Drug dispensing device, support program for drug dispensing device, and recording medium with recorded support program

Abstract

To provide a drug dispensing device equipped with a function to manage manufacturing information for drugs dispensed to each patient.SOLUTION: A drug dispensing device (100), which is configured to separately dispense one dose of a drug based on prescription data, includes: an operation device (64) configured to receive input given by a worker; a dispensing unit (2), to which a medication to be manually dispensed is to be input; a monitor (63) configured to display a screen for supporting work of the worker based on the prescription data and on the input given by the worker; and a controller (61). The controller (61) displays, on the monitor (63), a screen for allowing the worker to input manufacturing information on a drug to be dispensed, to receive input of the manufacturing information. The controller (61) stores, into a storage (62), manufacturing information on a drug dispensed in work of dispensing a drug to one patient, in association with information for identifying the one patient.SELECTED DRAWING: Figure 5

Description

[Technical field]

[0001] The present invention relates to a medicine dispensing device that dispenses medicines in separate doses according to their dosage periods. [Background technology]

[0002] Conventionally, a drug dispensing device that dispenses a prescribed drug in individual doses has been known. According to the medicine dispensing device, the prescribed medicine is dispensed, for example, Take one dose at a time, such as when you wake up, after breakfast, after lunch, after dinner, or before going to bed. The medicine is dispensed in individual packets or in one-week packets. The medicine is then delivered to the patient in a blister pack, with each dose being individually packaged. By packaging each dose separately, it is possible to prevent forgetting to take the medicine or taking the wrong medicine. There are advantages. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] JP 2010-5378 A Summary of the Invention [Problem to be solved by the invention]

[0004] After the medicine is dispensed by the medicine dispenser, any defects that may have been present in a particular lot during the manufacture of the medicine may occur. In cases where a problem with a drug lot is discovered, the patient to whom the drug lot was prescribed must be identified. It is desirable to have a mechanism for easy tracking.

[0005] In consideration of the above requirements, the present invention provides a system for managing manufacturing information of drugs dispensed to each patient. The object of the present invention is to provide a medicine dispensing device having such a structure. [Means for solving the problem]

[0006] In order to achieve the above object, the medicine dispensing device disclosed below comprises: A drug dispensing device that dispenses drugs in individual doses based on prescription data, an input unit that accepts input from an operator; a manual chemical processing section into which the manual chemicals are dispensed; A screen for supporting the work of the worker based on the prescription data and an input from the worker. a monitor for displaying the A control unit. The control unit controls a screen on the monitor for allowing an operator to input manufacturing information of the drug to be dispensed. to accept input of manufacturing information, The control unit is configured to: The information is stored in the memory unit in association with information that identifies the patient. Effect of the Invention

[0007] According to the above configuration, a medicine dispensing device having a function for managing manufacturing information of packaged medicines can be provided. This allows the company to provide the medicine to customers without any problems. If the date is known, it will be easier to track the medication that has been dispensed. [Brief description of the drawings]

[0008] [Figure 1] FIG. 1 is an external view of a medicine dispensing device according to one embodiment. [Diagram 2] FIG. 2 is a perspective view showing the medicine dispensing device with the top cover of the dispensing unit opened and the drawer part pulled out towards the front. [Diagram 3] FIG. 3 is a top view showing the appearance of a blister pack. [Figure 4]FIG. 4 is an external view of a medicine dispensing device equipped with a computer and a barcode reader. [Diagram 5] FIG. 5 is a block diagram showing a schematic configuration relating to control of the medicine dispensing device. [Figure 6] FIG. 6 is an explanatory diagram showing an example of the cassette monitor screen. [Figure 7] FIG. 7 is a flow chart showing the processing steps when filling a tablet cassette with medicines. [Figure 8] FIG. 8 is an explanatory diagram showing an example of the tablet filling details screen. [Figure 9] FIG. 9 is a flowchart showing the procedure of the medicine dispensing process. [Figure 10] FIG. 10 is an explanatory diagram showing an example of the manual distribution tablet support screen. [Figure 11] FIG. 11 is an explanatory diagram showing an example of a search screen for searching the history database. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

[0009] The medicine packaging device according to the first configuration of the present invention comprises: A drug dispensing device that dispenses drugs in individual doses based on prescription data, an input unit that accepts input from an operator; a manual chemical processing section into which the manual chemicals are dispensed; A screen for supporting the work of the worker based on the prescription data and an input from the worker. a monitor for displaying the A control unit. The control unit controls a screen on the monitor for allowing an operator to input manufacturing information of the drug to be dispensed. to accept input of manufacturing information, The control unit is configured to: The information is stored in the memory unit in association with information that identifies the patient.

[0010] In this first configuration, "manufacturing information" refers to the time and / or place of manufacture of the drug. This refers to information that can identify the manufacturing area, manufacturing plant, or manufacturing line, etc. For example, the lot number that a pharmaceutical manufacturer assigns to a drug container is considered manufacturing information. This can be used, for example, for a certain drug dispensed as a drug to be distributed manually. If it is later discovered that there was a problem with a product manufactured at a particular time, Or, if it is discovered later that there was a problem with a product manufactured at a particular factory, etc. Based on the information stored in the memory unit, the system determines which patient the problematic drug was dispensed to. , it becomes possible to track it.

[0011] In the first configuration, The manual chemical processing unit is a tray divided into a plurality of cells, Each is equipped with a tray into which a single dose of medication is placed, When the medicine is dispensed manually onto the tray, the control unit It is preferable that a work support screen including the manufacturing information input field is displayed on the monitor for each agent. (Second configuration).

