2013 Ostomy Product Guide
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®/™ indicates trademarks of ConvaTec Inc. ©2013 ConvaTec Inc. 3 Table of Contents Customer Interaction Center Customer Interaction Center ...... 5 The ConvaTec Customer Interaction Center (CIC) has Product Specialists, including WOC (ET) nurses available Disclaimer...... 5. five days a week to answer ConvaTec product-related Ostomy Skin Care & Accessory Products...... 7 questions and provide reimbursement information (HCPCS codes and utilization limits) for ConvaTec products to Two-Piece Ostomy Systems patients and professionals. ® + SUR-FIT Natura and Natura Products...... 13-42. To contact the CIC department, call toll free 1-800-422- SUR-FIT Natura® Skin Barriers...... 15. 8811, M-F 8:30am-7:00pm ET, or via the ConvaTec SUR-FIT Natura® Low Pressure Adaptor...... 25 website at: www.convatec.com SUR-FIT Natura® Pouches...... 27. Natura + Pouches...... 36 Surgical Post Operative Kits...... 38 Disclaimer
Esteem synergy® and Esteem synergy® + Products...... 44 The reimbursement information provided by ConvaTec is Esteem synergy® Skin Barriers...... 44 intended to provide general information relevant to cod- Esteem synergy® Pouches...... 46 ing and reimbursement of ConvaTec’s products only. Coverage and payment policies for the same insurer can Esteem synergy® + Pouches ...... 50 vary from one region to another and may change from time
One-Piece Ostomy Systems ...... 52 to time because of ongoing changes in government and insurance industry rules and regulations. Therefore, please Esteem® +...... 54. confirm HCPCS codes with your local DME-MAC, private 54 ActiveLife® ...... 58 insurer, or Medicaid agency before processing claims. Little Ones® Pediatric Ostomy Systems ...... 65 ConvaTec does not guarantee coverage or payment of its products listed herein. Wound Pouches...... 69.
Ostomy Resources...... 73
GLOSSARY OF TERMS ...... 75
MEDICARE UTILIZATION CHARTS...... 77
NUMERICAL INDEX...... 78-80
ALPHABETICAL INDEX ...... 81-82
Trademark Notice
Eakin, Eakin Cohesive and Slims are registered trademarks of T.G. Eakin Limited.
Ostomysecrets is a registered trademark of Ostomy Secrets, LLC.
Unless otherwise indicated, all other marks are registered trademarks or trademarks of ConvaTec Inc.
© 2013 ConvaTec Inc.
4 5 Skin Care & Accessories
Skin Care & Skin friendly stoma Accessory Products care with a little help from nature AllKare® Protective Barrier Wipe Non-water soluble formula for skin protection. Provides a barrier film layer on the skin under tapes, skin barriers/wafers, adhesives, and hydrocol- Looking after your skin is an loid dressings to help protect against irritation, excoriation and adhesive build-up. essential part of long-term stoma Product Code Wipes per box HCPCS
management. But sometimes a 037439 50 A5120 simple appliance is not enough. 037444 100 A5120 That’s why ConvaTec skin care accessories can serve as an Sensi-Care™ Sting-Free Skin Barrier Wipe important accompaniment to your Non-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects of Skin Care & Accessories daily routine. adhesives, body waste and enzyme attack.
Product Code Wipes per box Boxes per case* HCPCS
Non-Sterile 413501 30 20 A5120
* sold by the case
Sensi-Care™ Sting-Free Barrier Spray (non-aerosol) Non-alcohol, silicone based formula for skin protection. Provides a ConvaTec Stomahesive® Accessories barrier film layer on the skin that protects it from the damaging effects of adhesives, body waste and enzyme attack.
contain Pectin – an ingredient derived Product Code Spray bottle size Qty. per box Boxes per Case* HCPCS form citrus fruits. Used correctly, these 420797 28 mL 1 12 A4369 413502 50 mL 1 12 A4369 accessories can help heal and protect * sold by the case peristomal skin, and that means greater ™ comfort for you. Sensi-Care Sting-Free Barrier Foam Applicator, Sterile From the name you trust for Non-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects of your ostomy needs. adhesives, body waste and enzyme attack.
Product Code Applicator Size Individually Boxes per Case* HCPCS packaged Applicators per box
420793 1 mL 5 20 A4369 420794 1 mL 25 4 A4369 420795 3 mL 5 20 A4369 420796 3 mL 25 4 A4369
* sold by the case
6 7 AllKare® Adhesive Remover Wipe Eakin Cohesive® Seal For the gentle removal of all adhesives, including skin barriers, tapes, and hydrocolloid dressings. The AllKare® Adhesive Remover Wipe formula A leak resistant base for effectively removes tape, skin barrier/wafer, and adhesive residues from the skin that can reduce wear times. longer lasting protection Product Code Wipes per box HCPCS 037436 50 A4456 From the name you trust for your 037443 100 A4456 ostomy needs
Sensi-Care™ Sting-Free Adhesive Remover Wipe Non-alcohol, silicone based formula that offers fast, painless removal of adhesive residue.
Product Code Wipes per box Boxes per case* HCPCS
413500 30 20 A4456 * sold by the case
Sensi-Care™ Sting-Free Skin All Seals are Not Adhesive Releaser Non-alcohol, silicone based formula that offers fast, painless release of adhesives from the skin. Created Equal
Product Code Aerosol can size Qty. per box Boxes per Case* HCPCS Eakin Cohesive® Absorbs More Moisture1* Non-Sterile 413499 50 mL 1 12 A4455 Eakin Cohesive® Seals, when compared to Sterile 420798 150 mL 1 12 A4455 other ostomy seals were more effective at ab- sorbing moisture. When moisture is controlled, * sold by the case the peristomal skin is protected.
Stomahesive® Paste Pectin-based Protective Skin Barrier 4.00 Use as a filler in uneven skin surfaces to help increase ostomy 3.50 system wear time and protect skin. 3.00 Product Code Size Qty. HCPCS 2.50 183910 2 oz. tube 1 tube per box A4406 2.00 1.50 Stomahesive® Protective Powder 1.00 Helps form a protective barrier against excoriated or weeping skin. 0.50 Grams absorbed per gram of product Product Code Size Qty. HCPCS 0.00 Eakin Cohesive® Hollister Adapt® Dansac GX-tra™ 025510 1 oz. bottle per bottle A4371 * As demonstrated in an in vitro lab test. Stomahesive® Skin Barrier Based on absorbed moisture per gram of ® A multipurpose skin barrier designed to help protect peristomal product compared to Hollister Adapt and skin and assist in the management of difficult stomas. Available in sterile Dansac GX-tra™ and non-sterile forms. 1. McGroggan, G. Effects of a hydrocolloid ostomy seal on fecal Product Code Size Qty. per box HCPCS enzyme activity and moisture absorption. Poster presented at: 3rd Non-Sterile Congress of the World Union of Wound Healing Societies; June 4-8, 021712 4” x 4” Wafers 5 A4362 2008; Toronto, Canada 021715 8” x 8” Wafers 3 A5122 Sterile 021901 4” x 4” Wafers 5 A4362 Eakin Cohesive is a registered trademark of T.G. Eakin Ltd. Adapt is a registered trademark of Hollister Inc. GX-Tra is a trademark of Dansac A/S 8 9 Skin Care & Accessories
Stomahesive® Strips Visi-Flow® Irrigation Pouches (Moldable Adhesive) Double sided Stomahesive® Strips for use as a filler to protect or fill-in uneven skin surfaces next to an ostomy, fistula, or wound. Visi-Flow® Irrigator with Stoma Cone
Product Code Size Qty. per box HCPCS Product Code Qty. HCPCS 025542 3 cards of 15 A4362 per box 5 strips each 401989 1 per box A4398, A4399
Eakin Cohesive® Seals Visi-Flow® Irrigation Sleeve A donut-shape ostomy accessory that can be molded to a variety of Transparent (compatible with SUR-FIT Natura® skin barriers) shapes. It acts as a gasket or barrier, and provides enhanced protection for hard-to-fit stomas. The unique moldable hydrocolloid barrier forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy Product Code Skin Barrier Flange Size Qty. HCPCS Color Match per box appliance. 401911 l 38 mm (1 1/2”) 5 A4397 401912 l 45 mm (1 3/4”) 5 A4397 Product Code Size Qty. per box HCPCS 401913 l 57 mm (2 1/4”) 5 A4397 839002 Small 2” 20 A4385 401914 l 70 mm (2 3/4”) 5 A4397 839001 Large 4” 10 A4385 One tail closure per box. 839005* SLIMS 2” 10 A4385
Visi-Flow® Stoma Cone Eakin Cohesive® Skin Barrier Eakin Cohesive® Skin Barrier is moldable and moisture-absorbing. It Product Code Qty. HCPCS per box is designed to help protect the skin from contact with body fluids. It is used wherever the skin is damaged, excoriated or vulnerable and needs protection 022736 1 A4399 from body wastes and fluids.
Product Code Size Qty. per box HCPCS Visi-Flow® Irrigation Sleeve Tail Closure 839004 Small 4” x 4” 5 A4385 839003 Large 4” x 8” 5 A4385 Product Code Qty. HCPCS per box
175650 10 A4363 DuoLock® Curved Tail Closures
® ® For use with SUR-FIT Natura , Esteem synergy and ® ActiveLife® Drainable Pouches Visi-Flow Irrigation Adapter Faceplate (compatible with SUR-FIT Natura® skin barriers) Product Code Qty. per box HCPCS Product Code Flange Size Qty. HCPCS 175652 10 A4363 per box 401918 45 mm (1 3/4”) 1 A4361 401919 70 mm (2 3/4”) 1 A4361 ConvaTec® Tail Closures For use with SUR-FIT Natura®, Esteem synergy® and ActiveLife® Drainable Pouches Visi-Flow® Irrigation Starter Set A clicking noise can be heard when closing the tail closure to ensure security. Prior to initial use, open and close several times. Product Code Flange Size Qty. HCPCS per box Product Code Qty. per box HCPCS 401916 45 mm (1 3/4”) 1 A4398, A4399 175635 10 A4363 A4397, A5054 A4367, A4414 A4402 401917 70 mm (2 3/4”) 1 A4398, A4399 A4397, A5054 Ostomy Appliance Belt A4367, A4415 A4402 Adjustable up to 42” Set contains: 1 Visi-Flow® Irrigator with Stoma Cone May help provide an added sense of security. 2 SUR-FIT Natura® Stomahesive® Skin Barriers with Flange 2 Visi-Flow® Irrigation Sleeves Product Code Qty. per box HCPCS 2 SUR-FIT Natura® Closed-End Pouches 1 stoma lubricant 1 ostomy belt 175507 1 A4367 1 tail closure 1 brush 1 carrying case
10 11 Two-Piece Ostomy Systems
® Esteem synergy and SUR-FIT Natura® and Natura® + Esteem synergy® + Two Piece Products Two-piece Ostomy System Two-Piece Ostomy Systems
The SUR-FIT Natura® and Natura® + Two-Piece Ostomy System is ® The Esteem synergy® and Esteem synergy® + ostomy system ConvaTec’s most extensive two-piece product line. The SUR-FIT Natura utilizes an innovative Adhesive Coupling Technology66 that connects Flange System signals a secure, accurate closure with a series of audible the pouch to the skin barrier and eliminates the need for plastic rings “clicks”. A simple snap-off, snap on design allows users to change the that must be snapped or locked together. Esteem synergy® ostomy pouch quickly to match activities without removing the skin barrier from system is ConvaTec’s innovative two-piece product that provides the skin. the skin friendliness and versatility of a two-piece system, as well as the low profile, comfort, and flexibility of a conventional one-piece When it comes to SUR-FIT Natura® and Natura® + ostomy products, we system. recommend you take a look at the innovative pouch and skin barrier fea- tures that have been combined with our Stomahesive® and Durahesive® The Esteem synergy® ostomy system has a flat, flexible adhesive adhesives. The SUR-FIT Natura® ostomy system offers special moldable foam ring on a pouch that securely connects with a clear, flat, skin barriers for a personalized, custom fit around the stoma to help flexible plastic “Landing Zone” flange on a skin barrier. It is easy to protect skin. The SUR FIT Natura and Natura + pouches are available apply and easy to remove. in drainable, closed-end, urostomy, transparent and opaque. In addition, they are available with a filter and the InvisiClose® clipless tail closure.
Also available for post-operative tenderness after surgery is the SUR-FIT Natura® Low-Pressure Adaptor. The SUR-FIT Natura® Low-Pressure Adaptor allows clinicians and patients to attach the pouch to the skin barrier without having to press directly on the abdomen. The SUR-FIT Natura® Low-Pressure Adaptor can be connected to any combination of SUR-FIT Natura® wafers and pouches with the same flange size.
12 13 SUR-FIT Natura® and Natura + Products
SUR-FIT Natura® Durahesive® Skin Barriers (compatible with SUR-FIT Natura® and Natura® + pouches)
“Take my word for it, change
is good. After 26 years I Durahesive® skin barriers/wafers are designed for people whose stoma switched my ostomy wafer output is mostly liquid. Unlike other skin barriers/wafers that can break to ConvaTec Moldable down around liquid output, Durahesive® skin barriers/wafers swell up to Technology™.” protect the stoma. This special effect, called turtlenecking, helps create a more secure seal without harming the skin. Durahesive® skin Randy is wearing barriers/wafers are also easy to fit, apply, and remove. They will adhere ConvaTec Moldable securely to the skin while showering, bathing, and swimming. Technology™ flat skin barrier SUR-FIT Natura® Moldable Durahesive® Skin Barrier with Mold-to-Fit opening and white hydrocolloid flexible collar
Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box 411800 l small (1/2” - 7/8”) 1 3/4” (45mm) 10 A4409 411802 l medium (7/8” - 1 1/4”) 1 3/4” (45mm) 10 A4409 411804 l large (1 1/4” - 1 3/4”) 2 1/4” (57mm) 10 A4409 411806 l extra-large 2 3/4” (70mm) 10 A4409 (1 1/4” - 1 3/4” by technology 1 3/4” - 2 1/8”)
Easy No cutting or guesswork I am a colon cancer survivor, SUR-FIT Natura® Moldable Durahesive® ostomate and outdoor enthusiast. Gentle Molds for a custom fit Skin Barrier with Mold-to-Fit opening I really had no complaints about my Secure and white acrylic flexible collar ostomy products. But then some new Virtually eliminates leaks Product Code Pouch Color Stoma Flange Qty. HCPCS friends told me how much they loved Match Size Size per box ™ ConvaTec Moldable Technology 413417 l small (1/2” - 7/8”) 1 3/4” (45mm) 10 A4409 wafers. Now… I am a convert. My life 413418 l medium (7/8” - 1 1/4”) 1 3/4” (45mm) 10 A4409 was good before but now it is even 413419 l large (1 1/4” - 1 3/4”) 2 1/4” (57mm) 10 A4409 413420 l extra-large 2 3/4” (70mm) 10 A4409 better. Sometimes it is worth it to (1 1/4” - 1 3/4” by change your routine. 1 3/4” - 2 1/8”)
Contact your ConvaTec sales representative or call the Customer Interaction Center for more information about ConvaTec Moldable Technology™ skin barriers Available in convex and flat options.
Customer Interaction Center: 1-800-422-8811 Monday-Friday 8:30am – 7:00pm ET Multilanguage support is available.
