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WO2016047525A1 - Dispositif distributeur de médicament et système d'aide à la préparation de médicaments en poudre - Google Patents

Dispositif distributeur de médicament et système d'aide à la préparation de médicaments en poudre Download PDF

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Publication number
WO2016047525A1
WO2016047525A1 PCT/JP2015/076303 JP2015076303W WO2016047525A1 WO 2016047525 A1 WO2016047525 A1 WO 2016047525A1 JP 2015076303 W JP2015076303 W JP 2015076303W WO 2016047525 A1 WO2016047525 A1 WO 2016047525A1
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WIPO (PCT)
Prior art keywords
container
powder
medicine
packaging
scraping
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/JP2015/076303
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English (en)
Japanese (ja)
Inventor
田中　徹
寺田　哲也
智生 小田
研人 三輪
祥吾 八田
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Yuyama Manufacturing Co Ltd
Original Assignee
Yuyama Manufacturing Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
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Application filed by Yuyama Manufacturing Co Ltd filed Critical Yuyama Manufacturing Co Ltd
Priority to JP2016502548A priority Critical patent/JP5953471B1/ja
Publication of WO2016047525A1 publication Critical patent/WO2016047525A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
    • A61J3/00—Devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms

Definitions

  • the present invention relates to a medicine dispensing apparatus, and more particularly to a medicine dispensing apparatus that distributes powdered medicine.
  • the present invention also relates to a powder dispensing operation support system that employs such a medicine dispensing device.
  • Patent Document 1 An example of such a medicine dispensing device is disclosed in Patent Document 1.
  • the medicine dispensing device disclosed in Patent Document 1 is a powder medicine packaging device that individually packages powder medicines for each dose.
  • this powder packaging device it is necessary to load the powder used for the packaging operation into the charging hopper before performing the packaging operation of individually packaging the powder for each dose.
  • the powder hopper is charged into the charging hopper in an amount necessary for the packaging operation, and this required amount is manually measured by a user of an apparatus such as a pharmacist. That is, a user takes out a medicine bottle containing a prescribed powder from a medicine shelf, measures a necessary amount using a scale such as a balance, and puts it into a charging hopper.
  • the trough is vibrated and the distribution tray is rotated.
  • the powder charged in the charging hopper falls to the trough from the lower end opening of the charging hopper.
  • the flow of the medicine becomes a laminar flow state. That is, the distribution of the medicine in a cross section in the direction orthogonal to the flow is constant, and the distance that the medicine travels per unit time is also constant.
  • the powder is uniformly dispersed and slowly moves toward the distal end side at a constant speed.
  • the powder which moves a head falls from the front-end
  • the following powder drops to the distribution tray by a certain amount per hour.
  • the distribution tray rotates at a predetermined speed. Therefore, the powder falling from the trough onto the distribution tray is evenly distributed on the distribution tray. That is, the powder drops gradually onto the distribution tray and the distribution tray rotates at a constant speed, so that the powder is evenly distributed on the distribution tray.
  • the rotation of the distribution tray is stopped.
  • the scraping device is brought into contact with the upper surface of the distribution tray, and the distribution tray is rotated by an angle corresponding to the number of divisions. For example, when dividing into three, the distribution tray is rotated by 120 degrees (one third of 360 degrees).
  • the powdered powder is collected around the scraping device, and the collected powder is put into the packaging hopper by the scraping device.
  • the powder medicine which fell from the packaging hopper is packaged by the packaging device, and the packaging operation is completed.
  • Patent Document 1 In the powder medicine packaging device disclosed in Patent Document 1, it is necessary to manually perform the work of measuring the amount of powder used, which is troublesome. Thus, there has been a desire to automate the packaging work and various related work.
  • an object of the present invention is to provide a medicine dispensing device that enables further simplification of the packaging operation and can further suppress the occurrence of defects.
  • the present invention for solving the above problems is a medicine dispensing apparatus that takes out a predetermined amount of powder from a powder container, divides it into a predetermined number, and further wraps and discharges the powder separately.
  • the powder storage container is for storing powder, has a discharge port portion serving as a discharge port for discharging the stored powder, and is provided with a chemical container arrangement area, a chemical division area, and a chemical packaging area.
  • the medicine container arrangement area is provided with a container storage device for storing a plurality of powder storage containers, and the medicine division area distributes the powder discharged from the powder storage container, A scraping device for scraping out the powder put in the distribution tray, and a container mounting device for placing the powder storage container and acting on the powder storage container to discharge the powder from the powder storage container
  • a medicine packaging device is provided in the medicine packaging area, and a container moving device for moving the powder storage container is further provided.
  • the container moving device takes out the predetermined powder storage container from the container storage device.
  • the container mounting device can be operated to discharge the powder from the powder storage container mounted on the container mounting device and put it into the distribution tray.
  • the container storage device has a display device for displaying various information, capable of performing a packaging operation of scraping the powdered powder from the distribution tray and dropping it to the chemical packaging region side and packaging the powdered powder by the chemical packaging device. It is possible to display on the display device information relating to the powder stored in the powder storage container currently stored in the medicine dispensing device.
  • the medicine dispensing apparatus of this aspect is a medicine dispensing apparatus that takes out a predetermined amount of powder from a powder container based on pre-input prescription information, divides it into a predetermined number, and further wraps and discharges it separately. Take out the prescribed powder storage container from the container storage device and place it on the container mounting device, discharge the powder from the powder storage container placed on the container mounting device, put it into the distribution tray, and after dividing it with the distribution tray
  • the operation of packaging is possible. That is, it is not always necessary to carry out the operation of measuring the amount of powder used and putting it in the powder container, and the packaging operation can be further simplified.
  • the medicine dispensing device includes a display device, and can display information on the powder stored in the powder storage container. From this, the user can perform various operations while confirming detailed information regarding the chemicals to be used, and can suppress the occurrence of problems such as erroneous types and amounts of chemicals in various operations.
  • This aspect includes an operation device for performing various input operations, and the operation device is of a touch panel type provided integrally with the display device, and the display device has a powder to the distribution tray.
  • a speed control screen for controlling the discharge speed of the image can be displayed. On the speed control screen, an annular operation image is displayed, and the circumference is displayed while touching the area where the operation image is displayed.
  • the target discharge speed is determined according to the direction to be traced and the distance to be traced, and the powder discharge operation is performed so that the determined discharge speed is obtained.
  • the operation device for performing various input operations is integrated with the display device, and it is not necessary to secure the installation area of the operation device in the main body or the like, so that the degree of freedom in design can be improved.
  • the annular operation image when the annular operation image is displayed, the powder that is discharged (supplied) to the distribution tray is traced in the circumferential direction while touching the area where the operation image is displayed.
  • the discharge speed (supply speed) of the battery changes.
  • the discharge rate (supply rate) of powdered medicine is the discharge amount per unit time. That is, the discharge amount can be changed by performing the above operation on the operation image.
  • This aspect is such that a speed display image for displaying a value indicating the current target discharge speed is further displayed on the speed control screen, and the speed display image is the target discharge speed. It is more preferable that the image is temporarily displayed outside the operation image on the condition that has changed.
  • the speed display image is temporarily displayed outside the operation image.
  • the user can surely grasp the current discharge speed (supply speed). More specifically, when an operation image is touched and operated with a finger or the like, the finger or the like may overlap the display screen, and it may be difficult to see the portion displaying the discharge speed. Therefore, in this aspect, it is possible to display the speed display image outside the operation image that is a part touched with a finger or the like, and to check the discharge speed at a glance even during the operation for changing the speed. ing. That is, the discharge speed can be easily changed by making it easy to grasp the discharge speed.
  • the powder storage container has a discharge port portion serving as a powder discharge port, and when the powder storage container is placed on the container placement device on the speed control screen, the container It is possible to further display an observation image, which is a moving image obtained by photographing the discharge port portion of the powder storage container placed on the mounting device and its periphery, and during the rotation operation of the distribution tray, the discharge port portion and The observation image displaying the current state of the periphery and the operation image are simultaneously displayed on one screen.
  • an observation image which is a moving image obtained by photographing the discharge port portion of the powder storage container placed on the mounting device and its periphery, and during the rotation operation of the distribution tray, the discharge port portion and The observation image displaying the current state of the periphery and the operation image are simultaneously displayed on one screen.
  • the powder discharge speed (supply speed) can be changed while observing the discharge port portion of the powder storage container and the surrounding area. That is, since it is possible to change the discharge speed in consideration of the actual situation, a more appropriate discharge operation (supply operation) can be performed.
  • the display color of the operation image changes according to the target change in the discharge speed.
  • This aspect relates to a first history storage operation that stores information related to the packaging operation to be executed at the start of the packaging operation, and the packaging operation that is normally completed at the completion of the packaging operation.
  • a second history storage operation for storing information, and selecting either the information stored in the first history storage operation or the information stored in the second history storage operation, and the selected information It is preferable that the packaging operation can be re-executed based on the above.
  • a first history storage operation for storing information related to the packaging operation to be executed in the future, and information on the packaging operation that has been normally completed at the completion of the packaging operation.
  • a second history storing operation for storing. That is, in addition to the normal operation history acquired at the normal completion of the packaging operation, the operation history acquired at the start of the packaging operation is acquired and stored.
  • the packaging operation can be re-executed based on each operation history. In other words, not only the normally completed packaging operation can be re-executed based on the past information, but also the packaging operation that has been attempted can be re-executed based on the past information.
  • the packaging operation can be performed more easily.
  • a theoretical value of a medicine-related value related to powder discharged from the powder storage container in the packaging operation can be input or calculated, and an actual measurement value of the medicine-related value is being performed during the packaging operation.
  • the theoretical value and It is preferable that the actual measurement value can be output.
  • the theoretical value of each value related to the operation such as the total amount of the used chemicals and the actual measurement value can be printed on the same medium.
  • the user can easily compare the “theoretical value” and the “measured value”, and can easily grasp whether or not the packaging error has occurred and the exact value of the generated packaging error. Since the user can execute the next packaging operation in consideration of this fact, it is possible to easily perform the packaging operation with higher accuracy.
  • the printing medium is a chemical bag for packaging powder, and the bag length of the chemical bag is changed according to the content to be printed in the printing operation.
  • the length of the chemical bag which is a printing medium, can be changed according to the amount of description. That is, it becomes possible to make the printed content easy to see.
  • medical agent bag is a bag produced based on the information regarding prescription.
  • the information related to prescription is information related to the usage of the prescribed medicine, such as information for specifying a patient, the timing of taking the medicine, the dose, the number of doses, and the interval between doses.
  • the chemical bag in this aspect is a chemical bag formed individually for a predetermined individual, and the basic bag length is determined according to information on prescription. Furthermore, based on the information regarding prescription, it divides into a predetermined number as needed, and the powder medicine for one dose is sealed to each divided
  • the discharge rate of the powder to the distribution tray can be acquired, and a graph showing the change of the discharge rate with the progress of the packaging operation performed in the past can be displayed.
  • the discharge speed of the powder it is possible to acquire the discharge speed of the powder to the distribution tray, and it is possible to display a graph showing the change in the discharge speed with the progress of the packaging operation performed in the past. From this, not only detecting whether or not the discharge of the powder is completed, but also confirming whether or not the powder was supplied without delay from the start to the end of the discharge of the powder, for example. Can do. In other words, it is possible not only to confirm whether or not the discharge of powder has been completed, but also to check the status of the discharge process. Then, by displaying the transition of the discharge speed in a graph, the user can more easily check the state of the discharge process.
  • This aspect is a moving image related to the pasting operation performed in the past, a past packaging image that is a moving image obtained by photographing the distribution tray in operation and the periphery of the distribution tray, and the past packaging performed in the past. It is possible to display a transition of the discharge amount of the powder to the distribution tray with the progress of the operation or a graph showing a change of the discharge speed of the powder to the distribution tray with the progress, and target the same packaging operation.
  • the past packaged image and the graph are preferably displayed on the same screen.
  • a moving image related to past packaging operations and a graph showing changes in the amount of medicine supplied (or changes in the rate of supply of medicine) over time in the past packaging operations carried out in the past. Can be displayed on the same screen. From this, the user can confirm the specific contents of the past packaging operation while confirming the transition of the supply amount and the supply speed of the medicine over time. For example, when the supply amount or the supply speed changes rapidly, it is possible to grasp in detail what has happened around the distribution tray. As described above, according to this preferable aspect, it is possible to verify in detail the contents of the past packaging operation performed, and it is easy to identify the cause even if a problem occurs. Based on this fact, the user can execute the next packaging operation, so that the packaging operation with higher accuracy can be easily performed.
  • a display unit is further displayed.
  • an error time display operation for highlighting an error occurrence time on the graph is performed when the past packaging operation in which a problem has occurred during implementation is targeted.
  • the user who browses the moving image related to the past packaging operation is particularly careful about the time when the trouble occurred and the operation in the vicinity thereof. Can be encouraged to see. That is, it prevents the user from overlooking important contents such as the situation at the moment when a defect occurs in the past packaging operation, the situation immediately before the occurrence of the defect, or what happened after the occurrence of the defect.
  • This aspect can calculate the stock amount that is the amount of powder in the powder storage container stored inside and outside, and the reserved amount that is the amount of powder to be used in the packaging operation scheduled to be implemented in the future
  • the comparison operation for comparing the inventory amount with the reserved amount is performed, and the result of the comparison operation is that the powdering is insufficient in the packaging operation to be performed in the future, It is preferable to perform a notification operation to notify the shortage.
  • the amount of chemicals used in the packaging operation scheduled to be performed in the future is calculated and compared with the inventory amount. As a result of the comparison, if it becomes clear that there will be a shortage of medicine in the future, the user will be notified of the shortage of medicine in the future. That is, by making the user aware of the future shortage of medicines, it is urged to secure medicines in advance, and interruption of the packaging operation due to the shortage of medicines can be prevented. As a result, the packaging operation can be performed without delay.
  • a packaging progress screen for displaying the progress of the packaging operation currently being performed can be displayed, and as a result of the comparison operation, there is a shortage of powder in the packaging operation to be performed in the future.
  • the first notification operation for notifying that the shortage of powder occurs is performed, and in the first notification operation, a part of the packaging progress screen is displayed more clearly than the surroundings.
  • the weighing reservation notification screen is displayed by performing a predetermined operation on the portion that is highlighted in the first notification operation, and the weighing reservation notification screen is insufficient for the packaging operation to be performed in the future.
  • An operation for filling a predetermined powder storage container in the future with a predetermined amount of powder is started on the condition that a shortage that is the amount of powder is displayed and a predetermined operation is performed on the weighing reservation notification screen. .
  • the powder when scraping the powder with the scraping device, the powder may adhere to the portion of the scraping device for scraping the powder because of static electricity. And if a powder adheres to a scraping apparatus, the quantity of the powder to scrape may become smaller than a regulation amount, and there exists a possibility that it may become impossible to package an exact quantity of powder.
  • the scraping device includes an arm member whose tip end is moved up and down, a scraping plate provided at the tip of the arm member, and a scraping plate protruding from the scraping plate.
  • the distribution tray includes an annular continuous groove-shaped portion, and in the packaging operation, the scraping plate is inserted into the groove-shaped portion of the distribution tray, and the scraping plate and the distribution tray are relative to each other.
  • the scraping plate of the scraping device after performing the scraping operation to scrape the powder out of the distribution tray, the scraping plate of the scraping device is kept in contact with the upper surface of the groove-shaped portion of the distribution tray. It is moved in the opposite direction. This makes it possible to drop the powder adhering to the scraping plate onto the distribution tray. And after that, by carrying out the operation of moving the scraping plate in the same direction of the scraping operation, it becomes possible to scrape the powder dropped on the distribution tray. That is, according to this preferable aspect, since the powder adhering to the scraping plate can be scraped off after being dropped on the distribution tray, a decrease in the amount of the powder to be scraped due to the powder adhering to the scraping plate can be prevented.
  • the scraping device includes an arm member that moves up and down on the tip side, a scraping plate that is provided at the tip of the arm member, and a scraping plate that protrudes from the scraping plate. Is provided with a groove-like portion that is continuous in an annular shape, and in the packaging operation, the scraping plate is inserted into the groove-like portion of the distribution plate, and the scraping plate and the distribution plate are moved relative to each other to move the scraping plate. A scraping operation for scraping the powder on the distribution plate to the vicinity of the scraping plate, and a scraping operation for scraping the powder sprayed to the vicinity of the scraping plate to the outside of the distribution plate by the scraping plate.
  • the operation consisting of the scraping operation and the scraping operation a plurality of times and to divide the powder on the distribution tray into a single package and scrape it out of the distribution tray.
  • the powder for one package is targeted according to the number of powders divided.
  • the movement distance of the relative movement in the scratching operation is variable, and one powder of powder is applied once according to the movement distance of the relative movement in the scratching operation for one powder. It is possible to carry out any one of the above-mentioned scratching operation and the single scraping operation that scrapes out by the scraping operation, and the multiple scraping operation that scrapes out a single pack of powder by the scraping operation and the scraping operation.
  • the movement distance of the relative movement in the scratching operation performed in advance is longer than the movement distance of the relative movement in the scratching operation performed last. Is preferred.
  • the scraping plate and the distribution tray are moved relative to each other to scrape the powder, if the distance of the relative movement becomes too long, the amount of the collected powder increases, and the scattered powder is only collected around the scraping plate. Instead, it may reach a position away from the scraping plate. In this case, even if the scraping operation is performed, there is a possibility that the powder at a position away from the scraping plate cannot be scraped. This is not preferable from the viewpoint of packaging an accurate amount of powder because the amount of powder to be scraped is less than the prescribed amount.
  • a plurality of scraping operations are performed according to the movement distance of the relative movement, and the powder for one package is scraped into a plurality of times, so that the powder that has been scraped is applied only to the periphery of the scratching plate. It becomes possible to position. Further, when the powder is scraped for the last scraping operation, the relative movement distance is made shorter than when the powder is scraped for the preceding scraping operation. That is, when the powder is scraped for the last scraping operation, the powder can be more reliably positioned only around the scraping plate. As a result, the powder is not collected at a position away from the scraping plate and cannot be scraped out, and an accurate amount of powder can be packaged.
  • the maximum amount scraping operation with the scraping operation for performing the relative movement with a predetermined maximum movement amount, and the relative movement with a predetermined minimum movement amount.
  • the maximum amount scraping operation is performed on the condition that a value obtained by subtracting the relative movement distance in the scraping operation performed in the maximum amount scraping operation from a movement distance is equal to or greater than a predetermined value.
  • the scraping operation and the scraping operation are performed with a movement amount smaller than the moving distance of the relative movement in the scraping operation, and the minimum amount scraping operation is further performed. This preferred aspect allows more accurate packaging of powders.
  • the powder storage container has a lid member for opening and closing a discharge port formed in the discharge port portion
  • the container moving device includes a lid engaging portion that opens and closes the lid member.
  • a container holding part capable of holding the powder storage container in close contact with the container, and after the container holding part performs a temporary closing operation to close the lid member at a position away from the powder storage container, the container It is preferable to carry out an operation of bringing the holding part and the powder storage container into contact with each other and holding the powder storage container, and a main closing operation of closing the lid member.
  • the powder when the powder storage container is moved by the container moving device, the powder does not spill out of the powder storage container due to an impact caused by the contact between the container moving device and the powder storage container. For this reason, an unexpected powder is not supplied to the distribution tray, and an accurate amount of powder can be dispensed and packaged.
  • a plurality of the container mounting devices are provided, and each of the plurality of container mounting devices is mounted with another powder storage container, and the powder is discharged from each powder storage container. While the powder is being discharged from at least one of the powder storage containers, the powder storage container in which the discharge of the powder has been completed is moved to a position away from the container mounting device, and the discharge of the powder is performed. It is preferable that the operation of placing a new powder storage container on the container mounting device on which the completed powder storage container has been mounted can be performed.
  • Another aspect of the present invention includes a control device for controlling a plurality of dispensing devices based on prescription data including prescription data including prescription data, which is data related to prescription, and a medicine dispensing device.
  • the dispensing device distributes the powder discharged from the powder storage container, and the container mounting device on which the powder storage container is mounted and acts on the powder storage container to discharge the powder from the powder storage container The powder is discharged from the powder storage container placed on the container placement device, put into the distribution tray, divided into a predetermined number, further individually packaged and discharged.
  • the dispensing device includes a drug weighing device for weighing a target drug, and a temporary table device for temporarily installing the powder storage container.
  • More than one Container-side information storage means capable of storing at least container information, which is information for specifying one powder storage container from a medicine storage container, is provided, and the temporary storage device and the container mounting device include the container side Information reading means for reading the state stored in the information storage means is provided, the container information of the powder storage container placed on the temporary table device is read by the information reading means, and the read information is read by the information reading means.
  • Information storage operation that is temporarily or semi-permanently stored by the drug weighing device, the container information received by the drug weighing device, and information on the weighed powder stored in the drug weighing device are transmitted from the drug weighing device.
  • the prescription data is associated with the information received from the drug weighing device including at least the container information, and the information creation operation is performed to create powder related information, and the prescription data is placed on the temporary table device.
  • the information reading means of the container placement device reads the container information of the powder storage container, and the information reading means of the container placement device.
  • the powder storage container when the drug weighed by the drug weighing device is stored in the powder storage container, the powder storage container is placed on a dedicated temporary table device. Thereby, compared with the case where a powder storage container is directly mounted on a desk etc., medicine can be stored in a state where the posture of the powder storage container is stabilized.