[0012] According to the second configuration, for medicines that are dispensed manually, the operator is responsible for dispensing the medicines. This allows the manufacturing information to be entered each time the medicine is dispensed manually. It is also possible to store all manufacturing information for each agent.

[0013] In the first or second configuration, The tablet cassettes are provided so that tablets are stored in the tablet cassettes according to the prescription data. a tablet supply unit for dispensing tablets from the tablet dispenser to the tray, The control unit includes the manufacturing information input field during a tablet loading operation into the tablet cassette. It is preferable that a work support screen is displayed on the monitor (third configuration).

[0014] According to the third configuration, in an apparatus for automatically dispensing tablets using a tablet cassette, This makes it possible to store all manufacturing information for the drugs dispensed in the tablet cassette.

[0015] In any one of the first to third configurations, the tray is a blister pack tray. (fourth configuration).

[0016] Alternatively, in any one of the first to third configurations, the plurality of cells of the tray The device may further include a packaging unit for packaging each of the drugs in individual drug packages. It is preferable that the above is true (fifth configuration).

[0017] A control program according to an embodiment of the present invention comprises: A control program for a drug dispensing device that dispenses individual doses of drugs based on prescription data. grams, The control program causes a processor of a computer to receive input from an operator. Input processing and The screen for the operator to input the manufacturing information of the drug to be dispensed as the manual preparation is monitored. and a process of displaying the information on the display unit and receiving input of manufacturing information. The manufacturing information of the drug dispensed to a patient is used to identify that patient. and storing the information in the storage unit in association with the specified information.

[0018] The present invention also relates to a computer-readable recording medium having the above control program recorded therein. It can also be implemented as a medium.

[0019] Hereinafter, an embodiment of the present invention will be described in detail with reference to the drawings. The same reference numerals are used and the description thereof will not be repeated. In the drawings referred to below, configurations are shown in a simplified or schematic manner, and some of the configurations are shown in a simplified or schematic manner. In addition, the dimensional ratios between the components shown in each drawing do not necessarily correspond to the actual dimensions. The actual dimensional ratio is not shown.

[0020] In the following embodiment, a medicine dispensing device that dispenses medicine into a blister pack will be described as an example. FIG. 1 is an external view of a medicine dispensing device 100 according to this embodiment. As shown in the figure, the medicine dispensing device 100 has a tablet supplying unit 1 provided in the upper half of a frame 10. The lower half of the frame 10 includes a dispensing unit 2 (see FIG. 2) is provided. Underneath this, there is a storage area for unused blister packs, etc. The tablet supply unit 1 has tablet cassettes 11 and 12 arranged in multiple stages. The tablet supply unit 1 can be stored in a storage case by closing the shutter 13 on the front side. FIG. 1 shows the shutter 13 in a state where it is about half-open. do.

[0021] The tablet cassette 11 is a cassette that contains a specific type of tablet (unit amount) that is determined in advance. The tablet cassette 12 can be filled with any amount of tablets as needed. The tablet cassette 11 is different from the tablet cassette 11 for a specific type of tablet in that it can be used for various purposes. However, like the tablet cassette 11, it can dispense the required amount of tablets (unit amount) one by one. Each tablet cassette 11 has a tablet outlet for dispensing a specific type of tablet. The shape and size of the tablet cassette 12 are designed to be suitable for the tablets. The size of the outlet is designed to be adjustable according to the amount of medicine to be dispensed. The tablets dispensed from the tablet cassettes 11 and 12 are then filled with the required medicine each time. The tablets are fed through a hopper 14 (shown by a broken line in FIG. 1) provided in the tablet supply unit 1. The tablets are fed to the tablet cassette 11·1 through the feeding unit 2. 2 or the use of tablet cassettes 11 and 12 is not efficient. Any medicines or substances that are not suitable are dispensed by manual dispensing, as described below.

[0022] In other words, for drugs other than the specific type of drug dispensed in the tablet cassette 11 (1) The pharmacist dispensing the tablets by hand while checking the prescription, or (2) dispensing them into the tablet cassette 12. The tablets are dispensed by either filling the tablets in the tablets or dispensing them from the tablet supply unit 1. The choice of method 1) or 2) depends on the characteristics of the drug, handling conditions, and work efficiency. The rate can be determined by the pharmacist. Chemicals other than the specific type of chemicals dispensed from the cassette 11 are referred to as "chemicals to be dispensed manually." In addition, for example, when the tablet cassette 11 is empty at the time when the dispensing operation is about to be completed, In this case, it may be more efficient to hand-distribute the remaining few tablets. In this way, even if the medicine is dispensed from the tablet cassette 11, it is possible to dispense it manually. When dispensed, this is called a "manually distributed chemical."

[0023] Using a tablet cassette such as tablet cassette 12 that can be filled with any type of tablet The drug packaging device is described in the applicant's prior application (PCT / JP2016 / 054349, WO2016 / 136523), the contents of which are incorporated herein by reference. Incorporate into your prayers.

[0024] The dispensing unit 2 (manual medicine processing unit) is equipped with an upper cover 21 and a drawer section 22. FIG. 2 shows the dispensing unit 2 with the top cover 21 opened and the drawer section 22 in hand. 2 is a perspective view showing a state in which the dispensing unit 2 is pulled out forward. , and a division tray 23 (details of which will be described later). In the pulled-out state, the tray 51 of the blister pack 5 is received. The section 22 has a placement portion that fits the cell shape of the tray 51.

