DRUG MANAGEMENT METHOD FOR KIT FORMULATION REQUIRING DOSE ADJUSTMENT
20210205172 ยท 2021-07-08
Inventors
Cpc classification
B65B65/006
PERFORMING OPERATIONS; TRANSPORTING
Y02A90/10
GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
B65B43/52
PERFORMING OPERATIONS; TRANSPORTING
B65B2220/18
PERFORMING OPERATIONS; TRANSPORTING
G16H40/20
PHYSICS
A61J1/05
HUMAN NECESSITIES
B65B3/003
PERFORMING OPERATIONS; TRANSPORTING
International classification
A61J1/05
HUMAN NECESSITIES
Abstract
A packaging container for a drug having a recording medium and/or an identification mark for recording and updating one or more arbitrary information(s) selected from the group consisting of the information: an active ingredient of a drug, usage of a drug, drug dose, date of manufacture of a drug, expiration date of a drug, drug shipping date of a drug, traceability of drug delivery route from manufacturing to usage of a drug, and storage conditions (e.g., temperature, light (dark/light), humidity, etc.) including storage temperature and changes thereof, information including the administration date of a drug and a breakdown of the administration, amount of drug presented in drug-enclosing portion.
Claims
1. A packaging container for a drug having a recording medium and/or an identification mark for recording and updating one or more arbitrary information(s) selected from the group consisting of the information (1) to (9): (1) An active ingredient of a drug (2) Usage of a drug (3) Drug dose (4) Date of manufacture of a drug (5) Expiration date of a drug (6) Drug shipping date of a drug (7) Traceability of drug delivery route from manufacturing to usage of a drug, and storage conditions (e.g., temperature, light (dark/light), humidity, etc.) including storage temperature and changes thereof (8) Information including the administration date of a drug and a breakdown of the administration (9) Amount of drug presented in drug-enclosing portion.
2. The drug container according to claim 1, further containing the drug, which corresponds to (1) to (9) information about the drug concerned.
3. The drug container according to claim 2, wherein the drug dose is fixed or determined based on patient information of the usage and dose for the patient.
4. The drug container according to claim 2, wherein the drug for a patient is an injection for a disease selected from the group consisting of 1) to 17) below: 1) Sensory organ agents 2) Central nervous system agents 3) Peripheral nerve agents 4) Cardiovascular agents 5) Respiratory agents 6) Gastrointestinal Drug 7) Hormonal agents (antihormonal agents) 8) Drugs for blood and body fluids 9) Other metabolic drugs 10) Tumor drugs 11) Radiopharmaceuticals 12) Antibiotic agents 13) Chemotherapeutic agents 14) Biological agents 15) Parasitic drugs 16) Diagnostic drugs (excluding in-vitro diagnostic drugs) 17) Non-alkaloid narcotics.
5. A series of drug containers according to claim 2, each of which contains at least one drug dose selected from the group consisting of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 20, 30, 40, 50, 60, 70, 80, 90 and 100 wherein x indicates a multiplier of 0.001, 0.01, 0.1, 1.0, 10, 100, or 1000 depending on the approved prescribed dose of a drug (unit: g, mg, g) to be used for dose adjustment of the administration drug.
6. A kit product comprising a container containing a diluted or dissolved solution including an infusion solution or pure water and a plurality of drug enclosing portions having sealing part, wherein said drug is enclosed in the packaging container according to claim 1, and the container and the drug enclosing portions are brought into communication with each other by connecting the drug container in which the drug is enclosed to the packaging container via the sealing part and opening the sealing part, and a series of drug containers, each of which contains at least one drug dose selected from the group consisting of 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 20, 30, 40, 50, 60, 70, 80, 90 and 100 wherein x indicates a multiplier of 0.001, 0.01, 0.1, 1.0, 10, 100, or 1000 depending on the approved prescribed dose of a drug (unit: g, mg, g) to be used for dose adjustment of the administration drug having the drug according to claim 5.
7. The kit product according to claim 6 wherein the drug can be prepared by being placed in a container containing a diluted or dissolved solution, and the dose of the drug is selected based on patient information, by selecting the drug and the drug enclosing portions to adjust the dose of the drug and the dosage of the drug based on significant digit of the dose characterized in a constitution of a drug to be administered and a drug to be separated and not administered.
8. The kit product according to claim 6, which comprises a container containing a diluted or dissolved solution including an infusion solution or pure water, plural drug enclosing portions having sealing part(s), and plural drug containers selected from a series of drug containers.
9. A method for managing a kit product containing a selected drug container and a non-selected drug container characterized in comprising the following steps (1) to (7): (1) A step of providing medication prescription (2) A step of providing the kit product according to claim 6 based on the medication prescription (3) A step of providing a drug container selected for dispensing of the kit product (4) A step of drug management including a step of providing a non-selected drug container for dispensing the kit product (5) Classification of selected drug containers and non-selected drug containers in the above kit product (6) Providing data on the selected drug containers and information thereof based on the above classification results (7) Providing data on non-selected drug containers and information thereof based on the above classification results.
10. A control method of computer wherein the computer system includes a data storage area which is connected to the terminals of the medical provider, the dispensing provider, and the pharmaceutical provider and a data storage unit where the drug manufacturer and/or drug supplier store the addresses of the terminals thereof, and the data storage area is executed to manage a selected drug container and the drug thereof and a non-selected drug container and the drug thereof characterized in including the following steps (1) to (8) via computer network: (1) A step of receiving data of medication prescription from the terminal of the medical provider (2) A step of receiving the data of the kit product according to claim 6 from the terminals of the drug manufacturer and/or the drug supplier based on the data of the medication prescription (3) A step of receiving the data of a selected drug container for dispensing of the kit product at terminals of a dispensing provider, a pharmaceutical provider, and a drug manufacturer and/or a drug supplier (4) A step of controlling a computer including a step of receiving the data of a non-selected drug container for dispensing of the kit product at terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier (5) Classification of selected drug containers and non-selected drug containers in the above kit product (6) Accepting the data of the selected drug container and information thereof based on the above classification result at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier (7) Separation and collection of the non-selected drug containers on the basis of the above classification result, in response to receiving the data regarding the non-selected drug containers and information thereof at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier (8) The step of transmitting the processing information regarding the separation and the collection to the terminals of the medical provider, the dispensing provider, and the pharmaceutical provider.
11. A computer system wherein the computer system includes a data storage area which is connected to the terminals of the medical provider, the dispensing provider and a data storage unit where the drug manufacturer and/or drug supplier store the addresses of the terminals thereof, and the data storage area carries out management of a selected drug container and the drug thereof and a non-selected drug container and the drug thereof characterized in including the following steps (1) to (8) via computer network: (1) A step of receiving data of medication prescription from the terminal of the medical provider (2) A step of receiving the data of the kit product according to claim 6 from the terminals of the drug manufacturer and/or the drug supplier based on the data of the medication prescription (3) A step of receiving the data of a selected drug container for dispensing of the kit product at terminals of a dispensing provider, a pharmaceutical provider, and a drug manufacturer and/or a drug supplier (4) A step of controlling a computer including a step of receiving the data of a non-selected drug container for dispensing of the kit product at terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier (5) Classification of selected drug containers and non-selected drug containers in the above kit product (6) Accepting the data of the selected drug container and information thereof based on the above classification result at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier (7) Separation and collection of the non-selected drug containers on the basis of the above classification result, in response to receiving the data regarding the non-selected drug containers and information thereof at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier (8) Transmission of the processing information regarding the separation and the collection to the terminals of the medical provider, the dispensing provider, and the pharmaceutical provider.
