EP0827733A1 - Process for actuating a pocket electronic dispenser with multiple compartments and device for establishing the prescription used in this process - Google Patents
Process for actuating a pocket electronic dispenser with multiple compartments and device for establishing the prescription used in this process Download PDFInfo
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- EP0827733A1 EP0827733A1 EP19970402078 EP97402078A EP0827733A1 EP 0827733 A1 EP0827733 A1 EP 0827733A1 EP 19970402078 EP19970402078 EP 19970402078 EP 97402078 A EP97402078 A EP 97402078A EP 0827733 A1 EP0827733 A1 EP 0827733A1
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- European Patent Office
- Prior art keywords
- prescription
- database
- information
- dosage
- drugs
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
- A61J7/0409—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers
- A61J7/0481—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers working on a schedule basis
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/0076—Medicament distribution means
- A61J7/0084—Medicament distribution means for multiple medicaments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J1/00—Containers specially adapted for medical or pharmaceutical purposes
- A61J1/03—Containers specially adapted for medical or pharmaceutical purposes for pills or tablets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
- A61J7/0409—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers
- A61J7/0418—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers with electronic history memory
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
- A61J7/0409—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers
- A61J7/0427—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers with direct interaction with a dispensing or delivery system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J7/00—Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
- A61J7/04—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers
- A61J7/0409—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers
- A61J7/0454—Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers with timers for dispensing of multiple drugs
Definitions
- the present invention relates to the method of implementing a pocket electronic pill organizer with multiple compartments, and the writing prescriptions used in the process.
- Such a device would be unusable in the case of pill dispensers because, it require from the doctor to know how the pill box, or placing copies of programs with each doctor to be adapted to the case of each patient.
- the programming device of the storage device is specifically dedicated to programming this type of device custody order. Indeed, it includes a keyboard for entering information suitable for prescription entry application and has buttons type functions: every hour, morning, noon, and evening, at lunch, dinner, etc ..., counting the time intervals between taking medication.
- the memory box is only used to memorize the prescription and report the hours taken, as well as dosages by a display of the storage device. Such a device does not guide the patient, avoiding confusion between the different medication, and secondly, to verify compliance with the prescription.
- the programming system requires a specific device and by therefore learning from the user. In this last case, the pharmacist does the programming, which can generate discrepancies between the prescription issued by the doctor and the programming carried out by the pharmacist, due to errors in manipulation of the programming system by the pharmacist.
- a first object of the invention is to propose a method of setting in place simple and effective pocket electronic pill organizer each of the actors, namely the doctor for the prescription, the pharmacist for the constitution of the pill box, and the patient for compliance.
- the method comprises a step of set up in each distribution device of each compartment of a caliber adapted to the drug intended to fill the pillbox compartment.
- it includes a copying step, in the prescription memory of the pill organizer, of the prescription file contained in the removable information carrier.
- the method comprises a step publication of an instruction sheet for the pharmacist, indicating, for each drug, the compartment number assigned to it and the size of the caliber to be inserted into the compartment's distribution device.
- the step of coding and loading the prescription file is triggered by function selection "pill box programming" in a menu displayed on a system computer science.
- Another object of the invention is to propose a drafting device which allows the programming of a pill box and offers a interesting ergonomics for the doctor, avoiding any knowledge in IT or electronics, and in particular on the mode of pill box operation.
- the drafting device with a personal computer equipped with a device display and interactive means of introducing information and make selections on information displayed on the device display is characterized in that it comprises means for managing the display to generate a window comprising a menu bar, and at minus a pane composed of several text zones, and a box menu, allowing to automatically call a sorting function on the objects from at least one database, according to criteria defined in a text box in the pane.
- it has a window which contains a computer system command and management icon bar file.
- the interactive means allow the moving an indicator on the drop-down list of objects proposed by the database, and the selection of the object to enter the information contained in the fields associated with the selected object in the areas of corresponding text in the pane.
- the criteria are the first letters of a type of medication
- the database is a database "drugs" the objects of which are the trade names of drugs, the fields being made up by laboratories and the form of galenic presentation.
- the list of corresponding drugs to the criteria displayed in the first text box appears in a list drop-down displayed in an additional area of the window.
- the criterion is a name of the drug of the database
- the database is a database of dosage, the fields of which consist of the number of doses, the time units, days and times taken.
- the device comprises two bases of data, a first drug, a second dosage, and interactive means allow the movement of an indicator on the menu the database which the operator wishes to select.
- the selection of the database triggers a "sort" function provided that an associated text area of the pane is partially filled.
- the device performs a control of consistency of hours of medication.
- the device codes the prescription before storage on the removable information medium, and publishes a file information containing for each drug, the type of caliber to place in the dispenser of the pill box by searching in a third database the information in the field "caliber" of the drug prescribed from this database.
- the prescription writing device consists of a computer personnel (61), comprising a display device (60) such as a screen, and connected to input-output means such as a keyboard (62), a mouse (63), a printer (65), and a write-read box (64) providing the interface between a smart card (2) constituting a removable information medium, and the computer (61).
- the computer (61) has three bases in its memory of data.
- a first (611) constituting the database "drugs" and reproducing information from VIDAL.
- a second (612) constitutes the "dosage” database containing the dosages types of the most common drugs and giving the possibility of creating specific dosages.
- a third (613) constitutes the table of correspondence between the drugs and the sizes of the calibers.
- This prescription writing software includes a module that used to manage the signals from the write-read box (64), so as to allow writing on the smart card (2) by the housing (64) of information entered by the user and coded by the software.
- the software also includes a display interface module that allows you to manage the screen display, and transmit data and signals from commands required to display windows on the screen, including the first (601) allows the user to make a prescription and comprises, as shown in FIG. 2a, a menu bar (6011), an icon bar (6012), comprising the icons representative of the different functions available to manage the screen, files, the printer. These icons are of the type generally known for WINDOWS.
- the window is divided into several sub-windows including at least one (6013) which is divided into several zones text; a first text area (60131), in which you can enter the name of the medication.
- This text box (60131) is associated an arrow (60136) ensuring the display of a drop-down list of medicines corresponding to the first letters introduced in the area of text by the user, by operating the keyboard (62).
- the text box can also be completed by bringing a visual indicator such as an arrow or a highlight which is moved by interactive means between the screen and the user, such as the mouse (63), and the associated interface module.
- the indicator is brought to a menu block (60139), which has three call functions from three different databases, a first (603) for the "medicines” database; a second (602) for the base “dosage” data; and a third (604) for remarks.
- the first sub-window (6013) also has a second text box (60132) which allows to determine the dosage of drug.
- This window can be filled either directly by use of the keyboard (62), either by calling on the “dosage” database in positioning the indicator on the dosage menu and validating this selection by interactive means such as the mouse (63).
- This action does appear a second window shown in Figure 3 which gives the usual dosage of the medication indicated in the first text box (6013).
- An arrow (6037) associated with this second text area (60132) also allows to display a drop-down list allowing choose the most conventional dosages, if you do not want to use the "dosage" database.
- calling the "dosage” database allows either directly retrieve information about the usual dosage of indicated drug, or to create a specific dosage when, by example, the name shown in the first text box (60131) corresponding to the name of the drug, does not correspond to any name of the base "dosage". This creation function will be explained later in connection with Figure 3.
