2014/2015 Ostomy Product Guide

IT ALL STARTS WITH CARE...

Very simply, we are here to help you care for your patients. From finding the ideal ostomy system and skin care products, to improving positive outcomes and reducing readmission rates, ConvaTec has the clinically proven products and innovative services to ensure you have all you need to create a successful experience for your patients. Welcome to Concierge

You Enhance Patient Satisfaction... We Want to Help.

From improving positive outcomes, to reducing readmission rates, to lowering costs, the quality of your care has greater implications than ever before. Like you, ConvaTec is focused on the patient. We have the clinically proven products and innovative services to ensure our customers have a positive experience. ConvaTecConcierge.com

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Your Partner in Care. Welcome to Concierge Table of Contents

Ostomy Skin Care & Accessory Products ...... 3

Two-Piece Ostomy Systems ...... 11

Natura® + Products and SUR-FIT® Natura®...... 12.

SUR-FIT® Natura® Skin Barriers...... 13.

SUR-FIT® Natura® Low Pressure Adaptor...... 23 Natura® + Pouches...... 24 Surgical Post Operative Kits...... 28 SUR-FIT® Natura® Pouches ...... 33

Esteem synergy® + and Esteem synergy® Products. . . . . 43 Esteem synergy® Skin Barriers ...... 45 Esteem synergy® + Pouches...... 47

Esteem synergy Pouches ...... 49 Table of Contents You Enhance Patient Satisfaction... One-Piece Ostomy Systems...... 53 Esteem® +...... 54 ActiveLife® ...... 60

Little Ones® Pediatric Ostomy Systems ...... 68

Wound Pouches...... 73.

Ostomy Resources ...... 79

ConvaTecConcierge.com GLOSSARY OF TERMS...... 80

MEDICARE UTILIZATION CHARTS...... 82

NUMERICAL INDEX...... 83-85

ALPHABETICAL INDEX...... 86-87

DISCLAIMER...... BACK COVER

1 The power to help REDUCE PAIN is in your hands.

FAST ACTING ADHESIVE REMOVAL

LONG LASTING SKIN PROTECTION

Patients with vulnerable skin need a simple, sting free regimen designed to help keep skin healthy, and help RELEASE

prevent red, sore skin- before it starts. PROTECT RELEASE

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1 O Not all Sting Free products are created equal. Talk to T E E V C O T M your ConvaTec representative to set up a demo and RE find out how theRelease-Remove-Protect system REMOVE can help you get patients off to the right start.

Ostomy Skin Care & Accessory Products 3

that cleanse, moisturize and protect. Soothing, high-quality skin care products

E E

V V

O O

M ELEASE M ELEASE

R R

E E

R E R S

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EMOVE EMOVE

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T T TEC EC PRO PROTECT PROT LASTING SKIN PROTECTION LONG 5

REDUCE PAIN REDUCE is in your hands. is in your products are created equal. Talk to Talk products are created equal. 1

FAST ACTING to help to help power The Patients with vulnerable skin need a simple, sting free Patients with vulnerable skin need a simple, and help regimen designed to help keep skin healthy, sore skin- before it starts. prevent red, Not all Sting Free representative to set up a demo and your ConvaTec find out how the Release-Remove-Protect system can help you get patients off to the right start. Inc. ConvaTec Data on file. 1. ®/TM indicates trademarks of ConvaTec Inc. © 2013 ConvaTec Inc.AP-013726-MM ADHESIVE REMOVAL 4 Ostomy Skin Care & Accessory Products Accessory Products Skin Care& ConvaTec Stomahesive to yourdailyroutine. accessories canserveasanimportantaccompaniment is notenough.That’swhyConvaTecskincare stoma management.Butsometimesasimpleappliance Looking afteryourskinisanessentialpartoflong-term and thatmeansgreatercomfortforyou. accessories canhelphealandprotectperistomalskin, ingredient derivedfromcitrusfruits.Usedcorrectly,these Odor ControlSachets more discreetpouch. excess gas,enablingtheusertoachieve aflatter, Solidifies liquidcontentsandreduceoreliminate DIAMONDS Product Code ® Accessories contain Pectin – an AccessoriescontainPectin–an TR105 ™ Gellingand 100 Sachets

