JP6548844B1 - Method for collecting each medicine container from a medicine calendar for a plurality of patients so as to cross a plurality of patients for a specific or each dosing day or dosing cycle, and a container separating and feeding device for the medicine calendar - Google Patents

Abstract

[Purpose] A small number of assistants that a large number of patients take medicines at the same time during a life or activity in a group such as a nursing care facility, and that many patients take the medicine at the same time. A method and tool that facilitates assistance is provided. [Structure] A plurality of patients corresponding to a certain given dose by separating (removing) a container containing a drug corresponding to a given dose simultaneously or sequentially from a plurality of medicine calendars for each patient. Medicines for each of a plurality of patients, including collecting each container for use in a specific manner or across each patient on a specific day or each dose, and arranging them in a single container so that they can be listed. It is the method of gathering each medicine container from a calendar so that a plurality of patients may be crossed for a specific or each taking day or use, and a container separating and collecting tool suitable for the method. [Selection] Figure 1

Description

  According to the present invention, the medicine taken by one patient is divided into each dose and stored in each container, and the plurality of containers are arranged vertically and horizontally so that a plurality of doses can be listed. The present invention relates to a method for enabling drug calendars to be used efficiently and without error on the part of patients living or working in a group, and a device suitable for implementing the method.

  Conventionally, a medicine calendar has been known as a tool for preventing each patient from forgetting to take a medicine or taking a wrong medicine and enabling proper medicine management. There are various types of this medicine calendar, but as recent one, for example, as shown in FIG. 32, each dose cycle (date or day, morning, noon, evening, and sleep for each patient) For example, a total of 21 times, which is equivalent to 4 weeks, for a plurality of doses such as 3 times a day or 4 times a day, containing a single dose of medicine corresponding to each administration dose specified by a time zone etc. Or what is arranged side by side vertically and horizontally so as to correspond to each taking a predetermined number of times, such as a total of 28 times, what a dispensing pharmacy etc. prepare and issue to a patient is known (refer to patent document 1) ).

  The patient issued this medication calendar from the dispensing pharmacy is hung on the wall of the home etc. For example, as shown in FIG. 32, four times (or morning, every morning before the morning, noon, evening and sleeping) Separately from the left side to the right of the lower side of the figure, for example, from the lower side to the upper side each time the day changes, for example, from the lower side of the figure to the right side for each dose cycle.

Patent No. 6035469

  The drug calendar, as mentioned above, is certainly superior for individual patients in terms of making it possible to visualize and take medications every dose, such as morning, noon, evening and before going to bed every day, to prevent forgetting or mistaking medications. An effect is expected.

  However, on the other hand, in the case where a large number of patients perform a uniform life or activity in a group, the individual patients do not take separately, but a large number of patients are approximately the same time zone (the same In some cases, medication should be taken simultaneously. For example, in nursing homes for the elderly, a small number of assistants are trying to take medication at the same time, while assisting a large number of patients (elderly people) within approximately the same time zone. In such a case, when the drug calendar optimized for each individual patient as described above is used as it is, the assistant takes one dose each from the drug calendars held by many patients. It is necessary to complete the task of taking out the corresponding medicine container and giving it to each patient (the elderly who can not take it by themselves), but a small number of assistants will do this almost simultaneously for a large number of patients. There is a problem (problem) that it is extremely difficult to perform such complicated work without error within a short time of substantially the same time zone.

  In the present invention, such a novel task, that is, a large number of patients in a group such as a nursing home or the like who live or act in a group, promptly and simultaneously take medications without error within substantially the same time zone (or In a place where many patients live or work in a group, it is easy for a small number of assistants to efficiently assist a large number of patients to take medications promptly and simultaneously in the same time zone. It is an object of the present invention to provide a method and a device that can solve the novel problem of making

A method of organizing each medicine container from a plurality of patient medicine calendars according to the present invention for solving the above novel problems so as to cross a plurality of patients for specific or each dosing day or dosing cycle For example, for four weeks, a container containing medicines corresponding to each dosing cycle specified by the date or day of the week and the time zone for each patient may be multiple doses such as three times a day or four times a day, for example Drug calendars arranged in vertical and horizontal directions are prepared to correspond to predetermined times such as a total of 21 times or a total of 28 times, and each drug calendar for a plurality of patients is prepared. The whole of the gaps connecting between the storage units arranged in the longitudinal and lateral directions in the medicine calendars is cut or cut at a time, and all the storage units in the longitudinal and lateral directions are mutually changed at one time Minutes To sequentially hold each of the separated receptacles in such a manner that they correspond to the positional relationship between the respective receptacles before the separation in the longitudinal and lateral directions. A step of separating and bundling each container for each patient across a plurality of patients on a specific or each dosing day or every dosing cycle, and each housing for each of the plurality of patients collected separately And disposing in one container across a plurality of patients for a specific or each dosing day or dosing cycle.

In addition, according to the present invention, the storage part detaching and stirring tool according to the present invention “a plurality of storage parts each containing medicine corresponding to each dosing cycle specified by date or day of the week and time zone for each patient, such as three or four times a day The above-mentioned respective storage parts are mutually specified in a predetermined manner so as to be aligned in the vertical and horizontal directions respectively corresponding to a predetermined number of times such as a total of 21 times or a total of 28 times, for example 4 weeks. The medicine calendar includes a portion facing each storage portion in the medicine calendar and a portion facing the clearance between the storage portions when the medicine calendar connected via a gap is placed, In the portion facing the gap between the accommodating portions, there is formed a placing portion in which a flat grid-like groove portion is formed so that the portion broken or cut by the later-described separation portion in the gap can be opposed; Oppositely formed in the groove A gap between each accommodation part of the medicine calendar and a groove part in the placing part from the side including the flat grid-like tip part from the side where the tip is opposed to the medicine calendar placed in the placing part And a separation part for separating the respective storage parts from the gap in the process of moving to the

According to the present invention, the container separating and stirring device for the medicine calendar according to the present invention “for example, the container containing the medicine corresponding to each dosing cycle specified by the date or day and time zone for each patient is three times or four times a day, etc. The storage sections are mutually arranged in the vertical and horizontal directions corresponding to a predetermined number of times such as 21 times or 28 times, for example, 4 weeks for a plurality of times of A portion of the medicine calendar that faces each container and a portion that faces the space between the containers when the medicine calendar connected via the predetermined gap is placed, In the portion facing the gap between the respective accommodating portions, there is formed a placing portion having a flat grid-like groove portion in which the portion to be broken or cut by the later-described separating portion in the gap can be opposed; Can face the inner groove A gap between the storage parts of the medicine calendar and the placement as described above including the formed flat grid-like tip part from the side where the tip part faces the medicine calendar placed on the placement part. In the process of moving into the groove portion in the portion, the respective accommodating portions are separated from each other from the gap, and a separating portion for holding the separated accommodating portion is provided.