[0025] Now, the blister pack 5 will be described with reference to FIG. 3 is a top view showing the appearance of the blister pack 5. As shown in FIG. With tablets (not shown) placed in the cells 511 of the tray 51, a lid is placed on the open surface of the tray 51. The sheet 52 is attached to the tray 51. The dispensed medicine is stored in the tray 51 as prescribed. The blister pack 5 is made of transparent resin so that it can be inspected from the back side to see whether it is a blister pack or not. In FIG. 3, for the sake of explanation, a part of the cover sheet 52 is cut away. However, in the actual blister pack 5, the entire open surface of the tray 51 is covered with the lid sheet 52. Thus, it is completely sealed.

[0026] The blister pack 5 illustrated in FIG. 3 is used for one week from Sunday to Monday, This corresponds to a total of 28 times a day, four times a day: in the afternoon, in the evening, and before going to bed. It has 28 cells 511.

[0027] The cover sheet 52 is cut to fit the openings of the 28 cells 511 and is surrounded by a break line 521. The lid sheet 52 has a recessed removal portion 522. The periphery is provided with an adhesive, and the lid sheet 52 is attached to the tray 51 by this adhesive. In addition, the back surface of the cover sheet 52 before being attached to the tray 51 may have the above-mentioned adhesive. A release paper (not shown) is provided to protect the adhesive. Each of the 22 is printed with the patient's name 522a, etc. Any other information such as the period and dosage may be printed. In the part, there are a seven-day display 523 and a corresponding date display 524, and a time display 525. will be printed.

[0028] The patient (or nurse, etc.) must enter the relevant information for each of the four doses on the corresponding day when taking the medication. The removal portion 522 is broken at the breaking line 521 by, for example, pushing it with a finger, and the lock in the corresponding cell 511 is broken. In this way, the tablets are stored according to the time of day they should be taken, and the day of the week and date are also included. Since the date is printed on the medicine, it is possible to prevent taking the wrong medicine. Since the removal portion 522 is broken, it is easy to check whether or not you have forgotten to take your medicine. Cut.

[0029] Returning to FIG. 2, the dispensing unit 2 will be described. As shown in FIG. 1, a divided tray 23 is provided inside the upper cover 21. The divided tray 23 is The number of rows and columns of cells is the same as that of the cells 511 of the tray 51 of the photovoltaic cell pack 5. The split tray 23 is moved in the dispensing unit 2 in three axes, X, Y and Z, by a motor drive or the like. The dividing tray 23 is configured to move in the hopper 14 of the tablet supply unit 1. The tablet is discharged from the hopper 14 by moving in the XY axis direction relative to the tablet discharge port. The drug is placed in a cell corresponding to the cell 511 into which the drug is to be administered.

[0030] The bottom surface of the cells of the divided tray 23 is configured to be openable and closable. When all the medicines to be dispensed from the tablet supply unit 1 are dispensed onto the division tray 23, The split tray 23 moves above the tray 51 in the dispensing unit 2 and closes the shutter on the bottom of the cell. This allows the medicines in each cell of the divided tray 23 to be transferred to the corresponding cells of the tray 51. He is sent to route 511.

[0031] The structure and operation of such a partition tray 23 are described in detail in the prior application of the present applicant (PCT / JP2011 / 077179, WO2012 / 070643) , the contents of which are incorporated herein by reference.

[0032] In this embodiment, the blister pack 5 is provided separately from the tray 51. The above embodiment illustrates a configuration in which the unit 2 includes a divided tray 23. However, the divided tray 23 is not essential. That is, the division tray 23 can be omitted and the tablet supply unit can be omitted. The drug may be dispensed directly from the unit 1 to the tray 51.

[0033] In addition, the prescription data does not include the tablet cassettes 11 and 12 in the tablet supply unit 1. If the tray 51 contains any tablets that are not included in the pills, the drawer 22 in which the tray 51 is set is pulled out. In this state, the medicine is dispensed by hand onto the tray 51. This includes both medicines dispensed from the supply unit 1 and medicines dispensed by hand. If the drug is dispensed, the operator (pharmacist) can choose which drug to dispense first. It is possible.

[0034] As shown in FIG. 4, the medicine dispensing device 100 includes a support base 10 attached to a frame 10. a, and a computer 6A (corresponding to a control unit 6 described later) on the support stand 10a. and a barcode reader 7. The operator can read the model of the computer 6A. While looking at the work support screen displayed on the monitor, the operator operates the keyboard and touch panel of computer 6A. In FIG. 4, a notebook computer is used as the computer 6A. Although a personal computer is shown as an example, tablets, smartphones, etc. may also be used. The communication between the computer 6A and the medicine dispensing device 100 may be wired or wireless. The barcode reader 7 is used to read barcodes from drug containers and the like. Depending on the characteristics of the code to be read, a bar code reader 7 or In addition to the barcode reader 7, any other device such as a QR code (registered trademark) reader or IC tag reader may be used. The electronic device may be provided with other reading means.

[0035] FIG. 5 is a block diagram showing a schematic configuration relating to control of the medicine dispensing device 100. The dispensing device 100 includes a control unit in addition to the tablet supply unit 1 and the dispensing unit 2 described above. In this embodiment, the computer 6A is a control unit 6 However, the functions are not limited to these, and the internal processor, memory, etc. of the medicine dispensing device 100 may also be used. may function as the whole or part of the control unit 6. The functional configurations of the tablet supply unit 6, the tablet supply unit 1, and the dispensing unit 2 will be described.

