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JP2006230710A - Injection dispenser system - Google Patents

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JP2006230710A
JP2006230710A JP2005049752A JP2005049752A JP2006230710A JP 2006230710 A JP2006230710 A JP 2006230710A JP 2005049752 A JP2005049752 A JP 2005049752A JP 2005049752 A JP2005049752 A JP 2005049752A JP 2006230710 A JP2006230710 A JP 2006230710A
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injection
transporter
infusion
container
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JP4476136B2 (en
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Yoshito Omura
義人 大村
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Tosho Inc
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Tosho Inc
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Abstract

<P>PROBLEM TO BE SOLVED: To obtain an injection dispenser system which dispenses infusions 93 together with injections 91 with an automatic and conveniently usable mode. <P>SOLUTION: The system is equipped with conveying mechanisms 12, 22, 33, 43, 53, 62 for transporting a conveying carriage 70, a container supply device 20 for throwing an insertion container 80 in which a plurality of storage partitions 81 are formed into the inner bottom of the conveying carriage 70, an injection dispenser device 30 for throwing the injection 91 to the storage partitions 81, a prescription bag tag issue device 40 which throws the prescription bag tag 92 in which the information of the injection 91 is described into the conveying carriage 70 and piles it up in the insertion container 80, and an infusion dispenser device 50 for throwing the infusion 93 into the conveying carriage 70 and putting it on the prescription bag tag 92. Also, throwing of the injection into the storage partitions 81 is performed while sorting in an injection operation unit. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

この発明は、注射薬を搬器に投入して払い出す注射薬払出システムに関し、詳しくは、注射薬と一緒に輸液も払い出す注射薬払出システムに関する。   The present invention relates to an injection medicine dispensing system for dispensing an injection medicine into a transporter, and more particularly to an injection medicine dispensing system that dispenses an infusion together with the injection medicine.

図3は従来より知られている注射薬運搬方法について二例を示しており、(a)がブリスタパックの使用例、(b)が二段トレー使用例である。
ブリスタパック8は(図3(a)参照)、複数の区分収納室8aを列設したプラスチック容器であり、例えばアンプルや小瓶に封入された注射薬91を各々の区分収納室8aに分けて収納しておき、それらの注射薬91を纏めて運搬できるようになっている。
二段トレーは(図3(b)参照)、注射薬91を収容した上段トレー7aと、例えば大小のボトルやプラスチック製バッグに封入された輸液93を収容した下段トレー7bとからなり、それらを上下に重ねて用いることにより、注射薬と一緒に輸液も運搬できるようになっている。
FIG. 3 shows two examples of conventionally known injection drug delivery methods, where (a) shows an example of using a blister pack and (b) shows an example of using a two-stage tray.
The blister pack 8 (see FIG. 3A) is a plastic container in which a plurality of compartment storage chambers 8a are arranged. For example, an injection 91 enclosed in an ampoule or a small bottle is divided and stored in each compartment storage chamber 8a. In addition, these injections 91 can be transported together.
The two-stage tray (see FIG. 3 (b)) is composed of an upper tray 7a containing an injection 91 and a lower tray 7b containing an infusion solution 93 enclosed in a large or small bottle or a plastic bag, for example. By using the upper and lower layers, the infusion solution can be transported together with the injection.

その他、従来より、トレー等の搬器を移送しながらその搬器に注射薬や薬袋等を投入する調剤支援システムが知られている(例えば特許文献1参照)。また、搬器を積み重ねて取り扱う搬器供給装置や搬器収納装置が知られており(例えば特許文献2参照)、その積み重ねを簡便に行える機構も知られている(例えば特許文献3図3参照)。さらに、薬剤の情報を印刷して薬袋を作成する薬袋印刷装置や薬袋供給装置が知られている(例えば特許文献3,4参照)。また、区分収納室を列設したプラスチック容器でカプセル剤等を包装したPTP包装剤を薬剤カセットから吸引して取り出す調剤用薬剤払出装置も知られている(例えば特許文献5参照)。ランダム収納した注射薬を整列させて払い出す薬剤払出装置や(例えば特許文献6第1頁,図6参照)、整列収納した注射薬を逐次排出する注射アンプル自動供給装置(例えば特許文献7第1頁,第3図参照)、輸液も自動で払い出せるようになった薬剤払出装置も知られている(例えば特許文献8参照)。   In addition, conventionally, a dispensing support system is known in which an injection drug, a medicine bag, or the like is charged into a transporter while transporting the transporter such as a tray (see, for example, Patent Document 1). In addition, there are known a carrier supply device and a device storage device that stack and handle carriers (see, for example, Patent Document 2), and a mechanism that can easily stack them is also known (see, for example, Patent Document 3 and FIG. 3). Furthermore, a medicine bag printing device and a medicine bag supply device for printing medicine information to create a medicine bag are known (see, for example, Patent Documents 3 and 4). There is also known a dispensing medicine dispensing device for sucking and taking out a PTP packaging material in which capsules and the like are packaged in a plastic container in which sorting storage chambers are arranged (see, for example, Patent Document 5). A medicine dispensing device for aligning and dispensing randomly stored injections (for example, refer to page 1 of Patent Document 6 and FIG. 6), and an automatic injection ampoule supply device for sequentially discharging aligned stored medicines (for example, Patent Document 7 No. 1 (See page 3, FIG. 3), and a medicine dispensing device that can automatically dispense infusion is also known (see, for example, Patent Document 8).