12. A computer program wherein the computer system includes a data storage area which is connected to the terminals of the medical provider, the dispensing provider, and the pharmaceutical provider and a data storage unit where the drug manufacturer and/or drug supplier store the addresses of the terminals thereof, and the data storage area carries out management of a selected drug container and the drug thereof and a non-selected drug container and the drug thereof characterized in performing the following steps (1) to (8) via computer network: (1) A step of receiving data of medication prescription from the terminal of the medical provider (2) A step of receiving the data of the kit product according to claim 6 from the terminals of the drug manufacturer and/or the drug supplier based on the data of the medication prescription (3) A step of receiving the data of a selected drug container for dispensing of the kit product at terminals of a dispensing provider, a pharmaceutical provider, and a drug manufacturer and/or a drug supplier (4) A step of controlling a computer including a step of receiving the data of a non-selected drug container for dispensing of the kit product at terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier (5) Classification of selected drug containers and non-selected drug containers in the above kit product (6) Accepting the data of the selected drug container and information thereof based on the above classification result at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier (7) Separation and collection of the non-selected drug containers on the basis of the above classification result, in response to receiving the data regarding the non-selected drug containers and information thereof at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier based on the classification result (8) Transmitting the processing information regarding the separation and the collection to the terminals of the medical provider, the dispensing provider, and the pharmaceutical provider.
13. A method for producing a kit product characterized in comprising preparation of a series of drug containers according to claim 2.
14. A process for producing a kit product characterized in comprising preparation of a series of drug containers according to claim 2.
15. The method for producing a kit product according to claim 13 characterized in further using the recovered non-selected drug container according to a step of drug management including a step of providing a non-selected drug container for dispensing the kit product.
16. A method for separating, recovering and/or reusing a non-selected drug container, characterized in combining the method for managing a kit product according to claim 9.
17. A control method of computer for administration of the kit product according to claim 10 wherein the computer system includes a data storage area which is connected to each terminal of medical workers and a data storage unit where the medical workers store each the addresses of the terminals thereof, the data storage area is characterized in including the following means (1) to (3) via computer network: (1) Means for a doctor to transmit a medication prescription relating to the kit product, and to transmit and receive the data of the medication prescription among the terminals of medical workers other than the doctor (2) Means for transmitting or receiving the data regarding the selected drug containers and the information thereof and the data regarding the non-selected drug containers and the information thereof, and/or the data on a container containing a diluted or dissolved solution including an infusion solution or pure water and plural drug-enclosing portions having sealing part(s) among each terminal of medical workers in case of the kit product based on the data of the medication prescription, classifying selected drug containers and non-selected drug containers is settled (3) Means for transmitting and receiving processing information regarding separation and collection of the non-selected drug container among each terminal of medical workers.
18. A computer system for administration of the kit product according to claim 10, which includes a data storage area which is connected to each terminal of medical workers and a data storage unit where the medical workers store each the addresses of the terminals thereof, the data storage area is characterized in including the following means (1) to (3) via computer network: (1) Means for a doctor to transmit a medication prescription relating to the kit product, and to transmit and receive the data of the medication prescription among the terminals of medical workers other than the doctor (2) Means for transmitting or receiving the data regarding the selected drug containers and the information thereof and the data regarding the non-selected drug containers and the information thereof, and/or the data on a container containing a diluted or dissolved solution including an infusion solution or pure water and plural drug-enclosing portions having sealing part(s) among each terminal of medical workers in case of the kit product according to claim 6 based on the data of the medication prescription, classifying selected drug containers and non-selected drug containers is settled (3) Means for transmitting and receiving processing information regarding separation and collection of the non-selected drug container among each terminal of medical workers.
19. A computer program for administration of the kit product according to claim 10 wherein the computer system includes a data storage area which is connected to each terminal of medical workers and a data storage unit where the medical workers store each the addresses of the terminals thereof, the data storage area is characterized in including the following means (1) to (3) via computer network: (1) Means for a doctor to transmit a medication prescription relating to the kit product, and to transmit and receive the data of the medication prescription among the terminals of medical workers other than the doctor. (2) Means for transmitting or receiving the data regarding the selected drug containers and the information thereof and the data regarding the non-selected drug containers and the information thereof, and/or the data on a container containing a diluted or dissolved solution including an infusion solution or pure water and plural drug-enclosing portions having sealing part(s) among each terminal of medical workers in case of the kit product based on the data of the medication prescription, classifying selected drug containers and non-selected drug containers is settled (3) Means for transmitting and receiving processing information regarding separation and collection of the non-selected drug container among each terminal of medical workers.
Description
DESCRIPTION OF EMBODIMENTS
[0148] The first embodiment of the present invention is a packaging container for the drug. Further, it is characterized by having a recording medium and/or an identification mark for recording/updating one or more arbitrary information selected from the group consisting of the following.
(1) An active ingredient of drug
(2) Usage of a drug
(3) Drug dose
(4) Date of manufacture of a drug
(5) Expiration date of a drug
(6) Drug shipping date of a drug
(7) Traceability of drug delivery route from manufacturing to drug usage and storage conditions including storage temperature and its changes (eg temperature, light (dark and light), humidity, time, etc.)
(8) Information including the administration date of the drug and a breakdown of the administration
(9) Amount of drug present in drug-enclosing portion
[0149] The second embodiment is a drug container containing a drug, particularly a drug whose dosage for a patient is determined based on the unit of mg/kg or mg/m2 in terms of usage/dose.
[0150] A third embodiment is a kit product consisting of:
(1) Container containing diluted/dissolved solution containing infusion solution or pure water
(2) A plurality of drug-enclosing portions having sealing parts (Here, the medicine is enclosed in the packaging container of the first embodiment, and the drug container in which the medicine is enclosed in the packaging container and the container are connected via the sealing part, by opening the sealing part, the container and the drug container communicate with each other)
(3) A series of drug containers according to the second embodiment containing the drug
[0151] Among them, a kit product having the following characteristics is preferable.
(1) Kit product in which the above-mentioned drug can be prepared by being placed in a container containing a diluted/dissolved solution
(2) The dose of the drug is selected based on patient information.
(3) It is possible to adjust the dosage of the drug based on the number of significant figures of the dose by selecting the drug and the drug enclosing portion.
(4) It has a composition selected from the group consisting of a drug to be administered and a drug to be separated and not administered.
[0152] In particular, a kit product consisting of the following is preferable.
(1) Container containing diluted/dissolved solution containing infusion solution or pure water
(2) A plurality of drug enclosing portions having sealing parts
(3) A plurality of drug containers selected from a series of drug containers
[0153] However, in that case, a kit product as a so-called fixed-dose drug can be prepared without the generation of a drug to be separated and not administered in some cases.
[0154] The fourth embodiment relates to a business model using the kit product of the third embodiment. A method of managing a kit product including a selected drug container and a non-selected drug container are characterized by including the following configurations (1) to (7):
(1) Step of providing medication prescription
(2) Step of providing the kit product of the third embodiment based on the medication prescription
(3) Step of providing a drug container selected for preparation of the kit product
(4) A drug management method including a step of providing a non-selected drug container for dispensing the kit product
(5) Classification of selected drug containers and non-selected drug containers in the above kit product
(6) Providing data on the selected drug container and its information based on the above classification results
(7) Providing data on non-selected drug containers and their information based on the above classification results
[0155] In business model A, a computer control method having the following features 1) and 2) is preferable.
1) The data storage area must include the following configurations (1) to (8).
2) Management of selected drug container and its drug and non-selected drug container and its drug
[0156] (However, the business model A is a business model using a kit product. And, above all, it is a computer system including the following configurations <1> and <2> via a computer network.
<1> Data storage area connected to the terminal of the medical provider and the terminal of the dispensing provider
<2> Data storage unit of drug manufacturer and/or drug supplier storing terminal address of drug manufacturer and/or drug supplier)
(1) Step of accepting medication prescription data from the terminal of the medical provider
(2) A step of receiving the data of the kit product according to [6] from the terminals of the drug manufacturer and/or the drug supplier based on the data of the medication prescription.
(3) A step of receiving the data of the drug container selected for dispensing of the kit product at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier.
(4) A method of controlling a computer including a step of receiving data of a non-selected drug container for dispensing the kit product at a terminal of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier for dispensing.
