JP2018094440A - Medication management system and medication management device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medication management system and a medication management device for use in the medication management system that allow a visit pharmacy to know whether or not a patient has taken a medicine in real time even when care facility staff or the patient has missed to take the medicine at a medication time, and can manage to take medicine to prevent the patient from forgetting to take the medicine.SOLUTION: The medication management system comprises: a medication management device body including pockets 6 arranged in four columns on the surface, an infrared sensor for sensing the existence/absence of a medicine stored in each pocket 6, an LED light for lighting a time for taking the medicine, and control means for controlling the infrared sensor and the LED light; a terminal device for setting control information of the control means through a network and displaying information on the existence/absence of the medicine stored in the packet 6 on a display screen; and a database for storing the control information and data obtained from the infrared sensor.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a medication management system and a medication management device used for managing medication to a patient via a network such as a LAN or the Internet.

  For example, in nursing homes, there are many patients taking medication, and a pharmacist visits the home under the direction of a doctor to explain how to take the medicine correctly, check the medication status, check side effects, etc. In addition, a pharmacist provides services to check whether drug therapy is being implemented properly.

  A pharmacist visits the facility (hereinafter referred to as a visiting pharmacy), so that the patient's medication status, the presence or absence of remaining medicine, and the medication can be grasped. By providing information, it is possible to provide a state that is most easily taken (suitable use / packaging, etc.) suitable for each patient.

  However, it is common for visiting pharmacies to visit the facility once every few days, and daily medication management is entrusted to the care facility staff. However, the number of patients, types of drugs, and the number of drinks vary widely. Because it is different, there is a limit to the facility staff's management of “double-drinking” due to forgetting to drink or misunderstandings, and the burden on it is also large. Some drugs are quite expensive, and cases have been reported where such drugs are stolen by others.

  Therefore, management of medicines in nursing homes is basically carried out by visiting pharmacies, but due to personnel and cost restrictions, it is necessary to prepare an environment where the visiting pharmacies can manage medications without visiting the facilities every day. .

  For example, a medication system for home medical care as disclosed in Patent Document 1 has been proposed as a means for managing whether or not medication is performed in accordance with a doctor's instruction.

JP-A-10-201827 Japanese Patent Application No. 2014-16249

  In the above medication system, a medication box is installed at the patient's home, and the medication prescribed by the doctor is divided and stored for each medication in the medication box. When it becomes, the patient is informed of the specified medicine using the display unit, detects whether the medicine has been taken out from the box, and if it is not detected, warns the patient and sends the information to the hospital side. When the information is collated with the medication management data and judged to be inappropriate, a warning instruction is sent to the patient, family, helper, etc. to prevent forgetting to take the medicine.

  However, the above-described medication system has a complicated apparatus configuration, increases the cost, and requires a space such as an installation location. In particular, care facilities need to be installed according to the number of patients, and cost and space issues are important.

  In addition, medicines have different forms and powder packaging materials (such as transparent bags and sheets), and storage locations vary in the environment such as the brightness of the room. It is also necessary to ensure that the presence or absence of medication is sensed.

  Therefore, the applicant simplified the structure of the main device constituting the medication system to reduce the cost, and adjusted the detection setting for the presence / absence of the drug for each device, so that the detection accuracy was always maintained even under different conditions. Management system that can be wall-mounted, space-saving, visiting pharmacies, care facility staff, and patients at first glance to determine whether the patient has taken the medicine A management apparatus is proposed in Japanese Patent Application Laid-Open No. 2004-228620.

  The present invention is an improved invention of Patent Document 2, and further enhances the prevention of forgetting to take a medicine by displaying the position of the medicine at a specified time, and makes the detection of the presence or absence of the medicine more advanced. The entire system is further simplified to improve convenience.

  In order to achieve the above object, the first feature of the medication management system according to the present invention is that each pocket arranged in four rows on the surface of the boat, and a pair of LED lights provided on the left and right of each pocket, A medicine comprising an infrared sensor for sensing presence / absence of medicine stored in the pocket through a hole formed in the board in each pocket, and a control means for controlling the infrared sensor and the LED light A management apparatus main body, a terminal device that sets control information of the control means via a network, and displays information on the presence or absence of medicine stored in the pocket on a display screen, the control information, and the infrared sensor And a database for storing the obtained data.

  A second feature of the medication management system according to the present invention is that 32 pockets in the first feature are arranged on the surface of the medication management device main body.

  Further, a third feature of the medication management system according to the present invention is that the pocket in the first or second feature is formed of a transparent plastic, and the center lower end is cut so that the infrared sensor is exposed. The lack of formation.

