WO2023105934A1 - 薬剤包装装置 - Google Patents
薬剤包装装置 Download PDFInfo
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- WO2023105934A1 WO2023105934A1 PCT/JP2022/038752 JP2022038752W WO2023105934A1 WO 2023105934 A1 WO2023105934 A1 WO 2023105934A1 JP 2022038752 W JP2022038752 W JP 2022038752W WO 2023105934 A1 WO2023105934 A1 WO 2023105934A1
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- Prior art keywords
- medicine
- display
- abnormality
- drug
- packaging
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- 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
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- 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
- B65B1/00—Packaging fluent solid material, e.g. powders, granular or loose fibrous material, loose masses of small articles, in individual containers or receptacles, e.g. bags, sacks, boxes, cartons, cans, or jars
- B65B1/30—Devices or methods for controlling or determining the quantity or quality or the material fed or filled
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- 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
- B65B9/08—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 in a web folded and sealed transversely to form pockets which are subsequently filled and then closed by sealing
Definitions
- the present invention relates to a drug packaging device that packages drugs for each dose.
- a drug packaging device that packages powdered medicine for each dose is known. Many of this type of drug packaging devices have one or more distribution trays, a scraping device, and a vibrating device.
- the distribution plate rotates at a constant rotational speed.
- the distribution dish can also be rotated by a certain angle.
- the raking device includes a disk-shaped raking member and a raking member attached to the raking member.
- a hopper is attached to the vibrator.
- Patent Document 1 discloses a configuration in which a weight detection means is attached to a vibrating device, a drug container is fixed to the vibrating device and vibrated, and powdered drugs are thrown directly from the drug container into a distribution tray. In the device disclosed in Patent Document 1, the amount of medicine discharged is monitored by weight detection means, and vibration of the vibrating device is stopped at the stage when a predetermined amount of medicine is discharged from the medicine container.
- An object of the present invention is to provide a drug packaging device that allows confirmation of the status of each step after packaging.
- a mode for solving the above-described problems is a medicine packaging unit that packs medicines for each dose, a terminal device, an operation of the medicine packaging unit, and an operation recording means that records operations performed on the medicine packaging unit. wherein the content recorded in the operation recording means can be viewed by the terminal device, and a predetermined display is made on the terminal device when an abnormality or a situation in which an abnormality is suspected occurs. It is a drug packaging device that
- the medicine packaging device of this aspect has an operation recording means, and the movement of the medicine packaging unit and the operation performed on the medicine packaging unit are recorded in the operation recording means.
- the user can browse the contents recorded in the recording means by operating the terminal device.
- the contents recorded in the operation recording means are displayed on the screen of the terminal device, and a predetermined display is made on the item with an abnormality and the item suspected of having an abnormality.
- the display emphasizes anomalies and suspected anomalies.
- the predetermined display is an anomaly notification indicating that an anomaly or a situation suspected of an anomaly has occurred, and the anomaly notification can be canceled on the condition that a person having specific authority authenticates the authentication means. is desirable.
- the situation in which the abnormality is suspected includes any of the following. (1) The time required for any step of drug packaging is outside the allowable range. (2) Manipulation that is not essential to be manipulated was performed.
- the medicine packaging unit has a function of packaging powdered medicine, and has a distribution dish and vibration means. While rotating the distribution dish, the medicine is vibrated by the vibration means.
- the suspected abnormal condition includes any of the following: (1) The rotating speed of the distribution plate is out of the allowable range. (2) The number of rotations of the distribution plate is out of the allowable range.
- the terminal device be capable of displaying a graph showing the relationship between the rotation speed of the distribution tray and time.
- the graph shows the allowable range of rotation speed of the distribution plate.
- the terminal device be capable of displaying a graph showing the relationship between the vibration intensity of the vibration means and time.
- the drug packaging unit can be operated in a plurality of operation modes, and it is desirable that the graph displays the time when the operation mode was executed.
- FIG. 1 is a perspective view of a drug packaging device according to an embodiment of the present invention, showing a state in which an upper lid is opened;
- FIG. FIG. 2 is a perspective view around a distribution plate of the drug packaging device of FIG. 1;
- Fig. 10 is a perspective view of the feeder body of the drug feeder with the drug container removed from the holding member;
- FIG. 10 is a side view of the feeder body of the medicine feeder showing a modeled state in which the medicine container is removed from the holding member.
- It is a block diagram of the control device of the drug packaging section. It is a block diagram of an operation terminal device. It is a block diagram of a remote control.
- (a) is one of the display screens of the terminal device, showing the details of the packaging process when there is no abnormality
- (a) is one of the display screens of the terminal device, showing the details of the packing process, the display when there is a "suspected situation of abnormality" and there is no history of confirmation by the worker.
- (b) is an enlarged display of the allocation column extracted.
- (a) is one of the display screens of the terminal device, showing the details of the packing process, and the display when there is a "suspected situation of abnormality" and there is a history of confirmation by the worker.
- (b) is an enlarged display of the allocation column extracted.
- (a) is one of the display screens of the terminal device, which is the details of the packaging process and displays an explanation of "during falling time”
- (b) is an extraction of the distribution column. This is an enlarged display. It is one of the display screens of the terminal device, and it is an explanation that is displayed when there is a problem with the "during falling time”. This is one of the display screens of the terminal device, and is a display requesting operator's confirmation.
- (a) is one of the display screens of the terminal device, showing the details of the packing process, the display when there is a "suspected situation of abnormality" and there is no history of confirmation by the worker.
- (b) is an enlarged display of the allocation column extracted. This is one of the display screens of the terminal device, and is an explanation displayed when the "allocation stop operation" is performed.
- (a) is one of the display screens of the terminal device in another embodiment of the present invention, and (b) is an enlarged display of the allocation B column extracted.
- (a) is a plan view around a distribution tray of a medicine packaging device in another embodiment of the present invention, and (b) is a mechanism diagram conceptually showing a drive section of the distribution tray.
- Fig. 3 is a perspective view of the tip of the scraping device;
- a medicine packaging device 1 of the embodiment of the present invention has a medicine packaging unit 2 , an operation terminal device (terminal device) 3 and a remote terminal device (terminal device) 5 .
