JPH0236262B2 - - Google Patents

Description

[Detailed Description of the Invention] Industrial Application Field: This invention is mainly used to administer medication to patients in hospitals, when a pharmacy worker inputs the required information on the operation panel based on the medical record, and then the program The present invention relates to an automatic audit dispensing method and device that can fully automatically audit medication, dispense, package, and supply.

Background and problems of the invention: Conventionally, in order to administer oral drugs to patients at hospitals, clinics, etc., the required amount of the drug was measured at a pharmacy based on each patient's medical record, and the required amount was measured according to the dosage conditions. It is well known that the medicines are packaged together and the directions for use are written on the medicine bags.

Most of these tasks are done manually, and in pharmacies that handle a large number of doses per day, pharmacists have to spend a lot of time auditing and supplying medication to individual patients to ensure that there are no mistakes. are forced to. For this reason, packaging can now be done by automatic machines, but the weighing of dispensing and associated powders, post-packaging audits, and filling in dosing instructions on medicine bags are done while checking against medical records. Because the work has to be done, we are in a situation where we have to rely on human labor to ensure safety.

Furthermore, in order to administer medicines to various patients, corresponding inventory management is also important, such as constantly checking and replenishing many types of medicines to ensure that they do not run out. To this end, it is necessary to be able to constantly manage the consumption amount of each chemical. This kind of work requires more effort than necessary and is not easy to do in conjunction with other work. Therefore, work at pharmacies is still in a state where it is best to rely on manual labor, and rationalization has not progressed.

Of course, individual equipment is already new, highly accurate, and convenient to use. However, these methods are inconsistent, so even if they are streamlined, they can only be applied to individual tasks, and are not yet in a state where they can be applied to overall medication-related tasks.

Purpose of the invention: This invention was made in view of the current situation, and is based on a preset program,
A microcomputer is used to manage drug information, automatically take out drug bottles, measure and mix drugs,
We have implemented an auditing automatic dispensing method that automatically performs dispensing and packaging, and simultaneously audits whether or not the medication can be dispensed and packaged as entered in the medical record during the process. The purpose is to provide facilities for

Structure of the invention: The present invention combines a medicine bottle storage shelf with a determined storage position, a measuring device, a mixer, and a packaging machine in series, and operates these by an instruction signal from a microcomputer. By inputting the specifications of the drug to be dispensed, such as the product name, dose, number of doses, and patient name, based on the medical record,
First, it detects the inventory of chemicals, and if they are in stock, the medicine bottle take-out device that operates on the front side of the medicine bottle storage shelf takes out the required medicine bottles and transfers them onto the scale, and checks the medicine bottles. The drug bottle removal process involves measuring the total weight, and then the drug bottle is tilted to open, a drug removal tube is inserted into the bottle, and while being weighed, the required amount is taken out by a screw conveyor, and the used drug bottle is removed. The drug removal process is reversed to return it to its original position, and these drug bottle removal and drug removal operations are repeated for the required number of drugs to be mixed. After taking out the required amount of drug, the prescription weight is After checking and recording, the medicine is sent out through a mixing process in which it is put into a mixing machine and mixed, and then a packaging process in which it is divided into the required number of packages in a packaging machine. In the retrieval process, the product is inspected and weighed to ensure that it is taken out according to the prescription.In the drug retrieval process, the screw conveyor is rotated in the normal direction to take out the medicine, and the remaining medicine in the conveyor is removed by rotating the conveyor in the reverse direction. It is characterized by the fact that it is returned to the medicine bottle.

In this invention, the medicine bottle storage shelf is set to predetermined conditions, that is, the address is determined, and specified medicine bottles are stored at that predetermined location, and each medicine bottle is coded with a bar code. Use a barcode label with a label pasted in a predetermined position so that you can confirm what the drug is. Further, it is set so that the total weight of each drug bottle before the contents are taken out is used as an initial value at the time of measurement, and the amount taken out is subtracted and the measurements are recorded sequentially.