Box of HCPCS A4422

Ostomy Skin Care & Accessory Products 5 4 4

20 20 12 12 case* case* 20 Boxes per Boxes per HCPCS A5120 50 100 Box of Boxes per case* HCPCS A5120, A6250 HCPCS A5120, A6250 HCPCS A6250, A4369 5 5 1 1 25 25 Box of per box packaged Individually Applicators 50 Box of size Size 1 mL 1 mL 3 mL 3 mL 28 mL 50 mL Applicator Spray bottle Sting-Free Barrier Foam Sting-Free Barrier Spray Wipe Sting-Free Skin Barrier ™ ™ ™ Protective Barrier Wipe Barrier Protective 037439 037444 ® Product Code 413501 Code Code Non-Sterile 420793 420794 420795 420796 420797 413502 Product Product Product Code Applicator, Sterile * sold by the case Sensi-Care Non-alcohol, silicone based formula for skin protection. itProvides a barrier film layer on the skin that protects from the damaging effects of adhesives, body waste and enzyme attack. Sensi-Care (non‑aerosol) Non-alcohol, silicone based formula for skin protection. itProvides a barrier film layer on the skin that protects from the damaging effects of adhesives, body waste and enzyme attack. * sold by the case Sensi-Care formula for skin protection.Non-alcohol, silicone based on the skin that protects itProvides a barrier film layer of adhesives, body wastefrom the damaging effects and enzyme attack. AllKare Provides protection. formula for skin soluble Non-water skin tapes, on the skin under film layer a barrier and hydrocolloid dressingsbarriers/wafers, adhesives, and against irritation,excoriation to help protect adhesive build-up. * sold by the case AllKare® Adhesive Remover Wipe For the gentle removal of all adhesives, including skin barriers, tapes, and hydrocolloid dressings. The AllKare® Adhesive Remover Wipe formula effectively removes tape, skin barrier/wafer, and adhesive residues from the skin that can reduce wear times. HCPCS A4456

Product Code Box of

037436 50

037443 100

Sensi-Care™ Sting-Free Adhesive Remover Wipe Non-alcohol, silicone based formula that offers fast removal of adhesive residue while helping minimize painful skin stripping. HCPCS A4456

Product Code Box of Boxes per case*

413500 30 20

* sold by the case

Sensi-Care™ Sting-Free Skin Adhesive Releaser Non-alcohol, silicone based formula that offers fast release of adhesives from the skin while helping minimize painful skin stripping. HCPCS A4455 Product Aerosol can Boxes per Box of Code size case* Non-Sterile 50 mL 1 12 413499 Sterile 150 mL 1 12 420798 * sold by the case

Stomahesive® Paste Pectin-based Protective Skin Barrier Use as a filler in uneven skin surfaces to help increase ostomy system wear time and protect skin. HCPCS A4406

Product Code Size Box of

183910 2 oz. tube 1 tube

Ostomy Skin Care & Accessory Products Stomahesive Protective Powder Helps form a protective barrier against excoriated or weeping skin. HCPCS A4371

Product Code Size Box of

025510 1 oz. bottle 1 bottle

Stomahesive® Skin Barrier A multipurpose skin barrier designed to help protect peristomal skin and assist in the management of difficult stomas. Available in sterile and non-sterile forms.

Product Code Size Box of HCPCS Non-Sterile 021712 4” x 4” Wafers 5 A4362 021715 8” x 8” Wafers 3 A5122 Sterile 021901 4” x 4” Wafers 5 A4362 6 Ostomy Skin Care & Accessory Products 7