Further, in the storage-parts-disassembling device of the medicine calendar according to the present invention, the tip end of the separation part moves in the direction orthogonal to the longitudinal direction of the gap between the respective storage parts of the medicine calendars facing it and the movement The cross-section along the direction of may be formed such that the width gradually decreases as it approaches the tip of the moving direction.

Further, in the storage part disassembling tool according to the present invention, the tip of the separation part may be formed to be at least partially inclined or curved with respect to a direction orthogonal to the direction of movement.

According to the present invention, a method of collecting medicine containers from a plurality of patient drug calendars for a plurality of patients so as to cross a plurality of patients for a specific or each dosing day or dosing cycle may be performed by date or day and time zone for each patient. The container containing the medicine corresponding to each specified dosing time is a predetermined number of times such as 21 weeks total or 28 times, for example, for 4 weeks as multiple doses such as 3 times a day or 4 times a day Drug calendars arranged in vertical and horizontal directions are prepared so as to correspond to the respective dosing times, and the gaps between the portions facing the respective containers and the gaps between the respective containers in the medicine calendar are opposed. On the mounting portion on which a flat grid-like groove portion is formed which can be opposed to the portion broken or cut by the later-described separation portion in the gap is included in the portion including the portion to be To the The placing step for placing the calendar, and the flat grid-like tip portion formed to be able to face the groove portion in the placing portion, the tip portion faces the medicine calendar placed in the placing portion. In the process of moving into the gap between the containing parts of the medicine calendar and the groove part in the placing part from the side where the medicine calendars are separated from each other from the gap and separating the containing parts after the separation The whole of the gaps between the storage sections in the medicine calendar placed on the placement section is cut or cut at one time by the section to separate all the storage sections at one time, and the separation By holding the respective receptacles in such a manner that they correspond to the positional relationship between the respective receptacles before the separation in the longitudinal and lateral directions, each Crossing across multiple patients on each dosing day or dosing cycle Separation holding and licking steps, and each container for each of a plurality of patients collected by each of the separation holdings, across a plurality of patients, for a specific or each dosing day or dosing cycle And a placement step for placing in a single container, which facilitates the simultaneous and error-free dosing of a plurality of patients within the same time zone at the place of life or activity in a group.

Furthermore, according to the present invention, in the method for collecting each medicine container from a medicine calendar for a plurality of patients so as to traverse a plurality of patients for a specific or each dosing day or dosing cycle, The identification data of each patient and the dose date or dose, or bar code or the like regarding the patient, which is displayed in each container before being placed or each container after being placed in the collected container Step of reading the information to be read, the identification data of each read patient, and information indicated by a bar code or the like regarding the dose date or dose frequency or the medication thereof, each of a plurality of patients and dose dates or dose previously recorded. The method may further include the step of comparing or collating with the information on the time or the medication.

  According to the present invention, in the method of combining each medicine container with a plurality of patient-specific drug calendars so as to cross a plurality of patients for a specific or each dosing day or dosing cycle, each drug calendar of a plurality of patients The respective containers are arranged in the longitudinal and lateral directions (the positional relationship between the respective containers, that is, the relationship between the respective doses of the respective containers), or the same positional relationship is known. So that each container for each patient separated from each other (manually or mechanically automatically, separated from each other) is transversal across multiple patients, on each dosing day or dosing cycle Each container of a plurality of patients, which have been specified (manually or automatically by the machine), or the particular or each dosed day or time taken separately, is placed in one container (manually or by the machine automatically set on Therefore, the drug storage unit, which needs to be taken by many patients at one or more dosing times (within the dosing time zone), is taken across the many patients. It can be put together for daily use and placed in the container (more desirably placed in a listable manner). Therefore, according to the present invention, in a place where a large number of patients live or work uniformly in a group, such as a nursing home, a small number of assistants quickly and simultaneously without error in substantially the same time zone. Assisting a large number of patients to take medication easily (allowing a large number of patients to take medications without error and in a timely manner all at once and in a uniform place in a group such as a care facility) Will be able to properly solve the new problem of In particular, when a series of operations consisting of the above steps are automated, there is a task for a large number of patients to take medications promptly and simultaneously without error at substantially the same time zone at places where they live or work in groups such as the nursing care facilities. It will be greatly streamlined.

  Further, in the method of combining each drug storage unit with a plurality of patient drug calendars according to the present invention so as to cross a plurality of patients for a specific or each dosing day or dosing cycle, a plurality of patients and their respective Information on each dosing day or dosing frequency or information on its medication (information displayed by a barcode or the like in each container) included in the medication calendar is recorded in advance, and each medication calendar of a plurality of patients is At the same time or sequentially removing the containers containing the medicine corresponding to the dosing cycle (manually or automatically removed by a machine), each housing section for a plurality of patients corresponding to the removed dosing cycle is specified Or place them in one container (more preferably in a listable order) by putting them together (manually or automatically by machine) across multiple patients for each dose day or dose cycle. Identification data and identification data of the respective patients displayed on each storage section (before being placed in the container after the Alternatively, information on the medication (information displayed by a bar code or the like in each storage unit) is read (captured as an image by an image sensor or the like and recognized as a character or a symbol or the like). Information regarding the dosing date or dosing frequency or medication thereof is compared or collated with information on each of a plurality of patients and each dosing date or dosing frequency or medication dosage recorded beforehand.

