JP2011136212A - Medication dispensing device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To facilitate medication filling work by removing a medication tray from a device body despite a simple and inexpensive constitution. <P>SOLUTION: An opening/closing door 11 includes a first flat plate 18 and a second flat plate 19 whose mutually adjoining one side edges are rotationally connected. The other side edge of the first flat plate 18 is guided enterably into a door storage section. A slide unit provided in the upper side of the other side edge of the second flat plate 19 is slidably supported along guide rails 12 and 13 provided in the upper part of a rack body 28 and is forward foldable from the front face of the rack body 28. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a medicine dispensing device.

  Conventionally, as a medicine dispensing device, for example, one having the following configuration is known.

  Patent Documents 1 and 2 describe a medicine storage device in which a plurality of cassettes containing medicines in an aligned state are detachably attached to a cassette holder, and the cassette holder can be detachably attached to a shelf board. Is disclosed. In this medicine storage device, when the medicine is taken out from the cassette or returned to the cassette, it is detected by a sensor provided at the head of the cassette, and the amount stored is calculated by adding or subtracting from the data stored in advance. I have to.

  However, in the configurations described in Patent Documents 1 and 2, the number of parts is large, an operation for assembling them is required, and assembly accuracy is also required. In addition, there are various types of chemicals of different sizes, and a dedicated cassette is required for each. Moreover, the cassette holder needs to be matched to that. For this reason, not only does the cost increase occur, but there is not much freedom in layout. Furthermore, since the quantity of chemicals is managed by data management, data input work is required in the initial setting. If data is lost due to some trouble, it is necessary to input the data again, which is serious.

JP 2001-258994 A JP 2001-198193 A

  An object of the present invention is to provide a medicine dispensing apparatus that can easily perform a medicine filling operation by removing a medicine tray from the apparatus main body despite the simple and inexpensive configuration.

As a means for solving the above problems, the present invention provides:
The drug dispensing device
A shelf main body provided with a door on the front, and a door storage portion that can be stored in a state where the opening and closing plate is folded on the side,
A tray support provided so as to be able to be pulled out from the shelf body;
A medicine tray that is detachably mounted on the tray support and can accommodate a plurality of medicines aligned in the pull-out direction;
An urging member that urges the contained medicine in the pull-out direction when the medicine tray is pushed into the shelf body together with the tray support in a state of being contained in the shelf body and containing the medicine,
With
The open / close door includes a first flat plate and a second flat plate that are rotatably connected to one side edge adjacent to each other, and the first flat plate can enter the other side edge into the door storage portion. The second flat plate is supported by a slide unit provided on the upper side of the other side edge portion so as to be slidable along a guide rail provided on an upper portion of the shelf body, from the front surface of the shelf body. It can be folded forward.

  With this configuration, only the medicine tray can be removed and a plurality of kinds of medicines can be filled simultaneously. The medicine tray containing the medicine can be set by placing it on the tray support stand pulled out from the shelf body and pushing it into the shelf body. In this set state, the medicines stored in the medicine tray are urged and aligned by the urging member. In addition, when not in use, the shelf body can be fully closed by the open / close door to prevent medicines from being taken in and out without permission. Therefore, even drugs that require attention in handling powerful drugs, narcotics, etc. can be used with confidence. Further, even if the medicine tray accommodated in the shelf main body is laid out to the vicinity of the back surface of the door in the fully closed position, it does not get in the way when the door is opened and closed. In addition, since the slide unit is guided by the guide rail, it is possible to prevent the open / close door from being opened from the fully closed position without permission.

  It is preferable that the opening / closing door includes a finger padding prevention structure including an elastic guide piece that bulges at a boundary portion between the first flat plate and the second flat plate to prevent a finger from entering when folded.

  With this configuration, when the open / close door is opened and closed, a finger is not caught between the boundary portions of the first flat plate and the second flat plate, and can be used with confidence.

The opening / closing door includes a shaft portion rotatably supported by the slide unit, and a rotation piece rotatably provided on the first flat plate and rotatably connected to the shaft portion,
When the opening / closing door is located at a fully closed position for closing the front surface of the shelf body, it is preferable that the opening / closing door includes a latch receiving portion to which the shaft portion is latched.

  With this configuration, the opening / closing door can be prevented from being opened from the fully closed position by a simple and inexpensive method.

  According to the present invention, since only the medicine tray can be removed and the medicine filling operation can be performed, the filling operation can be easily and quickly performed. Moreover, the medicine tray that has been filled with medicines can be set by simply placing the medicine tray on the tray support stand pulled out from the shelf body and pushing it into the shelf body. In addition, in this set state, the medicine in the medicine tray is urged forward and aligned by the urging member, so that the medicine dispensing operation can be started immediately and smoothly. In addition, when not in use, the shelf body can be fully closed by the open / close door to prevent medicines from being taken in and out without permission. Therefore, even drugs that require attention in handling powerful drugs, narcotics, etc. can be used with confidence. Further, even if the medicine tray accommodated in the shelf main body is laid out to the vicinity of the back surface of the door in the fully closed position, it does not get in the way when the door is opened and closed. In addition, since the slide unit is guided by the guide rail, it is possible to prevent the open / close door from being opened from the fully closed position without permission.

