, the medicine storage device has the medicine from which the medicines have been extracted by the return location presenting means. Since the location of the cassette is presented on a list screen or the like, the operator can easily grasp the return destination candidate by looking at the location, so that the burden of searching for the return destination cassette is reduced. In addition, if the user attempts to return to an undesired medicine cassette that is not presented inadvertently, a warning is issued by the return warning means, so that the burden of confirming the suitability of the found return destination cassette is reduced.

In this way, by giving a return notice when returning chemicals, that is, by adding a small input operation, the operator can perform operations from the search for the return destination cassette to the confirmation, which are operations requiring attention. Will receive considerable support. Therefore, according to the present invention, after accurately grasping the stored chemicals, confirmation is made at the time of return without impairing the ease of entry and exit of the chemicals, so that not only workability such as operation procedures but also mental work is performed. It is possible to realize a medicine storage device with less burden on the user.

[Second Solution] The drug storage device of the second solution is the drug storage device of the first solution as described in claim 2 at the time of filing the application. It is required to input identification information of medicines (such as medicine name and medicine code).

In the medicine storage device according to the second solution, when the return destination is wrong, a warning for the return destination prompts the worker's attention, and at the same time, a countermeasure to be taken next. Specifically presented. Thereby, the worker can take prompt and appropriate measures. Therefore, according to the present invention, it is possible to realize a medicine storage device with less burden on the operator.

[Third Solution] A medicine storage device according to a third solution is the drug storage device according to the second solution, wherein the identification information The presenting means of the return place presenting means is limited in accordance with the input of the information. Alternatively, Claim 4 at the beginning of the application
As described in the above, in the medicine storage device according to the first solution means, when the return place presenting means receives identification information of medicines in addition to the return notice, the return target presenting means is changed accordingly. It is to be limited.

In the medicine storage device of the third solution, candidates for return destination cassettes to be significantly presented are narrowed down by using the input identification information. Since the confirmation range is narrowed, the work becomes even easier. Therefore, according to the present invention, it is possible to realize a medicine storage device with less burden on the operator.

[Fourth Solution] The medicine storage device of the fourth solution is, as described in claim 5 at the time of filing of the application, a return place for the medicine storage device of the first to third solutions. A return confirmation means is provided instead of or in addition to the presentation means and the return warning means. That is, a number of medicine cassettes (first medicine cassettes) formed so that medicines can be arranged and stored and formed with entrances at the ends of the arrangement path, which can be pushed in addition to extracting medicines; A support means capable of detachably supporting the medicine cassette (directly or with a cassette holder interposed) in a state in which the medicine cassette is exposed; a counting means for determining the number of stored medicines in the medicine cassette; Return confirmation means for immediately issuing confirmation information (such as the name of the medicine) of the medicine in the medicine cassette by voice as soon as the medicine is pushed in.

In the medicine storage device according to the fourth solution, the medicines stored in each medicine cassette can be stored in a single operation as described in the first solution. It can be returned without disturbing, and the storage status can be grasped more accurately. Furthermore, when returning the medicines, regardless of whether or not the advance notice is input, when the worker pushes the medicines to be returned into any of the medicine cassettes, the return confirmation means notifies the worker of the confirmation information by voice. Is done.

Thus, the operator is naturally encouraged to check the returned chemicals at the final stage without being forced to perform any extra operation other than the return operation.
Information necessary for the confirmation will be given. Therefore, according to the present invention, after accurately grasping the stored chemicals, confirmation is made at the time of return without impairing the ease of entry and exit of the chemicals, so that not only workability such as operation procedures but also mental work is performed. It is possible to realize a medicine storage device with less burden on the user.

[0025]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A description will be given of an embodiment for carrying out the chemical storage device of the present invention achieved by such a solution.

[First Embodiment] A first embodiment of the present invention is a medicine storage device according to the above-described solving means, which is adapted for extracting medicines from the medicine cassette (first medicine cassette). Attention information presenting means for immediately retrieving the attention information of the medicines and selectively presenting the attention information according to the search result is provided.

In this case, when the medicines are extracted from any of the medicine cassettes and detected by the counting means or the like, the caution information of the medicines is retrieved immediately by the caution information presenting means. At the same time, attention information is selectively presented according to the search result. That is, when the corresponding attention information is found by the search, the attention information is presented to the worker / user.

Thus, if the necessary cautionary information for each chemical, for example, information on handling or usage precautions, is set, the operator / user can perform the minimum necessary operation. Just take out the desired chemicals,
Since even the caution information can be obtained, it is only when it is necessary, so that the caution is appropriately and appropriately raised. Therefore, according to this embodiment, after accurately grasping the stored medicines, information is provided at the time of taking out without impairing the ease of taking in and out of the medicines. In addition, it is possible to realize a medicine storage device with less burden on an operator.

[Second Embodiment] A second embodiment of the present invention is a medicine storage device according to the above-described solution and embodiment, wherein medicines from the medicine cassette (first medicine cassette) are stored. Immediately upon sampling (counted by the counting means), the fluctuation value of the number of stored medicines in the corresponding medicine cassette and the medicines in the corresponding medicine cassette (the past use actual value for each patient or in a predetermined period or a preset value) And a removal warning means for performing a comparison with a set value (e.g., a given default value) and selectively issuing a warning according to the comparison result.

In this case, when the medicines are extracted from any of the medicine cassettes and detected by the counting means or the like, the change warning value of the medicines and the corresponding value are immediately notified by the ejection warning means. The set value is compared with the set value, and a warning is selectively issued according to the result of the comparison. That is, when the corresponding fluctuation value exceeds the allowable range based on the corresponding set value, a warning is issued to the worker / user.

Thus, if an appropriate amount of use is set in advance for each of the chemicals, the operator / user only needs to perform the minimum necessary operation and take out the desired chemicals. If you take out the medicines in excess of the expected appropriate amount, you will be alerted immediately, so you will be strongly warned before using the medicines. Will not be taken too easily. Therefore, according to this embodiment, after accurately grasping the stored medicines, information is provided at the time of taking out without impairing the ease of taking in and out of the medicines. In addition, it is possible to realize a medicine storage device with less burden on an operator.

[Third Embodiment] A third embodiment of the present invention is a medicine storage device according to the above-described solution and embodiment, wherein the support means or other support is provided without the intervention of the cassette holder. There is also provided another medicine cassette (second medicine cassette) supported by the means and capable of accommodating medicines larger than the medicines accommodated in the first medicine cassette, and the number of medicines accommodated in the medicine cassette is also determined by the counting means or That is, it is determined by another counting means.

In this case, large chemicals such as an infusion container are:
It is stored not in the first medicine cassette for storing small medicines but in the second medicine cassette suitable for storing large medicines. Then, the number of stored medicines in the second medicine cassette and, consequently, the used amount are also obtained by the counting means. As a result, the storage state of the infusion container and the like can be accurately grasped in real time. Therefore, according to this embodiment, it is possible to realize a medicine storage device that can accurately grasp the stored large and small medicines.

[Fourth Embodiment] A fourth embodiment of the present invention is a medicine storage device according to the above-described solution and embodiment, wherein a medicine larger than the medicine stored in the medicine cassette is housed. There is provided a medicine storage box mounting table on which the medicine storage box can be mounted and fixedly supported or removably mounted, and the number of stored medicines in the medicine storage box is also determined by the counting means or other counting means It is becoming required.

In this case, large-sized medicines such as infusions are transferred to a medicine storage box provided in the apparatus, or stored in a medicine storage box for transportation, and the medicine storage box remains as it is. It is placed on a platform and used for use. Then, in addition to the number of stored medicines in the medicine cassette, the number of stored medicines in the medicine storage box and thus the used amount are obtained by the counting means. As a result, the storage state of the infusion container and the like can be accurately grasped in real time. Therefore, according to this embodiment, it is possible to realize a medicine storage device that can accurately grasp the stored large and small medicines.

[Fifth Embodiment] A fifth embodiment of the present invention is the medicine storage device according to the above-described solution and embodiment, wherein the counting means is provided for each of the first medicine cassettes. It comprises a detecting means for detecting ingress and egress of medicines through the entrance in and out, and a calculating means for increasing or decreasing the corresponding count value in accordance with the detection result. In this case, each time there is an inflow or outflow of chemicals through the entrance, the detection means detects the ingress and egress distinction, and the corresponding count value of the cassette in and out of which is calculated by the arithmetic means according to the detection result. Can be increased or decreased. In this way, the number of stored chemicals in each cassette is obtained. However, since it is sufficient that the detection elements and the like are provided at the entrance or exit or in the vicinity thereof, the detection means can be realized at relatively low cost.

[Sixth Embodiment] A sixth embodiment of the present invention is the medicine storage device according to the above-described solving means and the embodiment, wherein the counting means is provided for each of the first medicine cassettes. Detecting means for detecting a physical quantity corresponding to the length of a row of medicines stored in the cassette or the last position of the row, and calculating means for generating or calculating a corresponding count value according to the detection result. It is to have. In this case, for each cassette, the row length and the like are detected by the detecting means based on the fact that the medicines are aligned and stored, and the count value corresponding to each cassette is included in the detection result by the calculating means. It is calculated or the like in accordance with it. In this way, the number of stored medicines in each cassette is obtained. However, since the detection at that time is performed by obtaining the length and position using the aligned storage state, the presence or absence of all the chemicals is detected one by one. It can be inexpensive and is more compact and more accurate than determining the total weight of chemicals. Moreover, since the detection is performed at any time regardless of the loading / unloading of the chemicals, the detection is also performed for the total number of the chemicals in the cassette. It is possible to easily and accurately grasp the storage state of the chemicals without any trouble.

[Seventh Embodiment] A seventh embodiment of the present invention is the medicine storage device according to the sixth embodiment described above, wherein the medicine cassette has an upper part opened to form a replenishing port. Alternatively, the inlet / outlet is extended upward to form a replenishing port, and furthermore, a detector holding member that holds a detector that can be detected from the outside in a non-contact manner is movably incorporated. Things. In this case, a replenishing port is formed in addition to the entrance and exit, and the replenishing port is widened at the top of the cassette, so that even when the medicine cassettes are closely arranged, it is possible to replenish the medicines from above. It is.
Thus, even if the medicine cassettes are not taken out one by one, for example, the replenishment operation can be performed even when the medicine cassettes are set in the cassette holder, and a further operation and effect can be obtained that the preparation operation can be performed easily and quickly.