- this text box can be filled either by using the keyboard or by a selection in a drop-down list which can be displayed by bringing the indicator of interactive means on the arrow (60138) associated with the text zone, and validating the selection of the drop-down list by the interactive means (63).
- the drop-down list displays a list of usual durations of treatment.
- the user can move an indicator such as this to this list that a highlight, and validate the selection of a duration represented by example highlighted by the interactive means so as to make it appear in the third text box.
- a fourth zone - button (60134) - allows to indicate by bringing the indicator of interactive resources in this area and by validating, for example by a mouse click (63) that it is a prescription related to a long-term condition (A.L.D.).
- the pane has a final text box (60135) which indicates the reason why the medicine was prescribed.
- the computer system brings up a second pane (6014) having the same characteristics, and making it possible to carry out the same entered information.
- the software As the sub-windows are filled, the software a new sub-window will appear and when the screen is filled with sub-windows, these shift according to the principle of the drop-down lists of so as to remove the display of the first pane created for the replace with the next drug pane, and allow the appearance of a blank pane at the bottom of the screen.
- Information thus entered are stored in the RAM of the system IT and at the end of writing by a backup triggered by the SAVE function (60111, figure 2b) in the permanent memory of the system (hard drive or floppy).
- the software also appears before the prescription writing windows a first window which allows the taking into account of information concerning the patient: his date of birth, social security number, and a serial number prescription as soon as the menu "creation of prescription" is called.
- the software has been personalized beforehand during installation, by including doctor's identity, address, and all necessary information for social security.
- the menu bar as shown in Figure 2b selects the "order" function to trigger the display a menu block showing several functions, such as the “save” function (60111), the “load” function (60112) allowing to load a prescription, the function (60113) of “renewal “, the” printing “function (60114), a “configuration” (60115) used to enter information from personalization, a prescription deletion function "(60116), and a "programming" function of the pill organizer (60117) which will be shown later.
- the doctor can call the "dosage” function of the pill box, and in In this case, the software searches the "dosage” database for a drug corresponding to the names or characters introduced in the first text box (60131, 60141) of the prescription window.
- the display of the "dosage” window (figure 3) is filled with information corresponding to the dosage, if the dosage of the drug exists. This dosage is introduced into the prescription by validating the "OK” button which replaces the "create” button in figure 3. Otherwise the software proposes the creation of a dosage, and brings up the window (602 figure 3) which includes a first "warning" block asking the doctor if wish to create the dosage.
- the rest of the window is identical to the one that appears when the dosage of the drug exists, the only difference is due to the fact that the fields or text boxes are not filled with information constituting the dosage, and must be filled as required by the doctor.
- This window (602) has in its "dosage" block a first text area (6020) for indicating the dosage title; a second text box (6021a) allowing to indicate the name of the type of drug to which the dosage should be associated.
- An arrow of drop-down list trigger (6021b) is associated with this second text box allowing the display of a list of type of drugs in which, the one to be introduced by the doctor, selected in the text area, can be validated using the interactive device.
- a numeric keypad (6025a) indicates the number of takes, this block is associated with increment and decrement arrows (6025b) which allow, depending on the arrow actuated by the indicator, increase or decrease the number of takes.
- An additional numeric keypad indicates the number time units at which the setting should be made.
- This numeric keypad indicates a number whose value can be increased or decreased by using the increment or decrement arrows (6022b).
- At this pavement numeric is associated with a text zone (6023a) allowing to indicate the time unit and a drop-down activation arrow (6023b) which allows you to display a drop-down list of time units in order to select one to enter it in the text box (6023a).
- a third numeric keypad (6026a) associated with these arrows increment and decrement (6026b) allows to indicate the number per unit.
- Two buttons (6026c, 6026d) allow the doctor to determine whether these takes should be respectively paced or not by meals.
- a zone makes it possible to determine the day of taking. This zone has two buttons to choose whether the sockets should be respectively at fixed intervals or on variable days (60273).
- a pavement numeric (60271) allows to determine the periodicity of the days taken indicating whether the catch is taken every day, every two days, every three days, etc ...
- a button (60272) associated with each day of the week allows also by its validation to determine, the day or days on which the taken will be made.
- the "dosage" window has an area “take time” which makes it possible to select, in a plurality of zones numerical (60281a) provided with associated increment arrows, several hours of taking each corresponding to a taking of the number necessary medication.
- the window has a menu bar (6029) which allows you to select a "create” button to validate the creation of the dosage and save it in the "dosage” database, or select a “cancel” button to cancel the creation of the dosage or to call a help by the button "help”.
- the "creation” function allows recording of the data entered in each of the text boxes or numeric, in the corresponding fields of the database "dosage”.
- printer (65) When the user selects on the menu bar (6011) of the "prescription” window, "print” functionality (6114), printer (65) will receive data and formatting attributes to edit from on the one hand, a standard social security order, and on the other hand, a form instructions for setting up the pill organizer for the pharmacist.
- the sheet (19) of instruction for the start-up of the pill organizer indicates in different zones (18) separated by a precut (180) as shown in Figure 7, the drug associated with each pill compartment number, the number of units per dose, the total number of tablets corresponding to treatment, hours of medication, and the caliber (181) associated with the size of the medication to be placed in the pillbox compartment.
- This information is created from user generated information (doctor) on the screen, and by using the database (613), which matches the size of drugs, including names are indicated in the prescription, and the size to be used for the pill box.
- the doctor after inserting a blank smart card in the interface terminal (64) selects from the menu in the window creation of prescriptions the "pill organizer" function (60117, fig.2b), which triggers the execution of the program “programming the smart card “during which the information stored during execution of the prescription writing program are going to be coded and written in the file fields of the smart card (2).
- the memory of the smart card will include a first ORDO file consisting of the field names below, and information entered in the text or numeric zones corresponding to the field names of the windows of the prescription writing program displayed on the screen (60): ORDO NAME OF THE FIELD TYPE Prescription No. Number DateOrder Date hour NameMedicine Text Channel number Number NbUnitesPrise Number NbTakesDay Number DeliveryHours Memo
- the software records on the smart card, the PAT table containing all the information concerning the patient: PAT NAME OF THE FIELD TYPE PatientName Text Patient Text DateBirthPatient Date hour Patient Safety No. Text Prescription No. Number DateOrdonance Number NbDaysTreatment Number IdentDoctor Text or / and Number PillPerson Number EmergencyOpeningDate Date hour TimeOpeningEmergency Date hour
- This table is filled only when the detection of a empty compartment is carried out by the pill organizer.
- the pharmacist has in a groove (1710) a rotary lock (171) located in a cylindrical well (17) which communicates with the tank (111), the rating (172) corresponding to the caliber indicated on the instruction sheet.
- the cover (16) of the cover lock is closed and then the cover (15) of the tank (111) of the compartment after filling with the prescribed quantity of medicine.
- the label (18) corresponding to the drug and the amount of medication deposited in the reservoir is introduced.
- the patient's smart card is inserted into the slot (12) of the element main (1), and the additional compartments (5) are connected to the main element by the lugs (51, 52) and the locking tab (53).
