JP6462947B1 - Packaged medicine storage device, method of manufacturing packaged drug storage box, packaged medicine rack, and medication management system - Google Patents

Abstract

Disclosed is a method for storing medicines, printing medication information on one side, and cutting continuous packaged medicines having perforations formed between one package at the perforation portion and arranging them in order of medication. By housing, a packaged medicine container that does not require further rearrangement is provided. A medicine is stored, medication information is printed on one side, and a continuous medicine with perforations formed between one package is conveyed in a direction in which the medicine is continuous. A lateral transport unit, a cutter for cutting the continuous medicine to be transported by the lateral transport unit at the perforation, and a direction perpendicular to the transport direction of the lateral transport unit for individual packages cut by the cutter A vertical conveying unit that conveys the individual package, and a pressure that is provided in the conveying direction of the vertical conveying unit and that receives the individual package conveyed by the vertical conveying unit and that presses from the other surface of the individual package each time each individual package is received And a medicine container box in which the individual packages that have been pressed and transferred are stacked and accommodated in a standing state, and are formed with an extraction port that can be sequentially removed from the individual packages at the pressed tip. [Selection] Figure 7

Description

  The present invention relates to a packaged medicine storage device that accepts a continuous packaged medicine in which a medicine is stored one by one and cuts it into one package, and rearranges them in the order of administration and stores them in a storage unit. A method for manufacturing a medicine container, and a plurality of medicine containers stored by rearranging individual packages cut into individual packages in order of administration, and administering individual packages from each stored medicine container The present invention relates to a distribution medicine distribution rack that can be taken out in sequence, a distribution medicine storage device, and a medication management system that centrally manages the distribution medicine distribution rack.

  In elderly care facilities such as nursing homes for the elderly or special nursing homes for the elderly, medications prescribed to each resident are often assisted by the facility. In other words, each tenant's medication prescribed at the dispensing pharmacy is centrally managed, and the staff at the facility hands the medication to the resident himself every time it is taken, after breakfast, after lunch, after dinner, etc. It is necessary to prevent missed drinks and repeated doses by seeing them.

  In recent years, prescriptions at dispensing pharmacies are called single-packing, and multiple drugs are put together at the timing of taking each day, such as after breakfast, after lunch, and after dinner. In addition, automatic packaging machines that perform packaging in a state where personal information, drug information, and information related to medication time are printed are also adopted.

  The staff of the facility bring this individual package, visit the resident's room, visually confirm the person, and hand it to the person. In addition, for residents who have a higher level of care, they are opened to assist oral administration. In this way, a method of confirming completion of the patient's medication and recording this in a ledger or the like is taken.

  For example, there are many residents in a large-scale facility, and the amount of work is enormous when it is confirmed that the medicine is delivered to about 100 residents at the timing of one dose. The shortage of care workers due to the aging society is urgent, and there is a strong need to reduce the burden. Moreover, prevention of errors in the work process is a top priority prior to efficiency for the maintenance of the lives and health of residents.

  Prescriptions issued by doctors for each resident of the facility are independent for each resident, and the facility can decide which pharmacy will prescribe the prescription with the consent of the resident . However, prescriptions of a plurality of prescriptions may be unified into one pharmacy, but there are cases where it is necessary to request a plurality of pharmacies depending on circumstances. As a result, the delivery time of the medicine delivered from each pharmacy and the number of times (weeks) of the medicine amount may differ. Also, the printing format for each package (individual package) may differ depending on the automatic packaging machine used. Furthermore, the width of one package may be different.

  Work that rearranges the medicines for each resident delivered from the pharmacy in such a non-standardized packaging state as the medicines required for all subjects at the medication timing on a specific date Is required. This is a sorting operation in which the individual medicine packages, which are continuously encapsulated in each dosing order of each subject and can be cut by perforations, are cut and arranged one by one by hand.

  In order to avoid such sorting, it is conceivable that each pharmacy side makes prescriptions of a plurality of subjects into batch data and wraps them for each medication order. That is, for example, it is convenient to collect the post-breakfast portion of a certain day for 100 subjects into one continuous package.

  However, when the medicines of a plurality of subjects are contained in one continuous package in this way, the inspection work by the pharmacist performed after the packaging with the automatic packaging machine becomes very difficult. The most important thing as a pharmacist is to supply all medication subjects without error, and for that purpose, it is obvious that individual packages can be audited more reliably if they are grouped for each subject. Nor.

  As a method for improving the efficiency of such work and reducing the work load on the facility side, an apparatus and system as described in Patent Document 1 have been proposed.

  In this method, the medicines individually encapsulated for each subject are cut into single doses and temporarily stored in a temporary storage box for each subject. Then, one dose is taken out from the temporary storage box and stored in each pocket of the “medicine calendar”. The “medicine calendar” is a personal calendar in the form of a matrix consisting of the day of the week axis and the timing axis for taking a dose, a daily dosing calendar in the form of a matrix consisting of the name of the user and the timing axis for taking a dose, and multiple doses A person's name is written, and a medication calendar for each time point that has the pockets of everyone at the prescribed dose timing, etc. is provided, and the medicine for one dose taken out from the temporary storage box is stored in each pocket according to the purpose. is there.

