JP3746079B2 - Dispensing bottle removal device - Google Patents

Description

[0001]
[Industrial application fields]
The present invention relates to an apparatus for taking out a dispensing medicine bottle when dispensing is performed according to prescription data by a computer at a pharmacy such as a hospital.
[0002]
[Prior art]
Conventionally, for example, in pharmacies such as hospitals, when dispensing to patients, a pharmacist selects and dispenses the required medicine bottles from the medicine bottle shelves containing a large number of medicine bottles with a prescription in one hand. ing. Also, recently, for rationalization such as dispensing operations and managing various information for patients, a method has been adopted in which prescription data is input to the host computer and various dispensing devices are operated using those data. It is being done.
[0003]
Furthermore, a dispensing audit system is employed in dispensing to prevent dispensing errors. This dispensing audit system checks the maximum amount of drugs and contraindications of drugs and keeps a record of the measurement. It displays drug data on a display near the dispensing table and stores the displayed drugs. The system is such that the pharmacist searches for and takes out the medicine bottle to be retrieved from the medicine shelf.
[0004]
[Problems to be solved by the invention]
However, as described above, there is a problem in that it is a burden on the pharmacist when the medicine based on the prescription is searched and taken out from the medicine bottle arranging shelf while looking at the display based on the data from the computer. Also, when performing such work, the pharmacist mainly memorizes the storage position of the medicine bottles as the handling amount increases, and sensuously takes out the necessary medicine bottles from the medicine bottle arrangement shelf and dispenses them. However, in this case, if any memory difference occurs, there is a problem that a wrong dispensing is performed and there is a risk. Therefore, even if the dispensing operation is performed by receiving the medication data by the computer, the same careful attention as in the past cannot be neglected, and naturally a great mental burden acts on the worker.
[0005]
The present invention has been made in order to solve such problems, and by utilizing the advantage that the medication data from the host computer can be grasped in advance, the medicine bottle to be dispensed is easily handled and displayed in an easy-to-understand manner. It is an object of the present invention to provide a dispensing device for taking out a dispensing medicine bottle that can reduce the mental burden on an operator during dispensing and can perform dispensing work safely and reliably.
[0006]
[Means for Solving the Problems]
In order to achieve the aforementioned object, the dispensing device for taking out a dispensing drug bottle according to the present invention comprises:
(A) Dispensing table including a table and a fixed medicine bottle arrangement shelf arranged above the back position of the table,
(B) disposed below the vial pigeon in the preparation stage, are accommodated a large number of dispensing vial Rutotomoni, outlet for taking out the required dispensing vial with any dispensing vial to its outlet A medicine bottle stocker having conveying means for conveying
(C) disposed in front of the vial pigeon, monitor prescription data is displayed for the preparation and (d) outputs the prescription data to the monitor, the dispensing vial corresponding to the prescription data A computer is provided for controlling the transport means so as to transport to the take-out port.
[0007]
It is preferable to provide an indicator lamp for displaying the position of the dispensing bottle corresponding to the prescription data output from the computer. Moreover, it is preferable to provide a door that opens when the dispensing medicine bottle to be taken out is located at the take-out port.
[0008]
As the transport means, a plurality of transport bodies that are arranged vertically and support a plurality of dispensing drug bottles and circulate independently can be configured in parallel in the horizontal direction. The body has an endless transport chain and a holding body for a dispensing drug bottle that is cantilevered by the transport chain, and a take-out port is preferably provided for each transport body.
Further, as this conveying means, it is also possible to configure a plurality of horizontally arranged rotating shelves that support a plurality of dispensing drug bottles and rotate independently in parallel in the vertical direction. A take-out port is preferably provided for each rotating shelf.