- the possibly projecting part of the smart card (2) enters a slot (12) of the removable compartment (5) adjacent to the main compartment (1).
- the number of compartments necessary to allow delivery of all the prescription drugs is thus assembled by the pharmacist.
- Each of the compartments also includes means for electrical connections between them so as, on the one hand, to allow indication by an indicator light (14a, 14b, 14c) of the compartment in which a drug can be taken from, on the other hand, to detect the sampling and passage of a drug by detection of the depression the distribution button (13a, 13b, 13c) associated with each compartment (5, 1), and the passage of the drug through the airlock (11a, 11b, 11c).
- Figure 5 shows the labels introduced in each of the pillbox compartments which thus provides the patient with a share information on the type of tablets placed in the pill box, the quantity, and hours taken.
Abstract
Description
La présente invention concerne le procédé de mise en oeuvre d'un pilulier électronique de poche à compartiments multiples, et le dispositif de rédaction d'ordonnance utilisé dans le procédé.The present invention relates to the method of implementing a pocket electronic pill organizer with multiple compartments, and the writing prescriptions used in the process.
Il est connu, par la demande de brevet français 2 692 689, un procédé d'assistance médicale au moyen d'un appareil de mesure consistant à charger sur un support amovible d'informations un programme opérationnel destiné à piloter le fonctionnement d'un appareil de façon automatique. Le fonctionnement de l'appareil est déclenché par lecture de ce programme opérationnel, qui comprend une phase automatique d'initialisation du déroulement des opérations effectuées à partir de paramètres de réglages de l'appareil.It is known, from French patent application 2,692,689, a medical assistance process using a measuring device consisting of loading a removable program with information operational intended to control the operation of a device so automatic. The operation of the device is triggered by reading this operational program, which includes an automatic phase initialization of the sequence of operations carried out from device settings parameters.
Un tel dispositif serait inutilisable dans le cas des piluliers car, il nécessiterait de la part du médecin de connaítre le fonctionnement du pilulier, ou de placer chez chaque médecin des copies de programmes opérationnels à adapter au cas de chaque patient.Such a device would be unusable in the case of pill dispensers because, it require from the doctor to know how the pill box, or placing copies of programs with each doctor to be adapted to the case of each patient.
Par ailleurs, il est connu par la demande de brevet européen 554 137, un dispositif de pilulier de poche comportant des chargeurs pour médicaments, et nécessitant une programmation du microprocesseur de pilulier par l'homme de métier pour adapter le pilulier à un problème de posologie spécifique. Ce pilulier a donc l'inconvénient d'être limité à un type de médicaments par chargeur et d'autre part de nécessiter une programmation du microprocesseur par un homme de métier à chaque changement de posologie.Furthermore, it is known from European patent application 554 137, a pocket pill organizer comprising chargers for drugs, and requiring microprocessor programming of pill box by the skilled person to adapt the pill box to a problem of specific dosage. This pillbox therefore has the disadvantage of being limited to one type of drugs per charger and on the other hand to require a microprocessor programming by a skilled person each time change in dosage.
Enfin, il est connu par la demande de brevet français 2 585 151, un dispositif portatif de mémorisation et de restitution d'informations utilisable comme garde ordonnance comportant un boítier programmé par un pharmacien à l'aide d'une console, pour introduire dans ce boítier le contenu d'une ordonnance constitué par le nom des médicaments, l'heure, ou la fréquence des prises, la posologie, et les antagonismes.Finally, it is known from French patent application 2,585,151, a portable device for memorizing and restoring information usable as a prescription guard with a case programmed by a pharmacist using a console, to enter the content into this box a prescription consisting of the name of the medication, the time, or the frequency of dosages, dosage, and antagonisms.
Toutefois, l'appareil de programmation du dispositif de mémorisation est spécifiquement dédié à la programmation de ce type de dispositif de garde ordonnance. En effet, il comporte un clavier d'entrée des informations adapté à l'application de saisie des ordonnances et comporte des touches de fonctions de type : toutes les heures, matin, midi, et soir, au déjeuner, díner, etc..., comptant les intervalles de temps entre les prises de médicaments. Par ailleurs, le boítier de mémorisation sert uniquement à mémoriser l'ordonnance et à signaler les heures de prise, ainsi que les posologies par un afficheur du dispositif de mémorisation. Un tel dispositif ne permet pas de guider le patient en évitant la confusion entre les différents médicaments, et d'autre part, de vérifier l'observance de l'ordonnance. De plus, le système de programmation nécessite un appareil spécifique et par conséquent un apprentissage de la part de l'utilisateur. Dans ce dernier cas, c'est le pharmacien qui effectue la programmation, ce qui peut générer des discordances entre l'ordonnance délivrée par le médecin et la programmation effectuée par le pharmacien, par suite d'erreurs de manipulation du système de programmation par le pharmacien.However, the programming device of the storage device is specifically dedicated to programming this type of device custody order. Indeed, it includes a keyboard for entering information suitable for prescription entry application and has buttons type functions: every hour, morning, noon, and evening, at lunch, dinner, etc ..., counting the time intervals between taking medication. In addition, the memory box is only used to memorize the prescription and report the hours taken, as well as dosages by a display of the storage device. Such a device does not guide the patient, avoiding confusion between the different medication, and secondly, to verify compliance with the prescription. Of more, the programming system requires a specific device and by therefore learning from the user. In this last case, the pharmacist does the programming, which can generate discrepancies between the prescription issued by the doctor and the programming carried out by the pharmacist, due to errors in manipulation of the programming system by the pharmacist.
Dans le brevet EP 554 137, l'observance de l'ordonnance peut être contrôlée certes, mais le pilulier est limité à un chargeur, et ce document ne suggère pas de moyens de programmation simples qui ne nécessitent pas de connaissances particulières de la part du pharmacien.In patent EP 554 137, compliance with the order can be controlled, but the pill box is limited to a charger, and this document does not not suggest simple programming means that do not require special knowledge from the pharmacist.
Un premier but de l'invention est de proposer un procédé de mise en oeuvre d'un pilulier électronique de poche qui soit simple et efficace pour chacun des acteurs, à savoir le médecin pour l'ordonnance, le pharmacien pour la constitution du pilulier, et le patient pour l'observance.A first object of the invention is to propose a method of setting in place simple and effective pocket electronic pill organizer each of the actors, namely the doctor for the prescription, the pharmacist for the constitution of the pill box, and the patient for compliance.
Ce but est atteint par le fait que le procédé de mise en oeuvre d'un
pilulier électronique de poche à compartiments multiples, dont chaque
compartiment est amovible et équipé d'un dispositif de distribution à l'unité de
médicaments, adaptable à des formes galéniques, et des tailles différentes,
caractérisé en ce qu'il comporte :
Selon une autre particularité, le procédé comporte une étape de mise en place dans chaque dispositif de distribution de chaque compartiment d'un calibre adapté au médicament destiné à remplir le compartiment du pilulier.According to another particularity, the method comprises a step of set up in each distribution device of each compartment of a caliber adapted to the drug intended to fill the pillbox compartment.