14 15 SUR-FIT Natura® and Natura + Products
® ® SUR-FIT Natura® Durahesive® Moldable SUR-FIT Natura Durahesive Flexible Skin Convex Skin Barrier with Mold-to-Fit opening Barrier with cut-to-fit opening and tan tape collar (overall dimension 4” x 4”) and white tape collar (overall dimension 4.5” x 4.5”) Product Code Pouch Color Stoma Flange Qty. HCPCS Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box Match Size Size per box 413164 l Refer to 1 1/4” (32mm) 10 A4409 404592 l small (1/2” - 7/8”) 1 3/4” (45mm) 10 A4407* 413165 l Cut-to-Fit 1 1/2” (38mm) 10 A4409 404593 l medium (7/8” - 1 1/4”) 1 3/4” (45mm) 10 A4407* 413166 l Barrier Sizing 1 3/4” (45mm) 10 A4409 Table 404594 l large (1 1/4” - 1 3/4”) 2 1/4” (57mm) 10 A4407*
SUR-FIT Natura® Durahesive® SUR-FIT Natura® Durahesive® Skin Barrier Flexible Skin Barrier with cut-to-fit opening ® with pre-cut opening, CONVEX-IT and tan tape collar (overall dimension 5” x 5”) and white tape collar (overall dimension 4.5” x 4.5”) Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box 413167 l Refer to 2 1/4” (57mm) 10 A4409* 413168 l Cut-to-Fit 2 3/4” (70mm) 10 A4409* 413177 l 1/2” (13 mm) 1 3/4” (45mm) 10 A4407* Barrier Sizing 413178 l 5/8” (16 mm) 1 3/4” (45mm) 10 A4407* Table 413179 l 3/4” (19 mm) 1 3/4” (45mm) 10 A4407* 413180 l 7/8” (22 mm) 1 3/4” (45mm) 10 A4407* 413181 l 1” (25 mm) 1 3/4” (45mm) 10 A4407* 413182 l 1 1/8” (28 mm) 1 3/4” (45mm) 10 A4407* SUR-FIT Natura® Durahesive® 413183 l 1 1/4” (32 mm) 1 3/4” (45mm) 10 A4407* 413184 l 1 3/8” (35 mm) 1 3/4” (45mm) 10 A4407* Flexible Skin Barrier with cut-to-fit opening and white tape collar (overall dimension 4” x 4”)
® ® SUR-FIT Natura Durahesive Skin Barrier Product Code Pouch Color Stoma Flange Qty. HCPCS with pre-cut opening, CONVEX-IT® Match Size Size per box and white tape collar (overall dimension 5” x 5”) 413159 l Refer to 1 1/4” (32mm) 10 A4409 413160 l Cut-to-Fit 1 1/2” (38mm) 10 A4409 413161 l Skin Barrier 1 3/4” (45mm) 10 A4409 Product Code Pouch Color Stoma Flange Qty. HCPCS Sizing Table Match Size Size per box 413185 l 1 1/2” (38mm) 2 1/4” (57mm) 10 A4407* 413186 l 1 5/8” (41mm) 2 1/4” (57mm) 10 A4407* ® ® 413187 l 1 3/4” (45mm) 2 1/4” (57mm) 10 A4407* SUR-FIT Natura Durahesive 413188 l 2” (50mm) 2 1/4” (57mm) 10 A4407* Flexible Skin Barrier with cut-to-fit opening and white tape collar (overall dimension 5” x 5”)
Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box 413162 l Refer to 2 1/4” (57mm) 10 A4409* 413163 l Cut-to-Fit 2 3/4” (70mm) 10 A4409* Skin Barrier Sizing Table
Cut-To-Fit Skin Barrier Sizing IF YOUR STOMA SIZE IS NO CHOOSE A WIDER THAN FLANGE SIZE 1/2” 1 1/4” Moldable Skin Barrier Sizing 5/8” 1 1/4” IF YOUR USE THIS WITH THIS 3/4” 1 1/4” STOMA SIZE IS MOLDABLE FLANGE SIZE SKIN BARRIER 7/8” 1 1/2” 1/2” to 7/8” Small 1 3/4” (45mm) 1” 1 1/2” 7/8” to 1 1/4” Medium 1 3/4” (45mm) 1 1/8” 1 3/4” 1 1/4” to 1 3/4” Large 2 1/4” (57mm) 1 1/4” 1 3/4” Available in Flat only: X-Large 2 3/4” (70mm) 1 3/8” 2 1/4” 1 1/4” x 1 3/4” (with OVAL (wide) to 1 3/4” x 2 1 1/2” to 1 3/4” 2 1/4” starter hole) 1/8” (long) 1 7/8” to 2 1/2” 2 3/4” 2 5/8” to 3 1/2” 4”
* HCPCS Code is determined by the size of the barrier mass excluding the tape collar. * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 16 17 SUR-FIT Natura® Durahesive® Skin Barrier with cut-to-fit opening and without tape collar (overall dimension 4” x 4”)
Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box
413153 l Refer to 1 1/4” (32mm) 10 A4409 413154 l Cut-to-Fit 1 1/2” (38mm) 10 A4409 For post-op tenderness 413155 l Skin Barrier 1 3/4” (45mm) 10 A4409 413156 l Sizing Table 2 1/4” (57mm) 10 A4409 The SUR-FIT Natura® SUR-FIT Natura® Durahesive® Skin Barrier Low-Pressure Adaptor with cut-to-fit opening and without tape collar (overall dimension 5” x 5”)
Product Code Pouch Color Stoma Flange Qty. HCPCS The only low-pressure solution with Match Size Size per box
413157 l Refer to 2 3/4” (70 mm) 10 A4410 n Ample finger space for pouch application Cut-to-Fit Skin Barrier n Compatibility with SUR-FIT Natura® skin barriers, Sizing Table SUR-FIT Natura® pouches and Natura + pouches
n Easy conversion to a discrete system when SUR-FIT Natura® Durahesive® Skin Barrier tenderness subsides with cut-to-fit opening and without tape collar (overall dimension 6” x 6”)
Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box
401905 l Refer to 4” (100 mm) 5 A4410 Cut-to-Fit Skin Barrier Sizing Table
Cut-To-Fit Skin Barrier Sizing IF YOUR STOMA SIZE IS NO CHOOSE A WIDER THAN FLANGE SIZE 1/2” 1 1/4” 5/8” 1 1/4” 3/4” 1 1/4” 7/8” 1 1/2” For ordering information go to page 25 1” 1 1/2” 1 1/8” 1 3/4” To learn more, call 1 1/4” 1 3/4” 1-800-422-8811 1 3/8” 2 1/4” www.convatec.com 1 1/2” to 1 3/4” 2 1/4” 1 7/8” to 2 1/2” 2 3/4” SUR-FIT Natura and Natura + are trademarks of ConvaTec Inc. 2 5/8” to 3 1/2” 4” © 2008 ConvaTec Inc. AP-005856-US August 2008
* HCPCS Code is determined by the size of the barrier mass excluding the tape collar.
18 SUR-FIT Natura® and Natura + Products
Skin protection starts SUR-FIT Natura® Stomahesive® Skin Barriers with the right skin barrier. technology (compatible with SUR-FIT Natura® and Natura® + pouches)
Peristomal skin lesions affect approximately 50% of ostomates1,2
• Majority of complications are related to leakage1 • Greater than 80% do not seek professional assistance1
ConvaTec Moldable Technology™ skin barriers Stomahesive® skin barriers/wafers are ideal for people whose stoma output is protect the skin with a custom fit semi-formed to formed stool. This reliable skin barrier/wafer provides a special formula that enables the skin barrier/wafer to adhere to both dry and moist skin. It holds firmly to skin while helping to protect against irritating output. Another ™ • Rebounding Memory Technology provides a feature of the Stomahesive® skin barrier/wafer is an outer protective coating custom fit to help prevent leaks day and night. which helps keep it in place. The skin barriers will maintain adhesion to the skin when showering, bathing, and swimming. Plus, Stomahesive® skin barrier/ wafers are easy to fit, apply, and remove. • Turtlenecking provides an additional level of protection against leakage as the adhesive gently SUR-FIT Natura® Moldable Stomahesive® swells around the stoma. Skin Barrier with Mold-to-Fit opening
and white hydrocolloid flexible collar
Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box
411801 l small (1/2” - 7/8”) 1 3/4” (45mm) 10 A4414 411803 l medium (7/8” - 1 1/4”) 1 3/4” (45mm) 10 A4414 Easy Gentle Secure 411805 l large (1 1/4” - 1 3/4”) 2 1/4” (57mm) 10 A4414 No Cutting or Molds for a Virtually Eliminates 411807 l extra-large 2 3/4” (70mm) 10 A4414 Custom Fit Leaks (1 1/4” - 1 3/4” by Guesswork 1 3/4” - 2 1/8”) Skin protection you can trust, SUR-FIT Natura® Moldable Stomahesive® especially after discharge Skin Barrier with Mold-to-Fit opening
Jan-Sept 2008 (405 encounters using Cut-to-Fit) and white acrylic flexible collar Sept-Dec 2008 Converted practice to moldable ) Jan-Apr 2009 (471 encounters using ConvaTec Moldable Technology™) Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box
413421 l small (1/2” - 7/8”) 1 3/4” (45mm) 10 A4414 413422 l medium (7/8” - 1 1/4”) 1 3/4” (45mm) 10 A4414 413423 l large (1 1/4” - 1 3/4”) 2 1/4” (57mm) 10 A4414 413424 l extra-large 2 3/4” (70mm) 10 A4414 (1 1/4” - 1 3/4” by 1 3/4” - 2 1/8”)
Moldable Skin Barrier Sizing
IF YOUR USE THIS WITH THIS In a prospective observational study, ConvaTec Moldable STOMA SIZE IS MOLDABLE FLANGE SIZE Technology™ skin barriers greatly reduced the incidence of SKIN BARRIER 1/2” to 7/8” Small 1 3/4” (45mm) peristomal skin lesions when compared to cut-to-fit barriers.3 7/8” to 1 1/4” Medium 1 3/4” (45mm) 1. Herlufsen P, Olsen AG, Carlsen B, et al, Ostomy skin study: a study of peristomal skin disorders in patients with permanent stomas. Br J Nurs 2006; 15(16)854-862. 2. Bosio G, Pisani F, Lucibello L. A Proposal for Classifying Peristomal Skin Disorders: Results of a Multicenter 1 1/4” to 1 3/4” Large 2 1/4” (57mm) Observational Study. OWM. 2007; 53(9):38-43. 3. Scott, V, Raasch, D., Kennedy, G., Heise, C. Prospective Assessment and Classification of Stoma Related Skin Disorders. Poster presented at: 41st Annual Wound Ostomy and Continence Nurses Society Conference; June 6-10, 2009; X-Large St. Louis, MO. Available in Flat only: 2 3/4” (70mm) (with OVAL 1 1/4” x 1 3/4” starter hole) (wide) to 1 3/4” x 2 To learn more, call 1-800-422-8811 1/8” (long) Monday-Friday 8:30 a.m.–7:00 p.m. EST * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. ® / TM indicates trademarks of ConvaTec Inc. ©2012 ConvaTec Inc. AP-012834-US 21 71 SUR-FIT Natura® and Natura + Products
SUR-FIT Natura® Stomahesive® Skin Barrier SUR-FIT Natura® Stomahesive® Flexible with cut-to-fit opening Skin Barrier with cut-to-fit opening and without tape collar (overall dimension 4” x 4”) and tan tape collar (overall dimension 4” x 4”)
Product Code Pouch Color Stoma Flange Qty. HCPCS Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box Match Size Size per box 401573 l Refer to 1 1/4” (32mm) 10 A4414 125262 l Refer to Cut-to-Fit 1 1/4” (32mm) 10 A4414* 401574 l Cut-to-Fit 1 1/2” (38mm) 10 A4414 125263 l Skin Barrier 1 1/2” (38mm) 10 A4414* 401575 l Skin Barrier 1 3/4” (45mm) 10 A4414 125264 l Sizing Table 1 3/4” (45mm) 10 A4414* 401576 l Sizing Table 2 1/4” (57mm) 10 A4414 SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with cut-to-fit opening SUR-FIT Natura® Stomahesive® Skin Barrier with and tan tape collar (overall dimension 5” x 5”) cut-to-fit opening Product Code Pouch Color Stoma Flange Qty. HCPCS and without tape collar (overall dimension 5” x 5”) Match Size Size per box
Product Code Pouch Color Stoma Flange Qty. HCPCS 125265 l Refer to Cut-to-Fit 2 1/4” (57mm) 10 A4414* 125266 l Skin Barrier 2 3/4” (70mm) 10 A4414* Sizing Table 401577 l Refer to Cut-to-Fit 2 3/4” (70mm) 10 A4415 Skin Barrier Sizing Table SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with cut-to-fit opening and white tape collar (overall dimension 4” x 4”) SUR-FIT Natura® Stomahesive® Skin Barrier with cut-to-fit opening Product Code Pouch Color Stoma Flange Qty. HCPCS and without tape collar (overall dimension 6” x 6”) Match Size Size per box
Product Code Pouch Color Stoma Flange Qty. HCPCS 125257 l Refer to Cut-to-Fit 1 1/4” (32mm) 10 A4414 Match Size Size per box 125258 l Skin Barrier 1 1/2” (38mm) 10 A4414 125259 l Sizing Table 1 3/4” (45mm) 10 A4414 401906 l Refer to Cut-to-Fit 4” (100mm) 5 A4415 Skin Barrier Sizing Table SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with cut-to-fit opening and white tape collar (overall dimension 5” x 5”)
Product Code Pouch Color Stoma Flange Qty. HCPCS Match Size Size per box
125260 l Refer to Cut-to-Fit 2 1/4” (57 mm) 10 A4414* 125261 l Skin Barrier 2 3/4” (70 mm) 10 A4414* Sizing Table
SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Pre-cut Opening and tan tape collar (overall dimension 4” x 4”)
Product Code Pouch Color Stoma Flange Qty. HCPCS Cut-To-Fit Skin Barrier Sizing Match Size Size per box 125267 l 1/2” (13 mm) 1 3/4” (45mm) 10 A4414 IF YOUR CHOOSE A 125268 l 5/8” (16 mm) 1 3/4” (45mm) 10 A4414 125269 l 3/4” (19mm) 1 3/4” (45mm) 10 A4414 STOMA SIZE IS NO FLANGE SIZE 125270 l 7/8” (22mm) 1 3/4” (45mm) 10 A4414 WIDER THAN 125271 l 1” (25mm) 1 3/4” (45mm) 10 A4414 1/2” 1 1/4” 125272 l 1 1/8” (28mm) 1 3/4” (45mm) 10 A4414 125273 l 1 1/4” (32mm) 1 3/4” (45mm) 10 A4414 5/8” 1 1/4” 125274 l 1 3/8” (35mm) 1 3/4” (45mm) 10 A4414 3/4” 1 1/4” 7/8” 1 1/2” SUR-FIT Natura® Stomahesive® 1” 1 1/2” Flexible Skin Barrier with Pre-cut Opening 1 1/8” 1 3/4” and tan tape collar (overall dimension 5” x 5”) 1 3/4” 1 1/4” Product Code Pouch Color Stoma Flange Qty. HCPCS 1 3/8” 2 1/4” Match Size Size per box 1 1/2” to 1 3/4” 2 1/4” 125275 l 1 1/2” (38mm) 2 1/4” (57mm) 10 A4414* 125276 l 1 5/8” (41mm) 2 1/4” (57mm) 10 A4414* 1 7/8” to 2 1/2” 2 3/4” 125277 l 1 3/4” (45mm) 2 1/4” (57mm) 10 A4414* 2 5/8” to 3 1/2” 4”
* HCPCS Code is determined by the size of the barrier mass excluding the tape collar. * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 22 23 SUR-FIT Natura® and Natura + Products
SUR-FIT Natura® Disposable Convex Inserts* SUR-FIT Natura® Select an insert that is at least 1/4” larger than the maximum diameter of the stoma Low-Pressure Adaptor (compatible with SUR-FIT Natura® skin barriers, Product Code Color Size Qty. HCPCS SUR-FIT Natura® pouches and Natura + pouches) Match per box
404006 l 19 mm (3/4”) Inner Diameter Opening 5 A5093 For use with 1 1/2” SUR-FIT Natura® Durahesive® and Stomahesive® Wafers 404007 l 22 mm (7/8”) Inner Diameter Opening 5 A5093 For use with 1 1/2” SUR-FIT Natura® Durahesive® and Stomahesive® Wafers 404008 l 25 mm (1”) Inner Diameter Opening 5 A5093 For use with 1 1/2” SUR-FIT Natura® Durahesive® and Stomahesive® Wafers 404009 l 29 mm (1 1/8”) Inner Diameter Opening 5 A5093 For use with 1 3/4” SUR-FIT Natura® Durahesive® and Stomahesive® Wafers 404010 l 32 mm (1 1/4”) Inner Diameter Opening 5 A5093 For use with 1 3/4” SUR-FIT Natura® The SUR-FIT Natura® Low-Pressure Adaptor allows extra finger space Durahesive® and Stomahesive® Wafers 404011 l 35 mm (1 3/8”) Inner Diameter Opening 5 A5093 to attach the pouch to the skin barrier without having to press directly For use with 1 3/4” SUR-FIT Natura® on the abdomen. This feature provides greater comfort to patients who Durahesive® and Stomahesive® Wafers 404012 l 38 mm (1 1/2”) Inner Diameter Opening 5 A5093 have abdominal tenderness after ostomy surgery. This is a temporary For use with 2 1/4” SUR-FIT Natura® and disposable product. For optimal performance the SUR-FIT Natura® Durahesive® and Stomahesive® Wafers 404013 l 41 mm (1 5/8”) Inner Diameter Opening 5 A5093 Low-Pressure Adaptor should be changed with every new skin barrier For use with 2 1/4” SUR-FIT Natura® change. The SUR-FIT Natura® Low-Pressure Adaptor works in conjunc- ® ® Durahesive and Stomahesive Wafers tion with the SUR-FIT Natura® skin barriers and SUR-FIT Natura and * For SUR-FIT Natura® Skin Barriers only. Not for use with ConvaTec Moldable Technology™ Natura + pouches with the same flange size. Skin Barriers.
