JP6892001B2 - Dispensing management device, mixed injection device, program - Google Patents

Description

The present invention is a dispensing device that performs a mixed injection process of sucking a drug from a first drug container with a syringe and injecting the drug from the syringe into a second drug container, and a dispensing device that manages a dispensing operation using the mixed injection device or the like. Regarding management equipment.

Generally, a pharmacist performs a mixed injection process in which a drug such as an anticancer drug contained in a drug container is sucked by a syringe and the drug is injected into an infusion container containing the infusion solution. Further, there is known a mixed injection device capable of executing a mixed injection process based on input preparation data (see, for example, Patent Document 1).

For example, the preparation data is generated based on predetermined regimen information or the like. The regimen information includes information on the administration plan such as the type of drug corresponding to each therapy, the dose (unit dose), the administration period, or the administration procedure.

Japanese Unexamined Patent Publication No. 2012-250016

By the way, in the mixed injection device, it may not be possible to execute the mixed injection process for some kinds of chemicals. On the other hand, the regimen information may include a plurality of types of drugs to be administered. Therefore, some of the plurality of types of chemicals included in the regimen information may be mixed-injected by the mixed injection device, and the remaining part may be mixed-injected by the pharmacist. As described above, when the mixed injection process for a plurality of types of chemicals included in one regimen information is shared by the mixed injection device and the pharmacist, the management of the preparation work based on the regimen information becomes complicated.

An object of the present invention is to provide a dispensing management device and a mixed injection device capable of easily managing a preset group-based drug preparation operation.

In the mixed injection device according to the present invention, whether or not the mixed injection device that executes the mixed injection process of injecting the chemicals in the first chemical container into the second chemical container can execute the mixed injection process of the chemicals contained in the preset group. A second determination for determining whether or not the mixed injection process of all the chemicals included in the group is executed by the mixed injection device according to the determination result by the first determination processing unit and the first determination processing unit. It is equipped with a processing unit.

In the mixed injection device according to the present invention, it is determined whether or not the mixed injection process is executed by the mixed injection device for all the chemicals included in the group, so that it is easy to manage the preparation work of the chemicals in the group unit. It becomes possible to do.

Specifically, the group is included in drugs contained in the same regimen information, drugs with the same patient and preparation date, drugs with the same patient, drugs with the same preparation date, drugs included in the same prescription data, or drugs in the same preparation data. It may be one of the groups of drugs.

Here, when the group is a group of chemicals included in the same regimen information, the first determination processing unit has set information in which the chemicals capable of performing the mixed injection processing by the mixed injection device are predetermined and the regimen. Based on the information, it is conceivable to determine whether or not the mixed injection process of the chemicals contained in the regimen information can be performed by the mixed injection device. Thereby, it is possible to easily determine whether or not the mixed injection process of each of the chemicals included in the regimen information can be performed by the mixed injection device.

The dispensing management device includes a first setting processing unit capable of setting as setting information whether or not the mixed injection process of the drug can be executed by the mixed injection device for each combination of the drug and the regimen information. Can be considered. In this case, the first determination processing unit determines whether or not the mixed injection process of the chemical contained in the regimen information can be executed by the mixed injection device according to the combination of the chemical and the regimen information. .. That is, even if the same chemical is used, if the group in which the chemical is used is different, the determination result by the first determination processing unit may be different, and more flexible response becomes possible.

When the second determination processing unit determines that the mixed injection processing of all the chemicals included in the group can be executed by the mixed injection device, the mixed injection processing of all the chemicals included in the group is performed by the mixed injection device. It is conceivable to execute it. As a result, when the mixed injection process cannot be executed by the mixed injection device and the pharmacist includes a drug for which the mixed injection process needs to be performed, the mixed injection process by the mixed injection device is not executed. The mixed injection process of the contained chemicals is not shared and executed by the mixed injection device and the pharmacist. Therefore, it is possible to easily manage the preparation work of the chemicals in the group unit.

It is conceivable that the dispensing management device further includes, as the group, a second setting processing unit capable of selecting a group of drugs included in the same regimen information and a group of drugs having the same patient and preparation date. As a result, the user can arbitrarily select the group as a determination unit for determining whether or not to execute the mixed injection process in the mixed injection device.

By the way, the dispensing management device may be provided separately from the mixed injection device, but the present invention is an invention of the mixed injection device including the dispensing management device and the mixed injection processing unit for executing the mixed injection process. It is also possible to capture.

Further, the mixed injection device according to another embodiment of the present invention includes a mixed injection processing unit that sucks the chemical from the first chemical container with a syringe and injects the chemical from the syringe into the second chemical container, and the mixed injection processing unit. In the mixed injection process, after the injection step of injecting the drug into the second drug container by the syringe, an intake process of sucking a preset suction amount of air from the second drug container into the syringe can be executed. It is equipped with a mixed injection control unit. As a result, the drug adhering to the inside of the injection needle of the syringe or the tip of the injection needle is sucked into the syringe, and the possibility that the drug is dropped from the tip of the injection needle of the syringe is reduced.

Here, it is conceivable that the mixed injection control unit executes the intake process on the condition that the chemicals injected by the injection step are preset chemicals. As a result, when the intake step is unnecessary, the intake stroke is omitted and the processing time is shortened.

It is conceivable that the mixed injection control unit changes the suction amount of air according to the type of the chemical injected by the injection step. More specifically, the mixed injection control unit is based on information in which the viscosity of the chemical or the suction amount of air corresponding to each type of the chemical is set, and the higher the viscosity of the chemical, the more the air in the intake treatment. It is conceivable to increase the suction amount. Thereby, even if the viscosities are different, it is possible to appropriately prevent the drug from being dropped from the injection needle of the syringe.

Further, the mixed injection device according to another embodiment of the present invention includes a mixed injection processing unit that sucks a chemical from a first chemical container with a syringe and injects the chemical from the syringe into a second chemical container. It is provided with a mixed injection control unit that can control the operation of the mixed injection processing unit and display the progress of the mixed injection processing on the display means. As a result, the user can easily grasp the progress of the mixed injection process.

It is considered that the mixed injection control unit can display the progress of the mixed injection process for each chemical contained in the preparation data. As a result, the user can easily grasp the more detailed progress of the mixed injection process.

Further, it is conceivable that the mixed injection device further includes a preparation control unit for inputting preparation data to the mixed injection control unit. In this case, the mixed injection control unit can notify the preparation control unit of the progress of the mixed injection process, and the preparation control unit can display the progress of the mixed injection process notified by the mixed injection control unit. Can be considered. As a result, the user can easily grasp the progress of the mixed injection process by both the display unit controlled by the mixed injection control unit and the display unit controlled by the preparation control unit.

According to the present invention, it is possible to provide a dispensing management device and a mixed injection device capable of easily managing preset group-based drug preparation operations.

FIG. 1 is a block diagram showing a mixed injection system according to an embodiment of the present invention. FIG. 2A is a diagram showing an example of regimen information used in the mixed injection system according to the embodiment of the present invention. FIG. 2B is a diagram showing an example of regimen information used in the mixed injection system according to the embodiment of the present invention. FIG. 2C is a diagram showing an example of regimen information used in the mixed injection system according to the embodiment of the present invention. FIG. 3 is a diagram showing an example of setting information used in the mixed injection system according to the embodiment of the present invention. FIG. 4 is a perspective view of the mixed injection device according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of a preparation monitor screen displayed by the mixed injection device according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of a monitor selection screen displayed by the mixed injection device according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a preparation guide screen displayed by the mixed injection device according to the embodiment of the present invention. FIG. 8 is a flowchart showing an example of a procedure of mixed injection control processing executed by the dispensing management device according to the embodiment of the present invention. FIG. 9 is a flowchart showing an example of a procedure of list output processing executed by the dispensing management device according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a preparation list output by a list output process executed by the dispensing management device according to the embodiment of the present invention. FIG. 11 is a flowchart showing another example of the procedure of the mixed injection control process executed by the dispensing management device according to the embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. It should be noted that the following embodiment is an example embodying the present invention and does not limit the technical scope of the present invention. It is also conceivable to combine the configurations or processes of each embodiment to realize other embodiments.

[First Embodiment]
As shown in FIG. 1, the mixed injection system 10 according to the present embodiment includes a dispensing management device 1, a mixed injection device 2, a dispensing device 3, a printer 4, and the like. Further, the dispensing management device 1 is connected to a higher-level system 5 such as an electronic medical record system via a communication network N1.