Selon une autre particularité, il comporte une étape de copie, dans la mémoire d'ordonnance du pilulier, du fichier d'ordonnance contenu dans le support amovible d'informations.According to another particular feature, it includes a copying step, in the prescription memory of the pill organizer, of the prescription file contained in the removable information carrier.
Selon une autre particularité, le procédé comporte une étape d'édition d'une fiche d'instructions pour le pharmacien, indiquant, pour chaque médicament, le numéro de compartiment affecté à celui-ci et la taille du calibre à insérer dans le dispositif de distribution du compartiment.According to another particularity, the method comprises a step publication of an instruction sheet for the pharmacist, indicating, for each drug, the compartment number assigned to it and the size of the caliber to be inserted into the compartment's distribution device.
Selon une autre particularité, l'étape de codage et de chargement du fichier d'ordonnance est déclenchée par la sélection de la fonction "programmation du pilulier" dans un menu affiché sur un système informatique.According to another particular feature, the step of coding and loading the prescription file is triggered by function selection "pill box programming" in a menu displayed on a system computer science.
Un autre but de l'invention est de proposer un dispositif de rédaction d'ordonnance qui permette la programmation d'un pilulier et propose une ergonomie intéressante pour le médecin, en lui évitant toute connaissance en informatique ou électronique, et notamment sur le mode de fonctionnement du pilulier. Another object of the invention is to propose a drafting device which allows the programming of a pill box and offers a interesting ergonomics for the doctor, avoiding any knowledge in IT or electronics, and in particular on the mode of pill box operation.
Ce but est atteint par le fait que le dispositif de rédaction d'ordonnance comportant un ordinateur personnel équipé d'un dispositif d'affichage et de moyens interactifs d'introduire des informations et d'effectuer des sélections sur des informations affichées sur le dispositif d'affichage, est caractérisé en ce qu'il comporte des moyens de gestion de l'affichage pour générer une fenêtre comportant une barre de menu, et au moins une sous-fenêtre composée de plusieurs zones de texte, et d'un pavé menu, permettant d'appeler automatiquement une fonction de tri sur les objets d'au moins une base de données, en fonction de critères définis dans une zone de texte de la sous-fenêtre.This goal is achieved by the fact that the drafting device with a personal computer equipped with a device display and interactive means of introducing information and make selections on information displayed on the device display, is characterized in that it comprises means for managing the display to generate a window comprising a menu bar, and at minus a pane composed of several text zones, and a box menu, allowing to automatically call a sorting function on the objects from at least one database, according to criteria defined in a text box in the pane.
Selon une autre particularité, il comporte une fenêtre qui contient une barre d'icônes de commande du système informatique et de gestion de fichier.According to another particular feature, it has a window which contains a computer system command and management icon bar file.
Selon une autre particularité, les moyens interactifs permettent le déplacement d'un indicateur sur la liste déroulante des objets proposés par la base de données, et la sélection de l'objet pour introduire les informations contenues dans les champs associés à l'objet sélectionné dans les zones de texte correspondantes de la sous-fenêtre.According to another particularity, the interactive means allow the moving an indicator on the drop-down list of objects proposed by the database, and the selection of the object to enter the information contained in the fields associated with the selected object in the areas of corresponding text in the pane.
Selon une autre particularité, les critères sont les premières lettres d'un type de médicaments, la base de données est une base de données "médicaments" dont les objets sont les noms commerciaux des médicaments, les champs étant constitués par les laboratoires et la forme de présentation galénique.According to another particularity, the criteria are the first letters of a type of medication, the database is a database "drugs" the objects of which are the trade names of drugs, the fields being made up by laboratories and the form of galenic presentation.
Selon une autre particularité, la liste de médicaments correspondant aux critères affichés dans la première zone de texte apparaít dans une liste déroulante affichée dans une zone supplémentaire de la fenêtre.According to another particular feature, the list of corresponding drugs to the criteria displayed in the first text box appears in a list drop-down displayed in an additional area of the window.
Selon une autre particularité, le critère est un nom du médicament de la base de données, et la base de données est une base de données de posologie dont les champs sont constitués par le nombre de prises, les unités de temps, les jours et les heures de prises. According to another particular feature, the criterion is a name of the drug of the database, and the database is a database of dosage, the fields of which consist of the number of doses, the time units, days and times taken.
Selon une autre particularité, le dispositif comporte deux bases de données, une première de médicaments, une deuxième de posologie, et les moyens interactifs permettent le déplacement d'un indicateur sur le menu de la base de données dont l'opérateur souhaite la sélection.According to another particularity, the device comprises two bases of data, a first drug, a second dosage, and interactive means allow the movement of an indicator on the menu the database which the operator wishes to select.
Selon une autre particularité, la sélection de la base de données déclenche une fonction "tri" sous réserve qu'une zone de texte associée de la sous-fenêtre soit partiellement remplie.According to another particular feature, the selection of the database triggers a "sort" function provided that an associated text area of the pane is partially filled.
Selon une autre particularité, le dispositif effectue un contrôle de cohérence des heures de prises de médicaments.According to another particular feature, the device performs a control of consistency of hours of medication.
Selon une autre particularité, le dispositif code l'ordonnance avant mémorisation sur le support amovible d'informations, et édite une fiche d'informations contenant pour chaque médicament, le type de calibre à placer dans le dispositif de distribution du pilulier en recherchant dans une troisième base de données les informations contenues dans le champ "calibre" du médicament prescrit de cette base de données.According to another particular feature, the device codes the prescription before storage on the removable information medium, and publishes a file information containing for each drug, the type of caliber to place in the dispenser of the pill box by searching in a third database the information in the field "caliber" of the drug prescribed from this database.
D'autres particularités et avantages de la présente invention
apparaítront plus clairement à la lecture de la description ci-après faite en
référence aux dessins annexés dans lesquels :
Le dispositif de rédaction d'ordonnance est constitué d'un ordinateur personnel (61), comportant un dispositif d'affichage (60) tel qu'un écran, et relié à des moyens d'entrée-sortie tels qu'un clavier (62), une souris (63), une imprimante (65), et un boítier d'écriture-lecture (64) réalisant l'interface entre une carte à puce (2) constituant un support amovible d'informations, et l'ordinateur (61). L'ordinateur (61), comporte dans sa mémoire trois bases de données. Une première (611) constituant la base de données "médicaments" et reproduisant les informations du VIDAL. Une deuxième (612), constitue la base de données de "posologie" contenant les posologies types des médicaments les plus usuels et donnant la possibilité de créer des posologies spécifiques. Une troisième (613), constitue la table de correspondance entre les médicaments et les tailles des calibres.The prescription writing device consists of a computer personnel (61), comprising a display device (60) such as a screen, and connected to input-output means such as a keyboard (62), a mouse (63), a printer (65), and a write-read box (64) providing the interface between a smart card (2) constituting a removable information medium, and the computer (61). The computer (61) has three bases in its memory of data. A first (611) constituting the database "drugs" and reproducing information from VIDAL. A second (612), constitutes the "dosage" database containing the dosages types of the most common drugs and giving the possibility of creating specific dosages. A third (613) constitutes the table of correspondence between the drugs and the sizes of the calibers.
