JP6099697B2 - Medication management device - Google Patents

Description

  The present invention relates to a medication management apparatus, and more particularly, to a medication management apparatus that manages medications taken by outpatients.

  There are many systems for managing medications such as hospitalized patients by doctors, nurses, pharmacists, etc., including the system disclosed in Patent Document 1. However, there are few medication management systems that focus on outpatients who control their blood pressure, for example. Moreover, even if it exists, it is a pill case type medication management system as disclosed in Patent Document 2 or Non-Patent Document 1.

  Including the home patient's forgetting to take medicine (residual medicine) shows that medication control is important in the medical economy. Reported by the Japan Pharmacists Association, "Survey Report on Problems in Taking Elderly Elderly Patients and Effects of Pharmacists' Home Patient Visiting Drug Management Guidance and Home Health Care Management Guidance" reports that there are approximately 47.5 billion yen of remaining medicines per year As a result, the Ministry of Health, Labor and Welfare is moving forward with countermeasures against residual drugs that will lead to the optimization of medical expenses.

JP 2011-30934 A Registered Utility Model No. 3189723

Yuki Uchimura, “Healthcare System 2 Using Mobile Devices in the University of Tokyo Social Collaboration Course,” Monthly Inner Vision December 2012, p. 104-p. 105

  One of the causes of this residual drug problem is thought to be because there is no system that allows individuals to manage this packaged medicine bag simply and inexpensively, while the medicines that are generally prescribed are packaged. . In a medication management system such as a pill case, the patient must transfer the medicine packaged by the doctor. This is always a risk of transfer mistakes and is a cumbersome task for the patient.

  Therefore, a main object of the present invention is to provide a medication management apparatus that can ensure the safety of medication, prevent a patient from forgetting to take herself, and easily control medication.

  The medication management device according to the present invention forms a plurality of valley folds (VF1 to VF3) each holding a plurality of medicine bags (401 to 403, 401 ′ to 403 ′: reference numerals corresponding to the embodiments, the same applies hereinafter). Two conductive terminals (141a to 143a, 141b to 143b, 141a 'to 143a', 141b 'to 143b') are respectively provided on two inclined surfaces that are folded in a bellows shape and form a plurality of valley folds. A medicine bag holding sheet (10) and a communication circuit (24 cm) for transmitting identification information for identifying the opening / short-circuiting of the two conducting terminals to the external terminal (50), and the medicine bag holding sheet from both ends in the bellows extension direction The clip (20) which pinches | interposes is provided.

  Preferably, the identification information is information for creating a medication history by an external terminal.

  Preferably, the medicine bag holding sheet has a base sheet (12) having a rectangular main surface, and a plurality of valley fold lines defining each of the plurality of valley folds are arranged in parallel in the long side direction of the rectangle. It extends in the short side direction.

  Preferably, the external terminal is a terminal carried by a patient taking a medicine stored in a medicine bag, and the communication circuit transmits identification information to the external terminal by short-range wireless communication.

  Preferably, the surface of the medicine bag is insulative, and the two conductive terminals are provided at positions where they are in contact with each other when the medicine bag holding sheet is folded, and are opened when the medicine bag is sandwiched between the valley folds.

  Preferably, at least a part of the surface of the medicine bag is conductive, and the two conduction terminals are provided at positions separated from each other when the medicine bag holding sheet is folded, and the medicine bag is sandwiched between the valley folds. Shorted.

  The medicine bag is sandwiched between the valley folds as it is, so there is no need to transfer the medicine. Thereby, the safety of the medication can be ensured.

  Also, the two conductive terminals are provided on two slopes forming a valley fold, respectively, and identification information indicating the open / short circuit of the two conductive terminals is transmitted to the external terminal. Since the content of the identification information differs depending on whether or not the medicine bag is sandwiched between the valley folds, the patient can prevent himself from forgetting to drink and can easily control the medication.

  The above object, other objects, features and advantages of the present invention will become more apparent from the following detailed description of embodiments with reference to the drawings.