- the control device 6 of the medicine packaging section 2 incorporates an operation recording means 77 and the like. The action of the medicine packaging unit 2 and the operation performed on the medicine packaging unit 2 are recorded in the operation recording means 77 .
- the drug packaging unit 2 is surrounded by a housing 8 , and its interior is divided into a powdered drug divided area 301 and a drug packaging area 302 .
- the drug packaging area 302 incorporates the packaging device 12 as conceptually shown in FIG.
- the packaging device 12 is a machine for packaging a single dose of medicine, and has a packaging paper supply device 15 (packaging paper supply section) and a packaging device 16 (sealing section).
- the packaging machine 12 is provided with a powdered drug charging hopper 17 for charging the drug above the packaging device 16 .
- the powdered medicine charging hopper 17 is shown at a position away from the distribution tray 20, but in reality, the square number 17 indicated by the solid line in FIG. It is the upper end of the hopper 17 .
- the packaging device 12 is used by attaching roll paper to the attachment portion of the main body (not shown) of the packaging paper supply device 15 .
- the roll paper is formed by winding a band-shaped packing paper (wrapping paper) around a tubular core member to form a roll.
- the roll paper used in the present embodiment is a roll of packaging paper that is folded in half to form a strip.
- the packaging machine 12 also has a printing mechanism (printing unit) not shown. In the packaging device 12, the packaging paper fed out from the roll paper is introduced into the printing mechanism, and information such as the patient name, drug name, date and time of administration (information related to prescription and information related to the drug to be provided) is printed. Then, the medicine is fed from the powdered medicine feeding hopper 17 .
- the packaging paper containing the drugs is introduced into the sealing section (packaging device 16), and sealed in the vertical and horizontal directions by the sealing section to sequentially package the received drugs.
- a medicine package containing one dose of medicine is formed, and the medicine package is conveyed to the outside of the apparatus.
- the powdered medicine division area 301 is an area in which the distribution tray 20 is installed, and the medicine feeders 30 are arranged around it.
- a scraping device 21 is provided in the powdered medicine dividing area 301 .
- the distribution pan 20 and scraping device 21 are well known and will be briefly described.
- the distribution plate 20 is a disk-shaped member provided with a drug-inserting groove 22 (inserting groove), which is also called a "groove".
- the drug introduction groove 22 surrounds the outer edge of the distribution plate 20 in an annular shape.
- the distribution plate 20 is provided with an equipment storage opening 11 in the center. In addition, in FIG. 2, most of them are covered with a lid.
- the above-described powdered medicine charging hopper 17 is installed in the equipment storage opening 11 .
- the distribution dish 20 can be rotated at a constant speed. Also, the distribution dish 20 can be rotated by a predetermined angle.
- a sensor (not shown) is provided near the distribution plate 20 to detect the rotational speed and number of rotations of the distribution plate 20 .
- the raking device 21 is provided with a rotating plate (raking member) 23 at the tip of a raking arm.
- the drug feeder 30 has a drug container 31 containing powdered drugs and a feeder body 32 holding the drug container 31 .
- the feeder body 32 is vibrating means for vibrating the medicine container 31 .
- the feeder body 32 is mechanically divided into a container support portion 33, a weight measurement portion 35, and a base portion 38.
- the container support section 33 has a support base 37, a vibrating member 40 (container holding section), and vibrating means 41a and 41b.
- the vibrating means 41a and 41b are piezoelectric elements and have a plate shape.
- the vibrating member 40 and vibrating means 41 a and 41 b also serve as vibrating devices for vibrating the drug container 31 .
- the support base 37 and the vibrating member 40 are both "L" shaped members having a horizontal portion and a vertical wall portion. That is, the support table 37 has a support-side horizontal portion 43 and a support-side vertical wall portion 45, as shown in FIGS.
- the vibration member 40 also functions as a container holding portion, and has a vibration-side horizontal portion 50 and a vibration-side vertical wall portion 51 (vertical wall).
- the vibration-side vertical wall portion 51 is provided with an engaging portion that engages with the drug container 31 .
- the support base 37 and the vibrating member 40 are connected by two vibrating means 41a and 41b. There is substantially no contact between the vibration-side horizontal portion 50 and the support-side horizontal portion 43 . Therefore, when the vibrating means 41a and 41b are energized, the vibrating member 40 vibrates.
- a weight measuring section 35 is arranged below the container support section 33 .
- the weight measurement unit 35 includes weight measurement means 52 and vibration isolation means 53 .
- the weight measuring means 52 is a known load cell.
- the vibration isolation means 53 has a vibration isolation member 55 .
- the weight measuring means 52 is connected to the container supporting portion 33 (the supporting base 37, the vibrating member 40, and the vibrating means 41a and 41b).
- the base portion 38 also supports the upper members (the support base 37, the vibrating member 40, and the vibrating means 41a and 41b) via the vibration isolating member 55 of the weight measuring portion 35.
- the weight of the container support portion 33 is detected by the weight measuring means 52 .
- the weight of the anti-vibration means 53 hangs on the base portion 38 but does not hang on the weight measuring means 52 . Therefore, the weight of the container support portion 33 (the support base 37, the vibrating member 40, the vibrating means 41a and 41b) is detected by the weight measuring means 52.
- FIG. 1 the weight of the container support portion 33 (the support base 37, the vibrating member 40, the vibrating means 41a and 41b) is detected by the weight measuring means 52.
- the drug container 31 is a container filled with powdered medicine, and has a rectangular parallelepiped shape with substantially square side surfaces.
- the drug container 31 is surrounded by a front wall 60 , a rear wall 61 , left and right side walls 62 , a top wall 63 and a bottom wall 70 .
- a powdered medicine discharge part 71 that can be opened and closed near the front wall 60, which is the bottom wall 70 of the medicine container 31.
- a medicine container 31 is filled with powdered medicine and fixed to a feeder body (vibrating means) 32 as shown in FIGS. That is, the back wall 61 of the medicine container 31 is in contact with the vibration side vertical wall portion 51 (longitudinal wall) of the vibrating member 40 serving as the container holding portion, a part of the bottom wall 70 of the medicine container 31 is in contact with the vibration side horizontal portion 50, Most of the drug container 31 is fixed to the feeder main body 32 in a cantilevered state. Also, the engaging portions of the drug container 31 are engaged with the vibrating member 40 respectively. Therefore, the drug container 31 is integrated with the vibrating member 40 and vibrates together with the vibrating member 40 .
