本創作之目的,在於提供一種管制藥櫃裝置,其兼具確認回收管制藥處方箋、管制藥處方箋只進不出減少遺失率,及提高管制藥之使用安全性等優點。特別是,本創作所欲解決之問題係在於傳統管制藥櫃並沒有將處方箋回收之相關裝置,以致藥師需要依處方箋核對護理取藥正確性時,可能處方箋遺失、或是必需等到護理人將處方箋繳回才能核對,造成管制藥品之機制有漏洞等問題。 解決上述問題之技術手段係提供一種管制藥櫃裝置,其包括: 一藥櫃單元,係具有複數個管制藥容納部,該每一管制藥容納部係用以容納一管制藥品;且該每一管制藥容納部係具有一開鎖控制部,該開鎖控制部係用以控制該管制藥容納部從一上鎖位置變換至一開鎖位置; 一控制單元,係連結該藥櫃單元,該控制單元係具有一輸入介面部及一處理部,該處理部係連結複數個該開鎖控制部; 一處方箋回收單元,係具有一處方箋感應部; 藉此,當該輸入介面部用以對至少一處方箋掃描而進行輸入作業後,該處方箋係需投入該處方箋回收單元,該處方箋感應部係感應該處方箋投入而產生一感應訊號;該處方箋對應其中之一該管制藥容納部內容納之該管制藥品,而具有一處方箋識別碼,該處理部係用以擷取並識別該處方箋識別碼,當該處方箋識別碼正確且取得該感應訊號,才可控制相對應之該開鎖控制部,將相對應之該管制藥容納部從該上鎖位置變換至該開鎖位置,另當該處方箋識別碼不正確、未取得該感應訊號其中一要件未具備,則該處理部不可開鎖; 該處方箋回收單元係供投入該處方箋,並被限制只有核對該處方箋者方可開啟取出。 本創作之上述目的與優點,不難從下述所選用實施例之詳細說明與附圖中,獲得深入瞭解。 茲以下列實施例並配合圖式詳細說明本創作於後:The purpose of this creation is to provide a tube pharmaceutical cabinet device which has the advantages of confirming the pharmaceutical prescription of the recovery tube, the prescription of the tube and the pharmaceutical product, reducing the loss rate, and improving the safety of the use of the tube. In particular, the problem that this creative is to solve is that the traditional tube pharmaceutical cabinet does not have the relevant equipment for recycling the prescription, so that the pharmacist needs to check the correctness of the medication according to the prescription, and the prescription may be lost or necessary to wait for the care. When a person pays back the prescription, he or she can check it, causing problems such as loopholes in the mechanism for controlling drugs. The technical means for solving the above problems is to provide a tube pharmaceutical cabinet device, comprising: a medicine cabinet unit having a plurality of tube pharmaceutical containers, each of which is for accommodating a controlled drug; and each of the The medicine accommodating part has an unlocking control part for controlling the medicinal accommodating part of the tube to change from a locked position to an unlocking position; a control unit is connected to the medicine cabinet unit, the control unit is Having an input interface and a processing unit, the processing unit is coupled to a plurality of the unlocking control units; a prescription/recovery unit having a prescription detecting unit; thereby, the input interface is used for at least one prescription After the input operation is performed by scanning, the prescription system is required to be put into the prescription/recovery unit, and the prescription/sensing unit senses the input of the prescription to generate an inductive signal; the prescription corresponds to one of the contents of the pharmaceutical storage unit. Receiving the controlled drug, and having a prescription identifier, the processing unit is configured to capture and identify the prescription identifier, when the prescription identifier is correct and Obtaining the sensing signal, the corresponding unlocking control unit can be controlled to change the corresponding pharmaceutical receiving portion of the tube from the locked position to the unlocked position, and if the prescription identifier is incorrect, the induction is not obtained. If one of the requirements of the signal is not available, the processing unit cannot unlock the prescription; the prescription/recovery unit is for inputting the prescription, and is restricted to open and remove only the prescription. The above objects and advantages of the present invention will be readily understood from the following detailed description of the embodiments and the accompanying drawings. The following examples are used in conjunction with the drawings to illustrate the creation in detail:
