This patent application is based on and claims priority pursuant to 35 U.S.C. § 119(a) to Japanese Patent Application Nos. 2022-084175 and 2023-044791, filed on May 23, 2022, and Mar. 20, 2023, respectively, in the Japan Patent Office, the entire disclosures of which are hereby incorporated by reference herein.
Embodiments of the present disclosure relate to a medication support device.
For the purposes of reducing the time for the operation and preventing the chances of medication error by nurse practitioners or the like who work at, for example, day-care center or nursing home, some technologies have been proposed that, at the prescribed time, one pack is picked up from a container (cartridge that stores a plurality of medicine packages and the pack of medicine is dispensed to a medicine dispenser such as a medicine dispensing tray.
Embodiments of the present disclosure described herein provide a medication support device including a container to store a plurality of medicine packs, a medicine dispenser in which a specific one of the plurality of medicine packs is arranged to a prescribed position, a pickup device to pick up a specific one of the plurality of medicine packs from the container, a conveyor to convey the specific one of the plurality of medicine packs picked up from the container, a medication-related information reader to read medication-related information of the plurality of medicine packs including at least a name of a patient who takes a medicine and a time of medication, a pack data management system to manage the medication-related information of the plurality of medicine packs, and a medicine dispensing data management system to read and manage medicine dispensing data including at least the name of the patient who takes the medicine and the time of medication. In the medication support device, the medicine dispensing data is checked against the medication-related information before the medicine is dispensed.
A more complete appreciation of embodiments and the many attendant advantages thereof will be readily obtained as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings.
The accompanying drawings are intended to depict embodiments of the present disclosure and should not be interpreted to limit the scope thereof. The accompanying drawings are not to be considered as drawn to scale unless explicitly noted.
The terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the present disclosure. As used herein, the singular forms “a”, “an”, and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. It will be further understood that the terms “includes” and/or “including”, when used in this specification, specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof.
In describing example embodiments illustrated in the drawings, specific terminology is employed for the sake of clarity. However, the present disclosure is not intended to be limited to the specific terminology so selected and it is to be understood that each specific element includes all technical equivalents that have the same structure, operate in a similar manner, and achieve a similar result.
Embodiments of the present disclosure and examples of the present disclosure are described below in detail with reference to the accompanying drawings. In the drawings and the description of the embodiments and examples of the present disclosure, like reference signs denote like elements such as members or components of similar shapes or similar functionality, and overlapping description may be omitted where appropriate unless there is concern about the possibility of confusion.
A basic and overall configuration or structure of a medicine dispensing apparatus 200 that makes up a medication support device 300 according to an embodiment of the present disclosure is described with reference to
As illustrated in
Each one of the multiple cartridges 10 serves as a first container in which, for example, a plurality of medicine packages 2 packing a several kinds of medicines 3 or a plurality of bound medicine packages 2A, as will be described later, are stored upon being stacked on top of each other in layers. The medicine package 2 according to the present embodiment may be referred to simply as a pack or a medicine pack in the following description. The multiple cartridges 10 are arranged at a middle portion and a lower portion of the housing 199 of the medicine dispensing apparatus 200 through the cartridge tray 20. In the present embodiment, the multiple cartridges 10 are attachable to and detachable from the cartridge tray 20 that serves as a second container. The expression “stored upon being stacked on top of each other in layers” in the present disclosure indicates keeping the packs horizontally in such a manner that the front face is viewable.
As will be described later in detail, the cartridge tray 20 can store a plurality of cartridges 10 upon positioning those cartridges as desired. The cartridge tray 20 according to the present embodiment serves as a second container in which at least one of the multiple cartridges 10 is placed and held.
A plurality of cartridges 10 are placed in the pair of drawers 80 through the cartridge tray 20. One of the pair of drawers 80 is arranged at a lower area of the housing 199 of the medicine dispensing apparatus 200, and the other one of the pair of drawers 80 is arranged at a middle area of the housing 199 of the medicine dispensing apparatus 200. In the case of the medicine dispensing apparatus 200 as illustrated in
For the sake of explanatory convenience, each one of the multiple drawers 80 may be referred to as the cartridge tray 20 in the following description.
Each of the multiple cartridges 10 is placed and housed in a partitioned lattice-like side wall and bottom wall in the cartridge tray 20. On the bottom wall of the cartridge tray 20 of corresponding ones of the multiple cartridges 10, a rectangular through opening 21 through which a pack can be picked up from below one of the multiple cartridges 10, making use of the elasticity or free deformation of the pack as will be described later in detail in relation to the operation, is formed as will be described later in detail with reference to
The drawer 80 according to the present embodiment can align and hold the cartridge tray 20. In other words, a pair of slide rails 81 are attached to the outer side wall of the drawer 80, and a rail of the housing 199 is disposed on the housing 199 so as to be fitted to the slide rails 81 of the drawer 80. Due to such an engagement between the rail of the housing 199 and the slide rail 81, the drawer 80 in which one of the multiple cartridge trays 20 is stored and held can be pulled out from the housing 199.
Each one of the multiple medicine dispensing trays 30 serves as a medicine dispenser in which the prescribed packs conveyed by the conveyance unit 90 are arranged. As illustrated in
The carriage 50 according to the present control sample of the embodiments of the present disclosure serves as a pickup device that picks up a specific pack from one of the multiple cartridges 10.
The conveyance unit 90 according to the present embodiment serves as a conveyor that conveys the pack picked up from one of the multiple cartridges 10 by the carriage 50.
Each one of the first gate 41 and the second gate 42 according to the present embodiment serves as an entrance and exit gate for the container, which allows one of the multiple cartridges 10 and the cartridge tray 20 to enter and exit the housing 199 through the drawer 80. The multiple cartridges 10 are inserted and set in the housing 199 through each one of the first gate 41 and the second gate 42. The open and close door of one of the first gate 41 and the second gate 42 are opened, and the drawer 80 in which the multiple cartridge trays 20 are aligned is drawn out to the front side. By so doing, the multiple cartridges 10 or the multiple cartridge trays 20 are inserted or withdrawn.