(A) is a top view which shows the state which looked at the medicine bag holding sheet which comprises the medication management apparatus of this Example from upper direction, (B) shows the state which looked at the medicine bag holding sheet shown to (A) from the downward direction. It is a bottom view. (A) is a front view which shows the state which looked at the clip which comprises the medication management apparatus of this Example from the front, (B) is a perspective view which shows the state which saw through the inside of the clip shown to (A) from the front (C) is a side view showing a state when the clip shown in (A) is viewed from the side, and (D) is a rear view showing a state when the clip shown in (A) is viewed from the rear. It is an illustration figure which shows the state by which the medicine bag holding sheet, the clip, and the medicine bag were separated. It is an illustration figure which shows the state which inserted the medicine bag into the medicine bag holding sheet and clipped. FIG. 5 is a circuit diagram showing an equivalent circuit corresponding to the state shown in FIG. 4. It is a block diagram which shows an example of a structure of the portable terminal of this Example. It is an illustration figure which shows an example of a table in order to describe a medication history. It is a flowchart which shows a part of operation | movement of the control circuit provided in the clip of this Example. It is a flowchart which shows a part of operation | movement of the control circuit provided in the portable terminal of this Example. It is a flowchart which shows a part of other operation | movement of the control circuit provided in the portable terminal of this Example. It is a flowchart which shows a part of other operation | movement of the control circuit provided in the portable terminal of this Example. It is a top view which shows the state which looked at the medicine bag holding sheet | seat of another Example from upper direction. (A) is an illustration figure which shows the one side surface of the medicine bag clamped by the medicine bag holding sheet | seat shown in FIG. 12, (B) is an illustration figure which shows the other side surface of the medicine bag shown to (A). It is a flowchart which shows a part of operation | movement of the control circuit provided in the clip of the other Example. It is a flowchart which shows a part of operation | movement of the control circuit provided in the portable terminal of the other Example. It is a flowchart which shows a part of other operation | movement of the control circuit provided in the portable terminal of the other Example.

  The medication management apparatus of this embodiment is constituted by a medicine bag holding sheet 10 shown in FIGS. 1 (A) to 1 (B) and a clip 20 shown in FIGS. 2 (A) to 2 (D). The clip 20 has a short-range wireless communication function according to, for example, the Bluetooth (registered trademark) standard, and performs communication with the portable terminal 50 (see FIG. 6) possessed by the patient taking the medicine.

  With reference to FIG. 1 (A)-FIG. 1 (B), the medicine bag holding sheet 10 has an insulating base material 12 (the material is, for example, paper) whose upper and lower surfaces are rectangular, and an upper surface of the base sheet 12. Conductive terminals 141a to 141b, 142a to 142b, 143a to 143b and linear conductors 161a to 161b, 162a to 162b, 163a to 163b, and linear conductors 161a to 161b, 162a to 162b, 163a to 163b And an insulating film 18 partially covering the substrate.

  The conductive terminals 141a to 141b, 142a to 142b, 143a to 143b and the linear conductors 161a to 161b, 162a to 162b, 163a to 163b are printed on the base sheet 12 or pasted to the base sheet 12 with an adhesive. Worn. The insulating film 18 is formed by applying an insulating paint.

  Moreover, in FIG. 1 (A)-FIG. 1 (B), X-axis is allocated along the long side of the rectangle which the base material sheet 12 makes, Y-axis is allocated along the short side of the said rectangle, and the base material sheet 12 The Z axis is assigned in the thickness direction.

  The upper surface or the lower surface of the base sheet 12 has seven small regions DR0, DR1a to DR1b, DR2a to DR2b, and DR3a to six straight lines arranged at equal intervals in the X-axis direction in a posture extending along the Y-axis. Divided into DR3b. The small regions DR0, DR1a to DR1b, DR2a to DR2b, and DR3a to DR3b all form strips extending along the Y axis, and are arranged in this order from the negative side to the positive side in the X axis direction. Further, the area is the same among the small regions DR0, DR1a to DR1b, DR2a to DR2b, DR3a to DR3b.

  The sizes of the conduction terminals 141a to 141b, 142a to 142b, and 143a to 143b are much smaller than the sizes of the small regions DR1a to DR1b, DR2a to DR2b, and DR3a to DR3b, and match each other. Conductive terminals 141a and 141b are provided in small regions DR1a and DR1b, conductive terminals 142a and 142b are provided in small regions DR2a and DR2b, respectively, and conductive terminals 143a and 143b are provided in small regions DR3a and DR3b, respectively.

  More specifically, the positional relationship between the conduction terminal 141a and the small region DR1a matches the positional relationship between the conduction terminal 141b and the small region DR1b, and the positional relationship between the conduction terminal 142a and the small region DR2a is the positional relationship between the conduction terminal 142b and the small region DR2b. And the positional relationship between the conduction terminal 143a and the small region DR3a matches the positional relationship between the conduction terminal 143b and the small region DR3b.

  The linear conductors 161a to 161b, 162a to 162b, 163a to 163b have a common width and are connected to the conduction terminals 141a to 141b, 142a to 142b, and 143a to 143b, respectively, and extend to the small region DR0. Specifically, the linear conductors 161a to 161b, 162a to 162b, 163a to 163b extend to the negative side in the Y-axis direction from the connection portion with the conduction terminals 141a to 141b, 142a to 142b, 143a to 143b, and then Bends to the negative side in the X-axis direction and reaches the negative side end in the X-axis direction of the small region DR0.

  At this time, the length of the conductor portion extending on the negative side in the Y-axis direction is as follows: linear conductor 161a, linear conductor 161b, linear conductor 162a, linear conductor 162b, linear conductor 163a, and linear conductor 163b. become longer. When attention is paid to the conductor portion extending in the X-axis direction on the small region DR0, the linear conductors 161a to 161b, 162a to 162b, and 163a to 163b are arranged in the Y-axis direction with a distance D1.

