CA2128692A1 - System and apparatus for accurate drug inventory control - Google Patents

System and apparatus for accurate drug inventory control

Info

Publication number
CA2128692A1
CA2128692A1 CA002128692A CA2128692A CA2128692A1 CA 2128692 A1 CA2128692 A1 CA 2128692A1 CA 002128692 A CA002128692 A CA 002128692A CA 2128692 A CA2128692 A CA 2128692A CA 2128692 A1 CA2128692 A1 CA 2128692A1
Authority
CA
Canada
Prior art keywords
medication
bag
bags
dosage
dosage forms
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
CA002128692A
Other languages
French (fr)
Inventor
Conrad H. Boettger
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
ST FRANCIS RESEARCH INSTITUTE
ST FRANCIS RESEARCH INSTITUTE Inc
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of CA2128692A1 publication Critical patent/CA2128692A1/en
Abandoned legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61JCONTAINERS 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
    • A61J7/00Devices for administering medicines orally, e.g. spoons; Pill counting devices; Arrangements for time indication or reminder for taking medicine
    • A61J7/04Arrangements for time indication or reminder for taking medicine, e.g. programmed dispensers

Abstract

An improved method and apparatus designed to facilitate the dispensing and inventory control of medications is provided, preferably in the form of a book (16) containing a plurality of transparent bags (10-14). Each of the bags (10-14) holds one or more multiple-dosage cards (32, 36) including a plurality of transparent, frangible, single dosage form-holding compartments (38). Each bag is moreover provided with medication and dosage form information (25), preferably along a side marginal edge thereof. A record sheet (52) is also provided which includes reference markings (54) for each of the medications and dosage forms contained within a respective bag (10-14), along with spaces (56) for noting periodic usage of each dosage form of each different medication. Periodic inventory control is accomplished by counting the individual dosage forms of each medication through the outer transparent bags (10-14) and the compartments (38), and correlating the counted number of each dosage form of each medication with the inventory control record (52).

Description

W094/~ 212 ~ 6 9 2 PCT~S93/116g0 SY5TEM ~ D APPARATUS FOR ACCURA~E DRUG INVENTORY CONTROL

Backaround_of the Invention 1. Field of the Xnvention The present in~ention is broadly concerned with an improved method and apparatus for facilitating the dispensing and maintenance of inventory control for a plurality of differ~nt medications in individual dosage forms (e.g., ~a~lets or capsules). More parkicularly, it is concerned with such a method and apparatus which makes use of individual selec~ively openable bags each holding one or more medication cards; the bags include a transpar-~15 ent viewing panel, whereas the cards have a plurality of fran~ible, substantially transparen~ single do~age form~
holding compartments. In use,~as a particular medication is ~eeded, the corresponding bag is opened, and the desired number of individual dosage forms is removed from
2 0 the multipl~-dosage card O A notation is made of the m lcation r~moved on a ~ c:ontrol record, the card is return~d to the bag, and the latter is resealed. Invento-r~ control is accomplished by periodic:ally counting the in~ dual dosage f orms of each medication by viewing 2 5 ~ thrc~ugh the corresponding~ bag and the single dosage com-::: p~rtm~nts of the card ( s ) th2rein , and correlating this : ~ count with the notations on ~e in~entory control record.
~: 2 . Descri~tion of ~he Prior Art :
; ~ In many health care ~;ettings, narco~ics, analge-
3 û sics and other medicati~ns are provided i n sins~le dbsage forms used for the alleviation of pain. Many of these are controlled substances and must be c~refully accounted for i~ order to eliminate theft and drug abuseO Accordingly, all he~lth care institutions should have an accounting system in place for the monitoring of use or wastage of W094/~ P~T~S93/11690 ,~..

controlled medications~ Such systems typically require, as a part of each nursing shift routine, that the medica-tion~ be counted by two m~mbers of the professional skaff, one from each of the offgoing and oncoming shift. This count insures that the beginning and ending shi~t totals accurately reflect the amount and type of medications used during the course of the shi~t. .In a typical oncology hospital unit, 40-50 di~ferent~ types and dosages of controlled medicatlons must be counted three times in each 24 hour period, 365 days per year. As can be appreciated, this represents a significant time factor.
Orally administered tablets and capsules are normally packaged on flat, rigid, multiple-dosaye cards presenting a number of frangible, substantially transpar-ent~ single dosage compartments. ~s the medication is needed, it is necessary ~o break the n~cessary number of compartments to remove the tablets or capsules from the card. At the same time, a record is kept of medication and dosage f~rm usage on a shift drug record. It has been found that over time the indi~idual dosage form compart-ments c~n become s~parated from the card, leaving them loose and ~asily misplaced~ This results in incre~sed nursing time spent looking and accounting for all used and unu~ed dosages.
Th~re is ac~ordingly a real and unsatisfied need in the art for an improved method and apparatus designed to facilitate the dispensing and periodic inventory : controI of medic~tions:~