特開平11−169436号公報 (第1頁)JP-A-11-169436 (first page) 特開2004−344539号公報 (第1頁)JP 2004-344539 A (first page) 特開平10−203707号公報 (第1頁、図3)JP-A-10-203707 (first page, FIG. 3) 特開2000−116753号公報 (第1頁)JP 2000-116753 A (first page) 特開2000−167023号公報 (第1頁)JP 2000-167023 A (first page) 特開2000−185816号公報 (第1頁、図6)JP 2000-185816 A (first page, FIG. 6) 特開平2−28406号公報 (第1頁、第3図)JP-A-2-28406 (first page, FIG. 3) 特開2004−344420号公報 (第1頁)JP 2004-344420 A (first page)

このように各種調剤機の自動化が進むと、適宜な自動調剤機を搬器移送路に臨ませて適切な順序で配設する等のことで比較的容易に、注射薬と一緒に輸液も払い出す注射薬払出システムを構築しうることとなる。その場合、搬器への投入や搬器の運搬に際し、相対的に大きな輸液入り容器によって相対的に小さな注射薬入り容器が壊されるのを防止するために、注射薬と輸液とを分離して搬器に収納することが要請されるので、例えば上述した二段トレー方式に適合するよう、搬器移送路を上段トレー移送路と下段トレー移送路との二本立てにするとともに、上段トレー移送路には注射薬払出装置を配置し、下段トレー移送路には輸液払出装置を配置することが考えられる。   As automation of various dispensing machines progresses in this way, it is relatively easy to dispose infusions together with injections by arranging appropriate automatic dispensing machines in the appropriate order so as to face the transport path. An injection drug dispensing system can be constructed. In that case, in order to prevent the relatively small infused container from being broken by the relatively large infusion container, the injectable medicine and the infusion solution are separated into the transporter when thrown into the transporter or transported by the transporter. Since it is required to be stored, for example, in order to be compatible with the above-described two-stage tray method, the transport path is made up of two upper tray transport paths and the lower tray transport path, and the upper tray transport path is filled with the injection drug It is conceivable to arrange an apparatus and arrange an infusion dispensing device in the lower tray transfer path.

しかしながら、このような従来手法の直截的な自動化には、次のような二点の不都合がある。すなわち、第1の不都合は、注射薬収容の上段トレーと輸液収容の下段トレーとの重ね合わせまで自動化しようとすると、それを安全かつ効率良く遂行できる機構はどうしても複雑で高価になってしまうことである。かといって、両トレーの重ね合わせを人手に委ねたのでは、自動化に不満が残るうえ、多数の調剤を行うときなどトレーの組み合わせを間違えないよう注意深く作業することが必要なため作業者の精神的負担の解消が十分でない。   However, such straightforward automation of the conventional method has the following two disadvantages. That is, the first inconvenience is that, when trying to automate even the superposition of the upper tray containing the injection medicine and the lower tray containing the infusion solution, the mechanism capable of performing it safely and efficiently becomes inevitably complicated and expensive. is there. However, leaving the trays on top of each other manually leaves frustration with automation, and it is necessary to work carefully so as not to make a mistake in the combination of trays, such as when performing many dispensings. Is not enough.

また、第2の不都合は、注射薬を患者に施用する準備作業として混注や混合などを行うとき一般に薬剤師や看護師などの作業者は先に輸液を処理しその後に注射薬を処理するので、従来のように注射薬が上で輸液が下になっていると、施用準備に取り掛かる前に注射薬を一旦どけておくという余分な作業とそのための退避場所も要る、ということである。かといって、軽い注射薬のトレーを下にして、そのうえに重い輸液のトレーを重ねるのは、両トレーを一緒に運搬するために下段トレーに手を掛けたときなどに上のトレーが崩れ落ちやすいので、直ちに採用することはできない。
そこで、注射薬と一緒に輸液も自動で而も使い易い態様で払い出す注射薬払出システムを実現することが課題となる。
The second inconvenience is that when a mixed injection or mixing is performed as a preparatory work for applying an injection to a patient, an operator such as a pharmacist or a nurse generally processes an infusion first and then an injection. If the injection is on the top and the infusion is on the bottom as in the past, an extra work of temporarily removing the injection before starting the preparation for application and a retreating place for it are also required. On the other hand, placing a light infusion medicine tray on top and a heavy infusion tray on top of it, the upper tray tends to collapse when the lower tray is put on a hand to transport both trays together. It cannot be adopted immediately.
Therefore, it becomes a problem to realize an injection dispensing system that dispenses infusion with an injection in an easy-to-use manner.

本発明の注射薬払出システムは(解決手段1)、このような課題を解決するために創案されたものであり、搬器の移送を行う搬送機構と、区分収納室を複数形成された内挿容器を前記搬器の内底に投入する容器供給装置と、注射薬を前記区分収納室に投入する注射薬払出装置と、前記注射薬の情報を記した箋袋票を前記搬器に投入して前記内挿容器に重ねる箋袋票発行装置と、輸液を前記搬器に投入して前記箋袋票に載せる輸液払出装置とを備えている。   The injection medicine dispensing system of the present invention (Solution means 1) was devised to solve such problems, and is an insertion container in which a transport mechanism for transferring a transporter and a plurality of compartment storage chambers are formed. A container supply device for injecting into the inner bottom of the carrier, an injection dispensing device for injecting an injection into the compartment storage chamber, and a slip bag with information on the injection in the container A note bag issuing device for stacking on the insertion container, and an infusion dispensing device for putting the infusion into the transporter and placing it on the note bag slip.

また、本発明の注射薬払出システムは(解決手段2)、上記解決手段1の注射薬払出システムであって、前記注射薬払出装置が前記区分収納室への注射薬投入を注射施用単位で仕分けしながら行うものであることを特徴とする。   The injection medicine dispensing system of the present invention is (Solution means 2), which is the injection medicine dispensing system of the above-mentioned solution means 1, wherein the injection medicine dispensing device sorts injection medicine into the compartment storage chamber in units of injection application. It is characterized by being performed while

さらに、本発明の注射薬払出システムは(解決手段3)、上記解決手段2の注射薬払出システムであって、前記箋袋票発行装置が、前記内挿容器における前記区分収納室の区分に対応させて前記箋袋票に分離用切込を形成することにより前記箋袋票における情報記入欄を区分するとともに、その区分された情報記入欄への情報記入を前記区分収納室の投入注射薬に対応させて行うものである、ことを特徴とする。   Further, the injection medicine dispensing system of the present invention is (Solution means 3), which is the injection medicine dispensing system of the above-mentioned solution means 2, wherein the note bag issuing device corresponds to the division of the compartment storage chamber in the insertion container. And separating the information entry field in the paper bag form by forming a separation notch in the paper bag form, and the information entry in the classified information entry field is made into the injected injection in the compartment storage room It is characterized by being performed in correspondence.