® ®

5 5 20 10 10 15 Box of Box of HCPCS A4367 HCPCS A4363 HCPCS A4385 HCPCS A4363 HCPCS A4385 HCPCS A4362 Box of 1 10 10 A clicking Box of Box of Box of , Esteem synergy , Esteem synergy ® ® Strips for use as a filler to for use as a Strips ® Size Size Size Small 2” Large 4” SLIMS 2” Natura Natura ® ® Small 4” x 4” Large 4” x 8” 3 cards of Skin Barrier Seals 5 strips each ® ® Strips ® Drainable Pouches. Drainable Pouches. Skin Barrier is moldable and moisture- ® ® ® Tail Closures ® Curved Tail Closures ™ 175507 175652 175635 fistula, or wound. Product Code Product Code Product Code 839004 839003 839002 839001 839005 025542 Product Code Product Code Product Code noise can be heard when closing the tail closure to ensure security. Prior to initial use, open and close several times. and ActiveLife and ActiveLife Ostomy Appliance Belt Adjustable up to 42” May help provide an added sense of security. ConvaTec For use with SUR-FIT DuoLock For use with SUR-FIT stomas. The unique moldable hydrocolloid barrierstomas. The unique moldable skin damage by sealingforms a gel that helps prevent and ostomy appliance. the area between the skin Eakin Cohesive Eakin Cohesive A donut-shape ostomy accessory that can be moldedA donut-shape ostomy accessory as a gasket or barrier,to a variety of shapes. It acts for hard-to-fitand provides enhanced protection Eakin Cohesive Stomahesive Adhesive) (Moldable sided Stomahesive Double absorbing. It 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 from body wastes and fluids. protect or fill-in uneven skin surfaces next to an uneven skin surfaces protect or fill-in ostomy, 8 Ostomy Skin Care & Accessory Products Visi-Flow ® IrrigationPouches 1 UniversalAdapter 1 ConvaTec 1 ConvaTec Set contains: ConvaTec ConvaTec Container Tubing Visi-Flow Visi-Flow (compatible withSUR-FIT Transparent Visi-Flow One tailclosureperbox. Product 401914 401913 401912 401911 Code Product Code Product Code Product Code Product Code 027060 027062 401989 022736 ® ® ® ® ® ® ® NightDrainageContainerCover NightDrainageContainerwithtubing NightDrainageContainerSet NightDrainage IrrigationSleeve IrrigatorwithStomaCone StomaCone Match Color n n n n

® Natura 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) Flange Size ® HCPCS A4398,A4399 skinbarriers Box of Box of Box of Box of 1 set 1 1 1 HCPCS A4397 HCPCS A4399 HCPCS A5102 HCPCS A4331 Box of 5 5 5 5 Visi-Flow® Irrigation Sleeve Tail Closure HCPCS A4363

Product Code Box of

175650 10

Visi-Flow® Irrigation Adapter Faceplate (compatible with SUR-FIT® Natura® skin barriers) HCPCS A4361 Ostomy Skin Care & Accessory Products Product Code Flange Size Box of

401918 1 3/4” (45 mm) 1

401919 2 3/4” (70 mm) 1

Visi-Flow® Irrigation Starter Set

Product Flange Size Box of HCPCS Code

A4398, A4399 401916 1 3/4” (45 mm) 1 A4397, A5054, A4367 A4414, A4402

A4398, A4399 401917 2 3/4” (70 mm) 1 A4397, A5054, A4367 A4415, A4402

Set contains: 1 Visi-Flow® Irrigator with Stoma Cone 2 SUR-FIT® Natura® Stomahesive® Skin Barriers with Flange 2 Visi-Flow® Irrigation Sleeves 2 SUR-FIT® Natura® Closed-End Pouches 1 stoma lubricant 1 ostomy belt 1 tail closure 1 brush 1 carrying case

9 10 Color Key and Sizing Guides with thecolorofdotonpouchpackage. Match thecolorofdotonskinbarrierpackage Color KeyandSizingGuides 1 1/4”x3/4”(wide)to Cut-To-Fit SkinBarrierSizing Moldable Natura SUR-FIT Convex InsertSizing not available forstomasizes wider than13/8”. NO WIDERTHAN Available inFlatonly: 1 3/4”x21/8”(long) STOMA SIZE 1 1/4”to3/4” 7/8” to11/4” NO WIDERTHAN 1 1/2”to3/4” 2 3/8”to31/2” 1 7/8”to21/4” 1/2” to7/8” 1 3/8” 1 1/4” 1 1/8” STOMA SIZE 7/8” 3/4” 5/8” 1/2” STOMA ® ® 1”