  • the container information for specifying a container is acquired when mounting a powder storage container on a temporary placement stand apparatus, and powder related information is created by associating this container information with prescription data. And when a powder storage container is mounted in a container mounting apparatus, the prescription using the chemical
  • the powder storage container containing the medicine not provided by the prescription is not used by mistake, and the packaging operation according to the predetermined prescription can be performed more reliably.
  • FIG. 17 shows the state which the finger
  • (b) shows the state from (a) state. The state after moving is shown. It is a figure which expands and shows a part of speed control screen of FIG. 17, and shows the state by which the speed display part was displayed. It is a figure which expands and shows a part of speed control screen of FIG. 17, and is a figure which shows a mode that the speed display part is displayed during operation of a speed operation part.
  • FIG. 18 is a diagram illustrating a state in which a full screen display operation is performed on the speed control screen of FIG. 17. It is a figure which shows the layout setting screen of this embodiment. It is a figure which shows the measurement reservation notification screen of this embodiment.
  • FIG. 26 is a diagram showing a state in which prescriptions are displayed as a list in a prescription display area on the prescription history list screen of FIG. 25. It is a figure which shows the weighing history screen of this embodiment. It is a figure which shows the past moving image display screen of this embodiment. It is a figure which shows the packaging log
  • FIG. 2 is a block diagram showing a powder dispensing operation support system in which the medicine dispensing device of FIG. 1 is constructed in conjunction with a control device or the like.
  • FIG. 2 is an explanatory view showing an operation of scraping out the powder of one package to the vicinity of the scraping plate in the medicine dispensing apparatus of FIG. 1 and then scraping it out of the distribution tray in the order of (a) to (c). Scraping is performed.
  • FIG. 2 is an explanatory view showing an operation of scraping out a powder of one package to the outside of the distribution tray in the medicine dispensing apparatus of FIG. 1, and the powder is scraped in the order of (a) to (d).
  • FIG. 37 shows the state which the cover member opened, (b) shows the state which the cover member closed. It is a perspective view which shows the container moving apparatus shown by FIG. It is a perspective view which shows the front end side part of the arm part shown by FIG. 39, (a) shows the attitude
  • FIG. 40 is an explanatory view showing a state where the automatic medicine container is moved from the container holding base at the tip side portion of the arm part shown in FIG. And a mode that a cover member is obstruct
  • FIG. 40 is an explanatory view showing a state where the automatic medicine container is moved from the container holding base at the tip side portion of the arm part shown in FIG. And a mode that a cover member is obstruct
  • FIG. 42 is an explanatory view showing a state in which the automatic medicine container is moved from the container holding base at the distal end portion of the arm portion following FIG. 41, and (a) temporarily separates the distal end portion of the arm portion from the automatic medicine container.
  • B) shows a state in which the distal end portion of the arm portion is brought into contact with the automatic chemical container to close the lid member.
  • FIG. 6 is an explanatory view showing a state in which one automatic chemical container is replaced during the operation of placing automatic chemical containers on all container holding bases and discharging the powder to the distribution tray, (a) to (c) Replace the automatic chemical container in the following order. It is explanatory drawing which shows an example of the paper medium output by the printing operation which the powder medicine packaging apparatus of this embodiment implements.
  • FIG. 46 It is a figure which shows the weighing history screen of the form different from FIG. It is a perspective view which shows the manual medicine container different from FIG. It is a disassembled perspective view which shows the storage space formation member of the manual type medicine container shown by FIG. It is sectional drawing of the manual type chemical
  • the powder medicine packaging device 1 (medicine dispensing device) of the present embodiment includes a main body device 2, an operation display unit 3 (display device, operation device), a control unit (not shown), and a manual type.
  • the medicine container 5, the medicine weighing device 6, the journal printer 7, and the barcode reader 8 are provided.
  • the powder medicine packaging device 1 operates the operation display unit 3 so that the powder medicine contained in a medicine container (a powder medicine container, an automatic medicine container 4 described later, or the above-described manual medicine container 5) is stored. It is a device that automatically takes out, weighs, divides it into a predetermined number and wraps it.
  • the main body device 2 is formed by incorporating various devices in the housing 10, and specifically, as shown in FIG. 2, a medicine container arrangement region 12, a medicine dividing region 13, A medicine packaging area 14 is provided.
  • a dehumidifying device (not shown) and a temperature controller (not shown) are provided inside the housing 10 so that the internal temperature and humidity can be maintained within a certain range.
  • a door portion 16 is provided in a portion of the housing 10 that forms the outer wall surface of the chemical container arrangement region 12.
  • the door part 16 is a part for putting the automatic medicine container 4 into and out of the housing 10, and a container temporary placement part 18 for temporarily placing the automatic medicine container 4 is provided inside the door part 16.
  • the door portion 16 and the container temporary placement portion 18 function as an introduction portion when introducing the chemical container into the inside of the housing 10 and also function as an extraction portion when taking out the chemical container from the inside of the housing 10. .
  • the container temporary placement part 18 is a part that can hold the automatic chemical container 4 by mechanical engagement. By placing the automatic chemical container 4, the automatic chemical container 4 and the container temporary placement part 18 are The engaged state is established. On the contrary, when the automatic medicine container 4 and the container temporary placement portion 18 are in the engaged state, the automatic medicine container 4 is lifted to be in the disengaged state. That is, the automatic medicine container 4 can be detached from the container temporary placement unit 18.
  • the container temporary placement unit 18 is provided with information reading means for reading information from the automatic chemical container 4 and weight measuring means for measuring the weight of the automatic chemical container 4.
  • the chemical container arrangement region 12 is provided with a container storage unit 23 (container storage device) that holds the automatic chemical container 4.
  • a container storage unit 23 container storage device
  • the container storage unit 23 includes a drum member 25 installed in an upright posture, and the drum member 25 is rotatable about a rotation axis extending in the vertical direction. That is, the vertical drum member 25 can be rotated in the horizontal direction using a motor or the like as a power source.
  • a plurality of container installation portions are provided on the outer peripheral surface of the drum member 25, and the automatic chemical container 4 is held by the container installation portions.
  • Each container installation part holds the automatic chemical container 4 by mechanical engagement.
  • the automatic chemical container 4 is pushed in, the automatic chemical container 4 and the container installation part are engaged. .
  • the automatic medicine container 4 and the container installation portion are in the engaged state, the automatic medicine container 4 is pulled out of the engagement by pulling the automatic medicine container 4 outward.
  • the drum member 25 is divided into three parts in the vertical direction, and a plurality of container installation portions are formed in each of the divided areas.
  • a group of 11 container installation parts is provided in three stages. That is, the container storage unit 23 can hold 33 automatic medicine containers 4 in total.
  • the container installation portion has a structure including a protruding member protruding outward, and the protruding member is immersed when the automatic chemical container 4 is attached in a normal posture.
  • optical sensors are provided inside and outside the drum member 25, respectively, and it is possible to detect whether or not the protruding member of the container installation portion is protruding.
  • information reading means (not shown) is provided in the vicinity of the drum member 25. For this reason, information can be acquired from each of the automatic chemical containers 4 held on the drum member 25. More specifically, information can be acquired from container-side information storage means (details will be described later) attached to each automatic medicine container 4.
  • a container moving device 28 is provided in an area from the medicine container arrangement area 12 to the medicine division area 13.
  • the container moving device 28 has a structure including an arm unit 30 and an elevating mechanism 31, and the arm unit 30 can be moved in the vertical direction by the elevating mechanism 31. Further, a magnet is provided at the distal end portion of the arm portion 30, and the automatic chemical container 4 can be held by adsorbing an iron plate attached integrally to the automatic chemical container 4.
  • a distribution tray 35 As shown in FIG. 4, in the medicine division region 13, as shown in FIG. 4, in a space located on the rear side of the front door 34 (see FIG. 1), a distribution tray 35, a container holding table 36 (container mounting device), A dispensing device 37, a cleaning device 38, a chemical introduction port 39, and a camera member 40 are provided. More specifically, in the medicine dividing region 13, two distribution trays 35 arranged in parallel are respectively installed in an embedded state.
  • a container holder 36, a scraping device 37, and a cleaning device 38 are provided around each distribution tray 35.
  • one container tray 36, one scraping device 37, and one cleaning device 38 are associated with one distribution tray 35.
  • a medicine introduction port 39 is provided around the distribution tray 35 and between the two distribution trays 35 to supply powder to the medicine packaging region 14 one by one.
  • a partition plate device 41 is provided at a position adjacent to.
  • the partition plate device 41 includes a box-shaped main body portion and a standing plate portion attached to the main body portion so as to be able to appear and retract. And it is possible to switch between a protruding state in which most of the standing plate portion protrudes outside from the main body portion and a storage state in which the standing plate portion is housed in the main body.
  • the powder in each packaging operation (details will be described later), when the powder distributed in one distribution tray 35 is scooped up by the scraping device 37 and put into the drug introduction port 39, depending on the type of powder to be charged, the powder May fly far more than necessary. That is, it is conceivable that the powder will fly up to the distribution tray 35 on the other side.
  • the powder plate in the powder medicine packaging device 1 of the present embodiment, the powder plate is prevented from flying up to the distribution tray 35 on the other side by making the partition plate device 41 project. That is, the vertical plate portion of the partition plate device 41 functions as a blocking wall to prevent the powder medicine from flying to the other distribution tray 35.
  • the distribution tray 35 is provided with an annular annular chemical introduction groove, and is rotatable by a rotation mechanism (not shown).
  • the container holding table 36 has a structure including a vibration table portion and a weight measuring means.
  • the shaking table is provided with a container holding means for holding a chemical container (automatic chemical container 4 or manual chemical container 5).
  • a magnet electromagnet
  • the gravity measuring means measures the weight of the chemical container directly or indirectly.
  • the gravity change means can detect the weight change of the chemical
  • the camera member 40 is installed at a position where the periphery of the container holding table 36 can be photographed. It functions as an imaging device for photographing.
  • a digital imager such as a CCD camera can be suitably employed.
  • a camera member 40 that images the periphery of the container holding table 36 adjacent to the distribution tray 35 on one side and a camera member 40 that images the periphery of the container holding table 36 adjacent to the distribution tray 35 on the other side are separately provided. The imaging operation can be performed separately.
  • the medicine packaging area 14 is provided with a known medicine packaging device and printing means.
  • the medicine packaging device is a machine for packaging medicine one by one, and is formed by a sheet supply device and a sealing device. That is, the sheet supplied from the sheet supply device is formed into a bag shape to create a sachet bag, and the prepared sachet bag is sealed and packaged for each dose by the powder seal device supplied from the drug dividing region 13 It is possible to operate.
  • the printing means is a machine for printing predetermined information on the packaging bag.
  • the automatic medicine container 4 is a container having a substantially rectangular parallelepiped shape, and is provided with a medicine discharge section 187 (see FIGS. 37, 38, etc.) for discharging powdered powder or powdered medicine stored inside. ing.
  • This medicine discharge part 187 is an opening-like part and communicates with the inside and outside.
  • the medicine discharge part 187 is a part that opens larger by removing peripheral members and functions as a medicine input part for introducing the medicine.
  • the automatic chemical container 4 is provided with iron plates on two different surfaces. The iron plate provided on one surface is a part for adsorbing the magnet of the arm unit 30 when the automatic drug container 4 is held by the arm unit 30.
  • the iron plate provided on the other surface is a portion for adsorbing the magnet of the container holding table 36 when it is installed on the container holding table 36 described later.
  • the automatic medicine container 4 is provided with an RFID tag, and can store information on the medicine stored. That is, the RFID tag functions as a container side information storage unit.
  • the operation display unit 3 is a so-called touch panel, and is formed by combining a display device such as a liquid crystal panel and a position input device such as a touch pad.
  • the powder medicine packaging device 1 of the present embodiment displays various screens on the operation display unit 3 and performs an operation of touching a predetermined portion with a dielectric such as a finger or a touch pen (hereinafter also simply referred to as a finger). Various operations described later can be executed.
  • the control unit includes a CPU, a ROM, a RAM (EEPROM), and a data storage unit.
  • the CPU is a processor that executes various arithmetic processes.
  • the ROM is a non-volatile memory in which programs such as BIOS are stored in advance
  • the RAM is a volatile memory or non-volatile memory used for developing various programs and temporarily storing data.
  • the data storage unit is a storage device such as an HDD (Hard Disk Drive) in which various programs and data are stored. More specifically, a “medicine master” that stores various types of information related to a drug, a “shaped drug master” that stores information related to a drug that requires a shaping operation, and a “regular dose master” that stores information related to a normal dose of the drug.
  • Various databases such as a “patient master” that stores information related to a patient who has been prescribed a medicine and an “average weight master” that stores information related to the average weight of a patient who is prescribed a medicine are stored. In addition, the information stored in these databases is stored in an associated state as appropriate.
  • the manual medicine container 5 is a substantially rectangular parallelepiped container and has substantially the same structure as the automatic medicine container 4.
  • the manual medicine container 5 is different from the automatic medicine container 4 in that a medicine charging section is provided at a position different from the medicine discharging section. That is, in the manual medicine container 5, the medicine charging part is provided on the upper part of the manual medicine container 5.
  • the chemical injection portion is a through-hole-shaped portion communicating between the inside and the outside, and is formed so that the outer portion has a larger cross-sectional area than the inner portion.
  • the chemical weighing device 6 includes a weighing platform and an RFID reader / writer.
  • the weight of the chemical container can be measured by placing the chemical container on the chemical weighing device 6, and information can be read from and written to the RFID tag provided on the chemical container.
  • the medicine weighing device 6 includes weight measuring means for measuring the weight of the medicine container, and information reading means and information writing means for reading and writing information with respect to the container side information storage means of the medicine container. It has a structure.
  • the journal printer 7 is a device for printing various information such as packaging operation history and prescription recording on a medium such as paper.
  • the bar code reader 8 is capable of reading a bar code written on a medicine original box or a medicine bottle.
  • Various devices such as sensors and camera members, a chemical weighing device 6, a journal printer 7, and a barcode reader 8 incorporated in the main body device 2 are in a state where various information can be transmitted to and received from the control unit described above. .
  • these are connected by a communication network such as a LAN, and can send and receive signals.
  • “database editing operation” for adding, deleting, and changing information to various databases
  • “packaging operation” for packaging powder medicines one by one
  • “Printing operation” for issuing various documents
  • “Reservation management operation” for notifying of insufficient drugs in future packaging operations
  • “Packaging verification operation for verifying the contents of past packaging operations”
  • A“ maintenance operation ” for normally executing the packaging operation
  • a“ re-packaging operation ” for performing the packaging operation again based on the history issued in the past.
  • screens corresponding to various databases are displayed, and information can be added to, deleted from, or changed to each database.
  • the powder cassette mounting master screen see FIG. 5
  • the medicine master screen see FIG. 6
  • the patient master screen see FIG. 7
  • the shaping medicine master screen (not shown)
  • the regular use Various screens including an amount master screen (not shown) and an average weight master screen (not shown) can be displayed.
  • Information can be added, deleted, and changed from each screen or other screens displayed by operating each screen.
  • each screen is provided with a “CSV output” button and a “print” button. These buttons touch the displayed part (hereinafter, the user touching the button-like part displayed on the screen is also referred to as “pressing”), and the contents registered in the database are converted into a CSV file. Can be output or printed on a medium such as paper.
  • the powder cassette mounting master screen (see FIG. 5) is a screen corresponding to a database that stores information on medicines stored in the medicine container (automatic medicine container 4).
  • information such as a medicine code, a medicine name, a maximum mounting amount, a filling reference amount, a used amount, an inventory amount, a manufacturing number, and an expiration date can be registered.
  • the medicine master screen (see FIG. 6) is a screen corresponding to a database that stores information related to medicine.
  • the registration target of this database is a medicine that may be prescribed by a doctor, and becomes a registration target regardless of whether it is stored in a medicine container or not. That is, while the powder cassette mounting master screen is targeted for drugs stored in a drug container, the drug master screen is targeted for all drugs that may be prescribed.
  • On this medicine master screen for each medicine, medicine code, medicine name, unit code, stamp, shelf number (management number of the stored shelf), management flag (whether special management is required for handling) Information such as stability coefficient, specific gravity, vibration coefficient, image image, etc. can be registered. It has become.
  • the patient master screen is a screen corresponding to a database that stores information related to a patient for whom a medicine is prescribed.
  • This patient master screen shows information such as patient ID, patient name (kanji), patient name (kana), date of birth, ward name, information to be sent, address, telephone number, and fax number for each patient. Can be registered.
  • the “ward name” is the name of the ward to which the department that the patient consulted belongs, and is input as necessary.
  • the excipient chemical master screen (not shown) is a screen corresponding to a database that stores information on a medicine prescribed by adding an additive for increasing amount, dilution, or the like.
  • the normal dose master screen (not shown) is a screen corresponding to a database that stores information related to drug doses determined in relation to age, weight, and the like.
  • the average weight master screen (not shown) is a screen corresponding to a database that stores information on average weight corresponding to a predetermined age range.
  • the powder medicine packaging apparatus 1 can perform a packaging operation for packaging medicines one by one while referring to information on the prescription input in the “prescription input operation” performed in advance as necessary. It has become. More specifically, the “first packaging operation” for packaging the powder stored in the automatic medicine container 4 held in the container storage unit 23 and the automatic medicine container 4 stored in the external management shelf A “second packaging operation” for packaging the stored powder and a “third packaging operation” for packaging the powder stored in the manual medicine container 5 can be performed.
  • the powder medicine packaging device 1 operates to store the automatic medicine container 4 in the container storage section 23, to take out the automatic medicine container 4 from the container storage section 23, and to take out the automatic medicine container 4 To move the automatic medicine container 4 on the container holding stand 36, to move a predetermined amount of medicine into the distribution dish 35, and to take medicine from the distribution dish 35 for each dose.
  • the operation of supplying the medicine packaging device and the operation of returning the automatic medicine container 4 to the container storage unit 23 can be automatically performed.
  • the “cassette selection operation” for selecting the medicine container to be used based on the prescription information is performed and selected.
  • Each of the packaging operations is performed using a chemical container.
  • the automatic medicine container 4 selected in the “cassette selection operation” is not held by the drum member 25 when the “first packaging operation” is performed, the user is notified of the fact.
  • the “cassette lack notification operation” is performed. In this case, after performing the “filling operation” for holding the automatic medicine container 4 on the drum member 25 as necessary, the first packaging operation can be performed again.
  • the prescription input operation is an operation in which a prescription input screen (see FIG. 8) is displayed on the operation display unit 3 and information related to the prescription is input.
  • a registration operation for automatically registering input information in a predetermined database is performed as necessary.
  • the prescription entry screen has input fields corresponding to each item, including information on the patient such as patient ID and patient name, information on the medical institution and department to which the doctor who prescribed the medicine belongs, and information on the prescribed medicine. Information on drugs such as drug name, usage, and dose can be entered.
  • the powder medicine packaging device 1 of the present embodiment has an input assist function that allows a medicine name to be selected from a list. Specifically, an easy input screen (see FIG. 9) is displayed, and a drug name can be input by selecting a drug name from the list.
  • the simple input screen is provided with a character input unit 45 for inputting a character string used for search and a setting button 46 for setting a search condition. Then, when the user inputs a predetermined character string in the character input unit 45 and / or presses one of the three setting buttons 46, the medicines listed can be narrowed down. Then, the medicine name is selected by pressing one of the medicine names displayed in the list.
  • the character input unit 45 is a part for inputting a character or a character string (hereinafter simply referred to as a character string or the like) used as a keyword for specifying a medicine.
  • a character string or the like used as a keyword for specifying a medicine.
  • a character string or the like is input to the character input unit 45, only medicines starting from the input character string or the like are displayed as a list.
  • the powder medicine packaging apparatus 1 of this embodiment performs the comparison operation which compares the character string etc. which were input into the character input part 45, and the character string when reading a chemical name. Then, a display operation is performed in which only medicines starting from a character string or the like to which a character string when the medicine name is read are displayed in a list.
  • the display content of the list is changed every time one character is input.
  • a character string “Aiu” is input to the character input unit 45
  • the first character of the medicine name is “A”. Only the chemicals that are displayed are displayed.
  • the first character of the medicine name is “A”
  • the second character is Only the medicine with “I” is displayed. That is, only the medicine whose character string when the medicine name is kana reading starts with “eye” is displayed. In this way, when a character string is input to the character input unit 45, the display of the list is switched every time one character is input.
  • the setting button 46 includes a “powdered medicine” button, a “tablet” button, and a “cassette” button.
  • the type of medicine to be searched is determined. That is, when the “powder” button is pressed, only the powder among all the drugs is displayed in the list.
  • the “Tablet” button is pressed, only tablets among all the drugs are displayed in the list, and when the “Cassette” button is pressed, only the drugs already stored in the automatic drug container 4 are displayed. It will be displayed in the list.
  • the “washing chemical” is a chemical that is expected to cause a serious situation when unintentional mixing (so-called contamination) with other chemicals occurs in the distribution dish 35. It is a chemical that requires a cleaning operation (details will be described later) of the distribution tray 35 either before or after the packaging operation. More specifically, when another packaging operation is performed subsequent to a predetermined packaging operation, the medicine discharged to the distribution tray 35 by the previously performed packaging operation slightly increases on the distribution tray 35. It may remain. In this case, if another packaging operation is subsequently performed, the above-described mixing of medicines (so-called contamination) may occur. Therefore, it is possible to designate chemicals that may cause serious situations as a result of unintentional chemical contamination, and to facilitate the cleaning operation when used in packaging operations. .
  • the powder medicine packaging device 1 of the present embodiment in the initial state (the state at the time of shipment), all the medicines registered in the database are the medicines to be washed, that is, either before or after the packaging operation. Is set to a chemical that requires a cleaning operation (described in detail later). That is, it is set so that the cleaning operation of the distribution tray 35 is always performed when the packaging operation is performed.
