WO2021210516A1 - 薬剤排出装置及び薬剤排出装置の制御方法 - Google Patents

薬剤排出装置及び薬剤排出装置の制御方法 Download PDF

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Publication number
WO2021210516A1
WO2021210516A1 PCT/JP2021/015095 JP2021015095W WO2021210516A1 WO 2021210516 A1 WO2021210516 A1 WO 2021210516A1 JP 2021015095 W JP2021015095 W JP 2021015095W WO 2021210516 A1 WO2021210516 A1 WO 2021210516A1
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WO
WIPO (PCT)
Prior art keywords
drug
hand
recess
recesses
drugs
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2021/015095
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English (en)
French (fr)
Japanese (ja)
Inventor
小池　直樹
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Yuyama Manufacturing Co Ltd
Original Assignee
Yuyama Manufacturing Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Yuyama Manufacturing Co Ltd filed Critical Yuyama Manufacturing Co Ltd
Priority to US17/996,026 priority Critical patent/US12195220B2/en
Priority to KR1020227033941A priority patent/KR20230002348A/ko
Priority to JP2022515359A priority patent/JP7595247B2/ja
Priority to EP21788433.7A priority patent/EP4137416A4/en
Priority to CN202180024495.XA priority patent/CN115361933A/zh
Priority to TW110113719A priority patent/TWI901670B/zh
Publication of WO2021210516A1 publication Critical patent/WO2021210516A1/ja
Anticipated expiration legal-status Critical
Priority to JP2024203827A priority patent/JP2025026986A/ja
Priority to US18/970,080 priority patent/US20250100724A1/en
Ceased legal-status Critical Current

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Classifications

    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B5/00—Packaging individual articles in containers or receptacles, e.g. bags, sacks, boxes, cartons, cans, jars
    • B65B5/10—Filling containers or receptacles progressively or in stages by introducing successive articles, or layers of articles
    • B65B5/101—Filling containers or receptacles progressively or in stages by introducing successive articles, or layers of articles by gravity
    • B65B5/103—Filling containers or receptacles progressively or in stages by introducing successive articles, or layers of articles by gravity for packaging pills or tablets
    • G—PHYSICS
    • G07—CHECKING-DEVICES
    • G07F—COIN-FREED OR LIKE APPARATUS
    • G07F17/00—Coin-freed apparatus for hiring articles; Coin-freed facilities or services
    • G07F17/0092—Coin-freed apparatus for hiring articles; Coin-freed facilities or services for assembling and dispensing of pharmaceutical articles
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B57/00—Automatic control, checking, warning, or safety devices
    • B65B57/10—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B57/00—Automatic control, checking, warning, or safety devices
    • B65B57/10—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged
    • B65B57/12—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged and operating to control, or stop, the feed of wrapping materials, containers, or packages
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B57/00—Automatic control, checking, warning, or safety devices
    • B65B57/10—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged
    • B65B57/14—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged and operating to control, or stop, the feed of articles or material to be packaged
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B57/00—Automatic control, checking, warning, or safety devices
    • B65B57/10—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged
    • B65B57/16—Automatic control, checking, warning, or safety devices responsive to absence, presence, abnormal feed, or misplacement of articles or materials to be packaged and operating to stop, or to control the speed of, the machine as a whole
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B59/00—Arrangements to enable machines to handle articles of different sizes, to produce packages of different sizes, to vary the contents of packages, to handle different types of packaging material, or to give access for cleaning or maintenance purposes
    • B65B59/02—Arrangements to enable adjustments to be made while the machine is running
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B9/00—Enclosing successive articles, or quantities of material, e.g. liquids or semiliquids, in flat, folded, or tubular webs of flexible sheet material; Subdividing filled flexible tubes to form packages
    • B65B9/06—Enclosing successive articles, or quantities of material, in a longitudinally-folded web, or in a web folded into a tube about the articles or quantities of material placed upon it
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65G—TRANSPORT OR STORAGE DEVICES, e.g. CONVEYORS FOR LOADING OR TIPPING, SHOP CONVEYOR SYSTEMS OR PNEUMATIC TUBE CONVEYORS
    • B65G1/00—Storing articles, individually or in orderly arrangement, in warehouses or magazines
    • B65G1/02—Storage devices
    • B65G1/04—Storage devices mechanical
    • B65G1/137—Storage devices mechanical with arrangements or automatic control means for selecting which articles are to be removed
    • B65G1/1373—Storage devices mechanical with arrangements or automatic control means for selecting which articles are to be removed for fulfilling orders in warehouses
    • B65G1/1376—Storage devices mechanical with arrangements or automatic control means for selecting which articles are to be removed for fulfilling orders in warehouses the orders being assembled on a commissioning conveyor
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • G16H20/13—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients delivered from dispensers
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/63—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for local operation
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65B—MACHINES, APPARATUS OR DEVICES FOR, OR METHODS OF, PACKAGING ARTICLES OR MATERIALS; UNPACKING
    • B65B2230/00—Aspects of the final package
    • B65B2230/02—Containers having separate compartments isolated from one another
    • G—PHYSICS
    • G06—COMPUTING OR CALCULATING; COUNTING
    • G06V—IMAGE OR VIDEO RECOGNITION OR UNDERSTANDING
    • G06V20/00—Scenes; Scene-specific elements
    • G06V20/60—Type of objects

Definitions

  • the present invention is referred to as a hand-spreading device, and relates to a drug discharging device that discharges a solid drug to a packaging device or the like on the downstream side.
  • the present invention also relates to a method for controlling a drug discharge device.
  • a drug packaging device for packaging solid drugs such as tablets and capsules one by one is known (Patent Document 1).
  • the drug packaging device includes a drug storage unit provided with a plurality of drug feeders and a drug packaging unit for packaging the drug.
  • a drug cassette filled with tablets or the like is attached to the drug feeder.
  • the tablets stored in the drug cassette are taken out one by one by the drug feeder, the tablets are sent to the drug packaging section, and the tablets are packaged one by one with wrapping paper or the like.
  • hand-spreading means that a predetermined tablet or the like is injected one by one by a finger or a robot without using a drug feeder and sent to a drug packaging section for packaging.
  • FIG. 28 is a perspective view of the hand-spreading device adopted in the drug packaging device disclosed in Patent Document 2.
  • the hand-spraying device 100 disclosed in Patent Document 2 includes a hand-spreading member 102 and a split box unit 103.
  • the split box unit 103 is arranged in a main body (not shown). Further, the hand-spraying member 102 is attached so that it can be manually slid with respect to a main body (not shown).
  • the hand-spraying member 102 is a plate-like body in which recesses are provided in a vertical and horizontal matrix. Further, the split box unit 103 is provided with box portions in a vertical and horizontal matrix.
  • the arrangement of the box portions of the split box unit 103 corresponds to the arrangement of the recesses of the hand-spreading member 102.
  • the hand-spraying member 102 is detachably attached to the drawer frame 101.
  • the hand-spraying member 102 is pulled out from the main body together with the drawer frame 101. Then, the tablet is put into the recess of the hand-spreading member 102 with a finger. After that, the hand-spreading member 102 is inserted into the main body of the drug packaging device (not shown).
  • the hand-spraying member 102 is located above the split box unit 103 when it is inserted into the main body. Then, the bottom of each recess of the hand-spreading member 102 is opened, and the tablets in each recess are put into the box of the split box unit 103. After that, the bottom of the split box unit 103 is sequentially opened, and the tablets are sent one by one to the drug packaging unit 105 provided at the bottom and packaged.
  • the order in which the basin portions of the split basin unit 103 are opened is determined, and the basin portions of the split basin unit 103 are opened one by one from the end.
