JP2016107050A - Medicament taking-out device and medication management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medicament taking-out device capable of taking out a medicament to take, by a simple operation.SOLUTION: The device comprises a box body 2, a lid member 3, and an adhesive member 33. The box body 2 comprises a housing space 12 and an opening 15. In the housing space 12, medicament packages containing medicaments are stacked and housed. The adhesive member 33 is provided on the housing space side 12 of the lid member 3 such that the adhesive member 33 is brought into contact with a medicament package while the opening 15 is closed with the lid member 3, and that the medicament package is taken out to the outside of the housing space 12 in the state of being held by the adhesive member 33 when the opening 15 is opened with the lid member 3.SELECTED DRAWING: Figure 8

Description

  The present invention relates to a medicine take-out device that takes out a medicine for each dose. The present invention also relates to a medication management system including a medicine take-out device.

Older patients and patients whose symptoms have gone out of the acute phase are often treated at home. Also, patients who do not need urgency such as hypertension and hyperlipidemia are often treated at home. Patients who are treated at home need to take medication based on self-management.
For example, if the prescription is to take A and B drugs in the morning, take B medicine in the daytime, and take the double amount of A and C drugs in the morning after dinner, it was decided by the patient. It is necessary to take out a prescribed amount of medicine from a medicine box or the like and take it for a certain amount of time.
However, as a real problem, the type and amount of medicine to be taken may be wrong or forgotten. On the other hand, it may be taken twice.
Especially for elderly people and patients with reduced energy, it is difficult to sort medicines and take out a certain amount of a certain amount of medicine from a medicine box etc. There is also.

  In elderly care facilities, etc., care staff will assist in the management of medications. However, in current nursing care facilities, one care worker often cares for multiple elderly people, and the burden of care personnel is high. large. In other words, in nursing care facilities, care workers take out a specified amount of drugs from a drug box, etc. at a specified time, and hand them to the patient, but this work is cumbersome and improved. Was desired.

A means for solving this problem is disclosed in Patent Document 1. The invention disclosed in Patent Document 1 is an invention relating to a medicine box, and uses a belt in which bags containing prescription drugs are arranged in order of taking time. And this bag belt is rolled up and stored in a box, and one end of the bag belt is taken out from the opening.
At the time of taking, pull one end of the bag band and pull out the bag band from the take-out port one by one, cut one bag at a time, open it and take it.

Japanese Patent No. 3154211

According to the invention disclosed in Patent Document 1, the burden on patients and care personnel required for organizing and managing medicines is reduced, and medication errors are less likely to occur.
However, in the invention disclosed in Patent Document 1, there is an operation in which a patient or a care worker separates a bag from a bag belt one by one. Therefore, an object of the present invention is to provide a medicine take-out device that can take out a medicine to be taken with a simpler operation.

  An aspect for solving the above-described problem includes a box body, a lid member, and an adhesive member, the box body includes a storage space and an opening, and the storage space is a stacked state of drug packages containing a drug. The lid member is attached so as not to be separated from the box body at least during use, and opens and closes the opening of the box body. The adhesive member is a space for housing the lid member. The adhesive member is in contact with the medicine packaging when the lid member closes the opening of the box body, and the medicine packaging adheres when the lid member opens the opening of the box body. It is a medicine take-out device that is held by a member and discharged out of a storage space.

In the medicine take-out device of this aspect, the adhesive member comes into contact with the medicine packaging when the lid member closes the opening of the box body, and the medicine packaging is adhered to the adhesive member.
When the lid member opens the opening of the box body, the state where the medicine packaging is adhered to the adhesive member is maintained, and the medicine packaging is held by the adhesive member and discharged out of the accommodation space.
According to this aspect, the patient and the care worker are released from the work of separating the bags one by one from the bag belt.

  It is desirable that the box body is provided with a package holding member that holds only the medicine package located closest to the opening.

  According to this aspect, the medicine packaging can be reliably taken out one by one.

  It is desirable that the lid member swings with respect to the box body.

  It is desirable that a pressing member for pressing the medicine package toward the opening is provided in the housing space.

It is desirable that a detection means for detecting any of the following is provided.
(1) Detection means for detecting that the lid member has been opened.
(2) Detection means for detecting that the medicine package held on the adhesive member has been removed from the adhesive member.

  For example, by connecting the detection means to the storage means, it is possible to leave a history as to whether or not the lid member has been opened, which can be used for making supplementary materials for taking history. Further, by connecting the detection means to the communication means, a remote family member can also serve as a means for knowing the patient's medication state.