  Each of the linear conductors 161a to 161b, 162a to 162b, and 163a to 163b thus arranged is covered with the insulating film 18 except for the conductor portion on the small region DR0. Therefore, a certain linear conductor is not directly short-circuited with another linear conductor without passing through the conduction terminal.

  When the six straight lines arranged on the upper surface of the base sheet 12 are viewed from the positive side in the Z-axis direction, the most negative line in the X-axis direction is a mountain fold line, which is the second from the negative side in the X-axis direction. The straight line is the valley fold line. Similarly, the third straight line from the negative side in the X-axis direction is a mountain fold line, the fourth straight line from the negative side in the X-axis direction is a valley fold line, and the fifth straight line from the negative side in the X-axis direction. Is a mountain fold line, and the most straight line in the X-axis direction is a valley fold line.

  That is, on the upper surface of the base sheet 12, mountain fold lines and valley fold lines are alternately arranged at equal intervals. Accordingly, valley fold lines and mountain fold lines are alternately arranged at equal intervals on the lower surface of the base sheet 12.

  The medicine bag holding sheet 10 is folded in a bellows shape by such valley fold lines and mountain fold lines. In the folded state, the conduction terminals 141a and 141b are in contact with each other, the conduction terminals 142a and 142b are in contact with each other, and the conduction terminals 143a and 143b are in contact with each other.

  When the external force biased to the medicine bag holding sheet 10 is released to maintain the folded state, the medicine bag holding sheet 10 expands in the X-axis direction, that is, the bellows extension direction by the restoring force (see FIG. 3). At this time, three valley fold portions VF1 to VF3 each having two inclined surfaces appear continuously in the X-axis direction. Two slopes forming the valley fold portion VF1 are formed by the small regions DR1a and DR1b, two slopes forming the valley fold portion VF2 are formed by the small regions DR2a and DR2b, and two slopes forming the valley fold portion VF3 are the small regions. It is formed by DR3a and DR3b.

  2 (A) to 2 (D), the clip 20 includes an insulating (material is, for example, plastic) main body 22 formed by bending an elongated plate-like body at the center in the length direction. When the X-axis is assigned to the width direction of the plate-like body, the Y-axis is assigned to the length direction of the plate-like body, and the Z-axis is assigned to the thickness direction of the plate-like body, the main body 22 is substantially U-shaped when viewed from the X-axis direction. Draw.

  Further, the main body 22 has a surface in which a substantially half region on one end side from the center in the length direction and a substantially half region on the other end side from the center in the length direction face each other. The back surface is a surface in which approximately ½ region on one end side from the center in the length direction and approximately ½ region on the other end side from the center in the length direction face each other.

  Six linear conductors 261a to 261b and 262a to 262b arranged at equal intervals in the X-axis direction in a posture extending in the Y-axis direction in a substantially ½ region facing the negative side in the Z-axis direction on the back surface of the main body 22. , 263a to 263b are formed, and the communication module 24 and the antenna 30 are incorporated. The linear conductors 261a to 261b, 262a to 262b, and 263a to 263b have a common width and are connected to the communication module 24 and extend to the negative side in the Y-axis direction with this connection portion as a base point. However, the length from the base point to the tip becomes longer in the order of the linear conductor 261a, the linear conductor 261b, the linear conductor 262a, the linear conductor 262b, the linear conductor 263a, and the linear conductor 263b.

  Specifically, the linear conductor 261b is longer than the linear conductor 261a by the distance D2, the linear conductor 262a is longer than the linear conductor 261b by the distance D2, and the linear conductor 262b is longer than the linear conductor 262a by the distance D2. The linear conductor 263a is longer than the linear conductor 262b by a distance D2, and the linear conductor 263b is longer than the linear conductor 263a by a distance D2. Here, the distance D2 coincides with the distance D1 described above.

  Each of the linear conductors 261a to 261b, 262a to 262b, and 263a to 263b thus arranged is covered with the insulating film 28 except for the tip portion. The insulating film 28 is also formed by applying an insulating paint. Moreover, the length of the front-end | tip part exposed without being covered with the insulating film 28 corresponds with each width | variety of the linear conductors 161a-161b, 162a-162b, and 163a-163b which comprise the medicine bag holding sheet 10. FIG.

  Band-shaped markers MK1a to MK1b, MK2a to MK2b, and MK3a to MK3b each extending in the X-axis direction are drawn in a substantially ½ region facing the positive side in the Z-axis direction on the surface of the main body 22. When viewed from the Z-axis direction, the marker MK1a overlaps with the tip of the linear conductor 261a, the marker MK1b overlaps with the tip of the linear conductor 261b, the marker MK2a overlaps with the tip of the linear conductor 262a, and the marker MK2b The marker MK3a overlaps with the tip of the linear conductor 263b, the marker MK3a overlaps with the tip of the linear conductor 263a, and the marker MK3b overlaps with the tip of the linear conductor 263b.