JP 2018-50936 A

  In the system described in Patent Document 1, it is necessary to take out the medicine from the temporary storage box and store it in each pocket of the “medicine calendar”. If the staff of the facility performs this work, the amount of work of the staff becomes enormous, and there is a possibility of causing a storage error. In addition, it is a large-scale device for automatically taking out the medicine from the temporary storage box and storing it in the pocket of the “medicine calendar”.

  The problem to be solved by the present invention is that a medicine is accommodated, medication information is printed on one side, and a continuous medicine with a perforation formed between one package is cut at the perforation portion. Providing a packaged medicine container that does not require further rearrangement, a method for manufacturing a packaged drug container, a packaged medicine distribution shelf, and a medication management system. Objective.

  The packaged medicine storage device of the present invention stores a continuous packaged medicine in which medicine is stored, medication information is printed on one side, and perforations are formed between one package. A lateral transport unit that transports in a continuous direction, a cutter that cuts the continuous packing medicine transported by the lateral transport unit at the perforation part, and an individual package cut by the cutter of the lateral transport unit A vertical transport unit that transports in a direction orthogonal to the transport direction, and a single package that is provided in the transport direction of the vertical transport unit and that is transported by the vertical transport unit, and receives the individual package each time the individual package is received A medicine container having a pressing means for pressing from the surface, laminating and storing the individual packages that have been pressed and transported in a standing position, and a discharge port that can be sequentially removed from the individual package at the pressed tip With a box.

  In addition, the method for manufacturing a packaged medicine storage box of the present invention includes a continuous packaged drug in which a drug is stored, medication information is printed on one side, and perforations are formed between one package. The packaged medicine is laterally transported in a continuous direction, the continuous packaged medicine that is laterally transported is cut at the perforation portion, and the cut individual package is longitudinally orthogonal to the lateral transport direction. From the individual package at the front end that is provided in the vertical conveyance direction and receives the individual package that has been conveyed vertically and that is pressed from the other surface of the individual package each time each individual package is received. It is stored in the medicine storage box so that it can be taken out sequentially.

  Furthermore, the distribution rack of the medicine for packaging of the present invention is a medicine container box in which individual packages with medication information printed on one side are accommodated in order of administration, and the medication information printed on the individual packages are arranged side by side so that they can be seen through. Can be stored on the front side of the housing, and can be taken out from the outlet of the medicine storage box in a stored state, and stored in the medicine storage box stored in the storage section. An identification unit for identifying medication information of individual packages, and a notification that is provided corresponding to each drug storage box stored in the storage unit and notifies that it is necessary to take out the individual package from each drug storage box Part.

  Further, the medication management system of the present invention includes a medicine container box in which individual packages with medication information printed on one side are accommodated in order of medication, and the medication information printed on the individual packages are arranged in a see-through manner. A plurality of storage units that can be stored on the front side of the storage unit, and a storage unit that can be taken out from the outlet of the drug storage box in a stored state, and a single package stored in the drug storage box stored in the storage unit An identification unit for identifying medication information of the patient, and a notification unit that is provided corresponding to each medicine storage box stored in the storage unit and notifies that it is necessary to take out the individual package from each medicine storage box. A serving shelf information storage unit that stores the serving shelf, the information about the user, the information about the timing of taking, and the positional information of the storage unit of the serving shelf in which the individual package of the user is stored, in association with each other; Based on the timing of taking, , Control for acquiring position information of the shelf in which the individual package to be taken is stored from the information regarding the dosing timing stored in the storage unit, and notifying the notification unit corresponding to the position information of the removal of the individual package Part.

The figure which shows the relationship between the medication management system of embodiment, and a medicine packaging apparatus. The perspective view which shows a packaging medicine. The figure which shows the individual package on which medication information was printed. The figure which shows the memory content of a medication information storage part. The disassembled perspective view of a chemical | medical agent storage box. The see-through | perspective perspective view of a packaging chemical | medical agent accommodation apparatus when a chemical | medical agent storage box is removed. The see-through | perspective perspective view of the packaging chemical | medical agent accommodation apparatus when a chemical | medical agent storage box is attached. The figure for demonstrating the accommodation operation | movement of the individual package with respect to a chemical | medical agent storage box. The perspective view for demonstrating the housing | casing of a layout shelf. The partially expanded view of the shelf part of the serving shelf. The figure which shows arrangement | positioning and position information of the shelf part of a layout shelf. The figure which shows the modification of medication information. The block diagram of a medication management system. The figure which shows the memory content of the serving shelf information storage part. The figure explaining the modification of a chemical | medical agent storage box and a press means.

  Hereinafter, a medication management system according to an embodiment will be described with reference to the drawings.

  FIG. 1 is a diagram showing a relationship between a medication management system 20 provided in a care facility and a dispensing pharmacy side system 10 provided in a dispensing pharmacy, together with an arrangement state of drugs.

