JP2001198194A - Drug storage device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a drug storage device allowing taking out drugs by only single action, returning the drugs without disturbing their rows, and appropriately grasping the storage states. SOLUTION: This drug storage device is provided with a lot of cassettes 20 for storing the drugs 1 in the aligned states and a support means 10 holding the cassettes 20 in the aligned states. The cassette 20 is formed with an exit/ entrance 21 allowing taking out the drugs 1 and pushing them thereinto, and an energizing means 22 energizing the stored drugs 1 toward the exit/entrance 21 is added thereto. The support means 10 holds the cassette 20 with the exit/ entrance 21 exposed. Counting means 41, 42, 30 for finding the number of drugs 1 stored in the cassette 20 are provided so that the drugs can be directly taken in/out from the cassette by hands, and the drugs in the respective cassettes are automatically counted. A drug rack and a drug cart are provided so as to reduce the restriction in the establishment, forming of a supplement port can facilitate a batch supplement, and the real-time output can make the drug administration precise.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medicine storage device for storing medicines used in a medical field or the like in a number of cassettes, and more particularly, to the number of stored medicines in addition to the storage of medicines. The present invention relates to a medicine storage device capable of grasping each of cassettes. In addition, the present invention relates to a medicine management system that manages medicine stock and the like using such a medicine storage device. The medicines include not only injection medicines such as ampules, vials and contrast agents, but also medicines and auxiliary medicines such as tablets and powders contained in boxes and bottles.

[0002]

2. Description of the Related Art Conventionally, at a medical site such as an operating room, medicines such as injection medicines are set and prepared beforehand in a procedure such as an operation, so that treatments can be easily performed. However, we need to prepare enough medicines during the treatment, so we prepare extra medicines, return the surplus medicines to pharmacies, etc. after the treatment, and count the medicines used during the treatment . The work is mainly performed by medical assistants such as nurses and nurses and direct medical workers, and is performed by catching in buckets and other disposal containers. In many cases, their duties include writing the amount of use of the medicines in a form for medicine management and inputting them to a computer system for stock management of medicines.

[0003] When leaving a medical site such as an operating room, there is a medicine storage device for storing medicines and the like, in addition to a medicine storage device for simply storing medicines, and an automatic removal mechanism and the like added thereto. . In the former, management of stored chemicals is entirely left to humans such as workers. In contrast, in the latter,
In order to detect the replenishment timing and the like, management of stored chemicals is performed automatically instead of leaving it to a person. As such a weighing / counting means, a storage position is fixedly determined for each individual medicine and a sensor is provided for each, or a storage container is weighed and the number of stored medicines is determined based on a unit weight. There are those that calculate and those that count the number of chemicals that have moved when the shelves for storage are withdrawn.

[0004]

However, these medicine storage devices have their respective advantages and disadvantages even if they are used as storage devices used in places other than the medical field. For example, if it is only storage, it is possible to put in and take out freely, but it is difficult to automatically manage stored chemicals, and it is difficult to return surplus items even if it is convenient to take out automatically, and it is costly to fix the storage position for each medicine However, the number of stored items is limited, and the accuracy of calculating by weighing is poor. For this reason, when a large number of cassettes are arranged to store a large number of
All that was done was to detect if the cassette was empty.

[0005] However, it is necessary to know that replenishment and the like are necessary only after the cassette is emptied, and then to start the work of replenishment and the like. It becomes difficult to provide a suitable chemical when needed, and it is unsatisfactory for use at medical sites and the like. In addition, when there is no stock and it takes time to deliver additional products, it becomes a big problem. Furthermore, since many medicines such as injection medicines have an expiration date, in the case of such medicines, they are stored in cassettes in that order and taken out, so when medicines taken out but not used are returned, If it cannot be returned to the same cassette, or if it can be returned, the order of the rows will change, so expiration will frequently occur, which is inconvenient.

However, the reason why it is not used in medical practice is that it is hard to use. In particular,
Although the contents of treatment and necessary medicines are frequently changed according to the progress of the operation and the condition of the patient, the medicines must be provided promptly without any delay in response.
This is because, in the conventional medicine storage device, the necessary medicine cannot be obtained without pressing the switch or pulling out the drawer and waiting at least one breath. For this reason, at the medical site, setting medicines such as injection medicines on trays etc. for use in surgery etc., grasping the amount of medicines used, etc., still requires the work of direct medical staff such as nurses. Has become.

However, in such a conventional method,
Persons engaged in medical procedures such as operations that require tension on site,
Even after the end of the direct action, they must continue to carry out foreign management duties, so they are not easily released from tension, and such persons are burdened physically and mentally. If the ampoule of the injection is broken or a syringe is mixed, the operation becomes more difficult and difficult. Therefore, in order to reduce the work load, it is also required to improve the medicine storage device so that it is easy to use even in the medical field, and also to be able to know the used amount of the drug and the like without having to count on the site staff. You.

[0008] For this purpose, a medicine storage device that uses a number of cassettes to removably store a large number of medicines and auxiliary medicines can be used so that necessary medicines can be quickly taken out and obtained. It is important to make it possible to always return the delivered medicines in the original order, and to always be able to accurately grasp the number of stored medicines for each cassette even if the medicines are taken in and out. Therefore, it is a basic object of the present invention to realize a medicine storage device in which the medicines can be held in one hand and the medicines can be returned without disturbing the rows and the storage state can be grasped more accurately.

[0009] Further, if the usability is improved as described above, there is a need other than that. Specifically, there are various demands for improvement, such as improvement regarding installation of the apparatus, improvement regarding batch replenishment at the preparation stage, and improvement on data management accompanying use of chemicals. Therefore,
In the medical field, it is necessary to improve the chemical storage device itself and to build up a more convenient system using it so that it can respond to those further demands without breaking the suitable manual work mode. Is a technical challenge.

The present invention has been made in order to solve such a problem, and the medicines can be held in one hand in one operation so that the medicines can be returned without disturbing the queue and the storage state can be further grasped. It is an object of the present invention to realize an accurate medicine storage device with less installation restrictions. In addition, the present invention realizes a medicine storage device that allows a user to take medicines in one operation and return the medicines without disturbing the sequence, and to further grasp the storage state, and facilitates batch replenishment. The purpose is to do. Furthermore, the present invention is a medicine storage device and a medicine management system which can take medicines in one operation and return the medicines without disturbing the queues, and furthermore, can accurately grasp the storage state. The purpose is to achieve what is done properly.

[0011]

Means for Solving the Problems The configuration, operation and effect of the first to sixth means in consideration of the basic invention and further improvements made to solve such problems will be described below.

First, a medicine storage device according to the basic invention is a medicine storage device comprising a number of cassettes for arranging and storing medicines and support means for arranging and holding these cassettes. In addition to the above, an entrance which can be pushed in is formed, and an urging means for urging the stored chemicals toward the entrance is provided.The support means exposes the entrance and exits the cassette. And a means for counting the number of stored chemicals in the cassette is provided.

Here, the above “exposed state” includes:
The state is not limited to the state in which the entire surface is exposed, and even the state in which the part is exposed in the inside of the opening or the like is included as long as it is in a state that is visible and can be reached by hands and fingers. Further, it is not necessary to always expose it, and it is sufficient that the exposed state can be easily and promptly secured at least at the time of use by opening and closing a door and a cover.

In such a medicine storage device of the basic invention, the medicines stored in each cassette are taken out only as necessary or in preparation for use at the time of use. , Are successively extracted from the entrance of the cassette in the order of alignment. And, among the extracted chemicals, those which have not been used are pushed in from the extracted entrance and returned to the original cassette. Thus, the medicines taken out from the head of the row are simply returned to the head of the row.
Therefore, by simply arranging the medicines in the order of their expiration dates at the time of aligning and storing them in the cassette, it is possible to naturally reduce the occurrence of an undesired expiration even if the medicines are frequently taken in and out thereafter.

