JP6883792B2 - Medication management system and medication management device - Google Patents

Description

The present invention relates to a medication management system and a medication management device used to manage medication to a patient via a network such as a LAN or the Internet.

For example, in a long-term care facility, many patients are taking medicine, and a pharmacist visits the care facility under the direction of a doctor to explain the correct way to take the medicine, check the taking status, check for side effects, etc. While doing so, a service is provided by a pharmacist to check whether the drug therapy is being carried out properly.

By visiting the facility by a pharmacist (hereinafter referred to as a visiting pharmacy), it is possible to grasp the patient's medication status, the presence or absence of residual medication, and the combination of medications, and based on this, the staff of the nursing facility can be informed. By providing information, it is possible to provide the most convenient state for each patient to take (use of a dosing calendar, packaging, etc.).

However, visiting pharmacies generally visit the facility once every few days, and although daily medication management is entrusted to the staff of the long-term care facility, the number of patients, the type of medicine, and the number of times of taking the medicine vary widely. Because it is different, there is a limit to the staff of the facility managing "double drinking" due to the patient forgetting to take the medicine or misunderstanding, and the burden on it is heavy. In addition, some medicines are quite expensive, and there have been reports of cases where such medicines were stolen by others.

Therefore, it is necessary to prepare an environment in which the visiting pharmacy basically manages the medicine in the long-term care facility, but the visiting pharmacy can manage the medication without visiting the facility every day due to restrictions on personnel and costs. ..

As a device for controlling whether or not the medication is performed as instructed by a doctor, a home medical care medication system as described in Patent Document 1, for example, has been proposed.

Japanese Patent Application Laid-Open No. 10-201827 Japanese Patent Application No. 2014-16249

In the above-mentioned medication system, a medicine box is installed at the patient's home, and the medicine prescribed by the doctor is divided and stored in the box for each medicine, and the designated medicine time is determined by the medicine management data received and stored by the hospital system. When it becomes, the patient is notified of the specified medicine using the display unit, it is detected whether the medicine has been taken out from the box, and if it is not detected, the patient is warned and the information is sent to the hospital side, and the hospital side When the information is collated with the medication management data and judged to be inappropriate, a warning instruction is sent to the patient, family, helper, etc. to prevent forgetting to take the medicine.

However, the above-mentioned medication system has a complicated device configuration, high cost, and it is necessary to secure a space such as an installation place. Especially in long-term care facilities, it is necessary to install according to the number of patients, and cost and space issues are important.

In addition, medicines have different forms such as powders and tablets and the materials that wrap them (for example, transparent bags and sheets), and the storage location also varies depending on the environment such as the brightness of the room, but they are different. It is also necessary to make sure that the presence or absence of medication can be detected.

Therefore, the applicant simplifies the structure of the main device constituting the dosing system to reduce the cost, and adjusts the setting for sensing the presence or absence of the drug for each device so that the accuracy of sensing is always accurate even under different conditions. A medication management system that is expensive, can be hung on the wall, saves space, and allows visiting pharmacies, long-term care facility staff, and patients to at a glance determine whether or not a patient has taken a medication. The management device was proposed in Patent Document 2.

The present invention is an improved invention of Patent Document 2, in which the position of a drug is displayed at a designated time to further strengthen the prevention of forgetting to take the drug, and to improve the detection of the presence or absence of the drug, and further, the system. The whole is simplified to improve convenience.

To achieve the above object, a first aspect of the medication management system according to the present invention is disposed in correspondence to the time axis, and each pocket upwardly that provided to be inclined and project forwardly , located respectively on the inside each pocket, and each infrared sensor for sensing the presence or absence of drug housed in the in each pocket, each disposed above the at least left or right one side of each pocket, taking the drug A wall-mountable medication management device main body including an LED light that lights up when it is time to take the medicine and indicates a specific pocket of a time zone to be taken, an infrared sensor, and a control means for controlling the LED light, and the above-mentioned The control information of the control means is set via the network, and the terminal device that displays the information about the presence or absence of the medicine stored in each pocket on the display screen, the control information, and each infrared sensor are obtained. It consists of a database that stores data.

Further, the second feature of the dose management system according to the present invention is that the sensitivity of each infrared sensor and the cycle of the transmitted signal in the first feature can be adjusted.

Further, the third feature of the medication management system according to the present invention is that the pocket in the first or second feature is made of transparent plastic, and the lower center portion is cut so that the infrared sensor is exposed. It is in the form of a notch.

Furthermore, the fourth feature of the medication management system according to the present invention is that a black felt is attached to the lower surface or the lower back surface of the lower end portion of the pocket in any one of the first to third features. There is.