It is also possible to construct a medication management system including the above-described drug take-out device.
The medication management system has a medicine take-out device and a medication management device, and the medication management device has one or a plurality of box housing portions for housing the medicine take-out device, and takes the medicine contained in the medicine take-out device. Informing means for notifying that an appropriate time has arrived is provided.

  According to the medication management system of this aspect, the patient or the like can know that it is time to take the medication, and forgetting to drink is less likely to occur. Moreover, the physical burden and the mental burden required for patient medication management are reduced.

  It is desirable to have a plurality of box housing portions and to have notification means corresponding to each box housing portion.

  According to this aspect, the medicine to be taken at the time to be taken can be notified by the notification means.

  It is desirable that the medication management device has an engaging portion that engages with another box housing portion, and the box housing portion can be added by engaging the other box housing portion.

  According to this aspect, even when there are a large number of medicines to be taken by the patient, it can be handled.

  It is desirable that the medicine take-out device has information recording means for recording information related to medication, and is provided with information reading means for reading the information recorded by the information recording means.

  It is desirable to have an input means for inputting information, a display means, and a terminal device having a communication means, and information exchange is performed between the terminal device and the medication management device.

The medicine take-out device of the present invention can take out a medicine to be taken with a simple operation. Therefore, the medicine take-out device of the present invention has an effect of reducing the burden on the patient and the care worker.
Moreover, when the medication management system of the present invention is used, it is difficult to forget to take the medicine. Moreover, when the medication management system of the present invention is used, the physical burden and the mental burden required for medication management of patients and the like are reduced.

It is a perspective view of the medicine extraction device of a 1st embodiment of the present invention, and shows the state where a lid member was closed. It is a perspective view of the medicine extraction device of a 1st embodiment of the present invention, and shows the state where a lid member was opened in the state where there was no small bag in a box body. It is a perspective view of the small bag accommodated in the chemical | medical agent extraction apparatus of FIG. It is a perspective view of the state which piled up the small bag accommodated in the chemical | medical agent taking-out apparatus of FIG. It is AA sectional drawing of FIG. It is BB sectional drawing of FIG. It is a perspective view of the medicine extraction device of a 1st embodiment of the present invention, and shows the middle of opening a lid member in the state where there is a small bag in a box body. It is a perspective view of the medicine extraction device of a 1st embodiment of the present invention, and shows the state where a lid member was opened in the state where there is a small bag in a box body. It is side surface sectional drawing of the chemical | medical agent taking-out apparatus of 2nd Embodiment of this invention. It is a disassembled perspective view of the chemical | medical agent taking-out apparatus of 2nd Embodiment of this invention. It is a perspective view of the box main body and insole member of the chemical | medical agent taking-out apparatus of 2nd Embodiment of this invention. It is a perspective view of the state where the raising / lowering member was inserted in the box main body of the chemical | medical agent extraction apparatus of 2nd Embodiment of this invention. It is a perspective view which shows the relationship between the insole member of 2nd Embodiment of this invention, and a raising / lowering member. It is a block diagram of the medication management system of embodiment of this invention. It is a perspective view which shows the state which mounted | wore the chemical | medical agent extraction apparatus with the main | base station of the medication management apparatus which comprises the medication management system of FIG. It is explanatory drawing explaining the combination of the structure of the medication management system of embodiment of this invention. It is a block diagram of the medication management system of other embodiment of this invention. It is a part of wiring diagram of the medication management system shown in FIG. It is a block diagram of the medication management system of further another embodiment of this invention, and explanatory drawing of an information pattern.

Embodiments of the present invention will be further described below.
The medicine take-out device 1 of the first embodiment is a rectangular parallelepiped box shape, and has a box body 2 and a lid member 3.
The box body 2 has a structure in which only the upper surface is opened and the other surface is covered with a wall. That is, the box body 2 is a box body having a bottom wall 5, a front wall 6, a back wall 7, and side walls 10 and 11, and only the top surface is opened. The inside of the box body 2 is a cavity, and serves as a storage space 12 for storing a plurality of sachets 40 containing a medicine.

The lid member 3 has a quadrangular shape and covers the opening 15 of the box body 2, and can open / close the opening 15.
In the present embodiment, the box body 2 and the lid member 3 are formed by punching a cardboard into a developed shape and bending it, and one side of the lid member 3 is formed by the opening 15 of the box body 2. Common with side 20. Therefore, the cover member 3 is in a state in which one side 20 is connected to the opening end of the box body 2, and the cover member 3 cannot be separated from the box body 2. However, the other side of the lid member 3 is separated from the box body 2, and the lid member 3 swings around the connected side 20.
That is, the lid member 3 functions as a hinge on one side 20 and can swing to open / close the opening 15 of the box body 2.
An insertion piece 21 is formed on a side of the lid member 3 that faces the swinging side (one side 20).