  • this setting can be changed by the user performing a predetermined operation. That is, it is possible to appropriately select whether or not the medicine displayed on the prescription input screen is to be washed. In addition, when the displayed medicine is to be washed, it is possible to set a time for performing the cleaning operation. That is, it is possible to set whether or not a cleaning operation is necessary before the packaging operation and whether or not a cleaning operation is necessary after the packaging operation.
  • the powder medicine packaging device 1 of the present embodiment automatically determines whether or not a cleaning operation is necessary based on the set medicine information, and automatically performs the cleaning operation when necessary. It has become. That is, the powder medicine packaging device 1 of the present embodiment automatically determines whether or not the cleaning operation needs to be performed when the medicine is selected and the packaging operation is started. More specifically, based on the setting result stored in the data storage unit, it is determined whether or not the medicine needs to be cleaned before the packaging operation, and whether the cleaning operation after the packaging operation is necessary. Determine whether or not. Normally, a cleaning operation is required after using poisons, narcotics, psychotropic drugs, powerful drugs, colored drugs, drugs that easily adhere to the distribution tray 35 (drugs to be washed), and the like.
  • the cleaning operation is automatically performed. This is preferable because it reduces the time and effort required for the packaging operation, compared to a configuration in which whether or not the cleaning operation is performed manually every time the packaging operation is performed.
  • the prescription input screen (see FIG. 8), it is possible to input information on the usage of the prescribed medicine such as the timing of taking, the number of times taken, and the interval between doses, and the packaging form of the prescribed medicine.
  • Information on drug usage can be entered using a usage code, and when the usage code is entered, the associated dose time, number of doses, and dose interval are automatically entered.
  • the medicine packaging form is an item for selecting what kind of packaging operation is performed when a prescribed medicine is to be packaged one by one.
  • This packaging form is selected and input from an item group consisting of “crushing”, “automatic cassette”, and “hand-made cassette”.
  • “Crushing” is a form in which tablets are crushed and then powdered. That is, the prescribed medicine is a tablet, and is an item selected when a powdered tablet is introduced into the manual medicine container 5 and a packaging operation is performed.
  • the “automatic cassette” is a form in which the powder stored in the automatic chemical container 4 is supplied to the distribution tray 35 and packaged. That is, this is an item selected when the prescribed medicine is already stored in the automatic medicine container 4 and the medicine contained in the automatic medicine container 4 is used for the packaging operation.
  • the “handmade cassette” is a form in which powder is introduced into the manual medicine container 5 and packaged. That is, it is an item selected when the pharmacist manually introduces the prescribed medicine into the manual medicine container 5 and performs the packaging operation.
  • the powder medicine packaging device 1 determines whether or not the input medicine is stored in the automatic medicine container 4 of the container storage unit 23. A discriminating operation for discriminating is performed. That is, the powder medicine packaging device 1 compares the input information with the information stored in the data storage unit (or information acquired by the sensor), and whether the prescribed medicine is contained in the automatic medicine container 4 or not. Is automatically determined.
  • the “auto cassette” is automatically selected. If not, the “hand cassette” is automatically selected. It becomes a state.
  • the user can change the automatically selected packaging form by operating the operation display unit 3. More specifically, in the powder medicine packaging device 1 of the present embodiment, an item is displayed by displaying a form selection screen (see FIG. 10) and pressing either the “auto cassette” button or the “hand cassette” button. Can be changed. That is, when the “auto cassette” button is pressed, “auto cassette” is selected, and when the “hand cassette” button is pressed, “hand cassette” is selected. [Cassette selection operation]
  • the powder medicine packaging device 1 of the present embodiment is configured such that when the prescribed medicine is “powdered medicine” and the packaging form selected on the prescription input screen is “automatic cassette”, the first packaging operation or the second packaging It is possible to perform the packaging operation and divide each dose.
  • the cassette selection operation for selecting the automatic medicine container 4 containing the medicine to be packaged is performed, and the selected automatic medicine container 4 is selected.
  • Perform the packaging operation using That is, the automatic medicine container 4 used in the cassette selection operation is selected, and the packaging operation is performed using the selected automatic medicine container 4.
  • a powder cassette selection screen (see FIG. 11) is displayed on the operation display unit 3, and the automatic medicine container 4 can be selected on this screen.
  • This powder cassette selection screen displays a list of medicines stored in the automatic medicine container 4 held by the container storage unit 23 and accommodates in the automatic medicine container 4 stored in an external management shelf. It is possible to switch between the state in which the medicines displayed are listed. Then, by pressing the display area of each medicine displayed in the list, it is possible to select the automatic medicine container 4 in which medicines used in the packaging operation are stored.
  • the medicine cassette selection screen (see FIG. 11) is provided with a medicine display section 48, a display switching button 49, and a character input section 50.
  • the medicine display part 48 is a part for displaying a list of medicine names that satisfy the conditions based on the operation of the display switching button 49 and / or the input result in the character input part 50.
  • a message that indicates that the drug requiring attention in handling such as narcotics, investigational drugs, poisonous drugs, powerful drugs, psychotropic drugs, etc. is highlighted.
  • the display switching button 49 is a button for switching the medicine displayed on the medicine display unit 48. Each time this display switch button 49 is pressed, a state in which medicines stored in the automatic medicine container 4 held by the container storage unit 23 (hereinafter also referred to as internal medicine) is displayed, and an external management shelf is displayed. The state in which the medicine stored in the stored automatic medicine container 4 (hereinafter also referred to as external medicine) is displayed is switched.
  • the display switching button 49 displays “display outside management shelf” (see FIG. 11) when the internal medicine is displayed on the medicine display section 48, and displays “management shelf” when the external medicine is displayed. "Display inside” (see FIG. 13). When the button is pressed and the display of the medicine display unit 48 is switched, the wording displayed on the button is also switched.
  • the character input unit 50 is a part for inputting a character string or the like used as a keyword for specifying a medicine.
  • a character string or the like is input to the character input section 50, only the medicine starting from the character string or the like in which the medicine name is input is displayed on the medicine display section 48. That is, the character input unit 50 is a part for inputting a keyword for narrowing down the display target to be displayed in the list, like the character input unit 45 of the simple input screen (see FIG. 9). Therefore, as shown in FIG. 13, when the character “A” is input to the character input unit 50, only the medicine whose first character in the medicine name is “A” is displayed.
  • the character input unit 50 is configured to change the display contents every time one character is input, as in the character input unit 45 described above.
  • the holding container confirmation operation for confirming the automatic medicine container 4 currently held in the container storage section 23 (in detail, (To be described later). And based on the information acquired by holding container confirmation operation, the holding
  • the automatic medicine container 4 that is scheduled to be used in the first packaging operation to be performed and is not currently held in the container storage unit 23 is also simply referred to as “missing cassette”. .
  • a missing cassette notification screen (see FIG. 14) is displayed on the operation display unit 3, and the management number and the name of the medicine to be stored are stored for each missing cassette that has been confirmed to be present in the holding determination operation. Is displayed.
  • a filling window opening button 58 On this missing cassette notification screen (see FIG. 14), a filling window opening button 58, a filling button 59, and a collection button 60 are displayed.
  • the filling window opening button 58 is a button for opening the door portion 16, and the door portion 16 is opened when pressed.
  • the filling button 59 is a button used in a filling operation described later, and is a button for holding the automatic chemical container 4 placed on the temporary container placement unit 18 in the container storage unit 23.
  • the missing cassette displayed in the list is selected, and the filling window opening button 58 and the filling button 59 are appropriately operated to automatically set the missing cassette. It is possible to supplement the chemical container 4. That is, the automatic medicine container 4 filled with the medicine to be accommodated in the missing cassette is separately prepared, and the automatic medicine container 4 is held in the container storage unit 23 to perform the filling operation to be performed from now on. It is possible to make a state where there is no missing cassette in the operation. First, the filling operation for holding the automatic medicine container 4 in the container storage unit 23 will be specifically described below. [Filling operation]
  • the powder medicine packaging device 1 a number of automatic medicine containers 4 are held in the container storage unit 23, and medicines are stored in each of them.
  • the powder medicine packaging device 1 of the present embodiment can perform a filling operation for holding a new automatic medicine container 4 in the container storage unit 23.
  • the automatic chemical container 4 Prior to this operation, the automatic chemical container 4 is filled with chemicals.
  • the operation of filling the medicine is performed manually by a pharmacist. Furthermore, the information regarding the chemical
  • the operation display unit 3 is appropriately operated so that the door unit 16 is opened.
  • the safety device is activated, and the container moving device 28 is temporarily disabled.
  • the automatic chemical container 4 that is newly held in the container storage unit 23 is placed on the container temporary placement unit 18. This operation is performed manually by the user.
  • the automatic medicine container 4 is placed on the container temporary placement unit 18 and the operation display unit 3 is displayed and the filling button 59 is pressed, the door unit 16 is closed and the filling operation is performed. Be started.
  • a weight measurement operation is performed to measure.
  • the type of medicine newly filled in the automatic medicine container 4 is acquired.
  • a verification operation is performed to verify whether or not the type of the newly filled medicine is a medicine to be filled in the missing cassette (automatic medicine container 4) selected by the user. To do. That is, an operation for determining whether or not the kind of newly filled medicine is correct is performed.
  • the powder medicine packaging device 1 performs a filling amount calculation operation for calculating the filling amount of the medicine in the automatic medicine container 4 based on the value measured by the weight measurement operation.
  • This calculation result is stored in the data storage unit and is also stored in the RFID tag of the automatic medicine container 4 as necessary. That is, the powder medicine packaging device 1 performs an information writing operation for storing the weight of the automatic medicine container 4 measured by the weight measurement operation, and if necessary, the medicine filling amount calculated by the necessary filling amount calculation operation.
  • the information writing operation for storing the information in the RFID tag is performed.
  • the operation restriction on the container moving device 28 by the safety device described above is released, and the container moving device 28 becomes movable. Then, on the condition that the filling amount calculation operation and the weight measurement operation are completed, the arm unit 30 comes close to the container temporary placement unit 18 and holds the automatic medicine container 4.
  • the arm unit 30 moves the automatic drug container 4 to the vicinity of the container storage unit 23 and then pushes the automatic drug container 4 into the drum member 25 to engage the automatic drug container 4 and the drum member 25. Combined state. In this state, the magnetic force of the magnet attached to the tip of the arm unit 30 is erased, and the arm unit 30 is separated from the automatic chemical container 4. At this time, the attachment position of the newly held automatic medicine container 4 with respect to the drum member 25, that is, the position information of the automatic medicine container 4 in the held state is acquired and stored in the data storage unit.
  • the automatic medicine container 4 can be held on the drum member 25 by repeatedly performing such a filling operation.
  • the automatic medicine container 4 filled with powder to be used in the packaging operation to be performed from now on is held in the container storage unit 23. That is, the missing cassette on which the missing cassette notification screen is displayed is compensated, and the missing cassette does not exist in the packaging operation to be performed from now on. [First packing operation]
  • the automatic medicine container 4 used for the packaging operation in the cassette selection operation described above is selected, and the selected automatic medicine container 4 is held in the container storage unit 23. Then, a cassette take-out operation for taking out the selected automatic medicine container 4 from the container storage unit 23 is performed.
  • the powder medicine packaging device 1 rotates the drum member 25 to bring the automatic medicine container 4 to be taken out and the container moving device 28 close to each other. Then, the automatic medicine container 4 is held by the arm 30 which is a part of the container moving device 28. In other words, the iron plate integrally attached to the automatic chemical container 4 is adsorbed by the magnet provided on the distal end side of the arm portion 30. Then, the arm unit 30 takes out the automatic drug container 4 from the container storage unit 23, moves the automatic drug container 4 to the container holding table 36, and places the automatic drug container 4 on the container holding table 36.
  • information reading means is provided in the vicinity of the container holding table 36, and an information reading operation for reading information stored from the RFID tag of the automatic chemical container 4 placed on the container holding table 36 is performed. It is possible. By this information reading operation, the type of medicine (powder) contained in the automatic medicine container 4 is confirmed. That is, a confirmation operation is performed to confirm whether the automatic medicine container 4 containing the medicine to be used is correctly selected and transported.
  • the automatic medicine container 4 when the automatic medicine container 4 is placed on the container holding table 36, the automatic medicine container 4 is firmly attached by the container holding means of the vibration table portion. That is, the automatic chemical container 4 and the container holding base 36 are in close contact with each other over a wide range and the iron plate of the automatic chemical container 4 is adsorbed by the magnet of the container holding means. It will be attached. Therefore, when the vibration table portion vibrates, the automatic chemical container 4 also vibrates at the same frequency. As a result, the powder stored in the automatic medicine container 4 slowly moves toward the discharge port and is discharged to the outside from the discharge port.
  • a feeder rotation operation is performed to rotate the distribution tray 35 in accordance with the powder supply operation (discharge operation) from the automatic chemical container 4 to the distribution tray 35.
  • the weight measurement for measuring the weight of the placed automatic chemical container 4 based on the value detected by the weight measurement means of the container holding table 36. Operation is being performed. That is, while the powder is being supplied (discharged) from the automatic medicine container 4 to the distribution tray 35, the weight of the automatic medicine container 4 is constantly detected, and the amount of powder supply (the discharge amount is the distribution tray 35). The vibration operation of the vibration table portion is stopped on the condition that the amount dropped on the head becomes a predetermined amount. Note that the weight of the automatic chemical container 4 acquired before the start of the vibration operation is stored as the original weight, and the current weight acquired during the execution of the vibration operation is stored as the current weight.
  • the weight of the automatic medicine container 4 is constantly detected to check whether the powder is being supplied to the distribution tray 35 without delay. In other words, it is confirmed whether or not the powder is properly supplied without clogging the powder at the outlet of the automatic chemical container 4. That is, the powder medicine packaging device 1 of the present embodiment continues to acquire the current weight of the automatic medicine container 4 during the vibration operation, and compares the acquired current weight with the original weight acquired before the start, The powder supply (the value obtained by subtracting the current weight from the original weight) is constantly being calculated. And the vibration operation
  • the vibration operation be performed in a state where the amplitude is reduced and the vibration frequency is lowered after a predetermined time has elapsed since the start. That is, it is desirable to perform a low-output vibration operation with a smaller amplitude and a lower vibration frequency than the previous operation for a predetermined period before the stop.
  • the low output vibration operation may be performed on the condition that the supply amount of the powder becomes a value smaller by a predetermined amount (for example, about several grams) than the specified amount (final supply amount). That is, an amount (several grams) of about several percent of the specified amount to be supplied last may be supplied by the low output vibration operation.
  • the automatic medicine container 4 is returned to the container storage part 23 by the arm part 30.
  • an information writing operation is performed in which the weight of the automatic medicine container 4 when the medicine supply to the distribution tray 35 is completed is measured by the weight measuring unit of the container holding stand 36 and the measured weight is stored in the RFID.
  • the automatic chemical container 4 is returned to the container storage unit 23. That is, the arm unit 30 moves the automatic chemical container 4 from the container holding stand 36 to the container storage unit 23.
  • the distribution tray 35 After the vibration operation is stopped, the rotation of the distribution tray 35 is stopped. And the chemical
  • the tip side portion of the scraping device 37 is lowered and brought into a state of being brought close to the distribution tray 35. Then, the distribution tray 35 is rotated by an angle corresponding to the number of divisions, and the powder for one dose is put on the periphery of the tip side portion of the scraping device 37. In this state, the scraping device 37 is operated to scoop up the powder sprayed around the scraping device 37 and put it into the drug introduction port 39.
  • a medicine dividing operation is performed in which the medicine supplied to the distribution tray 35 is poured into the medicine introduction port 39 for each dose.
  • the medicine for one dose introduced into the medicine introduction port 39 reaches the medicine packaging area 14 and is supplied to the medicine packaging apparatus. Then, the medicine is packed by the medicine packaging device. When this series of operations is completed, all the medicines supplied to the distribution tray 35 are supplied to the medicine packaging device, and the packaging is completed, whereby the first packaging operation is completed.
  • the automatic medicine container 4 is returned to the container storage unit 23 after passing through the container temporary storage unit 18. And in the container temporary placement part 18, the reweighing operation
  • the automatic chemical container 4 when the automatic chemical container 4 is returned from the container holding table 36 to the container storage unit 23, the automatic chemical container 4 is first moved from the container holding table 36 to the container temporary placement unit 18. Then, the weight of the automatic chemical container 4 is measured by the weight measuring means of the container temporary placement unit 18.
  • the weight of the automatic chemical container 4 when the supply of the chemical to the distribution tray 35 is completed is measured by the weight measuring means of the container holder 36. That is, a double measurement operation is performed in which the weight is measured by the container holding stand 36 and the weight is also measured by the container temporary placement unit 18.
  • an information reading operation for reading information stored from the RFID tag is performed, and the weight of the automatic medicine container 4 when the supply of the medicine measured by the container holding stand 36 is completed and the container temporary placement unit 18 measures the weight. Compare the weights to determine if they match. That is, an operation for confirming whether or not the weight measuring means of the container holder 36 is functioning correctly is performed.
  • “matched” in the present specification is not limited to the case of a complete match, and may be regarded as matched by allowing a minute measurement error.
  • the second packaging operation is that the medicine is supplied from the automatic medicine container 4 stored in the external management shelf to the distribution tray 35 instead of the automatic medicine container 4 held in the container storage unit 23. This is different from the first packaging operation. Detailed description of the same operation as the first packaging operation described above will be omitted.
  • the second packaging operation is started.
  • the door portion 16 is first opened.
  • the automatic medicine container 4 manually taken out from the external management shelf is placed on the container temporary placement unit 18, and a predetermined operation is performed on the operation display unit 3.
  • an information reading operation for reading information stored in the RFID tag of the automatic medicine container 4 is performed, and whether or not the automatic medicine container 4 selected by the user is correctly placed on the temporary container placement unit 18.
  • a confirmation operation for confirming is performed. That is, it is determined whether or not the type of medicine stored in the selected automatic medicine container 4 matches the kind of medicine stored in the automatic medicine container 4 placed on the container temporary placement unit 18. Is done.
  • a weight measuring operation for measuring the weight of the automatic chemical container 4 placed on the container temporary placement unit 18 is performed, and an information writing operation for storing the measured weight in the RFID tag is performed.
  • the door portion 16 is in a closed state
  • the arm portion 30 moves the automatic medicine container 4 from the container temporary placement section 18 to the container holding stand 36, and the automatic medicine container 4 is placed on the container holding stand 36. It becomes a state.
  • the medicine is supplied to the distribution tray 35 and supplied to the medicine packaging device one by one.
  • the supplied powder is packaged for each dose.
  • a predetermined number of medicines supplied to the distribution tray 35 are packaged.
  • the arm part 30 performs the operation of returning the automatic medicine container 4 to the container temporary placement part 18, the door part 16 is opened, and the second packaging operation is performed. Complete. [Third packing operation]
  • a predetermined operation is performed in a state where the message “Please place a handmade cassette” is displayed on the operation display unit 3, and the front door 34 is raised. That is, in the housing 10, the front of the medicine division region 13 is opened. Note that the front door 34 cannot be raised when the container moving device 28 is operating, such as when the first packaging operation is being performed or when the second packaging operation is being performed.
  • a notification operation is performed. Specifically, the notification operation is an operation for sounding an alarm. When this notification operation is performed, the third packaging operation is stopped.
  • the operator manually installs the manual medicine container 5 filled with medicine in advance on the container holding table 36.
  • an information reading operation for reading information stored in the RFID tag of the manual medicine container 5 is carried out, and confirmation for confirming whether or not the manual medicine container 5 to be used is correctly placed on the container holding stand 36 is confirmed.
  • the operation is performed.
  • this confirmation operation when it is confirmed that the manual medicine container 5 is correctly placed on the container holding stand 36, the message display on the operation display unit 3 is finished.
  • a predetermined operation is performed, the front door 34 is lowered, and the front door 34 is closed. Then, the medicine is supplied from the manual medicine container 5 to the distribution tray 35 and is supplied to the medicine packaging device for each dose.
  • a message “Please take a hand cassette” is displayed on the operation display unit 3.
  • a predetermined operation is performed and the front door 34 is raised again.
  • the user takes out the manual medicine container 5 and then performs a predetermined operation on the operation display unit 3 to lower the front door 34 and close the front door 34.
  • the operation for measuring the supply amount of the medicine is not performed, and all the medicines stored in the manual medicine container 5 are put in the distribution tray 35. Supply. That is, it is necessary to fill the manual type medicine container 5 with a prescribed amount (final amount to be supplied) of the medicine.
  • each packaging operation described above it is possible to perform a packaging operation using two distribution dishes 35 in addition to a packaging operation using one distribution dish 35.
  • the packaging operation using one distribution tray 35 and the packaging operation using a plurality of distribution trays 35 can be switched as necessary.
  • each packaging operation when a predetermined number or more of medicines are mixed and packaged, a packaging operation using two distribution trays 35 is performed.
  • “more than a predetermined number” is equal to or more than the number (three in the present embodiment) of the container holding bases 36 disposed close to one distribution tray 35.
  • the partition plate device 41 is shifted from the protruding state to the stored state. That is, the standing plate portion is not located in the vicinity of the medicine introduction port 39. And a powdered medicine is dropped to each distribution tray 35, and the chemical
  • the arm part 30 moves the automatic medicine container 4 from the container holding stand 36 to the container storage part 23. .
  • the arm part 30 moves the new automatic medicine container 4 from the container storage part 23 to the container holding stand 36, and supplies the powder from the new automatic medicine container 4 to the distribution tray 35.