- six drug feeders 30 are fixed around the distribution plate 20 .
- the drug container 31 protrudes toward the distribution plate 20 on the side of the front wall 60 , and the powdered drug discharge section 71 is located directly above the drug introduction groove 22 .
- the medicine container 31 of each medicine feeder 30 is filled with different medicines in advance. Then, based on the prescription, a specific medicine feeder 30 is driven and the powdered medicine is put into the distribution tray 20 . Specifically, a current of a constant frequency is applied to the vibrating means 41a and 41b of the specific drug feeder 30 to generate vibration, and the vibrating member 40 (container holding portion) is vibrated by this vibration. In addition, the distribution plate 20 is rotated before and after the start of vibration.
- the weight of the drug container 31 is measured.
- the weight of the medicine container 31 is obtained by subtracting a certain value from the weight detected by the weight measuring means 52 . More specifically, the weight of the drug container 31 is obtained by subtracting the weight of the container support portion 33 from the weight detected by the weight measuring means 52 .
- the weight of the medicine container 31 before the powdered medicine is discharged is stored as the original weight G. Also, the weight of the drug container 31 is constantly monitored. That is, the current weight of the medicine container 31 is monitored as the current weight g.
- the vibrating member 40 starts vibrating, the drug container 31 vibrates together. As a result, the powdered medicine stored in the medicine container 31 slowly moves toward the powdered medicine discharging portion 71 side.
- the feeder main body 32 has a powder medicine drop sensor (not shown), and the powder medicine drop sensor monitors whether or not the powder medicine is dropping from the powder medicine discharge portion 71 .
- the weight of the medicine container 31 decreasing The fact that the powdered medicine is falling is confirmed by the weight of the medicine container 31 decreasing. That is, in this embodiment, the current weight of the medicine container 31 is continuously monitored as the current weight g even while the powdered medicine is falling from the medicine container 31 .
- the original weight G of the medicine container 31 immediately after being placed on the vibrating member 40 is compared with the current weight g, and the drop amount H (G minus g) of the powdered medicine is constantly calculated. Then, the vibration of the vibrating member 40 is stopped when the total dropping amount H of the powder medicine reaches the desired weight. As a result, the drug discharge from the drug container 31 is stopped and the drug discharge is completed.
- a rotation stop instruction is issued to the distribution tray 20, and the rotation of the distribution tray 20 stops.
- a manual packaging mode which will be described later, is an operation mode in which the drug packaging device 1 is used in a manner similar to the conventional method.
- the necessary amount of medicine is weighed outside the medicine packaging apparatus 1 and stored in the medicine container 31 , and the whole amount is introduced into the distribution tray 20 .
- the drug container 31 used in the manual packaging mode may be called a manual feed cassette to distinguish it from the normal drug container 31 .
- the manual dispensing mode when all the powder medicine in the medicine container 31 has been dispensed and the weight of the medicine container 31 has not changed, it is determined that dispensing has been completed, and an instruction to stop the rotation of the distribution tray 20 is issued to the distribution tray. 20 stops rotating.
- the conventional powdered drug dispensing device is equipped with a powdered drug drop sensor at the tip of the trough, when the sensor stops detecting the drug, it is assumed that dispensing is completed, and an instruction to stop dispensing is issued and the device stops. .
- the rotary plate 23 of the scraping device 21 is dropped into the medicine charging groove 22 of the distribution plate 20. Furthermore, after that, the distribution plate 20 is rotated by an angle corresponding to the number of distribution, and the powdered medicine for one dose is collected on the front side of the rotating plate 23 . Then, the rotating plate 23 is rotated to scrape the powdered medicine out of the distribution tray 20 and throw it into the powdered medicine feeding hopper 17 .
- the powdered medicine dropped from the powdered medicine feeding hopper 17 is packaged by the packaging machine 12 for each dose.
- the control device 6 is built in the medicine packaging section 2 .
- the control device 6 is a computer having a CPU and a memory, and a computer program that implements each means described later is stored in the memory.
- the control device 6 employed in this embodiment has a device control section 72, an operation verification section 73, and a communication section 75, as shown in FIG.
- the device control section 72 includes device control means 76 .
- the device control means 76 is means for executing the series of operations described above. That is, under the control of the device control means 76, vibration of the medicine feeder 30, rotation of the distribution tray 20, constant monitoring of the weight of the medicine container 31, etc. are performed. A series of operations of the scraping device 21 and a series of operations of the packaging machine 12 are also controlled by the equipment control means 76 .
- the communication unit 75 is means for mutual communication with an external server, the operation terminal device (terminal device) 3 and the remote terminal device (terminal device) 5.
- the operation verification unit 73 has the following control means. (1) Action recording means 77 (2) Normal procedure storage means 78 (3) Allowable Range Storage Means 80 (4) Comparison means 81 (5) Graph creating means 82 (6) Tabulation means 83 (7) Display change means 85 (8) authentication means 86 (9) Explanation storage means 87 (10) Display output means 88
- Action recording means 77 is means for recording "actions of the medicine packaging unit 2" and "operations performed on the medicine packaging part 2". That is, the action recording means 77 records the process of packaging the medicine.
- the recorded "operation of the drug packaging unit 2" includes, for each operation mode, the rotational speed of the distribution tray 20, the total number of rotations from the start of rotation of the distribution tray 20 to the stop of rotation, or the number of rotations from the drug container 31 to the distribution tray 20. and the vibration intensity of the feeder main body (vibrating means) 32, the total number of rotations from the start of powder medicine discharge to the stop of rotation.
- a: Operation Mode The medicine packaging device 1 can be operated in a plurality of operation modes.
- the operation recording means 77 records in which operation mode the medicine packaging device 1 operates to package the medicine.
- the operation modes include, for example, an automatic packaging mode, a manual packaging mode, a full discharge mode, a forced out-of-stock operation mode, and a recovery operation mode.
