Background of the Invention
[0001] Human life encounters different diseases many of which fortunately are controlled
or cured with medications. However, one unfortunate problem with taking medications
is that people sometimes forget about the timing of their medications, and then get
confused about taking them. This can create problems such as overdosing, underdosing,
and confusion, if a patient either took an extra medication, or missed a dose. In
my own practice of medicine I have been called by panicked patients many times when
they did not know what they had done with their medications, or did not remember whether
they had taken them. I have admitted patients to the hospital due to accidental overdose
of medications, and this has taught me that there is a problem that needs to be solved.
The present invention is a potential solution to help patients to organize their medications
and to receive them on a regular basis.
Brief Explanation of the Invention
[0002] This invention deals with a machine that will allow the patient to have his medication
(typically pills) dispensed on a regular basis. The patient's pills are placed in
an upper tray that has twenty-eight smaller containers so that each group of four
will hold the medications of one day of the week, for example from the AM dose, noon
dose, PM dose, and evening dose. Each dose will be dispensed at the approximate time.
The machine has a door that opens to allow the patient to remove the AM dose; then
it closes, reopening again at noon to allow the patient to remove the noon dose; then
it closes again; reopening for the PM dose, etc. If a dose is not removed before the
door closes, then it is dumped into a corresponding one of twenty-eight other special
small containers of a lower tray that by their color coding and markings, such as
Tuesday PM dose, Wednesday AM dose, etc., will indicate which dose was missed by the
patient. In this way, an observer will be able to know exactly which doses were missed.
A preferred embodiment allows the person's medications to be organized for one week,
and it can be locked when desired.
[0003] In addition to this automatic dispenser, this application also introduces a mechanical
or mini-computer programmed cassette recorder or similar machine that produces an
alarm or voice to notify the patient about the medications that are to be taken. It
may also contain a special noise or message aimed to help the patient emotionally,
spiritually, or otherwise.
Brief Description of the Drawings
[0004] Fig. 1 is a partial top plan view of one portion of the dispenser.
[0005] Fig. 2 is a partial, generalized elevational view of the dispenser.
[0006] Fig. 3 is a side elevational view of one of the containers used in the dispenser.
[0007] Fig. 4 is a perspective, somewhat schematic, view of the dispenser.
[0008] Fig. 5 is a top plan view of an accessory used for facilitating loading of the dispenser
with medications.
[0009] Fig. 6 is a side elevational view of Fig. 5 with portions removed.
[0010] Fig. 7 is an elevational view of another of the containers.
[0011] Fig. 8 is a top plan view of Fig. 7.
Description of the Preferred Embodiment
[0012] Fig. 1 shows the general arrangement of an upper tray which holds a week's worth
of doses in its twenty-eight small containers. (This Fig. shows only the lower half
and the whole tray will be a full circle.) The small containers of this tray are to
be filled at the beginning of the week, with the medications for each day to be filled
in each of the small containers, with their special dosage, coloring of the container
and its marking in mind. This tray can be modified to use other than twenty-eight
containers and different programs of medication plans. Thus, if a person is to take
medications only three times a day, twice a day, or once a day, my automatic dispenser
machine can still be designed and/or programmed to handle them.
[0013] The center of the tray and the axis of rotation are shown at 1; one individual small
container at 2; and another consecutive small container at 3. An axle 4.5 mounts container
2 on the tray with portion 4 connected to the outside wall of the container and portion
5 to the inner wall of the container. The axle 4 goes through a hole in the outer
circular rim 27 of the tray to connect to a gear piece 6 that is an important part
in causing the small containers, such as 2, 3, to rotate and to empty their contents.
Each one of these twenty-eight small containers can rotate around the axis of its
axle 4.5. A connecting piece 26 is a bridge between outer rim 27 and an inner circular
rim 28.
[0014] Fig. 2 shows some important parts of the automatic dispenser machine in sequence.
One of the small containers 2 mentioned earlier is to hold the medications, or pills.
This container will rotate and dump the medications into an upper opening 12 of an
upper funnel 11 that funnels the medications from a lower opening 13 to an opening
14 of a middle container 15, which is referred to as the "Pill Server" and is a place
that will be available to the patient to allow the pills to be removed from it by
the patient. If the patient did not remove the pills on a timely basis, then they
are dumped into an upper opening 21 of a lower funnel 29, which funnels the pills
from a lower opening 62 into an opening 63 of a small container 64 of the lower tray,
the lower tray not being shown here.