The dispensing management device 1 acquires preparation data from the higher-level system 5 and manages whether or not the preparation data is input to the mixed injection device 2. Further, the dispensing management device 1 can generate dispensing data based on the prescription data acquired from the higher-level system 5, and input the dispensing data to the dispensing device 3. It is also conceivable that the dispensing management device 1 generates preparation data based on the prescription data acquired from the higher-level system 5 and inputs it to the mixed injection device 2.

The preparation data includes patient information (patient ID, patient name, height, weight, body surface area, etc.), preparation date, drug information (drug code, drug name, etc.), dose, regimen identification information, and the like. The regimen identification information is information that can identify regimen information such as a therapy name (regime name), a therapy ID, or a regimen ID. In the preparation data, the preparation date, dose, regimen identification information, and the like are associated with each drug information. Further, when the preparation data is generated based on one of the regimen information, the regimen identification information may be associated with the preparation data. Further, the preparation data includes doctor information, types of drug containers (ampoules containing chemicals, vials containing chemicals, vials containing powders, or infusion bags, etc.), preparation content information (drug containers and syringes used for mixed injection processing, etc.). Information on the type and number of injection needles, etc.), preparation procedure information (work content, dissolving drug, solvent, dissolving amount, solvent amount, sampling amount), medication date, prescription classification, medical department, ward, etc. are included. You may. The prescription data includes prescription delivery date, patient information, patient birth date, therapy name, drug information (drug code, drug name, etc.), dosage form information (internal use, external use, etc.), dose, usage, etc. Includes information such as type of treatment (outpatient, inpatient, etc.), department, ward, and room.

Then, in the mixed injection device 2, based on the preparation data, a mixed injection process of sucking the medicine from the first medicine container with a syringe and injecting the medicine from the syringe into the second medicine container is executed. On the other hand, in the dispensing device 3, based on the dispensing data, a packaging process for packaging chemicals such as tablets and powders, a dispensing process for PTP sheets, and the like are executed. The printer 4 executes a printing process based on print data input from the dispensing management device 1, the mixed injection device 2, the dispensing device 3, and the like. For example, the printer 4 is used for printing a packaging bag, a prescription, a prescription, a preparation list, and the like.

[Dispensing management device 1]
As shown in FIG. 1, the dispensing management device 1 is a computer including a control unit 11, a storage unit 12, a communication I / F 13, a display unit 14, an operation unit 15, a drive device 16, and the like. The dispensing management device 1 uses the communication I / F 13 to communicate data with the mixed injection device 2, the dispensing device 3, the printer 4, the host system 5, and the like via the communication network N1 according to a predetermined communication protocol. Communication is possible.

The display unit 14 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operation unit 15 is an operation unit such as a keyboard or a mouse operated by a user to input various information to the dispensing management device 1.

The drive device 16 can read various control programs or various information from a computer-readable recording medium 161. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the dispensing management device 1, the control unit 11 stores the control program read from the recording medium 161 using the drive device 16 in the storage unit 12. The storage unit 12 is a non-volatile storage unit such as a hard disk or SSD that stores various control programs and various data executed by the control unit 11.

In addition, various master information such as a drug master in which information for each drug is registered in advance is stored in the storage unit 12. For example, the drug master includes drug code, drug name, JAN code (or RSS), drug bottle code, classification (dosage form: powder, tablet, liquid medicine, external drug, etc.), specific gravity, drug type (ordinary drug, anti-drug). Cancer drugs, poisons, narcotics, powerful drugs, anti-psychiatric drugs, therapeutic drugs, etc.), formulation changes, excipients, precautions, types of drug containers (ampoules, vials), drug storage capacity per drug container (default) Includes information such as quantity) and the weight of the drug container. The regimen information may be stored in the storage unit 12.

The control unit 11 includes control devices such as a CPU, ROM, RAM, and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memory (working area) for various processes executed by the CPU. Further, the control unit 11 includes a system clock for measuring time, and can acquire the current date and time from the system clock.

Then, the control unit 11 uses the CPU to execute various processes according to the control program stored in the ROM, the EEPROM, or the storage unit 12. The present invention may be regarded as an invention of the control program for causing the control unit 11 to execute various processes in the dispensing management device 1, or a computer-readable recording medium in which the control program is recorded. Further, the present invention may be regarded as an invention of a dispensing management method including each processing procedure executed in the dispensing management device 1.

Specifically, the control unit 11 includes an acquisition processing unit 111, a generation processing unit 112, a first determination processing unit 113, a second determination processing unit 114, and a setting processing unit 115. Specifically, the control unit 11 executes various processes according to the control program, so that the acquisition processing unit 111, the generation processing unit 112, the first determination processing unit 113, and the second determination processing unit 114 , And functions as the setting processing unit 115.

The acquisition processing unit 111 executes a process for acquiring the prescription data or the preparation data from the higher-level system 5. For example, the higher-level system 5 is provided with a storage unit 51 that stores the prescription data or the preparation data. Then, the acquisition processing unit 111 receives when the prescription data or the preparation data is newly registered in the storage unit 51, when the prescription data or the preparation data is changed, or at a preset timing. The prescription data or the preparation data is actively read from the storage unit 51 and stored in the storage unit 12. Further, the acquisition processing unit 111 receives the prescription data or preparation data actively transmitted by the higher-level system 5 to the dispensing management device 1 using the communication I / F 13 and stores it in the storage unit 12. It is also possible.

The generation processing unit 112 can generate the dispensing data based on the prescription data. In addition, the generation processing unit 112 can generate the preparation data for executing the mixed injection process in the mixed injection device 2 based on the prescription data and the regimen information predetermined for each therapy. You may.

Specifically, the regimen information includes information on the administration plan such as the name of the drug to be administered based on the therapy, the dose (per body surface area), the administration time, the administration date, and the length of one course. Here, FIGS. 2A to 2C are diagrams showing an example of the regimen information related to therapies R1 to R3. The regimen information is used when generating the preparation data in the higher system 5. Further, when the preparation data is generated in the higher-level system 5, the regimen identification information for identifying the regimen information is added to the preparation data together with the information of the medicine M1 and the medicine M2. In the upper system 5, the drug to be administered to the patient may be individually selected without the therapy name being selected by a doctor or the like. In this case, for example, identification information for identifying a group of drugs selected by a doctor is added to the preparation data as the regimen identification information.

As shown in FIG. 2A, the regimen information of the therapy name "therapy R1" stipulates that the administered drugs "drug M1" and "drug M2" are administered in one course "3-4 weeks". There is. Here, for the drug M1, information such as a dose of "3 g / m ² ", an administration period of "3 hours", and an administration date of "1st day" is specified. For the drug M2, information such as a dose of "5 mg / m ² ", an administration period of "1 hour", and an administration date of "1st day" is specified. Then, in the higher-level system 5, when the therapy name selected by a doctor or the like is therapy R1, preparation data including the drug M1 and the drug M2 as administered drugs is obtained based on the regimen information corresponding to the therapy R1. Will be generated. After that, the preparation data is input from the higher-level system 5 to the dispensing management device 1. The dispensing management device 1 inputs the preparation data to the mixed injection device 2 on the preparation date, the administration date, or the like.

As shown in FIG. 2B, in the regimen information of the therapy name "therapy R2", the administered drugs "drug M1", "drug M2", and "drug M3" are administered in one course "3-4 weeks". It is stipulated to that effect. Here, for the drug M1, information such as a dose of "3 g / m ² ", an administration period of "3 hours", and an administration date of "1st day" is specified. For the drug M2, information such as a dose of "5 mg / m ² ", an administration period of "1 hour", and an administration date of "1st day" is specified. Further, for the drug M3, information such as a dose of "10 mg / m ² ", an administration period of "1 hour", and an administration date of "1st day" is specified. Then, in the higher-level system 5, when the therapy name selected by a doctor or the like is therapy R2, preparation data containing the drugs M1 to the drug M3 as administered drugs is obtained based on the regimen information corresponding to the therapy R2. Will be generated. After that, the preparation data is input from the higher-level system 5 to the dispensing management device 1. The dispensing management device 1 inputs the preparation data corresponding to the chemicals M1 to M3 into the mixed injection device 2 on the preparation date, the administration date, or the like.