  Referring to FIGS. 3 and 4, morning powder is stored in medicine bag 401, daytime powder is stored in medicine bag 402, and night powder is stored in medicine bag 403. Further, the surfaces of the medicine bags 401 to 403 are entirely insulative. Based on this, the medicine bag 401 is sandwiched between the valley folds VF1, the medicine bag 402 is sandwiched between the valley folds VF2, and the medicine bag 403 is sandwiched between the valley folds VF3.

  The short circuit of the conduction terminals 141a and 141b is prevented by the medicine bag 401 sandwiched in the valley fold portion VF1, and the short circuit of the conduction terminals 142a and 142b is prevented by the medicine bag 402 sandwiched in the valley fold portion VF2, and the conduction terminals 143a and 143b The short circuit is prevented by the medicine bag 403 sandwiched between the valley folds VF3.

  In the medicine bag holding sheet 10, the medicine bag 401 sandwiched between the valley folds VF1 is in close contact with the small regions DR1a and DR1b, the medicine bag 402 sandwiched between the valley folds VF2 is in close contact with the small regions DR2a and DR2b, and the valley folds VF3. The medicine bag 403 sandwiched between the two is folded so as to be in close contact with the small regions DR3a and DR3b.

  The folded medicine bag holding sheet 10 is then clamped by the clips 20 from both ends in the bellows extension direction. When viewed from the bellows extension direction, the clip 20 overlaps the markers MK1a to MK1b, MK2a to MK2b, MK3a to MK3b with the linear conductors 161a to 161b, 162a to 162b, 163a to 163b on the small region DR0, respectively. Positioned.

  By stopping the clip 20 on the medicine bag holding sheet 10 in this way, the linear conductors 161a to 161b, 162a to 162b, 163a to 163b forming the medicine bag holding sheet 10 become linear conductors 261a to 261b, 262a to 262b forming the clip 20, 263a to 263b are connected to each other.

  FIG. 5 shows an equivalent circuit corresponding to the state shown in FIG. The communication module 24 is provided with a clip side communication circuit 24cm, a clip side control circuit 24ctr, a battery BT1, and resistors R01 to R02. The clip-side control circuit 24ctr has terminals T1 and T2.

  The negative electrode of battery BT1 is connected to the reference potential plane, and the positive electrode of battery BT1 is connected to terminal T1 and one end of resistor R01. The other end of resistor R01 is connected to terminal T2 and one end of resistor R02, and the other end of resistor R02 is connected to the reference potential plane.

  The conduction terminal 141a is connected to the terminal T1 via a resistor R11a (= internal resistance of the linear conductor 161a) and a resistor R21a (= internal resistance of the linear conductor 261a), and the conduction terminal 142a is connected to the resistor R12a (= linear conductor 162a). ) And a resistor R22a (= the internal resistance of the linear conductor 262a), and the conduction terminal 143a is connected to the resistor R13a (= the internal resistance of the linear conductor 163a) and the resistor R23a (= the linear conductor). 263a) and the terminal T1.

  The conduction terminal 141b is connected to the terminal T2 via a resistor R11b (= internal resistance of the linear conductor 161b) and a resistor R21b (= internal resistance of the linear conductor 261b), and the conduction terminal 142b is connected to the resistor R12b (= linear conductor 162b). And the resistance R22b (= internal resistance of the linear conductor 262b) and the conduction terminal 143b is connected to the resistor R13b (= internal resistance of the linear conductor 163b) and the resistance R23b (= linear conductor). 263b) and the terminal T2.

  The resistance values of the resistors R11a to R13a depend on the lengths of the linear conductors 161a to 163a, and the resistance values of the resistors R11b to R13b depend on the lengths of the linear conductors 161b to 163b. Similarly, the resistance values of the resistors R21a to R23a depend on the length of the linear conductors 261a to 263a, and the resistance values of the resistors R21b to R23b depend on the length of the linear conductors 261b to 263b.

  Therefore, the voltage generated between the terminals T1 and T2 in a state where the clip 20 is fixed to the medicine bag holding sheet 10 is the open / short circuit of the conductive terminals 141a and 141b, the open / short circuit of the conductive terminals 142a and 142b, and the conductive terminal 143a. And a total of 8 values depending on the open / short of 143b.

  Referring to FIG. 6, portable terminal 50 includes an antenna 50at, a terminal side communication circuit 50cm, a terminal side control circuit 50ctr, a speaker 50sp, and an operation panel 50pnl. The terminal-side communication circuit 50cm executes short-range wireless communication using the antenna 50at under the control of the terminal-side control circuit 50ctr. As a result, the medication history is recorded in the table TBL provided in the flash memory 50m, an alert is generated from the speaker 50sp, or the alert is stopped in response to the operation of the operation panel 50pnl. The table TBL is configured as shown in FIG. 7, and the date of the day and the presence / absence of medication in the morning / day / night are recorded as medication history. The mobile terminal 50 is actually a smartphone and has a mobile phone function such as LTE communication, but the description thereof is omitted here.