參閱第1、第2A、第2B及第2C圖,本創作係為一管制藥櫃裝置,其包括: 一藥櫃單元10,係具有複數個管制藥容納部11(參閱第7圖),該每一管制藥容納部11係用以容納一管制藥品80;且該每一管制藥容納部11係具有一開鎖控制部11A,該開鎖控制部11A係用以控制該管制藥容納部11從一上鎖位置P1(參閱第8A圖)變換至一開鎖位置P2(參閱第8B圖)。 一控制單元20,係連結該藥櫃單元10,該控制單元20係具有一輸入介面部21及一處理部22,該處理部22係連結複數個該開鎖控制部11A。 一處方箋回收單元30,係具有一處方箋感應部30A。 藉此,當該輸入介面部21用以對至少一處方箋90掃描(參閱第6圖)而進行輸入作業後,該處方箋90係需投入該處方箋回收單元30,該處方箋感應部30A係感應該處方箋90投入而產生一感應訊號。該處方箋90對應其中之一該管制藥容納部11內容納之該管制藥品80,而具有一處方箋識別碼91。該處理部22係用以擷取並識別該處方箋識別碼91,當該處方箋識別碼91正確且取得該感應訊號,才可控制相對應之該開鎖控制部11A,將相對應之該管制藥容納部11從該上鎖位置P1變換至該開鎖位置P2(參閱第8B圖)。另當該處方箋識別碼91不正確、未取得該感應訊號其中一要件未具備,則該處理部22不可開鎖。 該處方箋回收單元30係供投入該處方箋90,並被限制只有核對該處方箋90者方可開啟取出。 實務上,該管制藥容納部11可為抽屜,而兩側可設有習知之抽屜滑軌(如第4圖之左方顯示其中之一,當作示意範例)。 該開鎖控制部11A可為公知電磁開關。 當該處理部22對該開鎖控制部11A供應電訊號,該開鎖控制部11A係位於該上鎖位置P1。並當該處理部22對該開鎖控制部11A停止供應該電訊號,該開鎖控制部11係位於該開鎖位置P2。 該輸入介面部21可為掃描器裝置。 該處方箋感應部30A可為紅外線感應器(參閱第3圖)、軸感應器(參閱第2A、第2B及第2C圖)其中一者,當然,此為舉例,任何可用以感應該處方箋90A者均可為之。 該處方箋回收單元30可為下列兩種應用例: [a] 第一應用例:參閱第2A圖,該處方箋回收單元30係具有該處方箋感應部30A、一旋轉投入部31A及一儲存部32A。該旋轉投入部31A具有一翻轉結構311及一暫置結構312,該處方箋感應部30A係用以感應該翻轉結構311從一閉合位置PA轉動到一投入位置PB(參閱第2B圖),並發出該感應訊號,此時該暫置結構312係供投入並暫置該處方箋90,並當透過該翻轉結構311,將該旋轉投入部31A從該投入位置PB再轉回該閉合位置PA,則該處方箋90係落入該儲存部32A(參閱第2C圖)。 在此特別說明的部分是,該儲存部32A可為上鎖的抽屜(第2A、第2B及第2C圖僅為示意)、有管制無法任意開啟之容納裝置其中至少一者。 [b] 第二應用例:參閱第3圖,該處方箋回收單元30係具有該處方箋感應部30A、一處方箋投入部31B、至少一處方箋容納部32B及至少一處方箋識別部33B。該處方箋感應部30A係設於鄰近該處方箋投入部31B處,用以感應該處方箋90經該處方箋投入口投入該處方箋容納部32B,並產生該感應訊號,該處方箋識別部33B係用以擷取並辨識該處方箋識別碼91,進而回報該處理部22確認回收該處方箋90者。 該處方箋識別部33可為掃描器裝置(例如:光學鏡頭及處理器、攝影機及處理器、電子標籤讀取器等,也可再搭配照明裝置;均屬習知技術)。 該處方箋識別碼91可包括條碼及藥品資訊(參閱第5A及第5B圖)。該條碼係供該輸入介面部21掃描而進行輸入作業;該藥品資訊係供醫護相關人員進行藥品判別。 前述之處方箋識別碼91可為一維條碼、二維條碼、快速響應矩陣圖碼(簡稱QR碼)、電子標籤、其中至少一者。 該控制單元20進一步又包括一顯示器23,用以顯示該輸入介面部21掃描而輸入之該處方箋識別碼91(此時可顯示藥品資訊)。 本創作主要應用於管制藥櫃(自動配藥櫃,英文Automated dispensing cabinet,簡稱ADC)。而一般醫療院所對於管制用藥(例如安眠藥、嗎啡)之管制流程,可以有下列兩種應用例: [a] 第一應用例:藥師預先對預定之該管制藥容納部11置入特定之該管制藥品80→醫囑開立該管制藥品80→藥師審核通過→護理師拿已通過線上審核之管制藥處方箋紙本(即該處方箋90)→ADC刷入管制藥處方箋條碼→ADC直接載入該處方箋90→將管制藥處方箋放入(只進不出)ADC→雙重(2個護理師)核對取藥→護理完成→藥師取出該處方箋90核對護理取藥正確性。 [b] 第二應用例:醫囑開立該管制藥品80→藥師審核通過→藥師預先對預定之該管制藥容納部11置入特定之該管制藥品80→護理師拿已通過線上審核之管制藥處方箋紙本(即該處方箋90)→ADC刷入管制藥處方箋條碼→ADC直接載入該處方箋90→將管制藥處方箋放入(只進不出)ADC→雙重(2個護理師)核對取藥→護理完成→藥師取出該處方箋90核對護理取藥正確性。 舉例來講(不管是哪種應用例),假設藥師將A管制藥品(例如為嗎啡)放置在相對應之該管制藥品容納部11,而當相關之護理人員,在取得A管制藥品(參閱第5A圖)之該處方箋90後,必需以該輸入介面部21掃描該處方箋90之其處方箋識別碼91,進行輸入作業,再由該處理部22擷取並識別該處方箋識別碼91,且該處方箋90係需投入該處方箋回收單元30,該處方箋感應部30A感應該處方箋90投入而產生一感應訊號。當該處理部22識別該處方箋識別碼91正確且取得該感應訊號,才可控制相對應之該開鎖控制部11A,將相對應之該管制藥容納部11從該上鎖位置P1變換至該開鎖位置P2(參閱第8B圖)。 同理,當有另一B管制藥品(參閱第5B圖,例如為安眠藥),則重覆前述管制流程即可。 本案之重點在於,每一該處方箋90必需被投入(只進不出)並暫時儲存於該處方箋回收單元30,且該處方箋感應部30A係感應而產生感應訊號,當該處理部22識別該處方箋識別碼91正確且取得該感應訊號,才控制相對應之該開鎖控制部11A,將相對應之該管制藥容納部11從該上鎖位置P1變換至該開鎖位置P2(參閱第8B圖)。最後,該處方箋90統一由補藥之藥師取出(其他人原則上無法開啟該處方箋回收單元30),並核對護理取藥之正確性。 當然,也可再變化為: 1.護理師拿已通過線上審核之管制藥處方籤紙本。 2.ADC刷入條碼。 3.ADC判讀此為須投入處方籤之管制藥品。 4.ADC先彈開(也可以是自行開啟投入,例如本案之第一應用例)處方籤投入部(亦即本案之處方箋回收單元)。 5.護理人員雙重核對投入處方籤(一樣採只進不出)。 6.關上處方籤投入部。 7.ADC彈開藥品抽屜(亦即管制藥容納部)。 8.雙重核對取藥。 本創作之優點及功效係如下所述: [1] 確認回收管制藥處方箋。本創作之處方箋回收單元設有處方箋識別部,可用以掃描投入之處方箋的處方箋識別碼,並識別是否為正確的處方箋,若是其他紙籤,可另設相關之警示訊號發出警示。故,可確認回收管制藥處方箋。 [2] 管制藥處方箋只進不出減少遺失率。本創作之處方箋回收單元,係供護理師投入處方箋,只能投進,無法取出(除藥師外),直到最後才由藥師統一取出核對,可減少遺失率。故,管制藥處方箋只進不出減少遺失率。 [3] 提高管制藥品之使用安全性。本創作配合處方箋回收單元,由藥師統一取出核對護理師取藥正確性。故,提高管制藥品之使用安全性。 以上僅是藉由較佳實施例詳細說明本創作,對於該實施例所做的任何簡單修改與變化,皆不脫離本創作之精神與範圍。