In the present embodiment, a packaging holding member 22 is provided in the opening 15 of the box body 2. The packaging holding member 22 is provided on two sides 25 and 26 orthogonal to the above-described swinging side (one side 20) of the opening 15 of the box body 2.
The packaging holding member 22 has a rectangular shape and projects in parallel to the bottom wall 5 of the box body 2 with the two sides 25 and 26 of the opening 15 as the base ends. Further, the side edges 27, 28, 30 and 31 of the packaging holding member 22 are bonded to the opening 15 of the box body 2.
Therefore, the three sides of the packaging holding member 22 are connected to the opening 15 of the box body 2, and are difficult to bend and bend.

  The packaging holding member 22 closes a part of the opening 15 of the box body 2. Therefore, the actual opening area of the box body 2 is smaller than the cross-sectional area (plane cross section) in the box body 2. The actual opening area of the box body 2 is smaller than that of the pouch 40.

An adhesive member 33 is provided inside the lid member 3. That is, the adhesive member 33 is on the accommodation space 12 side of the lid member 3. The adhesive member 33 has a certain three-dimensional shape and can be elastically deformed in the compression direction.
The pressure-sensitive adhesive member 33 is a material in which glue is hardened, or a material in which glue is attached to the surface of an elastic body such as rubber, and although it is sticky, it does not generate adhesive strength that cannot separate the material.

In the present embodiment, the pressing member 35 and a plurality of sachets 40 are accommodated in the accommodation space 12 of the box body 2.
The pouch 40 is a medicine package that contains medicines taken by the patient for each dose. The pouch 40 contains, for example, a morning dose, a lunch dose, and a night dose. On the surface of the pouch 40, the name of the patient and the time of taking are printed. The pouch 40 has a quadrangular plan shape. The pouch 40 is made of non-woven fabric, paper, resin film or the like and easily deforms. However, it is difficult to crease.

The sachets 40 are stacked in order of taking time to form a sachet group 41 as shown in FIG.
In addition, in some known medicine packaging devices, the sachets 40 can be discharged in a band and can be arranged in order of administration, so that a patient or a care worker cuts out the stacked sachets and stacks them in that order. The sachet group 41 accommodated in the accommodation space 12 can be made only by this.

  The pressing member 35 is an elastic body. The pressing member 35 is a soft porous resin such as a sponge, and has a large deformability. It is desirable that the pressing member 35 can be compressed to a thickness of about 1/10 and can easily be restored to the original thickness.

  A pressing member 35 is disposed on the bottom side of the housing space 12, and a small bag group 41 is disposed thereon. Therefore, the sachet group 41 is constantly pressed toward the opening 15 by the pressing member 35. However, since the packaging holding member 22 is provided in the opening 15 of the box body 2, and the substantial opening area of the opening 15 is smaller than that of the small bag 40, the peripheral portion of the small bag 40 is the packaging holding member 22. The sachet 40 does not escape from the box body 2.

The normal state of the medicine take-out device 1 of this embodiment is as shown in FIG. 1, and the opening 15 of the box body 2 is closed by the lid member 3. The internal state at this time is as shown in FIGS. 5 and 6, and the adhesive member 33 provided on the accommodation space 12 side of the lid member 3 is in contact with the surface of the uppermost pouch 40. Therefore, only the uppermost pouch 40 is attached to the adhesive member 33 provided on the lid member 3.
When the user opens the lid member 3, the end side portion of the pouch 40 is elastically deformed and the shape is reduced as shown in FIG. 7, and the package holding member 22 passes through and escapes.
Therefore, when the lid member 3 is completely opened, the pouch 40 escapes from the accommodation space 12 with the pouch 40 attached to the lid member 3 as shown in FIG.

The user peels off the pouch 40 from the lid member 3, breaks the pouch 40, takes out the medicine inside, and takes it.
According to the medicine take-out device 1 of the present embodiment, the medicine can be taken out for each dose. Further, since there is no need to separate the pouch 40, the burden on the patient and care staff is small.

It is desirable that the lid member 3 of the medicine take-out device 1 maintains the state in which the opening 15 is opened as shown in FIG. 8 when the opening 15 of the box body 2 is opened.
For example, as in the present embodiment, when the box body 2 and the lid member 3 are made by folding cardboard, the posture of the lid member 3 is maintained in the state in which the opening 15 is opened using the elastic force of the paper itself. Can be made.
It is also possible to maintain the position of the lid member 3 with the opening 15 open using an elastic body such as a spring or rubber.