  In order to easily manage the medication situation by the patient, the clip side control circuit 24ctr provided in the clip 20 repeatedly executes the process according to the flowchart shown in FIG. 8, and the terminal side control circuit 50ctr provided in the portable terminal 50 is shown in FIG. Processes according to the flowcharts shown in FIGS. 9 to 11 are repeatedly executed. A control program corresponding to the flowchart shown in FIG. 8 is stored in the flash memory 24m shown in FIG. 5, and a control program corresponding to the flowcharts shown in FIGS. 9 to 11 is stored in the flash memory 50m shown in FIG. Remembered.

  When the patient goes out, the medicine bag holding sheet 10 with the medicine bags 401 to 403 clipped together with the portable terminal 50 is stored in the patient's bag or the pocket of the patient's upper garment. Further, when the patient is at home, the medicine bag holding sheet 10 clipped from the medicine bags 401 to 403 is placed at a certain position in the living room, and the portable terminal 50 is placed at another position in the living room. Below, the process between the clip 20 and the portable terminal 50 is demonstrated along a time series.

  Referring to FIG. 8, the clip side control circuit 24ctr activates the clip side communication circuit 24cm in step S1. The activated clip-side communication circuit 24cm maintains the on state unless the battery BT1 is emptied.

  9, the terminal-side control circuit 50ctr repeatedly determines whether or not a specified period (= 15 minutes, for example) has arrived, and when the determination result is updated from NO to YES, in step S23. The terminal side communication circuit 50cm is activated. In step S25, the activated terminal side communication circuit 50cm is instructed to issue a connection establishment request. The terminal side communication circuit 50 cm issues a connection establishment request to the clip 20.

  Returning to FIG. 8, the clip-side control circuit 24ctr repeatedly determines whether or not a connection establishment request has been received in step S3. When the determination result is updated from NO to YES, the clip side control circuit 24ctr proceeds to step S5 and establishes a connection with the portable terminal 50 that is the request source.

  In FIG. 9, the terminal-side control circuit 50ctr determines whether or not the connection with the clip 20 has been established in step S27, and whether or not a timeout has occurred (= a predetermined time has elapsed since the connection establishment request was issued). Whether or not) has been determined in step S29. If both the determination result in step S27 and the determination result in step S29 are NO, the terminal-side control circuit 50ctr returns to step S27. If the determination result in step S27 is NO and the determination result in step S29 is YES, the terminal-side control circuit 50ctr stops the terminal-side communication circuit 50cm in step S31, and then returns to step S21.

  If the determination result in step S29 is NO and the determination result in step S27 is YES, the terminal-side control circuit 50ctr proceeds to step S33 and instructs the terminal-side communication circuit 50cm to issue a mounting state information transfer request. The terminal side communication circuit 50 cm issues a transfer request for mounting state information to the clip 20.

  Returning to FIG. 8, the clip-side control circuit 24ctr determines whether or not a transfer request for the mounting state information (identification information for identifying the presence or absence of each of the medicine bags 401 to 403) has been received in step S7, and the timeout In step S9, it is determined whether or not (= a predetermined time has elapsed since the connection was established).

  If both the determination result of step S7 and the determination result of step S9 are NO, the clip side control circuit 24ctr returns to step S7. If the determination result in step S7 is NO and the determination result in step S9 is YES, the clip-side control circuit 24ctr disconnects the connection with the requesting portable terminal 50 in step S17, and then returns to step S3. .

  If the determination result in step S9 is NO and the determination result in step S7 is YES, the clip-side control circuit 24ctr proceeds to step S11 and detects the voltage between the terminals T1 and T2. The detected voltage shows different values depending on the open / short circuit of the conductive terminals 141a and 141b, the open / short circuit of the conductive terminals 142a and 142b, and the open / short circuit of the conductive terminals 143a and 143b.

  In step S13, the presence or absence of each of the medicine bags 401 to 403 is identified based on the voltage detected in step S11, and wearing state information is created. Thereafter, the clip side control circuit 24ctr instructs the clip side communication circuit 24cm to transmit the mounting state information in step S15. The clip side communication circuit 24cm transmits the wearing state information created in step S13 toward the portable terminal 50. When the process of step S15 is completed, the clip-side control circuit 24ctr returns to step S7.

  In step S35, the terminal-side control circuit 50ctr determines whether or not the wearing state information has been received by the terminal-side communication circuit 50cm, and whether or not a timeout has occurred (= mounting state information transfer request). In step S37, it is determined whether or not a predetermined time has elapsed since the issuance.

