Abstract:
A portable electrically operable and tamper resistant medication dispenser for supplying multiple daily medications to a patient on a predetermined schedule and which includes a programmable assembly for indexing a plurality of containers which are filled with the medications to a dispenser outlet.

Description:
CROSS REFERENCE TO RELATED APPLICATIONS 
     This application is a continuation-in-part of application Ser. No. 09/100,465, filed Jun. 19, 1998, entitle TAMPER RESISTANT PROGRAMMABLE MEDICINE DISPENSER in the name of the same inventor. 
    
    
     BACKGROUND OF THE INVENTION 
     1. Field of the Invention 
     This invention is generally directed to automated medication dispensers which are programmable to make medication available to patients on a predetermined schedule over an extended period of time and, more specifically, to such dispensers which include a plurality of containers containing medicine to be taken and which containers are carried by an indexing assembly so as to be moved relative to a dispenser outlet on a predetermined schedule. The invention is further directed to dispensers which are portable and electrically operated and which may include a battery backup system for insuring fail-safe operation during a loss of conventional power. The dispensers further include tamper-resistant mechanisms for preventing unauthorized movement of the indexing assembler to prevent untimely access to medications. 
     2. History of the Related Art 
     There are many patients who must take one or more medications over a period of time. Frequently, patients will require multiple dosages of different medicines in a single day with the medications being required at predetermined time intervals. To be effective, many medications must be taken at predetermined times over a period of days, weeks or longer. Therefore, it is extremely important to the health and welfare of patients that they follow their medication schedule to insure the optimum benefit to be obtained from their medication. 
     In clinics and hospitals, doctors and nurses maintain timing schedules for patients and must take steps to insure that each patient receives the proper medication at the proper times. Such a labor intensive system for insuring that patients take their required medication at the proper time greatly affects the cost of providing medical care. There are, of course, circumstances wherein patients may not be capable of taking medication at proper times and thus require direct assistance. However, there are many instances, both in clinic and hospital environments as well as where patients are receiving medication on an out-treatment basis, where patients have the physical ability to take a medication if they are aware that a medicinal dosage is required at a specific time. 
     Over the years, there have been many dispensers designed to facilitate the proper administration of medicine to patients who require that medications be taken at specific times over a prolonged period. Basic dispensers included containers having a plurality of separate receptacles for receiving predetermined medications. For example, a container may include seven receptacles each representing a day of the week. Medication is placed within the receptacles with each receptacle being marked with a day of the week. The patient is directed to take the prescribed medicine from the proper receptacle on a predetermined schedule. 
     Such prior art mechanical dispensers which require that the patient take medications on a prescribed basis have not proven to be satisfactory. Often, patients forget to take their medication or to take their medication in a timely manner. Such failure to take medication when due not only results in the ineffective administration of the medication, but frequently patients will attempt to make up for missed dosages by taking several dosages at a later time which can be hazardous to the patient&#39;s health. 
     To prevent patients from taking missed dosages at a later time, some prior art dispensers have been designed to incorporate motors or drive mechanisms for indexing a receptacle or compartments in which medications are contained away from a dispensing outlet. Such dispensers are operable to move a compartment in alignment with a dispensing outlet only at a predetermined time. If a medication has not been removed from the dispenser within a predetermined time, the medication is moved from the dispensing outlet. Unfortunately, many prior art dispensers can be easily tampered with, thereby allowing a patient to obtain access to medicines which should not be taken. 
     To alert patients that medication is required, some prior art dispensers have been designed to incorporate audible or visual signal devices for indicating a time for a medicine to be taken. For instance, such dispensers may incorporate a buzzer which sounds for a period of time to alert a patient that medication is required. Such signaling devices are more effective in assuring that a patient follows a predetermined medication schedule, however such devices do not prevent a patient from doubling up on dosages which have been missed for one reason or another. 
     Some examples of prior art medication dispensers which provide for alarms or signals and which are designed for dispensing medication over a period of time and which also include programmable timers include U.S. Pat. No. 4,207,992 to Brown, U.S. Pat. No. 4,911,327 to Shepherd et. al., U.S. Pat. No. 5,176,285 to Shaw, U.S. Pat. No. 5,323,929 to Marlar, U.S. Pat. No. 5,412,372 to Parkhurst et. al., and U.S. Pat. No. 5,609,268 to Shaw. 