In addition, since the cassettes are lined up so that the entrances are exposed, the medicines can be taken in and out by directly picking the medicines with a finger or the like while a user such as a doctor checks the medicines with his / her own eyes. Therefore, it is possible to obtain necessary chemicals and return excess chemicals in a single operation. There is no wasted time such as indirect actions such as switch operation or waiting for transport. In addition, since the entrances and exits of the chemicals in the cassettes are easy to see and take in and out as described above, more cassettes can be accumulated without impairing usability.

[0016] Further, even if there is such an in / out,
Since the number of stored chemicals in each cassette is determined by the counting means, the storage state of the chemicals can be accurately grasped in real time even if the inside of the cassette is not visible or hard to see. Therefore, according to the present invention, it is possible to realize a medicine storage device in which the medicines can be held in one hand and the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately.

[First Solution] The medicine storage device of the first solution (as described in claim 1 at the beginning of the application) is the medicine storage device of the basic invention described above, wherein the support means is And a shelf for holding the cassettes in multiple stages or multiple rows.

The medicine storage apparatus of the first solution is a medicine shelf for storing various medicines in a large number of cassettes, and is installed in a hospital, a pharmacy, or the like, and is provided with a treatment shelf, a ward shelf, Used as a contrast shelf. As a result, a medicine shelf that is compact, has a large storage capacity, and is easy to manage in and out of is easily embodied, so that the medicine storage device of the present invention can be installed immediately where the medicine shelf has been placed or can be placed. And there are few restrictions on installation. Therefore, it can be easily introduced into an existing place as well as a new facility. Therefore, according to the present invention, the medicines can be held in one operation, the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately. Things can be realized.

[Second Solution] A medicine storage device according to a second solution (as described in claim 2 at the beginning of the application) is the medicine storage device according to the above-described basic invention, wherein a caster member is provided. And it is attached to the support means (directly or indirectly via a base or the like for supporting the support means).

The medicine storage apparatus of the second solution is a medicine cart which can store various kinds of medicines in a large number of cassettes and can easily move the medicines. It is also used as a transport cart for hospital wards. As a result, even if the portable device can be easily moved or relocated, the medicine cart can be easily stored in and out of the storage device. It can be moved only when necessary to bring in various kinds of chemicals and be used easily. Since there are few restrictions on the installation in this way, the drug storage device of the present invention can be easily introduced into an existing facility as well as a new facility. Therefore, according to the present invention, the medicines can be held in one operation, the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately. Things can be realized.

[Third Solution] The medicine storage device of the third solution (as described in claim 3 at the beginning of the application) is the medicine storage device of the above-described basic invention, wherein the cassette has A replenishment port for chemicals is formed in addition to the entrance.

In the medicine storage device according to the third solution, the medicines that have been withdrawn but returned without being used are pushed into the head of the row through the entrance and exit, and are newly added at the time of batch replenishment or the like. Are added to the back of the row via the refill port. Thus, even if new medicines are additionally stored without waiting for the inside of the cassette to become empty, it is possible to easily and reliably arrange the medicines in the order of their expiration dates. Therefore, according to the present invention, the medicines can be taken in one operation and the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately. Can be realized.

[Fourth Solution] A medicine storage device according to a fourth solution (as described in claim 4 at the beginning of the application) is the medicine storage device according to the above-described basic invention, wherein a medicine for the cassette is provided. It is provided with an output means for outputting management data (including one or both of the increase / decrease value of the number of stored items and the count value) of the chemicals in accordance with the inflow and outflow of the types.

In the medicine storage device according to the fourth solution, when medicines are taken in and out of any cassette, the medicine is taken out or taken out each time or at an appropriate time. The increase / decrease value of the number of stored medicines and the count value of the number of stored medicines at that time are output by the output means. By using this output, the number of chemicals to be taken in and out and stored can be managed and managed in real time.
As a result, monitoring can be performed, and as a result, the use result can be surely confirmed, accurate inventory management, prompt issuance of forms such as billing slips, and prevention of theft can be achieved. Therefore, according to the present invention, the medicines can be held in one hand and the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately. What you do can be realized.

[Fifth Solution Means] The medicine storage device of the fifth solution means (as described in claim 5 at the time of filing the application) is the medicine storage device of the fourth solution means, The means includes at least one of a printer, a storage medium, and a communication device.

In the medicine storage device of the fifth solution, visual confirmation by printer output, data processing based on stored data, and online processing by communication are also possible. This ensures that accurate medicine management is performed based on the output results. Therefore, according to the present invention, the medicines can be held in one operation and the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately. What can be reliably performed can be realized.

[Sixth Solution] A medicine management system according to a sixth solution (as described in claim 6 at the time of filing the application) comprises the above-described drug storage device according to the fourth and fifth solutions,
An information processing unit that performs one or more of a totaling process, a monitoring process, a confirmation process, and an inventory management process based on output data of the output unit that is incorporated in or separately provided in the medicine storage device; It is provided with.

In the medicine management system according to the sixth solution, if medicines are taken in and out of the medicine storage device at the site, data necessary for management and monitoring of the medicines is output by the output means. At the same time, appropriate information processing such as tabulation processing, monitoring processing, confirmation processing, and inventory management processing is automatically performed based on the data. This eliminates or reduces extra work such as data input and tabulation, so that the work load on the site is reliably reduced. Therefore, according to the present invention, the medicines can be taken in one operation, the medicines can be returned without disturbing the queue, and the storage state can be grasped more accurately. What can be done easily can be realized.

[0029]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS A description will be given of an embodiment for carrying out the chemical storage device of the present invention which has been achieved by such a solution.

[First Embodiment] A first embodiment of the present invention is a medicine storage device of the above-mentioned solving means,
A reading device that reads written information (such as identification symbols directly or indirectly attached to both the cassette and the medicines to be stored therein), and the cassette and the Determining means for determining compatibility with the stored chemicals.

In this case, when replenishing or returning the chemicals from the entrance or the appropriate replenishing port of the cassette,
When the reading information of the relevant cassette and the medicines is read using the reading device, the compatibility between the relevant cassette and the medicines stored in the cassette is determined by the determination unit based on the read result. Therefore, erroneous storage is prevented by performing storage in the corresponding cassette after confirming the determination result. This ensures that even if there are many cassettes, the appearance of medicines is confusing, and even if it is manual,
The medicines can be stored in an appropriate cassette. Therefore, according to this embodiment, the medicines can be held in one hand, the medicines can be returned without disturbing the rows, the number of erroneous storages is small, and the storage state can be accurately grasped. be able to.

[Second Embodiment] A second embodiment of the present invention is a medicine storage apparatus according to the above-described solution and embodiment, wherein both the cassette and the medicine to be stored therein are contained. A reading device for reading written information (such as an identification symbol directly or indirectly attached to the device), and selecting means for selecting from among the cassettes a device that is suitable as a storage location for medicines based on the read result And display means for displaying the selection result.

In this case, when replenishing or returning the chemicals from the entrance or the appropriate replenishment port of the cassette,
First, the information written on the replenishment chemicals is read using a reading device. Then, based on the read result, one or more cassettes are selected from a large number of cassettes that are suitable as replenishment destinations and return destinations of the medicines, and
The selection result is displayed by the display means. Therefore,
By looking at the display and replenishing the corresponding cassette, etc.,
The work load is reduced and erroneous storage is prevented. Thereby, even if the number of cassettes is large, the appearance of the medicines is confusing, and even if it is a manual operation, the medicines can be reliably and easily stored in an appropriate cassette. Therefore, according to this embodiment, the medicines can be held in one hand, the medicines can be returned without disturbing the rows, the number of erroneous storages is small, and the storage state can be accurately grasped. be able to.

[Third Embodiment] A third embodiment of the present invention is the medicine storage device according to the above-described solution and embodiment, wherein the display means is provided corresponding to each of the cassettes. And a large number of display members. In this case, since the relevant cassette can be immediately identified only by looking at the display member on which a significant display is made, the work load is further reduced, and erroneous storage is reliably prevented. Therefore, according to this embodiment, the medicines can be held in one operation, the medicines can be returned without disturbing the rows, the number of erroneous storages is further reduced, and the storage state is more accurately grasped. can do.

