JP5371059B2 - Dispensing system - Google Patents

Dispensing system Download PDF

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JP5371059B2
JP5371059B2 JP2010282435A JP2010282435A JP5371059B2 JP 5371059 B2 JP5371059 B2 JP 5371059B2 JP 2010282435 A JP2010282435 A JP 2010282435A JP 2010282435 A JP2010282435 A JP 2010282435A JP 5371059 B2 JP5371059 B2 JP 5371059B2
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information
loading
transporter
drug
cart
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JP2012130361A (en
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義人 大村
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Tosho Inc
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Tosho Inc
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Priority to JP2010282435A priority Critical patent/JP5371059B2/en
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Priority to CN201180033572.4A priority patent/CN103002857B/en
Priority to US13/808,208 priority patent/US9165118B2/en
Priority to CA2804204A priority patent/CA2804204A1/en
Priority to AU2011275157A priority patent/AU2011275157A1/en
Priority to PCT/JP2011/059215 priority patent/WO2012005039A1/en
Priority to EP11803375.2A priority patent/EP2591762A1/en
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<P>PROBLEM TO BE SOLVED: To realize a dispensing system which displays other useful information in addition to a display for a drug transportation destination about a display in which visual reading is possible of a pharmaceuticals transportation hand push car. <P>SOLUTION: When loading a carrying vessel 21 in a pharmaceuticals transportation hand push car 20, based on information in which prescribing information or other drug delivery destination is known, in the carrying vessel 21 in which the drug delivery destination is same, mix loading with one of a different drug delivery destination is avoided, if one car is enough to load as a whole in one car, if one car is not enough to load to be divided into multiple cars, and in an information display instrument 30 attached to the pharmaceuticals transportation hand cart 20, a delivery destination display 31 is displayed, and further a hand cart information display 32 which shows loading order concerning the pharmaceuticals transportation hand push car 20 and subsequent presence or absence is displayed, and a partitioning information display 34 which shows a patient for a dividing object, and carrying vessel dividing status is displayed when loading to be divided. <P>COPYRIGHT: (C)2012,JPO&amp;INPIT

Description

この発明は、注射薬等の各種薬剤をストックしておいて、処方箋データやそれから派生した調剤指示データにて指示された薬剤を自動で搬器に投入し、更にその搬器を医薬品運搬用手押車に積み込む調剤システムに関し、詳しくは、視認可能な情報表示器を薬品カートに装着しておいて行先案内等に利用する調剤システムに関する。   This invention stocks various drugs such as injection drugs, automatically puts the drugs specified in the prescription data and the dispensing instruction data derived therefrom into the transporter, and further uses the transporter as a handcart for transporting medicines. More particularly, the present invention relates to a dispensing system in which a visually recognizable information display is mounted on a chemical cart and used for destination guidance and the like.

錠剤やカプセル剤等の薬剤を対象とした自動調剤機として、PTP包装の薬剤を扱う薬剤払出装置や、ばらの薬剤を扱う薬剤分包機、注射薬を扱う注射アンプル自動供給装置などが実用化されている。さらに、それらの調剤機をトレー(搬器)の搬送機構に臨ませたうえで、トレーを搬送するとともに調剤対象薬剤を調剤機からトレーに投入することで、指示された薬剤をトレーに収集して払い出す調剤システムも、実用化されている(例えば特許文献1参照)。この調剤システムでは、例えばバーコードからなるトレー識別情報を書き込み可能な感熱感光式のラベルがトレーに装着されており、そのラベルに対する視認可能な再書込がレーザ光にて非接触で行えるようになっている。   As automatic dispensing machines for drugs such as tablets and capsules, drug dispensing devices that handle drugs in PTP packaging, drug dispensing machines that handle loose drugs, and automatic injection ampoule supply devices that handle injection drugs have been put into practical use. ing. In addition, these dispensing machines are brought to the tray (transporter) transport mechanism, and then the trays are transported and the dispensing target drug is put into the tray from the dispensing machine to collect the instructed drugs in the tray. A dispensing system for dispensing is also put into practical use (see, for example, Patent Document 1). In this dispensing system, for example, a thermosensitive label capable of writing tray identification information made of a bar code is attached to the tray, and rewriting that can be visually recognized with respect to the label can be performed without contact with laser light. It has become.

また、アンプルや小ボトル入り薬剤などを対象とする透明薬袋袋詰機も実用化されている(例えば特許文献2参照)。この薬袋袋詰機は、トレー(搬器)に加えて、薬袋とハンガーも取り扱うようになっている。具体的には、上位の処方オーダリングシステム等から処方箋データ(処方情報)が送信されて来ると、それに応じてアンプル等の薬剤が自動調剤装置から払い出されて先ずは収集用トレーに収集され、そのトレーがコンベアで薬袋袋詰機に搬送され、薬袋袋詰機では、薬袋に薬剤情報が印刷されるとともに薬剤が詰め込まれ、それがハンガーにて纏められる。それと並行して輸液ボトル等は薬袋トレーに投入されるが、その薬袋トレーに袋詰め済み薬袋とハンガーが追加投入される。こうして、薬剤がバラバラにならないよう患者単位や病棟単位など適宜な単位で纏められる。   In addition, a transparent medicine bag bagging machine for ampoules and small bottled drugs has been put into practical use (see, for example, Patent Document 2). This medicine bag bagging machine handles medicine bags and hangers in addition to trays (transporters). Specifically, when prescription data (prescription information) is transmitted from a higher-order prescription ordering system or the like, a drug such as an ampoule is dispensed from the automatic dispensing device according to the prescription data and is first collected in a collection tray. The tray is conveyed to a medicine bag bagging machine by a conveyor. In the medicine bag bagging machine, medicine information is printed on the medicine bag and the medicine is packed, and the medicine is packed on a hanger. At the same time, infusion bottles and the like are put into a medicine bag tray, and a medicine bag and a hanger are added to the medicine bag tray. Thus, the medicines are collected in appropriate units such as patient units and ward units so that the drugs do not fall apart.

さらに、医薬品を収納して手押しで運搬することができるばかりか保冷機能や走行駆動機能まで発揮できる医薬品運搬用手押車(薬品カート)も実用化されている(例えば特許文献3参照)。この医薬品運搬用手押車に装備された薬品情報管理装置は、マイクロプロセッサシステム等からなり、カードリーダやLCDパネルを具備している。そして、ICカード等から処方箋情報や,手術情報,患者情報,セット情報,運搬先情報,運搬経路情報などを読み取って、運搬先を示す病室・手術室等の案内表示,施用対象患者の確認を促すための表示などをLCDパネルに行わせるようになっている。   In addition, a hand cart for transporting medicine (medicine cart) that can not only store and transport the medicine by hand but also exhibits a cold insulation function and a traveling drive function has been put into practical use (see, for example, Patent Document 3). The drug information management device provided in this cart for transporting medicines comprises a microprocessor system and the like, and includes a card reader and an LCD panel. And read prescription information, surgery information, patient information, set information, transport destination information, transport route information, etc. from IC card etc., and display guidance of hospital room / operating room etc. showing transport destination and confirmation of application target patient The LCD panel is made to display for prompting.

また、自動調剤機と医薬品運搬用手押車との間で搬器を移載する搬器供給装置も実用化されている(例えば特許文献4参照)。この搬器供給装置は、医薬品運搬用手押車から空の搬器を取り出して自動調剤機に供給するとともに、薬剤を収容して自動調剤機から返された搬器を医薬品運搬用手押車に戻すようになっている。また、医薬品運搬用手押車に付されたデータキャリア等の情報担体から搬器配置特定可能情報を読み取り、その情報に基づいて移載機構の搬器取込動作の制御を行うとともに搬器有無の確認処理を行うようにもなっている。さらに、搬器取入口が装置の前面に加えて右側面にも形成されて複数になったものもあり、この場合、通常は前面の搬器取入口を使用し、右側面の搬器取入口は予備的・一時的・バッファ的に用いられる。   In addition, a transporter supply device that transfers a transporter between an automatic dispensing machine and a handcart for transporting medicines has been put into practical use (see, for example, Patent Document 4). This transporter supply device takes out an empty transporter from a cart for transporting medicines and supplies it to an automatic dispensing machine, and returns the transporter that contains the medicine and returned from the automatic dispensing machine to the handcart for transporting medicines. ing. In addition, the carrier placement identification information is read from the information carrier such as a data carrier attached to the handcart for drug transport, and the carrier loading operation of the transfer mechanism is controlled based on the information, and the presence / absence check processing of the carrier is performed. It is also supposed to do. In addition, there are also a plurality of transporter inlets formed on the right side in addition to the front of the device. In this case, the front side of the transporter inlet is usually used, and the right side of the transporter inlet is a preliminary.・ Used temporarily and as a buffer.