[0010]
[Action]
In the present invention, the prescription data is output from the computer to the monitor, and the dispensing medicine bottle corresponding to the prescription data is conveyed to the take-out port of the medicine bottle stocker by the conveying means. Therefore, the dispensing operator can visually check the monitor and check the prescription data displayed on the monitor against the medicine bottle called out at the outlet, and take out the medicine bottle to measure the required medicine (powder). , Dispensing operation can be easily performed, and the workability is improved by reducing the mental burden. Further, according to the present invention, since the medicine bottle stocker is incorporated below the stationary medicine bottle arranging shelf in the dispensing table, the stationary medicine bottle arranging shelf and the circulation type according to the usage frequency of the medicine bottle. It can be used properly with the medicine bottle stocker. Therefore, there is an advantage that the convenience of the dispensing operator can be improved and the dispensing operation can be performed more safely and reliably.
[0011]
When an indicator lamp for displaying the position of the dispensing medicine bottle corresponding to the prescription data output from the computer is provided at the outlet, the dispensing operator can easily confirm the position of the dispensing medicine bottle to be taken out. More improved. Further, if a door that opens when the dispensing medicine to be taken out is provided at the take-out port, the dispensing bottle can be taken out only when this door is opened, so that an error in dispensing can be prevented reliably. It is.
[0012]
When the transport means is configured by arranging a plurality of transport bodies arranged in a vertical direction and supporting a plurality of dispensing drug bottles and circulating independently, the transport bodies in each row are driven independently. Thus, it is possible to shorten the access time to the required plurality of dispensing drug bottles and to arrange the take-out ports of each row in a horizontal row at the same height, thereby further improving workability. In this case, if the transport body has an endless transport chain and a holding body for a dispensing pill bottle that is cantilevered by the transport chain, the transport body is held when each transport body is made a unit and can be removed. The body and its surroundings can be easily cleaned.
[0013]
In addition, when the transport means is configured by arranging a plurality of horizontally arranged rotating shelves that support a plurality of dispensing drug bottles and rotate independently in parallel in a plurality of stages in the vertical direction, a plurality of dispensing drugs similar to the above are used. The access time to the bottle can be shortened, and the outlets of each row can be arranged in a vertical row, further improving workability.
[0015]
【Example】
Next, specific examples of the dispensing drug bottle taking out apparatus according to the present invention will be described with reference to the drawings.
[0016]
FIG. 1 is a front view of a dispensing medicine bottle removing device according to an embodiment of the present invention, and FIG. 2 is a side view thereof. In these drawings, the dispensing table 1 is provided with a table 2 having a required height, and a plurality of medicine bottle arrangement shelves 3 are provided above the position behind the table 2, and circulated below the medicine bottle arrangement rack 3. A formula bottle stocker 4 is provided. A weighing table 5 is provided at the center (not limited to) on the table 2 so that the dispensing operation can be performed on the table 2. In addition, a dispensing data display monitor 6 connected to a computer for managing prescription data and the like is installed at an appropriate position in front of the medicine bottle arranging shelf 3.
[0017]
The display monitor 6 sequentially outputs prescription data relating to dispensing from a computer (not shown) and displays drug data to be dispensed for one patient. The medicine data is interlocked with the display of the medicine to be taken out described later in the medicine bottle stocker 4. Here, the display monitor 6 is a touch panel type, and when the dispensing operation for one patient is completed, the dispensing operator can select a display screen as appropriate so that the next medicine data can be displayed by operating the touch panel. It has. The display monitor 6 can be moved and installed at the most suitable position for work by the dispensing operator as required.
[0018]
The circulation type medicine bottle stocker 4 includes a plurality of vertically long transport units 7 as shown in FIGS. 3, 4 and 5 in the horizontal direction (left and right in FIG. 1) (eight in this example). They are arranged in parallel. The transport unit 7 is slid in the direction of arrow A in FIG. 3 from the back side of the dispensing table 1 and set with respect to the dispensing table 1, and is pulled out in the direction opposite to the arrow A during maintenance.
[0019]
The transport unit 7 includes a roller chain 12 that is suspended endlessly between a lower sprocket 10 and an upper sprocket 11 that are driven via a worm gear mechanism 9 by the rotation of a motor 8. A plurality (10 in this example) of dispensing drug bottle holders 13 are cantilevered at their upper ends at equal intervals. Rollers (not shown) are attached to the lower part of the holding body 13 so that each roller slides along a guide groove 15 formed in the transport unit main body 14. Thus, when the lower sprocket 10 is rotated by driving the motor 8, each holding body 13 circulates along the roller chain 12 and the guide groove 15 while maintaining a constant posture.