[0036] [Control unit 6] The control unit 6 reads the prescription data, displays the operation screen, and receives instructions from the operator. For this purpose, the control unit 6 includes a control unit 61, a storage unit 62, a monitor 63, an input device 6 In this embodiment, these components are implemented by a computer. This is achieved by the 6A.

[0037] The monitor 63 can be realized by any display. The input device 64 is a keyboard. The input device 64 can be realized by a keyboard, a touch panel, or the like. The control unit 6 may also be provided with a speaker so as to be capable of outputting sound. stomach.

[0038] The control unit 61 includes a CPU, a RAM, a ROM, and an EEPROM (none of which are shown). The control unit 61 has the following: The various programs stored in the RAM and the CPU are executed. The EEPROM is a temporary storage memory ( The control unit 61 is an integrated circuit such as an ASIC or a DSP. It may be a road.

[0039] The storage unit 62 is a hard disk device or a solid state drive (SSD). The storage unit 62 stores a program for causing the CPU of the control unit 61 to execute a predetermined process. The program is pre-stored.

[0040] The program can be stored in a computer, such as a CD, DVD, or semiconductor memory. The data is recorded on a data-readable recording medium, and is read by a reading device such as a disk drive (not shown). The program is read from the recording medium and installed in the storage unit 62. The present invention can also be regarded as a computer-readable recording medium having the above program recorded thereon. It is possible.

[0041] In addition, the storage unit 62 stores, for example, a medicine master, a patient master, a mounted medicine master, a worker master, The control unit 61 also stores various databases such as a pharmacy master and a pharmacy master. For example, the image data is transferred from a recording medium such as a CD, a DVD, or a semiconductor memory to a disk drive (not shown). The data stored in the memory unit 62 is read by a reading device such as an eve. The control unit 61 can update the various databases stored in the operation unit 6. It is also possible to change the contents of the various databases in response to user operations on 4. be.

[0042] The drug master contains the drug ID, drug code, drug name, JAN code (or RSS code), code), medicine bottle code, classification (dosage form: powder, tablet, liquid, topical medicine, etc.), tablet size (high size and width), specific gravity, drug type (ordinary drugs, poisons, narcotics, powerful drugs, antipsychotics, therapeutic drugs, etc.), distribution It also contains information about each drug, such as drug interactions, excipients, and precautions. The patient master may include an image of the tablet. The patient master may include a patient ID, a name, a sex, Patient-related information such as type, age, medical history, prescription drug history, family information, medical department, ward, and room The pharmacy master contains information about the pharmacy, such as the name of the pharmacy, the name of the pharmacist, and the ID of the pharmacist. Contains information about the station.

[0043] The mounted medicine master includes the medicines given to each of the tablet cassettes 11 and 12 of the tablet supply unit 1. The cassette identification information (cassette number) and the drug information contained in each cassette are Information on the drug (e.g., drug code, drug name, maximum amount implemented, standard amount to be filled, amount used, amount in stock, The maximum amount of packaging is the maximum number of cartridges that can be mounted on a cassette. The maximum number of tablets that can be stored. The filling standard amount is the standard number of drugs to be replenished. When the stock level falls below this filling level, the cassette is targeted for replenishment. The stock amount is the number of drugs remaining in the cassette. A drug manufacturer attaches a label to a drug to identify the place, time, and production line of the product. The expiration date is information provided by the drug manufacturer regarding the drug. This is the expiration date set as the expiration date for use.

[0044] The information of the implemented medicine master is input by the user of the operation unit 64 during the initial setting of the medicine dispensing device 100. The control unit 61 registers the pills in response to the operation. Each time tablets are filled into cassettes 11 and 12, the loaded cassette is The information in the product master is updated. The operation when filling tablets will be described in detail later.

[0045] In addition, the memory unit 62 stores at least a temporary history of dispensing in the medicine dispensing device 100. A history database is also provided that dynamically stores the history of each patient. The history database records when and what medication was prescribed. , and issued to each patient in association with information that identifies the patient (patient ID, name, etc.) Information that identifies the drug (drug ID, drug name, etc.) is recorded. Also, a history database The order also includes the manufacturing number (e.g., lot number) and expiration date of each dispensed drug. In this embodiment, the control unit 6 (computer 6A) has a storage unit The history database is provided in the control unit 62. The memory unit 62 may be provided in a storage device other than the memory unit 6. The contents of the history database are periodically saved to an external storage device of the medicine dispensing device 100. It is also possible to do so.

[0046] The monitor 63 displays the control unit 61 performing control based on prescription data and input by the operator. This will display the work support screen.

[0047] The operation unit 64 includes a keyboard, a mouse, a touch panel, and the like that accept user operations. This is an operation means, and inputs an operation signal corresponding to a user operation to the control unit 61. 5 is a communication device for connecting the medicine dispensing device 100 to an external prescription input terminal 200 via a communication network. The communication IF 65 is a communication interface for a host system such as a prescription input terminal 200. The prescription input terminal 200 is, for example, a hospital or a geriatric care facility. Electronic medical record systems installed in hospitals, and prescription management systems installed in pharmacies within or outside hospitals The communication IF 65 wirelessly communicates with various wireless communication devices such as the barcode reader 7. It also has a wireless communication interface such as a wireless communication card for data communication.