As shown in FIG. 2C, in the regimen information of the therapy name "therapy R3", one course "3-4 weeks" for the administered drugs "drug M1", "drug M2", "drug M4", and "drug M5". It is stipulated that it will be administered. Here, for the drug M1, information such as a dose of "3 g / m ² ", an administration period of "3 hours", and an administration date of "1st day" is specified. For the drug M2, information such as a dose of "5 mg / m ² ", an administration period of "1 hour", and an administration date of "1st day" is specified. On the other hand, for the drug M4, information such as a dose of "8 mg / m ² ", an administration period of "1 hour", and an administration date of "2nd and 5th days" is specified. On the other hand, for the drug M5, information such as a dose of "4 mg / m ² ", an administration period of "1 hour", and an administration date of "2nd and 5th days" is specified. Then, in the higher-level system 5, when the therapy name selected by a doctor or the like is therapy R3, the drug M1, the drug M2, the drug M4, and the drug are based on the regimen information corresponding to the therapy R3. Preparation data containing M5 as the drug to be administered is generated. After that, the preparation data is input from the higher-level system 5 to the dispensing management device 1. The dispensing management device 1 inputs the individual preparation data corresponding to the drugs M1 and M2 from the preparation data into the mixed injection device 2 on the first day of the administration start date, and corresponds to the drugs M4 and M5. The individual preparation data to be prepared is input to the mixed injection device 2 on the 2nd and 5th days of the start date of administration.

The first determination processing unit 113 determines whether or not the mixed injection process of the chemicals contained in the preset group can be executed by the mixed injection device 2. In the present embodiment, the case where the group is a drug included in the same regimen information will be described as an example. The group may be any group of drugs having the same patient and preparation date, drugs having the same patient, drugs having the same preparation date, drugs included in the same prescription data, or drugs included in the same preparation data. Good.

Specifically, the storage unit 12 stores preset setting information of chemicals capable of performing the mixed injection process by the mixed injection device 2. Then, the first determination processing unit 113 determines whether or not the mixed injection process of each of the chemicals can be executed by the mixed injection device 2 based on the setting information and the preparation data.

The second determination processing unit 114 executes the mixed injection process of all the chemicals included in the group among the chemicals included in the preparation data in the mixed injection device 2 according to the determination result by the first determination processing unit 113. Determine whether or not to do so. Specifically, whether the second determination processing unit 114 can execute the mixed injection process of all the chemicals included in the regimen information in the mixed injection device 2 according to the determination result by the first determination processing unit 113. Judge whether or not. Then, when the mixed injection process of all the chemicals included in the regimen information can be executed by the mixed injection device 2, the second determination processing unit 114 executes the mixed injection process of all the chemicals in the mixed injection device 2. Then it is determined.

The setting processing unit 115 can set the setting information in which the chemicals capable of performing the mixed injection process are predetermined by the mixed injection device 2. Here, the setting processing unit 115 when executing the setting processing is an example of the first setting processing unit. In particular, the setting processing unit 115 can also set whether or not the mixed injection processing of the chemical can be executed for each combination of the chemical and the regimen information. That is, even if the chemicals are the same, if the regimen information is different, it is possible to set so that the determination result of whether or not the mixed injection process can be executed by the mixed injection device 2 is different. The setting processing unit 115 executes setting processing such as registration, change, and deletion of the setting information in response to a user operation using the initial setting screen or the like displayed on the dispensing management device 1.

Here, FIG. 3 is a diagram showing an example of the setting information set by the setting processing unit 115. As shown in FIG. 3, in the setting information, the therapy name, the drug name, and the items of whether or not the mixed injection processing is possible are stored in association with each other. In particular, in the setting information, whether or not the mixed injection process of the drug with the drug name can be executed by the mixed injection device 2 is set for each combination of the drug name and the therapy name indicating the regimen information. There is. For example, in the mixed injection device 2, an upper limit amount may be set for the amount of chemicals that can be injected into the infusion bag 32, but the amount of chemicals injected into the infusion bag 32 differs depending on the regimen information. Therefore, in the setting information, the combination of the drug and the regimen information in which the amount injected into the infusion bag 32 in the mixed injection process is likely to exceed the upper limit amount is executed by the mixed injection device 2. It is possible that it is set as an impossible chemical. Specifically, it is conceivable that a drug having a dose per body surface area in the regimen information of a predetermined value or more is set as a drug for which the mixed injection process cannot be performed by the mixed injection device 2. As another embodiment, it is conceivable that in the setting information, whether or not the mixed injection process by the mixed injection device 2 can be executed is set for each of the chemicals regardless of the regimen information.

As shown in FIG. 3, for the therapy R1, it is set that the mixed injection treatment of the drug M1 and the drug M2 can be performed by the mixed injection device 2. Further, regarding the therapy R2, it is set that the mixed injection process of the drug M1 and the drug M3 can be executed by the mixed injection device 2, and the mixed injection process of the drug M2 cannot be executed by the mixed injection device 2. ing. That is, even if the same drug M2 is administered by the therapy R1, the mixed injection process can be performed by the mixed injection device 2, but when it is administered by the therapy R2, the mixed injection device 2 The mixed injection process is not feasible. Further, regarding the therapy R3, the mixed injection treatment of the drug M1, the drug M2, and the drug M4 can be performed by the mixed injection device 2, and the mixed injection process of the drug M5 can be performed by the mixed injection device 2. It is set that it is not.

By the way, when the setting information is used, it is necessary to set whether or not the mixed injection process can be executed for each combination of the drug and the regimen information. On the other hand, the method for the first determination processing unit 113 to determine whether or not the mixed injection process can be executed is not limited to the method using the setting information in which the executionability of the mixed injection process is preset.

For example, in the dispensing management device 1, an injection upper limit amount indicating an upper limit of the amount of chemicals that can be injected into the infusion bag 32 corresponding to each of the infusion bags 32 in the medicine master or the like stored in the storage unit 12. Is considered to be preset. In this case, when the amount of chemicals injected into the infusion bag 32 used in the mixed injection treatment exceeds the upper limit of injection, the first determination processing unit 113 performs the mixed injection treatment of the chemicals. It is possible to determine that the device 2 cannot execute the injection. Specifically, the amount of the drug injected into the infusion bag 32 in the mixed injection treatment varies depending on the body surface area of the patient. Therefore, the first determination processing unit 113 multiplies the dose per body surface area of the drug defined in the regimen information by the body surface area of the patient obtained from the upper system 5 or the like, and the solution is the injection. It is conceivable to judge whether or not the upper limit is exceeded.

In addition, the possibility that the solution of the multiplication exceeds the upper limit of injection can be estimated to some extent from the dose per body surface area of the drug. Therefore, in the drug master or the like stored in the storage unit 12, it is conceivable that a unit upper limit amount indicating an upper limit of the dose per body surface area corresponding to each drug is set. In this case, when the dose per body surface area of the drug used in the mixed injection process exceeds the unit upper limit amount corresponding to the drug, the first determination processing unit 113 performs the mixed injection process of the drug. It is possible to determine that it cannot be executed by the mixed injection device 2. According to these configurations, by setting the injection upper limit amount or the unit upper limit amount, it is possible to determine whether or not the mixed injection process can be executed for each combination of the regimen information and the chemical, and the mixed injection device 2 can be used. It is also easy to change the criteria for determining whether or not the mixed injection process is executed.

[Mixed injection device 2]
Next, the mixed injection device 2 will be described with reference to FIGS. 1 and 4. As shown in FIGS. 1 and 4, the mixed injection device 2 according to the present embodiment includes a first control unit 21, a second control unit 22, a communication I / F 23, a touch panel monitor 24, a barcode reader 25, and a touch panel. A monitor 26, a mixed injection processing unit 27, and the like are provided.

The touch panel monitor 24 receives a display unit such as a liquid crystal display or an organic EL display that displays various information based on a control instruction from the first control unit 21, and a touch operation on the display unit to receive the first control. The unit 21 is provided with a touch panel for inputting an operation signal. On the touch panel monitor 24, for example, a list of the preparation data input to the mixed injection device 2 and details of the preparation data are displayed.