[Eighth Embodiment] An eighth embodiment of the present invention is the medicine storage device according to the above-described seventh embodiment, wherein the range of movement of the element to be detected is regulated. Means are provided in the medicine cassette. In this case, the range of movement of the detected element holding member is regulated by the range regulating means, and the maximum number of medicines stored is determined in accordance with the range. Thereby, even if the operator does not count the number of stored medicines one by one at the time of batch replenishment that is difficult to automatically count, simply refilling the storage space of the medicine cassette with the medicines will replenish the known number of medicines. The Rukoto. When preparing drugs, medical treatment often involves a process called constant placement, and in such constant placement, it is necessary to arrange a predetermined number of each type of drug at every preparation work prior to medical practice In such a case, by adjusting the movement range of the detected element holding member to the predetermined number of the constant arrangement, the work load on the resupplier is reduced. In addition, even if replenishment is missing or insufficient at the time of replenishment work, automatic confirmation can be performed based on the counting by the counting means in a state where the medicine cassette is set in the medicine storage device, so that it is safe.

With respect to the medicine storage device of the present invention which has been achieved by the above-mentioned solution means and embodiments, specific embodiments for implementing the same will be described with reference to the following first to tenth embodiments. The first embodiment shown in FIGS. 1 to 11 embodies the first, third, and fifth embodiments in addition to the first to fourth solutions. The second embodiment shown in FIGS. 12 to 19 embodies the first to third, sixth to eighth embodiments in addition to the first to fourth solutions. . Further, the third embodiment of FIG. 20, the fourth embodiment of FIG. 21, the fifth embodiment of FIG. 22, the sixth embodiment of FIG.
The seventh embodiment of FIG. 24 and the eighth embodiment of FIG. 25 are modifications thereof. The ninth embodiment shown in FIGS. 26 and 27 and the tenth embodiment shown in FIG. 28 also embody the fourth embodiment described above. In the drawings, for simplicity and the like, fasteners such as bolts and coupling tools such as hinges are omitted from the drawings, and those necessary and related to the description of the invention are mainly shown.

[0041]

First Embodiment A first embodiment of the medicine storage device of the present invention will be described with reference to the drawings.
FIG. 1 is a front view showing the mechanical structure, and FIG. 2 is a right side view around the first medicine cassette. Also, FIG.
The structure of a medicine cassette is shown, (a) is a front view, (b) is a longitudinal section. Further, FIG. 4 shows a detailed structure and a medicine storage state of the first medicine cassette,
(A) is a right side view, (b) is a plan view, (c) is a front view,
(D) is a perspective view of a medicine storage state, and (e) is an open state view at the time of batch replenishment of medicines. 5A and 5B show the structure of the cassette holder, wherein FIG. 5A is a left side view, FIG.
(C) is a front view, and (d) is a perspective view of a state where a cassette is mounted. FIG. 6 is a block diagram of the counting means and the like. Further, FIG. 7 is a data example showing a storage state of the attention information, and FIG. 8 shows a presentation state of the attention information,
(A) is a screen display example, and (b) is a print example. 9A and 9B show a presentation state of a return place, wherein FIG. 9A is a screen display example before narrowing down, and FIG. 9B is a screen display example after narrowing down.

In this medicine storage device (see FIG. 1), a cassette holding section 10 (supporting means) and an operation section 30 are provided adjacent to each other on a base section 9. The direction of taking out the medicine 1 (in the illustration, a typical example of medicines small enough to be picked and handled with a finger, an ampule containing an injection) and the direction of operating the operation unit 30 are arranged on the front side and the front side. The connection of a signal transmission / reception cable (not shown) is made at the base 9 or at the rear side. The cassette holding unit 10 is provided with an appropriate outer frame or casing as a shelf frame, and is a dedicated shelf for cassettes in which cassette mounting shelves 11 are provided in multiple stages (in FIG. 1, upper and lower four stages). One or a plurality of cassette holders 14 can be placed on each cassette mounting shelf 11. The cassette holders 14 are capable of placing a plurality of / many cassettes 20 (first medicine cassettes) side by side as described later.

In the cassette mounting shelf 11 (see FIG. 2), in order to maintain the cassette 20 in an inclined state, the upper surface on which the cassette holder 14 is mounted is higher on the rear side and lower on the front side. The front end portion is formed with a bent portion or a protruding portion upward so as not to fall. Opening is provided between the upper and lower shelves and between the shelves and the top plate. When each cassette holder 14 is placed on the cassette mounting shelf 11 with the entrance 21 side of each cassette 20 facing the user, the total All the entrances 21 and the leading chemicals 1 are exposed to the front side, that is, to the front of the apparatus.

The operation unit 30 (see FIG. 1) is arranged in an appropriate box shape. On the front surface, in addition to the keyboard 31 to be operated, a printer 32 and a floppy (registered trademark) are provided.
A disk 33 and the like are provided, and a communication unit 34 and a main controller 44, which will be described later, are stored therein. The printer 32 also forms a part of a cautionary information presenting unit by presenting information in a printed output, so that the outlet of the printed paper is set on the front surface where the operator stands so that the information can be instantly presented. It is provided to be exposed toward.

A display 35 for presenting information on the screen as part of the caution information presenting means and presenting a location on the screen as part of the return place presenting means is also integrated with the operation unit 30. It is provided in. As the display 35, a CRT, a liquid crystal display panel, or the like is frequently used, but other display members may be used, and the display 35 may be separate from the operation unit 30. May be. Further, a speaker 37 is provided so that information can be presented by voice as part of the caution information presenting means. This also serves as a part of the return warning unit and the return confirmation unit, and may be incorporated in the operation unit 30. In this example, however, emphasis is placed on the ease of listening during operation, Installed on the front.

The base 9 (see FIG. 1) is provided with a moving caster, a fixing bolt, and the like on the lower surface thereof.
A plurality of and a large number of cassettes 80 (second medicine cassettes and other medicine cassettes) are stored side by side at the back of a front door that can be opened and closed, while also serving as a leg of the operation unit 30 and the zero. The cassette 80 arranges and stores an infusion container 2 larger than the medicine 1 (in the illustrated example, an infusion bottle containing a nutrient infusion or the like as a typical example of a medicine that is too large to be handled by picking with a fingertip). And does not have a cassette holder 14 attached thereto.

The cassette 80 (see FIG. 3, second medicine cassette, other medicine cassettes) is formed in a box shape larger than the cassette 20 in order to house the infusion container 2 in a line. Is to be done. In this state, the infusion container 2 replenished from the open upper surface is vertically overlapped and arranged in a line, and the infusion container 2 that has come to the bottom is exposed to a part of the extraction port 81, for example, the head is exposed. It is supposed to be. When the cassette 80 is also made detachable like the cassette 20, similarly,
Small holes are formed in the lower surface and the rear surface of the cassette 80 so as to correspond to the sensors 41 and 42 of the counting means 40 described later. When the cassette 80 is a fixed type (see FIG. 3), the sensor 41 is provided at the lower end. It is embedded and the sensor 42
Is buried. In any case, the detection of the infusion container 2 facing the extraction port 81 can be performed at a plurality of locations. Although illustration is omitted, when the replenishment of the infusion container 2 through the open upper surface is also automatically detected, detection means corresponding to the sensors 41 and 42 are provided near the upper end.

The cassette 20 (see FIG. 4, first medicine cassette) is formed of a substantially rectangular parallelepiped box in which the medicines 1 are arranged in a line in the front-rear direction and accommodated therein. It is slightly larger than that of Drug 1 and many times deeper. An upper corner portion of the front surface of the cassette 20 is cut out to form an entrance 21. The entrance 21 is largely cut out so that the head or upper half of the first medicine 1 is almost exposed, and viewed from the side. Also, the head of the medicine 1 is formed in a step-like shape so that the head or the like is almost exposed, and the head medicine 1 can be taken in and out. It is easy to do.

A member having a small coefficient of friction is used on the inner bottom of the cassette 20. When the cassette 20 is tilted downward, the stored chemical 1 slides toward the entrance 21 by its own weight. A weight 22 is built in to prevent the medicine 1 at the rear from falling down and also to positively push and urge the last medicine 1 toward the entrance 21. The weight 22 has substantially the same width as the medicine 1 and the same height or lower than that of the medicine 1, so that the weight 22 can freely move back and forth while sliding inside the cassette 20.

Further, the cassette 20 has a combination of a left half 23 and a right half 24 each made of plastic or the like in consideration of mass productivity and replenishment work. The two 23 and 24 are engaged at two places where the front part and the rear part overlap, and rotate and open and close around the center,
It is closed to form a box, and opened to make the inside greatly exposed. In addition, a front projection 25 that can be inserted into a groove 14a of the cassette holder 14 described later is formed on the front surface of the cassette 20, and a rear projection 26 that can be inserted into the groove 14b of the cassette holder 14 is formed on the rear surface. .
A small hole 20d is formed in the front surface of the cassette 20 corresponding to a sensor 41 of the counting means 40 described later, and a small hole 20c is formed in the bottom surface of the cassette 20 corresponding to the sensor 42.

The cassette holder 14 (see FIG. 5) is a shallow rectangular dish-shaped box made of light plastic or the like, and its front and rear lengths are such that the cassette 20 can be loaded. The front inner surface has an uneven surface formed with a large number of vertical grooves 14a, and the grooves 14a are formed to have a size in which the front projections 25 can be inserted. Further, the rear inner surface is also an uneven surface formed with a large number of vertical grooves 14b, and the rear projections 26 enter the grooves 14b. The front and rear grooves 14a and 14b correspond one-to-one, and the distance between adjacent grooves is such that the cassettes 20 are closely arranged.
Its width is the same or slightly larger. for that reason,
In the cassette holder 14 on which the cassettes 20 of the same width are to be mounted, the grooves 14a and 14b are formed at equal pitches, and the cassette holder 1 on which the cassettes 20 of different widths are to be mounted.
In 4, the grooves 14a and 14b are formed at an irregular pitch. The small holes 14 are also provided on the bottom surface of the cassette holder 14 at the same pitch as the grooves 14a, corresponding to the sensors 42 of the counting means 40.
c are formed through several.

The counting means 40 (see FIG. 6) includes a detecting means mainly composed of sensors 41 and 42 and a calculating means mainly composed of the main controller 44 in order to determine the number and the number of stored medicines 1 in each cassette 20. I have. Further, in this example, the main controller 44 includes a caution information presenting unit, a takeout warning unit, a return place presenting unit, a return warning unit,
As part of the return confirmation, preparation processing is also performed on screen data and audio data in addition to the caution information described below, so that the printer 32 and the display 35 are connected, and the speaker 37 is Synthesis circuit 36
And so on.

