KR20170129107A - Preparation control device, mixing device - Google Patents

Abstract

Provided are a preparation management device and a mixing device capable of easily managing the preparation work of chemicals in a preset group unit. The preparatory management apparatus (1) according to the present invention executes the mixed processing of the medicines contained in the group set in advance by the mixing apparatus (2) for executing the mixed processing for injecting the medicines of the first medicament container into the second medicament container A first judgment processing section (113) for judging whether or not the mixed processing of all medicines contained in the group is to be executed by the mixing apparatus, in accordance with the judgment result by the first judgment processing section (113) And a second determination processing unit (114).

Description

Preparation control device, mixing device

The present invention relates to a mixing device for sucking a drug from a first drug container by a syringe and executing a mixing process for injecting the drug from the syringe into a second drug container, And a preparation management device.

In general, a pharmacist performs a mixing process in which a medicine such as an anticancer drug contained in a drug container is sucked by a syringe and the drug is injected into a fluid container containing the fluid. In addition, a mixing apparatus capable of executing the mixing process based on input preparation data is known (see, for example, Patent Document 1).

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

Japanese Unexamined Patent Publication No. 250016

Incidentally, in the mixing apparatus, there is a case that the mixing treatment can not be performed for some kinds of medicines. On the other hand, the regimen information may include a plurality of types of medicines as medicines to be medicated. For this reason, some medicines of a plurality of types of medicines contained in the regimen information may be subjected to the mixed treatment by the mixing device, and the remaining parts may be subjected to the mixed treatment by the pharmacist. In this way, when mixing processing for a plurality of kinds of medicines contained in one piece of registration information is performed by the mixing apparatus and the pharmacist, the management of the dispensing operation based on the register information becomes cumbersome.

It is an object of the present invention to provide a preparation management device and a mixing device capable of easily managing a preparation work for preparing a medicine in a predetermined group unit.

The mixing apparatus according to the present invention is a mixing apparatus for mixing a first drug container and a second drug container, wherein the mixing device for executing the mixing process for injecting the medicine of the first drug container into the second medicine container comprises a first And a second judgment processing section for judging whether to execute the mixing process of all medicines contained in the group according to the judgment result by the first judgment processing section by the mixing device.

In the mixing device according to the present invention, it is determined whether or not the mixing process is performed by the mixing device with respect to all the drugs contained in the group, so that it is possible to easily manage the preparation operation of the drug It becomes possible.

Specifically, the group includes a drug, a patient, and a preparation date contained in the same regimen information, the same drug, the same drug, the same drug as the preparation date, the drug contained in the same prescription data, It is conceivable that the drug is any one of drugs.

Here, when the group is a group of medicines contained in the same regimen information, the first determination processing section determines whether medicines capable of being subjected to the mixing process by the mixing device are based on predetermined setting information and the regimen information , And judges whether or not the mixing process of the medicines contained in the registration information is executable by the mixing device. Thus, it is possible to easily determine whether or not the mixing process of each of the drugs included in the registration information is executable by the mixing device.

It is conceivable that the preparation management apparatus includes a first setting processing section capable of setting, as the setting information, whether or not the mixing process of the medicine can be executed by the mixing apparatus for each combination of the medicine and the registration information. In this case, the first determination processing section determines whether the mixing process of the medicine contained in the registration information is executable by the mixing apparatus, according to the combination of the medicine and the registration information. That is, even if the same medicine is used, the determination result by the first determination processing unit is different when the group in which the medicine is used differs, so that a more flexible response can be achieved.

And the second determination processing unit executes the mixing processing of all the chemicals included in the group by the mixing apparatus when it is determined that the mixing processing of all the chemicals included in the group is executable by the mixing apparatus You can think of doing. As a result, when the mixed treatment can not be performed by the mixing device and the pharmacist includes the medicines required to perform the mixing treatment, the mixing treatment by the mixing device is not carried out, The mixing treatment of the medicines contained in the group is not carried out by sharing with the mixing apparatus and the pharmacist. Therefore, it is possible to easily manage the preparation work of the drug in the group unit.

It is conceivable that the above-mentioned preparation management apparatus further comprises a second setting processing section capable of selecting a group of drugs contained in the same register information, and a group of drugs having the same patient and preparation date as the above-mentioned group. Thereby, the user can arbitrarily select the group to be the determination unit of whether to perform the mixing process by the mixing device.

Incidentally, the preparation management device may be provided separately from the mixing device, but the present invention can also be grasped as an invention of the mixing device including the mixing management device and the mixing process part for executing the mixing process .

The mixing device according to another aspect of the present invention includes a mixer for sucking a drug from a first drug container by a syringe and executing a mixing process for injecting the drug from the syringe into a second drug container, Wherein the second medicine container is provided with a suction port for sucking a predetermined amount of sucking air from the second drug container to the syringe after the end of the infusion step for injecting the medicine into the second medicine container by the syringe, And a control unit. As a result, the medicine adhering to the needle of the syringe or the tip of the needle is sucked into the syringe, and the possibility of dropping the medicine from the tip of the syringe needle of the syringe is reduced.

Here, it is conceivable that the mixing control unit executes the intake processing on condition that the medicine injected by the injection step is a predetermined medicine. Thus, when the intake process is unnecessary, the intake stroke is omitted and the processing time is shortened.

It is conceivable that the mixing control unit changes the amount of air sucked in accordance with the type of the medicine injected by the injection step. More specifically, the mixing control unit increases the suction amount of the air in the intake process as the viscosity of the medicine increases, based on the information of the viscosity of the medicine or the suction amount of the air corresponding to each type of the medicine You can think of doing. Thereby, even when the viscosity is different, dropping of the medicine from the needle of the syringe can be suitably prevented.

The mixing device according to another aspect of the present invention includes a mixer for sucking a drug from a first drug container by a syringe and executing a mixing process for injecting the drug from the syringe into a second drug container, And a mixed control unit that controls the operation of the mixing unit and displays the progress of the mixing process on the display unit. Thereby, the user can easily grasp the progress of the mixing process.

It may be considered that the mixing control section can display the progress of the mixing process for each medicine contained in the preparation data. This makes it possible for the user to grasp the progress of the mixing process more easily.

It is also conceivable that the mixing apparatus further comprises a mixing control section for inputting mixing data to the mixing control section. In this case, it is possible that the mixing control unit can notify the mixing control unit of the progress of the mixing process, and the mixing control unit can display the progress of the mixing process notified from the mixing control unit. Thereby, the user can easily grasp the progress of the mixing process by both the display section controlled by the mixing control section and the display section controlled by the mixing control section.

According to the present invention, it is possible to provide a preparation management device and a mixing device capable of easily managing the preparation work of chemicals in a predetermined group unit.

Fig. 1 is a block diagram showing a mixing system according to an embodiment of the present invention. Fig.
2A is a diagram showing an example of register information used in a mixed system according to an embodiment of the present invention;
FIG. 2B is a view showing an example of the register information used in the mixed system according to the embodiment of the present invention; FIG.
FIG. 2C is a view showing an example of the register information used in the mixed system according to the embodiment of the present invention; FIG.
3 is a diagram showing an example of setting information used in a mixed system according to an embodiment of the present invention;
4 is a perspective view of a mixing device according to an embodiment of the present invention.
5 is a view showing an example of a preparation monitor screen displayed in the mixing apparatus according to the embodiment of the present invention.
Fig. 6 is a diagram showing an example of a monitor tact screen displayed in the mixing apparatus according to the embodiment of the present invention. Fig.
7 is a view showing an example of a preparation guide screen displayed in the mixing apparatus according to the embodiment of the present invention.
8 is a flowchart showing an example of a procedure of mixed control processing executed in the preparation management apparatus according to the embodiment of the present invention.
9 is a flowchart showing an example of the sequence of list output processing executed in the preparation management apparatus according to the embodiment of the present invention.
10 is a diagram showing an example of a preparation list output by list output processing executed in the preparation management apparatus according to the embodiment of the present invention.
11 is a flowchart showing another example of a procedure of mixed control processing executed in the preparation management apparatus according to the embodiment of the present invention.