  • the pharmacist will take the hand-spreading member 102.
  • the morning medicine A in the recesses in the 1st row and 1st column put the daytime medicine B in the recesses in the 1st row and 2nd column, put the night medicine C in the recesses in the 1st row, and then put the medicine C for the night.
  • the drugs are discharged to the packaging section on the downstream side in the order of injection, and each dose is sequentially packaged.
  • the drug package to be taken by the patient a is discharged from the drug discharge device in the order of the time of administration such as morning, noon, and night.
  • the hand-spraying device 100 of the prior art needs to be put into the recesses of the hand-spreading member 102 in the order in which the chemicals should be packaged, which is a careful work. Therefore, the mental burden on the pharmacist was great.
  • the drug package for a plurality of patients should be sorted according to the time of administration. For example, if there are three patients housed in the facility, patient a, patient b, and patient c, the three patients take the medicines in the morning together to form a morning set, and the three patients take it in the afternoon. The medicines to be taken are grouped together to form a daytime set, and the drugs taken by the three patients at night are grouped together to form a nighttime set, which is then carried to the nursing facility. For example, as shown in FIG.
  • the medicines prescribed for the patient a, the patient b, and the patient c are put into one hand-spreading member 102 and discharged individually.
  • the pharmacist puts the drug A for the morning patient a in the recess of the hand-spraying member 102 in the first row and the first column, and the drug B for the patient b in the morning in the subsequent recess in the first row and the second column.
  • An embodiment for solving the above-mentioned problems is a hand-spraying member provided with a plurality of recesses for sprinkling a solid drug, and a drug sprinkled in the recesses downstream directly or by interposing another member.
  • the discharge means can individually discharge the drug corresponding to the arbitrary recess, and the control device. Allocates the same drug to the recesses in adjacent areas based on prescribing information, including information on the drug to be provided to multiple or one patient, and the discharging means discharges the drugs in a predetermined order. It is a drug discharge device.
  • drugs prescribed to multiple patients often contain the same drug.
  • a drug that stabilizes blood pressure or triglyceride is used for patients admitted to a geriatric care facility. Lowering drugs are often prescribed, and these drugs are often the same.
  • the present invention has focused on this fact and allocates the same drug to recesses in adjacent areas based on prescribing information, including information on the drug to be provided to multiple or one patient. According to this aspect, since the same drug can be concentratedly sprinkled on a cohesive area of the hand-spraying member, the work is simple and the burden on the pharmacist is reduced.
  • the discharging means can individually discharge the medicines corresponding to the arbitrary recesses, and can discharge the medicines in a predetermined order to form a desired medicine set. For example, make a morning set of drugs that three patients take in the morning, make a daytime set of drugs that three patients take in the daytime, and make a group of drugs that three patients take at night. You can make a night set.
  • one or more drugs for one dose are sprinkled into the recess, and the drug for one dose is one or more kinds of drugs, and the type and number of drugs are different. It is desirable that the same be assigned to the recesses in adjacent areas.
  • the display means has a display means, and the display means can display a simulated chart imitating the arrangement of the recesses, and the agent to be sprinkled on the same screen as the simulated chart and / or the simulated chart. It is desirable that information related to is displayed.
  • coloring or a figure can be considered as the mark.
  • the same drug is color-coded for each area in which the same drug is placed.
  • the hand-spraying member has an instruction means for instructing a recess in which the drug should be put.
  • a divider is arranged below the hand-spreading member, the divider has a temporary accommodating member and a bottom constituent member, the temporary accommodating member has a basin portion, and the basin portion has a basin portion.
  • the bottom side of the hand-spraying member corresponds to the recess, and the bottom component can open and close a specific portion to form a drop opening.
  • the bottom component is capable of relative movement, and at least one of the temporary accommodating member and the bottom component is moved so that a specific box portion is formed at a position where the drop opening of the bottom component is formed. It is desirable to be able to move to.
  • a divider is arranged below the hand-spraying member, and the temporary accommodating portion of the splitting device has a box portion corresponding to a recess of the hand-spreading member.
  • the drug sprinkled on the hand-spreading member is once transferred to the lower divider, and then the basin of the divider is opened one by one to discharge the drug.
  • the divider is provided with a temporary accommodating member constituting the basin portion and a bottom constituent member.
  • the bottom side of the box portion is open, but the bottom side of each box portion is sealed with a bottom component member.
  • the bottom component can open and close a specific portion to open a drop opening.
  • the temporary accommodating portion and the bottom constituent member can be relatively moved, and either the temporary accommodating portion or the bottom constituent member is moved to move the specific box portion to the bottom constituent member.
  • the drop opening can be moved to a position where the drop opening can be formed, the bottom of a specific box portion can be opened, and the drug can be discharged from the specific box portion.
  • the recess of the hand-spraying member has an opening on the bottom side, and there is a bottom component under the hand-spreading member, and the bottom component can open and close a specific portion to form a drop opening.
  • the hand-spraying member and the bottom constituent member can be moved relative to each other, and at least one of the hand-spreading member and the bottom constituent member is moved so that a specific recess is formed in the bottom constituent member.
  • a mode in which the drop opening can be moved to a position where the drop opening is formed is also conceivable.
  • the bottom component has a fully closed area and an openable area, and the openable area is formed by arranging moving floor members having a narrow flat surface, and the moving floor member is formed. It is desirable that the moving floor member can be translated individually and the moving floor member is moved in parallel to form the drop opening between the entire closed region and the moving floor member.
  • the divider that adopts this aspect has a simple structure and a small overall shape.
  • a hand-spraying member having a plurality of recesses for sprinkling a solid drug, and the drug sprinkled into the recesses directly or by interposing another member.
  • a drug discharge device having a discharge means for discharging the drug to the downstream side, one or a plurality of drugs, which are for one dose, are sprinkled in the recesses, and the recesses to be sprinkled based on the type of the drug are provided.
  • a drug discharge device provided with a recess determining means for determining and a guiding means for guiding the determined recess.
  • the "guidance means” includes a simulated chart imitating the arrangement of the recesses displayed on the display means, and an instruction means provided on the hand-spraying member to indicate the recesses into which the drug should be placed.
  • the recess in which the drug should be sprinkled is determined by the recess determining means. A worker such as a pharmacist can put a drug into a predetermined recess while referring to the guidance means.
  • a hand-spraying member having a plurality of drug feeders, a plurality of recesses for sprinkling a solid drug, and a drug sprinkled in the recesses directly.
  • the drug feeder has a discharge means for discharging the drug to the downstream side with another member interposed therebetween, and the drug feeder is equipped with a drug cassette capable of filling a plurality of drugs, and the drug feeder discharges the drug from the drug cassette.
  • the drug discharge device one or more drugs, which are for one dose, are sprinkled into the recess to distinguish between a drug that can be discharged from the drug feeder and a drug that cannot be discharged.
  • a drug discharge device provided with a recess determining means for determining a recess to be sprinkled based on the type of the drug when the non-dischargeable drug is discharged through the hand-spraying member.
  • the drug discharge device of this embodiment has a plurality of drug feeders and a hand-spreading member, and the drug is discharged mainly using the drug feeder.
  • the drug that cannot be discharged from the drug feeder is discharged through the hand-spraying member, and at that time, the recess to be sprinkled is determined based on the type of the drug.
  • the drug packaging device is composed of any of the above-mentioned drug discharging devices and a packaging device for packaging the drugs discharged from the drug discharging device.
  • An aspect of the method is a hand-spraying member provided with a plurality of recesses for sprinkling a solid drug, and a discharging means for discharging the drug sprinkled into the recesses directly or by interposing another member to the downstream side.