  That is, in the above-mentioned invention, a plurality of patients are containers for each medicine to be taken in a certain dosing cycle, and the collected food (before being put into the container after the putting up or after being put in the container) ) The identification data of each patient in a plurality of containers and information on the dosage day or dosage cycle or information on the medication (information displayed by a barcode or the like in each container) sequentially (or at once in a list) by camera Alternatively, a reading unit configured by a scanner or the like reads (captures as an image and recognizes as a character or a symbol), and a control unit configured by a CPU or the like reads the read information Information) and information on each patient and each dosing day or dosing cycle, or its medication (previously And the information displayed on the display, etc., to determine whether there is a nonconformity (Furthermore, if there is a nonconformity, the control unit is composed of a speaker, a display, etc.) Control the output unit to produce a predetermined output). Therefore, according to the invention, a large number of patients can be taken promptly and simultaneously without error at substantially the same time zone at a place where they live or work in a group such as a nursing home (a caregiver takes a large number of patients as described above). Not only solve the new problem of facilitating (helping the patient to perform simultaneous medications) properly, but also ensure that medication errors are taken when a large number of patients take medications in the same time zone in a group at the same time Can be prevented. In addition, when a series of operations consisting of the above-mentioned steps are automated, in particular, in a place where living or working in a group such as a nursing home, a task for a large number of patients to take medication promptly and simultaneously without error at substantially the same time zone. Will be greatly streamlined.

  Further, in the storage part disassembling tool according to the present invention, the separation part is the space between the respective storage parts from the front (upper side) of the medicine calendar with respect to the medicine calendar placed on the mounting part. And (into the recess of the mounting portion) (manually or by machine automatically), and in this process, the gaps between the respective receptacles are simultaneously or sequentially broken or cut, Since the parts are separated from each other, the work of bringing together each medicine container so as to cross a plurality of patients for a specific or each dosing day or dosing cycle from a plurality of patient-specific drug calendars, It will be very easy to do.

  Further, in the storage part disassembling tool according to the present invention, the plurality of medicine storage parts are held so as to be able to be stacked on the rear side of the separation part (the rear side when the separation part moves in the medicine calendar direction). Since each storage unit separated from each other by the separation unit maintains the positional relationship (the relative positional relationship between each storage unit) corresponding to each dosing cycle, and a plurality of each storage In a state where the parts are stacked, they are held in the holding part (that is, each medicine containing part of a plurality of patients corresponding to each dosing cycle traverses a plurality of patients for each dosing cycle) It will be stacked and held in the holding portion). Therefore, when using the container separating and stirring tool according to the present invention, each medicine container is crossed from the medicine calendar for each patient for a specific or each dosing day or dosing cycle. It will be extremely easy to do the work of giving up.

  Further, particularly in the storage part separating and kneading tool according to the present invention, the tip of the separation part (a part of the separation part facing the gap between the storage parts in the medicine calendar in the separation part) is opposed When the cross section along the movement direction in the direction orthogonal to the longitudinal direction of the gap between the storage parts of the medicine calendar to be formed is formed so that the width gradually becomes smaller as it approaches the tip of the movement direction, It becomes extremely smooth that the separating part separates the spaces between the containers in the medicine calendar from each other.

  Further, in the storage part disassembling and cleaning tool according to the present invention, in particular, the tip end of the separation part (a part of the separation part facing the gap between the storage parts in the medicine calendar in the separation part) When it is formed to be at least partially inclined or curved with respect to the direction orthogonal to the above, it is extremely important that the separation part separates the spaces between the storage parts in the medicine calendar from each other from each other. It can be done smoothly.

Containment suitable for use in a method of organizing each medicine container from a plurality of patient medication calendars according to an embodiment of the invention across a plurality of patients for a specific or each dosing day or dosing cycle It is a perspective view which shows a part cutting-off stirring tool. It is a perspective view which shows the storage part separation stir tool which concerns on this embodiment. It is a schematic plan view showing a storage part detaching and stirring tool according to the present embodiment. It is a perspective view which shows an example of the medicine calendar used as the object of the method concerning this embodiment. It is a perspective view which shows a storage part separation stir-up tool when performing storage part separation operation | movement in the method which concerns on this embodiment. It is a perspective view which shows a part of storage part separation stir-up tool when performing storage part separation operation | movement in the method which concerns on this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of operation | movement which isolate | separates and takes out each medicine accommodating part from the medicine calendar of a plurality of patients in a method concerning this embodiment. It is a perspective view which shows an example of the operation | movement which puts together each some chemical | medical agent accommodating part corresponding to a certain dosing time respectively taken out from the medicine calendar of several patients in the method which concerns on this embodiment. It is a perspective view which shows an example of the operation | movement which puts together each some chemical | medical agent accommodating part corresponding to a certain dosing time respectively taken out from the medicine calendar of several patients in the method which concerns on this embodiment. It is a perspective view which shows an example of the operation | movement which puts together each some chemical | medical agent accommodating part corresponding to a certain dosing time respectively taken out from the medicine calendar of several patients in the method which concerns on this embodiment. It is a perspective view which shows an example of the operation | movement which puts together each some chemical | medical agent accommodating part corresponding to a certain dosing time respectively taken out from the medicine calendar of several patients in the method which concerns on this embodiment. It is a perspective view which shows an example of the operation | movement which puts together each chemical | medical agent accommodating part corresponding to a certain dosing frequency respectively taken out from the medicine calendar of several patients in the method which concerns on this embodiment. In the method according to the present embodiment, after putting together each of the plurality of medicine containers corresponding to a certain dosing cycle respectively taken out of the medicine calendars of the plurality of patients, the plurality of patients targeted by those medicine containers And it is a figure for demonstrating an example of operation | movement which confirms and audits whether it is compatible with the information (The information displayed by the barcode etc. in each accommodating part) regarding the said dosage day or dosage frequency or its medication. It is a figure which shows the medicine calendar made for each patient conventionally proposed etc., and its usage method.