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings, and the present invention is provided to an understanding of the present invention. The following embodiments are merely examples embodying the present invention and do not limit the technical scope of the present invention. It is also conceivable to realize another embodiment by combining the configurations or processes of the respective embodiments.

[First Embodiment]

1, the compounding system 10 according to the present embodiment includes a preparation management device 1, a mixing device 2, a preparation device 3, a printer 4, and the like. Further, the preparation management apparatus 1 is connected to an upper system 5 such as an electronic carte system via a communication network N1.

The preparation management device 1 acquires preparation data from the host system 5 and manages the presence or absence of input of the preparation data into the mixing device 2. [ It is also possible that the preparation management device 1 generates preparation data based on the prescription data acquired from the upper system 5 and inputs the preparation data to the preparation device 3. [ It is also conceivable that the preparation management device 1 generates preparation data based on the prescription data acquired from the host system 5 and inputs the preparation data to the compounding device 2. [

The preparation data includes patient information (patient ID, patient name, height, body weight, body surface area, etc.), preparation date, drug information (drug code, drug name, etc.), capacity and registry identification information. The register identification information is information that can identify the regimen information such as a therapy name (regimen name), a therapy ID, or a registry ID, for example. Further, in the above preparation data, preparation date, capacity, and location information are associated with each drug information. In the case where the preparation data is generated based on one piece of the register information, the preparation data may correspond to the register identification information. In addition, the preparation data includes physician information, the type of drug container (drug solution ampoule, drug solution vial bottle, powdered medicine vial bottle, or fluid bag), preparation content information (medicine container used for mixed treatment, syringe, And information on preparation order information (work contents, solvent, solvent, dose of solvent, amount of elutriation), date of administration, prescription division, department, ward and the like may be included. The prescription data may include information such as a prescription grant date, patient information, patient's date of birth, name of therapy, drug information (drug code, drug name, etc.), formulation information (underwear, ), A medical department, a ward, and a sick room.

Then, in the mixing device 2, a mixing process for sucking the medicine from the first medicine container by the syringe and injecting the medicine from the syringe into the second medicine container is executed based on the preparation data. On the other hand, in the preparation machine 3, distribution processing in which chemicals such as tablets and powders are distributed, dispensing processing such as PTP sheets, and the like are executed based on the preparation data. The printer 4 also executes print processing based on print data input from the preparation management device 1, the mixing device 2, the preparation device 3, and the like. For example, the printer 4 is used for printing of a packaging bag, a prescription, a preparation preparation, a preparation list, and the like.

[Apparatus management apparatus (1)]

1, the preparation management apparatus 1 includes a control section 11, a storage section 12, a communication I / F 13, a display section 14, an operation section 15, and a drive device 16 And the like. The preparation management apparatus 1 is connected to the mixing apparatus 2, the dispensing apparatus 3, the printer 4 and the upper system (not shown) via the communication network N1 by the communication I / 5) and the like in accordance with a predetermined communication protocol.

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

The drive device 16 is capable of reading various control programs or various types of information from a computer-readable recording medium 161. The recording medium 161 is a CD, a DVD, a BD, or a USB memory, and the drive device 16 is a CD drive, a DVD drive, a BD drive, or a USB port. In the preparation management device 1, the control program read from the recording medium 161 using the drive device 16 is stored in the storage unit 12 by the control unit 11 . The storage unit 12 is a nonvolatile storage unit such as a hard disk or SSD in which various control programs and various data executed by the control unit 11 are stored.

The storage unit 12 also stores various kinds of master information such as a drug master in which information for each medicine is registered in advance. For example, a drug master may contain a drug code, a drug name, a JAN code (or RSS), a vial code, a classification (formulation: powder medicine, tablet, (Ampoules, Vials), the amount of medicine in medicine unit (amount of medicine), and the weight of medicine container are included. do. Also, the register information may be stored in the storage unit 12. [

The control unit 11 has a control device such as a CPU, a ROM, a RAM, and an EEPROM (registered trademark). The CPU is a processor that executes various kinds of arithmetic processing. The ROM is a nonvolatile 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 memory unit, and the EEPROM is a nonvolatile memory unit. The RAM and the EEPROM are used as a temporary storage memory (work area) for various processes executed by the CPU. Also, the control unit 11 has a system clock for counting time, and can acquire the current date and time from the system clock.

The control unit 11 executes various processes in accordance with the control programs stored in the ROM, the EEPROM, or the storage unit 12 using the CPU. Further, the present invention may be perceived as the control program for causing the control unit 11 to execute various processes in the preparation management apparatus 1 or the invention of the computer readable recording medium in which the control program is recorded. Further, the present invention may be grasped as an invention of a preparation management method including each processing procedure executed in the preparation management apparatus 1.

Specifically, the control unit 11 includes a 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, thereby causing the acquisition processing unit 111, the generation processing unit 112, the first determination processing unit 113, 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 upper system 5 is provided with a storage unit 51 for storing the prescription data or the preparation data. When the prescription data or the preparation data is newly registered in the storage unit 51, the acquisition processing unit 111 acquires, when the prescription data or the preparation data is changed, or at a predetermined timing, The prescription data or the preparation data is actively read from the storage section 51 and stored in the storage section 12. The acquisition processing unit 111 receives the prescription data or preparation data actively transmitted to the preparation management apparatus 1 by the upper system 5 using the communication I / F 13, It is also conceivable to store it in the storage section 12.

The generation processing unit 112 can generate the preparation data based on the prescription data. The generation processing unit 112 may be capable of generating the preparation data for executing the mixing process by the mixing apparatus 2 based on the prescription data and the regimen information predetermined for each therapy.

Specifically, the regimen information includes information on the administration schedule such as the name of the medicine to be administered on the basis of the therapy, the dose (per body surface area), the administration time, the administration date and the length of one cup. 2A to 2C are views showing an example of the above-mentioned regimen information regarding therapies R1 to R3. The register information is used at the time of generation of the preparation data in the upper system 5. Further, at the time of generating the preparation data in the upper system 5, the regimen identification information for identifying the regimen information together with the information of the drug M1 and the drug M2 is given to the preparation data . Further, in the upper system 5, medicines to be administered to the patient may be individually selected without selecting a therapy name by a doctor or the like. In this case, for example, identification information for identifying a group of medicines selected by a doctor is given to the preparation data as the above-mentionedregion identification information.

As shown in Fig. 2A, in the regimen information of the therapy name " therapy R1 ", it is prescribed that the administration of drugs " drug M1 " and " drug M2 " Here, for the drug M1, information such as the dose "3 g / m 2", the administration period "3 hours", and the date of administration "the first day" are prescribed. For the drug M2, information such as the dose "5 mg / m 2", the administration period "1 hour", and the date of administration "the first day" are prescribed. In the upper system 5, when therapist selected by a physician or the like is the therapy R1, the preparation data containing the medicine M1 and the drug M2 as administration medicines based on the registration information corresponding to the therapy R1 . Then, the preparation data is inputted from the upper system 5 to the preparation management apparatus 1. [ Further, the preparation management device 1 inputs the preparation data to the mixing device 2 on the preparation date or the date of administration.

As shown in Fig. 2B, in the regimen information of the therapy name " therapy R2 ", the effect of administering 1 dose of "3 to 4 weeks" to the administration drugs "drug M1", "drug M2" . Here, for the drug M1, information such as the dose "3 g / m 2", the administration period "3 hours", and the date of administration "the first day" are prescribed. For the drug M2, information such as the dose "5 mg / m 2", the administration period "1 hour", and the date of administration "the first day" are prescribed. For the drug M3, information such as the dose "10 mg / m 2", the administration period "1 hour", and the date of administration "the first day" are specified. In the upper system 5, when the therapist selected by the doctor or the like is the therapy R2, the preparation data containing the drugs M1 to M3 as the administration medicines based on the regimen information corresponding to the therapy R2 . Then, the preparation data is inputted from the upper system 5 to the preparation management apparatus 1. [ Further, the preparation management device 1 inputs the preparation data corresponding to the medicines M1 to M3 to the mixing device 2 on the day of preparation or the day of administration.