     SUMMARY OF THE INVENTION 
     The present invention is directed to a portable and tamper resistant electronically operated medication dispenser which incorporates a programmable timer and drive assembly for selectively indexing a plurality of separate containers relative to a dispenser outlet. In the preferred embodiment, the present invention includes a portable carrying case which may be locked to prevent access to the interior. Within the carrying case is an indexing drive wheel and a dispenser wheel having a plurality of vertically aligned and spaced openings therein, each being of a size to selectively receive a container. In the preferred embodiment, there are two circular series of openings in each wheel. The containers are configured to receive required dosages of medicine which a patient must take and which are normally filled by competent medical technicians, such as physicians or nurses. The indexing drive wheel and dispenser wheel are designed to permit controlled dispensing of medications over a period of a week with a separate section of the wheels being available to contain or support medication for an additional day in the event of an emergency. Further, in the preferred embodiment, a plurality of openings are provided for each day so that containers of medication may be indexed in a timely manner at up to six or more intervals during a given day. Utilizing the controller associated with the invention, the indexing wheel and dispenser wheel can be selectively moved so that doses of medicine are supplied at varied intervals for each day of the week the dispenser is in use. 
     The movement of the ratchet wheel of the present invention is accomplished by a motor connected to a rotary indexing drive mechanism which includes at least two driver pins which are offset to the rotary drive axis of the drive mechanism. The pins are spaced such that when one or a first pin seats within one of a plurality of equally spaced slots which are formed in the outer periphery of the drive wheel and the indexing drive mechanism is not activated, the other or second pin is spaced from the periphery of the drive wheel with the drive wheel being locked from rotation by the first pin. Upon activation of the motor, the drive mechanism rotates 180°. During this rotation, the first pin moves the drive wheel about its axis of rotation as the second pin enters the next slot in the periphery of the drive wheel. In this manner, the dispenser wheel is indexed one position such that the next opening for a medicine container is moved into alignment with the dispenser outlet. 
     Mounted within the dispenser adjacent to the dispenser opening are first and second switches which are engageable by containers which are being indexed into alignment with the dispenser outlet. The switches are electrically connected to sound an audible alarm that sounds when a container moves into alignment with the dispenser opening. In some embodiments, a timer in the main control assembly will cause the alarm to sound for a predetermined period. The container contact switches adjacent the dispenser outlet are also connected to activate a visual signal such as a light on the dispenser case. Upon removal of the container by a patient, the container contact switches are opened and the light and sound deactivated. Therefore, with the present invention, a visual and or sound signal that medication is required remains as long as a medication container is aligned with the dispenser outlet. 
     Access to a container which has been moved into alignment with the dispenser outlet is controlled by a automatically controlled closure member which is pivotally mounted to move from a first position closing the outlet to a second position opening the outlet whenever a medication container is in one of the inner or outer series of openings. The closure member is connected to a crank arm assembly driven by a motor. The crank assembly is connected to a double cam which controls a pair of switches to terminate power to the motor after the crank assembly has moved the closure member to an open or closed position. The operation of the closure control motor is in response to a container contacting one of the container contact switches. Once the closure member is moved to the open position, all power to the motor is stopped for a predetermined period of time to allow a patient to remove a medication container. Thereafter, the control unit reactivates the motor and the crank assembly moves the closure member to the closed position. A slot is provided in one arm of the crank assembly to prevent closure of the closure member by allowing relative movement in the components of the crank assembly in the event a person&#39;s fingers or other obstructions is within the outlet when the closure member is being closed. A spring or other resilient element connected to the closure member will complete the closing movement of the closure member once the obstruction has been removed. Once the closure member reaches the fully closed position, the slotted arm of the crank assembly drops down off a ledge on an upper cam driven by the motor, locking it into the closed position, preventing the closure member from being pried open. 
     The drive wheel indexing assembly further functions as a brake mechanism which restricts movement of the drive wheel such that a patient cannot move the dispenser wheel and obtain access to medication with exception of those medications which are contained within a container aligned with the dispenser outlet. 
     The present invention further incorporates a rechargeable battery which will permit operation of the dispenser in the event of a power failure or when there is no AC power source. The carrying case is also designed to store containers which are to be used. 
     It is a primary object of the present invention to provide a portable electrically operated medication dispenser which prevents unauthorized access to medication contained therein and which incorporates a mechanism for resisting tampering with the normal operation of the dispenser such that medication cannot be obtained by a patient or other individual until the medication is aligned with a dispenser outlet at a predetermined time. 