SUR-FIT Natura® Low Pressure Adaptor Cut-To-Fit Skin Barrier Sizing
IF YOUR STOMA SIZE IS CHOOSE A Product Code Skin Barrier Flange Size Qty. per box HCPCS NO WIDER THAN FLANGE SIZE and Pouch 1/2” 1 1/4” Color Match 5/8” 1 1/4” 401993 l 1 3/4” (45mm) 10 A4421 3/4” 1 1/4” 401994 l 2 1/4” (57 mm) 10 A4421 7/8” 1 1/2” 401995 l 2 3/4” (70mm) 10 A4421 l 1” 1 1/2” 401996 4” (100mm) 10 A4421 1 1/8” 1 3/4” 1 1/4” 1 3/4” 1 3/8” 2 1/4” 1 1/2” to 1 3/4” 2 1/4” 1 7/8” to 2 1/2” 2 3/4” 2 5/8” to 3 1/2” 4”
Convex Insert Sizing
IF YOUR IF YOU USE CHOOSE A STOMA SIZE IS FLANGE SIZE CONVEX INSERT NO WIDER THAN (Outer Diameter) (Inner Diameter) 1/2” 1 1/2” 3/4” 5/8” 1 1/2” 7/8” 3/4” 1 1/2” 1” 7/8” 1 3/4” 1 1/8” 1” 1 3/4” 1 1/4” 1 1/8” 1 3/4” 1 3/8” 1 1/4” 2 1/4” 1 1/2” 1 3/8” 2 1/4” 1 5/8”
SUR-FIT Natura® Disposable Convex Inserts are not available for stoma sizes wider than 1 3/8”.
24 25 SUR-FIT Natura® and Natura + Products Give your patients SUR-FIT Natura® Drainable Pouches a pocket full of (compatible with SUR-FIT Natura® skin barriers) confidence. ConvaTec Pouches feature an InvisiClose® Lock-It Pocket™ that hides away the tail to provide the security and comfort of a closed-end pouch
SUR-FIT Natura® drainable pouches have soft, fabric-like comfort panels. With streamlined body contour panels, low-profile design, and less headroom, they distribute pouch content more evenly and away from the stoma. All drainable pouches have a wide tail opening for easier emptying. The SUR-FIT Natura® drainable pouches are also available with the InvisiClose® tail closure system and an advanced filter. The InvisiClose® clipless tail closure offers double security, ease of drainage, comfort and cleanliness. The easy to open outlet end strips and tail design help control flow and reduce splashing. The locking mechanism is enhanced by an additional security flap for added peace of mind. The advanced air filter is designed to let gasses through while repelling liquids.
SUR-FIT Natura® Drainable Pouch with InvisiClose® Tail Closure System and Filter Transparent with 1-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
411360 l 1 3/4” (45 mm) 10 A4425 411361 l 2 1/4” (57 mm) 10 A4425 411362 l 2 3/4” (70 mm) 10 A4425
SUR-FIT Natura® Drainable Pouch with InvisiClose Tail Closure System and Filter Opaque with 2-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box Experience the 411309 l 1 1/2” (38mm) 20 A4425 ConvaTec difference. 411310 l 1 3/4” (45mm) 20 A4425 411311 l 2 1/4” (57mm) 20 A4425 For ordering information: 411312 l 2 3/4” (70mm) 20 A4425 Natura + two piece system, page 36 + Esteem synergy two piece system, SUR-FIT Natura® Drainable Pouch with page 50 InvisiClose® Tail Closure System Esteem + one piece system, page 53 Transparent with 1-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS For more information, Color Match Size per box 413312 l 1 3/4” (45 mm) 10 A5063 call 1-800-422-8811 413313 l 2 1/4” (57 mm) 10 A5063 413314 l 2 3/4” (70 mm) 10 A5063
Product comparisons are internal product comparisons to existing ConvaTec product. ®/™ Indicates trademarks of ConvaTec Inc. ©2011 ConvaTec Inc. AP-011096-MM 26 27 SUR-FIT Natura® and Natura + Products
SUR-FIT Natura® Drainable Pouch with Filter SUR-FIT Natura® Drainable Pouch with Transparent with 1-sided comfort panel Pouch length: 12” InvisiClose® Tail Closure System Opaque with 1-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box Color Match Size per box 411264 l 1 1/2” (38 mm) 10 A4425 413334 l 1 3/4” (45 mm) 20 A5063 411265 l 1 3/4” (45 mm) 10 A4425 413335 l 2 1/4” (57 mm) 20 A5063 411266 l 2 1/4” (57 mm) 10 A4425 413336 l 2 3/4” (70 mm) 20 A5063 411267 l 2 3/4” (70 mm) 10 A4425
2 tail closures per box. SUR-FIT Natura® Drainable Pouch Transparent with 1-sided comfort panel Pouch length: 12” SUR-FIT Natura® Drainable Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 12” Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
Product Code Skin Barrier Flange Qty. HCPCS 401510 l 1 1/4” (32 mm) 10 A5063 l Color Match Size per box 401511 1 1/2” (38 mm) 10 A5063 401512 l 1 3/4” (45 mm) 10 A5063 411489 l 1 1/4” (32 mm) 20 A4425 401513 l 2 1/4” (57 mm) 10 A5063 411490 l 1 1/2” (38 mm) 20 A4425 401514 l 2 3/4” (70 mm) 10 A5063 411491 l 1 3/4” (45 mm) 20 A4425 411492 l 2 1/4” (57 mm) 20 A4425 2 tail closures per box. 411493 l 2 3/4” (70 mm) 20 A4425
2 tail closures per box. SUR-FIT Natura® Drainable Pouch Opaque with 2-sided comfort panel Pouch length: 12” SUR-FIT Natura® Drainable Pouch with Filter Product Code Skin Barrier Flange Qty. HCPCS Opaque with 2-sided comfort panel Pouch length: 10” Color Match Size per box
404025 l 1 1/4” (32 mm) 20 A5063 Product Code Skin Barrier Flange Qty. HCPCS 404026 l 1 1/2” (38 mm) 20 A5063 404027 l 1 3/4” (45 mm) 20 A5063 Color Match Size per box 404028 l 2 1/4” (57 mm) 20 A5063 411288 l 1 1/4” (32 mm) 20 A4425 404029 l 2 3/4” (70 mm) 20 A5063 411289 l 1 1/2” (38 mm) 20 A4425 411290 l 1 3/4” (45 mm) 20 A4425 401500 l 1 1/4” (32 mm) 10 A5063 411291 l 2 1/4” (57 mm) 20 A4425 401501 l 1 1/2” (38 mm) 10 A5063 411292 l 2 3/4” (70 mm) 20 A4425 401502 l 1 3/4” (45 mm) 10 A5063 l 2 tail closures per box. 401503 2 1/4” (57 mm) 10 A5063 401504 l 2 3/4” (70 mm) 10 A5063
2 tail closures per box.
SUR-FIT Natura® Drainable Pouch Opaque with 1-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
404014 l 1 1/4” (32 mm) 20 A5063 404015 l 1 1/2” (38 mm) 20 A5063 404016 l 1 3/4” (45 mm) 20 A5063 404017 l 2 1/4” (57 mm) 20 A5063 404018 l 2 3/4” (70 mm) 20 A5063
401932 l 1 1/4” (32 mm) 10 A5063 401933 l 1 1/2” (38 mm) 10 A5063 401934 l 1 3/4” (45 mm) 10 A5063 401935 l 2 1/4” (57 mm) 10 A5063 401936 l 2 3/4” (70 mm) 10 A5063
2 tail closures per box.
28 29 SUR-FIT Natura® and Natura + Products
SUR-FIT Natura® Drainable Pouch SUR-FIT Natura® Transparent with 1-sided comfort panel Pouch length: 14” Closed-End Pouches (compatible with SUR-FIT Natura® Skin Barriers) Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
401515 l 4” (100 mm ) 10 A5063
2 tail closures per box.
SUR-FIT Natura® Drainable Pouch Opaque with 2-sided comfort panel Pouch length: 10”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box 404030 l 1 1/4” (32 mm) 20 A5063 404031 l 1 1/2” (38 mm) 20 A5063 SUR-FIT Natura® Closed-End pouches are designed for one-time 404032 l 1 3/4” (45 mm) 20 A5063 usage, and may be used everyday, for special occasions or intimate 404033 l 2 1/4” (57 mm) 20 A5063 404034 l 2 3/4” (70 mm) 20 A5063 moments. They are available with a filter that is designed to reduce odor and gas buildup. There’s no draining or uncomfortable clip to 401505 l 1 1/4” (32 mm) 10 A5063 worry about. When you’re ready, you simply remove the pouch, place 401506 l 1 1/2” (38 mm) 10 A5063 401507 l 1 3/4” (45 mm) 10 A5063 it into a disposable bag, then discard it. 401508 l 2 1/4” (57 mm) 10 A5063 401509 l 2 3/4” (70 mm) 10 A5063
2 tail closures per box. SUR-FIT Natura® Closed-End Pouch Opaque with 2-sided comfort panel Pouch length 8”
® SUR-FIT Natura Drainable Pouch For High Product Code Skin Barrier Flange Qty. HCPCS Output Color Match Size per box
Opaque with 1-sided comfort panel, anti-reflux valve, 413169 l 1 1/2” (38 mm) 60 A5054 replaceable filter, and outlet with spout and cap for 413170 l 1 3/4” (45 mm) 60 A5054 high liquid output Pouch length: 14” 413171 l 2 1/4” (57 mm) 60 A5054 413172 l 2 3/4” (70 mm) 60 A5054
Product Code Skin Barrier Flange Qty. HCPCS 401521 l 1 1/2” (38 mm) 30 A5054 Color Match Size per box 401522 l 1 3/4” (45 mm) 30 A5054 401523 l 2 1/4” (57 mm) 30 A5054 401557 l 1 3/4” (45 mm) 5 A4413 401524 l 2 3/4” (70 mm) 30 A5054 401558 l 2 1/4” (57 mm) 5 A4413 401559 l 2 3/4” (70 mm) 5 A4413
1 tail closure, 1 night drainage adapter, and 5 replacement filters per box.
SUR-FIT Natura® Drainable Pouch For High Output Transparent with 1-sided comfort panel, anti-reflux valve, replaceable filter, and outlet with spout and cap for high liquid output Pouch length: 14”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
420695 l 1 3/4” (45 mm) 5 A4413 420696 l 2 1/4” (57 mm) 5 A4413 ConvaTec l 420697 2 3/4” (70 mm) 5 A4413 customer interaction center 1 tail closure, 1 night drainage adapter, and 5 replacement filters per box. 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com
30 31 SUR-FIT Natura® and Natura + Products
® SUR-FIT Natura Closed-End Pouch ® with Filter SUR-FIT Natura Opaque with 2-sided comfort panel Pouch length: 8” Urostomy Pouches (compatible with SUR-FIT Natura® Skin Barriers) Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box 413173 l 1 1/2” (38 mm) 60 A4419 413174 l 1 3/4” (45 mm) 60 A4419 413175 l 2 1/4” (57 mm) 60 A4419 413176 l 2 3/4” (70 mm) 60 A4419 60 filter covers per box
401525 l 1 1/2” (38 mm) 30 A4419 401526 l 1 3/4” (45 mm) 30 A4419 401527 l 2 1/4” (57 mm) 30 A4419 401528 l 2 3/4” (70 mm) 30 A4419 30 filter covers per box People living with a urostomy have unique needs, which is why ConvaTec offers a pouch product line especially for them. SUR-FIT Natura® urostomy pouches have an extended anti-reflux valve, comfort panels ® ® and a choice of two types of taps. The Accuseal tap is designed for easy SUR-FIT Natura Mini-Pouch manipulation and emptying. Opaque with 1-sided comfort panel Pouch length: 5”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box SUR-FIT Natura® Urostomy Pouch with ® 401529 l 1 1/4” (32 mm) 20 A5054 Accuseal Tap with Valve 401530 l 1 1/2” (38 mm) 20 A5054 Transparent with 1-sided comfort panel Pouch length: 10” 401531 l 1 3/4” (45 mm) 20 A5054 401532 l 2 1/4” (57 mm) 20 A5054 Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
401542 l 1 1/4” (32 mm) 10 A4432 401543 l 1 1/2” (38 mm) 10 A4432 SUR-FIT Natura® Flange Cap with Filter 401544 l 1 3/4” (45 mm) 10 A4432 401545 l 2 1/4” (57 mm) 10 A4432 Opaque with 1-sided comfort panel 401546 l 2 3/4” (70 mm) 10 A4432
Product Code Skin Barrier Flange Qty. HCPCS Each box contains 2 Accuseal® night drainage adapters. Color Match Size per box
401909 l 1 3/4” (45 mm) 25 A5055 30 filter covers per box. SUR-FIT Natura® Urostomy Small Pouch with Fold Over Tab Transparent with 1-sided comfort panel Pouch length: 9”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
401538 l 1 1/4” (32 mm) 10 A5073 401539 l 1 1/2” (38 mm) 10 A5073 401540 l 1 3/4” (45 mm) 10 A5073 401541 l 2 1/4” (57 mm) 10 A5073 Each box contains 2 universal night drainage adapters.
SUR-FIT Natura® Urostomy Pouch with Fold Over Tab Transparent with 1-sided comfort panel Pouch length: 10”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box 401533 l 1 1/4” (32 mm) 10 A5073 401534 l 1 1/2” (38 mm) 10 A5073 401535 l 1 3/4” (45 mm) 10 A5073 401536 l 2 1/4” (57 mm) 10 A5073 401537 l 2 3/4” (70 mm) 10 A5073 Each box contains 2 universal night drainage adapters.
