In a nurse administered medication dispensing system a mobile cart contains a plurality of doctor prescribed medication in accordance with a like plurality of patients scheduled to receive such medication. The medication containers stored in the cart is accessible by the nurse only in response to a patient ID code entered by the nurse into the keyboard of a cart supported microprocessor including a software program responding to the input code energizing mechanical components which obtains the medication from an onboard supply and transfers it to a specified nurse accessible cubicle or which releases secured medication dispensing units on or in the cart and records the time, date and quantity of medication dispensed.A fully automatic apparatus for dispensing medications in tablet or capsule form for a patient is disclosed. This apparatus includes several open containers to hold tablets or capsules, with the location of each container fixed relative to the apparatus, and with the containers not readily accessible to an unauthorized person. The apparatus also includes a computer programmed to correlate a patient's identity with the medications that are appropriate for the patient. The computer controls a carrier that moves to the location of each of the containers holding medication appropriate for the patient. The carrier retrieves the medication from each such container, and then releases the medication in a location where it may readily be retrieved by a human to administer to the patient.
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The carriage 50 comprises an X axis propulsion means 52, a Y axis propulsion means 54 and a Z axis propulsion means 56.
The X axis means 52 comprises a pair of spur gears 58 and 60 axially secured to an axle 62 and movable along the pair of racks 46 and 48 by angular rotation of the axle 62. A driven spur gear 64 is axially secured to the axle 62 adjacent the spur gear 60. The spur gear 64 is driven by a pinion 66 on the drive shaft of a reversible motor 68. The motor 68 is supported by a rectangular platform frame 70 horizontally supported above the racks 46 and 48 by bearings journalling the end portions or the axle 62 and movable longitudinally of the box frame 36 therewith. The frame 70 comprises side members 72 and end members 74 and 76.
The forward or left-end of the frame 70, as viewed in FIGS. 3 and 4, is supported by idler spur gears 78 journalled by bearings 80 secured to and depending from the respective frame side members 72 for supporting the carriage 50 in its to and fro movement along the racks 46 and 48. An axle shaft 82 (FIG. 4) extends between the idler gears 78 for the purposes presently explained.
The Y axis means 54 comprises an exteriorly threaded tube 84 which surrounds and is substantially coextensive with and is journalled by the axle shaft 82. A spur gear 86 surrounds the screw tube 84 at one of its ends and is driven by a pinion 88 secured to the drive shaft of a reversible motor 90 for angular rotation of the screw tube 84.
The screw tube 84 threadedly extends through an end portion of a Z axis platform support 92. The support 92 has its other end portion slidably surrounding the axle 62 for Y axis movement of the motor support 92 transversely of the box frame 36.
The Z axis means 56 comprises a horizontal platform 94 vertically slidable along a plurality of parallel upright standards 96 supported at their depending ends by the support 92 and interconnected at their upper ends by a horizontal motor mount 98.
The horizontal platform 94 threadedly surrounds an intermediate portion of a screw shaft 100 angularly rotated by a reversible motor 102 on the motor mount 98 having its drive shaft connected with the upper end thereof. The platform 94 further supports vertically disposed elongated telescoping tubes 104 and 106 normally telescopically extended and depending from the platform 94 by a spring means 108 for the purposes presently explained.
A motor driven vacuum pump 110 is mounted on the platform 94 and is operatively connected with the uppermost telescoping tube 106 to produce a pressure reduction at the depending preferably relatively small open end 111 of the lower tube 104 for the purpose of lifting and transporting a capsule or tablet, not shown, as presently explained.
Obviously, some patients require medication or treatments other than standard tablets or capsules, to this end the series of drawers or cubicles 26 are individually designated by one of the numerals 261 through 26N.
In operation, assuming the cart 30, drawers, cubicles and dispenser unit has been loaded with medication and the nurse and cart is at a patient's bedside. The nurse inputs the patient's ID into the keyboard 14 and the computer acting in response to the software energizes the lamps 23, 27 or 117 of the particular drawer or cubicle containing the medication for the identified patient.
When the medication is in one of the containers designated by the XY Cartesian coordinate numerals, the software, via the computer, energizes the X and Y axis means 52 and 54 to position the vertical axis of the lowermost vacuum tube 104 on the vertical axis of the selected tablet or capsule container.
The Z axis motor 102 is then energized to angularly rotate the screw 100 for lowering the platform 94 and the tube 104 into the selected container while simultaneously the vacuum pump 110 is energized to draw air into and through the tubes 104 and 106.
When the depending open end 112 of the tube 164 contacts a tablet or capsule in the selected container, the spring 108 cushions the impact of the tube 104 with the tablet so that the latter will not be crushed while simultaneously a rapid increase of pressure reduction in the tube triggers the vacuum pump sensor, not shown, to energize the X and Y axes means 52 and 54 to return to the home position (adjacent the frame side wall 38 and end wall 44) where the frame 70 end wall 76 contacts an upstanding microswitch 115, supported by the box frame end wall 44, to deenergize the vacuum pump. This releases the capsule or tablet, not shown, into the XY unit access drawer 120 and simultaneously energizes its light 117.
There is a role played by the medication nurse. The on-the-spot dispensing nurse verifies that there is no mistake in the medication dispensed by comparing the CRT display and the printed (hard copy) reminding the medication nurse to examine and verify the medication. In this way the system provides a redundancy subsystem to enhance accuracy.
There are some occasions in which the cart must allow the medical nurse to request a medication that was not scheduled in advance. This can happen, for example, in an emergency, or if one or more of the dispensed tablets is accidentally dropped. For such cases, the software allows emergency requests without defeating the general restriction, by automatically recording the emergency or special problem request and the identification code of the personnel who requested it.
In this way, the software, via its locking and unlocking of the dispensing devices and the feedback from the devices to the cart, constituting the only way in which medication dispensing can occur with this system, guarantees responsibility and accountability for any necessary specific exceptions to general restrictions. In this way the combination controlled dispensing devices combined regulation and order with necessary flexibility and accountability.
Obviously the invention is susceptible to changes or alterations without defeating its practicability. Therefore, I do not wish to be confined to the preferred embodiment shown in the drawings and described herein.
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