Next, as a device for carrying out the operating means of the present invention, a drug bottle retrieval device that moves up and down and left and right to take out the bottles at the desired location is installed on the front of the drug bottle storage shelf in which the addresses of the drug bottles are set. a medicine shelf, a device disposed at the front lower part of the medicine shelf for measuring and taking out medicines, a mixing machine for mixing the required medicines after receiving the measured medicines, and a device adjacent to the mixing machine. It consists of an automatic dividing machine that divides and packages the mixed medicine into the required number of parts, and a computer that instructs these parts to perform the required operations in a predetermined order. The storage section is configured such that medicine bottles are delivered at the measuring instrument position of the weighing and dispensing device, and a weighing table and a medicine bottle confirmation mechanism are provided at the bottle delivery position. It was equipped with a mechanism for automatically taking out the medicine by opening the medicine bottle, and was constructed so that the bottle and the taking-out mechanism were tilted, and the medicine taken out was transferred to the basin via the dispensing weighing pan. .

Further, in the present invention, when information based on the prescription is inputted at the input section of the computer, the following operating sections are sequentially operated according to the program.

The medicine bottle delivery position of this invention is equipped with a load cell type measuring device (not limited to this).
A mechanism for rotating the part that supports this measuring device, a mechanism for supporting the medicine bottle when it is tilted, and a support block equipped with a barcode reading section are provided, and this support block is connected to the medicine extraction device. The structure is such that it tilts to the side.

The drug retrieval device of the present invention includes a support that moves up and down along an inclined frame, and a reversible screw that is supported by the support and serves as an electric drug retrieval tube inserted into a drug bottle. The device is equipped with a Yukon conveyor and a chute connected to the drug take-out conveyor for discharging the scooped up drug, and the drug bottle support block and the lifting drive unit described above are interlocked. In addition, a measuring device having an associated weighing pan is disposed at a position opposite to this chute so that the removed drug can be weighed and discharged into a receiving container before the next drug is removed from a new drug bottle. Set it up.

Effect: In this invention, if the necessary items for medication are input into the input section of the computer using the medical record,
A pre-loaded program searches for information such as whether or not to administer the drug, calculation of the dose, whether or not the drug can be mixed, and whether or not the drug to be administered is in stock. After completing the prescribed procedures, if possible, the medicine bottle of the Statzker searches for the storage address of the medicine bottle containing the requested medicine and moves it along the front of the medicine storage shelf to the destination position. The gripping mechanism is moved in both the X and Y axes directions, and the gripping arm is operated in the Z direction at the required position to grip the target bottle and transport it to the delivery position, and transfer the medicine bottle taken out onto the weighing platform. The cap of the chemical bottle used for this process is one that can be opened and closed based on the hinged bottle attached to the neck of the bottle.

The medicine bottles taken out from the medicine bottle storage shelf are placed on a weighing platform at the delivery position, and the total weight is first measured and read by a computer. The cradle is then rotated to reveal the barcode (which may be magnetic recording tape) on the label affixed to the drug bottle.
Read and check whether it matches what was called. If there is no error, the driving part of the medicine retrieval device is activated, and first the medicine bottle is tilted at a predetermined angle together with the weighing stand that supports it. In this state, the center of the bottle and the center of the drug take-out tube almost match, so lower the take-out tube while rotating it, insert the drug take-out tube into the drug bottle, and insert the drug take-out tube into the drug take-out tube. The scraper scrapes out the dispensed medicine from the chute onto the tray and measures it. Once the required amount has been measured, the take-out operation is stopped and the medicine remaining in the take-out tube is returned to the bottle by reversing the screw conveyor. When this medicine taking out operation is completed, the taking out tube is pulled up and the taken medicine bottle is stood up. In this state, the remaining amount of the medicine bottle is measured and recorded on the computer. The used medicine bottle is then returned to its original address on the storage shelf by the medicine bottle gripping mechanism of the stacker. Thereafter, this operation is repeated as many times as the number of medicines to be prepared, and the medicines received in the dispensed medicine receiver are weighed and recorded once each and are received in a mortar or a required container.