[0015] The tip of axle portion 4 is shown at 8. Gear piece 6 is affixed to portion 4 and
has notches and teeth 7 that will engage with matching notches and teeth 10 of a rack
part 9 to cause the rotation of the container 2 and the dumping process to occur.
Part 9 is stable and fixed and does not move with time so that naturally notches and
teeth 10 do not move either. However the upper tray is moving with scheduled speed
to turn 360 degrees during one week (or periodically by computer programming). With
rotation of the upper tray a calculated pre-scheduled moment will come that a small
upper container 2 will meet a piece 9 and the notches and teeth 7 of gear part 6 will
be predictably engaged with the matching notches and teeth 10 of part 9. This will
cause the rotation of container 2 about the axle axis so that at one point it will
be upside down dumping its pills into funnel 11. The pills fall through into pill
server 15. The pill server will hold the pills until they are picked up, or otherwise
dumped if not picked up.
[0016] Pill server 15 comprises an upper opening 14, an axle 18 that supports pill sever
15 for rotation, and a gear part 16 having notches and teeth 17. Under pill server
15 is an edge of a rotating circular piece 19 which is about the same size as the
upper tray and will also rotate about axis 1. In the periphery or the rim of this
part there are periodic groups of notches and teeth 20. There are twenty-eight groups
of such notches and teeth 20. The speed of motion of piece 19 will be exactly the
same as that of the upper tray. The rotation of piece 19 will bring notches and teeth
20 to engage with notches and teeth 17, causing the rotation of the container 15 about
the axis of axle 18, which then dumps its contents into funnel 29. The pills then
are directed by funnel 29 into one of the smaller containers of the lower tray, here
shown by 64 with its upper opening 63.
[0017] Fig. 3 shows a small container 2 having a body 25 which has the general shape shared
by all the upper small containers as well as pill server 15. The axle portions are
supported at 23 and 24. This rotation will be 360 degrees and the contents of the
container will be dumped easily during this rotation.
[0018] Fig. 4 shows the three circular pieces that rotate around vertical axis 1 and the
two funnels between them. To prevent crowding, only four of the small containers of
the upper tray are shown in this Fig. with two of the small containers in fronts marked
by 21 and 22, and two of them at the right side of the picture marked by 2 and 3.
Part 9 is responsible for rotation of the small containers of the upper tray as their
gear parts 6 successively come in contact with notches and teeth 10 of part 9. Piece
19 has its periodic groups of notches and teeth 20 that will be moving synchronously
with the rotation of the upper and lower trays about axis 1. With rotation of piece
19, its notches and teeth successively come to contact with the notches and teeth
of part 16 of pill server 15 to make the pill server rotate 360 degrees and dump unremoved
pills into lower funnel 29. Under funnel 29 is the lower tray which has multiple small
containers similar to the containers in the upper tray except they are fixed and do
not rotate about an axle axis, as do the upper tray's containers; however the lower
tray itself will rotate synchronously with the upper tray and the middle piece 19
about axis 1.
[0019] Figs. 5 and 6 show a special circular filling tray which allows filling the small
containers of the upper tray with medications to be done with ease. This special tray
has a center 40 to fit to axis 1, and a total of seven funnels A, B, C, D, E, F, G,
distributed uniformly around a flat circular body. Each of these seven funnels has
a wider upper opening 43 and a smaller lower opening 48 that fits the upper openings
of the containers of the upper tray. The right side of the special tray is shown by
41 and the left by 42. If the special filling tray is placed so that funnel A is in
a morning dose container, all the other (B-G) will be in respective morning dose containers.
Similarly for noon, PM, and evening doses, Fig. 6 shows the upper surface of the flat
circular body by 46 and the lower surface by 45. Only funnel A is shown on Fig. 6
for convenience.
[0020] Figs 7 and 8 show a special shape for a pill server 15 to allow easy removal of the
pills by a special matching scoop. They show the opening of this pill server by 57,
the bottom surface by 58 and 59 and the deepest point by 60. Two axles of 55, 56 allow
rotation for dumping.
Detailed Explanation of the Invention
[0021] One aspect of the progress of medicine is that there are medications for different
diseases; however they are potent and should not be missed or be taken in extra doses.