It is a perspective view which shows an example of the chemical | medical agent delivery apparatus which concerns on this embodiment. It is a perspective view which shows the main body unit of FIG. It is a perspective view which shows the chemical | medical agent accommodation unit of FIG. It is a perspective view which shows the state which moved the opening-and-closing door to the fully open position from FIG. It is a fragmentary perspective view which shows the upper part of the opening-and-closing door of FIG. It is a schematic perspective view which shows a part of the upper part of the opening-and-closing door of FIG. 4, and an upper side guide rail. It is a perspective view which shows a part of upper part of the opening-and-closing door of FIG. 4, an upper side guide rail, and a slide rail. It is a schematic plan view which shows the open / close state of the door of FIG. It is a fragmentary perspective view which shows the lower part of the opening-and-closing door of FIG. 4, and its guide structure. (A) is a schematic perspective view which shows the state in which an opening-and-closing door is located in a fully open drawer position, (b) is a schematic perspective view which shows the state located in a storage position. It is a perspective view which shows the state which pulled out the chemical | medical agent tray mounted in the tray support stand from the tray shelf shown in FIG. It is a perspective view which shows the state which removed the chemical | medical agent tray from FIG. 11A is a perspective view showing the medicine tray of FIG. 11 (the medicine guide member is not shown), and FIG. 11B is a perspective view seen from below with the medicine stored in the medicine tray. (A) is a perspective view which shows the state which removed the chemical | medical agent tray from FIG. 11, (b) is a perspective view which shows the chemical | medical agent guide member and urging | biasing member. (A) is a perspective view which shows the partition plate of Fig.13 (a), (b) is a general | schematic fragmentary plane sectional view which shows an example of a partition plate, (c) is a figure which shows the other example of a partition plate. It is a block diagram of the medicine delivery device concerning this embodiment. It is a flowchart which shows the content of the medicine delivery process by the medicine delivery apparatus which concerns on this embodiment. It is a flowchart which shows the content of the medicine delivery process by the medicine delivery apparatus which concerns on this embodiment. It is a flowchart which shows the content of the medicine delivery process by the medicine delivery apparatus which concerns on this embodiment. It is a flowchart which shows the content of the medicine delivery process by the medicine delivery apparatus which concerns on this embodiment. It is a flowchart which shows the content of the medicine delivery process by the medicine delivery apparatus which concerns on this embodiment. It is a flowchart which shows the content of the medicine delivery process by the medicine delivery apparatus which concerns on this embodiment. It is a figure which shows the menu screen displayed on the display apparatus of FIG. It is a figure which shows the patient selection screen displayed on the display apparatus of FIG. It is a figure which shows the patient selection screen (instruction mode) displayed on the display apparatus of FIG. FIG. 3 is a diagram showing a payout operation screen (instruction mode) displayed on the display device of FIG. 2. It is a figure which shows the paying-out work screen (bed number selection mode) displayed on the display apparatus of FIG. It is a figure which shows the return work screen displayed on the display apparatus of FIG. It is a figure which shows the disposal damage business screen displayed on the display apparatus of FIG. It is a figure which shows the disposal damage details input screen displayed on the display apparatus of FIG. It is a figure which shows the filling list output screen displayed on the display apparatus of FIG.

  Embodiments according to the present invention will be described below with reference to the accompanying drawings. In the following description, terms indicating specific directions and positions (for example, terms including “up”, “down”, “side”, “end”) are used as necessary. In order to facilitate understanding of the invention with reference to the drawings, the technical scope of the present invention is not limited by the meaning of these terms. Further, the following description is merely illustrative in nature, and is not intended to limit the present invention, its application, or its use.

  FIG. 1 shows a medicine dispensing apparatus according to this embodiment. Here, the medicine dispensing device has a configuration including a main body unit 1 and two medicine storage units 2.

  As shown in FIG. 2, the main unit 1 is provided with a display device 3 at the top, a prescription information printing printer 4, a journal printer 5, a fingerprint authentication device 6 and a barcode reader 7 at the middle, and a refrigerator at the bottom. 8 is provided. As will be described later, the display device 3 can execute each process if a predetermined display is performed. The prescription information printing printer 4 discharges the sheet on which the patient name and the barcode are printed. The journal printer 5 discharges a label on which patient information, dispensed drug information, and the like are printed. The fingerprint authentication device 6 is for specifying who the user of the medicine dispensing device is. However, instead of the fingerprint authentication device 6, any device that can perform personal authentication, such as a vein authentication device or an input device for inputting an ID or password, can be adopted. The bar code reader 7 reads bar codes such as prescriptions, sheets printed by the prescription information printing printer 4, labels printed by the journal printer 5, and is used for specifying prescription data, medicines, and the like. The refrigerator 8 contains a medicine that needs to be stored in a refrigerator (for example, utemeline injection, atnin, sandstatin, etc.).