このような本発明の注射薬払出システムにあっては(解決手段1)、搬器が搬送機構によって移送されると、その搬器に対して順に内挿容器と箋袋票と輸液が投入される。すなわち、先ず容器供給装置によって内挿容器が搬器の内底に投入され、次に注射薬払出装置によって注射薬が内挿容器の区分収納室に投入され、それから箋袋票発行装置によって処方箋や薬袋などの箋袋票が搬器の中で内挿容器の上に重ねられ、その後、輸液払出装置によって輸液が搬器の中で箋袋票に載せられる。   In such an injection dispensing system of the present invention (solution 1), when the transporter is transferred by the transport mechanism, the insertion container, the note bag slip, and the infusion solution are sequentially inserted into the transporter. That is, first, the insertion container is put into the inner bottom of the transporter by the container supply device, and then the injection medicine is put into the compartmented storage chamber of the insertion container by the injection medicine dispensing device, and then the prescription and the medicine bag by the paper bag issuing device. And the like are stacked on the insertion container in the carrier, and then the infusion solution is placed on the note bag slip in the carrier by the infusion dispensing device.

これにより、輸液と箋袋票と注射薬が上から下へ並ぶが、その並び順が作業手順に合致しているので、作業時に注射薬を除けておく必要が無い。また、輸液と箋袋票と注射薬が総て一の搬器に納まるので、それらの重なりが崩れることも無い。さらに、小さな注射薬は区分収納室に小分けして収納され、それが箋袋票で輸液から分離されるようにもしたことにより、かなり簡素な機構でも、自動化が十分に達成される。しかも、安全かつ効率の良い自動化が無駄なく達成される。
したがって、この発明によれば、注射薬と一緒に輸液も自動で而も使い易い態様で払い出す注射薬払出システムを実現することができる。
As a result, the infusion solution, the slip bag, and the injection are arranged from top to bottom. However, since the arrangement order matches the work procedure, it is not necessary to remove the injection during the work. In addition, since the infusion solution, the note bag slip, and the injection are all stored in one transport device, their overlap does not collapse. Further, since the small injection is stored in a divided storage chamber and separated from the infusion solution by a paper bag, automation is sufficiently achieved even with a fairly simple mechanism. In addition, safe and efficient automation can be achieved without waste.
Therefore, according to the present invention, it is possible to realize an injection medicine dispensing system that dispenses an infusion solution together with an injection medicine in an automatic and easy-to-use manner.

また、本発明の注射薬払出システムにあっては(解決手段2)、注射薬が複数の区分収納室に注射施用単位で仕分け投入されるようにもしたことにより、施用準備作業が複数あっても混乱することなく容易に所用の注射薬を手にすることができる。
したがって、この発明によれば、注射薬と一緒に輸液も自動で而もより使い易い態様で払い出す注射薬払出システムを実現することができる。
Moreover, in the injection medicine dispensing system of the present invention (Solution means 2), there are a plurality of application preparation operations because the injection medicine is sorted and injected into a plurality of compartment storage chambers in units of injection application. You can easily get the desired injection without getting confused.
Therefore, according to the present invention, it is possible to realize an injection medicine dispensing system that automatically dispenses an infusion together with an injection medicine in a manner that is easier to use.

さらに、本発明の注射薬払出システムにあっては(解決手段3)、注射薬の区分収納に対応した注射施用単位で注射指示箋などの箋袋票も分離使用しうるようにしたことにより、施用準備作業が複数あっても混乱することなく容易に、手にすべき又は手にした所用の注射薬を確認するといったことができる。
したがって、この発明によれば、注射薬と一緒に輸液も自動で而もより一層使い易い態様で払い出す注射薬払出システムを実現することができる。
Furthermore, in the injection medicine dispensing system of the present invention (Solution means 3), by making it possible to separately use a paper bag slip such as an injection instruction in an injection application unit corresponding to the storage of the injection medicine, Even if there are a plurality of application preparation operations, it is possible to easily confirm an injection to be obtained or to be obtained without being confused.
Therefore, according to the present invention, it is possible to realize an injection medicine dispensing system that automatically dispenses an infusion solution together with an injection medicine in a manner that is even easier to use.

このような本発明の注射薬払出システムについて、これを実施するための具体的な形態を、以下の実施例1〜2により説明する。
図1に示した実施例1は、上述した解決手段1〜2(出願当初の請求項1〜2)を具現化したものであり、図2に示した実施例2は、上述した解決手段3を具現化したものである。
なお、それらの図示に際しては、簡明化等のため、ベースや,フレーム,ボルト等の締結具,ヒンジ等の連結具,電動モータ等の駆動源,タイミングベルト等の伝動部材,モータドライバ等の電気回路,コントローラ等の電子回路などは図示を割愛し、発明の説明に必要なものや関連するものを中心に図示した。
About the injection drug delivery system of such this invention, the specific form for implementing this is demonstrated by the following Examples 1-2.
The embodiment 1 shown in FIG. 1 embodies the above-described solving means 1 and 2 (claims 1 and 2 as originally filed), and the embodiment 2 shown in FIG. Is embodied.
In these drawings, for simplicity and the like, a base, a fastener such as a frame and a bolt, a coupling tool such as a hinge, a drive source such as an electric motor, a transmission member such as a timing belt, and an electric power such as a motor driver. Circuits, electronic circuits such as controllers, etc. are not shown in the drawings, and those necessary for explanation of the invention and related ones are mainly shown.

本発明の注射薬払出システムの実施例1について、その具体的な構成を、図面を引用して説明する。図1は、(a)が全体正面図、(b)が搬器の斜視図、(c)が内挿容器の斜視図、(d)が、内挿容器を納めた搬器の斜視図、(e)〜(g)が、内挿容器を納めた搬器の側面図である。   A specific configuration of the injection drug dispensing system according to the first embodiment of the present invention will be described with reference to the drawings. 1A is an overall front view, FIG. 1B is a perspective view of a carrying device, FIG. 1C is a perspective view of an insertion container, FIG. 1D is a perspective view of a carrying device containing an insertion container, ) To (g) are side views of the transporter containing the insertion container.