  • a message prompting the user to prepare a predetermined automatic medicine container 4 is displayed on the operation display unit 3.
  • medical agent container 4 which the supply operation
  • the automatic medicine container 4 manually taken out from the external management shelf is placed on the container temporary placement unit 18.
  • the new automatic medicine container 4 is placed on the container temporary placement section 18 after the automatic medicine container 4 is taken out.
  • a packaging operation for mixing and packaging a predetermined number (six in this embodiment) of medicines it is possible to perform a selection operation for selecting medicines to be discharged from the manual medicine container 5 to the distribution tray 35 in advance. It has become. That is, a predetermined medicine is selected from a plurality of medicines displayed on the operation display unit 3, and a medicine to be discharged from the manual medicine container 5 to the distribution tray 35 is selected. For example, when seven kinds of medicines are mixed and packaged, five medicines are discharged from the automatic medicine container 4 to the distribution tray 35, and the remaining two medicines are discharged from the manual medicine container 5 to the distribution tray 35. The operation of selecting can be performed.
  • one of all the container holding bases 36 is used as a container holding base 36 on which the manual medicine container 5 is placed, and all the other container holding bases 36 are placed on the automatic medicine container 4.
  • a packaging operation such as use as the container holding stand 36 can be performed.
  • the automatic medicine container 4 and manual medicine container 5 are placed on the container holder 36, and the automatic medicine container 4 and manual medicine container 5 are removed from the container holder 36. The same procedure as the operation is performed.
  • the progress of displaying the packaging progress screen (see FIG. 15) during the execution of each of the above-described packaging operations and displaying the progress status when the medicine is supplied to the distribution tray 35. Display operation is possible.
  • a monitoring operation for confirming the state around the distribution tray 35 can be performed. This progress display operation and monitoring operation will be described in detail below.
  • the progress display operation is an operation that is performed in a state where the packaging progress screen (see FIG. 15) is displayed on the operation display unit 3 as described above.
  • the packaging progress screen is provided with a supply medicine display area 65 for displaying a list of each medicine to be supplied to the distribution dish 35.
  • the supply progress rate is displayed as a graph (reference numeral 66 in the figure).
  • the total length of the graph indicates the total supply amount (final supply quantity), and the amount of the different color (reference numeral 66b in the figure) already supplied to the distribution tray 35 (current Supply amount). That is, the supply progress rate is a ratio of the current supply amount to the final supply amount.
  • a cassette remaining amount button 68 is provided on the packaging progress screen.
  • a weighing reservation notification screen (see FIG. 23, which will be described in detail later) is displayed.
  • the cassette remaining amount button 68 is set from the surroundings.
  • the highlight display operation (first notification operation) is also performed. More specifically, when the “Issue” button is pressed after inputting information related to the prescription on the prescription input screen (see FIG. 8), it is contained in a medicine container among the medicines provided by the inputted prescription. When the remaining amount of the medicine is less than the amount used in the packaging operation corresponding to the input prescription, the highlighting operation is performed.
  • the highlighting operation is an operation for performing a blinking operation for changing the color of the cassette remaining amount button 68 every predetermined time and a frame display operation for displaying a frame of a color different from the surroundings at the edge portion. ing.
  • the powder dispensing operation support system 161 (which will be described in detail later) is constructed, when the prescription data is transmitted from the control device 160 to the powder packaging device 1, the user is informed of the future.
  • a notification operation to notify the shortage of chemicals is performed. That is, when sending prescription data, the remaining medicines contained in the medicine container among the medicines provided in the prescription for one or more prescriptions included in the prescription data sent at a time. When the amount falls below the amount used in the packaging operation corresponding to this prescription, the notification operation is performed.
  • This notification operation may be performed by one or more devices such as the powder medicine packaging device 1, the control device 160, and the external PC 162.
  • the notification operation performed when there is a medicine that is predicted to be insufficient in the future is not limited to the above-described highlighting operation.
  • an error announcement operation for displaying a message informing that a future medicine will be insufficient or a message for prompting the filling of medicine on the operation display unit 3 or a display provided in various devices, or for notifying the future of the lack of medicine by voice. May be carried out.
  • the user may be notified of medicines that will be insufficient in the future (medicine that is preferably filled in the future) by an operation that generates sound in a sound generator such as a speaker device provided in the operation display unit 3 or various devices.
  • the powder medicine packaging device 1 of the present embodiment it is possible to prompt the user to fill the medicine by notifying the medicine that needs to be filled in the future, and to prevent in advance the shortage of medicine that may occur in the future. ing. [Monitoring operation]
  • the powder medicine packaging device 1 of the present embodiment displays a speed control screen (FIG. 17) during the execution of each of the above-described packaging operations, thereby performing a monitoring operation for displaying the periphery of the distribution dish 35 to which the medicine is supplied.
  • a monitoring operation for displaying the periphery of the medicine discharge portion of the medicine container placed on the container holding stand 36 disposed adjacent to the distribution tray 35.
  • On the speed control screen it is possible to perform a speed adjustment operation for changing the discharge speed (discharge amount per unit time) of the medicine (powder) to the distribution tray 35 as necessary.
  • the user can confirm whether or not the packaging operation is normally performed, and performs the packaging operation while adjusting the discharge rate of the medicine to the distribution tray 35 to a preferable speed. It is possible.
  • the medicine discharge portions of all the medicine containers and the vicinity thereof can be displayed.
  • the speed control screen is displayed.
  • the speed control screen is provided with an operation display unit 80, a speed operation unit 81 (operation image), a packaging stop button 82, and a packaging management area 85 for displaying an AF button 83. .
  • the first action display unit 80a and the first speed operation unit 81a are displayed in order from the upper side on one side end in the left-right direction, and the first part is displayed below the first speed operation unit 81a.
  • the package stop button 82a and the first AF button 83a are displayed in parallel.
  • the first speed operation unit 81a increases or decreases the magnitude of vibration (hereinafter also referred to as vibration level) of all the container holding bases 36 (three in the present embodiment) adjacent to one distribution tray 35. (The vibration level changing operation will be described later).
  • the second operation display unit 80b and the second speed operation unit 81b are displayed in order from above, and the second sachet stop button 82b and the second AF are displayed below the second speed operation unit 81b.
  • Buttons 83b are displayed in parallel.
  • the second speed operation unit 81b increases or decreases the magnitude of vibration (hereinafter also referred to as vibration level) of all the container holding bases 36 (three in this embodiment) adjacent to the other distribution tray 35. (The vibration level changing operation will be described later).
  • first operation display unit 80a and the second operation display unit 80b are arranged side by side in the left-right direction, and below the first speed operation unit 81a and the second speed operation unit 81b are arranged in parallel in the left-right direction.
  • one distribution tray 35 associated with the first speed operation unit 81a and the other distribution tray 35 associated with the second speed operation unit 81b are also juxtaposed in the left-right direction.
  • the arrangement order of the first speed operation unit 81a and the second speed operation unit 81b corresponds to the arrangement order of the two corresponding distribution dishes 35.
  • the first speed operation unit 81a corresponding to one distribution plate 35 is located on the left side of the operation display unit 3.
  • the second speed operation unit 81 b corresponding to the other distribution tray 35 is displayed on the right side of the operation display unit 3.
  • the first packaging stop button 82a and the first AF button 83a are arranged in parallel near the lower end of the packaging management area 85 and near one end in the left-right direction.
  • the second packaging stop button 82b and the second AF button 83b are arranged in parallel near the lower end of the packaging management area 85 and near the other end in the left-right direction.
  • the first packaging stop button 82a and the first AF button 83a are located in the vicinity of one lower corner portion of the corner portion of the packaging management region 85 that is substantially rectangular in front view
  • the second packaging stop button 82b and the second AF button 83b are located in the vicinity of the other lower corner portion.
  • each part displayed on the one side end part side in the left-right direction corresponds to one of the two distribution dishes 35
  • each part displayed on the other end part side in the left-right direction corresponds to one of the two distribution dishes 35. It corresponds to the other of them. That is, each part displayed on one end side is a part for checking and controlling the packaging operation performed on one distribution tray 35, and each part displayed on the other side end is the other This is a part for confirming and controlling the packaging operation performed in the distribution tray 35.
  • each part displayed on the one side end part and each part displayed on the other side end part are parts for confirming and controlling the packaging operation, although the target distribution tray 35 is different. Similar operations are possible. Therefore, in the following description, only each part displayed on one end side will be described, and overlapping description will be omitted for each part displayed on the other end side.
  • the first operation display unit 80a displays a moving image (observation image) captured by the camera member 40 that captures the discharge port of the chemical container on the container holding table 36 adjacent to one of the distribution plates 35 and its surroundings. Part. That is, by confirming the moving image displayed on the first operation display unit 80a, it is possible to confirm the current state of the discharge outlet of the chemical container and its surroundings.
  • the first speed operation unit 81 a is a part displayed on the screen of the operation display unit 3, and is configured by an annular operation button unit 88 and a speed display unit 89 located inside the operation button unit 88. . Then, at the portion where the operation button portion 88 is displayed, the magnitude of the vibration of the container holding base 36 can be raised or lowered by moving it while keeping a finger or the like in contact therewith. Then, by changing the magnitude of the vibration of the container holding stand 36, the discharge speed when discharging the powder from the chemical container to the distribution tray 35 can be changed.
  • an operation for reducing the vibration amplitude of the container holding table 36 and reducing the vibration frequency, and an operation for increasing the vibration amplitude of the container holding table 36 and increasing the vibration frequency. Can be implemented. And by implementing these suitably, a vibration pattern can be changed in steps. Then, the vibration pattern transmitted from the container holding table 36 to the chemical container increases or decreases as the vibration pattern of the container holding table 36 changes, and the vibration of the chemical container placed on the container holding table 36 also increases or decreases. And the discharge speed discharged
  • the discharge speed of discharging from the chemical container to the distribution tray 35 increases. In other words, the amount of emissions per unit time increases.
  • the discharge speed of discharging from the chemical container to the distribution tray 35 is reduced. Emissions per unit time are reduced.
  • the discharge speed discharged from the chemical container to the distribution tray 35 can be increased or decreased stepwise.
  • the part where the operation button portion 88 is displayed is touched with a finger or the like, and the state where the finger or the like touches this part is maintained. While moving the finger or the like in an arc. That is, the finger or the like is moved clockwise (or counterclockwise) so as to trace the portion where the operation button portion 88 is displayed.
  • the discharging speed is increased by one step each time a finger or the like is moved clockwise by 1 / 4L, and counterclockwise by 1 / 4L. Each time it is moved, the discharge speed is reduced by one step. For this reason, for example, when one turn clockwise along the operation button part 88 from the part first touched by a finger or the like, the discharge speed is increased by four steps. On the other hand, when the user makes one turn counterclockwise along the operation button portion 88, the discharge speed is reduced by four stages. That is, in this embodiment, it has a structure in which the discharge speed changes stepwise according to the operation.
  • each packaging operation is performed in a sealed space (inside the housing 10) with the door portion 16 and the front door 34 closed. Therefore, it is difficult to perform a dial operation while directly observing a portion to which a medicine is supplied as in a conventional medicine packaging device.
  • the present invention it is possible to change the discharge speed of the powder by operating the operation button part 88 while displaying the periphery of the medicine discharge part of the medicine container placed on the container holding stand 36 on the operation display part 3. It is configured. This makes it possible to clearly see the situation where the powder is discharged, and the safety is high. Further, by giving the user a feeling of operation similar to the conventional one, the user can operate without a sense of incongruity.
  • the speed can be changed only by changing the moving direction while keeping the finger or the like in contact with the screen. Therefore, the speed can be easily changed without taking a long look from the first operation display unit 80a. Further, in the powder medicine packaging device 1 of the present embodiment, it is possible to change the speed in a plurality of stages in a short time by increasing the moving speed of a finger or the like, and conversely, by changing the moving speed, a gradual speed change is possible. It is possible. Such a configuration is preferable because fine adjustment of the speed is easy. That is, in the powder medicine packaging device 1 of the present embodiment, it is possible to give a comfortable operation feeling as if the speed is changed by appropriately turning the dial while checking the first operation display unit 80a while pinching the dial. Is possible.
  • the speed display unit 89 is a part for displaying the current discharge speed, and a number (“4” in FIG. 19) indicating the speed stage (vibration level stage) is displayed. That is, the user may want to accurately grasp the current speed while continuing to monitor the first action display unit 80a. Therefore, by providing the speed display unit 89, the current accurate discharge speed can be confirmed.
  • the speed notification unit 91 (speed display image) is displayed for a predetermined time (for example, several seconds) (see FIG. 19).
  • the speed notification unit 91 is a portion that is temporarily displayed above the first speed operation unit 81a (the direction at 12 o'clock), and includes an upper substantially circular portion and a lower substantially inverted triangular portion. The shape is like a combination.
  • a number indicating the speed (“4” in FIG. 19) is displayed inside the speed notification unit 91.
  • This speed notification part 91 is a part temporarily displayed on condition that the discharge speed has changed. For example, when the speed is changed from “3” to “4”, or when the speed is changed from “5” to “4”, “4” that is the speed after the change is displayed. By displaying the speed notification unit 91 in this way, the current speed can be reliably confirmed.
  • the current speed can be reliably visually recognized by displaying the speed notification unit 91 at a position where hands and the like do not overlap.
  • the speed notification unit 91 is configured to change the color according to the speed, similarly to the operation button unit 88.
  • the color of the operation button unit 88 corresponding to each speed and the speed notification unit 91 corresponding to the same speed are the same color. That is, the speed notification unit 91 is displayed in the same color as the operation button unit 88.
  • the first operation display unit 80a is displayed on the upper part of the package management area 85, and the belt-like part 93 is displayed near the lower end.
  • a first speed operation portion 81a is displayed in the vicinity of the lower end of the upper portion and in the vicinity of one end portion in the left-right direction. That is, a part of the first operation display unit 80a and the first speed operation unit 81a are displayed in an overlapping state.
  • the band-like portion 93 is in a state where a packaging stop button 82 and an AF button 83 are juxtaposed in the vicinity of one end portion in the left-right direction.
  • the packaging stop button 82 is a button for stopping the packaging operation, and the packaging operation is stopped when pressed.
  • the AF button 83 is a button for ending the state in which the discharge speed can be changed manually and automatically changing the discharge speed. In other words, when the button is pressed in a state where the discharge rate can be changed, the state is automatically shifted to a state where the discharge rate is set. [Printing operation]
  • a printing operation for printing and outputting predetermined information on a paper medium or a printing medium such as a packaging bag can be executed.
  • the printing operation outputs one of various documents selected from “filling record”, “filling list”, “handing instruction”, “out of stock list”, “deletion / collection list”, and “dispensing record”. Operation is possible. Specifically, only “dispensation record” can be output to both the paper medium and the packaging bag, and other documents can be output only to the paper medium.
  • the “filling record” is a document on which information related to the execution result of the filling operation is mainly displayed.
  • the “filling list” is a document on which information related to a list of medicines currently filled in the automatic medicine container 4 is mainly displayed.
  • the “hand instruction” is a document on which information related to the content of the packaging operation to be performed is mainly displayed. More specifically, in the packaging operation using the manual medicine container 5 to be carried out in the future, the type of the medicine name stored in the manual medicine container 5 and the information such as the contents of the packaging operation are displayed. is there.
  • the “deletion / recovery list” is a document on which information related to the history such as the name of the drug deleted / recovered by the user and the date / time of deletion / recovery is displayed.
  • “Dispensing record” is a document on which information related to the packaging operation after the implementation is mainly displayed.
  • the initial state when outputting each document, it is set to output items specified in advance for each document.
  • the layout setting screen (refer FIG. 22) is displayed, and the item printed with each document can be changed.
  • a layout information display area 98 for displaying information on various layouts an item display area 99 for displaying a list of printable items, and a preview area 100 for displaying output results.
  • any one of various registered layouts can be selected, and the management number and name of the selected layout can be displayed.
  • the item display area 99 is a part for displaying a list of printable items. Here, if any layout is selected in the layout information display area 98, the items to be printed in the selected layout are displayed in a list.
  • the preview area 100 is a part for displaying contents output in a printing operation to be performed from now. More specifically, in the layout selected in the layout information display area 98, the contents when the item selected in the item display area 99 is printed are displayed. As described above, when the contents can be confirmed before actually performing the printing operation, it is possible to prevent re-output due to a setting error.
  • “dispensing record” can be output.
  • the “theoretical value” of the amount of medicine theoretically required in the packaging operation (medicine related value) and the amount of medicine actually packaged Items such as ⁇ actual value '', ⁇ calculated value '' calculated based on ⁇ actual value '', ⁇ weighing result '' indicating whether the packaging operation has ended normally, and ⁇ weighing feeder '' can be displayed It has become.
  • the total amount of medicine required per packaging operation the daily usage of the packaged medicine, the usage per packaged medicine, etc.
  • one or a plurality of selected theoretical values can be displayed from the amounts of drugs based on different criteria.
  • a configuration may be used in which the other is calculated based on one of them. For example, calculate and display the theoretical value of “the amount of medicine used per day in the packaging operation” from the theoretical value of “the total amount of medicine required per packaging operation”. Also good.
  • the total amount of medicine required per packaging operation the daily usage of the medicine to be packaged, the amount of medicine to be packaged per time It is possible to display measured values of one or a plurality of selected amounts from the amounts of chemicals based on different criteria, such as the amount used. All of these values are values measured during the packaging operation by the weight measuring means of the container temporary placement unit 18 and the container holding stand 36. That is, the value acquired by the situation response during the packaging operation.
  • the “theoretical value” targeted when the packaging operation is performed and the “actual value” measured by the actual packaging operation are written together. Documents can be output. For this reason, the user can easily compare the “theoretical value” and the “actually measured value”, and can determine whether or not a packaging error has occurred and the exact value of the packaging error.
  • the powder medicine packaging device 1 of the present embodiment can output various information to the paper medium. That is, a paper medium as shown in FIG. 44 can be output. More specifically, the paper medium shown in FIG. 44 includes a start time of the packaging operation, a theoretical value of “total amount of medicine required per packaging operation”, and “ The theoretical value of “the amount of medicine used per day” is output. Further, on the lower side, for each of the various medicines mixed by the packaging operation, the medicine name, the actually measured value of the medicine amount, the theoretical value of the medicine amount, and the ID of the “weighing feeder” are output.
  • the ID of the “weighing feeder” indicates information for specifying the container holding table 36 on which the medicine container containing the medicine is placed during the packaging operation, and is an identification formed by combining letters and numbers. It is a symbol.
  • the end time of the packaging operation and the total number of packages are output.
  • the weighing reservation notification screen (see FIG. 23) is displayed on the operation display unit 3, and the waiting state is in the execution waiting state. It is possible to display a list of medicines scheduled to be used in the packaging operation. At this time, an amount of each medicine necessary for the packaging operation in the waiting state is calculated, and an inventory comparison operation for comparing with the stock amount of the medicine is performed. Then, when it is predicted that there will be a shortage of medicine in the future as a result of the inventory comparison operation, a notification operation for notifying the user to that effect is performed.
  • the “waiting execution state” is a state in which the packaging operation cannot be executed immediately because another packaging operation is currently being executed, even though the packaging operation has been performed. It is.
  • the target packaging operation is reserved to be performed in the future, and is in a state of waiting for execution until a situation in which the packaging operation can be performed. And it will be in the condition which can implement packaging operation, and if it implements, an execution waiting state will be canceled.
  • the respective packaging operations are executed in order according to a predetermined order. That is, the execution waiting state is canceled in order.
  • a patient information display area 105 and a medicine display area 106 are provided on the weighing reservation notification screen.
  • the patient information display area 105 displays a patient for which one or more medicines are prescribed among medicines used one or more times in a packaging operation currently waiting for execution. For each patient to be displayed, information about the patient such as the patient name, patient ID, and number of packages is displayed.
  • the “number of packets” is information indicating how many bags are intended for the patient when one or more medicines are enclosed in one bag for each single dose in a future packaging operation. .
  • medicines that are used one or more times are displayed in a list in all the packaging operations that are currently waiting for execution. For each medicine, a medicine name, a reservation amount, and an inventory amount are displayed, and a shortage amount is displayed as necessary.
  • the “reserved amount” is the future required amount of the target drug, and is an integrated value of the amount used in each packaging operation that is currently waiting for execution. In other words, this is the total value of the scheduled usage amount in each packaging operation that is currently waiting for execution.
  • the “inventory amount” is the amount of the target drug currently stored in the automatic drug container 4 held in the container storage unit 23 or the automatic drug container 4 stored in the management shelf.
  • This reservation quantity and inventory quantity are displayed in graphs in addition to letters and numbers. Then, as shown in FIG. 24, the full length (reference numeral 108 in the figure) indicates the maximum amount, and the part having a different color (reference numeral 109 in the figure) indicates the current amount.
  • the maximum reservation amount is the same as the maximum stock amount, and is the maximum accommodation amount (accommodable amount) of the automatic medicine container 4 that contains the target medicine.
  • a stock quantity is the total value of the current accommodation amount of the two automatic chemical
  • medical agent to be used is accommodated in the two automatic chemical
  • a comparison operation for comparing the reserved amount and the inventory amount is performed, and when the reserved amount exceeds the inventory amount, the shortage is calculated.
  • a quantity calculation operation is performed.
  • a shortage notification operation for displaying the calculated shortage amount and blinking the frame is performed.
  • This frame is displayed at the edge of each medicine display area 106 in the medicine display area 106, and blinks repeatedly displaying and hiding at a predetermined interval (for example, 2 seconds). It is displayed in the display.
