CN105188638A - Medicine compounding system - Google Patents

Medicine compounding system Download PDF

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Publication number
CN105188638A
CN105188638A CN201480019071.4A CN201480019071A CN105188638A CN 105188638 A CN105188638 A CN 105188638A CN 201480019071 A CN201480019071 A CN 201480019071A CN 105188638 A CN105188638 A CN 105188638A
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CN
China
Prior art keywords
medicament
prescription
accepting container
medicine box
pallet
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Granted
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CN201480019071.4A
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Chinese (zh)
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CN105188638B (en
Inventor
仲田清幸
重山泰宽
津田纮道
藤川贵介
伊藤弘治
辻秀宪
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Yuyama Manufacturing Co Ltd
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Yuyama Manufacturing Co Ltd
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Publication of CN105188638A publication Critical patent/CN105188638A/en
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Publication of CN105188638B publication Critical patent/CN105188638B/en
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    • GPHYSICS
    • G07CHECKING-DEVICES
    • G07FCOIN-FREED OR LIKE APPARATUS
    • G07F17/00Coin-freed apparatus for hiring articles; Coin-freed facilities or services
    • G07F17/0092Coin-freed apparatus for hiring articles; Coin-freed facilities or services for assembling and dispensing of pharmaceutical articles

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  • Physics & Mathematics (AREA)
  • General Physics & Mathematics (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Abstract

An objective of the present invention is to provide a medicine compounding system whereby it is possible, while using a medicine dispensing device, to avoid the trouble and time involved in compounding medicine such as in a task of organizing medicine boxes, as well as errors in compounding. A medicine compounding system (10) comprises a plurality of medicine box dispensing devices (30) wherein medicine for dispensing is prepared in advance, said medicine box dispensing devices (30) being capable of dispensing the medicine in accordance with prescription data which is outputted from an upper level control device (20). The medicine compounding system (10) compounds a medicine which is to be prescribed to a patient by gathering the medicines which are dispensed from the medicine box dispensing devices (30). In the medicine compounding system (10), the types of medicines which are stored in each of the medicine box dispensing devices (30, 30) is ascertained by the upper level control device (20), and the medicine box dispensing device (30) with the highest match rate between the medicine to be prescribed and the stored medicine type is assigned priority in selection as the medicine box dispensing device for dispensing the medicine relating to the prescription.

Description

Medicament dispensing system
Technical field
The object of the present invention is to provide and a kind ofly seek to make whole medicament to make up a prescription the medicament dispensing system (medicinecompoundingsystem) of business efficient activity.
Background technology
At present, in Outpatient Dispensary etc. as being used for carrying out towards patient etc. the constituent apparatus of the medicament dispensing system made up a prescription and the medicine box allocation device disclosed in introducing in medicine feeding apparatus disclosed in following patent documentation 2 or following patent documentation 1.Medicament can be allotted according to the prescription data exported from host control device by medicine feeding apparatus one by one disclosed in patent documentation 2.In addition, medicine box allocation device disclosed in patent documentation 1 is not allotted one by one by medicament, but with the box containing multiple medicament (medicine box) for unit carries out the device allotted.Medicine box allocation device according to the prescription indicated by the host control device being such as called HIS (HospitalInformationSystem, hospital information system), can allot the medicine box corresponding with prescription.
[prior art document]
[patent documentation]
Patent documentation 1: No. 2012-085892, JP Publication, JP
Patent documentation 2: No. 2007-75178, JP Publication, JP
When adopting above-mentioned medicine box allocation device, it is contemplated that exist medicine box that prescription outputs be do not prepare in medicine box allocation device as this situation of the medicine box outside stock's object.When contemplating above-mentioned situation, the medicine frame for the medicine box that is prepared in advance being set sometimes in addition, medicament can being assorted as required to make pharmacists etc.In addition, in order to improve the allocation efficiency etc. of medicine box, also there is the situation arranging and use multiple stage medicine box allocation device.
At this, above-mentioned to assort the operation of medicine box from medicine frame not only bothersome, and it is large to occur that medicine box gets the probability of the situation such as wrong.Therefore, when introducing have employed the medicament dispensing system of medicine box allocation device, required time and error of making up a prescription become problem and minimizing is made up a prescription how to reduce the operation getting all the medicine box ready.
Summary of the invention
Therefore, the object of the present invention is to provide a kind of medicament dispensing system, this medicament dispensing system adopts medication dispensing device, and can reduce the required time and avoid error of making up a prescription of making up a prescription getting all the medicine box operation etc. ready.
The medicament dispensing system of the present invention provided to solve above-mentioned problem is provided with multiple stage medication dispensing device, and the medicament that correspondence is outputed to patient by collecting the medicament allotted from this medication dispensing device makes up a prescription, wherein, prepare there is the medicament allotted in above-mentioned medication dispensing device in advance, and medicament can be allotted according to the prescription data exported from host control device side, the feature of this medicament dispensing system is, the stock's medicament kind in each medication dispensing device is grasped in above-mentioned upper-level control system side, and, as the medication dispensing device for allotting the medicament involved by this prescription, in the above-mentioned medication dispensing device of prioritizing selection multiple stage, the medication dispensing device that the identical rate of the medicament kind that the kind of stock's medicament and prescription are outputed is the highest.
In medicament dispensing system of the present invention, grasp the stock medicament kind of medication dispensing device in each being provided with multiple stage at host control device side (host control device or make the intermediate equipment of host control device and medication dispensing device collaborative work or middle workbench).In addition, as the medication dispensing device of the medicament involved by the prescription for allotting for making up a prescription, the medication dispensing device that the identical rate of the medicament kind that kind in prioritizing selection multiple stage medication dispensing device, stock's medicament and prescription are outputed is the highest.Thus, in the medicament dispensing system adopting medication dispensing device, the time that the operation etc. carried out when getting all the medicament of this insufficient section ready during Shortcomings part after utilizing medication dispensing device to allot is made up a prescription required can be suppressed subthreshold, and error of making up a prescription can be suppressed.
In addition, medicament dispensing system of the present invention is provided with multiple stage medication dispensing device, and the medicament that correspondence is outputed to patient by collecting the medicament allotted from this medication dispensing device makes up a prescription, wherein, prepare there is the medicament allotted in above-mentioned medication dispensing device in advance, and medicament can be allotted according to the prescription data exported from host control device side, the feature of this medicament dispensing system is, according to the running rate of the above-mentioned medication dispensing device of multiple stage, select the medication dispensing device made up a prescription in above-mentioned host control device side.
In medicament dispensing system of the present invention, grasp each the running rate of medication dispensing device being provided with multiple stage in host control device side, and select the medication dispensing device for making up a prescription according to running rate.Thus, can use in the following manner, that is: select running rate low successively and the medication dispensing device that can prepare rapidly medicament used as the joining pharmaceutical device of this prescription, and be not the medication dispensing device selecting to imagine this situation of medicament needing the corresponding time to prepare to make up a prescription because running rate is high.In addition, the probability that the medicament stockpile number in the medication dispensing device that running rate is high tails off is large.Therefore, the mode being allotted the medicament made up a prescription by other medication dispensing devices low with service firing rate is used, and the workload getting all the medicine box ready can be suppressed subthreshold, and avoid error of making up a prescription.
In the medicament dispensing system of the invention described above, kind and the stockpile number of the medicament prepared in each medication dispensing device is preferably grasped in above-mentioned host control device side, and identical as condition using the above-mentioned identical rate of the medicament about making up a prescription, select medication dispensing device according to running rate.
By being formed as this formation, the reason of the identical rate because of each medication dispensing device Chinese medicine kind can be caused the operation etc. getting all the medicine box ready to need the situation of time to suppress subthreshold, further, consider the running rate of each medication dispensing device and can the speed of making up a prescription be improved.
The medicament dispensing system of the invention described above also can have following feature, that is: be provided with in addition and separate with above-mentioned medication dispensing device, and the medicine frame of the medicament that should take out as required can be prepared, and, there is the handing-over window of the medicament for preparing to patient handover according to prescription, above-mentioned handing-over window comprises finish prescription handing-over window and the prescription that do not finish handing-over window, wherein, the handing-over of the medicament involved by following prescription is carried out at the above-mentioned prescription handing-over window place that finishes, this prescription refers to and just can collect by means of only the allocation utilizing above-mentioned medication dispensing device to carry out this prescription of all medicaments that neat prescription outputs, the handing-over of the medicament involved by following prescription is carried out at the above-mentioned prescription handing-over window place that do not finish, this prescription refers to by combining the medicament that utilizes above-mentioned medication dispensing device to allot and the other medicament collected from above-mentioned medicine frame thus can collecting this prescription of medicament that should join together.
In medicament dispensing system of the present invention, be respectively arranged with finish prescription handing-over window and the prescription that do not finish handing-over window.Thus, can allocation and achievable prescription be carried out by only utilizing medication dispensing device and join after utilizing the allocation of medication dispensing device to complete and needing the prescription combining the medicament collected in addition from medicine frame to be distinguished, thus successfully can perform the collaborate operation of medication dispensing device and operator.
The medicament dispensing system of the invention described above also can be configured to: be provided with in addition and separate with above-mentioned medication dispensing device and can prepare the medicine frame of the medicament that should take out as required, further, have the medicament for preparing to patient handover according to prescription handing-over window and by drug delivery to the conveyer device of above-mentioned handing-over window; When just can collect all medicaments that neat prescription is outputed by means of only the allocation utilizing above-mentioned medication dispensing device to carry out, utilize above-mentioned conveyer device from above-mentioned medication dispensing device towards delivery of medicaments on the transport path of above-mentioned handing-over window, and when can collect the medicament that neat prescription outputs, utilize above-mentioned conveyer device behind the region through being configured with above-mentioned medicine frame towards delivery of medicaments on the transport path of above-mentioned handing-over window delivery of medicaments at the medicament by combining medicament and the in addition collection from above-mentioned medicine frame utilizing above-mentioned medication dispensing device to allot.
In medicament dispensing system of the present invention, when just can collect all medicaments that neat prescription is outputed by means of only the allocation utilizing medication dispensing device to carry out, without the need to the region through being configured with medicine frame directly from above-mentioned medication dispensing device towards delivery of medicaments on the transport path of above-mentioned handing-over window.Thereby, it is possible to promptly process without the need to making up a prescription in selection (picking) this situation.In addition, when by combining the medicament utilizing medication dispensing device to allot and the medicament collected in addition from medicine frame thus the medicament that neat prescription outputs can being collected, delivery of medicaments on the transport path passing through the region being configured with medicine frame.By carrying on transport path so, even if when needs carry out picking, selection operator also get the medicament allotted from medication dispensing device or the accepting container such as the pallet containing this medicament or small basket without the need to going, thus correspondingly can improve working performance.
Above-mentioned medicament dispensing system also can be configured to: be provided with in addition and separate with above-mentioned medication dispensing device and can prepare the medicine frame of the medicament that should take out as required, and, be provided with the handling part that makes up a prescription that do not finish, this handling part that makes up a prescription of not finishing obtains the prescription data do not finished involved by prescription from above-mentioned host control device side, and export above-mentioned prescription data in the mode that can confirm, wherein, the above-mentioned prescription that do not finish refers to by using the medicament from above-mentioned medicine frame collection and can collect this prescription of medicament that should join together; Make up a prescription in handling part above-mentioned not finishing, except the prescription data that the above-mentioned prescription that do not finish is relevant, also obtain from above-mentioned host control device side the prescription data finished involved by prescription as required, and export above-mentioned prescription data in the mode that can confirm, wherein, the above-mentioned prescription that finishes refers to and just can collect by means of only the allocation utilizing above-mentioned medication dispensing device to carry out this prescription of all medicaments that neat prescription outputs.
In medicament dispensing system of the present invention, be provided with the prescription data that can obtain from host control device side and not finish involved by prescription and export the handling part that makes up a prescription that do not finish of prescription data in the mode that can confirm.Therefore, by utilizing by the operator such as pharmacists the handling part that makes up a prescription that do not finish, can to confirm in handling part not finish the relevant prescription data of prescription not finishing to make up a prescription, thus successfully carrying out the work collecting neat required medicament.
In addition, in medicament dispensing system of the present invention, the relevant prescription data of the prescription that finishes can be obtained as required in handling part and confirm not finishing to make up a prescription.Therefore, for carrying out with the prescription form that finishes the prescription that processes, also processing method can be changed to unfavorable with medicament allocation device but get all the medicament ready from medicine frame.Therefore, according to medicament dispensing system of the present invention, further can effectively utilize the handling part that makes up a prescription that do not finish, thus make business fast of making up a prescription.
The medicament dispensing system of the invention described above also can be configured to: be provided with in addition and separate with above-mentioned medication dispensing device and can prepare the medicine frame of the medicament that should take out as required, and, the accepting container of the medicament collected according to prescription data in collecting is provided with can the storage medium of storaging identificating information, wherein, this identifying information refers to determine the information that above-mentioned accepting container is associated with prescription data by the mode of corresponding relation; The above-mentioned handling part that makes up a prescription of not finishing has instruction sheet outlet terminal and identifying information processing terminal, wherein, above-mentioned instruction sheet outlet terminal can obtain from above-mentioned host control device side the prescription data do not finished involved by prescription, and exporting the instruction sheet of the relevant information at least recording medicament kind and the quantity that should prepare from above-mentioned medicine frame, the above-mentioned prescription that do not finish refers to by using the medicament from above-mentioned medicine frame collection and can collect this prescription of medicament that should join together; Above-mentioned identifying information processing terminal, by communicating with above-mentioned storage medium, can obtain above-mentioned identifying information; To obtain above-mentioned identifying information as condition in above-mentioned identifying information processing terminal after above-mentioned instruction sheet exports, the above-mentioned instruction sheet based on the above-mentioned prescription data corresponding with acquired above-mentioned identifying information can be provided in above-mentioned instruction sheet outlet terminal.
When being formed as this formation, even if instruction sheet loss or breakage etc., also can confirm the identifying information involved by the prescription corresponding with accepting container by the communication between identifying information processing terminal with storage medium set on accepting container, thus provide the instruction sheet corresponding with this prescription.Therefore, according to the present invention, also can successfully tackle for situations such as instruction sheet loss or breakages.
The medicament dispensing system of the invention described above also can be configured to: on the accepting container of accommodating the medicament collected according to prescription data, be provided with the storage medium storing the identifying information that this accepting container is endowed, and above-mentioned prescription data be associated with above-mentioned identifying information.
In medicament dispensing system of the present invention, associate, therefore, it is possible to utilize medication dispensing device to allot medicament continuously when not causing confusion due to the identifying information be stored in storage medium set on accepting container is established with prescription data.In addition, even if when having the accepting container completing medicament allocation in a large number, the relation between these accepting container and patients also free of errors can be determined and supplying medicament.Therefore, according to medicament dispensing system of the present invention, the swiftness of the business of making up a prescription and safety can be improved significantly.
The medicament dispensing system of the invention described above also can be configured to: have the handing-over window of the medicament for preparing according to prescription to patient handover and can configure the accepting container storage shelf of multiple above-mentioned accepting container at above-mentioned handing-over window place, above-mentioned accepting container storage shelf is provided with communicator, and this communicator can confirm the identifying information of above-mentioned accepting container by carrying out data communication with above-mentioned storage medium.
In medicament dispensing system of the present invention, even if will the accepting container made up a prescription completed be configured in any position of accepting container storage shelf, also can determine its position.Thereby, it is possible to realize the utilization that can to configure accepting container, i.e. so-called " free address type (freeaddresstype) " in any position of Gui Ding accepting container storage shelf, the convenience of business and swiftness thus raising is made up a prescription.
In addition, also can be configured in medicament dispensing system of the present invention: using according to the communication acknowledgement utilizing above-mentioned communicator to carry out to being configured with this situation of above-mentioned accepting container as condition in above-mentioned accepting container storage shelf, confirm as to make up a prescription in above-mentioned host control device side and complete.
According to this formation, can host control device side reliably confirm accepting container arrived be arranged on handing-over window place accepting container storage shelf on and make up a prescription and complete this situation.Therefore, it is possible to grasp exactly in host control device side and control a series of business of making up a prescription.Thereby, it is possible to distinguished with the prescription that do not complete the completed prescription of operation of getting all the ready of medicament and grasp, even if therefore when such as medication dispensing device etc. breaks down, also easily grasp the position of again making up a prescription for this prescription.
At this, when the medicament involved by prescription is a large amount of etc., there is the medicament in order to collect a prescription and use the situation of multiple accepting container.In this case, also it is contemplated that and by pharmacists etc., the medicament concentrated in multiple accepting container to be arranged in the midway of a series of business of making up a prescription.When carrying out this readjusting operations, if the accepting container prepared with a prescription use is not all configured in the words in accepting container storage shelf, is not regarded as the completed mode of prescription and uses, then cannot confirm as prescription in host control device side to complete, thus likely cause the business retardation that makes up a prescription.
Therefore, in the medicament dispensing system of the present invention provided being susceptible to above-mentioned situation, when needing to use this prescription of multiple accepting container when medicament for collecting involved by single prescription, using according to the communication acknowledgement utilizing above-mentioned communicator to carry out to this situation of at least one accepting container be configured with in above-mentioned accepting container storage shelf in multiple above-mentioned accepting container as condition, confirm as to make up a prescription in above-mentioned host control device side and complete.