この注射薬払出システムは(図1(a)参照)、搬器70の移送経路に沿って一列になる配置で左から右へ搬器供給装置10と容器供給装置20と注射薬払出装置30と箋袋票発行装置40と輸液払出装置50と搬器収納装置60とを並べたものであり、搬器70が搬器供給装置10から搬器収納装置60へ移送され、その間に搬器70に対して内挿容器80と注射薬91と箋袋票92と輸液93とが順次投入されるようになっている。そのような一連の動作を自動制御するため、マイクロプロセッサ等からなる図示しないコントローラも具わっている。コントローラは、適宜な入力装置や他のコンピュータ例えば処方オーダーエントリシステムから処方箋データ又はそれから派生した調剤指示箋データや注射指示箋データを得、それに基づいて制御指令の生成やデータの抽出等を行い、その指令やデータを各装置10,20,30,40,50,60へ送出するようになっている。   This injection medicine dispensing system (see FIG. 1 (a)) is arranged in a line along the transfer path of the carrier 70 from left to right, and from the left to the right, the carrier feeder 10, the container feeder 20, the injection medicine dispensing device 30, and the paper bag. The form issuing device 40, the infusion dispensing device 50, and the carrying device storage device 60 are arranged, and the carrying device 70 is transferred from the carrying device supply device 10 to the carrying device storage device 60, while the insertion container 80 is connected to the carrying device 70. An injection 91, a slip bag 92, and an infusion 93 are sequentially introduced. In order to automatically control such a series of operations, a controller (not shown) composed of a microprocessor or the like is also provided. The controller obtains prescription data or dispensing instruction data or injection instruction data derived from an appropriate input device or another computer such as a prescription order entry system, and generates a control command or extracts data based on the prescription data. The command and data are sent to each device 10, 20, 30, 40, 50, 60.

搬器70は(図1(b)参照)、例えば金属や硬質プラスチックからなる硬めの箱体であり、上面解放の収納空間71には例えば20cm×22cm×30cm程度が確保されている。この搬器70には、手で持ち易くするため、さらには積み重ね時等に自動昇降用部材を係合し易くするため、適宜な鍔部72も付いている。
搬器供給装置10は(図1(a)参照)、このような搬器70を積み重ねて収納しておく上部の収納空間と、例えばベルトコンベアからなり搬器70の水平移送を行う下部の搬送機構12と、両者の中間に設けられコントローラの指示に従って搬器70を一つずつ取り出して搬送機構12に移載する搬器投入機構11とを具えている。搬器投入機構11は、ロボットアームを利用したものでも良いが、軸回転するネジ状の自動昇降用部材を鍔部72に係合させるものが簡便かつ安価で使い易い(例えば特許文献3図3参照)。
The transporter 70 (see FIG. 1B) is a hard box made of, for example, metal or hard plastic, and a storage space 71 of open upper surface is secured to about 20 cm × 22 cm × 30 cm, for example. The carrying device 70 is also provided with an appropriate brim 72 so that the carrying device 70 can be easily held by hand, and further, the carrying device 70 can be easily engaged with the automatic lifting member.
The transporter supply device 10 (see FIG. 1 (a)) includes an upper storage space in which such transporters 70 are stacked and stored, and a lower transport mechanism 12 that includes, for example, a belt conveyor and horizontally transports the transporter 70. , And a transporter loading mechanism 11 that takes out the transporters 70 one by one according to instructions from the controller and transfers them to the transport mechanism 12. The carrying device 11 may use a robot arm, but it is simple, inexpensive and easy to use that engages a screw-like automatic lifting member that rotates on a shaft with a collar 72 (see, for example, FIG. 3 of Patent Document 3). ).

内挿容器80は(図1(c)参照)、多数(図では4個)の区分収納室81を連結板部82で繋いだものであり、連結板部82の外寸は搬器70の収納空間71より一回り小さくなっている。区分収納室81は、上面が解放されており、高さが搬器70の収納空間71の半分程度である。内挿容器80は、区分収納室81の上縁部分と連結板部82の開口縁とが繋がっていて、例えばプラスチックで一体成型され、比較的容易に変形するが、輸液93を乗せても潰れない程度の剛性は具備している。   The insertion container 80 (see FIG. 1C) is a large number (four in the figure) of compartmental storage chambers 81 connected by a connecting plate portion 82. The outer dimensions of the connecting plate portion 82 are stored in the carrier 70. It is slightly smaller than the space 71. The section storage chamber 81 has an open upper surface and is approximately half the height of the storage space 71 of the transporter 70. The insertion container 80 is connected to the upper edge portion of the compartment storage chamber 81 and the opening edge of the connecting plate portion 82, and is integrally molded with, for example, plastic and deforms relatively easily. It has a certain degree of rigidity.

容器供給装置20は(図1(a)参照)、そのような内挿容器80を積み重ねて収納しておく上部の収納空間と、例えばベルトコンベアからなり搬器70の水平移送を行う下部の搬送機構22と、両者の中間に設けられコントローラの指示に従って内挿容器80を一つずつ取り出して搬送機構22上の搬器70の内底に即ち収納空間71の底部に投入する容器投入機構21とを具えている(図1(d)参照)。容器投入機構21は、掴持ハンド付きロボットアームを利用したものや、軸回転するネジ状の自動昇降用部材を連結板部82の端部に係合させるものでも良いが、内挿容器80が柔らかくて扱い難い場合は、柔らかい吸着パッド等で内挿容器80を吸引して取り出すようにすると良い(例えば特許文献5参照)。   The container supply device 20 (see FIG. 1 (a)) includes an upper storage space in which such insertion containers 80 are stacked and stored, and a lower transport mechanism that includes, for example, a belt conveyor and horizontally transports the transporter 70. 22 and a container loading mechanism 21 that is provided between them and takes out the insertion containers 80 one by one in accordance with an instruction from the controller and puts them into the inner bottom of the transporter 70 on the transport mechanism 22, that is, into the bottom of the storage space 71. (See FIG. 1 (d)). The container loading mechanism 21 may be a mechanism using a robot arm with a gripping hand or a mechanism in which a screw-like automatic lifting / lowering member that rotates on a shaft is engaged with the end of the connecting plate portion 82. If it is soft and difficult to handle, the insertion container 80 may be sucked out with a soft suction pad or the like (see, for example, Patent Document 5).