Further, the fifth feature of the medication management system according to the present invention is that the medication management device main body in any one of the first to fourth features includes the LED, the infrared sensor, and the control means. It is to have a board and a front cover mounted on the front of the board .

Furthermore, the sixth feature of the medication management system according to the present invention is that the time for turning off the LED light that is turned on in any one of the first to fifth features is set by the control information. , The light is turned off when the medicine is taken out from the specific pocket .

Further, the seventh feature of the medication management system according to the present invention is that the terminal device in any one of the first to fifth features is composed of a server and a single or a plurality of clients. The purpose is to set the control information, obtain information about the medicine in the pocket, and acquire data from the database via the server.

Further, the eighth feature of the medication management system according to the present invention is that the information about the medicine in the pocket sensed by the infrared sensor in the seventh feature is automatically recorded in the database via the server. To be done.

Furthermore, the ninth feature of the medication management system according to the present invention is that when the infrared sensor detects that the medicine in the pocket in the seventh or eighth feature has not been taken out for a certain period of time. The server is to automatically notify a specific client terminal by e-mail.

Furthermore, the tenth feature of the medication management system according to the present invention is the pockets arranged in four rows on the surface, the infrared sensor that detects the presence or absence of the medicine stored in each pocket, and the medicine. A medication management device main body including an LED light that lights up at the time of taking the medicine, an infrared sensor and a control means for controlling the LED light, and control information of the control means are set via a network and the pocket. It is composed of a terminal device that displays information on the presence or absence of a drug stored in the display screen, and a database that stores the control information and data obtained from the infrared sensor.

Further, the eleventh feature of the medication management system according to the present invention is that the medication management device main body in the tenth feature has a board provided with the control means on the back surface and the board for protecting the control means. It is composed of a back cover mounted on the back surface of the board and a front cover mounted on the front surface of the board, and the board is provided with the LED light at a position between the pockets and the LED light. The infrared sensor is provided at the position of the hole formed in the board.

Furthermore, the twelfth feature of the medication management system according to the present invention is that the pocket in the tenth or eleventh feature is made of transparent plastic, and felt is attached to the lower part of the front surface or the back surface of the lower end portion. It is in what you are doing.

Further, the first feature of the medication management device according to the present invention is that it senses the presence or absence of a drug and outputs the information, which is used in a medication management system that manages the medication status of a patient in a remote location via a network. a wall-mountable medication management device transmitting device, respectively disposed of in response to a time axis, each pocket upward is provided to be inclined and project forward, respectively to the inside each pocket Each infrared sensor is located and detects the presence or absence of medicine stored in each pocket, and is arranged on at least one of the left and right sides of each pocket, and lights up when it is time to take the medicine. It is provided with an LED light indicating a specific pocket of a time zone to be taken, and a control means for controlling each infrared sensor and each LED light.

A second feature of the medication management device according to the present invention is that the medication management device in the first feature includes a board including the LEDs, infrared sensors, and control means, and the front surface of the board. It has a front cover that is attached to the.

Further, the third feature of the medication management device according to the present invention is that the time for turning off the LED light turned on in the first or second feature is set by the control information, and the specific pocket is set. It is to turn off when more medicine is taken out .

Furthermore, the fourth feature of the medication management device according to the present invention is that a black felt is attached to the lower surface or the lower back surface of the lower end portion of the pocket in any one of the first to third features. There is.

Further, the fifth feature of the medication management device according to the present invention is that the cover member is attached to the front surface and the back surface of the medication management device main body in any one of the first to fourth features to form a housing. In addition to forming the medication management device of the above, on the surface of the front cover of the medication management device, the pocket protrudes forward through a hole formed in the front cover surface, and at one of the upper, lower, left and right ends. The time zone for taking the medicine in one day is described.

Further, the sixth feature of the medication management device according to the present invention is that the sensitivity of each infrared sensor and the cycle of the transmitted signal in any one of the first to fifth features can be adjusted. It is in.

Furthermore, the seventh feature of the medication management device according to the present invention is that it senses the presence or absence of a drug and uses the information in a medication management system that manages the medication status of a patient at a remote location via a network. It is a medication management device that transmits to the terminal device, and each pocket is arranged in four rows on the surface, an infrared sensor that detects the presence or absence of the medicine stored in each pocket, and the time to take the medicine. The medication management device main body including the LED light to be turned on, the infrared sensor and the control means for controlling the LED light, and the control information of the control means are set via the network and stored in the pocket. It is provided with a medication management device main body composed of a terminal device for displaying information on the presence or absence of a drug on a display screen, a database for storing the control information and data obtained from the infrared sensor, and a medication management device main body.