In medicament dispensing system of the present invention, even if in the following cases, that is: although be assigned the accepting container of multiple medicament for collecting a prescription, but when the operation that a part of accepting container that a series of business of making up a prescription has been undertaken medicament arrangement to concentrate in the accepting container be assigned with by pharmacists etc. is so halfway, also arrived as condition in accepting container storage shelf to confirm at least one accepting container, confirmed as to make up a prescription in host control device side and complete.Therefore, even if when having carried out readjusting operations as described above by pharmacists etc., also having confirmed to make up a prescription in host control device side to complete, thus the business retardation that makes up a prescription can have been prevented.
The medicament dispensing system of the invention described above also can have following characteristics, that is: having the handing-over window of the medicament for preparing according to prescription to patient handover, and can be connected in the mode that can carry out communicating with above-mentioned host control device side and can to carry out the window terminal that operates at above-mentioned handing-over window place in the accepting container storage shelf of the multiple above-mentioned accepting container of above-mentioned handing-over window place configuration; Above-mentioned window terminal shows the patient's comformed information for determining the patient as medicament handing-over object, by selecting above-mentioned patient's comformed information, should notify containing to the allocation position of the accepting container of the medicament of this patient handover in above-mentioned accepting container storage shelf.
By being formed as this formation, the handing-over operation of the medicament made up a prescription to patient handover at handing-over window place there will not be mistake and can promptly carry out.Thereby, it is possible to improve business accuracy and the business speed at handing-over window place.
The medicament dispensing system of the invention described above also can be configured to: to take out accepting container and input represents and the medicament prepared in this accepting container is transferred to the information of this situation of patient as condition in above-mentioned window terminal, the identifying information elimination that can be stored in the above-mentioned storage medium of above-mentioned accepting container from above-mentioned accepting container storage shelf.
In medicament dispensing system of the present invention, using at least following two conditions as the condition eliminating identifying information, these two conditions refer to: from accepting container storage shelf, take out this condition of accepting container and represent in window terminal input this condition of the information medicament prepared in accepting container being transferred to this situation of patient.Therefore, it is possible to reliably avoid causing the business of making up a prescription to occur obstacle because expecting outer identifying information to be eliminated.
The medicament dispensing system of the invention described above also can have following characteristics, that is: there is the handing-over window of the medicament for preparing to patient handover according to prescription, can in the accepting container storage shelf of the multiple above-mentioned accepting container of above-mentioned handing-over window place configuration, and display is for determining the display device of patient's comformed information of the patient joining medicament, patient's comformed information of the relevant patient be associated with the accepting container be configured in above-mentioned accepting container storage shelf, be reserved as the information of the patient accepting medicament handing-over after determining at above-mentioned handing-over window place and be shown.
By being formed as this formation, can showing and join for determining patient's comformed information that window place waits for the patient of handing-over medicament, thus this patient is warned.
Medicament dispensing system of the present invention also can be configured to: be provided with the handing-over window of the medicament for preparing to patient handover according to prescription, can in the accepting container storage shelf of the multiple above-mentioned accepting container of above-mentioned handing-over window place configuration and as condition, the accepting container above-mentioned accepting container be configured in above-mentioned accepting container storage shelf can transferred to wherein stops frame to meet rated condition; In this medicament dispensing system, using should the medicament of above-mentioned handing-over window place handing-over for by this situation of prescription of being transferred to from above-mentioned accepting container storage shelf involved by above-mentioned accepting container that above-mentioned accepting container stops in frame as condition, notify containing the allocation position that should stop in frame to the accepting container of the medicament of this patient handover at above-mentioned accepting container.
In medicament dispensing system of the present invention, be provided with accepting container stop frame, and, the accepting container be configured in accepting container storage shelf can be transferred on accepting container stop frame to meet rated condition as condition.Therefore, it is possible to suppress because accepting container storage shelf is taken by the accepting container not completing medicament handing-over and be this situation of unserviceable state.In addition, even if in the state medicament of accommodating in the accepting container be transferred on accepting container stop frame should being carried out at handing-over window place joining, this situation of position, where that also can be present in accepting container stop frame to the accepting container containing the medicament that should join notifies.Therefore, stop frame even if accepting container is transferred to accepting container from accepting container storage shelf, the medicament handing-over business joining window place also can be suppressed to occur obstacle.
In addition, the medicament dispensing system of the invention described above also can be configured to: using from the moment of having made up a prescription through the stipulated time as condition, be considered as meeting the condition above-mentioned accepting container being stopped frame transfer from above-mentioned accepting container storage shelf to above-mentioned accepting container.
According to this formation, can prevent the accepting container prepared in accepting container storage shelf from starting to be stranded in for a long time in accepting container storage shelf from the moment of having made up a prescription.Thereby, it is possible to further effectively utilize accepting container storage shelf.
The medicament dispensing system of the invention described above also can be configured to: be provided with the mobile device making above-mentioned accepting container move to the assigned position place of above-mentioned accepting container storage shelf, and, arrive afore mentioned rules position as condition using above-mentioned accepting container by the work of above-mentioned mobile device, being considered as making up a prescription has completed.
According to this formation, accurately can grasp the holdup time of accepting container in accepting container storage shelf, thus on suitable opportunity, the accepting container be trapped in for a long time in accepting container storage shelf can be transferred on accepting container stop frame.
The medicament dispensing system of the invention described above also can have following characteristics, that is: above-mentioned medication dispensing device is provided with medicine box resettlement section, accommodates the medicine box containing medicament in a large number and also can collect for each prescription and allot medicine box in this medicine box resettlement section; In above-mentioned medicine box resettlement section, be disposed with the various medicaments passage that channel width is different, medicine box can be formed a line in each medicament channel and accommodated and send successively; In above-mentioned medication dispensing device, the medicament that should make up a prescription can be allotted from above-mentioned medicine box resettlement section according to the prescription data exported from host control device side.
The medicament dispensing system of the invention described above also can have following characteristics, that is: the medicament prepared according to prescription in above-mentioned medication dispensing device can be allotted with emergent allocation pattern, wherein, the path different from allocation path time normal is used to allot in this emergent allocation pattern.
By being formed as this formation, when unfavorable condition etc. appears in medication dispensing device or its downstream, the allocation under emergent allocation pattern can be implemented, thus can avoid making up a prescription and stagnate completely.
In addition, the medicament dispensing system of the invention described above also can have following characteristics, that is: accepting container distributor is provided with, this accepting container distributor can divide for finish prescription and the prescription that do not finish the accepting container being used in and receiving the medicament allotted from above-mentioned medication dispensing device, wherein, the above-mentioned prescription that finishes refers to this prescription of medicament that just can prepare involved by prescription by means of only the allocation utilizing above-mentioned medication dispensing device to carry out, the above-mentioned prescription that do not finish refers to this prescription of medicament also needing to prepare in addition involved by prescription outside the allocation utilizing above-mentioned medication dispensing device to carry out.
According to this formation, reliably and successfully the accepting container finished involved by prescription and the accepting container do not finished involved by prescription can be distributed.
The medicament dispensing system of the invention described above preferably has following characteristics, that is: above-mentioned accepting container distributor is provided with and allots mouth and flashboard, wherein, can be allotted towards downstream by this accepting container via above-mentioned allocation mouth after the accepting container of position medicament being put into the outlet be configured in the face of medication dispensing device, above-mentioned allocation mouth opens or closes by above-mentioned flashboard; When putting into medicament from above-mentioned medication dispensing device to above-mentioned accepting container, the open area of above-mentioned allocation mouth and be positioned at the upper side higher than above-mentioned accepting container height open area by above-mentioned flashboard plugging.
By being formed as this formation, even if when being allotted to the medicament in accepting container and being accommodated as piling the upper side arrived higher than accepting container upper end, also can successfully discharge from allocation mouth, and, the medicament when dividing dose out powders to accepting container can be prevented to be spilled over to outside from allocation mouth.
In addition, the medicament dispensing system of the invention described above also can have following characteristics, that is: there is accepting container storage appts, this accepting container storage appts is configured in the adjacent between two handing-over windows A, B of the prescription that finishes, and is taken care of in the mode can taken out from above-mentioned handing-over window A, B both sides by the accepting container of the prescription that finishes; Further, this accepting container storage appts is provided with notifying device, the keeping situation of the accepting container of this notifying device notice keeping in above-mentioned accepting container storage appts; For temporarily by the accepting container again returned after taking-up from above-mentioned accepting container storage appts in above-mentioned accepting container storage appts, given a warning by above-mentioned notifying device.
For the temporary transient accepting container again returned after taking-up from accepting container storage appts in accepting container storage appts, be likely mixed into the medicament etc. different from this prescription.Medicament dispensing system of the present invention take into account this probability, for the temporary transient accepting container again returned after taking-up from accepting container storage appts in accepting container storage appts, can notify in this accepting container, to be likely mixed into these situations such as the medicament outside this prescription as described above.
The medicament dispensing system of the invention described above preferably has following feature, that is: above-mentioned medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried; Above-mentioned conveyer belt comprises main belt and vice-belt (subconveyor), and wherein, the medicament prepared as allotting with collected by above-mentioned main belt according to prescription, and above-mentioned vice-belt is allotted the medicament come from above-mentioned main belt transfer; During above-mentioned vice-belt allots medicament, action piled up by the medicament can implementing to utilize above-mentioned main belt the medicament involved by next prescription to be focused on above-mentioned vice-belt side.
In medicament dispensing system of the present invention, medicament can be implemented by the collaborate of main belt and vice-belt and pile up action, therefore, it is possible to make the medicament on medication dispensing device allot speed high speed.
In addition, in the medicament dispensing system of the invention described above preferably: the enforcement time of piling up action according to above-mentioned medicament, change after action piled up by above-mentioned medicament to make the time of above-mentioned main belt work to above-mentioned vice-belt transfer medicament.
By being formed as this formation, can by when implementing medicament and piling up action and after have collected medicament, medicament be transferred on vice-belt, working time of main belt suppresses subthreshold.
In the medicament dispensing system of the invention described above preferably: above-mentioned medication dispensing device possesses to be collected the medicament prepared as allotting with and to carry out the conveyer belt carried; Above-mentioned conveyer belt comprises main belt and vice-belt, and wherein, the medicament prepared as allotting with collected by above-mentioned main belt according to prescription, and above-mentioned vice-belt is allotted the medicament come from the transfer of this main belt; Medicament after transfer from above-mentioned main belt to above-mentioned vice-belt, is made above-mentioned main belt quit work, and above-mentioned vice-belt is moved back and forth under the state being placed with medicament.
By being formed as this formation, the medicament being transferred to vice-belt can being dispersed on vice-belt, thus the ability by vice-belt delivery of medicaments can be applied flexibly to greatest extent from main belt.
In the medicament dispensing system of the invention described above preferably: the volume of the medicament outputed using prescription has exceeded this situation of regulation ratio as condition relative to the volume of the accepting container prepared in order to concentrated medicament, medicament segmentation is ready in multiple accepting container.
By being formed as this formation, can avoid putting into overdose of medicine agent in accepting container.
The medicament dispensing system of the invention described above also can be configured to: above-mentioned medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried; Above-mentioned conveyer belt comprises main belt and vice-belt, and wherein, the medicament prepared as allotting with collected by above-mentioned main belt according to prescription, and above-mentioned vice-belt is allotted the medicament come from above-mentioned main belt transfer; During the medicament outputed to carry prescription, the gross area in the face that this medicament contacts with the conveyor surface of above-mentioned vice-belt has exceeded this situation of regulation ratio as condition relative to the area of the conveyor surface of above-mentioned vice-belt, and the conveying number of times being undertaken utilizing above-mentioned vice-belt carrying is set as repeatedly.
By being formed as this formation, can avoiding placing overdose of medicine agent on vice-belt, thus the conveying of medicament and the reliability of allocation can be improved.
The medicament dispensing system of the invention described above also can have following characteristics, that is: above-mentioned medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried, above-mentioned conveyer belt comprises main belt and vice-belt, wherein, the medicament prepared as allotting with collected by above-mentioned main belt according to prescription, the medicament come from above-mentioned main belt transfer is allotted in accepting container by above-mentioned vice-belt, when supposing the medicament of a prescription to be configured on above-mentioned vice-belt, when any one in two conditions below meeting or two conditions, to meet in following two placement conditions the mode that any one or two place conditions, being divided into by the medicament of a prescription is repeatedly placed on above-mentioned vice-belt, and each medicament is positioned on above-mentioned vice-belt time implement the action allotted to above-mentioned accepting container, wherein, above-mentioned two conditions refer to: the gross area of the contact area that the medicament of a prescription contacts with above-mentioned vice-belt exceedes this condition of the regulation area upper limit set for standard with above-mentioned accepting container size, this condition of the prescribed volume upper limit set for standard with above-mentioned accepting container size is exceeded with the cumulative volume of the medicament of a prescription, above-mentioned two placement conditions refer to: the above-mentioned contact area being once placed on the medicament on above-mentioned vice-belt is less than this placement condition of the above-mentioned area upper limit, and the volume of the medicament be once placed on above-mentioned vice-belt is less than this placement condition of above-mentioned volume upper limit.
By being formed as this formation, even if when medicine box vice-belt can placed at the medicament occupancy load relative to accepting container is many, also can prevent medicament from overflowing from accepting container.That is, in medicament dispensing system of the present invention, the occupancy load of accepting container can be considered, and the action and being divided into the action that accepting container is allotted by the medicament be placed on vice-belt of placing medicine box to vice-belt is repeatedly implemented.Therefore, even if when the amount of the medicament of a prescription is for exceeding the amount of the occupancy load of accepting container, also separately medicament can be prepared in multiple accepting container, thus can prevent medicament from overflowing from accepting container.
(invention effect)
According to the present invention, can provide to have employed medication dispensing device and the required time and avoiding of making up a prescription getting all the medicine box operation etc. ready can be reduced and to make up a prescription the medicament dispensing system of error.
Accompanying drawing explanation
Fig. 1 be medelling represent the key diagram of the operation flow of making up a prescription that the medicament dispensing system utilizing an embodiment of the present invention to relate to carries out.
Fig. 2 is the key diagram of the configuration example representing the medicament dispensing system that an embodiment of the present invention relates to.
Fig. 3 is the System's composition figure of the medicament dispensing system shown in Fig. 2.
Fig. 4 is the axonometric chart of an example of the medicine box allocation device representing medicament dispensing system shown in pie graph 2.
Fig. 5 is the side view of the Inner Constitution representing the medicine box allocation device shown in Fig. 4.
Fig. 6 is the axonometric chart of the example representing pallet.
Fig. 7 is the key diagram of the formation representing accepting container storage shelf.
Fig. 8 is the flow chart involved by mastery routine of the action representing the dispensing system of medicament shown in Fig. 2.
Fig. 9 is the flow chart involved by subprogram of the action representing the dispensing system of medicament shown in Fig. 2.
Figure 10 is the flow chart involved by subprogram of the action representing the dispensing system of medicament shown in Fig. 2.
Figure 11 is the flow chart involved by subprogram of the action representing the dispensing system of medicament shown in Fig. 2.
Figure 12 is the flow chart involved by subprogram of the action representing the dispensing system of medicament shown in Fig. 2.
(a) in Figure 13 is the key diagram of the indication example represented on window terminal, and (b) is the key diagram of the indication example represented in display device.
Figure 14 is the axonometric chart representing the medicine box allocation device that variation relates to.
Figure 15 is the amplification stereogram of the vicinity, emergent allocation portion of the medicine box allocation device shown in Figure 14, wherein, a () represents the state that escape door is closed, (b) represents the state that escape door is opened, and (c) represents the state opening escape door configuration pallet.
The key diagram carrying out representing is amplified in the vicinity, emergent allocation portion of the allocation device of medicine box shown in Figure 14 by Figure 16.
Figure 17 is the axonometric chart of the schematic configuration representing tray supply apparatus and pallet distributor.
Figure 18 represents the axonometric chart allotting the pallet distributor adjacent bottom portions state before mouth allocation medicine box after supply tray from medicament.
Figure 19 is the axonometric chart of the pallet distributor adjacent bottom portions state represented when sending pallet from pallet distributor.
(a) in Figure 20 is the enlarged drawing near the jaw members of the elevator represented on pallet distributor, b () represents enlarged drawing when to be provided with the jaw members being formed as the shape that may occur obstacle because of the relation with medicine box on elevator, (c), (d) are the axonometric chart of state and the state of upspringing representing that the jaw members shown in (a) is given prominence to towards side, tray arrangement space respectively.
Figure 21 is the axonometric chart of the schematic configuration representing pallet storage appts.
Figure 22 is the key diagram of the schematic configuration representing the medicament collecting mechanism possessing main belt and lifting conveyer belt.
Figure 23 is the flow chart that the implementation method of prescription segmentation relates to.
Figure 24 represents the axonometric chart of an example of handling part of making up a prescription that do not finish.
Figure 25 be represent do not finish make up a prescription handling part make up a prescription process flow chart.
Figure 26 is the key diagram of the layout example represented when being provided with accepting container stop frame.
Figure 27 represents that accepting container stops the key diagram of an example of the formation of frame.
Figure 28 is the key diagram of the variation representing accepting container storage shelf.