First, the detection means of the counting means 40 will be described. For example, a reflection type photo sensor for short distance is used for the sensors 41 and 42, and the cassette 20 is placed on the upper surface of the cassette loading shelf 11. A pair of sensors 41 and 42 are buried in each of the desired places (FIG. 2)
reference). The sensor 41 is provided at a protruding portion at the front end with the detection direction facing backward, and the sensor 42 is provided at a position slightly rearward from the front end with the detection direction facing upward.
As described above, small through holes 20 for transmitting the light transmitted from the sensors 41 and 42 and the reflected light therefrom are provided at the corresponding positions of the cassette 20 and the cassette holder 14.
Since d, 20c, and 14c are formed, the side surface and the bottom surface of the first medicine 1 stored in each cassette 20 are detected.

Next, the main controller 44 of the calculating means
Is a sub-controller 43 that is composed of an appropriate microprocessor system or the like and is provided for each cassette
, The detection results of all the sensors 41 and 42 can be taken. Then, by the program processing, the entrance and exit of the medicine 1 through the entrance 21 are detected in a distinguishable manner based on the difference regarding the transition state of the detection result of each pair of the sensors 41 and 42. Further, a count value table 46 is allocated to a built-in or external hard disk 45, and the count value table 46 is allocated to each cassette 20 to store and hold the count value of the number of stored medicines. An operation to increase or decrease the corresponding count value according to the result is also performed.

The counting process will be described in more detail later in the description of the operation. However, since the main controller 44 also performs the preparation process of the attention information in addition to the counting process, the main controller 44 searches for the attention information prior to the preparation process. It is necessary to perform the processing, and in order to store the caution information, the caution information is previously included in the management data 47 allocated to the hard disk 45 (see FIG. 7). The data holding form only needs to be searchable, and an appropriate data structure such as a file or a table can be used. Further, the data structure may be a simple array structure, or may be a two-stage or three-stage configuration in which a search is performed a plurality of times by changing the search target.

For example, in the case of a two-stage configuration (see FIG. 7), in addition to the prescribed medicine code and medicine name for each medicine, a caution statement code Column as appropriate (3 in the figure)
Column), and set the cautionary sentence code only when there is cautionary information there. If there is no caution information, leave it blank or set a specific code that means nothing. In addition, add a note master table,
For each of the cautionary sentence codes used in the medicine master table, a cautionary sentence consisting of character string data, a level consisting of numerical data (presentation level value), an abbreviation consisting of character data or symbol data, a speech synthesis circuit A voice sentence composed of character string data that can be processed at 36 is set.

Specific contents of the cautionary information include information on the similarity and administration of colors, shapes, names, and medicinal effects of the illustrated drugs, as well as information on drug standards and dispensing. Although illustration is omitted, the cautionary information is classified based on the similarity of the contents, etc., and the names of similar drugs are listed, such as by adding a cautionary statement classification master reflecting the contents. It can be easily expanded to a three-stage configuration that can present information in a detailed manner.

Assuming that such cautionary information is held, when the main controller 44 detects that the medicine 1 has been extracted from any one of the cassettes 20, specifically, the respective sensor pairs 41, When the calculation for increasing or decreasing the corresponding count value is performed according to the detection result of 42 or subsequently, for the drug 1 stored in the cassette 20 having the reduced count value at that time, the drug master table is first searched. The attention sentence code is obtained, and only when the next significant code is obtained, the attention sentence master table is also searched.
Attention information corresponding to the attention statement code is obtained and presented. That is, the obtained cautionary sentence is sent to the printer 32, the abbreviation is displayed at a predetermined position on the screen of the display 35, and the voice sentence is sent to the voice synthesis circuit 36 if it is not empty. In addition, at this time, the presentation state is changed according to the magnitude of the corresponding level value so that the larger the value is, the more noticeable it is. For example, the size of the character of the notice, the display color of the abbreviation, the volume of the voice, and the like are variable.

In order to reduce the burden on returning the medicine, the main controller 44 allows the operator to easily input a return notice by operating a specific key on the keyboard 31 or selecting a specific item such as a menu display on the display 35. You can do it. Then, when the input is made, the location is displayed on the display 35 for the cassette 20 from which the medicine 1 has been extracted after the power is turned on or after the initialization (see FIG. 9A). At this time, in order to make it easy to grasp the return location, the overall arrangement state of a large number of cassettes 20 is displayed, and the presentation target portion is darkened or colored conspicuously, and a drug name or code is added. ("A", "B", "C" in FIG. 9)
Etc.), so that it is clearly shown.

Further, when such a return place list screen is displayed, if the identification information such as the medicine name and the medicine code of the medicine 1 to be returned is input by operating the keyboard 31 or the like, the main controller 44 is displayed. Switches the display on the display 35 to, for example, a return location specifying screen, and if the input of the identification information is complete, the presentation target is a single location / cassette 2.
Although it is narrowed down to 0 (see FIG. 9B), if the input of the identification information is incomplete, a plurality of partially matched places are presented as significant. The input of the identification information is not limited to the direct input of the medicine name or the like, but can also be performed by an indirect input method such as selecting any one of the presentation targets on the screen by operating the arrow keys of the keyboard 31 or the like. It has become.

When the main controller 44 detects that the medicine 1 has been pushed into the cassette 20 through the entrance 21, it prepares confirmation information and outputs it by sound. Specifically, when the calculation for increasing or decreasing the corresponding count value in the count value table 46 is performed in accordance with the detection result of each sensor pair 41, 42, or immediately after, the cassette is stored in the cassette 20 in which the count value has increased at that time. With regard to the medicine 1 being used, characteristic data such as a medicine name, a medicine code, and, if present, color and size are obtained from the management data 47 by search / extraction, etc., and embedded in a fixed sentence for confirmation promotion. To complete the confirmation information, and then send it to the speech synthesis circuit 36. This is performed regardless of whether or not the return location is displayed.

When the pressing of the medicine 1 is detected during the display of the return place, the main controller 44 further performs a process of confirming whether or not the cassette 20 is included in the significant presentation target. That is, one of the locations displayed as candidates for the return destination on the display 35 and its cassette 2
A check is made to see if the location of zero matches. If they do not match each other, it is clear that an attempt has been made to return the cassette to an undesired cassette 20 that is not the target of presentation. It is designed to be sent.

In the medicine storage device of the first embodiment,
The mode of use and operation will be described with reference to the drawings. FIG. 10 shows a state change at the time of chemical removal, and FIG.
FIG. 8 shows a state change when the medicine is pushed in, and FIG.
It is an example of the attention information presented according to the extraction of the medicine 1 from 0, (a) is a screen display example, and (b) is a print example. FIG. 9 is a presentation example of a return place displayed on the screen in response to the pushing of the medicine 1 into the cassette 20;
(A) is a state before narrowing down, (b) is a state after narrowing down. 4A and 4B also show the use state of the cassette 20, wherein FIG. 4D is a perspective view of the medicine storage state, and FIG. FIG. 5D is a perspective view showing a state where the cassette 20 is mounted on the cassette holder 14, and FIG. 2 shows a state where the cassette 20 is mounted on the shelf 11 together with the cassette holder 14.

Prior to use, the infusion container 2 of a size suitable for each cassette 80 is sufficiently stored in advance, and each cassette 20 is stored with several chemicals 1 of a size suitable for each. However, at this time, the medicines 1 having expiration dates and the like are arranged so that the one with the latest expiration date is on the back side and the one with the early expiration date is on the front side. When the operation is performed with the power supply turned off or when the cassettes 20 and 80 are removed and stored together, the keyboard 31 or the like is operated to operate the count value table 4.
An appropriate initial value is set in the corresponding data of No. 6.

At this time, when the necessary amount of the medicine 1 is replenished to the cassette 20 at a time (see FIG. 4E), the right half 24 whose front and rear surfaces and the bottom surface are outward is rotated. Then, the whole is opened, the medicines 1 are arranged upright as needed in the left half 23 from the entrance 21 side, and then the weight 22 is placed on the right side, that is, the rearmost end. Then, when the right half 24 is turned and closed, the refilling operation is completed.

The cassette 20 containing the medicine 1 (see FIG. 4)
(Refer to (d)).
Comes to the entrance 21 and the head or the like is pinched by a finger. Such cassettes 20 are arranged side by side on the cassette holder 14 (see FIG. 5 (d)), and the cassette holder 14 is set together with the cassette holder 14 in the medicine storage device, that is, mounted on the shelf plate 11. (See FIG. 2) and supplied for final use on site.

In detail, in the case of an ampoule or the like for an injection for surgery, such preparation work is usually performed in a dispensing department in a hospital or in an anterior room of an operating room. That is,
Although it may be performed at each operation, usually, in order to reduce the work load of the injection medicine set, a sufficient number of medicines 1 sufficient for some operations assumed in a predetermined period such as a half day or a day, It is stored in each cassette 20. Then, the cassette 20 containing the medicine 1 that can be stored at room temperature is stored in the cassette holding unit 10, and the cassette 20 containing the medicine 1 that needs to be frozen and stored is stored in a cool box or the like in the front room of the operating room.

If such a work is performed in the anterior room of the operating room, it is necessary to wait for the use time. If the work is performed in the dispensing department or the like, an appropriate medicine transport cart or the like may be used in units of the cassette holder 14. Is transferred to the anterior room of the operating room, where it is temporarily stored in a medicine shelf, a cool box or the like. Then, by the time of use, a cassette 2 containing a medicine 1 that can be stored at room temperature
0 is set in the medicine storage device by the cassette holder 14 unit, and immediately before use, the cassette 20 such as a cool box is also set in the medicine storage device by the holder 14 unit. The infusion container 2 is stored in each of the cassettes 80 so as not to be short.

At the time of use, the medicine storage device is carried into the operating room. At this time, if the medicine storage device is previously placed on a cart or a stand with casters, etc., move it as it is and wait for use. On a desk or table. Then, the power supply and the like are checked, and the operation of the device is started. In this state, if one of the heads is taken out from the entrance 21 of the cassette 20 containing the desired medicine 1, the sensor 4 at the corresponding location is moved with the movement of the medicine 1.
The detection states of 1, 42 change, and the main controller 44 detects the removal.