- the automatic packaging mode is an operation mode in which the medicine containers 31 already attached to the periphery of the distribution tray 20 are used to fully automatically pack medicines. That is, the automatic packaging mode is an operation mode in which prescription data is read from an external device, and the medicine is discharged from the medicine container 31 already attached around the distribution tray 20 and packaged.
- Manual packaging mode is an operation mode in which part of the process is performed manually.
- the operator selects a desired drug bottle from an external shelf or the like, weighs the powdered drug outside, fills the drug container (manual feed cassette) 31 with the required amount (prescription amount), and manually loads the drug. Place the container 31 on the feeder body 32 and manually activate the feeder body 32 and the distribution tray 20 . Then, all the powdered medicine in the medicine container 31 is introduced into the distribution tray 20 . Subsequent operations are the same as in the automatic packaging mode.
- the full discharge mode is an operation mode that is executed when the packaging operation is canceled during execution of the manual packaging mode. This is an operation mode in which all the medicine is discharged to the distribution tray 20. FIG.
- the drug container 31 can be discharged at a speed faster than the normal discharge speed. The drug inside can be discharged and can be quickly transferred to the next packet.
- the forced out-of-item operation mode is an operation mode that forcibly transitions to the out-of-stock notification state during operation in the automatic packaging mode.
- a shortage notification is given.
- the shortage is notified, the lock of the feeder body 32 is released, and the drug container 31 can be removed from the feeder body 32 .
- the control device 6 it takes a certain amount of time for the control device 6 to confirm the missing item.
- the operator may notice that the medicine in the medicine container 31 is insufficient.
- the system of the control device 6 is forced to enter the forced shortage operation mode by the operator's operation.
- the missing item can be recognized, and the drug container 31 can be forced to be taken out from the feeder main body 32 . Therefore, it is effective when the filling operation is to be carried out in a hurry.
- the recovery operation mode is an operation mode in which packaging is stopped during operation in the automatic packaging mode, and the powdered medicine on the distribution tray 20 is recovered.
- the rotation speed of the distribution plate 20 is automatically set in the automatic packaging mode. However, it is also possible to employ such control that the rotation speed of the distribution tray 20 can be arbitrarily changed even in the automatic packaging mode by performing a predetermined operation. The actual rotation speed of the distribution plate 20 is recorded in the motion recording means 77 .
- c Number of rotations of the distribution plate 20
- a sensor (not shown) is provided near the distribution plate 20, and measures the total number of rotations of the distribution plate 20 from the start of rotation to the stop of rotation, or the discharge of the powder medicine from the drug container 31 to the distribution plate 20. The total number of rotations from the start to the stop of rotation is counted. The counted numerical value is recorded in the motion recording means 77 .
- Vibration intensity of feeder body (vibration means) 32 In the automatic packaging mode, the vibration intensity of the feeder body (vibration means) 32 is basically automatically set. Further, by performing a predetermined operation, the vibration intensity of the feeder main body 32 can be arbitrarily changed even in the automatic packaging mode. In this embodiment, automatic vibration that vibrates the feeder main body 32 with a preset vibration intensity and manual vibration that manually sets the vibration intensity can be switched. In the manual packaging mode and the full discharge mode, the feeder body 32 vibrates at a standard vibration intensity, but it can be changed to an arbitrary intensity by switching the manual vibration. The actual vibration intensity of the feeder body (vibrating means) 32 is recorded in the motion recording means 77 .
- e Time and actual time required for each operation For example, the time actually required for the next step is recorded.
- a Real time required to expel a predetermined amount of drug from a drug container.
- A The actual time required to finish charging all the drugs into the powdered drug charging hopper 17 after the introduction of the powdered drugs into the distribution tray 20 was completed.
- c the actual time required to complete the packaging of all the drugs after the introduction of the powdered drugs into the distribution tray 20 was completed.
- the "operations performed on the medicine packaging unit 2" recorded in the operation recording means 77 are operations performed by the operator, such as switching of operation modes, browsing of records, and change of display.
- the display change is, for example, an operation for changing a predetermined display on the display unit (touch panel 90, etc.) of the terminal devices 3 and 5.
- the confirmation operation is recorded in the operation recording means 77.
- FIG. Also, the time when these operations were performed and who performed the operations are recorded.
- Normal procedure storage means 78 stores setting values for each device in each operation mode.
- the normal procedure storage means 78 also stores the standard time required to execute each process. For example, the standard time required for the next process is stored.
- c The standard time required to complete the packaging of all the drugs after the introduction of the powdered drugs into the distribution tray 20 is completed.
- the normal procedure storage means 78 also stores the following items: A: Rotation speed of the distribution tray 20 B: Standard total number of rotations of the distribution tray 20 from the start of rotation to the stop of rotation, or the standard number of rotations from the start of discharge of the powder medicine from the drug container 31 to the distribution tray 20 to the stop of rotation total number of rotations.
- the permissible range storage means 80 stores the permissible range of the rotational speed of the distribution tray 20 and other rotational speeds of each device in each operation mode, and the permissible range of the vibration intensity of the feeder main body (vibrating means) 32 and the like. Also, the permissible range of the total number of rotations from the start of rotation of the distribution tray 20 to the stop of rotation, or the permissible range of the total number of rotations from the start of discharge of the powder medicine from the medicine container 31 to the distribution tray 20 to the stop of rotation is stored. There is Many tolerances have upper and lower bounds.
- Comparison means 81 compares the set values and standard values stored in the normal procedure storage means 78 and the allowable range stored in the allowable range storage means 80 with the data recorded in the operation recording means 77 . For example, the following items are compared: a: rotation speed of the distribution plate 20 The standard rotation speed of the distribution plate 20 stored in the normal procedure storage means 78 and the actual rotation speed of the distribution plate 20 recorded in the operation recording means 77 Compare rotation speed.
- the number of rotations of the distribution tray 20 The number of rotations of the distribution tray 20.
- the standard total number of rotations of the distribution tray 20 stored in the normal procedure storage means 78 from the start of rotation to the stop of rotation, or the discharge of the powdered medicine from the drug container 31 to the distribution tray 20 is started.
- the standard total number of rotations from the start to the stop of rotation is compared with the actual total number of rotations of the distribution plate 20 recorded in the operation recording means 77 .
- the graph creating means 82 creates the following graph based on the data recorded in the motion recording means 77.