The third gate 43 and the fourth gate 44 according to the present control sample of the embodiments of the present disclosure serve as a pair of entrance and exit gates for the medicine dispenser, which allow the multiple medicine dispensing trays 30 that are arranged in two rows at the uppermost stage of the medicine dispensing apparatus 200 to enter and exit the housing 199. The third gate 43 and the fourth gate 44 are arranged such that the packs can be taken out immediately after the packs are set or inserted into the medicine dispensing tray 30.
In the medicine dispensing apparatus 200 according to the present embodiment, two medicine dispensing trays 30 are arranged as described above, and as will be described later in detail, a plurality of medicine dispensing trays 30 are arranged for each time of medication such as a time in the morning, a time in the daytime, a time in the evening, and a time before going to bed.
The third gate 43 and the fourth gate 44 for the medicine dispensing tray 30 are also arranged for each one of the medicine dispensing trays 30. Due to such a configuration, another different one of the medicine dispensing trays 30 can be taken out even when the medicine dispersing operation is performed on a particular one of the multiple medicine dispensing trays 30.
In a lower portion of the medicine dispensing apparatus 200, a saving unit 40 is arranged to which a pack is saved on a temporary basis until the pack is returned to a correct position of the medicine dispensing tray 30. Such saving takes place, for example, when the medicine package 2 picked up from one of the multiple cartridges 10 is a wrong package and not to be placed in the medicine dispensing tray 30.
The multiple cartridge trays 20 according to the present embodiment as illustrated in
An outline of the medicine package 2 according to the present embodiment is described below with reference to
The medicine pack according to the present embodiment includes, for example, the single medicine package 2 and the bound medicine package 2A in which a plurality of medicine packages 2 are stacked on top of each other in layers and bound by a stapler or the like. In
As illustrated in
The medicine package 2 is prepared by a drug-dispensing machine installed in a pharmacy or the like. The dispensing sheets that serve as packages and are used for dispending the medicines are rolled long-length sheets, and are perforated between packs. The dispensing sheets are rolled in an overlapping manner, and the medicines 3 to be taken are packed in the space between the sheets. The medicines 3 for a required number of doses are divided in small quantities, and packed into the multiple medicine packages 2 that form a continuous sheet. The three sides other than the folded portion of each one of the multiple medicine packages 2 around the medicines 3 for a single dose are sealed in turn by the pressure-bonded portion 4. The multiple medicine packages 2 that form such a continuous sheet may be referred to as continuous packs 1 in the following description. In the continuous packs 1 that are described with reference to
In the present embodiment described with reference to
The pressure-bonded portion 4 has a band-like width of about 10 to 15 millimeters (mm), and has higher rigidity than the portion of the bag 2a that is a transparent or semitransparent film where the medicines 3 can be visually recognized therethrough. In the generation or dispensing by a drug-dispensing machine, a boundary portion 2b that is implemented by perforation 5 is formed in the center of the pressure-bonded portion 4 between a pair of the multiple medicine packages 2 making up the continuous packs 1. The multiple medicine packages 2 are adjacent to each other in an upstream-to-downstream direction. For example, a user who is not handicapped in the hand can obtain one medicine package 2 by tearing off at the perforation 5 by hand or by cutting near the perforation 5 with scissors or a dedicated cutter.
As illustrated in
As medication-related information such as the name of a patient who takes medicines and the times of medication, the first medication-related information is added to the surface of the bag 2a of the medicine package 2. As the first medication-related information, medication-related information 6a in which the name of a patient who takes medicines such as the medicine 3 in the medicine package 2 is expressed in texts, medication-related information 6b in which the times of medication at which the medicine 3 is taken is expressed in texts, and medication-related information 6c in which the name of a patient who takes medicines and the times of medication are expressed by a quick response (QR) code (registered trademark) are added to the medicine package 2 as illustrated in
The medication-related information 6a and 6b, which is textual information, and the medication-related information 6c, which is a Quick Response (QR) code (registered trademark), are added to the medicine package 2 as illustrated in
Further, the first medication-related information may be, for example, the type of the medicine or the shape of the medicine prescribed in a pack, the number of tablets, and the images or texts printed on the medicine itself. As the first medication-related information, only individual information may be acquired and used, or a plurality of items of information may be acquired and used in combination. For example, if confirmation of the patient who takes medicines is required, the information of the patient who takes medicines is sufficient. If it is desired to prevent forgetting to take an important medicine, the information of the number of tablets of the medicine and the shape of the medicine in the pack is confirmed together with the information of the patient who takes medicines. In other words, the medication-related information includes at least one of the name of a patient who takes medicines, the times of medication at which the medicines in a pack are to be taken, and the number of tablets and types of the medicines prescribed in the pack.
The medicine dispensing tray 30 will be described below with reference to
As illustrated in
In the medicine dispensing tray 30 as illustrated in
A label 7 with a quick response (QR) code (registered trademark) to be placed in one of the multiple subdivision boxes 34 used for the medicine dispensing tray 30 is described below with reference to
In order to specify the place to which one of the multiple medicine packages 2 picked up from one of the multiple cartridges 10 is to be dispensed, a label 7 with QR code on which the medication-related information 6a that indicates the name of a patient who takes medicines, the medication-related information 6b that indicates the times of medication, and the medication-related information 6c are printed is pasted on the inner bottom face of one of the multiple subdivision boxes 34 of the medicine dispensing tray 30. The QR code (registered trademark) on the label 7 with QR code indicates the medication-related information 6a and the medication-related information 6b.
The QR code (registered trademark) of the label 7 with QR code is read by a lower QR code reader 67 as will be described later in detail with reference to
A label 7 with QR code may be pasted to each one of the multiple partitions 33 of one of the multiple medicine dispensing trays 30, or a plate may be arranged when the subdivision box 34 is not to be used. With the use of the multiple subdivision boxes 34, the subdivision box 34 in which the multiple medicine packages 2 are stored can be picked up from the medicine dispensing tray 30, and a proper medicine package 2 can be moved under an occupant or patient who takes medicines. Accordingly, there is no worry about taking a wrong pack or dropping the pack.
In each one of the multiple partitions 33 of the multiple medicine dispensing trays 30, a setting position or inserting position is determined for each patient who takes medicines depending on a type of medicines in the pack to be taken. In other words, the multiple partitions 33 in one of the multiple medicine dispensing trays 30 may be allocated to a plurality of patients who take medicines at the same time. In a case where a specific patient who takes medicines does not take a medicine at a specific timing, arrangement can be made such that a pack is not given to such a specific patient at the specific timing.
