TECHNICAL FIELD OF THE INVENTION
[0001] The present invention refers to an improvement in the devices for the conservation
of medicines and the automatic composition of the prescriptions issued by medical
personnel for each patient.
[0002] The invention makes it possible to carry out more effectively the daily operations
and to simplify the mechanical devices that collect and supply the preparations.
BACKGROUND OF INVENTION
[0003] Health facilities, such as hospitals and homes for patients who are only partially
self-sufficient or needing medical treatment, must constantly cope with the requirement
of administering to the people in their care the drugs foreseen by their respective
therapies.
[0004] In the state of the art are present some solutions that propose devices for obtaining
the doses of drugs to assist the health-care personnel.
[0005] In particular, devices are available for the automatic distribution of units of product,
such as drugs, food items, or more generally, objects of small size.
[0006] These systems include apparatuses capable of making available units of products individually
stored and packed and other devices that can administer units that are packed individually
but joined in continuous strips, or bands, and that must be separated when they are
to be administered.
[0007] The apparatus described in
US patent 3,131,830 is capable of distributing products of various nature; the mechanisms thereof collect
a strip made up of individual portions from a container and feed it forward through
the action of a driving roller. The dose to make available is made to protrude through
a relative opening and separated from the continuous strip by a cutter.
[0008] The distributor described in
US patent 3,131,830 is a first mechanism that distributes items, including drugs, packed in continuous
strips but it does not have the capacity of managing and connecting with a centralized
distribution control system.
[0009] US Patent 5,102,008 describes a device for administering medicines that have been packed individually
in pockets created on a tape.
[0010] A first end of the tape is secured on a first power driven reel that feeds the tape
initially wound on a second reel capable of rotating freely about a pin. The tape
passes through an element capable of expelling the drug from the pocket so that it
can be taken by the patient.
[0011] A preferred embodiment of the device consists of a medicine dispenser controlled
by a microprocessor that, in a simple manner, assists the patient in following the
therapy. This preferred embodiment is also provided with connections with the headquarters
of the health unit for supervising the administration of the medication.
[0012] The device described above shares some purposes of the invention that will be presented
later, although it does not achieve the operating capabilities, as it is designed
essentially as a device for home use or for small health facilities.
[0013] US Patent 7,963,201 describes an apparatus and the methods for administering drugs designed to assist
patients in following their therapies, with attention given to the quantities of drugs
to take and to the times they should be taken. The apparatus described therein is
provided with a plurality of cores to manage a plurality of drugs; each core is provided
with an actuator connected to a feeding mechanism contained in the unit itself. The
devices described can have an interface that allows the online connection with a computation
unit for managing the supply on hand and supplying the drugs to the operators.
[0014] A problem with the apparatus described in
US Patent 7,963,201 lies in the fact that it allows the management of only a limited number of products,
exceeding which it is necessary to install more machines.
[0015] All the machines and devices described thus far do not achieve the optimal level
of safety and of quality of the service required for the particularly delicate distribution
of drugs in health units or hospitals, particularly in the case of large facilities.
SUMMARY OF THE INVENTION
[0016] The objective of the present invention is to overcome the limits and disadvantages
of solutions currently available on the market, improving the speed with which the
prescribed drugs are made available to the operators, eliminating the down times required
for restocking the supplies and reducing the complexity of the mechanisms necessary
for collecting the individual drug units.
[0017] The objective of the present invention is thus an apparatus for storing and dispensing
drugs, hereafter referred to as "cabinet", provided with mechanisms that make it possible
to implement the command signals received from a data processing unit, termed "server",
on which is run a software capable of receiving the prescriptions of the drugs to
administer and of programming the actions necessary for composing the contents required.
The server, thanks to the information exchanged with the cabinets, can estimate the
stock on hand and program the restocking from the suppliers.
[0018] The cabinet can hold within it packages from a plurality of drugs; said packages
are made in accordance with the prior art, so as to be handled by mechanical devices
installed in the cabinet. In response to the command signals sent by the server, the
mechanical devices of the cabinet will dispense the units of each drug that make up
a specific prescription so that a relative collecting device can pick them up and
make them available to the operator who will then administer them.
[0019] The above-mentioned task and purposes, and others that will become more evident below,
will be achieved with an apparatus for storing and supplying drugs as defined in claim
1 and through a method for storing and supplying drugs as defined in claim 10.