SIZE

Natura + andSUR-FIT 1 3/8” 1 1/4” 1 1/8” 7/8” 3/4” 5/8” 1/2” 1” Skin BarrierSizing ®

Disposable ConvexInsertsare

MATCH COLOR n n n n n n n n SKIN BARRIER n n n n n n COLOR MATCH starter hole) (with OVAL

® Medium Natura X-Large 4” (100mm) 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 1 1/4”(32mm) Large Small SIZE (Outer Diameter) n n n n n n n n n n n 2 1/4”(57mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 1/2”(38mm) 1 1/2”(38mm) 1 1/2”(38mm) FLANGE SIZE ®

MATCH COLOR n n n n 2 1/4”(57mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 1/2”(38mm) 1 1/2”(38mm) 1 1/4”(32mm) 1 1/4”(32mm) 1 1/4”(32mm) 2 3/4”(70mm) 2 1/4”(57mm) FLANGE SIZE 4” (100mm) CONVEX INSERT (Inner Diameter) 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 5/8” 1 1/2” 1 3/8” 1 1/4” 1 1/8” FLANGE 7/8” 3/4” 1” SIZE

Two-Piece Ostomy Systems 11

– ® Natura ® and SUR-FIT

An innovative line of pouches and skin barriers for every lifestyle. Natura 12 Two-Piece Ostomy Systems – Natura® + and SUR-FIT® Natura® our Stomahesive pouch andskinbarrierfeaturesthathavebeencombinedwith products, size. size. InvisiClose and opaque.Inaddition,theyareavailablewithafilterthe are availableindrainable,closed-end,urostomy,transparent Two PieceProducts The Natura The SUR-FIT System isConvaTec’smostextensivetwo-pieceproductline. SUR-FIT Pressure Adaptorcanbeconnected toanycombinationof Natura the SUR-FIT Also availableforpost-operative tendernessaftersurgeryis protect skin.TheNatura for apersonalized,customfitaroundthestomatohelp press directlyontheabdomen. TheSUR-FIT to attachthepouchskin barrier withouthavingto When itcomesto from theskin. quickly tomatchactivitieswithoutremovingtheskinbarrier snap-off, snapondesignallowsuserstochangethepouch accurate closurewithaseriesofaudible“clicks”.Asimple Natura Natura ® ® ostomy system offers special moldable skin barriers ostomysystemoffersspecialmoldableskinbarriers Low-Pressure Adaptor allows clinicians and patients Low-PressureAdaptorallows clinicians andpatients ® Natura we recommend you take a look at the innovative we recommendyoutakealookattheinnovative ® cliplesstailclosure. ® ®

® ® + Natura Natura

+ andSUR-FIT

and ® ® andDurahesive wafers and pouches with the same flange wafersandpouches withthesameflange Natura ® SUR-FIT ® Low-PressureAdaptor.TheSUR-FIT Flange System signals a secure, FlangeSystemsignalsasecure, ®

® +

+ andSUR-FIT andSUR-FIT ® Natura ® adhesives.TheSUR-FIT ®

Two-Piece Ostomy Two-Piece Ostomy ® Natura ® Natura ® ® Natura Natura ® pouches pouches ® ostomy ostomy ® Low-

® ®

SUR-FIT® Natura® Durahesive® Skin Barriers (compatible with Natura® + and SUR-FIT® Natura® pouches) Two-Piece Ostomy Systems – Natura

Durahesive® skin barriers/wafers are designed for people whose stoma output is mostly liquid. Unlike other skin barriers/wafers that can break down around liquid output, Durahesive® skin barriers/ wafers swell up to protect the stoma. This special effect, called turtlenecking, helps create a more secure seal without harming the skin. Durahesive® skin barriers/wafers are also easy to fit, apply, and remove. They will adhere securely to the skin while showering, bathing, and swimming.