32 33 SUR-FIT Natura® and Natura + Products
SUR-FIT Natura® Urostomy Small Pouch with SUR-FIT Natura® Unit Dose Kits Accuseal® Tap with Valve Opaque with 1-sided comfort panel Pouch length: 9” ® ® Product Code Skin Barrier Flange Qty. HCPCS SUR-FIT Natura Stomahesive Flexible Color Match Size per box Skin Barrier and Drainable Pouch Unit Dose Kit 401547 l 1 1/4” (32 mm) 10 A4432 401548 l 1 1/2” (38 mm) 10 A4432 Kit includes: 401549 l 1 3/4” (45 mm) 10 A4432 • 1 Stomahesive® Flexible Skin Barrier with white tape collar with l 401550 2 1/4” (57 mm) 10 A4432 cut-to-fit opening Each box contains 2 Accuseal® night drainage adapters. • 1 Drainable Pouch (12” transparent with 1-sided comfort panel) • 1 tail closure
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box ® SUR-FIT Natura Urostomy Pouch with 401920 l 1 3/4” (45 mm) 5 Kits A4414, A5063 Accuseal® Tap with Valve 402239 l 2 1/4” (57 mm) 5 Kits A4414, A5063 401921 l 2 3/4” (70 mm) 5 Kits A4414, A5063 Opaque with 1-sided comfort panel Pouch length: 10”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box SUR-FIT Natura® Stomahesive® Flexible Skin 401551 l 1 1/4” (32 mm) 10 A4432 401552 l 1 1/2” (38 mm) 10 A4432 Barrier and Drainable Pouch Unit Dose Kit 401553 l 1 3/4” (45 mm) 10 A4432 401554 l 2 1/4” (57 mm) 10 A4432 401555 l 2 3/4” (70 mm) 10 A4432 Kit includes: • 1 Stomahesive® Flexible Skin Barrier with cut-to-fit opening Each box contains 2 Accuseal® night drainage adapters. • 1 Drainable Pouch (14” transparent with 1-sided comfort panel) • 1 tail closure
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box ConvaTec® Night Drainage Container Set 401922 l 4” (100 mm) 5 kits A4415, A5063 Set contains: 1 ConvaTec® Night Drainage Container with tubing 1 ConvaTec® Night Drainage Container Cover SUR-FIT Natura® Durahesive® Flexible 1 Universal Adapter Skin Barrier Urostomy Pouch Unit Dose Kit Product Code Qty. per box HCPCS Kit includes: • 1 Durahesive® Flexible Skin Barrier with white tape collar with 027060 1 set A5102 cut-to-fit opening • 1 Urostomy Pouch (10” transparent with 1-sided comfort panel) with Accuseal® Tap with valve • 1 Accuseal® night drainage adaptor ® ConvaTec Night Drainage Container Tubing Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
Product Code Qty. per box HCPCS 401923 l 1 3/4” (45 mm) 5 kits A4409, A4432 401924 l 2 1/4” (57 mm) 5 kits A4409, A4432 027062 1 A4331
ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com
34 35 SUR-FIT Natura® and Natura + Products
Natura® + Pouches Natura® + Closed End Pouch Opaque with 2-sided comfort panel Pouch length: 8” (compatible with SUR-FIT Natura® Skin Barriers)
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
416401 l 1 1/4” (32 mm) 30 A5054 416404 l 1 1/2” (38 mm) 30 A5054 416407 l 1 3/4” (45 mm) 30 A5054 416410 l 2 1/4” (57 mm) 30 A5054 416413 l 2 3/4” (70 mm) 30 A5054
Natura® + “Mini” Closed End Pouch Opaque with 2-sided comfort panel Pouch length: 6”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
ConvaTec developed these innovative pouches to be noticeably more 416402 l 1 1/4” (32 mm) 30 A5054 ® comfortable and more discreet. The Natura + pouching system 416405 l 1 1/2” (38 mm) 30 A5054 offers the latest technologies from ConvaTec including: 416408 l 1 3/4” (45 mm) 30 A5054 416411 l 2 1/4” (57 mm) 30 A5054 - A state-of-the art filter with anti-clogging film layer - Soft and quiet materials - InvisiClose™ tail closure - Lock-it Pocket™ that securely hides away the tail giving the comfort Natura® + Closed End Pouch with Filter of a closed end pouch Opaque with 2-sided comfort panel Pouch length: 8” ConvaTec’s latest pouches combined with SUR-FIT Natura® advanced skin barrier adhesives offer security, comfort and discretion. Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box 416400 l 1 1/4” (32 mm) 30 A4419 ® ® Natura + Drainable Pouch with InvisiClose Tail 416403 l 1 1/2” (38 mm) 30 A4419 Closure System 416406 l 1 3/4” (45 mm) 30 A4419 416409 l 2 1/4” (57 mm) 30 A4419 Transparent with 1-sided comfort panel Pouch length: 12” 416412 l 2 3/4” (70 mm) 30 A4419 Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
416418 l 1 3/4” (45 mm) 10 A5063 416421 l 2 1/4” (57 mm) 10 A5063 416424 l 2 3/4” (70 mm) 10 A5063 416472 l 4” (100 mm) 10 A5063
Natura® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Transparent with 1-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
416414 l 1 1/2” (38 mm) 10 A4425 416416 l 1 3/4” (45 mm) 10 A4425 416419 l 2 1/4” (57 mm) 10 A4425 416422 l 2 3/4” (70 mm) 10 A4425
Natura® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Opaque with 2-sided comfort panel Pouch length: 12”
Product Code Skin Barrier Flange Qty. HCPCS Color Match Size per box
416415 l 1 1/2” (38 mm) 10 A4425 416417 l 1 3/4” (45 mm) 10 A4425 416420 l 2 1/4” (57 mm) 10 A4425 416423 l 2 3/4” (70 mm) 10 A4425
36 37 Surgical Post-Operative Kits
Natura® Durahesive® ConvaTec Moldable ConvaTec Surgical Post Technology™ Skin Barrier and Drainable Pouch Post-Operative/Surgical Kit Operative Kits Kit includes: • 1 Durahesive® moldable skin barrier with mold to fit opening • 1 Drainable Pouch (12” transparent with 1-sided comfort panel) with InvisiClose® Tail Closure System • 1 Low-Pressure Adaptor
Product Code Skin Barrier Flange Size Qty. HCPCS and Pouch per box Color Match
416917 l 1 3/4” (45 mm) 5 Kits N/A 416921 l 2 1/4” (57 mm) 5 Kits N/A 416925 l 2 1/4” (57 mm) 5 Kits N/A
Kit Components Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor 416917 416418 411802 401993 416921 416421 411804 401994 416925 416424 411806 401995
Natura® Stomahesive® ConvaTec Moldable Technology™ Skin Barrier and Drainable Pouch Post-Operative/Surgical Kit Kit includes: • 1 Stomahesive® moldable skin barrier with mold to fit opening • 1 Drainable Pouch (12” transparent with 1-sided comfort panel) with InvisiClose® Tail Closure System • 1 Low-Pressure Adaptor
Product Code Skin Barrier Flange Size Qty. HCPCS and Pouch per box Color Match
416918 l 1 3/4” (45 mm) 5 Kits N/A 416922 l 2 1/4” (57 mm) 5 Kits N/A 416926 l 2 3/4” (70 mm) 5 Kits N/A
Kit Components Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor Helping to promote product 416918 416418 411803 401993 standardization, improved time 416922 416421 411805 401994 416926 416424 411807 401995 management and reduced waste.
Featuring the latest technologies ConvaTec has to offer: Natura® Stomahesive® Cut-to-Fit Skin Barrier • Our unique, three layer, ConvaTec Moldable Technology™ with and Drainable Pouch Post-Operative/Surgical rebounding memory technology™ and turtlenecking Kit Kit includes: • New cut-to-fit double layer adhesive suitable for all ostomy types. • 1 Double-layer (Stomahesive® body-side, Durahesive® top side) skin barrier with + cut-to-fit opening • New ConvaTec Pouches with more comfort, improved odor • 1 Drainable Pouch (12” transparent with 1-sided comfort panel) with InvisiClose® control and better security Tail Closure System • 1 Low-Pressure Adaptor • New 4 inch skin barrier size available in a 1 piece system Note: Only 2 ¾” (70mm) kit contains 1 Sterile Loop Rod
• A low pressure adaptor to help ease post operative tenderness Product Code Skin Barrier Flange Size Sterile Qty. HCPCS and aid patient satisfaction and Pouch Loop Rod per box Color Match • Options in Sterile, Non-Sterile, with or without Loop Rods 416919 l 1 3/4” (45 mm) No 5 Kits N/A • Five individually labeled and packaged Post-Operative/Surgical 416923 l 2 1/4” (57 mm) No 5 Kits N/A l Kits in a box 416927 2 3/4” (70 mm) 65mm 5 Kits N/A
38 39 Surgical Post-Operative Kits
Natura® Stomahesive® Cut-to-Fit Skin Barrier and Natura® Durahesive® Drainable Pouch Post-Operative/Surgical Kit ConvaTec Moldable Technology™ Skin Barrier and Urostomy Pouch Post- Operative/Surgical Kit Kit includes: • 1 Double-layer (Stomahesive® body-side, Durahesive® top side) skin barrier with Kit includes: cut-to-fit opening • 1 Durahesive® moldable skin barrier with mold-to-fit opening • 1 Drainable Pouch (14” transparent with 1-sided comfort panel) with InvisiClose® • 1 Urostomy Pouch (10” transparent with 1-sided comfort panel) with Accuseal® Swivel Tap Tail Closure System • 1 Accuseal® night drainage adaptor • 1 Low-Pressure Adaptor • 1 Low-Pressure Adaptor • 1 Sterile Loop Rod
Product Code Skin Barrier Flange Size Qty. HCPCS Product Code Skin Barrier Flange Size Sterile Qty. HCPCS and Pouch per box and Pouch Loop Rod per box Color Match Color Match 416932 l 1 3/4” (45mm) 5 Kits N/A 416929 l 4” (100 mm) 90mm 5 Kits N/A 416940 l 2 1/4” (57mm) 5 Kits N/A 416948 l 2 3/4” (70mm) 5 Kits N/A
Natura® Stomahesive® Cut-to-Fit Skin Barrier and Kit Components Drainable Pouch Post-Operative/Surgical Kit - Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor STERILE 416932 401544 411802 401993 416940 401545 411804 401994 Kit includes: 416948 401546 411806 401995 • 1 Sterile Double-layer (Stomahesive® body-side, Durahesive® top side) skin barrier with cut-to-fit opening All urostomy kits contain an Accuseal® Adaptor • 1 Sterile Drainable Pouch (12” transparent with 1-sided comfort panel) with InvisiClose® Tail Closure System • 1 Low-Pressure Adaptor ® ® Note: Only 2 ¾” (70mm) kit contains 1 Sterile Loop Rod Natura Stomahesive ConvaTec Moldable Technology™ Skin Barrier and Urostomy Pouch Product Code Skin Barrier Flange Size Sterile Qty. HCPCS Post-Operative/Surgical Kit and Pouch Loop Rod per box Color Match Kit includes: • 1 Stomahesive® moldable skin barrier with mold-to-fit opening 416920 l 1 3/4” (45 mm) No 5 Kits N/A • 1 Urostomy Pouch (10” transparent with 1-sided comfort panel) with Accuseal® Swivel Tap 416924 l 2 1/4” (57 mm) No 5 Kits N/A • 1 Accuseal® night drainage adaptor 416928 l 2 3/4” (70 mm) 65mm 5 Kits N/A • 1 Low-Pressure Adaptor
Product Code Skin Barrier Flange Size Qty. HCPCS and Pouch per box Color Match Natura® Stomahesive® Cut-to-Fit Skin Barrier and 416934 l 1 3/4” (45mm) 5 Kits N/A 416942 l 2 1/4” (57mm) 5 Kits N/A Drainable Pouch Post-Operative/Surgical Kit - 416950 l 2 3/4” (70mm) 5 Kits N/A STERILE Kit includes: • 1 Sterile Double-layer (Stomahesive® body-side, Durahesive® top side) skin barrier with Kit Components cut-to-fit opening Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor ® • 1 Sterile Drainable Pouch (12” transparent with 1-sided comfort panel) with InvisiClose 416934 401544 411803 401993 Tail Closure System 416942 401545 411805 401994 • 1 Low-Pressure Adaptor 416950 401546 411807 401995 • 1 Sterile Loop Rod
All urostomy kits contain an Accuseal® Adaptor Product Code Skin Barrier Flange Size Sterile Qty. HCPCS and Pouch Loop Rod per box Color Match
416930 l 4” (100 mm) 90mm 5 Kits N/A Natura® Stomahesive® Cut-to-Fit Skin Barrier and Urostomy Pouch Post-Operative/Surgical Kit
Components of Natura® Cut-to-fit Skin Barrier and Drainable Kit includes: Pouch Surgical Post Operative Kits: • 1 Double-layer (Stomahesive® body-side, Durahesive® top side) skin barrier with The Double-layer skin barrier in the kit is not available in the retail market. Comparable cut-to-fit opening • 1 Urostomy Pouch (10” transparent with 1-sided comfort panel) with Accuseal® skin barriers are in the chart below: Swivel Tap ® Kit Pouch in Kit Comparable Comparable Low Sterile • 1 Accuseal night drainage adaptor Skin Barrier in Skin Barrier in Pressure Loop • 1 Low-Pressure Adaptor Kit - Stomahesive® Kit- Durahesive Adaptor Rod Product Code Skin Barrier Flange Size Qty. HCPCS 416919 and 416418 401575 413155 401993 No and Pouch per box 416920 Color Match 416923 and 416421 401576 413156 401994 No 416924 416937 l 1 3/4” (45mm) 5 Kits N/A 416927 and 416424 401577 413157 401995 022355 416945 l 2 1/4” (57mm) 5 Kits N/A 416928 416953 l 2 3/4” (70mm) 5 Kits N/A 416929 and 416472 410906 401905 401996 022356 416930
40 41 Natura® Stomahesive® Cut-to-Fit Skin Barrier and Urostomy Pouch Post-Operative/Surgical Kit - STERILE Kit includes: • 1 Sterile Double-layer (Stomahesive® body-side, Durahesive® top side) skin barrier with cut-to-fit opening • 1 Sterile Urostomy Pouch (10” transparent with 1-sided comfort panel) with Accuseal® Swivel Tap • 1 Sterile Accuseal® night drainage adaptor • 1 Sterile Low-Pressure Adaptor
Product Code Skin Barrier Flange Size Qty. HCPCS and Pouch per box Color Match
416938 l 1 3/4” (45mm) 5 Kits N/A 416946 l 2 1/4” (57mm) 5 Kits N/A 416954 l 2 3/4” (70mm) 5 Kits N/A
Components of Natura® Cut-to-fit Skin Barrier and Urostomy Pouch Surgical Post Operative Kits: The Double-layer skin barrier in the kit is not available in the retail market. Comparable skin barriers are in the chart below: Kit Pouch in Kit Comparable Comparable Low Skin Barrier in Skin Barrier in Pressure Kit - Stomahesive® Kit- Durahesive Adaptor 416937 and 401544 401575 413155 416938 416945 and 401545 401576 413156 416946 416953 and 401546 401577 413157 416954
ConvaTec Loop Ostomy Rod - Sterile Package
For use with ConvaTec Surgical Post Operative Kits, 70mm (2 1/4”) flange Product Code Size Qty. per box HCPCS Designed to Conceal & Support Ostomy Systems 022355 65 mm 10 A4421
For use with ConvaTec Surgical Post Operative Kits, 100mm (4”) flange 022356 90 mm 10 A4421 OSTOMY UNDERWEAR, WRAPS & SWIMWEAR in a range of styles, colors & fabrics to meet your everyday, intimate & athletic needs.