The required amount of pharmaceutical drugs received in the container is placed in a mixing machine located adjacent to the mixing machine, where it is mixed.Then, this is fed into the measuring tank of a known fully automatic drug packaging machine to dispense the required amount. Divide into a number of packages, package them continuously, and send them out in divided packaging in quantities appropriate for the medication.

While performing the above operations, the name of the drug to be dispensed and the prescribed amount to be administered are inspected for each drug, while being checked, taken out, mixed, and packaged.
Audit that medications are dispensed according to prescriptions.

In parallel with these operations, the dosage and
After checking the patient's name and other information using a writing system that prints out information using a separate printer according to predetermined information, the patient's name and other information are printed on the medicine bag and provided.

In addition, if there is a mistake or inappropriate item in the above operation process, it will be stopped midway, and if there is no correction or new input, it will be canceled and returned to the initial state. Search for prescription errors and prevent mistakes in dispensing.

All these operations are performed automatically, and the work is completed without any human intervention unless there are special circumstances.

Embodiment: The present invention will be described in detail below with reference to the drawings regarding an embodiment of the present invention.

FIG. 1 is an overall perspective view of an embodiment of a dispensing and packaging device capable of carrying out the method of the present invention, and includes a storage shelf 1 that can organize and store the required amount of medicine bottles, and a storage shelf 1 that can store medicines that can be freely moved along the front surface. A stacker 10 for taking out bottles, a medicine taking-out device 30 which is arranged at the front lower part of the bottle storage shelf 1 and is configured to inspect the medicine bottles taken out by the stacker 10 and check the amount taken out and the remaining amount; A compounding drug receiving mechanism 50 comprising a container 4 that receives and collects the drugs taken out by the drug extracting device 30 and a means for sending measuring paper to this container.
, a mixer 5 that mixes the medicine discharged from the container 4 of the compounded medicine receiving mechanism 50, and an automatic dividing and packaging machine 6 that receives the medicine mixed by the mixer 5 and divides and packages the required amount. A dispensing and packaging device is used, which is comprised of an electric control means that controls and commands the operation of each of the above parts and records necessary information. The operation is performed by inputting the required information shown in the medical record on the operation instruction panel installed at the appropriate location on the front of the device, and using a microcomputer, each part is configured to operate according to a preset program. be.

The storage shelf 1 for medicine bottles B is designed to store medicine bottles at determined storage addresses. The stacker 10, which is provided on the front side of the storage shelf 1 to take out a desired medicine bottle, is provided with a traverse drive means provided at the top and front lower part of the storage shelf 1, as shown in FIGS. 2 to 6. (In a specific example, wire ropes 14 and 14' are wound between the sheaves 12 and 12 and between the sheaves 13 and 13 provided at both ends of the storage shelf 1, respectively.
The motor M7 is synchronously driven through a horizontal drive shaft 15 and a rigid drive shaft 15'. However, the present invention is not limited to this, and a gear drive system, a drive system using a combination of a screw shaft and a nut, a chain drive system, etc. can be adopted. ), and a vertical movable column supported so as to be able to move laterally, with its upper end connected to a carrier 17 and a horizontal arm 18 connected to the drive means 16, and its lower end connected to a carrier 17' and a connecting piece 18', respectively. 11, and a bottle gripping mechanism 20 attached to the movable column 11 so as to be movable up and down along one side thereof and to be movable toward the storage shelf 1.