SUR-FIT® Natura® Moldable Durahesive® Skin Barrier with Accordion Flange HCPCS A4409 Product Stoma Color Flange Box Code Size Match Size of small 2 1/4” 421039 10 (1/2” - 7/8”) n (57 mm) medium 2 1/4” 421040 10 (7/8” - 1 1/4”) n (57 mm) large 2 3/4” 421041 10 (1 1/4” - 1 3/4”) n (70 mm)

SUR-FIT® Natura® Moldable Durahesive® Skin Barrier with Mold-to-Fit opening and white hydrocolloid flexible collar HCPCS A4409 ®

Product Stoma Color Flange Box Skin Barriers Code Size Match Size of small 1 3/4” 411800 10 (1/2” - 7/8”) n (45 mm) medium 1 3/4” 411802 10 (7/8” - 1 1/4”) n (45 mm) large 2 1/4” 411804 10 (1 1/4” - 1 3/4”) n (57 mm)

extra-large 2 3/4” 411806 (1 1/4” - 1 3/4” n 10 by 1 3/4” - 2 1/8”) (70 mm)

SUR-FIT® Natura® Moldable Durahesive® Skin Barrier with Mold-to-Fit opening and white acrylic flexible collar HCPCS A4409 Product Stoma Color Flange Box of Code Size Match Size small 1 3/4” 413417 10 (1/2” - 7/8”) n (45 mm) medium 1 3/4” 413418 10 (7/8” - 1 1/4”) n (45 mm) large 2 1/4” 413419 10 (1 1/4” - 1 3/4”) n (57 mm)

extra-large 2 3/4” 413420 (1 1/4” - 1 3/4” n 10 by 1 3/4” - 2 1/8”) (70 mm) 13 Let’s face it. Leaks can ruin everything. GO MOLDABLE. 50% of ostomates have skin issues2,3 Only one skin barrier delivers the powerful, proven The majority are related to leakage: protection of Moldable Technology™. • 34% had peristomal skin complications within the first 3 weeks post-op4 • 47% within the first 2 months5 ™ Moldable Technology • 52% within the first year3 creates an elastic-like seal that “rebounds” to fit any stoma size and shape - and then “turtlenecks” upward to ConvaTec Moldable Technology™ enhance the seal. The result is ADan incredibly secure, snug fit. The difference is the adhesive: Over No gaps. Fewer leaks. Healthier skin.

95% of patients who started on Moldable Technology™ kept their skin healthy.1 Easy Gentle Secure No Cutting or Molds for a Virtually Eliminates Guesswork Custom Fit Leaks

Here’s the PROOF 95% 86% of people who started on of people who switched to Moldable Technology kept Moldable Technology It’s time to Go Moldable. their skin healthy.1 improved their skin condition.1 No gaps. Fewer leaks. Healthier skin. Find out More 1-800-422-8811 Monday – Friday 8:30 am – 7:00 pm Now available in more options, to give your patients the www.ConvaTec.com freedom and confidence to live life to the fullest. References: 1. Szewczyk MT, Majewska GM, Cabral MV, Hölzel-Piontek K. Osmose Study: Multinational Evaluation of the Peristomal Condition in Ostomates Using Moldable Skin Barriers. Poster presented at ECET, Paris, France, June 2013. 2. 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. 3. Bosio G, Pisani F, Lucibello L. A Proposal for Classifying Peristomal Skin Disorders: Results of a Multicenter Observational Study. OWM. 2007; 53(9): 38-43. 4. Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis 2007; 9: 834-8. 5. Ratliff CR. Early Peristomal Skin Complications Reported by WOC Nurses. J Wound Ostomy Continence Nurs. 2010; 37(5): 505-510. 1 TM indicates trademarks of ConvaTec Inc. © 2014 ConvaTec Inc. Let’s face it. Leaks can ruin everything. GO MOLDABLE. 50% of ostomates have skin issues2,3 Only one skin barrier delivers the powerful, proven The majority are related to leakage: protection of Moldable Technology™. • 34% had peristomal skin complications within the first 3 weeks post-op4 • 47% within the first 2 months5 ™ Moldable Technology • 52% within the first year3 creates an elastic-like seal that “rebounds” to fit any stoma size and shape - and then “turtlenecks” upward to ConvaTec Moldable Technology™ enhance the seal. The result is an incredibly secure, snug fit. The difference is the adhesive:AD Over No gaps. Fewer leaks. Healthier skin.