The operation of accommodating the pouch group 41 with respect to the medicine take-out device 1 is performed by a patient or a care worker. In this case, the medicine take-out device 1 that does not include the pouch group 41 is supplied from a pharmacy or the like. Then, the medicine is accommodated according to the prescription, and a sachet 40 connected in a belt shape is separately supplied from a pharmacy, and a patient or a care worker cuts it to create a sachet group 41 and accommodates it in the accommodation space 12 of the medicine take-out device 1.
Alternatively, the sachets 40 connected in a belt shape at a pharmacy or the like may be cut to form a sachet group 41, which may be stored in the accommodation space 12 of the medicine take-out device 1 at the pharmacy or the like, and supplied to a patient or the like. In this case, the medicine take-out device 1 may be disposable.

In the above-described embodiment, the medicine take-out device 1 is made of paper, but the medicine take-out device 1 may be made of resin, metal, wood, or the like.
Further, it is possible to employ a structure in which an engaging portion for engaging the lid member 3 with the box body 2 is provided, and the lid member 3 is opened by releasing the engagement by operating a button or a lever. A structure that adopts a structure in which the engagement is released by pushing the lid member 3 and the lid member 3 opens is also recommended.

  In the above-described embodiment, the lid member 3 is provided on the box body 2, but may be provided on the side surface or the front surface. Moreover, the cover member 3 may be provided on the bottom wall 5 of the box body 2 on the assumption that the medicine take-out device 1 is attached to a wall or a column.

  In the above-described embodiment, a soft porous resin such as a sponge is used as the pressing member 35, but a spring or rubber may be used. However, since it is necessary for the pressing member 35 to press the pouch 40 with a large area, when using a spring, a movable insole member is provided, and a spring is disposed below the insole member. It is desirable to press the sachet 40 over a wide area.

As a second embodiment of the present invention, a medicine take-out device 50 in which the pressing member 45 is constituted by a spring 46, an elevating member 47, and an insole member 48 will be described. In addition, the same number is attached | subjected to the structural member same as previous embodiment, and the overlapping description is abbreviate | omitted.
The medicine take-out device 50 according to the second embodiment is composed of a box body 51 and an installation base 52.
As shown in FIG. 10, the box body 51 is provided with a slit 53 on the back side. The slit 53 is in the center of the back wall 7 and extends in the vertical direction. Other configurations of the box body 51 are the same as those of the box body 2 of the previous embodiment.

An insole member 48 is provided in the box body 51. The insole member 48 has a flat lifting plate 55, and foot members 55 a, 55 b, 55 c, 55 d are provided on the side surface side of the lifting plate 55. The foot members 55a, 55b, 55c, and 55d form a gap for inserting the elevating member 47 between the elevating plate 55 and the bottom of the box main body 51 when the insole member 48 is put in the box main body 51. Therefore, the shape is not limited. In this embodiment, as shown in FIG. 13, corrugated cardboard or cardboard is bent into a triangle to form the leg members 55a, 55b, 55c, and 55d. However, a circular or square short column may be used.
The foot members 55a, 55b, 55c, and 55d are not present at the portion corresponding to the slit 53 described above.

In the present embodiment, the foot member 55a and the foot member 55d are arranged in a line. Further, the foot member 55b and the foot member 55c are arranged in a line. There is a certain amount of space between the rows constituted by the foot members 55a and 55d and the rows constituted by the foot members 55b and 55c.
On the other hand, the gap between the foot member 55a and the foot member 55d constituting one row is extremely small. Similarly, the gap between the foot member 55b and the foot member 55c constituting one row is extremely small.

The installation base 52 includes a box mounting member 60, a guide member 61, an elevating member 47, and a spring 46.
The box mounting member 60 is a quadrangular plate for installing the box body 51. The guide member 61 is a rod-like member having a circular cross-sectional shape.
The guide member 61 stands upright from the box mounting member 60. An upper hook 63 is provided at the upper end of the guide member 61.

The elevating member 47 includes an elevating bar portion 65, a guide receiving portion 66 and a lower hook 70. The elevating bar portion 65 is a thin knife-like member, and its width is narrower than the slit 53 of the box body 51. The width of the elevating bar portion 65 is equal to the gap between the foot member 55a and the foot member 55d constituting one row and the gap between the foot member 55b and the foot member 55c.
The guide receiving portion 66 has a ring shape and is provided at an end portion of the lifting rod portion 65. The lower hook 70 is also provided at the end of the lifting bar portion 65.