Figure 29 tackles the flow chart of an example of the method for being detained prescription when being and representing and adopt accepting container to stop frame.
Figure 30 is the key diagram of the example representing instruction sheet.
Figure 31 represents that the flow chart of one example of processing method when changing occurs rear prescription of having settled accounts.
(symbol description)
10 medicament dispensing system 20 host control devices
22 control terminal 30 medicine box allocation devices
40 pallet 44 storage mediums
50 medicine framves 60 join window
70 accepting container storage shelf 74 information-communication devices
76 configuration section 78 notifying devices
80 conveyer device 90 window terminals
92 display device 128 medicament collecting mechanisms
200 emergent allocation portion 203 outlets
230 tray supply apparatus 250 pallet distributors
252 elevators 254 receive opening
256 outlet opening 260 flashboards
270 jaw members 300 pallet storage appts
310 notifying device 330 main belts
Flashboard carried by 332 lifting conveyer belts 334
Detailed description of the invention
Below, with reference to accompanying drawing, the medicament dispensing system 10 that an embodiment of the present invention relates to is described in detail.First, be described with reference to the flow process of Fig. 1 to the business of making up a prescription making with medicament dispensing system 10 carry out.
" flow process about the business of making up a prescription making with medicament dispensing system 10 carry out "
Medicament dispensing system 10 is the systems being arranged on medical institutions, the pharmacies etc. such as general hospital.Medicament dispensing system 10 carries out work according to the prescription data of patient through being made up of doctor's indagation after filing office 12 carries out accepting business.Prescription data is sent by the prescription data input terminal 14 that operates from doctor etc. host control device 20 side (host control device 20 itself or make host control device 20 and the intermediate equipment of medicine box allocation device 30 collaborative work described in detail afterwards or middle workbench) to the checkout terminal 16 operate by checkout business director and medicament dispensing system 10.When have input patient in checkout terminal 16 and having settled accounts this information complete, provide the exchange list 17 for exchanging medicament at the machine that accepts 18 place arranged in addition.
On the other hand, when exporting prescription data to host control device 20, export the command signal about allotting medicament to the medicine box allocation device 30 (medication dispensing device) arranged in addition.Medicine box allocation device 30 and medicine frame 50 described later, join window 60, accepting container storage shelf 70 etc. and be together configured in and implement to make up a prescription in the pharmacy area α of the process to medicament joins from medicament.Medicine box allocation device 30 allots the medicament taken care of in advance as making up a prescription with according to command signal.The medicament allotted out from medicine box allocation device 30 is allotted to the pallet 40 (accepting container) distributed according to prescription.
In addition, when there is short supply in the medicament that prescription is outputed in medicine box allocation device 30 or do not prepare medicine box allocation device 30 medium and need to prepare from the medicine frame 50 arranged in addition time, export the instruction kind of this medicament and the instruction sheet 42 of quantity from medicine box allocation device 30 etc. and this instruction sheet 42 be housed in pallet 40.When outputing instruction sheet 42, being taken out medicament from medicine frame 50 by the director that makes up a prescription such as pharmacists and being put into pallet 40.Like this prepared the medicament that prescription outputs after, pallet 40 is configured in accepting container storage shelf 70, wherein, is provided with each multiple handing-over window 60 places and is provided with accepting container storage shelf 70.When operating the window terminal 90 that each handing-over window 60 place is arranged under the state be prepared in accepting container storage shelf 70 at pallet 40, by showing patient's name etc. and call out patient in the display device 92 arranged for calling out patient.Then, at the window place carrying out calling out, complete exchange single 17 check operation after join medicament.
" configuration example about in pharmacy area α "
Then, with reference to Fig. 2, the configuration example be configured in pharmacy area α in medicament dispensing system 10 is described.In the medicament dispensing system 10 shown in Fig. 2, the left and right sides is configured with the medicine box allocation device 30 of totally two in the drawings, and, be configured with multiple medicine frame 50 (in illustrative example being 16) in the space between two medicine box allocation devices 30.In addition, between handing-over window 60 and the region being configured with medicine box allocation device 30 and medicine frame 50, accepting container storage shelf 70 is configured with in the mode corresponding with each handing-over window 60.
In fig. 2, be provided with in multiple (in illustrative example being 10) handing-over window 60 (being set as respectively joining window 60a ~ 60j), to mediate position handing-over window 60c ~ 60h to be in left-right direction set to for the window (do not finish prescription window) to the following medicament of patient handover, this medicament refers to: need to combine the allocation operation that utilizes medicine box allocation device 30 to carry out and get all the operation of medicine box ready from medicine frame 50 thus complete the medicament made up a prescription.In addition, be set to the window (finish prescription window) used in the following cases than handing-over window 60c ~ 60h handing-over window 60a, 60b, 60i, 60j be in closer to the position of each medicine box allocation device 30,30, this situation refers to: the situation that all medicaments just can outputed prescription by means of only the allocation utilizing medicine box allocation device 30,30 to carry out make up a prescription.At handing-over window 60a, 60b, 60i, 60j place as the prescription window that finishes, being provided with can at the conveyer device 80 carrying out carrying from the transport path of the direct delivery tray 40 of medicine box allocation device 30.
" System's composition about medicament dispensing system 10 "
Then, summarize with reference to the System's composition of Fig. 3 to medicament dispensing system 10.In medicament dispensing system 10, host control device 20 with accept machine 18, window terminal 90 and display device 92 and be connected in the mode can carrying out information communication.In addition, the control terminal 22 of medicine box allocation device 30 is connected in the mode that can carry out communicating with the frame office terminal 72 of integrated management accepting container storage shelf 70, and this communication network separates with the communication network of host control device 20 side.In addition, accepting container storage shelf 70 is provided with for detecting the sensor 73 (with reference to Figure 28) that whether there is pallet 40, and the information-communication device 74 described in detail after being provided with.The storage medium 44 be arranged on pallet 40 can communicate via information-communication device 74 with between frame office terminal 72.
" about medicine box allocation device 30 "
Then, the formation overview of medicine box allocation device 30 is described.Medicine box allocation device 30 prepares in advance to have the medicine box that contains medicament in a large number and suitably carried out selecting and the device allotted by prepared medicine box according to prescription.Specifically, medicine box allocation device 30 possesses collecting allocation device 120, filling device 130 and supplementary device 170, and medicine box allocation device 30 is configured to carry out work according to the control signal from control terminal 22.Medicine box allocation device 30 can by utilize filling device 130 by supplementary device 170 the medicine box that supplements be filled in collecting allocation device 120, be prepared in advance medicine box thus, and allot from collecting allocation device 120 medicine box prepared according to prescription.As shown in Figure 4 and Figure 5, medicine box allocation device 30 is configured with collecting allocation device 120, filling device 130, supplementary device 170 successively from face side towards rear side.Below, collecting allocation device 120, filling device 130 and supplementary device 170 are described further particularly.
" about collecting allocation device 120 "
Collecting allocation device 120 a large amount of medicine box can be accommodated with the state of being classified according to each kind and allot the device of suitable medicine box according to prescription.Collecting allocation device 120 is configured to: under the state of observing from front, above-below direction and left and right directions are provided with many medicament channel 122.Medicament channel 122 utilizes in the form of slot as so-called channel member (channelmember) and that this shape is opened wide at length direction both ends parts to form.
As shown in Figure 5, medicament channel 122 be configured to its length direction towards medicine box allocation device 30 depth direction, namely extend from face side towards rear side.In medicament channel 122, the open section being positioned at rear side plays a role as the entrance 122d for loading medicine box, and the open section being positioned at face side plays a role as the outlet 122e for allotting medicine box.Medicament channel 122 is arranged obliquely in the mode being descending towards outlet 122e side from entrance 122d side.In addition, the channel width of medicament channel 122 is formed as the size of following degree, that is: be equal to or slightly greater than the thickness of prepared medicine box.Therefore, in medicament channel 122, medicine box successfully can move in the mode of freely falling body from entrance 122d side towards outlet 122e side.
As shown in Figure 5, the outlet 122e side of medicament channel 122 is provided with discharge limiting mechanism 126.Discharge limiting mechanism 126 under normal conditions the medicine box prepared in medicament channel 122 to be blocked in outlet 122e side, and medicine box can be made when becoming the state allotting medicine box to upspring upward from the bottom side of medicament channel 122 thus be discharged.
As shown in Figure 5, in collecting allocation device 120, medicament collecting mechanism 128 is provided with in the position being in face side relative to above-mentioned medicament channel 122.Medicament collecting mechanism 128 is for concentrating the medicine box of discharging from medicament channel 122 and being dispensed into the outside of accommodating allocation device 120.Medicament collecting mechanism 128 is made up of conveyer belt (beltconveyor), and the medicine box allotted from medicament channel 122 can be made to concentrate on outlet discharge conveyor surface 128a and set from the side of collecting allocation device 120.
" about filling device 130 "
Filling device 130 is the devices for loading medicine box from each medicament channel 122 of entrance 122d side direction.As shown in Figure 5, filling device 130 is arranged on the position adjacent with entrance 122d side relative to many medicament channel 122 forming collecting allocation device 120.Filling device 130 has loading arm 132 and driving device 134.Filling device 130 works by making driving device 134, and loading arm 132 can be made to descend left and right directions to move freely upward in the entrance 122d side region of each medicament channel 122.In addition, filling device 130 is provided with not shown output mechanism, and, utilize this output mechanism the medicine box prepared in loading arm 132 can be exported in medicament channel 122 from entrance 122d box one box.Therefore, filling device 130 load the position of the medicament channel 122 of medicine box by making loading arm 132 move to, and makes output mechanism work, medicine box can be loaded in medicament channel 122 thus.
" about supplementary device 170 "
Supplementary device 170 is the devices for supplementing medicine box to above-mentioned filling device 130.As shown in Figure 4 and Figure 5, multiple stage supplementary device 170 is provided with in the 112a side, the back side of the framework 112 forming medicine box allocation device 30.Specifically, as shown in Figure 4, overleaf in the left side of 112a and the region on right side, each three supplementary devices 170 are disposed with respectively along the vertical direction.By preparing medicine box in supplementary device 170, medicine box is transferred in filling device 130 by the transfer device (not shown) that supplementary device 170 can be utilized to have.
" about pallet 40 "
In medicament dispensing system 10, use the accepting container that pallet 40 is concentrated as the medicine box for being allotted by above-mentioned medicine box allocation device 30.As shown in Figure 6, pallet 40 is formed as basket and is provided with storage medium 44 in bottom surface, and wherein, recording (storage) in storage medium 44 has the identifying information given each pallet 40.About storage medium 44, as long as the medium of identifying information can be recorded, just also can be the arbitrary medium of such as bar code etc., use RF-ID (RadioFrequency-Identification, RF identification) in the present embodiment.
" about medicine frame 50 "
Medicine frame 50 is the shelfs preparing medicine box in advance, during to occur in short supply in above-mentioned medicine box allocation device 30 or offhand when medicine box allocation device 30 is medium, is waited the medicine box taking out as required and should make up a prescription by pharmacists.About medicine frame 50, as long as the shelf of the medicine box that can be prepared in advance, it just can be any shelf.Medicine frame 50 can be configured in arbitrary site, but, from the viewpoint of carrying out business of making up a prescription smoothly, preferably as shown in layout in Fig. 2 etc., be configured in position near medicine box allocation device 30.
In addition, when making up a prescription to the medicament taken out from medicine frame 50, be when not finishing prescription, concentrate have the pallet 40 of this medicament be configured in as do not finish prescription with and in the accepting container storage shelf 70 at handing-over window 60c ~ 60h place that arranges.Therefore, medicine frame 50 is configured in the midway part from medicine box allocation device 30 to the transport path of the accepting container storage shelf 70 of handing-over window 60c ~ 60h.Therefore, in order to promptly carry out business of making up a prescription, preferably medicine frame 50 is configured in the position that transport path when not finishing prescription can be made to shorten.
" about accepting container storage shelf 70 "
As shown in Figure 2, accepting container storage shelf 70 (accepting container storage shelf 70a ~ 70j (with reference to Fig. 7)) is arranged correspondingly with handing-over window 60a ~ 60j.As shown in Figure 7, accepting container storage shelf 70 is provided with multiple configuration section 76 for having configured the pallet 40 made up a prescription.In addition, in each configuration section 76, as reading the reader (reader) of information and be provided with information-communication device 74 from the storage medium 44 being arranged at pallet 40 bottom surface.In addition, as mentioned above, information-communication device 74 is connected in the mode can carrying out information communication with frame office terminal 72.
In addition, in accepting container storage shelf 70, notifying device 78 is provided with to each configuration section 76.Notifying device 78 should at the pallet 40 of the medicament of window place handing-over for being incorporated with to window director notice.In the present embodiment, as notifying device 78, use the light-emitting devices such as light emitting diode (LED).
" handling process about in medicament dispensing system 10 "
Then, with reference to the flow chart shown in Fig. 8, the handling process in medicament dispensing system 10 is described in detail.In medicament dispensing system 10, first, when receiving by host control device 20 prescription data utilizing prescription data input terminal 14 to input by doctor etc. in step 1-1, in step 1-2, confirm whether the patient corresponding with this prescription data completes checkout.Specifically, host control device 20 is confirmed whether to have input from checkout terminal 16 to host control device 20 expression and has settled accounts the data of this situation.
When confirm as in step 1-2 settle accounts time, control flow enters step 1-3, confirm patient whether terminate in the business that accepts in pharmacy.Specifically, accept business at the end of, will represent that the signal of this situation exports host control device 20 to from accepting machine 18.Host control device 20 is confirmed whether to have input the signal representing that the business that accepts in step 1-3 has terminated.When confirm as in step 1-3 the business that accepts at the end of, control flow enters step 1-4.
When control flow enters step 1-4, host control device 20 is with reference to the prescription data received in step 1-1, and reference is about the data of the medicament inventories in each medicine box allocation device 30,30.Thus, the medicine box allocation device 30 that the identical rate (hitrate) of the medicament kind that kind in prioritizing selection medicine box allocation device 30,30, stock's medicament and prescription are outputed is the highest, and it can be used as the medicine box allocation device for allotting the medicament involved by this prescription.
When completing medicine box allocation device 30 selected as above, carry out in step 1-5 for the appointment (distribution) to the handing-over window 60 of patient handover medicament after having made up a prescription.Specifically, just can complete the situation (situation of the prescription that finishes) of making up a prescription only utilizing medicine box allocation device 30 under, the handing-over window 60 (join window 60a, 60b or join window 60i, 60j) that the selected medicine box allocation device 30 with being selected as making up a prescription with is adjacent in step 1-5.In addition, needing to combine under the allocation operation utilizing chosen medicine box allocation device 30 to carry out and the situation (situation of the non-prescription that finishes) preparing the operation of medicament from medicine frame 50, any one in selected handing-over window 60c ~ 60h is as handing-over window.
When the appointment (distribution) of the handing-over window 60 in step 1-5 is described in further detail, as shown in the subprogram (control flow) in Fig. 9.That is, first in step 2-1, prescription information is obtained.Then, in step 2-2, obtain the information (device number information) of each medicine box allocation device 30,30, and in step 2-3, confirm the operating condition of medicine box allocation device 30.At this, when being respectively provided by medicine box allocation device 30,30 as n machine (in n=natural number, present embodiment n=1,2), in step 2-3, confirm have several medicine box allocation devices 30 to operate.When n-th medicine box allocation device 30 is in operating condition, control flow enters step 2-4, and when all medicine box allocation devices 30 are all in halted state, control flow enters step 2-8 described later.
When control flow enters step 2-4, number minimum medicine box allocation device 30 for the device do not obtained in the medicine box allocation device 30 of installation code (mountingmaster), utilize host control device 20 to obtain standard information (masterinformation) (n machine installation code) about mounted medicine box.Then, in step 2-5, confirm whether prescription is the prescription that can be completed by n machine medicine box allocation device 30.For can by n machine medicine box allocation device 30 complete finish prescription time, upgrade in step 2-6 and represent to there is the information (having had information) of this situation of medicine box allocation device 30 of prescription of can completing.In addition, when prescription can not be completed by medicine box allocation device 30, in step 2-7, upgrade the information (without completing information) representing and exist and can not complete this situation of medicine box allocation device 30 of prescription.
When finishing step 2-6 or step 2-7 as above, control flow enters step 2-8.In step 2-8, confirm following situation, this situation refers to: the device having carried out the medicine box allocation device 30 after confirming action via a succession of control flow from step 2-3 to step 2-7 numbers the quantity whether " n " reaches medicine box allocation device 30 set in medicament dispensing system 10.That is, be confirmed whether to implement the operations such as the acquisition of the installation code involved by step 2-3 ~ step 2 ~ 7 to whole medicine box allocation device 30.At this, when device numbering n does not reach maximum, when there is the medicine box allocation device 30 of the operations such as the acquisition of not implementing installation code, need to implement the confirmation operation of next device numbering involved by (n+1), therefore in step 2-9, carry out operation device numbering being added " 1 ", then return step 2-3.
When completing the operations such as the acquisition of installation code as above to all medicine box allocation devices 30, control flow enters step 2-10, confirms whether this prescription is the prescription that can complete.When prescription is the prescription that can complete, when namely have updated " having had information " in step 2-6, control flow enters step 2-11.On the other hand, when for " do not finish prescription ", that is, when using the medicine box allocation device 30 involved by any machine also cannot complete prescription, control flow enters step 2-13.