注射薬91は、ガラス製やプラスチック製のアンプルや小瓶に封入された単品ものが主であるが、区分収納室81に収まればキット製品でも良い。
注射薬払出装置30は(図1(a)参照)、上部に多数配設され何れも注射薬91を逐次排出可能に収容する注射薬カセット31と、例えばベルトコンベアからなり搬器70の水平移送を行う下部の搬送機構33と、両者の中間に設けられコントローラの指示に従って適宜な注射薬カセット31から注射薬91を逐次取り出して搬送機構33上の搬器70内の内挿容器80の区分収納室81に投入する注射薬投入機構32とを具えている。
The injection 91 is mainly a single product enclosed in a glass or plastic ampule or a small bottle, but may be a kit product as long as it fits in the separate storage chamber 81.
The injection medicine dispensing device 30 (see FIG. 1 (a)) is arranged in a large number at the upper part, and each of them includes an injection medicine cassette 31 that accommodates the injection medicine 91 so that it can be sequentially discharged, and a horizontal transfer of the transporter 70, for example, comprising a belt conveyor. The lower transport mechanism 33 to be performed, and the compartment storage chamber 81 of the insertion container 80 in the transporter 70 on the transport mechanism 33 by sequentially taking out the injection 91 from the appropriate injection medicine cassette 31 provided in the middle of the controller. And an injection loading mechanism 32 for loading into the.

注射薬91の払出は、注射薬投入機構32が取り出すのでなく、コントローラから排出指令を受けた注射薬カセット31が行うようにしても良く、注射薬カセット31は、ランダム収納のものでも良く(例えば特許文献6第1頁,図6参照)、整列収納のものでも良い(例えば特許文献7第1頁,第3図参照)。
また、この注射薬払出装置30は、処方箋データ等に基づいて注射施用単位を把握するコントローラの指令に応じて、注射薬投入機構32の投入位置を動かすことにより、又は/及び搬送機構33で内挿容器80を移動させることにより、区分収納室81への注射薬投入を注射施用単位で仕分けしながら行うようにもなっている(図1(e)参照)。
The dispensing of the injection 91 may not be performed by the injection mechanism 32, but may be performed by the injection cassette 31 that has received a discharge command from the controller. The injection cassette 31 may be randomly stored (for example, Patent Document 6 (1st page, see FIG. 6) or an array storage (see, for example, Patent Document 7 (1st page, FIG. 3)).
In addition, the injection drug dispensing device 30 moves the injection position of the injection drug input mechanism 32 in accordance with a command from the controller for grasping the injection application unit based on prescription data or the like, and / or the transfer mechanism 33 internally. By moving the insertion container 80, injection into the compartment storage chamber 81 is performed while sorting by injection application unit (see FIG. 1 (e)).

箋袋票92には、注射薬払出装置30で投入した注射薬91の情報を記した注射指示箋や薬袋が含まれる他、後続の輸液払出装置50で投入される予定の輸液93の情報を記した輸液ラベルも含まれる。注射指示箋より情報量の多い調剤指示箋や処方箋も含まれる。
箋袋票発行装置40は(図1(a)参照)、コントローラの指示に従って箋袋票92のうち必要なものを印刷する上部のプリンタ41と(例えば特許文献3,4参照)、例えばベルトコンベアからなり搬器70の水平移送を行う下部の搬送機構43と、両者の中間に設けられプリンタ41から排出された箋袋票92を搬送機構43上の搬器70の収納空間71に投入することにより箋袋票92を内挿容器80の上に重ね置く箋袋票投入機構42とを具えている(図1(f)参照)。
The note bag 92 includes an injection instruction and a medicine bag in which information on the injection 91 introduced by the injection dispensing device 30 is recorded, and information on the infusion 93 scheduled to be introduced by the subsequent infusion dispensing device 50. Infusion labels are also included. Dispensing instructions and prescriptions that contain more information than injection instructions are also included.
The paper bag slip issuing device 40 (see FIG. 1A) includes an upper printer 41 that prints necessary ones of the paper bag slips 92 according to instructions from the controller (see, for example, Patent Documents 3 and 4), for example, a belt conveyor. A lower transport mechanism 43 that horizontally transports the transporter 70 and a paper bag 92 provided between the lower transport mechanism 43 and discharged from the printer 41 into the storage space 71 of the transporter 70 on the transport mechanism 43. There is provided a note slip insertion mechanism 42 for placing the slip slip 92 on the insertion container 80 (see FIG. 1 (f)).

輸液93は、ガラス製やプラスチック製のボトルやバッグに封入された単品ものが主であるが、搬器70の収納空間71に収まればセット物でも良い。
輸液払出装置50は(図1(a)参照)、上部に多数配設され何れも輸液93を逐次排出可能に収容する輸液カセット51と、例えばベルトコンベアからなり搬器70の水平移送を行う下部の搬送機構53と、両者の中間に設けられ輸液カセット51から排出された輸液93を搬送機構53上の搬器70に投入することにより(例えば特許文献8参照)輸液93を箋袋票92の上に載せ置く輸液投入機構52とを具えている(図1(g)参照)。輸液93の排出・投入もコントローラの指示に従って行われるようになっている。
The infusion solution 93 is mainly a single product sealed in a glass or plastic bottle or bag, but may be a set if it fits in the storage space 71 of the transporter 70.
The infusion dispensing device 50 (see FIG. 1 (a)) is arranged in a large number in the upper part, and each of them is an infusion cassette 51 that accommodates the infusion 93 so that it can be discharged sequentially, and a lower part that is composed of, for example, a belt conveyor and performs horizontal transfer of the transporter 70. The infusion solution 93 is placed between the transport mechanism 53 and the infusion solution 93 provided between the two and discharged from the infusion cassette 51 into the transporter 70 on the transport mechanism 53 (see, for example, Patent Document 8). An infusion mechanism 52 to be placed is provided (see FIG. 1 (g)). The infusion and discharge of the infusion solution 93 is also performed according to instructions from the controller.