  Hereinafter, a method of grouping each drug storage unit so as to cross a plurality of patients for a specific or each dosing day or dosing cycle from a plurality of patient-specific drug calendars according to an embodiment of the present invention The storage unit separating and stirring tool will be described with reference to the drawings.

  First, as shown in FIG. 4, the medicine calendar 10 to be treated in the present embodiment is, for each patient, three or four times a day for the container 10 a containing a medicine corresponding to each dosing cycle. A plurality of doses such as 4 weeks, for example, a total of 21 times or a total of 28 times, are arranged in vertical and horizontal directions to correspond to a predetermined number of times. As shown in FIG. 4, the respective containers 10a in the medicine calendar 10 can be separated (cut off, cut off, etc.) from each other through a gap (see reference numeral 10b in FIG. 4) extending in a strip shape in the longitudinal and lateral directions. A perforation for facilitating the separation is formed at the center of the gap 10b. The bag-like portion (see reference numeral 10c in the lower part of FIG. 4) in the respective containing portions 10a is a transparent container made of a flexible material for containing a medicine to be taken by the patient for each dose. In addition, as shown in FIG. 4, identification data such as a bar code indicating the patient, date of each dose, and morning, noon, evening, and sleep on one surface (front surface) of each of the storage sections 10a. And the like, or information on the respective medications thereof or the like, etc. are displayed by printing or the like. The patient peels off the sheet (for example, a sheet made of paper) of the side on which the information is displayed with a finger or the like, and thereby the medicine contained in the bag-like portion 10c on the lower side in the drawing of each of the storage portions 10a is Take out and take.

  Next, FIGS. 1-3 is a figure which shows the accommodating part cutting-off stirring tool in this embodiment, and each component which comprises it. As shown in FIGS. 1 to 3, the storage unit separating and stirring tool according to the present embodiment includes a mounting table 1 on which a medicine calendar is placed, and a medicine calendar (see reference numeral 10 in FIG. 4) described above. A separation holder 2 for separating each container (see reference numeral 10a in FIG. 4) from each other (separating from each other, cutting off, etc.) and holding them separately for each dosing cycle, each separated for each dosing cycle (or each dosing day) Each accommodation unit 10a collected into a list is composed of a list arrangement stand 3 arranged so as to be able to list. Note that, in FIG. 1, 4 indicates a plurality of patient accommodation units corresponding to a certain dosing cycle (or a certain dosing day) held by the separation holder 2 temporarily before being arranged on the list placement table 3. It is a box to be housed in

  Next, the table 1 will be described. 1 to 3, a plurality of substantially box-shaped frames (frames constituting the respective recesses 1 b described later) 1a are arranged in the vertical and horizontal directions in the table 1 described above, and 1b is the medicine calendar described above. When the bag-like portion 10c (refer to FIG. 4) in each of the accommodating portions 10a is inserted and arranged when the 10 is placed on the mounting table 1, a recess 1c is provided between the respective frames 1a (ie Grooves extending in a lattice form in the longitudinal and lateral directions of the drawing) between the recesses 1b), and 1d is an outer frame arranged with a predetermined gap from the outer peripheral side of each frame 1a. The mounting base 1 is configured by integrally molding the above-described components 1a to 1d with, for example, a plastic material.

  Next, the separation cage 2 will be described. In FIGS. 1 to 3, 2 a is a main body having a predetermined height (see symbol a in FIG. 1), and 2 b is a grid-like strip formed to face the grid-like groove 1 c in the mounting table 1. A plurality of holding members (see FIG. 5 and FIG. 2 and FIG. 3) and a plurality of holding members 2c formed to face each of the recesses 1b in the mounting table 1 respectively. Cavity (see also FIGS. 2 and 3). When the separating and holding unit 2 is moved in the direction of the medicine calendar 10 placed on the table 1 described above, that is, the band-like projection 2 b associated with the tip of the separating and holding unit 2 is the table 1 in the process of moving into the band-like gap 10b of the medicine calendar 10 placed on top 1 (especially the perforation at the center thereof) and the band-like recess 1c below it (see FIG. 5); In particular, the perforations are broken or cut to separate the storage portions 10a from each other. The respective accommodating portions 10a separated from each other by breakage or the like of the respective band-like gaps 10b remain in the holding hollow portion 2c as they are, that is, the positional relationship between the respective accommodating portions 10a in the medicine calendar 10 (each It is hold | maintained, maintaining the positional relationship corresponding to each dosing time of the accommodating part 10a (refer FIG. 6). The reason why such holding is possible is that each holding hollow portion 2c can be inserted into each holding portion 10a and that each holding portion 10a does not easily move (drop out) due to friction or the like after being inserted. It is because it is formed in various shape and size. The separation cage 2 is configured by integrally molding the respective elements 2a to 2c as described above using, for example, a plastic material.

  FIG. 5 is a view for explaining the operation when the separation holder 2 is moved in the direction of the medicine calendar 10 placed on the table 1 described above. As shown in FIG. 5, in the process of the movement, the band-like protrusion 2b at the lower end (tip part) of the illustrated separate holder 2 in the drawing is a band-like gap 10b of the medicine calendar 10 (especially the perforation at the center thereof). Break or cut. Thereby, each said accommodating part 10a mutually isolate | separates. And then, the band-like projection 2 b is inserted into the groove 1 c of the table 1.