When control flow enters step 2-11, implement the operation of the window information obtaining each number machine, in step 2-12, confirm finish handing-over window 60a, 60b of prescription or the untreated number of packages at handing-over window 60i, 60j place.Specifically, when for " finish prescription ", using be provided with in multiple handing-over windows 60, be positioned at handing-over window 60a, 60b of medicine box allocation device 30,30 adjacent position or join window 60i, 60j as the selection candidate joining window 60.In addition, when by Fig. 2 left side medicine box allocation device 30 be set to No. 1 machine, the medicine box allocation device 30 on right side be set to No. 2 machines, when have selected No. 1 machine, any one window in distribution handing-over window 60a, 60b is as handing-over window, when have selected No. 2 machines, any one window in distribution handing-over window 60i, 60j is as handing-over window.When supposing the medicine box allocation device 30 that have selected No. 1 machine, in step 2-11, confirm the disposition at handing-over window 60a, 60b place, and in step 2-12, confirm untreated number of packages.Then, in step 2-15, select handing-over window that the untreated number of packages in handing-over window 60a, 60b is few as the handing-over window 60 of this prescription.When have selected the medicine box allocation device 30 of No. 2 machines, confirm the disposition at handing-over window 60i, 60j place and untreated number of packages similarly, and the handing-over window selecting untreated number of packages few is as the handing-over window 60 of this prescription.Thus, a series of control flow terminates.
On the other hand, when situation, i.e. control flow for " do not finish prescription " enter step 2-13 from step 2-10, also identical process is carried out.That is, in step 2-13, confirm the disposition joining window 60c ~ 60h place in the same manner as step 2-11, wherein, above-mentioned handing-over window 60c ~ 60h is assigned with to combine as needing the handing-over window getting all the prescription that do not finish of medicine box operation ready.Then, in step 2-14, the untreated number of packages at handing-over window 60c ~ 60h place of the prescription that confirms not finish in the same manner as step 2-12.Then, in step 2-15, the window selecting the untreated number of packages in handing-over window 60c ~ 60h minimum is as the handing-over window 60 of this prescription.
When completing appointment (distribution) of handing-over window 60 as described above, control flow enters the step 1-6 the mastery routine involved by Fig. 8 from the subprogram involved by Fig. 9.In step 1-6, provide exchange single 17 to patient accepting machine 18 place.Exchange single 17 records the number etc. of the handing-over window 60 distributed in step 1-5.
Then, in step 1-7, according to the prescription data exporting control terminal 22 from host control device 20 to, in step 1-5 carry out the allocation of medicine box in the medicine box allocation device 30 selected, and medicine box to be concentrated in pallet 40.In addition, in step 1-8, record identifying information in storage medium 44 (RF-ID) set on pallet 40, to be associated (relevant) by prescription to pallet 40.When the medicine box in medicine box allocation device 30 allot process complete time, in step 1-9, stamp is loaded with relevant to the paper (allotting singly) of medicine box information allotted and the paper recording the medicament being in backorder status, and puts into pallet 40.
Then, in step 1-10, confirm whether this prescription is " finish prescription ", that is, confirm can get all the by means of only the allocation operation utilizing medicine box allocation device 30 to carry out all medicine boxs that prescription outputs ready.At this, when being judged as " finish prescription ", control flow enters step 1-11, any one the handing-over window delivery tray 40 in handing-over window 60a, 60b, 60i, 60j of utilizing conveyer device 80 to arrange to using as the prescription that finishes.Then, in step 1-12, the display device 92 that in handing-over window 60a, 60b, 60i, 60j, to be transferred pallet 40 handing-over window place is arranged shows the information of having made up a prescription.
On the other hand, when confirm as in step 1-10 " do not finish prescription ", namely need to combine the allocation operation that utilizes medicine box allocation device 30 to carry out and get all the operation of medicine box ready from medicine frame 50 time, in step 1-15, pallet 40 is categorized as the prescription pallet that do not finish, and be formed as can to medicine frame 50 carry state.Then, in step 1-16, make up a prescription by getting all the medicine box ready from medicine frame 50.When the pallet 40 having got all the medicine box in step 1-16 ready is configured in as do not finish prescription with and any window in handing-over window 60c ~ 60h of preparing corresponding to accepting container storage shelf 70 on time, in step 1-17, storage medium 44 set on pallet 40 is carried out communicate (tray arrangement information communication) with between the information-communication device 74 set by accepting container storage shelf 70 side.According to this communication, pallet 40 can be grasped in host control device 20 side and configure this situation.
At this, the subprogram of host control device 20 according to Figure 10 implements management to the pallet 40 in accepting container storage shelf 70.Specifically, in step 3-1, by the communication between the storage medium 44 of pallet 40 side and the information-communication device 74 of accepting container storage shelf 70 side, be confirmed whether to obtain the identifying information that pallet 40 is endowed.When obtaining identifying information, pallet 40 is when being again configured in accepting container storage shelf 70, control flow enters step 3-2, the form (accepting container storage shelf management table) arranged is upgraded to carry out accepting container storage shelf 70 managing with.Then, in step 3-3, grasp the prescription (making up a prescription) corresponding with the pallet 40 be configured in accepting container storage shelf 70 by host control device 20 and completed this situation, thus terminate a series of control flow.
When as described above by host control device 20 grasped made up a prescription this situation time, control flow enters step 1-12.In step 1-12, output signal from host control device 20 pairs of display devices 92, in display device 92, the prescription (making up a prescription) of the pallet 40 that display is configured in accepting container storage shelf 70 has completed this information.
Specifically, in step 1-12, show in display device 92 according to the subprogram shown in Figure 11.That is, first, with reference to above-mentioned accepting container storage shelf management table in step 4-1, determine to be configured with the position of the pallet 40 in the accepting container storage shelf 70 of the pallet 40 made up a prescription and this accepting container storage shelf 70.Then, in step 4-2, indicate notifying device 78 (light emitting diode) bright light, wherein, this notifying device 78 is arranged in the configuration section 76 of the pallet 40 be configured with involved by this prescription.Then, in step 4-3, upgrade accepting container storage shelf management table, thus terminate a series of control flow.
When showing the information that prescription (making up a prescription) completes when making display device 92 in step 1-12 according to the subprogram involved by above-mentioned Figure 11, control flow returns mastery routine and in the state that can offer medicine.Then, when confirming dispensing and complete this situation in step 1-13, control flow enters step 1-14, eliminates from display device 92 display that relevant prescription completes this situation.Specifically, when the window terminal 90 set by passing through in step 1-13 on handing-over window 60 have input the information of having offerd medicine, host control device 20 grasps this situation.Then, in step 1-14, eliminate from display device 92 display that prescription completes this situation according to the instruction from host control device 20.
In addition, when patient being offerd medicine in above-mentioned steps 1-13, carry out the process as shown in the subprogram of Figure 12.Namely, first, in step 5-1, when selecting to carry out the patient offerd medicine from the patient's guide look (with reference to (a) in Figure 13) shown by window terminal 90, as (b) in Figure 13 be shown in display device 92 and show by the patient's name (patient's comformed information) selected, and call out this patient.In addition, in display device 92, establishing with the pallet 40 that accepting container storage shelf 70 prepares the patient's name associated in the lower position display of patient's name of handing-over window 60 place calling.Although thereby, it is possible to there is no called but its medicament patient prepared in the pallet 40 configured in accepting container storage shelf 70 sends the advance notice at once joined.
When have selected the patient carrying out medicament handing-over in above-mentioned steps 5-1, in step 5-2, make to be configured with notifying device 78 (light emitting diode) bright light set in the configuration section 76 of the pallet 40 corresponding with this patient.Thus, informing should to the pallet 40 of patient handover.Then, when by when carrying out at window having carried out dispensing to patient after whether the verifications such as the pharmacists processed are the medicaments prepared according to prescription, in step 5-3, utilize window terminal 90 to input carry out this information of offeing medicine.Thus, grasp dispensing by host control device 20 and complete this situation.
About the information that the identifying information stored in the storage medium 44 of pallet 40 is associated with prescription that uses during dispensing, can grasp to offer medicine when having completed this situation and played elimination by free host control device 20.Therefore, have input when carrying out offeing medicine this information when utilizing window terminal 90, the identifying information of pallet 40 is removed to associate (relevant) of setting up between prescription.Thereby, it is possible in the pallet 40 used in prescription pharmaceuticals being before used in making up a prescription involved by next prescription.
" variation about being provided with emergent allocation portion 200 "
Below, as the variation of the medicine box allocation device 30 adopted in medicament dispensing system 10, the example being provided with emergent allocation portion 200 is described.Medicine box allocation device 30 is the devices utilizing the conveyer belt forming medicament collecting mechanism 128 medicine box allotted according to prescription to be delivered to downstream, and when the situation such as not good appears discharging in the downstream of medicine box allocation device 30, existence cannot supply the probability of medicine box.Therefore, in order to eliminate this probability, following formation can be formed as, that is: emergent allocation portion 200 is set and the emergent allocation pattern different from pattern of normally allotting can be switched to allot medicine box, wherein, the medicine box concentrated on medicament collecting mechanism 128 can be expelled to the opposition side of accepting container storage shelf 70 side by above-mentioned emergent allocation portion 200 as required, and is not accepting container storage shelf 70 side.
Specifically, as shown in Figure 14 ~ Figure 16, emergent allocation portion 200 is set at the rear side of medicine box allocation device 30.Emergent allocation portion 200 is provided with escape door 202, and wherein, the outlet 203 in emergent allocation portion 200 can open or close by escape door 202.By opening escape door 202, form tray arrangement portion 204, pallet 40 is configured in this tray arrangement portion 204.Tray arrangement portion 204 is configured to pallet 40 and can arranges with the state tilted towards outlet 203 side (medicament collecting mechanism 128 side), ejects from pallet 40 to avoid the medicine box of being discharged by emergent allocation portion 200.
Escape door 202 is provided with for detecting the pallet detecting sensor 206 tray arrangement portion 204 being configured with this situation of pallet 40.In addition, in the side of outlet 203, other position is provided with medicine and takes out switch 207 and notification light 208.Notification light 208 except have carry out various notice function except, also there is the function as switch.In addition, by opening escape door 202, expose the power supply 212 for connecting the journal printer (journalprinter) 210 prepared in addition and COM1 214.
Action under emergent allocation pattern is implemented as follows.Namely, by the escape door 202 of the emergent allocation being arranged on medicament collecting mechanism 128 (conveyer belt) upstream side being opened and in a manual manner pallet 40 being configured in tray arrangement portion 204, thus the medicine box being allotted to medicament collecting mechanism 128 from collecting allocation device 120 is dispensed in pallet 40.In addition, by being connected with the power supply 212 be arranged in emergent allocation portion 200 and COM1 214 by journal printer 210, the log representing and allot result can be printed.
At this, when the medicine box quantity allotted as a prescription is many, dividing processing is carried out to prescription, medicine box to be separately dispensed into (pallet segmentation prescription) in multiple pallet 40.When the prescription that there is so segmentation and when there is the medicine box and then should allotted to other pallet 40, in order to notify that this situation makes notification light 208 bright light.Notification light 208 is in the moment bright light allotting segmentation prescription, and turns off the light when last prescription splitting prescription has been allotted.
In addition, under the state that medicine box allocation device 30 side has received prescription data, when pallet 40 is not configured in tray arrangement portion 204 yet, notification light 208 glimmers, to urge configuration pallet 40.And then, when the medicine box that prescription is outputed is dispensed in pallet 40, make notification light 208 bright light.In addition, when taking off pallet 40 after the allocation of the medicine box that prescription is outputed completes or when pressing notification light 208 (switch), notification light 208 is turned off the light.When receiving next prescription data during notification light 208 bright light, notification light 208 glimmers, to urge the operation carrying out changing pallet 40 or pressing notification light 208 (switch).When having carried out these operations, will automatically allot the medicine box of next prescription.
" variation about being provided with tray supply apparatus 230 and pallet distributor 250 "
Below, as the variation of medicine box allocation device 30, the example being provided with tray supply apparatus 230 and pallet distributor 250 (accepting container distributor) is described.In medicine box allocation device 30, can utilize medicament collecting mechanism 128 (conveyer belt) that medicine box is allotted mouth 180 from the medicament being arranged on downstream to allot, wherein, medicament collecting mechanism 128 gathers to be concentrated by the medicine box allotted from collecting allocation device 120 and carry out carrying and arrange.
At this, as shown in Figure 17,18, pallet distributor 250 is configured in allots the adjacent position of mouth 180 with medicament, and tray supply apparatus 230 is configured in the position adjacent with pallet distributor 250.Therefore, it is possible to from tray supply apparatus 230 to pallet distributor 250 supply tray 40, and in the pallet 40 be supplied to, put into the medicine box allotting mouth 180 allocation from medicament.
In addition, pallet distributor 250 has the function of above-mentioned the finish pallet 40 involved by prescription and the pallet 40 do not finished involved by prescription being distributed.Specifically, pallet distributor 250 is provided with and can will be configured in the elevator (lifter) 252 of pallet 40 lifting allotting mouth 180 adjacent position with medicament.Pallet distributor 250 can by pallet 40 lifting that do not finish involved by prescription and temporary safe-keeping.Pallet distributor 250 can utilize elevator 252 to maintain multiple pallet 40 in the vertical direction, and, can suitably take pallet 40 by pharmacists etc. away to prepare insufficient section medicine box on medicine frame 50.In addition, in the example shown in Figure 17, the mode corresponding with each pallet 40 utilizing elevator 252 to be kept is provided with display part 272, and the information such as patient's name or patient ID can be shown on this display part 272.Thereby, it is possible to make pharmacists etc. can not get when taking pallet 40 away wrong self the pallet 40 involved by prescription be responsible for.In addition, the pallet 40 finished involved by prescription can be expelled to handing-over window 60 side by pallet distributor 250.
As shown in Figure 17 ~ Figure 19, pallet distributor 250 receives opening 254 and outlet opening 256 in being provided with oppositely, wherein, receive opening 254 for receiving the pallet 40 from tray supply apparatus 230 side, outlet opening 256 is for discharging the pallet 40 finished involved by prescription.And between the side being provided with reception opening 254 and the side being provided with outlet opening 256, be provided with the pallet standby unit 258 for configuring pallet 40, wherein, the medicine box of mouth 180 allocation allotted by this pallet 40 from medicament for receiving.Pallet standby unit 258 is provided with the information communication terminal 259 that can carry out information communication with the storage medium 44 be arranged on pallet 40.Therefore, by the communication between information communication terminal 259 and storage medium 44, the identifying information that the pallet 40 that reaches pallet standby unit 258 is endowed can be grasped in host control device 20 side, thus prescription can be associated with identifying information.
At this, as shown in figure 19, opening 254 and the outlet opening 256 extremely enough positions higher than pallet 40 height of opening is respectively received.Therefore, when allotting mouth 180 from medicament and putting into medicine box to the pallet 40 waited in pallet standby unit 258, if reception opening 254 and outlet opening 256 stay open state, then there is the probability that medicine box can eject from pallet 40 via above-mentioned opening 254,256.Therefore, in this variation, be provided with flashboard 260,262 as shown in figure 17, when allotting mouth 180 from medicament and putting into medicine box to pallet 40, flashboard 260,262 will receive opening 254 and outlet opening 256 shutoff, and after having put into medicine box, flashboard 260,262 makes reception opening 254 and outlet opening 256 in opened condition.Thereby, it is possible to suppress medicine box to eject from reception opening 254 and outlet opening 256 when the supply of the pallet 40 do not hindered in pallet standby unit 258 and discharge.
" about elevator 252 "
At this, the above-mentioned elevator 252 be arranged on pallet distributor 250 is described in further detail.As shown in figure 17, elevator 252 is provided with the jaw members 270,270 of a pair setting of the left and right side along pallet distributor 250, thereby, it is possible to by utilize jaw members 270,270 from below support tray 40 edge 40a (with reference to Figure 20) and pallet 40 is supported generally horizontal.In addition, elevator 252 is provided with the travel mechanism (not shown) making jaw members 270,270 movement upward.Therefore, by making a pair jaw members 270,270 supported by pallet 40 from both sides move upward, pallet 40 can be made to move upward under the state that maintenance is generally horizontal.
At this, as shown in (a) in Figure 20, jaw members 270 is supported for can rotate centered by bolster 270a.Jaw members 270 is applied active force by (not shown) such as springs, and to make jaw members 270, its leading section 270b is outstanding towards space (the tray arrangement space 250a) side being configured with pallet 40 from the side of pallet distributor 250 under normal conditions.In the normal state, namely generally horizontal the and leading section 270b of jaw members 270 is towards under the outstanding state in 250a side, tray arrangement space for jaw members 270, in its terminal part 270c and the state that abuts against of the medial surface of pallet distributor 250.