(5) Classification of selected drug containers and non-selected drug containers in the above kit product
(6) Accepting data on the selected drug container and its information based on the above classification result at the terminals of the dispensing provider, pharmaceutical provider and drug manufacturer and/or drug supplier.
(7) Based on the above classification result, the data related to the non-selected drug container and its information is accepted at the terminal of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier. According to this acceptance, non-selected drug containers are separated and recovered.
(8) Sending the processing information regarding the separation and recovery to the terminal of the medical provider, the terminal of the dispensing provider, and the terminal of the pharmaceutical provider.
[0157] The drug management method using this computer control method is characterized by comprising the following (1) to (5).
[0158] And, it is a method which can provide management of not only the selected drug container and its medicine but also the non-selected drug container and its drug.
(1) Means for accepting medication prescription data from the terminal of the medical provider
(2) A means for classifying the selected drug container and the non-selected drug container, and receiving the selected drug container and the data related to the information and the non-selected drug container and the data related to the information based on the data of the medication prescription in the above-mentioned kit product.
(3) A means of sending the data regarding the selected drug container and its information and the data regarding the non-selected drug container to be recovered and its information to the terminals of the drug manufacturer and/or drug supplier based on the classification,
(4) A means for recovering the non-selected drug container in response to receiving that the non-selection for the recovery has been received from the terminal of the drug manufacturer and/or the drug supplier.
(5) A means for transmitting processing information for the recovery to the terminal of the medical provider and the terminal of the dispensing provider
[0159] The fifth embodiment relates to a computer system having the following features.
<1> Via computer network
<2> Consisting of a data storage area connected to the terminal of the medical provider, the terminal of the dispensing provider, and the terminal of the pharmaceutical provider and data storage unit of drug manufacturer and/or drug supplier storing terminal addresses of drug manufacturer and/or drug supplier
<3> The data storage area must include the following steps of (1) to (8).
<4> Management of selected drug container and its drug and non-selected drug container and its drug
(1) A step of accepting medication prescription data from the terminal of the medical provider
(2) A step of receiving the data of the kit product according to [6] from the terminal of the drug manufacturer and/or the drug supplier based on the data of the medication prescription.
(3) A step of receiving data of a drug container selected for dispensing of the kit product at a terminal of a dispensing provider, a pharmaceutical provider, and a drug manufacturer and/or a drug supplier
(4) Computer system including a step of receiving data of a non-selected drug container for dispensing of the kit product at a terminal of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier
(5) Classification of selected drug containers and non-selected drug containers in the above kit product
(6) Accepting data on a selected drug container and its information based on the above classification result at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier.
(7) Based on the above classification result, separation and recovery of the non-selected drug container in response to receiving data regarding the drug container and its information at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier.
(8) To transmit the processing information regarding the separation and recovery to the terminal of the medical provider, the terminal of the dispensing provider, and the terminal of the pharmaceutical provider.
[0160] This computer system is a drug management method system having the following <1> to <4> characteristics.
<1> Via computer network.
<2> Consisting of a data storage area connected to the terminal of the medical provider and the terminal of the dispensing provider and data storage unit of drug manufacturer and/or pharmaceutical provider storing terminal addresses of drug manufacturer and/or drug supplier
<3> The data storage area is composed of the following means of (1) to (5).
<4> Not only the selected drug container and its medicine but also the non-selected drug container and its medicine are managed.
(1) Means of accepting medication prescription data from the terminal of the medical provider
(2) Means of classifying selected drug containers and non-selected drug containers and accepting data relating to selected drug container and its information and data relating to non-selected drug container and its information based on the data of the medication prescription in the kit product according to [6].
(3) Means of sending data of the selected drug container and its information and data on the non-selected drug container to be recovered and its information based on the classification to the terminals of the drug manufacturer and/or drug supplier.
(4) Means of recovering the non-selected drug container in response to receipt of the acceptance of the non-selection/recovery from the terminal of the drug manufacturer and/or the drug supplier
(5) Means of transmitting the processing information for the non-selection/recovery to the terminal of the medical provider and the terminal of the dispensing provider
[0161] The sixth embodiment relates to a computer program having the following features <1> to <4>.
<1> Via computer network.
<2> A computer system including the following 1) and 2).
1) Data storage area connected to the terminal of the medical provider, the terminal of the dispensing provider, and the terminal of the pharmaceutical provider
2) Data storage unit of the drug manufacturer and/or drug supplier that stores the terminal addresses of the drug manufacturer and/or drug supplier
<3> The data storage area includes the following steps of (1) to (8).
<4> The selected drug container and its drug, and the non-selected drug container and its drug are managed.
(1) Step of accepting medication prescription data from the terminal of the medical provider
(2) A step of receiving the data of the kit product according to claim 6 from the terminal of the drug manufacturer and/or the drug supplier based on the data of the medication prescription.
(3) A step of receiving data of a drug container selected for dispensing of the kit product at a terminal of a dispensing provider, a pharmaceutical provider, and a drug manufacturer and/or a drug supplier
(4) A computer program including a step of receiving data of a non-selected drug container for dispensing of the kit product at a terminal of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier.
(5) Classification of selected drug containers and non-selected drug containers in the above kit product
(6) Accepting data of the selected drug container and its information based on the above classification result at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or the drug supplier.
(7) Separation and recovery of the non-selected drug container according to acceptance of data on non-selected drug containers and their information based on the above classification result, at the terminals of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier.
(8) To transmit the processing information regarding the separation and recovery to the terminal of the medical provider, the terminal of the dispensing provider, and the terminal of the pharmaceutical provider.
[0162] The seventh embodiment is a method for producing a kit product including a series of drug containers, which utilizes the following <1> to <3>.
<1> Preparing a series of drug containers according to the second embodiment.
[0163] However, it includes the recovered non-selected packaging container described in the fourth embodiment (4), the fifth embodiment (4) and/or the sixth embodiment (4).
<2> A kit product is prepared by combining a plurality of drug-enclosing portions having a container containing diluted/dissolved solution containing the infusion solution or pure water and a sealing part described in the third embodiment, and the series of drug containers.
<3> The drug management method according to the fourth embodiment, the fifth embodiment, or the sixth embodiment
[0164] The kit product of the present invention is manufactured by the usual methods 1) and 2) below.
1) Producing a set of kit product by combining drug containers such as diluted/dissolved solution containing infusion or pure water and a series of vials containing the same drug.
2) Store together with the package insert, for example, in one packaging box.
[0165] The eighth embodiment is a process for producing a kit product consisting of a series of drug containers having the following features 1) to 4).
1) Include a recovered non-selected packaging container as described in the fourth embodiment (4), the fifth embodiment (4) and/or the sixth embodiment (4).
2) Prepare the series of drug containers described in the second embodiment.
3) A kit product is prepared by combining a plurality of drug-enclosing portions having sealing parts and a container containing the diluted/dissolved solution containing the infusion solution or pure water described in the third embodiment and the series of drug containers.
4) The drug management method described in the fourth embodiment, the fifth embodiment, or the sixth embodiment is used.
[0166] Specifically, it means a process consisting of the following 1) to 3).
1) A process of storing each member in a container for packaging a kit product such as a cardboard box, a container for an infusion solution bag with a connection port, and a container for a plurality of independent drug vials.
2) A process of transporting each member independently
3) A process of installing the infusion solution bag and the drug vial in place on the packaging container for the carried kit product.
[0167] In this process, a process of confirming the inclusion of package inserts necessary for the product and the reliable installation of the components of the kit product (the infusion bag and the drug vial) can be added.
[0168] It should be noted that it is desirable to add a process to remove the missing kit product from the manufacturing process.
[0169] A method for recovering and/or reusing a surplus drug, characterized by combining the following 1) and 2):
1) The ninth embodiment is a drug management method according to any of the fourth, fifth, and sixth embodiments.
2) Manufacturing method described in the seventh embodiment.
[0170] The tenth embodiment is the kit product management system according to [6], which has the features 1) to 2).