  As shown in FIGS. 3 and 4, the medicine storage unit 2 is provided with a plurality of tray shelves 9 arranged in the vertical direction, and medicine trays 10 containing the medicine D are placed on each tray shelf 9. Is.

  The medicine storage unit 2 has a substantially rectangular parallelepiped shape, and the front opening can be opened and closed by the opening / closing door 11. As shown in FIGS. 5, 6, and 9, an upper guide rail 12 and a lower guide rail 13 are provided on the upper and lower edges of the front opening of the medicine storage unit 2. As shown in FIG. 6, the upper guide rail 12 is composed of a pair of rails 12a and 12b provided at a predetermined interval in the front-rear direction. The lower guide rail 13 is formed in a substantially L-shaped cross section having an upright wall that rises on the front side.

  Further, as shown in FIGS. 7 and 9, storage rails 14 that extend upward and downward are disposed on one side edge of the medicine storage unit 2, respectively. The storage rail 14 has a groove shape, and guides the upper and lower ends of the folded door 11 as will be described later. A stopper 15 is attached to the rear end side of the storage rail 14 to restrict the entry position of the door 11. The stopper 15 is made of an elastic material such as urethane, and is stopped without applying an impact force to the open / close door 11. A storage cover 16 is provided at the lower front side of the upper storage rail, and guides the slide unit 20 provided at the upper end of the door 11. In addition, three auxiliary guide rails 17 are arranged at substantially equal intervals between the upper and lower storage rails 14. Further, guide rollers 14 a that guide both surfaces of the folded door 11 are provided in the vicinity of the upper and lower storage rails 14. Even when the second flat plate 19 is pushed into the storage position side when the open / close door 11 is located at the fully closed position, the guide roller 14a is disposed so as to prevent the entry. Then, the door 11 is folded so as to be retracted to a position where it does not interfere with the door 11 by a slide hinge 19 a that supports the second flat plate 19.

  As shown in FIG. 5, the opening / closing door 11 is composed of a pair of flat plates (first flat plate 18 and second flat plate 19) that are rotatably connected by a hinge 11 a. Horizontal walls 18a and 19a projecting rearward are formed on the upper portions of the first flat plate 18 and the second flat plate 19, respectively. A cutout 18 b is formed in the horizontal wall 18 a of the first flat plate 18 on the side opposite to the connecting portion of the second flat plate 19. A slide unit 20 is provided on the upper side edge of the first flat plate 18. The slide unit 20 includes two pairs of rotatable rollers 21, and rolls the upper guide rail 12 of the medicine storage unit 2 from the fully closed position of the open / close door 11 to the fully open position. The slide unit 20 moves to a position covered by the storage cover 16 when the roller 21 rolls to the fully open position of the door 11. Further, the shaft portion 22 projects downward from the slide unit 20. The shaft portion 22 is supported by a plurality of rotating pieces 23 arranged side by side in the vertical direction on the side edge portion of the first flat plate 18. Accordingly, when the open / close door 11 is moved from the fully open position to the fully closed position, the roller 21 of the slide unit 20 rolls on the upper guide rail 12 to form the cutout portion 18b formed in the horizontal wall 18a of the first flat plate 18. The shaft portion 22 is engaged with the shaft portion 22. In this state, in the open / close door 11, the slide unit 20 is prevented from moving forward by the upper guide rail 12 and the lower end portion of the first flat plate 18 is prevented from moving forward by the lower guide rail 13, and the shaft portion 22 is notched 18b. Since it is locked to, a stable fully closed state is maintained. Further, when the open / close door 11 is rotated from the fully closed position to the fully opened position (door opening operation), the shaft portion 22 rotates and the locked state with the notch portion 18b is released. For this reason, the position of the slide unit 20 is not changed by the door opening operation, and the roller 21 can move smoothly on the guide rail 12.

  A handle 24 is provided on the front surface of the first flat plate 18 as shown in FIG. This handle 24 is a front view in a state where the open / close door 11 is located at the fully closed position, and an open gripping portion 25 for operating the open / close door 11 by engaging fingers on the upper edge portion and the left edge portion, respectively. Each has a drawer gripping portion 26. The open gripping portion 25 is suitable for gripping when operating between the fully closed position where the open / close door 11 is flat and the fully opened drawer position folded in two. As shown in FIG. 10, the drawer gripping portion 26 is suitable for gripping when the drawer gripping portion 26 is folded and moved from the stowed position to the fully open pullout position.