As shown in Fig. 2C, in the regimen information of the therapy name " therapy R3 ", 1 dose is given to the administration drugs " drug M1 ", " drug M2 ", " &Quot; is intended to be administered. Here, for the drug M1, information such as the dose "3 g / m 2", the administration period "3 hours", and the date of administration "the first day" are prescribed. For the drug M2, information such as the dose "5 mg / m 2", the administration period "1 hour", and the date of administration "the first day" are prescribed. On the other hand, for the drug M4, information such as the dose "8 mg / m 2", the administration period "1 hour", the date of administration "the second day, the fifth day" On the other hand, for the drug M5, information such as the dose "4 mg / m 2", the administration period "1 hour", the date of administration "2nd day, 5th day" In the upper system 5, when the therapist selected by the doctor or the like is the therapy R 3, the medicine M 1, the medicine M 2, the medicine M 4, and the medicine M 5 are determined based on the regimen information corresponding to the therapy R 3 The preparation data included as the administration medicine is generated. Then, the preparation data is inputted from the upper system 5 to the preparation management apparatus 1. [ Further, the preparation management device 1 inputs the individual preparation data corresponding to the medicines M1 and M2 among the preparation data to the mixing device 2 on the first day of the start of dosing, and corresponds to the medicines M4 and M5 Are input to the mixing apparatus (2) on the second day and the fifth day of the start of dosing.

The first judgment processing section 113 judges whether or not the compounding process of the medicines contained in the preset group is executable by the compounding device 2. [ In the present embodiment, the case where the group is a drug contained in the same register information will be described as an example. The group may be any one of the group consisting of the same drug as the patient and the preparation date, the same drug, the same drug as the preparation date, the drug contained in the same prescription data, or the drug contained in the same preparation data.

Specifically, in the storage unit 12, setting information in which medicines capable of executing the mixing process by the mixing unit 2 are predetermined is stored. Then, the first judgment processing section 113 judges whether or not the mixing process of each of the medicines is executable by the mixing apparatus 2, based on the setting information and the preparation data.

The second judgment processing unit 114 may perform the mixing process of all medicines contained in the group of medicines included in the preparation data based on the determination result by the first determination processing unit 113, Or not). Specifically, the second judgment processing unit 114 judges whether the mixing process of all medicines contained in the registration information is performed by the mixing device 2 It is determined whether or not it is executable. When the mixing process of all the medicines contained in the registration information is executable by the mixing device 2, the second determination processing unit 114 performs the mixing process of all the medicines in the mixing device ( 2).

The setting processing unit 115 can set the setting information in which the medicines that can be subjected to the mixing process are predetermined by the mixing device 2. [ Here, 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 set whether or not the mixing process of the medicine can be executed for each combination of the medicine and the registration information. That is, even if the same medicine is used, it is possible to set the judgment result of whether or not the mixing process can be performed by the mixing device 2, if the registration information is different. The setting processing unit 115 performs setting processing such as registration, change, and deletion of the setting information in accordance with a user operation using the initial setting screen displayed on the preparatory managing apparatus 1. [

3 is a diagram showing an example of the setting information set by the setting processing unit 115. As shown in Fig. As shown in Fig. 3, in the setting information, a therapy name, a chemical name, and items of possible treatment are stored in association with each other. Particularly, in the setting information, it is set whether or not the mixing process of the medicine of the medicine name can be executed by the mixing device 2, for each combination of therapy names indicating the medicine name and the registration information. For example, in the mixing apparatus 2, the upper limit amount may be set for the amount of the medicine injectable into the liquid bag 32. However, the amount of the medicine injected into the liquid bag 32 may vary depending on the register information It is different. Therefore, in the setting information, the combination of the medicine and the regimen information, which is likely to exceed the upper limit amount of the amount injected into the liquid bag 32 in the mixing process, It is conceivable that the mixing process is set as a drug which can not be executed. Specifically, it is conceivable that a medicine whose dosage per body surface area in the regimen information is equal to or larger than a predetermined value is set as a drug which can not be subjected to the mixing treatment by the mixing device 2. It is also possible to consider that, in the setting information, whether or not the mixing process by the mixing device (2) is executable for each medicine regardless of the register information is also considered as another embodiment.

As shown in Fig. 3, it is set that, in regard to the therapy R1, the mixing treatment of the medicine M1 and the medicine M2 can be performed by the mixing device 2. [ Further, with regard to the therapy R2, the mixing treatment of the medicine M1 and the medicine M3 may be performed by the mixing device 2, and the mixing treatment of the medicine M2 may be performed by the mixing device 2 Is set. That is, even in the case of the same drug M 2, the mixing treatment can be carried out by the mixing device 2 in the case of administration by the above-mentioned therapy R 1, but when administered by the therapy R 2, The mixing process is not executable. The medicament M1, the medicament M2, and the medicament M4 may be mixed by the mixing unit 2, and the mixing process of the medicament M5 may be performed by the mixing unit 2, Is set to be executable.

In the case of using the setting information, it is necessary that the execution of the mixing process is set for each combination of the medicine and the registration information. On the other hand, a method for the first judgment processing section 113 to determine whether or not to execute the mixed processing is not limited to the method in which the execution of the mixed processing is performed using the preset setting information.

For example, in the pharmaceutical preparation management apparatus 1, the medicine master which is stored in the storage section 12 stores the amount of medicine injectable into the liquid bag 32 corresponding to each of the liquid bags 32 It is conceivable that the injection upper limit amount indicating the upper limit of the injection amount is set in advance. In this case, when the amount of the medicine to be injected into the infusion bag 32 used in the mixing process exceeds the infusion amount, the first determination processing unit 113 performs the mixing process of the medicine It is possible to determine that the mixing device 2 can not be executed. Specifically, the amount of the medicine injected into the liquid bag 32 in the mixing treatment varies depending on the body surface area of the patient. Therefore, the first judgment processing unit 113 multiplies the dose per unit area of the medicine defined in the registration information by the body surface area of the patient acquired from the upper system 5, etc., It is conceivable to judge whether or not it exceeds a certain amount.

In addition, the possibility that the solution of the multiplication exceeds the infusion dose amount can be estimated to some extent according to the dose per unit area of the drug. For this reason, it is conceivable that a unit upper limit amount indicating the upper limit of the dose per unit surface area corresponding to each drug is set in the drug master or the like stored in the storage unit 12. [ In this case, when the dose per unit surface area of the drug used in the mixing treatment exceeds the unit dose amount corresponding to the drug, the first determination processing unit 113 performs the mixing treatment of the drug in the mixing apparatus ( 2) can not be executed. According to these configurations, it is possible to determine whether or not to execute the mixing process for each combination of the regimen information and the medicine by setting the infusion amount or the unit amount of the medicine, It is also easy to change the judgment criteria for the presence or absence of the execution of the process.

[Mixing device (2)]

Next, the mixing apparatus 2 will be described with reference to Figs. 1 and 4. Fig. 1 and 4, the mixing apparatus 2 according to the present embodiment includes a first control section 21, a second control section 22, a communication I / F 23, a touch panel monitor 24 A barcode reader 25, a touch panel monitor 26, a mixing processor 27, and the like.

The touch panel monitor 24 includes a display unit such as a liquid crystal display or an organic EL display for displaying various information based on a control instruction from the first control unit 21, And a touch panel for inputting operation signals to the control unit 21. The touch panel monitor 24 displays, for example, a list of the preparation data input to the mixing device 2 and details of the preparation data.

The bar code reader 25 is used, for example, to read identification information of the preparation data from a one-dimensional bar code or a two-dimensional bar code included before the printing preparation of the preparation data to be subjected to the mixing process. Then, the first control unit 21 selects the preparation data corresponding to the identification information read by the barcode reader 25 as an object of the mixing process. An object to be subjected to the mixing processing can be selected by a user operation in the list of preparation data displayed on the touch panel monitor 24. [

The touch panel monitor 26 includes a display unit such as a liquid crystal display or an organic EL display for displaying various information based on a control instruction from the second control unit 22, 2 control unit 22 for inputting operation signals. The touch panel monitor 25 displays an image or an image photographed by a camera (not shown) provided in the mixing device 2 during execution of the mixing process, for example, And auditing of whether or not it is possible. The touch panel monitor 25 also displays a preparation monitor screen D1 (see FIG. 5) and the like to be described later.