[0020]
The holding body 13 is open at the front surface (right side in FIG. 3) and has substantially L-shaped side plates 13a and 13b on both sides. With this configuration, the medicine bottle 16 can be easily inserted and removed from the front surface side. In addition, the holder 13 can be easily cleaned from the side surface side. When the holding body 13 is in the take-out port 17 of the medicine bottle 16, one side surface of the holding body 13 is covered with a cover 18 attached to the transport unit main body 14.
[0021]
The outlet 17 is an opening having a width that allows the medicine bottle 16 to be taken out from the holding body 13, and the outer periphery of the medicine bottle stocker 4 other than the opening is covered with a cover 19. The takeout port 17 is provided with a door 20 for opening or closing the takeout port 17. The door 20 is opened / closed via the rack and pinion mechanism 22 by the rotation of the door opening / closing motor 21. In addition, an indicator lamp 23 is provided for each transport unit 7 at a position adjacent to the upper side of the take-out port 17. The indicator lamp 23 lights and displays a number corresponding to the drug number in the prescription data displayed on the display monitor 6. In addition, what is shown with the code | symbol 24 in FIG. 1 is a dust collection port.
[0022]
The motor 8, the door opening / closing motor 21 and the indicator lamp 23 for circulatingly driving the holding body 13 are controlled by signals from a control unit by a computer. That is, in association with the prescription data displayed on the display monitor 6, the medicine bottle 16 containing the medicine to be dispensed corresponding to the prescription data is rotated to the take-out port 17 by driving the motor 8, and displayed at the same time. A number corresponding to the drug number in the prescription data is lit and displayed on the lamp 23, and the door 20 of the predetermined outlet 17 is opened by driving the door opening / closing motor 21. In this case, when a plurality of medicines are instructed as prescription data and these medicines are stored in different transport units 7, the transport units 7 are simultaneously driven to transport the required medicine bottles 16 to the respective outlets 17. At the same time, the doors 20 of the outlets 17 are opened and the indicator lamps 23 corresponding to the outlets 17 are turned on.
[0023]
Although not shown in the figure, in this embodiment, an operation button for operating the transport unit 7 by manual operation is provided behind the weighing platform 5. This operation button is operated, for example, when the medicine bottle 16 that has been emptied is refilled, and the required holder 13 is called up to the takeout port 17 by this operation. In addition, for the same type of medicine that is frequently taken out and has a large consumption, a plurality of medicine bottles 16 are arranged in different rows so that they can be taken out without interruption even when they become empty bottles. In the storage compartment of the medicine bottle 16 of each transport unit 7, a weighing means is provided so that the weight of each medicine bottle 16 is always weighed, and when the medicine bottle 16 taken out is returned, it returns from the previous weight. It is preferable that the amount of weight after the weight is measured is fed back to the computer side as data and managed by weighing. In this way, since the remaining amount of the medicine can be managed at all times, when the medicine in the bottle is consumed, the next preparation can be made quickly and there is no problem in dispensing.
[0024]
Thus, the frequently used medicine bottles 16 are accommodated in the circulation medicine bottle stocker 4, and the medicine bottles 16 that are used very little are arranged on the medicine bottle arranging shelf 3 and easily taken out as necessary. To be able to.
[0025]
In addition, the weighing platform 5 on the table 2 is provided with a means for alerting the operator of an error in measurement by, for example, an alarm when the drug to be measured based on the drug data from the computer exceeds the measurement error range. The measurement accuracy can be maintained.
[0026]
Next, the procedure of the dispensing operation using the dispensing device for taking out the dispensing medicine bottle of the present embodiment will be described with reference to the flowchart shown in FIG.