However, no limitation is intended by the multiple medicine dispensing trays 30 described above. According to an alternative embodiment of the present disclosure, each one of the multiple partitions 33 of one of the multiple medicine dispensing trays 30 may be allocated for each time of medication of each patient who takes medicines. More specifically, in such an alternative embodiment of the present disclosure, the multiple partitions 33 may be allocated to each of the patients who take medicines in view of the time of medication of each one of the multiple medicine packages 2 to be taken in the morning, in the daytime, in the evening, or before going to bed. In the multiple medicine dispensing trays 30 according to such an alternative embodiment of the present disclosure, the multiple medicine dispensing trays 30 may be managed on a room by room basis or a floor by floor basis in day-care center or nursing home where a plurality of patients who take medicines reside, and the multiple medicine packages 2 for that day or a couple of days may be dispersed in advance to the multiple medicine dispensing trays 30.
According to the above alternative embodiment, allocating the partitions 33 based on each time of medication such as a time in the morning, a time in the daytime, a time in the evening, and a time before going to bed can prevent the time of medication from being mistaken by patients who take medicines. The configuration or structure of the multiple medicine dispensing trays 30 is not limited to the embodiments of the present disclosure described above, and various kinds of combination are theoretically possible between patients who take medicines and the timing at which the medicines are to be taken. However, such combinations may go beyond the scope of the present disclosure, the description of such combinations is omitted.
One of the multiple cartridges 10 according to the present embodiment is described below with reference to
In order to simplify the drawing, the illustration of the pressure-bonded portions 4 (see
One of the multiple cartridges 10 as illustrated in
For example, each one of the multiple cartridges 10 according to the present embodiment includes a casing 11, a lid 14, a pack pickup slot 17, a movable board 16, a pack posture keeper 15, and a right support portion 12 and a left support portion 13 each of which serves as a support portion.
The casing 11 according to the present embodiment stores, for example, a plurality of medicine packages 2 or a plurality of bound medicine packages 2A. In the following description, a single medicine package 2 will represent such a plurality of medicine packages 2 or a plurality of bound medicine packages 2A. For example, the casing 11 is integrally or separately formed using resin. The lid 14 according to the present embodiment enables the multiple medicine packages 2 to be loaded or unloaded. The pack pickup slot 17 according to the present embodiment is formed in a lower portion or a bottom portion of the casing 11, and is used to pick up the medicine package 2 in one of the multiple cartridges 10. Moreover, the pack pickup slot 17 according to the present embodiment allows the medicine package 2, which is picked up from one of the multiple cartridges 10 by the carriage 50 (see, for example,
The movable board 16 according to the present embodiment prevents the medicine package 2 from falling out, and makes the lowermost one of the multiple medicine packages 2 move close to the pack pickup slot 17 after the first one of the maximum number of medicine packages 2 that can be stored in the casing 11 is picked up. The pack posture keeper 15 keeps the posture of the medicine package 2. The right support portion 12 and the left support portion 13 also support or hold the medicine package 2 in the casing 11.
In the present embodiment, the to-be-picked-up portion of one of the multiple medicine packages 2 to be picked up from one of the multiple cartridges 10 by the carriage 50 is at a lower portion or bottom portion of the corresponding one of the multiple cartridges 10. In other words, the to-be-picked-up portion includes the pack pickup slot 17, and the right support portion 12 and the left support portion 13 that serve as a pair of support portions or supporting member and support, at a plurality of points, one of the multiple medicine packages 2 to be picked up from one of the multiple cartridges 10.
The right support portion 12 and the left support portion 13 according to the present embodiment are configured to allow one of the multiple medicine packages 2 to pass through when one of the multiple medicine packages 2 is picked up from one of the multiple cartridges 10 by the carriage 50. On the other hand, when any one of the multiple medicine packages 2 is not to be picked up from one of the multiple cartridges 10, the multiple medicine packages 2 are to be stored and held in the casing 11. In order to achieve that, the right support portion 12 and the left support portion 13 are configured to restrict the passage of one of the multiple medicine packages 2
As described above, the right support portion 12 and the left support portion 13 according to the present embodiment serve as a pair of support portions that support or hold the multiple medicine packages 2 in the one of the multiple cartridges 10, and each one of the right support portion 12 and the left support portion 13 is fixed and immovable such that one of the multiple medicine packages 2 can be picked up in a stable manner from one of the multiple cartridges 10 by the carriage 50. The right support portion 12 and the left support portion 13 according to the present embodiment are a pair of fixation members that are fixed or attached to the pair of bottom-wall inner surfaces 11e of the right bottom-wall edge and left bottom-wall edge of the pack pickup slot 17, respectively. The pack pickup slot 17 according to the present embodiment has both a function to allow the suction pad 52 of the carriage 50, as will be described later in detail with reference to, for example,
In one of the multiple cartridges 10 illustrated in
As illustrated in
The pack posture keeper 15 is formed of sponge rubber having appropriate elasticity. The movable board 16 is made of, for example, resin or metal. The pack posture keeper 15 and the movable board 16 according to the present embodiment hold the posture of the multiple medicine packages 2 under normal operating conditions in the casing 11. As explicitly illustrated in
As illustrated in
A set of the multiple medicine packages 2 are orderly stored in the casing 11 toward the upper side from the pack pickup slot 17 on the right support portion 12 and the left support portion 13. The timing at which the multiple medicine packages 2 are supplied into one of the multiple cartridges 10 may be, for example, the timing at which a patient who takes medicines or occupant is examined in a day-care center or nursing home, which is typically once a two weeks, or the timing at which the multiple medicine packages 2 in one of the multiple cartridges 10 run out. When some medicine packages 2 are left in one of the multiple cartridges 10 at the time of replenishment, such replenishment is continued from the back of the remaining medicine packages 2.