  Further, FIG. 6 shows the relative positional relationship between the respective storage units 10a (the intake of each of the storage units 10a), in which the separation and holding unit 2 separates the storage units 10a from the medicine calendars 10 of a plurality of patients. It is a figure for demonstrating the operation | movement hold | maintained in the laminated | stacked state, maintaining the correspondence with time). As shown in FIG. 6, the holding portions 10a separated from each other are held while maintaining the positional relationship between the respective holding portions 10a (the positional relationship placed in the medicine calendar 10). It is held in the cavity 2c. And operation of the holding in the holding hollow part 2c of each accommodation part 10a separated by breakage and the like of the beltlike crevice 10b of the medicine calendar 10 with the beltlike projection 2b of the separation holder 2 (Working) is sequentially and sequentially performed on each medicine calendar 10 of a plurality of patients. Thus, the storage portions 10a separated sequentially from the medicine calendars 10 of the plurality of patients are sequentially laminated while being separated sequentially from the medicine calendars of the plurality of patients, and are stored in the holding hollow portion 2c. (See Figure 6).

  Note that the height dimension of the holding cavity 2c of the separation cage 2 (see FIG. 6) indicates how many receptacles 10a can be held in a stacked state in the holding cavity 2c of the separation cage 2. It is determined in relation to 1) (see a). That is, even if a plurality of accommodating portions 10a are sequentially stacked in the holding hollow portion 2c, the number of stacked layers reaches a large number, and the other accommodating portions 10a are pushed out of the holding hollow portion 2c. Can be held in a stacked state in the holding hollow portion 2c of the respective housing portions 10a. Therefore, by adjusting the height dimension a of the holding hollow portion 2c, how many housing portions 10a can be held in a stacked state in the holding hollow portion 2c of the separated cage 2; It can be adjusted.

  Here, the configuration of the separation cage 2 will be described supplementarily. As described above, the separation holder 2 operates to break or cut the band-like gap 10b (especially, the perforation at the center thereof) of the medicine calendar 10 in the process of moving to the medicine calendar 10 side. As shown in FIG. 2, the strip-like protrusion 2b in the separation and holding device 2 performing such an operation is a cross section along a direction perpendicular to the longitudinal direction of the strip-like gap 10b of the medicine calendar 10 and along the moving direction. Is formed so as to gradually decrease in width as it approaches the tip in the moving direction, that is, the tip is slightly pointed. Further, as shown in the perspective view of FIG. 2, the strip-like protrusion 2b in the separation holder 2 performing the above-mentioned operation is a direction orthogonal to the moving direction of the separation holder 2 in the medicine calendar direction. Are formed to be at least partially inclined or curved. According to such a configuration, in the present embodiment, in the process of moving the strip-shaped protrusion 2b of the separation holder 2 to the medicine calendar 10 side, the tip of the strip-shaped protrusion 2b is pointed and partially inclined Alternatively, the curved tip portion can smoothly perform an operation of breaking or cutting the band-like gap 10b of the medicine calendar 10 (particularly, the perforation at the center thereof).

  Next, the list arrangement table 3 will be described. In FIGS. 1 to 3, reference numeral 3 a denotes a frame extending in a substantially lattice shape, and 3 b denotes a large number of recesses (holes) formed so as to be surrounded by the substantially lattice-shaped frame 3 a. Each accommodation portion 10a of the medicine calendar 10 (particularly, the bag-like portion 10c therein) can be inserted and disposed in the large number of concave portions 3b. Therefore, by placing a large number of containers 10a in the list placement table 3, the drug containers of a large number of patients corresponding only to a certain dosing cycle or dosing day (specific dosing cycle or dosing day) It becomes possible to arrange in a listable manner. The above-mentioned arrangement | positioning arrangement | positioning base 3 is comprised by integrally molding each above elements 3a and 3b etc., for example with a plastic material.

  Next, each patient in the medicine calendar according to the present embodiment is separated, held, and moves up to a listable arrangement, that is, in a group of living or activities in a group such as a nursing care facility. The containers 10a are separated from each other while maintaining their positional relationship (that is, the relationship between each container 10a and the number of doses taken is known) from the medicine calendar, and each dose is repeated (or each dose taken) The operation for arranging the list separately can be described with reference to FIGS.

  First, the medicine calendar 10 is placed on the table 1 in a state where the table 1 as shown in FIG. 1, the separation holder 2 and the list arrangement table 3 are arranged (see FIGS. 7 and 8). ). Next, the separation holder 2 is taken out (see FIG. 9), and the holding cavities 2c (see FIG. 2 etc.) of the separation holder 2 are the receptacles 10a (FIG. 4) in the medicine calendar 10. (Refer to FIG. 4) and so as to face each other on the band gap 10b (see FIG. 4) in the medicine calendar 10. (Refer to FIG. 10. Note that FIG. 10 arranges manually but may be automated by a machine).

  Thereafter, the separation holder 2 is pressed from above in the drawing toward the medicine calendar 10 (see FIG. 11. In FIG. 11, although it is manually pressed, it may be automated by a machine). In the process of this pressing, the strip-like projection 2b at the lower end of the separation holder 2 in the figure breaks the strip-like gap 10b between the storage portions 10a of the medicine calendar 10 and is inserted into the groove 1c See Figure 12). The respective receptacles 10a are separated from each other by breaking the band-like gap 10b of the medicine calendar 10. At this time, the separated receptacles 10a are separated from each other before the respective receptacles 10a are separated. It is inserted and held in the holding cavity 2c of the separation holder 2 while maintaining the positional relationship (that is, the positional relationship in which the correspondence with each dose of each container 10a is known) (see FIG. 12) .

  Next, the separation and holding device 2 in which the receiving portions 10a are inserted and held in the holding hollow portions 2c is removed from the mounting table 1 (see FIGS. 13 to 14). Manual removal is possible at ~ 14 but may be automated by machine). The separated holding portions 10a separated from each other are inserted and held in the holding hollow portions 2c of the separated holder 2 (see FIG. 15).

  Thereafter, the same operation as the series of operations described with reference to FIGS. 7 to 15 described above, that is, the placement of the medicine calendar 10 on the table 1 (see FIG. 16), the table 1 The arrangement of the separation holder 2 on the medicine calendar 10 and the movement of the separation holder 2 in the direction of the medicine calendar 10, the pressing, and the separation of the storage parts 10a and the storage parts 10a. Is inserted into and held in the holding cavity 2c (see FIGS. 17 to 18), and removed from the mounting table 1 of the separation holder 2 (see FIGS. 19 to 20).