[Fourth Embodiment] A fourth embodiment of the present invention is the medicine storage device according to the above-described solution and embodiment, wherein the counting means is provided for each of the cassettes and the entrance is provided. It is provided with detection means for detecting the inflow and outflow of medicines through the in and out, and calculation means for increasing or decreasing the corresponding count value in accordance with the detection result.

In this case, each time a chemical is introduced or removed through the entrance, the detection means discriminates between the entrance and exit, and the corresponding count value of the cassette in and out of which is detected by the arithmetic means. It is increased or decreased according to. In this way, the number of stored chemicals in each cassette is obtained. However, since it is sufficient that the detection elements and the like are provided at the entrance or exit or in the vicinity thereof, the detection means can be realized at relatively low cost. Therefore, according to this embodiment, it is possible to inexpensively provide a medicine storage device that can return medicines without disturbing the order of the medicines in one operation, disturb the queues, reduce erroneous storage, and more accurately grasp the storage state. Can be realized.

[Fifth Embodiment] A fifth embodiment of the present invention is the medicine storage device according to the above-described solution and embodiment, wherein the counting means is provided for each cassette and the corresponding cassette is provided. Detection means for detecting a physical quantity corresponding to the length of a row of stored medicines or the tail position of the row,
Computing means for generating or calculating the corresponding count value in accordance with the detection result.

In this case, based on the fact that the chemicals are arranged and stored in each cassette, the length of the row and the like are detected by the detecting means, and the count value corresponding to each cassette is calculated by the calculating means. It is calculated or the like according to the detection result. In this way, the number of stored chemicals in each cassette is obtained, but the detection at that time is performed by obtaining the length and position using the aligned storage state, so that the presence or absence of all the chemicals is detected one by one. It can be inexpensive, and is more compact and more accurate than measuring the total weight of chemicals. Moreover, since the detection is performed at any time regardless of the loading and unloading of the chemicals, the detection is also performed for the total number of the chemicals in the cassette. It is possible to easily and accurately grasp the storage state of the chemicals without any trouble. Therefore, according to this embodiment, the medicines can be grasped in one operation, the medicines can be returned without disturbing the rows, the number of erroneous storages is small, and the storage state can be easily and accurately grasped. Can be realized.

With respect to the medicine storage device of the present invention which has been achieved by the above-mentioned solution means and embodiments, specific embodiments for implementing the same will be described with reference to the following first to tenth embodiments. The first example shown in FIGS. 1 to 4 embodies the first solution means and the first and fourth embodiments described above, and the second example shown in FIGS. The third embodiment shown in FIG. 8 embodies the first solving means and the first, second, third and fifth embodiments, and is similar to the fourth embodiment shown in FIG. 9 and FIG. The fifth embodiment shown is a modification of them. The sixth example shown in FIG. 11 and the seventh example shown in FIG. 12 are modifications that embody the above-described second embodiment. Further, the eighth embodiment shown in FIG. 13 also embodies the second solution described above, and the ninth embodiment shown in FIG. 14 embodies also the third solution described above. And the tenth shown in FIG.
The embodiment also embodies the fourth to sixth solving means described above. In these drawings, for simplicity and the like, fasteners such as bolts and coupling tools such as hinges are omitted from the drawings, and those necessary and related to the description of the invention are mainly shown.

[0040]

First Embodiment A first embodiment of a medicine storage device according to the present invention will be described with reference to the drawings.
FIG. 1 shows the mechanical structure, (a) is a front view,
(B) is a right side view around the cassette. FIG.
Is a block diagram of the counting means and the like.

This medicine storage device (see FIG. 1A)
A cassette holding unit 10 (supporting means) and an operation unit 30 are provided adjacent to a base 9 such as a base plate, and a medicine 1 such as an injection medicine (shown in FIG. Direction and operation unit 3 for taking out ampoule)
The directions for operating the 0 are arranged on the front side and the front side, and connection of a signal transmission / reception cable (not shown) is made at the base 9 or at the rear side. The cassette holding unit 10 is provided with an appropriate outer frame or housing as a shelf frame, and is a cassette-only shelf in which cassette mounting shelves 11 are provided in multiple stages (in FIG. ), A plurality of / many cassettes 20 are arranged and mounted on each cassette mounting shelf 11.

The cassette mounting shelf 11 (see FIG. 1 (b)) has an upper surface on which the cassette 20 is mounted higher on the rear side and lower on the front side, in order to maintain the cassette 20 in an inclined state. A bent portion or protruding portion upward is formed at the front end portion so that the cassette 20 does not fall. Openings are provided between the upper and lower shelves and between the shelves and the top plate, so that the cassette 20 on the shelves is held in a state where the front end and the front end are exposed toward the front of the apparatus. .

The operation unit 30 (see FIG. 1A) is arranged in an appropriate box shape, and a printer 32, a floppy disk 33 and the like are arranged on the front surface in addition to a keyboard 31 to be operated. The communication unit 34 and the main controller 44, which will be described later, are stored therein. A bar code reader 61 as a reading device is externally attached to the operation unit 30 via a flexible cable or the like. An appropriate buzzer 62 and the like are also incorporated in order to notify the completion of the reading and a result of determination to be described later by sound.

The cassette 20 (see FIG. 1B) is formed of a box having a substantially rectangular parallelepiped shape in order to store the medicines 1 in a line in the front-rear direction. Slightly larger than that of and many times deeper. An upper corner of the front surface of the cassette 20 is cut out to form an entrance 21. This entrance 21 is largely cut so that the head or the upper half of the leading medicine 1 is almost exposed, and it can be seen from the side. It is formed in a step shape so that the head of the medicine 1 is almost exposed, and the head medicine 1 can be taken in and out. At this time, the head of the medicine 1 is picked out by a human hand, and is pulled out or pushed in. Can be easily done.

When each cassette 20 is placed on the cassette mounting shelf 11 with the entrance 21 side facing forward, all the entrances 21 and the respective leading chemicals 1 are exposed to the front side, that is, to the front of the apparatus. It has become. In each cassette 20, a code label sticking surface 23 is formed on a part of such an exposed surface, and the stored chemical 1
The same bar code label as the bar code label affixed to the device can be attached. The barcode label describes identification information such as an identification code assigned based on the type of the medicine 1 and the like.

Further, a member having a small coefficient of friction is used on the inner bottom of the cassette 20 so that the stored medicine 1 slides toward the entrance 21 by its own weight, but the medicine 1 behind falls. In addition, a weight 22 is provided as urging means to positively push the last medicine 1 toward the entrance 21 also for the last medicine 1. The weight 22 is not indispensable because it depends on the degree of inclination, shape, etc., but wheels and sliders for reducing frictional force are attached, and an engaging member with a guideway is added so as not to fall down. It may be done.

The counting means 40 (see FIG. 2) includes a detecting means mainly composed of sensors 41 and 42 and a calculating means mainly composed of the main controller 44 in order to obtain the number and the number of stored medicines 1 in each cassette 20. I have. The main controller 44 also serves as a judging means. For this reason, the cable of the bar code reader 61 is connected to the main controller 44 in the operation unit 30, and the reading result of the bar code reader 61 is input to the main controller 44. It is also becoming.

As the sensors 41 and 42, for example, short-distance reflective photosensors or the like are used. One pair of sensors 41 and 42 is provided on the upper surface of the cassette mounting shelf 11 where the cassette 20 is to be mounted. Is buried (see FIG. 1B). The sensor 41 is provided at the protruding portion at the front end with the detection direction facing backward, and the sensor 42 is provided at a position slightly rearward from the front end with the detection direction facing upward. Further, a small through-hole for transmitting the light transmitted from the sensors 41 and 42 and the reflected light therefrom is formed at a corresponding portion of the cassette 20. This allows
Detecting means is provided for each cassette, and the side and bottom portions of the first medicine 1 stored in each cassette 20 are detected.