1 and 4, the mixing processing unit 27 includes a first robot arm 271, a second robot arm 272, a weighing machine 273, a stirring device 274, a needle bending detection An apparatus 275, a waste receiving section cover 276, and the like. In addition, in the mixing processing unit 27, a tray inlet 270A and a tray outlet 270B are provided. The tray 203 in which the chemical container 31, the liquid bag 32 and the syringe 33 are accommodated is loaded from the tray elongated bulb 270A and the mixed tray 31, The tray 203 containing the liquid bag 32 is discharged from the tray outlet 270B. The injector bag 32 into which the medicine in the medicine container 31 is injected is disposed at a position between the mixing chamber of the mixing processing unit 27 and the wall portion 270C, Injection of the medicine into the liquid bag 32 is performed through the opening portion 270D formed in the wall portion 270C of the mixing processing portion 27. [

The first robot arm 271 and the second robot arm 272 are driving units having a multi-joint structure such as 5 to 8 axes. The first robot arm 271 and the second robot arm 272 are double arm type robot arms fixed to the ceiling side of the housing of the mixing processing unit 27 so as to be subordinate to each other. In the mixing apparatus 2, the respective working processes in the mixing process are executed by the first robot arm 271 and the second robot arm 272. [ In addition, the first robot arm 271 and the second robot arm 272 are not limited to the suspending type, and the base end portion may be fixed to the bottom surface or the side surface of the mixing processing portion 27. Further, the mixing processing unit 27 may be configured so as to be capable of executing the mixing process, for example, a configuration having one robot arm, a configuration having three or more robot arms, or a configuration having a driving unit of another mode instead of the robot arm .

The weighing meter 273 is used for weighing the medicine container 31 or the syringe 33 and the like. The stirring device 274 is used for stirring the liquid in the chemical container 31 by rotating or rocking the chemical container 31. [ The needle bend detecting device 275 is used to detect bending of the needle of the syringe 33 or the like. The waste accommodating portion lid 276 is opened and closed to dispose the used medicine container 31 and the injector 33 or the like in the waste accommodating portion disposed below the waste accommodating portion lid 276.

In the mixing device 2, the issuing operation or the editing operation of the preparation data is executed by the first control unit 21, and the second control unit 22 causes the second control unit 22 to execute, The mixing processing unit 27 performs the mixing processing by controlling the processing unit 27. [ In the mixing treatment, the medicine is sucked by the syringe 33 from the medicine container 31 containing the medicine, and the medicine is injected from the syringe 33 into the fluid bag 32. The drug container 31 is, for example, an ampule or vial bottle, and is an example of the first medicine container. In addition, the fluid bag 32 is an example of a second medicine container, and may be a medicine for a vial bottle or the like. Also, the physiological saline solution or the glucose solution contained in the fluid bag 32 is included in the concept of " medicine ".

The first control unit 21 is installed in the medicine storage unit 201 (see FIG. 4), and the second control unit 22 is installed in the mixing operation unit 202 (see FIG. 4). The first control unit 21 and the second control unit 22 are connected to each other so as to communicate with each other, and perform various processes in the mixed device 2 in a shared manner. The process sharing of each of the first control unit 21 and the second control unit 22 described in the present embodiment is only an example, and the respective processes of the mixing process are the same as those of the first control unit 21 and the second control unit 22 It may be executed by any one of the second control units 22. In addition, some or all of the processing executed in the first control section 21 and the second control section 22 may be executed by an electronic circuit such as an ASIC or a DSP. In the present embodiment, a case is described in which the preparation management device 1 is provided separately from the mixing device 2, but the mixing device 2 is provided with the preparation control device 1 Configuration can also be considered. For example, it is conceivable that the first control section 21 of the mixing apparatus 2 functions as the preparation control apparatus 1 and executes a preparation control process (to be described later) (see FIG. 8) to be 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). Each of the first control unit 21 and the second control unit 22 includes a storage unit 211 such as a hard disk drive or a solid state drive and a storage unit 221. [ The CPU is a processor that executes various kinds of arithmetic processing. The ROM is a nonvolatile 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 memory unit, and the EEPROM is a nonvolatile memory unit. The RAM and the EEPROM are used as a temporary storage memory (work area) for various processes executed by the CPU. Each of the first control unit 21 and the second control unit 22 has a system clock for counting time and can acquire the current date and time from the system clock.

Each of the first control unit 21 and the second control unit 22 uses the CPU to read the ROM 22 and the EEPROM 23 stored in the storage unit 211 or the storage unit 221, And executes various processes in accordance with the control program. The present invention also provides a control program for causing the first control unit (21) and the second control unit (22) to execute various processes in the mixing device (2) or a computer readable recording medium It may be grasped as an invention. Further, the present invention may be grasped as an invention of the mixing method including the respective processing procedures to be executed in the mixing 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 in accordance with the control program. The preparation control unit 212 inputs the preparation data input from the preparation management device 1 to the second control unit 22 at the start of the mixing process based on the preparation data. Thereby, in the second control unit 22, the mixing process based on the preparation data is executed. The preparation data inputted to the second control section 22 is generated by the preparation control section 212 to execute the mixing process based on the preparation data inputted from the preparation management device 1 Or control data.

The second control unit 22 includes a mixing control unit 222. Specifically, the second control unit 22 functions as the mixed control unit 222 by executing various processes in accordance with the control program. The mixing control unit 222 controls the mixing processing unit 27 to execute the mixing process based on the mixing data.

Further, the mixing control unit 222 can display the preparation monitor screen D1 on which the progress of the mixing process is displayed on the touch panel monitor 26, and the progress of the mixing process on the preparation monitor screen D1 Is updated at any time according to the progress of the mixing process.

5 and 6 are views showing an example of the preparation monitor screen D1. Further, the preparation monitor screen D1 is displayed on the touch panel monitor 26 during execution of the mixing process or during standby.

As shown in Figs. 5 and 6, the preparation monitor screen D1 includes display areas A11 and A12 arranged on the upper and lower sides. 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 state of the mixed processing.

In the display area A11, information such as a patient ID, a patient's name, a state, and preparation time is displayed for each of the preparation data. Such conditions are classified into preparation preparation wait, preparation preparation and preparation preparation. The preparation time is a remaining prediction time until the mixing process is completed.

Specifically, the predicted time required until completion of the mixing process is set in advance for each contents of the mixing process and is stored in the storage section 12. [ The mixing control unit 222 displays the prediction time corresponding to the preparation data on the preparation monitor screen D1 based on the information stored in the storage unit 12. [ The mixing control unit 222 starts counting from the start of the mixing process and stores the remaining time up to the prediction time corresponding to the mixing process in the preparation data displayed in the display area A11 And displays them in correspondence. For the preparation data for which the mixing process is not started, the waiting time until the mixing process is started may be displayed together with the remaining estimated time until the mixing process is completed.

Further, the blending control unit 222 causes the display area A12 to display the details of the preparation data being selected in the display area A11. Then, the mixing control unit 222 updates the display content of the display area A12 in accordance with 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, the information of the medicine contained in the preparation data is displayed. When the tab D13 is selected in the display area A12, as shown in Fig. 6, information on the progress of the mixing process with respect to each of the drugs contained in the preparation data is displayed. Since the mixing process is executed by controlling the mixing process unit 27 by the second control unit 22, the mixing control unit 222 of the second control unit 22 recognizes the progress of the mixing process It is possible.

In the display area A12, operation contents and manipulated variables are displayed as contents of the mixing process for each medicine contained in the preparation data. The contents of the operation include the name of the medicine and the syringe used in the mixing process. Further, in the display area A12, progress of the mixing process is displayed for each medicine contained in the preparation data. Then, the mixing control unit 222 updates the progress of each of the drugs displayed in the display area A12 in accordance with the progress of the mixing process. For example, in the example shown in Fig. 6, it is indicated that the mixing treatment for the drugs No. 1 to No. 3 is ended, and the mixing treatment for the No. 4 drug is being performed.