The bar code reader 25 is used, for example, to read the identification information of the preparation data from the one-dimensional bar code or the two-dimensional bar code included in the preparation sheet on which the preparation data to be executed of the mixed injection process is printed. Then, the first control unit 21 selects the prepared data corresponding to the identification information read by the barcode reader 25 as the target of the mixed injection process. The execution target of the mixed injection process can also be manually selected in the list of the prepared data displayed on the touch panel monitor 24.

The touch panel monitor 26 receives a display unit such as a liquid crystal display or an organic EL display that displays various information based on a control instruction from the second control unit 22, and a touch operation on the display unit to receive the second control. The unit 22 is provided with a touch panel for inputting an operation signal. On the touch panel monitor 25, for example, an image or a video image taken by a camera (not shown) provided in the mixed injection device 2 is displayed during the execution of the mixed injection process, and whether or not the mixed injection process is appropriately performed. Preparation inspection etc. are carried out. Further, the touch panel monitor 25 also displays a preparation monitor screen D1 (see FIG. 5), which will be described later.

As shown in FIGS. 1 and 4, the mixed injection processing unit 27 includes a first robot arm 271, a second robot arm 272, a weighing scale 273, a stirring device 274, a needle bending detection device 275, a dust lid 276, and the like. To be equipped. Further, the mixed injection processing unit 27 is provided with a tray loading port 270A and a tray discharging port 270B. Then, in the mixed injection processing unit 27, the tray 203 in which the medicine container 31, the infusion bag 32, and the syringe 33 are housed is loaded from the tray loading port 270A, and the infusion bag 32 after the mixed injection treatment is housed. The tray 203 is discharged from the tray discharge port 270B. The infusion bag 32 into which the chemicals in the chemical container 31 are injected is arranged at a position separated from the mixed injection processing chamber of the mixed injection processing unit 27 by a wall portion 270C, and the syringe 33 to the infusion bag 32. The injection of chemicals and the like is carried out through the opening 270D formed in the wall portion 270C of the mixed injection processing portion 27.

The first robot arm 271 and the second robot arm 272 are drive units having an articulated structure such as 5 axes to 8 axes. The first robot arm 271 and the second robot arm 272 are double-arm type robot arms provided with a base end portion fixed to the ceiling side of the housing of the mixed injection processing unit 27 in a hanging shape. Then, in the mixed injection device 2, each work step in the mixed injection process is executed by the first robot arm 271 and the second robot arm 272. The first robot arm 271 and the second robot arm 272 are not limited to the hanging type, and the base end portion may be fixed to the bottom surface or the side surface of the mixed injection processing unit 27. Further, if the mixed injection processing unit 27 can execute the mixed injection processing, for example, a configuration having one robot arm, a configuration having three or more robot arms, or a drive in another mode instead of the robot arm. It may have a structure having a part.

The weighing scale 273 is used for weighing the drug container 31 or the syringe 33. The stirring device 274 is used to stir the liquid in the chemical container 31 by rotating or rocking the chemical container 31. The needle bending detection device 275 is used to detect bending of the injection needle of the syringe 33 and the like. The garbage lid 276 is opened and closed in order to dispose of the used chemical container 31, the syringe 33, and the like in the garbage storage portion arranged below the garbage lid 276.

Then, in the mixed injection device 2, the first control unit 21 executes the issuing operation or editing operation of the prepared data, and the second control unit 22 controls the mixed injection processing unit 27 based on the prepared data. As a result, the mixed injection processing unit 27 executes the mixed injection processing. In the mixed injection process, the drug is sucked by the syringe 33 from the drug container 31 containing the drug, and the drug is injected from the syringe 33 into the infusion bag 32. The chemical container 31 is, for example, an ampoule or a vial, and is an example of the first chemical container. Further, the infusion bag 32 is an example of a second chemical container, and may be a chemical container such as a vial. A solvent such as physiological saline or glucose solution contained in the infusion bag 32 is also included in the concept of “drug”.

The first control unit 21 is provided in the chemical loading unit 201 (see FIG. 4), and the second control unit 22 is provided in the mixed injection work unit 202 (see FIG. 4). Then, the first control unit 21 and the second control unit 22 are connected to each other so as to be able to communicate with each other, and various processes in the mixed injection device 2 are shared and executed. The processing sharing of each of the first control unit 21 and the second control unit 22 described in the present embodiment is only an example, and each processing procedure of the mixed injection processing is described in the first control unit 21 and the second control. It may be executed by any of the parts 22. Further, a part or all of the processes executed by the first control unit 21 and the second control unit 22 may be executed by an electronic circuit such as an ASIC or DSP. In the present embodiment, the case where the dispensing management device 1 is provided separately from the mixed injection device 2 will be described as an example, but a configuration in which the mixed injection device 2 includes the dispensing management device 1 is also conceivable. .. For example, it is conceivable that the first control unit 21 of the mixed injection device 2 functions as the dispensing management device 1 and executes the preparation control process (see FIG. 8) described later.

Each of the first control unit 21 and the second control unit 22 is a computer having a control device such as a CPU, ROM, RAM, and EEPROM (registered trademark). Further, each of the first control unit 21 and the second control unit 22 includes a storage unit 211 such as a hard disk drive or a solid state drive, and a storage unit 221. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and EEPROM are used as temporary storage memory (working area) for various processes executed by the CPU. Further, each of the first control unit 21 and the second control unit 22 is provided with a system clock for measuring time, and the current date and time can be acquired from the system clock.

Then, each of the first control unit 21 and the second control unit 22 uses the CPU and various types according to the control program stored in the ROM, the EEPROM, the storage unit 211, or the storage unit 221. Execute the process. The present invention is an invention of a control program for causing the first control unit 21 and the second control unit 22 to execute various processes in the mixed injection device 2, or a computer-readable recording medium in which the control program is recorded. You may think of it as. Further, the present invention may be regarded as an invention of a mixed injection method including each processing procedure executed in the mixed injection device 2.

Specifically, the first control unit 21 includes a preparation control unit 212. Specifically, the first control unit 21 functions as the preparation control unit 212 by executing various processes according to the control program. The preparation control unit 212 inputs the preparation data input from the dispensing management device 1 to the second control unit 22 at the start of the mixed injection process based on the preparation data. As a result, the second control unit 22 executes the mixed injection process based on the preparation data. The preparation data input to the second control unit 22 is a control generated by the preparation control unit 212 in order to execute the mixed injection process based on the preparation data input from the dispensing management device 1. Data may be used.

The second control unit 22 includes a mixed injection control unit 222. Specifically, the second control unit 22 functions as the mixed injection control unit 222 by executing various processes according to the control program. The mixed injection control unit 222 controls the mixed injection processing unit 27 to execute the mixed injection processing based on the preparation data.

Further, the mixed injection control unit 222 can display the preparation monitor screen D1 on which the progress of the mixed injection process is displayed on the touch panel monitor 26, and the progress of the mixed injection process on the preparation monitor screen D1 can be displayed on the mixed injection process. It will be updated as needed as the process progresses.

Here, FIGS. 5 and 6 are views showing an example of the preparation monitor screen D1. The preparation monitor screen D1 is displayed on the touch panel monitor 26 during the execution or standby of the mixed injection process.

As shown in FIGS. 5 and 6, the preparation monitor screen D1 includes display areas A11 and A12 arranged vertically. In the display area A11, a list of the preparation data input from the first control unit 21 is displayed together with the current execution status of the mixed injection process.

In the display area A11, information such as a patient ID, a patient name, a state, and a preparation time is displayed for each of the preparation data. The states are classified into waiting for preparation inspection, preparing, waiting for preparation, and the like. The preparation time is the estimated remaining time until the mixed injection treatment is completed.

Specifically, the estimated time required to complete the mixed injection process is preset for each content of the mixed injection process and stored in the storage unit 12. Then, the mixed injection control unit 222 causes the preparation monitor screen D1 to display the predicted time corresponding to the preparation data based on the information stored in the storage unit 12. Further, the mixed injection control unit 222 starts timing from the start of the mixed injection process, and the remaining time until the predicted time corresponding to the mixed injection process is displayed in the display area A11 as the preparation data being prepared. It is displayed in association with. For the prepared data in which the mixed injection process has not been started, the waiting time until the mixed injection process is started may be displayed together with the estimated remaining time until the mixed injection process is completed.

Further, the mixed injection control unit 222 causes the display area A12 to display the details of the preparation data selected in the display area A11. Then, the mixed injection control unit 222 updates the display content of the display area A12 in response to the operation of selecting and changing the preparation data in the display area A11.