The movable column 11 of such a stacker 10 has a box-like structure with a part of the back side opened vertically, and sheaves 11', 11'' are provided inside the column at the upper and lower parts. The guide element 19 is connected to the guide element 19 so as to be movable up and down by a rope 11a wound between the guide elements 11''. The base of the lifting frame 21 is attached to the guide 19 built into the moving column 11 behind the moving column, and is driven up and down via the rope 11a by the motor M2 mounted on the lower support carrier 14' of the moving column 11. It's like this. This elevating frame 21
has an arm extending from one side of the movable column 11 to the front of the storage shelf 1, and is provided with two guide shafts 22 supported at both ends of the arm and perpendicular to the shelf 1. The lifting frame 2 is supported by a shaft 22.
A bottle gripping mechanism 20 is attached via a support piece 23 which is moved forward and backward by a motor M3 mounted thereon. The support piece 23 is connected to an endless rope 24 driven by a motor M3. The bottle gripping mechanism 20 includes a pair of gripping pieces 25, 25 whose proximal ends are pivoted 25' on the support piece 23, and a soft sheet is attached to the inner surface of the distal end, and the gripping pieces 25, 2
5, a tension spring 26 interconnected on the inner side near the base, and both gripping pieces 25, 25.
Grip it at a position slightly closer to the grip side than the base pivot position of the
It consists of a pinion gear 28 and a drive motor M4 that mesh with a lock gear 27' provided on a lock pin 27 whose upper end is tapered for release operation, and the lock pin 27 and drive motor M4 are supported by a support piece 23. In addition, a sensor 2 is provided for detecting reception and release of the medicine bottle B from the pivot pin 25' side with respect to the bottle gripping portion of the gripping pieces 25, 25.
9 is attached. Further, limit switches (not shown) are attached to both ends of the arm portion of the elevating frame 21 to restrict the range of movement of the support piece 23.
Of course, the lifting and lowering of the lifting frame 21 is also limited.

The gripping mechanism 20 of such a stacker 10 is as follows:
Along the front of storage shelf 1, computer calculations and
The pair of gripping pieces 25, 25 of the bottle gripping mechanism 20 moves to the address position specified by the detection, grips the medicine bottle B correctly, returns to the right corner position of the device, and transfers it to the medicine extraction device 30.

The drug removal device 30 has a configuration as shown in FIGS. 7 to 9, and is erected on a support stand 2 placed at the lower front position of the bottle storage shelf 1, with the upper half inclined at an angle of approximately 45 degrees. A frame 31, a medicine take-out mechanism 32 attached to the frame so as to be able to move up and down along the inclined part of the frame, a drive mechanism installed in the support base 2 to raise and lower the medicine take-out mechanism 32, and a drive mechanism that receives and weighs medicine bottles. A weighing check mechanism 40 is equipped with a means for checking whether the medicine bottle taken out is the prescribed one, and a support block 41 of this weighing check mechanism 40 is pivoted to a pair of brackets 3 provided on the side of the support stand 2. Please support this block 41
, and a linear drive machine 46 for tilting the bottle B placed on its upper surface so that its axis coincides with the axis of the drug removal mechanism 32.

Therefore, the medicine extraction mechanism 32 is attached to the frame 31.
A small diameter suction pipe 3 is arranged on the inclined part 31' of
3' and a screw conveyor 33' rotating inside the screw conveyor 33;
A small reduction motor 33n that rotationally drives the screw 33'' shaft of No. 3 is attached to the support member 34, and the wire rope whose end is wound around a pulley 35' attached to the output shaft of the pulling motor M5 inside the support base 2. 35, and can be moved up and down by the motor M5.The support member 34 is connected to a slide shaft 36 attached to the side of the frame 31.
A slide block 3 is slidably fitted onto the slide block 3.
4' to ensure smooth operation during lifting and lowering operations. The suction pipe 33' forming the screw conveyor 33 has a medicine intake port 33a at its lower end, and a discharge chute 33b at its upper lower side. Incidentally, above the base of the screw conveyor 33, a retractable medicine bottle lid opening arm 37 of a required length is provided with its base end attached to a support member 34. A roller 37' is attached to the tip of this arm 37.

