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ChemoMaker+®

Hospital pharmacy automation

Robotic compounding, plug & play.

ChemoMaker+® is the compact compounder for patient-specific oncology therapies — antineoplastic, biologic and immunotherapy drugs. It installs in your existing class II laminar flow hood, in a single day — no civil works, no dedicated room, no architectural redesign of your UFA. Clinically deployed across five Italian hospital pharmacies. Published evidence in SIFO 2023 · 2024 · 2025.

±1% Dosing accuracy
30 / h Throughput
30 kg Tabletop
1 day Install
ChemoMaker+® — studio portrait, loaded with 12 IV bags and 16 drug vials

In clinical use — and in published SIFO evidence — at

A.O.U. G. Martino — Messina ASST Cremona ARNAS Civico — Palermo IRCCS CRO Aviano A.O.U. G. Martino — Messina ASST Cremona ARNAS Civico — Palermo IRCCS CRO Aviano A.O.U. G. Martino — Messina ASST Cremona ARNAS Civico — Palermo IRCCS CRO Aviano

At a glance

Five operational facts.

Beyond the science — the five things a hospital pharmacy director cares about when evaluating whether ChemoMaker+® can actually be adopted next month.

  • 01

    Plug & play install

    Inside the hood you already own.

    Class II laminar flow hood, no civil works, no dedicated room. Installed in a single day.

  • 02

    Simple to use

    Operator only at load and unload.

    Touchscreen guidance under the hood. No specialised training, no new role to hire.

  • 03

    Maintenance-free

    AI-assisted predictive maintenance.

    The software warns you before a service is needed. No fixed schedule, no surprise downtime.

  • 04

    Hospital-integrated

    Cato · Log80 · Deenova · HL7.

    Certified integrations with the three software environments most used in EU hospital pharmacies. PDFs from any other system via the Universal Module.

  • 05

    Business continuity

    48-hour fault replacement.

    If the unit fails, a replacement is delivered within 48 hours. The pharmacy keeps running, the patient never waits.

What changes with ChemoMaker+®

Six engineering decisions that make automation finally fit your pharmacy.

P · 01

Safety

Patented closed-circuit cartridge keeps the operator out of the antineoplastic drug path. Collective protection at the source of risk — beyond PPE and CSTD alone.

P · 02

Accuracy

Real-time integrated gravimetric cell delivers an average dosing error of 1% — an order of magnitude tighter than the EU Pharmacopoeia tolerance.

P · 03

Traceability

Dual control via barcode and RFID on every vial and every container. Every step of the preparation is logged and signed by the ChemoPlan software.

P · 04

Staff freed up

The operator only intervenes at load and unload. While the robot doses, pharmacy technicians are free for other laboratory work.

P · 05

Residue management

Smart cartridges with embedded RFID are re-used for subsequent preparations until the very last second of drug stability — no manual tracking, no waste.

P · 06

Flexibility

Tabletop, 30 kg, fits inside the class II laminar flow hood you already own. Installed in a single day. No civil works.

For the Direttore Generale

A Collective Protection Device. Not just an upgrade of PPE.

Italian D.Lgs. 81/2008 — and every modern EU occupational safety framework — places preventive interventions at the source of the risk at the top of the hierarchy of controls, above PPE, CSTDs and hoods. By moving cytotoxic handling from the operator to a robotic closed-circuit path, ChemoMaker+® qualifies as a Collective Protection Device (DPC): the highest tier of operator protection available today for hospital pharmacy compounding. For hospital governance this is not a cosmetic improvement — when an enabling technology is reasonably available, the principle of "maximum reasonably practicable protection" makes its adoption a decision the General Direction can no longer defer.

  • 01

    Source-of-risk intervention

    Removes the operator from the cytotoxic path rather than just shielding them from it.

  • 02

    Hierarchy of controls

    Sits above CSTDs, hoods and PPE — the tier that EU and OSHA frameworks rank highest.

  • 03

    Managerial responsibility

    Documented adoption of an available DPC strengthens the position of the Direttore Generale against liability risk.

In presence of an enabling technology that is available, sustainable and aimed at reducing risk, the hospital is called to evaluate whether maintaining a predominantly manual process still represents the most adequate solution.

— ChemoMaker+® Position Paper, §7 — Operator safety and exposure risk

Hierarchy of controls — EU/OSHA framework Tier
  1. 01

    Elimination

    Not applicable to patient-specific oncology therapies.

  2. 02

    Substitution

    Not applicable (molecules cannot be swapped).

  3. 03

    Engineering controls

    CPD · Collective Protection Device

    ChemoMaker+® operates here — closed-circuit robotics, at the source of the risk.

  4. 04

    Administrative controls

    SOPs, procedures, operator training.

  5. 05

    PPE

    Gloves, gown, mask — the last line of defence.

The hierarchy of controls ranks interventions from most to least effective. Higher tiers are always preferable to lower ones.

Società Italiana
di Farmacia Ospedaliera
Congressi 2023 · 2024 · 2025

SIFO synthesis

Conclusions from hospital pharmacies that used ChemoMaker.