  • This filling operation is performed in the same procedure as the above filling operation. Briefly, when the user performs a predetermined operation, the automatic medicine container 4 for accommodating the lacking medicine is conveyed to the door portion 16 by the container moving device 28, and the door portion 16 is opened. It becomes a state. Then, the user takes out the automatic medicine container 4 and manually fills the automatic medicine container 4 with a shortage or more medicine. At the same time, an operation for storing the filling amount of the medicine in the RFID of the automatic medicine container 4 is performed by an external device. Furthermore, the automatic medicine container 4 filled with medicine is placed on the container temporary placement section 18 of the door section 16, and a predetermined operation (for example, pressing a completion button) is performed.
  • a predetermined operation for example, pressing a completion button
  • the container temporary placement unit 18 performs a filling verification operation for measuring the weight of the automatic chemical container 4 again.
  • the automatic medicine container 4 is moved to the container storage unit 23 or the container holding table 36.
  • the case where the container is moved to the container holder 36 is a case where the next packaging operation is a packaging operation using the automatic medicine container 4 filled with medicine.
  • a notification operation for example, prompting the automatic medicine container 4 to be taken out again and filled with medicine
  • a screen for selecting switching to the packaging operation using the automatic medicine container 4 or the manual medicine container 5 stored in the external management shelf is displayed.
  • the powder medicine packaging device 1 of the present embodiment it is possible to perform a packaging verification operation for verifying whether or not a past packaging operation has been performed correctly.
  • a packaging verification operation for verifying whether or not a past packaging operation has been performed correctly.
  • a prescription history list screen (see FIG. 25) is displayed in advance, one of the prescriptions is selected, and the packaging verification operation is performed for the packaging operation related to the selected prescription.
  • the prescription history list screen includes a condition input area 115 for specifying the prescription of the packaging operation to be verified, and a prescription display area 116 for displaying a list of prescriptions.
  • condition input area 115 it is possible to input items such as a patient name, a start date, an end date, a start time, and an end time as specific prescription conditions.
  • a predetermined patient from a list (not shown) displayed after the patient list call button 117 is pressed, or the user can directly input characters.
  • the start date and end date can be input by designating the date and time from a calendar screen (not shown) displayed by selecting an input field.
  • the display button 118 is pressed, whereby a list of prescriptions that satisfy the input condition is displayed in the prescription display area 116. That is, when a patient name is input, prescriptions intended for patients that match the patient name are targets for list display. In addition, if the start date and end date are entered, the prescriptions included in the period in which the prescribed date was entered are subject to list display, and if the start time and end time are entered, the prescription is included. The prescriptions included in the period in which the time is entered are subject to list display. In addition, when a plurality of conditions are input from among these, the objects that satisfy all of the plurality of conditions are displayed.
  • the display button 118 when the display button 118 is pressed in a state where no condition is input in the condition input area 115, all recorded prescriptions are listed in the prescription display area 116.
  • the display button 118 is described as “display” when any item is input in the condition input area 115, and is displayed as “all display” when nothing is input (the state shown in FIG. 25). It is the composition which becomes.
  • each row corresponds to a different prescription. Then, by touching a part where each of the lines is displayed with a finger or the like, it becomes possible to shift the prescription corresponding to the line displayed on the touched part from the unselected state to the selected state. ing.
  • the delete button 119 is pressed in a state where a prescription is selected, a process for deleting the prescription selected from the list is performed. Further, when a predetermined operation is performed in a state where the prescription is selected, a weighing history screen (see FIG. 27) that displays specific contents regarding the selected prescription is displayed.
  • the weighing history screen includes a date display unit 125, a patient name display unit 126, an explanation display unit 127, an error display unit 128, a medicine information display unit 129, and a transition display unit 130.
  • a distribution moving image button 131, a flow velocity button 132, and a weighing value button 133 are provided.
  • the date display part 125 is a part for displaying the taking date and dispensing date of the packaged medicine.
  • the patient name display part 126 is a part for displaying information related to the name of the patient who prescribed the packaged medicine.
  • the explanation display part 127 is a part for displaying information related to taking the packaged medicine such as the time of use, usage, and prescription amount.
  • the error display unit 128 is a part for displaying information (hereinafter, also referred to as error information) relating to a defect that has occurred during implementation in the packaging operation relating to the displayed prescription. If a plurality of problems have occurred, a plurality of pieces of error information are displayed in a list.
  • error information information relating to a defect that has occurred during implementation in the packaging operation relating to the displayed prescription. If a plurality of problems have occurred, a plurality of pieces of error information are displayed in a list.
  • any of the error information is displayed with a finger or the like, it is possible to shift the error information displayed on the touched part from the unselected state to the selected state.
  • any one of the error information can be selected. In other words, all other error information except the error information in the selected state is in an unselected state.
  • the medicine information display unit 129 is a part for displaying information on each medicine used for the packaging operation, and includes information on the medicine name, the distribution amount, the distribution tray 35 used in the packaging operation, and the packaging operation. It is a part where information on the form is displayed.
  • the transition display unit 130 is a part where information indicating the transition of the chemical flow rate or the weighing value is displayed. Specifically, the transition display unit 130 is a graph in which the horizontal axis represents time and the vertical axis represents the flow rate or weighing value (in FIG. (Flow velocity) is displayed.
  • the “flow velocity” is an absolute value of the amount of medicine supplied to the distribution tray 35 during successive times
  • the “weighing value” is the medicine supplied to the distribution tray 35 by a predetermined time. It is the integrated value of the amount. That is, it can be said that the transition display unit 130 is a part for displaying the transition of the amount of medicine supplied to the distribution tray 35 in the packaging operation to be displayed.
  • a broken line corresponding to the selected medicine in the graph is highlighted by selecting the displayed medicine. That is, an operation is performed in which the broken line is displayed as a thick line, the color of the broken line changes, or the broken line blinks.
  • the powder medicine packaging device 1 of the present embodiment can display a graph showing the change over time in the flow rate or the weighing value, and whether the implemented packaging operation is a normal change in the flow rate or the weighing value, If it is not normal, you can immediately know how much the difference is.
  • the flow rate or the measured value may change slightly different from the normal change. . That is, although it is not a problem, it may change slightly different from normal.
  • the powder medicine packaging device 1 of the present embodiment since the user can immediately grasp such a change, it is possible to predict the occurrence of a problem related to aging that may occur in the future.
  • a display symbol 135 indicating the occurrence time of the error information selected in the error display unit 128 is displayed (error time). Display operation). In other words, it is possible to select a defect that has occurred in the past packaging operation that has been performed in the past, and on the condition that the defect has been selected, a notification operation that visually notifies the occurrence time of the selected defect on a graph Implementation is possible.
  • the distributed moving image button 131 is a button for displaying a past moving image display screen (see FIG. 28 and the like) described later.
  • the flow velocity button 132 and the weighing value button 133 are buttons for switching the items of the graph displayed on the transition display unit 130. That is, when the flow rate button 132 is pressed, the value indicated by the vertical axis of the graph becomes “flow rate”, and when the weighing value button 133 is pressed, the value indicated by the vertical axis of the graph becomes “weighing value”. .
  • the powder medicine packaging device 1 of the present embodiment by displaying the past moving image display screen (see FIG. 28 and the like), how the time until the occurrence time of the failure and the error occurrence time around the distribution dish 35 It is possible to verify whether a correct operation has been performed. Further, it is possible to confirm the transition of the flow rate or the weighing value with the passage of time while comparing with the operation actually performed around the distribution tray 35.
  • the past moving image display screen is provided with a past operation display region 138 for displaying a previously captured moving image, a seek bar display region 139 (time display unit), and a graph display region 140 in order from the top.
  • the first past operation display unit 145 and the second past operation display unit 146 are arranged in parallel in the left-right direction.
  • the first past operation display unit 145 displays a moving image that is imaged and recorded by the camera member 40 that images the drug discharge unit of the drug container on the container holding table 36 adjacent to one distribution tray 35 and its surroundings. It is a part for. In other words, among the pasting operations performed in the past, in the pasting operation performed on one of the distribution trays 35, a video showing the state of the peripheral portion of one distribution tray 35 during the pasting operation (past pasting) Image).
  • the second past operation display unit 146 displays a moving image that is captured by the camera member 40 that captures the medicine discharge part of the medicine container on the container holding stand 36 adjacent to the other distribution tray 35 and its surroundings. It is a part for. In other words, of the past packaging operations performed in the past, in the packaging operation performed on the other distribution tray 35, a portion that displays a video showing the state of the peripheral portion of the other distribution tray 35 during the packaging operation It has become.
  • a play button 148 In the seek bar display area 139, a play button 148, a stop button 149, and a seek bar 150 are displayed.
  • the play button 148 is a button for playing a moving image on the first past action display unit 145 and / or the second past action display unit 146, and is a button that starts playing a moving image when pressed.
  • the stop button 149 is a button for stopping the moving image being played on the first past operation display unit 145 and / or the second past operation display unit 146, and a button for stopping the moving image playback when pressed. It has become.
  • the seek bar 150 indicates the current playback position of the moving image displayed in the past motion display area 138, and visually indicates which portion from the start portion to the end portion is displayed. Is. Further, by operating the seek bar 150, it is possible to change the playback position of the moving image.
  • the graph display area 140 is a part for displaying a graph similar to the graph displayed by the transition display unit 130 described above.
  • a video showing the state of the peripheral portion of the distribution tray 35 during the past packaging operation and a graph showing the transition of the amount of medicine supplied to the distribution tray 35 in this packaging operation are displayed. It is displayed on the screen. In the displayed graph, the occurrence time of the defect that has occurred in the packaging operation is highlighted. For this reason, when the user confirms what has occurred in the vicinity of the distribution tray 35 at the time of occurrence of the defect and the time before and after the occurrence, the situation can be easily grasped only by comparing them. For this reason, a user's confirmation operation can be simplified. [Maintenance operation]
  • the powder medicine packaging device 1 of the present embodiment it is possible to perform a cleaning operation for cleaning the distribution tray 35 as necessary. As a result, even if a small amount of medicine remains on the distribution tray 35 due to the packaging operation, the remaining medicine can be completely removed. That is, when the medicine is supplied to the distribution tray 35 in the subsequent packaging operation, the supplied medicine and the remaining medicine are not mixed (so-called contamination does not occur).
  • the tip side portion of the cleaning device 38 is lowered so as to be close to the distribution tray 35. And the operation
  • the cleaning device 38 is provided with a suction device for sucking the remaining medicine. And the brush-like part which can rotate in the front end side part, and the inlet of a suction device are formed.
  • the cleaning operation is an operation in which the brush-like portion in contact with the distribution tray 35 scrapes out the remaining medicine, and the remaining medicine that has risen upward is sucked by the suction device. [Repackaging operation]
  • the powder medicine packaging device 1 of the present embodiment is configured to perform a history storage operation for storing the execution condition as history information for each implemented packaging operation.
  • the execution condition is information such as the name of each medicine used in the packaging operation, the total amount of each medicine used, the amount per dose, the time of taking, and the number of times taken.
  • the completion history information that is the history information of only the normally completed packaging operation is stored. That is, it is possible to execute an operation for storing implementation history information (first history storage operation) and an operation for storing completion history information (second history storage operation).
  • the packaging history display screen (see FIG. 29) can be displayed by operating the operation display unit 3.
  • the packaging history display screen is provided with a history display area 155 for displaying a list of medicines for which packaging operations have been performed in the past. Then, by performing a predetermined operation, a list of packaging operation history that has been performed in the past is displayed for each operation, and a history of packaging operations that have been normally completed in the past is listed for each operation. The displayed state can be switched.
  • the packaging operation can be performed again based on the implementation history information, and when performing the packaging operation suspended for some reason again, a detailed setting operation is performed. It is feasible. That is, there is an advantage that a complicated operation is not required at the time of re-execution. For example, when the packaging operation has been executed halfway, it is easy to open the packaging bag, introduce the chemical again into the chemical container (automatic chemical container 4, manual chemical container 5), and re-execute it. Can be implemented. [Other operations]
  • the powder medicine packaging device 1 of the present embodiment can appropriately perform various operations such as a holding container checking operation, a container posture determining operation, a holding position changing operation, a moving distance shortening operation, a vibration pattern changing operation, and a measuring means adjusting operation. It has become. Each operation will be described in detail. [Retention container check operation]
  • the holding container checking operation is an operation for acquiring information on the position of the automatic medicine container 4 held in the container storage unit 23, the kind of medicine contained in each automatic medicine container 4, and the weight of the medicine container.
  • the drum member 25 is rotated, and the automatic medicine container 4 attached to each stage is moved by an information reading device (not shown) provided at a position corresponding to each stage of the drum member 25.
  • An information reading operation for reading information from the RFID tag is performed.
  • the number of information reading devices is smaller than the number of container installation portions of the drum member 25 described above. That is, in this embodiment, the number of information readers attached can be reduced by rotating the drum member 25 to read information.
  • the name of the medicine stored in all the automatic medicine containers 4 held in the container storage unit 23, the weight of the stored medicine, the holding position, etc. are stored on a medium such as paper. You may print and output. Although not particularly limited, it is desirable that this printing operation be performed when the powder medicine packaging device 1 is started (immediately after the power is turned on). [Container attitude discrimination operation]
  • the container posture determination operation is an operation for determining whether or not the automatic medicine container 4 is correctly held in the container storage unit 23. That is, it is detected by the optical sensor built in the drum member 25 whether or not the protruding member of the container installing portion is immersed. In addition, an operation of rotating the drum member 25 is performed, and whether or not the automatic medicine container 4 has jumped out of a predetermined position is detected by the optical sensor provided outside the drum member 25 described above. Based on the detection results of these two optical sensors, it is determined whether or not the automatic medicine container 4 is attached in a normal posture.
  • the powder medicine packaging device 1 of the present embodiment has a configuration in which the drum member 25 is rotated and the holding container confirmation operation and the container posture determination operation can be performed.
  • the rotating operation of the drum member 25 is automatically performed when the powder medicine packaging device 1 is activated (immediately after the power is turned on).
  • it is performed at a predetermined time such as before the start of the day, before each packaging operation, at regular intervals, immediately after the door 16 is closed, etc. May be.
  • the powder medicine packaging device 1 of the present embodiment can perform a holding position changing operation for changing the mounting position of the automatic medicine container 4 in the container storage unit 23 as a specific operation.
  • This holding position changing operation automatically changes the holding position of the automatic medicine container 4 in the container storage section 23 based on the frequency of use of each automatic medicine container 4 held by the container storage section 23. Is the action.
  • the amount of specific medicine used is prominent. That is, in the packaging operation to be performed, the automatic chemical container 4 that stores the specific chemical is used more frequently than the other automatic chemical containers 4.
  • the powder medicine packaging device 1 of the present embodiment performs the holding position changing operation in such a situation, and arranges the automatic medicine container 4 that is frequently used near the distribution tray 35.
  • the drum member 25 holding the automatic chemical container 4 in the container storage unit 23 is located above the distribution tray 35. For this reason, the lower side of the drum member 25 is closer to the distribution tray 35 than the upper side.
  • the arm part 30 takes out the automatic medicine container 4 from the container storage part 23 and moves the automatic medicine container 4 to the container holding stand 36, the automatic medicine container 4 is taken out from below the drum member 25.
  • the moving distance can be shortened as compared with the case where the automatic chemical container 4 is taken out and moved from above.
  • the holding position changing operation is performed, and the holding position of the automatic medicine container 4 that is frequently used is moved from the upper side to the lower side of the drum member 25, so that the automatic medicine container 4 in the packaging operation is performed.
  • the moving distance can be shortened, and an efficient packaging operation can be performed.
  • the number of times of use of the automatic medicine container 4 in the packaging operation is stored.
  • the upper side of the drum member 25 is provided on the condition that the number of times of use of the predetermined automatic medicine container 4 has reached the predetermined number or more, or that the number of times of use of the other automatic medicine container 4 has been exceeded by a predetermined number
  • the predetermined automatic medicine container 4 held in the container is moved to the lower side.
  • the predetermined automatic medicine container 4 is moved to the lower stage as it is.
  • the automatic medicine container 4 currently held on the lower stage side is temporarily stored in a retreating place such as the temporary container placement section 18. After installing and moving a predetermined automatic medicine container 4 from the upper stage side to the lower stage side, the automatic medicine container 4 at the retreat location is moved to the upper stage side.
  • the automatic medicine container 4 used in the preceding packaging operation is used in the subsequent packaging operation, as necessary.
  • this movement distance shortening operation the powder medicine (medicine) is discharged from the automatic medicine container 4 to the distribution tray 35 by the preceding packaging operation, and then the automatic medicine container 4 is moved from the container holding stand 36 to the container storage section 23.
  • the automatic chemical container 4 is moved to the container temporary placement unit 18.
  • the automatic medicine container 4 is moved from the container temporary placement unit 18 to the container holding stand 36. Thereby, the moving distance of the automatic chemical container 4 can be shortened.
  • the automatic medicine container 4 is moved to the container storage unit 23 from the container holder 36 instead of the automatic medicine container 4.
  • the container 4 may be moved to a container holder 36 that does not use the container 4.
  • the automatic medicine container 4 is moved from the container holding table 36 not used in the preceding packaging operation to the predetermined container holding table 36. This also shortens the moving distance of the automatic chemical container 4. [Vibration pattern change operation]
  • the powder medicine packaging device 1 of the present embodiment is capable of performing a vibration pattern changing operation for increasing or decreasing the amplitude when the vibrating table portion is vibrated.
  • the vibration table portion of the container holding table 36 is vibrated and held by the container holding table 36.
  • the medicine is supplied to the distribution tray 35 from the inside of the medicine container.
  • the situation where there is no medicine inside the automatic medicine container 4 is that the above-described reservation management operation is not normally performed for some reason, the packaging operation is started without displaying the shortage amount, and This may occur when the weight measuring means of the container holder 36 cannot detect that no medicine is contained in the automatic medicine container 4.
  • a vibration pattern changing operation for increasing the vibration amplitude is performed. That is, first, assuming the case where a lump of medicine is formed, the cause is solved. At this time, if the cause is that the medicine has become a lump as expected, the amplitude may be increased and the automatic medicine container 4 may be vibrated greatly, whereby the lump may be broken and the cause may be eliminated. There is.
  • the vibration of the vibration table portion is stopped and the unit in the distribution tray 35 is given to the user.
  • a notification operation for notifying that a predetermined amount of medicine is not supplied per time is performed. This notification operation is performed by an operation for displaying a predetermined message on the operation display unit 3, an operation for emitting a sound such as a sound or an alarm sound, or an operation for emitting light such as lighting an emergency light provided separately. .
  • the shortage process is appropriately performed. That is, by using the arm unit 30 or manually, the automatic chemical container 4 in which the chemical could not be discharged is taken out from the main body device 2 and the user inspects the automatic chemical container 4.
  • the automatic medicine container 4 that has been inspected is placed on the container holder 36 by using the arm 30 or manually, and the medicine supply operation to the distribution tray 35 is resumed. That is, the vibration of the vibration table is restarted and the distribution tray 35 is rotated again.
  • the weight of the automatic medicine container 4 is always detected while the medicine is supplied from the automatic medicine container 4 to the distribution tray 35. It has become. That is, the weight of the medicine supplied to the distribution tray 35 before the interruption is stored. Therefore, when the medicine supply operation to the distribution tray 35 is resumed, the remaining supply amount is calculated based on the weight of the medicine supplied to the distribution tray 35 before the interruption, and the calculated supply amount is the same as the calculated supply amount. Is supplied to the distribution tray 35.
  • the vibration of the vibration base unit is stopped and the arm unit 30 automatically The operation of moving the chemical container 4 to the container temporary placement unit 18 is automatically performed. The user opens the door 16 and takes out the automatic medicine container 4.
  • the present invention is not limited to this, and the third packaging operation is performed using the automatic medicine container 4. May be. That is, the automatic chemical container 4 may be used instead of the manual chemical container 5.
  • the data storage unit described above is not limited to the HDD built in the main device 2, and an external HDD connected to the main device 2 via a cable or the like may be adopted. Further, a configuration in which an HDD built in the main unit 2 and an external HDD are used together may be used.
  • a speed increase button and a speed decrease button may be provided, and the speed may be increased or decreased by pressing each button.
  • a memory unit for visually displaying a speed stage such as a bar-shaped memory may be provided in the vicinity of the speed increase button and the speed decrease button.
  • the total weight of one or more divided sachets formed by each sachet operation and the powder contained therein is calculated, and a medium such as paper directly or in the sachet The result calculated may be printed.
  • an RFID is attached to the core tube portion of a long sheet that is a raw material of the packaging bag and is housed in the housing 10 in a state of being wound around the core tube.
  • seat is enabled by reading the information written in this RFID.
  • the weight acquisition operation is performed before and after each packaging operation, and the weight of the packaging bag created by the targeted packaging operation is calculated by performing the operation of comparing the acquired weights. Then, the total weight of the sachet and the powder contained therein is calculated from the calculated weight of the sachet and the total use amount (total discharge amount) of the medicine used in the sachet operation.
  • the information of the RFID attached to the core tube portion is read and the length of the output long sheet is obtained, and from this length and the total weight of the unused long sheet, You may calculate the weight of the created sachet. Then, the total weight of the sachet and the powder contained in the sachet may be calculated from the weight of the sachet thus calculated and the total use amount (total discharge amount) of the medicine used in the sachet operation. .
  • the user can audit while looking at the printed contents just by placing the formed sachet on the balance. Therefore, it is possible to improve the convenience of business.
  • the total weight of the packing bag and the powdered powder incorporated therein it may be printed together with other information.
  • Other information includes weighing start time, voucher number, age, weight, drug name, daily dose (theoretical value and / or actual measured value), total amount (theoretical value and / or actual measured value), total amount of medicines included There is information such as weight (theoretical value and / or actual measurement value), fraction, and days.