  • the control method of the drug discharge device having the It is a control method of a drug discharge device that discharges a drug in the order of taking the drug.
  • the same drug can be concentratedly sprinkled on a cohesive area, so that the mental burden on the pharmacist is reduced.
  • the same drug can be concentratedly sprinkled on a cohesive area, so that there is an effect of reducing the complexity of sprinkling the drug into the hand-spreading device. Further, according to the drug discharge device, the recess for sprinkling the drug is easy to understand, and there is an effect that mistakes can be reduced.
  • FIG. 5 is a perspective view of the insertion port of the main body of the drug packaging device of FIG. 1 and the hand-spraying member as viewed diagonally from the front.
  • It is a block diagram of the control device which controls a hand-spreading device (drug discharge device).
  • It is a display screen view which shows an example of the display screen of the display device of the drug packaging device of FIG. The allocation status when taking each dose is shown.
  • It is explanatory drawing which shows the outline of the prescription of a patient.
  • a hand-spraying member (a) shows a preparatory stage, (b) is a plan view of a hand-spreading member when sprinkling drug A, and (c) is a plan view of a hand-spreading member. It is a plan view of the hand-spraying member, and (d) is an enlarged view of a concave portion. It is a perspective view of the hand-spreading device (drug discharge device). It is a perspective view of the hand-spreading device of FIG. 7, and is shown separately from the hand-spreading member and the divider. (A) is an exploded perspective view of the divider of FIG.
  • FIG. 7 is a cross-sectional view of a temporary accommodating member.
  • A) is a plan view of the hand-spreading device in a state where the hand-spreading member is omitted
  • (b) is a cross-sectional view taken along the line AA.
  • a step of the operation when discharging the drug in the box portion of the temporary accommodating member No. 1 is shown
  • FIG. (B) is a cross-sectional view taken along the line AA.
  • the operation for discharging the drug in the box portion of the temporary accommodating member No. 1 and following the steps shown in FIG. 11 is shown.
  • FIG. It is a plan view
  • (b) is a cross-sectional view taken along the line AA.
  • FIG. (B) is a cross-sectional view taken along the line AA.
  • the allocation status when taking each dose is shown.
  • It is a display screen view which shows an example of the display screen of the display device of the drug packaging device of FIG. Shows the allocation status when taking.
  • FIG. (a) is a normal display
  • (b) is a patient-specific display sorted by patient
  • (c) is a confirmation display that displays before and after a specific location. ..
  • the divider of the hand-spreading member adopted in another embodiment of the present invention is shown.
  • FIG. (C) is a perspective view of the opening / closing mechanism portion and shows a state in which the clutch is engaged.
  • FIG. 20 The relationship between the box portion of the temporary accommodating member of the divider shown in FIG. 20 and the opening / closing mechanism portion is shown, (a) shows a state in which the bottom of the box portion is closed, and (b) is a state of the box portion. Indicates that the bottom is open.
  • a divider of a hand-spreading member adopted in still another embodiment of the present invention is shown, (a) is a perspective view of an opening / closing mechanism portion, and (b), (c), and (d) are an opening / closing mechanism portion. It is explanatory drawing which shows the operation of.
  • a divider of a hand-spreading member adopted in still another embodiment of the present invention is shown, (a) is an exploded perspective view thereof, and (b) and (c) are explanatory views showing the operation of the opening / closing mechanism portion.
  • It is a temporary accommodating member of a hand-spreading member divider adopted in still another embodiment of the present invention, (a) shows a state before inserting a closing plate into a main body, and (b) is a main body. The state where the closing plate is inserted in the part is shown.
  • (A) is an enlarged view of the medication calendar and the drug accommodating portion
  • (b) is a perspective view of the cleaning tool and the drug accommodating portion, showing a state before the cleaning tool is inserted into the drug accommodating portion.
  • c) is a perspective view of the cleaning tool and the drug accommodating portion, and shows a state when the cleaning tool is inserted into the drug accommodating portion for cleaning.
  • the drug packaging device 1 of the present embodiment has an outer shape as shown in FIG.
  • the drug packaging device 1 is roughly divided into a tablet supply section 2, a hand-spreading section 3, a powder supply section 5, and a drug packaging section 6.
  • the hand-spreading unit 3 has a built-in hand-spreading device (drug discharge device) 10.
  • the tablet supply unit 2 occupies the upper half of the drug packaging device 1.
  • the tablet supply unit 2 is composed of a drug shelf 8 in which a large amount of various types of solid drugs such as capsules and tablets (hereinafter, may be simply referred to as tablets) and a large amount of tablets are stored, and a tablet transportation channel 9. Has been done.
  • a large number of drug feeders (not shown) are built in the drug shelf portion 8.
  • a drug cassette (not shown) is attached to each drug feeder.
  • a large number of tablets are stored in the drug cassette, and the tablets are discharged one by one from the drug cassette.
  • the discharged tablets are sent to the drug packaging unit 6 and packaged in sachets for each dose.
  • the powder supply unit 5 and the drug packaging unit 6 occupy the lower half of the drug packaging device 1, and both are built in the parts.
  • the powder powder scraped out from the powder supply unit 5 is also packaged in the same manner as tablets and the like.
  • the drug packaging device 1 is provided with a display device 11.
  • the display device (guidance means) 11 is a known touch panel or the like, and has a display screen 12.
  • the hand-spreading device 10 is composed of a hand-spreading member 15 and a divider 16.
  • the hand-spraying member 15 is a member having a plate-like shape as a whole, and recesses 20 are arranged in a matrix.
  • Each recess 20 has a bottom (not shown). The bottom can be opened and closed, and as will be described later, the bottom can be opened to transfer the drug in the recess 20 to the lower divider 16.
  • each recess 20 of the hand-spreading member 15 is provided with an indicator light (instruction means guiding means) 22 so that the specific recess 20 can be illuminated and conspicuous.
  • the divider 16 is a member provided with a large number of box portions 30 as in the recess 20 of the hand-spraying member 15 described above.
  • the layout, that is, the number and arrangement of the box portions 30 provided in the divider 16 is the same as the layout of the recesses 20 of the hand-spreading member 15 described above, and the box portion 30 of the divider 16 is the hand-spreading member 15. It has a one-to-one correspondence with the recess 20.
  • the divider 16 can open the box portion 30 at an arbitrary position in any order.
  • the divider 16 is a discharging means, and can individually discharge the medicine corresponding to the arbitrary recess.
  • a collecting hopper 28 is provided below the divider (discharging means) 16.
  • the end portion of the collecting hopper 28 communicates with the passage leading to the drug packaging portion 6 described above.
  • the divider 16 of the hand-spreading device (drug discharge device) 10 is housed in the main body portion of the drug packaging device 1.
  • the hand-spraying member 15 has a drawer-like structure and enters and exits from the main body of the drug packaging device 1.
  • the hand-spreading member 15 When the hand-spreading member 15 is housed in the main body of the drug packaging device 1, the hand-spreading member 15 reaches a position directly above the divider 16 as shown in FIG. 7, and all the bottoms of the recesses 20 are opened to enter the recesses 20.
  • the drug is transferred to the box portion 30 of the divider 16.
  • control device 40 executes control of allocating the same drug to recesses in adjacent regions based on prescription information including information on the drug to be provided to a plurality of or one patient.
  • the control device 40 functions as a recess determining means for determining the recess 20 to be sprinkled based on the type of the drug.
  • the control device 40 has a function of distinguishing between a drug that can be discharged from the drug feeder and a drug that cannot be discharged. These functions are realized by a sorting program.