  If both the determination result in step S35 and the determination result in step S37 are NO, the terminal-side control circuit 50ctr returns to step S35. If the determination result in step S35 is NO and the determination result in step S37 is YES, the terminal-side control circuit 50ctr measures the number of transfer requests issued (= the number of executions of the process in step S33) in step S39, and measures the measurement. It is determined whether or not the issued number of times has reached a predetermined number (= 5 times, for example).

  When the determination result indicates NO, the terminal-side control circuit 50ctr returns to step S33. On the other hand, if the determination result indicates YES, the terminal-side control circuit 50ctr stops the terminal-side communication circuit 50cm in step S43, and then returns to step S21.

  If the determination result in step S37 is NO and the determination result in step S35 is YES, the terminal-side control circuit 50ctr detects the current time in step S45. In step S47, the medication history on the table TBL is updated based on the wearing state information acquired from the clip 20 and the current time detected in step S45.

  As described above, the wireless connection between the portable terminal 50 and the clip 20 is tried every 15 minutes. The mounting state information acquired from the clip 20 indicates the presence / absence of the medicine bags 401 to 403 sandwiched between the valley fold portions VF1 to VF3 of the medicine bag holding sheet 10, respectively. Therefore, by referring to the contents of the mounting state information and the acquisition time of the mounting state information, the fact as to when any of the medicine bags 401 to 403 has been extracted becomes clear. The medication history on the table TBL is updated based on the facts thus found.

  When the process of step S47 is completed, the terminal-side control circuit 50ctr determines whether or not the medication management time has arrived in step S49, and determines whether or not the medicine is forgotten to be taken in step S51. The medication management time is, for example, one hour after the time when medication should be taken. Therefore, if 9:00, 12:00, and 20:00 of the day are the times that should be taken in the morning, noon, and evening, 10:00, 13:00, and 21:00 are the administration times in the morning, day, and night It becomes.

  Further, when determining whether or not medicine is forgotten, the wearing state information acquired from the clip 20 is referred to. Specifically, if the conduction terminals 141a and 141b are in the open state at 10:00, it is determined that the medicine bag 401 has been forgotten to be consumed, and the conduction terminals 142a and 142b are in the open state at 13:00. If there is, it is determined that the medicine bag 402 has been forgotten to be taken, and if the conduction terminals 143a and 143b are in the open state at 21:00, it is determined that the medicine bag 403 has been forgotten.

  If the determination result in step S49 or the determination result in step S51 is NO, the terminal-side control circuit 50ctr stops the terminal-side communication circuit 50cm in step S43, and then returns to step S21. On the other hand, if both the determination result in step S49 and the determination result in step S51 are YES, the terminal-side control circuit 50ctr generates an alert from the speaker 50sp in step S53, and the number of occurrences of the alert in step S55. taking measurement.

  The terminal-side control circuit 50ctr also determines in step S57 whether or not the number of alerts generated at each medication management time has reached a predetermined value (= 5 times, for example), and whether a stop operation has been performed on the operation panel 50pnl. Whether or not is determined in step S59. If both the determination result in step S57 and the determination result in step S59 are NO, the terminal-side control circuit 50ctr returns to step S53. On the other hand, if the determination result in step S57 or the determination result in step S59 is YES, the terminal-side control circuit 50ctr stops the terminal-side communication circuit 50cm in step S61, and then returns to step S21.

  As can be seen from the above description, the medicine bag holding sheet 10 is folded in a bellows shape so as to form valley fold portions VF1 to VF3 that sandwich the medicine bags 401 to 403, respectively. Two conductive terminals 141a and 141b are provided on the two slopes forming the valley fold portion VF1, and two conductive terminals 142a and 142b are provided on the two slopes forming the valley fold portion VF2, forming the valley fold portion VF3. Two conduction terminals 143a and 143b are provided on the two inclined surfaces.

  Specifically, the pair of conduction terminals 141a to 141b, the pair of conduction terminals 142a to 142b, or the pair of conduction terminals 143a to 143b are provided at positions where they are in contact with each other when the medicine bag holding sheet 10 is folded. .

  Since the surfaces of the medicine bags 401 to 403 exhibit insulation, when the medicine bag holding sheet 10 is folded with the medicine bags 401, 402, or 403 sandwiched between the valley folds VF1, VF2, or VF3, the conduction terminals 141a to 141b and the conduction terminals 142a To 142b or conduction terminals 143a to 143b are opened.

  The clip 20 is mounted to identify the open / short circuit of the conductive terminals 141a and 141b, the open / short circuit of the conductive terminals 142a and 142b, and the open / short circuit of the conductive terminals 143a and 143b (that is, whether or not each of the medicine bags 401 to 403 is mounted). The communication module 24 that transmits the state information to the portable terminal 50 is built in, and the medicine bag holding sheet 10 is sandwiched from both ends of the bellows in the extending direction.