Referring to Figures 1, 2A, 2B and 2C, the present invention is a tube of pharmaceutical cabinet device comprising: a medicine cabinet unit 10 having a plurality of tube pharmaceutical receptacles 11 (see Figure 7), Each of the pharmacy accommodating portions 11 is for accommodating a controlled drug 80; and each of the medicinal accommodating portions 11 has an unlocking control portion 11A for controlling the medicinal accommodating portion 11 of the tube The locked position P1 (see Fig. 8A) is changed to an unlock position P2 (see Fig. 8B). A control unit 20 is connected to the medicine cabinet unit 10. The control unit 20 has an input medium surface portion 21 and a processing unit 22, and the processing unit 22 is coupled to a plurality of the unlocking control portions 11A. A prescription/recovery unit 30 has a prescription sensing unit 30A. Therefore, after the input interface 21 is used to perform an input operation by scanning at least one prescription 90 (refer to FIG. 6), the prescription 90 is required to be input into the prescription recovery unit 30, and the prescription sensing unit 30A It senses that the prescription 投入90 is input to generate an inductive signal. The prescription 90 corresponds to one of the controlled medicines 80 contained in the tube accommodating portion 11, and has a prescription 笺 identification code 91. The processing unit 22 is configured to capture and identify the prescription identifier 91. When the prescription identifier 91 is correct and the sensing signal is obtained, the corresponding unlocking control unit 11A can be controlled to correspond to the control. The medicine containing portion 11 is changed from the locked position P1 to the unlocked position P2 (see Fig. 8B). In addition, when the prescription identification code 91 is incorrect and one of the requirements is not obtained, the processing unit 22 is not unlockable. The prescription/recovery unit 30 is for inputting the prescription 90 and is restricted to open and take out only the prescription 90. In practice, the tube accommodating portion 11 can be a drawer, and the conventional drawer slide rails can be provided on both sides (as shown in the left side of Fig. 4, as a schematic example). The unlock control unit 11A can be a known electromagnetic switch. When the processing unit 22 supplies the electric signal to the unlocking control unit 11A, the unlocking control unit 11A is located at the locked position P1. When the processing unit 22 stops supplying the electric signal to the unlock control unit 11A, the unlock control unit 11 is located at the unlock position P2. The input media face 21 can be a scanner device. The prescription sensor portion 30A may be one of an infrared sensor (see FIG. 3) and a shaft sensor (see FIGS. 2A, 2B, and 2C). Of course, this is an example, and any one can be used to sense the prescription. 90A can do it. The prescription/recovery unit 30 can be used in the following two applications: [a] First application example: Referring to FIG. 2A, the prescription/recovery unit 30 has the prescription detecting unit 30A, a rotary input unit 31A, and a storage unit. Part 32A. The rotation input portion 31A has an inversion structure 311 and a temporary structure 312 for sensing the rotation of the inversion structure 311 from a closed position PA to an input position PB (see FIG. 2B). The sensing signal is issued. At this time, the temporary structure 312 is used for inputting and temporarily placing the prescription 90, and when the rotating structure 31 is transmitted, the rotation input portion 31A is returned from the input position PB to the closed position PA. Then, the prescription 90 is dropped into the storage portion 32A (see FIG. 2C). Specifically, the storage portion 32A may be a locked drawer (the 2A, 2B, and 2C drawings are merely schematic), and at least one of the accommodation devices that are not arbitrarily opened. [b] Second Application Example: Referring to FIG. 3, the prescription/recovery unit 30 includes the prescription detecting unit 30A, a prescription input unit 31B, at least one