  • the control device 40 has a known CPU, memory, and the like, and a sorting program is built in the memory. Further, the control device 40 has a prescription information input unit. An external server is connected to the control device 40. In this embodiment, prescription information is input from the server. Prescribing information includes information regarding the type and quantity of drug required. In addition, the prescription information includes other information such as quantity and timing of administration. A display device 11, a divider 16, and an indicator light 22 of a hand-spreading member 15 are connected to the output side of the control device.
  • the sorting program is a program that refers to the prescription information of a plurality of patients, and if there is a common drug, puts it together to form one set.
  • the prescription information includes the type of drug, the amount of the drug, the timing of administration, the method of administration, and the like.
  • the drugs that need to be hand-sprayed are selected from the drugs included in the prescription information, and the information on the drugs is referred to.
  • the type of drug that needs to be hand-sprayed, the dose, the timing of administration, and the like are referred to. That is, the drugs included in the prescription information include solid drugs, powdered drugs, and ointments.
  • solid drugs include those that are actually stored in the tablet supply unit 2 and can be discharged from the drug feeder, and those that are not stored in the tablet supply unit 2.
  • the concept of prescription information also includes what is referred to as dispensing information processed for dispensing.
  • the sorting program at least, refers to information on solid drugs that are not actually stored in the tablet supply unit 2 and should be discharged using the hand-spreading device 10, and if there are common drugs, this. It is a program that puts together to make one set.
  • the box portion 30 in which the set of drugs should be housed is collectively assigned to one area.
  • the box portion 30 of the divider 16 has a one-to-one correspondence with the recess 20 of the hand-spreading member 15. Therefore, when the drug is allocated to the box portion 30 of the divider 16, it is substantially.
  • a recess 20 (hand-spreading member 15) into which each drug is sprinkled is assigned. That is, the sorting program is a program that determines the recess 20 to be sprinkled based on the type of the drug.
  • a simulated chart (guidance means) 18 imitating the hand-spreading member 15 is displayed on the display screen 12 of the display device 11, and the assigned result is shown.
  • each type of drug is color-coded, and the drugs to be sprinkled in the area are displayed as, for example, A, B, and C.
  • the indicator light (guidance means) 22 of the hand-spraying member 15 is turned on to indicate the recess 20 into which the specific drug should be sprinkled.
  • the drug packaging device 1 of the present embodiment can discharge necessary drugs based on prescription information input from the outside, package each dose, and discharge the necessary drugs.
  • the drug packaging device 1 of the present embodiment has the following three types of patterns for packaging each dose. (1) Only the medicine discharged by the tablet supply unit 2 is packaged for each dose. (2) Only the medicine discharged by the hand-spreading device 10 is packaged for each dose. (3) The medicines discharged from the tablet supply unit 2 and the hand-spreading device 10 are combined and packaged for each dose.
  • the prescription information contains a drug that is not stored in the tablet supply unit 2, it is sent from the hand-spreading device 10 to the drug packaging unit 6 and packaged.
  • the drug packaging device 1 of the present embodiment distinguishes between a drug that can be discharged from the drug feeder and a drug that cannot be discharged, and the drug that is not stored in the tablet supply unit 2 and cannot be discharged from the drug feeder is a hand-spreading device 10. Is discharged from.
  • a worker such as a pharmacist refers to the simulated chart 18 displayed on the display device 11 and the indicator light 22 of the hand-spraying member 15, and puts a specific drug in the recess 20 belonging to a predetermined area of the hand-spreading member 15. put in. Then, when it is time to discharge the specific drug, any one of the box portions 30 belonging to the area where the drug is grouped is opened, and the drug is discharged from the opened box portion 30.
  • the recesses 20 of the hand-spreading member 15 are numbered from the end.
  • the drug is provided to patients a to j four times in the morning, noon, night, and before going to bed, respectively.
  • the blank column is when a drug that can be supplied from the tablet supply unit 2 is taken, and the drug corresponding to the blank column is automatically supplied from the tablet supply unit 2.
  • the drug is supplied from both the tablet supply unit 2 and the hand-spreading member 15, and the drug is packaged in one drug package.
  • patient a takes a drug (not shown) in addition to the drug A shown in the table of FIG. 5 in the morning, and the drug is stored in the tablet supply unit 2.
  • the drug is supplied from both the tablet supply section 2 and the hand-spreading member 15, and both drugs are simultaneously sent to the drug packaging section 6 for packaging.
  • drug A is prescribed for patients a, c, f, g, i.
  • Drug B is prescribed for patients b, d, g, i.
  • Drug C is prescribed for patients e, h.
  • Drug D is prescribed for patient j.
  • a drug package for 5 days is to be prepared, 25 packages of drug A are required, 20 packages of drug B are required, 10 packages of drug C are required, and 5 packages of drug D are required.
  • the number of drugs A to be sprinkled in the recess 20 is the same for each patient or each time of administration, and if all the drugs A prescribed for each patient or each time of administration are one tablet, the numbers 1 to 25 of the recess 20 Drug A is assigned to each of the areas up to.
  • the other drugs B to D are also assigned in the same manner.
  • all the drugs B to D to be sprinkled in the recess 20 are one tablet for each patient or each time of administration, one drug B is assigned to each of the areas of the recess 20 from numbers 26 to 45, and the recess 20 is assigned.
  • One tablet of the drug C is assigned to each of the areas Nos. 46 to 55 of 20 and one tablet of the drug D is assigned to each of the areas Nos. 56 to 60 of the recess 20.
  • the area of the recess 20 from No. 1 to 25 is set as the area for drug A. Further, the area of the recess 20 from the numbers 26 to 45 is designated as the drug B area. Similarly, the region of the recess 20 from No. 46 to 55 is designated as the drug C region, and the region of the recess 20 from No. 56 to 60 is designated as the drug D region.
  • a simulated chart 18 is displayed on the display screen 12 of the display device 11, and the assigned result is shown.
  • the simulated chart 18 is color-coded for each area containing the drug. Further, the type of the drug is displayed in the frame corresponding to the recess 20. In this way, a unified mark is displayed in the frame of the recess 20 in which the same drug should be placed in the simulated chart 18.
  • a worker such as a pharmacist refers to the simulated chart 18 displayed on the display device 11 and the indicator light 22 of the hand-spreading member 15 in the recess 20 belonging to a predetermined area of the hand-spreading member 15. , Put a specific drug.
  • the same number of drugs may be collected or the drugs may be collected in the order of the patients, and the numbers 1 to 25 of the recess 20 are collected. Assign to drug A.
  • the other agents B to D are similarly assigned.
  • the indicator light 22 in the area for the drug A of the hand-spraying member 15 is first turned on.
  • an end switch (not shown) is pressed.
  • the lighting area of the hand-spraying member 15 changes, and as shown in FIG. 6C, the indicator light of the drug B area of the hand-spreading member 15 lights up.
  • the lighting area of the hand-spraying member 15 changes.
  • the camera, sensor, and weight may automatically detect the end of sprinkling and change the lighting area.
  • the predetermined end switch is pressed.
  • the hand-spraying member 15 is housed in the main body of the drug packaging device 1, and the hand-spreading member 15 reaches a position directly above the divider 16 and opens all the bottoms of the recesses 20 to open the drug in the recesses 20. Is transferred to the box portion 30 of the divider 16.
  • a structure may be adopted in which the hand-spraying member 15 is manually pushed into the main body to accommodate the member 15.
  • any one of the box portions 30 of the divider 16 corresponding to the area where the drug is collected is opened. Then, the drug is discharged.
  • the basin 30 corresponding to any of the medicine A regions Nos. 1 to 25 of the recess 20 is opened to discharge the medicine A.
  • the basin 30 corresponding to any of the medicine C regions of the recesses 20 from Nos. 46 to 55 is opened and the medicine C is discharged.