     It is also an object of the present invention to provide a medication dispenser which is portable and which is designed to allow its use with a conventional source of electrical power such as an AC power source but which is also capable of functioning in the event of loss of AC power by power from a rechargeable battery. 
     It is yet another object of the present invention to provide a medication dispenser which permits the controlled dispensing of a plurality of different medications, such as tablets and capsules and the like which must be taken by a patient at different periods of a day, and which can be used for a period in excess of a week under normal circumstances. 
     It is a further object of the present invention to provide a portable medication dispenser which includes a programmable controller for allowing medication to be dispensed at any given time over a period of a week or more such that dosages may be provided to a patient on a predetermined schedule. 
     It is also an object of the present invention to provide a medication dispenser which includes a plurality of sterilized containers for receiving different medications and which containers are appropriately retained in a dispensing mechanism in such a manner that the medication is made available to a patient on a predetermined schedule by entry of a sequenced timing program into a programmable timer or controller. 
     It is yet another object of the present invention to provide a medication dispenser for dispensing medications which must be administered to a patient in a predetermined time sequence and wherein access to the medications is controlled to prevent doubling of dosages in the event a patient does not take a medication within a predetermined period of time. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     The invention will be better understood with reference to the attached drawing figures wherein: 
     FIG. 1 is a front perspective view of the portable medication dispenser of the present invention showing the lid of the dispenser closed and locked to prevent unauthorized access to medication therein; 
     FIG. 2 is a rear perspective view of the dispenser shown in FIG. 1; 
     FIG. 3 is a top plan view of the dispenser of the present invention shown with the lid being fully open; 
     FIG. 4 is a view similar to FIG. 3 with the upper dispenser wheel and closure member of the present invention being removed; 
     FIG. 5 is an enlarged partial top plan view taken with the indexing drive wheel of FIG. 4 removed showing the control switches of the invention; 
     FIG. 6 is a partial cross-sectional view taken along line  6 — 6  of FIG. 3; 
     FIG. 7 is a cross-sectional view taken along line  7 — 7  of FIG. 3; 
     FIG. 8 is cross-sectional view taken along line  8 — 8  of FIG. 3; 
     FIG. 9 is a partial top plan view of FIG. 3 showing the closure member moved to an open position; 
     FIG. 10 is a partial top plan view illustrating the switches for detecting when the medication dispenser closure member is moved to an open position; 
     FIG. 11 is a view similar to FIG. 10 after a medication container has been removed from the dispenser and the closure member returned to a closed position; 
     FIG. 11 a  is a view taken along lines  11   a — 11   a  of FIG. 11; and 
     FIG. 12 is an electrical circuit diagram of the present invention. 
    
    
     DESCRIPTION OF THE PREFERRED EMBODIMENT 
     With continued reference to the drawing figures, the medication dispenser includes a portable carrying case  21  having a lower section  22  and a lid  23  which is pivoted to a rear wall  26  of the lower portion by way of a hinge assembly  24  (see FIG.  2 ). The carrying case  21  includes a carrying handle  25  which is mounted on a side wall  27  thereof. In some embodiments, two carrying handles may be associated with the carrying case. To prevent unauthorized access to medication which is contained within the dispenser, a pair of latches  29  and  30  are mounted along a front wall  28 . Each latch includes a key lock. 
     As shown in FIG. 1, a dispenser outlet opening  34  is provided through the lid and is normally covered by a pivotable closure member  35  (see FIG. 3) which is mounted about a pivot pin  36 . A spring  38  is attached to the closure member so as to normally urge the closure member to a position to close the dispenser outlet opening  34 , as is shown in FIG.  3 . However, the closure member  35  is designed to be automatically pivoted to an open position, as shown in FIG. 9, as one of a plurality of medicine containers  40  are indexed to a position of alignment with the dispenser outlet opening  34 , as will be described in greater detail. As a container  40 A moves in the direction of the arrows shown in FIG. 8 to a position aligned with outlet opening, the closure member will be pivoted to an open position relative to the dispenser outlet opening  34 . Once the container  40 A is removed through the opening by a patient, the closure member is pivoted to the closed position of FIG.  3 . 