Under normal operating conditions, the above-described setting of the multiple medicine packages 2 into one of the multiple cartridges 10 and the replenishment of the multiple medicine packages 2 are done by a staff or the like in a day-care center or nursing home. However, no limitation is indicated thereby. In particular, in configurations where cartridges are used instead of containers and setting or replenishment of the medicine packages 2 are done automatically, the setting or replenishment of the medicine packages 2 may be done differently.
The lid 14 is used by a staff or the like who works at a day-care center or nursing home to enable loading or unloading of the multiple medicine packages 2 stored in one of the multiple cartridges 10, and as illustrated in
As illustrated in
Some technologies have been proposed for a combination between a left flap portion and a right flap portion of the flap mechanism. Such a left flap portion is provided with a helical torsion coil spring having pressing force within a predetermined range between the rotation axis and the right bottom-wall edge, and such a right flap portion is openable and closable and can swing about a rotation axis arranged around the right bottom-wall edge of the pack pickup slot. However, the pack tends to be caught and clamped between the left flap portion or the right flap portion and the bottom-wall inner surface of the pack pickup slot when the pack is picked up from one of the cartridge that serves as a container, and the operation of picking up the medicine package is unstable.
In order to deal with the above technical problems, in some embodiments of the present disclosure, the right support portion 12 and the left support portion 13 are fixed to the bottom-wall inner surface 11e of the pack pickup slot 17 of the casing 11 such that one of the multiple medicine packages 2 can be picked up in a steadily stable manner from one of the multiple cartridges 10 by the carriage 50.
In other words, the right support portion 12 and the left support portion 13 according to the present embodiment are fixed when the right support portion 12 and the left support portion 13 hold both ends of the medicine pack such as the medicine package 2 or the bound medicine package 2A around the pack pickup slot 17 arranged at the lower portion of one of the multiple cartridges 10.
An end of the bottom one of the multiple medicine packages 2 to be adsorbed by, for example, an adsorption system is supported by the right support portion 12, and the other end of the bottom one of the multiple medicine packages 2 is supported by the left support portion 13. Due to such a configuration, the medicine packages 2 that are set and stored in one of the multiple cartridges 10 do not drop. The right support portion 12 and the left support portion 13 are different in the length of the portion that support the multiple medicine packages 2, and the length of portion of the right support portion 12 that support the multiple medicine packages 2 is shorter than that of the left support portion 13. When the lowermost one of the multiple medicine packages 2 stored in one of the multiple cartridges 10 is adsorbed or sucked by the suction pad 52 and is from the cartridge 10, the medicine pack such as the medicine packages 2 is bent or freely deformed due to its elasticity. Accordingly, the medicine pack can easily be pulled out. Such a configuration and operation is described later in detail with reference to
In such a configuration, the pair of support portions including the right support portion 12 and the left support portion 13 are of fixed type. Accordingly, the front end of the next one of the multiple medicine packages 2 to be taken out can be reliably held and does not jump out or fall off together with one of the multiple medicine packages 2 that is being taken out. As the pair of support portions including the right support portion 12 and the left support portion 13 do not swing or rotate, the medicine package 2 are held with high stability with no deformation or the like due to unintentional nipping or pressing in the returning operation.
As illustrated in
For example, when a drug-dispensing machine that makes, for example, the medicine package 2 cannot print a QR code (registered trademark) and the medication-related information 6c such as a QR code (registered trademark) cannot be applied to a medicine pack such as the medicine package 2 or the bound medicine package 2A, the QR code may be arranged as illustrated in
The attaching and detaching mechanisms and operations of the multiple cartridges 10 that are arranged in the drawer 80 are described below with reference to
As illustrated in
As illustrated in
In the above embodiments of the present disclosure, attachment and detachment are enabled by the coupling or engagement of concave and convex portions. However, no limitation is intended thereby, and an elastic member may be arranged in the gap between the inner wall of the casing 22 and the external wall of the casing 11 to enable attachment and detachment. Alternatively, a configuration or structure using magnetic force or a snap-fit assembly method may enable attachment and detachment. As illustrated in
As illustrated in
When a plurality of information display devices such as the multiple LEDs 25a1 to 25d5 are used, for example, a staff who is an operator to attach one of the multiple cartridges 10 to one of the multiple storage units 23 may mistake the lighting portion of the LEDs 25a1 to 25d5. In such cases, the cartridge 10 may erroneously attached to a wrong storage unit other than a desired one of the multiple storage units 23. In order to handle such a situation, for example, whether the cartridge 10 is present may electrically or automatically be recognized by arranging a plurality of detection units such as sensors or switches at the multiple storage units 23 in place of a plurality of information display devices such as the multiple LEDs 25a1 to 25d5.
The container may be provided with for example, a number, a bar code, a quick response (QR) code (registered trademark), or a non-contact integrated circuit (IC) tag such that each one of the containers will be identifiable. It is desired that the system be programmed to remember what container stores whose medicines. Subsequently, the drawer 80 to which the multiple containers are attached is set in the housing 199 of the medication support device 300, and each one of the multiple containers is identified by the medication support device 300. Due to such a configuration, a desired pack can be picked up by the medication support device 300 without causing any errors.
A configuration, structure, and operation of the carriage 50 including a pickup unit and a pickup device are described below with reference to
As illustrated in
As illustrated in
The air tube 49 according to the present control sample of the embodiments of the present disclosure is arranged together with, for example, a pair cable and a wire harness so as not to be stretched even when the carriage 50 moves inside the medicine dispensing apparatus 200. In other words, as illustrated in
The suction device 51 according to the present embodiment has a suction pad 52 that sucks one of the multiple medicine packages 2, and a suction duct 53 coupled to the suction pad 52. The negative-pressure generator 45 is also called a vacuum ejector valve and communicates with the suction duct 53 through the air tube 49. The suction pad 52 according to the present embodiment serves as an air suction unit or a suction member that sucks up and picks up one of the multiple medicine packages 2 in one of the multiple cartridges 10. As described above, the upper ends of the pair of suction pads 52 as illustrated in
The carriage 50 according to the present embodiment is provided with a posture changing unit used to change the posture of one of the multiple medicine packages 2 picked up from one of the multiple cartridges 10 to a substantially vertical posture. Typically, the posture changing unit in the carriage 50 includes, for example, a suction-pad supporting member 54 coupled to a suction device base 57 through a rotation axis 55, a guide unit 59 formed with a guide groove 59a having a specific shape, a guide axis 56 that is consistently fitted into the guide groove 59a of the guide unit 59 to guide the suction-pad supporting member 54, and a suction pad lifting and lowering unit.