  Furthermore, a fourth feature of the medication management system according to the present invention is that a black felt is attached to the lower surface of the pocket or the lower part of the back surface of any one of the first to third features. There is.

  Further, a fifth feature of the medication management system according to the present invention is that the cover member is attached to the front and back of the medication management device main body according to any one of the first to fourth features. And the pocket protrudes forward through a hole formed in the front cover, and is provided at one of the upper, lower, left and right ends. It is that the time zone for taking the day is described.

  Furthermore, the sixth feature of the medication management system according to the present invention is that the upper end portion of the hole formed in the front cover in any one of the first to fifth features extends downward in the pocket. It is in having put out.

  Further, according to a seventh feature of the medication management system according to the present invention, the terminal device according to any one of the first to fifth features includes a server and one or a plurality of clients. The control information is set via the server, information about medicines in the pocket, and data is acquired from the database.

  Furthermore, an eighth feature of the medication management system according to the present invention is that information relating to the medicine in the pocket sensed by the infrared sensor in the seventh feature is automatically recorded in the database via the server. It is to be done.

  Furthermore, a ninth feature of the medication management system according to the present invention is that, when the infrared sensor detects that the medicine in the pocket in the seventh or eighth feature has not been taken out for a certain period of time, The server is to automatically notify a specific client terminal by e-mail.

  Furthermore, the tenth feature of the medication management system according to the present invention is that each of the pockets arranged in four rows on the surface, an infrared sensor for detecting the presence or absence of the medicine stored in each of the pockets, and the medicine A medication management apparatus body comprising an LED light that is turned on at the time of taking, a control means for controlling the infrared sensor and the LED light, and setting control information of the control means via a network, and the pocket The information processing apparatus includes a terminal device that displays information about the presence or absence of medicines stored in the display screen, and a database that stores the control information and data obtained from the infrared sensor.

  An eleventh feature of the medication management system according to the present invention is that the medication management device body according to the tenth feature includes a board having the control means on the back surface, and the board for protecting the control means. A back cover attached to the back of the board, and a front cover attached to the front of the board, the board is provided with the LED light at a position between the pockets, and The infrared sensor is provided at the position of the hole formed in the board.

  Furthermore, the twelfth feature of the medication management system according to the present invention is that the pocket in the tenth or eleventh feature is made of a transparent plastic, and felt is attached to the lower surface or the lower surface of the back surface. There is in being.

  Furthermore, the first feature of the medication management apparatus according to the present invention is that it is used in a medication management system for managing the medication status of a patient at a remote location via a network, and detects the presence or absence of the medication and stores the information on the terminal. A medication management device for transmitting to a device, wherein each pocket is arranged in four rows on the surface of a boat, a pair of LED lights provided on the left and right of each pocket, and the board in each pocket. There is provided a medication management apparatus main body comprising an infrared sensor for sensing presence / absence of medicine stored in the pocket through a provided hole, and a control means for controlling the infrared sensor and the LED light. .

  A second feature of the medication management apparatus according to the present invention is that 32 pockets in the first feature are arranged on the surface of the medication management apparatus main body.

  Furthermore, a third feature of the medication management apparatus according to the present invention is that the pocket in the first or second feature is formed of a transparent plastic, and the center lower end is cut so that the infrared sensor is exposed. The lack of formation.

  Furthermore, a fourth feature of the medication management apparatus according to the present invention is that a black felt is attached to the lower surface of the lower surface of the pocket or the lower part of the back surface of any one of the first to third features. There is.

  In addition, a fifth feature of the medication management apparatus according to the present invention is that the cover member is attached to the front and back of the medication management device main body according to any one of the first to fourth features. And the pocket protrudes forward through a hole formed in the front cover surface, and is formed at one of the top, bottom, left, and right ends of the medication management device. The daily medication time zone is described.

  Furthermore, a sixth feature of the medication management apparatus according to the present invention is that the upper end portion of the hole formed in the front cover in any one of the first to fifth features extends downward in the pocket. There is in being.

  Furthermore, the seventh feature of the medication management apparatus according to the present invention is that a medication management system that manages the medication status of a patient at a remote location via a network senses the presence or absence of the medication and uses that information. A medication management device that transmits to a terminal device, each pocket being arranged in four rows on the surface, an infrared sensor that senses the presence or absence of a medicine stored in each pocket, and a time for taking the medicine A medication management apparatus main body comprising an LED light to be turned on, a control means for controlling the infrared sensor and the LED light, and setting control information of the control means via a network and being stored in the pocket A terminal device for displaying information on the presence or absence of medicine on a display screen, a database for storing the control information and data obtained from the infrared sensor, In further comprising a composed medication management apparatus.