That is, (see FIG. 10), the sensors 41 and 42 which were both in the "ON" state in the steady state (see FIG. 1).
0 (a)), the sensor 42 is first turned “OFF” with the upward movement of the first drug 1 (FIG. 10).
(See FIG. 10B), then the sensor 41 is also in the “OFF” state (see FIG. 10C), and when the second medicine 1 is shifted to the head position, the sensor 42 returns to the “ON” state (see FIG. 10 (d)) Finally, the sensor 41 is also "ON"
And returns to the steady state.

On the other hand (see FIG. 11), when the medicine 1 is pushed into the cassette 20 from the entrance 21, the sensor 41 is set to “O” as the second and subsequent medicines move backward.
From the "N" state (see FIG. 11 (a)) to the "OFF" state (see FIG. 11 (b)), the sensor 42 is also set to the "O" state.
The state changes from the “N” state (see FIG. 11B) to the “OFF” state (see FIG. 11C). Next, as the new medicine 1 is inserted and moved, the sensor 41 is turned on (see FIG. 11).
(See (d)), and finally, the sensor 42 is also set to “O
The state becomes "N" and returns to the steady state.

Such a change in the detection state of the sensors 41 and 42 is also taken into the main controller 44, and the entrance 2
It is detected that the medicine 1 has been re-entered via 1. Moreover, depending on whether you put out or put in medicine 1,
Since the order in which the sensors 41 and 42 change on and off is different, the two are reliably distinguished by the determination processing of the main controller 44. In this way, the entrance and exit of the medicine 1 through the entrance 21 are detected in a distinguished manner.

When the withdrawal / extraction of the medicine 1 is detected, the main controller 44 decrements the data of the corresponding count value in the count value table 46 by one. Chemical 1
Is increased by 1 when the push-in / insertion is detected. Thus,
Each time medicine 1 is taken in and out, cassette 2
The count value in the count value table 46 corresponding to 0 is appropriately increased or decreased, and the count value table 46 always accurately reflects the number of medicines stored in each cassette 20. In addition, detailed explanations to be repeated are omitted, but the cassette 8
The number of stored chemicals of zero is always accurately grasped.

Since such a counting process is performed automatically, a doctor or a nurse in the operating room looks at the cassette holding unit 10 whenever an injection is needed for the operation, and arranges it there. What is necessary is to select the applicable medicine 1 from among those present, reach out there, and extract it. This alone allows the necessary chemicals to be used immediately. Also,
When the use of the medicine 1 is stopped due to a change in the condition of the patient or the judgment of the medical condition, the medicine 1 may be pushed into the cassette 20 containing the same medicine 1 from the entrance 21 immediately or at an appropriate time after the end of the operation. . As a result, the medicine 1 taken out but not used is returned to an appropriate storage position in accordance with the order of the expiration date and the like, and the counting process is automatically performed.

After use or at any time even during use, the main controller 44 may use the contents of the count value table 46 as it is or in an appropriate format based on the management data 47 or the like in accordance with an appropriate operation of the keyboard 31 or the like. After the conversion to the data or adding the name of the medicine, the data is output to the printer 32 or the floppy disk 33. Further, when communication with the host computer or the like is possible via the communication unit 34, an appropriate message is sent to notify.

In this way, small medicines such as injections can be easily and quickly taken in and out with a single touch at a site such as an operation site where the medicine storage device is set, without impairing the workability there. In addition, at that time, the number of stored medicines is always accurately grasped without having to perform complicated work such as inputting the number of medicines taken in and out, and the used ampules in the disposal container are counted up one by one. Even if it is not necessary, the quantity of injections and the like used for the operation will be automatically and accurately determined, and it will be possible to automatically process the management necessary for replenishment, order placement, and the like of the insufficient medicine.

Further, in this medicine storage device, when the medicine 1 is taken out from any one of the large number of cassettes 20 and the data of the corresponding count value in the count value table 46 is decremented by 1, each time and immediately. , Main controller 44
As a result, a search for the corresponding drug 1 is performed for the drug master and the cautionary sentence master of the management data 47, and when there is cautionary information, it is sent to the display 35, the printer 32, and the voice synthesis circuit 36. If the display 35 is in a displayable state, abbreviations are displayed in a caution display column in the screen (see “same”, “color”, and “name” in FIG. 8A). At this time, if the corresponding level value is large, it is displayed in a conspicuous color, for example, red, and if the corresponding level value is small, it is displayed in an achromatic color or the like.

If the printer 32 is in a printable state, a cautionary statement is included in the print contents (FIG. 8B).
(Note 1) "Note 1-note the same kind and same drug" and "Note 2-note the similarity in color and shape" in the print example 32a). At this time, if the corresponding level value is large, the character is printed in a large character (see "Caution 1-Pay attention to the same kind and the same drug" in Print Example 32a), and if the level value is small, the character is printed in a small character (Print Example 32a, "Caution 2-Pay attention to color and shape similarity"). Further, if the voice synthesis circuit 36 and the speaker 37 are operable, and if there is a corresponding voice sentence, it is output as voice at a volume corresponding to the level value. In this way, when the operator takes out the medicine 1 from the cassette 20, the caution information is presented immediately only when it is necessary to call attention to the operator, so that the operator can feel comfortable and yet accurately. , Medicine 1 can be stocked.

In addition, in this medicine storage device, when the medicine 1 is returned to any one of the large number of cassettes 20 and the data of the corresponding count value in the count value table 46 is incremented by 1, each time the medicine 1 is returned. Immediately, the main controller 44
Thereby, confirmation information such as the name of the medicine related to the medicine 1 is notified to the worker by voice. Then, the worker who hears it naturally checks whether or not the identification information is the same as the identification information such as the medicine name given to the medicine 1 being held.
If they do not match, the operator immediately notices and restarts the return work, and if they match, the return work can be completed with peace of mind.

When the medicine 1 is returned, the return cassette 2
If the user forgets the location of “0” or is not sure, the operator inputs an advance notice before returning it.
Then, a list of the return destination candidates is displayed on the display 35 (see FIG. 9A), and a return place is searched therefrom. At this time, when the return destination cannot be found or is difficult to find in the list display, the first character of the medicine name or code of the medicine 1 is input using the keyboard 31 or the like, and the search is performed while narrowing down the presentation targets. .

When the return location is determined on the screen of the display 35, the medicine 1 is returned to the corresponding cassette 20. However, at that time, the wrong place to be returned or the cassette 20 was mistaken and the cassette 2
When the medicine 1 is pushed into 0, a warning is issued by voice from the speaker 37, which prompts the operator to input the identification information of the medicine 1. By inputting as many as possible and narrowing down the number of presentation targets to almost one (see FIG. 9B), a clear situation is created, and then the return operation is repeated. In this way, in this medicine storage device, not only taking out the medicine 1 but also returning it can be carried out easily and accurately.

In addition, since a plurality of cassettes, which are conceptually grasped in relation to each other, can be physically handled together by the cassette holder, the burden on the worker at the site is reduced, and the working efficiency is improved. Furthermore, the number of stored medicines is always accurately grasped not only for small-sized medicines but also for large-sized medicines such as infusions, so that the management of the medicines becomes easier and more accurate. Further, by providing the same sensor 41 and sensor 42 for the cassettes 20 and 80, the detection method is unified for the small chemicals 1 and the large chemicals 2,
The complication of the counting means 40 is avoided.

[0083]

Second Embodiment A specific configuration of a second embodiment of the medicine storage device of the present invention will be described with reference to the drawings.
FIG. 12 is a front view showing the mechanical structure, and FIG.
FIG. 4 is a right side view around the first medicine cassette. FIG.
4 shows the structure of the second medicine cassette, (a) is a front view, and (b) is a longitudinal side view. Further, FIGS. 15A and 15B show the detailed structure of the first medicine cassette, wherein FIG. 15A is an open view at the time of batch replenishment of medicines, and FIG. 15B is a perspective view of a medicine storage state. 16 is a perspective view showing the cassette 20 loaded on the cassette holder 14, FIG. 17 is a block diagram of the counting means and the like, and FIG. It is an example of data shown.

The difference between this medicine storage device and the first embodiment is that the counting means 40 is modified to become the counting means 50, and that the cassette 20 (first medicine cassette) and the cassette 80 ( The second medicine cassette is also modified for the modification of the counting means and for further improvement. A bar code reader 61 (reading device) is externally attached to the operation unit 30 (see FIG. 12) via a flexible cable or the like. It is possible to input identification information such as a medicine code. An appropriate buzzer 62 and the like are also incorporated in order to notify the completion of the reading, the discrimination result described later, and the like by sound (see FIG. 17).
Further, the main controller 44 and the management data 47
Are expanded to become the main controller 56 and the management data 59, and perform a warning issuing process at the time of removal in addition to the above-described caution information presentation process. They are different in that respect. Accordingly, the printer 32, the display 35, the voice synthesizing circuit 36, and the speaker 37 also serve as a part of the extraction warning means.

The counting means 50 is provided for each cassette 20.
The sensor 51 is mainly used to determine the number and number of stored medicines 1.
Body detection means and calculation mainly performed by the main controller 56
Means (see FIG. 17). Advantages such as resistance to dirt
Considering the points, the magnetic detection method was adopted as the detection means
As a result, the detected element 52 composed of a small permanent magnet is
The weight 22 is attached to the detected element holding member
(See FIG. 13). Also, a small hole in the cassette 20
20c, 20d and small hole 14c of cassette holder 14
Is omitted because it is unnecessary. Furthermore, cassette holder
14 is made of plastic or the like which does not impede magnetism
You.

As the sensor 51 (see FIG. 13), a magnetic sensor utilizing a Hall element or the like which is sensitive to the detected element 52 of a permanent magnet is employed.
2, the number of sensors 51 is small. ing. The sensor 51 is connected to the cassette 20
Is attached to the upper surface of the sensor substrate 53 and the like in a line so as not to be connected, but the number is one more than the maximum storage number of the cassette 20 and the pitch is Match the pitch of the medicine 1 aligned.

The sensor substrate 53 (see FIG. 13) is mounted on the upper surface of the cassette mounting shelf 11 or the like where the cassette 20 is to be mounted, and when the corresponding cassette 20 is set thereon, Each of the sensors 51 is located immediately below each stored medicine 1. Also,
The sensor substrate 53 (see FIG. 14) is also mounted on each cassette 80, so that each sensor 51 is positioned diagonally above each stored medicine 2 in a one-to-one relationship. That is, the cassette 8
Even if it is 0, the sensors 41 and 42 are lost, and instead, a sensor substrate 53 in which the sensors 51 are arranged at the same pitch as the diameter of the infusion container 2 is mounted on the back surface or the like. In the infusion container 2 storage space inside the cassette 80, a guide path 83 is formed along the alignment path of the infusion container 2, and a detected element holding member 82 in which the detected element 52 is accommodated moves on the guide path 83. It is provided so as to be movable.