搬器収納装置60は(図1(a)参照)、例えばベルトコンベアからなり搬器70の水平移送を行う下部の搬送機構12と、その上方に設けられ搬送機構12上の搬器70を上部の搬器収納空間に積み上げる搬器受入機構61とを具えている(例えば特許文献2や特許文献3図3を参照)。
搬器70の移送経路は(図1(a)参照)、上述した搬送機構12,22,33,43,53,62をその順に連ねたものであり、ここでは一直線になっている。この移送経路を左から右へ搬器70が移送されるようになっている。
The transporter storage device 60 (see FIG. 1A) includes, for example, a lower transport mechanism 12 that is composed of a belt conveyor and horizontally transports the transporter 70, and the transporter 70 that is provided above the transport mechanism 12 is stored in the upper transporter. A transporter receiving mechanism 61 that is stacked in the space is provided (see, for example, Patent Document 2 and Patent Document 3 in FIG. 3).
The transfer path of the transporter 70 (see FIG. 1A) is a series of the above-described transport mechanisms 12, 22, 33, 43, 53, and 62, which are in a straight line here. The transporter 70 is transported from left to right along this transport path.

この実施例1の注射薬払出システムについて、その使用態様及び動作を説明する。   The use mode and operation of the injection dispensing system of the first embodiment will be described.

注射薬処方を含んだ処方箋データがコントローラに入力されると、そのデータに基づくコントローラの自動制御によって搬器70が搬器供給装置10から搬器収納装置60へ移送される。具体的には搬送機構12,22,33,43,53,62によって搬器70が左から右へ順送りされる。その際、搬器供給装置10のところでは空であった搬器70の内底に(図1(b)参照)、容器供給装置20のところで内挿容器80が投入される(図1(d)参照)。さらに、注射薬払出装置30では、内挿容器80の区分収納室81に処方対象の注射薬91が注射施用単位で仕分けしながら投入される(図1(e)参照)。   When prescription data including an injection drug prescription is input to the controller, the transporter 70 is transferred from the transporter supply device 10 to the transporter storage device 60 by automatic control of the controller based on the data. Specifically, the transporter 70 is forwarded from left to right by the transport mechanisms 12, 22, 33, 43, 53, and 62. At that time, the insertion container 80 is introduced into the inner bottom of the transporter 70 that was empty at the transporter supply device 10 (see FIG. 1B) (see FIG. 1D). ). Further, in the injection medicine dispensing device 30, the prescription target injection medicine 91 is put into the compartment storage chamber 81 of the insertion container 80 while being sorted by injection application unit (see FIG. 1 (e)).

それから、箋袋票発行装置40では、箋袋票92が内挿容器80の上に重ねられ、注射薬91を納めた区分収納室81が塞がれる(図1(f)参照)。箋袋票92は、注射薬払出装置30で払い出した注射薬91に係る注射指示箋だけのこともあるが、それに代えて又はそれに加えて、調剤指示箋や,処方箋,輸液ラベル,薬袋のうち適宜なものが搬器70に投入される。最後に、輸液払出装置50では輸液93が投入され箋袋票92の上に載せ置かれる(図1(g)参照)。そのため、搬器収納装置60に到達した搬器70には、下層で横に区分収納された注射薬91と、中間層で上下を仕切る箋袋票92と、上層で取り出し易く収納された輸液93とが、三層に重なって収納されている。   Then, in the paper bag issuing device 40, the paper bag 92 is overlaid on the insertion container 80, and the compartment storage chamber 81 containing the injection 91 is closed (see FIG. 1 (f)). The slip bag 92 may be only an injection instruction relating to the injection 91 dispensed by the injection dispensing device 30, but instead of or in addition to the dispensing instruction, prescription, infusion label, and medicine bag An appropriate item is put into the transporter 70. Finally, in the infusion device 50, the infusion solution 93 is introduced and placed on the slip bag 92 (see FIG. 1 (g)). Therefore, in the container 70 that has reached the container storage device 60, there are an injection 91 that is separately stored horizontally in the lower layer, a paper bag slip 92 that is divided vertically by the intermediate layer, and an infusion solution 93 that is easily stored in the upper layer. , Stored in three layers.

このような搬器70は、搬器収納装置60から取り出され監査部門やナースステーション等の施用準備作業場所に人手等で運ばれるが、輸液93が薬剤91より上になっていても、総てが一の搬器70に収納されているので、崩落や滑落のおそれが無く、気軽に運ぶことができる。
また、施用準備作業時には、先に処理する輸液93を搬器70から取り出し、それによって取出可能になった箋袋票92を次に取り出してそれに基づく作業たとえば輸液ラベルの貼付や処方内容の確認などを行い、それから、最後に露呈した注射薬91を取り出して輸液93への混注などの処理を行う。
Such a transporter 70 is taken out from the transporter storage device 60 and is manually transported to an application preparation work place such as an audit department or a nurse station. Even if the infusion solution 93 is above the medicine 91, all of them are one. Since it is housed in the portable device 70, there is no risk of collapsing or sliding, and it can be easily carried.
Further, at the time of preparation for application, the infusion solution 93 to be processed first is taken out from the transporter 70, and the paper bag slip 92 that can be taken out is taken out next, and work based on it such as application of an infusion label and confirmation of prescription contents, etc. Then, the injection drug 91 exposed at the end is taken out and processing such as mixed injection into the infusion solution 93 is performed.

注射薬91は、注射施用単位で予め区分収納室81に自動仕分けされているので、取り出し易く、注射指示箋等に基づく確認も容易である。
このように、この注射薬払出システムにあっては、注射薬91と輸液93とが施用準備時の作業手順に即した並びで一の搬器70に分離収納されるので、調剤後の作業が安全かつ能率良く行える。
Since the injection 91 is automatically sorted into the separate storage chamber 81 in advance in units of injection, it is easy to take out and confirm based on an injection instruction or the like.
In this way, in this injection dispensing system, the injection 91 and the infusion solution 93 are separated and stored in the single transporter 70 in line with the work procedure at the time of preparation for application, so that the work after dispensing is safe. And it can be done efficiently.