  The difference between the current series of operations described with reference to FIGS. 16 to 20 and the previous series of operations described above with reference to FIGS. 7 to 15 is the current series of operations (see FIGS. 16 to 20). ), Each storage 10a (each storage 10a separated from the medicine calendar 10 of one patient) is already inserted and held in each holding cavity 2c of the separation holder 2 respectively. It is Therefore, as a result of the current series of operations described with reference to FIGS. 16 to 20, each holding hollow portion 2c of the separation holder 2 has already been held by the previous series of operations. In addition to the receptacles 10a of one patient, the receptacles 10a of the other patient were also held while being stacked.

  Thereafter, the same operation as the series of operations described with reference to FIGS. 7 to 15 and 16 to 20 described above, that is, the placement of the medicine calendar 10 on the table 1 (see FIG. 21) The arrangement of the separation holder 2 on the medicine calendar 10 on the table 1 and the movement of the separation holder 2 in the direction of the medicine calendar 10, the pressing, and the separation of the respective containers 10a And insertion and holding of the respective holding portions 10a into the holding hollow portion 2c (see FIGS. 22 to 23) and removal of the separation and holding device 2 from the mounting table 1 (see FIGS. 24 to 25).

  The current series of operations described with reference to FIGS. 21 to 25 described above, the previous series of operations described above with reference to FIGS. 7-15, and the previous series of operations described above with reference to FIGS. The difference from the operation is that in this series of operations (see FIGS. 21 to 25), a total of two patients should be taken in each of the holding cavities 2c of the separation holder 2 in total. The respective containers 10a (a total of two containers 10a respectively separated from the medicine calendars 10 of two patients) have already been inserted and held. Therefore, as a result of the current series of operations described with reference to FIGS. 21-25, each holding hollow portion 2c of the separation holder 2 is already held by the previous and second series of operations. In addition to a total of two receptacles 10a for the two patients that were being carried out, the other receptacles 10a for another patient were also held while being stacked.

  As described above, in the present embodiment, the series of operations as described above are performed an arbitrary number of times (however, as described above, in relation to the height dimension of the separation cage 2 (see a in FIG. 1), The number of holding cavities 2c of the separation and holding device 2 is repeated by repeating only the number of times until a part of the plurality of storage units 10a held in the holding cavities 2c is pushed out. The plurality of storage units 10a are held in a stacked state.

  When a series of operations as described above are repeated several times, and an arbitrary number of storage sections 10a are stacked in the respective holding cavities 2c of the separation holder 2, the plurality of storage The separated cage 2 in which the accommodating portions 10a are stacked and held in the holding cavities 2c is taken out (see FIG. 26). Then, for example, the distal end portion 5a of the push rod 5 is inserted from the upper side of the drawing into the holding hollow portion 2c in the separated holder 2 taken out of the holding hollow portion 2c. The plurality of containers 10a are taken out and discharged into the box 4 (see FIGS. 27 and 28. Note that in FIGS. 27 and 28, they are taken out manually, but may be automated by a machine). The plurality of storage units 10a thus released into the box 4 are a plurality of medicine storage units 10a which a plurality of patients should take in the same dosing cycle (during dosing time zone).

  Next, a plurality of medicine containers 10a which are taken out from the holding cavities 2c and released into the box 4 and which the plurality of patients should take in the same dosing cycle (or dosing day), respectively, It arrange | positions in each recessed part 3b (refer FIG. 1 etc.) of the said list | wrist arrangement | positioning base 3, and a list is made possible (refer FIG. 29, 30).

  Next, with respect to the plurality of medicine containers 10a disposed on the list placement table 3 and taken by the plurality of patients in the same dosing cycle (or dosing day), respectively, the plurality of patients are actually taking the dosing cycle An audit is performed to confirm whether or not the container 10a contains the medicine to be taken (or on the day of dosing). Specifically, identification data (bar code etc.) of the patients of the plurality of medicine containers 10a arranged on the list arrangement table 3 and information on each taking dose (or each taking day) or its medication (date, The characters indicating the day of the week, morning, noon, evening, before sleeping, bar codes, etc. are read and recognized by a reader (not shown) including a scanner or a camera (see FIG. 31). Thereafter, identification data of the patient corresponding to the plurality of drug storage units 10a (recognized as characters or symbols, etc.) and information on each dosing cycle (or each dosing day) or its medication, and recorded in advance Whether the identification data of each patient recorded in the department (not shown) and information on each dosing cycle (or each dosing day) or its medication are compared and collated in the control unit (not shown) Whether or not it is judged and the judgment result is outputted. If nonconforming, alarm information indicating that is also output by an output unit (not shown) such as a speaker or a display. In FIG. 31, although “reversing and barcode recognition by the scanner” is described at the bottom of the right side of the drawing, the operation relating to “reversing” is a plurality of operations arranged on the list arrangement table 3. This is an operation that is necessary when, for example, the side on which the patient identification data and information on dosing times etc. in the medicine container 10a are displayed can not be read (recognized as characters or symbols, etc.) with a scanner or camera as it is .