  As shown in FIG. 8, a finger padding prevention structure is adopted at the boundary portion between the first flat plate 18 and the second flat plate 19. That is, in this finger padding prevention structure, inclined surfaces 18c and 19c are formed on adjacent side edges of the first flat plate 18 and the second flat plate 19, respectively. An elastic guide piece 27 is disposed in the gap between the first flat plate 18 and the second flat plate 19. The elastic guide piece 27 has a substantially C-shaped cross section and is arranged so as to gradually bulge into a gap formed between adjacent side edges of the first flat plate 18 and the second flat plate 19 when the door 11 is folded. Has been. Therefore, when the open / close door 11 is moved from the fully open position to the fully closed position, the elastic guide piece 27 bulges into the gap between the first flat plate 18 and the second flat plate 19 so that a finger cannot be inserted.

  As shown in FIG. 11, the tray shelf 9 includes a shelf body 28 and a frame-like tray support 30 that can be pulled forward by slide rails 29 provided on the inner surfaces of both sides. A plurality of urging members 31 are detachably arranged in the shelf body 28 in the width direction. As shown in FIG. 14 (b), the urging member 31 is a long casing 32 that opens upward, and is provided with a pressing portion 33 that can reciprocate along the longitudinal direction. The pressing portion 33 is movable to the front side by receiving a biasing force of a constant load spring provided at the front end portion while being guided by one side surface portion of the casing 32. In front of the urging member 31, an LED 34 (Light Emitting Diode) is provided as a display unit. As described later, the LED 34 is turned on, blinked, or turned off with a different color depending on the situation.

  As described above, the biasing member 31 is integrated with a constant load spring, an LED, and the like, and is removable from the shelf body 28. Therefore, the attachment position can be freely changed according to the attachment position of the partition plate 37 of the medicine tray 10 described later. That is, the urging member 31 is disposed avoiding interference with the partition plate 37. Where the interval between the partition plates 37 is wide (in the case of the medicine D having a large width dimension), since a plurality of urging members 31 are arranged, even if the weight is large, the urging state of the medicine is stabilized, It is possible to reliably place the medicine at a position where it is easy to take out the medicine. In this case, one large pusher portion 44 may be attached to the plurality of drug guide members 38. When a plurality of urging members 31 are arranged in one medicine storage space, the number of medicines D can be counted as long as it is one of them.

  As shown in FIG. 11, the tray support 30 includes a rear end plate 35. A plurality of ventilation holes 36 are formed in the rear end plate 35 and are used for inflow of cold air when used in the refrigerator 8.

  The number of medicines D (ampoules, medicine bottles, or things housed in a box, etc.) accommodated in the tray shelf 9 is the length (drawing dimension) of the part drawn out from the drum of the belt spring of the constant load spring. Calculation is performed by detecting a change in electrical resistance due to the difference. That is, as shown in FIG. 16, the number of medicines D to be accommodated in the storage unit of the control device 48 based on the pull-out dimensions of the strip springs due to the difference in electrical resistance and the width dimensions of the medicines D to be accommodated in advance. Is calculated.

  Further, it is preferable to provide an incorrect installation preventing means (not shown) so that the medicine tray 10 is mounted on a predetermined tray support 30. As the erroneous installation preventing means, for example, each medicine tray 10 is provided with a mounting protrusion having a different shape, and each tray support base 30 is provided with a mounting hole corresponding to the protrusion of each medicine tray 10. be able to. Accordingly, it is possible to reliably prevent the medicine tray 10 from being mounted on a different tray support base 30 after the medicine tray 10 is removed from the tray support base 30 and filled with the medicine in a filling operation or the like.

  As shown in FIG. 13, the medicine tray 10 has a rectangular frame shape that is detachably mounted on a tray support 30 that is pulled out from the tray shelf 9. The medicine tray 10 can be partitioned by a plurality of partition plates 37 in the width direction. The partition plate 37 is detachable, and the mounting position thereof can be freely selected. Further, as shown in FIG. 14, a medicine guide member 38 is detachably disposed between the partition plates 37 in the same manner as the partition plate 37. Each drug guide member 38 is provided corresponding to the urging member 31, and although not shown, a projection (or groove) provided at the tip engages with a later-described removal prevention cover 37 a and is prevented from being removed from the drug tray 10. ing. When the medicine tray 10 is placed on a table or the like, a protrusion 39 is provided on the lower surface on the rear end side so as to be gradually lowered toward the front. Thereby, it can be set as the state which aligned the medicine D from the front side with dead weight. The drug D on the rear end side is guided forward by the drug guide member 38 and does not fall down.

