JP6717293B2 - Dispensing management device, mixed injection device - Google Patents

Description

DISCLOSURE OF THE INVENTION The present invention relates to a mixed injection apparatus for performing mixed injection processing for sucking a medicine from a first medicine container with a syringe and injecting the medicine from the syringe into a second medicine container, and a dispensing operation for managing a dispensing operation using the mixed injection apparatus and the like. Regarding management device.

In general, a pharmacist performs a mixed injection process of sucking a drug such as an anticancer drug contained in a drug container with a syringe and injecting the drug into an infusion container containing an infusion. In addition, a mixed injection device capable of performing mixed injection processing based on input preparation data is known (for example, refer to Patent Document 1).

For example, the preparation data is generated based on predetermined regimen information and the like. The regimen information includes information about the administration plan such as the type of drug, the dose (unit dose), the administration period, or the administration procedure corresponding to each therapy.

JP 2012-250016 A

By the way, the mixed injection device may not be able to execute mixed injection processing for some types of chemicals. On the other hand, the regimen information may include multiple types of drugs as the drugs to be administered. Therefore, the mixed injection device may execute the mixed injection process for some of the plurality of kinds of drugs included in the regimen information, and the mixed injection process may be executed for the remaining part by the pharmacist. As described above, when the mixed injection processing for a plurality of types of drugs included in one piece of regimen information is shared by the mixed injection device and the pharmacist, the management of the preparation work based on the regimen information becomes complicated.

An object of the present invention is to provide a dispensation management device and a mixed injection device capable of easily managing the preparation work of a medicine in a preset group unit.

The mixed injection apparatus according to the present invention is capable of performing the mixed injection processing of the medicines included in the preset group by the mixed injection apparatus that executes the mixed injection processing of injecting the medicine of the first medicine container into the second medicine container. A first determination processing unit that determines whether or not the second determination that determines whether the mixed injection device performs the mixed injection process of all the drugs included in the group according to the determination result by the first determination processing unit. And a processing unit.

In the mixed injection apparatus according to the present invention, since it is determined whether or not the mixed injection processing is executed by the mixed injection apparatus for all the chemicals contained in the group, it is easy to manage the preparation work of the chemicals in the group unit. It becomes possible to do it.

Specifically, the groups are included in the same regimen information, drugs with the same patient and preparation date, drugs with the same patient, drugs with the same preparation date, drugs included in the same prescription data, or included in the same preparation data. It can be any group of drugs.

Here, when the group is a group of medicines included in the same regimen information, the first determination processing unit sets the preset information and the regimen in which the medicine capable of performing the mixed injection process by the mixed injection device is predetermined. Based on the information, it may be possible to determine whether or not the mixed injection process of the medicine contained in the regimen information can be executed by the mixed injection device. This makes it possible to easily determine whether or not the mixed injection process for each of the medicines included in the regimen information can be executed by the mixed injection device.

The dispensing management device includes a first setting processing unit capable of setting, as the setting information, whether or not the mixed injection process of the drug can be executed by the mixed injection device for each combination of the drug and the regimen information. It is possible. In this case, the first determination processing unit determines whether or not the mixed injection processing of the medicine contained in the regimen information can be executed by the mixed injection apparatus according to a combination of the medicine and the regimen information. .. That is, even if the same medicine is used, if the groups to which the medicine is used are different, the determination result by the first determination processing unit may be different, which enables more flexible handling.

When the second determination processing unit determines that the mixed injection processing of all the chemicals included in the group can be executed by the mixed injection apparatus, the second injection processing unit performs the mixed injection processing of all the chemicals included in the group by the mixed injection apparatus. It is possible to execute it. As a result, when the mixed injection device cannot perform the mixed injection process and the medicine that the pharmacist needs to perform the mixed injection process is included in the group, the mixed injection process by the mixed injection device is not executed, and thus the group is added to the group. The mixed injection process of the contained medicine is not shared and executed by the mixed injection device and the pharmacist. Therefore, it is possible to easily manage the preparation work of the medicine in the group unit.

It is conceivable that the dispensing management apparatus may further include a second setting processing unit capable of selecting, as the group, a drug group included in the same regimen information and a drug group having the same patient and the same preparation date. Thereby, the user can arbitrarily select the group, which is a unit for determining whether or not to perform the mixed injection process with the mixed injection device.

By the way, the dispensation management device may be provided separately from the mixed injection device, but the present invention is an invention of a mixed injection device including the dispensation management device and a mixed injection processing unit that executes the mixed injection process. It is possible to catch.

In addition, a mixed injection device according to another aspect of the present invention includes a mixed injection processing unit that performs a mixed injection process of sucking a drug from a first drug container with a syringe and injecting the drug from the syringe into a second drug container, In the mixed injection process, after the injection step of injecting the drug into the second drug container with the syringe is completed, an inhalation process can be performed to allow the injector to suck a preset amount of air from the second drug container. And a mixed injection control unit. As a result, the drug adhering to the inside of the injection needle of the injector or the tip of the injection needle is sucked into the injector, which reduces the possibility that the drug will drip from the tip of the injection needle of the injector.

Here, it can be considered that the mixed injection control unit executes the intake process on condition that the medicine injected in the injection step is a preset medicine. Thus, when the intake process is unnecessary, the intake stroke is omitted and the processing time is shortened.

It is conceivable that the mixed injection control unit changes the suction amount of air according to the type of the medicine injected in the injection step. More specifically, the mixed injection control unit, based on the information that the viscosity of the medicine or the suction amount of air corresponding to each kind of the medicine is set, the higher the viscosity of the medicine, the more the air in the intake process It is possible to increase the amount of suction. Thereby, even if the viscosities are different, it is possible to appropriately prevent the medicine from dripping from the injection needle of the syringe.

Further, a mixed injection device according to another aspect of the present invention includes a mixed injection processing unit that performs a mixed injection process of sucking a medicine from a first medicine container with a syringe and injecting the medicine from the syringe into a second medicine container, A mixed injection control unit capable of controlling the operation of the mixed injection processing unit and displaying the progress of the mixed injection processing on the display means. This allows the user to easily grasp the progress of the mixed injection process.

It is considered that the mixed injection control unit can display the progress of the mixed injection process for each drug included in the preparation data. This allows the user to easily grasp the more detailed progress of the mixed injection process.

Further, it is conceivable that the mixed injection device further includes a preparation control unit for inputting preparation data to the mixed injection control unit. In this case, the mixed injection control unit can notify the progress of the mixed injection process to the preparation control unit, and the preparation control unit can display the progress of the mixed injection process notified from the mixed injection control unit. Is possible. Accordingly, the user can easily grasp the progress of the mixed injection process on both the display unit controlled by the mixed injection control unit and the display unit controlled by the preparation control unit.

ADVANTAGE OF THE INVENTION According to this invention, the dispensing management apparatus and mixed injection apparatus which can easily manage the preparation operation of the medicine of the preset group unit can be provided.

FIG. 1 is a block diagram showing a mixed injection system according to an embodiment of the present invention. FIG. 2A is a diagram showing an example of regimen information used in the mixed injection system according to the embodiment of the present invention. FIG. 2B is a diagram showing an example of regimen information used in the mixed injection system according to the embodiment of the present invention. FIG. 2C is a diagram showing an example of regimen information used in the mixed injection system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of setting information used in the mixed injection system according to the embodiment of the present invention. FIG. 4 is a perspective view of the mixed injection device according to the embodiment of the present invention. FIG. 5: is a figure which shows an example of the preparation monitor screen displayed with the mixed injection apparatus which concerns on embodiment of this invention. FIG. 6 is a diagram showing an example of a monitor selection screen displayed by the mixed injection device according to the embodiment of the present invention. FIG. 7: is a figure which shows an example of the preparation guidance screen displayed with the mixed injection apparatus which concerns on embodiment of this invention. FIG. 8 is a flowchart showing an example of the procedure of the mixed injection control process executed by the dispensing management device according to the embodiment of the present invention. FIG. 9 is a flowchart showing an example of a procedure of list output processing executed by the dispensing management device according to the embodiment of the present invention. FIG. 10: is a figure which shows an example of the preparation list|wrist output by the list|wrist output process performed with the dispensing management apparatus which concerns on embodiment of this invention. FIG. 11 is a flowchart showing another example of the procedure of the mixed injection control process executed by the dispensing management device according to the embodiment of the present invention.

Embodiments of the present invention will be described below with reference to the accompanying drawings to provide an understanding of the present invention. The following embodiment is an example in which the present invention is embodied, and does not limit the technical scope of the present invention. It is also possible to combine the configurations or processes of the respective embodiments to realize other embodiments.