The weighing check mechanism 40, which cooperates with the medicine take-out mechanism 32 described above and takes out the medicine from the medicine bottle B, includes a support block 41 that is pivotally supported by a pair of brackets 3 provided on the storage shelf side of the upright base of the frame 31. , a load cell type weighing device 42 built into this support block 41, a motor 40m that rotates the weighing device 42 at low speed, and a bar code reader 45. The medicine bottle B taken out by the stacker 10 is placed on the receiving plate of the weighing device 42, and this weighing device 42 is directly connected to the output shaft of the deceleration motor 40m attached to the lower side of the support block 41. On the upper surface of the support block 41, two bottle supporting rollers 4 are installed on the sides of the weigher receiving plate 42'.
3 is placed upright and rotatable. Further, a bar code reader 45 is provided between both bottle supporting rollers 43. The support block 41 equipped with these has a leg 41' of an appropriate length hanging below its base, and the side surface of this leg 41' comes into contact with the side surface of the support base 2, so that the upper surface is kept horizontal. There is. Note that the center of the scale receiving plate 42 is located at the center of the medicine take-out mechanism 32 when the support block 41 is tilted, which will be described later.
It is positioned so as to almost coincide with the center of the screw conveyor 33.

A linear drive unit 46 for tilting the bottle provided in the support base 2 is a rod 4 equipped with a rack gear 47' that penetrates a gear box 46' driven by a deceleration drive motor and meshes with an internal pinion gear.
A cam roller 47'' is attached to the tip of this rod 47 so as to come into contact with the support block leg 41' of the drug weighing check mechanism 40, and a compounding drug receiving mechanism to be described later is attached to the rear end. It is connected to a link (lever link) 55 for tilting the weighing pan 50.A proximity switch operating piece 48 is attached to the bottom or side surface of the rod 47 for regulating the rod's backward resting position and its most advanced position. 49 is a proximity switch.

The compounding medicine receiving mechanism 50 is provided close to the above-mentioned medicine extracting device 30, and a measuring instrument 51 is disposed in front of the frame 31 at a position almost directly below the inclined part thereof. The weighing pan 51' of this weighing device 51 has a retractable receiving tray 52, and a support piece 54 protrudes downward from the side of the retracting support pin 53.
A cam roller 5 attached to the upper end of a lever link 55 is connected to the rear end of the rod 47 of the linear drive machine 46 by a pin.
When the rod 47 moves forward, the contact between the cam roller 55' and the contact piece 54 is broken, and the tray 52 is in a horizontal state, and as the rod 47 moves backward, the cam roller 55'55' comes into contact with the contact piece 54, and the pivot pin 53
The saucer 52 is tilted upright toward the front with the base point as the base point.

The folding type receiving tray 52 of the compounding drug receiving mechanism 50 is opened at the pivot side to form a chute, and the compounding drug receiving container 4 is arranged at the lower end position of the slope.

As described above, a small mixer 5 of a well-known structure is installed inside the support stand 2 on the side of each device, and an opening/closing lid is provided on the top of the mixer 5 so that the lid is closed during operation. The medicine contained in the receiving container 4 is introduced into the mixer 5 through the upper opening.

An automatic drug packaging machine 6 is located adjacent to this mixing machine 5.
The medicine mixed by the mixer 5 is divided into required amounts and packaged into continuous bags, and this packaging machine 6 can also be of a known structure. A conveyor is used as a means of supplying from the mixing machine 5 to the dividing mass of the packaging machine 6, but the entire amount is taken out from the tank of the mixing machine and transferred to a transport container, and this container is automatically moved to the dividing section of the packaging machine. and then pay it out. Each of these parts will be changed when the prescription changes.
Be sure to clean with air to ensure that no powder from the previous time remains. For such means, known means are employed. Of course, methods other than known means may be used.

An instruction panel 7 is provided at the front of the support base 2 for inputting necessary information for an operation program for operating the above-mentioned parts in a predetermined order.

The sequence of operations performed to control the operation of the above device is as shown in FIG. Inventory management is performed by recording the remaining amount and amount used each time a prescribed drug is taken out. In addition, by inputting a prescription, the patient's name and directions for use are printed out on a medicine bag or paper using a separate printer for immediate use.