  That is, in the dispensing pharmacy side system 10, based on the prescription 11 from the doctor, the continuous packaging medicine PP for each resident A, B, C, D, E... Is done. As shown in FIG. 2, these sachets PP contain a plurality of types of tablets, capsules, powders and the like to be taken at one time in a single package M. Such an automatic packaging machine for storing a plurality of types of medicines in one individual package M is conventionally known, for example, as described in Patent Document 1 and Japanese Patent Application Laid-Open No. 2011-120847. is there.

  The packaged medicine PP is prepared in units of 1 to several weeks. For example, the packaged medicine PP is folded every three packages for one day. Note that some pharmacies prescribe the packaged medicine PP in a state of being wound in a roll rather than in a zigzag fold. For example, P1 after breakfast, P2 after lunch, and P3 after dinner, the continuous packaged medicine PP stores various kinds of medicines depending on the timing of taking the medicine. A perforation P4 is provided between the individual packages, and a single package M is obtained by cutting at the perforation P4.

  Each individual package M is printed with medication information as shown in FIG. 3 when being packaged by the automatic packaging machine 12. That is, information P5 regarding the timing of taking (the distinction between the date and after breakfast, after lunch and after dinner) and the name of the user. Information P6 regarding the type and number of medicines stored. Furthermore, medication information regarding the medication timing, the name of the user, and the type and number of medications are printed as machine-readable one-dimensional barcodes P7, respectively. Also, an optically readable mark P8 is printed so that the position of the perforation to be cut by the apparatus can be grasped. In addition, the hatching part P9 around each individual package M is a heat seal part formed by thermocompression bonding of double-sided wrapping paper formed when the individual packages are packaged.

  The position and content of these print contents and the like may change for each pharmacy or by the automatic packaging machine 12. The machine-readable barcode P7 may be a two-dimensional barcode depending on the automatic packaging machine 12. In particular, the height BW of the single package M is generally set to 70 mm in the automatic packaging machine 12, but the length BL of the single package M generally varies from 60 mm to 80 mm depending on the automatic packaging machine 12.

  Returning to the description of FIG. 1, the medication management system 20 of a care facility is connected to a personal computer (PC) 21 serving as a central control unit and the PC 21, and the divided medicine PP is cut and taken for each package. It has a medicine storage device 22 that is stored in a medicine storage box for each person, and a medication information input device 23 that is connected to the PC 21 and inputs medication information passed from the dispensing pharmacy side system 10. Furthermore, the medication management system 20 includes a distribution rack 24 that is connected to the PC 21 and stores a plurality of drug storage boxes in which individual packages for each user are stored by the drug storage device 22.

  Then, the medication management system 20 is for the staff of the care facility to take out the individual package M of each user from the layout shelf 24 and take it to the resident at the timing of taking.

  The staff at the care facility receives a continuous packaged medicine PP created by the automatic packaging machine 12 from the dispensing pharmacy together with information about the prescription 11. The received medication information related to the prescription 11 is input from the medication information input device 23 to the PC 21. Note that the information related to the prescription 11 may be printed on paper, but may be received by receiving on-line through a portable storage medium such as a USB memory or the communication line 13. By receiving the data via a portable storage medium or ON-LINE, it is possible to prevent erroneous input when manually inputting information printed on paper.

  Thus, the medication information input to the PC 21 is stored in the medication information storage unit 213 in the PC 21 in the form shown in FIG. That is, incidental information such as the room number for each user, the name of the pharmacy that prescribes the prepackaged PP, the start date and the completion date, the number of times taken per day and the prescription period, the width of the individual package, and the location Are stored respectively.

  For example, the user A and the user B start taking the medicine prescribed by the AA pharmacy from 2018-9-3, and take 3 minutes a day for 2 weeks (minute 3 / 2W). It is also input that the length of the individual package of the automatic packaging machine 12 of the AA pharmacy is 80 mm. In addition, the user C starts taking the medicine prescribed at the BB pharmacy from 2018-9-3, and takes 4 minutes a day for 2 weeks (minute 4 / 2W). And the length of the individual package of the automatic packaging machine 12 of BB pharmacy is 60 mm. The individual packages of the user A and the user B prescribed in this way are arranged after breakfast, after lunch, and after dinner (evening) as shown in FIG. Further, as shown in FIG. 1, the individual package of the user C is arranged after breakfast, after lunch, after dinner (evening), and before going to bed. Furthermore, the doser D starts taking the dose from 2018-9-4 and takes 3 minutes a day for 2 weeks (min 3 / 2W). This is lined up after breakfast, after lunch and after dinner (evening) as shown in FIG.

  Also, like the user E, the time to take may be specified instead of after meals. In addition, a resident who takes a meal in the cafeteria also takes the place of medication, for example, for the resident who takes the meal in the dining room, and for the resident who takes a meal in the room. Since it is necessary to deliver a medicine before going out to a user who knows in advance that he / she goes out at noon like the user C, such incidental information is also input. When drugs are rearranged based on such medication information, the left side of FIG. 1 is obtained.

  The packaged medicine PP received together with such dosing information is cut into one package by the packaged drug storage device 22 and arranged in the order of taking for each user and stored in the drug storage box.