[0027]
First, prescription data relating to dispensing is output from the sub-host computer (step S1). Next, based on the output prescription data, prescription dispensing audits such as the maximum amount of medicines for dispensing for one patient and the contraindication of combination are performed on the data (step S2).
Next, when the dispensing audit is performed and the dispensing is permitted, the data of the medicine used for the dispensing is displayed on the display monitor 6. At this time, for example, when preparing one dispensing medicine by mixing three kinds of powders, the names of the three kinds of medicines are displayed (step S3). Then, at the same time as the name of the required medicine is displayed on the display monitor 6, a control command signal is given to the driving unit of the medicine bottle stocker 4 to drive each conveyance unit 7, and the corresponding medicine bottle 16 is called to the takeout port 17. At the same time, the medicine number of the medicine to be taken out is displayed by turning on the indicator lamp 23 in accordance with the calling of the required medicine bottle 16, and the door 20 of the outlet 17 is opened (step S4).
Subsequently, the dispensation operator (pharmacist) visually checks the display monitor 6 and is called by the takeout port 17 of the medicine bottle stocker 4 and takes out the medicine bottles 16 on the displayed holding body 13 in order of medicine numbers, and weighs them. The medicine (powder) is taken out from the medicine wrapping paper previously placed on the table 4 in an amount necessary for dispensing and weighed. In this way, one item of a required amount of medicine (powder) is weighed on the medicine wrapping paper on the weighing table 4, and when the required amount is taken out, it is put in a mortar, and then the medicine (powder) required for dispensing is measured. Thereafter, a plurality of medicines necessary for dispensing are sequentially and repeatedly measured in accordance with instructions displayed on the display monitor 6 (step S5).
[0028]
Repeat this measurement of the required number of drugs, and put all of the measured drugs in a mortar and mix them by known means, and then divide the powder into the required number of doses by dividing and packing the powder in a known drug packaging machine. (Step S6).
Next, the dispensing medicine packaged by the medicine packaging machine is audited for errors by dispensing audit (step S7). Thus, after the dispensing is completed and packaged, the medicine is stored in a medicine bag describing the usage and dispensed to the patient (step S8).
[0029]
When the medicine bottle 16 called by the medicine data in the medicine bottle stocker 4 is taken out for dispensing and returned to its original state, the calling signal at the accommodation address is deleted, and the medicine bottle 16 at the called accommodation address is deleted. Only the indicator lamp 23 is turned on so that no error occurs.
[0030]
Note that as described above, the medicine bottle 16 in the medicine bottle stocker 4 is called by a computer instruction for a medicine that is handled in large quantities, but a medicine that is used infrequently is provided in the back of the dispensing table 1. Select and take out the required ones from the medicine bottles 16 arranged on the medicine bottle arranging shelf 3, take out the required amount of medicine (powder) on the weighing table 4, mix with other medicines, and use the medicine packaging machine What is necessary is just to perform a packaging operation. When one dispenser or one dispensing is completed, the dispensing operator operates the display monitor 6 to call the next screen, so that the next data is output from the computer and the display is changed. The medicine bottle 16 corresponding to the changed screen display is called up when the command is given and activated. Therefore, the dispensation operator may take out the medicine bottle 16 with the changed display as described above and perform dispensation work for the next medicine.
[0031]
In this embodiment, when a plurality of medicines are instructed, the plurality of doors 20 are opened simultaneously. However, the corresponding doors 20 are opened one by one in the order of the drug numbers in the prescription data, and dispensing is performed. The operator takes out the medicine bottle 16 and returns the medicine bottle 16 to the original position, then closes the door 20 at that position, and opens the next door one after another. Embodiments are also possible. In this case, it is preferable to provide sensors at predetermined positions of the holding body 13 and the door 20 so that various operations can be confirmed.
[0032]
Further, in the present embodiment, the description has been given of the case where the dispensing medicine bottle holder 13 is supported by the endless roller chain (conveyance chain) 12. However, instead of such a roller chain, an endless belt is used. Also good.