ostomysecrets.com | 877-613-6246 42 ostomysecrets.com | 877-613-6246 AP-013407-US All trademarks are property of their respective owners. AP-013407-US Esteem synergy® and Esteem synergy® + Products
® Esteem synergy Skin Barriers Esteem synergy® Stomahesive® Skin Barrier (compatible with Esteem synergy® and Esteem synergy® + pouches) with cut-to-fit opening and white tape collar
Product Code Pouch Color Stoma Barrier Overall Qty. HCPCS Match Opening Size Dimensions per box
405456 l Small 4” x 4” 10 A4414* — up to 1 3/8” (35 mm) 405457 l Medium 4 1/2” x 4 1/2” 10 A4414* — up to 1 7/8” (48mm) 405458 l Large 5” x 5” 10 A4414* — up to 2 3/8” (61mm) The Landing Zone flange on the skin barrier is square and is slightly larger in size compared to the round adhesive ring on the pouch. ® ® This makes the application process easy - precise alignment is not Esteem synergy Stomahesive Skin Barrier necessary. with cut-to-fit opening and without tape collar Esteem synergy® Moldable Durahesive® Product Code Pouch Color Stoma Barrier Overall Qty. HCPCS Convex Skin Barrier with mold-to-fit opening Match Opening Size Dimensions per box and white tape collar 405467 l Small 4” x 4” 10 A4415 — up to 1 3/8” (35 mm) Product Code Product Color Stoma Barrier Overall Qty. HCPCS 405468 l Medium 4 1/2” x 4 1/2” 10 A4415 Match Opening Size Dimensions per box — up to 1 7/8” (48mm) l 409268 l Small:1/2”-7/8” 4” x 4” 10 A4407* 403948 Large 5” x 5” 10 A4415 (13 - 22mm) — up to 2 3/8” (61mm) l 409269 l Medium: 7/8”-1 1/4” 4 1/2” x 4 1/2” 10 A4407* 405483 Extra Large 6” x 6” 10 A4415 (22-33mm) — up to 3 1/2” (89mm) 409270 l Large: 1 1/4”-1 3/4” 5” x 5” 10 A4407* (33-45mm)
Esteem synergy® Stomahesive® Skin Barrier with pre-cut opening ® ® Esteem synergy Moldable Stomahesive and white tape collar Skin Barrier with mold-to-fit opening and white hydrocolloid flexible collar Product Code Pouch Color Stoma Barrier Overall Qty. HCPCS Match Opening Size Dimensions per box
Product Code Product Color Stoma Barrier Overall Qty. HCPCS 405472 l Small 4” x 4” 10 A4414* Match Opening Size Dimensions per box — 1/2” (13mm) 405473 l Small 4” x 4” 10 A4414* 411657 l Small:1/2”-7/8” 4” x 4” 10 A4414 — 5/8” (16mm) (13 - 22mm) 405474 l Small 4” x 4” 10 A4414* 411658 l Medium: 7/8”-1 1/4” 4 1/2” x 4 1/2” 10 A4414 — 3/4” (19mm) (22-33mm) 405475 l Small 4” x 4” 10 A4414* 411659 l Large: 1 1/4”-1 3/4” 5” x 5” 10 A4414 — 7/8” (22mm) (33-45mm) 405476 l Small 4” x 4” 10 A4414* — 1” (25mm) 405477 l Small 4” x 4” 10 A4414* — 1 1/8” (28mm) 405478 l Small 4” x 4” 10 A4414* — 1 1/4” (32mm) 405479 l Small 4” x 4” 10 A4414* — 1 3/8” (35mm) 405480 l Medium 4 1/2” x 4 1/2” 10 A4414* — 1 1/2” (38mm) 405481 l Medium 4 1/2” x 4 1/2” 10 A4414* — 1 5/8” (41mm) 405482 l Medium 4 1/2” x 4 1/2” 10 A4414* — 1 3/4” (45mm)
* HCPCS Code is determined by the size of the barrier mass excluding the tape collar. * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 44 45 Esteem synergy® and Esteem synergy® + Products
Esteem synergy® Esteem synergy® Drainable Pouches Professional Kits (compatible with Esteem synergy® Skin Barriers) Esteem synergy® Professional Kit - Non-sterile Kit includes: • 5 small Stomahesive® Skin Barriers with cut-to-fit opening and tape collar • 5 12” Straight, Transparent, Drainable Pouches with 1-sided comfort panel • 1 tail closure Product Code Skin Barrier Skin Barrier Qty. per box HCPCS and Pouch Stoma Opening The ergonomically shaped Esteem synergy® drainable pouches are Color Match Size designed to complement body contours and add to ease of emptying. Esteem synergy® drainable pouches have an advanced air filter which 401923 l Small - up to 1 3/8” 5 Skin Barriers A4414, (35mm) 5 Pouches A5063 is designed to let gasses through while repelling liquids.
® Esteem synergy drainable pouches are also available with the Esteem synergy® Professional Kit - InvisiClose® tail closure system. The InvisiClose® clipless tail closure offers double security, ease of drainage, comfort and cleanliness. Non-sterile The easy to open outlet end strips and tail design help control flow Kit includes: and reduce splashing. The locking mechanism is enhanced by an • 5 large Stomahesive® Skin Barriers with cut-to-fit opening and additional security flap for added peace of mind. tape collar • 5 12” Straight, Transparent, Drainable Pouches with 1-sided comfort panel ® Esteem synergy Drainable Pouch with Filter • 1 tail closure Transparent with 1-sided comfort panel Product Code Skin Barrier Skin Barrier Qty. per box HCPCS For a stoma on the right side Pouch length: 12” and Pouch Stoma Opening Color Match Size Product Code Skin Barrier Matches to Qty. HCPCS Color Match Skin Barrier With: per box 409276 l Large - up to 2 3/8” 5 Skin Barriers A4414, (61mm) 5 Pouches A5063 405404 l Medium stoma opening 10 A4425 2 tail closures per box. Esteem synergy® Professional Kit - Non-sterile Esteem synergy® Drainable Pouch with Kit includes: InvisiClose® Tail Closure System and Filter • 5 extra large Stomahesive® Skin Barriers with cut-to-fit opening and Opaque with 1-sided comfort panel without tape collar For a stoma on the right side Pouch length: 12” • 5 14” Straight, Transparent, Drainable Pouches with 1-sided comfort panel Product Code Skin Barrier Matches to Qty. HCPCS Color Match Skin Barrier With: per box • 1 tail closure
410810 l Small stoma opening 20 A4425 Product Code Skin Barrier Skin Barrier Qty. per box HCPCS 410811 l Medium stoma opening 20 A4425 and Pouch Stoma Opening 410812 l Large stoma opening 20 A4425 Color Match Size
l Extra Large - 5 Skin Barriers A4415, ® 409275 Esteem synergy Drainable Pouch with up to 3 1/2” (89mm) 5 Pouches A5063 InvisiClose® Tail Closure System and Filter Transparent with 1-sided comfort panel ® For a stoma on the right side Pouch length: 12” Esteem synergy Professional Kit - Sterile Loop Ostomy System Product Code Skin Barrier Matches to Qty. HCPCS Color Match Skin Barrier With: per box Kit includes: 4 13353 l Medium stoma opening 10 A4425 • 1 extra large Stomahesive® Skin Barrier with cut-to-fit opening and 413354 l Large stoma opening 10 A4425 without tape collar • 1 14” Straight, Transparent, Drainable Pouch with 1-sided comfort panel Esteem synergy® Drainable Pouch Transparent with 1-sided comfort panel • 1 tail closure Straight Pouch length: 12” • 1 3 1/2” loop ostomy rod Product Code Skin Barrier Skin Barrier Qty. per box HCPCS Product Code Skin Barrier Matches to Qty. HCPCS and Pouch Stoma Opening Color Match Skin Barrier With: per box Color Match Size
4 05406 l Extra large stoma opening 10 A5063 409345 l Extra Large - 1 Skin Barrier A4415, 2 tail closures per box. up to 3 1/2” (89mm) 1 Pouch A5063 47
46 47 Esteem synergy® and Esteem synergy® + Products
Esteem synergy® Esteem synergy® Urostomy Pouches ® Closed-End Pouches (compatible with Esteem synergy Skin Barriers) (compatible with Esteem synergy® Skin Barriers)
The Esteem synergy® Urostomy Pouch with Accuseal® tap is designed for easy manipulation and rapid emptying. The built-in anti-reflux valve Esteem synergy® closed-end pouches are designed for one-time resists the back flow of urine. The pouch has a body-side comfort panel. usage, and may be used for every day use, special occasions or for intimate moments. The Esteem synergy® ostomy system features an advanced filter system designed to absorb and neutralize a broad ® range of odor-causing agents. Four slits on the filter with removable Esteem synergy Urostomy Pouch with stickers allow for individual control over the speed of the gas release. Accuseal® Tap with Valve Opaque with 1-sided comfort panel Pouch Length: 10”
® Esteem synergy Closed End Pouch with filter Product Code Skin Barrier Matches to Skin Qty. HCPCS Opaque with 2-sided comfort panel Pouch Length: 9” Color Match Barrier With: per box
405448 l Small stoma opening 10 A4432 Product Code Skin Barrier Matches to Skin Qty. HCPCS 405449 l Medium stoma opening 10 A4432 Color Match Barrier With: per box 405450 l Large stoma opening 10 A4432 409282 l Small stoma opening 60 A4419 Each box contains 2 Accuseal® night drainage adaptors. 409283 l Medium stoma opening 60 A4419 409284 l Large stoma opening 60 A4419
405436 l Small stoma opening 30 A4419 Esteem synergy® Urostomy Pouch with 405437 l Medium stoma opening 30 A4419 ® 403946 l Large stoma opening 30 A4419 Accuseal Tap with Valve Transparent with 1-sided comfort panel Pouch Length: 10”
Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box Esteem synergy® Closed End Mini Pouch 405451 l Small stoma opening 10 A4432 Opaque with 1-sided comfort panel Pouch Length: 6” 405452 l Medium stoma opening 10 A4432 405453 l Large stoma opening 10 A4432 Product Code Skin Barrier Matches to Skin Qty. HCPCS Each box contains 2 Accuseal® night drainage adaptors. Color Match Barrier With: per box
405441 l Small stoma opening 20 A5054 Esteem synergy® Urostomy Pouch with Accuseal® Tap with Valve Transparent with 1-sided comfort panel Pouch Length: 9”
Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box
405446 l Small stoma opening 10 A4432 405447 l Medium stoma opening 10 A4432 Each box contains 2 Accuseal® night drainage adaptors. ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com
48 49 Esteem synergy® and Esteem synergy® + Products
Esteem synergy® + Pouches Esteem synergy® + Closed End Pouch with Filter ® (compatible with Esteem synergy Skin Barriers) Transparent with 1-sided comfort panel Pouch Length: 8”
Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box
416774 l Small stoma opening 30 A4419 416778 l Medium stoma opening 30 A4419 416782 l Large stoma opening 30 A4419
Esteem synergy® + Closed End Pouch with Filter Opaque with 2-sided comfort panel Pouch Length: 8”
ConvaTec developed these innovative pouches to be noticeably more Product Code Skin Barrier Matches to Skin Qty. HCPCS comfortable and more discreet. The Esteem synergy® + pouching Color Match Barrier With: per box system offers the latest technologies from ConvaTec including: 416775 l Small stoma opening 30 A4419 • A state-of-the art filter with anti-clogging film layer 416779 l Medium stoma opening 30 A4419 416783 l Large stoma opening 30 A4419 • Soft and quiet materials • Streamlined rounded shape • InvisiClose™ tail closure ® + • Lock-it Pocket™ that securely hides away the tail giving the comfort Esteem synergy Closed End “Mini” Pouch of a closed end pouch with Filter Transparent with 1-sided comfort panel Pouch Length: 6” ConvaTec’s latest pouches combined with Esteem synergy® + advanced skin barrier adhesives offer security, comfort and discretion. Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box
Esteem synergy® + Drainable Pouch with 416776 l Small stoma opening 30 A4419 416780 l Medium stoma opening 30 A4419 InvisiClose® Tail Closure System Transparent with 1-sided comfort panel Pouch Length: 12”
Product Code Skin Barrier Matches to Skin Qty. HCPCS Esteem synergy® + Closed End “Mini” Pouch Color Match Barrier With: per box with Filter 416797 l Small stoma opening 10 A5063 Opaque with 2-sided comfort panel Pouch Length: 6” 416900 l Medium stoma opening 10 A5063 416903 l Large stoma opening 10 A5063 Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box
416777 l Small stoma opening 30 A4419 416781 l Medium stoma opening 30 A4419 Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Transparent with 1-sided comfort panel Pouch Length: 12”
Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box
416795 l Small stoma opening 10 A4435 416798 l Medium stoma opening 10 A4435 416901 l Large stoma opening 10 A4435
Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Opaque with 2-sided comfort panel Pouch Length: 12”
Product Code Skin Barrier Matches to Skin Qty. HCPCS Color Match Barrier With: per box
416796 l Small stoma opening 10 A4425 416799 l Medium stoma opening 10 A4425 416902 l Large stoma opening 10 A4425
50 51 One-Piece Ostomy Systems
ActiveLife® One-Piece Esteem® + One-Piece Ostomy System Ostomy System
The one-piece system that’s gentle on the skin, while remaining One-Piece Ostomy Systems secure and easy to use! Flexible and discreet, the Esteem® + one-piece system is the all-in-one solution that combines the skin barrier and pouch in a single unit, allowing for a simple, secure, and comfortable experience. Available with a modified Stomahesive® or Durahesive Plus® skin barrier that gently adheres to skin and protects it from breakdown.
The Esteem® + one piece pouching system offers the latest technologies from ConvaTec including: • A state-of-the art filter with an anti-clogging film layer, keeping the pouch flat while virtually eliminating odor • InvisiClose® clipless tail closure with a strong hook and hook fastener • The Lock-It Pocket™ which securely hides away the tail to provide A lightweight, flexible, one-piece system, ActiveLife® ostomy the comfort of a closed end pouch system combines the skin barrier and the pouch in one simple, • Comfort panel pouch material that is soft and smooth against the easy-to-manage system. Pouches are available in transparent and skin, nearly rustle-free and resists water and dries quickly. opaque films. ConvaTec’s latest pouches and advanced adhesives offer you the security, comfort, and discretion you deserve.
52 53 Esteem + Products
Esteem® + One-Piece Drainable Pouch with Esteem® + One-Piece Drainable Pouch with Cut-to-Fit Durahesive Plus® Skin Barrier, Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure and Filter InvisiClose® Tail Closure Opaque with 2-sided comfort panel and tape collar Transparent with 1-sided comfort panel Pouch Length: 14” Pouch Length: 12” Product Code Stoma Size Opening Qty. HCPCS Product Code Stoma Size Opening Qty. HCPCS per box per box 416908 Can be enlarged to accommodate 10 A5061 416975 Can be enlarged to accommodate 10 A5056 stoma sizes 100 mm (4”) stoma sizes 19 mm (3/4”) to *Double-layer adhesive (Stomahesive® body-side, Durahesive® top-side) which combines the skin friendly 64 mm (2 1/2”) aspects of Stomahesive® with the turtlenecking protection of Durahesive®.