By doing this, the operator can
When necessary information is input based on the chart, the bottle gripping mechanism 20 of the stacker 10 moves to a predetermined location in the drug bottle storage shelf 1 in which the required drug bottle B is predetermined based on the chart. At this time, in the traversing, the motor M1 of the traversing drive means 16 is rotated forward or backward to move the moving column 11 along the front surface of the storage shelf 1. At the same time, the motor M2 of the elevating drive means incorporated in the moving column 11 is operated to move the elevating frame 21 in the vertical direction. Thus
When the target position is reached by moving in both the X and Y axes,
After stopping the operation in both axial directions, the lifting frame 21
The mounted motor M3 is operated to advance the bottle gripping mechanism 20 via the support piece 23. At this time, the lock pin 27 is raised and lowered by the operating motor M4, and both grip pieces 25, 25 are moved up and down against the force of the tension spring 26.
Leave it open. In this state, the motor M3 is driven to advance the gripping pieces 25, 25 to grip a desired medicine bottle B on the shelf. At this time, the sensor 29 confirms whether or not the bottle has been accepted, and if the bottle B is accepted, the lock pin 27 is lowered and both grip pieces 25 are closed by the force of the tension spring 26 to grip the drug bottle B. After that, each motor M1, M2, M3 is reversed to carry the removed drug bottle to the lower right corner of the storage shelf 1 in the figure, and place it on the weighing device 42 receiver 42' of the weighing check mechanism 40 in the drug removal device 30. Place bottle B on top. Note that after the gripping pieces 25, 25 are released and the bottle is placed on the receiving plate 42', the bottle gripping mechanism 20 moves to a standby position (a position above the weigher 42), stops, and waits.

When the medicine bottle B is placed on the receiving plate 42' of the weighing device 42, the barcode label B' attached to the bottle B in advance is used to check whether the medicine bottle B is the one selected. is inspected by the barcode sensor 45. For this purpose, the motor 40m is started, the scale 42 rotates, and the barcode is read. If there is no abnormality as a result, the bottle B is stopped at the normal position, the linear drive machine 46 is operated to advance the rod 47, and the cam roller 47' at the tip pushes the leg piece 41' to move the support block 42 to a predetermined inclination angle. Tilt it (see Figure 9). Then, the medicine bottle B on the scale receiving plate 42' is supported by the supporting rollers 43, 43 and tilted.

Next, the motor M5, 3 of the medicine removal mechanism 32
3m starts, the screw 33'' of the screw conveyor 33 rotates, and the wire rope 35 wound around the pulley 35' on the output shaft of the lifting motor M5 is operated in the loosening direction, thereby lifting the screw. Screw conveyor 33
But it descends due to its own weight. At this time, the supporting member 34 of the screw conveyor 33 is smoothly guided and moved by a slide block 34' fitted into a slide shaft 36 attached to the frame 31. As the support member 34 descends, the tip roller 37' of the lid opening arm 3 comes into contact with the end of the cap b of the medicine bottle B, and the cap b
Push the opening/closing piece b' protruding from the end (see Figure 10, all caps b of chemical bottles B handled are special bottles with a protruding opening/closing piece b' that opens and closes using a lever). When the bottle opening is opened and the suction pipe 33' constituting the screw conveyor 33 is inserted into the bottle B, the drug is drawn in and scraped up from the drug intake port 33a by the rotating screw 33''. The conveyor 3 is discharged to the outside from the upper chute 33b.
The medicine taken out in step 2 is transferred from the chute 33b onto the measuring device 51 receiving tray 52 of the compounding medicine receiving mechanism 50. The amount received into the measuring device 51 and the receiving tray 52 is immediately measured and recorded. When the required amount is taken out, the screw conveyor 33 is pulled up. At this time, the screw 33'' is reversed to return the drug remaining on the suction pipe 33 and the screw 33'' into the bottle B and drawn out to the outside. When the screw conveyor 33 returns to the upper limit, the linear drive machine 46 is started in reverse and the rod 47 is moved backward, so that the support block 41 returns by its own weight.
The medicine bottle B is placed on the scale 42 and the receiving plate 42' in an upright position with the cap b closed. Naturally, the weight of this medicine bottle B is measured and recorded, and the fact that it has been taken out is recorded by the difference from the original weight. The amount of medicine to be taken out is determined by measuring the amount taken out into the receiving tray 52, and the moment the set amount is reached, the operation of taking out the screw conveyor is stopped to prevent excessive taking out.