また、電子データと印刷物との長所を兼ね備えた情報表示手段である電子ペーパーと、その表示に係る駆動制御とデータ記憶とを行う内蔵電子回路と、そのデータや表示情報書換指令等の指令を受け取る無線受信部とを一体化した電子棚札が実用化されている(例えば特許文献5参照)。この電子棚札を多数設置した電子棚札システムでは、サーバ(無線制御ユニット)にLAN接続された固定設置のトランシーバ(無線送信器)を用いて電子棚札にアクセスできる他、可搬性のリモコン(無線操作器)にて電子棚札の表示情報を切り替えることもできるようになっている。   It also receives electronic paper, which is an information display means that combines the advantages of electronic data and printed matter, a built-in electronic circuit that performs drive control and data storage related to the display, and commands such as data and display information rewrite commands. An electronic shelf label integrated with a wireless receiver has been put into practical use (see, for example, Patent Document 5). In this electronic shelf label system in which a large number of electronic shelf labels are installed, the electronic shelf label can be accessed using a fixedly installed transceiver (wireless transmitter) connected to a server (wireless control unit) via a LAN, and a portable remote control ( The display information of the electronic shelf label can be switched by a wireless operation device.

そして、そのような電子棚札や電子棚札システムが安価かつ安定に提供されるようになったことから、調剤システムについても、搬器に装着されるラベルに上述した電子ペーパー利用の電子棚札を転用するといったことにより、搬器のラベルを無線受信可能なラベル装置にしてラベル書換の自由度や柔軟性を高めたものが開発されている(例えば特許文献6参照)。この調剤システムでは、電子ペーパーに、処方番号や患者名の他、監査台への運搬先案内や、欠品のリスト、搬器の内部空間の分割案内、監査の未済、病棟への運搬先案内などが、目視読取可能な文字や図で表示されるようになっている。   And since such an electronic shelf label and an electronic shelf label system have come to be provided inexpensively and stably, the above-described electronic paper-based electronic shelf label is also attached to the label mounted on the transporter for the dispensing system. As a result of diversion, a label device capable of wirelessly receiving a label of a transporter has been developed to increase the flexibility and flexibility of label rewriting (see, for example, Patent Document 6). In this dispensing system, in addition to prescription numbers and patient names, electronic paper, transportation destination guidance to the auditing table, list of missing items, division guidance of the internal space of the container, audit not completed, transportation destination guidance to the ward, etc. Are displayed in visually readable characters and figures.

特開2002−153542号公報JP 2002-153542 A 特開2004−148034号公報JP 2004-148034 A 特開2005−040371号公報JP 2005-040371 A 特開2006−239046号公報JP 2006-239046 A 特開2009−026329号公報JP 2009-026329 A 特願2009−238050号Japanese Patent Application No. 2009-238050

このように電子ペーパーを導入することにより、手に持って運んだりコンベアに乗せて搬送したりする搬器については、収容した薬剤の情報や運搬先の情報などを目視読取可能に表示する際、欠品リストなど従来より高度な情報を表示することまで、ラベル書換でかなり容易に行えるようになってきている。
しかしながら、そのような搬器を幾つか積み込んで纏めて運ぶ医薬品運搬用手押車については、データキャリアなど機械読取専用の情報担体は導入されているが、人向けの目視読取可能な情報表示器は、旧態のままであり、手書き札や印刷シールなど表示内容が固定式かそれに近いものが用いられていたので、手押車を柔軟に運用するのが難しかった。
By introducing electronic paper in this way, for containers that are carried by hand or transported on a conveyor, it is necessary to display information on stored medicines and information on the destination for visual reading. It has become much easier to rewrite labels to display more advanced information such as product lists.
However, for pharmaceutical carts that carry several such transporters in bulk, information carriers dedicated to machine reading, such as data carriers, have been introduced. As it was the old state, the display contents such as handwritten bills and printed stickers were fixed or similar, so it was difficult to operate the handcart flexibly.

とは言え、それに関しては、医薬品運搬用手押車の情報表示器にも電子ペーパーなど表示書換の自由度や柔軟性に優れたものを採用することで、運搬先表示の変更が簡便になるため、医薬品運搬用手押車を各部門間で融通し合うといった柔軟な運用が可能になると期待される。
もっとも、情報表示器の表示書換の自由度や柔軟性を高めたことによる改良が運搬先表示の変更にとどまるのでは、従来より高機能だが費用の嵩む電子ペーパー等を導入した甲斐がない。
そこで、医薬品運搬用手押車の目視読取可能な表示について薬剤運搬先の表示に加えて他の有用な情報も表示する調剤システムを実現することが技術的な課題となる。
However, in this regard, it is easy to change the display of the transportation destination by adopting electronic paper and other information display devices with excellent flexibility and flexibility of display rewriting as information displays for hand carts for drug transport. It is expected that flexible operation will be possible, such as interchange of handcarts for drug delivery between departments.
However, the improvement by increasing the degree of freedom and flexibility of display rewriting of the information display device is limited to the change of the transport destination display, and there is no reason to introduce electronic paper or the like that is more functional but expensive.
Therefore, it is a technical problem to realize a dispensing system that displays other useful information in addition to the display of the drug transport destination for the visually readable display of the handcart for drug transport.

本発明の調剤システムは(解決手段1)、このような課題を解決するために創案されたものであり、収容している薬剤を搬器に投入して送り出す調剤装置と、情報を目視読取可能に表示する情報表示器が目視可能部位に付設されている手押車であって複数の搬器を積み込める複数の医薬品運搬用手押車と、前記調剤装置から搬器を受け取って前記医薬品運搬用手押車に積み込む搬器積込装置とを備えていて、処方情報に基づいて前記調剤装置と前記搬器積込装置とを協動させる調剤システムにおいて、前記情報表示器には表示内容を書き換えられるものが採用されており、前記情報表示器の表示内容を書き換える手段が設けられており、(単体の制御装置での集中制御によって又は協動する複数の制御手段での分散制御によって)前記医薬品運搬用手押車に搬器を積み込むに際して、処方情報その他の薬剤運搬先の分かる情報に基づき薬剤運搬先の同じ搬器は薬剤運搬先の異なるものとの混載を避けながら一台で足りれば一台に纏めて積み込み一台で足りなければ複数台に分けて積み込むとともに、積み込み先の医薬品運搬用手押車に付設されている情報表示器には薬剤運搬先を表示させ更に薬剤運搬先の同じ医薬品運搬用手押車に係る積み込みの順番と後続の有無とを示す手押車情報を表示させるようになっている、ことを特徴とする。   The dispensing system of the present invention (Solution means 1) was devised to solve such a problem, and dispensed by feeding a contained medicine into a transporter, and information can be visually read. A handcart with an information indicator to be displayed attached to a viewable part, a plurality of transport carts for loading a plurality of transporters, and a transporter received from the dispensing device and loaded onto the transport carts for transporting medicines In a dispensing system that includes a transporter loading device and cooperates between the dispensing device and the transporter loading device based on prescription information, the information display device is adapted to rewrite the display content. , Means for rewriting the display content of the information display is provided, and the pharmaceutical product (by centralized control by a single control device or by distributed control by a plurality of cooperating control means) When loading a transporter into a transport cart, prescribe information and other information that can be used to know the drug transport destination, and the same transport device for the drug transport destination should be combined into a single unit as long as one unit is sufficient while avoiding mixed loading with different drug transport destinations. If one unit is not enough, it will be divided into multiple units and loaded, and the information display attached to the loading cart for the drug transport will display the drug transport destination, and the drug transport destination at the same drug transport destination will be displayed. It is characterized by displaying handcart information indicating the order of loading related to the cart and the presence or absence of the following.