  Next, a packaged medicine storage device 22 that stores medicines for each user in order of medication and stores them in a medicine storage box will be described with reference to FIGS.

  FIG. 5 is an exploded perspective view of the medicine container 30. The medicine storage box 30 includes an outer box 32 shown in FIG. 5A and an inner box 34 shown in FIG. The outer box 32 is a rectangular box having an empty interior, and the rear end 32a (the right end in FIG. 5) is a box without a wall so that the inner box 34 can enter and exit. In addition, a concave notch 32 b that is continuous with the rear end 32 a is formed on the bottom surface of the outer box 32. On the front side of the upper surface of the outer box 32, a notch 32 c for receiving the individual package M of medicine and taking out the individual package M contained therein is provided.

  Further, the front plate 32e of the outer box 32 is formed of a transparent acrylic plate so that all the medication information printed on the individual package M accommodated therein can be seen (perspective portion). Further, the front plate 32e of the outer box 32 has an opening 32d for reading the one-dimensional barcode P7 of medication information printed on the individual package M accommodated as will be described later. Further, an opening 32 f is formed on the bottom surface of the outer box 32, in which a pin 38 attached to the bottom surface of the inner box 34 slides after the inner box 34 is inserted into the outer box 32. One end of each of the tension springs 36 and 36 is attached in the vicinity of both ends of the notch 32 c of the outer box 32.

  On the other hand, the inner box 34 is inserted into the outer box 32 from the rear side of the outer box 32, and as shown in FIG. It is a box with no walls. Further, a concave cutout 34b continuous with the rear end 34a is formed on the bottom surface. On the front side of the upper surface of the inner box 34, similarly to the outer box 32, a notch 34 c for receiving the individual package M of medicine is provided. Furthermore, a pair of flanges 34d and 34d projecting inward from both ends are formed on the front surface of the inner box 34. A pair of protrusions 34e and 34e are formed on the inner side of the inner box 34 than the flanges 34d and 34d. The flanges 34d and 34d and the protrusions 34e and 34e form a receiving portion for the individual package M. Projections 34f and 34f to which the other ends of the tension springs 36 and 36 are attached are formed on the upper rear end of the inner box 34.

  As shown in FIG. 5B, the outer box 32 and the inner box 34 formed in this way are inserted into the outer box 32 from the rear to form the medicine storage box 30. That is, after the inner box 34 is inserted into the outer box 32 from the rear, the other ends of the tension springs 36 and 36 are attached to the protrusions 34f and 34f of the inner box 34, and the outer box is placed at four locations on the bottom surface of the inner box 34. The pin 38 is attached through the 32 openings 32f.

  The medicine container box 30 configured in this manner is such that the inner box 34 is slidable with respect to the outer box 32, and the flanges 34 d and 34 d on the front surface of the inner box 34 are pulled by the tension springs 36 and 36. The structure is biased to the front side.

  6 and 7 show a packaged medicine container 22 for cutting a continuous packaged drug PP prescribed at a dispensing pharmacy into individual packages and storing them in the drug container box 30 shown in FIG. FIG. FIG. 6 shows a state where the medicine container 30 is removed from the medicine container 60, and FIG. 7 shows a state where the medicine container 30 is attached to the medicine container 60.

  As shown in FIG. 7, the packaged medicine PP accommodated in the medicine storage box 30 is the first in the transport direction when the order of medication is earlier, and one side on which the medication information is printed is outside the medicine storage box 30. It is set in the packaged medicine container 22 so as to be in the direction in which the acrylic plate 32e (perspective portion) of the box 32 is formed.

  When the user's name is specified from the keyboard of the PC 21 and the accommodation of the packaged medicine is instructed from 212, the control unit 211 of the PC 21 reads out the medication information stored in the medication information storage unit 213, and stores the medicine storage device 22. Send medication information to. At this time, as will be described later, the medicine storage box 30 having a size corresponding to the individual package length of the packaged medicine stored corresponding to the user is set in the storage unit 60.

  The packaged medicine PP is horizontally transported in the direction of the arrow H with the upper end of the packaged medicine PP held between the pair of transport rollers 41 and 41. Reference numeral 42 denotes a motor for driving the transport rollers 41 and 41. 43 is an optical mark reading device for detecting the cutting position grasping mark P8 printed on the packaged medicine PP.

  Reference numeral 44 denotes a fixing member on one side of the cutter, 45 denotes a gripping member on the other side of the cutter, and 46 denotes a cutter blade for push-off. Then, the fixing member 44 and the gripping member 45 are fixed by sandwiching both sides of the perforated portion of the packaged medicine PP, and the cutter blade 46 is protruded to cut the perforated portion of the packaged medicine PP. In addition, the drive mechanism of the holding member 45 and the cutter blade 46 is omitted. Further, the cutting of the packaging medicine PP by the cutter may be performed by stopping the transportation of the packaging medicine PP when the mark reading device 43 detects the mark P8 and then transporting the packaging medicine PP by a predetermined amount. The predetermined amount conveyed after detecting the mark P8 may be set in advance for each type of the individual package M depending on the length BL of the individual package M and the position where the cutting position grasping mark P8 is printed.