While the sensor board 53 is provided for each of the cassettes 80 and 20, the sub-controller board 54 is provided for each cassette mounting shelf 11 and on the base 9. The sub-controller board 54 is attached to the lower surface of the cassette mounting shelf 11 or the inside of the base 9 in a state of extending laterally, and is connected to each sensor board 53 and the main controller 56 via an appropriate connector (not shown). The connection has been established (see FIG. 17). A sub-controller 55 such as a one-chip microcomputer is mounted on each sub-controller board 54, and the detection results of the respective sensors 51 are collected and relayed to the main controller 56 by relay processing or the like. I have.

The main controller 56 is composed of a microprocessor system and the like similar to the main controller 44, and similar peripheral devices such as the keyboard 31 and the hard disk 45 are also connected thereto. In response to 52 or the like, a program or the like of a portion responsible for generating a corresponding count value in accordance with the detection result has been modified. Specifically, the detection results of all the sensors 51 can be taken in through the sub-controller 55 provided for each cassette mounting shelf 11. Also, a built-in or external hard disk 57
Is allocated to each of the cassettes 20 and 80 to store and hold the count value of the number of stored medicines, and to calculate the corresponding count value according to the detection result of each sensor 51. Arithmetic processing and the like are also performed.

When the reading result is sent from the bar code reader 61, the main controller 56 outputs a buzzer 62 in accordance with whether or not the reading has been properly performed each time.
Drive. For example, short-time driving is performed using different timbres. Then, when an appropriate reading result is obtained, it is selectively used depending on whether or not there is a return notice. That is, the main controller 56 also performs a return confirmation process, a return warning process, a return location presenting process, and a presentation target limiting process in the same manner as the main controller 44 described above, but presents the return location according to the input of the return notice. When the reading result of the barcode reader 61 is obtained, it is processed as an input of identification information for limiting a presentation target.

On the other hand, at other times, it is handled as a confirmation input prior to replenishment or the like. In particular,
The read result is compared with management data 59 or the like of the hard disk 57 to determine whether or not storage is appropriate, and the buzzer 62 is driven according to the determined result. At that time, for example, use different tones from the above-mentioned tones, or change the number of intermittents, etc.
The driving is performed for a longer time than in the case described above.
The processing by the main controller 56 will be described in detail in the operation description to be described later.

Further, the main controller 56 determines whether or not to issue a warning to the operator in response to the removal of the medicine 1 from the cassette 20. (See FIG. 18),
In addition to the current setting table holding a set value group consisting of an initial count value and an allowable value for each cassette 20 or for each medicine code, the code and use of each medicine used or scheduled to be used for each patient code A setting table for each patient that lists the amount, and a setting for each section that lists the code of each drug and typical usage for each section number by dividing the treatment such as surgery for internal organ disease or plastic surgery into several. A table and have been added. Of these, a prescribed value is set in advance in the setting table for each section, and data is added to the setting table for each patient after treatment for a new patient or after determination of a prescription.

Then, on the premise that such a table has been established, the main controller 56
"No warning mode", "Basic mode" and "Patient mode"
The warning mode can be set to any one of the warning mode and the "section mode". Regardless of the setting in any mode, the value of the count value table 58 at that time is transcribed in the column of the initial count value in the current setting table, but the setting in the column of the permissible value differs depending on the mode. That is, in the case of the no-warning mode, all allowable values are set to practically infinite values,
In the case of the basic mode, each allowable value is set by input from the keyboard 31 or the like. In the case of the patient mode, the value corresponding to the designated patient is selected from the setting table for each patient, and is set to the allowable value of the current setting table. In the case of the section mode, a value corresponding to the designated section is selected from the section-by-section setting table and used as an allowable value of the current setting table.

If the warning mode is set to a mode other than the no-warning mode, the main controller 56
Detects that the medicine 1 has been extracted from any one of the cassettes 20, the cassette 2 having a reduced count value at that time.
For the medicine 1 stored in 0, first, the current setting table is searched to find the initial count value and the allowable value corresponding to the medicine code, and then the difference between the initial count value and the current count value is calculated. Then, a fluctuation value of the number of stored medicines in the corresponding medicine cassette is obtained, and the fluctuation value is compared with the permissible value to determine whether a warning is issued or not. For example, when the fluctuation value exceeds the allowable value, it is determined that a warning should be issued. In this case, the usage amount and the allowable value are sent to the printer 32, the display 35, and the speech synthesis circuit 36 together with the name of the medicine. I have.

Referring to further modification points of the medicine cassette 20 (see FIG. 15), first, the entrance 21 and the replenishment port 2 are provided.
7 is connected and integrated. That is, the replenishing port 27 is a large opening in which the entrance 21 is taken in as a part thereof in a state in which the entrance 21 is extended to the upper top plate portion.

Further, the guide member 76 is provided at the bottom of the internal space of the cassette 20, the stopper 74 (range regulating means) is provided on the guide member 76, and the detected element holding member 22 protrudes. In addition to the provision of the part 71 (manual operation member) and the wheels 72, 73 (tilt restricting means),
It has been remodeled. The guide member 76 is formed by processing, for example, a hollow square bar made of aluminum, a gate-shaped or L-shaped angle material, and has a guide groove 75 extending back and forth along the alignment path of the medicine 1 in the cassette 20. Have been.

A part of the detected element holding member 22 extends downward from the guide groove 75, and a pair of wheels 72 sandwiches the guiding member 76 from above and below with respect to the detected element holding member 22 thereabove. It is provided in a rollable state. Similarly, a pair of wheels 73 is attached to the detected element holding member 22 in a state where the pair of wheels 73 can roll with the guide member 76 interposed therebetween. Thereby, the detected element holding member 22 is
While being guided by the guide groove 75, it can freely move in the front-rear direction, that is, along the alignment path of the medicine 1, and is restricted from tilting.

The stopper 74 includes a nut accommodated below the guide groove 75 in a state where the rotation is restricted, and a guide groove 75.
The guide member 76 is formed by turning a knob portion protruding upward with a fingertip or the like.
Or loosen to change the fixed position. In the fixed state, when the detected element holding member 22 that has moved comes into contact with the detected element holding member 22, the detected element holding member 22 is prevented from further moving in the same direction. 22 is restricted.

A bar code label 77 is affixed to the cassette 20 at a place where the bar code reader 61 can easily read the bar code, for example, on the inside or outside of the front surface or side surface.
The bar code label 77 describes identification information such as a medicine code assigned based on the type of the medicine 1 and the like. Usually, the identification information printed on the bar code label of the medicine 1 to be stored. The same information is printed.
The bar code label 77 on the outer side is easy to read when the cassette 20 is removed from the shelf 11 or the cassette holder 14 of the medicine storage device, and the bar code label 77 on the inner side is used.
Can be read even when the cassette 20 is opened, and the barcode label 77 on the front surface can be read even when the cassette 20 is set on the shelf 11 of the medicine storage device.

A bar code label 77 is also attached to the cassette holder 14, for example, on the outer surface or the like where it can be easily read by the bar code reader 61. The barcode label 77 describes identification information such as a holder number assigned so that each cassette holder 14 can be identified, and the management data 59 and the like correspond to the identification information. Data in which identification information and identification information of several cassettes 20 to be loaded on the identification information are stored as many as the number of cassette holders 14 are stored.

The medicine storage device according to the second embodiment is described below.
The mode of use and operation will be described with reference to the drawings. FIG. 19 shows a state change at the time of taking in and out the medicine.

The difference from the first embodiment in the preparatory stage prior to use is that no data input operation for initializing the count value table 58 is performed no matter how the storage is performed. Further, in this case, regarding the replenishment of the medicine 1 into the cassette 20, it is of course possible to perform the batch replenishment with the left half 23 and the right half 24 opened as in the first embodiment (FIG. a)), but also
Since a large refill port 27 is also formed,
The medicine 1 can be replenished at any time via the replenishing port 27 even in a normal use state in which the container 4 is closed (see FIG. 15B).

Further, in this case, since the replenishing port 27 is formed in the upper part, the cassette 20
The medicine 1 can be replenished without removing the medicine 1 (see arrows and the like in FIG. 16). Therefore, since the cassettes 20 set in combination on the cassette holder 14 in advance for constant arrangement or the like can be collectively replenished in units of the cassette holders 14, handling such as replenishment work is further facilitated.

Further, in this case, for the cassette 20 in which the number of medicines to be stored at the time of batch replenishment is determined according to a constant arrangement or the like, the fixing position of the stopper 74 is adjusted in advance, and the detected element holding member 22 is moved to the stopper 74. A predetermined number of medicines 1 are stored in a state of being retracted to the side.
At the time of replenishment, regardless of whether the cassette 20 is open or closed, the protrusion 71 is lightly pushed by hand to stop the stopper 7.
Move backward until it hits 4. Then, the medicine 1 is filled and filled from the detection element holding member 22 to the front entrance 21 thereof. This ensures that the required number of medicines 1 are stored in the cassette 20 alone. Also, at this time, even if the detected element holding member 22 is moved by operating the protruding portion 71, the detected element holding member 2 can be moved.
2 moves lightly without tilting or falling down, and stops at the stopper 74 which is the limit of the moving range.

In addition, at the time of replenishment, the medicine 1 which can be seen at a glance by its color and shape characteristics, or the medicine 1 whose storage destination cassette is known by visually checking the medicine name or the like may be stored immediately. If it is not clear by visual confirmation or if you are not confident in the visual confirmation result and you have any doubts or doubts, operate the barcode reader 61 to attach the barcode label of the medicine 1 you are trying to store. In addition, the barcode label 77 of the cassette 20 is read.
Then, the suitability of the reading operation of the barcode reader 61 is confirmed by the main controller 56, and after the reading is normally performed twice, it is determined whether or not they match. If the two barcodes are read normally and they match, the sound of the buzzer 62 informs the user that the medicine 1 is suitable for the cassette 20. Do. On the other hand, if they do not match, the storage is not immediately performed, but another cassette 20 is selected as a candidate and the confirmation operation is performed again. In this way, even if it goes casually, it is properly stored without error.