[First Embodiment]
As shown in FIG. 1, the mixed injection system 10 according to the present embodiment includes a dispensation management device 1, a mixed injection device 2, a dispensation device 3, a printer 4, and the like. Further, the dispensing management device 1 is connected to a host system 5 such as an electronic medical chart system via a communication network N1.

The dispensing management device 1 acquires preparation data from the host system 5 and manages the presence/absence of input of the preparation data to the mixed injection device 2. Further, the dispensing management device 1 can also generate dispensing data based on prescription data acquired from the host system 5 and input the dispensing data to the dispensing device 3. It is also conceivable that the dispensing management device 1 generates preparation data based on prescription data acquired from the host system 5 and inputs the preparation data to the mixed injection device 2.

The preparation data includes patient information (patient ID, patient name, height, weight, body surface area, etc.), preparation date, drug information (drug code, drug name, etc.), dose, regimen identification information, and the like. The regimen identification information is information that can identify regimen information such as a therapy name (regimen name), a therapy ID, or a regimen ID. In the preparation data, preparation date, dose, regimen identification information, etc. are associated with each drug information. In addition, when the preparation data is generated based on one piece of the regimen information, the preparation data may be associated with the regimen identification information. Further, the preparation data includes doctor information, type of drug container (ampoule with drug solution, vial bottle with drug solution, vial container with powdered medicine, infusion bag, etc.), preparation content information (drug container used for mixed injection processing, syringe, It includes information such as the type and number of injection needles) and preparation procedure information (work content, dissolved drug, solvent, amount of dissolved drug, amount of solvent, amount of withdrawal), medication date, prescription classification, medical department, ward, etc. May be. The prescription data includes prescription delivery date, patient information, patient birth date, therapy name, drug information (drug code, drug name, etc.), dosage form information (internal use, external use, etc.), dose, usage, The information includes the type of medical treatment (outpatient, hospitalization, etc.), medical department, ward, and ward.

Then, in the mixed injection device 2, based on the preparation data, a mixed injection process of sucking the medicine from the first medicine container with a syringe and injecting the medicine from the syringe into the second medicine container is executed. On the other hand, in the dispensing device 3, based on the dispensing data, a packaging process for packaging a medicine such as tablets and powders, a dispensing process for a PTP sheet, etc. is executed. The printer 4 executes print processing based on print data input from the dispensing management device 1, the mixed injection device 2, the dispensing device 3, and the like. For example, the printer 4 is used for printing a bag, prescription, prescription, preparation list, and the like.

[Dispensing management device 1]
As shown in FIG. 1, the dispensing management device 1 is a computer including a control unit 11, a storage unit 12, a communication I/F 13, a display unit 14, an operation unit 15, a drive device 16, and the like. The dispensing management device 1 communicates data according to a predetermined communication protocol with the mixed injection device 2, the dispensing device 3, the printer 4, the host system 5 and the like via the communication network N1 by the communication I/F 13. Communication is possible.

The display unit 14 is a display unit such as a liquid crystal display or an organic EL display that displays various kinds of information according to a control instruction from the control unit 11. The operation unit 15 is an operation unit such as a keyboard or a mouse operated by a user to input various information to the dispensing management device 1.

The drive device 16 can read various control programs or various information from a computer-readable recording medium 161. The recording medium 161 is a CD, a DVD, a BD, a USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the dispensing management device 1, the control unit 11 stores the control program read from the recording medium 161 by using the drive device 16 in the storage unit 12. The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD in which various control programs executed by the control unit 11 and various data are stored.

Further, the storage unit 12 stores various master information such as a drug master in which information for each drug is registered in advance. For example, for the drug master, drug code, drug name, JAN code (or RSS), drug bottle code, classification (form: powder, tablets, liquid drug, topical drug, etc.), specific gravity, drug type (normal drug, anti-drug) Cancer drugs, poisons, narcotics, powerful drugs, antipsychotics, remedies, etc.), formulation changes, excipients, precautions, types of drug containers (ampoules, vials), drug container volume (default) And information such as the weight of the chemical container. The regimen information may be stored in the storage unit 12.

The control unit 11 has control devices such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (work area) for various processes executed by the CPU. In addition, the control unit 11 includes a system clock that measures time, and can obtain the current date and time from the system clock.

Then, the control unit 11 uses the CPU to execute various processes in accordance with the control program stored in the ROM, the EEPROM, or the storage unit 12. The present invention may be understood as an invention of the control program for causing the control section 11 to execute various processes in the dispensing management device 1 or a computer-readable recording medium recording the control program. Further, the present invention may be understood as an invention of a dispensing management method including each processing procedure executed in the dispensing management device 1.

Specifically, the control unit 11 includes an acquisition processing unit 111, a generation processing unit 112, a first determination processing unit 113, a second determination processing unit 114, and a setting processing unit 115. Specifically, the control unit 11 executes various processes in accordance with the control program to obtain the acquisition processing unit 111, the generation processing unit 112, the first determination processing unit 113, and the second determination processing unit 114. , And the setting processing unit 115.

The acquisition processing unit 111 executes a process for acquiring the prescription data or the preparation data from the host system 5. For example, the host system 5 is provided with a storage unit 51 that stores the prescription data or the preparation data. Then, the acquisition processing unit 111, when the prescription data or the preparation data is newly registered in the storage unit 51, when the prescription data or the preparation data is changed, or at a preset timing, The prescription data or the preparation data is actively read from the storage unit 51 and stored in the storage unit 12. Further, the acquisition processing unit 111 receives the prescription data or preparation data actively transmitted by the host system 5 to the dispensing management device 1 using the communication I/F 13, and stores the prescription data or preparation data in the storage unit 12. It is also possible.

The generation processing unit 112 can generate the dispensing data based on the prescription data. In addition, the generation processing unit 112 can generate the preparation data for executing the mixed injection processing in the mixed injection apparatus 2 based on the prescription data and regimen information predetermined for each therapy. May be.

Specifically, the regimen information includes information on the administration schedule such as the name of the drug administered based on the therapy, the dose (per body surface area), the administration time, the administration date, and the length of one course. 2A to 2C are diagrams showing an example of the regimen information relating to the treatments R1 to R3. The regimen information is used when the preparation data is generated in the host system 5. Further, when the preparation data is generated in the host system 5, the regimen identification information for identifying the regimen information is added to the preparation data together with the information of the medicine M1 and the medicine M2. In the upper system 5, the medicine to be administered to the patient may be individually selected without the doctor or the like selecting the therapy name. In this case, for example, identification information for identifying a group of drugs selected by a doctor is added to the preparation data as the regimen identification information.

As shown in FIG. 2A, the regimen information of the therapy name “therapy R1” defines that the administered drugs “drug M1” and “drug M2” are to be administered in one cool “3 to 4 weeks”. There is. Here, for the drug M1, information such as the dose “3 g/m ² ”, the administration period “3 hours”, and the administration day “first day” is defined. Further, regarding the drug M2, information such as a dose “5 mg/m ² ”, an administration period “1 hour”, an administration day “first day”, etc. is defined. Then, in the higher-level system 5, when the therapy name selected by a doctor or the like is therapy R1, the preparation data including the drug M1 and the drug M2 as administered drugs is based on the regimen information corresponding to the therapy R1. Is generated. Then, the preparation data is input to the dispensing management device 1 from the host system 5. The dispensing management device 1 inputs the preparation data into the mixed injection device 2 on the preparation date or the administration date.

As shown in FIG. 2B, in the regimen information of the therapy name “therapy R2”, the administration drugs “drug M1”, “drug M2”, and “drug M3” are administered in one course “3 to 4 weeks”. To that effect. Here, for the drug M1, information such as the dose “3 g/m ² ”, the administration period “3 hours”, and the administration day “first day” is defined. Further, regarding the drug M2, information such as a dose “5 mg/m ² ”, an administration period “1 hour”, an administration day “first day”, etc. is defined. Further, with respect to the drug M3, information such as the dose “10 mg/m ² ”, the administration period “1 hour”, and the administration day “first day” is defined. Then, in the upper system 5, when the therapy name selected by a doctor is therapy R2, preparation data including the drugs M1 to M3 as administered drugs is based on the regimen information corresponding to the therapy R2. Is generated. Then, the preparation data is input to the dispensing management device 1 from the host system 5. The dispensing management device 1 inputs the preparation data corresponding to the medicines M1 to M3 into the mixed injection device 2 on the preparation date or the administration date.