また、本発明の調剤システムは(解決手段2)、上記解決手段1の調剤システムであって、前記医薬品運搬用手押車に搬器を積み込む際に薬剤運搬先の同じ搬器を複数台に分けて積み込むときには、処方情報その他の施用対象患者の分かる情報に基づいて同一患者に施用される薬剤を収容した複数の搬器が複数の医薬品運搬用手押車に分割積込みされるか否かを判別するとともに、分割積込み時には積み込み先の医薬品運搬用手押車に付設されている情報表示器に分割積込み対象の患者と分割積込み対象の搬器の分割状況とを示す分割情報を表示させるようになっている、ことを特徴とする。   Further, the dispensing system of the present invention is (Solution means 2), which is the dispensing system of the above-mentioned solution means 1, and loads the same carrier as the drug delivery destination into a plurality of units when loading the container into the drug delivery wheelbarrow. Sometimes, based on prescribing information and other information that can be understood by the patient to be applied, it is determined whether or not a plurality of transporters containing medicines to be applied to the same patient are separately loaded into a plurality of drug delivery wheelbarrows. At the time of loading, the information display attached to the cart for transporting the drug at the loading destination displays division information indicating the division target of the division loading patient and the division status of the division loading target carrier. And

このような本発明の調剤システムにあっては(解決手段1)、搬器に収容して払い出された薬剤が病棟単位など運搬先毎に纏めて医薬品運搬用手押車に積み込まれるとともに、医薬品運搬用手押車の情報表示器には運搬先だけでなく手押車情報表示も表示される。しかも、その手押車情報表示には薬剤運搬先の同じ医薬品運搬用手押車に係る積み込みの順番と後続の有無とが示されているので、どの医薬品運搬用手押車の医薬品運搬用手押車を見ても、一緒に移動させると作業能率の良い医薬品運搬用手押車が他にも有るのか否かや、他にもあれば順序はどうするのが良いのか、といったことが直ちに分かる。
したがって、この発明によれば、医薬品運搬用手押車の目視読取可能な表示について薬剤運搬先表示に加えて他の有用な情報も表示する調剤システムを実現することができる。
In such a dispensing system of the present invention (Solution 1), the medicines accommodated in the transporter and dispensed are collectively loaded into a handcart for transporting medicines for each transport destination such as a ward unit, and the medicine transporting The handcart information display displays not only the transport destination but also the handcart information display. In addition, since the handcart information display indicates the loading order and the subsequent presence / absence of the same drug transport cart at the same drug transport destination, it is possible to see which drug transport cart is used. However, when they are moved together, it is immediately known whether there are other hand carts for drug delivery with good work efficiency, and if there are others, what should be done in order.
Therefore, according to the present invention, it is possible to realize a dispensing system that displays other useful information in addition to the drug transport destination display for the visually readable display of the handcart for drug transport.

また、本発明の調剤システムにあっては(解決手段2)、同一患者について分割積込みが生じたときには、分割積込み対象の患者と分割積込み対象の搬器の分割状況とが表示されるので、運搬先確認等のために情報表示器を見れば直ちに分割積込みのあったことが分かるとともに、分割積込み対象の搬器を患者単位で纏め直すことも容易かつ的確に行えることとなる。   Further, in the dispensing system of the present invention (solution 2), when division loading occurs for the same patient, the division loading target patient and the division status of the division loading target carrier are displayed. Looking at the information display for confirmation or the like, it can be seen immediately that there has been division loading, and it is also possible to easily and accurately regroup the division loading target vehicles for each patient.

本発明の実施例1について、調剤システムの構造等を示し、(a)が調剤システムの各装置の平面配置図、(b)が医薬品運搬用手押車の外観斜視図、(c)〜(e)が情報表示器の表示例である。About Example 1 of this invention, the structure etc. of a dispensing system are shown, (a) is a plane arrangement view of each apparatus of a dispensing system, (b) is an external perspective view of a handcart for drug delivery, (c) to (e) ) Is a display example of the information display.

このような本発明の調剤システムについて、これを実施するための具体的な形態を、以下の実施例1により説明する。
図1に示した実施例1は、上述した解決手段1〜2(出願当初の請求項1〜2)を総て具現化したものである。
なお、その図示に際しては、簡明化等のため、ボルト等の締結具や,ヒンジ等の連結具,電動モータ等の駆動源,タイミングベルト等の伝動部材,モータドライバ等の電気回路,コントローラ等の電子回路などは図示を割愛し、発明の説明に必要なものや関連するものを中心に図示した。
About the dispensing system of such this invention, the specific form for implementing this is demonstrated by the following Example 1. FIG.
The first embodiment shown in FIG. 1 embodies all the above-described solving means 1 and 2 (claims 1 and 2 at the beginning of the application).
In the illustration, for the sake of simplification etc., fasteners such as bolts, coupling tools such as hinges, drive sources such as electric motors, transmission members such as timing belts, electric circuits such as motor drivers, controllers, etc. The electronic circuit and the like are not shown in the figure, and those necessary and related to the explanation of the invention are mainly shown.

本発明の調剤システムの実施例1について、その具体的な構成を、図面を引用して説明する。図1は、(a)が調剤システム10の各装置11〜14,20の平面配置図、(b)が搬器21を積み込んだ医薬品運搬用手押車20の外観斜視図、(c)が情報表示器30の表示面である。   About the Example 1 of the dispensing system of this invention, the specific structure is demonstrated with reference to drawings. 1A is a plan layout view of the devices 11 to 14 and 20 of the dispensing system 10, FIG. 1B is an external perspective view of a handcart 20 for transporting a medicine loaded with a transporter 21, and FIG. 1C is an information display. 3 is a display surface of the container 30.

この調剤システム10には(図1(a)参照)、制御装置を装備した操作卓11と、搬器搬送路に沿って上流から下流へ連なるようにして並設された搬器供給装置12と一の又は複数の自動調剤装置13と搬器積込装置14と、手押しで移動させられる幾つかの医薬品運搬用手押車20とが具わっている。搬器搬送路は、各装置12〜14の底部等に組み込まれたり薬剤払出口や搬器送出口に隣接された例えばベルトコンベア等からなる搬器搬送機構によって構成されており、搬器21は、薬剤を収容して搬器搬送機構や人手で運搬できる器であり、典型例としては浅皿状のトレーや角箱状のボックスが挙げられる。   This dispensing system 10 (see FIG. 1 (a)) includes a console 11 equipped with a control device, and a transporter supply device 12 arranged in parallel so as to be connected from upstream to downstream along the transporter transport path. Alternatively, a plurality of automatic dispensing devices 13, a carrier loading device 14, and several handcarts 20 for transporting medicines that are moved by hand are provided. The transporter transport path is configured by a transporter transport mechanism that is incorporated in the bottom of each of the devices 12 to 14 or is adjacent to the drug delivery outlet or the transporter transport outlet, for example, a belt conveyor. Thus, it is a transporting device or a device that can be transported by hand, and typical examples include a shallow tray-shaped tray and a square box-shaped box.

搬器供給装置12は、空の搬器21を必要に応じて搬器搬送機構に引き渡すことができれば、搬器21を自ら多数収納しているものでも(例えば特許文献1,6参照)、他から搬器21を移載するものでも良い(例えば特許文献4参照)。
自動調剤装置13は、多数・多量の薬剤を薬品庫部等に収容しており制御指令等に応じて薬剤を搬器21に投入して送り出すものであれば、薬剤をそのまま搬器21に投入するものでも(例えば特許文献1,6参照)、袋詰め等をしてから投入するものでも良い(例えば特許文献2参照)。
If the carrying device 12 can deliver the empty carrying device 21 to the carrying device transport mechanism as necessary, the carrying device 21 can accommodate many carrying devices 21 (see, for example, Patent Documents 1 and 6). It may be transferred (see, for example, Patent Document 4).
If the automatic dispensing device 13 contains a large number and a large amount of medicines in a medicine storage part or the like, and injects the medicines into the transporter 21 according to a control command or the like, the medicines are put into the transporter 21 as they are. However (for example, refer to Patent Documents 1 and 6), they may be filled after bagging or the like (for example, refer to Patent Document 2).