  • the medicines can be discharged in an arbitrary order, and sorting suitable for delivering the medicines to the above-mentioned nursing care facility can be performed. That is, the medicines taken by each patient in the morning are grouped together to form a morning set, the drugs taken by each patient in the daytime are grouped together to form a daytime set, and the drugs taken by each patient at night are grouped together to form a nighttime set. It is possible to make a group of medicines to be taken before the patient goes to bed, make a group for before going to bed, and bring it to a nursing facility or the like. If necessary, set the drug packaging on the medication calendar and bring it to a nursing care facility.
  • the procedure is as follows.
  • the drugs to be taken in the morning are: patient a is drug A, patient b and patient c are drugs discharged from the tablet supply unit 2, patient d is drug B, patient e is drug C, and patient f is.
  • the drug A and the patient g are the drug B, the patient h is the drug discharged from the tablet supply unit 2, the patient i is the drug A, and the patient j is the drug discharged from the tablet supply unit 2.
  • the medicines taken by each patient in the morning are grouped together to form a morning set, the medicines are discharged in the above-mentioned order. Specifically, first, the basin 30 corresponding to the recess 20 of No. 1 belonging to the drug A region is opened to discharge the drug A for the patient a. Subsequently, the drug for patient b and the drug for patient c are sequentially discharged from the tablet supply unit 2. Subsequently, the basin 30 corresponding to the recess 20 of the number 26 belonging to the drug B region is opened to discharge the drug B for the patient d. Subsequently, the box portion 30 corresponding to the recess 20 of the number 46 belonging to the drug C region is opened, and the drug C for the patient e is discharged.
  • the basin 30 corresponding to the recess 20 of No. 2 belonging to the drug A region is opened, and the drug A for the patient f is discharged.
  • the basin 30 corresponding to the recess 20 of the number 27 belonging to the drug B region is opened, and the drug B for the patient g is discharged.
  • the drug for patient h is discharged from the tablet supply unit 2.
  • the basin 30 corresponding to the recess 20 of No. 3 belonging to the drug A region is opened, and the drug A for patient i is discharged.
  • the drug for patient j is discharged from the tablet supply unit 2. In this way, the medicines that each patient takes in the morning can be sequentially discharged to form a morning assembly.
  • the hand-spreading device 10 of the present embodiment includes a hand-spreading member 15 and a divider 16.
  • the divider 16 has a temporary accommodating member 50 and a bottom constituent member 51 as shown in FIGS. 8 and 9 (a).
  • the temporary accommodating member 50 has a plurality of box portions 30, and the arrangement of the box portions 30 has a one-to-one correspondence with that of the recess 20 of the hand-spreading member 15.
  • the box portion 30 of the temporary housing member 50 has no bottom, and the box portion 30 itself is always in an open state. However, there is a bottom component 51 on the bottom side of the temporary housing member 50, and the bottom side of the box portion 30 is closed by the bottom component 51.
  • the bottom component 51 is composed of a fully closed area 55 and an openable area 56.
  • the fully closed area 55 is composed of a single plate and has substantially no opening.
  • the openable area 56 is configured by arranging six moving floor members 58 in a plane.
  • the moving floor member 58 includes a flat strip-shaped member 60 having a narrow width.
  • the moving floor member 58 can be individually translated by a drive source 57 such as a solenoid.
  • a drop opening 61 is formed at the boundary between the fully closed region 55 and the openable region 56.
  • the entire closed area 55 has an area sufficient to cover the entire bottom of the temporary accommodating member 50.
  • the openable region 56 has an area sufficient to cover the entire bottom surface of the temporary accommodating member 50 in a state where the six strip-shaped members 60 are combined in a rectangular shape.
  • the temporary accommodating member 50 can be translated and stopped at an arbitrary position by a drive source (not shown). Also in the hand-spraying device 10 of the present embodiment, when the hand-spreading member 15 is housed in the main body of the drug packaging device 1, the hand-spreading member 15 reaches a position directly above the divider 16 and forms the bottom of the recess 20. All are opened and the medicine in the recess 20 is transferred to the box portion 30 of the temporary storage member 50.
  • the hand-spreading device (drug discharge device) 10 of the present embodiment has a discharge means for temporarily opening the bottom of the box portion 30 at an arbitrary position to discharge the drug from the box portion 30.
  • the discharging means is composed of the temporary accommodating member 50 and the bottom constituent member 51 described above. The discharge procedure will be described below. For example, when opening the box portion 30 corresponding to the recess 20 of No. 1, the temporary accommodating member 50 is moved by one box as shown in FIG. Subsequently, as shown in FIG. 12, the moving floor member 58 in the first row is moved by one square to form a drop opening 61 for one square between the fully closed region 55 and the openable region 56. As a result, the bottom of the box portion 30 corresponding to the concave portion of No. 1 is released, and the drug 62 is released from the concave portion of No. 1.
  • the box portion 30 corresponding to the number 28 is in the fifth row from the right side and in the fourth column from the bottom.
  • the temporary accommodating member 50 is moved by 5 boxes as shown in FIG.
  • the temporary accommodating member 50 greatly protrudes from the entire closed area 55, but the openable area 56 has an area sufficient to cover the entire bottom portion of the temporary accommodating member 50, so that the bottom of each box portion 30 is closed. The state is maintained. Subsequently, as shown in FIG.
  • the moving floor member 58 in the fourth row from the bottom is moved by one square, and is between the fully closed area 55 and the openable region 56, and one square in the fourth row portion.
  • a drop opening 61 for the minute is formed.
  • the bottom of the box portion 30 corresponding to the recess 20 of the number 28 is released, and the drug 62 is discharged from the recess 20 of the number 28.
  • a plurality of moving floor members 58 are provided, and each moving floor member 58 is moved independently to create only one drop opening 61.
  • the opening / closing member is provided at a specific position. It may be provided and the opening / closing member may be opened / closed by a motor or a solenoid.
  • a motor or a solenoid For example, for example, six openings are arranged in a row direction at the boundary between the fully closed area 55 and the openable area 56, and each opening is provided with an opening / closing member such as a hinge that can be opened / closed. It may be opened and closed.
  • the number of chemicals to be put into each recess 20 of the hand-spraying member 15 is arbitrary and may be one or a plurality.
  • the drug packaging section 6 is provided with a plurality of drugs by inserting the drug into the recess 20 one by one and discharging the drug from the basin 30 a plurality of times. May be supplied to.
  • the drug may be transferred from the recesses 20 in which different drugs are housed to the plurality of box portions 30, and the drug may be supplied from the plurality of box portions 30 to one drug package. In addition, it does not deny that the drug for one dose is divided into multiple drug packages and stored.
  • the hand-spraying device (drug discharge device) 10 of the embodiment described above discharges the drug sprinkled into the recess 20 of the hand-spreading member 15 via the divider 16 of the hand-spreading member 15.
  • the recesses 20 may be individually opened and closed to discharge the drug directly from the hand-spraying member 15.
  • the recess 20 of the hand-spreading member 15 has a structure in which there is no bottom and the bottom is open. Then, the bottom constituent member 51 as described above is arranged below the hand-spraying member 15, so that the hand-spraying member 15 and the bottom constituent member 51 can be moved relative to each other, and at least one of the hand-spreading member 15 and the bottom constituent member 51. To move the specific recess 20 to a position where the drop opening 61 of the bottom component 51 is formed.
  • the above-mentioned usage pattern is an example in which one tablet of the drug should be sprinkled into the recess 20 of the hand-spreading member 15.
  • drug packages taken at the same time can form a continuous bandage.
  • Other usage patterns include the following usage examples.
  • the medicine to be supplied from the hand-spreading device (drug discharge device) 10 and the medicine to be taken at one time is sprinkled into one recess 20. Further, in any case, those having the same type and number of agents are assigned to the recesses in the adjacent regions.