When in pallet distributor 250 by be configured in pallet standby unit 258 pallet 40 lifting time, under the state that the generally horizontal and leading section 270b of jaw members 270 is outstanding towards 250a side, tray arrangement space, jaw members 270 is declined.Thus, jaw members 270 is formed first from the state that top abuts with the edge 40a of pallet 40.Then, when making jaw members 270 decline further, jaw members 270 is rotated centered by bolster 270a, and is formed as Suo Shi (a) in Figure 20 by the state of the edge 40a pushing and withstanding of pallet 40.When making jaw members 270 cross the edge 40a of pallet 40 and drop to lower side position further when keeping this state, by acting on the active force in jaw members 270, jaw members 270 is made to become original approximate horizontal attitude.Thus, become and utilize jaw members 270 from below by state that the edge 40a of pallet 40 is supported.
At this, as shown in (b) in Figure 20, when supposing the shape being formed as being given prominence to towards 250a side, tray arrangement space by the state lower end portions 270c of pushing and withstanding in jaw members 270, the medicine box (being equivalent to the rectangle of painted black in figure) likely can accommodated in pallet 40 goes wrong when 40a side, edge is given prominence to.Specifically, make in order to lifting pallet 40 stage that jaw members 270 declines from top, when first jaw members 270 abuts with the medicine box outstanding towards 40a side, edge instead of abut with edge 40a, in jaw members, 270 by the state of medicine box pushing and withstanding.Now, if terminal part 270c gives prominence to towards 250a side, tray arrangement space, then terminal part 270c can disturb with the edge 40a of pallet 40, thus has that become cannot this probability of state of normal lifting pallet 40.Therefore, in order to eliminate this probability, jaw members 270 is preferably formed to: even if be that terminal part 270c also can not give prominence to this shape towards 250a side, tray arrangement space by under the state of pushing and withstanding as shown in (d) in Figure 20.Thus, even if the edge 40a that medicine box compares pallet 40 gives prominence to more toward the outer side, jaw members 270 also can not be disturbed with the edge 40a of pallet 40, thus can reliably lifting pallet 40.
" the handing-over window 60 about the prescription that finishes "
Above-mentioned medicament dispensing system 10 also can be configured to: at handing-over window 60 place of the prescription that finishes, and is provided with and can piles up utilizing conveyer device 80 successively and the pallet storage appts 300 (accepting container storage appts) taken care of (with reference to Figure 21) from the pallet 40 that medicine box allocation device 30 side transports.Specifically, pallet storage appts 300 is provided with pallet arrival portion 304, this pallet arrival portion 304 is arranged to via the receiving port 302 being located at pallet storage appts 300 side and is connected with the terminal part of conveyer device 80.
Pallet storage appts 300 is provided with elevator 306, thus can arrives the pallet 40 lifting also keeping upward successively in pallet arrival portion 304, wherein, elevator 306 has the formation identical with the elevator 252 of above-mentioned pallet distributor 250.In addition, in pallet arrival portion 304, be provided with and can carry out the information communication terminal 308 of information communication with the storage medium 44 installed on pallet 40.Therefore, by the communication between storage medium 44 and information communication terminal 308, the pallet which prescription the pallet 40 arriving pallet arrival portion 304 is can be grasped exactly.
Pallet storage appts 300 be configured in as finish prescription with and between adjacent two handing-over windows 60,60 of arranging (in the example in figure 2 between handing-over window 60a, 60b and join between window 60i, 60j), therefore, it is possible to jointly use this pallet storage appts 300 at two handing-over window 60,60 places.That is, pallet storage appts 300 opens wide towards two handing-over window 60,60 sides, can take out with the pallet 40 of stacking states keeping from wherein arbitrary handing-over window 60,60 side.
At this, in the pallet storage appts 300 shown in Figure 21, at the storage position place of each pallet 40 piled up along the vertical direction, be provided with the notifying device 310 of the correlation circumstance for notifying the pallet 40 of keeping in this position.In the example shown in Figure 21, as notifying device 310, employ the light-emitting devices such as such as light emitting diode (LED), the correlation circumstance can distinguishing pallet 40 according to luminance is gone forward side by side to work and is known.Specifically, by making notifying device 310 in green flicker, and carry out instruction and take out pallet 40 this notice, by making notifying device 310 in green bright light, notify that this prescription involved by pallet 40 is segmentation prescription and waits for this situation of state of other pallets 40 of segmentation prescription.
In addition, in pallet storage appts 300, by making notifying device 310 take on a red color bright light, this pallet 40 should take out this situation notice for not quite clear pallet of prescription etc. can be carried out.Specifically, even the pallet 40 of keeping in pallet storage appts 300, once return again after extracting out from pallet storage appts 300, also there is the probability being placed into the medicine box different from prescription etc.In this case, when also not sending any warning under the state putting into mistake, the medicine box etc. put into after likely producing is joined this situation by mistake.Therefore, in pallet storage appts 300, when again returning in pallet storage appts 300 have passed through some process after being estimated as pallet 40 and temporarily extracting out from pallet storage appts 300 after, notifying device 310 is taken on a red color bright light and giving a warning.In the present embodiment, after temporarily extracting out from pallet storage appts 300 using pallet 40 to the time again returned pallet storage appts 300 for this situation more than stipulated time (such as 3 seconds) is as condition, regard as after pallet 40 may carry out some process after extracting out from pallet storage appts 300 and once more return, and notifying device 310 is taken on a red color bright light.At this, the condition that why will have passed through this situation of stipulated time more than after pallet 40 is extracted out and give notice as notifying device 310, be the notice in order to avoid also sending for following situation about pallet 40 is drawn out of, this situation refers to: discover to get wrong pallet 40 after immediately pallet 40 to be returned safely in pallet storage appts 300 this situation clearly.
Notifying device 310 is arranged at each storage position place on two sides (two handing-over window 60,60 sides), thus the information that can notify about pallet 40 accordingly to each handing-over window 60,60.Specifically, be contain when joining the pallet 40 of the medicine box that window 60a top-cross connect, to make the notifying device 310 of handing-over window 60a side in green flicker at pallet, and for the notifying device 310 of another adjacent handing-over window 60b side, then make its not bright light.Thereby, it is possible to whether intuitively and reliably grasp a certain pallet of keeping in pallet storage appts 300 40 is that contain should at the pallet of the medicine box of a certain handing-over window 60,60 place handing-over.Therefore, it is possible to utilize corresponding two windows of a pallet storage appts 300.
" piling up function about medicine box "
In above-mentioned medicament dispensing system 10, in order to shorten made up a prescription till required time, preferably from how can concentrate as soon as possible medicine box allocation device 30 be allotted to medicament collecting mechanism 128 from collecting allocation device 120 this viewpoint of medicine box in take certain methods.According to this viewpoint, also the formation of the above-mentioned medicament collecting mechanism 128 of medicine box allocation device 30 and action can be formed as follows.Below, this is described in detail.
In the example shown in Figure 22, be configured to medicament collecting mechanism 128 to be provided with main belt 330 and and that arrange lifting conveyer belt 332 adjacent with main belt 330.In addition, between main belt 330 and lifting conveyer belt 332, conveying flashboard 334 is provided with.By making conveying flashboard 334 in opened condition, medicine box can be made to move from main belt 330 side towards lifting conveyer belt 332 side.
Main belt 330 places from the collecting medicine box allotted out of allocation device 120 and carries out the conveyer belt that drives along general horizontal direction.Lifting conveyer belt 332 is that be arranged on downstream with conveyer belt that is main belt 330 adjacent position, and is configured to rise under the state being placed with medicine box or to decline.Therefore, by make the lifting conveyer belt 332 receiving medicine box rise rear drive lifting conveyer belt 332 conveyor surface, thus mouth 180 can be allotted from medicament and allot medicine box, wherein, medicament allot mouth 180 as allot from medicine box allocation device 30 towards pallet 40 medicine box allocation mouth and be arranged on compare main belt 330 setting position more top position.That is, utilized by the medicine box allotted from collecting allocation device 120 main belt 330 to focus on after on lifting conveyer belt 332, pallet 40 can be dispensed to from lifting conveyer belt 332 quickly.
At this, when allotting medicine box from collecting allocation device 120 to main belt 330, conveyer belt 332 is elevated when being in lifting position when being elevated conveyer belt 332 and not being in the position adjacent with main belt 330, namely, if when not adding any consideration and drive main belt 330 to operate, can cause medicine box handing-over this situation bad to lifting conveyer belt 332 occurs.On the other hand, if made main belt 330 quit work completely before lifting conveyer belt 332 arrives down position, then the loss of time of respective degrees can be caused.
Therefore, when lifting conveyer belt 332 is in lifting position when allotting medicine box from collecting allocation device 120 to main belt 330, the action (medicine box accumulation action) in advance medicine box being delivered to conveying flashboard 334 vicinity is implemented.Then, in lifting conveyer belt 332 ready moment, be namely elevated the moment that conveyer belt 332 arrives down position, main belt 330 temporarily stopped and after opening and carrying flashboard 334, starts to carry out normal medicine box conveying.
When implementing medicine box and piling up action, by making the conveyor surface of main belt 330 carry out action with speed when being slower than normal conveying medicine box, thus reduce the load acted on conveying flashboard 334.Specifically, transporting velocity is reduced to such as about 1/2 ~ 1/3 of speed when normally carrying.In addition, about the conveying action of the main belt 330 implemented in order to medicine box piles up action, be come into effect in the moment allotting medicine box from collecting allocation device 120.Thus, even if when the passage being in hypomere side from the medicament channel 122 forming collecting allocation device 120 allots multiple medicine boxs etc., this phenomenon on the position, place that medicine box also can be avoided to be deposited on main belt 330.
In addition, after implementing medicine box accumulation action, by making main belt 330 carry out action with normal transporting velocity, medicine box is joined from main belt 330 to lifting conveyer belt 332.The driving time of main belt 330 now, can shorten according to the time making main belt 330 work to implement medicine box to pile up action (piling up required time ts).Namely, by under the normal condition piling up action without medicine box in order to lifting conveyer belt 332 is joined medicine box and the working time of required main belt 330 be set as normal required time T1 time, implement after medicine box piles up action and shorten in order to the working time (during accumulation required time T2) joining medicine box and required main belt 330 to lifting conveyer belt 332 compares normal required time T1.By regulating this shortening amount according to accumulation required time ts, reliably can join medicine box from main belt 330 to lifting conveyer belt 332, and the time needed for series of actions can be suppressed subthreshold.
" the medicine box random arrangement function about on lifting conveyer belt "
As mentioned above, medicament dispensing system 10 can be configured to make medicament collecting mechanism 128 to have main belt 330 and and that arrange lifting conveyer belt 332 adjacent with main belt 330.At this, when transferring to the medicine box on lifting conveyer belt 332 along throughput direction arranged in series, the medicine box quantity that can be placed on lifting conveyer belt 332 is extremely limited.Therefore, the medicine box be preferably placed on lifting conveyer belt 332 is random arrangement.
In order to tackle this requirement, after having carried out medicine box being transferred to the action lifting conveyer belt 332 from main belt 330, stop by making main belt 330 and the conveyor surface of lifting conveyer belt 332 is moved back and forth towards upstream side (main belt 330 side) and downstream, medicine box can be made thus to be arranged in randomly on lifting conveyer belt 332.In addition, by the boundary between main belt 330 and lifting conveyer belt 332, staggered floor or slope are set, or, boundary between main belt 330 with lifting conveyer belt 332 or be hung with the curtain etc. contacted with medicine box in the throughput direction pars intermedia position being elevated conveyer belt 332, thus can further random alignment medicine box.
" about prescription segmentation "
In medicament dispensing system 10, can implement the medicine box of a prescription to be divided in multiple pallet 40 according to the capacity of pallet 40 and carry out the segmentation prescription (hereinafter also referred to as " pallet segmentation prescription ") allotted.In addition, when being provided with main belt 330 and lifting conveyer belt 332 as described above as medicament collecting mechanism 128, following segmentation prescription can be implemented, this segmentation prescription refers to: with the conveyor surface area being elevated conveyer belt 332 for standard meter calculates can be placed thereon medicine box quantity, make lifting conveyer belt 332 be divided into as required and repeatedly work and carry out allotting this segmentation prescription (hereinafter also referred to as " conveyer belt segmentation prescription ").
At this, when stating conveyer belt segmentation prescription on the implementation, even if existing concentrates in single pallet 40 by medicine box, also in the situation of the state of the post processing that can carry out without any problems, if but ignore this situation and be all separately dispensed into different pallets 40 when utilizing lifting conveyer belt 332 to allot each time, then the probability that the quantity that there is pallet 40 increases.Relative to this, when the total volume carrying out the medicine box of prescription segmentation in conveyer belt segmentation prescription mode be greater than with pallet 40 capacity for standard and the setting that sets (such as, 1/4 of pallet capacity) time, likely produce following problems, that is: medicine box overflows and waits and the problem to drop from pallet 40 in unexpected place at process Chinese medicine box afterwards etc. from pallet 40.
In order to tackle the problems referred to above, when implementing conveyer belt segmentation prescription, preferably change pallet 40 using any one situation met in following two kinds of situations as condition, these two kinds of situations refer to: utilize lifting conveyer belt 332 number of times that carries out allotting to reach stipulated number (such as twice) this situation and the total volume that is put into the medicine box in single pallet 40 has exceeded regulation ratio (such as 1/4) this situation relative to the capacity of pallet 40.
Specifically, when implementing conveyer belt segmentation prescription, often implement just to change this situation of pallet 40 for twice as principle using the allocation utilizing lifting conveyer belt 332 to carry out, and, even if do not reach twice (namely in the allocation utilizing lifting conveyer belt 332 to carry out, once) but put into medicine box in pallet 40 and amount to volume when having exceeded 1/4 of pallet 40 capacity, also pallet 40 is changed.Thus, when implementing conveyer belt segmentation prescription, although can suppress to there is remaining space in pallet 40 also ignore this situation and change pallet 40 redundantly, thus carry out the operation of being concentrated the medicine box that is put in each pallet 40, and medicine box unfavorable condition such as spilling from pallet 40 can be prevented.
Below, with reference to the flow chart shown in Figure 23, above-mentioned a series of action is described in detail.In addition, in the flow chart shown in the following description and Figure 23, " Nb " refers to the segmentation number (conveyer belt segmentation number) when implementing conveyer belt segmentation prescription, and " Ns " refers to the segmentation number (pallet segmentation number) when implementing pallet segmentation prescription.In addition, " At " refers to the summation (gross area) of the contact area of all medicine boxs be placed on lifting conveyer belt 332, and " Vt " refers to the volume (cumulative volume) of all medicine boxs be placed on lifting conveyer belt 332.In addition, " box area (i) " represents the area of No. i-th medicine box, and " box body amasss (i) " represents the volume of No. i-th medicine box.In addition, the higher limit of the medicine box area that lifting conveyer belt 332 can be placed is defined as 1/2 of the area of the conveyor surface forming lifting conveyer belt 332, and, the higher limit of the medicine box volume can put in pallet 40 is defined as 1/4 of pallet 40 capacity.In addition, " box Nb (i) " represents the conveyer belt segmentation number of the lifting conveyer belt 332 involved by No. i-th medicine box, and " box Ns (i) " represents the pallet segmentation number involved by No. i-th medicine box.
As follows when under these conditions the flow chart of Figure 23 being described.First, in step 5-1, initial setting is carried out.That is, the number i of medicine box, conveyer belt segmentation number Nb and pallet segmentation number Ns are all set as 1 respectively, and, gross area At and cumulative volume Vt is set as 0.Then, in step 5-2, carry out gross area At to be updated to and suppose area (At+ box area (i)) this calculation process after adding No. i-th medicine box area.Then, in step 5-3, whether the aggregate value of the gross area At confirming to derive in step 5-2, area when being placed on lifting conveyer belt 332 by No. i-th medicine box reaches the area upper limit of setting in advance.At this, do not reach on area and prescribe a time limit, the step 5-4 described in detail after control flow enters at gross area At, prescribe a time limit when gross area At reaches on area, control flow enters step 5-9.
When control flow enters step 5-9, carry out the process segmentation number of lifting conveyer belt 332 being added " 1 ".That is, in step 5-9, utilization lifting conveyer belt 332 is split the number of times increase of conveying once.In addition, process gross area At being set as 0 is carried out.That is, in order to leading-out needle is to the placement condition of the lifting conveyer belt 332 involved by the segmentation number newly increased, and (reset, clearing) gross area At is reseted.Then, in step 5-10, confirm whether conveyer belt segmentation number Nb is greater than " 2 ".At this, when conveyer belt segmentation number Nb is greater than " 2 ", the step 5-11 described in detail after control flow enters, when conveyer belt segmentation number for " 2 " below time enter step 5-4.
When control flow enters step 5-4 from above-mentioned steps 5-3 or step 5-10, carry out volume (Vt+ box body amasss (i)) this calculation process after cumulative volume Vt being updated to the volume adding No. i-th medicine box.That is, carry out deriving this calculation process of cumulative volume when No. i-th medicine box is placed on lifting conveyer belt 332 by hypothesis.Then, in step 5-5, confirm whether the cumulative volume Vt after adding No. i-th medicine box exceedes volume upper limit.At this, when cumulative volume Vt is below volume upper limit, the step 5-6 described in detail after control flow enters, when cumulative volume Vt exceedes volume upper limit, control flow enters step 5-11.