  Reference numerals 47 and 48 denote lateral conveyance mechanisms that can be selectively clamped. Reference numerals 50 and 51 denote vertical conveyance mechanisms that can be selectively clamped. Reference numeral 49 denotes a driving mechanism for the horizontal transport mechanisms 47 and 48 and the vertical transport mechanisms 50 and 51.

  62 is a base of the medicine container 60. The base 62 of the medicine container 60 is provided with grooves 62a and 62a in which pins 38 attached to the bottom surface of the inner box 34 of the medicine container 30 slide. The base 62 is provided with a stopper 62c for positioning the medicine container 30 by engaging with the pin 38 of the medicine container 30 when the medicine container 30 is pushed in and mounted. A release lever 62d is provided for releasing the engagement of the stopper 62c with the pin 38 so that the medicine container 30 can be detached from the medicine container 60.

  On the other hand, on the back side of the medicine container 60, a pressing plate 64 that presses the individual package M received in the inner box 34 of the medicine container 30 to the outer box 32 side by the vertical transport mechanisms 50 and 51 can reciprocate. Is provided. Fixed to the lower part of the pressing plate 64 is a notch 32b formed on the bottom surface of the outer box 32 of the storage box 30 and a slider 64a that slides along the notch 34b formed on the bottom surface of the inner box 34. ing. In addition, a motor 66 and a link mechanism 67 that converts the rotational motion of the motor 66 into a reciprocating motion are provided behind the pressing plate 64. The end of the link mechanism 67 is fixed to the back surface of the pressing plate 64. Accordingly, the rotation of the motor 66 causes the pressing plate 64 to reciprocate in the arrow Q direction.

  Next, the operation of accommodating the individual package M cut from the packaged drug PP by the cutters 44, 45, and 46 in the drug container 30 will be described with reference to FIGS. The medicine container 30 is pushed in along the base portion 62 of the medicine container 60 and set. Then, the pin 38 of the medicine container 30 is fixed by the stopper 62c. In this state, the packaged medicine PP is laterally conveyed in the direction of arrow H.

  When the packaged medicine PP to be transported is cut by the cutter blade 46, the cut individual package M is further horizontally transported by the lateral transport mechanisms 47 and 48. When the medicine container box 30 is horizontally transported to the place where it is installed, both ends of the individual package M are sandwiched by the vertical transport mechanisms 50 and 51 and the sandwiching by the lateral transport mechanisms 47 and 48 is released. Thereafter, the individual packages M are vertically transported downward by the vertical transport mechanisms 50 and 51.

  The individual package M vertically conveyed in the direction of arrow V is received in a receiving portion between the flanges 34d and 34d of the inner box 34 of the medicine container 30 and the protruding portions 34e and 34e as shown in FIG. The individual package M received between the flanges 34d, 34d and the protrusions 34e, 34e is moved to the outer box 32 in the direction of the pressing plate 64, whereby the other surface on which the medication information of the individual package M is not printed. Is pressed from. As a result, as shown in FIG. 8B, the heat seal portion P9 not containing the medicine of the individual package M is bent by the flanges 34d and 34d and moved from the inner box 34 to the outer box 32. The width of the pressing plate 64 in the lateral conveyance direction is larger than the interval (50 mm) between the tips on the inner sides of the flanges 34d and 34d of the inner box 34 of the shortest individual medicine container, as will be described later. A little shorter. Therefore, the pressing plate 64 can move to the inside of the outer box 32 beyond the position of the flanges 34d, 34d. When the received individual package M is pushed into the outer box 32, the individual package M is moved into the outer box while the heat seal portion P9 of the individual package M is bent by the flanges 34d and 34d. After the individual package M is pushed in, the individual package M moved into the outer box 32 even when the pressing plate 64 returns to its original position, the bending of the heat seal part P9 is returned, and the heat seal part P9 has the brim 34d, It remains in the outer box 32 by being locked by 34d.

  As described above, when pressing by the pressing plate 64 is repeated every time the individual package M is received in the inner box 34, the individual package M moved between the inner surface of the outer box 32 and the front end surface of the inner box 32. As shown in FIG. 8C, the capacity in the outer box 32 becomes insufficient. However, if the capacity is insufficient, the outer box 32 slides and moves relative to the inner box 34 against the tension of the tension springs 36 and 36 when pressed by the pressing plate 64, and the inner surface of the outer box 32. And the front end face of the inner box 32 is increased.

  By repeating this operation, the packaged medicine PP for one drug taker is individually packaged by the cutter, and the accommodation of the individual package M in the medicine storage box 30 is completed. When all the individual packages M have been accommodated, the individual package M of the prescriber is arranged in the drug storage box 30 through the acrylic plate on the front surface of the drug storage box 30 so that the medication information can be seen, and after breakfast After lunch, after dinner, they were rearranged in the order they were taken and stored. Also, the one-dimensional barcode of the medication information can be seen through the opening 32d.

  In this manner, the medicine storage box 30 in which the individual package M is stored for one person is released from the locking of the stopper 62c with respect to the pin 38 by pushing the release lever 62d, and the medicine storage box 30 is removed from the medicine storage section 60. It becomes possible.