SIFO 2023

AOU G. Martino, Messina

Use of an automated system for the preparation of biological drugs at PIAC

The implementation of an automated system within the Interdepartmental Centralized Outfitting Program allowed greater staff safety, sterility of the preparation, accuracy of formulation and traceability of the final product.

Molecules

Natalizumab · Rituximab · Ocrelizumab

1%

real-time gravimetric accuracy

SIFO 2024

SC Farmacia Aziendale, ASST Cremona

Introducing automation in the preparation of chemotherapy preparations

ChemoMaker+® allows us to optimize resources, reduce time dedicated to preparation, lower risk for operators and improve patient care.

Molecules

Irinotecan · Carboplatin · Rituximab · Gemcitabine · Nivolumab · Oxaliplatin · Paclitaxel · Pembrolizumab

0.53%

average dosing error across 8 molecules

SIFO 2025

ARNAS Civico Di Cristina Benfratelli, Palermo

Automation of oncological drug preparation in a UFA laboratory

The involvement of personnel is required only in the loading/unloading phases — saving operator time, contributing to resource optimization, safety of operators and the quality of therapeutic services offered to patients.

Molecules

Atezolizumab · Avelumab · Nivolumab · Cemiplimab · Pembrolizumab · Docetaxel · Durvalumab · Rituximab

0.58%

average dosing deviation, 301 preparations

SIFO 2025

IRCCS CRO Aviano, Friuli-Venezia Giulia

Prospective evaluation of a robotic system for ancillary drug preparation at a UFA

The complete automation of the dosing process, the reduced setup time and the versatility of the software settings confirm that the system is reliable, accurate and able to deliver repeatability and traceability for repetitive operations otherwise prone to error.

Molecules

Metoclopramide · Dexamethasone · Ondansetron · Chlorphenamine

0.6%

non-compliance rate after software optimization

Excerpted from independent abstracts published by the Italian Society of Hospital Pharmacy across the 2023, 2024 and 2025 National Congresses.

Read all clinical evidence

How it fits your UFA

From hospital prescription to compounded dose, in one signed workflow.

  1. 01

    Hospital software

    Patient prescription enters ChemoPlan via HL7 — no custom integration required. Standalone operation also supported.

  2. 02

    ChemoPlan — the bundled software

    PC outside the hood. Manages the list of preparations to be made by ChemoMaker+®, reconciles partial vials, signs the record of every step. The pharmacist's command center.

  3. 03

    ChemoMaker+® — the robot

    Wireless dispatch to the robot inside the hood. The operator loads vials and containers. The robot doses, weighs, signs, labels.

Hospital integration

Already speaking your prescription system's language.

ChemoMaker+® ships with native HL7 connectors and tested integrations with the three software environments most commonly used in Italian and European hospital pharmacies. For everything else, our Universal Module ingests PDFs and screenshots from any prescription system and structures them into a signed job list — eliminating the manual re-typing that is the single most common source of compounding error.

Certified integrations

Cato ● Live

Hospital pharmacy ERP — ChemoMaker+® certified integration

Log80 ● Live

Antineoplastic prescription module — ChemoMaker+® certified integration

Deenova ● Live

Drug distribution & traceability — ChemoMaker+® certified integration

Universal Module

PDF & image ingestion. No IT project required.

For pharmacies running on non-integrated software (legacy or proprietary), our Universal Module reads PDFs, screenshots and printouts of the prescription and structures them automatically into a validated ChemoPlan job list. The pharmacist signs, the robot executes — zero manual re-typing, zero transcription errors.

  • Prescription PDFs
  • Screenshots / images
  • Legacy / proprietary systems
  • Pharmacist signs off-hood

Manual + CSTD · Legacy robotic isolator · ChemoMaker+®

ChemoMaker+® adapts to the pharmacy — instead of asking the pharmacy to adapt to the robot.

Metric Manual + CSTD Legacy robotic isolator ChemoMaker+®
Footprint Hood-only > 4 m³ · > 1,500 kg · dedicated room required Tabletop · 30 kg · fits class II hood
Civil works None Architectural redesign of UFA required None
Install time N/A Weeks (HVAC, qualification, fit-out) Same day
Acquisition cost Lowest upfront Highest in market 1/3 to 1/5 of legacy systems
Throughput 15–20 doses/h, two pharmacy technicians required for cross-check 15–20 doses/h, isolator-grade workflow Up to 30 doses/h, operator needed only at load & unload
Dosing accuracy ±10% (EU Pharmacopoeia) ±5% ±1% (real-time gravimetric)
Traceability Paper / manual barcode Barcode Barcode + RFID dual control
Operator exposure High — direct cytotoxic handling Low Effectively zero — closed cartridge path
Residue management Spreadsheet, lossy Not addressed Automated via smart RFID cartridges
Hospital integration Manual re-keying Custom interface HL7 standard, optional
Business continuity Always available Long downtime on fault 48 h replacement unit guarantee

Talk to the team

30 minutes with our clinical engineers.

We work closely with hospital pharmacy professionals across Europe. Tell us about your laminar flow hood, your prescription software and your annual volume — we'll build you a dedicated cost simulation against your own data, no obligation.

Request a demo info@chemomaker.it

Via Flavia 23/1 · 34148 Trieste · +39 040 899 2219