搬器積込装置14は、自動調剤装置13から送られてきた薬剤収容済みの搬器21を受け取って医薬品運搬用手押車20に積み込むことができるものであれば、医薬品運搬用手押車20を寄せる搬器積込み口が一つだけのものでも(例えば特許文献1の実施例1及び図1参照)、搬器積込み口が複数のものでも良いが(例えば特許文献1の実施例2及び図2参照)、ここでは、搬器積込み口として通常口と優先口との二つが設けられているものを具体例とする。   If the container loading device 14 can receive the medicine-containing carrier 21 sent from the automatic dispensing device 13 and can load it onto the medicine carrying cart 20, the carrying device for bringing the medicine carrying cart 20 together. Even if there is only one loading port (see, for example, Embodiment 1 of Patent Document 1 and FIG. 1), there may be a plurality of loading ports for loading equipment (see, for example, Embodiment 2 of Patent Document 1 and FIG. 2). Then, what is provided with two of a normal port and a priority port as a carrier loading port is taken as a specific example.

医薬品運搬用手押車20は(図1(b)参照)、薬品カートと呼び慣わされており、複数の搬器21を積み込んで手押しで運搬することができるものであれば、走行駆動機能等が付いていてもいなくても良く(例えば特許文献3参照)、搬器配置特定可能情報等の情報担体が付いていてもいなくても良いが(例えば特許文献4参照)、外側面などの目視可能部位には一個か複数個の情報表示器30が表示面を露出させた状態で付設されている。なお、搬器21を20個ほど積み込んだ医薬品運搬用手押車20を図示したが、以降の説明では、医薬品運搬用手押車20が搬器21を最大で27個まで積み込めるものとして、数値例を述べる。   The handcart 20 for transporting medicines (see FIG. 1B) is commonly called a medicine cart, and has a traveling drive function or the like as long as a plurality of transporters 21 can be loaded and transported by hand. It may or may not be attached (for example, refer to Patent Document 3), and may or may not be equipped with an information carrier such as information that can specify a carrier arrangement (for example, refer to Patent Document 4), but can be visually observed such as an outer surface. One or a plurality of information display devices 30 are attached with the display surface exposed. In addition, although the pharmaceutical transport wheelbarrow 20 loaded with about 20 transporters 21 is illustrated, in the following description, numerical examples will be described on the assumption that the pharmaceutical transport handcart 20 can load up to 27 transporters 21. .

情報表示器30は(図1(b),(c)参照)、電子ペーパーと内蔵電子回路と無線受信部とを一体化してカード状にしたラベル装置が採用されて、情報を文字や図形などで目視読取可能に表示できるうえ、表示内容を容易に書き換えることができ、さらには消費電力の少ないものとなっている(例えば特許文献5,6参照)。情報表示器30は、医薬品運搬用手押車20の表面の見やすいところに張付状態で装着されているが、医薬品運搬用手押車20の使用時に固定されていれば着脱式であっても良い。   The information display 30 (see FIGS. 1B and 1C) employs a label device in which electronic paper, a built-in electronic circuit, and a wireless receiving unit are integrated into a card shape, and information is displayed in characters, figures, and the like. In addition, the display contents can be displayed in a visually readable manner, the display contents can be easily rewritten, and the power consumption is low (see, for example, Patent Documents 5 and 6). The information indicator 30 is attached in a stretched state on the surface of the drug delivery cart 20 so that it can be easily seen, but may be detachable as long as it is fixed when the drug delivery cart 20 is used.

さらに、図示は割愛したが、情報表示器30に無線でアクセスする無線送信器が、情報表示器30の表示内容を書き換える手段として、設けられている。この無線送信器は、制御装置から指示された書込データや表示切替指令を搬器積込装置14の通常口や優先口の医薬品運搬用手押車20の情報表示器30に送りつけることができるよう、搬器積込装置14やその近くの自動調剤装置13に付設されるか、専用の台や支柱などに取り付けられている。複数の無線送信器を例えば通常口向けと優先口向けとで使い分けるようにしても良く、カート番号等で医薬品運搬用手押車を識別して無線送信器を共用するのも良い。   Further, although not shown, a wireless transmitter that wirelessly accesses the information display 30 is provided as means for rewriting the display content of the information display 30. This wireless transmitter can send write data and a display switching command instructed from the control device to the information display 30 of the drug delivery cart 20 of the normal mouth or priority port of the transporter loading device 14. It is attached to the loader loading device 14 and the automatic dispensing device 13 in the vicinity thereof, or is attached to a dedicated table or column. A plurality of wireless transmitters may be used separately for, for example, the normal mouth and the priority mouth, and the wireless transmitter may be shared by identifying the cart for transporting the medicine and the like.

制御装置は、パーソナルコンピュータやマイクロプロセッサシステムなどのプログラマブルな情報処理装置からなり、操作卓11の操作や可能なら外部の処方オーダリングシステムからのダウンロード等にて処方情報を取得するようになっている。
処方情報は、処方箋データそのままのこともあれば、処方箋データから調剤に必要な部分を抽出したり調剤に適するよう加工した調剤指示になっていることもある。処方情報には、薬剤の種類や用量など調剤に必要な情報が含まれている。その他、調剤した薬剤を施用する対象である患者の氏名や性別などといった施用対象患者の分かる情報に加えて、調剤した薬剤を施用する場所となる病棟や手術室などといった薬剤運搬先の分かる情報も、処方情報に含まれていることが多いが、何れか一方または双方が含まれていないこともある。例えば、術式に応じて予め調剤内容の決まっているセット薬品を手術場所や手術対象患者の決定前に予め準備しておくための処方情報の場合、施用対象患者や薬剤運搬先の分かる情報が調剤時には未だ含められていないこともある。
The control device includes a programmable information processing device such as a personal computer or a microprocessor system, and acquires prescription information by operating the console 11 or, if possible, downloading from an external prescription ordering system.
The prescription information may be prescription data as it is, or it may be a dispensing instruction that is extracted from the prescription data and processed to be suitable for dispensing. The prescription information includes information necessary for dispensing such as the type and dose of the drug. In addition to information that can be understood by the patient to be applied, such as the name and sex of the patient to whom the dispensed drug is to be applied, there is also information that can be used to know the drug delivery destination, such as the ward or operating room where the dispensed drug is to be applied. The prescription information is often included, but either one or both may not be included. For example, in the case of prescription information for preparing a set medicine whose contents of dispensing are determined in advance according to the surgical procedure in advance before the determination of the surgical location and the surgical target patient, there is information that indicates the application target patient and the drug delivery destination. It may not have been included at the time of dispensing.

制御装置は、取得した処方情報に基づいて搬器供給装置12と自動調剤装置13と搬器積込装置14を協動させるために、それらと適宜な信号ケーブルやLANケーブル等で接続されていて、それらに動作指令を送信したり、それらから装置状態を受信するようになっている。また、制御装置は、搬器積込装置14の通常口と優先口に寄せられている医薬品運搬用手押車20の情報表示器30に対しては、無線送信器を介して無線でアクセスすることで、表示内容を書き換えさせることができる。そして、処方情報を取得する度に、順次、搬器供給装置12には空の搬器21を自動調剤装置13へ供給させ、自動調剤装置13には処方薬剤を搬器21へ投入させるとともに薬剤投入済み搬器21を搬器積込装置14へ引き渡させ、搬器積込装置14には搬器21を通常口か優先口か何れかの医薬品運搬用手押車20へ積み込ませる、といった制御を行うようになっている。   The control device is connected to them with an appropriate signal cable, LAN cable, etc., in order to cooperate with the carrier supply device 12, the automatic dispensing device 13, and the carrier loading device 14 based on the acquired prescription information. An operation command is transmitted to and a device status is received from them. In addition, the control device wirelessly accesses the information display 30 of the handcart 20 for transporting medicines brought to the normal port and the priority port of the transporter loading device 14 via a wireless transmitter. The display content can be rewritten. Each time the prescription information is acquired, the transport device supply device 12 sequentially supplies the empty transport device 21 to the automatic dispensing device 13, and the automatic dispensing device 13 inputs the prescription drug into the transport device 21 and the pre-filled transport device. 21 is delivered to the transporter loading device 14, and the transporter loading device 14 performs control such that the transporter 21 is loaded on the handcart 20 for carrying a medicine that is either a normal port or a priority port.