1) A drug management method in a computer system including a data storage area connected to a terminal of each medical worker via a computer network and a data storage unit storing a terminal address of each medical worker
2) The data storage area includes the following means (1) to (3)
(1) Means for the doctor to transmit the medication prescription relating to the kit product described in [6], and to transmit and receive the data of the medication prescription between the terminals of the medical worker other than the physician.
(2) Means of sending and receiving the data related to the following A) to C) between the terminals of each medical worker after being classification of the selected drug container and the non-selected drug container on the basis of the medication prescription in the kit product described in [6].
A) Data on selected drug container and its information
B) Data on non-selected drug containers and their information
C) A plurality of drug-enclosing portions having a sealing part and a container that contains a diluted/dissolved solution containing infusion solution or pure water.
(3) Means for transmitting and receiving the processing information regarding the recovery of the non-selected drug container between the terminals of each medical worker
[0171] The eleventh embodiment is the method for managing the kit product according to [6], which is characterized by the following A) to C).
A) Via computer network
B) The present invention relates to a drug management method in a computer system including a data storage unit connected to each medical worker's terminal and a data storage unit storing each medical worker's terminal address.
C) The data storage area includes the following means (1) to (3)
(1) Means of transmitting the medication prescription relating to the kit product described in
[6] by doctors, and sending and receiving the data of the medication prescription between the terminals of the medical worker other than the physician.
(2) Means of classifying selected drug containers and non-selected drug containers and sending/receiving the following 1) to 3) data between terminals of each medical worker based on the data of the medication prescription, in the kit product according to [6].
1) Data on selected drug container and its information
2) Data on non-selected drug containers and their information
3) Data on a plurality of drug-enclosing portions having a container and a sealing part containing a diluted/dissolved solution containing an infusion solution or pure water.
(3) Means of sending and receiving the processing information regarding the recovery of the non-selected drug container between the terminals of each medical worker
EXAMPLES
[0172] Examples of the packaging container, the drug container in which the drug is enclosed, and the kit product of the present invention are shown below to specifically describe the present invention, but the present invention is not limited thereto.
Example 1
[0173] As shown in
[0174] Although not shown, the characteristic feature of the present packaging container is that it has a recording medium and/or an identification mark having the following characteristics A).
A) A recording medium and/or an identification mark for recording/updating one or more arbitrary information selected from the group consisting of the following (1) to (9) on the bottom surface or the side surface of the septum or the packaging container.
(1) An active ingredient of drug
(2) Usage of a drug
(3) Drug dose
(4) Date of manufacture of a drug
(5) Expiration date of a drug
(6) Drug shipping date of a drug
(7) Traceability of drug delivery route from manufacturing to drug usage and storage conditions including storage temperature and its changes (eg temperature, light (dark and light), humidity, time, etc.)
(8) Information including the administration date of the drug and a breakdown of the administration
(9) Amount of drug present in drug-enclosing portion
[0175] Furthermore, in addition to (10) the information on the type of drug to be administered and the type of drug to be separated and not administered, information necessary for managing the drug can be appropriately recorded/updated in the packaging container.
Example 2
[0176] As shown in
[0177] Although not shown, the characteristic feature of the present packaging container is to have a recording medium and/or an identification mark with one or more arbitrary information selected from the group consisting of the following (1) to (9) which is recorded/updated on the bottom surface or the side surface of the septum or the packaging container.
(1) An active ingredient of drug
(2) Drug usage
(3) Drug dose
(4) Date of manufacture of a drug
(5) Expiration date of a drug
(6) Drug shipping date of a drug
(7) Traceability of drug delivery route from manufacturing to drug usage and storage conditions including storage temperature and its changes (eg temperature, light (dark and light), humidity, time, etc.)
(8) Information including the administration date of the drug and a breakdown of the administration
(9) Amount of drug present in drug-enclosing portion
[0178] Furthermore, in addition to (10) the information on the type of drug to be administered and the type of drug to be separated and not administered, information necessary for managing the drug can be appropriately recorded/updated in the packaging container.
Example 3
[0179] As shown in
[0180] With respect to the container containing the diluted/dissolved solution containing the infusion solution or pure water, the drug enclosing portion and the drug container containing the drug are plural to 100, preferably 20, more preferably 10, and further preferably 5. [0181] 1-1, 1-2, . . . , 1-n represent vials, [0182] 2-1, 2-2, . . . , 2-n respectively indicate drug-enclosing portions, [0183] 3-1, 3-2, . . . , 3-n respectively represent the drug enclosed in the vial, [0184] 4-1, 4-2, . . . , 4-n respectively represent septum parts forming a part of the vial, [0185] 5-1, 5-2, . . . 5-n are double-ended needles, [0186] 6-1, 6-2, . . . 6-n respectively indicate holes formed in the double-ended needles, [0187] 7-1, 7-2, . . . 7-n respectively indicate septa of connection ports, [0188] 8-1, 8-2, . . . 8-n respectively indicate connection ports, [0189] 9 denotes a diluted/dissolved solution containing an infusion solution or pure water in the infusion solution bag part (13), [0190] 10 is a connecting portion for connecting the infusion solution bag part (13) and the administration route (17), [0191] 10 shows a septum (19) to which the needle (14) of the administration route is pierced and a female screw structure (11) for fixing the needle (14) so as not to come off, [0192] 11 shows a female screw structure for fixing the administration route (17) to the infusion solution bag part (13), [0193] 12 indicates a connection port section, [0194] 13 shows an infusion solution bag part, [0195] 18-1, 18-2, . . . , 18-n respectively indicate supports for holding the double-ended needles in a position perpendicular to the septum, [0196] 19 denotes a septum portion to which the needle (14) of the administration route (17) is stuck.
Example 4
[0197] As shown in
[0203] In addition, in the kit product of the present invention, the number of connection ports (pieces) related to dose adjustment, the number of surplus ports (pieces), the number of vials (pieces), the number of vials per digit of the dose (pieces), and the relationship of the type and the numbers (pieces) of standard is described as in Table 1 below.
[0204] Table 1 is as shown in
[0205] When the number of connection ports is 1, the number of connection ports used for dose adjustment is 1, and the number of connection ports not used for dose adjustment is 0.
[0206] At this time, the number of vials required is 100, and the types thereof are 1 mg, 2 mg, 3 mg, . . . 100 mg, and the number of standards is 100.
[0207] When the number of connection ports is 2, the maximum number of connection ports used for dose adjustment is 2, and the number of connection ports not used for dose adjustment is 0 to 1.
[0208] At this time, the number of vials required is 18, the types thereof are 1 mg, 2 mg, . . . 9 mg, 10 mg, . . . 90 mg, and the number of standards is 18.
[0209] When the number of connection ports is 3, the maximum number of connection ports used for dose adjustment is 3, and the number of connection ports not used for dose adjustment is 0 to 2.
[0210] At this time, the number of vials required is 18, the types thereof are 1 mg, 2 mg, . . . 9 mg, 10 mg, . . . 90 mg, and the number of standards is 18.
[0211] When the number of connection ports is 4, the maximum number of connection ports used for dose adjustment is 4, and the number of connection ports not used for dose adjustment is 0 to 3.
[0212] At this time, the number of vials required is 10, and the types thereof are 1 mg, 2 mg, . . . 5 mg, 10 mg, . . . 50 mg, and the number of standards is 10.
[0213] When the number of connection ports is 5, the maximum number of connection ports used for dose adjustment is 5, and the number of connection ports not used for dose adjustment is 0 to 4.
[0214] At this time, the number of vials required is 10, and the types thereof are 1 mg, 2 mg, . . . 5 mg, 10 mg, . . . 50 mg, and the number of standards is 10.
[0215] When the number of connection ports is 6, the maximum number of connection ports used for dose adjustment is 6, and the number of connection ports not used for dose adjustment is 0 to 5.