prescription storage unit 32B, and at least one prescription identification unit 33B. . The prescription 笺 sensing unit 30A is disposed adjacent to the prescription 笺 input unit 31B for sensing the prescription 笺 90 to be inserted into the prescription 笺 accommodating portion 32B via the prescription 笺 input port, and generating the sensing signal, the prescription 笺 recognition unit 33B is for extracting and recognizing the prescription ID 91, and reporting the processing unit 22 to confirm the recovery of the prescription 90. The prescription frame recognition unit 33 may be a scanner device (for example, an optical lens and a processor, a camera and a processor, an electronic tag reader, etc., or may be further equipped with a lighting device; both of which are conventional techniques). The prescription ID 91 can include bar code and drug information (see Figures 5A and 5B). The barcode is input for scanning by the input interface 21; the drug information is for medical personnel to perform drug identification. In the foregoing, the square identification code 91 may be a one-dimensional barcode, a two-dimensional barcode, a quick response matrix image code (referred to as QR code), an electronic label, at least one of them. The control unit 20 further includes a display 23 for displaying the prescription identification code 91 (the drug information can be displayed at this time) that is input by the input interface 21 and scanned. This creation is mainly used in the pharmaceutical cabinet (automatic dispensing cabinet, English Automated dispensing cabinet, referred to as ADC). In the general medical institution, there are two application examples for the control process of the controlled drugs (such as sleeping pills and morphine): [a] The first application example: the pharmacist pre-specifies the predetermined pharmaceutical container 11 of the tube. Controlled Drugs 80 → Medical Prescription Opens the Controlled Drugs 80 → Pharmacist Review Pass → The Nursing Officer takes the online prescription for the pharmaceutical prescription 笺 paper (ie the prescription 笺 90) → ADC brushed into the tube pharmaceutical prescription 笺 barcode → ADC directly loaded Into the prescription 笺 90 → put the pharmaceutical prescription 笺 into (incoming only) ADC → double (2 nurses) check the medicine → care completed → the pharmacist took the prescription 笺 90 check the correctness of the medication. [b] The second application example: the medical prescription is opened for the controlled drug 80 → the pharmacist audit is passed → the pharmacist pre-registers the prescribed pharmaceutical drug storage unit 11 with the specific controlled drug 80 → the caregiver takes the pharmaceutical that has passed the online audit Prescription 笺 paper (ie the prescription 笺 90) → ADC brush into the tube pharmaceutical prescription 笺 bar code → ADC directly loaded the prescription 笺 90 → put the tube pharmaceutical prescription 笺 (only can not enter) ADC → double (2 care Division) Check the medicine → care completion → the pharmacist takes out the prescription 笺 90 check the correctness of the medication. For example (regardless of the application), it is assumed that the pharmacist places the A-controlled drug (for example, morphine) in the corresponding controlled drug accommodating portion 11, and when the relevant nursing staff obtains the A-controlled drug (see the After the prescription 90 of FIG. 5A, it is necessary to scan the prescription 笺 identification code 91 of the prescription 以 90 with the input interface 21 to perform an input operation, and the processing unit 22 retrieves and