さらに、制御装置は、搬器積込装置14に医薬品運搬用手押車20へ搬器21を積み込ませる際に、対応する処方情報から薬剤運搬先が分かるときにはそれを採用し、処方情報では薬剤運搬先が分からないときには動作モードにもよるが操作卓11等から入力を求めて得た薬剤運搬先を採用して、積み込もうとしている搬器21の薬剤運搬先をできるだけ確定してから、通常口の医薬品運搬用手押車20が空であれば、積み込もうとしている搬器21の薬剤運搬先を通常口の医薬品運搬用手押車20の薬剤運搬先に決定するとともにその医薬品運搬用手押車20の情報表示器30の運搬先表示31の欄に表示させ更に搬器21を通常口の医薬品運搬用手押車20に積み込ませるようになっている。   Furthermore, when loading the transporter 21 into the drug delivery wheelbarrow 20 in the transporter loading device 14, the control device adopts the transport destination when the corresponding transport information is known from the corresponding prescription information. If you do not know, depending on the operation mode, use the drug delivery destination obtained by requesting input from the console 11, etc., determine the drug delivery destination of the transporter 21 to be loaded as much as possible, If the transport cart 20 is empty, the drug transport destination of the transporter 21 to be loaded is determined as the drug transport destination of the normal drug transport cart 20 and the information display of the drug transport cart 20 is displayed. It is displayed in the column of the transport destination display 31 of the container 30, and the transporter 21 is further loaded on the handcart 20 for transporting a medicine in the normal mouth.

これに対し、通常口の医薬品運搬用手押車20が空でなく既に薬剤運搬先が決定済みであれば、積み込もうとしている搬器21の薬剤運搬先と通常口の医薬品運搬用手押車20の薬剤運搬先とを比較照合して、一致したときには搬器21を通常口の医薬品運搬用手押車20に積み込むが、一致しないときや薬剤運搬先を確定できなかったときには搬器21を優先口の医薬品運搬用手押車20に積み込ませるようになっている。また、医薬品運搬用手押車20が搬器21を満載したときには、空の医薬品運搬用手押車20との交換を操作卓11にて作業者に促すとともに、次の搬器21の積み込みは、空の医薬品運搬用手押車20を待って行うようになっている。   On the other hand, if the normal mouth drug transport handcart 20 is not empty and the drug transport destination has already been determined, the drug transport destination of the transporter 21 to be loaded and the normal mouth drug transport handcart 20 When the drug transport destination is compared and matched, the transporter 21 is loaded onto the normal delivery drug transport cart 20; however, when it does not match or the drug transport destination cannot be determined, the transporter 21 is loaded with the priority transport drug product. It is designed to be loaded on the handcart 20. In addition, when the drug transport cart 20 is fully loaded with the transporter 21, the operator 11 is urged to replace the empty transport cart 20 with the operator console 11, and the next transporter 21 is loaded with an empty drug transporter. It waits for the handcart 20 for conveyance.

このような制御により、調剤システム10は、薬剤運搬先の同じ搬器21は、薬剤運搬先の異なるものとの混載を避けながら、医薬品運搬用手押車20が一台で足りれば一台の医薬品運搬用手押車20に纏めて積み込み、医薬品運搬用手押車20が一台で足りなければ複数台の医薬品運搬用手押車20に分けて積み込むものとなっている。また、積み込み先の医薬品運搬用手押車20に付設されている情報表示器30の運搬先表示31の欄には薬剤運搬先を表示させるものとなっている(図1(c)参照)。   With such a control, the dispensing system 10 can be used as long as one drug transport handcart 20 is sufficient for the same container 21 of the drug transport destination while avoiding mixed loading with different drug transport destinations. If a single handcart 20 for transporting medicines is not sufficient, the handcart 20 for transporting medicines is loaded separately. In addition, the medicine delivery destination is displayed in the column of the delivery destination display 31 of the information display 30 attached to the handcart 20 for transporting the medicine (see FIG. 1C).

さらに(図1(c)参照)、制御装置は、情報表示器30の手押車情報表示32の欄には、薬剤運搬先の同じ医薬品運搬用手押車20に係る積み込みの順番と後続の有無とを示す手押車情報を表示させるようになっている。積み込みの順番の表示の典型例は、1から始まる整数であり、後続の有無の表示は、後続有や後続無の文字でも良いが、ここでは、後続の有るときには次の医薬品運搬用手押車20の積み込みの順番を採用し、後続の無いときには現在の医薬品運搬用手押車20の積み込みの順番を採用して、二つの番号の一致不一致で後続の有無を表すようになっている。それに加え、情報表示器30の搬器情報表示33の欄には、医薬品運搬用手押車20に実際に積み込んだ搬器21の個数と、医薬品運搬用手押車20に搬器21を積み込める最大数とを表示させるようにもなっている。   Further (see FIG. 1 (c)), the control device displays in the column of the handcart information display 32 of the information display 30 the order of loading and the subsequent presence / absence of the handcart 20 for transporting the same medicine as the medicine transport destination. Wheelbarrow information indicating is displayed. A typical example of the display of the loading order is an integer starting from 1. The following presence / absence indication may be a character with or without following, but here, when there is a following, the next handcart 20 for transporting the medicine is used. When there is no following, the current loading order of the handcart 20 for transporting medicines is adopted, and the presence / absence of the following is indicated by the mismatch of the two numbers. In addition, in the column of the transporter information display 33 of the information display 30, the number of transporters 21 actually loaded on the drug transport handcart 20 and the maximum number of transporters 21 that can be loaded on the drug transport cart 20 are indicated. It is supposed to be displayed.

また、制御装置は、医薬品運搬用手押車20に搬器21を積み込む際に薬剤運搬先の同じ搬器21を複数台の医薬品運搬用手押車20に分けて積み込むときには、処方情報その他の施用対象患者の分かる情報に基づいて同一患者に施用される薬剤を収容した複数の搬器21が複数の医薬品運搬用手押車20に分割積込みされるか否かを判別するとともに、分割積込み時には、積み込み先の医薬品運搬用手押車20に付設されている情報表示器30の分割情報表示34の欄に、分割情報として、分割積込み対象の患者を特定する例えば患者名と、分割積込み対象の搬器の分割状況を示す例えば片割れ数および総数とを、表示させるようになっている。   In addition, when loading the transporter 21 into the drug delivery cart 20, the control device divides and loads the same transporter 21 as the drug transport destination into a plurality of drug transport carts 20 for prescription information and other application target patients. Based on the information that can be understood, it is determined whether or not a plurality of transporters 21 containing medicines to be applied to the same patient are divided and loaded into a plurality of handcarts 20 for transporting medicines. In the division information display 34 column of the information display 30 attached to the handcart 20, for example, the division name is specified as the division information, for example, the patient name and the division status of the division loading target carrier are shown. The number of cracks and the total number are displayed.

この実施例1の調剤システム10について、その使用態様及び動作を、図面を引用して説明する。図1(c)は、A病棟への薬剤運搬が一台の医薬品運搬用手押車20で足りるときの表示例、図1(d)は、A病棟への薬剤運搬に複数台の医薬品運搬用手押車20が必要なときの表示例、図1(e)は、一患者分の薬剤を収容した複数の搬器21が複数の医薬品運搬用手押車20に分かれて積み込まれたときの表示例である。   About the dispensing system 10 of this Example 1, the use mode and operation | movement are demonstrated referring drawings. Fig. 1 (c) shows a display example when drug transport to the A ward is sufficient with a single drug transport wheelbarrow 20, and Fig. 1 (d) shows a plurality of drug transports for drug transport to the A ward. A display example when the handcart 20 is necessary, FIG. 1 (e) is a display example when a plurality of transporters 21 containing medicines for one patient are separately loaded into a plurality of handcarts 20 for transporting medicines. is there.