Ces trois bases sont chargées initialement lors de l'installation du logiciel de rédaction d'ordonnance.These three bases are initially loaded during installation of the prescription writing software.
Ce logiciel de rédaction d'ordonnance comporte un module qui permet de gérer les signaux provenant du boítier (64) d'écriture-lecture, de façon à permettre l'écriture sur la carte à puce (2) par le boítier (64) des informations introduites par l'utilisateur et codées par le logiciel. Le logiciel comporte également un module d'interface d'affichage qui permet de gérer l'affichage de l'écran, et de transmettre les données et les signaux de commandes nécessaires pour afficher sur l'écran des fenêtres, dont la première (601) permet à l'utilisateur la réalisation d'une ordonnance et comporte comme représentée dans la figure 2a une barre au menu (6011), une barre d'icônes (6012), comportant les icônes représentatives des différentes fonctionnalités disponibles pour gérer l'écran, les fichiers, l'imprimante. Ces icônes sont du type de celles généralement connues pour WINDOWS. This prescription writing software includes a module that used to manage the signals from the write-read box (64), so as to allow writing on the smart card (2) by the housing (64) of information entered by the user and coded by the software. The software also includes a display interface module that allows you to manage the screen display, and transmit data and signals from commands required to display windows on the screen, including the first (601) allows the user to make a prescription and comprises, as shown in FIG. 2a, a menu bar (6011), an icon bar (6012), comprising the icons representative of the different functions available to manage the screen, files, the printer. These icons are of the type generally known for WINDOWS.
En dessous de ces deux menus, la fenêtre est partagée en plusieurs sous-fenêtres dont au moins une (6013) qui est partagée en plusieurs zones de texte ; une première zone de texte (60131), dans laquelle on peut introduire le nom du médicament. Cette zone de texte (60131) est associée à une flèche (60136) assurant la visualisation d'une liste déroulante de médicaments correspondant aux premières lettres introduites dans la zone de texte par l'utilisateur, en actionnant le clavier (62). La zone de texte peut également être remplie en amenant un indicateur visuel tel qu'une flèche ou une surbrillance qui est déplacée par des moyens interactifs entre l'écran et l'utilisateur, telle que la souris (63), et le module d'interface associé. L'indicateur est amené sur un pavé de menu (60139), lequel comporte trois fonctions d'appel de trois bases de données différentes, une première (603) pour la base de données "médicaments" ; une deuxième (602) pour la base de données "posologie" ; et une troisième (604) pour les remarques.Below these two menus, the window is divided into several sub-windows including at least one (6013) which is divided into several zones text; a first text area (60131), in which you can enter the name of the medication. This text box (60131) is associated an arrow (60136) ensuring the display of a drop-down list of medicines corresponding to the first letters introduced in the area of text by the user, by operating the keyboard (62). The text box can also be completed by bringing a visual indicator such as an arrow or a highlight which is moved by interactive means between the screen and the user, such as the mouse (63), and the associated interface module. The indicator is brought to a menu block (60139), which has three call functions from three different databases, a first (603) for the "medicines" database; a second (602) for the base "dosage" data; and a third (604) for remarks.
La première sous-fenêtres (6013) comporte également une deuxième zone de texte (60132) qui permet de déterminer la posologie du médicament. Cette fenêtre peut être remplie soit directement par l'utilisation du clavier (62), soit en faisant appel à la base de données "posologie" en venant positionner l'indicateur sur le menu posologie et en validant cette sélection par le moyen interactif tel que la souris (63). Cette action fait apparaítre une deuxième fenêtre représentée à la figure 3 qui donne la posologie usuelle du médicament indiqué dans la première zone de texte (6013). Une flèche (6037) associée à cette deuxième zone de texte (60132) permet également de faire apparaítre une liste déroulante permettant de choisir les posologies les plus classiques, si l'on ne veut pas faire appel à la base de données "posologie".The first sub-window (6013) also has a second text box (60132) which allows to determine the dosage of drug. This window can be filled either directly by use of the keyboard (62), either by calling on the “dosage” database in positioning the indicator on the dosage menu and validating this selection by interactive means such as the mouse (63). This action does appear a second window shown in Figure 3 which gives the usual dosage of the medication indicated in the first text box (6013). An arrow (6037) associated with this second text area (60132) also allows to display a drop-down list allowing choose the most conventional dosages, if you do not want to use the "dosage" database.
Enfin, l'appel de la base de donnée "posologie" permet soit de rapatrier directement les informations concernant la posologie habituelle du médicament indiqué, soit de créer une posologie spécifique lorsque, par exemple, le nom indiqué dans la première zone de texte (60131) correspondant au nom du médicament, ne correspond à aucune dénomination de la base "posologie". Cette fonction de création sera explicitée ultérieurement en liaison avec la figure 3.Finally, calling the "dosage" database allows either directly retrieve information about the usual dosage of indicated drug, or to create a specific dosage when, by example, the name shown in the first text box (60131) corresponding to the name of the drug, does not correspond to any name of the base "dosage". This creation function will be explained later in connection with Figure 3.
Ensuite l'utilisateur peut remplir une troisième zone de texte (60133) permettant d'indiquer la durée de prise du médicament, cette zone de texte pouvant être remplie soit par l'utilisation du clavier, soit par une sélection dans une liste déroulante qui peut être affichée en amenant l'indicateur des moyens interactifs sur la flèche (60138) associée à la zone de texte, et en validant la sélection de la liste déroulante par le moyen interactif (63).Then the user can fill in a third text box (60133) to indicate the duration of taking the drug, this text box can be filled either by using the keyboard or by a selection in a drop-down list which can be displayed by bringing the indicator of interactive means on the arrow (60138) associated with the text zone, and validating the selection of the drop-down list by the interactive means (63).
La liste déroulante affiche une liste de durées habituelles de traitement. L'utilisateur peut déplacer dans cette liste un indicateur tel qu'une surbrillance, et valider la sélection d'une durée représentée par exemple en surbrillance par le moyen interactif de façon à la faire apparaítre dans la troisième zone de texte.The drop-down list displays a list of usual durations of treatment. The user can move an indicator such as this to this list that a highlight, and validate the selection of a duration represented by example highlighted by the interactive means so as to make it appear in the third text box.
Une quatrième zone -bouton (60134)- permet d'indiquer en amenant l'indicateur des moyens interactifs sur cette zone et en validant par exemple par un clic souris (63) qu'il s'agit d'une prescription en rapport avec une affection de longue durée (A.L.D.).A fourth zone - button (60134) - allows to indicate by bringing the indicator of interactive resources in this area and by validating, for example by a mouse click (63) that it is a prescription related to a long-term condition (A.L.D.).
Enfin, la sous-fenêtre comporte une dernière zone de texte (60135) qui permet d'indiquer la raison pour laquelle le médicament a été prescrit. Dès que la dernière zone de la première sous-fenêtre est remplie, le système informatique fait apparaítre une deuxième sous-fenêtre (6014) comportant les mêmes caractéristiques, et permettant de réaliser les mêmes saisies d'informations.Finally, the pane has a final text box (60135) which indicates the reason why the medicine was prescribed. As soon as the last zone of the first pane is filled, the computer system brings up a second pane (6014) having the same characteristics, and making it possible to carry out the same entered information.