[0216] At this time, the number of vials required is 8, and the types are 1 mg, 2 mg, 3 mg, 4 mg, 10 mg, 20 mg, 30 mg, 40 mg or 1 mg, 2 mg, 3 mg, 5 mg, 10 mg, 20 mg, 30 mg, 50 mg or 1 mg, 2 mg, 3 mg, 6 mg, 10 mg, 20 mg, 30 mg, 60 mg or 1 mg, 2 mg, 3 mg, 7 mg, 10 mg, 20 mg, 30 mg, 70 mg, and the number of standards is eight.
[0217] When the number of connection ports is 7, the maximum number of connection ports used for dose adjustment is 7, and the number of connection ports not used for dose adjustment is 0 to 6.
[0218] At this time, the number of vials required is 8, and the types are 1 mg, 2 mg, 3 mg, 4 mg, 10 mg, 20 mg, 30 mg, 40 mg or 1 mg, 2 mg, 3 mg, 5 mg, 10 mg, 20 mg, 30 mg, 50 mg or 1 mg, 2 mg, 3 mg, 6 mg, 10 mg, 20 mg, 30 mg, 60 mg or 1 mg, 2 mg, 3 mg, 7 mg, 10 mg, 20 mg, 30 mg, 70 mg, and the number of standards is eight.
[0219] When the number of connection ports is 8, the maximum number of connection ports used for dose adjustment is 8, and the number of connection ports not used for dose adjustment is 0 to 7.
[0220] At this time, the number of vials required is 8, and the types are 1 mg, 2 mg, 3 mg, 4 mg, 10 mg, 20 mg, 30 mg, 40 mg or 1 mg, 2 mg, 3 mg, 5 mg, 10 mg, 20 mg, 30 mg, 50 mg or 1 mg, 2 mg, 3 mg, 6 mg, 10 mg, 20 mg, 30 mg, 60 mg or 1 mg, 2 mg, 3 mg, 7 mg, 10 mg, 20 mg, 30 mg, 70 mg, and the number of standards is eight.
[0221] When the number of connection ports is 9, the maximum number of connection ports used for dose adjustment is 8, and the number of connection ports not used for dose adjustment is 1 to 8.
[0222] At this time, the number of vials required is 8, and the types are 1 mg, 2 mg, 3 mg, 4 mg, 10 mg, 20 mg, 30 mg, 40 mg or 1 mg, 2 mg, 3 mg, 5 mg, 10 mg, 20 mg, 30 mg, 50 mg or 1 mg, 2 mg, 3 mg, 6 mg, 10 mg, 20 mg, 30 mg, 60 mg or 1 mg, 2 mg, 3 mg, 7 mg, 10 mg, 20 mg, 30 mg, 70 mg, and the number of standards is eight.
[0223] When the number of connection ports is 10, the maximum number of connection ports used for dose adjustment is 8, and the number of connection ports not used for dose adjustment is 2 to 9.
[0224] At this time, the number of vials required is 8, and the types are 1 mg, 2 mg, 3 mg, 4 mg, 10 mg, 20 mg, 30 mg, 40 mg or 1 mg, 2 mg, 3 mg, 5 mg, 10 mg, 20 mg, 30 mg, 50 mg or 1 mg, 2 mg, 3 mg, 6 mg, 10 mg, 20 mg, 30 mg, 60 mg or 1 mg, 2 mg, 3 mg, 7 mg, 10 mg, 20 mg, 30 mg, 70 mg, and the number of standards is eight.
[0225] When the number of connection ports is 20, the maximum number of connection ports used for dose adjustment is 8, and the number of connection ports not used for dose adjustment is 12 to 19.
[0226] At this time, the number of vials required is 8, and the types are 1 mg, 2 mg, 3 mg, 4 mg, 10 mg, 20 mg, 30 mg, 40 mg or 1 mg, 2 mg, 3 mg, 5 mg, 10 mg, 20 mg, 30 mg, 50 mg or 1 mg, 2 mg, 3 mg, 6 mg, 10 mg, 20 mg, 30 mg, 60 mg or 1 mg, 2 mg, 3 mg, 7 mg, 10 mg, 20 mg, 30 mg, 70 mg, and the number of standards is eight.
[0227] Next, a method for managing the kit product of the present invention, particularly a method for managing the kit product via a computer network will be described.
[0228] First, the method for managing the kit product of the present invention will be described.
[0229] A business model for managing a kit product of the present invention is characterized by including the following (1) to (7), and be able to manage a kit product including a selected drug container and a non-selected drug container.
(1) A step of providing a medication prescription
(2) A step of providing the kit product according to claim 6 based on the medication prescription.
(3) A step of providing a drug container selected for dispensing of the kit product (4) A method of managing a drug, which comprises the step of providing a non-selected drug container for dispensing the kit product.
(5) Classification of selected drug containers and non-selected drug containers in the above kit product
(6) To provide data on the selected drug container and its information based on the above classification result.
(7) To provide data on non-selected drug containers and their information based on the above classification results
[0230] Among them, the method for managing the kit product through the computer network of the present invention, the method for producing the kit product, and the recovery and/or reuse of the surplus drug through the method for managing the kit product can be performed by a business model according to the description of Table 2 below.
[0231] Table 2 is as shown in
[0232] In this business model, (1) a medical provider such as a doctor, (2) a dispensing provider such as a hospital medicine part (pharmacist) or the like, and (3) a pharmaceutical provider such as a medical pharmacist (pharmacist), and (4) a drug supplier such as a drug manufacturer and/or a medicine wholesale of the preparation plant (pharmaceutical company), stores data, information and the like generated in the business in a data storage area of a server or the like, and allows sharing of information through the computer network, and performs business by the following steps (1) to (5)
[0233] 1) By examining and diagnosing the patient, the medical provider stores the data of the medication prescription, which describes the type of the drug, the dosage of the drug, the administration schedule, etc., in the data storage area for the drug required for the treatment. At the same time, in the case of a hospital, the medical provider provides the dispensing provider with patient information such as the height and weight of the patient necessary to determine the dosage, and the dispensing provider provides the patient information with pharmaceutical provider s.
[0234] Furthermore, the dispensing provider orders the drug manufacturer and/or the drug supplier via the pharmaceutical provider (or directly) to buy the kit product containing the drug enclosing portions that is not administered.
[0235] The drug manufacturer and/or drug supplier delivers the ordered kit product to the pharmaceutical provider (or medical provider or dispensing provider).
[0236] In the case of home medical care, etc., the medical provider directly orders the drug manufacturer and/or the drug supplier for the kit product containing the drug enclosing portion not to be administered, and the drug manufacturer and/or the drug supplier to deliver the kit product ordered by the medical provider.
[0237] Even in the case of a medical practitioner who is in charge of home medical care, when receiving support from a dispensing pharmacy in the neighborhood, an order is placed through the dispensing pharmacy and the kit product is supplied through the dispensing pharmacy.
[0238] 2) Based on the stored medication prescription data, selected drug containers and non-selected drug containers are classified in the kit product, and data regarding the selected drug container and its information and non-selected drug container and its information is stored in the data storage area.
[0239] 3) Data regarding the selected drug container and its information and data regarding the non-selected drug container and its information are transmitted to the terminals of medical providers, dispensing providers, pharmaceutical providers and drug manufacturers and/or drug providers, based on the classification.
[0240] 4) The non-selected drug container is recovered by the drug provider or the dispensing provider or medical provider in response to receiving that the non-selection has been accepted from the terminal of the dispensing provider, the pharmaceutical provider, and the drug manufacturer and/or drug supplier.
[0241] In parallel, the drug provider provides the medical provider with a kit product that matches the medication prescription, or the dispensing provider or medical provider directly obtains the kit product, the kit product is used for treatment.
[0242] 5) The dispensing information and the processing information for the recovery are transmitted to the terminal of the medical provider, the terminal of the dispensing provider, the terminal of the pharmaceutical provider, and the terminal of the drug manufacturer and/or the drug supplier.
[0243] As an example, if a pharmacy near the medical institution that provides cancer treatment (an internal pharmacy (pharmacies right outside a doctor's office or hospital)) manages the storage of kit products, dispensing support, and management of remaining drugs, the kit product is composed of many vial formulations as its parts.