     As shown in FIGS. 3 and 4, a storage receptacle  45  is formed within the lower portion  22  of the carrying case  21 . The receptacle is utilized to retain medication containers. Also shown in FIGS. 3 and 4, is a second storage receptacle  46  in which containers of medicine may be retained for selective use when filling the dispenser. 
     With particular reference to FIGS. 3-11 the medication containers  40  are designed to be retained within a plurality of vertically aligned openings  50  and  51  formed in an upper dispenser wheel  53  and lower indexing drive wheel  52 . The wheels are connected and mounted to rotate together about a central pivot pin or bolt  36 . 
     As shown in FIG. 3, in the preferred embodiment, 48 equally spaced openings  50 ,  51  are provided in the wheels adjacent the outer periphery thereof in two series of circular arrays. The embodiment disclosed is by way of example and the number of openings may vary and remain within the teachings of the present invention. 
     The number of openings is designed to allow up to at least six dosages to be made available in a pre-scheduled manner to a patient for each day of the week. Therefore, in the embodiment shown, there are six openings associated with each day. Further, the invention provides an additional six openings for retaining extra containers as a source of emergency medication in the event a medical technician cannot properly refill the dosage containers  40  and place them in the appropriate openings  50 ,  51  of the dispenser and drive wheels. 
     The outer peripheral edge of the drive wheel  52  is provided with a plurality of equally spaced grooves or notches  54  equal in number to the number of container openings  50 ,  51 . In this manner, indexing of the wheel  52  in increments aligns one of the pair of openings  50 ,  51  with the dispenser outlet opening  34 . 
     With particular reference to FIGS. 3 and 8, the rotational movement of the dispenser wheel  53  and the indexing drive wheel  52  is accomplished by a rotary indexing drive mechanism  55  which is mounted to a drive spindle  56  which receives rotational energy from a gear reduction box  57  connected to indexing drive motor  58 . The indexing drive mechanism  55  includes at least two generally equally spaced upwardly extending pins  59  and  60  which are of a size to be selectively received within the grooves  54  formed in the peripheral edge of the indexing wheel  52 . In the position of the indexing mechanism  55  as shown in FIG. 4, the pin  60  is completely seated within a groove  54 . If the motor  58  is not activated, the indexing mechanism  55  functions as a brake to prevent rotation of the indexing wheel  52  thus preventing tampering with the medication containers  40  by a patient turning the dispenser wheel and the indexing wheel by hand. It should be noted that both the pins  59  and  60  are offset with respect to the rotational axis  61  of the indexing mechanism by an equal distance. The indexing of the drive wheel  52  which is drivingly connected to the dispensing wheel  53  is controlled by a controller  100 . The controller provides power to the motor  58  to activate the motor to rotate the indexing mechanism  55  about the drive axis  61  and in so doing will cause the pin  60  to rotate the wheels in the clockwise direction shown by the arrow “AA” in FIG.  4 . During the indexing of the indexing drive mechanism through 180° the pin  59  will engage within the next adjacent slot  60  formed in the outer periphery of the indexing drive wheel  52 . A switch  62  is mounted adjacent to the indexing mechanism  55  and includes a control arm  63  having an outer end engageable with a side body portion of the indexing member  55  which is utilized to control a contact switch  64  to deactivate the motor when the indexing mechanism has indexed one position thereby moving the containers  40  contained within the openings of the dispenser wheel and the drive wheel one position relative to the dispenser outlet opening. As shown, the indexing member  55  includes pairs of surface indents  65  which when in contacted by the control arm  63  of the switch  62  will allow the contact  64  to open thereby terminating power to the motor  58  and retaining the dispenser and drive wheels in the newly adjusted position. In the event there is no container provided in the next adjusted position the programmable controller  100  will, depending upon an internal timer, again initiate activation of the motor to continuing the indexing movement of the wheels until an opening in which a medication container  40  is received is aligned with the discharge outlet opening. A manual override switch “S” may be provided on the controller to power motor  58  to index the wheels. 
     With continued reference to FIGS. 3-5 and  9 - 11   a , the manner in which the closure member  35  is operated to allow removal of an aligned medication dispenser  40 A will be described in detail. In FIG. 3, the closure member  35  is shown as being in a closed and covering relationship with respect to the dispenser outlet opening  34  preventing withdrawal of the underlying medication dispenser  40 A. 