Further, the eighth feature of the medication management device according to the present invention is that the medication management device main body in the seventh feature has a board provided with the control means on the back surface and the board for protecting the control means. It is composed of a back cover mounted on the back surface of the board and a front cover mounted on the front surface of the board, and the board is provided with the LED light at a position between the pockets and the LED light. The infrared sensor is provided at the position of the hole formed in the board.

Further, the ninth feature of the medication management device according to the present invention is that the pocket in the seventh or eighth feature is made of transparent plastic, and felt is attached to the lower part of the front surface or the back surface of the lower end portion. To be there.

According to the present invention, even if the care facility staff or the patient misses the dose during the medication time, the visiting pharmacy can grasp in real time whether or not the patient has taken the medication, so that the facility can be used. It is possible to prompt patients and facility staff to take medicine immediately without going out, and it is possible to thoroughly manage the administration of medicine. In particular, when the medicine has not been taken out for a certain period of time, an e-mail is automatically sent to the user of the facility or the like, so that it is possible to strengthen the alert to the user.

In addition, since the sensitivity of the sensor can be adjusted for each medication management device, it is possible to always accurately detect the presence or absence of medication even if the environment at the installation location or the type of medication is different. In addition, by attaching black felt to the lower end of the pocket, false detection can be further reduced.

In addition, data on patient dosing is automatically recorded and accumulated, and can be managed collectively for each facility, making data management extremely easy and significantly reducing the burden and cost of visiting pharmacies and long-term care facilities. it can.

In addition, by turning on the LED light on the surface of the medication management device at the time of administration, the patient's attention can be drawn, the medicine to be taken at present can be clarified, and mistaking with other medicines can be prevented.

Furthermore, by setting the number of pockets to 32, it is easy to distinguish between the beginning and the end of taking the medicine even if the medicine is taken for one week from the dose taken after noon.

It is a front view in the Example of the medication management device which concerns on this invention, and shows the state which there is no medicine. The front view shows a state in which a part of the medicine remains in the pocket. It is explanatory drawing of the vertical cross section of line AA of FIG. It is a front view of the main body of a medication management device. It is a front view of the medication management apparatus main body in a state where black felt is attached to the lower end of a pocket. A partially enlarged view showing the state of the front cover member of the medication management device. It is a schematic diagram of the medication management system which concerns on this invention. FIG. 5 is a state diagram showing an example of a computer screen in the state of FIG. 2 of the medication management device.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

The medication management system according to the present invention includes a terminal device that performs various settings of the medication management device 1 and the medication management device 1 and displays information on medication acquired from the medication management device 1, information on the various settings, and information on the various settings. It is roughly composed of a database 19 that records information on the medication and extracts it as needed.

1 to 8 show examples of the present invention. In the figure, reference numeral 1 denotes a medication management device, which is formed in a housing shape by mounting cover members 3 and 4 on the main body 2 and its front and back surfaces. Lightweight members are suitable for the cover members 3 and 4, and acrylic or the like can be considered, for example.

The main body 2 is provided with a pocket 6, an infrared sensor 9, an LED light 10, and control means on the board 5.

The pockets 6 are arranged in four vertical rows on the surface of the board 5. The pocket 6 is composed of eight pockets in a row, and a total of 32 pockets are attached. The pocket 6 is a portion for storing the medicine prepared at the visiting pharmacy, and is preferably made of transparent plastic. It should be noted that the method of attaching to the board 5 may be any method such as screws and adhesives.

A notch 7 having sufficient space for exposing the infrared sensor 9 is formed in the center of the lower end portion of the pocket 6. A black felt 8 is attached to the lower end of the pocket 6 so as to cover the notch 7. This is to prevent the infrared sensor 9 from erroneously detecting the presence or absence of a drug due to its own infrared reflection or the way it is exposed to external light. On the other hand, it is desirable that the upper end portion of the pocket 6 is bent inward to prevent injury (not shown).

A circular hole 13 is bored at each position of the board 5 corresponding to the notch 7, and an infrared sensor 9 is provided through the circular hole 13. The infrared sensor 9 is provided on each control board 11 installed on the back surface of the board 5. In this embodiment, eight infrared sensors 9 are attached to one control board 11. The infrared sensor 9 senses the presence or absence of the medicine 14 stored in the corresponding pocket 6 through the circular hole 13.

A boss 15 penetrating the board is formed on the board 5 located at the left and right positions of the pocket 6, and the LED light 10 is installed in the boss 15. The LED light 10 is connected to the control board 11. At the set time, the left and right LED lights 10 of one pocket 6 are turned on to attract the patient's attention, thereby preventing the patient from forgetting to take the medicine.