The main controller 44 comprises an appropriate microprocessor system or the like, and
The detection results of all the sensors 41 and 42 can be taken in through the sub-controller 43 provided for each.
Then, by the program processing, based on the difference regarding the transition state of the detection result in each pair of the sensors 41 and 42, and the like,
The entrance and exit of the medicine 1 through the entrance 21 are detected in a distinguishable manner. Further, a count value table 46 is allocated to a built-in or external hard disk 45,
This is allocated to each cassette 20, and the count value of the number of stored chemicals is stored and held for each, and each sensor pair 4
Calculations for increasing or decreasing the corresponding count value in accordance with the detection results of 1, 42 are also performed.

When the reading result is sent from the bar code reader 61, the main controller 44 issues a buzzer 62 in accordance with whether or not the reading itself has been properly performed each time.
Drive. For example, short-time driving is performed using different timbres. Then, when two appropriate reading results are obtained, each time they are compared, it is determined whether or not they match, and the buzzer 62 is driven according to the result of the determination. At this time, the driving is performed for a longer time than in the above-described case, for example, by using different timbres from the above-mentioned timbres or by changing the number of intermittents so that the timbres can be clearly heard and easily checked. The processing by the main controller 44 will be described in detail in the following operation description.

Regarding the medicine storage device of the first embodiment,
The mode of use and operation will be described with reference to the drawings. FIG. 3 shows a state change at the time of removing the medicine, and FIG. 4 shows a state change at the time of pushing the medicine.

Prior to use, each cassette 20 stores in advance several chemicals 1 of a suitable size. In this case, for the chemicals 1 having an expiration date or the like, the ones whose expiration date is as late as possible are used. Arrange the items on the back side, with the one that comes earlier due to the front side. At this time, the medicine 1 which can be seen at a glance by its color and shape characteristics, or the medicine 1 whose storage destination cassette is known by visually checking the medicine name and the like may be stored immediately, but it is obvious by visual confirmation. If you are not sure or are not confident in the result of the visual confirmation and have any doubts or doubts,
To read the bar code label of the medicine 1 to be stored and the bar code label on the code label attaching surface 23 of the cassette 20.

Then, the main controller 44 checks whether or not the reading operation of the bar code reader 61 is appropriate, and after the reading is normally performed twice, it is determined whether or not they match. If the two barcodes are read normally and they match, the sound of the buzzer 62 informs the user that it is clear that the medicine 1 is compatible with the corresponding cassette 20. Do. On the other hand, if they do not match, the cassette is not immediately stored, another cassette 20 is selected as a candidate, and the confirmation operation is performed again. In this way, even if it goes casually, it is properly stored without error. Further, when such a storage operation is performed with the power supply turned off or when the cassette 20 is removed and stored collectively, the keyboard 31 or the like is operated to set an appropriate initial value to the corresponding data of the count value table 46. Set it.

In the case of an ampoule or the like for an injection for surgery, such preparation work is usually performed collectively in a dispensing department in a hospital, an operating room, or the like. That is, it may be performed every operation, but usually, in order to reduce the work load of the injection medicine set, a sufficient number of medicines 1 sufficient for several operations assumed in a predetermined period such as a half day or a day are usually used. Are stored in each cassette 20. Then, the cassette 20 containing the medicine 1 that can be stored at room temperature is stored in the cassette holding unit 10, and the cassette 20 containing the medicine 1 that needs to be frozen and stored is stored in a cool box or the like in the front room of the operating room.

By the time of use, the medicine storage device is carried into the operating room and set on a desk or table of an appropriate height. Immediately before use, the cassette 20 such as a cool box is also placed in the operating room. The device is mounted on the cassette holding unit 10 and, at the time of use, the power supply and the like are checked, and the operation of the apparatus is started. In this state, if one of the heads is removed from the entrance 21 of the cassette 20 containing the desired medicine 1, the detection state of the corresponding sensor 41, 42 changes with the movement of the medicine 1. The main controller 4
4 is detected.

That is, (see FIG. 3), the sensors 41 and 42 which were both in the "ON" state in the steady state (see FIG. 3).
(See (a)), with the upward movement of the first drug 1,
First, the sensor 42 is turned off (see FIG. 3B), and then the sensor 41 is turned off (see FIG. 3B).
When the second medicine 1 is shifted to the head position, the sensor 42 returns to the “ON” state (see FIG. 3C).
(See (d).) Finally, the sensor 41 is also turned on and returns to the steady state.

On the other hand (see FIG. 4), when the medicine 1 is pushed into the cassette 20 from the entrance 21, the sensor 41 is turned “ON” as the second and subsequent medicines move to the back.
From the state (see FIG. 4A), the state changes to the “OFF” state (see FIG. 4B), and then the sensor 42 also changes from the “ON” state (see FIG. 4B) to the “OFF” state (FIG. 4).
(C)). Next, with the insertion movement of the new medicine 1,
The sensor 41 is turned “ON” (see FIG. 4D),
Then, finally, the sensor 42 is also turned on and returns to the steady state.

Such a change in the detection state of the sensors 41 and 42 is also taken into the main controller 44 and the entrance 2
It is detected that the medicine 1 has been re-entered via 1. Moreover, depending on whether you put out or put in medicine 1,
Since the order in which the sensors 41 and 42 change on and off is different, the two are reliably distinguished by the determination processing of the main controller 44. In this way, the entrance and exit of the medicine 1 through the entrance 21 are detected in a distinguished manner.

When the extraction / extraction of the medicine 1 is detected, the main controller 44 decrements the data of the corresponding count value in the count value table 46 by one. Chemical 1
Is increased by 1 when the push-in / insertion is detected. Thus,
Each time medicine 1 is taken in and out, cassette 2
The count value in the count value table 46 corresponding to 0 is appropriately increased or decreased, and the count value table 46 always reflects the number of stored medicines in each cassette 20 accurately.

Since such a counting process is automatically performed, a doctor or a nurse in the operating room looks at the cassette holding unit 10 whenever an injection is needed for the operation, and arranges it there. What is necessary is to select the applicable medicine 1 from among those present, reach out there, and extract it. This alone allows the necessary chemicals to be used immediately. Also,
In the case where the use of the medicine 1 is stopped due to a change in the patient's condition or judgment of the medical condition, the medicine 1 may be pushed into the cassette 20 containing the same medicine 1 from the entrance 21 immediately or at an appropriate time after the end of the operation. . As a result, the medicine 1 which has been taken out but not used is returned to an appropriate storage position in accordance with the order of the expiration date and the like, and the counting process is automatically performed.

However, the worker at the site returns the unused medicine 1 to the cassette 20 during the operation or the like when the cassette 20 to be returned is clearly known immediately after the removal, or
Perform this only when you are sure of the color and shape characteristics. When it is a little confusing or when you are busy and in a hurry, store it in an appropriate tray or the like until surgery is completed, and slowly check the identification information with a barcode reader 61 or the like later. It is good to return.
Thus, also in this case, erroneous storage is reliably prevented.

After use, or at any time even during use, the main controller 44 appropriately changes the contents of the count value table 46 as it is or based on the management data 47 or the like according to an appropriate operation of the keyboard 31 or the like. After converting to a simple format or adding a drug name, the printer 32
Or to the floppy disk 33. In addition, when communication with the host computer or the like is possible via the communication unit 34, the notification is made in an appropriate message.

In this way, at the site such as the operating room where the medicine storage device is set, the medicine can be easily and quickly taken in and out with one touch without impairing the workability there. In addition, at that time, the number of stored medicines is always accurately grasped without having to perform the troublesome work of inputting the number of medicines taken in and out, and the used ampules etc. in the disposal container are counted up one by one. Even if it is not necessary, the quantity of the injections used for the operation and the like can be automatically and accurately determined, and it is also possible to automatically carry out the management necessary for replenishment, ordering, and the like of the insufficient medicine.

[0064]

Second Embodiment A specific configuration of a second embodiment of the medicine storage device of the present invention will be described with reference to the drawings.
FIG. 5 shows the mechanical structure, (a) is a front view,
(B) is a right side view around the cassette. FIG.
Is a block diagram of the counting means and the like.