It is also possible to consider that the mixing control unit 222 notifies the first control unit 21 of the progress of the mixing process at predetermined intervals. Thus, the first control unit 21 can display, on the touch panel monitor 24, a preparation monitor screen similar to the preparation monitor screen D1. It is also conceivable that the first control unit 21 acquires the progress of the mixing process from the mixing control unit 222 when the mixing monitor screen is displayed in the first control unit 21. [

For example, FIG. 7 shows an example of a preparation guide screen D2 displayed on the touch panel monitor 24 by the first control unit 21. As shown in FIG. As shown in Fig. 7, on the preparation guidance screen D2, guidance information such as preparatory work of the mixed processing performed by the medicine loading section 201 is displayed. Specifically, the preparation guide screen D2 shown in Fig. 7 is a state in which the preparation data before the preparation is read by the barcode reader 25, thereby displaying the preparation data corresponding to the identification information. In the preparation guide screen D2, a guidance message for promoting the preparation of the tray 203 corresponding to the preparation data is displayed. An operation key K2 for displaying the preparation monitor screen is displayed on the preparation guide screen D2. When the operation key K2 is operated, the first control unit 21 displays the preparation monitor screen on the touch panel monitor (not shown) based on the progress of the mixing process notified from the mixing control unit 222 24).

Incidentally, in the mixing apparatus 2, as described above, there is a case where the mixing treatment can not be performed for some kinds of medicines. On the other hand, the regimen information may include a plurality of types of medicines as medicines to be medicated. Therefore, there is a case where the mixed processing is performed by the mixing apparatus 2 for some of the drugs of the plurality of kinds of drugs included in the registration information, and the mixed processing is executed by the pharmacist for the remaining part . In this way, when mixing processing for a plurality of kinds of medicines contained in one piece of the registration information is performed in a shared manner by the mixing apparatus 2 and the pharmacist, the management of the preparation operation based on the registration information is performed It becomes complicated. On the other hand, in the preparation management device 1, the control unit 11 executes a preparation control process (see FIG. 8) described later, whereby a predetermined group unit such as all drugs contained in one of the registration information It is possible to easily carry out management of the chemical preparation work of the drug.

[Preparation control processing]

Hereinafter, the preparation control processing executed by the control section 11 in the preparation management apparatus 1 will be described with reference to the flowchart of Fig. For example, the preparation control processing is executed for each of the preparation data at the time of acquiring the preparation data or at a predetermined timing. In addition to the preparation control process, the control unit 11 also executes a prescription check process for checking the prescription data or a process for generating the preparation data based on the prescription data, but a description thereof will be omitted here.

≪ Step S51 &

In step S51, the control unit 11 determines whether or not the preparation data is an object of the preparation control processing. For example, the control unit 11 determines whether or not the regimen identification information indicating the therapy name is included in the preparation data. If it is determined that the preparation data is an object of the preparation control processing (S51: YES), the process proceeds to step S52. If it is determined that the preparation data is not an object of the preparation control process (S51: "NO"), the preparation control process ends. The processing after step S52 is executed for each group of drugs having the same register 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 described later in the second embodiment, when operation is performed in which the register information is not used when registering the preparation data in the system 5, It can be considered that the above-mentioned register identification information is not always included. Therefore, in the above-mentioned step S51, for example, when the preparation data includes chemicals such as anticancer drugs that require the mixing treatment, it may be judged that the preparation data is an object of the preparation control processing. In addition, information such as information on the type of medicine such as whether the medicine is an anticancer agent or whether or not the medicine requires the mixed treatment is contained in the medicine master stored in the memory unit 12. [ It is also conceivable that the control unit 11 specifies the registration information according to the combination of the chemicals contained in the preparation data.

≪ Step S52 &

In step S52, the control unit 11 determines whether or not to execute the mixing process by the mixing device 2, with respect to each of the chemicals contained in the preparation data. Here, this processing is executed by the first determination processing unit 113 of the control unit 11. [ Specifically, in the present embodiment, in the setting information (see FIG. 3), for each combination of the medicine and the regimen information, the mixing process of each drug contained in the registration information is performed by the mixing device 2 Whether or not it is executable is set. Therefore, in step S53, the control unit 11 determines whether or not each of the drugs included in the registration information is included in the regimen information according to the combination of the regimen information indicated by the regimen identification information included in the preparation data, It is determined whether or not the mixing process is executable.

For example, in the regimen information (see FIG. 2A) corresponding to the regimen R1, the drug M1 and the drug M2 are contained as drugs to be administered in one currency, and in the setting information (see FIG. 3) It is set that mixing treatment of the medicine M1 and the medicine M2 in the therapy R1 is possible. Thus, when the therapy name included in the preparation data is the therapy R1, it is determined that the mixing treatment of all the drugs M1 and M2 with the therapy R1 is feasible by the mixing device 2. [

3), the medicines M1 to M3 are included in the regimen information corresponding to the regimen R2 (see FIG. 2B), and the medicines M1 to M3 in the regimen R2 Is set so that it can not be executed by the mixing device 2. [ Thus, in the case where the therapy name included in the preparation data is the therapy R2, the mixing treatment of the medicine M1 and the medicine M3 can be performed by the mixing apparatus 2 with respect to the therapy R2, Is judged not to be executable by the mixing apparatus (2).

Similarly, the regimen information (see FIG. 2C) corresponding to the regimen R3 includes the drug M1, the drug M2, the drug M4, and the drug M5. In the setting information (see FIG. 3) It is set that the mixing treatment of the medicine M5 in the therapy R3 can not be performed by the mixing device 2. [ As a result, in the case where the therapy name contained in the preparation data is the therapy R3, the mixing treatment of the medicine M1, the medicine M2 and the medicine M4 can be performed by the mixing apparatus 2 with respect to the therapy R3 , It is determined that the mixing process of the medicine M5 is not executable by the mixing device 2. [

In step S52, it is determined whether or not the mixing process can be executed in the mixing device 2 for all the chemicals contained in the preparation data. On the other hand, at step S52, when it is determined that the mixing process is not executable by the mixing device 2 for at least one drug contained in the same registration information, the process proceeds to step S54 It is also possible to think about implementing. This eliminates the determination process for the medicines whose determination is unnecessary.

≪ Step S53 &

In step S53, on the basis of the determination result of step S52, the control unit 11 determines whether or not all medicines contained in the same regimen information among the medicines included in the preparation data Whether or not the mixing process is executable is determined for each of the register information. Here, this processing is executed by the second determination processing unit 114 of the control unit 11. [ That is, in step S53, whether or not the mixing process is executable by the mixing device 2 is determined by the unit of the register information. Therefore, even when a plurality of medicines having different preparation dates are included in the registration information, it is determined whether or not the mixing process of all the medicines contained in the registration information is executable by the mixing device (2). The results of the determination in 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 in accordance with whether or not all the medicines can be mixed by the mixing unit 2 in step S53. More specifically, if it is determined in step S53 that all the medicines can be mixed by the mixing device 2 (S54: Yes), the process proceeds to step S55. If it is determined in step S53 that the mixing process of some or all of the medicines can not be performed by the mixing device 2 (S54: "NO"), the control unit 11 performs the process in step S541 . Here, this processing is executed by the second determination processing unit 114 of the control unit 11. [

<Step S55>

In step S55, the control unit 11 determines whether the mixing process of all medicines is performed by the mixing device 2, with respect to the mixing data determined to be executable by the mixing device 2 Set the purpose of execution. For example, the control unit 11 sets the automatic flag indicating that the mixing process is to be performed by the mixing device 2 to ON in the preparation data stored in the storage unit 12 . It is also possible to generate the automatic preparation data for executing the mixing process by the mixing device 2 based on the preparation data and the register information and to store them in the storage section 12 as the preparation data I can think.