As shown in FIG. 2C, in the regimen information of the therapy name “therapy R3”, one cool “3 to 4 weeks” for the administered drugs “drug M1”, “drug M2”, “drug M4”, and “drug M5” It is prescribed that it be administered. Here, for the drug M1, information such as the dose “3 g/m ² ”, the administration period “3 hours”, and the administration day “first day” is defined. Further, regarding the drug M2, information such as a dose “5 mg/m ² ”, an administration period “1 hour”, an administration day “first day”, etc. is defined. On the other hand, with regard to the drug M4, information such as the dose “8 mg/m ² ”, the administration period “1 hour”, the administration day “the second day, the fifth day” and the like are defined. On the other hand, for the drug M5, information such as the dose “4 mg/m ² ”, the administration period “1 hour”, the administration day “the second day, the fifth day”, etc. is specified. Then, in the higher-level system 5, when the therapy name selected by a doctor or the like is therapy R3, the drug M1, the drug M2, the drug M4, and the drug based on the regimen information corresponding to the therapy R3. Preparation data containing M5 as the administered drug is generated. Then, the preparation data is input to the dispensing management device 1 from the host system 5. The dispensing management device 1 inputs the individual preparation data corresponding to the drugs M1 and M2 among the preparation data to the mixed injection device 2 on the first day of the administration start date and corresponds to the drugs M4 and M5. The individual preparation data to be input are input to the mixed injection device 2 on the second day and the fifth day of the administration start date.

The first determination processing unit 113 determines whether or not the mixed injection processing of the drugs included in a preset group can be executed by the mixed injection apparatus 2. In the present embodiment, a case where the groups are medicines included in the same regimen information will be described as an example. It should be noted that the group may be any group of drugs having the same preparation date as the patient, drugs having the same patient, drugs having the same preparation date, drugs included in the same prescription data, or drugs included in the same preparation data. Good.

Specifically, the storage unit 12 stores setting information in which a drug capable of performing the mixed injection process by the mixed injection device 2 is predetermined. Then, the first determination processing unit 113 determines, based on the setting information and the preparation data, whether or not the mixed injection process of each of the medicines can be executed by the mixed injection device 2.

The second determination processing unit 114 executes the mixed injection processing of all the chemicals included in the group among the chemicals included in the preparation data in the mixed injection device 2 according to the determination result by the first determination processing unit 113. It is determined whether to do. Specifically, whether the second determination processing unit 114 can execute the mixed injection processing of all the medicines included in the regimen information in the mixed injection apparatus 2 according to the determination result by the first determination processing unit 113. Determine whether or not. Then, when the mixed injection processing of all the medicines included in the regimen information can be executed by the mixed injection apparatus 2, the second determination processing unit 114 executes the mixed injection processing of all the medicines by the mixed injection apparatus 2. Then determine.

The setting processing unit 115 can set the setting information in which the medicine capable of executing the mixed injection processing by the mixed injection apparatus 2 is predetermined. The setting processing unit 115 when executing the setting processing is an example of the first setting processing unit. In particular, the setting processing unit 115 can also set whether or not the mixed injection process of the drug can be executed for each combination of the drug and the regimen information. That is, even if the same medicine is used, if the regimen information is different, it is possible to set different determination results as to whether or not the mixed injection processing can be executed by the mixed injection device 2. The setting processing unit 115 executes setting processing such as registration, change, and deletion of the setting information according to a user operation using an initial setting screen displayed on the dispensing management device 1.

FIG. 3 is a diagram showing an example of the setting information set by the setting processing unit 115. As shown in FIG. 3, in the setting information, the therapy name, the drug name, and the item of mixed injection processing availability are stored in association with each other. In particular, in the setting information, whether or not the mixed injection process of the medicine having the medicine name can be executed by the mixed injection device 2 is set for each combination of the medicine name and the therapy name indicating the regimen information. There is. For example, in the mixed injection device 2, an upper limit amount may be set for the amount of medicine that can be injected into the infusion bag 32, but the amount of medicine injected into the infusion bag 32 differs depending on the regimen information. Therefore, in the setting information, a combination of the drug and the regimen information, which is highly likely to be injected into the infusion bag 32 in the mixed injection process, exceeds the upper limit amount, and the mixed injection device 2 executes the mixed injection process. It may be set as an impossible drug. Specifically, it is conceivable that a drug having a dose per body surface area in the regimen information equal to or larger than a predetermined value is set as a drug for which the mixed injection process cannot be executed by the mixed injection device 2. Note that, in the setting information, whether or not the mixed injection processing by the mixed injection device 2 can be executed for each medicine regardless of the regimen information is set as another embodiment.

As shown in FIG. 3, for the therapy R1, it is set that the mixed injection processing of the medicine M1 and the medicine M2 can be executed by the mixed injection apparatus 2. Regarding the therapy R2, it is set that the mixed injection process of the drug M1 and the drug M3 can be executed by the mixed injection device 2, and the mixed injection process of the drug M2 cannot be executed by the mixed injection device 2. ing. That is, even if the medicine M2 is the same, the mixed injection device 2 can perform the mixed injection process when administered in the therapy R1, but the mixed injection device 2 can be executed in the case where the medicine R2 is administered. Therefore, the mixed injection process is not executable. Regarding the therapy R3, the mixed injection process of the drug M1, the drug M2, and the drug M4 can be executed by the mixed injection device 2, and the mixed injection process of the drug M5 can be executed by the mixed injection device 2. It is set not to be.

By the way, when the setting information is used, it is necessary to set whether or not to execute the mixed injection process for each combination of the medicine and the regimen information. On the other hand, the method by which the first determination processing unit 113 determines whether or not the mixed injection processing can be executed is not limited to the method using the setting information in which the possibility of execution of the mixed injection processing is preset.

For example, in the dispensing management device 1, in the drug master stored in the storage unit 12, the injection upper limit amount indicating the upper limit of the drug amount that can be injected into the infusion bag 32 corresponding to each of the infusion bags 32. May be set in advance. In this case, the first determination processing unit 113, when the drug amount of the drug injected into the infusion bag 32 used in the mixed injection process exceeds the injection upper limit amount, the mixed injection process of the drug is performed by the mixed injection process. It is possible to determine that it cannot be executed by the device 2. Specifically, the amount of medicine injected into the infusion bag 32 in the mixed injection process changes depending on the body surface area of the patient. Therefore, the first determination processing unit 113 multiplies the dose per unit body surface area of the drug defined by the regimen information by the body surface area of the patient acquired from the host system 5 or the like, and the solution is the injection. It may be possible to judge whether or not the upper limit amount is exceeded.

Further, the possibility that the solution of the multiplication exceeds the upper limit injection amount can be estimated to some extent by the dose of the drug per body surface area. Therefore, it is conceivable that, in the drug master or the like stored in the storage unit 12, a unit upper limit amount indicating the upper limit of the dose per body surface area corresponding to each drug is set. In this case, when the dose of the drug used in the mixed injection process per body surface area exceeds the unit upper limit amount corresponding to the drug, the first determination processing unit 113 performs the mixed injection process of the drug as described above. It is possible to determine that the mixed injection device 2 cannot execute the process. According to these configurations, by setting the injection upper limit amount or the unit upper limit amount, it becomes possible to determine whether or not the mixed injection process can be executed for each combination of the regimen information and the medicine, and the mixed injection device 2 can be used. It is also easy to change the criterion for determining whether the mixed injection process is executed.

[Combination device 2]
Next, the mixed injection device 2 will be described with reference to FIGS. 1 and 4. As shown in FIGS. 1 and 4, the mixed injection device 2 according to the present embodiment includes a first control unit 21, a second control unit 22, a communication I/F 23, a touch panel monitor 24, a barcode reader 25, and a touch panel. The monitor 26 and the mixed injection processing unit 27 are provided.

The touch panel monitor 24 receives a touch operation on the display unit such as a liquid crystal display or an organic EL display that displays various kinds of information based on a control instruction from the first control unit 21, and receives the touch control on the display unit to perform the first control. The unit 21 includes a touch panel for inputting operation signals. On the touch panel monitor 24, for example, a list of the preparation data input to the mixed injection device 2 and details of the preparation data are displayed.

The barcode reader 25 is used, for example, to read the identification information of the preparation data from the one-dimensional barcode or the two-dimensional barcode included in the preparation slip on which the preparation data of the mixed injection process is printed. Then, the first control unit 21 selects the preparation data corresponding to the identification information read by the barcode reader 25 as a target of the mixed injection process. The target of the mixed injection process can be selected by a user operation in the list of the preparation data displayed on the touch panel monitor 24.