The difference between this medicine storage device and that of the first embodiment is that the counting means 40 is modified to become the counting means 50, and that the LED 63 as a display member has the And the code table 64 is provided as a part of the selection means.
This is the point assigned to The counting means 50 includes a detecting means mainly composed of the sensor 51 and an arithmetic means mainly composed of the main controller 56 in order to obtain the number and the number of the medicines 1 stored in each cassette 20.

The sensor 51 (see FIG. 5) includes a permanent magnet 5
2, a small number of permanent magnets 52 are used because the permanent magnets 52 are embedded in the weights 22, but a large number of sensors 51 are used. "OF" depending on the distance
F "or" ON ".
The sensors 51 are attached in a state of being lined up on the upper surface of the sensor substrate 53 or the like so that the connection with the cassette 20 is unnecessary. The number of the sensors 51 is one more than the maximum storage number of the cassette 20. The pitch corresponds to the pitch of the medicines 1 aligned in the cassette 20. The sensor substrate 53 is mounted on each of the upper surfaces of the cassette mounting shelf 11 and the like where the cassette 20 is to be mounted, and when the corresponding cassette 20 is set thereon, the sensors 51 are stored one by one. It is located just below the medicine 1.

Such a sensor substrate 53 is connected to each cassette 2
0, the sub-controller board 54
Is provided for each cassette mounting shelf 11. The sub-controller substrate 54 is attached to the lower surface of the cassette mounting shelf 11 or the like so as to extend horizontally, and connection with each sensor substrate 53 and the main controller 56 is established via an appropriate connector (not shown). (See FIG. 6). On each sub-controller board 54, a sub-controller 55 such as a one-chip microcomputer is mounted, and by a relay process or the like, detection results of the respective sensors 51 are collected and transmitted to the main controller 56 collectively. I have.

The main controller 56 comprises a microprocessor system or the like similar to the main controller 44, to which similar peripheral devices such as the keyboard 31 and the hard disk 45 are also connected. In response to the above, the part of the program responsible for generating the corresponding count value in accordance with the detection result has been modified. The contents of the processing will be described in detail in the following operation description.

The main controller 56 also functions as a part of the selection means and the display means, and has a switchable determination mode, a setting mode, and a selection mode as operation modes. In the determination mode, the determination processing described in the first embodiment is performed. In the setting mode, while the barcode reader 61 is moved in a predetermined order, for example, in such a manner that the barcode reader 61 is moved in a horizontal direction repeatedly starting one step at a time from the lower left to the upper right, all the parts set in the cassette holding part 10 are moved. When the code label attaching surfaces 23 of the cassettes 20 are read one after another,
, The bar code, that is, the identification information, and the relative position, that is, the address information of the corresponding LED 63 are obtained, and the information is stored in the code table 64 in a searchable manner.

Further, in the selection mode, every time the bar code reader 61 reads the medicine 1, the reading result is displayed in order to select a suitable one as the storage destination of the medicine 1 from the cassette 20. The code table 64 is searched based on the information of the cassette 20 and the corresponding LED 63 that match the code of the medicine 1. In order to display the selection result, an LED 63 corresponding to the selected cassette 20 is displayed.
Is also turned on.

The chemical storage device according to the second embodiment will be described.
The mode of use and operation will be described with reference to the drawings. FIG. 7 shows a state change at the time of taking in and out the medicine.

The difference in the preparation stage prior to use is that no data input operation for initializing the count value table 46 is performed no matter how the storage is performed.
When the medicine storage device is operated (see FIG. 7A),
In each cassette 20, one of the sensors 51 is "ON"
In this state, the other sensors 51 are in the "OFF" state, so that the number of the medicines 1 currently stored is immediately determined according to the order of the sensor 51 in the "ON" state. Then, the count value is stored in the count value table 46.

When the first medicine 1 is taken out during use, the second and subsequent medicines 1 and the weight 22 move so as to be shifted by one pitch toward the entrance 21 side. Although all the sensors 51 corresponding to 20 are in the “OFF” state (see FIG. 7B),
Immediately after the movement, the entrance 21
The side is in the “ON” state (see FIG. 7C). On the other hand, when the medicine 1 is introduced from the entrance 21, the medicine 1 and the weight 22 being stored move so as to be shifted by one pitch to the back side, so that the sensor 51 in the “ON” state moves to the back side. (See FIGS. 7C to 7A).

As described above, in any of the cassettes 20, the position of the permanent magnet 52 corresponding to the last position of the row of the medicines 1 stored in each cassette 20 is always accurate without being affected by the history of the past. Is detected. Therefore, in this case, there is no need to manually input the number of stored medicines and the like at any stage, not only at the site of use, but the number of stored medicines is always accurately grasped.

When storing the medicine 1 in the medicine storage device, the operation state can be set to the judgment mode in the same manner as in the first embodiment when the bar code reader 61 is used to appropriately check the setting. And the selection mode can be switched. That is, after setting the cassette 20 in the cassette holding unit 10, the setting mode is set at least once, and the bar code reader 61 is operated in the mode to read the code label attaching surfaces 23 of the respective cassettes 20 in a predetermined order, Table 64 is set up.

Further, the operation state of the main controller 56 is switched to the selection mode, and thereafter, the medicine 1 to be stored is also stored in the preparation stage, during use and after use.
The bar code label is read only for. Then, the code table 64 is searched by the main controller 56, and the LED 63 immediately before the corresponding cassette 20 is turned on. Upon seeing this, the storage operator pushes the corresponding medicine 1 into the cassette 20 from the entrance 21 and when the count value of the corresponding cassette 20 is incremented by 1 by the main controller 56, the LED 63 is also turned off.

In this case, the batch reading of the cassette 20 is performed in advance, so that when the medicine 1 is stored, it is sufficient to perform the reading operation only for the target medicine 1, so that the display of the storage destination can be performed very easily. Guidance and propriety confirmation can be performed, and errors are reliably prevented.

[0078]

Third Embodiment A specific configuration of a third embodiment of the medicine storage device of the present invention will be described with reference to the drawings.
FIG. 8 shows a right side view of the cassette 20 with a sensor 51 and a permanent magnet 52 added thereto.
And (b) and (c) show a state in which the large-diameter chemical 1 is stored.

In the above-described second embodiment, the pitch of the medicine 1 and the pitch of the sensor 51 are the same.
In the medicine storage device of the third embodiment, the pitch of the medicine 1 and the sensor 5
Even if the cassette 20 does not match the pitch of 1, the length and the count value of the medicine row can be obtained correctly. Also,
The cassette 20 of this medicine storage device has a large entrance 21 so that two medicines can be simultaneously extracted from the head of the row when the medicine 1 is extracted.

In this case, the sensors 51 are arranged in a row at the pitch when the small-diameter chemicals 1 are aligned, and the permanent magnet 52 has a longer sensitive range than the pitch and does not coincide with an integral multiple (FIG. 8). (A)). In addition, the sensor 51 and the permanent magnet 52 under the same conditions are also used for aligning and storing the large-diameter medicine 1 (see FIG. 8B). As a result, the sensor substrate 53 can be used in common for the various types of chemicals 1, and the mass production effect can be enjoyed. For the medicine 1 having the same pitch, an accurate medicine row length and count value can be obtained as described in the second embodiment. Also, for the medicine 1 having a different pitch, if the medicine 1 is taken in and out, the permanent magnet 52 moves a distance of one pitch or more of the sensor 51, so that the difference in the length of the medicine row is reliably detected.

In addition, the sensor 51 sensitive to the tip of the permanent magnet 52 may be in an indeterminate state due to the pitch shift. Even in such a case, the length of the permanent magnet 52 is increased from an integral multiple of the pitch. Since it is shifted, the sensor 51 sensitive to the rear end of the permanent magnet 52 is clearly determined. for that reason,
It is possible to assign a plurality of on / off (ON / OFF) patterns to the length and the count value of the corresponding number of drug rows (see FIG. 8 (c)). The count value can be obtained accurately.