Unfortunately, and commonly, there is often a problem with the memory of the very
people who take the medications most, namely the elderlies who at times forget about
the timing of their medications and then get confused about them. This brings problems
such as overdosing, underdosing, and confusion whether a patient took an extra medication
or missed a dose. My machine dispenses proper doses on a proper regular basis. Although
the specific machine that is shown dispenses medications close to the same timing
is commonly used in hospitals, this timing can be modified by different methods, such
as by use of computer programming. This machine will have a program to allow the patient
to have his pills dispensed on a regular basis. For this purpose the patient will
have his pills placed in an upper tray that has different containers, and the machine
shown here has twenty-eight smaller containers that are divided to seven groups of
four containers in each group. Each one of these seven groups contains the medications
of one day, Sunday, Monday, Tuesday, etc., starting each day from the AM dose to noon
dose, to PM dose, and to evening dose. After one day's pills have been dispensed,
then the next day's will be started, etc. These medications are dispensed on each
single dose basis. That is, there is a door that allows a patient to remove his AM
dose, then later the noon dose, then later the PM dose, and then later the evening
dose. If a dose of pills was not taken, then it is dumped into a special small container
in the lower tray which is designed to show which dose was missed by the patient.
This will be done by having markings on each small container of the lower tray, such
as Tuesday PM dose, Wednesday AM dose, etc., so that an alert patient or an observer
will be able to find out exactly which dose was missed.
[0022] This dispenser allows the person's medications to be organized for one week, with
placement in color-coded containers for each dosing of each day. The container for
the morning doses is uniquely colored, as are those for each other doses. For example,
the containers for the morning doses may be colored yellow, the noon doses, green,
the PM doses, pink, and the evening doses, blue. Furthermore they will be marked for
the days, such as Sunday, Monday, Tuesday, etc. For example, the Sunday AM container
will be yellow and will say in its side Sunday AM dose; the Tuesday PM container will
be pink and in its side it will say Tuesday PM dose, etc., so that at the time of
filling, it will be very easy to recognize the containers. The upper and lower trays
and the piece 19 will then rotate about axis 1 at a pre-designed rate, and the rotation
can be controlled in many possible ways including the following:
1. Mechanical Way: In this method the upper and lower trays and piece 19 are regularly and continuously
rotated by an electronically powered engine designed to move one full circle during
one week, moving 360/7 degrees each day. Such rotation will make it possible for the
medications to be dumped in pre-scheduled bases, and a back up battery will prevent
disruption of motion by power failure.
2. The Electronic Way: In this case the rotation is controlled by a mini-computer which is programmed to
allow certain degrees of rotation to occur during each desired time. The computer
controls the function of a small electric engine that is responsible for the rotation.
3. Combinations of both of above mentioned methods: In this case the computer power for the programming and scheduling will be combined
with the mechanical method so that a suitable and useful combination will be made.
For example, the timing and rate of rotation of the whole unit will be guided and
controlled by the computer. Also some other parts such as activation of an alarm may
also be done by the computer or mechanical method as well.
[0023] Available computer chips and mini-computers will allow a programming of many functions
to be done by a small computer. In these versions, such advancement will be utilized
so that every aspect of a program can be programmed and changed easily. With some
modification of these basic ideas then, every step of such machine could be changed
and altered as desired to make it the most useful for each patient's particular needs.
Therefore it will be possible to program many steps of these transactions easily and
precisely, and a small computer will be incorporated in the construction of such a
machine unit for such purposes. With use of such computers, the rotation can be done
with an exchangeable rate and timing; also the number of the functional trays (from
28 to 21 to 18 or even 8 based on the time distance placed between the use of the
small containers) can be changed as well, so the timing between the doses can be then
adjusted. The number of the containers can be adjusted as well; for example the patient
can be chosen to have a three times a day plan, or twice a day plan, instead of four
times a day, so that the program can be customized to match the needs and medications
to be dispensed on a desired and needed basis.
[0024] In one such unit a computer informs patients about timing and use of their medications.