- FIG. A graph is created for each prescription. The created graph is displayed on the display unit (touch panel 90 or the like).
- the tabulation means 83 prepares the following table.
- the table is displayed on the display unit (touch panel 90, etc.).
- an abnormality or a situation suspected of an abnormality both may be referred to as an abnormal process hereinafter
- a predetermined display is made in the table.
- A: Prescription list The prescription list is a list of processed prescriptions. The list is displayed on the display unit (touch panel 90 or the like). In the prescription list, names and symbols for specifying prescriptions, dates and times of packaging, and the like are described. If there is a clear abnormality or a suspected abnormality (abnormal process) in the processing of the prescription displayed in the prescription list, a predetermined indication is given to the corresponding prescription in the prescription process record table.
- an emphasizing display is performed, such as painting in a different color such as red, or making the color of characters different from other colors.
- a predetermined display is provided to show whether or not the operator has confirmed the corresponding prescription. For example, if the corresponding prescription is unconfirmed, it is displayed in red, and if the content is confirmed by performing the confirmation operation even once, it is displayed in green. , is emphasized by making the background color different from other colors.
- the display in red is an abnormality notification, and the color changes to green when the abnormality notification is canceled. In this embodiment, it is set so that only a person with specific authority, such as a pharmacist, can cancel the notification of abnormality.
- the individual prescription detailed table is a table in which the data recorded in the operation recording means 77 regarding a specific prescription are divided into items and displayed.
- the individual prescription detailed table is displayed on the display unit (touch panel 90 or the like). If there is a clear abnormality or a suspected abnormality in the processing of a specific prescription displayed in the individual prescription detailed table, a predetermined display is made in the corresponding item of the table. For example, a predetermined display for emphasis is performed, such as by painting in a different color such as red, or by making the color of the characters different from other colors. Also, as with the prescription list, a predetermined display is provided to show whether or not the operator has confirmed the corresponding prescription. For example, if the corresponding prescription is unconfirmed, it is displayed in red, and if the content is confirmed by performing the confirmation operation even once, it is displayed in green. , is emphasized by making the background color different from other colors.
- Display change means 85 is means for changing the display of the prescription list and the individual prescription detailed table by user's operation. Specifically, the highlighted display in the table is erased or changed to display. Alternatively, the state indicating "unread” is changed to the state indicating "read”. Change red display to blue. An operation such as canceling an abnormality notification is also included in the display change.
- authentication means 86 The authentication means authenticates the user. Any authentication means may be used, and may be face authentication or retina authentication that uses images, memory means such as an IC chip, encryption, ID, or password.
- Explanation storage means 87 is a means for storing explanations such as the meaning of wording of items, data problems, solutions, and the like.
- Display output means 88 The display output means outputs a graphic or character signal.
- the operation terminal device 3 is a personal computer or a tablet terminal.
- a tablet terminal is used as the operation terminal device 3 .
- the tablet terminal has a touch panel 90 and a control device 130, as is well known.
- the touch panel 90 has both a function as a display device and a function as an input device. That is, the tablet terminal functions as a display unit and input means.
- the control device 130 is a computer having a CPU and memory, and a computer program for executing each operation described later is stored in the memory.
- the operation terminal device 3 employed in this embodiment has an operation unit 91, an authentication input unit 92, and a communication unit 93, as shown in FIG.
- the operation unit 91 has the following control means. Each control unit is activated by touching a predetermined position on the tablet terminal, and becomes ready for display and operation on the display screen. Specific selections and settings are made by operating the touch panel of the tablet terminal.
- Prescription selection means 95 (2) Automatic/manual switching means 96 (3) Mode switching means 97 (4) Distribution plate speed setting means 98 (5) Vibration intensity setting means 100 (6) Browsing means 101 (7) Confirmation (display change) means 102
- Prescription selection means 95 The prescription selection means 95 selects a desired prescription for processing.
- Automatic/manual switching means 96 By switching the automatic/manual switching means 96 to manual, it is possible to change the setting and the operation mode. For example, automatic/manual switching means 96 switches the setting of the vibration intensity of the feeder body (vibrating means) 32 to automatic vibration or manual vibration.
- Mode switching means 97 The mode switching means 97 switches operation modes. For example, there is an automatic packaging mode in which a predetermined amount is automatically dispensed from the drug container 31, and a manual packaging mode in which the required amount of drug is separately weighed and introduced into the drug container (manual feed cassette) 31 and the entire amount is discharged.
- Distribution plate speed setting means 98 A desired speed of the distribution tray 20 can be set by the distribution tray speed setting means 98 .
- Vibration intensity setting means 100 The vibration intensity setting means 100 can set the vibration intensity of the feeder main body (vibrating means) 32 to a desired intensity.
- Browsing means 101 By the viewing means 101, a table or a graph created by the control device 6 of the medicine packaging section 2 can be displayed on the touch panel.
- Confirmation (display change) means 102 When the confirmation (display change) means 102 is operated, the display of the table or graph is changed. For example, as evidence of confirmation, the color of the display is changed, or the warning or caution characters disappear.
- a confirmation (display change) means 102 can record that the table or graph has been browsed.
- the confirmation (display change) means 102 can be operated under the condition that a person having specific authority such as a pharmacist has authenticated by the authentication means 86 . Also, how many people have operated is recorded.
- the authentication input section 92 is for inputting data required for authentication. For example, in the case of performing face authentication, a camera image is input. When using memory means such as an IC chip, a signal from a reading device is input. When using an ID and a password, a signal is input when the touch panel is operated.
- the communication means of the communication section 93 are means for mutual communication with the control device of the medicine packaging section 2, an external server, and other terminal devices.
- the remote terminal device 5 is a personal computer or a tablet terminal. In this embodiment, a general-purpose personal computer is used as the remote terminal device 5 .
- the remote terminal device 5 is composed of a personal computer main body (control device) 131, an input means 132 such as a keyboard, and a display section 133 such as a monitor.
- the remote terminal device 5 has an operation unit 105, an authentication input unit 106, and a communication unit 107, like the operation terminal device 3 described above (FIG. 7).
- the functions of the authentication input unit 106 and the communication unit 107 of the remote terminal device 5 are the same as those of the operation terminal device 3 described above.