  • the medicine container to be used is set to the automatic medicine container before the powder discharging operation to the distribution tray 35 is started.
  • a container switching operation for switching from 4 to the manual medicine container 5 may be performed. That is, a manual medicine container is selected by selecting a predetermined medicine from the list of medicines to be used in the packaging operation to be performed (or the packaging operation currently being performed) on the operation display unit 3 and performing a predetermined operation. 5 is set so that the medicine is discharged from the dispensing tray 35. Then, before (or during) the packaging operation, the front door 34 is temporarily raised, and the manual medicine container 5 filled with medicine in advance is placed on the container holder 36.
  • a moving image related to the packaging operation has been described.
  • a still image may be displayed in addition to the moving image.
  • the imaging operation is performed every few seconds.
  • a barcode for specifying the prescription is printed on the packaging bag formed by the packaging operation.
  • an operation of reading barcode information by a predetermined reading device is performed, and a corresponding still image is displayed on the operation display unit 3.
  • the reading device may be provided integrally with the main body device 2 or may be provided separately and connected via a communication network.
  • both the automatic medicine container 4 and the manual medicine container 5 are used.
  • the packaging operation was performed. In this packaging operation, it is possible to specify the medicine to be discharged to the distribution tray 35 using the manual medicine container 5 and perform an operation for prompting selection of a predetermined medicine.
  • an item “handmade cassette priority” (an item for specifying the priority) can be input.
  • this item can be selected and input from high, medium, and low.
  • a packaging operation for mixing a predetermined number (six in this embodiment) of medicines it is displayed as hand-made recommended medicines in descending order of priority (or the difference in priority is clear). As a list).
  • the set number when the number of medicines that use the manual medicine container 5 (hereinafter also referred to as the set number) is set in advance (or specified by the user), medicines with the same priority order as the set number or more. If it exists, a set number may be presented in the order of registration.
  • the above priorities can be set as appropriate, it should be set in consideration of narcotics, poisons, psychotropic drugs, powerful drugs such as powerful drugs, granule drugs, colored drugs, cold storage drugs, etc. It is preferable.
  • the risk of cross-contamination may be reduced by setting the low-risk chemical to “low”.
  • medical agent which is easy to fly may be made into “low”, and the effort which fills the manual medicine container 5 with a chemical
  • a drug that can be easily filled in the manual drug container 5 such as a granule drug may be set to “high”.
  • the colored medicine may be “low” to prevent the manual medicine container 5 from being colored.
  • an information recording member RFID chip
  • an information reading operation and an information writing operation can be appropriately performed.
  • the following operations are possible. Although there are some overlapping explanations, it is assumed that they all conform to the configuration and operation described above.
  • the remaining amount of medicine in the medicine container is recorded.
  • the powder medicine packaging device 1 of the present embodiment activated, the types and remaining amounts of medicines stored in all medicine containers mounted on the drum member 25 are read from the RFID and recorded in the control unit. That is, the drum member 25 is rotated, and the information on the RFID is read by the information reading / writing device (the information reading device and the information writing device provided integrally or separately). In addition, which chemical container is accommodated in which position of the drum member 25 is confirmed and recorded.
  • an information reading / writing device is provided in the vicinity of the container holding table 36. Then, in order to package the medicine, the medicine container is taken out from the container storage unit 23, and when the medicine container is placed on the container holding stand 36, it is confirmed whether or not the medicine is a target medicine.
  • the dispensing operation when the dispensing operation is completed, when the dispensing operation is completed, the remaining amount of the medicine in the medicine container recorded in the RFID is rewritten by the information reading device in the vicinity of the container holding table 36.
  • the chemical container is installed in the container temporary storage unit 18, and the weight of the chemical container is measured again.
  • the weight of the medicine is confirmed twice.
  • the returned chemical container is rotated by rotating the drum member 25 and brought close to the information reading device, and the chemical container returned to the container storage unit 23 is the original. Confirmed to be a chemical container.
  • the medicine container is stored in the powder medicine packaging device 1 from the outside, information on the medicine stored in the medicine container is input by the operation display unit 3. Then, by installing a chemical container in the temporary container placement unit 18 and performing a predetermined operation, the weight of the chemical container is measured, and the weight is written in the RFID. Also, information on medicine is read from the RFID, and it is confirmed that the medicine is input by the user.
  • the medicine container is replenished with the medicine, and the medicine container is accommodated in the powder medicine packaging device 1.
  • medical agent container is moved to the container temporary placement part 18 of the door part 16 from the container holding stand 36 or the container storage part 23. FIG. And the door part 16 will open automatically and it will be in the state which a user can take out a chemical
  • the medicine container that contains the medicine is put into the powder medicine packaging device 1 according to the procedure described above. Also in this case, information on medicine (emergency medicine) is read from the RFID, and it is confirmed that the medicine is input by the user.
  • emergency medicine the medicine container is directly transferred to the container holding stand 36 and distribution is started. The medicine container filled with the emergency medicine is moved to the container temporary placement section 18 as soon as the dispensing is completed. And the door part 16 will open automatically and it will be in the state which a user can take out a chemical
  • the sliding front door 34 does not need to be opened in normal operation, but when the front door 34 is opened in the event of some trouble, the chemical container in the container storage unit 23 can be freely inserted and removed. Therefore, when the front door 34 is closed for the purpose of confirming that the medicine container has not been replaced and the position of the medicine container again, the drum member is the same as when the powder medicine packaging device 1 is activated.
  • the type and remaining amount of the medicine stored in all the medicine containers mounted on 25 are read from the RFID and recorded in the control unit. That is, the drum member 25 is rotated and RFID information is read by the information reading device. In addition, which chemical container is accommodated in which position of the drum member 25 is confirmed and recorded.
  • the above-described powder medicine packaging device 1 is in a state in which data (signals) can be transmitted and received between the control device 160 and a communication network such as a local area network (LAN). It is possible to construct a dispensing business support system 161.
  • the powder dispensing operation support system 161 will be described in detail.
  • the powder dispensing operation support system 161 includes a control device 160, a drug weighing device 6, and a powder packaging device 1, and the control device 160 and other dispensing devices (drug weighing).
  • the device 6 and the powder medicine packaging device 1) are connected to each other through a communication network such as a local area network (LAN) so that data (signals) can be transmitted and received.
  • the control device 160 is also connected to an external PC 162 used by a doctor so that data can be transmitted and received between them. And when a doctor inputs the information regarding prescription into external PC162, the prescription data used with each apparatus which comprises the powder dispensing service support system 161 will be created.
  • prescription data prescription data (hereinafter simply referred to as prescription data) to be transmitted to the powder packaging device 1 by the control device 160. Is created).
  • determination operation movement which discriminate
  • This determination operation is an operation for determining whether or not the prescription included in the prescription data can be packaged by the first packaging operation or the second packaging operation. As a result of this determination operation, if the prescription included in the prescription data is a prescription that can be automatically processed only by the powder packaging device 1, and can be handled by the first packaging operation, A first packaging operation is performed. Further, the prescription included in the prescription data is a prescription that can be automatically processed only by the powder medicine packaging device 1, but when the first packaging operation cannot be performed, the second packaging operation is performed.
  • the prescription that can be packaged by the first packaging operation or the second packaging operation is automatically processed only by performing an input operation on the external PC 162. Thereby, the powder can be packaged without performing the input by the powder medicine packaging device 1.
  • the filling operation of the powdered medicine (medicine) into the automatic medicine container 4 that can be performed in the powdered medicine dispensing support system 161 will be described.
  • the automatic medicine container 4 can be held by the drum member 25 in the powder medicine packaging device 1 in the same manner as the filling operation described above.
  • the powder dispensing operation support system 161 when filling the powder into the automatic medicine container 4 stored in the external management shelf, the filling of the powder into the automatic medicine container 4 is made to the control device 160. Registration is possible. This registration operation will be described in detail.
  • the automatic chemical container 4 is filled with powdered medicine. This filling operation is performed manually by a pharmacist. Furthermore, various information is memorize
  • the operation display unit 3 is operated to open the door unit 16, and the automatic chemical container 4 filled with powder is placed on the temporary container unit 18.
  • a signal is transmitted from the control device 160 to the powder medicine packaging device 1 by operating the control device 160.
  • the weight measuring operation of measuring the weight of the automatic medicine container 4 is performed by the weight measuring means of the container temporary placement unit 18.
  • an information writing operation for storing the measured weight in the RFID tag of the automatic medicine container 4 is performed.
  • the medicine container (the automatic medicine container 4 or the manual medicine container 5) is placed on the container holding table 36 and is placed on the vibrating table portion of the container holding table 36.
  • the vibration operation is performed.
  • the weight (original weight) of the chemical container acquired before the start of the vibration operation was compared with the current weight (current weight) of the chemical container that was acquired during the vibration operation, and the current weight was subtracted from the original weight.
  • the vibration operation is stopped on the condition that the supply amount of the powder, which is the value, has reached the specified amount.
  • the vibration operation when the vibration operation is stopped, it is considered that the powder is discharged from the chemical container due to inertia after the vibration operation is stopped. That is, it is conceivable that a small amount of powder is supplied to the distribution tray 35 after the vibration operation is stopped. In this case, if the vibration operation is stopped after the supply amount of the powder actually supplied reaches the scheduled supply amount, there is a possibility that more powder than the planned supply amount may be supplied to the distribution tray 35. That is, when the vibration operation is stopped on the condition that the supply amount of the powder has reached the specified amount, if this specified amount is set equal to the planned supply amount, more powder than the planned supply amount is supplied to the distribution tray 35. There is a possibility of supplying.
  • the prescribed amount is set assuming the amount of powder that is expected to be discharged after the vibration operation is stopped. That is, a prescribed amount that is smaller than the scheduled supply amount is set, and the vibration operation is stopped on condition that the supply amount of powdered medicine has become the prescribed amount.
  • the powder medicine packaging device 1 calculates the remaining supply amount from the scheduled supply amount and the amount of powder already supplied, and calculates the supply amount per predetermined time in the vibration operation being executed. It is possible. Furthermore, the amount of powder flowing out of the drug container due to inertia after the vibration operation is stopped is derived in advance by experiments or the like and stored in the data storage unit. From this, it is possible to obtain the amount of powder that is expected to be supplied after the vibration operation is stopped. Then, after supplying the powder to the distribution tray 35, the vibration operation is stopped when the remaining supply amount becomes equal to the amount of powder supplied from the medicine container after the vibration operation is stopped. That is, the “specified amount” which is the above condition is a value obtained by subtracting the amount of powder supplied after the vibration operation is stopped from the scheduled supply amount.
  • the powder medicine packaging device 1 is momentarily shaken due to a person hitting the powder medicine packaging device 1 or the like.
  • the value of the supply amount of the powder per hour calculated by the powder medicine packaging device 1 may temporarily increase due to the vibration transmitted to the medicine container, the container holding stand 36 and the like. That is, there is a possibility that the supply amount of the powder calculated by the powder packaging device 1 may exceed the supply amount of the powder actually supplied.
  • the powder medicine packaging device 1 determines that a sufficient amount has been supplied even though a sufficient amount is not actually supplied, and stops the vibration operation. That is, there is a possibility that a problem that the amount of powder to be actually packaged becomes smaller than the planned amount will occur.
  • the powder medicine packaging device 1 of the present embodiment it is possible to perform a vibration operation different from the normal time when discharging a small amount. This operation will be described in detail below.
  • the powder medicine packaging device 1 of the present embodiment places a medicine container (automatic medicine container 4 or manual medicine container 5) on a container holding table 36 and vibrates the vibration table portion of the container holding table 36.
  • the vibration operation can be performed by changing the amplitude and the vibration frequency based on the supply amount, the remaining supply amount when the predetermined amount of powder is already supplied, and the supply amount per predetermined time. For example, when the scheduled supply amount is small or when the remaining supply amount is small, the amplitude is reduced and the vibration frequency is lowered to supply the supply amount per predetermined time. It is possible.
  • the case where the remaining supply amount is small is the case where the remaining supply amount is 4 g or less. That is, it is determined that the amount has become small when it falls below a preset reference value.
  • the standby operation is performed for a predetermined time (300 ms in the present embodiment).
  • This standby operation is an operation that does not temporarily perform an operation for obtaining a supply amount per hour that is performed when powdered powder is supplied, and an operation that determines whether to stop the vibration operation based on the operation. It is. Accordingly, even if the powder medicine packaging device 1 is shaken by an external force and the supply amount of the powder medicine per time to be calculated increases instantaneously, the vibration operation does not stop erroneously.
  • the vibration operation performed at the time of discharging a small amount can be performed individually by each container holding stand 36.
  • the container holding table 36 is stabilized. It is possible to perform a stability determination operation for determining whether or not a state is reached.
  • the container holding table 36 may be in a state where the value measured by the weight measuring unit is not stable, for example, immediately after the chemical container is placed. In other words, when vibration is transmitted from the chemical container, a phenomenon occurs in which the measured value differs depending on the measurement time, even though the same object is detected. That is, the container holding stand 36 may be in a stable state where high-accuracy measurement is possible or in an unstable state where high-accuracy measurement is impossible.
  • a stability determination operation is performed to determine whether or not the container holding stand 36 is in a stable state. Specifically, when the weight of the chemical container is detected by the weight measuring means of the container holding stand 36 for a predetermined time (for example, 1 second) and the detected value does not change significantly during that time (the change amount is less than the predetermined amount). If it is within the error range), it is determined that the container holder 36 is in a stable state.
  • a predetermined time for example, 1 second
  • a series of operations described below are performed in order to prevent such erroneous detection.
  • the weight of the chemical container is detected by the weight measuring means of the container holding table 36 every predetermined time (in this embodiment, 2.5 ms).
  • the weight detected at this time is compared with the weight acquired immediately before, and it is determined whether or not the weight has changed significantly (determination as to whether or not the stable state continues).
  • the container holding table 36 is continuously in the stable state. Determine that there is.
  • the third operation is performed.
  • the average value of the weight of the chemical container detected every predetermined time is acquired as the original weight of the chemical container, and the vibration operation is started.
  • this series of operations may be performed not only before starting the supply of powder to the distribution tray 35 but also when acquiring the weight of the chemical container after the supply of powder to the distribution tray 35 is completed. That is, a series of operations from the first operation to the third operation may be performed, and an average value of the weight of the chemical container detected every predetermined time may be acquired as the weight at the end of the supply of the chemical container.
  • the scraping device 37 has an arm member 171 fixed to the upper surface of a disk-shaped turntable 170, and the arm member 171 protrudes toward the outside of the turntable 170. ing. From this, it is possible to turn substantially the entire scraping device 37 by turning the turntable 170. Further, a scraping plate 172, a partition plate 173, and a scraping plate 174 are attached to the distal end side of the arm member 171.
  • the scraping plate 172 is a small disk-shaped member made of a thin plate, and is attached so that its thickness direction is perpendicular to the protruding direction of the arm member 171. In other words, the scraping plate 172 is fixed to a surface of the side surface of the arm member 171 that is perpendicular to the protruding direction, and takes an upright posture. Further, a circumferential seal member 175 made of rubber or resin is provided on the peripheral portion of the scraping plate 172 so as to be in close contact with the upper surface of the distribution tray 35.
  • the partition plate 173 is a thin plate-like member arranged so as to be parallel to the scraping plate 172, and has a shape close to a fan shape. That is, the partition plate 173 is a substantially triangular plate formed by an arc having a central angle of about 30 degrees and two straight sides.
  • the scraping plate 174 is in contact with the scraping plate 172 and a linear side forming the central angle of the partition plate 173, and is a plate-like member disposed so as to be orthogonal to both of them. .
  • the scraping plate 172 is formed so as to protrude outward from the circular surface.
  • a rubber or resin scraping sealing material 176 is also provided on the edge of the scraping plate 174 so as to be in close contact with the upper surface of the distribution tray 35.
  • the scraping device 37 interlocks with the distribution tray 35, so that a part of the powder spread on the distribution tray 35 is collected around the scraping plate 172, and the collected powder is collected. It is possible to carry out a scraping operation for charging the into the chemical introduction port 39. A series of operations including a scraping operation and a scraping operation will be described.
  • the powder is discharged from the drug container to the distribution tray 35 and the distribution tray 35 rotates, so that the powder spreads uniformly over the entire upper surface of the distribution tray 35. Then, after the discharge from the medicine container to the distribution tray 35 is stopped, the rotation of the distribution tray 35 is stopped. In this state, as shown in FIG. 33A, the arm member 171 is rotated downward, and the peripheral portion of the scraping plate 172 is in contact with the upper surface of the distribution tray 35 (FIG. 33B). )reference). In other words, the lower portion of the scraping plate 172 enters the recessed portion of the distribution tray 35.
  • the distribution dish 35 is rotated by an angle corresponding to the number of divided powders, and a part of the powder spread on the distribution dish 35 is brought together around the scraping plate 172 (FIG. 33 ( c)). Then, the collected powder is put into the medicine introduction port 39 by rotating the scraping plate 172.
  • the scraping plate 172 is rotated in a clockwise direction when viewed from the front. Then, with the rotation of the scraping plate 172, the scraping plate 174 also moves. Then, the scraping plate 174 comes into contact with the collected powder (see FIG. 34B). At this time, the scraping plate 174 moves in the direction along the arc radius of the cross section of the groove portion of the distribution tray 35 and from the inside toward the outside (the direction from the right side to the left side in FIG. 34). For this reason, the scraping plate 174 comes into contact with the powder collected from the radially inner side of the distribution tray 35.
  • the scraping plate 174 is provided with a rubber or resin scraping sealing material 176 (see FIG. 32 and the like) so as to be in close contact with the upper surface of the distribution tray 35.
  • a rubber or resin scraping sealing material 176 see FIG. 32 and the like.
  • the powder adhering to the scraping sealing material 176 is removed from the scraping sealing material 176, and the payment for dropping the removed powder into the chemical introduction port 39 is performed. A drop operation is being performed.
  • This payout operation is performed following the above-described normal scraping operation.
  • the scraping plate 174 is moved to a predetermined position near the medicine introduction port 39 (see FIG. 34 (d)), and almost all of the collected powder is dropped into the medicine introduction port 39. Then, from this state, the scraping plate 172 is rotated in the direction opposite to the normal direction. That is, the scraping plate 172 is rotated in a counterclockwise direction when viewed from the front.
  • the scraping sealing material 176 of the scraping plate 174 moves along the upper surface of the distribution tray 35 in a state of being in close contact with the upper surface of the distribution tray 35. That is, the scraping plate 174 moves in the direction along the circular arc radius of the cross section in the groove portion of the distribution tray 35 and moves in the direction from the outside to the inside (the direction from the left side to the right side in FIG. 34).
  • the scraping seal material 176 is moved while being rubbed against the distribution tray 35, whereby the powder adhering to the scraping seal material 176 falls onto the distribution tray 35.
  • the rotation of the scraping plate 172 is stopped, and the scraping plate 172 is rotated in the direction opposite to the immediately preceding rotation direction. That is, the rotation of the scraping plate 172 is stopped, and then, as usual, the scraping plate 172 is rotated in a clockwise direction when viewed from the front.
  • the powder dropped on the distribution tray 35 by the reverse rotation of the scraping plate 172 is pushed to the outer end in the radial direction of the distribution tray 35, and the medicine introduction port 39 adjacent to the outside of the distribution tray 35. It becomes possible to make it enter.
  • the rotation operation for rotating the scraping plate 172 in the reverse direction and the subsequent rotation operation for rotating the scraping plate 172 in the same direction as usual that is, the speed of the rotation operation in the payout operation is the same as the normal rotation operation. The above speed is preferable.
  • the medicine targeted for the packaging operation contains one or more medicines that require the withdrawal operation, the withdrawal operation is automatically performed, and all the medicines targeted for the packaging operation need to be dispensed. If it is not a good medicine, the payout operation is not performed.
  • the dispensing operation performed by the powder medicine packaging device 1 is not limited to this.
  • the arm member 171 is vibrated to drop the powder adhering to the scraping plate 172 onto the distribution tray 35, and thereafter, the rotation operation is performed to rotate the scraping plate 172 in the same direction as usual, thereby distributing the spray tray 35.
  • the distribution tray 35 is rotated by an angle corresponding to the number of divided powders (see FIG. 33B, etc.). For example, if the powder supplied on the distribution tray 35 is divided into 30 packages, the rotation 360 degrees is rotated by 12 degrees divided into 30.
  • the distribution tray 35 is rotated 180 degrees.
  • the range in which the powdered medicine for one package is gathered in the upper surface of the distribution dish 35 becomes wider.
  • the distribution tray 35 rotates 90 degrees, powder spread over a range that occupies a quarter of the entire circumference of the distribution tray 35 is collected.
  • the distribution tray 35 rotates 180 degrees. If so, the powder spread over the range that occupies the half circumference of the distribution tray 35 is collected.
  • the powder medicine packaging device 1 of the present embodiment when the distribution tray 35 is rotated in the packaging operation, if the angle according to the division is a certain angle or more, the single packet is divided into a plurality of times.
  • a charging operation multiple scraping operation for charging into the medicine introduction port 39 can be performed. This operation will be described in detail below with reference to FIG.
  • the powder medicine packaging device 1 determines whether or not the angle at which the distribution tray 35 is rotated by one packet is larger than a predetermined angle.
  • the rotation angle is varied by varying the pulse amount of the motor that rotates the distribution tray 35. That is, the angle at which the distribution tray 35 rotates and the pulse amount of the motor at that time have a correlation, and the angle at which the distribution tray 35 rotates can be calculated from the pulse amount of the motor. Therefore, in the present embodiment, by performing a determination operation for determining whether or not the pulse amount Z necessary for rotating the distribution plate 35 in a single package is larger than the specified amount X (STEP 1), the distribution is performed. It is determined whether or not the angle at which the dish 35 is rotated by one package is larger than a predetermined angle.