~Y~ 3__Ib~_IOY~S~S~
The present inYention overcomes the problems outlined above, and provides a medication control method and apparatus in the form of a plurality o~ selectively openable bags, each presenting a transparent viewing : 35 panel, with each bag holding one or more mu~tiple-dosage . W094/~ PCT~S93tll6g~
~l28~2 cards of the type havin~ a plurality of frangible, sub-stantially transparent, single dosage form-holding com partments therein. Means is provided for releasably interconnecting a plurality of card-holding bags a~ong a common margin thereof, in order to facilitate quick visual counting of the individual dosage forms within each bag.
An inventory control record sheet is also provided which includes markings thereon referencing each of the dosage forms of the different medications contained within lV respective bags, and wîth spaces associated with each medication/do~age form reference for noting the periodic usage thereof.
Preferably, each of the bags is formed of interconnected, transparent front and rear panels, and includes indicia-bearing means for marking of each bag with individual dosage form and medication information corresponding to the medication and dosage form contained within the bag.
Advantageously, the plural dosage bags are interconnected along a side marginal edge to pre~ent a : ~ book-like ~tructure wherein each of the bags can be :: indiv~dually viewéd for counting purpo es.

Brief Description of the Drawinas Figure 1 is a front elevational view of a medication bag in accordance with the invent~on, ~hown with a multiple-dosag~ card therein;
Fig. 2 is a side elevational Vi8W of a multiple ba~ medicatisn book in accord~nce wi~h the invention; and -Fig. 3:is a Ifragm~ntary ~iew of an! inventory control record sheet usable with the multiple bag medica-tion book of Fig. 2.
:

W094/~ PCT~S93/11690 ~
21'~692 1~
4.
Detailed Description of the Preferred Embodiments Turning now to the drawing, and particularly Fig. 1, a medication bag 10 is illustrated. The bag 10 is designed to be used in conjunction with a number of other identical bags, ~.g., bags 12 and 14 (see Fig~ 2), to~form a multiple bag book 16.
In more detail, each o~ the bags 10-14 is formed of synthetic resin material and .includ~s a transparent front panel 18, a transparent rear panel Z0, a reinforced, apertured inner side margin 22, an indicia-b~aring outer side margin 24, and releasable locking mechanism 26 acros~
the open top o~ the bag. Again referring to Fig. 2, it will be observed thak the inner margin 22 includes a pair of spaced apart binding apertur~s 28 thereto~ with the margin being reinforced by provision of a central strip 30 between the front and rear panels 18, 20. The outer margin 24 may include a label or be designed to permit marking thereon of medication and dosage information 25.
:In the embodiment illu~trated, it will be seen that the 20:~ words "D~ug A 15 MG" are applied to the outer margin 24, This of ~ourse indicates that the bag in question i5 :~ designed to hold "Drug A" in individual do6age ~orms of 15 mg each.
The locking mechanism 26 may be of any conve-~ient construction, but is preferably of the well-known :~ ~ zipper-~ype exe~pli~ied by the commercially available 'ZIP-LOC" bag~. Those sXilled in the art will appre iate that this type of locking mechanism allows the bag to be repeatedly opened and closed~without damage to the bag, ~s shown in ~igs. 1 and 2, ~ach of the bags 10-:14 holds a mul~iple-d~sage card 32, 34 or 36 therein.
Each of the cards is id ntical and includes a plurality of individual, frangible, substantîally transparent, single dosage form-holding compartments 38~ with each of the latter including a sinyle tablet, capsule or other dosage .