- the functions of the operation unit 105 of the remote terminal device 5 are limited to browsing means 110 and confirmation (display change) means 111 .
- terminal devices 3 and 5 both terminals are hereinafter simply referred to as terminal devices 3 and 5
- information on processed prescriptions can be obtained by operating the terminal devices 3 and 5 .
- FIG. 8 shows a standby screen displayed immediately after operating the terminal devices 3 and 5 to activate the browsing means 101 .
- the unconfirmed display column 120 is blank as shown in FIG. Even if there is an abnormal process, the unconfirmed display column 120 will be blank as shown in FIG. 8 even if there is a record of confirmation by the worker. In this manner, predetermined displays on the terminal devices 3 and 5 are changed by the operator's operation.
- definite abnormalities include, for example, those caused by external factors and those caused by internal factors.
- External factors include the following. (1) Power outages (2) Abnormal vibrations due to earthquakes or collisions with objects (3) Environmental problems such as increased room temperature or humidity (4) Emergency stop due to manual operation such as an emergency stop button
- a "suspected abnormal situation” is, for example, a case where the packaging work is completed, but an unusual situation occurs during the process. For example, when the result of comparison by the comparison means 81 is that there is a deviation exceeding a predetermined allowable amount, this is a "suspicious situation.” For example, the following cases correspond to "situations in which an abnormality is suspected”. (1) The rotation speed of the distribution plate 20 is out of the allowable range. (2) The vibration strength of the feeder body (vibrating means) 32 is out of the allowable range. (3) The time required to discharge a predetermined amount of medicine from the medicine container 31 is out of the allowable range.
- the process recorded in the action recording means 77 can be viewed.
- operator authentication is required.
- the information that can be viewed after the standby screen and the range that can be operated differ depending on the worker's qualification.
- the contents recorded in the operation recording means 77 can be viewed on condition that a person having a predetermined authority authenticates the person using the authentication means 86 . Also, on condition that a person having a specific authority has been authenticated by the authentication means 86, an operation to change a predetermined display of the terminal device can be performed.
- a “person with prescribed authority” who has the authority to browse and a “person with specific authority” who has the authority to change the display may be of the same level, or they may be different. If there is a difference between the two, it is recommended that the "person with specific authority” is a higher authority, and the "person with specific authority” is also the "person with prescribed authority.” be done.
- a pharmacist is a highly qualified person, a "person with specific authority", and a "person with predetermined authority”. Therefore, the pharmacist can perform all viewing and operations. It is desirable that nurses and non-pharmacists at pharmacies can only view, or have restrictions on the operations they can perform, depending on their level, proficiency, and years of experience. . For example, a non-pharmacist can be "a person with a given authority" but not a "person with a specific authority.”
- the person who actually operates the medicine packaging device 1 is a pharmacist or an employee of a pharmacy. Therefore, it is recommended that only pharmacists be designated as “persons with specific authority”. In reality, we should distinguish between pharmacists and non-pharmacists. Pharmacists can view and operate everything, and non-pharmacists are limited in the scope of use and limited to a specific range depending on experience etc. operation can be performed. Non-pharmacists can only browse information with low confidentiality. The scope of what can be viewed and the range of operations that can be performed differ depending on the qualification, but when someone views something, the content of the view, the person who viewed it, and the date and time of the view are recorded. The same is true when someone performs some operation, and the details of the operation, the operator, and the date and time of the operation are recorded.
- prescription lists such as those shown in FIGS. 10, 11, and 12 can be displayed.
- the prescription list is a list of processed prescriptions, and displays names and symbols for specifying the prescriptions, dates and times of packaging, and the like.
- a display calling attention to the prescription is made.
- the prescription number column is colored and displayed as shown in FIG.
- red coloring is dense dots and blue coloring is sparse dots. It is arbitrary how to make the difference in display, and in addition to the method of changing the color, methods such as changing the brightness and saturation, changing the font of letters and symbols, etc. are conceivable.
- a table of data in the packaging process is shown on the left side of the screen showing the details of the packaging process, and a graph showing changes in the rotational speed of the distribution tray 20 and the vibration intensity is shown on the right side of the screen. .
- the items shown in the data in the packaging process are as shown in the tables of FIGS. 13, 14, and 15, and the upper part of the screen is a column for describing bibliographic items, in which the division number, patient name, and work date and time are described. ing. At the right end of the upper row, there is a column for calling attention 121 .
- the table on the left shows usage and the number of packets, and each of them has a specific indication.
- "Dihydrocodeine Phosphate Powder 1% 'Marco'” is described as a specific drug name. As a quantity, it is described as 0.3 g.
- Distribution start time is the time when distribution of the powder medicine from the medicine container 31 to the distribution tray 20 is started.
- Distribution end time is the time when the distribution of the powder medicine from the medicine container 31 to the distribution tray 20 is finished.
- During Fall is the time spent during allocation.
- Mode of “mode (at the start)” and “mode (at the end)” is the vibration mode of the feeder body 32, and whether automatic vibration or manual vibration is displayed.
- “Hopper opening” is similar to the conventional powdered medicine packaging device. Pre-weighed powdered medicine is placed in the hopper, and the vibrating device is vibrated while rotating the distributing tray to deliver the powdered medicine from the hopper to the distributing tray via the trough. This display is required when using the operation terminal device (terminal device) for the type of installation.
- Conventional powdered medicine dispensing equipment can change the angle at which the hopper opens to the trough, and when the operator changes it, it is recorded as the angle level.
- Level means the vibration intensity of the feeder body (vibrating means) 32, and is described as “15”.
- Distribution stop operation is an event that occurs only when a manual feed cassette is used. The column of “distribution stop operation” records whether or not the operation has been executed.
- a graph is displayed on the right side of the screen.
- This graph also includes a graph (A feeder level) representing changes in the vibration intensity of the feeder body (vibrating means) 32 . That is, the graph is a graph showing the relationship between the rotation speed of the distribution tray 20 and time, and the graph showing the relationship between the vibration intensity of the medicine feeder 30 and time.
- the graph also shows the permissible range of rotation speed of the distribution plate 20 . Looking at the graph on the right, the distribution plate 20 rotates at a substantially constant rotational speed, and the polygonal line representing the rotational speed is within the allowable range.