Esteem® + One-Piece Drainable Pouch with Esteem® + One-Piece Drainable Pouch with Cut-to-Fit Durahesive Plus® Skin Barrier, Modified Stomahesive® Pre-Cut Skin Barrier, InvisiClose® Tail Closure and Filter InvisiClose® Tail Closure and Filter Transparent with 1-sided comfort panel and tape collar Transparent with 1-sided comfort panel Pouch Length: 12” Pouch Length: 12” Product Code Stoma Size Opening Qty. HCPCS Product Code Stoma Size Opening Qty. HCPCS per box per box 416724 25mm (1”) 10 A4424 416976 Can be enlarged to accommodate 10 A5056 416728 30 mm (1 3/16”) 10 A4424 stoma sizes 19 mm (3/4”) to 416732 35mm (1 3/8”) 10 A4424 64 mm (2 1/2”) 416736 40mm (1 9/16”) 10 A4424
Esteem® + One-Piece Drainable Pouch with Esteem® + One-Piece Drainable Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier, Modified Stomahesive® Pre-Cut Skin Barrier, InvisiClose® Tail Closure InvisiClose® Tail Closure and Filter Transparent with 1-sided comfort panel Pouch Length: 12” Opaque with 2-sided comfort panel Pouch Length: 12”
Product Code Stoma Size Opening Qty. HCPCS Product Code Stoma Size Opening Qty. HCPCS per box per box
416721 Can be enlarged to accommodate 10 A5061 416725 25mm (1”) 10 A4424 stoma sizes 20 mm (3/4”) to 416729 30 mm (1 3/16”) 10 A4424 70 mm (2 3/4”) 416733 35mm (1 3/8”) 10 A4424 416737 40mm (1 9/16”) 10 A4424
Esteem® + One-Piece Drainable Pouch with ® + Modified Stomahesive® Cut-to-Fit Skin Barrier, Esteem One-Piece Drainable Pouch with ® InvisiClose® Tail Closure and Filter Durahesive Pre-Cut Convex Skin Barrier, ® Transparent with 1-sided comfort panel Pouch Length: 12” InvisiClose Tail Closure and Filter Transparent with 1-sided comfort panel Pouch Length: 12” Product Code Stoma Size Opening Qty. HCPCS per box Product Code Stoma Size Opening Qty. HCPCS per box 416718 Can be enlarged to accommodate 10 A4424 stoma sizes 20 mm (3/4”) to 416738 19 mm (3/4”) 10 A5057 70 mm (2 3/4”) 416740 22 mm (7/8”) 10 A5057 416742 25 mm (1”) 10 A5057 416744 28 mm (1 1/8”) 10 A5057 416746 32 mm (1 1/4”) 10 A5057 ® + 416748 35 mm (1 3/8”) 10 A5057 Esteem One-Piece Drainable Pouch with 416750 38 mm (1 1/2”) 10 A5057 Modified Stomahesive® Cut-to-FIt Skin Barrier, InvisiClose® Tail Closure and Filter Opaque with 2-sided comfort panel Pouch Length: 12”
Product Code Stoma Size Opening Qty. HCPCS per box
416719 Can be enlarged to accommodate 10 A4424 stoma sizes 20 mm (3/4”) to 70 mm (2 3/4”)
54 55 Esteem + Products
Esteem® + One-Piece Drainable Pouch with Esteem® + One-Piece Drainable Pouch with Durahesive® Pre-Cut Convex Skin Barrier, Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure and Filter InvisiClose® Tail Closure Post-Operative/ Opaque with 2-sided comfort panel Pouch Length: 12” Surgical Kit Transparent with 1-sided comfort panel Pouch Length: 14” Product Code Stoma Size Opening Qty. HCPCS per box Product Code Stoma Size Opening Qty. per box 416739 19 mm (3/4”) 10 A5057 416741 22 mm (7/8”) 10 A5057 416915 Can be enlarged to accommodate 5 individually 416743 25 mm (1”) 10 A5057 stoma sizes up to 100 mm (4”) wrapped pouches 416745 28 mm (1 1/8”) 10 A5057 416747 32 mm (1 1/4”) 10 A5057 *Double-layer adhesive (Stomahesive® body-side, Durahesive® top-side) which combines the skin friendly 416749 35 mm (1 3/8”) 10 A5057 aspects of Stomahesive® with the turtlenecking protection of Durahesive®. 416751 38 mm (1 1/2”) 10 A5057
Esteem® + One-Piece Drainable Pouch with ® + Esteem One-Piece Closed-End Pouch with Stomahesive® Cut-to-Fit Skin Barrier* and ® Modified Stomahesive Cut-to-Fit Skin Barrier InvisiClose® Tail Closure Post-Operative/ and Filter Surgical Kit - STERILE Transparent with 1-sided comfort panel Pouch Length: 8” Transparent with 1-sided comfort panel Pouch Length: 14” Product Code Stoma Size Opening Qty. HCPCS per box Product Code Stoma Size Opening Qty. per box 416700 Can be enlarged to accommodate 30 A4416 stoma sizes 20 mm (3/4”) to 416916 Can be enlarged to accommodate 5 individually 70 mm (2 3/4”) stoma sizes up to 100 mm (4”) wrapped pouches
*Double-layer adhesive (Stomahesive® body-side, Durahesive® top-side) which combines the skin friendly aspects of Stomahesive® with the turtlenecking protection of Durahesive®. Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch Length: 8”
Product Code Stoma Size Opening Qty. HCPCS per box
416701 Can be enlarged to accommodate 30 A4416 stoma sizes 20 mm (3/4”) to 70 mm (2 3/4”)
Esteem® + One-Piece “Mini” Closed-End Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch Length: 6”
Product Code Stoma Size Opening Qty. HCPCS per box
416702 Can be enlarged to accommodate 30 A4416 stoma sizes 20 mm (3/4”) to 70 mm (2 3/4”)
Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Pre-Cut Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch Length: 8”
Product Code Stoma Size Opening Qty. HCPCS per box
416704 25 mm (1”) 30 A4416 416707 30 mm (13/16”) 30 A4416 416710 35 mm (1 3/8”) 30 A4416 416713 40 mm (1 9/16”) 30 A4416 416715 50 mm (2”) 30 A4416
56 57 ActiveLife® Products
® ActiveLife® Convex One-Piece Pre-Cut ActiveLife One-Piece Drainable Cut-to-Fit Drainable Pouch with Durahesive® Pouch with Durahesive Plus® Skin Barrier Skin Barrier Transparent with one-sided comfort panel and tape collar
Transparent with one-sided comfort panel and tape collar Pouch Length: 12” Pouch Length: 12” Product Code Stoma Size Opening Qty. HCPCS Product Code Stoma Size Opening Qty. HCPCS per box per box 400598 Can be enlarged to accommodate 10 A4388 125352 19 mm (3/4”) 10 A4390 stoma sizes 19 mm (3/4”) to 64 mm 125353 22 mm (7/8”) 10 A4390 (2 1/2”) 125354 25 mm (1”) 10 A4390 125355 28 mm (1 1/8”) 10 A4390 1 tail closure per box. 125356 32 mm (1 1/4”) 10 A4390 125357 35 mm (1 3/8”) 10 A4390
125358 38 mm (1 1/2”) 10 A4390 125359 45 mm (1 3/4”) 10 A4390 ® 125360 50 mm (2”) 10 A4390 ActiveLife One-Piece Drainable Cut-to-Fit Pouch with Durahesive Plus® Skin Barrier 175777 19 mm (3/4”) 5 A4390 Opaque with one-sided comfort panel and tape collar 175778 22 mm (7/8”) 5 A4390 175779 25 mm (1”) 5 A4390 Pouch Length: 12” 175780 28 mm (1 1/8”) 5 A4390 Product Code Stoma Size Opening Qty. HCPCS 175781 32 mm (1 1/4”) 5 A4390 per box 175782 35 mm (1 3/8”) 5 A4390
175783 38 mm (1 1/2”) 5 A4390 400599 Can be enlarged to accommodate 10 A4388 175784 45 mm (1 3/4”) 5 A4390 stoma sizes 19 mm (3/4”) to 64 mm 175785 50 mm (2”) 5 A4390 (2 1/2”) 1 tail closure per box.
ActiveLife® One-Piece Drainable Cut-to-Fit Pouch with Stomahesive® Skin Barrier Transparent with one-sided comfort panel and tape collar
Pouch Length: 12”
Product Code Stoma Size Opening Qty. HCPCS per box
125330 Can be enlarged to accommodate 20 A5061 stoma sizes 19 mm (3/4”) to 64 mm (2 1/2”)
022771 Can be enlarged to accommodate 10 A5061 stoma sizes 19 mm (3/4”) to 64 mm (2 1/2”) 1 tail closure per box.
ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com
58 59 ActiveLife® Products
ActiveLife® One-Piece Pre-Cut Drainable ActiveLife® One-Piece Cut-to-Fit Closed-End Pouch with Stomahesive® Skin Barrier Pouch with Stomahesive® Skin Barrier and Opaque with one-sided comfort panel and tape collar Filter
Pouch Length: 10” Opaque with one-sided comfort panel and no tape collar
Product Code Stoma Size Opening Qty. HCPCS Pouch Length: 8” per box Product Code Stoma Size Opening Qty. HCPCS per box 125331 19 mm (3/4”) 20 A5061 125333 32 mm (1 1/4”) 20 A5061 125334 38 mm (1 1/2”) 20 A5061 413141 Can be enlarged to 60 A4416 125335 45 mm (1 3/4”) 20 A5061 accommodate stoma sizes 125336 50 mm (2”) 20 A5061 19 mm (3/4”) to 64 mm (2 1/2”) 125337 64 mm (2 1/2”) 20 A5061 175768 Can be enlarged to 15 A4416 022750 19 mm (3/4”) 10 A5061 accommodate stoma sizes 022751 25 mm (1”) 10 A5061 19 mm (3/4”) to 64 mm (2 1/2”) 32 mm (1 1/4”) 10 A5061 022752 60 filter covers per box. 022753 38 mm (1 1/2”) 10 A5061 022754 45 mm (1 3/4”) 10 A5061 022755 50 mm (2”) 10 A5061 022756 64 mm (2 1/2”) 10 A5061
® 1 tail closure per box. ActiveLife One-Piece Cut-to-Fit Closed-End Pouch with Stomahesive® Skin Barrier and Filter Opaque with one-sided comfort panel and tape collar Pouch Length: 8” ActiveLife® One-Piece Pre-Cut Drainable Product Code Stoma Size Opening Qty. HCPCS ® Pouch with Stomahesive Skin Barrier per box Opaque with one-sided comfort panel and tape collar Pouch Length: 12” 650408 Can be enlarged to accommodate 30 A4416 stoma sizes 19 mm (3/4”) to Product Code Stoma Size Opening Qty. HCPCS 50 mm (2”) per box 30 filter covers per box.
125338 19 mm (3/4”) 20 A5061 125339 25 mm (1”) 20 A5061 125340 32 mm (1 1/4”) 20 A5061 125341 38 mm (1 1/2”) 20 A5061 125342 45 mm (1 3/4”) 20 A5061 ActiveLife® One-Piece Cut-to-Fit Closed-End 125343 50 mm (2”) 20 A5061 ® 125344 64 mm (2 1/2”) 20 A5061 Pouch with Stomahesive Skin Barrier and Filter 022757 19 mm (3/4”) 10 A5061 Transparent with one-sided comfort panel and tape collar 022758 25 mm (1”) 10 A5061 022759 32 mm (1 1/4”) 10 A5061 Pouch Length: 8” 022760 38 mm (1 1/2”) 10 A5061 022761 45 mm (1 3/4”) 10 A5061 Product Code Stoma Size Opening Qty. HCPCS 022762 50 mm (2”) 10 A5061 per box 022763 64 mm (2 1/2”) 10 A5061 650422 Can be enlarged to 30 A4416 1 tail closure per box. accommodate stoma sizes 19 mm (3/4”) to 50 mm (2”) 30 filter covers per box.
ActiveLife® One-Piece Pre-cut Drainable Pouch with Stomahesive® Skin Barrier Transparent with one-sided comfort panel and tape collar Pouch Length: 12”
Product Code Stoma Size Opening Qty. HCPCS per box
022764 19 mm (3/4”) 10 A5061 022765 25 mm (1”) 10 A5061 022766 32 mm (1 1/4”) 10 A5061 022767 38 mm (1 1/2”) 10 A5061 022768 45 mm (1 3/4”) 10 A5061 022769 50 mm (2”) 10 A5061 022770 64 mm (2 1/2”) 10 A5061 1 tail closure per box.
60 61 ActiveLife® Products
ActiveLife® One-Piece Cut-to-Fit Closed-End ActiveLife® One-Piece Stoma Cap Pouch with Stomahesive® Skin Barrier and Filter with Stomahesive® Skin Barrier and Filter Transparent with one-sided comfort panel and no tape collar Opaque with no tape collar Pouch Length: 8” Product Code Stoma Size Opening Qty. HCPCS Product Code Stoma Size Opening Qty. HCPCS per box per box 175611 Can be enlarged to accommodate 30 A5055 413147 Can be enlarged to accommodate 60 A4416 stoma sizes 19 mm (3/4”) to stoma sizes 19 mm (3/4”) to 50 mm (2”) 64 mm (2 1/2”) 30 filter covers per box. 60 filter covers per box.
175761 Can be enlarged to accommodate 15 A4416 stoma sizes 19 mm (3/4”) to ® 64 mm (2 1/2”) ActiveLife Convex One-Piece Pre-Cut 15 filter covers per box. Urostomy Pouch with Durahesive® Skin Barrier Transparent with fold over tap Pouch Length: 8”
Product Code Stoma Size Opening Qty. HCPCS per box ActiveLife® One-Piece Pre-Cut Closed-End Pouch with Stomahesive® 125361 13 mm (1/2”) 10 A4393 125362 16 mm (5/8”) 10 A4393 Skin Barrier and Filter 125363 19 mm (3/4”) 10 A4393 Opaque with one-sided comfort panel and no tape collar 125364 22 mm (7/8”) 10 A4393 Pouch Length: 8” 125365 25 mm (1”) 10 A4393 125366 28 mm (1 1/8”) 10 A4393 125367 32 mm (1 1/4”) 10 A4393 Product Code Stoma Size Opening Qty. HCPCS 125368 35 mm (1 3/8”) 10 A4393 per box 125369 38 mm (1 1/2”) 10 A4393
413142 25 mm (1”) 60 A4416 175790 13 mm (1/2”) 5 A4393 413143 32 mm (1 1/4”) 60 A4416 175791 16 mm (5/8”) 5 A4393 413144 38 mm (1 1/2”) 60 A4416 175792 19 mm (3/4”) 5 A4393 413145 45 mm (1 3/4”) 60 A4416 175793 22 mm (7/8”) 5 A4393 413146 50 mm (2”) 60 A4416 175794 25 mm (1”) 5 A4393 60 filter covers per box. 175795 28 mm (1 1/8”) 5 A4393 175796 32 mm (1 1/4”) 5 A4393 175769 25 mm (1”) 15 A4416 175797 35 mm (1 3/8”) 5 A4393 175770 32 mm (1 1/4”) 15 A4416 175798 38 mm (1 1/2”) 5 A4393 175771 38 mm (1 1/2”) 15 A4416 175772 45 mm (1 3/4”) 15 A4416 Each box contains one universal night drainage adapter. 175773 50 mm (2”) 15 A4416 15 filter covers per box.
ActiveLife® One-Piece Pre-Cut Urostomy ActiveLife® One-Piece Pre-Cut Closed End Pouch with Durahesive® Skin Barrier and Pouch with Stomahesive® Skin Barrier and no tape Accuseal® Tap with Valve collar Transparent with one-sided comfort panel Pouch Length: 8” Transparent with one-sided comfort panel and filter Product Code Stoma Size Opening Qty. HCPCS Pouch Length: 8” per box Product Code Stoma Size Opening Qty. HCPCS 650828 19 mm (3/4”) 10 A4428 per box 650829 22 mm (7/8”) 10 A4428 650830 25 mm (1”) 10 A4428 413148 25 mm (1”) 60 A4416 650831 28 mm (1 1/8”) 10 A4428 413149 32 mm (1 1/4”) 60 A4416 650832 32 mm (1 1/4”) 10 A4428 413150 38 mm (1 1/2”) 60 A4416 650833 38 mm (1 1/2”) 10 A4428 413151 45 mm (1 3/4”) 60 A4416 413152 50 mm (2”) 60 A4416 Each box contains one Accuseal® night drainage adapter. 60 filter covers per box.
175762 25 mm (1”) 15 A4416 175763 32 mm (1 1/4”) 15 A4416 175764 38 mm (1 1/2”) 15 A4416 175765 45 mm (1 3/4”) 15 A4416 175766 50 mm (2”) 15 A4416 15 filter covers per box.
62 63 LIttle Ones® Pediatric Ostomy Systems
ActiveLife® One-Piece Cut-to-Fit Urostomy Little Ones® Pediatric ® Pouch with Stomahesive Skin Barrier Ostomy System Transparent Standard
Product Code Stoma Size Opening Qty. HCPCS per box
064927 Can be enlarged to accommodate 10 A5071 stoma sizes 19 mm (3/4”) to 45 mm (1 3/4”)
ActiveLife® One-Piece Drainable Pouch with Stomahesive® Skin Barrier and Tail Closure
Product Code Stoma Size Opening Qty. HCPCS Little Ones per box
025433 Can be enlarged to accommodate 10 A5061 stoma sizes 19 mm (3/4”) to 64 mm (2 1/2”) ® Pediatric Ostomy System
With the ConvaTec Little Ones® Ostomy System, finding the right ostomy system is elementary. With all the challenges that go with raising a child, finding the right ostomy product needn’t be one of them. That’s because ConvaTec has a line of products designed just for kids. The line features products for children who have had colostomy, ileostomy, or urostomy surgery. As with our adult line, Little Ones® products offer a full range of products to meet any child’s need or parent’s preference. Each has been scaled down in size to comfortably fit a child’s unique body contour. Little Ones® products are designed with an active child in mind. They’re flexible, durable, and easy to remove, so there’s minimal discomfort and parents love them because they let kids get on with the business of just being kids!
ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com
64 65 LIttle Ones® Pediatric Ostomy Systems
Little Ones® Two-Piece Little Ones® Two-Piece Adhesive Coupling Technology™ Adhesive Coupling Technology™ Extra Small Stomahesive® Skin Barrier Standard Closed-End Pouch with filter with cut-to-fit opening Pouch Length: 8” Pouch Length: 8” Product Code Pouch Stoma Opening Qty. HCPCS Product Code Pouch Stoma Opening Qty. HCPCS Color Match Match per box Color Match Match per box
411632 l 0-9/10” (0-23mm) 5 A4414 Opaque 411639 l 1/5” - 1 1/4” (4.8-31mm) 10 A4419
Transparent 411640 l 1/5” - 1 1/4” (4.8-31mm) 10 A4419 Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small ® Drainable Pouch with InvisiClose Tail ® Closure System Little Ones Two-Piece Adhesive Coupling Technology™ Standard Transparent with one-sided comfort panel Pouch Length: 8” Drainable Pouch with InvisiClose® Tail Closure Product Code Pouch Stoma Opening Qty. HCPCS System and Filter Pouch Length: 8” Color Match Match per box Product Code Pouch Stoma Opening Qty. HCPCS 411631 l 0-9/10” (0-23mm) 10 A5063 Color Match Match per box
Opaque 411638 l 1/5” - 1 1/4” (4.8-31mm) 10 A4425
Transparent Little Ones® One-Piece Extra Small Drainable 411637 l 1/5” - 1 1/4” (4.8-31mm) 10 A4425 Pouch with Stomahesive® Skin Barrier and InvisiClose® Tail Closure System Transparent with one-sided comfort panel Pouch Length: 6” ® Product Code Pouch Stoma Opening Qty. HCPCS Little Ones Two-Piece Standard Flexible Color Match Match per box Cut-to-Fit Stomahesive® Skin Barrier
411633 0” - 9/10” (0-23mm) 10 A5061 Product Code Pouch Flange Size Qty. HCPCS Color Match per box
401925 l 1 1/4” (32mm) 5 A4414 401926 l 1 3/4” (45mm) 5 A4414 Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Flexible Stomahesive® Skin Barrier with cut-to-fit opening Little Ones® Two-Piece Standard Closed-End
Product Code Pouch Stoma Opening Qty. HCPCS Pouch Color Match Match per box Opaque with two-sided comfort panel Pouch Length: 8”
411642 l 1/5” - 1 1/4” (4.8-31mm) 5 A4414 Product Code Pouch Flange Size Qty. HCPCS Color Match per box
401930 l 1 1/4” (32mm) 20 A5054 401931 l 1 3/4” (45mm) 20 A5054 Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Stomahesive® Skin Barrier with cut-to-fit opening
Product Code Pouch Stoma Opening Qty. HCPCS Color Match Match per box
411641 l 1/5” - 1 1/4” (4.8-31mm) 5 A4414
66 67 Wound Pouches
Little Ones® Two-Piece Standard Drainable Pouch Wound Pouches Transparent with one-sided comfort panel Pouch Length: 6”
Product Code Pouch Flange Size Qty. HCPCS Color Match per box
401927 l 1 1/4” (32mm) 10 A5063 401928 l 1 3/4” (45mm) 10 A5063
Little Ones® Two-Piece Standard Urostomy Pouch Transparent with one-sided comfort panel Pouch Length: 6”
Product Code Pouch Flange Size Qty. HCPCS Color Match per box
401929 l 1 1/4” (32mm) 10 A5073
Each box contains two night drainage adapters.
Containing a fistula, handling an exuding wound, protecting vulnerable skin–these situations can be challenging to any ® Little Ones One-Piece Drainable Pouch with healthcare professional. Eakin® Wound Pouches come in a Wound Pouches Cut-to-Fit Stomahesive® Skin Barrier variety of shapes and sizes you need to provide complete and Transparent with one-sided comfort panel Pouch Length: 6” consistent wound and skin management.
Product Code Stoma Size Opening Qty. HCPCS per box
020922 5/16” - 2” (8-50mm) 15 A5061
Little Ones® One-Piece Urostomy Pouch with Cut-to-Fit Stomahesive® Skin Barrier Transparent Pouch Length: 5”
Product Code Stoma Size Opening Qty. HCPCS per box
020917 5/16” - 1” (8-25mm) 15 A5071
Each box contains two night drainage adapters.
ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com
68 69 Wound Pouches
Eakin® Wound Pouch with Fold and Tuck Closure Eakin® Wound Pouch with remote drainage Suitable for cutting area of 1.8” x 1.2” attachment and tap closure Suitable for cutting area of 6.9” x 4.3”
Product Code Size Qty. HCPCS Product Code Size Qty. HCPCS per box per box
839250 1.8” x 1.2” 10 A6154 839262 6.9” x 4.3” 10 A6154
Eakin® Wound Pouch with Fold and Tuck Closure Eakin® Wound Pouch with Fold and Tuck Suitable for cutting area of 4.3” x 3.0” with fold & Closure tuck closure Suitable for horizontal cutting area of 9.7” x 6.3” with remote drainage attachment and tap closure
Product Code Size Qty. HCPCS Product Code Size Qty. HCPCS per box per box
839251 4.3” x 3.0” 10 A6154 839263 9.7” x 6.3” 5 A6154
® Eakin Wound Pouch with Fold and Tuck Closure Eakin® Wound Pouch with tap closure and Suitable for cutting area of 6.9” x 4.3” with fold & Access WINDOW tuck closure Suitable for easy access to horizontal cutting area of 9.7” x 6.3” Product Code Size Qty. HCPCS per box Product Code Size Qty. HCPCS 839252 6.9” x 4.3” 10 A6154 per box
839264 9.7” x 6.3” 5 A6154
Eakin® Wound Pouch with Fold and Tuck Closure Eakin® Wound Pouch with remote drainage Suitable for horizontal cutting area of 9.7” x 6.3” attachment and tap closure Suitable for vertical cutting area of 9.7” x 6.3” Product Code Size Qty. HCPCS per box Product Code Size Qty. HCPCS per box 839253 9.7” x 6.3” 5 A6154 839265 9.7” x 6.3” 5 A6154
Eakin® Wound Pouch with remote drainage Eakin® Wound Pouch with remote drainage attachment and tap closure Suitable for cutting area of 1.8” x 1.2” attachment and tap closure Suitable for vertical cutting area of 11.4” x 5.1”
Product Code Size Qty. HCPCS Product Code Size Qty. HCPCS per box per box 839266 11.4” x 5.1” 5 A6154 839260 1.8” x 1.2” 10 A6154
Eakin® Wound Pouch with remote drainage attachment and tap closure Suitable for cutting area of 4.3” x 3.0”
Product Code Size Qty. HCPCS per box
839261 4.3” x 3.0” 10 A6154
70 71 Ostomy Resources
Eakin® Wound Pouch with remote drainage attachment and tap closure Ostomy Resources and Suitable for cutting area of 2.4” x 3.14” Support for Your Patient Product Code Size Qty. HCPCS per box ConvaTec Customer Interaction Center 839267 2.4” x 3.14” 10 A6154 Team of WOC Nurses available to provide ostomy care support. Toll Free: 1-800-422-8811 www.convatec.com/cic
Eakin® Wound Pouch with tap closure and The Ostomy Inspire Network Access WINDOW The online support community for people living with an ostomy. Suitable for vertical cutting area of 9.7” x 6.3” www.ostomy.inspire.com Product Code Size Qty. HCPCS per box Ostomysecrets® 839268 9.7” x 6.3” 5 A6154 Peer to peer lifestyle support and everyday apparel for ostomates. Toll Free: 1-877-613-6246 www.ostomysecrets.com Eakin® Access Window™ ® Add to Eakin Fistula and Wound Manager to allow Great Comebacks® Program
instant access to the wound (may be used with 839252, Ostomy Resources Information and inspiration for people living with serious 839253, 839262, 839263, 839265, 839266) intestinal diseases and ostomy surgery. Product Code Size Qty. www.greatcomebacks.com per box
839280 n/a 5 The United Ostomy Associations of America (UOAA) National organization providing support, information and advocacy. Toll Free: 1-800-826-0826 www.uoaa.org
Wound Ostomy Continence Nurses Society™ (WOCN®) Professional nursing society dedicated to providing expert health care to individuals with wound, ostomy and continence concerns. www.wocn.org
Y.O.D.A.A. (Young Ostomate & Diversion Alliance of America) Community and resources for young adults (18-35) with ostomies. www.yodaa.org
American Cancer Society Nationwide community based voluntary healthcare organization. Toll Free: 1-800-ACS-2345 www.cancer.org
Crohn’s & Colitis Foundation of America Non-profit, volunteer-driven organization dedicated to finding a cure for Crohn’s disease and ulcerative colitis. Toll Free: 1-800-932-2423 www.ccfa.org
All trademarks are property of their respective owners.
72 73 Ostomy Glossary of Terms
Abdomen —area of the body between the chest and the hips in the front part of the body that contains the diges- tive organs
Adhesive Coupling TechnologyTM —a two-piece ostomy pouching system that attaches with a tape-like adhesive rather than plastic rings snapping together
The online support community Closed-end pouch —a pouch that has no opening at the for people living with an ostomy bottom and is removed and discarded after each use Colostomy—a surgically-created opening between the large intestine (colon) and the abdominal surface • Discuss health and lifestyle issues. Comfort panels— ConvaTec pouches are available with • Gain emotional support. 1-sided and 2-sided comfort panels for your convenience
• Inspire and motivate others. Convexity— Convex products may be used when a stoma empties at or below the skin surface; when there • Ostomy information and resources. are creases, wrinkles or scars near the stoma, and/or when the abdomen is very soft around the stoma.
Drainable pouch —has an opening at the bottom which allows stool or urine to be drained and re-closed with a clip or self-gripping fastener hook tape
® “Honestly, the best thing I have Durahesive — is an extended wear barrier that provides the ultimate in security and adhesion for people with done is find this site. It got me liquid to semi-liquid outputs through the darkest days and truly inspired me.” Durahesive Plus®— is an extended wear barrier available in a one-piece cut-to-fit pouch
Film — all ConvaTec pouches have built in layers that help reduce the rustling noise under clothing, and a built in odor-barrier
Filter — some ConvaTec pouches have an integral filter that helps reduce gas buildup within the pouch
Fistula — an abnormal tube-like passageway between one hollow organ in the body and another hollow organ, or the skin
Ileostomy — a surgically-created opening between the small intestine (ileum) and the abdominal surface www. ostomy.inspire.com All Trademarks are property of their respective owners. © 2013 ConvaTec Inc. AP-013452-US 74 75 Ostomy Glossary of Terms (cont’d) Medicare Utilization Charts
One-piece ostomy pouching system — the skin HCPCS HCPCS Medicare Usual barrier/wafer and pouch are made as one Descriptors Maximum A4331 Extension Drainage Tube 1 per 6 months Ostomy — a surgically-created opening (called a stoma) A4330 Stool Collection Pouch As needed A4333 Urinary Catheter Anchoring Device As needed in the gastrointestinal system to allow the passage of stool A4335 Urinary Supply, Miscellaneous As needed or in the urinary system to pass urine A4361 Ostomy Faceplate 3 per 6 months A4362 Skin Barrier, Solid, 4x4 or Equivalent 20 per month A4363 Ostomy Clamp, Any Type, Replacement Only As needed Peristomal skin — the skin surrounding a stoma A4365 Adhesive Remover Wipes, per 50 As needed A4367 Ostomy Belt 1 per month Pouch with spout — drainage tap or spout at the A4371 Ostomy Skin Barrier Powder 10 oz per 6 months A4385 Skin Barrier, Solid 4x4 or Equivalent, As needed bottom of the pouch to empty urine or liquid stool Extended Wear A4388 Pouch, Drainable, w/Extended Wear As needed Pre-cut — some ConvaTec skin barriers are available Barrier Attached A4390 Pouch, Drainable, w/Extended Wear Barrier, As needed pre-cut to certain stoma sizes w/convexity A4393 Pouch, Urinary, w/Extended Wear Barrier As needed Skin barrier/wafer —round or square-shaped with a Attached, w/convexity A4397 Irrigation Sleeve 4 per month sticky side that is applied to the skin around the stoma A4398 Ostomy Irrigation Bag 2 per 6 months (called peristomal skin). Helps protect the skin from stool A4399 Ostomy Irrigation Cone/Catheter, and Brush 2 per 6 months A4406 Ostomy Skin Barrier, Pectin-Based, Paste 4 oz per month or urine, which can be very irritating A4407 Skin Barrier, w/Flange, Extended Wear As needed w/ Convexity Stoma — a surgically-created opening on the abdomen A4409 Skin Barrier, w/Flange, Extended Wear <= 4x4 As needed A4410 Skin Barrier, w/Flange, Extended Wear > 4x4 As needed surface. Also commonly called an ostomy. Stool or urine A4413 Pouch, Drainable, High Output, for Barrier As needed leaves the body through this opening instead of the anus w/Flange or urethra A4414 Skin Barrier, w/Flange, <= 4x4 20 per month A4415 Skin Barrier, w/Flange, > 4x4 20 per month A4416 Pouch, closed, w/Barrier Attached, w/Filter 60 per month Stomahesive® — is a skin barrier that provides excellent A4419 Pouch, closed for use on Barrier w/Flange, 60 per month w/Filter security for people with semi-formed to formed output A4421 Ostomy Supply, Miscellaneous As needed because of its special formulation that enables it to adhere A4423 Pouch, closed, for use on Barrier 60 per month to both dry and wet skin w/Locking Flange, w/Filter A4425 Pouch, Drainable, with filter for use w/Flange 20 per month A4426 Pouch, Drainable for use on Barrier 20 per month Tape collar — ConvaTec skin barriers are available with w/Locking Flange A4428 Pouch, Urinary, w/ Extended Wear Barrier As needed or without tape collars. Most skin barriers with tape w/Faucet-type Tap collars are available in white, dye-free tape or tan tape A4432 Pouch, Urinary, for use on Barrier w/Flange, 20 per month w/Faucet-type Tap A4434 Pouch, Urinary for use on Barrier 20 per month Two-piece ostomy pouching system — skin barrier/ w/Locking Flange, w/Faucet-type Tap wafer and pouch are separate and attached together with A5054 Pouch Closed, for Barrier w/Flange 60 per month A5055 Stoma Cap, each 31 per month a round, plastic ring (called a flange). Pouch can be easily A5056 Pouch, Drainable, w/Extended Wear Barrier 40 per month removed without also having to remove the skin barrier/ Attached, w/filter A5057 Pouch, Drainable, w/Extended Wear Barrier, 40 per month wafer w/convexity, w/filter A5061 Pouch, Drainable, w/Barrier Attached 20 per month Urostomy — a surgically created opening which allows A5063 Pouch, Drainable, for use w/Flange 20 per month A5071 Pouch, Urinary, w/Barrier Attached 20 per month urine to pass A5073 Pouch, Urinary, for Barrier w/Flange 20 per month A5093 Ostomy Accessory, Convex Insert 10 per month A5102 Bedside Drainage Bottle w/ or wo/ tubing, 2 per 6 months rigid or expandable A5120 Skin Barrier, Wipes, each 150 per 6months A5122 Skin Barrier, Solid, 8 X 8 or Equivalent 20 per month