[0033]
Further, in the present embodiment, the fixed medicine bottle arrangement shelf 3 and the circulation medicine bottle stocker 4 are integrally provided. However, when only the existing dispensing table is present, this dispensing table is provided. It is also possible to assemble a medicine bottle stocker behind the dispensing table and use it. 7 (a) and 7 (b) show a modified example in which a drug stocker is retrofitted to an existing dispensing table. In the case of this example, a medicine bottle stocker 4 comprising a support frame 7A and a plurality of (in this example, 10) transport units 7 supported by the support frame 7A is attached to the back of the existing dispensing table 1 ′. Be joined. Except for the point that the fixed medicine bottle arranging shelf 3 is not provided, the other configurations are the same as those in the previous embodiment, and thus detailed description thereof will be omitted.
[0034]
According to the dispensing medicine bottle taking-out device of the present embodiment, the required medicine bottle 16 can be taken out by directly visualizing the prescription data displayed on the display monitor 6 and the medicine bottle 16 called to the take-out port 17. Therefore, dispensing work can be performed reliably. Further, in the case of the present embodiment, since the transport unit 7 can be pulled out individually, there is an advantage that maintenance is easy.
[0035]
FIG. 8 is a front view of a dispensing medicine bottle taking out apparatus according to another embodiment of the present invention, and FIG. 9 is a plan view thereof.
In this embodiment, a multistage rotating medicine bottle stocker 25 is provided on one side of the medicine bottle arranging shelf 3. The medicine bottle stocker 25 is configured such that a plurality of rotating shelves 26 are stacked in a multi-stage columnar shape, and the rotating shelves 26 of the respective stages can rotate independently with their rotation axes aligned with each other. 26 is further equally divided in the circumferential direction and divided into a plurality of compartments (12 compartments in this example) by a partition 27, and each rotary shelf 26 can be arbitrarily rotated at a required rotational angle by a drive mechanism (not shown). ing. Each rotary shelf 26 has its own address assigned to each section, and a predetermined medicine bottle 16 is accommodated in each address in advance, and a control unit by a computer and a drive mechanism (not shown) are connected and displayed. In relation to the medicine data displayed on the monitor 6, the required storage address of the medicine bottle 16 is rotated at the take-out port 28. The taking-out port 28 of the medicine bottle 16 is an opening having a width that allows the medicine bottle 16 to be taken out from one section of the rotating shelf 26 in each stage in parallel with the rotation axis, and covers the outer periphery of the medicine bottle stocker 25 other than the opening. 29. The medicine bottle outlet 28 is provided at the most convenient position for the dispensing operation.
[0036]
The multistage rotating medicine bottle stocker 25 has an indicator lamp for the medicine bottle storage address corresponding to the medicine data displayed on the display monitor 6 for each rotating shelf 26 at a position adjacent to the take-out port 28 of the medicine bottle 16. It is connected with the control part by the said computer so that 30 may be lighted. Then, for the indicator lamp 30, for example, a character obtained by adding a section number to the position number of the rotating shelf 26 of each stage (for example, “B-7” as the seventh section of the second stage) is displayed. Therefore, the dispensing operator can quickly discriminate.
[0037]
Also in the dispensing medicine bottle taking out apparatus of the present embodiment, as in the previous embodiment, the medicine bottle 16 that contains the medicine to be dispensed corresponding to the prescription data in relation to the prescription data displayed on the display monitor 6. At the same time, the indicator lamp 30 is turned on to display the position of the medicine bottle 16 to be dispensed.
[0038]
In the present embodiment, the case where the medicine bottle stocker 25 and the medicine bottle arrangement shelf 3 are arranged on the dispensing table 1 has been described. However, as shown in FIG. 10, only the rotating medicine bottle stocker 25A is dispensed. A form installed on the table 1A can also be adopted. Such a format is suitable when the handling amount is relatively small. In addition, the same code | symbol is attached | subjected to the part of the same structure as the said Example, and the description is abbreviate | omitted.