Here, when the tab D12 is selected in the display area A12, the information on the chemicals contained in the preparation data is displayed as shown in FIG. Further, when the tab D13 is selected in the display area A12, as shown in FIG. 6, information regarding the progress of the mixed injection process for each of the chemicals contained in the preparation data is displayed. .. Since the mixed injection process is executed by controlling the mixed injection processing unit 27 by the second control unit 22, the mixed injection control unit 222 of the second control unit 22 recognizes the progress of the mixed injection process. It is possible.

In the display area A12, the operation content and the operation amount are displayed as the content of the mixed injection process for each chemical contained in the preparation data. The operation content includes the names of the chemicals used in the mixed injection process and the syringe. Further, in the display area A12, the progress of the mixed injection process is displayed for each chemical contained in the preparation data. Then, the mixed injection control unit 222 updates the progress of each of the chemicals displayed in the display area A12 according to the progress of the mixed injection process. For example, in the example shown in FIG. 6, No. 1-No. The mixed injection treatment for the chemical of No. 3 was completed, and No. It is displayed that the mixed injection process for the chemical of No. 4 is being executed.

Further, it is conceivable that the mixed injection control unit 222 notifies the first control unit 21 of the progress of the mixed injection process at preset intervals. As a result, the first control unit 21 can display the same preparation monitor screen as the preparation monitor screen D1 on the touch panel monitor 24. It is also conceivable that the first control unit 21 acquires the progress of the mixed injection process from the mixed injection control unit 222 when the preparation monitor screen is displayed in the first control unit 21.

For example, FIG. 7 is a diagram showing an example of a preparation guide screen D2 displayed on the touch panel monitor 24 by the first control unit 21. As shown in FIG. 7, on the preparation guidance screen D2, guidance information such as preparatory work for the mixed injection process performed by the chemical loading unit 201 is displayed. Specifically, the preparation guide screen D2 shown in FIG. 7 is in a state in which the preparation data corresponding to the identification information is displayed by reading the identification information of the preparation sheet by the barcode reader 25. Is. On the preparation guidance screen D2, a guidance message for prompting the preparation of the tray 203 corresponding to the preparation data is displayed. Then, on the preparation guide screen D2, an operation key K2 for displaying the preparation monitor screen is displayed. Then, when the operation key K2 is operated, the first control unit 21 causes the touch panel monitor 24 to display the preparation monitor screen based on the progress of the mixed injection process notified from the mixed injection control unit 222. ..

By the way, in the mixed injection device 2, as described above, it may not be possible to execute the mixed injection process for some kinds of chemicals. On the other hand, the regimen information may include a plurality of types of drugs as medication target drugs. Therefore, the mixed injection process may be executed by the mixed injection device 2 for some of the plurality of types of chemicals included in the regimen information, and the mixed injection process may be executed by the pharmacist for the remaining part. As described above, when the mixed injection process for a plurality of types of chemicals included in one regimen information is shared by the mixed injection device 2 and the pharmacist, the management of the preparation work based on the regimen information becomes complicated. .. On the other hand, in the dispensing management device 1, the control unit 11 executes the preparation control process (see FIG. 8) described later, so that all the medicines included in the regimen information are preset. It is possible to easily manage the preparation work of chemicals in group units.

[Preparation control processing]
Hereinafter, the preparation control process executed by the control unit 11 in the dispensing management device 1 will be described with reference to the flowchart of FIG. For example, the preparation control process is executed for each of the preparation data at the time of acquisition of the preparation data or at a preset timing. In addition to the preparation control process, the control unit 11 also executes a prescription check process for checking the prescription data, a process for generating the dispensing data based on the prescription data, and the like, but the description thereof will be omitted here. ..

<Step S51>
In step S51, the control unit 11 determines whether or not the preparation data is a processing target of the preparation control process. For example, the control unit 11 determines whether or not the preparation data includes the regimen identification information indicating the therapy name. Here, when it is determined that the preparation data is the processing target of the preparation control processing (S51: Yes), the processing proceeds to step S52, and it is determined that the preparation data is not the processing target of the preparation control processing. When this is done (S51: No), the preparation control process ends. The process of step S52 and subsequent steps is performed for each group of drugs having the same regimen identification information contained in the preparation data. Further, the step S51 may be omitted, and the preparation control process may be executed for all the preparation data.

As will be described in the second embodiment described later, when the regimen information is not used when registering the preparation data in the system 5, the preparation data will be used. Is always considered not to include the regimen identification information. Therefore, in step S51, for example, when the preparation data contains a drug such as an anticancer agent that requires the mixed injection treatment, it may be determined that the preparation data is the processing target of the preparation control treatment. Information on the drug type such as whether or not the drug is an anticancer drug or information on whether or not the drug requires the mixed injection treatment is included in the drug master stored in the storage unit 12. .. It is also conceivable that the control unit 11 specifies the regimen information according to the combination of chemicals contained in the preparation data.

<Step S52>
In step S52, the control unit 11 determines whether or not the mixed injection process can be executed by the mixed injection device 2 for each of the chemicals contained in the preparation data. Here, such processing is executed by the first determination processing unit 113 of the control unit 11. Specifically, in the present embodiment, the mixed injection process of each of the chemicals included in the regimen information can be executed by the mixed injection device 2 for each combination of the chemical and the regimen information in the setting information (see FIG. 3). Whether or not there is is set. Therefore, in step S53, the control unit 11 performs the mixed injection process of each of the chemicals contained in the regimen information according to the combination of the regimen information indicated by the regimen identification information included in the preparation data and the chemicals. Determine if it is feasible.

For example, the regimen information corresponding to the therapy R1 (see FIG. 2A) includes the drug M1 and the drug M2 as drugs administered in one course, and the setting information (see FIG. 3) includes the drug M1 and the drug M2. It is set that the mixed injection treatment of the drug M1 and the drug M2 in the therapy R1 is possible. As a result, when the therapy name included in the preparation data is the therapy R1, it is determined that all the mixed injection treatments of the drug M1 and the drug M2 can be performed by the mixed injection device 2 for the therapy R1. To.

On the other hand, the regimen information corresponding to the therapy R2 (see FIG. 2B) includes the drugs M1 to the drug M3, and the setting information (see FIG. 3) includes mixed injection of the drug M2 in the therapy R2. It is set that the process cannot be executed by the mixed injection device 2. As a result, when the therapy name included in the preparation data is the therapy R2, the mixed injection treatment of the drug M1 and the drug M3 can be performed by the mixed injection device 2 for the therapy R2, but the drug. It is determined that the mixed injection process of M2 is not feasible in the mixed injection device 2.

Similarly, the regimen information (see FIG. 2C) corresponding to the therapy R3 includes the drug M1, the drug M2, the drug M4, and the drug M5, and the setting information (see FIG. 3) includes the drug M1. It is set that the mixed injection treatment of the drug M5 in the therapy R3 cannot be performed by the mixed injection device 2. As a result, when the therapy name included in the preparation data is the therapy R3, the mixed injection treatment of the drug M1, the drug M2, and the drug M4 can be performed by the mixed injection device 2 for the therapy R3. However, it is determined that the mixed injection treatment of the chemical M5 is not feasible in the mixed injection device 2.

In step S52, it is determined whether or not the mixed injection process can be executed by the mixed injection device 2 for all the chemicals contained in the preparation data. On the other hand, in step S52, it is also conceivable that the process shifts to step S54 when the mixed injection device 2 determines that the mixed injection process is not feasible for at least one drug included in the same regimen information. Be done. As a result, the determination process for chemicals that do not require determination is omitted.

<Step S53>
In step S53, the control unit 11 executes the mixed injection process in the mixed injection device 2 for all the chemicals included in the same regimen information among the chemicals contained in the preparation data according to the determination result in step S52. Whether or not it is possible is determined for each of the regimen information. Here, such processing is executed by the second determination processing unit 114 of the control unit 11. That is, in step S53, whether or not the mixed injection process can be executed by the mixed injection device 2 is determined in units of the regimen information. Therefore, even when the regimen information includes a plurality of chemicals having different preparation dates, it is determined whether or not the mixed injection treatment of all the chemicals included in the regimen information can be executed by the mixed injection device 2. The determination results in steps S52 and S53 are stored in the storage unit 12 in association with the preparation data.