The elevating member 47 is installed on the installation table 52 in a state where the guide receiving portion 66 is inserted into the guide member 61 of the installation table 52.
The box body 51 is installed on the box mounting member 60 of the installation table 52, and the lifting bar portion 65 of the lifting member 47 is inserted into the slit 53 of the box body 51.
Inside the box main body 51, as shown in FIG.
The lifting / lowering rod portion 65 has a knife shape, and fits tightly into the gap between the foot member 55a and the foot member 55d and the gap between the foot member 55b and the foot member 55c constituting one row, Both side surfaces of the lifting bar portion 65 are held by the foot members 55a, 55d, 55b, and 55c. Therefore, when the elevating member 47 is raised or lowered, the wobbling of the insole member 48 is small.

A spring 46 is provided between the lower hook 70 of the elevating member 47 and the upper hook 63 on the guide member 61 side, and the elevating bar portion 65 is always urged upward by the spring 46.
Here, the biasing force of the spring 46 is a force that can raise the insole member 48 in a state where the pouch group 41 is placed and press the top pouch 40 against the adhesive member 33. It should be avoided that the whole box body 51 is lifted by the spring 46, and it is desirable that the spring 46 is selected so that the whole box body 51 cannot be lifted.
It is also recommended that the box body 51 is fixed to the box mounting member 60 of the installation base 52 by some engagement means so that the box body 51 is not lifted by the spring 46.

  In the medicine take-out device 50 of the present embodiment, the guide receiving portion 66 of the elevating member 47 engages with the elevating bar portion 65 of the elevating member 47 and moves in the vertical direction. The elevating member 47 is always urged upward by a spring 46. Further, the elevating bar portion 65 of the elevating member 47 enters the inside of the box main body 51 through the slit 53 of the box main body 51 and is in contact with the lower surface side of the elevating plate 55 of the insole member 48. Therefore, the elevating plate 55 of the insole member 48 is always biased upward, and presses the pouch 40 upward.

  In the above-described embodiment, the slit 53 provided in the box body 51 is a single line and the lift bar portion 65 is one. However, the slit 53 is formed of two lines or more, and two or more lift bar parts are provided in parallel. It is good also as a shape.

As another embodiment, detection means such as an optical sensor or a limit switch is provided in the vicinity of the medicine take-out device 1 or in the medicine take-out device 1 itself, and the fact that the lid member 3 is opened or the small bag 40 is removed is detected. This configuration is also recommended.
The detection signal of the detection means can be connected to a communication means or storage means such as a personal computer or a portable terminal so that the opening of the lid member 3 or the like can be stopped in recording or transmitted to a remote place.

Next, a medication management system 71 according to an embodiment of the present invention will be described with reference to FIG. The medication management system 71 is a system including the medicine take-out device 1 of the first embodiment.
The medication management system 71 of the present embodiment is configured by a box housing device 72, a communication terminal 73, and four medicine extraction devices 1.
Further, the box accommodating device 72 includes a parent device 75 and a child device 76 as shown in FIG.

The base unit 75 of the box housing device 72 has two box housing portions 77 for housing the medicine take-out device 1 as shown in FIGS. Moreover, it has the alerting | reporting means 78 by light corresponding to each box accommodating part 77a, b. The master unit 75 has a speaker 88 as a sound notification means.
Furthermore, the base unit 75 includes a medication switch 80, an off-time takeout switch 81, and the like. This will be described below.

The box housing portions 77a and 77b are frames for housing the medicine take-out device 1 described above, and the bottom portion, the front portion, the back surface portion, and both side surfaces are covered with wall surfaces, and the top surface is open.
In the present embodiment, the wall surface of the back surface portion is extended upward to constitute the vertical wall 112. Sensors 108 and 110 are provided on the vertical wall 112. The sensor 108 is an optical sensor and detects that the lid member 3 has been opened.
Another sensor 110 is an electrostatic sensor and detects whether or not the small bag 40 is attached to the lid member 3.

In the present embodiment, a window 82 is provided in the front portion. In this embodiment, transparent resin or glass is attached to the window 82, but an opening may be used.
In the box housing portions 77a and 77b, a flip-up device 90 is provided. The flip-up device 90 is a member that protrudes upward by a solenoid (not shown).