  The partition plate 37 is formed with a thickness of about 3 mm. As shown in FIG. 15, the partition plate 37 has a recess 40 with a locking portion locked on one end side and a projection 41 with a locking hole locked on the other end side. Are formed respectively. Thereby, the attachment direction of the partition plate 37 is prevented from being mistaken. It is preferable that the partition plate 37 can be arranged so that the interval between adjacent ones can be as narrow as possible. For example, if the concave and convex positions are alternately arranged at both ends, the interval between the partition plates 37 can be further reduced. And if it is an ampoule etc. whose outer diameter dimension is so small that a gap is generated, as shown in FIG. 15B, a partition plate 37 having a large thickness corresponding to the size is arranged, or opposed to the partition plate 37. A spacer (not shown) may be disposed on the surface (between the drug D).

  Specifically, when the partition plate 37 having a thickness of about 3 mm is used, the locking portion of the medicine tray 10 and the locking hole 10a are used, and as shown in FIG. If the drug D is 12 mm, the distance between adjacent partition plates 37 must be set to 15 mm. For this reason, the medicine D is meandered and an error occurs in the counting result. Therefore, as shown in FIG. 15 (b), the thickness dimension of the partition plate 37 is increased, the locking structure at both ends is made uneven (the positions of the recesses and protrusions are opposite at both ends), and the adjacent partition By setting the distance between the plates 37 to 12 mm, the drugs D can be aligned in a line, and the quantity of the drugs D can be accurately counted.

  In this way, since the inside of the medicine tray 10 is partitioned by the partition plate 37, even if the medicine D has a small outer diameter such as an ampule, the partition plate 37 can be arranged along the side surface. Since the medicines D are not arranged in a meandering manner (the medicines D are not overlapped in the width direction of the column), it is possible to avoid the occurrence of a problem that appropriate counting by the counting unit 31a cannot be performed.

  The partition plate 37 can be attached with a retaining guide piece 42 for medicine. The retaining guide piece 42 has a substantially L shape that extends upward along the partition plate 37 and then bends in the horizontal direction, and can guide the upper end surface of the medicine D at the horizontal portion.

  A plurality of locking portions (not shown) are formed in the front end inner surface of the medicine tray 10 in the width direction, and a locking hole 10a is formed in the rear end inner surface as shown in FIG. . These locking portions and locking holes 10a are used for mounting the partition plate 37 on the medicine tray 10 at an arbitrary position according to the size of the medicine D. In addition, a drop prevention cover 37a for the partition plate 37 is provided at the front end and the rear end of the medicine tray 10, respectively. Thereby, even if the medicine tray 10 is detached from the tray support 30 and placed on a table or the like, there is no problem that the partition plate 37 is lifted off from the medicine tray 10 and removed.

  As shown in FIG. 14A, the medicine guide member 38 has a pusher portion 44 attached so as to be capable of reciprocating along a guide shaft 43. A first locking portion 45 is formed at the front end portion of the guide shaft 43, and a second locking portion 46 is formed at the rear end portion. Both the first locking part 45 and the second locking part 46 have a substantially C-shaped cross section, whereas the tip part of the first locking part 45 is simply convex, whereas the tip of the second locking part 46 The difference is that the portion branches in the width direction. Due to the difference in shape, the mounting direction to the medicine tray 10 is not mistaken. Further, a locking receiving portion 47 is formed on the bottom surface of the pusher portion 44, and the pusher portion 44 is urged forward by being pressed by engaging or contacting with the pressing portion 33 of the urging member 31. It is comprised so that.

  The medicine tray 10 accommodates the medicine D as shown in FIG. 13B in a state where it is removed from the tray support 30 and placed on a table or the like. When the medicine tray 10 is placed on the tray support 30 and moved into the shelf body 28, the pressing portion 33 of the biasing member 31 is pushed backward against the biasing force of the constant load spring. And the pusher part 44 engaged or contacted with the press part 33 presses each medicine D toward the front from the rear of the arrangement row. Thereby, the medicine accommodated in medicine tray 10 will be in the state arranged without gap from the front side.

  The counting process of the medicine D by the counting part 31a of the urging member 31 is performed by the control device 48 as shown in FIG. The control device 48 prints a label or a drug shortage slip as will be described later based on prescription data, drug data, or free mode input via a network or directly input from a keyboard or the like. Or the lighting state of the LED 34 of the biasing member 31 is changed, or the display state on the display device 3 is changed.

  Next, the operation of the medicine dispensing apparatus having the above configuration will be described with reference to the flowcharts of FIGS.

  First, when the medicine dispensing device is powered on (step S1), the display device 3 displays an activation screen and then switches to the menu screen shown in FIG. 23 (step S2). Then, by touching each button on the menu screen (step S3), as described below, the medicine D payout process, the medicine D return process, the medicine D disposal / damage process, the medicine D filling process, The door lock process and the interrupt process are executed.

(Drug withdrawal process)
In the medicine dispensing process, either the medicine D is dispensed in a prescription unit, the medicine is dispensed, or the medicine is dispensed freely.

  When paying out in a prescription unit, when an instruction payout button is touch-operated on the menu screen, an authentication instruction screen for prompting personal authentication is popped up as shown in FIG. 24 (step S4). Therefore, when the fingerprint of the index finger is read by the fingerprint authentication device 6, it is confirmed whether or not the user is a registered user (step S5).