When being judged as having exceeded volume upper limit because adding No. i-th medicine box in step 5-5, need to carry out the process (the pallet segmentation prescription) pallet 40 being used for the medicine box put into involved by this prescription being increased by.So, in this case, control flow enters step 5-11, increasing except the calculation process (Ns=Ns+1) of " 1 " except carrying out pallet being split number Ns, also carrying out making conveyer belt split number and revert to the process of " 1 " and gross area At and cumulative volume Vt reverted to the process of " 0 ".Then, control flow enters step 5-6.
When control flow enters step 5-6 from above-mentioned steps 5-5 or step 5-11, conveyer belt segmentation number Nb (i) relevant for No. i-th medicine box and pallet segmentation number Ns (i) are set as respectively conveyer belt segmentation number Nb and pallet segmentation number Ns.Then, in step 5-7, carry out process medicine box number i being increased " 1 ", and in step 5-8, whether the medicine box number i derived in confirmation step 5-7 has exceeded the medicine box number that prescription is outputed.At this, when medicine box number i is below the medicine box number outputed of prescription, control flow returns step 5-2.On the other hand, when medicine box number i exceedes the medicine box number that prescription outputs, a series of control flow is terminated.
In addition, for above-mentioned conveyer belt segmentation prescription, even if when the medicine box of quantity once being carried all to put into still there is the marginal space can putting into medicine box in this pallet 40 in pallet 40 by utilization lifting conveyer belt 332, can utilize lifting conveyer belt 332 that the residue medicine box involved by same prescription is directly put into above-mentioned pallet 40 without the need to changing pallet 40.Therefore, the medicine box quantity utilizing lifting conveyer belt 332 to carry at the capacity relative to pallet 40 is few, conveyer belt segmentation prescription is effective method.
Relative to this, the medicine box quantity utilizing lifting conveyer belt 332 to carry at the capacity relative to pallet 40 is many, if because lifting conveyer belt 332 can be placed and placed a large amount of medicine box and be dispensed in single pallet 40, then there is the probability that medicine box overflows from pallet 40.Therefore, the medicine box quantity utilizing lifting conveyer belt 332 to carry is many, preferably as above-mentioned pallet segmentation prescription, the medicine box partition of a prescription can be dealt in multiple pallet 40 at the capacity relative to pallet 40.Specifically, when any one in the gross area or cumulative volume of the medicine box of a prescription exceedes setting, the volume of preferred consideration pallet 40 and limit the medicine box quantity be once placed on lifting conveyer belt 332, changes pallet 40 and uses lifting conveyer belt 332 to be put in pallet 40 by medicine box.
Further specifically, when supposing the medicine box of a prescription to be configured on lifting conveyer belt 332, to meet any conditioned disjunction two condition in following (decision condition 1) and (decision condition 2) as condition, place the mode of conditions with any one or two met in following (place condition 1) and (placing condition 2), the medicine box of a prescription is divided into repeatedly be placed on and is elevated on conveyer belt 332.When placing medicine box on lifting conveyer belt 332, just implement the action allotting medicine box to pallet 40 at every turn.In addition, when allotting medicine box from lifting conveyer belt 332, just prepare empty pallet 40 at every turn.
The gross area of contact area that (decision condition 1) medicine box and lifting conveyer belt 332 contact exceedes with pallet 40 size for standard and the regulation area upper limit that sets.
The cumulative volume of the medicine box of (decision condition 2) a prescription exceedes the prescribed volume upper limit set for standard with pallet 40 size.
The contact area of the medicine box that (placing condition 1) is once placed on lifting conveyer belt 332 is less than the area upper limit.
The volume of the medicine box that (placing condition 2) is once placed on lifting conveyer belt 332 is less than volume upper limit.
When consider as above pallet 40 volume and the medicine box quantity be once placed on lifting conveyer belt 332 is limited and be divided into repeatedly allot medicine box to pallet 40 time, can prevent from from pallet 40, overflowing this situation by put in pallet 40 medicine box of lifting conveyer belt 332.
" about being provided with the variation of handling part 400 of making up a prescription that do not finish "
At this, in the medicament dispensing system 10 of above-mentioned embodiment, show following example, that is: in short supply in the prescription processed is for medicine box allocation device 30 or do not prepare medicine box allocation device 30 medium and needs prescription (do not finish prescription) using the medicament that the medicine frame 50 of setting in addition prepares time, export prescription data with the form of instruction sheet 42 grade, thus support and to be made up a prescription this example of business of making up a prescription that director carries out by pharmacists etc.At this, the output of instruction sheet 42 can by execution such as medicine box allocation device 30 grade, but also can arrange the handling part 400 that makes up a prescription that do not finish for performing the prescription data output etc. about the prescription that do not finish in addition.
The handling part 400 that makes up a prescription of not finishing can be formed as shown in figure 24 like that.Specifically, the handling part 400 that makes up a prescription of not finishing comprises the information processing terminal 410 that makes up a prescription, identifying information processing terminal 420, instruction sheet outlet terminal 430, notifying device 440 and input equipment 450.The information processing terminal 410 that makes up a prescription is the terminals be made up of the PC etc. arranged in the mode that can communicate with host control device 20.About the prescription data of the prescription that do not finish is made up a prescription in the information processing terminal 410 by from host control device 20 input.Making up a prescription the information processing terminal 410 can by information displaying relevant for the received prescription that do not finish on display 412.In addition, the director that makes up a prescription such as pharmacists can select arbitrary prescription data in information shown from the display 412 of the information processing terminal 410 that makes up a prescription.
And the information processing terminal 410 that makes up a prescription of this variation can recall the prescription data about the prescription that finishes as required from host control device 20, and the relevant information of this prescription data is presented on display 412.By selecting arbitrary prescription data in the prescription data of the relevant prescription that finishes shown on the display 412 from the information processing terminal 410 that makes up a prescription, the operation of making up a prescription involved by this prescription data can be switched in the operation of making up a prescription of making up a prescription and carrying out handling part 400 that do not finish from the operation of making up a prescription automatically carrying out allotting by medicine box allocation device 30.
Identifying information processing terminal 420 is to be associated (relevant) to the prescription (making up a prescription) selected by the information processing terminal 410 that makes up a prescription by the pallet 40 of the sky prepared in addition, and can the terminal of record identifying information in storage medium 44 (RF-ID) set by pallet 40.In addition, identifying information processing terminal 420 is also following terminal, that is, can read the terminal of identifying information when having recorded identifying information in storage medium 44 from storage medium 44.About identifying information processing terminal 420, it can be can implement the write of identifying information and read the terminal of these two kinds of actions, but also can be the terminal only implementing wherein any one action according to purposes.As long as that is, describe in detail after needing to carry out prescription is associated with pallet 40 time at least can write identifying information, not necessarily must the reading of implementation information.In addition, as long as the reading of identifying information at least can be implemented during again the providing of the instruction sheet 42 described in detail after needing to carry out, not necessarily must the write of implementation information.
Identifying information processing terminal 420 can be any terminal, such as, can be configured to the terminal shown in Figure 24.Identifying information processing terminal 420 shown in Figure 24 has framework 424, wherein, the end face of framework 424 is provided with pallet setting area 422.Be provided with guiding piece 426 in the neighboring of pallet setting area 422, thus pallet 40 can be configured on pallet setting area 422 exactly.On present position when pallet 40 being configured at pallet setting area 422, storage medium 44 the substantially central portion of pallet setting area 422 (in this variation for), being provided with and can carrying out the information communication terminal 428 of information communication with storage medium 44.Information communication terminal 428 is connected in the mode can carrying out information communication with the information processing terminal 410 that makes up a prescription.Therefore, by exporting the information (related information) for being associated with pallet 40 by prescription from the information processing terminal 410 that makes up a prescription, the write of this related information can be prepared in storage medium 44 set on the empty pallet 40 at pallet setting area 422 place.
In addition, when being configured on pallet setting area 422 by the pallet 40 recording identifying information in storage medium 44, identifying information processing terminal 420 can obtain related information from storage medium 44.The related information obtained from storage medium 44 can export to and make up a prescription in the information processing terminal 410 grade by identifying information processing terminal 420.
Instruction sheet outlet terminal 430 is the terminals for print instruction list 42, and wherein, above-mentioned instruction sheet 42 is used to indicate the director that makes up a prescription to make up a prescription to the prescription made up a prescription selected by the information processing terminal 410 (making up a prescription).Instruction sheet 42 prints the kind and the required information of making up a prescription such as quantity, patient's name that there are medicament.
Notifying device 440 be in order to by various message notice to making up a prescription director and the device arranged.Notifying device 440 can notify with suitable methods such as luminescence, sound, displays.Be configured to notify required information according to the luminescence of lamp to the director that makes up a prescription in this variation.When exist Ying Wei finish the prescription making up a prescription and make up a prescription in handling part 400 time, this situation is informed to the director that makes up a prescription by notifying device 440.Specifically, when the prescription data do not finished involved by prescription input being made up a prescription the information processing terminal 410 from host control device 20, notifying device 440 carries out work, thus can inform to existing finish this situation of prescription of making up a prescription in handling part 400 of making up a prescription of Ying Wei the director that makes up a prescription.
Input equipment 450 can be made up a prescription representing that not finishing makes up a prescription and to make up a prescription in handling part 400 information (information of the having made up a prescription) input completing this situation the device of the information processing terminal 410.In this variation, be provided with the reading devices such as bar code reader as input equipment 450.The information generated by be read in instruction sheet 42 described bar code etc. by input equipment 450, is made up a prescription in the information processing terminal 410 by as information input of having made up a prescription.By inputting information of having made up a prescription, can make up a prescription in confirmation in the information processing terminal 410 of making up a prescription and completing this situation.
Do not finish make up a prescription in handling part 400 making up a prescription process can according to the flow implementation such as shown in Figure 25.Below, to using the processing method of making up a prescription that handling part 400 carries out of making up a prescription of not finishing to be described.
(step 6-1)
Utilize do not finish make up a prescription handling part 400 carry out making up a prescription process time, first, in step 6-1, the pallet 40 of the used sky that makes up a prescription is associated with prescription data.Specifically, at the prescription of the information processing terminal 410 being selected carry out making up a prescription that makes up a prescription, and, the pallet 40 of sky is configured in the pallet setting area 422 of identifying information processing terminal 420.Thus, the related information exported from the information processing terminal 410 that makes up a prescription is write in storage medium 44 set on pallet 40.At this, as mentioned above, make up a prescription in the information processing terminal 410 in this variation, can not only recall from host control device 20 prescription data do not finished involved by prescription, but also the relevant prescription data of the prescription that finishes can be recalled as required and select.Therefore, when utilize do not finish make up a prescription handling part 400 prescription finished involved by prescription is made up a prescription time, from as finishing prescription and eliminated the prescription data group of list that utilizing does not finish and make up a prescription the prescription data that handling part 400 carries out making up a prescription.In addition, show that can utilize does not finish in the present embodiment and make up a prescription the example that handling part 400 makes up a prescription to the prescription finished involved by prescription, but, when making up a prescription to the prescription finished involved by prescription, then there is no need to carry out to eliminate from the prescription data group of the above-mentioned prescription that finishes that utilizing does not finish that the handling part 400 that makes up a prescription carries out the process of the prescription data of making up a prescription.
(step 6-2)
In step 6-2, export instruction sheet 42 by instruction sheet outlet terminal 430.Instruction sheet 42 prints and has: according to the prescription data involved by the prescription selected in step 6-1, the kind of the medicament that the director that makes up a prescription should prepare and quantity etc.Make up a prescription director according to the instruction that instruction sheet 42 prints, medicament is prepared in the pallet 40 prepared in step 6-1.
(step 6-3)
When in step 6-3 via input equipment 450 to the information processing terminal 410 that makes up a prescription have input made up a prescription information time, be then considered as medicament being prepared in the pallet 40 prepared in step 6-1 according to the instruction sheet 42 exported in step 6-2.Thus, confirm as in host control device 20 and complete making up a prescription of prescription selected in connection with step 6-1.
When being configured to that being provided with in addition does not finish makes up a prescription handling part 400 as described above, the business of making up a prescription of the relevant prescription that do not finish more successfully can be implemented.In addition, illustrate in above-mentioned variation and the prescription finished involved by prescription also suitably can have been carried out processing this example not finishing to make up a prescription in handling part 400, but the present invention is not limited thereto, also only the prescription that do not finish can be processed not finishing to make up a prescription in handling part 400.
In addition, illustrated in above-mentioned variation and implemented to make up a prescription this example at the prescription that can become the prescription that finishes in handling part 400 to the selection of the director that made up a prescription by pharmacists etc. that makes up a prescription of not finishing, but the present invention is not limited thereto.Specifically there is following situation, that is: when the identical rate (hitrate) of the medicament kind that the stock's medicament kind in medicine box allocation device 30 and prescription are outputed is low or when utilizing medicine box allocation device 30 to carry out the retention rate height processed because of reasons such as the running rate of medicine box allocation device 30 are high, compare and use medicine box allocation device 30 to make up a prescription, the do not finish handling part 400 that makes up a prescription of preferred use makes up a prescription.In this case, also can under the control of host control device 20 grade, prescription data is automatically assigned as finish the make up a prescription prescription that carries out making up a prescription in handling part 400 of Ying Wei and goes forward side by side row relax.By being formed as this formation, the efficient activity of the business of making up a prescription further can be sought.
In addition, the handling part 400 that makes up a prescription of not finishing can carry out the granting again of instruction sheet 42.That is, as mentioned above, by being configured on pallet setting area 422 by the pallet 40 recording identifying information in storage medium 44, identifying information processing terminal 420 can obtain related information from storage medium 44.Therefore, also can be exported to by the related information obtained from storage medium 44 from identifying information processing terminal 420 makes up a prescription the information processing terminal 410, further, obtain related information by the operation of making up a prescription in the information processing terminal 410 and again provide the instruction sheet 42 corresponding with this related information in instruction sheet outlet terminal 430.When the granting again carrying out instruction sheet 42, can in the operation that in the information processing terminal 410, requirement is carried out for confirming again to provide this plan of making up a prescription, also can without the need to carrying out the granting again of instruction sheet 42 in instruction sheet outlet terminal 430 when making up a prescription and carrying out operating etc. in the information processing terminal 410.
" being detained the variation involved by prescription about reply "
As above-mentioned medicament dispensing system 10 be shown in handing-over window 60 place be provided with accepting container storage shelf 70 time, the pallet 40 after having made up a prescription can be stored in accepting container storage shelf 70.At this, about the prescription involved by the pallet 40 be configured in accepting container storage shelf 70, when being transferred to patient after pallet 40 is configured in accepting container storage shelf 70 at once, pallet 40 can not rest in accepting container storage shelf 70 for a long time, thus can perform handing-over business efficiently.But, if when after having made up a prescription, pallet 40 does not come to get it filled agent in patient under the state be prepared in accepting container storage shelf 70 for a long time yet, accepting container storage shelf 70 can be caused to be occupied by the pallet 40 of this patient, thus accepting container storage shelf 70 cannot be effectively utilized, likely successfully cannot carry out handing-over business.
Therefore, in order to solve above-mentioned problem, also can layout example as shown in figure 26 (omitting the diagram of medicine box allocation device 30 grade in the figure) like that, except accepting container storage shelf 70 is set, be also provided with accepting container at handing-over window 60 place and stop frame 500, and, to meet rated condition as condition, pallet 40 can be transferred to accepting container from accepting container storage shelf 70 stops frame 500, wherein, the pallet 40 that above-mentioned accepting container storage shelf 70 is used as medicament handing-over for keeping and prepared, the pallet 40 be configured in accepting container storage shelf 70 can be transferred to above-mentioned accepting container and stop in frame 500.Thereby, it is possible to improve the utilization ratio of accepting container storage shelf 70, thus further improve the efficiency of the medicament handing-over business at handing-over window 60 place.In addition, accepting container can be set in the mode corresponding with each handing-over window 60 or each accepting container storage shelf 70 and stop frame 500, but, also can as illustrative example, one or more accepting container is set in not corresponding with each handing-over window 60 or each accepting container storage shelf 70 state and stops frame 500, and the pallet 40 be detained involved by prescription is gathered in these accepting containers stop frame 500.
Accepting container stops frame 500 and can be made up of the shelf just configuring pallet 40 simply, but preferably has the shelf of formation identical with accepting container storage shelf 70.Specifically, as shown in figure 27, accepting container stop frame 500 preferably have possess with accepting container storage shelf 70 sensor 73, information-communication device 74, configuration section 76, equipment class that notifying device 78 is suitable, namely for detecting the sensor 510, information-communication device 512, configuration section 514, the notifying device 516 that whether there is pallet 40.In addition, when arranging accepting container and stopping frame 500, the frame office terminal 520 stopping frame 500 for managing accepting container is preferably set in addition.
Condition (jump condition) for being transferred to accepting container stop frame 500 from accepting container storage shelf 70 by pallet 40 can be any condition, such as, can be set to one of jump condition or whole jump condition by from the moment of having made up a prescription through the stipulated time.Specifically, the moment that pallet 40 is configured in accepting container storage shelf 70 can be set as the moment of having made up a prescription, and using from this moment of having made up a prescription through the stipulated time as condition, and pallet 40 be transferred to accepting container from accepting container storage shelf 70 stop frame 500.