調剤システム10のうち操作卓11と搬器供給装置12と自動調剤装置13と搬器積込装置14は、信号ケーブルや搬器搬送機構で連結されて、病院の調剤部門や院内薬局などに固定的に設置されるが、調剤システム10のうち医薬品運搬用手押車20は、薬剤を収容した搬器21を積み込んで運搬するためのものなので、搬器積込装置14の設置された調剤部門等と、薬剤を使用する病棟等とを、手押しでの移動にて行き来する。医薬品運搬用手押車20に付された情報表示器30による運搬先表示31が、搬器21の医薬品運搬用手押車20への積み込み時に書き換えられるので、医薬品運搬用手押車20は、薬剤運搬先が複数ある場合、何れか一カ所に専用されることなく、何処にでも使用される。   Of the dispensing system 10, the console 11, the carrier supply device 12, the automatic dispensing device 13, and the carrier loading device 14 are connected by a signal cable or a carrier transport mechanism, and are fixedly installed in a hospital dispensing department or a hospital pharmacy. However, since the handcart 20 for transporting the medicine in the dispensing system 10 is for loading and transporting the transporter 21 containing the medicine, the medicine is used with the dispensing department where the transporter loading device 14 is installed. Go back and forth between the ward and other wards by hand. Since the transport destination display 31 by the information display 30 attached to the drug transport cart 20 is rewritten when the transport vehicle 21 is loaded into the drug transport cart 20, the drug transport cart 20 has a drug transport destination. When there are a plurality, they are used everywhere without being dedicated to any one place.

すなわち、調剤箇所に戻って来た医薬品運搬用手押車20は、何処から戻って来たかにかかわらず、搬器21を総て取り出されてから、搬器積込装置14の通常口か優先口が空いていれば、そこに寄せて置かれる。そして、処方オーダリングシステムから処方情報が次々に送られて来て、さらには操作卓11から入力された処方情報も加わって、調剤システム10の処理すべき処方情報が操作卓11の制御装置に蓄積されるが、一処方分以上蓄積したら、更なる処方情報の有無に拘わらず、処方情報が制御装置によって順次処理され、その制御装置の制御下で、空の搬器21が搬器供給装置12から供給され、その搬器21に自動調剤装置13から処方対象の薬剤が投入され、そうして薬剤を収容した搬器21が搬器積込装置14によって医薬品運搬用手押車20に積み込まれる。   In other words, regardless of where the medicine transporting wheelbarrow 20 that has returned to the dispensing location has returned, the normal port or priority port of the transporter loading device 14 is empty. If so, it will be put there. Then, prescription information is successively sent from the prescription ordering system, and further, prescription information inputted from the console 11 is added, and prescription information to be processed by the dispensing system 10 is accumulated in the control device of the console 11. However, when one or more prescriptions are accumulated, the prescription information is sequentially processed by the control device regardless of the presence of further prescription information, and an empty transporter 21 is supplied from the transporter supply device 12 under the control of the control device. Then, the medicine to be prescribed is put into the transporter 21 from the automatic dispensing device 13, and the transporter 21 containing the medicine is loaded onto the drug delivery handcart 20 by the transporter loading device 14.

制御装置に蓄積保持される処方情報には、薬剤運搬先が確定しているうえスケジュール順に通常処理すれば足りる定常レベルのものが多いが、優先的に割込処理しなければならない緊急レベルのものや、両者の中間の臨時レベルのもの、薬剤運搬先が未定のものもある。それらの処方情報のうち定常レベルのものについては、なるべく薬剤運搬先の同じものが纏めて処理されるようにスケジュールされるが、緊急レベルや臨時レベルの処方情報の処理は定常レベルの処方情報の一連処理の途中に割り込むことがあるので、混載の防止と能率の向上との両立を図るために、定常レベルの処方情報に対応した搬器21の積み込みは通常口の医薬品運搬用手押車20に対して行われ、緊急レベルや臨時レベルさらには薬剤運搬先未定の処方情報の処理に対応した搬器21の積み込みは優先口の医薬品運搬用手押車20に対して行われる。   The prescription information stored and held in the control device is often at a steady level where the drug delivery destination is fixed and normal processing is sufficient in the order of the schedule, but the emergency level must be preferentially interrupted. In addition, there is a temporary level between the two, and a drug delivery destination is undecided. Of those prescription information, those at the steady level are scheduled to be processed together as much as possible at the same drug delivery destination. However, the prescription information at the emergency level and the temporary level is processed as the prescription information at the steady level. Since the interruption may occur in the middle of a series of processing, in order to achieve both the prevention of mixed loading and the improvement of efficiency, the loading of the carrying device 21 corresponding to the steady-state prescription information is performed with respect to the normal delivery cart 20 The loading of the transporter 21 corresponding to the emergency level, the extraordinary level, and the prescription information for which the drug transport destination has not been determined is performed on the drug transport cart 20 for the priority port.

以下、運搬先の確定している定常レベルの処方情報に対応した搬器21を通常口の医薬品運搬用手押車20に積み込むときの情報表示器30の表示内容について詳述する。
薬剤を収容した搬器21を通常口の医薬品運搬用手押車20に積み込むとき、通常口の医薬品運搬用手押車20が空であれば、それへの積み込みがなされるとともに、確定している薬剤運搬先たとえば「A病棟」が通常口の医薬品運搬用手押車20の情報表示器30の運搬先表示31の欄に表示される。これに対し、通常口の医薬品運搬用手押車20が空でない場合、積み込もうとしている搬器21の薬剤運搬先と先に積み込んでいた搬器21の薬剤運搬先とが比較照合され一致していれば通常口の医薬品運搬用手押車20に搬器21が積み込まれるが、一致しなければ、混載防止のため、優先口の医薬品運搬用手押車20に搬器21が積み込まれる。
Hereinafter, the display content of the information display unit 30 when loading the transporter 21 corresponding to the steady-level prescription information whose transport destination has been established into the normal delivery medicine handcart 20 will be described in detail.
When loading the container 21 containing the medicine into the normal mouth drug transport wheelbarrow 20, if the normal mouth drug transport wheelbarrow 20 is empty, it is loaded and the confirmed drug transport. For example, “A Ward” is displayed in the column of the transport destination display 31 of the information display 30 of the handcart 20 for transporting the medicine at the normal mouth. On the other hand, if the handcart 20 for transporting the medicine at the normal mouth is not empty, the drug transport destination of the transporter 21 to be loaded and the drug transport destination of the transporter 21 that has been loaded first are compared and matched. For example, the carrier 21 is loaded on the drug delivery cart 20 of the normal mouth, but if they do not match, the cart 21 is loaded on the drug delivery cart 20 of the priority mouth to prevent mixed loading.

こうして次々に搬器21が通常口の医薬品運搬用手押車20に積み込まれ、薬剤運搬先の同じ搬器21が総て一台の医薬品運搬用手押車20に収まった場合(図1(c)参照)、例えば最大積載数が27個であるところ実際の積載数が10個だったような場合、その医薬品運搬用手押車20の情報表示器30の手押車情報表示32の欄には、積み込みの順番が一番であって後続が無いことを示す例えば「カート 1/1」が表示され、搬器情報表示33の欄には、搬器21の実積載数と最大積載数とを示す例えば「トレー 10/27」が表示され、分割情報表示34の欄は、一患者に係る分割積込みがないので、例えばクリアされてブランク表示になる。   In this way, when the transporters 21 are successively loaded onto the normal delivery drug transport cart 20 and all of the same transport vehicles 21 at the drug delivery destination are stored in the single drug transport cart 20 (see FIG. 1C). For example, when the maximum loading number is 27 and the actual loading number is 10, the loading order is displayed in the column of the handcart information display 32 of the information display 30 of the medicine transporting handcart 20. “Kart 1/1” indicating that there is no follower is displayed, and the column of the carrier information display 33 indicates, for example, “tray 10 / 27 ”is displayed, and the division information display 34 column is cleared and displayed blank, for example, because there is no division loading related to one patient.