  As described above, in the present embodiment, from the medicine calendars 10 for each of a plurality of patients, the storage sections 10a are arranged in the longitudinal and lateral directions (the relative positions of the storage sections 10a So that each container 10a for each patient separated in this way is separated across multiple patients for each dosing cycle (or each dosing day) so that the relationship is maintained. The storage sections 10a of a plurality of patients collected separately for each dosing cycle (or each dosing day) are arranged side by side so as to be able to be listed (see FIG. 30). Therefore, in the present embodiment, the drug doses 10a that need to be taken by many patients in one dose cycle (or dosing day) can be listed so as to be able to be cross-traffected across many patients ( Alternatively, it can be arranged in a listable manner in the list mounting table 3 together for the date of administration). Therefore, according to the present embodiment, in a place where a large number of patients live or operate uniformly in a group, such as a nursing home, for example, a small number of care givers to a large number of patients within a substantially same time zone. In the past, it has been difficult to assist patients to take medications promptly and simultaneously without error (a large number of patients take medications promptly and simultaneously within about the same time zone when living or working in a group such as a care facility). Will be able to solve the new problem of

  Also, in the present embodiment, information such as medications related to each dosing cycle contained in a plurality of patients and their respective medication calendars 10 is recorded, and a certain dosing cycle is taken from the medication calendars 10 of each of the plurality of patients. Simultaneously or sequentially removing (separating) the containers 10a containing medicines corresponding to each drug, and each container 10a of a plurality of patients corresponding to the removed certain dose cycles separately for each dose cycle (or each dose day) The identification data (bar code etc.) of the respective patients displayed in each accommodation section 10a which is arranged side by side in a listable manner in the list mounting stand 3 and arranged in a listable manner in the list mounting stand 3 The information on the time (or dose day) or the medication thereof is read by a scanner or a camera etc. (captured as an image and recognized as characters or symbols), and identification data of the plurality of read patients and The information regarding the taking times (or dose day) or a medication, and to compare or match the pre-recorded with a plurality of each patient and each dose times had (or each dose day) or information about the medication. That is, in the present embodiment, each patient related to the plurality of containers 10a arranged in the list mounting table 3 as the containers 10a of the respective medicines to be taken by the plurality of patients in a certain dosing cycle. A reading unit (not shown) including a camera or a scanner reads (identifies as a character or a symbol or the like as an image) the identification data of the drug and information on the dosing cycle (or dosing day) or the medication Control unit (not shown) is recorded in advance in the read unit (not shown) including the read information (captured as an image and recognized as characters or symbols) and a hard disk etc. Compare and collate each patient and each dosing cycle (or each dosing day) or information about its medication, and if there is a nonconformity, the above control Controls an output unit (not shown) including a speaker, a display, etc. to perform some output (including light output), whereby each of the storage units 10a arranged in a listable manner is the plurality of patients And we were able to effectively audit and confirm whether it was suitable for dosing times. Therefore, according to the present embodiment, a large number of patients can be taken promptly and simultaneously without error at substantially the same time zone at a place where they live or work uniformly in a group such as a nursing home (a small number of assistants It is not only possible to properly solve the new problem that it was conventionally difficult to assist patients to take all the medications as described above, but many patients in a nursing home etc. It is possible to reliably prevent medication errors when taking medication promptly and all at once.

  In addition, in the storage part detaching and scouring device according to the present embodiment, the medicine for holding the separation holder 2 (in particular, the tip 2b thereof) is placed on the medicine calendar 10 placed on the table 1 described above. The band-shaped gap 10b between the respective accommodating portions 10a from the front (upper side in the drawing) of the calendar 10 is further moved to the side of the band-shaped concave portion 1c, and in the process, the band-shaped gap 10b between the respective accommodating portions 10a is simultaneously or sequentially Since each storage unit 10a is separated from each other by breakage etc., each dosing cycle (or each dosing day) so as to cross each medicine storage unit 10a from the medicine calendars 10 of a plurality of patients. It will be extremely easy to do the work of giving up separately.

  Further, in the storage part disassembling tool according to the present embodiment, a plurality of storage parts 10a are provided on the rear side of the separation holder 2 (the rear side when the separation holder 2 moves in the direction of the medicine calendar 10). And a holding cavity 2c for holding the layers in a stackable manner. Therefore, in the present embodiment, the storage portions 10a separated from each other by the distal end portion 2b of the separation holder 2 maintain the positional relationship (the positional relationship between the storage portions 10a) corresponding to each dosing cycle. As it is, in the state where the plurality of accommodating parts 10a are stacked, the holding hollow part 2c is held. That is, the containers 10a of the medicines of the plurality of patients corresponding to the respective dosing times are stacked and held in the holding cavity 2c so as to cross the plurality of patients. Therefore, when using the container separation and removal tool according to the present embodiment, a plurality of patients are crossed for each medicine dosing section 10a from the medicine calendars 10 of a plurality of patients for each dosing cycle (or each dosing day) It will be extremely easy to do the work of giving up.

  In addition, particularly in the storage part detaching and collecting tool according to the present embodiment, the strip-shaped projection 2b at the tip of the separation holder 2 (between the storage parts 10a in the medicine calendar 10 of the separation holder 2). (A portion facing the band-like gap 10b) in a direction orthogonal to the longitudinal direction of the gap between the storage portions of the medicine calendar and having a cross section along the moving direction gradually approaching the tip of the moving direction Since the strip 2b of the separation holder 2 breaks the strip-like gap 10b between the storage portions 10a in the medicine calendar, the storage portions 10a are separated from each other. The operation can be performed extremely smoothly.

  In addition, particularly in the storage part detaching and collecting tool according to the present embodiment, the strip-shaped projection 2b at the tip of the separation holder 2 (between the storage parts 10a in the medicine calendar 10 of the separation holder 2). (Portion facing the band-like gap 10b) is formed to be at least partially inclined or curved with respect to the direction orthogonal to the moving direction, so that the band-like protrusion 2b of the separation holder is the medicine calendar It is possible to extremely smoothly perform the operation of separating the respective storage portions 10a from each other by breaking the strip-like gap 10b between the respective storage portions 10a in 10, and the like.

  As mentioned above, although embodiment of this invention was described, this invention is not limited to what was described as the said embodiment, A various correction and change are possible. For example, in the embodiment, the medicine calendars of a plurality of patients are placed one by one on the placement unit 1 and the separate holding unit 2 is used to separate the medicine calendars 10 from the one medicine calendar 10 into the respective storage units 1a. In the present invention, a plurality of medicine calendars 10 of a plurality of patients are placed one on top of the placement unit 1 in the present invention, and each of the medicine calendars in the plurality of medicine calendars The housing portions 1a may be separated from each other at one time (simultaneously) by the separation holder 2. Also, in the above embodiment, mainly described as a method of putting together each medicine container so as to cross a plurality of patients separately for each specific dosing cycle from a medicine calendar for every plurality of patients and a container separating and frying tool suitable therefor However, in the present invention, from the medicine calendars for a plurality of patients, each medicine container is collected so as to cross a plurality of patients separately on each specific dosing day (a dosing day including 3 times or 4 times). The method may be suitable as a container disassembling device suitable for the method, in which case the disposing step may be performed for each of a plurality of patients separately for each particular dosing day (each dosing day including three or four dosing cycles). It becomes a step which arranges an accommodating part in a list possible.