The touch panel monitor 26 receives a touch operation on the display unit, such as a liquid crystal display or an organic EL display that displays various information based on a control instruction from the second control unit 22, and receives the second control. The unit 22 is provided with a touch panel for inputting operation signals. On the touch panel monitor 25, for example, an image or video taken by a camera (not shown) provided in the mixed injection device 2 during execution of the mixed injection process is displayed, and whether or not the mixed injection process is appropriately performed is displayed. Preparation inspection and so on are executed. Further, the touch panel monitor 25 also displays a preparation monitor screen D1 (see FIG. 5) described later and the like.

As shown in FIGS. 1 and 4, the mixed injection processing unit 27 includes a first robot arm 271, a second robot arm 272, a weighing meter 273, a stirring device 274, a needle bending detection device 275, a dust lid 276, and the like. Equipped with. Further, the mixed injection processing unit 27 is provided with a tray loading port 270A and a tray discharging port 270B. Then, in the mixed injection processing unit 27, the tray 203 in which the medicine container 31, the infusion bag 32, and the syringe 33 are stored is loaded from the tray loading port 270A, and the infusion bag 32 after the mixed injection processing is stored. The tray 203 is discharged from the tray discharge port 270B. In addition, the infusion solution bag 32 into which the medicine of the medicine container 31 is injected is arranged at a position separated from the mixed injection treatment chamber of the mixed injection treatment unit 27 by a wall portion 270C, and the syringe 33 is introduced into the infusion solution bag 32. Injection of chemicals is performed through the opening 270D formed in the wall 270C of the mixed injection processing unit 27.

The first robot arm 271 and the second robot arm 272 are drive units having a multi-joint structure such as 5-axis to 8-axis. The first robot arm 271 and the second robot arm 272 are dual-arm robot arms that are provided in a hanging shape with their base ends fixed to the ceiling side of the housing of the mixed injection processing unit 27. Then, in the mixed injection apparatus 2, each work step in the mixed injection process is executed by the first robot arm 271 and the second robot arm 272. The first robot arm 271 and the second robot arm 272 are not limited to the hanging type, and the base end portion may be fixed to the bottom surface or the side surface of the mixed injection processing unit 27. Further, if the mixed injection processing unit 27 can execute the mixed injection processing, for example, a configuration having one robot arm, a configuration having three or more robot arms, or a drive of another mode in place of the robot arm It may be configured to have a part.

The weighing scale 273 is used for weighing the medicine container 31 or the syringe 33. The stirring device 274 is used to stir the liquid in the medicine container 31 by rotating or rocking the medicine container 31. The needle bending detection device 275 is used to detect bending of the injection needle of the syringe 33. The trash lid 276 is opened and closed to dispose of the used drug container 31, the syringe 33, and the like in a trash container disposed below the trash lid 276.

Then, in the mixed injection device 2, the first control unit 21 performs an operation for issuing or editing the preparation data, and the second control unit 22 controls the mixed injection processing unit 27 based on the preparation data. As a result, the mixed injection processing section 27 executes the mixed injection processing. In the mixed injection process, the drug is sucked by the syringe 33 from the drug container 31 containing the drug, and the drug is injected from the syringe 33 into the infusion bag 32. The medicine container 31 is, for example, an ampoule or a vial and is an example of a first medicine container. The infusion bag 32 is an example of a second chemical container, and may be a chemical container such as a vial. A solvent such as physiological saline or glucose solution contained in the infusion bag 32 is also included in the concept of "medicine".

The first control unit 21 is provided in the medicine loading unit 201 (see FIG. 4), and the second control unit 22 is provided in the mixed injection working unit 202 (see FIG. 4). The first control unit 21 and the second control unit 22 are communicably connected to each other, and share and execute various processes in the mixed injection device 2. It should be noted that the processing sharing of each of the first control unit 21 and the second control unit 22 described in the present embodiment is merely an example, and each processing procedure of the mixed injection processing is the first control unit 21 and the second control. It may be executed by any of the units 22. Furthermore, part or all of the processing executed by the first control unit 21 and the second control unit 22 may be executed by an electronic circuit such as an ASIC or DSP. In the present embodiment, the case where the dispensation management device 1 is provided separately from the mixed injection device 2 will be described as an example, but a configuration in which the mixed injection device 2 includes the dispensation management device 1 is also conceivable. .. For example, it is conceivable that the first control unit 21 of the mixed injection device 2 functions as the dispensing management device 1 and executes a preparation control process (see FIG. 8) described later.

Each of the first control unit 21 and the second control unit 22 is a computer having a control device such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). Further, the first control unit 21 and the second control unit 22 each include a storage unit 211 and a storage unit 221 such as a hard disk drive or a solid state drive. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (work area) for various processes executed by the CPU. Further, each of the first control unit 21 and the second control unit 22 includes a system clock that measures time, and the current date and time can be acquired from the system clock.

Then, each of the first control unit 21 and the second control unit 22 uses the CPU to perform various operations according to the control programs stored in the ROM, the EEPROM, the storage unit 211, or the storage unit 221. Execute the process. The present invention is an invention of a control program for causing the first control unit 21 and the second control unit 22 in the mixed injection device 2 to execute various processes, or a computer-readable recording medium recording the control program. May be regarded as Further, the present invention may be regarded as an invention of a mixed injection method including each processing procedure executed in the mixed injection apparatus 2.

Specifically, the first control unit 21 includes a preparation control unit 212. Specifically, the first control unit 21 functions as the preparation control unit 212 by executing various processes according to the control program. The preparation control unit 212 inputs the preparation data input from the dispensing management device 1 to the second control unit 22 at the start of the mixed injection process based on the preparation data. As a result, the second control unit 22 executes the mixed injection process based on the preparation data. The preparation data input to the second control unit 22 is a control generated by the preparation control unit 212 to execute the mixed injection process based on the preparation data input from the dispensing management device 1. Data may be used.

The second control unit 22 includes a mixed injection control unit 222. Specifically, the second control unit 22 functions as the mixed injection control unit 222 by executing various processes according to the control program. The mixed injection control unit 222 controls the mixed injection processing unit 27 to execute the mixed injection processing based on the preparation data.

Further, the mixed injection control unit 222 can display a preparation monitor screen D1 on which the progress of the mixed injection processing is displayed on the touch panel monitor 26, and the progress of the mixed injection processing on the preparation monitor screen D1 can be displayed as the mixed injection processing. It is updated as needed as the processing progresses.

5 and 6 are diagrams showing an example of the preparation monitor screen D1. The preparation monitor screen D1 is displayed on the touch panel monitor 26 during execution or standby of the mixed injection process.

As shown in FIGS. 5 and 6, the preparation monitor screen D1 includes display areas A11 and A12 arranged vertically. In the display area A11, a list of the preparation data input from the first control unit 21 is displayed together with the current execution status of the mixed injection process.

In the display area A11, information such as a patient ID, a patient name, a condition, and a preparation time is displayed for each of the preparation data. The state is classified into preparation inspection waiting, preparation in progress, preparation waiting, and the like. The preparation time is the estimated remaining time until the mixed injection process is completed.

Specifically, the estimated time required to complete the mixed injection process is preset for each content of the mixed injection process and stored in the storage unit 12. Then, the mixed injection control unit 222 displays the predicted time corresponding to the preparation data on the preparation monitor screen D1 based on the information stored in the storage unit 12. Further, the mixed injection control unit 222 starts timing from the start of the mixed injection process, and displays the remaining time up to the predicted time corresponding to the mixed injection process as the preparation data during preparation displayed in the display area A11. Is displayed in association with. For the preparation data for which the mixed injection process has not been started, a waiting time until the mixed injection process is started may be displayed together with the estimated remaining time until the mixed injection process is completed.

Further, the mixed injection control unit 222 causes the display area A12 to display the details of the preparation data selected in the display area A11. Then, the mixed injection control unit 222 updates the display content of the display area A12 according to the selection change operation of the preparation data in the display area A11.

Here, when the tab D12 is selected in the display area A12, as shown in FIG. 5, information on the drug contained in the preparation data is displayed. Further, when the tab D13 is selected in the display area A12, as shown in FIG. 6, information on the progress of the mixed injection process for each of the medicines included in the preparation data is displayed. .. Since the mixed injection process is executed by the mixed control processing unit 27 being controlled by the second control unit 22, the mixed injection control unit 222 of the second control unit 22 recognizes the progress of the mixed injection process. It is possible.