  • the motor pulse amount required to rotate the distribution tray 35 once is 50,000 pulses.
  • the prescribed amount X is 2200 pulses, which is 4.4% of the pulse amount of the motor necessary for one rotation. In other words, it is about several percent (about 1 to 9 percent) of the pulse amount of the motor necessary for one rotation.
  • the prescribed amount X is the maximum value of the pulse amount targeted for one rotation when the distribution tray 35 is rotated by an angle corresponding to the number of divisions.
  • the powder for one package is divided into a plurality of times.
  • the chemical is introduced into the chemical inlet 39.
  • the number of times of performing the charging operation for charging one pack of powdered medicine into the drug introduction port 39, and the angle (the amount of pulse necessary for moving the distribution tray 35) for rotating the distribution tray 35 in each charging operation respectively. Calculate and perform multiple input operations.
  • a charging operation for rotating the distribution tray 35 by a specified amount X (hereinafter also referred to as a maximum amount scraping operation) and a charging operation for rotating the distribution tray 35 by a pulse amount smaller than the specified amount X
  • An operation (hereinafter also referred to as a residual scraping operation) is performed as appropriate, and powdered medicine is introduced into the drug introduction port 39. That is, when the angle rotated by one package is larger than the predetermined angle (Yes in STEP 1), first, the maximum number of scraping operations n, the remaining scraping operations n2, and the remaining scraping operation To calculate the angle at which the distribution tray 35 is rotated (the amount of pulses necessary to move the distribution tray 35).
  • the calculation result S is calculated by performing the calculation of the following formula (1), and the integer part of the calculation result S is calculated to obtain the maximum number of times n of performing the scraping operation (STEP 2). At this time, the integer part of the calculation result S is directly used as the number n of the maximum amount scraping operation.
  • S Z / X (1)
  • the number n2 of the remaining scraping operations to be performed and the angle at which the distribution tray 35 is rotated by each residual scraping operation are calculated.
  • the total pulse amount P necessary for the movement of the distribution tray 35 is calculated by the residual scraping operation performed once or a plurality of times, and the residual scraping operation is performed based on the calculated total pulse amount P.
  • the number of times n2 and the rotation angle of the distribution tray 35 in each remaining scraping operation are calculated.
  • Equation (2) is calculated to calculate the total pulse amount P required for the remaining scraping operation (STEP 3).
  • P Z ⁇ nX (2)
  • the prescribed amount X2 is a pulse amount necessary to move the distribution tray 35 by the same width as the scraping plate 172 (see FIG. 32, etc.), and is 600 pulses in this embodiment.
  • the remaining scraping operation is performed twice. That is, the amount of pulses required to rotate the distribution tray 35 in each of the two remaining scraping operations is calculated (STEP 5), and the maximum amount scraping operation and the two remaining scraping operations are performed. (STEP 6).
  • the pulse amount necessary to rotate the distribution tray 35 in each of the remaining scraping operations is the same as the pulse amount obtained by subtracting the specified amount X2 from the total pulse amount P, and the distribution tray 35 is rotated in the first residual scraping operation.
  • the prescribed amount X2 is a pulse amount for rotating the distribution tray 35 in the second remaining scraping operation.
  • the pulse amount for rotating the dish 35 becomes the specified amount X2 (minimum amount scraping operation).
  • the motor pulse amount Z necessary for carrying out one package rotation is 4167 pulses, and the motor pulse amount Z necessary for carrying out one package rotation is 5556 pulses. This will be described in detail with a specific example.
  • the motor pulse amount Z necessary for carrying out rotation for one package is 4167 pulses.
  • the calculation result S in the above formula (1) is 4167 pulses / 2200 pulses, which is 1.89. From this, since the integer part is 1, the number n of the maximum amount scraping operation is 1 (STEP 2). Subsequently, the total pulse amount P calculated by the above equation (2) is 1967 pulses (4167-1 ⁇ 2200) (STEP 3). Since the total pulse amount P is 1200 pulses or more, which is twice X2, (YES in STEP 4), the pulse amount for rotating the distribution tray 35 in the first remaining scraping operation is 1367 pulses (1967-600).
  • the amount of pulses for rotating the distribution tray 35 in the second remaining scraping operation becomes 600 pulses (STEP 5).
  • one package is divided into three times and charged into the drug introduction port 39, and one maximum amount scraping operation and two remaining scraping operations are performed (STEP 6). That is, after the distribution tray 35 is rotated by 2200 pulses, the powder is scraped out by the scraping device 37 (first time), and subsequently, after the distribution tray 35 is rotated by 1367 pulses, the powder is sprayed by the scraping device 37 (2 The third time) Finally, after the distribution dish 35 is rotated by 600 pulses, the powder is scraped by the scraping device 37 (third time).
  • the pulse amount Z of the motor necessary for carrying out the rotation for one package is 5555.55 pulses.
  • the pulse amount Z is set to 5556 by rounding off after the decimal point.
  • the calculation result S in the above formula (1) is 5556 pulses / 2200 pulses, which is 2.52. Therefore, since the integer part is 2, the number n of the maximum amount scraping operation is 2 (STEP 2).
  • the total pulse amount P calculated by the above equation (2) is 1156 pulses (5556-2 ⁇ 2200) (STEP 3).
  • the pulse amount for rotating the distribution tray 35 in the first remaining scraping operation is 1156 pulses as it is (STEP 7).
  • the second remaining scraping operation is not performed.
  • one package is divided into three times and charged into the drug introduction port 39, and the maximum amount of the scraping operation and the remaining of the scraping operation are performed twice (STEP 8). That is, after the distribution tray 35 is rotated by 2200 pulses, the powder is scraped out by the scraping device 37 (first time), and then the powder is sprayed by the scraping device 37 after the distribution tray 35 is rotated by 2200 pulses (2). The third), and finally, after the distribution tray 35 is rotated by 1156 pulses, the powder is scraped out by the scraping device 37 (third time).
  • the powder packaging apparatus 1 can perform the third packaging operation using the manual medicine container 5. Further, when performing a packaging operation using the automatic medicine container 4 such as the first packaging operation and the second packaging operation, it is used before the powder discharging operation to the distribution tray 35 is started. A container switching operation for switching the chemical container from the automatic chemical container 4 to the manual chemical container 5 can be performed. In such a packaging operation, when a plurality of powdered medicines are discharged to the distribution tray 35 to perform the packaging operation, the packaging operation may be performed using two or more manual medicine containers 5. For example, among the three container holders 36 corresponding to one distribution tray 35 (see FIG. 4 etc.), the automatic medicine container 4 is installed in one, the powder is discharged, and the other two are manually operated medicine. This is a case where the container 5 is installed and the powder is discharged.
  • the powder medicine packaging device 1 of the present embodiment when two or more manual medicine containers 5 are used, two or more manual medicine containers 5 are placed on the container holder 36 at a time.
  • the operation of discharging the powder from the manual medicine container 5 and the operation of sequentially discharging two or more manual medicine containers 5 on one container holding base 36 and discharging the powder are possible. Specifically, in the latter operation, after discharging the powder from the manual medicine container 5 installed in advance, the manual medicine container 5 in which the powder is completely discharged is replaced with a new manual medicine container 5; In this operation, the powder is discharged from the new manual medicine container 5.
  • a message prompting the user to install a predetermined number of manual medicine containers 5 on the container holder 36, and dispensing from the medicine containers A start button for starting the discharge of powder to the dish 35 and an open / close button for raising and lowering the front door 34 (see FIG. 1 and the like) are displayed on the operation display unit 3.
  • the front door 34 is raised by touching the open / close button, and the user holds all the predetermined number of manual medicine containers 5 in the container holder. 36, and the front door 34 is lowered by touching the open / close button again. Then, by pressing the start button, the powder is discharged from the chemical container installed on the container holding stand 36 to the distribution tray 35.
  • the front door 34 is lifted by touching the open / close button.
  • a person installs the number of manual medicine containers 5 smaller than a predetermined number on the container holding base 36 and touches the open / close button again to lower the front door 34.
  • the powder is discharged from the chemical container installed on the container holding stand 36 to the distribution tray 35.
  • a message prompting the user to place the remaining manual medicine container 5 on the container holder 36 is displayed on the operation display unit 3.
  • the front door 34 is lifted by touching the open / close button, the user installs the remaining manual medicine container 5 on the container holder 36, and the front door 34 is lowered by touching the open / close button again. To do. Then, by pressing the start button, the powder is discharged from the chemical container installed on the container holding stand 36 to the distribution tray 35.
  • the number of manual medicines is smaller than the number of manual medicine containers 5 to be used.
  • the powder can be discharged to the distribution tray 35.
  • two or more manual medicine containers 5 are placed on the container holding table 36 at a time, and the powder medicine is discharged from each manual medicine container 5 at the same time. Both of the above-described manual medicine containers 5 can be sequentially placed and the powder can be discharged sequentially.
  • the powder packaging apparatus 1 of the present embodiment can be operated in a state where the same kind of powder is introduced into two or more automatic chemical containers 4 held in the container storage unit 23.
  • the powder packaging apparatus 1 of the present embodiment can be operated in a state where the same kind of powder is introduced into two or more automatic chemical containers 4 held in the container storage unit 23.
  • the powder contained in the automatic medicine container 4 is less than the planned supply amount to the distribution tray 35, It is conceivable that the powder contained in the distribution tray 35 is lost during the operation of discharging the powder.
  • the powder to be discharged to the distribution tray 35 is built in two or more automatic chemical containers 4, and the amount of powder contained in one automatic chemical container 4 is distributed.
  • the amount is less than the planned supply amount to the plate 35, the supplementary cassette preparation operation described below can be performed.
  • the powder is discharged to the distribution tray 35.
  • the second automatic medicine in which the same kind of powder as the first automatic medicine container 4 is incorporated by the arm portion 30.
  • the container 4 is placed (temporarily placed) on an unused container holding stand 36.
  • the container holder 36 on which the second automatic medicine container 4 is placed may be placed on any container holder 36 as long as no medicine container is placed, but the first automatic medicine container It is desirable to place the container 4 on the container holder 36 that is close to the container holder 36 on which 4 is placed.
  • the arm part 30 moves the first automatic medicine container 4 to the container storage part 23, and the first automatic medicine container 4 is The second automatic chemical container 4 is placed on the placed container holder 36. Then, the remaining powder is discharged from the second automatic chemical container 4 to the distribution tray 35. That is, by arranging the second automatic medicine container 4 containing the same kind of powder in advance near the first automatic medicine container 4 where the shortage of powder is expected, the first automatic medicine The operation of installing the second automatic chemical container 4 in place of the container 4 can be quickly performed.
  • the automatic chemical container 4 has a structure including a container body 180, a lid member 181, a lower surface side iron plate member 182, and an upper surface side iron plate member 183. More specifically, two upper surface side iron plate members 183 are integrally fixed to one of two surfaces facing in the short direction (height direction in FIG. 37) of the container main body 180, and the lower surface side iron plate member is connected to the other. 182 is fixed integrally.
  • the vertical direction of the automatic medicine container 4 will be described based on the posture of FIG.
  • the container main body 180 is a rectangular parallelepiped container, and the inside thereof is roughly divided into a powder storage part 185 for storing powder and a desiccant storage part 186 as shown in FIG.
  • a chemical discharge unit 187 is provided at one end of the container body 180 in the longitudinal direction.
  • the medicine discharge part 187 opens larger by removing peripheral members, and functions as a medicine input part for introducing the medicine into the container body 180.
  • the medicine discharge portion 187 is provided with a medicine discharge port 188 (discharge port) that communicates the inside and outside of the container body 180 at a position near the lower end.
  • the lid member 181 has a structure including an upright plate-like movable lid portion 190, an engagement piece portion 191 and a pad portion 192 that both project inward from the inner surface of the movable lid portion 190.
  • the engagement piece 191 protrudes inward from the upper side of the inner surface of the movable lid 190 slightly from the center in the height direction, and the pad 192 protrudes inward from the vicinity of the lower end.
  • the lid member 181 is integrally attached to the container main body 180 so that the movable lid 190 covers the end of the container main body 180 where the medicine discharge port 188 is located. Then, in a state of being attached to the container main body 180, it is in a state of being able to swing around a part of the engagement piece portion 191.
  • the lower end side of the movable lid 190 comes close to the container body 180 by pressing the upper side of the movable lid 190 toward the outside in the longitudinal direction of the container body 180.
  • the pad part 192 located in the lower end side of the movable cover part 190 closes the chemical
  • the lower end side of the movable lid 190 moves outward in the longitudinal direction of the container main body 180.
  • the arm unit 30 includes a basic arm member 201 attached to the lifting platform 200 of the lifting mechanism 31, an intermediate arm member 202 attached to the distal end side of the basic arm member 201, and an intermediate arm member.
  • the hand unit 203 is attached to the front end side of the 202.
  • the trunk arm member 201 is attached to the lifting platform 200 via a vertical shaft (not shown), and can be rotated in the horizontal direction around the lifting platform 200.
  • the intermediate arm member 202 is also attached to the distal end of the basic arm member 201 via a vertical shaft (not shown), and can be rotated in the horizontal direction around the distal end of the basic arm member 201.
  • the hand part 203 is roughly composed of a trunk part 204 and a container holding part 205, which are integrally attached via a mounting bracket 206.
  • the trunk portion 204 is attached to the distal end of the intermediate arm member 202 via a vertical shaft (not shown), and can pivot in the horizontal direction around the distal end of the intermediate arm member 202.
  • the container holding unit 205 is attached to a mounting bracket 206 in a posture lying in the horizontal direction so as to be rotatable through a horizontal axis. Therefore, the container holding part 205 can take a parallel posture (see FIG. 40A) or a vertical posture (see FIG. 40B).
  • the container holding unit 205 includes an electromagnet (not shown) for adsorbing a chemical container and an opening / closing member 207 (a lid engaging unit, see FIG. 41).
  • an opening 208 is provided in a surface of the container holding portion 205 that is pressed against the chemical container when the chemical container is adsorbed (the lower surface in FIG. 41), and an opening / closing member 207 is provided at the back of the opening 208.
  • the opening / closing member 207 is a substantially “L” -shaped plate member configured by two contact plates that are continuous so that the shape in a side view is substantially “L” -shaped.
  • the opening / closing member 207 is attached so as to be swingable about the base portions of the two contact plates.
  • the opening / closing member 207 can be swung by power such as a solenoid or a motor (not shown).
  • the portion protruding outside the lid member 181 is inserted into the opening 208 and protrudes outside this.
  • the portion of the opening / closing member 207 can be positioned between the two contact plates. Then, the lid member 181 can be opened and closed by swinging the opening and closing member 207 in this state.
  • the container holding part 205 of the arm part 30 is brought close to the automatic medicine container 4, and the adsorption surface (lower surface in FIG. 41) of the container holding part 205 and the upper surface side of the automatic medicine container 4.
  • the surface (upper surface in FIG. 41) to which the iron plate member 183 is attached is separated and opposed.
  • the adsorption surface of the container holding unit 205 is arranged at a position separated from the upper surface of the automatic chemical container 4 by a predetermined distance L (1 mm to 3 mm, and 1.5 mm in this embodiment).
  • the lid member 181 is closed by swinging the opening / closing member 207 (temporary closing operation).
  • the electromagnet of the container holding unit 205 is de-energized so that the attracting force is eliminated, so that the cassette is not naturally attracted or shaken by the force to be attracted even when approaching to 1 mm.
  • the container holding unit 205 is raised and separated from the automatic chemical container 4.
  • the upper end portion of the lid member 181 located between the two contact plates of the opening / closing member 207 is positioned on the lower side of the opening / closing member 207.
  • the engagement of the opening / closing member 207 and the lid member 181 is released, and even if the opening / closing member 207 is swung, the lid member 181 is not brought into contact.
  • the container holding part 205 is again brought close to the automatic medicine container 4, and the surface on which the suction surface (the lower surface in FIG. 42) of the container holding part 205 and the upper surface side iron plate member 183 of the automatic medicine container 4 are attached ( The upper surface in FIG. 42 is in close contact. Then, magnetic force is developed in an electromagnet (not shown) of the container holding unit 205, and the automatic chemical container 4 is adsorbed to the container holding unit 205. Then, the opening / closing member 207 is swung again to perform the operation of closing the lid member 181 (this closing operation). By the operation of closing the lid member 181, the lid member 181 is firmly fixed. In this state, the arm unit 30 is operated to move the automatic medicine container 4 together with the container holding unit 205.
  • the lid member of the automatic medicine container 4 before the automatic medicine container 4 is adsorbed by the container holding section 205, the lid member of the automatic medicine container 4 in a state where the container holding section 205 and the automatic medicine container 4 are separated from each other. An operation of closing 181 is performed, and the lid member 181 is temporarily closed. Thereby, it is possible to prevent the powder medicine from spilling out of the automatic medicine container 4 due to the impact when the container holding portion 205 is adsorbed to the automatic medicine container 4.
  • the powder medicine packaging device 1 replaces the automatic medicine container 4 by the container moving device 28, so that the number of container holding bases 36 provided in the housing 10 (this embodiment) It is possible to mix and package a predetermined number of medicines of 6) or more. This operation will be described in detail below.
  • the automatic medicine container 4a in which the discharge of the built-in powder is completed is moved by the arm portion 30 (see FIG. 43 (b)), and the medicine container is placed on the container holding stand 36 on which the automatic medicine container 4a is placed. Is not placed.
  • a new automatic chemical container 4g is placed on the container holding stand 36 (see FIG. 43 (c)). That is, the new automatic chemical container 4g is moved by the arm unit 30, and the new automatic chemical container 4g is placed on the container holding stand 36.
  • the number of container holding bases 36 (six in this embodiment) is more than that. Can be mixed and packaged.
  • the seven automatic chemical containers 4 are exchanged, thereby mixing seven kinds of chemicals. It becomes possible.
  • the powder medicine packaging device 1 of the present embodiment can prevent unintentional discharge of powder during adsorption of the automatic chemical container 4 by performing the operation of temporarily closing the lid member 181 described above. Yes.
  • the automatic medicine container 4 when the automatic medicine container 4 is moved, it can be moved without spilling the powder. Therefore, even if the predetermined automatic chemical container 4 is replaced while the powder is being supplied from another automatic chemical container 4 to the distribution tray 35, the powder may spill out from the automatic chemical container 4 to be moved. Absent. That is, when the automatic medicine container 4 is moved, the medicine is not excessively discharged to the distribution tray 35, and more than the number of container holding stands 36 (six in this embodiment) is mixed. In this case, a highly accurate packaging operation can be performed.
  • the medicine container is not exchanged in principle because of fear of the packaging error caused by the spillage.
  • the powder medicine packaging device 1 of the present embodiment such a concern disappeared, so that it was possible to safely realize mixing of a large number of drug types.
  • the weighing history screen shown in FIG. 27 (hereinafter also referred to as the first weighing history screen)
  • the weighing history screen (hereinafter referred to as the first weighing history screen) shown in FIG. 2 weighing history screen) may be displayed.
  • the second weighing history screen is a date display unit 125, a patient name display unit 126, an explanation display unit 127, an error display unit 128, a medicine information display unit 229,
  • the transition display part 130, the distribution moving image button 131, the flow velocity button 132, and the weighing value button 133 are provided, each part and the arrangement position of each button differ.
  • the medicine information display part 229 of the 2nd weighing history screen differs from the above-mentioned medicine information display part 129 of the 1st weighing history screen from the one side edge part vicinity of the other side edge part in the horizontal direction of a screen. It is displayed. This makes it possible to display important items such as “medicine name”, “target amount”, “allocation amount”, “allocation time”, “remaining amount at the start of allocation”, and “allocation start time” on one screen. It becomes possible. That is, important items can be confirmed at a glance without performing an operation of scrolling the display contents on the medicine information display unit 229.
  • a manual medicine container 300 having a medicine inlet opening type as shown in FIG. 46 can be used.
  • the manual chemical container 300 is constituted by a storage space forming member 301 and a bottom portion forming member 302.
  • the storage space forming member 301 has a main body portion 303 whose four side surfaces are completely covered by a side wall 304 and whose upper and lower surfaces are open. That is, the main body 303 has a rectangular shape in plan view, and has an opening 305 in the upper part, so that a medicine can be introduced through the opening 305.
  • an opening 306 is also provided in the bottom portion of the main body portion 303.
  • the opening 306 on the lower side has a smaller opening area than the opening 305 on the upper side.
  • These two openings 305 and 306 are spaced apart from each other and are openings that communicate the space surrounded by the side wall 304 with the outside.
  • An RFID tag is provided on the side surface of the main body 303 to store information on the medicine to be introduced and the ID of the manual medicine container 300 (identifier for identifying a particular medicine container from a plurality of medicine containers). It has become. That is, the RFID tag functions as a container side information storage unit.
  • guide pieces 309 are provided on a pair of side surfaces of the main body 303. As shown in FIG.
  • the guide piece 309 is formed integrally with the side wall 304 on the long side of the main body 303, and projects horizontally from the side wall 304 (based on the posture placed on the container holding stand 36).
  • the guide piece 309 extends along the long side of the side wall 304.
  • a stopper 307 is formed at one end. The stopper 307 is a portion at the end portion of the guide piece 309 and having a large cross-sectional area.
  • the storage space forming member 301 has a lid portion 308 that can be attached to the upper portion of the main body portion 303, and has a structure capable of closing the opening 305 positioned on the upper side by attaching the lid portion 308.