Au fur et à mesure du remplissage des sous-fenêtres, le logiciel fait apparaítre une nouvelle sous-fenêtre et lorsque l'écran est rempli de sous-fenêtres, celles-ci se décalent selon le principe des listes déroulantes de façon à enlever l'affichage de la première sous-fenêtre créée pour la remplacer par la sous-fenêtre du médicament suivant, et permettre ainsi l'apparition d'une sous-fenêtre vierge en bas de l'écran. Les informations ainsi saisies sont mémorisées dans la mémoire vive du système informatique et en fin de rédaction par une sauvegarde déclenchée par la fonction SAUVER (60111, figure 2b) dans la mémoire permanente du système (disque dur ou disquette). Le logiciel fait également apparaítre avant les fenêtres de rédaction d'ordonnance une première fenêtre qui permet la prise en compte des informations concernant le patient : sa date de naissance, le numéro de sécurité sociale, et un numéro d'ordre ordonnance dès que le menu "création d'ordonnance" est appelé. Le logiciel a été au préalable personnalisé lors de l'installation, en faisant figurer l'identité du médecin, son adresse, et toutes les informations nécessaires pour la sécurité sociale. La barre de menu comme représentée à la figure 2b permet en sélectionnant la fonction "ordonnance" de déclencher l'affichage d'un pavé de menu faisant apparaítre plusieurs fonctions, telle que la fonction "sauvegarde" (60111), la fonction "chargement" (60112) permettant de charger une ordonnance, la fonction (60113) de "renouvellement d'ordonnance", la fonction d"'impression" (60114), une fonction de "configuration" (60115) permettant de rentrer les informations de personnalisation, une fonction de suppression de prescription" (60116), et une fonction de "programmation" du pilulier (60117) dont on verra l'utilité ultérieurement.As the sub-windows are filled, the software a new sub-window will appear and when the screen is filled with sub-windows, these shift according to the principle of the drop-down lists of so as to remove the display of the first pane created for the replace with the next drug pane, and allow the appearance of a blank pane at the bottom of the screen. Information thus entered are stored in the RAM of the system IT and at the end of writing by a backup triggered by the SAVE function (60111, figure 2b) in the permanent memory of the system (hard drive or floppy). The software also appears before the prescription writing windows a first window which allows the taking into account of information concerning the patient: his date of birth, social security number, and a serial number prescription as soon as the menu "creation of prescription" is called. The software has been personalized beforehand during installation, by including doctor's identity, address, and all necessary information for social security. The menu bar as shown in Figure 2b selects the "order" function to trigger the display a menu block showing several functions, such as the "save" function (60111), the "load" function (60112) allowing to load a prescription, the function (60113) of "renewal ", the" printing "function (60114), a "configuration" (60115) used to enter information from personalization, a prescription deletion function "(60116), and a "programming" function of the pill organizer (60117) which will be shown later.
Le médecin peut appeler la fonction "posologie" du pilulier, et dans ce cas, le logiciel recherche dans la base de données "posologie", un médicament correspondant aux noms ou caractères introduits dans la première zone de texte (60131, 60141) de la fenêtre d'ordonnance. L'affichage de la fenêtre "posologie" (figure 3) est rempli des informations correspondant à la posologie, si la posologie du médicament existe. Cette posologie est introduite dans l'ordonnance en validant le bouton "OK" qui remplace le bouton "créer" de la figure 3. Dans le cas contraire le logiciel propose la création d'une posologie, et fait apparaítre la fenêtre (602 figure 3) qui comporte un premier pavé "avertissement" demandant au médecin s'il souhaite créer la posologie.The doctor can call the "dosage" function of the pill box, and in In this case, the software searches the "dosage" database for a drug corresponding to the names or characters introduced in the first text box (60131, 60141) of the prescription window. The display of the "dosage" window (figure 3) is filled with information corresponding to the dosage, if the dosage of the drug exists. This dosage is introduced into the prescription by validating the "OK" button which replaces the "create" button in figure 3. Otherwise the software proposes the creation of a dosage, and brings up the window (602 figure 3) which includes a first "warning" block asking the doctor if wish to create the dosage.
Le reste de la fenêtre est identique à celle qui apparaít lorsque la posologie du médicament existe, la seule différence est due au fait que les champs ou les zones de texte ne sont pas remplies des informations constituant la posologie, et doivent être remplies au fur et à mesure par le médecin.The rest of the window is identical to the one that appears when the dosage of the drug exists, the only difference is due to the fact that the fields or text boxes are not filled with information constituting the dosage, and must be filled as required by the doctor.
Cette fenêtre (602) comporte dans son pavé "posologie" une première zone de texte (6020) permettant d'indiquer l'intitulé de posologie ; une deuxième zone de texte (6021a) permettant d'indiquer le nom du type de médicament auquel la posologie doit être associée. Une flèche de déclenchement de liste déroulante (6021b) est associée à cette deuxième zone de texte en permettant l'affichage d'une liste de type de médicaments dans laquelle, celui qui doit être introduit par le médecin, sélectionné dans la zone de texte, peut être validé au moyen du dispositif interactif.This window (602) has in its "dosage" block a first text area (6020) for indicating the dosage title; a second text box (6021a) allowing to indicate the name of the type of drug to which the dosage should be associated. An arrow of drop-down list trigger (6021b) is associated with this second text box allowing the display of a list of type of drugs in which, the one to be introduced by the doctor, selected in the text area, can be validated using the interactive device.
Un pavé numérique (6025a) permet d'indiquer le nombre de prises, ce pavé est associé à des flèches d'incrémentation et décrémentation (6025b) qui permettent selon la flèche actionnée par l'indicateur, d'augmenter ou diminuer le nombre de prises.A numeric keypad (6025a) indicates the number of takes, this block is associated with increment and decrement arrows (6025b) which allow, depending on the arrow actuated by the indicator, increase or decrease the number of takes.
Un pavé numérique supplémentaire (6022a) indique le nombre d'unités de temps auxquelles la prise doit s'effectuer. Ce pavé numérique indique un nombre dont la valeur peut être incrémentée ou décrémentée à l'aide des flèches (6022b) d'incrémentation ou de décrémentation. A ce pavé numérique est associé une zone de texte (6023a) permettant d'indiquer l'unité de temps et une flèche d'activation de liste déroulante (6023b) qui permet d'afficher une liste déroulante d'unités de temps en vue d'en sélectionner une pour l'introduire dans la zone de texte (6023a).An additional numeric keypad (6022a) indicates the number time units at which the setting should be made. This numeric keypad indicates a number whose value can be increased or decreased by using the increment or decrement arrows (6022b). At this pavement numeric is associated with a text zone (6023a) allowing to indicate the time unit and a drop-down activation arrow (6023b) which allows you to display a drop-down list of time units in order to select one to enter it in the text box (6023a).
Un troisième pavé numérique (6026a) associé à ces flèches d'incrémentation et de décrémentation (6026b) permet d'indiquer le nombre d'unité par prise. Deux boutons (6026c, 6026d) permettent au médecin de déterminer si ces prises doivent être respectivement rythmées ou non par les repas.A third numeric keypad (6026a) associated with these arrows increment and decrement (6026b) allows to indicate the number per unit. Two buttons (6026c, 6026d) allow the doctor to determine whether these takes should be respectively paced or not by meals.