  If it is authenticated that the user is registered, the screen is switched to the patient selection screen shown in FIG. 25 (step S6). Then, when the corresponding patient is selected (touch operation) (step S7), the display switches to the dispensing screen shown in FIG. 26 (step S8), and the dispensing of the medicine D can be started (step S9). However, when there is a prescription, the prescription data is specified by reading the bar code printed there with the bar code reader 7 or inputting the prescription number with the keyboard, and the medicine D dispensing process is executed. May be.

  In the dispensing of the medicine D, a list of medicine names is displayed on the dispensing screen, and the LED 34 of the display unit provided in the urging member 31 of the row in which the corresponding medicines are arranged in order from above is lit in green. Thereby, it can be understood at a glance from which column the pharmacist or nurse should dispense the drug D. In this case, when there are a plurality of medicines D to be paid out, all the LEDs 34 in the corresponding row may be turned on. Further, the display unit may be a segment display, and the remaining amount of medicine D to be dispensed may be displayed.

  When the corresponding drug D is taken out from the leading portion of the drug tray 10 by the manual operation of the pharmacist or nurse, the urging member 31 pushes the drug D on the rear side forward. Thereby, the counting process of the medicine D by the urging member 31 is executed, and it is detected that one medicine D is taken out. In this case, the medicines D are aligned in a row by the partition plate 37. Therefore, the remaining amount of the medicine D can be accurately specified even from the change in electrical resistance as described above.

  When the dispensing of the medicine D is completed in this way (step S10), the prescription information printing printer 4 is driven to print a label with information on the dispensed medicine D (medicine bottle etc.) and patient information (step). S11). Further, it is determined whether or not there is a shortage drug depending on whether or not the remaining amount of the medicine D is 0 (step S12). If there is a shortage drug, it is determined by a printer (not shown) such as a pharmacy. It is printed whether the medicine is insufficient (step S13). Thereby, it can be understood which medicine D should be replenished. In this case, if the LED 34 in the corresponding column is lit in red, it is convenient to know which column should be replenished with the drug D at a glance.

  Thereafter, based on whether or not there is prescription data for the next patient, it is determined whether or not to end the medicine dispensing process (step S14). If there is prescription data for the next patient, the process returns to step S6 and the same process is repeated. When the medicine dispensing process is finished, the menu screen is switched to a standby state.

  If it is necessary to pay out the drug D in the absence of prescription data for emergency, etc., as described above, touch the instruction payout button to perform personal authentication, select the patient on the patient selection screen and pay out as shown in FIG. After switching to the business screen and specifying the medicine D to be dispensed, the dispensing of the medicine D may be started. In this case, if the patient name cannot be specified, the bed number selection screen shown in FIG. 27 may be displayed instead of the patient selection screen, and the patient may be specified by the bed number in which the patient is accommodated.

  In addition, when prescription data is not ready, even if a patient is selected on the patient selection screen, the dispensing work screen is not switched (there is no data to be switched), so that the corresponding drug D is dispensed from the tray shelf 9 as it is. You can do it. In this case, the counting unit 31a of the urging member 31 detects that the medicine D has been dispensed and updates the data.

  In the medicine dispensing process, the increase / decrease number of the current number of warehouses is managed based on the counting result in the counting unit 31a provided in the urging member 31 of each row.

  That is, as shown in the flowchart of FIG. 22, it is determined whether the current number of warehouses has decreased or increased (step S61). If the current number of warehouses has decreased, it is determined whether or not the medicine D (out of instruction) has been dispensed from a column that is not subject to instruction withdrawal (step S62). Whether or not the dispensing is out of the instruction is determined by the counting unit 31a provided in the urging member 31 in any row containing the medicine D that is not to be taken out by the prescription. Judgment is made based on whether or not is detected. If it is determined that the payout is outside the instruction, a warning is displayed on the display device 3 (step S63). If the medicine D is to be dispensed from the column subject to the instruction withdrawal, it is determined whether or not the number of withdrawals exceeds the designated number of withdrawals (excess number of withdrawals) (step S64). Whether or not the number of payouts has been exceeded is determined based on the counting result in the counting unit 31a of the corresponding column. When the medicine D is dispensed exceeding the dispensed number in the prescription data, a warning is displayed that the dispensed number has been exceeded (step S65). If the number of payouts does not exceed the quantity specified by the prescription, and the payout is not out of instruction, it is determined that an appropriate payout has been made, and the current number of boxes is updated (step S66).