Similarly, when the cassette 20 is placed on the cassette holder 14, if it is not clear, the bar code reader 61 is operated to read the corresponding cassette holder 14 and the bar code label 77 of the cassette 20. . Then, the main controller 56 confirms the suitability based on the management data 59, and the result is notified by the sound of the buzzer 62. Thus, the cassette 20 can be easily and appropriately collected by the cassette holder 14. Then, the refilled cassette 20 and cassette holder 14 are placed on the shelf 1 of the medicine storage device.
When it is set to 1, the stored medicine is automatically counted by the counting means 50, and when the data for confirming the constant arrangement is stored in advance in the management data 59 or the like, the automatic comparison with the data is also performed. Thus, replenishment can be completed easily and quickly.

When this medicine storage device is operated (FIG. 19)
(Refer to (a)), in each cassette 20, one of the sensors 51 is in the “ON” state, and the other sensors 51 are in the “OF” state.
Since the state becomes the “F” state, the number of the medicines 1 currently stored is immediately determined according to the order of the sensor 51 in the “ON” state. Then, the count value is stored in the count value table 58.
Is stored.

If the user wants to set or change the warning mode, he can do so even during use. In this case, if it is not necessary to check the usage, the mode is set to “no warning mode”. If a warning is required according to the usage, the mode is set to one of “basic mode”, “patient mode”, and “segment mode”. An allowable value or a specified value is also input to determine the set value of the current setting table. At this time, if you want to partially modify the default values of the patient unit and division unit, set them once in the “patient mode” or “division mode”, change to the “basic mode”, and then change Only the allowable value of the medicine 1 may be reset.

During use, when the first medicine 1 is taken out, the second and subsequent medicines 1 and the detector holding member 22 move so as to be shifted by one pitch toward the entrance 21 side. 19 shows that all the sensors 51 corresponding to the cassette 20 are in the "OFF" state (see FIG. 19).
(See FIG. 19B.) After the movement, the sensor 51 on the side of the entrance 21 among the adjacent sensors 51 is immediately turned on (FIG. 19).
(C)). On the other hand, when the medicine 1 is introduced from the entrance 21, the medicine 1 and the detector holding member
2 moves to the back side so as to be shifted by one pitch,
The sensor 51 in the “N” state moves to the next side on the back side (FIG.
(C) to (a)).

As described above, in any cassette 20, the position of the detector 52 corresponding to the last position of the row of the medicine 1 stored in each cassette 20 is always affected by the past process without any influence. Accurately detected. Although the repeated explanation is omitted, similarly, the number of medicines stored in the cassette 80 can be accurately grasped regardless of the past circumstances. Therefore, in this case, there is no need to manually input data such as the number of stored medicines at any stage, not only at the site of use, but the number of stored medicines is always accurately grasped.

Since such a counting process is automatically performed, a doctor or a nurse in the operating room always looks at the cassette holding unit 10 when an injection is needed for the operation, and there, What is necessary is to select the applicable chemical | medical agent 1 from a line, to reach out there, and to extract it. This alone allows the necessary chemicals to be used immediately. Moreover, in this medicine storage device, a large number of cassettes 20 are required.
The medicine 1 is extracted from any one of
When the data of the corresponding count value in is decremented by one, each time and immediately, not only the caution information is selectively presented by the main controller 56 as in the first embodiment described above, but also the A comparison is made as to whether or not the number of samples 1 exceeds the permissible value of the current setting table in the management data 59.
Warnings are issued by printing, display, and voice. Thus, when the operator takes out the medicine 1 from the cassette 20, the operator is immediately urged to check whether or not he / she has taken too much medicine more than expected, which is highly likely. Since it is performed only at the time, the operator can easily and precisely stock the medicine 1.

Further, in the case where the use of the medicine 1 is stopped due to a change in the condition of the patient or the judgment of the medical condition, etc., the entrance to the cassette 20 containing the same medicine 1 is made immediately or at an appropriate time after the end of the operation. Just push it in from 21.
Drug 1 that was taken out but not used
Is returned to an appropriate storage position according to the order of the expiration date, and the counting process is automatically performed. However, the reason for returning unused drug 1 to the cassette 20 during the operation or the like by the on-site worker is when the cassette 20 to be returned is clearly known immediately after the removal, or at a glance by the color and shape characteristics. Perform this only in certain cases.

When it is a little confusing or when you are busy and urgent, it is advisable to store them in an appropriate tray or the like until the operation or the like is completed, and then slowly return them. In any case, when returning the medicine 1 to the cassette 20, if it is desired to easily find the return destination or to perform the check while confirming the above, give the above-mentioned return notice and pay attention to the confirmation information flowing from the speaker 37. To pour.
At this time, if the identification information is input, the bar code reader 61 can be used to read the drug code or the like of the drug 1, which can be performed more easily than inputting via the keyboard 31. Thus, also in this case, erroneous storage at the time of return is easily and reliably prevented.

After the use, or at any time during use, the main controller 56 changes the contents of the count value table 58 as it is or appropriately based on the management data 59 or the like in accordance with an appropriate operation of the keyboard 31 or the like. After converting to a simple format or adding a drug name, the printer 32
Or to the floppy disk 33. Further, when communication with the host computer or the like is possible via the communication unit 34, an appropriate message is sent to notify.

In this way, at a site such as an operating site where a medicine storage device in which the medicine cassettes 20 are arranged and held is arranged, a medicine can be easily and quickly taken in and out with one touch at any time without impairing the workability there. And at that time,
The number of medicines stored is always accurately grasped, even if troublesome work such as entering the number of medicines taken in and out is not performed, and the operation can be performed without counting the used ampules etc. in the container for disposal. It is possible to automatically and accurately determine the quantity of used injection medicines and the like, and it is also possible to automatically carry out management necessary for replenishment of missing medicines and ordering. Also in this case, the same sensor 51 and detected element 52 are used for the cassettes 20 and 80,
The detection method is unified for the small chemicals 1 and the large chemicals 2, so that the counting means 40 is not complicated.

[0116]

Third Embodiment A third embodiment of the medicine storage device of the present invention will be described in detail with reference to the drawings.
FIG. 20 shows a right side view of the cassette 20 with the sensor 51 and the detector holding member 22 added thereto. FIG. 20A shows a state in which a small-diameter chemical 1 is stored, and FIGS. Of the medicine 1 is stored.

In the above-described second embodiment, the pitch of the medicine 1 and the pitch of the sensor 51 coincide with each other.
In the medicine storage device of the third embodiment, the pitch of the medicine 1 and the sensor 5 are used in order to share the sensor substrate 53.
Even if the cassette 20 does not match the pitch of 1, the length of the medicine row and the count value can be obtained correctly.

In this case, the sensors 51 are arranged in a row at the pitch at which the small-diameter chemicals 1 are aligned, and the detection target 52 has a longer sensitive range than the pitch and does not coincide with an integral multiple (see FIG. 20 (a)). In addition, the sensor 51 and the detected element holding member 22 under the same conditions are also used for aligning and storing the large-diameter medicine 1 (see FIG. 20B). As a result, the sensor substrate 53 can be used in common for the various types of chemicals 1, and the mass production effect can be enjoyed. For the medicine 1 having the same pitch, an accurate medicine row length and count value can be obtained as described in the second embodiment. Also, for the medicine 1 whose pitch does not match,
If the medicine 1 is taken in and out, the detected element 52 moves a distance of one pitch or more of the sensor 51, so that the difference in the length of the medicine row is reliably detected.

Further, the sensor 51, which is sensitive to the tip of the detected element 52, may be in an uncertain state due to the pitch shift. Even in such a case, the length of the detected element 52 is an integer of the pitch. Since it is shifted from double, the sensor 51 responsive to the rear end of the detected element 52 is clearly determined. for that reason,
A plurality of on / off (ON / OFF) patterns can be assigned to the length and count value of the corresponding number of drug rows (see FIG. 20 (c)). The count value can be obtained accurately.

It should be noted that such calculation and discrimination processing may be performed each time detection is performed by numerical calculation or the like in the sub-controller 55 or the main controller 56. And the like, and the processing for each detection may be performed by a search with a light load. In addition, the sensor substrate 53 may have a sensor pitch corresponding to the smallest chemical 1, and all may be unified. Alternatively, the sensor substrates 53 may be collectively used for several types of sensor pitches. Further, unlike in the first embodiment, since there is no need to accumulate, even if it is put in and out one by one, or put in and out plurally, it is done quickly or slowly.
The medicine 1 stored in the cassette 20 is always accurately counted in the static state without being affected by the transient state.

[0121]

Fourth Embodiment FIG. 21 is a vertical cross-sectional view of the cassette holding unit 10 according to the present invention. It has been modified so that it can be stored in a state. Specifically, after a box-shaped casing is adopted for the cassette holding unit 10, a large opening is formed on the front surface thereof, and a curtain 12 for covering the opening is also added.

In this case, when not in use, the curtain 12 is lowered to darken the inside of the cassette holding section 10 (FIG. 21).
(A)). On the other hand, during use such as during surgery, the curtain 12 is housed in the winder 13 or the like, and the front opening of the cassette holding unit 10 is opened (see FIG. 21B). In this state, the entrance 21 and the leading medicine 1 of each cassette 20 appear and can be visually recognized and the like. After the operation, etc., the curtain 12 is lowered again. Thus, the exposed state is easily and quickly secured during use.

[0123]

Fifth Embodiment FIG. 22 shows a right side view of the cassette holding unit 10 according to the present invention.
In this case, the cassette is exposed and supported not only on the front side but also on the rear side (see FIG. 22 (a)).

In this case (see FIG. 22B), the cassette 20 is set by utilizing the fact that the rear side of the cassette 20 is largely released and the fact that the cassette mounting shelf 11 is inclined forward and downward. Work, replacement work, and the like can be easily performed on the cassette holder 14 unit from the rear of the apparatus.

[0125]

Sixth Embodiment FIG. 23 shows a right side view of a cassette holding section 10 in which the medicine accommodating apparatus of the present invention is different from that of the above-described fifth embodiment in that a draw-out mechanism 15 + 16 is provided for each shelf board 11.
Is provided.

The draw-out mechanism 15 + 16 may be any suitable as long as it can support the shelf board 11 so that it can be pulled out. In this example, a rail with a lock function is employed. That is, it comprises a mounting rail 16 which is mounted and fixed to a side plate or the like of the cassette holding portion 10 and a drawer rail 15 which can slide in the longitudinal direction and move forward and backward. In addition, drawer rail 1
5 is automatically locked when pulled out, and is manually unlocked. Further, in this example, the draw-out rail 15 is drawn obliquely rearward and upward.