  Furthermore, in the embodiment, the medicine calendar 10 is placed on the table 1 (see, eg, FIGS. 7 to 9), and the separation holder 2 is placed on the medicine calendar 10 on the table 1. Arrangement, movement of the separation holder 2 to the medicine calendar 10, pressing, separation of the respective storage parts 10a and stacking and holding on the holding hollow part 2c (see, eg, FIGS. 10 to 12), the separation holder 2 Removal from the mounting table 1 (see, eg, FIGS. 13 to 14), removal of each storage unit 10a stacked and held in the holding cavity 2c of the separation holder 2 (see, eg, FIGS. 27 to 28) And the listable arrangement (see FIGS. 29 to 30 etc.) on the list mounting table 3 via the box 4 of each taken out storage unit 10a etc. Introduced, but the present invention is limited to this Not, to a part or all of the above operations may be performed automatically by machine is a matter of course. Further, particularly, in the present invention, when the step of reading the information on the patient displayed on each storage unit and the information on the medication thereof is automated, the patient displayed on each storage unit arranged in a listable manner in the container. The information on the dose date or dose, and information on medication may be read in a list at a time, or each of the collected containers (each container before being placed in the container or after being placed in the container) It is also possible to sequentially read the information on the patient, the dosing date or dosing frequency, and the medication, which are displayed on), sequentially (individually, not in the form of a list), without reducing the work efficiency.

Reference Signs List 1 mounting table 1a frame 1b of mounting table recess 1c of mounting table groove 2 of mounting table 2 separation cage 2b strip shaped projection of separation cage (tip at the bottom of the figure)
2c Retaining hollow section 3 List arrangement stand 3a Frame arrangement stand frame 3b Recess arrangement stand recess 4 Box 5 Push rod 5a Push rod tip 10 Drug calendar 10a Medicine calendar drug reservoir 10b Bandage 10c of the medicine calendar Bag-like part of the medicine calendar

Claims (5)

21) “A container containing medicines corresponding to each dose specified by the date or day of the week and time zone for each patient, for example for four weeks as multiple doses such as three or four times a day Medicine calendars formed by connecting the above-mentioned respective storage units to each other via a predetermined gap so as to be aligned in the longitudinal and lateral directions while corresponding to each dosing cycle such as 28 times in total or 28 times in total And a portion facing the gap between the storage portions in the medicine calendar, and a portion facing the gap between the storage portions. A placement portion in which a flat grid-like groove is formed so that a portion to be broken or cut by the separation portion in the gap can be opposed;
The groove portion in the placing portion includes a flat grid-like tip portion formed to be able to face, and the tip portion from the side opposite to the drug calendar placed in the placing portion. A gap between the respective receptacles and a separation part for separating the respective receptacles from each other in the process of moving into the groove in the placement part and holding the separated receptacles from each other. Containment part separating stir-up tool of medicine calendar.   The tip of the separation part is gradually orthogonal to the longitudinal direction of the gap between the storage parts of the medicine calendar which it faces, and as the cross section along the direction of movement approaches the tip in the movement direction The container separating and stirring tool according to claim 1, which is formed to have a smaller width.   The container separating and cleaning tool according to claim 1 or 2, wherein the tip of the separating portion is formed to be at least partially inclined or curved with respect to a direction orthogonal to the direction of movement. A container containing medicines corresponding to each dose specified by the date or day of the week and time zone for each patient is divided into multiple doses such as 3 times or 4 times a day, for example for a total of 21 weeks Prepare medicine calendars arranged vertically and horizontally to correspond to each prescribed number of times such as once or 28 times in total,
The portion in the medicine calendar including the portion facing each storage portion and the portion facing the gap between the storage portions is broken by the separation portion in the gap in the portion facing the gap between the storage portions Or a placing step of placing the medicine calendar on a placing portion in which a flat grid-like groove portion capable of facing a portion to be cut is formed;
Each accommodation of the medicine calendar from the side including the flat grid-like tip portion formed to be able to face the groove in the placing portion and the tip facing the medicine calendar placed on the placing portion A gap between the parts and a process of moving into the groove in the placing part separates the spaces between the receiving parts from the gap and holds the containing part after the separation on the placing part. The entire gap between the storage units in the placed medicine calendar is broken or cut at once to separate all the storage units from each other at a time, and the separated storage units By holding the containers for each of a plurality of patients in correspondence with the positional relationship between the respective containers before each separation in the longitudinal and lateral directions, a plurality of patients for a specific or each dosing day or dosing cycle Separation holding and licking steps across the board,
Placing each container for each of a plurality of patients collected by being separated and held into a single container across a plurality of patients for a specific or each dosing day or dosing cycle Identify each medicine container from the medicine calendar for each patient to facilitate multiple patients taking medication without error in the same time zone at the same time zone in a group living or working in a group A method of giving up to cross multiple patients on or on each dosing day or dosing cycle. Identification data of each patient concerned and the dose date or dose cycle or the indication displayed in each storage unit before the collection and placement in the container or each storage unit after the collection and placement in the container Reading information indicated by a bar code or the like regarding medication;
The identification data of each patient read and information indicated by a bar code or the like regarding the relevant dosing date or dosing frequency or its medication, information on each of a plurality of individual patients and each dosing date or dosing frequency or its medication recorded in advance 5. Crossing a plurality of patients for a specific or each dosing day or dosing cycle from the plurality of patient-based medication calendars according to claim 4 further comprising the step of comparing or collating How to give up to do.