<Step S54>
In step S54, the control unit 11 branches the process depending on whether or not it is determined in step S53 that the mixed injection device 2 can execute the mixed injection process of all the chemicals. Specifically, when it is determined in step S53 that the mixed injection process of all chemicals can be executed by the mixed injection device 2 (S54: Yes), the process is shifted to step S55. Further, when the control unit 11 determines in step S53 that the mixed injection process of some or all of the chemicals cannot be executed by the mixed injection device 2 (S54: No), the control unit 11 shifts the process to step S541. .. Here, such processing is executed by the second determination processing unit 114 of the control unit 11.

<Step S55>
In step S55, the control unit 11 sets that the mixed injection process is executed by the mixed injection device 2 for the prepared data for which it is determined that the mixed injection process of all chemicals can be executed by the mixed injection device 2. .. For example, the control unit 11 sets an automatic flag indicating that the mixed injection process is executed by the mixed injection device 2 to be turned on for the prepared data stored in the storage unit 12. It is also conceivable that the mixed injection device 2 generates automatic preparation data for executing the mixed injection process based on the preparation data, the regimen information, and the like, and stores the preparation data in the storage unit 12.

<Step S56>
In step S56, the control unit 11 outputs to the mixed injection device 2 the preparation data determined that the mixed injection process of all the chemicals can be executed by the mixed injection device 2. As a result, the mixed injection device 2 executes the mixed injection process at a timing such as the preparation date based on the preparation data. In step S56, the preparation data is set as data to be transmitted to the mixed injection device 2, and then the control unit 11 transmits the preparation data at a preset timing such as the preparation date or the day before the preparation date. It may be output to the mixed injection device 2. Further, when a specific period is specified by a user operation on the dispensing management device 1 and a transmission request for the preparation data is made, the automatic flag of the preparation data whose preparation date belongs to the specific period is set. The preparation data set to ON may be transmitted to the mixed injection device 2.

<Step S541>
On the other hand, in step S541, it is set that the mixed injection process is not executed by the mixed injection device 2 for the prepared data for which it is determined that the mixed injection process of some or all of the chemicals cannot be executed by the mixed injection device 2. For example, the control unit 11 sets off an automatic flag indicating that the mixed injection device 2 executes the preparation data stored in the storage unit 12. It is also conceivable that the pharmacist manually generates the manual preparation data for executing the mixed injection process based on the preparation data, the regimen information, and the like, and stores the preparation data in the storage unit 12.

<Step S542>
In step S542, the control unit 11 outputs the preparation data to the printer 4 as print data, and causes the printer 4 to print the preparation data. As a result, the pharmacist executes the mixed injection process while referring to the print result of the preparation data. In step S542, the manual preparation data is set as data for which the mixed injection process should be executed by the pharmacist, and then the control unit 11 sets the manual preparation data at a preset timing such as the preparation date or the day before the preparation date. The manually prepared data may be output to the printer 4. Further, when a specific period is specified by a user operation on the dispensing management device 1 and a transmission request for the preparation data is made, the automatic flag of the preparation data whose preparation date belongs to the specific period is set. The preparation data set to off may be transmitted to the printer 4.

As described above, in the mixed injection system 10, whether or not the mixed injection process based on the regimen information is executed by the mixed injection device 2 according to the determination result by the first determination processing unit 113 is determined by the second determination processing unit. Determined by 114. Specifically, when the mixed injection process of all the chemicals included in the regimen information can be executed by the mixed injection device 2, the control unit 11 performs the mixed injection process for all the chemicals included in the regimen information. Is executed by the mixed injection device 2. On the other hand, if the mixed injection process for any of the chemicals included in the regimen information is not feasible in the mixed injection device 2, the mixed injection process for all the chemicals included in the regimen information is not executed in the mixed injection device 2. .. Therefore, since the mixed injection process of the chemicals contained in one of the regimen information is not shared and executed by the mixed injection device 2 and the pharmacist, the preparation work based on the regimen information can be easily managed.

[List output processing]
Subsequently, the list output process executed by the control unit 11 in the dispensing management device 1 will be described with reference to the flowchart of FIG. Here, the list output process is executed according to a user operation in the dispensing management device 1, or is executed at a preset date and time. For example, it is conceivable that the list output process is automatically executed at a preset time every day.

<Step S61>
In step S61, the control unit 11 sets conditions such as a preparation date to be output as a list according to a user operation. Here, such processing is executed by the setting processing unit 115 of the control unit 11. For example, the current day or the next day can be set as the preparation date to be output in the list. In step S61, not only the preparation date but also conditions related to other information such as medicine, ward, patient, dosing time, or regimen information can be set as narrowing-down conditions for the list output. Further, it may be possible to set the chemicals to which the mixed injection process is executed in the mixed injection device 2 as the output target, or to set the chemicals to which the mixed injection process is not executed in the mixed injection device 2 as the output target. .. Further, it is conceivable that the step S61 is omitted and that the preparation date is the same day or the next day is set in advance by initial setting or the like as a condition for the list output.

<Step S62>
In step S62, the control unit 11 reads out the determination result of the preparation control process stored in the storage unit 12 in association with the preparation data to be output from the list. Specifically, when the condition is set that the preparation date is the next day, the control unit 11 extracts the chemicals contained in the preparation data whose preparation date is the next day. The determination result in step S53 is read out. For example, the control unit 11 reads out the on / off information of the automatic flag for the preparation data stored in the storage unit 12.

<Step S63>
Then, in step S63, the control unit 11 outputs a preparation list in which the list of the chemicals extracted in step S62 is shown together with the determination result of the preparation control process. In the preparation list, it is clearly displayed whether each of the medicines is a medicine executed by the mixed injection device 2 or a medicine manually executed by a pharmacist. The preparation list is not limited to the list of the chemicals, but may be a list of the preparation data.

Specifically, in step S63, it is conceivable that the control unit 11 prints the preparation list on the printer 4 or sends an e-mail to a preset e-mail address via the communication network N1. Further, it is conceivable that the control unit 11 stores the preparation list in the storage unit 12 or displays the preparation list on the display unit 14.

As a result, the user of the dispensing management device 1 can easily grasp whether the main body of the mixed injection process executed based on each of the prepared data satisfying the conditions is the mixed injection device 2 or the pharmacist. Can be done.

By the way, in the present embodiment, a configuration for easily managing the preparation work is described by avoiding that the preparation work of the medicine is shared by the mixed injection device 2 and the pharmacist in advance. .. On the other hand, when the drug preparation work is shared by the mixed injection device 2 and the pharmacist, the control unit 11 is executed by the mixed injection device 2 among the drugs included in the preparation data in the list output process. It is conceivable that the list of chemicals can be output as the preparation list. For example, in the preparation control process or after the completion of the preparation control process, in a configuration in which the execution subject of the mixed injection process of the drug can be changed to either the mixed injection device 2 or the pharmacist, the mixed injection device 2 and the pharmacist Chemical preparation work may be shared. It is also conceivable that the function may be disabled in a configuration in which the function for executing the preparation control process can be enabled or disabled. The same applies to the dispensing control device 1 which does not have the function of executing the preparation control process.

In such a case, the control unit 11 contains a drug among the drugs output to the preparation list, which has the same patient and preparation date but the mixed injection process is not executed by the mixed injection device 2. It is conceivable to output to the preparation list that the other chemicals are present. Here, FIG. 10 is a diagram showing a preparation list T1 which is an example of the preparation list. As shown in FIG. 10, in the preparation list T1, a list of chemicals of the preparation data extracted by the list output process is displayed. Then, the preparation list T1 includes a manual display area T2 for displaying whether or not there is another drug included in the same regimen information but for which the mixed injection process is not executed in the mixed injection device 2. Is done. It is also conceivable that the manual display area T2 indicates whether or not there is another drug that has the same patient and preparation date and the mixed injection process is not performed in the mixed injection device 2. Thereby, the pharmacist can easily recognize that the preparation work is not completed only by the mixed injection device 2 and the pharmacist needs to execute the mixed injection process by referring to the preparation list T1. Therefore, even when the preparation work of the medicine is shared by the mixed injection device 2 and the pharmacist, it is possible to easily manage the preparation work. The aspect of the preparation list T1 is not limited to this. For example, when a drug for which the pharmacist executes the mixed injection treatment is extracted as an output target of the preparation list T1, the patient and the preparation are prepared for each of the extracted drugs. It is also conceivable that the day is the same and it is output that there is another chemical executed by the mixed injection device 2 of the mixed injection process. Further, for each of the chemicals extracted as the output target of the preparation list T1, it is conceivable that which of the mixed injection device 2 and the pharmacist is the execution subject of the mixed injection process is output.