  • patient a may take one tablet of drug A in the morning, one tablet of drug B in the daytime, and two tablets of drug A in the evening.
  • patient b may take 1 tablet of drug A in the morning, 1 tablet of drug B in the daytime, and 2 tablets of drug A in the evening.
  • a drug package for 4 days is to be made, 8 drug packages containing 1 tablet of drug A are required, 8 drug packages containing 2 tablets of drug A are required, and 1 drug B is required.
  • Eight lock-wrapped drug packages are required. In this case, as shown in FIG. 17, the recesses 20 Nos.
  • Subsequent recesses 20 numbers 9 to 16 are allocated as areas for containing two drug A tablets at a time.
  • Subsequent recesses 20 numbers 17 to 24 are allocated as areas for inserting drug B one tablet at a time.
  • patient a may take 1 tablet of drug A and 1 tablet of drug B in the morning, 1 tablet of drug B in the daytime, and 2 tablets of drug A in the evening.
  • patient b may take 2 tablets of drug A in the morning, 1 tablet of drug B in the daytime, 1 tablet of drug A and 1 tablet of drug B in the evening.
  • you want to make a drug package for 4 days you need 1 tablet for drug A, 1 tablet for drug B, 8 drug packages packaged in one bag, and 2 drug packages for drug A. Eight packages are required, and eight drug packages containing one tablet of drug B are required. In this case, as shown in FIG.
  • numbers 1 to 8 of the recess 20 are allocated as an area for containing one drug A and one drug B.
  • Subsequent recesses 20 numbers 9 to 16 are allocated as areas for containing two drug A tablets at a time.
  • Subsequent recesses 20 numbers 17 to 24 are allocated as areas for inserting agent B one tablet at a time.
  • the same drug is assigned to the recesses in the adjacent regions in a state where the drawings are right-justified and along the columns.
  • the invention is not limited to this configuration. For example, they may be arranged left-justified or collected along a row.
  • the recesses 20 are arranged in 10 rows and 6 columns as shown in FIG. 4, but the number of rows and columns of the hand-spreading member 15 is arbitrary.
  • the recommended number of columns is 7. For example, if the 1st to 7th days of the patient a are the 1st to 7th columns and the 1st to 4th rows are the morning, noon, night, and before sleep, it is easy to sprinkle. Further, if the 5th line is left and the 6th to 9th lines are continued as the morning, noon, night, and before sleep when the patient b is taken, it is easy to sprinkle while avoiding the mistake of handing between patients.
  • the drug packaging device 1 of the embodiment described above includes a tablet supply section 2, a hand-spreading section 3, a powder supply section 5, and a drug packaging section 6, and is a hand-spreading device (drug) characteristic of the hand-spreading section 3.
  • Discharge device 10 is adopted. It is desirable that the drug packaging device includes the tablet supply unit 2 and the powder supply unit 5 as in the above-described embodiment, but the drug packaging device that does not have the tablet supply unit 2 and the like is provided with the hand-spreading device of the present invention. (Drug discharge device) 10 may be adopted.
  • the present invention is also applied to a device that discharges all the drugs contained in the prescription information (including the prescription information obtained by processing the prescription information for dispensing) input to the drug packaging device from the drug discharge device (hand-spreading member). be able to.
  • the inspection device may be built in the drug packaging device 1 or may be a separate device.
  • a bandage in which a plurality of patients take a continuous drug package in the morning and a bandage in which a plurality of patients take a drug package in the daytime are continuous. It is possible to make a bandage, a continuous bandage with a drug package taken by a plurality of patients at night, and a bandage with a continuous drug package taken by a plurality of patients before going to bed.
  • the drug packaging discharged from the drug packaging device 1 is discharged by connecting the drug packagings to be taken by the patient a, the patient b, the patient c ..., the patient i, and the patient j in the morning, and then these patients are discharged.
  • the drug packaging taken in the daytime is connected and discharged.
  • the inspection device of the present embodiment has a camera and photographs the drug packages discharged from the drug packaging device 1 in the order in which they are discharged, and identifies the packaged drug from the stamp of the drug, the shape, and the like.
  • the captured image is image-processed, and a drug having a similar shape, size, color, etc. is searched for. Then, the drug in the drug package is presumed to be the searched drug.
  • the inspection device of the present embodiment has a sorting function for rearranging images, and can display the drug packaging for each patient as shown in FIG. 19B.
  • FIG. 19B when patient a is selected, only the drug taken by the patient a is displayed in a state in which the date of administration and the time of administration (morning, noon, night) can be known. If the prescription is for two weeks, the drug packaging for two weeks will be displayed.
  • the drug packages can be displayed in the order in which they are discharged from the drug packaging device 1. Furthermore, it is possible to specify a specific drug package for a specific patient and check the contents of the drug package discharged before and after the drug package.
  • the inspection device of the present embodiment can display the drug package discharged before and after the drug package containing the drug scheduled to be taken by patient a on October 7. Therefore, it is possible to investigate the reason why the drug was not correctly packaged. Further, the screen may be automatically switched to the state shown in FIG. 19C when there is a problem that the medicines in the medicine packaging are different or the number is different depending on the judgment of the inspection device.
  • a display calling attention appears on the monitor or the like.
  • a audible warning may be given.
  • Drugs of similar shape and size may be difficult to determine by image processing, and pharmacists should perform more careful visual confirmation. Therefore, for example, it is desirable that a display calling attention is displayed on any of the screens of FIG.
  • the divider 63 described below has a temporary accommodating member 64.
  • the temporary accommodating member 64 has the box portions 30 arranged in a matrix, similarly to the divider 16 described above.
  • the box portion 30 has a one-to-one correspondence with that of the recess 20 of the hand-spreading member 15.
  • an opening / closing member 65 is provided at the bottom of each box portion 30.
  • the opening / closing member 65 has a plate shape, and an intermediate portion thereof is pivotally supported by a part of the box portion 30.
  • the opening / closing member 65 has a plate shape and swings around the shaft support 66.
  • One side of the opening / closing member 65 functions as a lid member 67 and the other side functions as a force point portion 68 with the shaft support portion 66 as a boundary.
  • the lid member 67 of the opening / closing member 65 is located below the opening at the bottom of the box portion 30.
  • the force point portion 68 of the opening / closing member 65 is located at a position away from the box portion 30.
  • the opening / closing member 65 is urged by the urging means 70 in a direction in which the lid member 67 closes the bottom of the box portion 30.
  • the divider 63 of the present embodiment includes a drive mechanism 71, an operating member 72, and a clutch mechanism 73.
  • the acting member 72 urges the opening / closing member 65 to swing the opening / closing member 65.
  • the drive mechanism 71 drives the working member 72.
  • the clutch mechanism 73 is located between the drive mechanism 71 and the working member 72, and intermittently connects the two.
  • the drive mechanism 71 is obtained by arranging racks 77a to 77 extending in the horizontal direction in the drawing in six rows in the vertical direction. Pinions 79 driven by the motor 76 are engaged with the racks 77a to 77, and the racks 77a to f move linearly by driving the motor 76.
  • the acting member 72 is a cam. Gear teeth 74 are formed on a part of the working member 72.
  • the clutch mechanism 73 has connecting rods 73a to j and a solenoid 75.
  • the six working members 72 are connected by connecting rods 73a to j.
  • the acting member 72 is rotatable with respect to the connecting rods 73a to 73j.
  • the working member 72 is axially integral with the connecting rods 73a to j.
  • a solenoid 75 is attached to each of the connecting rods 73a to 73, and by driving the solenoid 75, the connecting rods 73a to jj individually move linearly.