The suction-pad supporting member 54 is coupled to the suction device base 57 through the rotation axis 55. The suction-pad supporting member 54 may be may rotatably or pivotably be arranged around the rotation axis 55 fixed to the suction-pad supporting member 54 within a range of a predetermined angle. Alternatively, the suction-pad supporting member 54 may be may rotatably or pivotably be arranged around the rotation axis 55 fixed to the suction device base 57. In other words, in FIG. 9A and
The suction pad lifting and lowering unit includes a pair of guide rods 58 that are arranged separately in the Y-direction and guides the suction device base 57 in the Z-direction, an endless belt 62 looped around a driving pulley 60 and a driven pulley 61, and a drive motor 63 coupled to a driving pulley 60 through a driving power conveyor such a gear or a belt. The drive motor 63 according to the present embodiment serves as a driver circuit or a driving source of the suction pad lifting and lowering unit.
The suction device base 57 according to the present embodiment is coupled and fixed to the endless belt 62 at a belt grip 62a fixed to the right end of the suction device base 57. The pair of guide rods 58 are arranged at two different positions in the Y-direction, and extend in the Z-direction. The bottom ends of those guide rods 58 are fixed to the base frame 50b of the picking-up frame 50a provided for the carriage 50.
A pair of guiding holes 57a into which the pair of guide rods 58 are inserted are formed around a right end of the suction device base 57. The pulley axis of each one of the driving pulley 60 and the driven pulley 61 is rotatably supported by an immovable member on the picking-up frame 50a. The drive motor 63 is fixed to an immovable member provided for the picking-up frame 50a of the carriage 50.
When the suction device base 57 is lifted or lowered by the operation of the drive motor 63, the suction device base 57 is moved along the pair of guide rods 58 in the Z-direction. Accordingly, the posture of the suction device base 57 on the XY plane can be kept constant in a substantially horizontal state. The suction unit lifting and lowering unit is not limited to the above-described up-and-down reciprocating mechanism driven by a belt. Alternatively, for example, the suction unit lifting and lowering unit may have a reciprocating linear motion mechanism using a rack and pinion.
A pair of guide units 59 are arranged on both sides of the suction device 51 in the Y-direction with the suction-pad supporting member 54 interposed therebetween, and the bottom ends of the pair of guide units 59 are fixed to the base frame 50b. The guide axis 56 is arranged so as to protrude from both ends of the suction-pad supporting member 54 in the Y-direction, and is consistently fitted into the guide groove 59a of the guide unit 59 to guide the suction-pad supporting member 54. As illustrated in
When the suction device base 57 is moved in the Z-direction by the operation of the drive motor 63, the guide axis 56 of the suction-pad supporting member 54 is moved in the Z-direction parallel to the guide groove 59a having a specific shape while maintaining the posture of the suction device base 57 on the XY plane constant in a substantially horizontal state. Due to such a configuration, the posture of the suction pad 52 can be rotated by approximately 90 degrees. In
The guide groove 59a having a specific shape includes the first guide groove portion that extends in the Z-direction with relatively great length so as to hold the posture of the pair of suction pads 52 upward as indicated by solid lines in
As illustrated in
The upper QR code reader 66 according to the present embodiment is also used to read the QR code (registered trademark) that indicates the medication-related information 6c displayed on the label 7 with QR code (see
As illustrated in
The operation of the carriage 50 will be described below in detail with reference to
For the sake of explanatory convenience, it is assumed in the present embodiment that by the operation of the conveyance unit 90 illustrated in
In
Subsequently, the carriage 50 according to the present embodiment is slightly moved by the conveyance unit 90 as illustrated in
Subsequently, as illustrated in
Subsequently, as illustrated in
Then, as illustrated in
Subsequently, the carriage 50 according to the present embodiment is slightly moved by the conveyance unit 90 as illustrated in
After the above-described operation is performed a plurality of times and a desired one of the multiple medicine packages 2 is inserted into one of the multiple partitions 33 that is at a predetermined position of one of the multiple medicine dispensing trays 30, one of the multiple medicine dispensing trays 30 is ejected to the outside of the medication support device 300 through the third gate 43 (see
Some operations to be performed when the QR code (registered trademark) that is displayed on one of the multiple cartridges 10 and indicates the medication-related information 6c, as illustrated in
One of the multiple cartridges 10 as illustrated in
In order to read the QR code (registered trademark) displayed on the bottom wall of the left support portion 13 of one of the multiple cartridges 10 to indicate the medication-related information 6c, as illustrated in
In the above embodiments of the present disclosure, when desired one of the multiple medicine packages 2 is picked up from one of the multiple cartridges 10, the carriage 50 is positioned under one of the multiple cartridges 10 and one of the multiple cartridge trays 20, and such desired one of the multiple medicine packages 2 is taken out in the downward direction of one of the multiple cartridges 10. When one of the multiple medicine packages 2 is taken out from the lower side of one of the multiple cartridges 10 as described above, the next one of the multiple medicine packages 2 automatically moves downward or toward the pack pickup slot 17 due to the self weight of the movable board 16 and the multiple medicine packages 2 left in one of the multiple cartridges 10. Due to such a configuration, the carriage 50 can perform the same operation with a relatively simple configuration regardless of the number of the multiple medicine packages 2 left in one of the multiple cartridges 10.
The configuration and operation of the conveyance unit 90 will be described with reference to
As in the configuration or structure of the medicine dispensing apparatus 200 illustrated in
The carriage 50 is moved in the X-direction by an X-direction conveyance unit 91, and the carriage 50 is moved in the Y-direction by a Y-direction conveyance unit 101. The carriage 50 is moved in the Z-direction by a Z-direction conveyance unit 111. These three conveyance units have a similar configuration or structure.