Note that such calculation and discrimination processing may be performed each time a detection is performed by numerical calculation or the like in the sub-controller 55 or the main controller 56. And the like, and the processing for each detection may be a search with a light load. In addition, the sensor substrate 53 may have a sensor pitch corresponding to the smallest chemical 1, and all may be unified. Alternatively, the sensor substrates 53 may be collectively used for several types of sensor pitches. Further, unlike in the first embodiment, since there is no need to accumulate, even if it is put in and out one by one, or put in and out plurally, it is done quickly or slowly.
The medicine 1 stored in the cassette 20 is always accurately counted in the static state without being affected by the transient state.

[0083]

Fourth Embodiment FIG. 9 shows a right side view of a vertical section of a cassette holding unit 10. The medicine storage apparatus of the present invention is suitable for medicine 1 desirably stored in a dark place without impairing usability. It has been modified so that it can be stored in a state. Specifically, a box-shaped casing is adopted as the cassette holding unit 10, and a large opening is formed on the front surface thereof, and a curtain 12 for covering the opening is also added.

In this case, when not in use, the curtain 12 is lowered to darken the inside of the cassette holding section 10 (FIG. 9A).
reference). On the other hand, during use such as during surgery, the curtain 12 is housed in the winder 13 or the like, and the front opening of the cassette holding unit 10 is opened (see FIG. 9B). In this state, the entrance and exit 21 of each cassette 20 and the leading medicine 1 appear and can be visually recognized. Therefore, the hand is extended as necessary to take in and out the medicine. After surgery, etc., curtain 12
Take down. Thus, the exposed state is easily and quickly secured during use.

Fifth Embodiment FIG. 10 shows a right side view of the cassette holding unit 10 according to the present invention.
A frame is used to expose and support the cassette not only on the front side but also on the rear side (see FIG. 10A).

In this case (see FIG. 10B), the cassette 20 is set by utilizing the fact that the rear side of the cassette 20 is largely released and the fact that the cassette mounting shelf 11 is inclined forward and downward. Work, replacement work, and the like can be easily performed from the rear of the device.

[0086]

Sixth Embodiment The medicine storage device of the present invention, the front view of which is shown in FIG. 11, differs from that of the above-described second embodiment in that the number of display members is changed to an LED 65 smaller than the LEDs 63. That is, although the individual elements may be similar,
The number of the LEDs 65 is smaller than the number of the LEDs 63 and the cassette 20. The LEDs 65 are arranged at the periphery of the cassette holding unit 10 for each row of the cassette 20, that is, one for each cassette mounting shelf 11 and one for each row of the cassette 20. ing.

In this case, each cassette 20 has
Different pairs of LEDs 65 correspond based on the combination of the step position and the row position. When the bar code of the medicine 1 is read in the selection mode, L indicating the step position is obtained.
Since both the ED 65 and the LED 65 indicating the row position are turned on, the medicine 1 is stored in the cassette 20 located at the intersection of the horizontal straight line and the vertical straight line passing therethrough. Thus, even if the number of display members is smaller than that of the cassette 20, display guidance of the storage destination and confirmation of suitability can be performed.

[0088]

Seventh Embodiment A medicine storage device of the present invention whose front view is shown in FIG. 12 is different from those of the second and sixth embodiments described above in that the display members are changed from the LEDs 63 and 65 to the display 66.
It is a point that became. The display 66 is incorporated in a front portion or the like of the operation unit 30 and displays characters output from the main controller 56.

In this case, when the bar code of the medicine 1 is read in the selection mode, the position of the cassette 20 suitable as the storage destination is displayed on the display 66 in a combination of the step position and the row position. The medicine 1 is stored in the cassette 20 located. Thus, even if the display members are integrated into one, the display guidance of the storage destination and the propriety confirmation can be performed.

[0090]

Eighth Embodiment A medicine storage apparatus of the present invention whose overall front view is shown in FIG.
Is that the base 71 has a box shape, and the casters 72 and the bolts 73 are attached to the four corners of the lower surface of the base 71 in a downward direction.

The base 71 has a height close to the waist position so that the user can easily stand while removing the medicine 1 from each cassette 20, open the front door and open a disposal container or other equipment. Can also be stored. The casters 72 are small wheels that are pivotally supported so as to be able to roll on the floor 2 in any direction. The bolts 73 are screwed so that their heads can advance and retreat toward the floor 2. attached.

In this case, if the bolt 73 is retracted toward the base 71 and the caster 72 is lowered on the floor 2 (FIG. 13).
(See (a)), since the entire device can be easily moved by pushing with the hand, the device is usually placed in the anterior room of the operating room, and may be moved to the operating room only when necessary for surgery. it can. It is also easy to use one or a few drug storage devices in some operating rooms. Further, preparation work such as batch storage of medicines is performed in a pharmacy department, then moved to a pre-operating room or an operating room for use, and returned to the pharmacy department after use. And
When there is no need to move the bolt, the bolts 73 are protruded toward the floor 2 so that the casters 72 are lifted off the floor 2 (see FIG. 13B), so that the device is fixed and stable.

[0093]

Ninth Embodiment FIG. 14 shows a right side view of a cassette, which is different from the above-described embodiments in that the medicine storing apparatus of the present invention is such that the right side plate 26 can be detached from the cassette 20. Is a point.

In the cassette 20, the main body portion (see FIG. 14A) excluding the side plate 26 and the side plate 26 (see FIG. 14B) are formed separately. The main body 20 has a large opening almost entirely on the right side surface.
Door 2 on the front side for convenient refilling
It is a refill port formed separately from 1. In order to prevent the attached side plate 26 from coming off, the main body of the cassette 20 is provided with appropriate locking members 25 at several places.
Are formed with locking notches 27 corresponding to some of them.

When the medicine 1 is stored in the cassette 20 in a lump or additionally, first, the cassette holding section 1
0 and the cassette 20
Remove the side plate 26 from. Further, the weight 22 is also temporarily removed or moved to the rear end (see FIG. 14A), and then a new medicine 1 is added to the rear end of the stored medicine 1 in a predetermined order. At this time, the medicines 1 are aligned so that the bar code label 1a attached to the medicine 1 faces the front side, that is, the right side of the opened state. After that, weight 2
2 is set at the end of the row of the medicine 1 (see FIG. 14 (c)), and in that state, the barcode reader 61 is used to read the barcode labels 1a one after another.
Makes it easy and quick to check the suitability of the storage location. Then, the side plate 26 is mounted to close the replenishing port, and the side plate 26 is fixed by the locking member 25 (see FIG. 14D).

In this way, in addition to the batch replenishment of chemicals, it is also possible to easily and accurately confirm the compatibility of the storage destination. Note that the above-described locking means of the side plate 26 is an example, and other means may be used as long as the side plate 26 can be fixed to the main body. For example,
A groove for accommodating the end of the side plate 26 may be formed inside the right end of the cassette 20, and the side plate 26 may be dropped into the groove.

[0097]

Tenth Embodiment In a medicine management system according to the present invention whose block diagram is shown in FIG. 15, management of medicines handled by a plurality of medicine storage devices is centralized by one host computer 83. Things.

In this system, each medicine storage device is different from each of the above-described embodiments in that the main controllers 44 and 56 are replaced with the main controller 81 and the data output parameters 82 are also allocated to the hard disk 45. It is. Then, the management data is automatically output without operating the keyboard 31 or the like.

The main controller 81 includes the journal printer 32 similarly to the main controllers 44 and 56.
In addition, a floppy disk 33 as a storage medium,
And the communication device 34 are connected. The data output parameter 82 is assigned an output enable / disable flag for each of the output devices 32 to 34, a data output wait time, a wait cutoff time, and the like, and operates the keyboard 31 or issues an instruction from another computer or the like. Can be initialized and changed.
When the main controller 81 detects that the medicine 1 has been put into or taken out of any of the cassettes 20, the main controller 81 refers to the data output parameter 82 each time to determine the timing of outputting the management data. And necessary data output.

The host computer 83 is a data processing computer system provided separately from the medicine storage device, and may also serve as a so-called medical accounting computer or an ordering system computer. It receives output data output from the main controller 81 of the medicine storage device, that is, management data transmitted by electronic message via an appropriate communication line or network connected to the unit 34, and performs various information processing based on the received data. It is supposed to do. Specifically, an aggregation processing program, a monitoring processing program, a confirmation processing program, and an inventory management program are installed.