Une zone (6027) permet de déterminer le jour de prise. Cette zone comporte deux boutons permettant de choisir si les prises doivent être respectivement à intervalles fixes ou à jours variables (60273). Un pavé numérique (60271) permet de déterminer la périodicité des jours de prises en indiquant si la prise s'effectue tous les jours, tous les deux jours, tous les trois jours, etc...A zone (6027) makes it possible to determine the day of taking. This zone has two buttons to choose whether the sockets should be respectively at fixed intervals or on variable days (60273). A pavement numeric (60271) allows to determine the periodicity of the days taken indicating whether the catch is taken every day, every two days, every three days, etc ...
Un bouton ( 60272) associée à chaque jour de la semaine permet également par sa validation de déterminer, le ou les jours auxquels les prises vont s'effectuer. Enfin, la fenêtre "posologie" comporte une zone "heure de prise" qui permet de sélectionner, dans une pluralité de zones numériques (60281a) pourvues de flèches d'incrémentation associées, plusieurs heures de prises correspondant chacune à une prise du nombre nécessaire de médicaments.A button (60272) associated with each day of the week allows also by its validation to determine, the day or days on which the taken will be made. Finally, the "dosage" window has an area "take time" which makes it possible to select, in a plurality of zones numerical (60281a) provided with associated increment arrows, several hours of taking each corresponding to a taking of the number necessary medication.
La fenêtre comporte une barre de menu (6029) qui permet de sélectionner un bouton "créer" pour valider la création de la posologie et l'enregistrer dans la base de données "posologie", ou de sélectionner un bouton "annuler" pour annuler la création de la posologie ou encore d'appeler une aide par le bouton "aide". La fonction "création" permet l'enregistrement des données introduites dans chacun des pavés de textes ou numériques, dans les champs correspondant de la base de données "posologie".The window has a menu bar (6029) which allows you to select a "create" button to validate the creation of the dosage and save it in the "dosage" database, or select a "cancel" button to cancel the creation of the dosage or to call a help by the button "help". The "creation" function allows recording of the data entered in each of the text boxes or numeric, in the corresponding fields of the database "dosage".
Lorsque l'utilisateur sélectionne sur la barre de menus (6011) de la fenêtre "ordonnance", la fonctionnalité "imprimer" (6114), l'imprimante (65) va recevoir les données et les attributs de mise en forme pour éditer d'une part une ordonnance type sécurité sociale, et d'autre part, une fiche (19) d'instruction de mise en route du pilulier pour le pharmacien. La fiche (19) d'instruction de mise en route du pilulier indique dans différentes zones (18) séparées par une prédécoupe (180) comme représentée à la figure 7, le médicament associé à chaque numéro de compartiment du pilulier, le nombre d'unité par prise, le nombre total de comprimés correspondant au traitement, les heures de prises du médicament, et le calibre (181) associé à la taille du médicament à disposer dans compartiment du pilulier. Cette information est créée à partir des informations générées par l'utilisateur (médecin) sur l'écran, et par l'utilisation de la base de donnée (613), qui établit la correspondance entre la taille des médicaments, dont les noms sont indiqués dans l'ordonnance, et le calibre à utiliser pour le pilulier.When the user selects on the menu bar (6011) of the "prescription" window, "print" functionality (6114), printer (65) will receive data and formatting attributes to edit from on the one hand, a standard social security order, and on the other hand, a form instructions for setting up the pill organizer for the pharmacist. The sheet (19) of instruction for the start-up of the pill organizer indicates in different zones (18) separated by a precut (180) as shown in Figure 7, the drug associated with each pill compartment number, the number of units per dose, the total number of tablets corresponding to treatment, hours of medication, and the caliber (181) associated with the size of the medication to be placed in the pillbox compartment. This information is created from user generated information (doctor) on the screen, and by using the database (613), which matches the size of drugs, including names are indicated in the prescription, and the size to be used for the pill box.
Enfin, le médecin après avoir introduit une carte à puce vierge dans le terminal (64) d'interface sélectionne dans le menu de la fenêtre de création d'ordonnance la fonction "programmation du pilulier" (60117, fig.2b), ce qui déclenche l'exécution du programme de "programmation de la carte à puce" au cours duquel les informations mémorisées lors de l'exécution du programme de rédaction d'ordonnance vont être codées et écrites dans les champs des fichiers de la carte à puce (2).Finally, the doctor after inserting a blank smart card in the interface terminal (64) selects from the menu in the window creation of prescriptions the "pill organizer" function (60117, fig.2b), which triggers the execution of the program "programming the smart card "during which the information stored during execution of the prescription writing program are going to be coded and written in the file fields of the smart card (2).
Ainsi, la mémoire de la carte à puce comportera un premier fichier
ORDO constitué des noms de champs ci-dessous, et des informations
rentrées dans les zones de texte ou numérique correspondant aux noms de
champs des fenêtres du programme de rédaction d'ordonnance affichés sur
l'écran (60) :
De même le logiciel enregistre sur la carte à puce, la table PAT
contenant toutes les informations concernant le patient :
On notera à ce sujet que les dates d'ouverture d'urgence, et les
heures d'ouverture d'urgence du pilulier sont remplies dans la carte lors de
la fin d'utilisation du pilulier, de même que la table de fonctionnement FONC
dont les champs suivant sont créés :
Cette table est remplie uniquement lorsque la détection d'un compartiment vide est effectuée par le pilulier.This table is filled only when the detection of a empty compartment is carried out by the pill organizer.
Le patient pourvu de son ordonnance, de sa feuille d'étiquette, et de la feuille de mise en oeuvre pour le pharmacien, ainsi que de la carte à puce va chez ce dernier. Le pharmacien dispose des compartiments amovibles (5) du pilulier et de l'élément de base (1) comportant deux compartiments distributeurs de médicaments identiques aux compartiments amovibles, et les circuits électroniques nécessaires à son fonctionnement, ainsi qu'une mémoire d'ordonnance. Ces circuits sont décrits en détail dans la demande de brevet français intitulée "Pilulier électronique de poche à compartiments multiples" et déposée ce jour par BIOSTAT S.A. En fonction du nombre de compartiments correspondant au nombre de médicaments prescrits par l'ordonnance, le pharmacien dispose les médicaments dans chacun des réservoirs (111, fig.6) de chacun des compartiments (1, 5) du pilulier.Patient with prescription, label sheet, and the implementation sheet for the pharmacist, as well as the smart card go to the latter. The pharmacist has removable compartments (5) pillbox and basic element (1) with two compartments identical medication dispensers with removable compartments, and the electronic circuits necessary for its operation, as well as a prescription brief. These circuits are described in detail in the request. patent application entitled "Pocket electronic pill organizer with compartments multiple "and filed today by BIOSTAT S.A. Depending on the number of compartments corresponding to the number of drugs prescribed by the prescription, the pharmacist places the drugs in each of the reservoirs (111, fig. 6) of each of the compartments (1, 5) of the pill box.