BRIEF DESCRIPTION OF THE FIGURES
[0020] Further characteristics and advantages of the present invention will become more
evident from the following description of a preferred embodiment, presented by way
of non-limiting example, with reference to the accompanying figures, in which:
- figure 1 contains a perspective view of an apparatus for storing and supplying drugs
according to the present invention, hereafter for conciseness also defined as "cabinet";
- figure 2 is a perspective view from above showing the directions of access to the
cabinet depending on the operations to carry out;
- figure 3 illustrates the cabinet in a perspective view from a direction opposite the
side of the previous figures;
- figure 3A is an enlarged detail of the cabinet of figure 3;
- figure 4 illustrates, in a perspective view from the same direction of figure 1, the
cabinet of the previous figures provided with support racks for drug dispensing devices;
- figures 5A and 5B contain a perspective view, from above and from below respectively,
of the drug dispensing devices of the previous figure;
- figure 6 illustrates a detail, in a perspective view, of a drug dispensing device;
- figure 7 is a perspective view of a detail of the cabinet in the idle position;
- figure 8 illustrates a detail, according to a side view with respect to the longitudinal
extension of the cabinet, of the drug distribution, separation and collecting devices;
- figure 9 illustrates a detail of the lower part of the cabinet in a side view;
- figure 9A is a detail of figure 9.
DETAILED DESCRIPTION OF THE INVENTION
[0021] In the perspective view of figure 1 is shown a possible embodiment of a module of
an apparatus for storing and supplying drugs of the present invention; in fact, the
dimensions of the facility, or of the ward, could require particularly large dispensing
cabinets, made up of a number of modules physically and logically connected to each
other.
[0022] A module of an apparatus for storing and supplying drugs according to the present
invention comprises a bearing frame 1 having a vertical extension and a longitudinal
extension with respect to a supporting floor. The bearing frame 1 includes one or
more storage compartments 2 suitable to hold at least one rack 10 formed by a plurality
of levels arranged along the vertical extension of the bearing frame 1. Each level
is suitable to contain a plurality of drug storing and supplying means 8, 9, 14.
[0023] The bearing frame 1 of the cabinet also comprises at least one holding compartment
3, which, when at rest, houses a movable structure 4 for separating and collecting
said drugs supplied by the storing and supplying means 8, 9, 14.
[0024] The bearing frame 1 is also associated with guiding and transport means that allow
the movement of the movable structure 4 in the direction of the arrow "D", that include
at least two guide profiles 7 fastened to the bearing frame 1 by relative brackets
and containing the electrical wiring 31 to transmit the commands for sliding the movable
structure 4, and a rack-and-pinion system 30 for transmitting the movement provided
by a motor unit 6 fastened to the bearing frame 4, as is better exemplified in figure
3.
[0025] Advantageously, in the lower part of the bearing frame 1 are provided feet on which
can be installed alternatively casters, wheels or other devices suitable to allow
the cabinet to be easily moved in the various areas.
[0026] The operators can access the cabinet to collect the drugs, restock the unit or carry
out maintenance work. The arrows in figure 2 show, respectively, the accessing areas
to the cabinet for maintenance with "A", for collecting the drugs with "B", and for
restocking the cabinet with "C". The accesses are suitably arranged on different sides
of the cabinet so that operations of different nature do not interfere with each other
and can also be carried out simultaneously.
[0027] In figure 4 can be seen the various racks 10 inserted in the storage bays 2 and essentially
consisting of vertical uprights 11 and horizontal members 12 on which are mounted
guide members 13. The racks 10 are suitable to contain the drug storage and supplying
means, each of which includes a storage support 8 for the drugs, preferably packed
on tape 15 wound on a coil 9, and a driving device 14 for supplying the drugs fastened
to a respective vertical upright 11 facing the storage support 8 in the direction
of unwinding the tape 15. The storage support 8 is associated with guide means, formed
by an upper plate 16 and a lower plate 17, for threading the tape 15 therethrough.
[0028] The storage supports 8 supplying on a respective coil 9 are inserted in the rack
10 along the guide elements 13, with the free end of the tape 15 turned toward the
driving device 14.
[0029] The details of a possible embodiment of the storage supports 8 and of the coils 9
are shown in Figures 5a, 5B and 6. The operator inserts the coil 9 on a pin 35 provided
on the surface of the storage support 8; the operator then unwinds the tape in which
are packed the drugs by an extent necessary to thread it through the plates 16 and
17 and will insert the storage support 8 in the rack 10 so that the upper edge and
the lower edge of the storage support engage respectively the groove of the guide
element 13 of the upper level and of the guide element 13 of the lower level; each
end of the plates 16 and 17 is suitably provided with a pair of side arms arranged
"as a fork" so as to allow the passage of the drug unit encapsulated in the drug tape
15 through the gap formed in the central part of the plates 16, 17 and, at the same
time, to guide its passage with the side arms.
[0030] Subsequently, the operator will engage the free end of the tape 15 in the driving
device 14, which then will move it in the direction of the arrow E in response to
a command signal from a prearranged control unit (not shown).
[0031] The driving devices 14 can if necessary be provided with presence detectors 34 (visible
in fig. 8) in communication with the control unit to signal the end of the coil 9.