[0244] Therefore, the problems (1) securing a storage place at the time of storage, (2) mistakes due to complexity of preparation and (3) complexity of management of remaining drug are solved. Specifically, the kit product is managed according to the following flow.
1) A medical institution places an order for a kit product at the internal pharmacy.
2) The internal pharmacy stores the kit product until it is used.
3) Send the patient data necessary for dispensing to the internal pharmacy immediately before use by the medical institution.
4) Based on the data sent from the medical institutions, the internal pharmacy will deliver the kit product to the medical institutions at the final stage of dosage adjustment (Just piercing the vial).
5) The medical institution performs the final stage of dose adjustment (piercing the vial) and completes the dispensing.
6) The remaining drugs (surplus drugs) generated shall be managed and stored by the internal pharmacy and used appropriately and in a timely manner.
7) Under the current Pharmaceutical Affairs Law, dispensing is limited to pharmacists engaged in hospitals, pharmacies, etc., or those who dispense under the direction of a doctor, but due to deregulation, etc. If the distributor is eased to a distributor such as a wholesaler, the distributor can also manage the regimen kit product.
[0245] Alternatively, drug management may be performed by a dispensing provider (pharmacy of a medical institution) or a pharmaceutical provider (internal pharmacy).
[0246] Furthermore, in some cases medicines do not go through a drug supplier (distributor), but directly from a drug manufacturer (formulation factory) to a medical provider (doctor of a medical institution), a dispensing provider (pharmaceutical department of a medical institution), a pharmaceutical provider (internal pharmacy).
[0247] Alternatively, in the case of home medical care, etc., if the medical provider directly manages the drug, and if the doctor performing the home medical care receives the support of a nearby dispensing pharmacy, the dispensing pharmacy may manage the drug in some cases.
[0248] In such cases, drug manufacturers may supply drugs directly to those that manage them. In this case, the drug supply may or may not be via a drug supplier (distributor).
[0249] Next, a computer system and a computer program for executing management of the kit product via a computer network,
method and process for manufacturing the kit product
and the method of recovering and/or reusing the surplus drug through the management method of the kit product will be showed,
and the present invention will be specifically described, but the present invention is not limited thereto.
Example 5
[0250]
[0251] In the figure, 100 is a computer system of a pharmaceutical company (formulation factory), 110 is a computer system of a pharmaceutical wholesaler, 120 is a computer system of a dispensing pharmacy (internal pharmacy), and 130 and 140 are computer system of a medical institution. Reference numeral 150 denotes the Internet (a network that performs data communication in accordance with the communication protocol of TCP/IP protocol (Transmission Control Protocol/Internet Protocol)).
[0252] The Internet 150 is shown as a representative example of communication means, and may be ordinary data communication or the like. In the present embodiment, a description will be given using the Internet.
[0253] Therefore, the computer system 100 of the pharmaceutical company (formulation factory) or the computer system 110 of the pharmaceutical wholesaler has a WWW server.
[0254] And the computer system 120 of the dispensing pharmacy (internal pharmacy), the computer system 130 of the medical institution, and the computer system 140 of the medical institution, which are the computer systems of those customers, have WWW browsers.
[0255] In addition, it is also possible to implement a mode in which a WWW browser is used in each computer system by using a cloud server.
[0256] Further, 150 may have other communication means not via the Internet, for example, a dedicated line may be installed, or a shared network other than the Internet may be used. Also, 110 (pharmaceutical wholesaler) or 120 (dispensing pharmacy (internal pharmacy)) may not enter the network.
[0257] The computer system of this embodiment is
[0258] A pharmaceutical wholesaler collects data and related information transmitted from computer systems 120, 130, 140 of a dispensing pharmacy or a medical institution (customer).
[0259] It is taken into the computer system 100 or the computer system 110 via the WWW server (including a mail server etc.) 190 (see
[0260] Then, according to the prescription by the doctor, the selected drug container and its drug and the non-selected separated and recovered drug container and its drug are classified,
[0261] This is a system that manages data related to selected drug containers and their information and data related to non-selected drug containers and their information based on the classification result (where the non-selected drug containers follow the prescription, It may not be done.).
[0262] Further, the WWW browsers of the computer systems 120, 130, 140 have a function of searching and displaying data of the computer system 100 of a pharmaceutical company (formulation factory) or the computer system 110 of a pharmaceutical wholesaler.
[0263] Also, there are various forms of customer scale,
[0264] For example, in medical institutions,
[0265] Although described as computer systems 130 and 140,
[0266] There are a scale capable of processing data such as a receipt and a chart by a single computer (standalone type) and a small scale system, or a scale capable of processing by a client/server type computer system including a LAN. 130 is a small-scale computer system, and 140 is a large-scale computer system.
[0267] Similarly, a computer system 120 of a dispensing pharmacy (internal pharmacy) also has a stand-alone type capable of processing and a system having a small LAN.
[0268] In the case of using the cloud server, the processing can be performed by each computer system regardless of the various types of customer scales as described above.
[0269] The computer 100* of the pharmaceutical company (formulation factory) or the computer 110* of the pharmaceutical wholesaler will be described with reference to
[0270] It should be noted that these two computers do not necessarily have to exist as a server function, but in order to enhance management/maintenance, it is preferable to have them as backups.
[0271] A computer 100* of a pharmaceutical company (pharmaceutical factory) or a computer 110* of a pharmaceutical wholesaler includes a LAN with a customer-specific use data storage device 170, a customer-specific inventory data storage device 180, an output device 160, etc. It is connected to the Internet 150 via a WWW server 190.
[0272] The computer 100* of the pharmaceutical company (pharmaceutical factory) or the computer 110* of the pharmaceutical wholesaler may use individual data processing as a distributed processing type.
[0273] And, including such a configuration, it is named a computer for a pharmaceutical company (formulation factory) or a pharmaceutical wholesaler business.
[0274] The customer-specific usage data storage device 170 stores the consumed medicine data of each drug, which is the consumed medicine data transmitted from the customer and the related information for each customer.
[0275] The customer-specific inventory data storage device 180 corresponds to an inventory master file, and stores the inventory data of each drug for each customer.
[0276] The output device 160 is a display or printer such as a CRT (Cathode Ray Tube) or an LC (liquid crystal).
[0277] As shown in
[0278] The computer system classifies the drug container and its drug selected in the regimen kit product and the non-selected separated and recovered drug container and its drug with the keyboard that is the input device 123, according to the prescription issued to administer the patient.
[0279] Based on the classification result, data regarding a selected drug container and its information and data regarding a non-selected drug container and its information are input to the computer 121.
[0280] Then, the patient name, the drug, the data thereof, and the like are stored in the storage device 125, and a monthly medical treatment fee statement (receipt) of the regimen kit product (medicine) for medication is calculated based on the drug price standard. It is output to the output device (display device or printer) 122.
[0281] In addition, when paying out the medicine based on the prescription, a monthly receipt is created using the input device 123 according to the following procedure.
1) Prescription drug name, drug name and its quantity (here, the quantity includes data on the selected drug container and its information and data on non-selected drug containers and their information), medical department, etc. are entered.
2) A bill will be issued stating the amount charged for the individual payment of the drug for the patient.
3) Those medication data are stored in the storage device 125.
[0282] The data and the like input from the input device 123 or the reader 124 are converted into a predetermined format and transmitted to the wholesale computer system 110 for pharmaceutical wholesaler.
[0283] Normally, a pharmaceutical company sells a drug through a pharmaceutical wholesaler, and therefore the pharmaceutical wholesaler computer 110 is the basis of a computer system that executes the kit product management method according to the present invention.
[0284] The computer system 100 of a pharmaceutical company (pharmaceutical factory) is useful when a product is sold directly or as a backup of a pharmaceutical wholesaler business computer 110.
[0285] As shown in
[0286] To describe a typical example, in a computer system 130 of a medical institution, a computer 131 is connected to a reception computer 132 and a reader 133 to form a LAN, and is connected to the Internet 150 via a modem 134.