また、薬剤運搬先が「A病棟」で同じになっている搬器21の個数が多くて一台の医薬品運搬用手押車20の最大積載数である27個を上回る例えば45個になった場合、一台の医薬品運搬用手押車20には収まり切らず、二台の医薬品運搬用手押車20に分けて積み込まれる。その場合(図1(d)参照)、一台目の医薬品運搬用手押車20には最大積載数の27個の搬器21が積み込まれ、二台目の医薬品運搬用手押車20には残りの18個の搬器21が積み込まれる。そして、一台目の医薬品運搬用手押車20の情報表示器30a(30)については、手押車情報表示32の欄に、積み込みの順番が一番であって後続の二番目が有ることを示す例えば「カート 1/2」が表示され、搬器情報表示33の欄に、搬器21の実積載数と最大積載数とを示す「トレー 27/27」が表示され、分割情報表示34の欄は、一患者に係る分割積込みがなければ、クリアされる。   In addition, when the number of the carriers 21 that are the same in the “A Ward” is a large number of containers 21 and exceeds, for example, 45, which is the maximum loading number of one cart 20 for transporting medicines, The carts 20 do not fit in the single drug transport cart 20 and are loaded separately into the two carts 20 for drug transport. In that case (see FIG. 1 (d)), the first drug transport cart 20 is loaded with a maximum of 27 transporters 21, and the second drug transport cart 20 has the rest. Eighteen transporters 21 are loaded. And about the information indicator 30a (30) of the first handcart 20 for transporting medicines, the column of the handcart information display 32 indicates that the order of loading is the first and the second succeeding. For example, “Cart 1/2” is displayed, “Tray 27/27” indicating the actual load number and the maximum load number of the carrier 21 is displayed in the column of the carrier information display 33, and the column of the division information display 34 is Cleared if there is no split loading for one patient.

また、二台目の医薬品運搬用手押車20の情報表示器30b(30)については、手押車情報表示32の欄に、積み込みの順番が二番であって後続が無く二番目が最後であることを示す例えば「カート 2/2」が表示され、搬器情報表示33の欄に、搬器21の実積載数と最大積載数とを示す「トレー 18/27」が表示され、分割情報表示34の欄は、一患者に係る分割積込みがなければ、クリアされる。
もっとも、一患者に係る複数の例えば3個の搬器21が、一台目の医薬品運搬用手押車20に例えば1個だけ積み込まれ、残りの2個が二台目の医薬品運搬用手押車20に積み込まれた場合(図1(e)参照)、そのような一患者に係る分割積込みに対応して、情報表示器30aの分割情報表示34の欄には患者名と共に片割れ数と総数の「1/3」が表示され、情報表示器30bの分割情報表示34の欄には患者名と共に片割れ数と総数の「2/3」が表示される。
In addition, for the information display 30b (30) of the second handcart 20 for transporting medicines, in the column of the handcart information display 32, the loading order is second, there is no following, and the second is last. For example, “Cart 2/2” is displayed, “Tray 18/27” indicating the actual load number and the maximum load number of the transport device 21 is displayed in the column of the transport device information display 33, and the division information display 34 The field is cleared if there is no split loading for one patient.
However, for example, a plurality of, for example, three transporters 21 related to one patient are loaded on the first drug transport cart 20, for example, and the remaining two are loaded on the second drug transport cart 20. When loaded (refer to FIG. 1 (e)), in response to such divided loading related to one patient, the division information display 34 column of the information display 30a includes the number of fragments and the total number “1” along with the patient name. / 3 ”is displayed, and the number of pieces and the total number“ 2/3 ”are displayed in the division information display 34 column of the information display 30b together with the patient name.

さらに、図示は割愛したが、薬剤運搬先の同じ搬器21の個数がもっと多くて例えば66個の場合、三台の医薬品運搬用手押車20に分けて搬器21が積み込まれ、一台目の医薬品運搬用手押車20の情報表示器30については、手押車情報表示32の欄に「カート 1/2」が表示され、搬器情報表示33の欄に「トレー 27/27」が表示され、二台目の医薬品運搬用手押車20の情報表示器30については、手押車情報表示32の欄に「カート 2/3」が表示され、搬器情報表示33の欄に「トレー 27/27」が表示され、二台目の医薬品運搬用手押車20の情報表示器30については、手押車情報表示32の欄に「カート 3/3」が表示され、搬器情報表示33の欄に「トレー 12/27」が表示される。   Furthermore, although illustration is omitted, in the case where the number of the same transport devices 21 as the drug transport destination is larger, for example 66, the transport devices 21 are loaded into three hand carts 20 for transporting the drug, and the first drug product is loaded. Regarding the information display 30 of the handcart 20 for transportation, “cart 1/2” is displayed in the column of the handcart information display 32, “tray 27/27” is displayed in the column of the transporter information display 33, As for the information display 30 of the handcart 20 for transporting the eye medicine, “cart 2/3” is displayed in the handcart information display 32 column, and “tray 27/27” is displayed in the transporter information display 33 column. As for the information display 30 of the second cart 20 for transporting medicines, “cart 3/3” is displayed in the column of the handcart information display 32 and “tray 12/27” is displayed in the column of the transporter information display 33. Is displayed.

なお、処方情報が予め蓄積済みであったり、処方情報の蓄積が早々になされたりで、薬剤運搬先の同じ搬器21の総数ひいては薬剤運搬先の同じ医薬品運搬用手押車20の総数例えば「3」が早めに判明したような場合に、一台目の医薬品運搬用手押車20の情報表示器30の手押車情報表示32の欄に「カート 1/3」が表示されるようにしても良い。また、そのような処方情報の蓄積が一台目の医薬品運搬用手押車20への積み込み完了に間に合わなかったときでも、一台目の医薬品運搬用手押車20の情報表示器30が無線送信器でのアクセス範囲に入っていれば或いはアクセス範囲に入れるよう促して入れて貰えれば、手押車情報表示32の欄を「カート 1/2」から「カート 1/3」に書き換えるようにしても良い。   Note that the prescription information has been accumulated in advance or the prescription information has been accumulated quickly, so that the total number of the carriers 21 with the same drug delivery destination, and hence the total number of the handcarts 20 with the same drug delivery destination, for example “3”. May be displayed in the column of the handcart information display 32 of the information display 30 of the first cart 20 for transporting medicines. Even when the accumulation of such prescription information is not in time for the completion of loading into the first drug transport cart 20, the information display 30 of the first drug transport cart 20 is used as a wireless transmitter. If you are within the access range or if you are prompted to enter the access range, the handcart information display 32 field may be rewritten from “Cart 1/2” to “Cart 1/3”. good.

こうして、医薬品運搬用手押車20がどの運搬先にも共用されるとともに、医薬品運搬用手押車20を手で押して薬剤運搬先へ移動させる搬送担当者も、薬剤運搬先で薬剤を取り揃える施用担当者も、担当作業を容易かつ的確に行うことができる。すなわち、各担当者は、医薬品運搬用手押車20に付された情報表示器30を目で見て、その表示内容を目視で読み取ることにより、運搬先を容易に把握や確認することでき、同じ所へ移動させるべき医薬品運搬用手押車20が一台だけなのか複数台なのか複数台ならどれとどれなのかといったことも容易に把握することができ、さらに、一人の患者に施用される薬剤が複数の搬器21に収容されていて、それらの搬器21が複数の医薬品運搬用手押車20に分かれて積み込まれた場合でも、分割積込み対象の患者を特定する患者名ばかりか、分割積込み対象の搬器21の分割状況まで、容易に把握することができる。   In this way, the handcart 20 for transporting the medicine is shared by any transport destination, and the person in charge of transporting the handcart 20 for transporting the medicine to the medicine transport destination by hand is also the person in charge of collecting the medicine at the drug transport destination. However, the work in charge can be performed easily and accurately. That is, each person in charge can easily grasp and confirm the transportation destination by visually checking the information display 30 attached to the handcart 20 for transporting the medicine and visually reading the display content. It is possible to easily grasp whether there is only one or more or two or more carts for transporting medicines to be moved to a place, and a drug applied to one patient. Are accommodated in a plurality of transporters 21, and even when these transporters 21 are divided and loaded into a plurality of handcarts 20 for transporting medicines, not only the patient name that identifies the patient to be divided and loaded, but also the carriers to be divided and loaded. It is possible to easily grasp up to 21 divisions.