[0032] As exemplified in fig. 8, the driving device 14 comprises two or more rollers suitable
to drive the drug tape 15 forward; advantageously, two pairs of rollers are provided:
an upper pair indicated with numeral 18 and a lower pair indicated with 19; the latter
is driven by an actuator 20, such as for example a step-by-step motor, controlled
by the control unit in response to the signals transmitted by the server on the basis
of the prescription of the drug to be dispensed. The two pairs of rollers 18 and 19
are opposed to each other so as to apply to the drug tape 15 a pinching pressure sufficient
to drive it forward under the action of the pair of rollers 19. The arrangement in
pairs of rollers makes it possible to guarantee the linear and symmetrical feeding
movement of the tape 15 without the occurrence of asymmetrical forward movements of
an edge of the tape 15 with respect to the opposite edge.
[0033] Advantageously, the driving device may also include a pivoting blade 33 hinged and
pushed in position by suitable spring means so as to allow the passage of encapsulated
drugs of different cross section by making the flat surface of the drug tape 15 adhere
to the fixed blade 21.
[0034] The conveyor 5 is formed from a hollow body, preferably of rectangular cross section,
on which, as can be seen in the perspective drawing of Fig. 7, an opening 36 is formed
at each level of the racks 10.
[0035] The conveyor 5 is provided with means for separating a dose of drug from the drug
tape 15, comprising a cutting unit 24, which includes a first cutting element 22 such
as a preferably circular blade, and a connecting element 23, such as a chute, communicating
with the conveyor 5 through the opening 36 to transfer the dose of drug separated
from the drug tape 15 in the hollow body of the conveyor 5. The term dose defines,
in the present description, one or more units of a specific drug.
[0036] Advantageously, the separating means may include a bar-code reader 29 to verify the
effective correspondence of the drug required on the basis of the prescription data
to the drug supplied by the driving device 14 and ready for collection.
[0037] In the lower part of the conveyor 5 are mounted drug collecting means, shown in figure
9, comprising a drug discharge gate 25 movable between a closed position, in which
the drugs carried in the hollow body of the conveyor 5 are collected on the bottom
of the gate 25, and an open position, shown in figure 9a, in which the gate 25 discharges
the collected drugs into a relative collecting container 26; the gate 25 is thus hinged
to the conveyor 5 by means of pins 28 and moved by a piston 27 which, on a signal
from the control unit, controls the opening and closing of said gate 25.
[0038] Advantageously, to make the separation of the portion of tape 15 more reliable and
effective, one or more bars 32 arranged at different heights around the central area
of the bearing frame 1, can be connected to the bearing frame 1, each bar supporting
a second cutting member 21, such as a fixed linear blade protruding from the bar 32
and extending substantially along the entire length of the bar 32 itself. The second
cutting members 21 are arranged so as to be facing the first cutting members 22 and
cooperating with the same.
[0039] The innovative structure of the drug storing and supplying apparatus described above,
in particular the movable structure 4 that slides parallel to the longitudinal extension
of the bearing frame 1 along the guide profiles 7 and comprises the conveyor 5 and
the cutting units 24, possibly cooperating with the second fixed cutting members 21,
makes it possible to achieve the initially foreseen purposes and advantages, consisting
principally in the speed of collecting the drugs and in the constructive simplification
of the structure.
[0040] In fact, on the basis of the processed data contained in a specific prescription
and entered by the operator through a terminal, the server communicates to the control
unit which driving devices 14 to activate to dispense the doses of drugs indicated
in the prescription; at the completion of this step, the control unit actuates the
motor unit 6 which drives the sliding movement of the conveyor 5 from the holding
compartment 3 along the storage bays 2 of the bearing frame 1. During this transfer,
the circular blades 22 of the cutting units 24 installed on the conveyor 5 slide along
the corresponding fixed blades 21, thus separating by cutting in a single operating
stroke the portions of tape 15 protruding from the driving units 14 and containing
the prescribed doses of drug; the doses separated from the drug tape 15 fall into
the chutes 23 and are conveyed, through the hollow body of the conveyor 5, toward
the bottom of the gate 25 where they are collected.
[0041] At the end of the operating cutting stroke, the conveyor 5 returns to the idle position
in the holding compartment 3; the conveyor 5 can return to the initial position through
a return run or position itself in a second holding compartment located, at the end
of the operating run, from the opposite side the with respect to the initial position.
In any case, the control unit actuates the piston 27 to control the opening of the
gate 25 and discharge the doses of drugs collected in the collecting container 26.
From this moment, the operator may collect the contents of the container 26 and administer
the medication to the patient needing it.
[0042] Advantageously, the portions of tape 15 protruding from the driving devices 14 are
held in an optimal position for cutting the tape with the pivoting blade 33.