     In order to detect the presence of a container  40 A in aligned position with respect to the discharge outlet opening  34 , a pair of container contact switches  70  and  71  are provided having pivot arms  72  and  73 , respectively, which are operable to close switch contacts  74  and  75  when the arms  72  and  73  are engaged by the container  40 A. The switches  70  and  71  are connected, as shown in FIG. 12, to the programmable controller  100  and when closed by engagement of the container  40 A will function to activate a buzzer  76  and a light source  77 . The buzzer will be activated for a predetermined period of time as controlled by the programmable controller to give an audible indication that medication is to be taken. Likewise, the light  77  will be activated thereby giving a visual signal that medication is to be taken and that a medication container should be removed from the dispenser. In a preferred embodiment, the buzzer has a two tone output, one low pitch and one high, to ensure that the sound is heard. The buzzer will sound for a short period of time, such as five (5) seconds, with such sounds being generated at intervals, such as five (5) minutes. 
     The programmable controller is also electrically connected to a motor  78  for controlling the position of the closure member  35 . The motor  78  is drivingly connected to rotate a control cam  79  which is secured to the output shaft of the motor and which controls the movement of a crank arm  80  connected to a linkage member  81  which is pivotally connected at  82  to the crank arm  80 . The linkage member  81  has an elongated slot  83  therein which allows relative sliding movement of the linkage member  81  and the crank arm  80 . The innermost end of the linkage member  81  is pivotally secured at  82 ′ to the closure member  35 . With the closure member in a closed position of FIG. 3, the crank arm  80 , which is fixed to the cam, is positioned beneath the linkage member  81  extending toward the closure member  35 . However, upon one of the container contact switches  70  and  71  being engaged, the controller will activate the motor  78  to drive the cam member  79  in a rotary motion thus rotating the crank arm  80  in a counterclockwise direction as shown in the drawing figures by arrows “B”. The rotation of the cam member  79  and the crank arm  80  continues until the crank arm extends outwardly from the closure member  35  as shown in FIG.  10 . In this position, a first closure member control switch  84  having a pivot arm  85  normally urged against the outer surface of the cam member  79  will engage a flat surface of the cam allowing the pivot arm to move away from a normally closed contact  86  thereby opening the switch  84  and closing power to the motor  78 . Thereafter, the motor  78  will remain deactivated for a predetermined time to allow the patient to remove the medication container  40 A from the dispenser and drive wheels through the outlet opening  34 . A programmable controller will include an internal timing circuit which can be set or adjusted by a physician or other person having responsibility for operating the dispenser of the present invention. It is the functioning of the timer to allow an individual a predetermined amount of time such as a half-hour to a predetermined number of hours to access the medication carried within the container  40 A. If, after that time, the container has not been removed, the motor  78  will be reactivated by the timer thus initiating a movement of the closure member  85  to the fully closed position as shown in FIG.  3 . It is the purpose of the timer to prevent a patient from taking two doses in a close time sequence which could be extremely dangerous but allowing the patient sufficient time to obtain the medication even if the patient is not made aware by the buzzer  76  or the light  77  when the closure member initially opens allowing the dispensing of medication. 
     As shown in FIG. 11, once a patient removes the container  40 A from the dispenser, the switch which was previously engaged by the container will reopen and thus the switch  70  of FIG. 11 is shown being moved to the open position. The programmable controller  100  will, after the predetermined time, initiate the operation of the motor  78  to rotate the cam  79  to thereby move the crank arm  80  and the link  81  connected thereto towards the closed position as shown in FIG.  11  and in FIG.  3 . In some embodiments, activation of the motor  78  may be caused in direct response to the programmable controller sensing that the switch, such as shown at  70 , is in an open position thus indicating that the receptacle  40 A has been removed from the dispenser thereby allowing the selective closing of the closure member  35 . 
     As the closure member  35  begins to move counterclockwise, as shown in FIG. 9, once the container  40 A has been removed from the dispenser, the linkage member  81  will be pivoted counterclockwise, also as shown by the arrow “B” in FIG.  9 . In the event any obstruction were to come between the closure member  35  and the opening  34  in the dispenser, the linkage member  81  will be allowed to slide relative to its pivot connection  82  with the crank arm  80  such that there would be a relative movement therebetween along the open channel  83  thus allowing the crank arm  80  to continue to rotate with the cam to a fully closed position, as is shown in FIG. 11, without further moving the closure member  35  to the closed position. The spring or other resilient member  38  secured to the closure member will, after the obstruction is removed, automatically pull the closure member such that the crank arm and linkage are realigned along the channel  83  permitting the full closure of the closure member relative to the outlet opening  34  in the dispenser. In this manner, a safety device is provided to ensure that a patient can not be injured by the closure of the closure member by operation of the motor  78 . 