  Further, an eighth feature of the medication management apparatus according to the present invention is that the medication management apparatus main body according to the seventh feature includes a board having the control means on the back surface, and the board for protecting the control means. A back cover attached to the back of the board, and a front cover attached to the front of the board, the board is provided with the LED light at a position between the pockets, and The infrared sensor is provided at the position of the hole formed in the board.

  Furthermore, a ninth feature of the medication management apparatus according to the present invention is that the pocket in the seventh or eighth feature is formed of a transparent plastic, and felt is attached to the lower surface or the lower part of the back surface. There is to be.

  According to the present invention, even if a care facility staff or patient misses the medication at the time of medication, the visiting pharmacy can know in real time whether the patient has taken the medication even in a remote place. The patient and facility staff can be immediately encouraged to take medication without going out, and thorough management of medication administration can be achieved. In particular, when the medicine has not been taken out for a certain period of time, an email is automatically transmitted to the user of the facility or the like, so the alerting to the user can be enhanced.

  In addition, since the sensitivity of the sensor can be adjusted for each medication management device, it is possible to always accurately detect the presence / absence of a drug even if the environment or the type of the drug at the installation location is different. In addition, it is possible to further reduce false detection by sticking black felt to the lower end of the pocket.

  In addition, data related to patient use is automatically recorded and accumulated, and can be managed collectively for each facility, making data management extremely easy and significantly reducing the burden and cost of visiting pharmacies and care facilities. it can.

  In addition, when the LED light on the surface of the medication management device is turned on at the time of taking, the patient's attention is given, and the medication to be taken now is clarified, and mistaking with other medications can be prevented.

  Furthermore, by setting the number of pockets to 32, it is easy to understand the difference between the start and end of taking even when one week's worth of medicine is taken from the amount taken after noon.

It is a front view in the Example of the medication management apparatus which concerns on this invention, and shows the state without a medicine. In the front view, a part of the medicine remains in the pocket. It is AA longitudinal cross-sectional explanatory drawing of FIG. It is a front view of a medication management device body. It is a front view of the medication management apparatus main body in the state where black felt was stuck on the pocket lower end. The elements on larger scale which show the mode of the front cover member of a medication management apparatus. It is the schematic of the medication management system which concerns on this invention. It is the state figure which showed an example of the screen of the computer in the state of FIG. 2 of a medication management apparatus.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  The medication management system according to the present invention performs various settings of the medication management device 1 and the medication management device 1, and displays a terminal device that displays information related to medication acquired from the medication management device 1, information on the various settings, and It is mainly composed of a database 19 that records information on the medication and extracts it as necessary.

  1 to 8 show an embodiment of the present invention. In the figure, reference numeral 1 denotes a medication management device, which is formed in a casing shape by attaching cover members 3 and 4 to the main body 2 and the front and back surfaces thereof. The cover members 3 and 4 are preferably light-weight members, for example, acrylic.

  The main body 2 includes a pocket 6, an infrared sensor 9, an LED light 10, and control means on a board 5.

  The pockets 6 are arranged in four rows on the surface of the board 5. The pocket 6 is composed of 8 pieces in a row, and 32 pockets are attached in total. The pocket 6 is a part for containing a medicine dispensed at a visiting pharmacy, and is preferably formed of a transparent plastic. In addition, attachment to the board 5 does not ask | require the method, such as a screw and an adhesive agent.

  A notch 7 having a sufficient space for exposing the infrared sensor 9 is formed at the center of the lower end portion of the pocket 6. A black felt 8 is stuck to the lower end of the pocket 6 so as to cover the notch 7. This is to prevent the infrared sensor 9 from erroneously detecting the presence or absence of a medicine due to its own infrared reflection or due to external light. On the other hand, it is desirable that the upper end portion of the pocket 6 be bent inward to prevent injury (not shown).

  A circular hole 13 is formed at each position of the board 5 corresponding to the notch 7, and an infrared sensor 9 is provided through the circular hole 13. The infrared sensor 9 is provided on each control board 11 installed on the back surface of the board 5. In this embodiment, eight infrared sensors 9 are attached to one control board 11. The infrared sensor 9 senses the presence or absence of the medicine 14 accommodated in the corresponding pocket 6 through the circular hole 13.

  On the board 5 at the left and right positions of the pocket 6, a boss 15 penetrating the board is formed, and the LED light 10 is installed therein. The LED light 10 is connected to the control board 11. When the set time is reached, the left and right LED lights 10 of one pocket 6 are turned on and the patient's attention is drawn to prevent forgetting to take the medicine.