  If the current number of warehouses has increased, it is determined whether or not the return is for a column other than the column instructed to be returned (non-instruction return) (step S67). This determination is performed based on the detection result of the counting unit 31a provided in the urging member 31 other than the column in which the medicine D is to be returned, similarly to the determination in step S62. If the return is outside the instruction, a warning to that effect is displayed on the display device 3 (step S68). If the return is not an instruction, it is determined whether or not the return number exceeds the amount of the medicine D that has been paid out (step S69). This determination is made based on the counting result of the counting unit 31a in the column where the medicine D is to be returned in the same manner as in step S64. If it is determined that the number has exceeded, a warning is displayed on the display device 3 that the number of returns has been exceeded (step S70). If the return destination and the return number are correct, it is determined that an appropriate return has been made, and the current number of stores is updated (step S66).

  As described above, since the counting unit 31a provided in the urging member 31 of each row detects the increase / decrease in the current number of warehouses and counts the quantity, it is possible to reliably prevent erroneous payout or return. it can. When the warning is displayed, if the payout or return is not properly redone, the contents of the worker may be stored together with the worker ID. Thereby, the history of withdrawal and return of medicine D can be managed.

(Drug return process)
When the medicine D once paid out is returned to the medicine tray 10, if it is determined in step S3 that the return button has been touched, a personal authentication screen is displayed as shown in FIG. 19 (step S21). After personal authentication (step S22), the screen is switched to the patient selection screen (step S23). Then, the barcode of the prescription in which the medicine D to be returned is written is read by the barcode reader 7, or the corresponding patient (prescription) is specified (touch operation) on the patient (dispensing prescription) selection screen. Thus (step S24), the screen is switched to the return work screen shown in FIG. 28 (step S25). If the medicine D to be returned is specified on the return work screen, a return process is executed (step S26). Here, the LED 34 in the row to be returned is blinked. Thereby, since the operator can grasp | ascertain the return position of the chemical | medical agent D at a glance, it becomes possible to perform return work efficiently. When the medicine D is returned to the corresponding column, the quantity is counted, so the data is updated. Thereafter, when the return process is completed (step S27), the return list is printed by the journal printer 5 (step S28), and then the menu screen is restored.

  In this way, in the medicine return process, after specifying which patient's prescription is based on the prescription, patient identification, etc., the medicine D can be returned to the corresponding column. Yes. Therefore, the medicine D can be surely returned to the original place.

(Drug disposal / damage treatment)
If the ampule is damaged or needs to be discarded, if it is determined in step S3 that the discard break button has been touched, a personal authentication screen is displayed as shown in FIG. 20 (step S31). ) After personal authentication (step S32), the screen is switched to a patient (dispensing prescription) selection screen (step S33). If a barcode such as a prescription is read by the barcode reader 7 or a corresponding patient (prescription) is selected (step S34), as shown in FIG. (Step S35). If the medicine D to be discarded or the damaged medicine D is selected on the disposal damage work screen, the screen is switched to the disposal damage details input screen shown in FIG. 30 (step S36), and the number of disposal damage, the reason for disposal damage, etc. Prompt for input. When these inputs are completed, the contents are stored (step S37), and personal authentication is performed again (step S38). Here, it is determined whether or not there is an alternative medicine (step S39-1), and if it is present, the payout process is executed (step S39-2). (Step S39-3).

  By the way, in the medicine disposal / damage process, if the alternative medicine D needs to be dispensed, the corresponding medicine D can be dispensed. In this case, for the medicine D that has been discarded or damaged, the LED 34 in the corresponding column may be turned on to indicate the place of dispensing. Then, the LED 34 may be turned off when the medicine D is dispensed by the amount discarded or damaged. Thereby, it is possible to pay out only the medicine D that has been discarded or damaged quickly and reliably.

(Drug filling process)
When it is necessary to replenish the medicine D, that is, when it is determined in step S3 that the filling button has been touched, a personal authentication screen is displayed as shown in FIG. S41) After personal authentication (step S42), the screen is switched to the filling list screen shown in FIG. 31 (step S43). On the filling list screen, medicines D determined to be filled are displayed in a list on the display device 3 based on the counting results of the counting units 31a provided in the urging members 31 in each row (step S44). Further, the list of medicines D to be displayed as a list is printed by the journal printer 5 (step S45). On the sheet on which the list is printed, a barcode corresponding to each medicine D is printed in addition to the medicine name. And if this barcode is read with the barcode reader 7, the display content of the display apparatus 3 will be switched to a filling operation | work screen. (Step S46). Here, after reading the barcode of the label attached to the medicine D to be filled and confirming whether or not the medicine D is suitable for filling (step S47), the corresponding medicine D If so, a filling operation is performed. At this time, in order to prevent an error at the time of actual filling, the LED 34 in the column of the medicine D to be filled may be turned on to indicate the filling location.

  As described above, since the confirmation work is also performed for the medicine to be filled, it is possible to prevent a mistake that a different medicine D is filled by mistake. Further, when the filling destination is wrong, it is counted that the accommodation number of the medicine D is increased in a column different from the column to be originally filled. In this case, it is preferable to display that effect, that is, an error on the display device 3. Furthermore, even if the filling destination is correct, it is assumed that the number of fillings will be exceeded. In such a case as well, an error display may be similarly performed based on the counting result of the medicine D.