[0048] The communication IF 65 acquires prescription data from the prescription input terminal 200 and transmits the acquired prescription data to The control unit 61 inputs the prescription data to the communication IF 65. For example, the communication IF 65 inputs the prescription data to the prescription input terminal 200. Whether or not the prescription data is stored in a predetermined storage area of ​​the storage means is monitored, and the predetermined storage area is monitored. When prescription data is stored in the predetermined storage area, the prescription data is read out from the predetermined storage area. The communication IF 65 receives prescription data transmitted from the prescription input terminal 200. This is also possible.

[0049] [Tablet supply unit 1] As shown in FIG. 5, the tablet supply unit 1 includes a cassette control unit 15 and a dispensed number counting unit 1. The cassette control unit 15 controls the control unit 6 based on the prescription data. According to the instruction, the operation of dispensing tablets from the tablet cassettes 11 and 12 is controlled. Each of cassettes 11 and 12 has cassette identification information and drug contents that identify each cassette. In order to store drug information that identifies the drug, for example, an RFID tag (not shown) is attached. The tablet supply unit 1 has a built-in RFID reader for reading the RFID tags of the tablet cassettes 11 and 12. The tag reader is installed to read the tablet from the tablet cassette 11-12 according to the prescription data. From the list, the cassette containing the target tablet is selected. The selected cassette is then In the supply unit 1, the cassette control unit 15 controls the hopper 1 by a motor mechanism or the like. The tablets are then transported to the receiving port at No. 4, where the required amount of tablets is dispensed according to the prescription data. The dispensed number counter 16 counts the number of tablets dispensed and indicates the number of tablets dispensed from the tablet cassette. The cassette identification information is sent to the control unit 6. Based on the number of dispensed medicines counted by the number counting unit 16, the number of dispensed medicines is stored in the storage unit 62. This updates the stock amount of tablets in each cassette in the implementation medicine master. The amount will be updated to the latest version.

[0050] [Payment unit 2] The dispensing unit 2 includes a cell opening / closing control unit 23, a drawer opening / closing detection unit 24, and a division tray control unit. The cell opening / closing control unit 23 controls the opening and closing of the shutters on the bottom surfaces of the cells of the divided trays 23. The drawer open / close detection unit 24 detects when the drawer unit 22 is pulled out. The division tray control section 25 detects the number of pieces of the divided trays and outputs a detection signal to the control unit 6. According to the instruction from the control unit 6 based on the information, the motor and the like in the dispensing unit 2 are driven and controlled. In this way, the movement of the division tray 23 is controlled.

[0051] Next, the operation of the medicine dispensing device 100 having the above configuration will be described. Before starting dispensing, the operation of loading tablets into the tablet cassettes 11 and 12 is explained. He explains.

[0052] FIG. 6 shows an example of a cassette monitor screen displayed on the monitor 63 of the computer 6A. FIG. 1 is an explanatory diagram. The cassette monitor screen displays the medicines contained in the medicine cassettes 11 and 12. This is the screen that displays information. When the operator moves from the main menu screen to the cassette monitor screen, When the transfer operation is performed (Yes in S1 of FIG. 7), the control unit 61 transfers the mounted drug By referring to the product master, tablet cassettes whose inventory amount is below the filling standard amount are extracted (S2). The information about the extracted cassette is displayed in a list in the cassette medicine display area 602 (S3 ).

[0053] Then, the operator selects the cassette to be filled from among the cassettes displayed in the cassette medicine display area 602. When the user selects a cassette to be filled and clicks the fill start button 604, the control unit 61 executes this operation. When the request is accepted (S4), the display on the monitor 63 is switched to a tablet filling details screen as shown in FIG. El (S5).

[0054] The tablet filling details screen shown in FIG. 8 includes a cassette number display field 701, a drug code display field 702, and a tablet filling details screen shown in FIG. 2, a drug name display field 703, a filler selection screen display button 704, a filler name display field 705, Business date input field 706, filling amount input field 707, serial number input field 708, expiration date input field 70 9, barcode input field 710, stock amount display field 711, cassette position display field 712, registration button 7. The touch panel 712 has a volume control button 713, a sound off button 714, and a return key 715.

[0055] The cassette number display field 701 displays the number of the cassette to be filled. The display field 702 displays the drug code of the drug to be filled. The drug name of the drug to be filled is displayed. The drug code and drug name are taken from the implementation drug master. The filler selection screen display button 704, when clicked, displays the filler selection screen. A separate screen is displayed for selecting the worker who will be performing the work. The worker is registered in advance in the storage unit 62. It is also possible to add a new operator who is not registered. Filler name display field 7 05 displays the ID and name of the selected worker. This is a field for entering the date on which the

[0056] The filling amount input field 707 is a field for the operator to input the amount of medicine to be filled. The number input field 708 is a field for inputting the serial number of the medicine to be filled. When the screen is opened, the serial number stored in the implementation drug master is obtained and The expiration date input field 709 is a field for inputting the expiration date of the medicine to be filled. When the tablet filling details screen is opened, the expiration date stored in the implementation drug master is The expiration date is acquired and displayed in the expiration date input field 709. This is the field for inputting the barcode of the drug. When the Tablet Filling Details screen is opened, The barcode stored in the medicine master is obtained and displayed here.

[0057] In the stock amount display field 711, the stock amount of the drug stored in the implementation drug master is displayed. In the cassette position display field 712, the position of the tablet cassette is displayed in a flashing red light. In Figure 8, the red blinking display is represented by hatching. A button 713 is a button that is clicked when input is completed. A button 4 is used to turn off the audio output. A return key 715 is used to This button is used to return to the cassette monitor screen.