The control means controls the infrared sensor 9 and the LED light 10 through the terminal device, and transmits the information detected by the infrared sensor 9 to the terminal device, and is provided on the back surface of the board 5.

The control means includes a control board 11 and an AC adapter 12. The AC adapter 12 has a function of transmitting and receiving the power supply of the infrared sensor 9 and the LED light 10, control information thereof, and drug detection information in the pocket 6 to and from the terminal device, and includes a WiFi antenna. ..

The control board 11 controls the infrared sensor 9 and the LED light 10 based on the control information received via the AC adapter 12, and also transmits the information on the presence or absence of medicine in the pocket 6 received from the infrared sensor 9 to the AC adapter 12. It has a function of transmitting to the server 16 via.

A front cover member 3 is mounted on the front surface of the main body 2. On the surface of the front cover member 3, the daily medication time zones of "morning", "daytime", "night", and "before going to bed" are described in the horizontal axis direction. In the illustrated example, it is displayed at the lower end. In addition, numbers from 1 to 8 are described in the vertical direction. In the illustrated example, it is displayed at the left end. Further, holes 18 corresponding to the pockets 6 are bored according to the number of pockets 6. The holes 18 are formed according to the size of the pocket 6 so that the black felt 8 attached to the pocket 6 is hidden and the other parts can be projected forward. Further, a piece 21 extending downward in the pocket 6 is formed at the upper end of the hole 18 so that the medicine 14 does not fall inside the medicine administration device 1. In FIG. 6, the dotted line portion indicates the upper end of the pocket 6.

A back cover member 4 is mounted on the back surface of the main body 2. The back cover member 4 protects the control means attached to the main body 2 and has a sufficient depth for storing the control means. Further, it is advisable to provide a wall-hanging hole (not shown) so that the medication management device 1 can be hung on the wall.

Next, the terminal device is composed of a server 16 and a single or a plurality of clients 17. The server 16 sets individual data for each patient, sets control information for the LED light 10 and the infrared sensor 9, receives and analyzes the information detected by the infrared sensor 9, and determines the presence or absence of medicine in the pocket 6. Information on the insertion and removal times of the medicine and each of the setting information are displayed on the display screen of the terminal device. In addition, information regarding the presence or absence of the drug and each setting information are recorded in the database 19.

Further, the client 17 can relay the server 16 to perform each of the above settings and further refer to the information recorded in the database 19. A personal computer is standard as the client 17, but a tablet terminal, a smartphone terminal, or the like can also be used, for example.

For the setting of the control information, for example, the time for turning on and off the left and right LED lights 10 of the specific pocket 6 can be considered. Further, the infrared sensor 9 may detect when the medicine is taken, and the LED light 10 may be set to be automatically turned off in conjunction with the detection.

Further, the sensor 9 is set with, for example, sensitivity and the like. The medicine stored in the pocket 6 has various forms such as powder, tablets, and capsules, and the material for packaging the medicine is also various, such as a bag-shaped material, a sheet-shaped material, and a transparent or colored material. In addition, the brightness and the like differ depending on the place where the medication management device 1 is installed. Therefore, the sensitivity of the sensor 9 and the cycle of the signal transmitted from the sensor 9 can be adjusted according to the installation situation.

The database 19 stores information about the drug and each setting information transmitted from the server 16, and extracts the stored data by a data extraction request from the server 16 or the client 17, and the server. Display the necessary information on the display device of 16 or the client 17.

The database 19 constitutes a cloud together with the server 16, and the client 17 can acquire the above-mentioned settings and data from a remote location via the Internet. Further, the medication management device 1 accesses the cloud through wireless communication by WiFi to perform data communication, and uploads the information of the medication management device 1 on the cloud.

FIG. 2 shows a state in which a part of the medicine remains in the pocket 6. Here, 20 indicates a state in which the LED lights 10 on the left and right of the pocket 6 are lit in order to clearly indicate the medicine that needs to be taken at present. Further, FIG. 8 shows an example of a state in which the server 16 and the client 17 receive and display the data related to the individual medication in FIG. 2.

FIG. 8 shows an example of the display screen of the terminal device, and the portion painted in black shows the state when the medicine 14 is stored in the pocket 6. It is desirable to display the state in which the medicine 14 is stored in the pocket 6 in a conspicuous color or the like, and if the medicine 14 is not taken out from the pocket 6 after the administration time, it blinks or a warning sound. You may make it stand out by putting out. The screen can be switched and displayed for each patient (medication management device 1).