The box accommodating portions 77a and 77b are disposed on the pedestal portion 83. The pedestal portion 83 has a display light mounting portion 86 facing the front and a switch mounting portion 87 facing upward.
The display light mounting portion 86 is mounted with light notification means 78 corresponding to the box housing portions 77a and 77b. Specifically, the notification means 78 is a light such as an LED, and emits light when energized.
A clock 97 is mounted on the display light mounting portion 86.
The switch mounting portion 87 is provided with a speaker (notification means) 88 and a medication switch 80. In addition, an out-of-hours extraction switch 81 is provided on the back side of the pedestal portion 83. The out-of-hours pick-up switch 81 is a switch that is not normally used, and is provided at a position where it is difficult to intentionally operate.
There is an engaging portion 91 on the side surface of the pedestal portion 83. The engaging portion 91 physically and electrically couples the parent device 75 and the child device 76.
The pedestal portion 83 of the base unit 75 contains communication means and a control device (both not shown).

Next, the slave unit 76 will be described. The subunit | mobile_unit 76 has two box accommodating parts 77c and d which accommodate the chemical | medical agent extraction apparatus 1. FIG. Moreover, it has the alerting | reporting means 78 by light corresponding to each box accommodating part 77c and d. The configurations of the box housing portions 77c, d and the notification means 78 are the same as those of the parent device 75.
The box housing portions 77c and 77d are arranged on the pedestal portion 92 in the same manner as the parent device 75. However, the child device 76 has a clock 97, a speaker 88, a medication switch 80, an out-of-hours take-out switch 81, communication means, and control. There is no equipment.
An engaging portion 93 is provided on the side surface of the pedestal portion 92 of the slave unit 76. The engaging portion 93 of the child device 76 is engaged with the engaging portion 91 of the parent device 75, and the parent device 75 and the child device 76 are physically and electrically coupled to each other when they are engaged. .

The communication terminal 73 is a known notebook computer or communication tablet, and has input means such as a keyboard and a touch panel, and a display screen. The communication terminal 73 has a communication function for connecting to the Internet. The communication terminal 73 can construct a wireless LAN together with other devices, and can be carried cordlessly.
Further, the communication terminal 73 has a function of communicating with the communication means of the parent device 75 of the box housing device 72. The communication method with the parent device 75 may be wired communication or wireless communication. Furthermore, the communication terminal 73 has a built-in camera and can analyze a barcode or a two-dimensional barcode. That is, the communication terminal 73 has information reading means for reading information from information recording means such as a barcode and a two-dimensional barcode.

  The communication terminal 73 is also used as a portable terminal, and can communicate with medical institutions such as doctors, nurses, and pharmacists through the Internet or the like. It is also used to keep in touch with relatives such as children and grandchildren when the patient is in a facility or is elderly.

The medicine take-out device 1 is as described above. In particular, in the present embodiment, the patient name, the time of taking, and the medicine name are printed on the front wall 6. For example, “Takashi Fujita” is described as the patient name. It is described as “after breakfast”, “before sleeping”, etc. as the time of taking.
Further, a medicine name may be further written on the front wall 6 of the medicine take-out apparatus 1. For example, it is desirable that “Mag limit tablets 330 mg 2 tablets”, “Tough Mac capsule 1 tablet”, and the like are written on the front wall 6 of the drug removal device 1 as drug names.
In the present embodiment, a barcode 98 is attached to the side wall 10 of the medicine take-out device 1. In the bar code 98, information related to medication, such as a patient name, timing of medication, and drug name, is recorded.
Furthermore, in the present embodiment, the detection unit 111 is provided on the outer surface of the lid member 3. The detection unit 111 is a part colored in black or the like, and is provided to improve the detection accuracy of the sensor 108 that detects that the lid member 3 is opened.

In the present embodiment, the engaging portion 91 of the parent device 75 and the engaging portion 93 of the child device 76 are combined, and both are integrated to form one box housing device 72.
Further, one medicine take-out device 1a, b, c, d is inserted into each of the box housing portions 77a, b, c, d of the box housing device 72.
When inserting the medicine take-out devices 1a, b, c, d into the box housing portions 77a, b, c, d, the barcode 98 of the medicine take-out device 1 is read in advance with the camera of the communication terminal 73. Predetermined software is stored in the communication terminal 73, and the box housing portions 77a, b, c, and d into which the medicine take-out devices 1a, b, c, and d are to be inserted are indicated on the display device. The user inserts the medicine take-out devices 1a, b, c, d into the predetermined box housing portions 77a, b, c, d in accordance with instructions from the communication terminal 73.
Further, the communication terminal 73 transmits to the box storage device 72 information regarding the timing of taking each drug and the storage position (box storage portions 77a, 77b, 77c, 77d) of each drug.

The medication management system 71 of the present embodiment is placed in the vicinity of a place where the patient spends daily such as the bedside of the patient.
When the time for taking any of the medicines arrives, the speaker 88 of the box housing device 72 emits a sound notifying it. The sound emitted from the speaker 88 may be a simple sound such as a buzzer or a chime, a word such as “It is time for medicine”, or a melody.
A similar sound may be generated from the communication terminal 73.