[0058] The operator inputs the amount of tablet to be filled into the tablet filling amount input field 707 on the tablet filling details screen using a keyboard or the like. The number of tablets to be filled is input (S6). Also, the serial numbers and expiration dates of the tablets to be filled are input. , change the information displayed in the serial number input field 708 and expiration date input field 709. If so, enter the new information in these fields.

[0059] After inputting the information, the operator selects a tablet cassette to be filled with medicine from the tablet supply unit 1. At this time, the operator can see the display in the cassette position display field 712 to determine the location of the tablets. The position of the corresponding cassette in the supply unit 1 can be easily confirmed. After filling the tablet cassette with tablets, the vendor puts it back in place (S7 ).

[0060] Next, the worker checks the barcode on the container that contained the filled medicine. The barcode attached to the container indicates the medicine. Since the barcode contains information that identifies the item, the control unit 61 performs the following operations based on the information in the barcode that is read: The drug ID and drug name are extracted from the drug master in the storage unit 62 and are used as information in the implemented drug master. By comparing, it is confirmed whether the correct medicine has been filled (S9). The information in the registration code matches the information in the implementation drug master (Yes in S9), and the worker When the record button 713 is clicked, the filling process is completed (S11). If the information in the card does not match the information in the mounted medicine master, the control unit 61 outputs an error to the monitor 63. - message is output (S10).

[0061] The above-mentioned filling process is usually carried out before starting the drug dispensing operation. During the dispensing process, the amount of medicine in either of the tablet cassettes 11 and 12 may change. When the amount of the medicine in the storage falls below the filling reference amount, the control unit 61 detects this and starts tablet filling for that medicine. The details screen is displayed on the monitor 63. The control unit 61 also displays a message such as "Please replenish tablets." When the operator presses the sound off button 714, the sound or warning sound is output from the speaker. When the user clicks the button, the control unit 61 stops outputting the sound and the like. After that, steps S6 to S7 in FIG. After the tablet cassette that was missing is filled with tablets using the same procedure as in 11, The payout process will resume.

[0062] Here, the procedure of the medicine dispensing process by the medicine dispensing device 100 will be described with reference to the flowchart of FIG. The explanation will be given with reference to the chart.

[0063] The operator selects a prescription for which a drug dispensing process is to be performed from the screen displayed on the monitor 63. Then, the control unit 61 displays a list of prescriptions waiting to be processed (not shown) on the monitor 63 (S 21) Prescription data is data related to prescriptions for one patient and is input to the prescription input terminal 2. The number is inputted from 00 and read into the medicine dispensing device 100. When the prescription is selected, the control unit 61 accepts the selection (S22) and By controlling the dispensing unit 2 based on the data, the medicine included in the prescription data is dispensed. The control unit 61 also controls the tablet cassette 11 or 12 to dispense the tablets (S23). Each time a drug is dispensed, information to identify the dispensed drug (drug ID, drug The drug's serial number and expiration date, along with the name of the patient, are extracted from the implemented drug master and used to identify the patient. The history data of the memory unit 62 is associated with the information (patient ID, patient name, etc.) to be specified and the prescription date, etc. The information is registered in the history database (S24). If it is discovered later that there was some problem with the manufacturing of the drug, Using the history database, it is easy to find out when a particular drug lot was prescribed to which patient. You can search for it.

[0064] Among the drugs included in the prescription data, those that can be dispensed from tablet cassettes 11 and 12 When all of the drugs have been dispensed and registered in the history database (Y in S25), es), the control unit 61 refers to the prescription data and determines whether or not there is a medicine to be dispensed manually. If the prescription data includes a medicine to be dispensed manually (S26), If the answer is "Yes", the control unit 61 displays a manual tablet distribution auxiliary screen as shown in FIG. If there is no medicine to be dispensed manually (No in S26), The control unit 61 ends the process.

[0065] The manual tablet preparation support screen shown in FIG. 10 includes a display switching button 901, a medicine name display field 902, Manual distribution instruction area 903, serial number input field 904, expiration date input field 905, manual distribution completion button Each time the display switching button 901 is clicked, the display The display status of the sub screen can be switched between "By drug", "Manual distribution only", and "All drugs". In addition, the display state of the screen is displayed within the display switching button 901. An example of the screen is the display state of "View per Medication". The drug list included in the prescription data can be displayed in a pull-down list, allowing the worker to The name of the drug selected from the drop-down list will be displayed.

[0066] In the manual distribution instruction area 903, a grid representing a plurality of cells 511 of the tray 51 is formed. 1 is shown in the same orientation as when it is set in the drawer section 22. As shown in FIG. 10, the manual injection instruction area 903 indicates the position of the cell to which the medicine should be injected, The amount of medicine to be injected (in the example of Figure 10, 3 / 4 tablets each) is displayed. By indicating the amount of medicine to be added in the squares in the tray 51 where the medicine should be added, This helps prevent mistakes during manual spreading work.

[0067] In addition, the drawer 22 is provided with LEs corresponding to each of the multiple cells 511 of the tray 51. D or the like is attached to correspond to the cell 511 to which the medicine should be injected based on the prescription data. The LED may be turned on. The light may be emitted from the edge of the cell 511 or may be emitted from the entire cell 511. It may be attached.