In addition, not only it is contemplated that as mentioned above by medicine box allocation device 30 and medicine frame 50, join window 60, accepting container storage shelf 70 etc. and be together configured in situation in pharmacy area α, but also it is contemplated that situation medicine box allocation device 30 being configured in pharmacy area α outside.Specifically, it is contemplated that in the room that medicine box allocation device 30 is arranged on pharmacy area α same layer or another layer, and use the situation that conveyer belt or elevator etc. will complete the pallet 40 that makes up a prescription and transfer from other rooms to pharmacy area α.In this case, as shown in figure 28, conveyer belt 530 can be set in accepting container storage shelf 70, and utilize conveyer belt 530, by direction shown in arrow in figure, the pallet 40 that the outside transfer from pharmacy area α comes is introduced into assigned position.In the example of Figure 28, assigned position (being the position of orlop the inside in the illustrative example) moment utilizing conveyer belt 530 that pallet 40 is arrived to accepting container storage shelf 70 can be set as having made up a prescription the moment, and using from this moment through the stipulated time as condition, and pallet 40 be transferred to accepting container from accepting container storage shelf 70 stop frame 500.Specifically, as shown in figure 28, in advance the sensor 532 identical with sensor 73 can being set in afore mentioned rules position, detecting that using utilizing this sensor 532 moment of pallet 40 is as having made up a prescription moment and derive the opportunity of shifting to accepting container stop frame 500.In addition, the example that accepting container storage shelf 70 arranges conveyer belt 530 only represents an example of the present invention, might not arrange conveyer belt 530.
About the reply for delay prescription during use accepting container stop frame 500, can according to the flow implementation such as shown in Figure 29.Below, be described for using accepting container stop frame 500 to deal with the method for being detained prescription.
(step 7-1)
When using accepting container to stop frame 500, first, in step 7-1, control terminal 22 is utilized to be confirmed whether to complete and to make up a prescription.Specifically, for by making the sensor 73 that accepting container storage shelf 70 is arranged carry out communicating with the storage medium 44 that pallet 40 is arranged and the prescription determined, be confirmed whether as the state in arrival accepting container storage shelf 70, the state of namely having made up a prescription.Accepting container storage shelf 70 is as described above provided with conveyer belt 530, when confirm pallet 40 arrived to assigned position place by conveyer belt 530 when, be considered as having made up a prescription.
(step 7-2)
When in step 7-1 by control terminal 22 confirm to make up a prescription complete time, utilize the time set (not shown) be arranged on control terminal 22 to start to measure elapsed time from the moment of having made up a prescription.Then, control flow enters step 7-3.
(step 7-3)
In step 7-3, send from control terminal 22 to host control device 20 and represent for notifying the information (completion notice information of making up a prescription) having completed this situation of making up a prescription for the prescription involved by the pallet 40 be configured in accepting container storage shelf 70.Thus, can grasp to make up a prescription in host control device 20 side and complete this situation.
(step 7-4)
In step 7-4, in step 7-3, the window terminal 90 of the handing-over window 60 be assigned with as this prescription medicament handing-over use will be sent to by the completion notice information of making up a prescription that host control device 20 obtains.According to the completion notice information of making up a prescription received from host control device 20, be presented on window terminal 90 using the information (made up a prescription prescription comformed information) of the mode that can be confirmed by the pharmacists as window director etc. by completed prescription of determining to make up a prescription.The information that the prescription comformed information that made up a prescription can use the id number or patient's name etc. that are allocated in patient suitable, uses patient's name, and shows in the mode that can select on window terminal 90 in this variation.
(step 7-5)
In step 7-5, carry out relevant call handing-over window 60 place window director for carrying out this call treatment of patient joined.Specifically, as call treatment, perform the measurement in the guiding call for calling out patient and the elapsed time (after guiding call elapsed time t) from guiding call implements the moment.Specifically, have selected in one or more prescription comformed information that made up a prescription shown from window terminal 90 with window director for the patient that carries out joining corresponding made up a prescription prescription comformed information time, by utilizing display device 92 to carry out to show or sound guidance etc., implement the guiding call for calling out this patient.In addition, the measurement of elapsed time t after guiding call implemented by the time set (not shown) by arranging in addition.
(step 7-6)
In step 7-6, after confirming to start in above-mentioned steps 7-5 the guiding call measured, whether elapsed time t exceeds schedule time X.At this, when after guiding call, elapsed time t is stipulated time more than X, control flow enters step 7-7.In addition, when after guiding call, elapsed time t is less than stipulated time X, control flow enters step 7-9.
(step 7-7)
In step 7-7, sending elapsed time t after be judged as guiding call in above-mentioned steps 7-6 is that the pallet 40 of stipulated time more than X is transferred to accepting container from accepting container storage shelf 70 and stops this instruction frame 500 (transfer instruction).Method for transfer instruction can be any means, can consider such as to use notifying device 78 set in accepting container storage shelf 70 to carry out the method notified.Specifically, when employing the light-emitting devices such as light emitting diode (LED) as notifying device 78, transfer instruction can be sent by making this light-emitting device luminous.
In addition, about transfer instruction, any means also can being undertaken showing etc. by sound notification or the display device etc. arranged in addition is implemented.In addition, as described above notifying device 78 for notifying to be incorporated with patient to the pallet 40 of the medicament joining window 60 place and get.Therefore, when utilizing notifying device 78 to send transfer instruction, preferably clearly can distinguish with the notice of the pallet 40 to patient handover.Specifically, preferably make the glow color of notifying device 78 or light-emitting mode not equal.
(step 7-8)
In step 7-8, the pallet 40 being instructed to shift in step 7-7 is confirmed whether that being transferred to accepting container from accepting container storage shelf 70 stops frame 500.Specifically, be instructed to the pallet 40 of transfer as condition to utilize sensor 510 set in accepting container storage shelf 500 to detect, confirm as transfer at host control device 20 and complete.Continue implementation step 7-8 till the transfer of pallet 40 completes, when transfer completes, control flow enters step 7-9.
(step 7-9)
In step 7-9, whether handing-over window 60 place is come to the patient involved by the prescription having carried out guiding call in step 7-5 and has received this situation of medicament and judge.Specifically, according to whether have input the information (reception information) be transfused to when patient receives medicament in window terminal 90, the judgement in step 7-9 is carried out.Reception information can be the information waiting the information in window director manual input window terminal 90 etc. suitable by pharmacists, for the reading device (not shown) that utilizes window terminal 90 to possess carries out reading and the information of input automatically to the exchange list 17 entrained by the patient joining window 60 place in this variation.Further specifically, in advance recognition marks such as being used for determining the bar code of prescription is printed on exchange single 17 when providing exchange and being single, recognition marks is carried out reading and input automatically by the recognition marks reading device (not shown) utilizing window terminal 90 to possess afterwards.Continue implementation step 7-9 until confirmation patient to handing-over window 60 place receives medicament, when confirming patient and receiving medicament, control flow enters step 7-10.
(step 7-10)
When being judged as that in step 7-9 patient receives medicament to handing-over window 60 place, the position contained to the pallet 40 (hereinafter also referred to as " handing-over pallet 40 ") of the medicament of patient handover is notified.Specifically, when handing-over pallet 40 is positioned in accepting container storage shelf 70, notifying device 78 is utilized to notify the position of handing-over pallet 40.
On the other hand, when handing-over pallet 40 is when being judged as the pallet that have passed through stipulated time more than X from the call treatment in step 7-5, this handing-over pallet 40 can not be positioned in accepting container storage shelf 70, but is transferred on accepting container stop frame 500.Therefore, now for handing-over pallet 40 be prepared in accepting container stop frame 500 position, where on this situation notify.
At this, as the method notified the position of handing-over pallet 40 in accepting container stop frame 500, various method can be adopted.Specifically, when can be judged as in step 7-9 that patient receives medicament to handing-over window 60 place, according to from host control device 20 instruction and utilize accepting container to stop notifying device 516 set on frame 500, this situation in which configuration section 514 is prepared in pallet 40 and notifies.
At this, when being provided with multiple handing-over window 60, for the prescription involved by the pallet 40 transferred on accepting container stop frame 500, relative handing-over business likely once occurs on multiple handing-over window 60.In this case, it is contemplated that when directly making notifying device 516 work according to the instruction from host control device 20 as mentioned above, multiple notifying device 516 can be caused to work thus cause confusion.In this case, when making notifying device 516 work by inputting the relevant information of prescription by the director getting handing-over pallet 40 to accepting container stop frame 500 in frame office terminal 520, then there will not be above-mentioned confusion, notifying device 516 can be utilized to notify the position of handing-over pallet 40 exactly.In addition, notifying device 516 can not only be utilized, but also by the window terminal 90 being such as arranged on handing-over window 60 place, this situation of position, where that handing-over pallet 40 is present in accepting container stop frame 500 can be notified.
(step 7-11)
In step 7-11, whether confirm to this situation of patient handover medicament at handing-over window 60 place.Specifically, when to patient handover medicament, utilize window terminal 90 to input expression by window director and completed the information (handing-over completes information) that medicament joins this situation.Join information and be sent to host control device 20 by from window terminal 90.Host control device 20 has joined information by reception and the medicament handing-over grasped involved by this prescription completes.When confirming medicament and being transferred to patient, a series of flow process terminates.
Frame 500 is stopped as described above by being configured to be provided with accepting container, even if patient is long-time still following when receiving medicament after having made up a prescription, also can prevent accepting container storage shelf 70 from being occupied by the pallet 40 of this patient, thus accepting container storage shelf 70 can be effectively utilized.Thereby, it is possible to further successfully implement the handing-over business at handing-over window 60 place.
" allotting single variation "
As mentioned above, at the end of the medicine box in medicine box allocation device 30 is allotted, export the information of the medicine box printed about allotting out or the paper (allotting single) about the needs such as pharmacists other pharmacy information prepared from medicine frame 50.Allotting single can be arbitrary form, such as, can be the form of allocation list 540 grade shown in Figure 30.Specifically, allot can to print on single 540 title 540a, window number 540b, the patient name 540c of handing-over window 60, sex and age 540d, diagnosis and treatment section 540e, the labelling 540f representing diagnosis and treatment section 540e, various note 5 40g, bar code 540h, medicine frame 50 position 540i, medicine name 540j, allot quantity 540k, specification quantity 540l, instructions of taking 540m, by information such as religious name 540n, recipe quantity 540o (dose).In addition, when comprising the prescription of different diagnosis and treatment section 540e, preferably separately recorded in the mode of the prescription content can knowing each diagnosis and treatment section.Specifically, in the example shown in Figure 30, utilize dotted line that allocation single 540 is divided into lower regions, make the diagnosis and treatment section 540e in each region different.In addition, when there is the medicament etc. needing to arouse attention, preferred remarks are for the word that arouses attention or mark.Specifically, in the example shown in Figure 30, when existence does not use medicine box allocation device 30 to carry out allotting but carries out from medicine frame 50 medicament prepared by the director that makes up a prescription, at the side of corresponding medicament name mark hands shape mark.In addition, as the example needing the medicament aroused attention, it is contemplated that except the above-mentioned director that makes up a prescription needs the medicament for preparing from medicine frame 50, also comprise medicament in short supply, must carry out taking at places such as handing-over windows 60 medicament of guidance for child or old people etc., the medicament etc. preserved must be carried out under the specific environments such as the low place of temperature.
" there is process when changing about prescription after terminating "
In above-mentioned medicament dispensing system 10, be carry out making up a prescription of medicament after end checkout, but also it is contemplated that situation about changing occurs prescription after terminating.For above-mentioned prescription (hereinafter also referred to as " cancellation prescription "), preferably cancel as much as possible and making up a prescription, when cancellation or cannot be difficult to make up a prescription, preferably clearly can know that prescription has changed this situation.As the method for tackling above-mentioned situation, can consider that the flow chart Gen Ju such as Figure 31 processes.Below, the flow chart according to Figure 31 is described.
(step 8-1)
When occurring cancelling prescription, first, in step 8-1, host control device 20 passes through to carry out retrieving in the multiple prescription data processed from medicament dispensing system 10 and determines the prescription data that the prescription of cancellation involved by prescription is relevant.When completing prescription data timing really, control flow enters step 8-2.
(step 8-2)
In step 8-2, confirm whether to start to utilize medicine box allocation device 30 to make up a prescription for cancelling making up a prescription involved by prescription.At this, when not starting to utilize medicine box allocation device 30 to make up a prescription, control flow enters step 8-3, and when starting to make up a prescription, control flow enters step 8-4.
(step 8-3)
In step 8-3, send the instruction not utilizing medicine box allocation device 30 to make up a prescription to cancellation prescription from the control terminal 22 of host control device 20 pairs of medicine box allocation devices 30.Thus, medicine box allocation device 30 is made to stop cancelling making up a prescription of prescription.
(step 8-4)
On the other hand, when having started to make up a prescription to cancellation prescription in medicine box allocation device 30, be then difficult to maybe to make medicine box allocation device 30 stop to make up a prescription.Therefore, in step 8-4, utilize medicine box allocation device 30 make up a prescription after pallet 40 be configured in accepting container storage shelf 70 time, to this pallet for this situation of pallet 40 containing the medicament cancelled involved by prescription notifies.For the notice for cancelling this situation of pallet 40 involved by prescription, multiple method can be utilized to carry out, such as, can utilize and carry out the suitable method such as the method notified by notifying device 78.
Tackle as above cancel prescription time, making up a prescription of utilizing medicine box allocation device 30 to carry out can be cancelled in scope as much as possible, thus contribute to acceleration and to make up a prescription business.In addition, though cannot or be difficult to cancel utilize medicine box allocation device 30 to carry out make up a prescription time, also it can be passed on clearly to be cancel prescription this situation to operator, thus can process rightly.
" for improving the variation of the prescription rate that finishes "
In medicament dispensing system 10, generally, carry out when only utilizing medicine box allocation device 30 in all prescriptions carrying out business of making up a prescription allotting the ratio (finish prescription rate) shared by prescription (finish prescription) that can collect all these types of medicament that neat prescription is outputed high time, the efficient activity of the business of making up a prescription can be sought.Therefore, in order to improve the prescription rate that finishes, the statistical data of the medicament kind that preferred derivation uses about prescription within specified time limit (such as one month) and quantity, and according to the medicament kind prepared in this statistical data adjustment medicine box allocation device 30 and quantity etc.
" variation about pallet distributor 250 "
In above-mentioned medicament dispensing system 10, utilize the elevator 252 of pallet distributor 250 to be taken care of on the pallet 40 involved by following prescription, this prescription refers to: medicine box allocation device 30 should be utilized to carry out the part of the medicament made up a prescription cannot by the prescription (do not finish prescription) made up a prescription when preparing utilizing medicine box allocation device 30 to carry out.In addition, being transferred to pallet storage appts 300 from pallet distributor 250 by pallet 40 involved by following prescription and carrying out keeping, this prescription refers to: medicine box allocation device 30 can be utilized to collect the prescription (finish prescription) of all medicaments that should make up a prescription together.But the present invention is not limited thereto, the pallet 40 can not only taking care of the prescription that do not finish in pallet distributor 250 also can be configured to, and the pallet 40 of the prescription that can certainly finish.
At this, when being formed as forming as mentioned above, there is following probability, that is: operator cannot distinguish the pallet 40 of keeping in pallet distributor 250 instantaneously and not finish the pallet involved by prescription or the pallet finished involved by prescription.In order to tackle the problems referred to above, preferably easily can determine that the pallet 40 of keeping in pallet distributor 250 is respectively finish prescription or the pallet involved by any prescription that do not finish in prescription.As an example of this formation, such as, according to for finishing prescription or not finish in prescription any, and the display state of the display part 272 be arranged on pallet distributor 250 can be made obviously different.Specifically, can adopt clearly display finish prescription and the prescription that do not finish method or according to finishing prescription or do not finish prescription and the method that makes Show Color contrary etc., or, adopt the method for above-mentioned multiple Combination of Methods.Thus, even if when the pallet 40 utilizing pallet distributor 250 to process not finish prescription and finish involved by prescription both sides, operator also can not occur chaotic etc., thus successfully can carry out business of making up a prescription.
" reclaiming function about the medicament of medicine box allocation device 30 "
Preferred above-mentioned medicine box allocation device 30 possesses the function that can reclaim the medicament prepared in one or more medicament channel 122, and wherein, above-mentioned one or more medicament channel 122 is selected from many medicament channel 122 be arranged on collecting allocation device 120.In addition, when medicine box allocation device 30 has medicament recovery function, the passage number that preferably can be endowed according to each medicament channel 122 specifies the medicament channel 122 of carrying out medicament recovery.In addition, the high medicament of frequency is outputed for prescription, can consider that many medicament channel 122 being distributed to a kind of medicament uses, to prepare having a large amount of medicament in collecting allocation device 120.Therefore, when being configured to only to carry out the medicament channel 122 of medicament recovery according to appointments such as passage numbers as mentioned above, when being prepared in many medicament channel 122 by a kind of medicament, need to specify medicament channel 122 item by item, therefore working performance is not good.
In order to solve the problem, determine medicament preferably by according to medicament title or coding number etc., thus medicament can be reclaimed from preparing to have to specify many medicament channel 122 of medicament.Specifically, when the control terminal 22 of medicine box allocation device 30 can be utilized to export medicament recovery instruction to medicine box allocation device 30, except specifying according to medicament title or coding number the medicament reclaimed according to except menu (menu), thus the medicament prepared in each medicament channel 122 involved by appointed medicament can be reclaimed, wherein, above-mentioned menu refers to for specifying according to passage number etc. the menu carrying out the medicament channel 122 of medicament recovery.