The X-direction conveyance unit 91 according to the present embodiment includes an X-adaptor 96 attached to the carriage 50, an X-guide unit 97 that guides the carriage 50 in the X-direction through the X-adaptor 96, an endless belt 94 looped around a driving pulley 92 and a driven pulley 93, and a drive motor 95 coupled to the driving pulley 92 through a driving force conveyor such as a gear or a belt for the conveyance in the X-direction. As illustrated in
With the above-described configuration of the X-direction conveyance unit 91, as the drive motor 95 is driven, the driving force is conveyed to the endless belt 94 through the driving force conveyor and the driving pulley 92. Accordingly, the endless belt 94 rotates, and the carriage 50 moves in the X-direction parallel to the X-guide unit 97 together with the X-adaptor 96.
The Y-direction conveyance unit 101 according to the present embodiment includes a Y-adaptor 106 attached to the carriage 50, a Y-guide unit 107 that guides the carriage 50 in the Y-direction through the Y-adaptor 106, an endless belt 104 looped around a driving pulley 102 and a driven pulley 103, and a drive motor 105 coupled to the driving pulley 102 through a driving force conveyor such as a gear or a belt for the conveyance in the Y-axis direction. Three rollers 108 are attached to the Y-adaptor 106 so as to clamp the Y-guide unit 107. Due to such a configuration, the Y-adaptor 106 can roll over the Y-guide unit 107. The Y-adaptor 106 is coupled and fixed to the endless belt 104 through the belt grip 104a.
With the above-described configuration of the Y-direction conveyance unit 101, as the drive motor 105 is driven, the driving force is conveyed to the endless belt 104 through the driving force conveyor and the driving pulley 102. Accordingly, the endless belt 104 rotates, and the carriage 50 moves in the Y-direction parallel to the Y-guide unit 107 together with the Y-adaptor 106.
The Z-direction conveyance unit 111 according to the present embodiment includes a pair of Z-adaptors 116 attached to both ends of the X-guide unit 97 in the X-axis direction, a pair of Z-guide units 117 that guides the carriage 50 in the Z-axis direction through the X-guide unit 97 and the pair of Z-adaptors 116, an endless belt 114 looped around a driving pulley 112 and a driven pulley 113, and a drive motor 115 coupled to the driving pulley 112 through a driving force conveyor such as a gear or a belt for the conveyance in the Z-axis direction. In the Z-direction conveyance unit 111, the pair of driving pulleys 112, the pair of driven pulleys 113, and the pair of endless belts 114 are arranged on both sides in the X-direction, respectively. By contrast, the drive motor 115 is provided for only on one of the pair of driving pulleys 112. Three rollers 118 are attached to each one of the pair of Z-adaptors 116 so as to clamp corresponding one of the pair of Z-guide units 117. Due to such a configuration, the pair of Z-adaptors 116 can roll over the pair of Z-guide units 117, respectively. The pair of Z-adaptors 116 are coupled and fixed to the pair of endless belts 114 through a pair of belt grips 114a, respectively.
With the above-described configuration of the Z-direction conveyance unit 111, as the drive motor 115 is driven, the driving force is conveyed to the pair of endless belts 114 through the driving force conveyor and the driving pulley 112. Accordingly, the pair of endless belts 114 rotates, and the carriage 50 moves in the Z-direction parallel to the Z-guide unit 117 together with the X-guide unit 97 and the Z-adaptor 116.
In
In the embodiments of the present disclosure as described above, the QR code reader that serves as a pack data reader is divided into two sections including the upper QR code reader 66 provided with the upper reader unit 66a and the lower QR code reader 67 provided with the lower reader unit 67a. However, no limitation is indicated thereby, and one integrated QR code reader may be used.
As will be described later, the reading operation of the QR code (registered trademark) is controlled to automatically start upon detecting the storing of one of or both one of the multiple cartridges 10 and one of the multiple medicine dispensing trays 30. The reading operation of the QR code may start immediately before one medicine pack is picked up from one of the multiple cartridges 10 or immediately before medicines are dispensed to one of the multiple medicine dispensing trays 30. The reading operation of the QR code may start at any time specified by an operation made by a user. No limitation is intended thereby in terms of a method for implementation.
In the present embodiment, the QR code (registered trademark) on the carriage 50 and the QR code (registered trademark) on each one of the multiple subdivision boxes 34 of the medicine dispensing tray 30 are read, and multiple items of information are stored. Then, such multiple items of information are used to make comparison when medicines are dispensed, as will be described later in detail with reference to
As illustrated in
The CPU may have, for example, a computing or control function, and a timer or clocking function. The memory 152 of the controller 150 includes a random access memory (RAM) that is referred to as a main memory, and a read-only memory (ROM). The ROM according to the present embodiment stores, for example, a program readable by the above CPU and various kinds of data in advance. Such a program stored in the ROM may be a program used in the flowchart of the controlling processes as will be described later in detail. The above various kinds of data may be, for example, the data about the relation between the multiple medicine packages 2 and the multiple partitions 33 or the multiple subdivision boxes 34 of one of the multiple medicine dispensing trays 30 allocated to each of the patients who take medicines, the data about the relation between the multiple medicine packages 2 and the multiple partitions 33 or the multiple subdivision boxes 34 of one of the multiple medicine dispensing trays 30 assigned to each one of the times of medication, or the data about the relation between the multiple medicine packages 2 and the multiple partitions 33 or the multiple subdivision boxes 34 of one of the multiple medicine dispensing trays 30 sorted according to the order in which medicines are to be taken.
The CPU according to the present embodiment has an input and output (I/O) port, and a touch panel 151 that serves as a user interface (UI) is electrically connected to that input and output port of the CPU. However, no limitation is intended thereby, and the touch panel 151 may be, for example, a combination of an input device and a display interface such as a combination of a keyboard and a light-emitting diode (LED) display.