  • the bottom forming member 302 is a member formed by processing a steel plate containing a magnetic component such as ferrite, and as shown in FIGS. 48 and 49, both sides thereof are bent upward with the bottom 310 as a center, An inclined wall 311 is formed.
  • a vertical wall portion is not formed on one end side in the longitudinal direction of the bottom forming member 302, and the side is open. And the part by which this side was open
  • a vertical wall 316 is provided on the other end side in the longitudinal direction of the bottom forming member 302, and the side is closed.
  • a plurality of protrusions 325 are provided in the vicinity of the medicine discharge part 315 on the bottom part 310 of the bottom part forming member 302.
  • the full length of the bottom part formation member 302 is longer than the full length of the storage space formation member 301, as FIG. 46 etc. show.
  • a guide receiving member 313 is provided on the outer peripheral portion of the inclined wall 311 of the bottom forming member 302.
  • the guide receiving member 313 includes a receiving portion forming member 317 and an elastic member 320 as shown in FIG.
  • the guide receiving member 313 has a substantially rectangular parallelepiped box shape.
  • a cover portion 318 is provided on the top surface portion of the guide receiving member 313, and a slit portion 319 for engaging the above-described guide piece 309 is formed between the top surface of the box-shaped portion and the cover portion 318.
  • the slit portion 319 is in a state where the medicine discharge portion 315 side is opened and the vertical wall 316 side is closed.
  • the inside of the guide receiving member 313 is provided with two pins 324 depending from the ceiling.
  • the elastic member 320 is provided on the inclined wall 311 of the bottom forming member 302 and is attached to a support base 321 that protrudes outward in a shelf shape. That is, the support base 32 is provided on the outer peripheral portion of the inclined wall 311, and the two elastic members 320 are erected on the support base. Specifically, the elastic member 320 is a spring. A receiving member 322 is provided on the upper portion of the elastic member 320, and a recess 323 is formed in the receiving member 322.
  • the receiving portion forming member 317 is a member attached so as to cover the elastic member 320, and the internal pin 324 can be engaged with the concave portion 323 of the elastic member 320.
  • the storage space forming member 301 can be integrally attached to the bottom forming member 302 via the guide receiving member 313. That is, as shown in FIG. 50, the manual medicine container 300 is formed by engaging the guide piece 309 of the storage space forming member 301 with the slit portion 319 of the guide receiving member 313 and integrating them. It has a structure.
  • the guide receiving member 313 has the elastic member 320 as described above, the storage space forming member 301 and the bottom forming member 302 are integrated with the elastic member 320 interposed therebetween. It will be. Further, as described above, since the medicine discharge part 315 side of the slit part 319 is opened and the vertical wall 316 side is closed, the storage space forming member 301 is moved along the longitudinal direction of the bottom part forming member 302. By moving the storage space forming member 301 to the side, the storage space forming member 301 can be detached from the bottom forming member 302.
  • the opening 306 on the lower side of the storage space forming member 301 is not in contact with the bottom 310 of the bottom forming member 302, and there is a gap between them.
  • the manual chemical container 300 can be used in the same manner as the manual chemical container 5 described above. That is, the medicine is put into the storage space forming member 301, the manual medicine container 300 is manually carried into the housing 10, and placed on the desired container holding stand 36. Then, the vibrating table portion of the container holding table 36 is vibrated to discharge the medicine from the drug discharging unit 315.
  • the bottom forming member 302 vibrates and moves the medicine.
  • the vibration amount of the member 301 is smaller than that of the bottom forming member 302.
  • the medicine is weighed by the medicine weighing device 6, the weighed medicine is filled into the manual medicine container 300, and the manual medicine container 300 is carried into the housing 10.
  • the manual medicine container 300 is placed on the desk, and the measured medicine is put into the storage space forming member 301.
  • the manual medicine container 300 has a bottom portion formed by the bottom portion forming member 302, but the cross-sectional shape of the bottom portion forming member 302 is a "U" shape, and the area of the portion in contact with the desktop surface. Is small. For this reason, when the manual medicine container 300 is directly placed on the desk, the posture is not stable, and there is a concern that the manual medicine container 300 may be turned over.
  • the manual chemical container 300 when the manual chemical container 300 is actually used, it is preferably used together with the temporary table 340 (temporary table device) as shown in FIG.
  • the temporary table 340 is a table-like member having an installation groove 341 in which the bottom surface of the bottom forming member 302 of the manual medicine container 300 matches.
  • the installation groove 341 has an open portion 345 on one side, and a vertical wall portion 342 is provided on the other side.
  • the bottom of the installation groove 341 is inclined, and the open portion 345 side is higher than the vertical wall portion 342 side.
  • the inclination angle of the bottom portion is about 3 to 10 degrees, and is 5 degrees in this embodiment.
  • the temporary table 340 is provided with an information reading device (information reading means) for reading information from an RFID tag or the like. Therefore, when the manual medicine container 300 is placed on the temporary table 340, an information reading operation for reading information from the RFID tag or the like of the manual medicine container 300 can be performed.
  • an information reading device information reading means
  • the medicine can be charged while the posture of the manual medicine container 300 is stabilized. More specifically, the inclined wall 311 of the bottom forming member 302 of the manual medicine container 300 is aligned with the inclined surface of the installation groove 341 of the temporary placement table 340, and the vertical wall 316 of the bottom forming member 302 is vertically aligned with the temporary placement table 340.
  • the manual medicine container 300 is placed on the temporary table 340 in a posture in contact with the wall portion 342.
  • the bottom portion forming member 302 is in an inclined posture, and the posture of the manual medicine container 300 is stabilized in a state where the medicine discharge portion 315 is directed upward.
  • the powder medicine packaging device 1 is in a state in which data (signals) can be transmitted and received between the control device 160 and a communication network such as a local area network (LAN). 161 can be constructed (see FIG. 31).
  • LAN local area network
  • the manual medicine container 300 and the temporary table 340 can be used.
  • the temporary table 340 and the chemical weighing device 6 are connected to the local communication network so that the temporary table 340 can transmit data (signals) to the chemical weighing device 6. They are connected to each other via a communication network such as (LAN) so that data (signals) can be transmitted and received.
  • the control device 160 and other dispensing devices can transmit and receive data (signals) to and from each other via a communication network such as a local area network (LAN). It is assumed that it is in a connected state.
  • the control device 160 is connected to the external PC 162 used by the doctor in a state where data can be transmitted and received with each other.
  • a signal is transmitted from the external PC 162 to the control device 160, and prescription data (hereinafter simply referred to as prescription data) to be transmitted to the powder packaging device 1 by the control device 160.
  • prescription data hereinafter simply referred to as prescription data
  • This determination operation may be performed by the control device 160, or may be performed by the powder packaging device 1 after transmitting prescription data from the control device 160 to the powder packaging device 1.
  • the control device 160 is based on the prescription data. Data used by the chemical weighing device 6 is created and transmitted to the chemical weighing device 6.
  • the medicine is weighed by the medicine weighing device 6.
  • an information reading operation in which the information reading device of the temporary placement table 340 reads information from the RFID tag or the like of the manual medicine container 300 is performed, and data related to the read information is transmitted from the temporary placement table 340 to the chemical weighing device 6. That is, data relating to information such as the ID of the manual medicine container 300 is transmitted to the medicine weighing device 6 and temporarily (or semi-permanently) stored in the medicine weighing device 6 (information storage operation).
  • a data creation operation for associating the received data with pre-received prescription data is performed.
  • this data creation operation the information about the manual medicine container 300 ID and weighing included in the data transmitted from the medicine weighing device 6 and the common part of the information included in the prescription data are extracted, and the medicine is based on these.
  • This is an operation of creating data (hereinafter also referred to as powder related information) in which information transmitted from the weighing device 6 is associated with prescription data.
  • the drug weighed by the drug weighing device 6 is put into the manual drug container 300, moved from the temporary table 340 to the inside of the housing 10, and placed on the container holding table 36.
  • an information reading operation is performed in which information reading means located in the vicinity of the container holding table 36 reads information from the RFID tag or the like of the manual medicine container 300. Based on the information read by the information reading operation and the powder related information, the prescription corresponding to the packaging operation for packaging the medicine stored in the manual medicine container 300 is specified.
  • the packaging operation is started as it is.
  • the arm part 30 holds the desired automatic medicine container 4 in the container holder. After moving to 36, the packaging operation is started.
  • the powder dispensing service support system 161 may be configured to include a known medicine packaging machine in addition to the above-described powder packaging apparatus 1.
  • the powder dispensing operation support system 161 sends data to the control device 160, the drug weighing device 6, the powder packaging device 1, and the known medicine packaging machine via a communication network such as a local area network (LAN).
  • Signal may be connected to a state in which transmission / reception can be performed, and the temporary table 340 may be configured to be in a state in which data (signal) can be transmitted to the chemical weighing device 6.
  • the medicine weighing device 6 is charged into a manual medicine container 5 (or a manual medicine container 300) used in the powder medicine packaging apparatus 1 and a weighing operation for weighing the medicine stored in the manual medicine container 5 and a hopper of a known medicine packaging machine. It is good also as a structure which can implement the weighing operation which weighs the chemical
  • the information reading means of the drug weighing device 6 or the information reading device of the temporary placement table 340 uses the RFID tag of the drug container.
  • An information reading operation for reading information from is performed.
  • the information reading operation is an operation for reading information including a medicine container ID (an identifier for identifying a particular medicine container from a plurality of medicine containers).
  • the medicine weighing device 6 stores the weight of the medicine currently being carried in the manual medicine container 5 (or the manual medicine container 300). It is determined that the drug is targeted. On the other hand, when the information including the ID of the medicine container cannot be acquired by the information reading operation, the medicine weighing device 6 targets the medicine to be put into the hopper of the known medicine packaging machine. It is determined that it is present.
  • the “medicine container ID” is stored only in the RFID tag (information storage means) of the medicine container used in the powder medicine packaging device 1, and the tray or the like for placing medicine used in the known medicine packaging machine is used.
  • the RFID tag (information storage means) is not stored in the “medical container ID”.
  • the information reading operation performed together with the operation of weighing the medicine also serves as a discrimination operation for discriminating the device using the medicine to be weighed as it is.
  • the information transmission operation and the operation for creating powder related information are included as described above.
  • a series of operations is executed to specify a prescription corresponding to the packaging operation, and the packaging operation is performed.
  • medical agent is implemented.
  • the user holds the RFID tag over the RFID reader of a known medicine packaging machine information such as a weighing result is read into the known medicine packaging machine, and the packaging operation can be performed.
  • the packaging operation using the manual medicine container 5 (or the manual medicine container 300) using the powder medicine packaging device 1 and the medicine weighing device 6 is performed.
  • an operation of writing a weighing result of the medicine on the RFID tag of the manual medicine container 5 (or the manual medicine container 300) and a user holding the RFID tag on the RFID reader of the powder medicine packaging device 1 It is also possible to read the above information into the powder medicine packaging device 1.
  • a medicine container (automatic medicine container 4, manual medicine container 5, manual medicine container 300, etc.) is placed on the container holding table 36, and the container holding table 36
  • the powder container accommodated in the chemical container is supplied to the distribution tray 35 by causing the vibration table portion to perform a vibrating operation to vibrate the chemical container.
  • a scraping operation for collecting a part of the powder spread on the distribution plate 35 around the scraping plate 172 and a scraping operation for feeding the collected powder into the medicine introduction port 39 are appropriately performed. ing.
  • the powder when the powder is supplied from the medicine container to the distribution tray 35, if the expected amount of powder to be distributed to the distribution tray 35 (the amount to be finally supplied) is very small, an appropriate amount of powder is applied to the distribution tray 35. May not be able to supply. That is, when a normal amount of powder is supplied to the distribution tray 35, a very small amount of supply error that occurs at the time of supply can be substantially ignored. On the other hand, when a very small amount of powder is supplied to the distribution tray 35, the ratio of the error amount in the total amount becomes large, and this supply error may not be ignored. The same applies when the scraping operation is performed, and if it is a normal amount, a very small amount of scraping can be substantially ignored, but if a very small amount of powder is scraped, this scraping is left. The proportion of the amount will increase.
  • the powder packaging device 1 of the present embodiment when performing the various packaging operations described above, if the powder (medicine) that is the target of the packaging operation satisfies a specified condition, the small volume packaging operation is performed. It is possible to implement. This small quantity packaging operation will be described in detail below.
  • a determination operation for determining whether or not a small amount packaging operation should be performed (hereinafter, referred to as a “packaging operation”) (Also referred to as a small amount discrimination operation).
  • This small amount discrimination operation is an operation for discriminating whether or not the small amount packaging operation should be performed on the basis of the following criteria (1) to (2) for each powder used in the packaging operation. When all of the following criteria (1) to (2) are satisfied with this powder, it is determined that a small amount packaging operation is to be performed.
  • the scheduled supply amount (total supply amount) to the distribution tray 35 is less than the specified value Q1 (fixed value, 2 g in this embodiment).
  • the bulk specific gravity is not less than a predetermined value.
  • the “bulk specific gravity” referred to here is the mass per volume including the volume of the space existing around each particle constituting the powder or granule, and more specifically, the volume of the particle itself, Volume including closed pore volume, volume of irregularities on the particle surface, volume of gap between particles, volume of gap between particles and containers (other objects such as dishes with powder and granules) The mass per hit.
  • This “bulk specific gravity” is calculated in advance for each powdered medicine (medicine) under specified conditions (temperature, humidity, pressure applied to the medicine, etc.) and stored in a database (eg medicine master). deep.
  • the small-volume packaging operation is performed based on the weight (or mass) and the previously calculated bulk specific gravity. It is determined whether or not it should be. More specifically, since there is a correlation between the weight (or mass) and the value of the bulk, more simply, the small amount determination operation may be performed based on the criterion of only (1).
  • the small amount determination operation may be performed based on the criterion of (1) only.
  • the packaging is performed by changing at least one of the number of days of prescription or the number of packages (the number of doses per day or once). Carry out small quantity packaging operation. For example, it is assumed that one packet is 0.3 g and a medicine (powder) to be taken twice a day is prescribed for three days. In this case, in normal packaging operation, 6 packages (2 packages per day, 3 days) are packaged. On the other hand, in the small amount packaging operation for changing the prescription date, the prescription for “3 days” is set as “4 days” and 8 packages (2 packages per day, 4 days) are packaged.
  • the scheduled supply amount (total supply amount) to the distribution tray 35 is changed from 1.8 g (0.3 g ⁇ 6) to 2.4 g (0.3 g ⁇ 8), which is equal to or greater than the specified value Q1 (2.0 g). It becomes.
  • the scheduled supply amount to the distribution tray 35 is set to the specified value Q1 or more by performing a change to increase the prescribed number of days.
  • the setting of the number of days to be increased may be automatically calculated and reflected, or may be manually input on a predetermined screen displayed on the operation display unit 3.
  • the planned supply amount to the distribution tray 35 is set to the specified value Q1 or more by implementing a change to increase the prescribed number of doses.
  • the packaging operation is performed on the assumption that a medicine (powder) to be taken one by one four times a day is prescribed for one day.
  • the scheduled supply amount (total supply amount) to the distribution tray 35 is changed from 1.5 g (0.5 g ⁇ 3 ⁇ 1) to 2.0 g (0.5 g ⁇ 4 ⁇ 1), which is a specified value Q1 (2 0.0 g) or more.
  • the packaging operation may be performed on the assumption that a medicine (powder) to be taken twice a day three times a day is prescribed for one day.
  • the scheduled supply amount (total supply amount) to the distribution tray 35 is changed from 1.5 g (0.5 g ⁇ 3 ⁇ 1) to 3.0 g (0.5 g ⁇ 3 ⁇ 2), and the specified value Q1 (2 0.0 g) or more.
  • the scheduled supply amount to the distribution tray 35 is set to the specified value Q1 or more by performing a change that increases the prescribed number of doses per day or once.
  • the setting of the number of doses to be increased may be automatically calculated and reflected, or may be manually input on a predetermined screen displayed on the operation display unit 3.
  • a larger number of packaging than usual is carried out.
  • the original amount of medicine based on the prescription is provided to the patient. For example, when six packages are originally packaged by eight small-packaging operations, two differential packages are discarded manually, and six packages are provided to the patient.
  • a small amount packaging notification operation for notifying the user that the small amount packaging operation is being performed (performed) is performed as necessary.
  • a message prompting disposal is printed on the surplus portion of the output medicine bag or the paper medium output from the journal printer 7, or a predetermined message is displayed on the operation display unit 3.
  • the operation is performed.
  • the “excess portion of the medicine bag” is a portion corresponding to two differential packages, for example, when six packages are originally packaged by eight small packages.
  • one of the criteria is “the bulk specific gravity is equal to or less than a predetermined value”, but the minority determination operation of the present embodiment is not limited to this.
  • the following (2a) may be adopted instead of the above (2).
  • the value of the bulk (the reciprocal of the bulk specific gravity and the volume per unit mass) is a predetermined value or more.
  • the small-quantity packaging operation is performed when all of the above criteria (1) to (2) are satisfied.
  • the minority determination operation is not limited to this.
  • whether or not the scheduled supply amount of the powder is smaller than a reference value determined according to the bulk specific gravity of the powder may be used as a determination criterion.
  • a specified value Q2 is calculated in advance based on bulk specific gravity (or bulk and volume) for each type of powder and when the following (3) standard is satisfied with one or more powders, a small amount is packaged The operation may be determined as performing the operation.
  • the scheduled supply amount (total supply amount) to the distribution tray 35 is smaller than the specified value Q2 (variation value that differs for each type of powder).
  • the specified value Q2 is a value calculated based on the bulk specific gravity (a value that varies according to the bulk specific gravity)
  • the specified value Q2 is 2.0 g for the A medicine
  • the specified value Q2 for the B medicine is It can be considered that the value is different for each type of medicine, such as 3.0 g.
  • the small-quantity packaging operation performed after this small-number discrimination operation changes at least one of the number of days of prescription or the number of packages (the number of doses per day or once), and the scheduled supply amount to the distribution dish 35 Is an operation for setting the value to a specified value Q2 or more.
  • the minority determination operation in the present embodiment is an operation for determining whether or not the packaging operation can be performed based on the values regarding the weight (or mass) and bulk (or volume) of the target powder. I can say that.
  • the manual type chemical container 5 when carrying out a small amount packaging operation by the packaging operation using the manual type chemical container 5 (or the manual type chemical container 300), a larger amount of powder is manually introduced into the manual type chemical container 5 manually.
  • the type medicine container 5 is placed on the container holding table 36 and the powder medicine is supplied to the distribution tray 35. Therefore, also when the powder to be introduced into the manual medicine container 5 is a powder in which the tablets are powdered, the user powders more tablets than the original and introduces them into the manual medicine container 5. .
  • the scheduled supply amount at this time may be calculated based on the weight at the time of pulverization of one tablet registered in the chemical weighing device 6 or the like when the tablet is pulverized.
  • one pack is an amount corresponding to one tablet, and a medicine (powder) to be taken three times a day is prescribed for three days.
  • the weight when pulverizing one tablet is 0.2 g
  • the original number of packages is 9, and the original supply amount is 1.8 g (0.2 ⁇ 9), which is less than 2 g.
  • the number of packages is changed to 10 packages, and 10 tablets are pulverized and put into the manual medicine container 5 (or the manual medicine container 300). Then, if 9 packages are originally packaged, 10 packages are packaged by a small volume packaging operation, and the surplus one package is discarded.
  • the date and the number of packages are changed by manually inputting on a predetermined screen displayed on the operation display unit 3 of the powder medicine packaging device 1.
  • a small amount packaging operation is performed has been shown, the present invention is not limited to this.
  • the operation display unit 3 of the powder dispensing device 1 may be operated to change the date and the number of packages, and other devices such as the control device 160 and the drug weighing device may be used.
  • the date and number of packages may be changed by operating the device.
  • a screen for change may be displayed on the display unit (display or the like) of the control device 160 or the chemical weighing device.

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Medicinal Chemistry (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Basic Packing Technique (AREA)

Abstract

La présente invention aborde le problème de la fourniture d'un dispositif distributeur de médicament qui permette de simplifier davantage l'opération d'emballage et de supprimer davantage l'apparition de défauts. La présente invention concerne un dispositif distributeur de médicament 1 qui emballe un médicament et qui comporte : un dispositif de stockage de contenant 23 qui est agencé à l'intérieur du dispositif distributeur de médicament 1 et qui est destiné à stocker une pluralité de contenants de stockage de médicament en poudre 4 ; et un dispositif de déplacement de contenant 28 pour déplacer les contenants de stockage de médicament en poudre 4. De plus, le dispositif distributeur de médicament 1 est conçu de telle sorte qu'il est possible de retirer un contenant de stockage de médicament en poudre 4 prédéfini du dispositif de stockage de contenant 23, de placer ledit contenant de stockage de médicament 4 sur une plate-forme de support de contenant 36, et d'effectuer une opération d'emballage. Le dispositif distributeur de médicament 1 est en outre muni d'un dispositif d'affichage 3 conçu pour afficher des informations relatives à des médicaments en poudre actuellement stockés dans les contenants de stockage de médicament en poudre 4 stockés dans le dispositif de stockage de contenant 23.
PCT/JP2015/076303 2014-09-24 2015-09-16 Dispositif distributeur de médicament et système d'aide à la préparation de médicaments en poudre Ceased WO2016047525A1 (fr)

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Cited By (18)

* Cited by examiner, † Cited by third party
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JP2017196260A (ja) * 2016-04-28 2017-11-02 株式会社湯山製作所 調剤制御システム及び調剤制御方法
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