In the display area A12, the operation content and the operation amount are displayed as the content of the mixed injection process for each drug included in the preparation data. The operation contents include the names of drugs and syringes used in the mixed injection process. In the display area A12, the progress of the mixed injection process is displayed for each drug included in the preparation data. Then, the mixed injection control unit 222 updates the progress of each of the medicines displayed in the display area A12 according to the progress of the mixed injection process. For example, in the example shown in FIG. 1-No. When the mixed injection process for the chemicals of No. 3 is completed, No. It is displayed that the mixed injection process for the medicine of No. 4 is being executed.

Further, it is conceivable that the mixed injection control unit 222 notifies the first control unit 21 of the progress of the mixed injection process at preset intervals. Accordingly, the first control unit 21 can display the preparation monitor screen similar to the preparation monitor screen D1 on the touch panel monitor 24. It is also conceivable that, in the first control unit 21, the first control unit 21 acquires the progress of the mixed injection process from the mixed injection control unit 222 when the preparation monitor screen is displayed.

For example, FIG. 7 is a diagram showing an example of the preparation guide screen D2 displayed on the touch panel monitor 24 by the first controller 21. As shown in FIG. 7, on the preparation guidance screen D2, guidance information such as preparation work for the mixed injection process performed in the medicine loading section 201 is displayed. Specifically, the preparation guide screen D2 shown in FIG. 7 shows a state in which the preparation data corresponding to the identification information is displayed by the identification information of the preparation prescription being read by the barcode reader 25. Is. On the preparation guide screen D2, a guide message for prompting the preparation of the tray 203 corresponding to the preparation data is displayed. Then, on the preparation guidance screen D2, an operation key K2 for displaying the preparation monitor screen is displayed. Then, when the operation key K2 is operated, the first control unit 21 causes the touch panel monitor 24 to display the preparation monitor screen based on the progress of the mixed injection process notified from the mixed injection control unit 222. ..

By the way, as described above, the mixed injection apparatus 2 may not be able to execute mixed injection processing for some types of chemicals. On the other hand, the regimen information may include a plurality of types of drugs to be administered. Therefore, the mixed injection device 2 may perform the mixed injection process for some of the plurality of types of drugs included in the regimen information, and the pharmacist may perform the mixed injection process for the remaining part. As described above, when the mixed injection processing for a plurality of types of drugs included in one piece of the regimen information is shared by the mixed injection device 2 and the pharmacist, the management of the preparation work based on the regimen information becomes complicated. .. On the other hand, in the dispensation managing device 1, the preparation control process (see FIG. 8) described later is executed by the control unit 11 to preset such as all medicines included in one regimen information. It is possible to easily manage the preparation work of chemicals in group units.

[Preparation control processing]
Hereinafter, the preparation control process executed by the controller 11 in the dispensing management device 1 will be described with reference to the flowchart of FIG. For example, the preparation control process is executed for each preparation data when the preparation data is acquired or at a preset timing. In addition to the preparation control process, the control unit 11 also executes a prescription check process for checking the prescription data, a process for generating the dispensing data based on the prescription data, etc., but a description thereof will be omitted here. ..

<Step S51>
In step S51, the control unit 11 determines whether the preparation data is a processing target of the preparation control processing. For example, the control unit 11 determines whether the preparation data includes the regimen identification information indicating a therapy name. Here, if it is determined that the preparation data is the processing target of the preparation control processing (S51: Yes), the process proceeds to step S52, and it is determined that the preparation data is not the processing target of the preparation control processing. Then, the preparation control process ends (S51: No). The processing from step S52 onward is executed for each group of drugs having the same regimen identification information included in the preparation data. Further, the step S51 may be omitted, and the preparation control process may be executed for all the preparation data.

As will be described in the second embodiment to be described later, in the case where an operation in which the regimen information is not used when registering the preparation data in the system 5 is performed, the preparation data is stored in the preparation data. May not always include the regimen identification information. Therefore, in step S51, for example, when the preparation data includes a drug such as an anticancer agent that requires the mixed injection process, the preparation data may be determined to be a target of the preparation control process. It should be noted that information about the type of drug such as whether the drug is an anticancer drug or information regarding whether the drug requires the mixed injection process is included in the drug master stored in the storage unit 12. .. It is also conceivable that the control unit 11 specifies the regimen information according to the combination of medicines included in the preparation data.

<Step S52>
In step S52, the control unit 11 determines whether or not the mixed injection process can be performed by the mixed injection device 2 for each of the medicines included in the preparation data. The processing here is executed by the first determination processing unit 113 of the control unit 11. Specifically, in the present embodiment, the mixed injection processing of each medicine contained in the regimen information can be executed by the mixed injection apparatus 2 for each combination of the medicine and the regimen information in the setting information (see FIG. 3 ). Whether or not there is set. Therefore, in step S53, the control unit 11 performs the mixed injection process for each of the drugs included in the regimen information according to the combination of the drug and the regimen information indicated by the regimen identification information included in the preparation data. It is determined whether it is feasible.

For example, in the regimen information (see FIG. 2A) corresponding to the therapy R1, the drugs M1 and M2 are included as drugs to be administered in one course, and in the setting information (see FIG. 3), It is set that mixed injection processing of the medicine M1 and the medicine M2 in the therapy R1 is possible. Thereby, when the therapy name included in the preparation data is the therapy R1, it is determined that the mixed injection apparatus 2 can execute the mixed injection processing of all the drugs M1 and M2 for the therapy R1. It

On the other hand, in the regimen information (see FIG. 2B) corresponding to the therapy R2, the drugs M1 to M3 are included, and in the setting information (see FIG. 3), mixed injection of the drug M2 in the therapy R2 is performed. It is set that processing cannot be executed by the mixed injection device 2. Accordingly, when the therapy name included in the preparation data is the therapy R2, the mixed injection processing of the drug M1 and the drug M3 can be executed by the mixed injection device 2 for the therapy R2. It is determined that the mixed injection processing of M2 cannot be executed by the mixed injection apparatus 2.

Similarly, the regimen information (see FIG. 2C) corresponding to the therapy R3 includes the drug M1, the drug M2, the drug M4, and the drug M5, and in the setting information (see FIG. 3), It is set that the mixed injection processing of the drug M5 in the therapy R3 cannot be executed by the mixed injection device 2. Accordingly, when the therapy name included in the preparation data is the therapy R3, the mixed injection processing of the drug M1, the drug M2, and the drug M4 can be executed by the mixed injection device 2 for the therapy R3. However, it is determined that the mixed injection processing of the medicine M5 cannot be executed by the mixed injection apparatus 2.

In step S52, it is determined whether or not the mixed injection apparatus 2 can execute the mixed injection process for all the medicines included in the preparation data. On the other hand, in step S52, it may be possible that the process shifts to step S54 when it is determined that the mixed injection process cannot be executed by the mixed injection device 2 for at least one drug included in the same regimen information. To be As a result, the determination process for a drug that does not need to be determined is omitted.

<Step S53>
In step S53, the control unit 11 executes the mixed injection process in the mixed injection device 2 for all the medicines included in the same regimen information among the medicines included in the preparation data according to the determination result in step S52. Whether or not it is possible is determined for each of the regimen information. This process is executed by the second determination processing unit 114 of the control unit 11. That is, in step S53, it is determined whether the mixed injection process can be executed by the mixed injection device 2 in units of the regimen information. Therefore, even when the regimen information includes a plurality of drugs having different preparation dates, it is determined whether the mixed injection process of all the drugs included in the regimen information can be executed by the mixed injection device 2. The determination results of steps S52 and S53 are stored in the storage unit 12 in association with the preparation data.

<Step S54>
In step S54, the control unit 11 branches the process depending on whether it is determined in step S53 that the mixed injection device 2 can execute the mixed injection process of all the chemicals. Specifically, when it is determined in step S53 that the mixed injection device 2 can execute the mixed injection process of all the chemicals (S54: Yes), the process is moved to step S55. Further, when it is determined in step S53 that the mixed injection device 2 cannot execute mixed injection processing of some or all of the chemicals (S54: No), the control section 11 shifts the processing to step S541. .. The process here is executed by the second determination processing unit 114 of the control unit 11.

<Step S55>
In step S55, the control unit 11 sets that the mixed injection processing is to be executed by the mixed injection apparatus 2 with respect to the preparation data for which it is determined that the mixed injection processing of all chemicals can be executed by the mixed injection apparatus 2. .. For example, the control unit 11 turns on an automatic flag indicating that the mixed injection device 2 executes the mixed injection process for the preparation data stored in the storage unit 12. It is also possible to generate automatic preparation data for executing the mixed injection process in the mixed injection device 2 based on the preparation data and the regimen information, and store the automatic preparation data in the storage unit 12 as the preparation data.