The CPU according to the present embodiment has an input port, and a medicine dispensing tray sensor 156 that detects the type of medicine dispensing tray 30 stored in the medication support device 300 or determines whether or not there is any medicine dispensing tray 30, and a cartridge sensor 157 that determines whether or not there is any one of the multiple cartridges 10 are electrically connected to the input port of the CPU. As various types of sensors, a pair of drawer gate opening and closing sensors 159a and 159b that detect the opening and closing of the first gate 41 and the second gate 42 and a pair of medicine dispensing tray gate opening and closing sensors 160a and 160b that detect the opening and closing of the third gate 43 and the fourth gate 44 are electrically connected to the input port of the CPU. The medicine dispensing tray sensor 156, the cartridge sensor 157, the pair of drawer gate opening and closing sensor 159a and 159b, and the pair of medicine dispensing tray gate opening and closing sensors 160a and 160b are illustrated only in
Moreover, a HP sensor 99 for a HP sensor X, which detects the home position (HP) of the X-direction conveyance unit 91 in the carriage 50, a HP sensor 109 for a HP sensor Y, which detects the home position (HP) of the Y-direction conveyance unit 101 in the carriage 50, and a HP sensor 119 for a HP sensor Z, which detects the home position (HP) of the Z-direction conveyance unit 111 in the carriage 50 are electrically connected to the input port of the CPU. Note that such a home position (HP) of each conveyance unit may be abbreviated to HP in the following description. Further, to the input port of the CPU, a position (HP) sensor 158 for a HP sensor P, which detects the home position (HP) of the suction pad 52 of the suction device 51 in the carriage 50 is electrically connected.
The upper QR code reader 66 that serves as the medication-related information reader unit 65 or an upper reader unit 66a and the lower QR code reader 67 that serves as the medication-related information reader unit 65 or a lower reader unit 67a, each of which is arranged on the carriage 50, are electrically connected to the input port of the CPU.
Moreover, each one of the drive motor 95 for the X-direction conveyance unit 91, the drive motor 105 for the Y-direction conveyance unit 101, the drive motor 115 for the Z-direction conveyance unit 111, and the drive motor 63 used to change the posture of the suction pad 52 is electrically connected to the output port of the CPU through various types of motor drivers X, Y, Z, and P. Moreover, the negative-pressure generator 45 that serves as an ejector valve and an actuator for the negative pressure generator is electrically connected to the output port of the CPU through a driver for a negative-pressure generator. To the output port of the CPU, a notification unit may be electrically connected. Such a notification unit reports what sort of state or conditions the components or elements of the medication support device 300 are in by means of, for example, the light emitted from a light-emitting diode (LED) and the sound or vibration including voice. Moreover, such a notification unit may be provided with, for example, a loudspeaker or a light that indicates that the medicines are to be taken so that the staff or the like away from the medication support device 300 can be notified of such a time of medication.
The external medicine information is also input to the CPU through an input and output (I/O) interface, and is stored in the memory 152. For example, the external medicine information is used for the allocation of medicines to patients who take medicines. For example, the LEDs 25a1 to 25d5 of the drawer 80 may be electrically connected to each other.
Once the input data from the touch panel 151 and various kinds of signals from various types of sensors or the HP sensors 99, 109, 119, and 158 are input to the CPU, a command signal is newly output from the CPU. In other words, the CPU according to the present embodiment outputs a command signal used to control the audio device or the optical device of the display device of the touch panel 151 including the above notification unit, the LEDs 25a1 to 25d5, the negative-pressure generator 45, the drive motor 63, the drive motor 95, the drive motor 105, the drive motor 115, or the multiple drives that correspond to the multiple LEDs.
The HP sensor 158 for the HP sensor P and the drive motor 63 that outputs power through the motor driver P are used to control or drive the mechanism for moving the suction device to move upward and downward. The CPU according to the present embodiment has a function to execute various kinds of control operation as will be described later in detail in the following description or the flowchart of the controlling processes.
A control structure for the medication support device 300 according to the present embodiment is described below with reference to
As illustrated in
The PC 210 fulfills the function of the medicine dispensing apparatus 200, and serves as a sort of host computer that manages and supports the medicine dispensing apparatus 200 in order to handle the above technical problems and other various kinds of possible problems to be solved in the embodiments of the present disclosure. The PC 210 is connected to a terminal in a pharmacy or the like at which the medicine is supplied, through the network.
The pack data management system 212 provided for the management application 211 reads and manages the medication-related information of the medicine pack. The medicine dispensing data management system 213 provided for the management application 211 reads and manages the medicine dispensing data including at least the name of a patient who takes medicines and the times of medication.
For example, the pack data management system 212 and the medicine dispensing data management system 213 may be implemented as the management application 211 in the PC 210. Alternatively, as illustrated in
For example, a file to be output as log file 216 according to what has been changed or a medicine dispensing history file 215 in which medicine dispensing history is tracked is the data to be output from the management application 211 as necessary. Further, the multiple reports 218 are output as necessary from the PC 210 through the management application 211. The functions such as of the management application 211 of the PC 210 may be arranged in the medicine dispensing apparatus 200.
In the medicine dispensing data management system 213 according to the present embodiment, the results of medicine dispensing or the change history are stored as record. By so doing, the actual medicine dispensing results are stored as traceability information. Due to such a configuration, reviewing is possible when a problem occurs.
The pack data management system 212 according to the present embodiment performs management based on the medication-related information of the medicine pack including at least the name of a patient who takes medicines and the times of medication. However, no limitation is indicated thereby, and a supplementary explanation of the operation of, for example, the medicine dispensing apparatus 200 described as above is given below. As illustrated in
As illustrated in
As illustrated in
As the carriage 50 according to the present embodiment is provided with the upper QR code reader 66 and the lower QR code reader 67, the name of a patient who takes medicines and the current position of the cartridge 10 in which the medicine pack to be taken by the patient who takes medicines is stored can be detected by the movement of the carriage 50 in the medicine dispensing apparatus 200 (see, for example,
What is displayed on the display screen 220 of the PC 210 as illustrated in
As illustrated in
More specifically, when the unique name of the occupant is “Midori Ebina” (titles of respect are omitted) and the time of medication is at lunchtime in
The medicine dispensing data management system 213 as illustrated in
As illustrated in
As illustrated in the table of
The medicine dispensing data file 219, as illustrated in the table of medication administration of
A method of reading the medicine dispensing data file 219 into the medicine dispensing data management system 213 is described below with reference to
As illustrated in
Registration is performed on a monthly basis to be managed. By so doing, medicine dispensing management data of that month can be generated.