  • the connecting rods 73a to 73j extend in the vertical direction of the drawing and are arranged in 10 rows in the horizontal direction.
  • Each working member 72 is always beside the racks 77a to 77 as shown in FIG. 20B, and the gear teeth 74 of each working member 72 are not engaged with the racks 77a to f. ..
  • the solenoid 75 located on the far right of the drawing in FIG. 20 (a) is energized to move the connecting rod 73a, all the working members 72 attached to the connecting rod 73a as shown in FIG. 20 (c).
  • Gear teeth 74 engage with racks 77a-f.
  • the basin portion 30 at an arbitrary position can be opened in any order even for the divider 63 of the embodiment.
  • the divider 63 it is possible to individually discharge the medicine corresponding to the arbitrary recess 20. That is, the connecting rods 73a to j in the parallel column to which the box portion 30 to be opened belongs are driven by the solenoid 75, and all the working members 72 in the parallel column to which the box portion 30 to be opened belongs are engaged with the racks 77a to f. .. Then, only the rows of racks 77a to 77 to which the box portion 30 to be opened belongs are driven.
  • the racks 77a to 77 were driven by a motor, and the connecting rods 73a to j were driven by a solenoid.
  • the drive source for driving the racks 77a to f and the connecting rods 73a to j is not limited, and the racks 77a to ff may be driven by a solenoid. Further, the connecting rods 73a to 73j may be driven by a motor.
  • the connecting rods 73a to jj are driven by a plurality of power sources, but the number of power sources can be reduced by using a one-way clutch or the like.
  • all the connecting rods 73a to jj are driven by one stepping motor 89.
  • the divider 80 has a rotating shaft 81, and drive-side members 82 are attached to the rotating shaft 81 in a number corresponding to connecting rods 73a to j.
  • the rotation shaft 81 is rotated by a stepping motor 89.
  • the drive side member 82 is a disk provided with a stepped engaging portion 84 in a part thereof.
  • One side of the stepped engaging portion 84 has an acute angle with respect to the circumference, and the other side is gently continuous with respect to the circumference.
  • the drive-side member 82 is fixed to the rotating shaft 81 in a state where the position of the stepped engaging portion 84 is slightly shifted.
  • a driven side member 83 is attached to each of the connecting rods 73a to 73j.
  • the driven side member 83 is a member provided with an engaging portion 85 at the tip thereof.
  • the engaging portion 85 has a hook shape bent at an acute angle.
  • the engaging portion 85 of the driven side member 83 is in contact with the driving side member 82.
  • FIG. 22B when the drive side member 82 is rotated in the direction of the arrow of the broken line, the stepped engaging portion 84 of the drive side member 82 does not engage with the engaging portion 85.
  • the stepped engaging portion 84 of the drive side member 82 becomes the engaging portion as shown in FIG.
  • the driven side member 83 in the parallel column to which the box portion 30 to be opened belongs is engaged with the drive side member 82, and the box portion 30 to be opened by moving the specific connecting rods 73a to j belongs. All working members 72 in the column are engaged with the racks 77a-f. Specifically, as shown in FIG. 22B, the drive-side member 82 is rotated in the direction of the arrow of the broken line, and the engaging portion 85 connected to the specific connecting rods 73a to 73 is connected to the corresponding drive-side member. It is stopped at a position where it fits into the stepped engaging portion 84 of 82.
  • the drive side member 82 is fixed to the rotating shaft 81 in a state where the position of the stepped engaging portion 84 is slightly shifted, it fits into the stepped engaging portion 84 of the drive side member 82.
  • the engaging portion 85 is limited to those connected to the specific connecting rods 73a to 73j.
  • the divider 87 shown in FIG. 23 is composed of a temporary accommodating member 50 and an opening forming device 90.
  • the temporary accommodating member 50 has the same structure as that of the first embodiment, the basin portion 30 has no bottom, and the basin portion 30 itself is always in an open state.
  • the opening forming device 90 includes an opening specifying portion 91, an opening / closing portion 92, and an opening / closing mechanism portion 94.
  • the opening specifying portion 91 has six drawer-side members 93, six take-up-side members 95, and six belts 96, respectively.
  • the drawer side member 93 has a plurality of drawer pulleys 121 arranged in series on a support shaft (not shown).
  • the drawer pulley 121 has a built-in motor.
  • the take-up side member 95 has a plurality of take-up pulleys 122 arranged in series on a support shaft (not shown).
  • a mainspring 122 is built in the take-up pulley 122, and is always urged to rotate toward the take-up side.
  • a belt 96 is wound around the take-up pulley 122, and one end of the belt 96 is connected to the drawer pulley 121. Therefore, when the drawer pulley 121 is rotated, the belt 96 wound around the take-up pulley 122 is unwound.
  • Each belt 96 is provided with an opening 97 in one place. Therefore, the position of the opening 97 changes according to the rotation speed of the drawer pulley 121.
  • the opening / closing part 92 has 11 swing doors 98 corresponding to the columns of the box parts 30 of the temporary housing member 50.
  • An operation piece 110 projects from each swing door 98.
  • the opening / closing mechanism unit 94 has a guide member 111 and an elevating member 112 regulated so as to be movable only in the vertical direction by the guide member 111.
  • the elevating member 112 has an elongated hole 113, and the operating piece 110 of the swing door 98 is engaged with the elongated hole 113.
  • a rotating plate 115 rotated by a motor (not shown) is provided, and the engaging piece 116 provided on the rotating plate 115 is also engaged with the elongated hole 113 of the elevating member 112. The rotating plate 115 is always stopped with the engaging piece 116 in the upper position.
  • the elevating member 112 is in the upper position, and all the opening / closing portions 92 are in positions where the bottom of the box portion 30 can be closed.
  • the elevating member 112 moves to the lower side, and all the opening / closing portions 92 are released.
  • one of the drawer pulleys 121 is driven to move the opening 97 of the belt 96 to the lower part of the box portion 30 to be opened.
  • the rotating plate 115 is rotated to open all the opening / closing portions 92.
  • the box portion 30 in which the opening 97 of the belt 96 is moved to the lower portion is substantially opened, and the drug in the box portion 30 drops.
  • the structure of the divider is arbitrary, and one having an opening / closing door 123 at the lower part of each of the basin parts 30 may be used as in the known temporary housing member 117 shown in FIG. 24.
  • the temporary accommodating member 117 having this structure is periodically removed from the drug packaging device and reattached to the drug packaging device for cleaning.
  • the temporary accommodating member 117 having the opening / closing door 123 at the lower part of each box portion 30 must be held down so that the opening / closing door 123 does not open when the opening / closing door 123 is attached to the drug packaging device. It takes skill.
  • the temporary accommodating member 117 of this aspect solves this problem.
  • the temporary accommodating member 117 of this embodiment is provided with a closing plate insertion guide 118 on the bottom surface of the main body portion, and the closing plate 120 is mounted on the bottom surface of the main body portion.
  • the closing plate 120 is inserted along the closing plate insertion guide 118, and the opening / closing door 123 at the lower part of each box portion 30 can be pressed to bring the closing plate 120 into the closed state.
  • the temporary accommodating member 117 of this embodiment is attached to the drug packaging device with the closing plate 120 attached.
  • the temporary accommodating member 117 moves to the collecting hopper side after the drug is charged into each of the basin portions 30 from the hand-spreading member 102.
  • the sorter device 130 has a plurality of guide portions 132 and 133. In the present embodiment, there are two guide portions 132 and 133, but the number of guide portions 132 and 133 is arbitrary. Further, each guide portion 132, 133 is provided with a package holding means (not shown). The package holding means holds a part of the package by sandwiching it.