WOg4/13~ 212 8 6 9 2 PCT~S93111690 _5_ form 40 therein. As shown in Fig. 1, the dosage forms 40 can be individually removed from the card 32, by simply breaking ths respective compartments 3~ and removing the medication. Such broken compartments are illustrated at 42 ~or example.
Refe~ring speci~ically to Fig. 2, it will be seen that the book 16 includes a pair of rigid synthetic resin covers 44 and 46, with pins 48 and 50 extending between the covers 44, 46. The pins 48, 50 moreover pass ~0 through the apertures 28 of each of the ba~s 10-14, in order to firmly hold the latter between the covers. ~t least the front cover 44 is openable in a hinged fashion, so as to permit access to the ~ags 10-14; this front cover may also include a pocket for receipt of an inventory control rQcord~ Each o~ the bags 10-14 may also be turned, mu~h in the manner of book pag~s, so as to succes-sively expose the different bags for viewing.
The overall~apparatus of the invention also in~ludes an inventory control record sheet 52 which is 20~ used :in conjunction with:book 1~. As illustrated, this sheet or "~aily:Drug Record" includes markings 54 thereon re:ferencing each of~ the medication and dosage forms contained wi~hin book l6:and corresponding to~the in~orma-tion~25 on each of~the bags, and has spaces 56 associated25~ with :each~:medi:cation~reference for noting the periodic usage~of~each dosage~form of the different medications~
Columns are al~o ;provided~for room ~number,~: patient and medication administering;nur~e. Thus, it will readily be ~:: appreciated that the referenc~e on sheet 52 to 9'Drug A 15"
:~:: 30 refers to the indicla 25 provided with bag lO, i.e., Drug ~: A, ~5 mg dosage form.~
In the use of the described apparatus, a plural-ity of different medications are maintained in~individual dosage forms within se~arate, individually openable bag~, ~uc~ as bags 10-14 (it being understood that any desired ~: :

:.

W~g4/~ PCT~S93/11690 ~
212~692 t :3 number of bags and complete books may be provided, depend-in~ upon the number of medications and dosage f orms to be inventory controlled). One or more multiple-dosage cards corresponding to the identifying indicia on each bag are 5placed within the bag and the locking mechanism 26 is used to seal the medication cards therein. As each of the medications is required, the corre~ponding bag is opened, the card(s) are removed therefrom, the number of individu-al dosage ~orms is taken from the card(s~, and the card(s) lOare put back into the associated bag.
As the dosage forms are thus taken ~rom the individual bags, a notation thereof is made upon sheet 52, and particularly in the spaces 56 associated with the appropriate medication and dosage form reference 54.
15At the end of a nursing shift or otherwise as desired, the indi~idual dosage forms of each medicatio~
are periodically counted. This is done by viewing, through each corresponding bag and the transparent single d~sage cvmpartment~ of~the multiple-dosage cards therein, ;ZOthe num~er of individual dosage forms remaining in each bag. As explained previously, this is a simple mat~er of ::vicwing each bag and then turning the bag to ~xpose the ne~t~underlying bag for counting purposes, until all bags :are viewed and the medication therein counted.
~:Z5:The final step for each periodic counting is the correlation of t~e cou~ted numbPr o~ each of ~he i~dividu-al dosage forms of ~each different medication with the ~:in~entory control record. : In this fashion, a ready accounting can be made of the usage of each individual dosa~e form of each~medication~
~;Although in preferred forms completely transpar-ent bags 10~14 are employed, thos~ skilled in the art will appreciate that it is necessary only to provide a trans-parent Yiewing panel for each bag. Similarly, while ~he :~35 medication and dosage form information may be directly : :

WO 94/132~8 2 1 2 8 ~ 9 2 P~r/13S93/11690 applied to the outer margîn 24 of each bag, such coul d also be provided by stapling or otherwise af~ixing a separate tag to an appropriate bag margin.
If desired, the entire book l~ may be conve-S niently secured in a drawer or cabinet by means of a chain af f ixed to the drawer or cabin~t and attached to one of the covers of the book. In this ~ashion, additional drug security is established .

Claims (7)