[Other Embodiments]
Hereinafter, other embodiments of the mixed injection system 10 according to the present invention will be described. Further, in the following other embodiments, the description of the same configuration as the mixed injection system 10 described in the first embodiment will be omitted. It is also possible to select and arbitrarily combine each configuration and each processing function of the first embodiment and the following other embodiments.

[Second Embodiment]
In the preparation control process according to the first embodiment, whether or not the mixed injection process by the mixed injection device 2 can be executed for all the chemicals included in the same regimen information as one group and the chemicals in the entire group. The case where the information is determined has been described. On the other hand, in the higher-level system 5, for example, when a doctor individually selects a drug to be administered to a patient without selecting a therapy name when registering preparation data, the regimen information is identified in the preparation data. It is possible that the information such as the therapy for the patient is not included.

Therefore, in the preparation control process, it is conceivable that it is determined whether or not the mixed injection process by the mixed injection device 2 can be performed for the drugs in the entire group by grouping the drugs having the same patient and the preparation date as one group. Be done. Hereinafter, in the present embodiment, a case where the group, which is a determination unit for determining whether or not the mixed injection process is executed by the mixed injection device 2, is a group of drugs having the same patient and preparation date will be described. In addition, the group may be a group of drugs having the same patient or a group of drugs having the same preparation date.

In the present embodiment, since it is determined whether or not the mixed injection device 2 is used for each drug having the same patient and preparation date, the presence or absence of the mixed injection device 2 can be changed for each drug. For example, individual preparation data corresponding to each drug is acquired from the higher-level system 6 and stored in the storage unit 12. Further, after the preparation data including the contents of the mixed injection processing of one or a plurality of chemicals is acquired from the higher-level system 6, the control unit 11 divides the preparation data into individual preparation data corresponding to each chemical, and the storage unit 12 It may be stored in.

Here, FIG. 11 is a flowchart showing an example of the preparation control process according to the present embodiment. The same processing procedure as the preparation control processing (see FIG. 8) described in the first embodiment is designated by the same reference numerals, and the description thereof will be omitted. Specifically, in the preparation control process according to the present embodiment, steps S71 to S72 are executed instead of the steps S53 to S54.

Further, the preparation control process according to the present embodiment is executed at a preset timing such as at the start of the dispensing business or the end of the dispensing business in a hospital or the like where the mixed injection device 2 is used, or the dispensing management device. It is executed according to the user operation for 1. In the preparation control process, for example, among the preparation data stored and stored in the storage unit 12, a specific day (today or the next day, etc.) designated by a user operation at the start of the preparation control process or the like is set. Performed on a group-by-group basis that contains dispensing data for the drug corresponding to the same patient on the date of preparation. That is, in step S52, among the drugs contained in the preparation data stored and stored in the storage unit 12 by the control unit 11, the patient and the preparation date are the same, and the preparation date is the specific date. For each of the chemicals, it is determined whether or not the mixed injection process can be executed by the mixed injection device 2.

<Step S71>
In step S71, the control unit 11 has the same patient and preparation date among the drugs contained in the preparation data stored and stored in the storage unit 12, depending on the determination result in step S52, and the preparation date thereof. Determines whether or not the mixed injection process can be performed by the mixed injection device 2 for all the chemicals on the specific day. Here, such processing is executed by the second determination processing unit 114 of the control unit 11. In step S52, it is determined whether or not the mixed injection process can be performed by the mixed injection device 2 for each of the patient and the drug having the same preparation date.

For example, the regimen information corresponding to the therapy R1 (see FIG. 2A) includes the drug M1 and the drug M2, and the administration date of the drug M1 and the drug M2 is "the first day" of the same day. is there. Then, in the setting information (see FIG. 3), it is set that the mixed injection process can be executed by the mixed injection device 2 for the chemical M1 and the chemical M2. As a result, in step S71, when the regimen identification information included in the preparation data indicates the therapy R1, the mixed injection process of all the drugs having the same preparation date for the therapy R1 can be executed by the mixed injection device 2. Is determined to be.

On the other hand, in the regimen information corresponding to the therapy R2 (see FIG. 2B), the drugs M1 to the drug M3 are included, and the administration date of the drugs M1 to the drug M3 is "the first day" of the same day. is there. That is, the chemicals M1 to M3 are prepared on the same date. However, in the setting information (see FIG. 3), it is set that the mixed injection process cannot be executed by the mixed injection device 2 for the chemical M2. As a result, in step S71, when the regimen identification information included in the preparation data indicates the therapy R2, the mixed injection treatment of some of the drugs having the same preparation date for the therapy R2 is performed. It is determined that the mixed injection device 2 is not feasible.

In addition, the regimen information corresponding to the therapy R3 (see FIG. 2C) includes the drug M1, the drug M2, the drug M4, and the drug M5. The administration date of the drug M1 and the drug M2 is "the first day", and the administration date of the drug M4 and the drug M5 is the "second day and the fifth day". That is, the chemical M1 and the chemical M2 are chemicals having the same preparation date, and the chemical M4 and the chemical M5 are also chemicals having the same preparation date. On the other hand, in the setting information (see FIG. 3), the mixed injection process can be executed by the mixed injection device 2 for the chemical M1, the chemical M2, and the chemical M4, and the mixed injection process is performed for the chemical M5 by the mixed injection device 2. It is set that the process cannot be executed. Therefore, in step S71, when the regimen identification information contained in the preparation data indicates the therapy R3, the mixed injection treatment is performed for the drugs M1 and M2 having the same preparation date for the therapy R3. It is determined that the mixed injection device 2 is feasible, and it is determined that the mixed injection process of the chemical M4 among the chemicals M4 and the chemicals M5 having the same preparation date is not feasible in the mixed injection device 2.

<Step S72>
In step S72, the control unit 11 branches the process depending on whether or not it is determined in step S71 that the mixed injection process of the patient and all the drugs having the same preparation date can be performed by the mixed injection device 2. Here, such processing is executed by the second determination processing unit 114 of the control unit 11. Specifically, when it is determined that the mixed injection process can be executed by the mixed injection device 2 (S72: Yes), the process is shifted to step S55. In this case, it is set that the mixed injection process is executed by the mixed injection device 2 for all the drugs having the same patient and preparation date (S55), and the preparation data corresponding to each of the drugs is output to the mixed injection device 2 ( S56). If it is determined that the mixed injection process cannot be executed by the mixed injection device 2 (S72: No), the process proceeds to step S541. In this case, it is set that the mixed injection process is not executed by the mixed injection device 2 for all the drugs having the same patient and preparation date (S541), and the preparation data corresponding to each of the drugs is output to the printer 4 and printed. (S542).

As described above, in the mixed injection system 10 according to the present embodiment, among the drugs contained in one or more of the preparation data stored in the storage unit 12, the drugs having the same patient and preparation date are grouped as one group. It is determined whether or not the mixed injection process can be executed by the mixed injection device 2. Then, for the medicines for which the mixed injection treatment of all the medicines having the same patient and preparation date can be executed by the mixed injection device 2, the mixed injection treatment of all the medicines in the group is executed by the mixed injection device 2. On the other hand, if there is a drug whose patient and preparation date are the same and the mixed injection process cannot be performed by the mixed injection device 2, the mixed injection process of all the drugs in the group is not executed by the mixed injection device 2. That is, when there are a plurality of drugs having the same patient and preparation date, and the mixed injection treatment of at least one of the drugs is not feasible in the mixed injection device 2, all the drugs having the same patient and preparation date. The mixed injection treatment will be performed by a pharmacist. Therefore, since the mixed injection treatment of the drug having the same patient and the preparation date is not shared and executed by the mixed injection device 2 and the pharmacist, it becomes easy to manage the preparation work of the drug having the same patient and the preparation date.