Par le capot (16), le pharmacien dispose dans une gorge (1710) d'une écluse rotative (171) située dans un puits cylindrique (17) qui communique avec le réservoir (111), le calibre (172) correspondant au calibre indiqué sur la feuille d'instruction. Le couvercle (16) du capot d'écluse est refermé et ensuite le couvercle (15) du réservoir (111) du compartiment après mise en place de la quantité de médicament prescrite.Through the cover (16), the pharmacist has in a groove (1710) a rotary lock (171) located in a cylindrical well (17) which communicates with the tank (111), the rating (172) corresponding to the caliber indicated on the instruction sheet. The cover (16) of the cover lock is closed and then the cover (15) of the tank (111) of the compartment after filling with the prescribed quantity of medicine.
Dans la fenêtre (50) transparente permettant la mise en place d'une étiquette, l'étiquette (18) correspondante au médicament et à la quantité de médicaments déposée dans le réservoir est introduite. Une fois que chacun des compartiments a été remplis avec les quantités et les types de médicaments souhaités, ainsi qu'avec les calibres de distribution appropriés, la carte à puce du patient est introduite dans la fente (12) de l'élément principal (1), et les compartiments supplémentaires (5) sont reliés à l'élément principal par les ergots (51, 52) et la languette de verrouillage (53). La partie éventuellement saillante de la carte à puce (2) pénètre dans une fente (12) du compartiment amovible (5) adjacent au compartiment principal (1). Le nombre de compartiments nécessaires pour permettre la délivrance de tous les médicaments de l'ordonnance est ainsi assemblé par le pharmacien.In the transparent window (50) allowing the installation of a label, the label (18) corresponding to the drug and the amount of medication deposited in the reservoir is introduced. Once everyone compartments have been filled with the quantities and types of desired drugs, as well as with the appropriate dispensing sizes, the patient's smart card is inserted into the slot (12) of the element main (1), and the additional compartments (5) are connected to the main element by the lugs (51, 52) and the locking tab (53). The possibly projecting part of the smart card (2) enters a slot (12) of the removable compartment (5) adjacent to the main compartment (1). The number of compartments necessary to allow delivery of all the prescription drugs is thus assembled by the pharmacist.
Chacun des compartiments comporte également des moyens de connections électriques entre eux de façon à, d'une part, permettre l'indication par un voyant lumineux (14a, 14b, 14c) du compartiment dans lequel un médicament peut être prélevé, d'autre part, de détecter le prélèvement et le passage d'un médicament par détection de l'enfoncement du bouton de distribution (13a, 13b, 13c) associé à chaque compartiment (5, 1), et le passage du médicament dans le sas de distribution (11a, 11b, 11c).Each of the compartments also includes means for electrical connections between them so as, on the one hand, to allow indication by an indicator light (14a, 14b, 14c) of the compartment in which a drug can be taken from, on the other hand, to detect the sampling and passage of a drug by detection of the depression the distribution button (13a, 13b, 13c) associated with each compartment (5, 1), and the passage of the drug through the airlock (11a, 11b, 11c).
La figure 5 permet de visualiser les étiquettes introduites dans chacun des compartiments du pilulier qui assure ainsi pour le patient d'une part une information sur le type de comprimés placés dans le pilulier, la quantité, et les heures de prises.Figure 5 shows the labels introduced in each of the pillbox compartments which thus provides the patient with a share information on the type of tablets placed in the pill box, the quantity, and hours taken.
D'autres modifications à la portée de l'homme de métier font également partie de l'esprit de l'invention.Other modifications within the reach of those skilled in the art make also part of the spirit of the invention.
Claims (15)
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
FR9610972 | 1996-09-09 | ||
FR9610972A FR2753088B1 (en) | 1996-09-09 | 1996-09-09 | METHOD FOR IMPLEMENTING AN ELECTRONIC PILL FOR MULTI-COMPARTMENT POCKET AND PRESCRIBING DEVICE USED IN THE PROCESS |
CA 2232114 CA2232114A1 (en) | 1996-09-09 | 1998-03-11 | Utilization procedure for a multi-compartmental electronic pocket pill-organizer, and device for recording prescriptions used in the procedure |
JP6174098A JPH11276552A (en) | 1996-09-09 | 1998-03-12 | Method to use multi-compartment type small electronic machine for distributing and packaging drugs, and device for making prescription used in this method |
US09/041,822 US6032085A (en) | 1996-09-09 | 1998-03-12 | Method of forming an electronic pocket pillbox and prescription-writing apparatus used in the method |
Publications (1)
Publication Number | Publication Date |
---|---|
EP0827733A1 true EP0827733A1 (en) | 1998-03-11 |
Family
ID=31982398
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
EP19970402078 Withdrawn EP0827733A1 (en) | 1996-09-09 | 1997-09-08 | Process for actuating a pocket electronic dispenser with multiple compartments and device for establishing the prescription used in this process |
Country Status (5)
Country | Link |
---|---|
US (1) | US6032085A (en) |
EP (1) | EP0827733A1 (en) |
JP (1) | JPH11276552A (en) |
CA (1) | CA2232114A1 (en) |
FR (1) | FR2753088B1 (en) |
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WO2000049989A1 (en) * | 1999-02-22 | 2000-08-31 | Ae-Hedia Pharma Vertriebs Gmbh | Box for medicaments with integrated prescription |
US6625518B2 (en) | 2000-06-22 | 2003-09-23 | Csem Centre Suisse D'electronique Et De Microtechnique Sa | Method supporting administration of a prescribed drug and implementing said method |
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US6871782B2 (en) | 1999-10-08 | 2005-03-29 | Canon Kabushiki Kaisha | User programmable smart card interface system having an arbitrary mapping |
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EP0992953A3 (en) * | 1998-10-08 | 2004-06-02 | Canon Kabushiki Kaisha | A user programmable smart card interface system |
US7121462B2 (en) | 1998-10-08 | 2006-10-17 | Canon Kabushiki Kaisha | User programmable smart card interface system |
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US6877655B1 (en) | 1999-08-04 | 2005-04-12 | Canon Kabushiki Kaisha | Providing services utilizing a smart card |
US6871782B2 (en) | 1999-10-08 | 2005-03-29 | Canon Kabushiki Kaisha | User programmable smart card interface system having an arbitrary mapping |
US6874683B2 (en) | 1999-10-08 | 2005-04-05 | Canon Kabushiki Kaisha | User programmable smart card interface system for an image album |
US7451760B2 (en) | 2000-02-11 | 2008-11-18 | Respironics (Uk) Ltd. | Controlling drug delivery apparatus |
US8967140B2 (en) | 2000-02-11 | 2015-03-03 | Profile Respiratory Systems Limited | Controlling drug delivery apparatus |
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CN104035373A (en) * | 2014-06-03 | 2014-09-10 | 王岚涛 | Automatic dispensary of traditional Chinese medicine |
Also Published As
Publication number | Publication date |
---|---|
JPH11276552A (en) | 1999-10-12 |
CA2232114A1 (en) | 1999-09-11 |
FR2753088B1 (en) | 1999-02-12 |
FR2753088A1 (en) | 1998-03-13 |
US6032085A (en) | 2000-02-29 |
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