&Lt; Step S56 &

In step S56, the control section 11 outputs the preparation data in which it is determined that the mixing process of all medicines is executable by the mixing device 2, to the mixing device 2. Thereby, the mixing device (2) executes the mixing process at the timing of the preparation date or the like based on the preparation data. In step S56, the preparation data is set as data to be transmitted to the mixing apparatus 2, and thereafter, the control section 11 sets the preparation data May be output to the mixing device (2). Further, when a specific period is designated by the user operation on the preparation management apparatus 1 and a request for transmission of the preparation data is made, the automatic flag is turned on among the preparation data belonging to the specific period The set preparation data may be transmitted to the mixing apparatus 2. [

&Lt; Step S541 &

On the other hand, in step S541, the mixing process is performed by the mixing device 2 with respect to the preparation data in which it is determined that the mixing process of some or all of the drugs is not executable by the mixing device (2) It is set not to do. For example, the control section 11 sets the automatic flag indicating that the preparation device 2 executes the preparation data stored in the storage section 12 to OFF. It is also conceivable that the pharmacist manually generates the manual preparation data for executing the mixing process on the basis of the preparation data and the register information and stores the manual preparation data in the storage section 12 as the preparation data.

<Step S542>

In step S542, the control section 11 outputs the preparation data as print data to the printer 4, and prints the preparation data. Thus, the pharmacist executes the mixing process with reference to the printing result of the preparation data. In step S542, the manual preparation data is set as data to be subjected to the fermentation process by the pharmacist, and thereafter, the control unit 11 determines whether or not the manual processing is performed at the predetermined timing such as the preparation date, The preparation data may be output to the printer 4. In addition, when a specific period is designated by the user operation on the preparation management apparatus 1 and a request for transmission of the preparation data is made, the automatic flag of the preparation data belonging to the specific period belongs to the specific period, And the set preparation data may be transmitted to the printer 4.

As described above, in the mixed husbandry system 10, whether or not the mixed husbandry process based on the registration information is to be executed by the mixed husbandry apparatus 2 is determined according to the determination result by the first decision processing unit 113, Is judged by the second judgment processing section (114). Specifically, when the mixing process of all medicines contained in the registration information is executable by the mixing device 2, the control unit 11 performs the mixing process for all medicines contained in the registration information To the mixing device (2). On the other hand, when the mixing process is not executable by the mixing device (2) for any one of the drugs contained in the registration information, the mixing process for all the drugs contained in the registration information It is not executed by the mixing apparatus 2. Therefore, since the mixing process of the medicines contained in one of the above-mentioned registration information is not performed by sharing with the mixing device 2 and the pharmacist, management of the preparation operation based on the registration information is facilitated .

[List output processing]

Next, the list output process executed by the control unit 11 in the preparatory managing apparatus 1 will be described using the flowchart in Fig. Here, the list output process is executed according to the user operation in the preparation management device 1, or is executed at a predetermined time and date. For example, it is conceivable that the list output process is automatically executed at a preset time every day.

<Step S61>

In step S61, the control unit 11 sets a condition such as a preparation date or the like to be a list output subject to a user operation. Here, this processing is executed by the setting processing unit 115 of the control unit 11. [ For example, it is possible to set the day of the preparation, the day of the next day, or the like as the preparation date of the list output. In addition, in the step S61, it is also possible to set not only the preparation date but also conditions relating to other information such as medicine, ward, patient, taking time, or registration information as a reduction condition of the subject of the list output. It is also possible to set the medicines to be subjected to the mixing process in the mixing device 2 as an output target or to set the medicines in which the mixing process is not performed in the mixing device 2 as an output target . It is also conceivable that the step S61 is omitted and that the preparation date is the same day or the next day as a condition to be subjected to the list output, by the initial setting or the like.

&Lt; 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 of the list output target. Specifically, when the preparation date is set as the condition that the preparation date is set as the next day, the control section 11 extracts the medicine whose preparation date is the next day among the medicines contained in the preparation data, Read the result. For example, the control unit 11 reads on / off information of the automatic flag to the preparation data stored in the storage unit 12. [

&Lt; Step S63 &

Then, in step S63, the control section 11 outputs a preparation list in which the list of the medicine extracted in step S62 together with the determination result of the preparation control process is displayed. In the preparation list, any one of the medicine to be executed by the mixing apparatus (2) and the medicine to be executed manually by the pharmacist is displayed separately for each of the medicine. Further, the preparation list is not limited to the list of drugs, but may be a list of the preparation data.

Specifically, at step S63, the control unit 11 may consider printing the preparation list to the printer 4 or sending an e-mail to a mail address preset via the communication network N1 . The control unit 11 may store the preparation list in the storage unit 12 or store the preparation list on the display unit 14. [

Thereby, the user of the preparation management device 1 can easily grasp whether the subject of the mixed treatment, which is executed based on each of the preparation data that meets the above conditions, is either the mixing device 2 or the pharmacist .

In the present embodiment, a configuration for facilitating the management of the preparation work by avoiding that the preparation work of the medicine is carried out by the mixing apparatus 2 and the pharmacist in advance is explained. On the other hand, in the case where the pharmaceutical preparation work is shared by the mixing device 2 and the pharmacist, in the list output process, the control part 11 controls the mixing device 2 among the drugs included in the preparation data It is conceivable that a list of medicines to be executed can be outputted as the preparation list. For example, in the preparation control process, or after the completion of the preparation control process, in the configuration in which the execution subject of the mixing process of the medicine can be changed to either the mixing device (2) or the pharmacist, 2) and the pharmacist may carry out the preparation work of the medicine in a shared manner. It is also conceivable that the function is set to be invalid in a configuration in which the function for executing the preparation control processing can be switched between valid and invalid. This also applies to the preparation control apparatus 1 which does not have the function of executing the preparation control processing.

In this case, the control unit 11 determines whether or not the medicines in which the patient and preparation date are the same among the medicines output in the preparation list and the medicinal treatment is performed by the medicines in which other medicines are not executed by the mixing apparatus 2 , And it is conceivable to output to the preparation list that the other drug exists. Here, FIG. 10 shows a preparation list T1, which is an example of the preparation list. As shown in Fig. 10, in the preparation list T1, a list of medicines of the preparation data extracted by the list output process is displayed. The preparation list T1 includes a manual display area T2 in which the medicines contained in the same registrant information are displayed and whether or not there is another medicament that is not executed by the mixing apparatus 2 in the mixing process. It is also conceivable that whether the patient and the preparation date are the same and whether or not there is another medicament which is not executed by the mixing apparatus 2 is displayed in the manual display region T2. By referring to the preparation list T1, the pharmacist can easily recognize that the preparation work is not completed only by the mixing apparatus 2 and the pharmacist needs to carry out the mixing processing by referring to the preparation list T1. Therefore, even when the mixing apparatus 2 and the pharmacist carry out the preparation work of the medicine in a shared manner, it is possible to easily manage the preparation work. For example, when the pharmacist selects the medicines to be subjected to the mixing process as the output target of the preparation list T1, the medicines of the medicines are selected for each of the extracted medicines, It is also conceivable that the preparation date is the same and that there is another drug to be executed by the mixing device 2 of the mixing process. For each of the medicines extracted as the output target of the preparation list T1, it is possible to consider which of the mixing device 2 and the pharmacist is to be output by the executing entity of the mixing process.

[Other Embodiments]

Hereinafter, another embodiment of the compounding system 10 according to the present invention will be described. In the following other embodiments, the description of the constitution similar to that of the mixed husbandry system 10 described in the first embodiment will be omitted. It is also possible to arbitrarily combine the configurations and the respective processing functions of the first embodiment and the following other embodiments and select them.

[Second Embodiment]

In the preparation control process according to the first embodiment, all medicines contained in the same regimen information are grouped into one group, and the mixing process by the mixing device (2) is executed The case where it is judged whether or not it is possible is explained. On the other hand, in the case where, for example, the doctor selects the medicine to be administered to the patient without selecting a therapy name when the doctor registers the preparation data in the upper system 5, And a therapy for identifying the patient.

Therefore, it is conceivable that, in the preparation control process, it is judged whether or not the medicines having the same patient and preparation date are grouped and that the mixing process by the mixing device 2 is executable for the medicines in the group . Hereinafter, a case will be described in the present embodiment where the group, which is a unit for determining whether or not to carry out the mixing treatment by the mixing apparatus 2, is a group of medicines having the same patient and preparation date. Further, the group may be a group of the same medicines or a group of medicines whose preparation dates are the same.