  In addition, the length BL of the single package M of the packaged medicine PP changes from 60 mm to 80 mm by an automatic packager. In order to store the individual packages M having different lengths in the drug storage box 30, three types of drug storage boxes having a length of 60 mm, 70 mm, and 80 mm are prepared in this embodiment. . Thus, the widths of the inner surfaces of the outer box 32 and the inner box 34 of each drug storage box 30 are 60 mm, 70 mm, and 80 mm, respectively, and the distance between the tips inside the flanges 34d and 34d of each drug storage box 30 is set to the inner surface. 50 mm, 60 mm, and 70 mm, which are 10 mm shorter than the width. Generally, since the width of the heat seal portion P9 around each individual package M is about 7 mm, the individual package M whose length of the individual package M is about 10 mm longer than the distance between the tips inside the flanges 34d and 34d is the flange 34d. , 34d, and the individual package M can remain in the outer box 32 even when the pressing plate 64 returns. Therefore, the operator of the packaged medicine storage device 22 may select the size of the drug storage box 30 according to the length of the individual package M to be stored and attach it to the drug storage unit 60.

  The medicine container 30 removed from the medicine container 60 is housed in the housing 70 of the layout shelf 24 shown in FIGS. That is, as shown in the perspective view of FIG. 9, the casing 70 of the layout shelf 24 is formed in a stepped shape with six steps on the front surface. Each stage is formed with a storage portion 72 for storing the six rows of medicine storage boxes 30 in the horizontal direction. Therefore, the housing 70 is provided with 6 × 6 = 36 storage units 72. Each level of the layout shelf is numbered 1 to 6 along the lower level sequentially from the upper level, and symbols A, B, C, D, E, and F are assigned to the columns from the left. (Numbers and symbols are omitted in FIG. 9). Accordingly, each storage unit 72 is associated with position information A1 to F6 as shown in FIG.

  FIG. 10 shows an enlarged cross-sectional view of a part of the storage portion 72. The length of the shelf plate 74 of each storage section 72 is longer than the front plate 32e of the outer box 32 of the stored medicine storage box 30 when the medicine storage box 30 is placed on the shelf board 74 and stored. It is the length to do. In addition, the length of the shelf 74 of the storage unit 72 that is one step above each storage unit 72 is a length that does not hinder the removal of the individual package M from the upper front of the medicine storage box 30 stored in the lower storage unit 72. Is configured.

  On the other hand, a barcode reader 75 for reading a barcode is provided inside the protruding portion of each shelf board 74. The barcode reader 75 is for identifying medication information of the individual package M stored in the medicine storage box 30 stored in the storage unit 72 (identification unit). In this embodiment, the medication information is identified by directly reading the one-dimensional barcode P7 printed on the individual package M accommodated in the medicine container 30 through the opening 32d formed in the front plate 32e. . The identification unit is not limited to reading the one-dimensional barcode P7 printed on the individual package M, and the barcode may be read by pasting the barcode on the medicine container 30 itself. Further, an RFID may be embedded in the medicine container 30 and the RFID may be read by a reader. In this case, as shown in FIG. 12, the medicine information list stored in the medicine information storage unit 213 is stored in association with the medicine container 30 in which the individual package M of each user is accommodated. Can be identified.

  Furthermore, when the position for storing the medicine storage box 30 for each user is determined in advance, the storage position information is stored in the medicine information storage unit 213, and the storage position is stored when the medicine storage box 30 is stored. When the values are different, an alarm may be issued.

  A color LED 76 is provided on the front end surface of the shelf board 74 corresponding to each storage section 72. The color LED 76 notifies that it is necessary to take out the individual package from the medicine storage box 30 stored in each storage section 72 at a predetermined medication timing (notification section). And the luminescent color of color LED76 displays a different color according to medication timing. For example, the color is notified in red after breakfast, green after lunch, blue after dinner, purple before going to bed, yellow when taking time, etc.

  As shown in FIG. 9, the PC 21 is placed on a table 71 formed on the side surface of the casing 70 of the layout shelf, and is also used when instructing to take out the individual package M to be taken from the layout shelf 24. .

  FIG. 13 shows a block diagram of the medication management system 20. That is, a medication information input unit 23 for inputting prescription information delivered from a pharmacy is connected to the PC 21 serving as a central control unit. The PC 21 is connected to a medicine container 22 for housing the individual package M obtained by cutting the packaged medicine for each user in the medicine container 30. Further, a serving rack 24 is connected to the PC 21.

  The PC 21 is provided with a control unit 211 for controlling the entire system, and a keyboard 212 for inputting instructions for taking out individual packages of each patient at the timing of drug administration. In addition, in the PC 21, a medication information storage unit 213 that stores medication information shown in FIG. 4 and a medication storage box 30 that stores information on medication storage boxes 30 and medication timings stored in the storage units 72 of the distribution shelf 24. A portion 214 is provided. Note that the medication information storage unit 213 and the serving rack information storage unit 214 may be stored as one table.