In addition, in the box storage device 72, the notification means 78 corresponding to the box storage portions 77a, b, c, d in which the medicine to be taken is arranged emits light. Specifically, the notification means 78 is a light such as an LED, and emits light when energized.
When the user operates the medication switch 80, the splashing device 90 of the box housing portions 77a, b, c, d in which the medicine to be taken is arranged is activated, and the splashing device 90 protrudes upward by a solenoid (not shown). To do. As a result, the lid member 3 of the medicine take-out device 1a, b, c, d is opened, and the sachet 40 escapes from the storage space 12 in a state where it is adhered to the lid member 3.
As described above, the splash-up device 90 operates only in the box housing parts 77a, b, c, d in which the medicines to be taken are placed, so the box housing part in which the medicines to be taken are placed. Only the lid members 3 of 77a, b, c and d are opened, and the others are kept closed.
The user removes the pouch 40 from the lid member 3 of the opened box accommodating portions 77a, b, c, d, takes the medicine, and manually closes the lid member 3.

In the present embodiment, the time at which the lid member 3 of which box housing portion 77a, b, c, d is opened and at which time the lid member 3 is closed is recorded in the control device of the master unit 75, and the record is made. Is stored for a certain period of time. The fact that the lid member 3 is closed is regarded as the patient taking the medicine, and the fact is also recorded.
The above-described record is transmitted to the communication terminal 73 by the communication unit of the master unit, and the same information is stored in the communication terminal 73.
Through the Internet or the like, the time when the patient is considered to have taken the medicine and information on the medicine are transmitted to an external person such as a doctor or family.

In the medication management system 71 of the present embodiment, when the time to take is not yet reached, the lid member 3 of the medicine take-out device 1a, b, c, d is not opened even if the medication switch 80 is operated. In the medication management system 71 of this embodiment, there is an after-hours taking-out switch 81, and when the after-hours taking-out switch 81 is operated, the lid members 3 of all the medicine taking-out devices 1a, b, c, d are opened regardless of the time.
The fact that the overtime takeout switch 81 is operated and the operation time are also recorded in the control device of the parent device 75, and the record is stored for a certain period.

Next, expansion of the medication management system 71 will be described with reference to FIG. In the medication management system 71 of this embodiment, as shown in FIG. 16A, a configuration in which a single parent device 75 is associated with a single communication terminal 73 is the minimum unit. Further, up to two master units 75 can be associated with one communication terminal 73. One slave unit 76 can be engaged with each base unit 75 one by one.
Therefore, a configuration having only one master unit 75 as shown in FIG. 16 (a), a configuration having only one master unit 75 and connecting one slave unit 76 to it as shown in FIG. 16 (b), Similarly, there are two master units 75, and one slave unit 76 is connected to one of the master units 75, and as shown in (d), there are two master units 75 and each has a slave unit. A configuration in which one 76 is connected can be constructed.
A configuration having only the slave unit 76 as shown in FIG. 16E or two or more slave units 76 cannot be connected to the master unit 75 as shown in FIG.
However, the present invention is not limited to this configuration, and may be configured to associate more master units 75 and slave units 76.

Next, another medication management system 100 will be described.
A medication management system 100 shown in FIG. 17 includes a main body 101 and a plurality of auxiliary machines 102. The main body 101 is provided with the speaker 88, the medication switch 80, and the off-hours takeout switch (not shown). Further, the main unit 101 includes a communication means and a control device (not shown).

Each auxiliary machine 102 is provided with one box housing portion 77. The auxiliary machine 102 is provided with a notification means 78.
The auxiliary machine 102 has engaging portions (not shown) on both sides, and can be connected to the main body 101. Also, the auxiliary machines 102 can be connected to each other. In FIG. 17, three auxiliary machines 102 are connected in series to one main machine 101, but the number of auxiliary machines 102 connected is arbitrary.

In the present embodiment, a plurality of auxiliary machines 102 are connected in series, but each auxiliary machine 102 can automatically recognize the connection position.
FIG. 18 shows a circuit for causing each auxiliary machine 102 to recognize the connection position.
First, the main unit 101 will be described. The main unit 101 has a signal voltage output terminal 105 that is divided by resistors R1 and R2 and adjusted to a constant voltage. The auxiliary machine 102 has a signal voltage input terminal 106 and a signal voltage output terminal 107.
The signal voltage input from the signal voltage input terminal 106 is divided by resistors R3 and R4 and output from the signal voltage output terminal 107.
Since each auxiliary machine 102 is connected in series, the voltage after voltage division by resistors R3 and R4 in each auxiliary machine 102 is lower as the auxiliary machine 102 on the downstream side is lower.
In this embodiment, the voltage after voltage division is measured by the resistors R3 and R4 in each auxiliary machine 102, and its own connection position is recognized based on this voltage.