  The control means controls the infrared sensor 9 and the LED light 10 through the terminal device and transmits information sensed by the infrared sensor 9 to the terminal device, and is provided on the back surface of the board 5.

  The control means includes a control board 11 and an AC adapter 12. The AC adapter 12 has a function of transmitting / receiving the power source of the infrared sensor 9 and the LED light 10, control information thereof, and detection information of medicine in the pocket 6 to and from the terminal device, and includes a WiFi antenna. .

  The control board 11 controls the infrared sensor 9 and the LED light 10 based on the control information received through the AC adapter 12 and also sends the AC adapter 12 information about the presence or absence of medicine in the pocket 6 received from the infrared sensor 9. Via the server 16 to the server 16.

  A front cover member 3 is attached to the front surface of the main body 2. On the surface of the front cover member 3, the daily medication time zone of “morning”, “daytime”, “night”, and “before going to sleep” is written in the horizontal axis direction. In the illustrated example, it is displayed at the lower end. Also, numbers from 1 to 8 are written in the vertical axis direction. In the illustrated example, it is displayed at the left end. Further, holes 18 corresponding to the pockets 6 are formed according to the number of pockets 6. The hole 18 is formed in accordance with the size of the pocket 6 so that the black felt 8 attached to the pocket 6 is hidden and the other part can protrude forward. In addition, a piece 21 extending downward in the pocket 6 is formed at the upper end of the hole 18 so that the medicine 14 does not fall into the medication management device 1. In FIG. 6, the dotted line portion indicates the upper end of the pocket 6.

  A back cover member 4 is attached to the back surface of the main body 2. The back cover member 4 protects the control means attached to the main body 2 and has sufficient depth to accommodate it. Moreover, it is good to drill a hole for wall hanging (not shown) so that the medication management apparatus 1 can be wall-mounted.

  Next, the terminal device is composed of a server 16 and one or a plurality of clients 17. The server 16 individually sets data for each patient and sets control information for the LED light 10 and the infrared sensor 9 and receives and analyzes information sensed by the infrared sensor 9 to determine the presence / absence of a drug in the pocket 6, Information related to medicine insertion and removal times and the setting information are displayed on the display screen of the terminal device. In addition, information on the presence or absence of the medicine and the setting information are recorded in the database 19.

  The client 17 can relay the server 16 to make the above settings, and can refer to the information recorded in the database 19. The client 17 is a personal computer as a standard, but for example, a tablet terminal or a smart phone terminal can also be used.

  The setting of the control information may be, for example, a time for turning on and off the left and right LED lights 10 of a specific pocket 6. Alternatively, the infrared sensor 9 may detect when the medicine is taken, and the LED light 10 may be set to be automatically turned off in conjunction with the medicine.

  Further, for example, sensitivity is set in the sensor 9. The medicines stored in the pocket 6 have various forms such as powder, tablets, capsules, and the like, and the materials for packaging them are various such as bags, sheets, transparent and colored. Moreover, brightness etc. differ also with the place where the medication management apparatus 1 is installed. Therefore, the sensitivity of the sensor 9 and the period of the signal transmitted from the sensor 9 can be adjusted according to the installation state.

  The database 19 stores information related to the medicine transmitted from the server 16 and each setting information. The database 19 extracts the stored data in response to a data extraction request from the server 16 or the client 17, and the server 19 Information necessary for the display device 16 or the client 17 is displayed.

  The database 19 constitutes a cloud together with the server 16, and the client 17 can obtain each setting and data from the remote place through the Internet. In addition, the medication management apparatus 1 accesses the cloud through wireless communication using WiFi to perform data communication, and uploads the information of the medication management apparatus 1 on the cloud.

  FIG. 2 shows a state in which a part of the medicine remains in the pocket 6. Here, 20 indicates a state in which the LED lights 10 on the left and right of the pocket 6 are lit in order to clearly indicate the medicine that needs to be taken. FIG. 8 shows an example of a state in which the server 16 and the client 17 receive and display data related to individual medication in FIG.

  FIG. 8 shows an example of the display screen of the terminal device, and the black portions indicate the state when the medicine 14 is stored in the pocket 6. The display of the state in which the medicine 14 is stored in the pocket 6 is preferably displayed with a conspicuous color or the like. If the medicine 14 is not taken out of the pocket 6 even after the taking time has elapsed, it is blinked or a warning sound is emitted. You may make it stand out by letting out. The screen can be switched and displayed for each patient (medicine management device 1).