  In the layout shelf 24, the name of the person taking the drug is extracted from the medication information read by the barcode reader 75 provided corresponding to each storage unit 72, and corresponds to each storage unit 72 based on a command from the PC 21. An arrangement shelf control unit 71 for selectively driving the color LEDs 76 provided is provided. In addition, when there are many residents and 36 storage units 72 are insufficient, the number of cabinets 70 of the layout rack may be increased.

  The operation of the medication system 20 configured as described above will be described.

  The prescription information delivered from the dispensing pharmacy is input from the medication information input unit 23 and stored in the medication information storage unit 213 of the PC 21 as information as shown in FIG. The packaged medicine PP prescribed by the dispensing pharmacy is stored in the medicine storage box 30 for each user as described above by the medicine storage device 22. The medicine storage box 30 in which the medicine is stored is stored in one of the storage portions 72 of the housing 70 of the distribution shelf.

  In the medicine storage box 30 stored in the storage section 72 of the housing 70 of the distribution rack, the medication information printed on the individual package M in the medicine storage box 30 is read by the barcode reader 75. The medication information of the individual package M read by the barcode reader 75 is transmitted to the PC 21. The control unit 211 of the PC 21 extracts the name of the user from the received medication information and compares it with the medication information shown in FIG. 4 stored in the medication information storage unit 213. By this collation, it is determined in which storage section 72 of the layout shelf the medicine storage box 30 storing the medicines of each user is stored. The name of the user thus determined and the position of the storage unit 72 of the layout shelf are associated with each other and stored in the layout shelf information storage unit 214 as layout shelf information.

  FIG. 14 shows an example of serving rack information. That is, for each user, the starting date of taking, the timing of taking, the date of completion of taking, the position of the storage section of the ration rack, the place of taking medicine, and the like are stored.

  Next, as a specific example, the dosing timing is designated from the PC 21 as after breakfast of 2018-9-3. From the shelf information shown in FIG. 14, the residents who should take at this timing are the user A, the user B, and the user C. Further, from FIG. 14, the positions of the storage units of the serving rack in which the medicine storage boxes 30 of the user A, the user B, and the user C are stored are A1, A3, and B1, respectively. The color LED 76 provided corresponding to is lit in red. The staff of the facility takes out the foremost individual package from the medicine storage box 30 of the storage unit 72 where these color LEDs are lit. By this extraction, the next package to be extracted appears in the forefront.

  Further, the color LED 76 provided corresponding to the position C5 of the storage unit 72 in which the medicine container 30 in which the individual package M to be taken by the user E is stored is lit in yellow. This is because the user E is not taking it after breakfast, but at 9 o'clock between breakfast and lunch, so the individual package M of the user E is taken out from the housing 70 of the serving shelf by the designation after breakfast. Instead of delivering later, it will be delivered at 9:00 between breakfast and lunch. In addition, when specifying the time for taking medication, when the medication time is designated from the PC 21, the color LED 76 of the recess 72 in which the medicine storage box 30 in which the medicine is stored may be lit in yellow.

  As described above, the color LED 76 notifies that it is necessary to take out the individual package from each medicine storage box 30 in association with the storage portion 72 in which each medicine storage box 30 is stored.

[Modification]
FIG. 15 shows a modification of the configuration of the medicine container 30 and the pressing plate 64 of the packaged medicine container 22. In the above-described embodiment, as shown in FIGS. 15A to 15C, when the individual package M is pushed by the pressing plate 64, the heat seal portions P9 at both ends are bent by the protruding portion 34d of the inner box. In general, the function is achieved by returning the bending by the elastic force of the individual package M. However, if it is bent like a paper wrapping paper, it will not return to its original shape. There is a possibility that it cannot be accumulated.

  On the other hand, as shown in FIGS. 15D to 15G, the projecting portion 34d is not a fixed body but a rotating piece 80, so that the elastic force of the individual package M is not utilized and the flat state is maintained. Can be accumulated.

  15D is a view of the inner box 34 and the pressing plate 68 as viewed from above, and FIG. 15E is a view as viewed from the pressing plate 68 side. The outer box is not shown.

  The rotating piece 80 is provided on the front side of the inner box 34, and an arm body 82 that can rotate about a shaft 81 is biased by a spring 83 and stopped at an initial position by a stopper 84. The pressing plate 68 and the rotating piece 80 are nested as shown in FIG. When the pressing plate 68 is pushed in this state, the rotating piece 80 is pushed open by the individual package M on the front surface of the pressing plate 68 as shown in FIG. When the pressing plate 68 is further pushed, the rotating piece 80 passes through the recess 68a formed in the pressing plate 68 when the individual package M is pushed in from the tip of the rotating piece 80, and is shown in FIG. Thus, the rotating piece 80 returns to the original position. When the pressing plate 68 returns to the original state in this state, the individual package M is locked in the outer box by the rotating piece 80. Therefore, the heat seal part P9 at the end of the individual package M can be integrated without being bent.

  According to such a modification, the individual package can be reliably moved from the inner box to the outer box without being affected by the material of the wrapping paper of the individual package M.