<Step S56>
In step S56, the control unit 11 outputs the preparation data, which has been determined to be able to execute the mixed injection processing of all the chemicals, to the mixed injection apparatus 2. As a result, the mixed injection device 2 executes the mixed injection process at the timing such as the preparation date based on the preparation data. In step S56, the preparation data is set as data to be transmitted to the mixed injection device 2, and then the control unit 11 outputs the preparation data at a preset timing such as the preparation date or the day before the preparation date. It may be output to the mixed injection device 2. Further, when a specific period is designated by a user operation on the dispensing management device 1 and a request for transmitting the preparation data is made, the automatic flag in the preparation data whose preparation date belongs to the specific period is The preparation data set to ON may be transmitted to the mixed injection device 2.

<Step S541>
On the other hand, in step S541, it is set that the mixed injection processing is not executed by the mixed injection apparatus 2 with respect to the preparation data determined to be not executable by the mixed injection apparatus 2 for some or all of the medicines. For example, the control unit 11 turns off an automatic flag indicating that the mixed injection device 2 executes the preparation data stored in the storage unit 12. It is also conceivable that the pharmacist manually generates manual preparation data for performing the mixed injection process based on the preparation data and the regimen information, and stores the manual preparation data in the storage unit 12 as the preparation data.

<Step S542>
In step S542, the control unit 11 outputs the preparation data to the printer 4 as print data and causes the printer 4 to print the preparation data. Accordingly, the pharmacist executes the mixed injection process while referring to the print result of the preparation data. In step S542, the manual preparation data is set as data by which the mixed injection process should be executed by the pharmacist, and then the control unit 11 sets the data at the preset timing such as the preparation date or the previous day. The manual preparation data may be output to the printer 4. Further, when a specific period is designated by a user operation on the dispensing management device 1 and a request for transmitting the preparation data is made, the automatic flag in the preparation data whose preparation date belongs to the specific period is The preparation data set to OFF may be transmitted to the printer 4.

As described above, in the mixed injection system 10, according to the determination result by the first determination processing unit 113, it is determined whether the mixed injection device 2 executes the mixed injection process based on the regimen information or not. It is determined by 114. Specifically, when the mixed injection processing of all the medicines included in the regimen information can be executed by the mixed injection device 2, the control unit 11 performs the mixed injection processing of all the medicines included in the regimen information. Is executed by the mixed injection device 2. On the other hand, if the mixed injection process cannot be executed by the mixed injection device 2 for any of the drugs included in the regimen information, the mixed injection process for all the drugs included in the regimen information is not executed by the mixed injection device 2. .. Therefore, since the mixed injection processing of the medicine contained in one piece of the regimen information is not shared and executed by the mixed injection device 2 and the pharmacist, the preparation work based on the regimen information can be easily managed.

[List output process]
Next, the list output process executed by the control unit 11 in the dispensing management device 1 will be described with reference to the flowchart of FIG. 9. Here, the list output process is executed according to a user operation in the dispensing management device 1, or is executed at a preset date and time. For example, it is considered that the list output process is automatically executed every day at a preset time.

<Step S61>
In step S61, the control unit 11 sets conditions such as a preparation date to be a list output target according to a user operation. This processing is executed by the setting processing unit 115 of the control unit 11. For example, the present day or the next day can be set as the preparation date to be output in the list. In step S61, it is possible to set conditions relating to other information such as medicine, ward, patient, dose, or regimen information as the narrowing-down condition for the list output, not limited to the preparation date. Further, it may be possible to set a drug for which the mixed injection process is executed in the mixed injection device 2 as an output target, or to set a drug for which the mixed injection process is not executed in the mixed injection device 2 as an output target. .. It is also conceivable that step S61 is omitted and the condition for the list output is that the preparation date is the current day or the next day or the like, which is preset by an initial setting or the like.

<Step S62>
In step S62, the control unit 11 reads the determination result of the preparation control process stored in the storage unit 12 in association with the preparation data to be output in the list. Specifically, when the condition that the preparation date is the next day is set as the condition, the control unit 11 extracts a drug whose preparation date is the next day from among the drugs included in the preparation data, The determination result obtained in step S53 is read. For example, the control unit 11 reads on/off information of the automatic flag for the preparation data stored in the storage unit 12.

<Step S63>
Then, in step S63, the control unit 11 outputs a preparation list in which the list of the medicines extracted in step S62 is shown together with the determination result of the preparation control process. In the preparation list, each of the medicines is displayed in a distinguishable manner as to whether it is a medicine executed by the mixed injection device 2 or a medicine manually executed by a pharmacist. The preparation list is not limited to the list of the medicines, and may be a list of the preparation data.

Specifically, in step S63, the control unit 11 may print the preparation list by the printer 4 or send it by mail to a preset mail address via the communication network N1. Further, it is conceivable that the control unit 11 accumulates and stores the preparation list in the storage unit 12 or causes the display unit 14 to display the preparation list.

With this, the user of the dispensation management device 1 can easily understand which of the mixed injection device 2 and the pharmacist is the main body of the mixed injection process executed based on each of the preparation data that matches the conditions. You can

By the way, in the present embodiment, a configuration for easily managing the preparation work by avoiding sharing of the preparation work of the medicine by the mixed injection device 2 and the pharmacist is explained. .. On the other hand, when the drug preparation work is shared by the mixed injection device 2 and the pharmacist, in the list output process, the control unit 11 is executed by the mixed injection device 2 among the drugs included in the preparation data. It is conceivable that a list of medicines can be output as the preparation list. For example, in a configuration in which the execution subject of the mixed injection process of the medicine can be changed to one of the mixed injection device 2 and the pharmacist in the preparation control process or after the completion of the preparation control process, Sometimes the work of preparing chemicals is shared. Further, it is also conceivable that the function is set to be disabled in a configuration in which the function of executing the preparation control process can be switched between enabled and disabled. The same applies to the dispensing control device 1 that does not have the function of executing the preparation control process.

In such a case, the control unit 11 includes a drug among the drugs output to the preparation list, which has the same patient and the same preparation date and whose other co-injection process is not executed by the co-infusion device 2. For, it is possible to output to the preparation list that the other drug exists. FIG. 10 is a diagram showing a preparation list T1 which is an example of the preparation list. As shown in FIG. 10, in the preparation list T1, a medicine list of the preparation data extracted in the list output process is displayed. Then, the preparation list T1 includes a manual display area T2 for displaying whether or not there is another drug that is included in the same regimen information and for which the mixed injection process is not executed by the mixed injection device 2. Be done. Further, it may be possible to display in the manual display area T2 whether or not there is another drug having the same patient and the same preparation date and for which the mixed injection process is not executed by the mixed injection device 2. Thereby, the pharmacist can easily recognize by referring to the preparation list T1 that the preparation work cannot be completed by the mixed injection device 2 alone and the pharmacist needs to execute the mixed injection process. Therefore, even when the drug preparation work is shared by the mixed injection device 2 and the pharmacist, the preparation work can be easily managed. The mode of the preparation list T1 is not limited to this. For example, when a pharmacist extracts a drug for performing the mixed injection process as an output target of the preparation list T1, the patient and the preparation of each extracted drug are performed. It can be considered that the same date is output and that there is another drug that is executed by the mixed injection device 2 in the mixed injection process. Further, it is conceivable that, for each of the medicines extracted as the output target of the preparation list T1, whether the mixed injection device 2 or the pharmacist is the execution subject of the mixed injection process is output.

[Other Embodiments]
Hereinafter, another embodiment of the mixed injection system 10 according to the present invention will be described. Further, in the following other embodiments, description of the same configuration as the mixed injection system 10 described in the first embodiment will be omitted. It is also possible to select the configurations and processing functions of the first embodiment and other embodiments described below, and combine them arbitrarily.

[Second Embodiment]
In the preparation control process according to the first embodiment, whether or not the mixed injection process by the mixed injection device 2 can be executed for all the drugs included in the same regimen information as one group. The case in which whether or not is determined has been described. On the other hand, in the host system 5, for example, when a doctor individually selects a drug to be administered to a patient without selecting a therapy name when registering preparation data, the regimen information is identified in the preparation data. It is conceivable that information such as the therapy for this is not included.

Therefore, in the preparation control process, it is considered that it is determined whether the drugs having the same patient and the same preparation date are set as one group and the mixed injection process by the mixed injection device 2 can be executed for the drugs in the entire group. To be Hereinafter, in the present embodiment, a case will be described in which the group, which is a unit for determining whether to perform the mixed injection process in the mixed injection apparatus 2 in this manner, is a group of patients and drugs having the same preparation date. Further, the group may be a group of drugs having the same patient or a group of drugs having the same preparation date.