In this case, when the loading / unloading of the medicine 1 into / from any of the cassettes 20 is detected, the main controller 81 waits for the time specified by the waiting time of the data output parameter 82, and if there is no next detection, Alternatively, if the total waiting time exceeds the value of the waiting time for waiting in the data output parameter 82 due to the continuous detection, data that is partially totaled for the medicine 1 taken in and out during that time is output. The output destination is selected according to the output enable / disable flag of the data output parameter 82. If the communication unit 34 is enabled to output, the output data is transmitted to the host computer 83 via the communication unit 34 as an electronic message. In this way, the management data of the medicine 1 is automatically output according to the loading and unloading of the medicine 1 from the cassette 20. The management data includes at least an increase / decrease value of the number of stored medicines 1 or a count value.

When data relating to the use status of the medicine 1 is collected from each medicine storage device to the host computer 83 one after another in online real time, the host computer 83 fetches the received data as needed.
The management related to the medicine is performed based on the information. That is, the usage amount of the medicine 1 is calculated by the aggregation processing program.
The data is tabulated while being variously classified for each prescription, each patient, each type of medicine, each site such as an operating room, and the like. At this time, the remaining amount of the medicine 1 is also tabulated for the classification such as the medicine type and each site. Then, a tallying slip and a billing slip are issued as needed.

Further, the monitoring processing program displays the usage status of the medicine in a graph or a table in an easy-to-read manner on the basis of the total result, and also issues an alarm when the usage exceeds a predetermined threshold value. It is also useful for early detection of theft. Furthermore, by the confirmation processing program,
Since the totaled result is compared with the prescription data, the usage result is surely checked without omission. If not only the medicine code but also the expiration date is printed on the bar code label 1a of the medicine 1, the data automatically entered by reading when stored in the cassette is used. Based on this, the expiration date of the medicine is checked at any time. In addition, a list relating to the patient's medication history is created in response to an output request or the like.

Further, the database relating to the medicine stock is updated at any time by the stock management program, and a stock list, an order slip, and the like are created in response to an output request or the like. In this way, at a site such as an operating site, the necessary medicine 1 is directly handled by hand, and the management of the medicine is automatically and accurately performed without performing extra work such as data input.

It is not essential that the host computer 83 is provided separately. For example, the host computer 83 may also serve as any one of the main controllers 81, or another computer unit installed in the casing of the medicine storage device. It may be. The data output waiting process performed by the main controller 81 with reference to the data output parameter 82 is for reducing the load on the host computer 83 and the communication line. good.

[0106]

[Other Extensions] Although illustration is omitted, in the medicine storage device of each of the above-mentioned embodiments, instead of directly mounting the cassette 20 on the cassette mounting shelf 11, an appropriate tray may be interposed. In that case, each cassette mounting shelf 11
One or a plurality of exchangeable trays are provided for each. Then, each cassette 20 containing the medicines 1 is first arranged on the corresponding tray outside the medicine storage device, and then one stage is put together and the whole tray is slid down onto the corresponding cassette mounting shelf 11 and set obliquely. You.

In this case, the cassette 20 may be removed from the apparatus after use to replenish the medicine or the like.
Since the apparatus can be quickly operated for each tray, the main body of the apparatus is always placed near the operating room or an anterior room thereof, and the cassettes 20 are collectively arranged for each tray and replaced at the time of switching between working units before and after the operation. In addition, the device body can be effectively used. In such a case, it is more convenient to carry out the batch replenishment of the medicine 1 at a pharmacy or the like. It is more preferable that a cold storage facility or the like can be mounted as necessary.

Although not shown in the figures, the bar code reader 6 is used for the medicine storage device of each of the above-described embodiments.
It is more preferable to use the provision of 1 and the like to perform not only the replenishment of the medicine, but also the extraction of the medicine 1 and the check of the medicines and instruments that are not stored in the cassette 20. For example, when the prescription ID such as the identification number printed on the prescription is read by the barcode reader 61 before the medicine 1 is extracted, the prescription data is automatically transmitted from the host computer or the like via the communication unit 34 or the like depending on the ID. It is also possible to sound the buzzer 62 and issue an alarm when the medicine 1 that has been input and not specified in the prescription data is extracted.

[0109] Even for instruments and the like prepared in places other than the cassette 20, for example, important things such as catheters are provided with an identifiable barcode in advance, and the bar is prepared before surgery. In addition to reading the codes, the barcodes remaining after the operation are read again, and the number of used barcodes is calculated from the difference between before and after the use, and the like, so that the usage status can be easily and accurately grasped.

[0110]

[Others] Incidentally, the combination of each solving means and each embodiment is not limited to the above-mentioned embodiment, and any combination is possible.

The identification information is not limited to a bar code, but may be a character or a symbol. Correspondingly, the reading device is not limited to a bar code reader, but may be a character reading device such as an OCR or the like.
A combination of an imaging device such as a CCD camera and an image processing device may be used. The place where the identification information is described is not limited to the code label sticking surface 23 formed on the front exposed surface of the cassette 20, but may be the side surface of the cassette 20 or another outer surface. The confirmation means for notifying the discrimination result and the like in a confirmable manner is not limited to the buzzer 62 that emits a sound. The synthesized sound may be output from a speaker, or may be displayed as characters or images on a display or the like. good.

Further, in each of the above embodiments, the medicine 1 was an injection containing an ampoule. However, the medicine 1 is not limited to this, and may be, for example, a bottled one, a boxed one, or the like.
If it is a solid, it may be left naked. And the medicine storage device of the present invention is not limited to the operating room, but the operating room, the treatment room, the contrast room, the nurse center, the hospital ward, and the like. Useful in hospitals and pharmacies, including outpatient wards and pharmacy departments.

Further, the biasing means is not limited to the above-mentioned one utilizing gravity, but may be one utilizing spring resilience, fluid force such as air pressure, frictional force due to an endless belt, or the like. The cassette holding unit 10 is not limited to a fixed rectangular shelf, and may be a rotary tubular body or the like. Cassette holding unit 10 and operation unit 30
May be installed separately from each other, or may be integrated.

In the first embodiment, the sensors 41 and 42 are
The present invention is not limited to the light detection method described above, but may be any as long as it can detect the presence or absence of the medicine 1, and may detect, for example, a change in capacity or the presence or absence of contact. Also, the cassette holding unit 10
Was a four-tiered shelf at the top and bottom. However, the invention is not limited to this. A multi-tiered shelf in which a plurality of rows and a number of rows are arranged as a basic unit may be used. It may be a lattice-like or matrix-like shelf.

In the above-described second embodiment, for the sake of simplicity, all of the sensors 51 are located directly below the stored medicine 1, but this condition is not essential. Even if the number of stored medicines 1 changes, the permanent magnet 52 only needs to be located directly above any of the sensors 51, and the distance between the last medicine 1 and the permanent magnet 52 is the pitch of the stored medicines 1. If it is different from the above, it is necessary to shift the stored medicine 1 and the sensor 51 by the difference. In the second embodiment,
The position of the permanent magnet 52 in the weight 22 is detected as a physical quantity corresponding to the last position of the row of the medicine 1 stored in the cassette 20, but if the length of the row is known, it is determined by the pitch of the medicine 1. The exact number of storage can be calculated by dividing,
The length of the row of stored chemicals may be detected. Further, the length may be directly measured from the beginning to the end of the row of the medicine 1, or may be indirectly calculated by measuring the moving distance of the weight 22.

[0116]

As is clear from the above description, in the medicine storage apparatus according to the first solution of the present invention, the insertion and removal of medicines into and from the cassettes are performed by hand from the doorways that are exposed and lined up. In addition, by automatically counting the medicines in each cassette and using it as a medicine shelf, the medicines can be held in one operation and the medicines can be returned without disturbing the queue. Further, there is an advantageous effect that a medicine storage device that can accurately grasp the storage state and has less restrictions on installation can be realized.