recognizes the prescription 笺 identification code 91. And the prescription 笺 90 is required to be put into the prescription 笺 recovery unit 30, and the prescription 笺 sensing unit 30A senses the prescription 笺 90 input to generate an induction signal. When the processing unit 22 recognizes that the prescription identification code 91 is correct and acquires the sensing signal, the corresponding unlocking control unit 11A can be controlled to change the corresponding tube accommodating portion 11 from the locked position P1 to the Unlock position P2 (see Figure 8B). Similarly, when there is another B-controlled drug (see Figure 5B, for example, a sleeping pill), the above control process can be repeated. The focus of the present invention is that each of the prescriptions 90 must be put in (only inaccessible) and temporarily stored in the prescription/recovery unit 30, and the prescription sensor 30A senses to generate an inductive signal when the processing unit 22 The identification of the prescription ID 91 is correct and the sensing signal is obtained, and the corresponding unlocking control unit 11A is controlled to change the corresponding pharmaceutical container 11 from the locked position P1 to the unlocked position P2 (see 8B)). Finally, the prescription 笺90 is uniformly taken out by the pharmacist of the tonic (other people cannot open the prescription 笺 recovery unit 30 in principle), and the correctness of the medication is checked. Of course, it can be changed to: 1. The nurse takes the paper with the pharmaceutical prescription that has passed the online audit. 2. ADC brushed in the barcode. 3. ADC interprets this as a controlled drug that requires a prescription. 4. The ADC first pops up (it can also be self-initiated, for example, the first application example of this case). The prescription sign input department (that is, the recovery unit in this case). 5. The nursing staff double check and put in the prescription (the same can not be entered). 6. Close the prescription sign input department. 7. The ADC pops open the drug drawer (also known as the tube pharmaceutical container). 8. Double check the medicine. The advantages and functions of this creation are as follows: [1] Confirm the pharmaceutical prescription of the recovery tube. The prescription recycling unit has a prescription/recognition unit, which can be used to scan the prescription and identification code of the place where the input is made, and identify whether it is the correct prescription. If other paper labels, another relevant warning signal can be set to issue a warning. . Therefore, the pharmaceutical prescription for the recovery tube can be confirmed. [2] Tube pharmaceutical prescriptions can only be reduced to reduce the loss rate. In this creative place, the recycling unit is for the nursing staff to put in the prescription, can only be thrown in, can not be taken out (except the pharmacist), until the last time the pharmacist unified check, can reduce the loss rate. Therefore, the pharmaceutical prescriptions can only be reduced to reduce the loss rate. [3] Improve the safety of the use of controlled drugs. This creation is combined with the prescription and recovery unit, and the pharmacist unconditionally removes the correctness of the medication taken by the nursing nurse. Therefore, improve the safety of the use of controlled drugs. The above is only a detailed description of the present invention by way of a preferred embodiment, and any modifications and variations of the embodiments are possible without departing from the spirit and scope of the present invention.