[0287] In a computer system 140 of a large-scale medical institution, the computer 141 is connected to the electronic medical chart system 142 or the receipt computer 143, and each doctor terminal (hereinafter, referred to as PC) 44-1 to 44-n is connected. Is configured as a LAN and is connected to the Internet 150 via the modem 145 to configure a medical institution side system. In
[0288] In the following, referring to
[0289] Similarly, the consumed medicine data and the like read by the readers 124 and 133 are converted into a predetermined format and transmitted to the wholesale business computer system 110 on the pharmaceutical wholesaler side or the business computer 100 on the pharmaceutical factory.
[0290] Further, the electronic medical chart system 142 includes data such as prescriptions input by the doctor from the PCs 144-1 to 144-n (including data on selected drug containers and their information and data on unselected drug containers and their information). It is input to the electronic medical record system 142, and the consumed drug data and the like are converted into a predetermined format and transmitted to the wholesaler computer system 110 on the pharmaceutical wholesaler side.
[0291] On the other hand, the pharmaceutical wholesaler business computer 110 on the pharmaceutical wholesaler side or the business computer 100 on the drug product factory is connected to the computer 121 of a plurality of dispensing pharmacies and the computer 131 and 141 of the computer systems 130 and 140 of a plurality of medical institutions via the Internet 150 and constitutes a computer system for executing the management method of the present kit product.
[0292] The wholesale business computer 110 or the pharmaceutical factory business computer 100 has a function of receiving drug consumption data and the like transmitted by the dispensing pharmacy computer system 120 and the medical institution computer systems 130 and 140. These data include the following 1) to 7).
1) Date
[0293] 2) Customer code
3) Pharmaceutical code
4) Clinical department code
5) Consumption amount (including data on selected drug containers and their information and data on non-selected drug containers and their information)
6) Chemical name
7) User code etc.
[0294] The pharmaceutical wholesaler business computer 110 or the pharmaceutical factory business computer 100 receives the following data 1) and 2) and stores usage data for each customer in the use data storage device for each customer 170.
1) Consumption drug data transmitted as text sentences from the computer system 120 of each dispensing pharmacy, the computer system 130 of a medical institution, or the computer system 140
[0295] (In addition, the data on the selected drug container and its information and the data on the non-selected drug container and its information are included.)
2) Order data
[0296] (Date, customer code, drug code, medical department code, necessary amount (including data on selected drug container and its information and data on non-selected drug container and its information), drug name, user code, etc.)
[0297] The Customer-specific use data storage device 120 is provided with a storage area for each medical institution and dispensing pharmacy, and the storage area stores data such as 1) to 5) below.
1) Customer code
2) Chemical code
3) Clinical department code
4) Consumption amount (including data on selected drug container and its information and data on non-selected drug container and its information)
5) Chemical name
[0298] In the stored drug consumed data, the number used (amount used) is periodically aggregated for each drug code.
[0299] Further, the wholesale computer 110 or the pharmaceutical computer 100 of the pharmaceutical factory is provided with a drug replenishing mode selecting means, and the drug is replenished and requested according to the consumption scale of the customer and the order of the drug. The ordered quantity of medicine is delivered.
[0300]
[0301] The pharmaceutical wholesaler 162, the hospital 163, and the pharmacy 164 independently install drug inventory management devices and their systems 166 to 169 (medicine ordering devices and their systems) and manage.
[0302] In the hospital 163, when the supply department (medicine department, doctor, nurse, and other management departments) orders medicines, these systems are used to check the current inventory status, grasp the estimated inventory quantity, and place the order. It is a system that decides the quantity and raises an order slip to order a drug.
[0303] A pharmaceutical wholesaler or a pharmaceutical company will deliver a drug based on an ordering slip from a hospital (medical institution).
[0304] On the other hand, the pharmaceutical wholesaler 162 or the pharmaceutical company 161 operates its own inventory management system to manage it so that it can respond to the customer's request.
Example 6
[0305]
[0306] Then,
[0307] Although not shown in the drawing, the kit product packaging container 204 was conveyed from the storage part of the kit product packaging container by the belt conveyor 205 for the kit product packaging container.
[0308] Although not shown in the drawing, the infusion bag 202 with a connection port was conveyed from the storage part of the infusion solution bag with a connection port by the belt conveyor 203 of the infusion solution bag with a connection port.
[0309] The multi-axis robot arm 201 grabs the infusion bag 202 with a connection port on the belt conveyor 203, installs the infusion bag 202 with a connection port at a predetermined position on the container 204 for packaging the kit product on the belt conveyor 205, and a container 204-1 for packaging the kit product was obtained.
Example 7
[0310]
[0311] Further,
[0312] Although not shown in the drawing, the drug vial 206 was conveyed from the drug vial storage part to the kit product packaging container 204-1 obtained in Example 6 by the drug vial belt conveyor 207.
[0313] The multi-axis robot arm 221 picks up the drug vial 206 on the belt conveyor 207 and installs the drug vial 206 on the belt conveyor 205 at a predetermined position of the kit product packaging container 204-1. Then, a container 204-2 for packaging the kit product was obtained.
[0314] The kit product packaging container 204-11 includes ten kinds of drug vials (206, 208, 210, 211, 212, 213, 214, 215, 216 and 217) at predetermined positions of the kit product packaging container 204-1.
[0315] The drug vial 208 on the belt conveyor 209 is installed by the multi-axis robot arm 241.
[0316] The drug vials 210, 211, 212, 213, 214, 215, 216 and 217 are installed in a predetermined position on the kit product packaging container 204-11 by a multi-axis robot arm in the same manner.
Example 8
[0317]
Example 9
[0318]
[0319] The grip portion 218 is a portion for gripping the infusion solution bag 202 with a connection port and the 10 kinds of drug vials (206, 208, 210, 211, 212, 213, 214, 215, 216 and 217). 220, 221, 222, 223 and 224 denote joints of the robot arm.
[0320] The arrow indicates the range of motion.
Example 10 (Production of Kit Product)
[0321] Doctor A examined patient B and created a prescription to administer 80 mg of drug C that requires dose adjustment.
[0322] As for drug C, a 100 mg kit product in which 50 mg, 20 mg, 20 mg and 10 mg vials are combined is sold, and the hospital medicine part where the doctor works orders the kit product to the packaging container through the internal pharmacy.
[0323] The packaging container has delivered the 100 mg kit product to the internal pharmacy, and the pharmacist of the internal pharmacy selects vials of 50 mg, 20 mg, and 10 mg in the 100 mg kit product as the drug container containing the drug.
[0324] Then, the remaining 20 mg vials were classified as non-selected drug containers, and the selected vials and the container containing the diluted/dissolved solution were delivered to the hospital medicine part.
Example 11 (Recovery of Surplus Drug)
[0325] In Example 10, the pharmacist at the internal pharmacy recovered the unselected 20 mg vial from the kit product delivered from the pharmaceutical wholesaler and stored it in the refrigerated storage in the pharmacy.
Example 12 (Reuse of Surplus Drug)
[0326] Doctor A examined patient D and created a prescription to administer 110 mg of drug C requiring dose adjustment.
[0327] For Drug C, a combined 100 mg kit product of 50 mg, 20 mg, 20 mg and 10 mg vials is sold. Then, the hospital medicine part where the doctor works ordered the kit product from the pharmacy through the internal pharmacy.
[0328] The internal pharmacy notified the hospital medicine part and the pharmaceutical wholesaler that there was a storage record of the non-selected 20 mg vial generated in Example 11.
[0329] It ordered a new 100 mg kit product in a combination of 50 mg, 20 mg, 20 mg and 10 mg vials for the formulation generated in this case.
[0330] It classified 50 mg, 20 mg and 20 mg vials as drug containers containing drug and 10 mg vials as non-selected drug containers from the ordered kit product.
[0331] It further selected the 20 mg vial stored in Example 7 as the drug container containing the drug and prepared the 110 mg drug required for administration.