In the embodiment described above, the barcode 98 is attached to the side wall 10 of the medicine take-out apparatus 1 as information recording means. However, the information recording means is not limited to the barcode, and RFID (Radio Frequency IDentification) or the like is used. It may be a recording medium.
Further, the information reading means may be separate from the communication terminal 73 such as a handy barcode reader.

Further, the information reading means may be built in the auxiliary machine 102 or the box housing part 77.
In this case, the information recorded in the information recording means should be the minimum necessary, and for example, it is recommended to record only the dosing time.
Furthermore, the information reading means can be further simplified by making the dose time a simple symbol or a combination of symbols.
For example, a plurality of wrinkles are illustrated at predetermined positions, and the dosing time is specified depending on whether the wrinkles are white or painted.
Specifically, as shown in FIG. 19, three wrinkles are illustrated, and the dosing time is specified according to the position and number of filled wrinkles.
As described above, the patient name and the like are printed on the front wall 6 of the medicine take-out device 1, but in addition to this, three wrinkles are printed. The haze is printed in a state where a specific position is filled according to the rules shown in FIG.

On the other hand, the box housing portion 77 is provided with reflection sensors 103a, b, and c at positions corresponding to the position of the eyelids, and only determines whether the eyelids are filled or white.
Then, the determined result is transmitted to the main body 101 or the like, and the position where the medicine is stored is specified.
According to this embodiment, the position where the medicine is accommodated can be specified only by attaching the medicine take-out device 1 to the box housing portion 77.

DESCRIPTION OF SYMBOLS 1 Drug taking-out apparatus 2 Box main body 3 Lid member 12 Storage space 15 Opening part 22 Packaging holding member 33 Adhesive member 35 Press member 40 Small bag (drug packaging)
45 pressing member 46 spring 47 elevating member 48 insole member 50 medicine take-out device 51 box body 52 installation stand 53 slit 60 box mounting member 61 guide member 71 medication management system 72 box accommodation device 73 communication terminal 75 parent device 76 child device 77a , B, c, d Box housing part 78 Notification means 80 Medication switch 88 Speaker (notification means)
91, 93 engaging portion 98 bar code (information recording means)
101 Main machine 102 Auxiliary machine

Claims (10)

  The box body has a box body, a lid member, and an adhesive member, the box body has a storage space and an opening, and the storage space is stored in a state where drug packages containing drugs are stacked, and the cover member is At least at the time of use, it is attached to the box body inseparably and opens / closes the opening of the box body, the adhesive member is provided on the housing space side of the lid member, and the lid member is the box body When the adhesive member is in contact with the medicine packaging while the opening of the box is closed and the lid member opens the opening of the box body, the medicine packaging is held by the adhesive member and discharged out of the storage space. The medicine taking-out device characterized by being made.   The medicine take-out apparatus according to claim 1, wherein the box body is provided with a packaging holding member that holds only the medicine packaging located at a position closest to the opening.   The medicine take-out device according to claim 1 or 2, wherein the lid member swings with respect to the box body.   4. The medicine take-out device according to claim 1, wherein a pressing member that presses the medicine package toward the opening is provided in the housing space. 5. The medicine take-out apparatus according to claim 1, further comprising a detecting unit that detects any of the following.
(1) Detection means for detecting that the lid member has been opened.
(2) Detection means for detecting that the medicine package held on the adhesive member has been removed from the adhesive member.   A medication management system comprising the medicine take-out device according to any one of claims 1 to 5 and a medication management device, wherein the medication management device has one or a plurality of box housing portions for housing the medication take-out device, A medication management system comprising a notification means for notifying that it is time to take a medicine stored in a medicine take-out device.   The medication management system according to claim 6, wherein the medication management system includes a plurality of box housing portions and a notification unit corresponding to each box housing portion.   The said medication management apparatus has an engaging part engaged with another box accommodating part, and a box accommodating part can be expanded by engaging another box accommodating part. The medication management system described in 1.   9. The medicine take-out apparatus has information recording means for recording information related to medication, and is provided with information reading means for reading information recorded by the information recording means. The medication management system described.   10. A terminal device having an input means for inputting information, a display means, and a communication means, wherein information is exchanged between the terminal device and the medication management device. The medication management system described in 1.

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