In this case one such computer that will be able to accept and function as a mulatto
programmer will be connected to activate an alarm or a voice-making system. In other
words the computer program will start an alarm or a device that generates human speech,
such as cassette recorder or computer voices, so the computer will be able to start
an alarm or an informing voice that will tell patients about the need for their medications
to be taken. With the power of chips such planning can be done a week or a month ahead,
or even longer. In this method the computer can, for example, announce a friendly
voice to say: "Hello mother, good morning. It is time for you to take your morning
medications. Do not forget them, and remember I love you more than the world." This
message can be continued for a period of time until the patient takes his/her medications
and presses a button marked "Thank You", at which time the voice will stop, but the
function of the computer will continue till next dose, such as noon dose, when the
voice will come again to say: "Hello mother, how are you? It is time for you to take
your noon medications. You know that I love you." Once again, this message is continued
for a period of time until the patient takes his/her medications and then presses
the "Thank You" button. Such voices can be actual recordings of the patient's relatives
which can have a very important psychological impact and help and support. In certain
cases, such as lonely persons, a nice encouraging voice by itself can be curative
and will have its own important therapeutic effect. It is important to notice that
such messages can be changed and different nice and important things may be said.
[0025] In order to have this kind of computer with voice, the following methods can be used:
a. The computer will have a compartment for production of the voice and to allow the
voice to be preserved and supplied by digital or other computerized method and use.
b. The mini-computer will control the activation of the function of an electrical
recorder, and also to turn the machine off as well. This will allow a pre-recorded
message to be heard when the unit turns on, and then to be turned off after the message
is finished with control of the timing and the tape to be re-wound or to circulate
and repeat the recorded voices everyday automatically. Naturally with recording different
messages, different goals and results can be achieved.
[0026] The purpose of such units is to remind and encourage the patient to pick up the medications,
and then it is expected that the patient will pick up his/her medications.
[0027] It is to be mentioned that similar type of units that activate a voice periodically
can be made by mechanical methods. One such unit can be made by having a unit that
will turn the cassette recorder on and off for a period of time on a pre-scheduled
regular basis.
[0028] Such a unit can be made by having a circular plastic non-conductor plate rotate 360
degrees during twenty-four hours and then have pieces of conductors, such as metal,
to go through two electrical pieces and to function as a conductor as long as it is
moving between them. This connection will cause a circuit to be complete and the recorder
to be turned on and function during this period (for example 5-10 minutes or so).
Then when this piece has gone through, the conduction will be disrupted and the cassette
will stop, until the next conductive piece comes. The different placement of these
conducting pieces will allow planning the time of such function to be changed. At
the end the unit will make the recorder to rewind or the tape to circulate to continue
the recorded message again in another twenty-four hours and the cycle to repeat the
next day.
[0029] The automatic pill dispenser may also have a picture placed next to the place which
the pills are dispensed that will allow placement of the picture of the daughter or
son or other loved one to be placed, the same person that is presumably relaying the
message.
[0030] Although the dispensed medications will be primarily pills and capsules, it may also
dispense small capsules to act as the representative of the other medications to remind
a patient to use that medication also. Such a small plastic capsule may have the name
of medications inside it to refer to medications not in pill form that should be taken
or used, such as skin patch, eye drop, insulin, Metamucil, etc. Such a capsule can
be opened with a small tab of paper to be sticked on it and then the plastic cover
to be closed.
[0031] My automatic pill dispenser can be used in the following way. First, an alert person
fills the small containers of the upper tray with medications of one week and sets
the appropriate timing, and if needed locks the unit. The unit will start to function
and on a timely basis, the first small container of the upper tray will rotate and
dump its pills or medication reminders through funnel 11 into pill server 15, and
at this time an alarm or voice will be activated to inform a patient about the presence
of the medications for consumption. Then the patient will have a reasonable time of
about 60 minutes or so (this time may be modified) to remove the pills or medication
reminder from the pill server. Then the motion of the middle circular piece 19 will
cause, via a corresponding set of notches and teeth 20, rotation of the pill server.
Any medications still inside pill server 15 are dumped through funnel 29 into a corresponding
smaller container that is part of the lower tray and has the correct marking to show
which medication was missed. It should be considered that if the patient failed to
pick up the pills and medication reminder during this period of time then they will
be dumped into the lower funnel, otherwise the pill server will rotate but there will
be nothing left to dump. The dumping function will be done due to precise timing and
planning and placement of the lower small tray containers in concert with the upper
tray's containers so that the medication not picked up by the patient will be dumped
into a small container of the lower tray that has the same coloring and markings as
that of the upper tray into which it was originally filled. This method will allow
the recognition of the medications that are missed to be done easily. A clear window
may allow the person to find about the medication or a special sign will let the person
to recognize this important event.