Further, in the present embodiment, the presence or absence of use of the mixing device 2 is determined for each medicament since the presence or absence of use of the mixing device 2 is determined for each medicine having the same patient and preparation date . For example, individual preparation data corresponding to each medicine is acquired from the upper system 6 and stored in the storage section 12. [ Further, after the preparation data including the content of the mixed treatment of one or more medicines is acquired from the upper system 6, the control unit 11 divides the preparation data into individual preparation data corresponding to each medicine, Or the like.

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

The preparation control process according to the present embodiment may be executed at a predetermined timing such as at the start of the preparation service or at the end of the preparation service in a hospital or the like where the compounding device 2 is used, And is executed in accordance with a user operation on the management device 1. [ The preparation control process may be performed, for example, when a specific date (such as today or next day) designated by a user operation at the start of the preparation control process among the preparation data stored in the storage unit 12 And is carried out for each group including preparation data of the medicine corresponding to the same patient. That is, in step S52, the control unit 11 determines whether the medicines contained in the preparation data stored in the storage unit 12 are identical to the patient and the preparation date, , It is judged by the mixing apparatus 2 whether or not the mixing process can be executed.

&Lt; Step S71 &

In step S71, the control unit 11 judges whether the medicines contained in the preparation data stored and stored in the storage unit 12 are identical to the patient and the preparation date according to the determination result of the step S52, It is determined whether or not the mixing process can be performed by the mixing device 2 for all the drugs having the specific date. Here, this processing is executed by the second determination processing unit 114 of the control unit 11. [ In step S52, it is determined whether or not the mixing treatment can be performed by the mixing device 2 for each of the same medicines with the same patient and preparation date.

For example, in the regimen information corresponding to the regimen R1 (see Fig. 2A), the medicines M1 and M2 are included, and the administration dates of the medicines M1 and M2 are &quot; first day &quot; . In the setting information (see FIG. 3), it is set that the mixing process can be performed by the mixing device 2 for the medicine M1 and the medicine M2. Thus, in step S71, when the regimen identification information included in the preparation data indicates the therapy R1, all the medicines having the same preparation date for the treatment R1 are mixed in the mixing apparatus 2 It is determined to be executable.

On the other hand, the regimen information (see FIG. 2B) corresponding to the regimen R2 includes the medicines M1 to M3, and the administration dates of the medicines M1 to M3 are the same day as the first day. That is, the medicines M1 to M3 are the same medicines. However, in the above setting information (see Fig. 3), it is set that the mixing process can not be performed by the mixing device 2 with respect to the medicine M2. Thus, in the step S71, when the regimen identification information included in the preparation data indicates the therapy R2, the mixing treatment of some of the drugs having the same preparation date for the therapy R2 is performed in the mixing device It is judged that it is not executable by the control unit 2.

The regimen information (see FIG. 2C) corresponding to the regimen R3 includes the drug M1, the drug M2, the drug M4, and the drug M5. The day of administration of the drug M1 and the drug M2 is &quot; Day 1 &quot;, and the day of administration of the drug M4 and drug M5 is &quot; Day 2 and Day 5 &quot;. That is, the drug M1 and the drug M2 are the same drug, and the drug M4 and the drug M5 are the same drug. On the other hand, in the setting information (see FIG. 3), mixing treatment can be performed by the mixing device 2 with respect to the medicine M1, the medicine M2 and the medicine M4, 2) indicates that the mixing process can not be performed. Therefore, in the step S71, when the regimen identification information included in the preparation data indicates the therapy R3, the medicines M1 and M2 having the same preparation date for the treatment R3 are subjected to the mixing treatment It is determined that mixing treatment of the medicine M4 among the medicine M4 and the medicine M5 which is determined to be feasible by the mixing apparatus 2 and has the same preparation date is not feasible by the mixing apparatus 2. [

<Step S72>

In step S72, the control unit 11 branches the process depending on whether or not the mixing process of all medicines having the same patient and preparation date is determined to be executable by the mixing device 2 in step S71. Here, this processing is executed by the second determination processing unit 114 of the control unit 11. [ Specifically, when it is determined that the mixing process is executable by the mixing device 2 (S72: Yes), the process proceeds to step S55. In this case, for all medicines having the same patient and preparation date, the fact that the mixing process is performed by the mixing device 2 is set (S55), and the preparation data corresponding to each of the medicines is set in the mixing device 2 (S56). When it is determined that the mixing process is not executable by the mixing device 2 (S72: NO), the process proceeds to step S541. In this case, it is set that all the medicines having the same patient and preparation date are not executed by the mixing apparatus 2 (S541), and the preparation data corresponding to each of the medicines is set to the printer 4 And printed (S542).

As described above, in the mixed husbandry system 10 according to the present embodiment, among the drugs contained in one or a plurality of the preparation data stored in the storage unit 12, the same patient and the same preparation day are grouped into one group , And it is determined whether or not the mixing process is executable by the mixing device (2). And, for the medicines which can be executed by the mixing device 2, the mixing process of all the medicines in the group is executed by the mixing device 2. On the other hand, when there is a drug that can not be executed by the mixing device 2 among the same medicines having the same patient and preparation date, the mixing process of all the medicines in the group is performed in the mixing device 2 Lt; / RTI &gt; That is, in the case where a plurality of drugs having the same patient and preparation day are present, if the mixing treatment of at least one of the drugs is not feasible by the mixing device 2, The mixing treatment of the medicine is performed by the pharmacist. Therefore, since the mixing treatment of the same medicine with the patient and the preparation date is not carried out by sharing with the mixing apparatus 2 and the pharmacist, it is easy to manage the preparation work of the medicine with the same patient and preparation date.

Further, in the mixed husbandry system 10 according to the first embodiment, unless all the mixed husbandry processing to be performed based on the registration information can be executed by the mixed husbandry apparatus 2, Is not executed by the mixing apparatus (2). However, in the mixed husbandry system 10 according to the second embodiment, whether or not to carry out the mixed husbandry processing by the mixed husbandry apparatus 2 is determined in units of the preparation day. Therefore, for example, even when a medicament contained in one of the regimen information or the preparation data includes a medicament which can not be subjected to the mixing treatment by the mixing apparatus 2, The mixing treatment may be carried out by the mixing device 2 for other medicines different in work. Therefore, it is possible to reduce the number of the fermentation processes performed by the pharmacist compared to the fermentation system 10 according to the first embodiment.

Further, in the present embodiment, the preparation control process (see Fig. 11) is executed on the preparation data including the drug to be prepared on the preparation date of the preparation data on the day or the day before the preparation day. On the other hand, it is also conceivable that the preparation control process (see FIG. 11) is executed individually for all the preparation dates contained in the preparation data at a preset timing such as, for example, when the preparation data is acquired.

11) described in the second embodiment and the first determination mode in which the control unit 11 executes the preparation control process (see Fig. 8) described in the first embodiment It is also conceivable that the second judgment mode for executing the judgment 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 accordance with a user operation. That is, the control unit 11 is a group that is a unit for determining whether to execute the mixing process by the mixing device 2, and the group of drugs contained in the same register information is the same as the patient and preparation date A group of drugs can be selected. Here, the setting processing unit 115 when executing such processing is an example of the second setting processing unit. Thereby, it is possible to flexibly cope with the operation corresponding to each user, and the versatility of the preparation management device 1 is enhanced.

It is also possible that the control section 11 automatically switches between the first determination mode and the second determination mode according to a preset switching condition. Specifically, it is also conceivable that information on which of the first judgment mode and the second judgment mode is to be executed is stored in the memory unit 12 for each kind of the register information. The control unit 11 may automatically switch between the first determination mode and the second determination mode according to the type of the register information. Thus, for example, it is possible to execute the second judgment mode for the regimen information including medicines which require particular attention, among the regimen information. It is also possible that the information on which of the first judgment mode and the second judgment mode is to be executed is stored in the memory unit 12 for each patient corresponding to the preparation data, It is also conceivable that the first judgment mode and the second judgment mode are switched.