[0068] The manufacturing number input field 904 is a field in which the worker inputs the manufacturing number (e.g., lot number) of the medicine to be manually dispensed. The expiration date input field 905 is a field for inputting the expiration date. This is a field for inputting the expiration date of the chemical to be manually distributed. Before (or after) taking the container out of the container and scattering it on tray 51, read the ingredients listed on the container. The serial number and expiration date are input in a serial number input field 904 and an expiration date input field 905 .

[0069] The manual preparation completion button 906 is a button that the operator clicks each time the manual preparation of one type of medicine is completed. During manual distribution, the manual distribution completion button 906 displays "Not completed "(Incomplete)" is displayed, and you can click this button after the manual spraying is completed. Then, the display changes to "Complete". By setting the state to "Complete", the next medicine to be dispensed can be displayed in the medicine name display field 902. You can also select the desired file from the drop-down list by clicking this button after completing the manual seeding. When you click this, data is entered in the serial number input field 904 and the expiration date input field 905. If not, it is preferable to configure the system to output an error message.

[0070] In the example shown in FIG. 10, the serial number input field 904 and the expiration date input field 905 each have one For each drug, you can enter three sets of serial numbers and expiration dates (i.e., three boxes). However, the number of fields that can be filled in is arbitrary.

[0071] On the manual tablet support screen, the serial number input field 904 and the expiration date for one drug are The manufacturing number and expiration date entered in the expiration date input field 905 are information for identifying the drug ( The ID, drug name, etc.) is associated with the information and temporarily stored in the memory of the control unit 6 (S2 8) Then, it is determined that the manual dispensing of all the medicines to be dispensed by hand has been completed. Then (Yes in S29), the control unit 61 reads the serial number and The expiration date and expiration date are read out, and the patient is identified (patient ID, patient name, etc.) and the prescription date are related to the information. The information is registered in the history database of the storage unit 62 in association with the above information (S30). By registering the information in the database, it will be possible to identify any defects that may have occurred during the manufacturing process, even for hand-dispensed drugs. If it is found that there was a problem, when and to which patients the medicine from the defective manufacturing lot was The history database can be used to easily search for prescriptions for certain medications.

[0072] FIG. 11 shows an example of a search screen for searching the history database. As shown in the figure, the history database search screen includes a time designation field 801 for designating the search range, a patient A patient specification field 802 for specifying the patient name, a facility specification field 803 for specifying the facility name, and a worker specification field 804 for specifying the operator name. and a serial number specification field 805 for specifying a serial number. Then, when you specify the desired search conditions in these fields and click the Start Search button 806, The control unit 61 searches the history database according to the specified search conditions. The search results are displayed in a search result display area 807 .

[0073] In the example of FIG. 11, “31001” is entered as a search key in the serial number specification field 805. The control unit 61 searches for records that contain serial numbers that match (prefix match) this search key. The search results are extracted from the history database and displayed in the search result display field 807. In the example of FIG. The records displayed as search results in the result display field 807 are sorted by prescription date (Date and Time), , prescription number (Rx. No), patient ID, patient name (Patient Full Name), Institution Name, User Name, Drug Code (PDE), Drug Name (Me Includes the manufacturing number (Lot No.), and expiration date (Validity Date).

[0074] As described above, according to the medicine dispensing device 100 of the above embodiment, Each time a drug is dispensed based on a prescription, a history database is created for that patient. The history information about when and what kind of medicine was dispensed is registered. contains serial number and expiration date information for each dispensed drug. This allows the system to later store in a history database which medicines were dispensed to which patients. You can also check the serial number of the drug you have dispensed by referring to the It is possible to confirm that there was some problem with the medicine during manufacturing. If identified, it will be possible to easily trace which patients were prescribed the drug.

[0075] [Variations] Although the embodiment of the present invention has been specifically described above, the embodiment of the present invention is The present invention is not limited to the above, and various modifications are possible.

[0076] For example, in the above embodiment, the drug dispensing device dispenses tablets into a blister pack. However, the mode of dispensing medicine is not limited to a blister pack. For example, Also, the drug dispensing device is equipped with a packaging unit that individually packages one dose in a packaging paper and dispenses it. The present invention can be applied to medicine dispensing devices that dispense not only tablets but also powdered medicines. The present invention can also be applied to such a device.

[0077] In the above embodiment, the drug manufacturing information (e.g., lot number) and the expiration date are also stored. Although we require users to enter the expiration date as well, entering the expiration date is not mandatory.

[0078] In addition, various master and history databases are stored in the storage section 62 of the control unit 6. However, the configuration in which the data is stored in a storage device outside the device via a communication interface and an external network, etc. The memory unit may be configured to store various masters and history databases.

[0079] A part or all of the processes described in each of the above embodiments are realized by a program. In this case, a part or all of the processes may be implemented by a central processor in a computer. The processing is performed by a central processing unit (CPU), a microprocessor, a processor, etc. The programs to carry out this task are stored in storage devices such as hard disks and ROMs. The program is executed in the ROM or read into the RAM. Non-transitory, tangible items such as tapes, disks, cards, semiconductor memories, A programmable logic circuit or the like can be used.