76 77 401553...... 34 405475...... 45 Numerical Index 401554...... 34 405476...... 45 401555...... 34 405477...... 45 401557...... 30 405478...... 45 401558...... 30 405479...... 45 020917...... 68 125367...... 63 401559...... 30 405480...... 45 020922...... 68 125368...... 63 401573...... 22 405481...... 45 021712...... 8 125369...... 63 401574...... 22 405482...... 45 021715...... 8 175507...... 10 401575...... 22 405483...... 45 021901...... 8 175611...... 63 401576...... 22 409268...... 44 022355...... 42 175635...... 10 401577...... 22 409269...... 44 022356...... 42 175650...... 11 401905...... 18 409270...... 44 022736...... 11 175652...... 10 401906...... 22 409275...... 47 022750...... 60 175761...... 62 401909...... 32 409276...... 47 022751...... 60 175762...... 62 401911...... 11 409282...... 48 022752...... 60 175763...... 62 401912...... 11 409283...... 48 022753...... 60 175764...... 62 401913...... 11 409284...... 48 022754...... 60 175765...... 62 401914...... 11 409345...... 47 022755...... 60 175766...... 62 401916...... 11 410810...... 46 022756...... 60 175768...... 61 401917...... 11 410811...... 46 022757...... 60 175769...... 62 401918...... 11 410812...... 46 022758...... 60 175770...... 62 401919...... 11 411264...... 28 022759...... 60 175771...... 62 401920...... 35 411265...... 28 022760...... 60 175772...... 62 401921...... 35 411266...... 28 022761...... 60 175773...... 62 401922...... 35 411267...... 28 022762...... 60 175777...... 58 401923...... 47 411288...... 28 022763...... 60 175778...... 58 401924...... 35 411289...... 28 022764...... 60 175779...... 58 401925...... 67 411290...... 28 022765...... 60 175780...... 58 401926...... 67 411291...... 28 022766...... 60 175781...... 58 401927...... 68 411292...... 28 022767...... 60 175782...... 58 401928...... 68 411309...... 27 022768...... 60 175783...... 58 401929...... 68 411310...... 27 022769...... 60 175784...... 58 401930...... 67 411311...... 27 022770...... 60 175785...... 58 401931...... 67 411312...... 27 022771...... 58 175790...... 63 401932...... 29 411360...... 27 025433...... 64 175791...... 63 401933...... 29 411361...... 27 025510...... 8 175792...... 63 401934...... 29 411362...... 27 025542...... 10 175793...... 63 401935...... 29 411489...... 28 027060...... 34 175794...... 63 401936...... 29 411490...... 28 027062...... 39 175795...... 63 401989...... 11 411491...... 28 037436...... 8 175796...... 63 401993...... 25 411492...... 28 037439...... 7 175797...... 63 401994...... 25 411493...... 28 037443...... 8 175798...... 63 401995...... 25 411631...... 66 037444...... 7 183910...... 8 401996...... 25 411632...... 66 064927...... 64 400598...... 59 402239...... 35 411633...... 66 125257...... 23 400599...... 59 403946...... 48 411637...... 67 125258...... 23 401500...... 29 403948...... 45 411638...... 67 125259...... 23 401501...... 29 404006...... 24 411639...... 67 125260...... 23 401502...... 29 404007...... 24 411640...... 67 125261...... 23 401503...... 29 404008...... 24 411641...... 66 125262...... 23 401504...... 29 404009...... 24 411642...... 66 125263...... 23 401505...... 30 404010...... 24 411657...... 44 125264...... 23 401506...... 30 404011...... 24 411658...... 44 125265...... 23 401507...... 30 404012...... 24 411659...... 44 125266...... 23 401508...... 30 404013...... 24 411800...... 15 125267...... 23 401509...... 30 404014...... 29 411801...... 21 125268...... 23 401510...... 29 404015...... 29 411802...... 15 125269...... 23 401511...... 29 404016...... 29 411803...... 21 125270...... 23 401512...... 29 404017...... 29 411804...... 15 125271...... 23 401513...... 29 404018...... 29 411805...... 21 125272...... 23 401514...... 29 404025...... 29. 411806...... 15 125273...... 23 401515...... 30 404026...... 29 411807...... 21 125274...... 23 401521...... 31 404027...... 29. 413141...... 61 125275...... 23 401522...... 31 404028...... 29 413142...... 62 125276...... 23 401523...... 31 404029...... 29 413143...... 62 125277...... 23 401524...... 31 404030...... 30 413144...... 62 125330...... 58 401525...... 32 404031...... 30 413145...... 62 125331...... 60 401526...... 32 404032...... 30 413146...... 62 125333...... 60 401527...... 32 404033...... 30 413147...... 62 125334...... 60 401528...... 32 404034...... 30 413148...... 62 125335...... 60 401529...... 32 404592...... 16 413149...... 62 125336...... 60 401530...... 32 404593...... 16 413150...... 62 125337...... 60 401531...... 32 404594...... 16 413151...... 62 125338...... 60 401532...... 32 405404...... 46 413152...... 62 125339...... 60 401533...... 33 405406...... 46 413153...... 18 125340...... 60 401534...... 33 405436...... 48 413154...... 18 125341...... 60 401535...... 33 405437...... 48 413155...... 18 125342...... 60 401536...... 33 405441...... 48 413156...... 18 125343...... 60 401537...... 33 405446...... 49 413157...... 18 125344...... 60 401538...... 33 405447...... 49 413159...... 17 125352...... 58 401539...... 33 405448...... 49 413160...... 17 125353...... 58 401540...... 33 405449...... 49 413161...... 17 125354...... 58 401541...... 33 405450...... 49 413162...... 17 125355...... 58 401542...... 33 405451...... 49 413163...... 17 125356...... 58 401543...... 33 405452...... 49 413164...... 17 125357...... 58 401544...... 33 405453...... 49 413165...... 17 125358...... 58 401545...... 33 405456...... 45 413166...... 17 125359...... 58 401546...... 33 405457...... 45 413167...... 17 125361...... 63 401547...... 34 405458...... 45 413168...... 17 125362...... 63 401548...... 34 405467...... 45 413169...... 31 125363...... 63 401549...... 34 405468...... 45 413170...... 31 125364...... 63 401550...... 34 405472...... 45 413171...... 31 125365...... 63 401551...... 34 405473...... 45 413172...... 31 125366...... 63 401552...... 34 405474...... 45 413173...... 32
78 79 413174...... 32 416796...... 50 Alphabetical Index 413175...... 32 416797...... 50 413176...... 32 416798...... 50 413177...... 16 416799...... 50 413178...... 16 416908...... 55 A 413179...... 16 416795...... 54 ActiveLife® Convex One-Piece Pre-Cut Drainable Pouch ...... 58 413180...... 16 416724...... 55 ® 413181...... 16 416728...... 55 ActiveLife Convex One-Piece Pre-Cut Urostomy Pouch...... 63 413182...... 16 416732...... 55 ActiveLife® One-Piece Drainable Cut-to-Fit Pouch...... 58-59 413183...... 16 416736...... 55 ActiveLife® One-Piece Cut-to-Fit Closed-End Pouch...... 61-62 413184...... 16 416725...... 55 ActiveLife® One-Piece Cut-to-Fit Urostomy Pouch ...... 64 413185...... 16 416729...... 55 ® 413186...... 16 416733...... 55 ActiveLife One Piece Drainable Pouch...... 52 413187...... 16 416737...... 55 ActiveLife® One-Piece Pre-Cut Closed-End Pouch ...... 62 413188...... 16 416738...... 55 ActiveLife® One-Piece Pre-Cut Drainable Pouch...... 60 413312...... 27 416740...... 55 ActiveLife® One-Piece Stoma Cap...... 63 413313...... 27 416742...... 55 ® 413314...... 27 416744...... 55 AllKare Adhesive Remover Wipe...... 8 413334...... 29 416746...... 55 AllKare® Protective Barrier Wipe...... 7 413335...... 29. 416748...... 55 413336...... 29 416750...... 55 413353...... 46 416900...... 50 C 413354...... 46 416901...... 50 ConvaTec® Loop Ostomy Rod...... 42 413417...... 15 416902...... 50 ConvaTec® Night Drainage Container Set ...... 34 413418...... 15 416903...... 50 ® 413419...... 15 416915...... 57 ConvaTec Night Drainage Container Tubing...... 34 413420...... 15 416916...... 57 ConvaTec® Tail Closures...... 10 413421...... 21 416917...... 39 413422...... 21 416918...... 39 413423...... 21 416920...... 40 D 413424...... 21 416921...... 39 DuoLock® Curved Tail Closures...... 10 413499...... 8 416922...... 39 413500...... 8 416924...... 40 413501...... 7 416925...... 39 413502...... 7 416926...... 39 E 416919...... 39 416928...... 40 Eakin® Fistula and Wound Pouch...... 70-72 416923...... 39 416929...... 40 Esteem + One-Piece Closed-End Pouch with Modified Stomahesive® 416927...... 39 416930...... 40 Cut-to-Fit Skin Barrier and Filter...... 56 416400...... 37 416932...... 41 + ® 416401...... 37 416934...... 41 Esteem One-Piece Drainable Pouch with Cut-to-Fit Durahesive Plus 416402...... 37 416937...... 41 Skin Barrier, InvisiClose® Tail Closure...... 54 416403...... 37 416938...... 42 Esteem + One-Piece Drainable Pouch with Durahesive® Pre-Cut Convex 416404...... 37 416940...... 41 Skin Barrier, InvisiClose® Tail Closure and Filter...... 56 416405...... 37 416942...... 41 + ® 416406...... 37 416945...... 41 Esteem One-Piece Drainable Pouch with Modified Stomahesive 416407...... 37 416946...... 42 Cut-to-Fit Skin Barrier and InvisiClose® Tail Closure...... 54-55 416408...... 37 416948...... 41 Esteem + One-Piece Mini Closed-End Pouch with Modified 416409...... 37 416950...... 41 Stomahesive® Cut-to-Fit Skin Barrier and Filter ...... 56 416410...... 37 416953...... 41 ® 416411...... 37 416954...... 42 Esteem synergy Closed End Pouch with filter...... 48 416412...... 37 416976...... 54 Esteem synergy® Closed End Mini Pouch ...... 48 416413...... 37 420695...... 30 Esteem synergy® Drainable Pouch...... 46 416414...... 36 420696...... 30 Esteem synergy® Drainable Pouch with filter...... 46 416415...... 36 420697...... 30 ® ® 416416...... 36 420793...... 7 Esteem synergy Drainable Pouch with InvisiClose Tail Closure 416417...... 36 420794...... 7 System and Filter...... 46 416418...... 36 420795...... 7 Esteem synergy® Moldable Durahesive® Skin Barrier...... 44 416419...... 36 420796...... 7 Esteem synergy® Moldable Stomahesive® Skin Barrier ...... 44 416420...... 36 420797...... 7 ® 416421...... 36 420798...... 8 Esteem synergy Professional Kit...... 47 416422...... 36 650408...... 61 Esteem synergy® Urostomy Pouch...... 49 416423...... 36 650422...... 61 Esteem synergy® + Drainable Pouch with InvisiClose® Tail 416424...... 36 650828...... 63 Closure System...... 50 416472...... 36 650829...... 63 ® + 416700...... 56 650830...... 63 Esteem synergy Closed End Pouch with Filter ...... 51 416701...... 56 650831...... 63 Esteem synergy® + Closed End Mini Pouch...... 51 416702...... 56 650832...... 63 416704...... 56 650833...... 63 416707...... 56 839001...... 10 L 416710...... 56 839002...... 10 Little Ones® One-Piece Drainable Pouch...... 68 416713...... 56 839003...... 10 Little Ones® One-Piece Extra Small Drainable Pouch with InvisiClose® 416715...... 56 839004...... 10 Tail Closure System...... 66 416718...... 54 839005...... 10 ® 416719...... 54 839250...... 70 Little Ones One-Piece Urostomy Pouch...... 68 416721...... 54 839251...... 70 Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small 416739...... 56 839252...... 70 Drainable Pouch...... 66 416741...... 56 839253...... 70 Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small Skin 416743...... 56 839260...... 70 416745...... 56 839261...... 70 Barrier...... 66 416747...... 56 839262...... 71 Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Closed 416749...... 56 839263...... 71 End Pouch with Filter...... 67 416751...... 56 839264...... 71 Little Ones® Two-Piece Adhesive Coupling Technology™ Standard 416774...... 51 839265...... 71 416775...... 51 839268...... 72 Drainable Pouch...... 67 416776...... 51 839266...... 71 Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Skin 416777...... 51 839267...... 72 Barrier...... 66 416778...... 51 839280...... 72 Little Ones® Two-Piece Standard Closed-End Pouch...... 67 416779...... 51 839266...... 71 ® 416780...... 51 Little Ones Two-Piece Standard Drainable Pouch...... 68 416781...... 51 Little Ones® Two-Piece Standard Flexible Skin Barrier ...... 67 416782...... 51 Little Ones® Two-Piece Standard Urostomy Pouch...... 68 416783...... 51 416795...... 50
80 81 N
Natura® + Closed End Pouch...... 37 Natura® + Closed End Pouch with Filter...... 37 Natura® + Drainable Pouch with InvisiClose® Tail Closure System. 36 Natura® + Mini Closed End Pouch...... 37 Natura® Durahesive® ConvaTec Moldable Technology™ When you need an Post-Operative/Surgical Kit with Drainable Pouch...... 39 Natura® Durahesive® ConvaTec Moldable Technology™ ostomy system with Post-Operative/Surgical Kit with Urostomy Pouch...... 41 Natura® Stomahesive® ConvaTec Moldable Technology™ Post-Operative/Surgical Kit with Urostomy Pouch...... 41 flexibility and durability. Natura® Stomahesive® ConvaTec Moldable Technology™ Post-Operative/Surgical Kit with Drainable Pouch...... 39 Natura® Stomahesive® Cut-to-Fit Skin Barrier and Drainable Pouch Post-Operative/Surgical Kit...... 40
O Ostomy Appliance Belt...... 10 Introducing S Esteem™+ Sensi-Care™ Sting-Free Barrier Wipe...... 7 Sensi-Care™ Sting-Free Barrier Spray...... 7 extended wear Sensi-Care™ Sting-Free Barrier Foam Applicator, Sterile...... 7 Sensi-Care™ Sting-Free Skin Adhesive Remover...... 8 one piece ostomy Stomahesive® Paste...... 8 Stomahesive® Protective Powder...... 8 system with Stomahesive® Skin Barrier...... 8 ® Stomahesive® Strips (Moldable Adhesive)...... 10 Durahesive Plus SUR-FIT Natura® Closed-End Pouch...... 31 SUR-FIT Natura® Closed-End Pouch with Filter...... 32 Skin Barrier. SUR-FIT Natura® Disposable Convex Inserts...... 24 SUR-FIT Natura® Drainable Pouch...... 29 SUR-FIT Natura® Drainable Pouch with Filter...... 28-29 SUR-FIT Natura® Drainable Pouch with InvisiClose® Tail Closure System and Filter...... 27 SUR-FIT Natura® Drainable Pouch for High Output...... 30 SUR-FIT Natura® Durahesive® Moldable Convex Skin Barrier ...... 16 SUR-FIT Natura® Durahesive® Flexible Skin Barrier with cut-to-fit opening...... 17 SUR-FIT Natura® Durahesive® Flexible Skin Barrier Unit Dose Kit..... 35 SUR-FIT Natura® Durahesive® Skin Barrier with CONVEX-IT®...... 16 SUR-FIT Natura® Durahesive® Skin Barrier with cut-to-fit opening.... 18 SUR-FIT Natura® Flange Cap with Filter...... 32 SUR-FIT Natura® Low-Pressure Adaptor...... 25 SUR-FIT Natura® Mini-Pouch...... 32 SUR-FIT Natura® Moldable Stomahesive® Skin Barrier with cut-to-fit opening...... 22 Durahesive Plus® is the Durahesive® adhesive technology you trust SUR-FIT Natura® Moldable Stomahesive® Skin Barrier with Mold-to-fit opening...... 21 just optimized to create an effective extend wear skin barrier for a SUR-FIT Natura® Stomahesive® Flexible Skin Barrier and Drainable Pouch Unit Dose Kit...... 35 one piece ostomy system. SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with cut-to-fit opening...... 23 Paired with the latest ConvaTec pouching technology developed SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Pre-Cut opening...... 23 by ostomates for ostomates* your patients can have the Comfort, SUR-FIT Natura® Urostomy Pouch with Fold Over Tab...... 33 SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap Confidence and Discretion they deserve. and Valve...... 33-34 *Developed with input from over 500 patients and WOC Nurses in a three phase market V research study over a two year period Visi-Flow® Irrigation Adapter Faceplate...... 11 Visi-Flow® Irrigation Sleeve...... 11 Visi-Flow® Irrigation Sleeve Tail Closure...... 11 Visi-Flow® Irrigation Starter Set...... 11 For more details and ordering Visi-Flow® Irrigator with Stoma Cone...... 11 Visi-Flow® Stoma Cone...... 11 information, go to page 53 or call 1-800-422-8811
®/™ Indicates trademarks of ConvaTec Inc. ©2013 ConvaTec Inc. 82 Customer Interaction Center
Offering Patients and Healthcare Professionals Live Support.
Our WOC nurses can provide samples to patients, answer questions regarding product application, address concerns with Medicare guidelines and can help patients order ostomy supplies and connect them with a retailer.
Valuable services also include: q3 Multi-language support line q3 ConvaTec Ostomy Access Program® – for patients unable to afford their ostomy supplies q3 Warm transfers to our friends at ostomysecrets®, where all of the employees are also ostomates q3 A personal connection to our Great Comebacks® Family
The Customer Interaction Center is available by calling 1-800-422-8811 Monday – Friday 8:30 am – 7:00 pm, EST please reference promo code 8599 or by emailing [email protected], in which case a response will be provided within 48 hours.
©2013 ConvaTec Inc. AP-013494-US Issued: March 2013