  As described above, by specifying the dosing timing, it is possible to notify the position where the individual package to be taken at the dosing timing is stored, so that each user's packaged medicine is cut into one package. By arranging them in the order of medication and storing them in a medicine storage box, and storing this medicine storage box in a distribution rack, no further rearrangement is required.

  Although some embodiments and modifications of the present invention have been described, these embodiments and modifications are presented as examples, and are not intended to limit the scope of the invention. These novel embodiments and modifications can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

20 ... medication management system 21 ... personal computer (PC)
22 ... Drug storage device 24 ... Serving shelf 30 ... Drug storage box 32 ... Outer box 32c ... Notch (removal port)
32e ... acrylic plate (perspective)
34... Inner box 36... Tension spring 41...
44, 45, 46 ... Cutter 50, 51 ... Vertical transport mechanism (vertical transport unit)
64 ... Pressing plate (pressing means)
70 ... Casing shelf housing 72 ... Recess 74 ... Shelf plate 75 ... Bar code reader (identification part)
76 ... Color LED (notification part)
PP ・ ・ ・ Packing medicine M ・ ・ ・ Individual packaging

Claims (9)

A horizontal transport unit that stores a medicine, contains medication information printed on one side and transports a continuous medicine in which perforations are formed between one package in a direction in which the medicine is continuous; ,
A cutter that cuts the continuous medicine to be transported by the lateral transport section at the perforation part;
A vertical conveyance unit that conveys the individual package cut by the cutter in a direction orthogonal to the conveyance direction of the horizontal conveyance unit;
Provided in the transport direction of the vertical transport unit, and receives the individual package transported by the vertical transport unit, and has a pressing means for pressing from the other surface of the individual package each time each individual package is received. The transported individual package is stacked and accommodated in a standing state, and has a medicine storage box in which an extraction port that can be sequentially extracted from the pressed individual package is formed.
Packaged medicine container. The medicine container can be removed in a state where the individual package is accommodated, and a see-through part through which medication information printed on the individual package accommodated can be seen through is formed at an end portion of the medicine container in the transfer direction of the individual package. Being
The packaged medicine container according to claim 1. The medicine storage box has an outer box and a receiving part that is slidable with respect to the outer box and elastically biased with respect to the outer box and that receives the individual package conveyed by the vertical conveying part. An inner box, and the individual package received in the receiving portion of the inner box is configured to be transferred from the inner box to the outer box and accommodated by pressing by the pressing means,
The packaged medicine storage device according to claim 2. The medicine storage box is rotatably provided on both sides of the front portion of the inner box, has a recess formed in the pressing means and a nested rotating piece, and the pressing means presses the individual package. Thus, the rotating piece is rotated, and the individual package is transferred to the outer box, whereby the rotating piece is restored through the recess of the pressing means.
The packaged medicine container according to claim 3. The drug storage box has a plurality of types of drug storage boxes having different widths at least between the inner surfaces of the outer box according to the size of the individual package to be stored.
The packaged medicine container according to claim 3 or 4, characterized in that The medicine is stored, the medication information is printed on one side, and the continuous medicine in which the perforations are formed between one package is laterally conveyed in the direction in which the medicine is continuous,
Cutting the continuous packing medicine transported laterally at the perforation part,
The cut individual package is vertically conveyed in a vertical direction perpendicular to the horizontal conveyance direction,
It is provided in the longitudinal conveyance direction and accepts the individual packages that have been conveyed longitudinally. Each time each individual package is received, it is pressed from the other surface of the individual package and can be sequentially removed from the individual package at the pressed tip. House in a medicine container,
A method for producing a packaged medicine container. A housing,
A plurality of the medicine storage boxes according to any one of claims 1 to 5, which are provided on a front surface side of the casing and can be stored from the take-out port of the medicine storage box in a stored state. A storage section that can be removed;
An identification unit for identifying medication information of individual packages stored in the drug storage box stored in the storage unit;
An informing unit that is provided corresponding to each medicine storage box stored in the storage unit and notifies that it is necessary to take out the individual package from each medicine storage box;
A sachet of medicines with sachets. The identification unit has a medication information reading unit that reads medication information printed on an individual package stored in the drug storage box.
A pallet for dispensing medicine according to claim 7. A plurality of medicine storage boxes according to any one of claims 1 to 5 are provided on the front side of the housing and can be stored from the take-out port of the medicine storage box in a stored state. A storage unit that can be taken out, an identification unit that identifies medication information of individual packages stored in a medicine storage box stored in the storage unit in association with the storage position, and each storage unit stored in the storage unit A serving rack having a notification unit provided in the storage unit corresponding to the drug storage box and notifying that it is necessary to take out the individual package from each drug storage box,
A serving shelf information storage unit that stores information relating to the user, information related to the timing of taking, and positional information of the storage unit of the serving shelf in which the individual package of the user is stored;
Based on the input of the dosing timing, the position information of the storage unit storing the individual package to be taken is acquired from the information about the dosing timing stored in the serving rack information storage unit, and the position information is A control unit that informs the corresponding notification unit of the removal of the individual package;
A medication management system.