[0080] The processes described in the above embodiments may be realized by hardware or software. Software (OS (operating system), middleware, or a specified library) ) may be realized by software and It may be realized by a mixed processing of hardware. When implementing display processing using hardware, it is necessary to adjust the timing for each process. In the above embodiment, for the sake of convenience, the actual hardware is not used. The details of the timing adjustments of various signals that arise in the hardware design are omitted. [Explanation of symbols]

[0081] 1...Tablet supply unit 15...Cassette control section 16…Payout number counting section 2...Dispensing unit (manual chemical processing unit) 23...Cell opening / closing control section 24…Drawer open / close detector 25…Divided tray control section 6…Prescription control unit 61...Control unit 62...Storage section 63…Monitor 64…Input device 65…Communication IF 6A…Computer 7...Barcode reader 100...Drug dispensing device 200…Prescription input terminal

Claims

1. A drug dispensing device that dispenses drugs in individual doses based on prescription data, an input unit that accepts input from an operator; a manual chemical processing section into which the manual chemicals are dispensed; A screen for supporting the work of the worker based on the prescription data and an input from the worker. a monitor for displaying the A control unit; A history database for at least temporarily storing a dispensing history in the medicine dispensing device. a storage unit that stores the The control unit is configured to receive dispensed drug information on drugs to be dispensed in accordance with the prescription data. The dispensed drug information that can identify the manufacturing time and / or manufacturing place of the drug is created. A work support screen including an input field for the vendor to input is displayed on the monitor, Accepting input of dispensed drug information of the manually prepared drug included in the data; The control unit is configured to control the amount of the medicine to be manually dispensed during the medicine dispensing operation for one patient. The dispensed drug information is stored in the history database in association with information identifying the patient. Let, The work support screen displays the input field for the dispensed drug information for each manually prepared drug to be dispensed. A drug dispensing device, including a plurality of devices.

2. A drug dispensing device that dispenses drugs in individual doses based on prescription data, an input unit that accepts input from an operator; a manual chemical processing section into which the manual chemicals are dispensed; A screen for supporting the work of the worker based on the prescription data and an input from the worker. a monitor for displaying the A control unit; A history database for at least temporarily storing a dispensing history in the medicine dispensing device. a storage unit that stores the The control unit is configured to receive dispensed drug information on drugs to be dispensed in accordance with the prescription data. The dispensed drug information that can identify the manufacturing time and / or manufacturing place of the drug is created. A work support screen including an input field for the vendor to input is displayed on the monitor, Accepting input of dispensed drug information of the manually prepared drug included in the data; The control unit is configured to: storing the drug information in the history database in association with information identifying the patient; The work support screen displays the input field for the dispensed drug information for each manually prepared drug to be dispensed. A drug dispensing device, including a plurality of devices.

3. The manual chemical processing unit is a tray divided into a plurality of cells, 3. The medicament according to claim 1 or 2, comprising trays into which each tray is placed a single dose of the medicament. Dispensing device.

4. The control unit, on the work support screen, for each of the manually dispensed target medicines, 4. The method according to claim 3, further comprising: displaying an image showing a position of a cell into which the manually-prepared chemical is to be added. A drug dispensing device is installed.

5. The tablet cassettes are provided so that tablets are stored in the tablet cassettes according to the prescription data. A tablet supply unit for dispensing tablets from the tablet dispenser, The control unit displays the operation support screen on the monitor during an operation of filling the tablet cassette with tablets. The medicine dispensing device according to claim 1 or 2, wherein the medicine dispensing amount is displayed on a monitor.

6. 5. The method of claim 3, wherein the tray is adapted to receive a blister pack. A medicine dispensing device as described in.

7. A packaging unit that packages the medicines dispensed for each dose into individual medicine packages. The medicine dispensing device according to any one of claims 1 to 6,

8. The drug dispenser according to any one of claims 1 to 7, wherein the dispensed drug information includes a lot number. Device.

9. A control program for a drug dispensing device that dispenses drugs in individual doses based on prescription data. grams, The control program causes a processor of a computer to: an input process for receiving input from a worker; Dispensed drug information on a drug to be dispensed in accordance with the prescription data, The dispensed drug information that can identify the manufacturing time and / or manufacturing place is input by the operator. A work support screen including an input field for inputting the prescription data is displayed on the monitor. A process of receiving input of dispensed drug information of drugs to be manually distributed; A dispensed drug of a manually prepared drug dispensed in a drug dispensing operation for a patient. The information is associated with information identifying the patient, and the drug dispensing device records the history of dispensing. and storing the history in a history database that at least temporarily stores the history. The work support screen displays the input field for the dispensed drug information for each manually prepared drug to be dispensed. Includes multiple control programs.

10. A control program for a drug dispensing device that dispenses drugs in individual doses based on prescription data. grams, The control program causes a processor of a computer to: an input process for receiving input from a worker; Dispensed drug information on a drug to be dispensed in accordance with the prescription data, The dispensed drug information that can identify the manufacturing time and / or manufacturing place is input by the operator. A work support screen including an input field for inputting the prescription data is displayed on the monitor. A process of receiving input of dispensed drug information of drugs to be manually distributed; The dispensed drug information of the drug dispensed in the drug dispensing operation for one patient is The drug dispensing device is provided with a drug dispensing history record in association with information identifying the patient. and storing the information in a temporary history database. The work support screen displays the input field for the dispensed drug information for each manually prepared drug to be dispensed. Includes multiple control programs.

11. The medicine dispensing device is a tray divided into a plurality of cells, A tray is provided in which a single dose of medicine is placed, The control program includes: The control unit, on the work support screen, for each of the manually dispensed target medicines, and displaying an image showing the position of the cell into which the manually prepared chemical is to be added.

11. The control program according to claim 10.

12. The control program according to any one of claims 9 to 11, wherein the dispensed medicine information includes a lot number. Program.

13. A computer-readable storage medium having the control program according to any one of claims 9 to 12 recorded thereon. Removable recording medium.

Images