  • the sorter device 130 is installed in the vicinity of the drug packaging discharge port 131 of the drug packaging device, and is moved up and down by an elevating means (not shown).
  • the first guide portion 132 on the lower side is moved to the position of the drug packaging discharge port 131 as shown in FIG. 25 (b).
  • the packaging band 138 for patient a hangs down in contact with the first guide portion 132.
  • the packaging band 138 is cut in the drug packaging device, and the end portion of the packaging band 138 is held by the first guide portion 132 by the package holding means.
  • the sorter device 130 is lowered, and the second guide portion 133 on the upper side is moved to the position of the drug packaging discharge port 131. Then, when the drug package for patient b is discharged from the drug package discharge port 131, the package band 139 for patient b hangs down in contact with the second guide portion 133, and the package band 139 is cut. Then, the end portion of the packaging band 139 is held by the second guide portion 133 by the packaging body holding means.
  • the subsequent packaging band for patient c is discharged from the drug packaging discharge port 131 as it is.
  • the printer 136 is located on the upstream side of the hopper 135, and the heater roller 137 is located on the downstream side of the hopper 135.
  • the printer 136 prints the necessary prints on the wrapping paper 143, and then the hopper 135 supplies the drug to the wrapping paper 143. In this state, the wrapping paper 143 moves to the downstream side and is molded into individual bags by the heater roller 137.
  • the last drug for patient a is discharged from the hopper 135. Is supplied to the wrapping paper 143, and then the first drug for the patient b is supplied to the wrapping paper 143, so that the drug is continuously supplied to the wrapping paper 143 and the wrapping paper 143 is not wasted.
  • the wrapping paper 143 is wasted. That is, when the drug for patient a is supplied to the wrapping paper 143, the wrapping paper 143 is moved to the position of the heater roller 137 and molded into a bag shape, but when the wrapping paper 143 is moved to the position of the heater roller 137. Then, the subsequent wrapping paper 143 is pulled to move to the lower part of the hopper 135 or the position of the printer 136. However, the drug is not supplied to the wrapping paper 143 that has reached the hopper 135. None is printed on the wrapping paper 143 that has reached the position of the printer 136. Therefore, the wrapping paper 143 in the region from the printer 136 to the heater roller 137 is wasted.
  • the drug packaging at or near the end is stopped, and the next drug packaging is stopped for a certain period of time. Wait for the prescription to be sent to the drug packaging device. If the next prescription to be processed is sent within a certain period of time, drug packaging will be resumed. For example, if the prescription for patient a should be followed by the prescription for patient b, the remaining drug packaging for patient a is resumed, followed by the drug for patient b. Carry out packaging. If the next prescription to be processed is not sent within a certain period of time, the remaining drug packaging for patient a is restarted to complete the drug packaging for patient a.
  • the above-mentioned medication calendar is provided with a drug accommodating unit 141 for accommodating a drug on the calendar.
  • a drug accommodating unit 141 for accommodating a drug on the calendar.
  • 141 drug storage units are arranged below each date.
  • Each of the four drug storage units 141 corresponds to the timing (usage) of administration, and is indicated as, for example, "morning", "daytime”, “night”, and "before going to bed”.
  • the medicine corresponding to the timing of administration is stored in the medicine storage unit 141 of the medication calendar (medicine calendar) 140.
  • the timing of taking the drug arrives, the drug is taken out from the corresponding drug accommodating section 141 and taken.
  • the drug accommodating portion 141 is pocket-shaped. Therefore, dust 145 may collect at the bottom of the drug accommodating portion 141. Further, the bottom of the drug accommodating portion 141 is often angular, and it may be difficult to remove dust in the corner portion. As a measure for solving this problem, it is recommended to use the cleaning tool 150 as shown in FIG. 27 (b).
  • the cleaning tool 150 is an attachment attached to the tip of a vacuum cleaner.
  • the cleaning tool 150 has a rectangular parallelepiped appearance.
  • the front wall and the back wall of the cleaning tool 150 are wide, and the side wall is narrow.
  • the inside of the cleaning tool 150 is hollow, and there is an opening 152 at a corner portion on the tip side.
  • a brush 151 is attached to the front wall, the back wall, and the bottom wall of the cleaning tool 150.
  • the brush 151 is planar and thin, and is attached to the main body of the cleaning tool 150 by an adhesive means (not shown).
  • the cleaning tool 150 is attached to a vacuum cleaner (not shown). Then, as shown in FIG. 27 (c), the cleaning tool 150 is inserted into the drug accommodating section 141 of the medication calendar 140, and the cleaning tool 150 is moved in the drug accommodating section 141 in the loading / unloading direction. As a result, the inner surface of the drug accommodating portion 141 is rubbed with the brush 151, and dust and dirt adhering to the inner surface of the drug accommodating portion 141 are removed. Further, the removed dust and dirt are sucked through the opening 152. In particular, in the present embodiment, since the opening 152 is provided at the corner portion on the tip end side of the cleaning tool 150, it is possible to clean the corner portion of the drug accommodating portion 141 where dust is likely to collect. It is desirable that the brush 151 is replaceable.

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  • Engineering & Computer Science (AREA)
  • Mechanical Engineering (AREA)
  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Primary Health Care (AREA)
  • General Business, Economics & Management (AREA)
  • Chemical & Material Sciences (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Medicinal Chemistry (AREA)
  • Business, Economics & Management (AREA)
  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Basic Packing Technique (AREA)
PCT/JP2021/015095 2020-04-17 2021-04-09 薬剤排出装置及び薬剤排出装置の制御方法 Ceased WO2021210516A1 (ja)

Priority Applications (8)

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US17/996,026 US12195220B2 (en) 2020-04-17 2021-04-09 Drug discharge device and control method for drug discharge device
KR1020227033941A KR20230002348A (ko) 2020-04-17 2021-04-09 약제 배출 장치 및 약제 배출 장치의 제어 방법
JP2022515359A JP7595247B2 (ja) 2020-04-17 2021-04-09 薬剤排出装置及び薬剤排出装置の制御方法
EP21788433.7A EP4137416A4 (en) 2020-04-17 2021-04-09 DRUG EJECTION DEVICE AND METHOD FOR CONTROLLING A DRUG EJECTION DEVICE
CN202180024495.XA CN115361933A (zh) 2020-04-17 2021-04-09 药剂排出装置以及药剂排出装置的控制方法
TW110113719A TWI901670B (zh) 2020-04-17 2021-04-16 藥劑排出裝置及藥劑排出裝置的控制方法
JP2024203827A JP2025026986A (ja) 2020-04-17 2024-11-22 薬剤排出装置及び薬剤排出装置の制御方法
US18/970,080 US20250100724A1 (en) 2020-04-17 2024-12-05 Drug discharge device and control method for drug discharge device

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JP2020073984 2020-04-17
JP2020-073984 2020-04-17

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US17/996,026 A-371-Of-International US12195220B2 (en) 2020-04-17 2021-04-09 Drug discharge device and control method for drug discharge device
US18/970,080 Continuation US20250100724A1 (en) 2020-04-17 2024-12-05 Drug discharge device and control method for drug discharge device

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EP4137416A1 (en) 2023-02-22
JP7595247B2 (ja) 2024-12-06
TWI901670B (zh) 2025-10-21
US20230192333A1 (en) 2023-06-22
CN115361933A (zh) 2022-11-18
EP4137416A4 (en) 2024-05-01
JPWO2021210516A1 (https=) 2021-10-21
US20250100724A1 (en) 2025-03-27
JP2025026986A (ja) 2025-02-26
KR20230002348A (ko) 2023-01-05
TW202142446A (zh) 2021-11-16
US12195220B2 (en) 2025-01-14

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