In contrast to returning medicine bottle B to the receiving position,
Leverage link 55 connected to this when Rod 47 retreats
As a result of the displacement, the receiving tray 52 is tilted upward toward the receiving container 4 as shown in FIG. 7, and the received medicine is transferred to the receiving container 4.

When it is confirmed that the medicine bottle B after taking out the medicine has been returned onto the weighing machine receiving plate 42 receiving plate 42',
The bottle gripping mechanism 20 of the stacker 10 moves to receive the medicine bottle B according to the program, grips the bottle B with the handle pieces 25, 25 in the manner described above, and returns it to the storage shelf at its original address.

In this manner, based on the data that has been input in sequence, the medicine bottles are taken out from the required locations by the stacker 10, checked by the medicine removal device 30, weighed, taken out in the required amount, and returned to their original positions. Repeat the operation of returning the bottle for the number of drugs to be prepared.

In this way, once the required amount of medicine is taken out,
The mixture is poured from the receiving container 4 into the mixer 5 and mixed. It is preferable that paper such as parchment paper be placed in the receiving container 4 before receiving the drug to prevent mixing with the next different drug. Further, the screw conveyor 33 of the drug removal mechanism 32 is also blown with air as necessary to clean off the adhering drug.

Then, the entire amount of the mixed preparation is discharged from the tank of the mixer 5 into a transport container, sent to the dividing mechanism section of the adjacent packaging machine 6, divided by well-known means, sequentially packaged, taken out as a preparation, and thereafter The pharmacist puts the required amount into a medicine bag and provides it to the patient.

Effects of the invention: According to the present invention, by setting up a program in advance to select the specifications necessary for the work, by inputting them according to each patient's medical record, it is possible to take out the required amount of the required drug and prepare it. The packaging operation can be performed consistently, and during this process, each drug can be checked and taken out, and inventory can also be managed, so records can be compiled on a daily basis. By doing so, it becomes possible to automatically manage drugs, auditing of dispensing and managing inventory all at once, making it possible to perform tasks at pharmacies that were mostly done manually. It has become possible to implement it rationally without waste.

[Brief explanation of drawings]

The drawings show one embodiment of the invention,
Fig. 1 is a perspective view of the entire device, Fig. 2 is a right side view of the device, Fig. 3 is a partially cutaway front view showing the relationship between the medicine bottle storage shelf and the stacker, and Fig. 4 is the same as Fig. 3. - perspective view, FIG. 5 is a plan view of FIG. 3, FIGS. 6 a and b are views showing the main parts of the bottle gripping mechanism, FIG. 7 is a partially cutaway front view of the drug removal device, and FIG. 8 is a plan view of FIG. 7, FIG. 9 is a diagram showing a mode of drug extraction, FIG. 10 is a diagram showing an example of a medicine bottle to be handled, and FIG. 11 is a flow sheet showing the operating procedure. 1...Medicine bottle storage shelf, 2...Support stand, 3...
Bracket, 4... Preparation drug container, 5...
Mixing machine, 6... automatic drug packaging machine, 10... stacker, 11... moving column, 20... bottle gripping mechanism,
16...Traverse drive means, 23...Support piece, 21...
...Elevating frame, 26...Tension spring, 25...Gripping piece, 30...Drug removal device, 27...Lock pin, 32...Drug removal mechanism, 31...Frame, 34...Support member, 33...Screen Yukon Bear, 37... Bottle lid opening arm, 35...
Wire rope, 41...Support block, 40...
...Weighing check mechanism, 42... Weighing device, 41'...
... Support block leg, 43 ... Bottle support roller, 4
2'... Receiver, 46... Linear drive machine, 45... Barcode reader, 50... Compounded medicine receiving mechanism, 51... Measuring instrument, 47... Rod, 54...
Covering piece, 52...Saucer, B...Medicine bottle, 55
...Leverage link, b...cap.