  The wearing state information is information for creating a medication history by the portable terminal 50, and is information for determining whether or not the medicine is forgotten. Moreover, the portable terminal 50 is an external terminal carried by the patient who takes the medicine stored in the medicine bags 401 to 403. The communication module 24 built in the clip 20 transmits the wearing state information to the portable terminal 50 by short-range wireless communication, and the portable terminal 50 records the medication history created based on the received wearing information in the table TBL. When the medicine is forgotten to be taken, an alert is output from the speaker 50sp.

  Since the medicine bags 401 to 403 are sandwiched between the valley fold portions VF1 to VF3 as they are, it is not necessary to transfer the medicine. Thereby, the safety of the medication can be ensured. Moreover, since the content of the mounting state information transmitted from the clip 20 to the portable terminal 50 differs depending on whether or not the medicine bags 401 to 403 are sandwiched between the valley fold portions VF1 to VF3, the patient can prevent forgetting to drink by himself / herself. You can easily control your medication. Also, doctors and nurses in the hospital can accurately grasp the patient's medication status based on the medication history recorded in the table TBL.

  In this embodiment, the conductive terminals 141a and 141b are in contact with each other, and the conductive terminals 142a and 142b are in contact with each other in the folded state, assuming that the surfaces of the medicine bags 401 to 403 are entirely insulative. The size and position of each terminal can be determined so that the conduction terminals 143a and 143b are in contact with each other.

  However, as shown in FIGS. 13A to 13B, when the medicine bags 401 ′ to 403 ′ on which the conductive sheet 40mt is attached or printed are sandwiched between the valley fold portions VF1 to VF3, the conduction terminals 141a to 141b are provided. , 142a to 142b, 143a to 143b, the conductive terminals 141a 'to 141b', 142a to 142b ', 143a to 143b' are replaced with the small regions DR1a to DR1b, DR2a to DR2b, DR3a to DR3b in the manner shown in FIG. Need to form.

  According to FIG. 12, the conducting terminals 141a ′ to 141b ′, 142a to 142b ′, 143a to 143b ′ have a common width, and the widths of the linear conductors 161a to 161b, 162a to 162b, and 163a to 163b. Slightly larger than each width.

  Accordingly, the pair of conduction terminals 141a ′ to 141b ′, the pair of conduction terminals 142a to 142b ′ or the pair of conduction terminals 143a to 143b ′ are arranged at positions separated from each other in the folded state, and the medicine bags 401 ′, In a state where 402 'or 403' is sandwiched between valley folds VF1, VF2 or VF3, they are short-circuited.

  In this case, the clip-side control circuit 24ctr executes processing according to the flowchart shown in FIG. 14 instead of processing according to the flowchart shown in FIG. Further, the terminal-side control circuit 50crt executes processing according to the flowcharts shown in FIGS. 15 to 16 instead of the processing according to the flowcharts shown in FIGS. Here again, the process between the clip 20 and the portable terminal 50 will be described in time series.

  Referring to FIG. 15, terminal-side control circuit 50ctr activates terminal-side communication circuit 50cm in step S91. The activated terminal-side communication circuit 50cm maintains the on state unless the battery (not shown) of the portable terminal 50 becomes empty.

  Returning to FIG. 14, the clip-side control circuit 24ctr repeatedly determines whether or not a designated period (= 15 minutes, for example) has arrived, and when the determination result is updated from NO to YES, in step S73. The clip side communication circuit 24cm is activated. In step S75, the activated clip side communication circuit 24cm is instructed to issue a connection establishment request. The clip side communication circuit 24 cm issues a connection establishment request to the portable terminal 50.

  Jumping to FIG. 15, the terminal-side control circuit 50ctr repeatedly determines whether or not a connection establishment request has been received in step S93. When the determination result is updated from NO to YES, the terminal-side control circuit 50ctr proceeds to step S95 and establishes a connection with the clip 20 that is the request source.

  Returning to FIG. 14, the clip side control circuit 24ctr determines whether or not the connection with the portable terminal 50 has been established in step S77, and whether or not a timeout has occurred (= predetermined time from issuing the connection establishment request). In step S79, it is determined whether or not the time has elapsed. If both the determination result in step S77 and the determination result in step S79 are NO, the clip-side control circuit 24ctr returns to step S77. If the determination result in step S77 is NO and the determination result in step S79 is YES, the clip-side control circuit 24ctr stops the clip-side communication circuit 24cm in step S87, and then returns to step S71.

  If the determination result in step S79 is NO and the determination result in step S77 is YES, the clip-side control circuit 24ctr proceeds to step S81 and detects the voltage between the terminals T1 and T2. The detected voltage shows different values depending on the open / short circuit of the conductive terminals 141a and 141b, the open / short circuit of the conductive terminals 142a and 142b, and the open / short circuit of the conductive terminals 143a and 143b.