- the vibration intensity graph (A feeder level)
- the vibration is weak at first, and becomes slightly stronger in the middle. Then, the state of maintaining a constant vibration intensity continues, and then suddenly stops.
- FIG. 14 and FIG. 15 are displays when there is a "situation suspected of being abnormal".
- FIG. 14 is a display when there is a "suspected abnormal situation” and there is no history of confirmation by the operator (person with specific authority).
- FIG. 14 is a display when there is a "suspected abnormal situation” and there is no history of confirmation by the worker (person with specific authority). "Unconfirmed” is displayed. The characters are colored and alerted.
- FIG. 14 the column of "Falling Time” is colored to call attention.
- FIG. 14 is colored red to indicate an unidentified state. That is, an abnormality notification is displayed.
- the time required to drop the powder medicine from the medicine container 31 was as short as 6 seconds, and the time required to discharge the prescribed amount of medicine from the medicine container was out of the allowable range. , a warning is displayed as an anomaly notification.
- the explanation for the item is displayed. For example, specifying and touching the column of "During Falling” displays an explanation of "During Falling” as shown in FIG. 16 .
- the items colored red will change to a different color, as shown in FIG. That is, the red which is an abnormality notification is canceled and changes to, for example, blue.
- the characters "unconfirmed” disappear from the caution column 121 at the right end of the upper row.
- "unconfirmed” is an anomaly notification, and the anomaly notification is canceled. That is, the predetermined display of the terminal device is changed by the confirmation operation.
- the column of "distribution stop operation” is colored to call attention.
- FIG. 19 is colored red to indicate an unidentified state.
- the fact that the column of "distribution stop operation” is "yes” indicates that although the packaging of the medicine was completed for the time being, the stop operation was performed during the work. A shutdown operation is not performed in a normal process.
- the vibration is weak at first, becomes slightly stronger in the middle, maintains a constant vibration strength, and then stops suddenly.
- the vibration intensity increases in the middle, and further increases sharply toward the end.
- the graph of FIG. 21 personnels with specific authority
- the graph is divided into 4 areas, and the central 2 areas are colored. This coloring indicates that the driving mode was changed midway through a manual operation. That is, a display is provided to indicate the timing of the operation mode.
- the color display on the left side of the patient name in the prescription list in FIG. 11 is red if unconfirmed, and green if confirmed even once. do. Clicking on the patient name is a confirmation operation.
- the red display of each item becomes green, that is, unless all confirmations are made, the color next to the patient name in the prescription list does not change to green.
- the single distribution tray 20 is exemplified.
- FIG. 21 is an example of a display screen of the packaging process when two distribution trays 20 are provided.
- the powdered medicine is introduced directly from the medicine container into the distribution tray 20 by vibrating the medicine container.
- the present invention can also be applied to a structure in which is introduced into the distribution plate 20 .
- one of the drug feeders 30 is replaced with a combination of a trough 207 and a hopper 201, powdered drugs weighed outside in advance are placed in the hopper 201, and the trough 207 is vibrated to distribute the powdered drugs. It can be introduced into the dish 20 .
- the drug packaging device 200 shown in FIG. 22 has a rotating plate confirmation sensor 202 as a unique configuration.
- the rotating plate confirmation sensor 202 is a sensor for confirming whether or not the rotating plate 23 is normally attached to the scraping device 21 .
- the scraping device 21 is provided with a rotating plate 23 at the tip of a scraping arm 230 .
- the rotating plate 23 is a member having a scraping plate 231, a scraping plate 232, and a partition plate 233, as shown in FIG.
- the scraping plate 231 is a disk made of a thin plate.
- the partition plate 233 is a thin plate arranged parallel to the scraper plate 231 and has a shape close to a fan shape.
- the partition plate 233 is arranged parallel to the scraper plate 231 .
- One side of the partition plate 233 and the scraping plate 231 are connected by a scraping plate 232 .
- the rotating plate 23 is rotated by a drive source (not shown) to scrape out the powdered medicine from the medicine feeding groove 22 of the distribution plate 20 .
- the rotating plate 23 has a detachable structure, and is frequently attached and detached for cleaning. Therefore, there are cases where the operator forgets to attach the rotary plate 23 or the attachment is insufficient.
- the rotating plate confirmation sensor 202 detects whether the rotating plate 23 is properly attached to the tip of the raking arm 206 (FIG. 22a).
- a sensor box 203 is provided on the outer peripheral side of the rotating plate 23 , and a rotating plate confirmation sensor 202 is attached to the sensor box 203 .
- the rotating plate confirmation sensor 202 is, for example, a photoelectric sensor or a proximity sensor. In this embodiment, a reflective photoelectric sensor is employed as the rotating plate confirmation sensor 202 .
- the rotating plate confirmation sensor 202 has a light emitting portion and a light receiving portion. The light emitting portion emits light to irradiate the scraping plate 232 or the partition plate 233 of the rotating plate 23 with the light, and the light receiving portion receives the reflected light. If the reflected light can be received, it is determined that the rotating plate 23 is attached, and if the reflected light cannot be received, it is determined that the rotating plate 23 is not attached. Further, the rotating plate confirmation sensor 202 of this embodiment can also detect whether or not the rotating plate 23 has rotated. It is also recommended to use an infrared sensor as the rotating plate identification sensor 202 .
- the rotating plate confirmation sensor 202 of the present embodiment emits light from the light emitting portion to irradiate the scraping plate 232 or the partition plate 233 of the rotating plate 23 with the light, and detects the reflected light. Since the scraping plate 232 and the partition plate 233 are provided on a part of the rotating plate 23, the rotating plate can be confirmed when the rotating plate 23 rotates and the scraping plate 232 and the like come close to the rotating plate confirmation sensor 202. The sensor 202 is turned on, and turned off when the scraping plate 232 or the like moves away.
- the rotating plate confirmation sensor 202 is repeatedly turned on and off at regular intervals. In the present embodiment, it is determined that the rotating plate 23 is rotating normally when the ON state and the OFF state are repeated at regular intervals. Conversely, when periodic repetition of the ON state and the OFF state cannot be confirmed, it is determined that the rotating plate 23 is not rotating normally. It is also determined that there is an abnormality when the ON state and OFF state are not stable in a constant cycle. If the rotating plate confirmation sensor 202 cannot receive the reflected light, if the repetition of the ON state and the OFF state cannot be confirmed, or if the cycle between the ON state and the OFF state is not stable, a display screen (not shown) is displayed.