Further, in the mixed injection system 10 according to the first embodiment, unless all the mixed injection processes to be executed based on the regimen information can be executed by the mixed injection device 2, it is based on the regimen information. The mixed injection process is not executed in the mixed injection device 2. However, in the mixed injection system 10 according to the second embodiment, whether or not to execute the mixed injection process in the mixed injection device 2 is determined in units of the preparation date. Therefore, for example, even if the chemicals contained in one of the regimen information or the preparation data include a chemical in which the mixed injection treatment cannot be performed by the mixed injection device 2, another chemical having a preparation date different from that of the chemical is used. For chemicals, the mixed injection process may be executed by the mixed injection device 2. Therefore, the number of the mixed injection treatment performed by the pharmacist can be reduced as compared with the mixed injection system 10 according to the first embodiment.

In the present embodiment, the preparation control process (see FIG. 11) is executed for the preparation data including the chemicals prepared on the preparation date among the preparation data on the day or the day before the preparation date. On the other hand, it is also conceivable that the preparation control process (see FIG. 11) is individually executed for all the preparation dates included in the preparation data at a preset timing such as when the preparation data is acquired.

Further, the first determination mode in which the control unit 11 executes the preparation control process (see FIG. 8) described in the first embodiment and the preparation control process (FIG. 11) described in the second embodiment. It is also conceivable that the second determination mode for executing (see) can be selectively executed. In this case, the setting processing unit 115 can set the determination mode executed by the first determination processing unit 113 to either the first determination mode or the second determination mode according to the user operation. .. That is, the control unit 11 is a group of drugs included in the same regimen information and a group of drugs having the same patient and preparation date as a group for determining whether or not to execute the mixed injection process in the mixed injection device 2. And can be selected. Here, the setting processing unit 115 when executing the processing is an example of the second setting processing unit. As a result, it becomes possible to flexibly respond to the operation corresponding to each user, and the versatility of the dispensing management device 1 is enhanced.

Further, it is conceivable that the control unit 11 automatically switches between the first determination mode and the second determination mode according to preset switching conditions. Specifically, it is also conceivable that the storage unit 12 stores information on which of the first determination mode and the second determination mode is to be executed for each type of regimen information. Then, it is conceivable that the control unit 11 automatically switches between the first determination mode and the second determination mode according to the type of regimen information. As a result, for example, the second determination mode can be executed for the regimen information including the chemicals that require special attention among the regimen information. Information on which of the first determination mode and the second determination mode is to be executed is stored in the storage unit 12 for each patient corresponding to the preparation data, and the control unit 11 automatically stores the information. It is also conceivable that the first determination mode and the second determination mode can be switched.

[Third Embodiment]
By the way, in the mixed injection device 2, in the mixed injection process, after executing the injection step in which the medicine sucked from the medicine container 31 is injected into the infusion bag 32 by using the syringe 33, the injection needle of the syringe 33 is inserted. It is pulled out from the infusion bag 32. Here, when the chemical has viscosity, the chemical tends to remain at the tip of the injection needle after the chemical is injected into the infusion bag 32. Therefore, the drug may drip from the injection needle pulled out from the infusion bag 32 and drip in the mixed injection device 2. For example, paclitaxel is known as a viscous chemical. On the other hand, in the present embodiment, the configuration of the mixed injection device 2 capable of suppressing the dropping of the chemical from the injection needle and suppressing the contamination in the mixed injection device 2 will be described.

Specifically, the mixed injection control unit 222 of the second control unit 22 controls the second robot arm 272 after the completion of the injection step, and sucks a preset suction amount of air by the syringe 33. Execute the process. More specifically, when the injection step is completed, the mixed injection control unit 222 moves the tip of the injection needle to the air layer in the infusion bag 32, pulls the plunger of the syringe 33, and pulls the plunger of the syringe 33 to draw the suction amount of air. Is sucked into the syringe of the syringe 33. For example, the inclination of the infusion bag 32 is controlled so that the posture of the infusion bag 32 approaches the mixed injection port of the infusion bag 32 in the vertically upward direction, and the syringe 33 follows the posture deformation of the infusion bag 32. The posture controls. As a result, the tip of the injection needle is moved to a position near the mixed injection port, and the injection needle is located in the air layer in the infusion bag 32. When the tip of the injection needle is already located in the air layer in the infusion bag 32 in the injection step, the suction amount of air is sucked by the syringe 33 as it is.

As a result, in the syringe 33, the medicine in the injection needle and the medicine that may be attached to the tip of the injection needle are sucked into the syringe, and the dropping of the medicine from the tip of the injection needle is suppressed. Will be done. The air sucked into the syringe of the syringe 33 remains contained in the syringe until the dust lid 276 is opened and the syringe 33 is discarded in the trash can. In the middle of the mixed injection process, it is conceivable that the air is discharged from the syringe 33 with the posture of the syringe 33 directed vertically upward at the tip of the injection needle.

By the way, the speed at which the chemical remaining at the tip of the injection needle is drawn into the syringe together with air by pulling the plunger depends on the viscosity of the chemical. That is, the higher the viscosity, the slower the rate at which the drug is drawn in. Therefore, the amount of operation of the plunger required to draw the high-viscosity drug from the tip of the injection needle into the syringe is larger than that of the low-viscosity drug. Become.

Therefore, it is conceivable that the mixed injection control unit 222 adjusts so that the higher the viscosity of the chemical injected in the injection step, the larger the suction amount. Specifically, it is conceivable that the storage unit 221 stores inspiratory information in which the suction amount or suction time of the air sucked after the injection stroke is associated with each of the chemicals. Thereby, the mixed injection control unit 222 can control the suction amount or suction time of air by the syringe 33 based on the chemical injected in the injection step and the intake information. The suction amount or the suction time is preset as a value that can be sucked into the syringe from the tip of the injection needle, that is, a value that makes it difficult to drip from the tip of the injection needle, in view of the high viscosity of each of the chemicals. It suffices if it is done. It is conceivable that the inspiratory information is included in the registered drug master with information on each drug.

Further, in the inspiratory information, index information that is an index of the suction amount or the suction time may be stored in association with each of the chemicals. For example, the suction amount information includes the presence or absence of viscosity of the chemical or the viscosity of the chemical. As a result, the mixed injection control unit 222 makes the suction amount larger in the case of the viscous chemical than in the non-viscous chemical based on the chemical injected in the injection step and the intake information. It is possible to control. Further, in the case of a chemical whose viscosity is equal to or higher than a preset viscosity threshold based on the chemical injected in the injection step and the intake information, the mixed injection control unit 222 has a viscosity lower than the viscosity threshold. It is possible to control the suction amount to be larger than that of a certain chemical. It is also conceivable that the mixed injection control unit 222 calculates the suction amount based on a predetermined calculation formula using the viscosity.

In the present embodiment, the injection step in which the drug is injected from the syringe 33 into the infusion bag 32 has been described as an example, but the present invention is not limited to this. That is, in the mixed injection process, the mixed injection control unit 222 said, at a predetermined timing such as after the drug is sucked into the syringe of the syringe 33 or after the drug is discharged from the syringe of the syringe 33. It is conceivable to perform the inspiratory process of taking air into the syringe. For example, the mixed injection control unit 222 sucks the medicine from the medicine container 31 with the syringe 33, and then before the syringe 33 starts moving toward the infusion bag 32, the second robot arm 272 is used. It is conceivable to control and execute the intake process of sucking air into the syringe 33. As a result, the dropping of the drug during the movement of the syringe 33 is suppressed.

1 Dispensing management device 11 Control unit 2 Mixed injection device 21 Control unit 24 Touch panel monitor 26 Touch panel monitor 27 Mixed injection processing unit 271 1st robot arm 272 2nd robot arm 3 Dispensing equipment 4 Printer 5 Upper system 10 Mixed injection system

Claims (3)

When the mixed injection device for performing the mixed injection process of injecting the chemicals in the first chemical container into the second chemical container cannot execute the mixed injection process for at least one chemical of a plurality of chemicals included in a preset group, the above-mentioned A dispensing management device including a determination processing unit that determines that the mixed injection process of all chemicals included in the group is not executed by the mixed injection device. A mixed injection device including the dispensing management device according to claim 1 and a mixed injection processing unit that executes the mixed injection process. When the mixed injection device for performing the mixed injection process of injecting the chemicals in the first chemical container into the second chemical container cannot execute the mixed injection process for at least one chemical of a plurality of chemicals included in a preset group, the above-mentioned A program for causing a computer to perform a determination step of determining that the mixed injection process of all chemicals included in a group is not executed by the mixed injection device.

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