[その他]
なお、上記実施例では、専用の搬器供給装置12が搬器搬送路の最上流に設けられていたが、搬器供給装置12の明示的な設置は必須でなく、搬器供給装置は、搬器積込装置14が兼用しても良く(例えば特許文献4参照)、何れかの自動調剤装置13に組み込んでも良く、幾つかの自動調剤装置13に分散させても良い。
また、上記実施例では、搬器搬送機構が直線状で一方向搬送のみ行うようになっていたが、搬器搬送路は、曲がっていても良く、分岐していても良く、循環搬送や双方向搬送を行うようになっていても良い。
[Others]
In addition, in the said Example, although the exclusive carrier supply apparatus 12 was provided in the uppermost stream of the carrier conveyance path, explicit installation of the carrier supply apparatus 12 is not essential, and a carrier supply apparatus is a carrier loading apparatus. 14 may also be used (see, for example, Patent Document 4), may be incorporated in any of the automatic dispensing devices 13, or may be dispersed in several automatic dispensing devices 13.
Further, in the above embodiment, the transporting device transport mechanism is linear and only performs one-way transport. However, the transporting device transport path may be bent or branched, and may be circulated transport or bi-directional transport. You may come to do.

さらに、上記実施例では、制御装置が操作卓11に設けられていたが、制御装置の設置場所も任意であり、集中制御と分散制御の採択も任意である。例えば、搬器供給装置12と自動調剤装置13と搬器積込装置14との協動制御を担う制御装置から、情報表示器30に各表示31〜34を表示させるための情報処理機能や制御機能を外して、別の装置に分担させるようにしても良い。また、その場合、操作卓11を省くことも可能である。
また、上記実施例では、情報表示器30へのアクセスに無線方式が採用されていたが、情報表示器30へのアクセス方式は、無線方式に限られる訳でなく、例えば光方式でも良く、接触伝送方式でも良い。
Furthermore, in the above embodiment, the control device is provided on the console 11, but the installation location of the control device is also arbitrary, and the adoption of centralized control and distributed control is also arbitrary. For example, an information processing function and a control function for displaying each display 31 to 34 on the information display 30 from a control device responsible for cooperative control of the transport device supply device 12, the automatic dispensing device 13, and the transport device loading device 14. It may be removed and shared by another device. In this case, the console 11 can be omitted.
In the above embodiment, the wireless method is adopted for accessing the information display 30. However, the access method to the information display 30 is not limited to the wireless method, and for example, an optical method may be used. A transmission method may be used.

10…調剤システム、11…操作卓(制御装置)、
12…搬器供給装置、13…自動調剤装置、14…搬器積込装置、
20…医薬品運搬用手押車(薬品カート)、21…搬器(トレー)、
30,30a,30b…情報表示器(電子ペーパー)、
31…運搬先表示、32…手押車情報表示、33…搬器情報表示、34…分割情報表示
10 ... dispensing system, 11 ... console (control device),
12 ... Carryer supply device, 13 ... Automatic dispensing device, 14 ... Carryer loading device,
20 ... Wheelbarrow for drug delivery (medicine cart), 21 ... Carryer (tray),
30, 30a, 30b ... Information display (electronic paper),
31 ... Transport destination display, 32 ... Wheelbarrow information display, 33 ... Carryer information display, 34 ... Division information display

Claims (2)

収容している薬剤を搬器に投入して送り出す調剤装置と、情報を目視読取可能に表示する情報表示器が目視可能部位に付設されている手押車であって複数の搬器を積み込める複数の医薬品運搬用手押車と、前記調剤装置から搬器を受け取って前記医薬品運搬用手押車に積み込む搬器積込装置とを備えていて、処方情報に基づいて前記調剤装置と前記搬器積込装置とを協動させる調剤システムにおいて、前記情報表示器には表示内容を書き換えられるものが採用されており、前記情報表示器の表示内容を書き換える手段が設けられており、前記医薬品運搬用手押車に搬器を積み込むに際して、処方情報その他の薬剤運搬先の分かる情報に基づき薬剤運搬先の同じ搬器は薬剤運搬先の異なるものとの混載を避けながら一台で足りれば一台に纏めて積み込み一台で足りなければ複数台に分けて積み込むとともに、積み込み先の医薬品運搬用手押車に付設されている情報表示器には薬剤運搬先を表示させ更に薬剤運搬先の同じ医薬品運搬用手押車に係る積み込みの順番と後続の有無とを示す手押車情報を表示させるようになっている、ことを特徴とする調剤システム。   Dispensing device that puts the contained medicine into the transporter and sends it out, and a plurality of medicines that can be loaded with a plurality of transporters that are handcarts that are attached to the visible part of the information display that displays the information in a visually readable manner A transport handcart, and a transporter loading device that receives the transporter from the dispensing device and loads it into the pharmaceutical transport cart, and cooperates with the dispensing device and the transporter loading device based on prescription information. In the dispensing system to be used, the information display device is adapted to rewrite the display content, and means for rewriting the display content of the information display device is provided. Based on prescribing information and other information to know the drug delivery destination, the same carrier for the drug delivery destination can be combined into one if it is enough while avoiding mixed loading with different drug delivery destinations. If one unit is not enough, it is divided into multiple units and loaded, and the information display attached to the loading cart for the drug transporter displays the drug transport destination and the drug transporter at the same drug transport destination. A dispensing system characterized by displaying handcart information indicating the order of loading related to the cart and the presence or absence of the following. 前記医薬品運搬用手押車に搬器を積み込む際に薬剤運搬先の同じ搬器を複数台に分けて積み込むときには、処方情報その他の施用対象患者の分かる情報に基づいて同一患者に施用される薬剤を収容した複数の搬器が複数の医薬品運搬用手押車に分割積込みされるか否かを判別するとともに、分割積込み時には積み込み先の医薬品運搬用手押車に付設されている情報表示器に分割積込み対象の患者と分割積込み対象の搬器の分割状況とを示す分割情報を表示させるようになっている、ことを特徴とする請求項1記載の調剤システム。   When loading the transporter into the drug delivery cart, the same transporter of the drug transport destination is divided into a plurality of units, and the drug applied to the same patient is stored based on prescription information and other information that can be understood by the patient to be applied It is determined whether or not a plurality of carriers are divided and loaded into a plurality of drug delivery carts, and at the time of divided loading, the information display attached to the loading drug delivery cart and the patient to be divided and loaded 2. The dispensing system according to claim 1, wherein the division information indicating the division status of the carrier to be divided and loaded is displayed.
JP2010282435A 2010-07-07 2010-12-17 Dispensing system Expired - Fee Related JP5371059B2 (en)

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JP2010282435A JP5371059B2 (en) 2010-12-17 2010-12-17 Dispensing system
US13/808,208 US9165118B2 (en) 2010-07-07 2011-04-13 Medicine dispensing system
CA2804204A CA2804204A1 (en) 2010-07-07 2011-04-13 Medicine dispensing system
AU2011275157A AU2011275157A1 (en) 2010-07-07 2011-04-13 System for dispensing medicine
CN201180033572.4A CN103002857B (en) 2010-07-07 2011-04-13 System for dispensing medicine
PCT/JP2011/059215 WO2012005039A1 (en) 2010-07-07 2011-04-13 System for dispensing medicine
EP11803375.2A EP2591762A1 (en) 2010-07-07 2011-04-13 System for dispensing medicine

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