Technical Details of this Invention
[0032] The small containers of the upper tray are preferably about 3 cm = width by 4 cm
= length by 2.5 cm = depth and have curved edges. An electrical engine is used to
rotate the outer rim of one of the three parts that rotate slowly about axis 1, which
can be a vertical axle that will also rotate the two other parts as well, when they
are fixed to the vertical axle. Patients will be educated to remove the dropped pills
or medications from pill server 15 by a scoop.
[0033] The lower tray is very similar to the upper tray except it is to keep the dumped
medications separate for an important purpose of letting the patient or a supervisor
or a relative of the patient notice which dose of medications, if any, were not picked
up and consumed by the patient and for this purpose the following differences between
the upper tray and the lower tray will be true:
1. The individual containers of the lower tray will not rotate along their own axis,
simply since there is no need for it.
2. The individual containers of this tray will have the same coloring and markings
to match the small container that originally has released the medications. This will
give a method to enable the supervisor or the patient to know which dose of medications
were skipped and not taken, which is medically important and helps in decision-making.
[0034] The bottom portion of the cover of the unit may be clear to allow inspection of the
dumped medications to occur, although this will be optional, and a cover may be chosen
to prevent it, considering the level of intelligence of the patient since in some
cases it may be wise to have the unused medications hidden to avoid irritation of
the patient and his attempt to break the unit.
[0035] In order to prevent the schedule from being interrupted if the electricity went off,
the unit may have a battery for back up function and the battery may have an indicator
to show its level of energy. The computer will be powered by a separate battery to
prevent the programming or its function to be disturbed if the electricity went off.
[0036] The pill server will be made to have a special curve in its bottom wall to be deeper
in the end close to the middle axle so that the pills accumulate there to be picked
up easily by a special scoop.
[0037] This unit is covered by a nice cover made from metal or hard plastic to cover the
whole unit, and to make it to look nice, and it will have an opening for removing
the medications. There may be one or more locks used to prevent opening the unit without
a key. In some models the opening of the removal place for removal of the medications
may have a door that may be closed except for the time that the medications need to
be removed. This door may be controlled mechanically or electronically. The door may
be made from rubber to prevent hurting the patient's hand if it happened to touch
it.
[0038] By placing the filling tray on the top of the upper tray, the user or the supervisor
will be able to pour the supply of the medications in each group easily.
[0039] Importantly in certain models this unit may also be connected to a phone line and
an arrangement made that if certain doses of pills were not picked up, that phone
would be activated and a previously designed alarm or announcement transmitted through
to make another person, a supervisor, a relative, or concerned person aware of this
event. This will be very useful in cases that possibility of sudden death or sudden
serious damage is high in a given patient and such alarming appears to be justified.
Many mechanical or electronic techniques can be designed for such function to occur.
For example the drop and presence of the pills inside the small containers of the
lower tray can raise a lever or activate a weight-sensitive lever to initiate a mark
or to turn one notch of a wheel of a system so that finally when certain number of
notches are turned an electric system to be activated to send the message, or a photocell
or series of photocells can be activated/de-activated so that again when certain numbers
of activations are reached an electric system is activated and the message goes by
phone.
[0040] It is of course understandable to consider that this unit can be modified to make
other kinds of such units using the methods and teachings and plans mentioned in this
application. The use of a computer will be very exciting and helpful as mentioned
and many uses can be made with the above mentioned teachings.
[0041] In some models of these units the machine will be made to have the lowest pill spaces
to have a hinge placed in one end so that the weight of the pills will cause the space
to drop and to touch an electrical electrode or a pole in order to initiate a signal
that then can be transformed to a telephone call or a recorder or any desirable and
suitable signal in order to allow the interested person to be notified that the pill
was not taken. The mini computer will be one best way of relaying this information
and starting a new action. The presence of the pills inside the lower space may be
seen by use of clear pill spaces and use of electric eye or photo cell that by having
objects in front of it or removing an obstacle from its way due to motion of the pill
space will cause the electrical circuit to be complete to start a proper course of
functions which may be reflected by the use of micro computer as well.