In this case, when removing the cassette 20 and the cassette holder 14 from the apparatus for replenishing chemicals, etc.
First, the cassette holder 14 is pulled up rearward (see FIG. 23A). Then, when the drawer rail 15 is locked, the cassette holder 14 is lifted and taken out from the drawer rail 15 and the shelf board 11 (see FIG. 23B). When the cassette 20 and the cassette holder 14 are set in the apparatus, they are performed slowly in reverse order (FIG. 23).
(See (b) and (a)). In this manner, when replacing the cassette 20 from the rear by using the inclination of the shelf plate 11,
Even a large number of medicines 1 and cassette holders 14 on which cassettes 20 are placed can be easily performed.

[0128]

Seventh Embodiment FIG. 24 is a right side view of the cassette holding section 10 and is different from the above-described sixth embodiment in the medicine storage apparatus of the present invention. It is the point that has come to be. In addition, the drawer rail 15 is automatically locked in the retracted state correspondingly.

In this case, when the cassette 20 and the cassette holder 14 are removed from the apparatus, first, the lock of the draw-out rail 15 of the shelf board 11 on which the cassette holder 14 is mounted is released, and the shelf plate 11 is slowly pulled down forward ( FIG. 24 (a)). Then, when the drawer rail 15 stops, the cassette holder 14 is lifted and taken out from the drawer rail 15 and the shelf board 11 (FIG. 24B).
reference). When the cassette 20 and the cassette holder 14 are set in the apparatus, the order is reversed (FIG. 24B,
(A)). Thus, even from the front, the cassette 20
Can be easily exchanged.

[0130]

Eighth Embodiment A concrete configuration of an eighth embodiment of the medicine storing apparatus of the present invention will be described with reference to the drawings.
25A is a front view, FIG. 25B is a right side view,
(C) is a front view at the time of cassette attachment / detachment. The difference of this medicine storage device from that of the above-described seventh embodiment is that a drawer mechanism 15 + 16 is a large set so that the cassette holding portion 10 can be pulled out collectively instead of the individual shelf plates 11. Is a point. The cassette holding unit 10 is supported so as to be able to move back and forth substantially horizontally, and when pulled out forward (see FIG. 25B), left and right side surfaces are released. Further, the operation unit 30 is incorporated in the upper part of the cassette holding unit 10 by utilizing the space, and the base unit 9 has a height close to the waist position so that the user can easily stand while extracting the medicine 1 from each cassette 20. The front door is opened so that a container for disposal and other tools can be stored.

In this case, when the cassette 20 and the cassette holder 14 are to be attached and detached, the cassette holder 10 is pulled out forward, and the cassette holder 14 is inserted and removed by sliding on the shelf 11 from the left and right. (See FIG. 25 (c)). In this way, not only the work is performed from the front side but not the rear side of the apparatus, and the cassette 20 and the cassette holder 14 need only be moved horizontally even though the shelf 11 is inclined.
It is possible to exchange 0s and the like more easily.

[0132]

Ninth Embodiment A specific configuration of a ninth embodiment of the medicine storing apparatus of the present invention will be described with reference to the drawings.
FIG. 26 is a front view showing the mechanical structure. Also,
FIG. 27 shows two modes for storing large chemicals. That is, (a) is a front view and (b) is a side view, and these figures show a mode in which the medicine storage box can be removed. Also, (c) is a front view and (d) is a side view, which show another embodiment in which the medicine storage box is fixed.

The difference between this medicine storage device and the above-described embodiments is that the medicine storage box mounting portion 90 is provided in the base 9.
Is stored (see FIG. 26). The medicine storage box mounting portion 90 may be a single one, but usually a plurality of them, and may be arranged side by side with the cassette 80, or the cassette 80 may be completely replaced as shown in the figure. The medicine storage box mounting section 90 (see FIGS. 27 (b) and 27 (d)) is supported so as to be able to be pulled out by a drawer member 93 such as a drawer rail, and the medicine storage box 3 is pulled out forward. It is exposed.

The medicine storage box 3 stores the infusion container 2 in a factory or the like.
Cases where a predetermined number of boxes, such as individual or ten pieces, are shipped and delivered to a pharmacy or the like are used as they are (FIG. 27 (a),
(See FIG. 27B.) In some cases, a dedicated box fixedly attached to each medicine storage box loading section 90 is used (FIG. 27).
(C) and (d)). In the former case (FIG. 27 (a),
(See (b)), the upper part of the medicine storage box 3 can be easily peeled off, and the medicine storage box 3 whose upper surface is released can be detachably stored in the medicine storage box mounting part 90. A tray 91 is provided which is slightly wider than the bottom surface of the medicine storage box 3 but is slightly shallower than the bottom surface of the medicine storage box 3, and the medicine storage box 3 is placed thereon. On the other hand, in the latter case (see FIGS. 27C and 27D), since the infusion container 2 is transferred, a deep and durable box with an open upper surface is adopted as the medicine storage box 3. The medicine storage box mounting table 91 that supports it may be smaller than the lower surface of the medicine storage box 3.

In any case, a weighing member 92 is provided below the medicine storage box 3 and the medicine storage box mounting table 91, and the weight of the infusion container 2 stored in the medicine storage box 3 can be measured. I can do it. In the medicine storage box 3, for example, a 500 ml infusion bottle or 1000 ml
In many cases, several to a dozen or so infusion bags are contained in the weighing member 92, for example, 3 kg, 10 kg, or 3 kg.
A load cell or the like having an upper limit of weighing such as 0 kg is adopted, and the weighing result is sent to the main controller 56 as needed.

In this case, the offset value of the corresponding weighing member 92 and the unit weight value of the stored infusion container 2 are set in advance in the management data 59 so as to correspond to each medicine storage box mounting section 90. When the device is used, the handling of the medicine 1 is performed in one action in the same manner as described above.
The infusion container 2 is taken out with the withdrawal and return of the medicine storage box mounting portion 90. And
When the infusion container 2 is taken out of any of the medicine storage box mounting sections 90, the contents of the medicine storage box 3 become lighter, and the output value of the corresponding weighing member 92 changes. The number of infusion containers 2 is calculated again in the program processing.

Thus, also in this case, the number of the infusion containers 2 as well as the medicine 1 is automatically and quickly grasped.
Moreover, since the infusion container 2 is handled differently from the medicine 1 and has a large unit weight, there is no inconvenience even if counting is performed based on a simple and inexpensive weighing. Therefore, in this case, a medicine storage device that can store both large and small chemicals 1 and 2 and that performs accurate management can be realized at low cost.

[0138]

[Tenth Embodiment] A specific configuration of a tenth embodiment of the medicine storage apparatus of the present invention will be described with reference to the drawings. FIG. 28 is a front view showing the mechanical structure. This medicine storage device differs from that of the above-described ninth embodiment in that the medicine storage box mounting portion 90 is moved from the base 9 to the side portion 8. The base 9 incorporates a normal cupboard,
There, medicines, instruments, and the like that are used less frequently than the infusion container 2 are stored. When managing the number, the barcode reader 61 or the like is used. In this case, accurate management of a larger number of chemicals is performed with the intervention of humans and avoiding an increase in cost.

When weighing based on weighing is also performed, when refilling the infusion container 2 or exchanging the medicine storage box 3, if the user is concerned about damage to the weighing member 92 or severe fluctuations in the weighed value, the user is required to mount the medicine storage box. It is preferable that the mounting table 91 be moved up and down by an appropriate lever operation or the like. By the movement,
At the time of replenishment or the like, the medicine storage box 3 rises from the pressure receiving surface of the weighing member 92, and the weight of the medicine storage box 3 is applied to the pressure receiving surface of the weighing member 92 at the time of use, so that the medicine storage box 3 can be easily transferred to the weighing member 92. Overload is reduced.

[0140]

[Others] The combination of each solution and each embodiment is not limited to the above-described embodiment, and various combinations are possible.

The identification information is not limited to a bar code, but may be a character or a symbol. Correspondingly, the reading device is not limited to a bar code reader, but may be a character reading device such as an OCR or the like.
A combination of an imaging device such as a CCD camera and an image processing device may be used. The confirmation means for notifying the discrimination result and the like in a confirmable manner is not limited to the buzzer 62 that emits a sound. The synthesized sound may be output from a speaker, or may be displayed as characters or images on a display or the like. good.

Further, in each of the above embodiments, the medicine 1 was an injection containing an ampoule. However, the medicine 1 is not limited to this.
If it is a solid, it may be left naked. The medicine cassette and the medicine storage device of the present invention are not limited to the operating room, but the operating room, the treatment room, the contrast room, the nurse center, etc.
It is useful in hospitals, outpatient wards, dispensing departments, and elsewhere in hospitals and pharmacies.

The urging means is not limited to the above-mentioned one utilizing gravity, but may be one utilizing spring resilience, fluid force such as air pressure, frictional force due to an endless belt, or the like. If such an urging is performed, the medicine cassette may be held horizontally. If the medicine 1 does not have to worry about falling down, and if the medicine 1 can surely move only by its own weight, the explicit urging member can be omitted. Further, the cassette holding unit 1
0 is not limited to a fixed rectangular shelf, but may be a rotating cylindrical body or the like. Further, the cassette holding unit 10 and the operation unit 30 may be installed separately from each other, or may be integrated.

The shelf 11 is not indispensable for the cassette holder 10. For example, if the cassette holder 14 is supported at both left and right ends of the cassette holder 14, the cassette holder 14 also functions as a shelf, so that an appropriate material such as an angle material can be used. Support members can be used. In this case, the sensor 51 and the sensor substrate 53 may be provided in a portion of the shelf frame that does not interfere with the cassette holder 14, or the sensor 51 and the like may be provided in the cassette holder 14.
The signal transmission required for the counting process may be established manually or automatically when the cassette holder 14 is set in the cassette holding unit 10 by attaching or detaching the connector or wirelessly.

In the first embodiment, the sensors 41 and 42 are
The present invention is not limited to the light detection method described above, but may be any as long as it can detect the presence or absence of the medicine 1, and may detect, for example, a change in capacity or the presence or absence of contact.

In the above-described second embodiment, for simplicity, all the sensors 51 are located directly below the stored medicine 1, but this condition is not essential. Even if the number of stored medicines 1 changes, the detected element 52 only needs to be located directly above any of the sensors 51, and the distance between the last medicine 1 and the detected element 52 is equal to the stored medicine 1. In this case, the stored medicine 1 and the sensor 51 need to be shifted by the difference. The arrangement of the sensor 51, the sensor substrate 53, and the detector 52 in the vertical direction is not limited to the above-described arrangement. For example, the sensor 51 and the like are attached to the lower surface of the upper shelf plate 11 and the detector holder 22 May be made equal to or higher than the chemical 1, and the detector 52 may be attached to the upper end thereof.