In the present embodiment, since it is determined whether or not the mixed injection device 2 is used for each drug having the same patient and preparation date, it is possible to change the use or nonuse of the mixed injection device 2 for each drug. For example, individual preparation data corresponding to each drug is acquired from the host system 6 and stored in the storage unit 12. Further, after the preparation data including the content of the mixed injection process of one or a plurality of medicines is acquired from the host system 6, the control unit 11 divides the preparation data into individual preparation data corresponding to each medicine and the storage unit 12 May be stored in.

11. Here, FIG. 11 is a flowchart showing an example of the preparation control process according to the present embodiment. The same processing procedure as the preparation control processing (see FIG. 8) described in the first embodiment is denoted by the same reference numeral, and the description thereof will be omitted. Specifically, in the preparation control process according to the present embodiment, steps S71 to S72 are executed instead of steps S53 to S54.

In addition, the preparation control process according to the present embodiment is executed at a preset timing such as when dispensing work starts or when dispensing work ends in a hospital or the like where the mixed injection device 2 is used, or the dispensing management device. It is executed in response to a user operation on 1. Note that, in the preparation control process, for example, in the preparation data accumulated and stored in the storage unit 12, a specific day (such as today or the next day) designated by a user operation at the start of the preparation control process is It is a preparation date, and is executed for each group including the dispensing data of the drug corresponding to the same patient. That is, in step S52, the control unit 11 controls the patient to have the same preparation date as the medicine contained in the preparation data stored in the storage unit 12, and the preparation date is the specific day. For each medicine, it is determined whether the mixed injection apparatus 2 can execute the mixed injection process.

<Step S71>
In step S71, the control unit 11 determines that the patient and the preparation date are the same among the medicines included in the preparation data accumulated and stored in the storage unit 12 according to the determination result of the step S52, and the preparation date thereof. Determines whether or not the mixed injection processing can be executed by the mixed injection apparatus 2 for all the medicines on the specific day. This process is executed by the second determination processing unit 114 of the control unit 11. In step S52, it is determined whether or not the mixed injection device 2 can execute the mixed injection process for each of the drugs having the same patient and the same preparation date.

For example, the regimen information (see FIG. 2A) corresponding to the therapy R1 includes the drug M1 and the drug M2, and the administration date of the drug M1 and the drug M2 is the “first day” of the same day. is there. Then, in the setting information (see FIG. 3), it is set that mixed injection processing can be executed by the mixed injection apparatus 2 for the medicine M1 and the medicine M2. Accordingly, in step S71, when the regimen identification information included in the preparation data indicates the therapy R1, the mixed injection device 2 can perform mixed injection processing of all drugs having the same preparation date for the therapy R1. Is determined.

On the other hand, the regimen information (see FIG. 2B) corresponding to the therapy R2 includes the drugs M1 to M3, and the administration date of the drugs M1 to M3 is the “first day” of the same day. is there. That is, the drugs M1 to M3 have the same preparation date. However, in the setting information (see FIG. 3), it is set that mixed injection processing cannot be executed by the mixed injection apparatus 2 for the medicine M2. Accordingly, in the step S71, when the regimen identification information included in the preparation data indicates the therapy R2, the mixed injection process of some of the medicines having the same preparation date for the therapy R2 is performed. It is determined that the mixed injection device 2 is not executable.

Further, the regimen information (see FIG. 2C) corresponding to the therapy R3 includes the drug M1, the drug M2, the drug M4, and the drug M5. The administration days of the drug M1 and the drug M2 are "first day", and the administration days of the drug M4 and the drug M5 are "second day and fifth day". That is, the drugs M1 and M2 have the same preparation date, and the drugs M4 and M5 have the same preparation date. On the other hand, in the setting information (see FIG. 3), the mixed injection apparatus 2 can execute mixed injection processing for the medicine M1, the medicine M2, and the medicine M4, and the mixed injection apparatus 2 for the medicine M5. It is set that the process cannot be executed. Therefore, in the step S71, when the regimen identification information included in the preparation data indicates the therapy R3, the mixed injection process is performed for the drugs M1 and M2 having the same preparation date for the therapy R3. It is determined that the mixed injection device 2 can execute the mixed injection process of the drug M4 among the drugs M4 and M5 having the same preparation date, and it is determined that the mixed injection device 2 cannot execute the mixed injection process.

<Step S72>
In step S72, the control unit 11 branches the process depending on whether it is determined in step S71 that the mixed injection process of all drugs having the same patient and preparation date can be executed by the mixed injection device 2. The process here is executed by the second determination processing unit 114 of the control unit 11. Specifically, if it is determined that the mixed injection process can be executed by the mixed injection device 2 (S72: Yes), the process proceeds to step S55. In this case, it is set that the mixed injection process is executed by the mixed injection device 2 for all drugs having the same patient and preparation date (S55), and the preparation data corresponding to each of the drugs is output to the mixed injection device 2 ( S56). When it is determined that the mixed injection process cannot be executed by the mixed injection device 2 (S72: No), the process proceeds to step S541. In this case, it is set that the mixed injection processing is not executed by the mixed injection device 2 for all medicines having the same patient and preparation date (S541), and preparation data corresponding to each medicine is output to the printer 4 and printed. (S542).

As described above, in the mixed injection system 10 according to the present embodiment, among the drugs included in the one or more preparation data stored in the storage unit 12, the patients and the drugs having the same preparation date are set as one group, It is determined whether the mixed injection process can be executed by the mixed injection device 2. Then, for a drug for which the mixed injection process of all drugs of the same patient and preparation date can be executed by the mixed injection device 2, the mixed injection process of all drugs of the group is executed by the mixed injection device 2. On the other hand, if there is a drug for which the mixed injection process cannot be executed by the mixed injection device 2 among the drugs having the same patient and preparation date, the mixed injection process for all the drugs in the group is not executed by the mixed injection device 2. That is, when there are a plurality of medicines having the same patient and preparation date, and if the mixed injection processing of at least one of the medicines cannot be executed by the mixed injection device 2, all medicines having the same patient and preparation date are included. The above-mentioned mixed injection process will be performed by the pharmacist. Therefore, since the mixed injection processing of the medicine having the same patient and the same preparation date is not shared and executed by the mixed injection device 2 and the pharmacist, the preparation work of the medicine having the same patient and the same preparation date can be easily managed.

Further, in the mixed injection system 10 according to the first embodiment, unless all the mixed injection processing to be executed based on the regimen information can be executed by the mixed injection device 2, the mixed injection system is based on the regimen information. The mixed injection process is not executed by the mixed injection device 2. However, in the mixed injection system 10 according to the second embodiment, whether or not to perform the mixed injection process in the mixed injection device 2 is determined in units of the preparation date. Therefore, for example, even when a drug included in one of the regimen information or the preparation data includes a drug for which the mixed injection process cannot be performed by the mixed injection device 2, another preparation date different from that drug is used. The mixed injection process may be executed by the mixed injection apparatus 2 for chemicals. Therefore, as compared with the mixed injection system 10 according to the first embodiment, the number of mixed injection processing executed by the pharmacist can be reduced.

In addition, in the present embodiment, the preparation control process (see FIG. 11) is executed for the preparation data including the drug prepared on the preparation day among the preparation data on the day before or on the day before the preparation day. On the other hand, it is also conceivable that the preparation control process (see FIG. 11) is individually executed for all the preparation dates included in the preparation data at a preset timing such as when the preparation data is acquired.

Further, the control unit 11 executes the preparation control process (see FIG. 8) described in the first embodiment in the first determination mode and the preparation control process (see FIG. 11) described in the second embodiment. It is also conceivable that the second determination mode for executing (see) can be selectively executed. In this case, the setting processing unit 115 can set the determination mode executed by the first determination processing unit 113 to either the first determination mode or the second determination mode in response to a user operation. .. That is, the control unit 11 is a group that is a unit for determining whether to perform the mixed injection process in the mixed injection device 2, and a group of drugs included in the same regimen information and a group of drugs having the same patient and preparation date. And can be selected. Here, the setting processing unit 115 when executing the processing is an example of the second setting processing unit. As a result, it is possible to flexibly cope with the operation corresponding to each user, and the versatility of the dispensing management device 1 is enhanced.