In addition, the server 16 and the client 17 can manage data for each facility and each individual patient, and by accumulating data from a plurality of medication management devices 1 corresponding to the individual patient, all the patients at the facility can be collectively managed. You can manage your medication. For example, it is possible to collectively search for patients who have not taken out the drug within the dosing time for each facility. It is also possible to search across facilities for patients who have not taken out the drug from the device 1 within a certain period of time.

Next, the operation of the medication management device 1 according to the present invention will be described with reference to FIGS. 2 and 8. When the medicine 14 is contained in the pocket 6 (not taken), the portion of the pocket 6 containing the medicine 14 is displayed in a colored state (black in FIG. 8) on the display screens of the server 16 and the client 17 through the sensor 9. Will be done. The sensor 9 can detect not only a light-impermeable bag but also a medicine contained in a transparent bag, and the data transmission interval can be freely set to several seconds, several tens of seconds, and several minutes.

At the time of taking the medicine, as shown in FIG. 2, the LED lights 10 on the left and right of the specific pocket 6 of the time zone in which the medicine should be taken are turned on to call the patient's attention. When the medicine 14 is taken out from the pocket 6, the LED light 10 is turned off, the sensor 9 reacts, the data is transmitted to the server 16, and the information is recorded in the database 19. In this case, the color of the pocket 6 containing the medicine is turned off on the display screens of the server 16 and the client 17.

According to the present invention, since it is possible to manage the medication of a patient even outside the long-term care facility, the visit to the long-term care facility by the visiting pharmacy is significantly increased from about once every two to three days to once every one to two weeks. This can be omitted, and the burden on visiting pharmacies can be dramatically reduced, and the care of visiting pharmacies for patients in long-term care facilities can be further improved.

The medication management system and medication management device according to the present invention can be applied not only to nursing care facilities but also to nursing care at hospitals and homes. Therefore, it is possible to contribute to the safe and secure living of elderly people living alone.

1 Medication management device 2 Medication management device body 6 Pocket 9 Infrared sensor 10 LED light 11 Control board 16 Server 17 Client

Claims (9)

Each pocket is arranged according to the time axis and is provided so as to be inclined so that the upper side protrudes forward, and the presence or absence of medicines located in each pocket and stored in each pocket. Each infrared sensor that detects the above, and an LED light that is arranged on at least one of the left and right sides of each pocket and lights up when it is time to take the medicine to indicate a specific pocket during the time when the medicine should be taken. , A wall-mountable medication management device main body including each infrared sensor and a control means for controlling each LED light.
A terminal device that sets control information of the control means via a network and displays information on the presence or absence of a drug stored in each pocket on a display screen.
A database that stores the control information and data obtained from each infrared sensor,
It is a medication management system consisting of
The lighting time of the LED light is set by the control information, and the LED light is turned off when the medicine is taken out from the specific pocket.
A medication management system featuring. The medication management device main body has a board provided with the LEDs, infrared sensors, and control means, and a front cover mounted on the front surface of the board.
The medication management system according to claim 1. The sensitivity of each infrared sensor and the period of the transmitted signal can be adjusted.
The medication management system according to claim 1 or 2. The terminal device is composed of a server and a single or a plurality of clients, and the client sets the control information, obtains information on the medicine in each pocket, and acquires data from the database via the server. thing,
The medication management system according to any one of claims 1 to 3. Information about the drug in the pocket sensed by the infrared sensor is automatically recorded in the database via the server.
The medication management system according to claim 4. When the infrared sensor detects that the medicine in the pocket has not been taken out for a certain period of time, the server automatically notifies a specific client terminal by e-mail.
The medication management system according to claim 4 or 5. A wall-mounted medication management device used in a medication management system that manages the medication status of patients in remote locations via a network, which detects the presence or absence of a drug and transmits the information to a terminal device.
Each pocket is arranged according to the time axis and is provided so as to be inclined so that the upper side protrudes forward, and the presence or absence of medicines located in each pocket and stored in each pocket. Each infrared sensor that detects the above, and an LED light that is arranged on at least one of the left and right sides of each pocket and lights up when it is time to take the medicine to indicate a specific pocket during the time when the medicine should be taken. The infrared sensor and the control means for controlling each LED light are provided.
The lighting time of the LED light is set by the control information, and the LED light is turned off when the medicine is taken out from the specific pocket.
Clothes agents management device it said. The medication management device has a board provided with the LEDs, infrared sensors, and control means, and a front cover mounted on the front surface of the board.
The medication management device according to claim 7. The sensitivity of each infrared sensor and the period of the transmitted signal can be adjusted.
The medication management device according to claim 7 or 8.

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