Claims:
1. A method of dispensing and maintaining inventory control for a plurality of different medications in individual dosage forms, said method comprising the steps of:
maintaining said plurality of different medications in said individual dosage forms in separate, individual, selectively openable bags each pre-senting a transparent viewing panel, the single dosage forms of each medication being supported within a corresponding bag on at least one multiple-dosage card presenting a plurality of frangible, substantially transparent, single dosage form-holding compartments;
as each of said different medications is required, opening the corresponding bag and removing the needed number of individual dosage forms thereof from a multiple-dosage card within the bag;
noting the type of medication and number of individu-al dosage forms thereof removed from each corre-sponding bag on an inventory control record;
periodically counting the individual dosage forms of each different medication by viewing, through each corresponding bag and the transparent single dosage compartments of the at least one multiple-dosage card therein, the number of individual dosage forms remaining in each bag;
and correlating the counted number of each of said indi-vidual dosage forms of each different medication with the inventory control record, in order to account for the usage of each individual dosage form of each medication.
2. The method of claim 1, including the step of maintaining said plurality of bags in a marginally bound book form.
3. The method of claim 1, each of said bags including a releasable locking mechanism, wherein each of said mechanism is opened by releasing the locking mecha-nism, and including the step of replacing each correspond-ing card within its respective bag after removal of single dosage forms therefrom, and thereafter reclosing the bag.
4. Apparatus for dispensing and maintaining inventory control for a plurality of different medications in individual dosage forms, said apparatus comprising:
a plurality of selectively openable bags each pre-senting a transparent viewing panel;
a multiple-dosage card presenting a plurality of frangible, substantially transparent, single dosage form-holding compartments therein, each of said compartments containing a single dosage form of a selected medication.
each of said bags holding at least one of a corre-sponding multiple-dosage card for a selected medication;
means for releasably interconnecting a plurality of said multiple-dosage card-holding bags along a common marginal edge of the bags; and an inventory control record sheet including markings thereon referencing each of the dosage forms of said different medications, and spaces associat-ed with each medication reference for noting periodic usage of each dosage form of the different medications.
5. The apparatus of claim 4, each of said bags being formed of interconnected, transparent front and rear panels.
6. The apparatus of claim 4, including indi-cia-bearing means affixed to each of said bags for permit-ting marking of each bag with individual dosage form and medication information corresponding to the medication and dosage form within the bag.
7. The apparatus of claim 4, each of said bags including a releasable locking mechanism.
CA002128692A 1992-12-10 1993-12-02 System and apparatus for accurate drug inventory control Abandoned CA2128692A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US07/989,545 1992-12-10
US07/989,545 US5259499A (en) 1992-12-10 1992-12-10 System and apparatus for accurate drug inventory control

Publications (1)

Publication Number Publication Date
CA2128692A1 true CA2128692A1 (en) 1994-06-23

Family

ID=25535209

Family Applications (1)

Application Number Title Priority Date Filing Date
CA002128692A Abandoned CA2128692A1 (en) 1992-12-10 1993-12-02 System and apparatus for accurate drug inventory control

Country Status (4)

Country Link
US (2) US5259499A (en)
AU (1) AU5735894A (en)
CA (1) CA2128692A1 (en)
WO (1) WO1994013248A1 (en)

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US5727686A (en) * 1995-07-31 1998-03-17 Kristal; Boaz Tamper-evident security envelopes
CA2207045C (en) * 1996-07-22 1999-06-01 Michel Bouthiette Kit and process for the manufacture of a set of individual pill containers
US5788974A (en) * 1996-09-11 1998-08-04 D'amico; Steven A. Helicobacter pylori treatment compliance pack
TW533865U (en) * 1997-06-10 2003-05-21 Glaxo Group Ltd Dispenser for dispensing medicament and actuation indicating device
US7185476B1 (en) 1999-05-11 2007-03-06 Mts, Medication Technologies, Inc. Automated solid pharmaceutical product packaging machine
US20020161607A1 (en) * 2001-02-23 2002-10-31 Subich David C. Pharmaceutical drug sample tracking and control method
US7860724B2 (en) * 2002-10-30 2010-12-28 Automed Technologies, Inc. System and method for management of pharmacy workflow
US6708826B1 (en) * 2003-04-30 2004-03-23 Warner-Lambert Company, Llc Packaged supply of individual doses of a personal care product
DE602004028256D1 (en) * 2003-09-04 2010-09-02 Pharmadesign Inc TANK WITH TABLET RECEPTACLE SLEEVES FOR STORING AND DISPENSING TABLETS
US20050087467A1 (en) * 2003-10-23 2005-04-28 Dao Tom H. Apparatus and method for recording consumed dosages
US7867511B2 (en) 2004-01-23 2011-01-11 Travanti Pharma Inc. Abuse potential reduction in abusable substance dosage form
US20060219595A1 (en) * 2004-08-20 2006-10-05 Peters Timothy J Flexible multi-pocketed re-sealable package and method of making
US20080093253A1 (en) * 2006-10-23 2008-04-24 Gail Halko Medication Dispensing Package
US20100018891A1 (en) * 2008-07-24 2010-01-28 Leviton Manufacturing Co., Inc. Package assembly enclosing a plurality of communication connector jacks and method of use
US20110052108A1 (en) * 2009-08-25 2011-03-03 Le-Chi Chia Multi-Opening Pill Pouch
US10265243B2 (en) * 2015-09-08 2019-04-23 Accredo Health Group, Inc. Medication dispensing system
US11389844B2 (en) 2018-03-20 2022-07-19 Verde Environmental Technologies, Inc. Blister pack disposal system

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Also Published As

Publication number Publication date
AU5735894A (en) 1994-07-04
WO1994013248A1 (en) 1994-06-23
US5323908A (en) 1994-06-28
US5259499A (en) 1993-11-09

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Legal Events

Date Code Title Description
FZDE Discontinued