[0332] The non-selected 10 mg vial was stored in a refrigerated storage.
BRIEF EXPLANATION OF DRAWINGS
[0333]
[0334]
[0335]
[0336]
[0337]
[0338]
[0339]
[0340]
[0341]
[0342]
[0343]
[0344]
[0345]
DESCRIPTION OF REFERENCE NUMERALS
[0346] 1-1: The first vial connected to the connection port, which comprises the drug-enclosing portion (2-1), the septum (4-1) and the drug (3-1). [0347] 1-2: The second vial connected to the connection port, which is composed of the drug-enclosing portion (2-2), the septum (4-2), and the drug (3-2). [0348] 1-n: The n-th vial connected to the connection port, which is composed of a drug-enclosing portion (2-n), a septum (4-n), and a drug (3-n). [0349] 2-1, 2-2, 2-n: Drug-enclosing portion. [0350] 3-1, 3-2, 3-n: Drugs enclosed in vials (1-1, 1-2, 1-n), solid (mainly in the case of freeze-dried preparations), liquid (general Liquid formulation), gas (cyclophosphamide, ifosfamide, bendamustine is said to partially vaporize) in some cases. [0351] 4-1, 4-2, 4-n: A septum part forming a part of the vial (1-1, 1-2, 1-n), and a double-ended needle [0352] (5-1, 5-2, 5-3) is stuck, and the drug-enclosing portion (2-1, 2-2, 2-n) communicates with the inside of the infusion solution bag part (13), and the drug (3-1, 3-2, 3-n) and the infusion solution (9) can be mixed. [0353] 5-1, 5-2, 5-n: Pierce into septum (4-1, 4-2, 4-n) of vials (1-1, 1-2, 1-n) and septum (7-1, 7-2, 7-n) of connection port (8-1, 8-2, 8-n).
[0354] Then, the drug-enclosing portion (2-1, 2-2, 2-n) and the inside of the infusion solution bag part (13) are made to communicate with each other, and the medicine (3-1, 3-2, 3-n) and the infusion solution (13) are connected. A double-ended needle that allows both to mix. [0355] 6-1, 6-2, 6-n: A hole formed in the double-ended needle that serves as a flow path for the drug (3-1, 3-2, 3-n) and the infusion solution (13). [0356] 7-1, 7-2, 7-n: Septum of connection ports (8-1, 8-2, 8-n), one of the double-ended needles (5-1, 5-2, 5-n) is stuck. [0357] 8-1, 8-2, 8-n: The first connection port consists of the double-ended needle (5-1) and the support (18-1) wherein the double-ended needle (5-1) is kept perpendicular to the septum (4-1) of the vial (1-1) and the septum (7-1) of the connecting port (8-1). [0358] 8-2: Second connection port. Consists of a double-ended needle (5-2) and a support (18-2) for keeping the double-ended needle (5-2) perpendicular to the septum (4-2) of the vial (1-2) and the septum (7-2) of the connection port (8-2). [0359] 8-n: The n-th connection port. Consists of a double-ended needle (5-n) and a support (18-n) for holding the double-ended needle (5-n) in a position perpendicular to the septum (4-n) of the vial (1-n) and the septum (7-n) of the connection port (8-n). [0360] 9: Diluted/dissolved solution containing infusion solution or pure water in the infusion solution bag part (13) [0361] 10: A connection part for connecting the infusion solution bag part (13) and the administration route (17).
[0362] Then, it has a septum (19) to which the needle (14) of the administration route is stuck and a female screw structure (11) for fixing the needle (14) so as not to come off. [0363] 11: Female screw structure for fixing the administration route (17) to the infusion solution bag part (13). [0364] 12: indicates a connection port section.
[0365] To mix the drug inside the vial (1-1, 1-2, 1-n) with the infusion solution (9) in the infusion solution bag part (13), use the vial (1-1, 1-2, 1-n). It must be connected to the infusion solution bag part (13).
[0366] The connection location is called a connection port, and in
[0367] That is, the first connection port (8-1), the second connection port (8-2), and the nth connection port (8-n). [0368] 13: Shows an infusion solution bag part.
[0369] An infusion solution (9) is enclosed inside. This infusion solution serves as a dissolved solution and a diluted solution.
[0370] After the vials (1-1, 1-2, 1-n) are connected to the connection ports, the infusion solution (9) flows into the vials (1-1, 1-2, 1-n), and the dose is adjusted by mixing the infusion solution and drug. [0371] 14: A needle of the administration route (17) that pierces the infusion solution bag part (13) [0372] 15: Male screw structure for fixing the administration route (17) to the infusion solution bag part (13). [0373] 16: Route of administration (17) and needle for puncturing blood vessel of patient. [0374] 17: Shows the administration route. It consists of four components, that is, 1. needle (14) for piercing the septum (19), 2. male screw structure (15) for fixing administration route, 3. a needle (16) for piercing the patient, 4. body tube structure (20). [0375] 18-1, 18-2, 18-n: Support for keeping the double-ended needles (5-1, 5-2, 5-n) in a position perpendicular to the septum (7-1, 7-2, 7-n). [0376] 19: A septum part to which the needle (14) of the administration route (17) sticks.
[0377] As a result, the infusion solution bag part (9) and the medicines (3-1, 3-2, 3-n) inside the infusion solution bag part (13) flow into the administration route (17). [0378] 20: It has a tube structure which is a part of the administration route (17). [0379] 100: Computer system of pharmaceutical company (pharmaceutical factory) [0380] 100*: Computer of pharmaceutical company (pharmaceutical factory) [0381] 110: Computer system for pharmaceutical wholesaler [0382] 110*: Pharmaceutical wholesaler computer [0383] 120: Computer system of dispensing pharmacy (gate front pharmacy) [0384] 121: Computer [0385] 122: Output device [0386] 123: Input device [0387] 124: Reader [0388] 125: Storage device [0389] 126: Modem [0390] 130: Computer system of medical institution [0391] 131: Computer [0392] 132: receipt computer [0393] 133: Reader [0394] 134: Modem [0395] 140: Computer system of a large medical institution [0396] 141: Computer [0397] 142: Electronic medical record system [0398] 143: Receipt computer [0399] 144-1: Terminal of doctors [0400] 144-n: Terminal of doctors [0401] 145: Modem [0402] 150: Internet [0403] 160: Output device [0404] 161: Pharmaceutical company [0405] 162: pharmaceutical wholesaler [0406] 163: Hospital [0407] 164: Pharmacy [0408] 165: Consumer (patient) [0409] 166: Management device [0410] 167: Management device [0411] 168: Management device [0412] 169: Management device [0413] 170: Customer-specific use data storage device [0414] 180: Customer-specific inventory data storage device [0415] 190: WWW server [0416] 201: Multi-axis robot arm 201 [0417] 202: Infusion bag with connection port [0418] 203: Belt conveyor [0419] 204: Container for packaging kit product [0420] 204-1: Packaging container for kit product [0421] 204-2: Packaging container for kit product [0422] 204-11: Packaging container for kit product [0423] 205: Belt conveyor [0424] 206: Drug vial [0425] 207: Belt conveyor [0426] 208: drug vial [0427] 209: Belt conveyor [0428] 210: Drug vial [0429] 211: Drug vial [0430] 212: Drug vial [0431] 213: Drug vial [0432] 214: Drug vial [0433] 215: Drug vial [0434] 216: Drug vial [0435] 217: Drug vial [0436] 218: Grasping part [0437] 219: Joint of robot arm [0438] 220: Joint of robot arm [0439] 221: Joint of robot arm [0440] 222: Joint of robot arm [0441] 223: Joint of robot arm [0442] 224: Joint of robot arm [0443] 231: Multi-axis robot arm 201 [0444] 241: Multi-axis robot arm 201
INDUSTRIAL APPLICABILITY
[0445] The present invention can provide the medical field with a drug container, a kit product, and a method for managing the kit product, which are useful for preparation suitable for administration of a drug requiring dose adjustment.