- an indication is given that the output device 21 is out of order or abnormal. Furthermore, as shown in FIG. 9, an unconfirmed display field 120 displays a warning. Further, the screens of FIGS. 13, 14, 15, 19, and 21 display the time at which an abnormality such as poor mounting or poor rotation of the rotating plate 23 was detected, a warning display, and the time at which the abnormality was released. may be made.
- the medicine packaging device 200 of this embodiment also has a rotation confirmation sensor 205 for confirming that the distribution tray 20 is rotating, as shown in FIG. 22(b).
- the rotation confirmation sensor 205 is a magnetic pole detection sensor such as a Hall element.
- the distribution plate 20 is driven by a gear train 210 as shown in FIG. 22(b). That is, a large gear 211 is attached to the distribution plate 20 .
- a small gear 212 is engaged with the large gear 211 . Then, the small gear 212 is rotated by a motor (not shown), and the rotational force is transmitted from the small gear 212 to the large gear 211 to rotate the distribution plate 20 .
- a rotation detection gear 213 is engaged with the large gear 211 .
- a magnet 215 is attached to the rotation detection gear 213 .
- the rotation confirmation sensor 205 is arranged near the rotation detection gear 213 . Therefore, when the distribution plate 20 rotates, the rotation detection gear 213 engaged with the large gear 211 rotates, and the magnet 215 approaches the rotation confirmation sensor (magnetic pole detection sensor) 205 at regular intervals. Therefore, when the distribution plate 20 rotates, the rotation confirmation sensor 205 is repeatedly turned on and off at regular intervals. In this embodiment, it is determined that the distribution plate 20 is rotating normally when the ON state and the OFF state are repeated at a constant cycle.
- a drive motor (not shown) that rotates the small gear 212 is also provided with a sensor for confirming rotation.
- the plate 20 may not be rotating.
- the rotation confirmation sensor 205 is provided separately, it can be confirmed by the rotation confirmation sensor 205 whether or not the distribution plate 20 is rotating normally.
- the rotation detection gear 213 is rotated by directly transmitting the rotational force from the distribution tray 20, it is determined whether or not the distribution tray 20 is rotating.
- the rotational speed of the distribution tray 20 can be detected from the cycle of the ON state and OFF state of the rotation confirmation sensor 205 . That is, since it is possible to detect changes and variations in the rotational speed of the distribution tray 20 from the cycle of the ON state and OFF state of the rotation confirmation sensor 205, it is possible to detect uneven distribution when powdered medicine is put into the distribution tray 20. can do. By using this function, by calculating the rotation speed from the detection interval of the rotation confirmation sensor 205, it is possible to detect the possibility of uneven distribution when the speed of the distribution plate 20 is slower (faster) than the specified value. 13, 14, 15, 19, and 21, it is possible to notify and display the time of occurrence, warning display, time when the abnormality is resolved, and the like.
- an unconfirmed display field 120 displays a warning. Further, as described above, the time when an abnormality was detected, the warning display, the time when the abnormality was canceled, etc. may be displayed.
- the rotation confirmation sensor 205 is not limited to a magnetic pole detection sensor, and any known sensor can be used.
- a member that rotates together with the distribution plate 20 may be marked, and a photoelectric sensor or the like may be used to detect the mark at regular intervals.
- a plurality of feeder bodies 32 are fixed around the distribution tray 20, and each feeder body 32 has a structure in which a medicine container 31 containing a powdered medicine is attached.
- the invention is not limited to that configuration.
- a feeder body may be provided around the distribution tray 20, and the drug container may be transported to the feeder body by a robot or the like.
- the powdered medicine is pre-weighed in the hopper, and the vibrating device is vibrated while rotating the distribution tray to introduce the powdered medicine from the hopper to the distribution tray via the trough.
- the present invention can also be applied to
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- Basic Packing Technique (AREA)
- Medical Preparation Storing Or Oral Administration Devices (AREA)
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| KR1020247011425A KR20240117525A (ko) | 2021-12-07 | 2022-10-18 | 약제 포장 장치 |
| JP2023566126A JPWO2023105934A1 (https=) | 2021-12-07 | 2022-10-18 |
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| PCT/JP2022/038752 Ceased WO2023105934A1 (ja) | 2021-12-07 | 2022-10-18 | 薬剤包装装置 |
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| JP (1) | JPWO2023105934A1 (https=) |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2008074618A (ja) * | 2006-09-20 | 2008-04-03 | Jvm Co Ltd | 錠剤自動包装機の統合制御システム及びその方法 |
| JP2010046469A (ja) * | 2007-10-23 | 2010-03-04 | Yuyama Manufacturing Co Ltd | 薬剤払出システム、並びに、薬剤払出装置 |
| JP2016187544A (ja) * | 2014-09-24 | 2016-11-04 | 株式会社湯山製作所 | 薬品払出装置及び散薬調剤業務支援システム |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP6944637B2 (ja) | 2015-11-02 | 2021-10-06 | 株式会社湯山製作所 | 薬剤払出し装置 |
-
2022
- 2022-10-18 WO PCT/JP2022/038752 patent/WO2023105934A1/ja not_active Ceased
- 2022-10-18 JP JP2023566126A patent/JPWO2023105934A1/ja active Pending
- 2022-10-18 KR KR1020247011425A patent/KR20240117525A/ko active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2008074618A (ja) * | 2006-09-20 | 2008-04-03 | Jvm Co Ltd | 錠剤自動包装機の統合制御システム及びその方法 |
| JP2010046469A (ja) * | 2007-10-23 | 2010-03-04 | Yuyama Manufacturing Co Ltd | 薬剤払出システム、並びに、薬剤払出装置 |
| JP2016187544A (ja) * | 2014-09-24 | 2016-11-04 | 株式会社湯山製作所 | 薬品払出装置及び散薬調剤業務支援システム |
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| JPWO2023105934A1 (https=) | 2023-06-15 |
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