本発明の注射薬払出システムの実施例2について、その具体的な構成を、図面を引用して説明する。図2は、(a)が全体正面図、(b)が内挿容器の斜視図、(c)が内挿容器の平面図、(d)及び(e)が注射指示箋の印刷面である。   A specific configuration of the injection drug dispensing system according to the second embodiment of the present invention will be described with reference to the drawings. 2A is an overall front view, FIG. 2B is a perspective view of an insertion container, FIG. 2C is a plan view of the insertion container, and FIGS. 2D and 2E are printing surfaces of injection instructions. .

この注射薬払出システムが上述した実施例1のものと相違するのは、箋袋票発行装置40における一部の又は総てのプリンタ41が分離用切込形成機能付きプリンタ45になっている点である(図2(a)参照)。プリンタ45にはミシン目カッター等が付設されており、それで箋袋票92に分離用切込96を形成した箋袋票95が搬器70に投入されるようになっている(図2(a),(d),(e)参照)。それに加え(図2(a)〜(c)参照)、容器供給装置20にて搬器70に投入される内挿容器にも、上述した内挿容器80の代わりに、予め分離用切込86の形成された内挿容器85が用いられるようになっている。   This injection medicine dispensing system is different from that of the first embodiment described above in that a part or all of the printers 41 in the paper bag issuing device 40 are printers 45 having a separation notch forming function. (See FIG. 2A). The printer 45 is provided with a perforation cutter or the like, so that a paper bag slip 95 in which a separation notch 96 is formed in the paper bag slip 92 is inserted into the transporter 70 (FIG. 2A). , (D), (e)). In addition to that (see FIGS. 2A to 2C), in addition to the above-described insertion container 80, the separation notch 86 is also inserted in advance into the insertion container put into the transporter 70 by the container supply device 20. The formed insertion container 85 is used.

詳述すると、内挿容器85は(図2(b),(c)参照)、隣り合う区分収納室81の中間を仕切るようにして連結板部82にミシン目状・破線状の分離用切込86が形成されており(図2(b)参照)、手指で摘んで引っ張れば分離用切込86のところが容易に分離して区分収納室81が簡単に分割されるようになっている(図2(c)参照)。そのため、内挿容器85は、注射薬91を注射施用単位で独立に取り扱うのが可能かつ容易なものとなっている。   More specifically, the insertion container 85 (see FIGS. 2B and 2C) has a perforated / broken-line separating cut-off in the connecting plate portion 82 so as to partition the middle of the adjacent compartment storage chambers 81. A notch 86 is formed (see FIG. 2 (b)), and if it is picked and pulled by a finger, the separation notch 86 is easily separated and the compartment storage chamber 81 is easily divided (see FIG. (Refer FIG.2 (c)). Therefore, the insertion container 85 can handle the injection 91 independently by injection unit and is easy.

また、箋袋票95の分離用切込96は(図2(d)参照)、内挿容器85における区分収納室81の区分に対応して形成され、例えば区分収納室81が四個であれば箋袋票95を四等分するよう三本の分離用切込96が形成される。プリンタ45による箋袋票95への印刷は、箋袋票95における情報記入欄を分離用切込96で区分したうえで行われ、それらの区分された情報記入欄への情報記入が内挿容器85の区分収納室81への投入注射薬に対応させて注射施用単位で行われるようになっている。分離用切込96もミシン目状・破線状になっていて手指で摘んで引っ張れば容易に分離するので、箋袋票95が一回処理分の注射指示箋97に簡単に分割されるようになっている(図2(e)参照)。   Further, the separation notches 96 of the note bag slip 95 (see FIG. 2 (d)) are formed corresponding to the sections of the compartment storage chamber 81 in the insertion container 85. For example, there are four compartment storage chambers 81. Three separation notches 96 are formed to divide the blank bag 95 into four equal parts. The printing on the paper bag slip 95 by the printer 45 is performed after the information entry field in the paper bag slip 95 is divided by the separation notches 96, and the information entry in these separated information entry fields is performed by the insertion container. The injection is performed in units of injections corresponding to the injections injected into the 85 compartmental storage chambers 81. The separation notches 96 are also perforated and broken lines, and can be easily separated if they are picked and pulled with fingers, so that the slip bag 95 is easily divided into injection instructions 97 for a single process. (See FIG. 2 (e)).

この場合も、上述した実施例1のときと同様にして、処方箋データの入力に応じて搬器70が搬器供給装置10から搬器収納装置60へ移送され、その搬器70に区分収納の注射薬91と仕切の箋袋票92,95と先使用の輸液93とが下から上へ三層に重なって収納されるが、それに加えて更に、この場合は、内挿容器85も箋袋票95も注射施用単位で分割して取り扱えるようになっているので、施用準備時に、必要な注射薬91だけを収納した区分収納室81とそれに係る薬剤情報を記した注射指示箋97を組にして、それを他の組から切り離した状態で処置を行うことができる。そのため、施用準備作業が複数あっても混乱することなく的確に而も容易に、使用する注射薬を見定め、所用の注射薬を手にし、手にした注射薬を確認し、それと輸液との対応を確認することができる。   In this case as well, in the same manner as in the first embodiment described above, the transporter 70 is transferred from the transporter supply device 10 to the transporter storage device 60 in response to the input of the prescription data, and the separately stored injection 91 and The partition note bags 92 and 95 and the previously used infusion solution 93 are stored in three layers overlapping from the bottom to the top. In addition, in this case, the insertion container 85 and the note bag slip 95 are also injected. Since it can be handled by dividing by application unit, when preparing for application, a group storage room 81 that stores only the necessary injection 91 and an injection instruction sheet 97 that describes drug information related to it is paired. The treatment can be performed in a state separated from the other set. Therefore, even if there are multiple preparations for application, it is easy and accurate to identify the injection to be used, find the injection you want, check the injection you have, and respond to it Can be confirmed.