In the second embodiment, the cassette 2
The position of the detected element 52 in the detected element holding member 22 is detected as a physical quantity corresponding to the last position of the row of the medicine 1 being stored at 0. 1
Since the number of stored medicines can be accurately calculated by dividing the number of stored medicines, the length of the row of stored medicines may be detected.
Further, the length may be directly measured from the beginning to the end of the row of the medicine 1, and the detected element holding member 2
The distance may be calculated indirectly by measuring the moving distance of No. 2.

[0148]

As is clear from the above description, in the medicine storage device according to the first solution of the present invention, the medicines are inserted into and removed from the medicine cassette by hand through the entrances. In addition to being able to perform such operations, the automatic counting of those chemicals is also performed, and the location is presented according to the notice of the return of the chemicals, and the location is confirmed according to the return of the chemicals. As a result, the stored medicines can be accurately grasped, and confirmation will be performed at the time of return without impairing the ease of entry and exit of the medicines,
As a result, there is an advantageous effect that it is possible to realize a medicine storage device in which not only a burden is reduced from the viewpoint of workability such as an operation procedure, but also a burden on a worker is reduced mentally.

Further, in the medicine storage device according to the second solution of the present invention, not only a warning but also a concrete countermeasure is presented, so that the burden on the operator is reduced. There is an advantageous effect that a medicine storage device can be realized.

Further, in the medicine storage device according to the third solution of the present invention, the search range and the confirmation range of the return destination are narrowed by using the identification information, so that the burden on the operator is reduced. There is an advantageous effect that a smaller number of medicine storage devices can be realized.

Further, in the medicine storing apparatus according to the fourth solution of the present invention, it is possible to manually insert and remove medicines into and out of the medicine cassette from the doorways which are lined up and expose the medicines. Automatic counting is also performed, and the necessary information is given when returning the chemicals to encourage the confirmation work, so that the stored chemicals can be accurately grasped and the ease of access to the chemicals is impaired. The confirmation is performed at the time of return, and as a result, it is possible to realize a medicine storage device that not only has a small burden from the viewpoint of workability such as an operation procedure but also has a small mental burden on a worker. Effect.

[Brief description of the drawings]

FIG. 1 shows a first embodiment of a medicine storage device of the present invention.
It is a front view showing the mechanical structure.

FIG. 2 is a right side view around a first medicine cassette.

3A and 3B show the structure of a second medicine cassette, wherein FIG. 3A is a front view and FIG.

FIGS. 4A and 4B show a detailed structure and a medicine storage state of a first medicine cassette, wherein FIG. 4A is a right side view, FIG. 4B is a plan view, FIG. 4C is a front view, and FIG. The perspective view, (e), is a state at the time of batch replenishment of the medicine.

5A and 5B show the structure and use state of the cassette holder, wherein FIG. 5A is a left side view, FIG.
(C) is a front view, and (d) is a perspective view in use.

FIG. 6 is a block diagram of counting means and the like.

FIG. 7 is a data example showing a storage state of attention information.

FIGS. 8A and 8B show a presentation state of attention information, in which FIG. 8A shows a screen display example, and FIG.

9A and 9B show a presentation state of a return place. FIG. 9A is a screen display example before narrowing down, and FIG. 9B is a screen display example after narrowing down.

FIG. 10 is a state change diagram at the time of taking out a medicine.

FIG. 11 is a state change diagram at the time of returning medicine.

FIG. 12 is a front view showing a mechanical structure of a medicine storage device according to a second embodiment of the present invention.

FIG. 13 is a right side view around the first medicine cassette.

14A and 14B show a structure of a second medicine cassette, wherein FIG. 14A is a front view and FIG. 14B is a longitudinal side view.

15A and 15B show a detailed structure of a first medicine cassette and a medicine storage state, wherein FIG.
(B) is a perspective view of the medicine storage state.

FIG. 16 is a perspective view showing a state in which the first medicine cassette is replenished with medicines in a different manner.

FIG. 17 is a block diagram of counting means and the like.

FIG. 18 is a data example showing a holding state of a setting value for a takeout warning unit.

FIG. 19 is a state change diagram at the time of taking in / out a medicine.

20 (a) to (c) show a third embodiment of the medicine storage device of the present invention, in which a sensor and a detector are added to the right side view of the first medicine cassette.

FIG. 21 is a vertical sectional right side view of a cassette holding portion of a fourth embodiment of the medicine storage device of the present invention.

FIG. 22 is a right side view of a cassette holding portion of the fifth embodiment of the medicine storage device of the present invention.

FIG. 23 is a right side view of a cassette holding portion of the sixth embodiment of the medicine storage device of the present invention.

FIG. 24 is a right side view of the cassette holding portion of the seventh embodiment of the medicine storage device of the present invention.

25 (a) and (c) are front views and FIG. 25 (b) is a right side view of the eighth embodiment of the medicine storage device of the present invention.

FIG. 26 is a front view showing a mechanical structure of a ninth embodiment of the medicine storing apparatus of the present invention.

FIG. 27 shows the structure of the medicine storage box loading section, wherein the front view of FIG. 27A and the side view of FIG. 27B are of a removable form of the medicine storage box, and the front view of FIG. The side view of d) is another embodiment in which the medicine storage box is fixed.

FIG. 28 is a front view showing the mechanical structure of a tenth embodiment of the medicine storage device of the present invention.

[Explanation of symbols]

Reference Signs List 1 medicine (drug, medicine, small medicine) 2 infusion container (infusion bottle, infusion bag, medicine, large medicine) 3 medicine storage box (box for storing large medicine) 8 side (Drug storage box storage unit) 9 Base (base, legs, base, underframe, drug storage box storage unit) 10 Cassette holding unit (holding unit, hangar, shelf,
(Supporting means) 11 Shelf (cassette mounting shelf) 12 Curtain (dark curtain, shutter, door, front opening / closing member) 13 Winder 14 Cassette holder 14a Groove (drugs for defining drug cassette loading position) 14b Groove (drug cassette) 14c Small hole 15 Pull-out rail (movable member, pull-out mechanism) 16 Mounting rail (fixed member, pull-out mechanism) 20 Cassette (drug cassette, first drug cassette) 20c Small hole 20d Small hole 21 Doorway (End opening) 22 Detected element holding member (sliding member, movable body, weight, biasing means) 23 Left half (left side, inner half) 24 Right half (right side, Outer half) 25 Front projections (positioning irregularities) 26 Rear projections (positioning irregularities) 27 Refill port (upper opening) 30 Operation unit (for operation, instruction, display, input, output, etc.) Separate unit 31 Keyboard (manual input means, identification information input means) 32 Printer (output means in print form, warning information presentation / warning means) 33 Floppy disk (FD, storage medium, output means to recording medium) 34 Communication Unit (online or remote output means) 35 Display (screen display, caution information / return location presentation / warning means) 36 Voice synthesis circuit (voice output, caution information presentation / warning / return confirmation means) 37 Speaker ( Voice output means, caution information presentation / warning / return confirmation means) 40 counting means 41 sensor (centralized arrangement member, non-weighing means, detecting means for taking in / out medicine) 42 sensor (centralized arrangement member, non-weighing means, detecting means for taking out / in medicine) ) 43 Sub-controller (lower-order arithmetic means) 44 Main controller (higher-order arithmetic and management means,
Search / comparison means) 45 Hard disk (HD, secondary storage device, data holding means) 46 Count value table (return place data) 47 Management data (attention information) 50 Counting means 51 Sensor (row member, non-weighing means, chemicals) Detecting means at the end of row) 52 Detected element (permanent magnet indicating the end of chemical row) 53 Sensor board (printed circuit board for each cassette, sensor holding member) 54 Sub-controller board (printed circuit for each row cassette group) Board) 55 sub-controller (lower-order arithmetic means) 56 main controller (higher-order arithmetic means, management means) 57 hard disk (HD, secondary storage device, data holding means) 58 count value table 59 management data (attention information, setting values) ) 61 Barcode reader (reading device, identification information input means) 62 Buzzer (confirmation means) 71 Projection (knob) 72 Wheels (rolling wheels, movable means, tilt regulating means) 73 Wheels (rolling wheels, movable means, tilt regulating means) 74 Stopper (chemical constant adjusting member, range regulating means) 75 Guide Groove (moving path, tilt control auxiliary means, range control auxiliary means) 76 Guide member (rail, tilt control auxiliary means, range control auxiliary means) 77 Barcode label (read information writing member, identification information information holding means) 80 Cassette ( 2nd medicine cassette, other medicine cassettes) 81 Extraction opening 82 Detected element holding member 83 Guide path (guide groove, guide member, guide rail) 90 Medicine storage box loading section 91 Drug storage box loading table (receiving stand) 92 Weighing member (load cell, weighing means, infusion weight detecting means) 93 Pull-out member (draw-out rail, pull-out mechanism)

Claims (5)

[Claims] 1. A plurality of medicine cassettes formed so as to be able to store and store medicines therein and formed with entrances and exits at the ends of the alignment path which can be pushed in addition to extracting medicines, and exposing the entrances and exits. Means for detachably supporting the medicine cassette in a retracted state, counting means for calculating the number of medicines stored in the medicine cassette, and removal of medicines from the medicine cassette in response to input of a return notice. Return place presenting means for presenting the location of the product, and immediately confirming whether or not the medicine cassette is included in the presentation target of the return place presenting means in response to pushing the medicines into the medicine cassette, and A medicine storage device comprising return warning means for selectively issuing a warning in accordance with a confirmation result. 2. The medicine storage device according to claim 1, wherein said warning requests input of identification information of medicines. 3. The medicine storage device according to claim 2, wherein the presenting means of the return place presenting means is limited in accordance with the input of the identification information. 4. The medicine storage device according to claim 1, wherein when the identification information of medicines is inputted in addition to the return notice, an object to be presented by the return place presenting means is limited accordingly. 5. A plurality of medicine cassettes formed so as to be able to store and store medicines therein and formed with entrances and exits at the end of the alignment path, which can be pushed in addition to extracting medicines, and exposing the entrances and exits. Means for detachably supporting the medicine cassette in a state where the medicine cassette is stored, counting means for determining the number of medicines stored in the medicine cassette, and medicine in the medicine cassette immediately in response to pushing of the medicine into the medicine cassette. Storage device having return confirmation means for issuing confirmation information of a kind by voice.