" variation about action during derivation quantity in stock "
In medicine box allocation device 30, in order to the situation in short supply of medicament is suppressed subthreshold, the appropriate time preferably after the service ending in pharmacy etc. derives the quantity in stock of the medicament be prepared in each medicament channel 122.In addition, the medicament quantity in stock export job in medicine box allocation device 30 is preferably made to be automatization or semi-automation.In addition, make the export job of medicament quantity in stock be automatization or semi-automatic time, preferably making quantity in stock export job terminate the action of control terminal 22 grade of rear closedown medicine box allocation device 30 also can automatization.By being formed as this formation, without the need to waiting for that the export job of quantity in stock terminates in order to closing control terminal 22.Thereby, it is possible to seek the Labor-saving etc. of a succession of business.
In addition, also can in the automatization of closing motion of above-mentioned control terminal 22 grade or the basis of semi-automation, or replace automatization or the semi-automation of closing motion, and by adopting the predicted time till completing with numerical value display quantity in stock export job, using the block diagram of its length variations according to predicted time (bar) to carry out showing or showing with chart the method for predicted time etc., to bookkeeping, personnel show, and know time till quantity in stock export job completes to make bookkeeping personnel.
" other variation "
The medicine box carrying out processing in above-mentioned medicament dispensing system 10 and medication dispensing device 30 can use box or the container of the various shapes beyond cuboid or cubic box.Specifically, also can be cylindric bottle.In addition, medicine box must be not necessarily medicine box made of paper, also can be the medicine box of resin-made etc.
In addition, medicine box allocation device 30 also can be configured to utilize filling device 130 to load medicine box to all medicament channel 122 forming collecting allocation device 120, but the present invention is not limited thereto, a part of medicament channel 122 that also can be configured to for collecting allocation device 120 can prepare medicine box in a manual manner.Specifically, such as, for the medicament channel 122 being assigned with the medicine box be made up of resinous bottle etc., also medicine box can be prepared in a manual manner.
In medicament dispensing system 10, exist and be transfused to about same medicine box in the prescription that makes up a prescription is the probability of this prescription data of more than specified quantity.In this case, when using medicine box allocation device 30 to allot medicine box, likely cause the stock of medicine box allocation device 30 to reduce quickly, thus the situation such as must to replenish the stock continually.Therefore, also under the state of being paid by supplier etc., the quantity (packaging quantity) of packing can be specified in advance, when there is the prescription of more than this packaging quantity that must to make up a prescription to same medicine box, not using medicine box allocation device 30 but implementing to prepare separately and the process of making up a prescription medicine frame 50 grade.
The present invention is not limited to the situation shown in the respective embodiments described above and variation, and those skilled in the art easily expect: not departing from the scope of claim, can obtain other embodiments according to its instruction and thought.
(industrial utilizability)
Medicament dispensing system of the present invention can be applicable in the hospital or pharmacy etc. of making up a prescription to a large amount of prescription.

Claims (27)

1. a medicament dispensing system, it is provided with multiple stage medication dispensing device, and the medicament that correspondence is outputed to patient by collecting the medicament allotted from this medication dispensing device makes up a prescription, wherein, prepare there is the medicament allotted in described medication dispensing device in advance, and medicament can be allotted according to the prescription data exported from host control device side, the feature of described medicament dispensing system is
The kind of the stock's medicament in each described medication dispensing device is grasped in described host control device side,
As the medication dispensing device for allotting the medicament involved by this prescription, the medication dispensing device that the identical rate of the medicament kind that kind in medication dispensing device described in prioritizing selection multiple stage, stock's medicament and prescription are outputed is the highest.
2. a medicament dispensing system, it is provided with multiple stage medication dispensing device, and the medicament that correspondence is outputed to patient by collecting the medicament allotted from this medication dispensing device makes up a prescription, wherein, prepare there is the medicament allotted in described medication dispensing device in advance, and medicament can be allotted according to the prescription data exported from host control device side, the feature of described medicament dispensing system is
The running rate of medication dispensing device according to multiple stage, selects the medication dispensing device made up a prescription in described host control device side.
3. medicament dispensing system as claimed in claim 2, is characterized in that,
Kind and the stockpile number of the medicament prepared in each described medication dispensing device is grasped in described host control device side,
Identical as condition using the identical rate of the medicament about making up a prescription, select medication dispensing device according to running rate, wherein, this identical rate refers to the identical rate of the medicament kind that the kind of the stock's medicament in medication dispensing device described in multiple stage and prescription are outputed.
4. the medicament dispensing system according to any one of claims 1 to 3, is characterized in that,
In described medicament dispensing system, be provided with the medicine frame separated with described medication dispensing device in addition, the medicament that should take out as required in described medicine frame, can be prepared, and,
Described medicament dispensing system has the handing-over window of the medicament for preparing to patient handover according to prescription,
Described handing-over window comprises finish prescription handing-over window and the prescription that do not finish handing-over window, wherein,
Carry out the handing-over of the medicament involved by following prescription at the described prescription handing-over window place that finishes, this prescription refers to: just can collect by means of only the allocation utilizing described medication dispensing device to carry out this prescription of all medicaments that neat prescription outputs,
Carry out the handing-over of the medicament involved by following prescription at the described prescription handing-over window place that do not finish, this prescription refers to: by combining the medicament that utilizes described medication dispensing device to allot and the other medicament collected from described medicine frame thus can collecting this prescription of medicament that should join together.
5. the medicament dispensing system according to any one of Claims 1 to 4, is characterized in that,
In described medicament dispensing system, be provided with the medicine frame separated with described medication dispensing device in addition, the medicament that should take out as required in described medicine frame, can be prepared, and,
Described medicament dispensing system is provided with the handling part that makes up a prescription that do not finish, this handling part that makes up a prescription of not finishing obtains the prescription data do not finished involved by prescription from described host control device side, and export described prescription data in the mode that can confirm, wherein, the described prescription that do not finish refers to by using the medicament from described medicine frame collection and can collect this prescription of medicament that should join together
Make up a prescription in handling part described not finishing, except the prescription data that the described prescription that do not finish is relevant, also obtain from described host control device side the prescription data finished involved by prescription as required, and export described prescription data in the mode that can confirm, wherein, the prescription that finishes described in refers to and just can collect by means of only the allocation utilizing described medication dispensing device to carry out this prescription of all medicaments that neat prescription outputs.
6. the medicament dispensing system according to any one of Claims 1 to 5, is characterized in that,
In described medicament dispensing system, be provided with the medicine frame separated with described medication dispensing device in addition, the medicament that should take out as required in described medicine frame, can be prepared;
The accepting container of the medicament collected according to prescription data in collecting is provided with can the storage medium of storaging identificating information, and wherein, described identifying information refers to determine the information that described accepting container is associated with prescription data by the mode of corresponding relation;
The described handling part that makes up a prescription of not finishing has instruction sheet outlet terminal and identifying information processing terminal, wherein,
Described instruction sheet outlet terminal can obtain from described host control device side the prescription data do not finished involved by prescription, and export the instruction sheet of the relevant information at least recording medicament kind and the quantity that should prepare from described medicine frame, wherein, the described prescription that do not finish refers to by using the medicament from described medicine frame collection and can collect this prescription of medicament that should join together
Described identifying information processing terminal, by communicating with described storage medium, can obtain described identifying information;
To obtain described identifying information as condition in described identifying information processing terminal after described instruction sheet exports, the described instruction sheet based on the described prescription data corresponding with acquired described identifying information can be provided in described instruction sheet outlet terminal.
7. the medicament dispensing system according to any one of claim 1 ~ 6, is characterized in that,
On the accepting container of accommodating the medicament collected according to prescription data, be provided with the storage medium storing the identifying information that this accepting container is endowed,
In described medicament dispensing system, described prescription data is associated with described identifying information.
8. medicament dispensing system as claimed in claim 7, is characterized in that,
Described medicament dispensing system has handing-over window and accepting container storage shelf, wherein,
Described handing-over window is used for the medicament prepared according to prescription to patient handover,
Described accepting container storage shelf can at the multiple described accepting container of described handing-over window place configuration;
Described accepting container storage shelf is provided with communicator, and wherein, described communicator can confirm the identifying information of described accepting container by carrying out data communication with described storage medium.
9. medicament dispensing system as claimed in claim 8, is characterized in that,
Using according to the communication acknowledgement utilizing described communicator to carry out to being configured with this situation of described accepting container as condition in described accepting container storage shelf, confirm as to make up a prescription in described host control device side and complete.
10. medicament dispensing system as claimed in claim 8, is characterized in that,
When needing to use this prescription of multiple accepting container when the medicament for collecting involved by single prescription,
Using according to the communication acknowledgement utilizing described communicator to carry out to this situation of at least one accepting container be configured with in described accepting container storage shelf in multiple described accepting container as condition, confirm as to make up a prescription in described host control device side and complete.
11. medicament dispensing systems according to any one of claim 1 ~ 10, is characterized in that,
Described medicament dispensing system has:
Handing-over window, its medicament for preparing to patient handover according to prescription,
Accepting container storage shelf, it can configure multiple described accepting container at described handing-over window place, and
Window terminal, it is connected in the mode that can carry out communicating with described host control device side, and can operate at described handing-over window place;
Described window terminal shows the patient's comformed information for determining the patient as medicament handing-over object,
By selecting described patient's comformed information, should notify containing to the allocation position of the accepting container of the medicament of this patient handover in described accepting container storage shelf.
12. medicament dispensing systems as claimed in claim 11, is characterized in that,
To take out accepting container and input represents and the medicament prepared in this accepting container is transferred to the information of this situation of patient as condition in described window terminal, the identifying information elimination that can be stored in the described storage medium of described accepting container from described accepting container storage shelf.
13. medicament dispensing systems according to any one of claim 1 ~ 12, is characterized in that,
Described medicament dispensing system has:
Handing-over window, its medicament for preparing to patient handover according to prescription,
Accepting container storage shelf, it can configure multiple described accepting container at described handing-over window place, and
Display device, its display is for determining patient's comformed information of the patient joining medicament;
Patient's comformed information of the relevant patient be associated with the accepting container be configured in described accepting container storage shelf, is reserved as the information of the patient accepting medicament handing-over after determining at described handing-over window place and is shown.
14. medicament dispensing systems according to any one of claim 1 ~ 13, is characterized in that,
Described medicament dispensing system is provided with:
Handing-over window, its medicament for preparing to patient handover according to prescription,
Accepting container storage shelf, it can configure multiple described accepting container at described handing-over window place, and
Accepting container stops frame, the described accepting container be configured in described accepting container storage shelf can be transferred to this accepting container stop frame to meet rated condition as condition;
In described medicament dispensing system, using should the medicament of described handing-over window place handing-over for by this situation of prescription of being transferred to from described accepting container storage shelf involved by described accepting container that described accepting container stops in frame as condition, notify containing the allocation position that should stop in frame to the accepting container of the medicament of this patient handover at described accepting container.
15. medicament dispensing systems as claimed in claim 14, is characterized in that,
Using from the moment of having made up a prescription through the stipulated time as condition, be considered as meeting the jump condition described accepting container being stopped frame transfer from described accepting container storage shelf to described accepting container.
16. medicament dispensing systems as claimed in claim 15, is characterized in that,
Described medicament dispensing system is provided with the mobile device making described accepting container move to the assigned position place of described accepting container storage shelf,
Arrive described assigned position place as condition using described accepting container by the work of described mobile device, being considered as making up a prescription has completed.
17. medicament dispensing systems according to any one of claim 1 ~ 16, is characterized in that,
Described medication dispensing device is provided with medicine box resettlement section, accommodates the medicine box containing medicament in a large number in this medicine box resettlement section, and can collect for each prescription and allot medicine box,
In described medicine box resettlement section, be disposed with the various medicaments passage that channel width is different, medicine box can be formed a line in each medicament channel and accommodated and send successively,
In described medication dispensing device, the medicament that should make up a prescription can be allotted from described medicine box resettlement section according to the prescription data exported from host control device side.
18. medicament dispensing systems according to any one of claim 1 ~ 17, is characterized in that,
The medicament prepared according to prescription in described medication dispensing device can be allotted with emergent allocation pattern, wherein, in described emergent allocation pattern, use the path different from allocation path time normal to allot.
19. medicament dispensing systems according to any one of claim 1 ~ 18, is characterized in that,
Described medicament dispensing system is provided with accepting container distributor, this accepting container distributor can divide for finish prescription and the prescription that do not finish the accepting container being used in and receiving the medicament that described medication dispensing device is allotted, wherein, the described prescription that finishes refers to this prescription of medicament that just can prepare involved by prescription by means of only the allocation utilizing described medication dispensing device to carry out, and the described prescription that do not finish refers to this prescription of medicament also needing to prepare in addition involved by prescription outside the allocation utilizing described medication dispensing device to carry out.
20. medicament dispensing systems as claimed in claim 19, is characterized in that,
Described accepting container distributor is provided with allots mouth and flashboard, wherein, can be allotted towards downstream by this accepting container via described allocation mouth after the accepting container of position medicament being put into the outlet be configured in the face of described medication dispensing device, described allocation mouth opens or closes by described flashboard;
When putting into medicament from described medication dispensing device to described accepting container, the open area of described allocation mouth and be positioned at the upper side higher than described accepting container height open area by described flashboard plugging.
21. medicament dispensing systems according to any one of claim 1 ~ 20, is characterized in that,
Described medicament dispensing system has accepting container storage appts, this accepting container storage appts is configured in the adjacent between two handing-over windows A, B of the prescription that finishes, and the accepting container of the prescription that finishes is taken care of in the mode can taken out from described handing-over window A, B both sides
Further, described accepting container storage appts is provided with notifying device, the keeping situation of the accepting container of this notifying device notice keeping in described accepting container storage appts,
For temporarily by the accepting container again returned after taking-up from described accepting container storage appts in described accepting container storage appts, given a warning by described notifying device.
22. medicament dispensing systems according to any one of claim 1 ~ 21, is characterized in that,
Described medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried,
Described conveyer belt comprises main belt and vice-belt, and wherein, the medicament prepared as allotting with collected by described main belt according to prescription, and described vice-belt is allotted the medicament come from described main belt transfer,
During described vice-belt allots medicament, action piled up by the medicament can implementing to utilize described main belt the medicament involved by next prescription to be focused on described vice-belt side.
23. medicament dispensing systems as claimed in claim 22, is characterized in that,
Pile up the enforcement time of action according to described medicament, change after action piled up by described medicament to make the time of described main belt work to described vice-belt transfer medicament.
24. medicament dispensing systems according to any one of claim 1 ~ 23, is characterized in that,
Described medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried,
Described conveyer belt comprises main belt and vice-belt, and wherein, the medicament prepared as allotting with collected by described main belt according to prescription, and described vice-belt is allotted the medicament come from described main belt transfer,
Medicament after transfer from described main belt to described vice-belt, is made described main belt quit work, and described vice-belt is moved back and forth under the state being placed with medicament.
25. medicament dispensing systems according to any one of claim 1 ~ 24, is characterized in that,
The volume of the medicament outputed using prescription has exceeded this situation of regulation ratio as condition relative to the volume of the accepting container prepared in order to concentrated medicament, medicament segmentation is ready in multiple accepting container.
26. medicament dispensing systems according to any one of claim 1 ~ 25, is characterized in that,
Described medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried,
Described conveyer belt comprises main belt and vice-belt, and wherein, the medicament prepared as allotting with collected by described main belt according to prescription, and described vice-belt is allotted the medicament come from described main belt transfer,
During the medicament outputed to carry prescription, the gross area in the face that this medicament contacts with the conveyor surface of described vice-belt has exceeded this situation of regulation ratio as condition relative to the area of the conveyor surface of described vice-belt, and the conveying number of times being undertaken utilizing described vice-belt carrying is set as repeatedly.
27. medicament dispensing systems according to any one of claim 1 ~ 26, is characterized in that,
Described medication dispensing device possesses as allotting with, the medicament for preparing is collected and carry out the conveyer belt carried,
Described conveyer belt comprises main belt and vice-belt, and wherein, the medicament prepared as allotting with collected by described main belt according to prescription, and the medicament come from described main belt transfer is allotted in accepting container by described vice-belt,
When supposing the medicament of a prescription to be configured on described vice-belt, when any one in two conditions below meeting or two conditions, to meet in following two placement conditions the mode that any one or two place conditions, being divided into by the medicament of a prescription is repeatedly placed on described vice-belt, and each medicament is positioned on described vice-belt time implement the action allotted to described accepting container
Wherein, described two conditions refer to: the gross area of the contact area that the medicament of a prescription contacts with described vice-belt exceedes this condition of the regulation area upper limit set for standard with described accepting container size, and the cumulative volume of the medicament of a prescription exceedes this condition of the prescribed volume upper limit set for standard with described accepting container size;
Described two placement conditions refer to: the described contact area being once placed on the medicament on described vice-belt is less than this placement condition of the described area upper limit, and the volume of the medicament be once placed on described vice-belt is less than this placement condition of described volume upper limit.
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