[0043] From the above, it is evident how in a single operating cutting stroke the conveyor
5 is capable of separating, conveying and collecting all the different selected drugs,
both in terms of type and quantity, from the server on the basis of the specific prescription
and supplied by the driving devices 14, reducing significantly the collecting times
for the operator.
[0044] A further advantage lies in the simplified structure of the cabinet, and in particular
of the conveyor 5 and the cutting units 24 mounted on it, which makes it possible
to limit both the number of moving devices and the quantity and range of movements
of the operating devices. The reduced complexity implies a smaller possibility of
malfunctions and breakages, which translates into smaller operating costs and a greater
reliability of the apparatus.
[0045] Naturally, the present invention is amenable to many applications, modifications
or variants without thereby departing from the scope of patent protection, as defined
by claims 1 and 10.
[0046] Moreover, the materials and equipment used to implement the present invention, as
well as the shapes and dimensions of the individual components, may be the most suitable
to meet the specific requirements.
1. Apparatus for storing and supplying drugs comprising a bearing frame (1) having a
vertical extension and a longitudinal extension in respect to a supporting floor,
said bearing frame (1) comprising at least a rack (10) formed by a plurality of levels
arranged along the vertical extension of said bearing frame (1), each level of said
rack (10) being adapted to house a plurality of drug storing and supplying means (8,
9, 14) packed in a tape (15), and at least a movable structure (4) for separating
and collecting said drugs, characterized in that said movable structure (4) comprises one or more cutting units (24) each arranged
at a respective level of said rack (10) and communicating with a conveyor (5), said
movable structure (4) being adapted to longitudinally slide in respect to said bearing
frame (1) to separate one or more portions of said tape (15) from the respective drug
storing and supplying means (8, 9, 14) by means of said cutting units (24), said one
or more portions of tape (15) being collected from said conveyor (5) to be conveyed
toward a collecting container (26).
2. Apparatus for storing and supplying drugs as in claim 1, wherein each said cutting
units (24) comprises a first cutting member (22) adapted to separate one or more portions
of tape (15) from said storing and supplying means (8, 9, 14) and a transfer member
(23) communicating with said conveyor (5) to transfer said one or more portions of
tape (15) towards said conveyor (5).
3. Apparatus for storing and supplying drugs as in claim 2, wherein at least a second
cutting member (21) is associable to said bearing frame (1), said second cutting member
(21) being adapted to cooperate with a respective first cutting member (22) to cut
a corresponding portion of tape (15) when said movable structure (4) slides in respect
to said bearing frame (1).
4. Apparatus for storing and supplying drugs as in claim 2, wherein said first cutting
member (22) is a circular blade driven in rotation by the sliding motion of said movable
structure (4).
5. Apparatus for storing and supplying drugs as in claim 1, wherein collecting means
(25) of said drugs are mounted at the lower end of said conveyor (5), said collecting
means (25) being movable between a closed position, for collecting said portions of
tape (15) each containing a dose of drug, and an open position to delivery said portions
of tape (15) into said collecting container (26).
6. Apparatus for storing and supplying drugs as in claim 1, wherein each said drug storing
and supplying means (8, 9, 14) comprises a storage support (8) adapted to receive
a coil (9) of said tape (15) and a driving device (14) adapted to supply a portion
of said tape (15).
7. Apparatus for storing and supplying drugs as in claim 6, wherein each said storage
supports (8) provided with a respective coil (9) are adapted to be removably housed
into said rack (10) at suitable guide members (13).
8. Apparatus for storing and supplying drugs as in claim 6, wherein each said driving
devices (14) are fastened to said rack (10) so as to face a respective storage support
(8) along the unwinding direction of said coil (9).
9. Apparatus for storing and supplying drugs as in claim 1, wherein said movable structure
(4) is slidable along suitable guide profiles (7) arranged on said bearing frame (1)
to perform, starting from a rest position, an operative run for separating and collecting
said one or more portions of said tape (15) along the longitudinal extension of said
bearing frame (1).
10. Method for storing and supplying drugs
characterized in that it comprises the steps of:
- housing one or more storage supports (8) of drugs packed in a tape (15) into suitable
guide members (13) of a rack (10) formed by one or more levels and engaging the free
end of each said tapes (15) with a respective driving device (14);
- supplying a portion of said tape (15) containing one or more drug units from said
one or more driving devices (14) selected on the basis of an appropriate prescription;
- actuating a sliding motion of a movable structure (4) along a longitudinal direction
in respect to said rack (10), said movable structure (4) comprising one or more cutting
units (24) each arranged at a respective level of said rack (10) and a conveyor (5)
communicating with said one or more cutting units (24);
- separating one or more respective portions of said tape (15) from said driving devices
(14) by means of said one or more cutting units (24);
- conveying through said conveyor (5) said one or more portion of said tape (15) towards
a collecting container (26).