Instead of extending the read medicine dispensing data to the specified date on a monthly basis as illustrated in
The display screen 220 according to the present embodiment on which the generated medicine dispensing management data is displayed after the number of days you want to register is specified is described below with reference to
On the display screen 220 as illustrated in
When an execution key 221 is touched or clicked to dispense medicine using, for example, a computer mouse on the display screen 220 as illustrated in
For example, when the medicine dispensing on July 15 (Thursday) is to be done based on the display screen 220 as illustrated in
On the display screen 220 where a chart of medicine dispensing management is displayed as illustrated in
The medicine dispensing data file 219 according to the present embodiment is not limited to a table of medication administration in the medicine dispensing data file 219, as illustrated in
In the case of Marin Yokohama (titles of respect are omitted) in the table of medication administration as illustrated in
In the case of the table of medication administration as illustrated in
When the medicine dispensing data file 219 (see
The above embodiments of the present disclosure described above substantially include, for example, the following modifications.
The medication support device such as the medication support device 300 according to the first aspect of the present disclosure includes a container such as the cartridge 10 that stores a plurality of medicine packs, a medicine dispenser such as medicine dispensing tray 30 in which the specific one of the plurality of medicine packs is arranged, a pickup device such as the carriage 50 configured to pick up a specific one of the multiple medicine packs from the container, a conveyor such as the conveyance unit 90 configured to convey the specific one of the plurality of medicine packages picked up from the container, a medication-related information reader such as the medication-related information reader unit 65 that scans and reads the medication-related information 6c of the medicine pack including at least a name of a patient who takes medicines and a time of medication, a pack data management system such as the pack data management system 212 that manages the medication-related information of the medicine pack, and a medicine dispensing data management system such as the medicine dispensing data management system 213 that reads and manages the medicine dispensing data including at least the name of a patient who takes medicines and the times of medication. The medicines are dispensed by checking the medicine dispensing data against the medication-related information.
With the medication support device according to the first mode of the present disclosure, the work hour and the work load can be reduced in the service of preparing for medication of, for example, a nurse practitioner and a care worker in a day-care center or nursing home, and a medication error can be prevented from occurring.
In other words, depending on the state of the patient who takes medicines, the patient may or may not take the medicine. In order to handle such a situation, medicines are appropriately dispensed to a patient to which medication needs to be given, based on the medicine dispensing data on the medicine pack generated based on the medicine dispensing data and the prescription by a doctor.
According to the second mode of the present disclosure, in the medication support device according to the first aspect of the present disclosure, the medicine dispensing data generated outside the medicine dispensing data management system 213 is read by the medicine dispensing data management system.
With the medication support device according to the second aspect of the present disclosure, the medicine dispensing data including at least the name of a patient who takes medicines and the times of medication is read. Due to such a configuration, a medication support device or a medication support system can be installed without changing the current workflow.
Third Aspect
In the medication support device such as the medication support device 300 according to the second aspect of the present disclosure, the medicine dispensing data generated and read outside the medicine dispensing data management system includes at least a time of medication and medicine information for each patient who takes medicines.
With the medication support device according to the third aspect of the present disclosure, the times of medication such as, in the morning, at lunchtime, in the evening, and before going to the bed can appropriately be managed for each patient who takes medicines. In particular, the times of medication can be managed using a table.
Fourth Aspect
In the medication support device such as the medication support device 300 according to any one of the first aspect to the third aspect of the present disclosure, the medicine dispensing data read by the medicine dispensing data management system is extended to a plurality of days.
With the medication support device according to the fourth aspect of the present disclosure, the medicine dispensing data is read from an external device only once, and there is no need to read the medicine dispensing data again as long as the medicine dispensing data such as the names of patients who take medicines and the medicine information remain unchanged.
Fifth Aspect
In the medication support device according to any one of the first aspect to the fourth aspect of the present disclosure, the medicine dispensing data management system is configured to change the times of medication in the medicine dispensing data extended to a plurality of days.
With the medication support device according to the fifth aspect of the present disclosure, before medicine dispensing operation is to be done, whether the medicines are dispensed or not can easily be changed depending on the circumstances of a patient who takes medicines.
Sixth Aspect
In the medication support device such as the medication support device 300 according to any one of the first aspect to the fifth aspect of the present disclosure, the medicine dispensing data management system is configured to specify the number of extendable days to a plurality of days.
With the medication support device according to the sixth aspect of the present disclosure, the number of extendable days can be changed by a user.
Seventh Aspect
In the medication support device such as the medication support device 300 according to any one of the first aspect to the sixth aspect of the present disclosure, the medicine dispensing data management system is configured to print a result of medicine dispensing.
With the medication support device according to the seventh aspect of the present disclosure, the actual medicine dispensing results can be printed, and the printed material can be used as a check list that is finally confirmed by a nurse practitioner.
Eighth Aspect
In the medication support device such as the medication support device 300 according to any one of the first aspect to the seventh aspect of the present disclosure, the medicine dispensing data management system is configured to store the results of medicine dispensing or the change history.
With the medication support device according to the eighth aspect of the present disclosure, the actual medicine dispensing results are stored as traceability information. Due to such a configuration, reviewing is possible when a problem occurs.
Ninth Aspect
In the medication support device such as the medication support device 300 according to any one of the first aspect to the eighth aspect of the present disclosure, the plurality of medicine packs are stacked on top of each other and stored in layers in the holder, and the plurality of medicine packs include a plurality of medicine packages in each of which a plurality of medicines are packed and a plurality of bound medicine packages in which the plurality of medicine packages are stacked on top of each other in layers and bound together.
Note that numerous additional modifications and variations are possible in light of the above teachings. It is therefore to be understood that within the scope of the appended claims, the embodiments of the present disclosure may be practiced otherwise than as specifically described herein. For example, elements and/or features of different illustrative embodiments may be combined with each other and/or substituted for each other within the scope of this disclosure and appended claims.
Any one of the above-described operations may be performed in various other ways, for example, in an order different from the one described above.
Each of the functions of the described embodiments may be implemented by one or more processing circuits or circuitry. Processing circuitry includes a programmed processor, as a processor includes circuitry. A processing circuit also includes devices such as an application-specific integrated circuit (ASIC), digital signal processor (DSP), field-programmable gate array (FPGA), and conventional circuit components arranged to perform the recited functions.
Number | Date | Country | Kind |
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2022-084175 | May 2022 | JP | national |
2023-044791 | Mar 2023 | JP | national |