[0039]
【The invention's effect】
As described above, according to the dispensing medicine bottle taking-out device of the present invention, prescription data for each patient to be dispensed is output from the computer, and the prescription data is displayed to the dispensing operator and at the same time the medicine bottle. Since the required medicine bottle in the stocker is called out to the outlet, the dispensing operator can take out the required medicine by directly viewing the medicine data displayed on the monitor and the called medicine bottle. , Reliable dispensing can be performed. In addition, a medicine bottle that is not frequently used can be easily taken out from the medicine bottle arranging shelf using a fixed medicine bottle arranging shelf as required. Therefore, the dispensing operator can easily handle the medicine bottle to be dispensed, can remarkably reduce the mental burden on the operator during dispensing, and can greatly contribute to the improvement of work.
[Brief description of the drawings]
FIG. 1 is a front view of a dispensing medicine bottle removing device according to an embodiment of the present invention.
FIG. 2 is a side view of FIG.
FIG. 3 is a perspective view seen from one side of a transport unit in an embodiment of the present invention.
FIG. 4 is a perspective view seen from the other side of the transport unit in the embodiment of the present invention.
FIG. 5 is a front view of a transport unit according to an embodiment of the present invention.
FIG. 6 is a flowchart showing an operation procedure of a dispensing operation in one embodiment of the present invention.
FIG. 7 is a front view (a) and a side view (b) of a dispensing medicine bottle removing device according to a modification of the embodiment of the present invention.
FIG. 8 is a front view of a dispensing medicine bottle removing device according to another embodiment of the present invention.
9 is a plan view of FIG. 7. FIG.
FIG. 10 is a side view (a) and a plan view (b) of a dispensing medicine bottle takeout device according to still another embodiment of the present invention.
[Explanation of symbols]
1, 1 ', 1A Dispensing table 3 Medicine bottle arrangement shelf 4, 25, 25A Medicine bottle stocker 6 Display monitor 7 Transport unit 8 Motor 9 Worm gear mechanism 12 Roller chain (transport chain)
13 Holding body 16 Medicine bottles 17 and 28 Taking-out port 20 Door 21 Door opening / closing motor 23 and 30 Indicator lamp 26 Rotating shelf

Claims (8)

(A) Dispensing table including a table and a fixed medicine bottle arrangement shelf arranged above the back position of the table,
(B) disposed below the vial pigeon in the preparation stage, are accommodated a large number of dispensing vial Rutotomoni, outlet for taking out the required dispensing vial with any dispensing vial to its outlet A medicine bottle stocker having conveying means for conveying
(C) disposed in front of the vial pigeon, monitor prescription data is displayed for the preparation and (d) outputs the prescription data to the monitor, the dispensing vial corresponding to the prescription data An apparatus for taking out a dispensing medicine bottle, comprising a computer for controlling the carrying means so as to carry it to a take-out port.   2. The dispensing medicine bottle removing device according to claim 1, wherein the taking-out port is provided with an indicator lamp that displays a position of the dispensing medicine bottle corresponding to the prescription data output from the computer.   The dispensing device for taking out a dispensing medicine bottle according to claim 1 or 2, wherein the taking-out port is provided with a door that opens when a dispensing medicine bottle to be taken out is located in the taking-out port.   The said conveyance means is arrange | positioned in the perpendicular direction, and supports several dispensing drug bottles, and is comprised in parallel with several horizontal conveyance bodies in parallel. The dispenser for taking out the dispensing medicine bottle as described.   5. The dispensing medicine bottle take-out device according to claim 4, wherein the transport body has an endless transport chain and a holding body for a dispensing medicine bottle that is cantilevered by the transport chain.   6. The dispensing medicine bottle taking-out device according to claim 4 or 5, wherein the taking-out port is provided for each carrier.   The said conveyance means is comprised in the horizontal direction several steps | paragraphs parallelly arranged in multiple steps | paragraphs of the horizontal arrangement | positioning shelf which supports a some dispensing drug bottle, and rotates independently. Dispensing bottle removal device.   The dispensing device for dispensing dispensing bottles according to claim 7, wherein the take-out port is provided for each rotating shelf.

Images