  Further, the server 16 and the client 17 can manage data for each facility and for each patient. By storing data from a plurality of medication management apparatuses 1 corresponding to each patient, all the patients in the facility can be managed at once. You can manage your medication. For example, it is possible to collectively search for patients who have not taken out medicines within the taking time for each facility. It is also possible to collectively search for patients who have not taken out medicine from the device 1 within a certain period of time across the facility.

  Next, with reference to FIG.2 and FIG.8, operation | movement of the medication management apparatus 1 which concerns on this invention is demonstrated. When the medicine 14 is in the pocket 6 (not taken), the pocket 6 portion where the medicine 14 is present is displayed in a colored state (black in FIG. 8) on the display screens of the server 16 and the client 17 through the sensor 9. Is done. The sensor 9 can sense not only light-impervious bags but also medicines contained in transparent bags, and the data transmission interval can be freely set to several seconds, several tens of seconds, or several minutes.

  As shown in FIG. 2, the left and right LED lights 10 of the specific pocket 6 in the time zone to be taken are turned on during the time of taking the medicine to alert the patient. When the medicine 14 is taken out from the pocket 6, the LED light 10 is turned off, the sensor 9 reacts, the data is transmitted to the server 16, and the information is recorded in the database 19. In this case, on the display screens of the server 16 and the client 17, the color of the pocket 6 where the medicine is present is turned off.

  According to the present invention, it is possible to manage the patient's medication outside the nursing facility, so that the visiting pharmacy visits the nursing facility from about once every 2 to 3 days to about once every 1 to 2 weeks. This can be omitted, and the burden on the visiting pharmacy can be drastically reduced, and the care of the visiting pharmacy for the patient in the care facility can be further improved.

  The medication management system and medication management device according to the present invention can be applied not only to nursing homes but also to nursing care at hospitals and homes. Therefore, elderly people living alone can contribute to a safe and secure life.

DESCRIPTION OF SYMBOLS 1 Medication management apparatus 2 Medication management apparatus main body 6 Pocket 9 Infrared sensor 10 LED light 11 Control board 16 Server 17 Client

Claims (9)

Each of the pockets arranged in four rows on the surface, an infrared sensor that senses the presence or absence of a medicine stored in each pocket, an LED light that lights when taking the medicine, the infrared sensor, and the LED A medication management device body comprising a control means for controlling the light;
A terminal device that sets the control information of the control means via a network and displays information on the presence or absence of a medicine stored in the pocket on a display screen;
A database for storing the control information and data obtained from the infrared sensor;
A medication management system consisting of The medication management apparatus main body includes a board having the control means on the back, a back cover to be attached to the back of the board to protect the control means, and a front cover to be attached to the front of the board. Configured,
The board is provided with the LED light at a position between the pockets, and the infrared sensor is provided at a hole formed in the board.
The medication management system according to claim 1. The pocket is made of transparent plastic, and felt is attached to the lower surface or the lower part of the back surface,
The medication management system according to claim 1 or 2. The terminal device is composed of a server and one or a plurality of clients, and the client performs setting of the control information, information on medicines in a pocket, and acquisition of data from the database via the server,
The medication management system according to any one of claims 1 to 3, wherein: Information about the medicine in the pocket sensed by the infrared sensor is automatically recorded in the database via the server;
The medication management system according to claim 4. When the infrared sensor detects that the medicine in the pocket has not been taken out for a certain period of time, the server automatically notifies a specific client terminal by e-mail;
The medication management system according to claim 4 or 5. A medication management device for detecting the presence or absence of a drug and transmitting the information to a terminal device for use in a medication management system for managing the medication status of a patient at a remote location via a network,
Each of the pockets arranged in four rows on the surface, an infrared sensor that senses the presence or absence of a medicine stored in each pocket, an LED light that lights when taking the medicine, the infrared sensor, and the LED The medication management apparatus main body provided with a control means for controlling the light, and the control information of the control means are set via the network, and information on the presence / absence of the medicine stored in the pocket is displayed on the display screen A medication management device body comprising a terminal device and a database for storing data obtained from the control information and the infrared sensor;
A medication management device characterized by The medication management apparatus main body includes a board having the control means on the back, a back cover to be attached to the back of the board to protect the control means, and a front cover to be attached to the front of the board. Configured,
The board is provided with the LED light at a position between the pockets, and the infrared sensor is provided at a hole formed in the board.
The medication management device according to claim 7. The pocket is made of transparent plastic, and felt is attached to the lower surface or the lower part of the back surface,
The medication management device according to claim 7 or 8.