Further, it is conceivable that the control unit 11 automatically switches between the first determination mode and the second determination mode according to preset switching conditions. Specifically, it is possible that the storage unit 12 stores information on which of the first determination mode and the second determination mode is to be executed for each type of regimen information. Then, the control unit 11 may automatically switch between the first determination mode and the second determination mode according to the type of the regimen information. This makes it possible to execute the second determination mode for, for example, the regimen information including the drug requiring special attention among the regimen information. Information regarding which of the first determination mode and the second determination mode is to be executed for each patient corresponding to the preparation data is stored in the storage unit 12, and is automatically controlled by the control unit 11. It is possible that the first determination mode and the second determination mode are switched.

[Third Embodiment]
By the way, in the mixed injection apparatus 2, in the mixed injection process, the injection needle of the syringe 33 is changed after the injection step of injecting the medicine sucked from the medicine container 31 into the infusion bag 32 using the syringe 33. It is removed from the infusion bag 32. Here, when the drug has a viscosity, the drug is likely to remain on the needle tip of the injection needle after the drug is injected into the infusion bag 32. Therefore, there is a possibility that the drug may drip from the injection needle pulled out of the infusion bag 32 and drip in the mixed injection device 2. For example, paclitaxel is known as a viscous drug. On the other hand, in the present embodiment, the configuration of the mixed injection device 2 that can suppress the dripping of the drug from the injection needle and the contamination inside the mixed injection device 2 will be described.

Specifically, the mixed injection control unit 222 of the second control unit 22 controls the second robot arm 272 after completion of the injection process, and sucks a preset suction amount of air by the injector 33. Execute the process. More specifically, when the injection process is completed, the mixed injection control unit 222 moves the tip of the injection needle to an air layer in the infusion bag 32, pulls the plunger of the injector 33, and draws the air of the suction amount. Is sucked into the syringe of the syringe 33. For example, the inclination of the infusion solution bag 32 is controlled so that the posture of the infusion solution bag 32 approaches the vertically upward direction of the mixed injection port of the infusion solution bag 32, and the posture of the infusion solution bag 32 is changed to follow the posture change of the syringe 33. Posture is controlled. As a result, the tip of the injection needle is moved to a position near the mixed injection port, and the injection needle is located in the air layer in the infusion bag 32. When the tip of the injection needle is already located in the air layer in the infusion bag 32 in the injection step, the syringe 33 sucks the suctioned amount of air as it is.

Thereby, in the injector 33, the medicine in the injection needle and the medicine that may be attached to the tip of the injection needle are sucked into the syringe, and the dripping of the medicine from the tip of the injection needle is suppressed. To be done. The air sucked into the syringe of the syringe 33 remains stored in the syringe until the dust cover 276 is opened and the syringe 33 is discarded in the dust box. It should be noted that during the mixed injection process, the air may be discharged from the syringe 33 with the posture of the syringe 33 with the tip of the injection needle directed vertically upward.

By the way, the speed at which the drug remaining at the tip of the injection needle is drawn into the syringe together with air by the pulling of the plunger depends on the viscosity of the drug. That is, since the higher the viscosity is, the slower the rate at which the drug is drawn, the amount of operation of the plunger required to draw the drug having a high viscosity into the syringe from the tip of the injection needle is larger than that of the drug having a low viscosity. Become.

Therefore, it can be considered that the mixed injection control unit 222 adjusts so that the suction amount increases as the viscosity of the medicine injected in the injection step increases. Specifically, it is conceivable that the storage unit 221 stores inhalation information in which the suction amount or the suction time of the air sucked after the injection stroke is associated with each medicine. As a result, the mixed injection control unit 222 can control the amount of air suctioned by the injector 33 or the suction time based on the medicine injected in the injection step and the intake information. The suction amount or the suction time is set in advance as a value capable of being sucked into the syringe from the tip of the injection needle, that is, a value that makes it difficult to drip from the tip of the injection needle in consideration of the high viscosity of each of the medicines. It should have been done. It should be noted that the intake information may be included in the medicine master in which the information of each medicine is registered.

Further, in the intake information, index information serving as an index of the suction amount or the suction time may be stored in association with each drug. For example, the suction amount information is the presence or absence of viscosity of the medicine, the viscosity of the medicine, or the like. As a result, the mixed injection control unit 222, based on the medicine injected in the injection step and the intake information, makes the suction amount larger in the case of a viscous medicine than in a non-viscous medicine. It is possible to control Further, the mixed injection control unit 222, based on the medicine injected in the injection step and the intake information, in the case of a medicine having a viscosity equal to or higher than a preset viscosity threshold, the viscosity is less than the viscosity threshold. It is possible to control the suction amount to be larger than that of a certain drug. It is also conceivable that the mixed injection control unit 222 calculates the suction amount based on a predetermined arithmetic expression using the viscosity.

In addition, in this embodiment, although the said injection|pouring process of injecting a chemical|medical agent into the said infusion bag 32 from the said syringe 33 was mentioned as an example, it was not restricted to this. That is, the mixed injection control unit 222, in the mixed injection process, at a predetermined timing such as after the medicine is sucked into the syringe of the syringe 33 or after the medicine is discharged from the syringe of the syringe 33. It is conceivable to execute the above-mentioned intake process in which air is taken into the syringe. For example, the mixed injection control unit 222 controls the second robot arm 272 after the medicine is sucked from the medicine container 31 by the syringe 33 and before the syringe 33 starts moving toward the infusion bag 32. It is conceivable to perform the inhalation process of controlling and sucking air into the syringe 33. Thereby, the dropping of the medicine during the movement of the syringe 33 is suppressed.

1 Dispensing Management Device 11 Control Unit 2 Mixed Injection Device 21 Control Unit 24 Touch Panel Monitor 26 Touch Panel Monitor 27 Mixed Injection Processing Unit 271 First Robot Arm 272 Second Robot Arm 3 Dispensing Equipment 4 Printer 5 Upper System 10 Mixed Injection System

Claims (8)

Whether the mixed injection apparatus that executes the mixed injection process of injecting the medicine of the first medicine container to the second medicine container can execute the mixed injection process for at least one medicine of a plurality of medicines included in a preset group A first determination processing unit for determining
A second determination processing unit that determines whether or not the mixed injection device performs the mixed injection process of all the chemicals included in the group according to the determination result by the first determination processing unit;
Dispensing management device equipped with. The groups are included in the same regimen information, drugs with the same patient and preparation date , drugs with at least the same patient, drugs with at least the same preparation date, drugs included in the same prescription data, or included in the same preparation data. Ri Oh in any of the groups of chemicals,
The regimen information includes information about a regimen of medication administered based on therapy,
The prescription data includes patient information and drug information,
The preparation data is information generated based on the prescription data and input to the mixed injection device,
The dispensing management device according to claim 1. The group is a group of drugs included in the same regimen information,
The regimen information includes information about a regimen of medication administered based on therapy,
The first determination processing unit, based on the setting information and the regimen information in which the drug capable of performing the mixed injection process by the mixed injection device is predetermined, the drug included in the regimen information is the mixed injection in the setting information. when the mixed injection process by the device is set to be executable, the dispensation managing device according to claim 1 or 2, wherein the mixed injection process is determine a constant and can be performed in the mixed injection device. A first setting processing unit capable of setting, as the setting information, whether or not the mixed injection processing of the medicine can be executed by the mixed injection apparatus for each combination of the identification information of the medicine and the identification information of the regimen information. ,
The first determination processing unit determines whether or not the mixed injection processing of the medicine contained in the regimen information can be executed by the mixed injection apparatus according to the combination of the identification information of the medicine and the identification information of the regimen information. The dispensing management device according to claim 3, wherein the determination is made. When the second determination processing unit determines that the mixed injection processing of all the chemicals included in the group can be executed by the mixed injection apparatus, the second injection processing unit performs the mixed injection processing of all the chemicals included in the group by the mixed injection apparatus. The dispensing management apparatus according to claim 1, which is executed. As the group, further provided is a second setting processing unit capable of selecting a group of medicines included in the same regimen information and a group of medicines having the same patient and preparation date ,
The dispensation management device according to claim 1 , wherein the regimen information includes information related to an administration plan of a drug to be administered based on therapy . A mixed injection apparatus comprising: the dispensing management apparatus according to claim 1; and a mixed injection processing unit that executes the mixed injection processing. Whether the mixed injection apparatus that executes the mixed injection process of injecting the medicine of the first medicine container to the second medicine container can execute the mixed injection process for at least one medicine of a plurality of medicines included in a preset group A first determination step for determining
A second determination step of determining whether or not the mixed injection device performs the mixed injection process of all the medicines included in the group according to the determination result of the first determination step;
A program that causes a computer to execute.