  In addition, after performing personal authentication in the step S42, the filling list screen is displayed and the filling list is printed. However, these processes are omitted, and the barcode reader 7 is used for the medicine D to be filled. By reading the barcode from the attached paper and immediately switching to the filling operation screen, the medicine D may be appropriately filled in each row of the medicine tray 10. In this case, it is only necessary to cause the LEDs 34 in the corresponding column to blink by reading the barcode. Thereby, there is no mistake in a filling place.

(Door lock processing)
Although not particularly mentioned in each of the above processes, the door 11 may be in a fully closed locked state until the personal authentication is completed. For example, it is necessary when the drug D to be handled is not preferably taken out easily, such as a powerful drug or narcotic. Here, the lock state of the door 11 is released after the personal authentication is completed.

(Interrupt processing)
When there is an operation or emergency patient during execution of the medicine dispensing process or the like, and it becomes necessary to dispense the medicine urgently, the interruption process can be executed. That is, an interrupt button is displayed on the screen (for example, the payout operation screen). Therefore, when the interrupt button is touched, an interrupt process is started. In this case, all other processes are in an inexecutable state. In the interrupt process, the same process as the medicine dispensing process is performed. When the corresponding medicine dispensing operation is completed, the personal authentication process is performed, the interrupt process is terminated, and the process returns to the original process.

  In addition, this invention is not limited to the structure described in the said embodiment, A various change is possible.

  In the embodiment described above, the main body unit 1 and the two medicine storage units 2 are provided. However, the number of the medicine storage units 2 is not limited to this, and may be one or three or more. May be. If the tray unit 9 is provided in the main unit 1, the medicine storage unit 2 can be dispensed with.

DESCRIPTION OF SYMBOLS 1 ... Main body unit 2 ... Drug storage unit 3 ... Display apparatus 4 ... Prescription information printing printer 5 ... Journal printer 6 ... Fingerprint authentication apparatus 7 ... Bar code reader 8 ... Refrigerator 9 ... Tray shelf 10 ... Drug tray 10a ... Locking hole 11 Opening / closing door 11a Hinge 12 Upper guide rail 12a, 12b Rail 13 Lower guide rail 14 Storage rail 14a Guide roller 15 Stopper 16 Storage cover 17 Auxiliary guide rail 18 First plate 18a 18b ... Horizontal wall 18c ... Inclined surface 19 ... Second flat plate 19a, 19b ... Horizontal wall 19c ... Inclined surface 20 ... Slide unit 21 ... Roller 22 ... Shaft portion 23 ... Rotating piece 24 ... Handle 25 ... Open gripping portion 26 ... Drawer Gripping part 27 ... Elastic guide piece 28 ... Shelf body 29 ... Slide rail 30 ... Tray support 31 ... Energizing member 31a ... counter 32 ... casing 33 ... pressing portion 34 ... LED
35 ... Rear end plate 36 ... Blower hole 37 ... Partition plate 37a ... Drop prevention cover 38 ... Drug guide member 39 ... Protrusion 40 ... Concavity 41 ... Convex portion 42 ... Removal guide piece 43 ... Guide shaft 44 ... Pusher portion 45 ... First Locking part 46 ... second locking part 47 ... locking receiving part 48 ... control device

Claims (3)

A shelf main body provided with a door on the front, and a door storage portion that can be stored in a state where the opening and closing plate is folded on the side,
A tray support provided so as to be able to be pulled out from the shelf body;
A medicine tray that is detachably mounted on the tray support and can accommodate a plurality of medicines aligned in the pull-out direction;
An urging member that urges the contained medicine in the pull-out direction when the medicine tray is pushed into the shelf body together with the tray support in a state of being contained in the shelf body and containing the medicine,
With
The open / close door includes a first flat plate and a second flat plate that are rotatably connected to one side edge adjacent to each other, and the first flat plate can enter the other side edge into the door storage portion. The second flat plate is supported by a slide unit provided on the upper side of the other side edge portion so as to be slidable along a guide rail provided on an upper portion of the shelf body, from the front surface of the shelf body. A medicine dispensing device characterized in that it can be folded forward.   The said opening / closing door is provided with the finger filling prevention structure which consists of an elastic guide piece which bulges in the boundary part of a 1st flat plate and a 2nd flat plate, and prevents a penetration | invasion of a finger at the time of folding. Drug dispensing device. The opening / closing door includes a shaft portion rotatably supported by the slide unit, and a rotation piece rotatably provided on the first flat plate and rotatably connected to the shaft portion,
3. The medicine dispensing according to claim 1, wherein the opening / closing door includes a locking receiving portion to which the shaft portion is locked when the opening / closing door is positioned at a fully closed position that closes a front surface of the shelf body. apparatus.