Claims (1)

[Scope of Claims] 1. A medicine bottle storage shelf that can determine the storage position and take out the required medicine bottles, and a medicine take-out measuring device;
Using equipment that combines a mixing machine and a drug packaging machine in series, which are activated by instruction signals from a microcomputer, the product name, dosage, number of doses, and patient name of the drug to be dispensed are prepared based on medical records. By inputting specifications such as, the inventory of medicines is detected according to the set program, and the required medicine bottles are taken out and transferred onto the weighing scale by the bottle take-out device that operates on the front side of the medicine bottle storage shelf. , a drug bottle removal process in which the drug bottle is checked and weighed before taking it out; then, after the drug bottle is tilted and opened, the drug is measured and the required amount is taken out by a screw conveyor; after used, it is weighed and then reversed; Repeat the drug removal process to return to the original position with the operation, and repeat the drug bottle removal and drug removal operations for each number of drugs to be prepared.After taking out the required amount of drugs, check and record each time. It consists of a mixing process in which the total amount of medicine taken out is put into a mixing machine and mixed, and a packaging process in which the medicine is sent to a packaging machine and divided into the required number of packages. The drug is inspected to see if it is in accordance with the prescription, and in the drug take-out process, after the drug is taken out by normal rotation of a screw conveyor, the remaining drug in the conveyor is returned to the drug bottle by reverse rotation of the conveyor. automatic audit dispensing method. 2. A patent that allows the medicine bottles to be handled to be uniform, with barcode labels affixed to predetermined positions, and the medicine bottle storage shelves to be numbered and to store medicine bottles in designated locations. The method for automatically auditing and dispensing medication according to claim 1. 3. Before taking out the contents of each medicine bottle taken out of the medicine bottle storage shelf, check whether the bottle is correct or not, record the total weight as the initial value at the time of weighing, and record the remaining amount when reweighing after taking it out. 3. The method for automatically auditing and dispensing medication according to claim 1 or 2, wherein the inventory is managed by the patient. 4 A medicine bottle storage shelf equipped with a stacker that moves vertically and horizontally to take out the bottles at the required location, and a medicine bottle storage shelf in front of the medicine bottle storage shelf that determines the storage position of the medicine bottles. a medicine retrieval device disposed toward the lower part and extending from the medicine bottle delivery position of the stacker to the front thereof;
A dispensed drug measuring device having a tiltable tray disposed on a support stand in association with the drug dispensing device, a mixing machine for receiving and mixing the drug received from the measuring device, and a mixing machine adjacent to the mixing machine. The drug retrieval device consists of an automatic packaging machine that divides the mixed medicine into the required number of packages, and an electric control mechanism that commands and controls each of these parts to perform the required operations in a predetermined order. The device is equipped with a mechanism for weighing and checking the contents of the drug bottle at the drug bottle delivery position of the device, and includes a tiltable support block, and a device that opens the drug bottle placed on the tilted support block and inserts the drug into the bottle. An automatic monitoring and dispensing device for medication, comprising a screw conveyor that can be switched between forward and reverse directions for dispensing. 5 The support block in the drug removal device is
At the medicine bottle delivery position of the stacker, it is pivoted on a bracket with a support base so that the top surface is normally kept horizontal. and a mechanism for supporting the bottle when it is tilted. 6. Claims 4 or 5 describe a measuring instrument designed with a support block, in which the medicine bottles are weighed and recorded when they are received from the stacker and after the medicine is taken out and before being delivered to the stacker. Automatic audit dispensing device for medication. 7. As a medicine retrieval mechanism in a medicine retrieval device, a frame inclined toward a medicine bottle delivery position is erected on a support stand, a support is driven up and down along this frame, and a medicine bottle is supported by this support. 5. The automatic monitoring and dispensing device for medication according to claim 4, comprising a screw conveyor and a discharge chute, which are a combination of a thin pipe inserted into the screw and a screw.