[Third embodiment]

In the mixing device 2, after the execution of the injection process in which the medicine sucked from the chemical container 31 is injected into the liquid bag 32 by using the injector 33 in the mixing process, The needle of the syringe 33 is removed from the liquid bag 32. Here, when the medicine is viscous, the medicament tends to remain on the needle tip of the needle after injection of the medicine into the bag. As a result, there is a risk that the medicines are squeezed from the needles missing from the liquid bag 32 and dropped in the mixing device 2. [ For example, paclitaxel is known as a viscous drug. On the other hand, in the present embodiment, the configuration of the mixing device 2 capable of suppressing the dripping of the medicine from the injection needle and suppressing the contamination in the mixing device 2 will be described.

The mixing control unit 222 of the second control unit 22 controls the second robot arm 272 after the completion of the injection step so that air of a predetermined suction amount is supplied to the syringe 33 Thereby performing an intake process. More specifically, when the injection process is completed, the mixing control unit 222 moves the tip of the needle to the air layer in the bag 32, pulls the plunger of the syringe 33, To the syringe of the syringe (33). The inclination of the liquid bag 32 is controlled in a direction in which the position of the liquid bag 32 approaches the vertically upward direction of the liquid bag 32, The posture of the syringe 33 is controlled in accordance with posture deformation. As a result, the tip of the needle is moved to a position in the vicinity of the home port, and the needle is positioned in the air layer in the bag (32). When the tip of the needle is already located in the air layer in the bag 32, the suction amount of air is sucked by the injector 33 as it is.

Thus, in the syringe (33), the medicine in the syringe and the medicine likely to be attached to the tip of the syringe needle are sucked into the syringe, and the drop of the medicine from the tip of the syringe is suppressed. Also, the air sucked into the syringe of the syringe 33 remains in the syringe until the waste accommodating portion lid 276 is opened and the syringe 33 is discarded in the garbage can. It is also conceivable to allow the air to be discharged from the syringe 33 in a state in which the tip of the syringe needle is vertically upwardly directed in the posture of the syringe 33 during the mixing treatment.

However, the speed at which the medicine remaining at the tip of the needle moves into the syringe together with the air as the plunger is pulled is different according to the viscosity of the medicine. That is, the higher the viscosity, the slower the rate at which the drug is drawn, so that the amount of manipulation of the plunger required to draw a highly viscous drug from the tip of the needle into the syringe is greater than that of the drug with low viscosity.

Therefore, it is conceivable that the mixing control unit 222 adjusts the amount of aspiration to be increased as the viscosity of the medicine injected in the injection step is higher. Concretely, it is conceivable that, in the storage section 221, the suction amount or the suction time of air sucked after the injection stroke is stored with the suction information corresponding to each of the chemicals. Thus, the mixing control unit 222 can control the suction amount or the suction time of the air by the syringe 33 based on the medicine injected in the injection step and the intake information. The suction amount or the suction time may be previously set as a value that can be sucked into the syringe from the tip of the syringe needle, that is, a value that is difficult to elongate from the tip of the syringe needle, considering the high viscosity of each of the drugs . It is also conceivable that the intake information is included in the drug master in which the information of each drug is registered.

Further, in the above-described intake information, index information that is an index of the suction amount or the suction time may be stored in association with each of the drugs. For example, the suction amount information is the presence or absence of a viscosity of the medicine or the viscosity of the medicine. Accordingly, in the case of the medicine having viscosity based on the medicine injected in the injection step and the intake information, the mixing control unit 222 can control the amount of the suction to be larger than that of the medicine having no viscosity. In addition, in the case of a drug whose viscosity is equal to or higher than a predetermined viscosity threshold based on the medicine injected in the injection step and the intake information, the mixing control unit 222 controls the intake amount to be larger than the drug whose viscosity is lower than the viscosity threshold value It is possible to do. It is also conceivable that the mixing control unit 222 calculates the suction amount based on a predetermined arithmetic expression using the viscosity.

In the present embodiment, the injection process in which the medicine is injected from the injector 33 into the liquid bag 32 has been described as an example, but the present invention is not limited thereto. That is, after the medicines are sucked in the syringe of the syringe 33 or after the medicines are discharged from the syringe of the syringe 33 in the mixing process, , The air intake process for introducing air into the syringe may be executed. For example, after the medicament is sucked from the chemical container 31 by the syringe 33, the mixing control unit 222 starts the movement of the syringe 33 toward the liquid bag 32 It is conceivable to execute the intake process of sucking air into the syringe 33 by controlling the second robot arm 272 in advance. Thus, dropping of the medicine during the movement of the syringe 33 is suppressed.

1: Preparation control device
11:
2: Mixing device
21:
24: Touch panel monitor
26: Touch panel monitor
27:
271: first robot arm
272: second robot arm
3: dispensing equipment
4: Printer
5: Upper system
10: Mixed system

Claims (14)

A first judgment processing section for judging whether or not the mixing process of injecting the medicine of the first medicine container into the second medicine container is capable of executing the mixing process of the medicine contained in the preset group,
A second determination processing unit for determining whether to execute the mixing process of all the chemicals included in the group by the mixing apparatus according to the determination result by the first determination processing unit,
And a control unit for controlling the apparatus. The method according to claim 1,
The group may be any of the drugs included in the same registry information, the patient and the drug of the same preparation day, the same drug of the patient, the same drug as the preparation date, the drug contained in the same prescription data, A group, a dispensing device. 3. The method according to claim 1 or 2,
Wherein the group is a group of drugs included in the same register information,
Wherein the first judgment processing section judges whether or not the mixing process of the medicines contained in the registration information is performed on the basis of the setting information and the regimen information which are predetermined by the medicament capable of executing the mixing process by the mixing device And determines whether or not it is executable. The method of claim 3,
And a first setting processor capable of setting, as the setting information, whether or not the mixing process of the medicine is executable by the mixing device for each combination of the medicine and the register information,
Wherein the first determination processing section determines whether the mixing process of the medicine included in the registration information is executable by the mixing apparatus according to a combination of the medicine and the registration information. 5. The method according to any one of claims 1 to 4,
And the second determination processing unit executes the mixing processing of all the chemicals included in the group by the mixing apparatus when it is determined that the mixing processing of all the chemicals included in the group is executable by the mixing apparatus , Dispenser management device. 6. The method according to any one of claims 1 to 5,
Further comprising a second setting processing unit capable of selecting, as the group, a group of drugs included in the same register information, and a group of drugs having the same patient and preparation date. 7. A mixing device comprising the preparation management device according to any one of claims 1 to 6 and a mixing processor for executing the mixing process. A mixing processing unit for sucking the medicine from the first medicine container by a syringe and executing a mixing process for injecting the medicine into the second medicine container from the syringe,
Wherein in the mixing treatment, after the end of the injection step of injecting the medicine into the second medicine container by the syringe, an intake process of sucking a predetermined amount of sucking air from the second medicine container into the syringe is executed [0033]
. 9. The method of claim 8,
Wherein the mixing control unit executes the intake processing on condition that the medicine injected by the injection step is a predetermined medicine. 10. The method according to claim 8 or 9,
Wherein the mixing control unit changes the amount of air sucked in accordance with the type of the medicine injected by the injecting step. 11. The method of claim 10,
Wherein the mixing control unit is configured to increase the suction amount of air in the intake process as the viscosity of the chemical increases as the viscosity of the chemical corresponding to the type of the chemical or the suction amount of air is set, . A mixing processing unit for sucking the medicine from the first medicine container by a syringe and executing a mixing process for injecting the medicine into the second medicine container from the syringe,
A mixing control unit that controls the operation of the mixing unit and displays the progress of the mixing process on the display unit,
. 13. The method of claim 12,
Wherein the mixing control unit is capable of displaying progress of the mixing process for each medicine contained in the preparation data. The method according to claim 12 or 13,
Further comprising a preparation control unit for inputting the preparation data to the mixing control unit,
The mixing control section can notify the preparation control section of the progress of the mixing process,
Wherein the preparation control unit is capable of displaying progress of the mixing process notified from the mixing control unit.

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