     Once the crank arm  80  moves to the fully closed position a pivot arm  91  of a second detection switch  90  will engage within a flat  92  in the cam surface thereby opening contact  93  associated with the switch and thereby deactivating the drive motor  78 . 
     To prevent unauthorized tampering and opening of the closure member after it has been closed, the upper surface of the control cam  79  includes a ledge  79 ′ which will abut the linkage member  81  to prevent it from being rotated by any force applied to open the closure member. The ledge extends as shown in FIGS. 3 and 4. An inclined surface  79 ″, see FIG. 11 a , extends from the ledge to lift the member  81  when the cam  79  is rotated by the motor  78 . 
     With particular reference to FIGS. 4,  5  and  8 , the preferred embodiment of the present invention may also include a switch for detecting the beginning of each day of medication. In this respect, a switch  102  is mounted within the dispenser and below the indexing wheel  52 . The switch includes a pivot arm  103  and a contact  104 . The pivot arm is engageable by one of eight posts or actuators  105  which are mounted to and depend from the indexing wheel  52 . As the indexing wheel rotates, when one of the activators  105  contacts the pivot arm  103  of the switch  102 , the normally contact  104  will be closed thereby giving an immediate indication to the programmable controller that the initiation of the next days medication has begun. 
     As previously described, the present invention could be operated on both conventional AC current or with a backup battery supply. In the preferred embodiment shown, the dispenser is designed to be powered by an internal battery  110  which is rechargeable. Therefore, internal wiring  112  is provided to an outlet  114  from which a suitable charger  115  can be connected for converting AC power for purposes of charging the battery  110 . 
     To further facilitate the safe dispensing of medications from the dispenser of the present invention, the dispenser wheel  53  may be provided with a plurality of indicator areas  120  which extend outwardly relative to the openings for the containers  40 . The indicator areas may be color-coded are provided with other indicia which is utilized to match with indicia or color-coding provided along the upper surface of the medication containers, as shown at  122  in drawing FIG.  3 . In this manner, an individual, such as a nurse, having responsibility to place medication in the medication containers  40 , can match by color coding or by matching indicia the proper containers of medication with each of the proper openings in the dispenser wheel  53 . 
     The main controller also includes circuitry for controlling the various times medication is to be dispensed to be programmed therein by utilizing a control panel  130  provided interiorly of the dispenser. By entering proper codes, the times for dispensing medication can be set for each day of the eight day period provided by the dispenser of the present invention. 
     As previously discussed, in some instances, the controller will cause the indexing mechanism to move the indexing drive wheel in a number of consecutive increments especially where medication is only contained within a single container for each day. In such instances, the actuator will be operable to cycle through six movements of the ratchet drive wheel to consecutively align a single container for one day with a dispenser outlet and then, at a proper time, advance the wheel to align another container for the subsequent day. Therefore, the times of day as well as the number of containers to be aligned with the dispenser opening will be suitably controlled by the programmable controller. 
     In use of the medication dispenser of the present invention, a doctor, nurse or other qualified medical technician or, in some instances, a patient, family member or friend, will fill the sterilized containers with the predetermined medications which are to be taken by the patient. Any number of pills, capsules or other medications may be placed in a single container. The containers are then closed and are placed in appropriate openings  50 ,  51  within the drive and dispenser wheels  52 ,  53 . The number of containers  40  utilized will depend on the patient&#39;s required medication. Thereafter, the programmable controller will be programmed to control when each of the containers will be brought into alignment with the dispenser outlet. Such programmed information will control the operation of the indexing motor and the number of indexing steps at the appropriate times of day. As medication becomes due, the programmable controller will cause current to flow to the indexing motor thereby activating the motor and indexing the wheels one position. The number of indexing steps will depend upon the number of medications to be taken daily. 
     The foregoing description of the preferred embodiment of the invention has been presented to illustrate the principles of the invention and not to limit the invention to the particular embodiment illustrated. It is intended that the scope of the invention be defined by all of the embodiments encompassed within the following claims and their equivalents.