  In step S83, the presence or absence of each of the medicine bags 401 to 403 is identified based on the voltage detected in step S81, and wearing state information is created. Thereafter, the clip side control circuit 24ctr instructs the clip side communication circuit 24cm to transmit the mounting state information in step S85. The clip side communication circuit 24cm transmits the wearing state information created in step S83 toward the portable terminal 50. When the process of step S85 is completed, the clip side control circuit 24ctr stops the clip side communication circuit 24cm in step S87, and then returns to step S71.

  In step S97, the terminal-side control circuit 50ctr determines whether or not the wearing state information has been received by the terminal-side communication circuit 50cm, and whether or not a timeout has occurred (= mounting state information transfer request). In step S99, it is determined whether or not a predetermined time has elapsed since the issuance.

  If both the determination result in step S97 and the determination result in step S99 are NO, the terminal-side control circuit 50ctr returns to step S97. If the determination result in step S97 is NO and the determination result in step S99 is YES, the terminal-side control circuit 50ctr disconnects the connection with the requesting clip 20 in step S101, and then returns to step S93.

  If the determination result in step S99 is NO and the determination result in step S97 is YES, the terminal-side control circuit 50ctr detects the current time in step S103. In step S105, the medication history on the table TBL is updated based on the wearing state information acquired from the clip 20 and the current time detected in step S103.

  When the process of step S105 is completed, the terminal-side control circuit 50ctr determines whether or not the medication management time has arrived in step S107, and determines whether or not the medicine is forgotten in step S109. If the determination result in step S107 or the determination result in step S109 is NO, the terminal-side control circuit 50ctr disconnects the connection with the requesting clip 20 in step S119, and then returns to step S93.

  On the other hand, if both the determination result in step S107 and the determination result in step S109 are YES, the terminal-side control circuit 50ctr generates an alert from the speaker 50sp in step S111, and the number of occurrences of the alert in step S113. taking measurement.

  The terminal-side control circuit 50ctr also determines in step S115 whether or not the number of occurrences of the alert at each medication management time has reached a predetermined value (= 5 times, for example), and whether a stop operation has been performed on the operation panel 50pnl. It is determined whether or not in step S117. If both the determination result in step S115 and the determination result in step S117 are NO, the terminal-side control circuit 50ctr returns to step S111. On the other hand, if the determination result in step S115 or the determination result in step S117 is YES, the terminal-side control circuit 50ctr disconnects the connection with the clip 20 in step S119, and then returns to step S93.

  In the above-described embodiment, it is assumed that the medicine bags 401 to 403 for one day are sandwiched between the medicine bag holding sheets 10, but the number of medicine bags to be sandwiched may be two days or more. However, in this case, it is necessary to increase the number of valley folds that sandwich the medicine bag. Moreover, in the above-mentioned Example, it is assumed that a powder medicine is stored in the medicine bags 401-403. However, tablets and capsules may be housed in place of the powder.

DESCRIPTION OF SYMBOLS 10 ... Medicine bag holding sheet 12 ... Base material sheet 141a-143a, 141b-143b, 141a'-143a ', 141b'-143b' ... Conduction terminal 161a-163a, 161b-163b, 261a-263a, 261b-263b ... Linear Conductor VF1 to VF3 ... Valley fold 20 ... Clip 22 ... Main body 24 ... Communication module 24ctr ... Clip side control circuit 24cm ... Clip side communication circuit 401 to 403 ... Medicine bag 50 ... Mobile terminal 50ctr ... Terminal side control circuit 50cm ... Terminal side communication circuit

Claims (6)

A medicine bag holding sheet that is folded in a bellows shape to form a plurality of valley folds that respectively hold a plurality of medicine bags, and that two conductive terminals are provided on two slopes that form each of the plurality of valley fold parts, And a medication management device comprising a communication circuit for transmitting identification information for identifying open / short-circuit of the two conduction terminals to an external terminal and sandwiching the medicine bag holding sheet from both ends in the bellows extension direction.   The medication management apparatus according to claim 1, wherein the identification information is information for creating a medication history by the external terminal. The medicine bag holding sheet has a base sheet whose main surface is rectangular,
3. The medication management device according to claim 1, wherein a plurality of valley fold lines defining the plurality of valley fold portions are arranged in parallel with the long side direction of the rectangle and extend in the short side direction of the rectangle. The external terminal is a terminal carried by a patient taking a medicine stored in the medicine bag,
The medication management apparatus according to any one of claims 1 to 3, wherein the communication circuit transmits the identification information to the external terminal by short-range wireless communication. The surface of the medicine bag shows insulation,
The said two conduction | electrical_connection terminal is provided in the position which mutually contacts in the state which the said medicine bag holding sheet was folded, and is open | released in the state where the said medicine bag was pinched | interposed into the said valley fold part. The medication management device described in 1. At least a part of the surface of the medicine bag exhibits conductivity,
The said two conduction | electrical_connection terminal is provided in the position mutually spaced apart in the state in which the said medicine bag holding sheet was folded, and is short-circuited in the state in which the said medicine bag was pinched | interposed in the said valley fold part. The medication management device described in 1.

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