Further, in the medicine storage apparatus according to the second solution of the present invention, the medicines can be taken in and out of the cassettes by hand from the exposed doorways, and the medicines in each cassette can be automatically taken out. By counting and then using it as a medicine cart, you can get the medicines in one operation and return the medicines without disturbing the rows, and you can also grasp the storage situation accurately. There is an advantageous effect that a storage device with less installation restrictions can be realized.

Further, in the medicine storing apparatus according to the third solution of the present invention, the medicines are put in and taken out of the cassettes by hand through the exposed doorways, and the medicines in each cassette are automatically stored. By counting, additional chemicals are added to the back of the row via the refill port, so that the chemicals can be obtained in one operation and the chemicals can be stored without disturbing the row. There is an advantageous effect that it is possible to realize a medicine storage device in which the storage status can be grasped more accurately and the batch replenishment can be easily performed.

Further, in the medicine storing apparatus according to the fourth solution of the present invention, the taking in and out of the medicines into and out of the cassettes are manually performed from the exposed doorways, and the medicines in each cassette are automatically stored. By counting and then outputting the storage information of medicines in real time, the medicines can be grasped in one operation and the medicines can be returned without disturbing the queue and the storage situation can be further improved. This has the advantageous effect of realizing a medicine storage device that is also accurately grasped and that accurately manages medicines.

Further, in the medicine storage device according to the fifth solution of the present invention, accurate medicine management is ensured based on the output result, so that medicines can be stored in one operation. The advantage is that it is possible to realize a medicine storage device which can return medicines without disturbing the queues and can also grasp the storage state accurately and can manage medicines accurately and reliably. Has a significant effect.

Further, in the medicine management system according to the sixth solution of the present invention, the taking in and out of the medicines into and from the cassettes are manually performed through the doorways that are exposed and aligned, and the medicines in each cassette are automatically collected. Various management tasks can be performed even without data input at the site, etc. after counting, so that medicines can be obtained in one operation and medicines are not disturbed. This has the advantageous effect of being able to realize a medicine management system that can return the class and also accurately grasp the storage state, and that can manage medicine accurately and easily.

[Brief description of the drawings]

1 shows a mechanical structure of a first embodiment of a medicine storage device of the present invention, wherein (a) is a front view and (b) is a right side view around a cassette.

FIG. 2 is a block diagram of the counting means and the like.

FIG. 3 is a state change diagram at the time of taking out a medicine.

FIG. 4 is a state change diagram at the time of returning medicine.

FIGS. 5A and 5B show a mechanical structure of a second embodiment of the medicine storage device of the present invention, wherein FIG. 5A is a front view and FIG. 5B is a right side view around the cassette.

FIG. 6 is a block diagram of the counting means and the like.

FIG. 7 is a state change diagram at the time of taking in / out a medicine.

FIG. 8 (a) to (c) of the third embodiment of the medicine storage device of the present invention, in which a sensor and a permanent magnet are added to the right side view of the cassette.

FIG. 9 is a vertical sectional right side view of a cassette holding portion of a fourth embodiment of the medicine storage device of the present invention.

FIG. 10 is a right side view of a cassette holding portion of a fifth embodiment of the medicine storage device of the present invention.

FIG. 11 is a front view of a sixth embodiment of the medicine storage device of the present invention.

FIG. 12 is a front view of a seventh embodiment of the medicine storage device of the present invention.

FIG. 13 is a front view of an eighth embodiment of the medicine storage device of the present invention.

FIG. 14 is a right side view of the cassette of the ninth embodiment of the medicine storage device of the present invention.

FIG. 15 is a block diagram of an output unit, an information processing unit, and the like in a tenth embodiment relating to a medicine storage device and a medicine management system using the same according to the present invention.

[Explanation of symbols]

DESCRIPTION OF SYMBOLS 1 Drug (chemicals) 1a Barcode label (identification information attaching means, reading information writing member) 2 Floor (installation surface) 9 Base (base, leg, base) 10 Cassette holding part (holding unit, storage, Support means) 11 cassette mounting shelf 12 curtain (dark curtain, shutter, door, front opening / closing member) 13 winder 20 cassette 21 doorway 22 weight (sliding member, movable body, biasing member, biasing means) 23 code labeling Surface (location where identification information is attached, location where read information is written) 24 Side opening (large refill opening) 25 Locking member (lid attaching means) 26 Side plate (lid, opening / closing means for refill opening) 27 Lock notch (lid attaching) Means) 30 Operation unit (separate unit for operation, instruction, display, input, output, etc.) 31 Keyboard (manual input means) 32 Printer (output means in print form) 33 Floppy disk (FD) Output unit to storage medium, recording medium) 34 Communication unit (online or output unit to remote location) 40 Counting unit 41 Sensor (sensor arranged centrally, detecting unit for taking in and out of medicine) 42 Sensor (unit arranged centrally) Sensor, detection means for taking in and out of medicine) 43 Sub-controller (lower-order calculation means) 44 Main controller (higher-order calculation means, determination means, management means) 45 Hard disk (HD, secondary storage device, data holding means) 46 count value table 47 management data 50 counting means 51 sensors (arranged sensors, means for detecting the end of a medicine row) 52 permanent magnets (detected members indicating the end of a medicine row) 53 sensor boards (printed circuit boards for each cassette, Sensor holding member) 54 Sub-controller board (printed circuit board for each row cassette group) 55 Buzzer controller (lower calculation means) 56 Main controller (higher calculation means, management means) 61 Barcode reader (reading device) 62 Buzzer (confirmation means) 63 LED (light emitting diode, display member, display means) 64 Code table ( Correspondence table of cassette and code,
Search table, selection means) 65 LED (light-emitting diode, display member, display means) 66 Display (display member, display means) 71 Base (base, legs, base) 72 Casters (wheels, rolling wheels, caster members) 73 Bolts (movable / retractable legs, fixed standing means) 81 Main controller (output means, management system) 82 Data output parameters (output means) 83 Host computer (information processing means, management system)

Claims (6)

[Claims] A plurality of cassettes for storing and storing medicines;
A supporting means for holding these cassettes side by side, wherein the cassette has an entrance which can be pushed in addition to extracting the chemicals and attaches the stored chemicals toward the entrance. The supporting means has a shelf for holding the cassettes in a multi-stage or multi-row state with the entrances and exits being exposed, and the medicines in the cassettes are provided. A medicine storage device provided with a counting means for calculating the number of stored medicines. 2. A plurality of cassettes for storing and storing medicines,
A supporting means for holding these cassettes side by side, wherein the cassette has an entrance which can be pushed in addition to extracting the chemicals and attaches the stored chemicals toward the entrance. Biasing means for biasing is provided, the support means holds the cassette in a state where the entrance is exposed, and counting means for determining the number of stored chemicals in the cassette, And a caster member attached to the support means. 3. A plurality of cassettes for aligning and storing chemicals,
A supporting means for holding these cassettes side by side, wherein the cassette has an entrance which can be pushed in addition to extracting the chemicals and attaches the stored chemicals toward the entrance. A biasing means for biasing is provided, and a replenishing port for chemicals is formed.
A medicine storage device, wherein the support means holds the cassette with the entrance being exposed, and a counting means for determining the number of stored medicines in the cassette is provided. 4. A plurality of cassettes for storing and storing medicines,
A supporting means for holding these cassettes side by side, wherein the cassette has an entrance which can be pushed in addition to extracting the chemicals and attaches the stored chemicals toward the entrance. Biasing means for biasing is provided, the support means holds the cassette in a state where the entrance is exposed, and counting means for determining the number of stored chemicals in the cassette, An output unit for outputting data for managing the chemicals in accordance with the transfer of the chemicals into and out of the cassette. 5. The medicine storage device according to claim 4, wherein said output means includes one or more of a printer, a storage medium, and a communication device. 6. A tallying process, a monitoring process, and a confirming process based on output data of the drug storage device according to claim 4 or 5, and the output means of the drug storage device incorporated in or separately provided in the drug storage device. A medicine management system comprising: an information processing unit that performs any one or more of a stock management process and a stock management process.