1. An automatic pill dispenser comprising: a succession of pill supply bins for containing
supplies of pills;
a patient-accessible pill serving bin at which a patient can remove dispensed pills
from the dispenser;
a succession of pill collection bins for collecting pills that have not been removed
from said pill serving bin;
means for causing said pill supply bins to successively dispense their pills to
said pill serving bin at timed dispensing intervals; and
means for causing said pill serving bin to dispense in time delayed relation to
its having been filled from a particular pill supply bin, and in time advanced relation
to its being filled from the immediately succeeding pill supply bin, pills that have
not been removed from it, to a particular pill collection bin that is correlated with
such particular pill supply bin.
2. An automatic pill dispenser as set forth in claim 1 in which:
said succession of pill supply bins are arranged in a circular succession on an
upper horizontal turntable that turns about a vertical axis;
said succession of pill collection bins are arranged in a circular succession on
a lower horizontal turntable that turns about said vertical axis; and
said pill serving bin is disposed vertically between said upper and lower turntables
at a particular circumferential location about said vertical axis so that said pill
supply bins and said pill collection bins move in succession past said pill serving
bin as said upper and lower turntables turn about said vertical axis and pills are
dispensed by gravity from said pill supply bins to said pill serving bin and from
said pill serving bin to said pill collection bins.
3. An automatic pill dispenser as set forth in claim 2 in which:
each of said pill supply bins is mounted on said upper turntable by its own horizontal
axle means such that each individual pill supply bin is caused to dispense pills that
have not been removed from it by turning about its own axle means.
4. An automatic pill dispenser as set forth in claim 3 in which:
each horizontal axle means lies on a corresponding radial to said vertical axis.
5. An automatic pill dispenser as set forth in claim 3 in which:
said pill serving bin is disposed at such particular circumferential location for
turning about its own horizontal axle means such that said pill serving bin is caused
to dispense pills that have not been removed from it, to said pill collection bins
by turning about its horizontal axle means.
6. An automatic pill dispenser as set forth in claim 5 in which:
each horizontal axle means of said pill supply bins and said horizontal axle means
of said pill serving bin lie on corresponding radials to said vertical axis;
said means for causing said pill supply bins to successively dispense their pills
to said pill serving bin at timed dispensing intervals comprises:
a toothed drive means disposed at a fixed circumferential location about said vertical
axis proximate said upper turntable, and
a toothed driven means on the axle means of each pill supply bin disposed for meshing
with said toothed drive means as each pill supply bin is brought by said upper turntable
to a position at which its pills are dispensed to said pill serving bin so as to cause
said pill supply bin to turn about its axle means and dispense its pills to said pill
supply bin; and
said means for causing said pill serving bin to dispense in time delayed relation
to its having been filled from a particular pill supply bin, and in time advanced
relation to its being filled from the immediately succeeding pill supply bin, pills
that have not been removed from it, to a particular pill collection bin that is correlated
with such particular pill supply bin comprises:
a further toothed driven means disposed on said axle means of said pill serving
bin, and
a succession of further toothed driven means arranged in a circular succession
on a further horizontal turntable that turns about said vertical axis for meshing
in succession with said further toothed driven means so as to cause said pill serving
bin to turn about its axle means and dispense pills that have not been removed from
it in time delayed relation to its having been filled from a particular pill supply
bin, and in time advanced relation to its being filled from the immediately succeeding
pill supply bin, such that pills that have not been removed from said pill serving
bin are dispensed to the particular pill collection bin corresponding to the particular
pill supply bin that just filled said pill serving bin.
7. An automatic pill dispenser as set forth in claim 5 including a first funnel for funneling
pills from said pill supply bins to said pill serving bin and a second funnel for
funneling pills from said pill serving bin to said pill collection bins.
8. An automatic pill dispenser as set forth in claim 1 including annunciator means for
conveying information to a patient about pills dispensed by the dispenser, said annunciator
means comprises means for announcing a delivery of pills from a pill supply bin to
said pill serving bin by giving a pre-existing audible message to the patient.
9. An automatic pill dispenser as set forth in claim 1 in which a computer means controls
at least some of the operational aspects of the dispenser.
10. An automatic pill dispenser as set forth in claim 1 including means to convey a message
by telephone line to a person at a location that is remote from the dispenser to inform
him or her that pills were not removed from said serving bin.