[その他]
上記の各実施例では、搬器移送経路に臨んで設けられた各種投入装置10〜60が種別毎に一台ずつであったが、これに限られる訳でなく、必要に応じて例えば注射薬払出装置30や箋袋票発行装置40などが複数台並んでいても良い。また、搬器移送経路も、一直線である必然性はなく、曲がっていても良く、例えばUターンしていても良く、分岐や合流が有っても良く、昇降路が組み入れられていても良い。さらに、搬器70を積み上げる搬器供給装置10や搬器収納装置60は必須でなく、例えば、複写機のソータのように仕切って保持するものでも良く、隣接の又は離隔設置の監査台へ移送するようになっていても良い。
[Others]
In each of the above-described embodiments, each of the input devices 10 to 60 provided on the transport path is one for each type. However, the present invention is not limited to this. A plurality of devices 30, note bag issuing devices 40, etc. may be arranged. Further, the transporter transfer path is not necessarily in a straight line, and may be bent, for example, may be U-turned, may have a branch or merge, and may have a hoistway incorporated therein. Further, the transporter supply device 10 and the transporter storage device 60 for stacking the transporters 70 are not essential. For example, the transporter 70 may be partitioned and held like a sorter of a copying machine, and transferred to an adjacent or remote inspection table. It may be.

本発明の実施例1について、注射薬払出システムの構造を示し、(a)が全体正面図、(b)が搬器の斜視図、(c)が内挿容器の斜視図、(d)が、内挿容器を納めた搬器の斜視図、(e)〜(g)が、内挿容器を納めた搬器の側面図である。About Example 1 of the present invention, the structure of an injection medicine dispensing system is shown, (a) is an overall front view, (b) is a perspective view of a carrier, (c) is a perspective view of an insertion container, (d) is The perspective view of the carrier which accommodated the insertion container, (e)-(g) is a side view of the carrier which accommodated the interpolation container. 本発明の実施例2について、注射薬払出システムの構造を示し、(a)が全体正面図、(b)が内挿容器の斜視図、(c)が内挿容器の平面図、(d)及び(e)が注射指示箋の印刷面である。About Example 2 of this invention, the structure of an injection delivery system is shown, (a) is a whole front view, (b) is a perspective view of an insertion container, (c) is a top view of an insertion container, (d) And (e) is the printing surface of the injection instruction. 従来の注射薬運搬方法を示し、(a)がブリスタパックの使用例、(b)が二段トレー使用例である。The conventional injection drug delivery method is shown, (a) is an example of using a blister pack, and (b) is an example of using a two-stage tray.

符号の説明Explanation of symbols

7a…上段トレー、7b…下段トレー、8 …ブリスタパック、8a…区分収納室、
10…搬器供給装置、11…搬器投入機構、12…搬送機構、
20…容器供給装置、21…容器投入機構、22…搬送機構、
30…注射薬払出装置、31…カセット、32…注射薬投入機構、33…搬送機構、
40…箋袋票発行装置、41…プリンタ、42…箋袋票投入機構、43…搬送機構、
50…輸液払出装置、51…輸液カセット、52…輸液投入機構、53…搬送機構、
60…搬器収納装置、61…搬器受入機構、62…搬送機構、
70…搬器、71…収納空間、72…鍔部、
80…内挿容器、81…区分収納室、82…連結板部、
85…内挿容器、86…分離用切込、
91…注射薬、92…箋袋票、93…輸液、95…箋袋票、96…分離用切込
7a ... Upper tray, 7b ... Lower tray, 8 ... Blister pack, 8a ... Separate storage room,
DESCRIPTION OF SYMBOLS 10 ... Carryer supply apparatus, 11 ... Carryer input mechanism, 12 ... Conveyance mechanism,
20 ... Container supply device, 21 ... Container loading mechanism, 22 ... Transport mechanism,
30 ... Injection medicine dispensing device, 31 ... Cassette, 32 ... Injection injection mechanism, 33 ... Conveyance mechanism,
40: Note bag issuing device, 41 ... Printer, 42 ... Paper bag insert mechanism, 43 ... Transport mechanism,
50 ... Infusion dispensing device, 51 ... Infusion cassette, 52 ... Infusion feeding mechanism, 53 ... Conveying mechanism,
60 ... Carrying device storage device, 61 ... Carrying device receiving mechanism, 62 ... Conveying mechanism,
70 ... Carrying device, 71 ... Storage space, 72 ... Buttocks,
80 ... Interpolation container, 81 ... Division storage chamber, 82 ... Connecting plate part,
85 ... Interpolation container, 86 ... Separation cut,
91 ... Injection, 92 ... Paper bag, 93 ... Infusion, 95 ... Paper bag, 96 ... Cutting for separation

Claims (2)

搬器の移送を行う搬送機構と、区分収納室を複数形成された内挿容器を前記搬器の内底に投入する容器供給装置と、注射薬を前記区分収納室に投入する注射薬払出装置と、前記注射薬の情報を記した箋袋票を前記搬器に投入して前記内挿容器に重ねる箋袋票発行装置と、輸液を前記搬器に投入して前記箋袋票に載せる輸液払出装置とを備えている注射薬払出システム。   A transport mechanism that transports the transporter, a container supply device that inserts an insertion container formed with a plurality of compartment storage chambers into the inner bottom of the transporter, an injection drug dispensing device that inserts an injection into the compartment storage chamber, A paper bag slip issuing device that inserts a paper bag slip describing information on the injection into the transporter and stacks it on the insertion container; and an infusion dispensing device that transports the infusion into the transporter and places it on the paper bag slip. Equipped medicine dispensing system. 前記注射薬払出装置が前記区分収納室への注射薬投入を注射施用単位で仕分けしながら行うものであることを特徴とする請求項1記載の注射薬払出システム。   2. The injection medicine dispensing system according to claim 1, wherein the injection medicine dispensing device performs injection injection into the sorting storage chamber while sorting the injection medicine in units of injection.
JP2005049752A 2005-02-24 2005-02-24 Injection drug dispensing system Expired - Fee Related JP4476136B2 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021168791A (en) * 2020-04-15 2021-10-28 株式会社湯山製作所 Drug setting device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2021168791A (en) * 2020-04-15 2021-10-28 株式会社湯山製作所 Drug setting device
JP7454779B2 (en) 2020-04-15 2024-03-25 株式会社湯山製作所 drug setting device
JP2025028176A (en) * 2020-04-15 2025-02-28 株式会社湯山製作所 Medicine setting device
JP7766239B2 (en) 2020-04-15 2025-11-10 株式会社湯山製作所 Medicine setting device

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