95% of patients who started on Moldable Technology™ kept their skin healthy.1 Easy Gentle Secure No Cutting or Molds for a Virtually Eliminates Guesswork Custom Fit Leaks

Here’s the PROOF 95% 86% of people who started on of people who switched to Moldable Technology kept Moldable Technology It’s time to Go Moldable. their skin healthy.1 improved their skin condition.1 No gaps. Fewer leaks. Healthier skin. Find out More 1-800-422-8811 Monday – Friday 8:30 am – 7:00 pm Now available in more options, to give your patients the www.ConvaTec.com freedom and confidence to live life to the fullest. References: 1. Szewczyk MT, Majewska GM, Cabral MV, Hölzel-Piontek K. Osmose Study: Multinational Evaluation of the Peristomal Condition in Ostomates Using Moldable Skin Barriers. Poster presented at ECET, Paris, France, June 2013. 2. 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. 3. Bosio G, Pisani F, Lucibello L. A Proposal for Classifying Peristomal Skin Disorders: Results of a Multicenter Observational Study. OWM. 2007; 53(9): 38-43. 4. Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis 2007; 9: 834-8. 5. Ratliff CR. Early Peristomal Skin Complications Reported by WOC Nurses. J Wound Ostomy Continence Nurs. 2010; 37(5): 505-510. 1 TM indicates trademarks of ConvaTec Inc. © 2014 ConvaTec Inc. 16 Two-Piece Ostomy Systems – Natura® Skin Barriers * HCPCSCode isdeterminedbythesize ofthebarriermassexcluding thetapecollar. SUR-FIT and whitetapecollar(overalldimension4.5”x4.5”) SUR-FIT and whitetapecollar(overalldimension4.5”x4.5”) and whitetapecollar(overalldimension5”x5”) SUR-FIT with pre-cutopening,CONVEX-IT pre-cut opening,CONVEX-IT Convex SkinBarrierwithMold-to-Fitopening Product Product Product 404594 404593 413188 413187 413186 413184 413183 413182 413181 413180 413179 413178 413177 404592 413185 Code Code Code

® ® ® Natura Natura Natura (1 1/4”-13/4”) 1 3/4”(45mm) 1 5/8”(41mm) 1 3/8”(35mm) 1 1/4”(32mm) 1 1/8”(28mm) 1 1/2”(38mm) (7/8” -11/4”) 7/8” (22mm) 3/4” (19mm) 5/8” (16mm) 1/2” (13mm) (1/2” -7/8”) 2” (50mm) 1” (25mm) medium Stoma Stoma Stoma small large Size Size Size ® ® ®

Durahesive Durahesive Durahesive Match Match Match Color Color Color n n n n n n n n n n n n n n n

® ® ® ® 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 1 3/4”(45mm) 2 1/4”(57mm) 2 1/4”(57mm) 2 1/4”(57mm) 2 1/4”(57mm) SkinBarrier SkinBarrierwith Moldable (57 mm) (45 mm) (45 mm) Flange Flange Flange 2 1/4” 1 3/4” 1 3/4” Size Size Size ® HCPCS A4407* HCPCS A4407* HCPCS A4407* Box Box Box 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 of of of Two-Piece Ostomy Systems – Natura® Skin Barriers 17 of of of of 10 10 10 10 10 10 10 10 10 10 Box Box Box Box HCPCS A4409 HCPCS A4409 HCPCS A4409* HCPCS A4409* Size Size Size Size Flange Flange Flange Flange Flexible Flexible Flexible Flexible Flexible ® ® ® ® 2 1/4” (57 mm) 2 3/4” (70 mm) 1 1/2” (38 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) 1 1/4” (32 mm) 1 1/4” (32 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm)

n n n n n n n n n n Color Color Color Color Match Match Match Match Durahesive Durahesive Durahesive Durahesive ® ® ® ® Size Size Size Size Stoma Stoma Stoma Stoma Refer to Refer to Refer to Refer to Cut-to-Fit Cut-to-Fit Cut-to-Fit Cut-to-Fit Natura Natura Natura Natura Skin Barrier Skin Barrier Skin Barrier Skin Barrier Sizing Table Sizing Table Sizing Table Sizing Table ® ® ® ®

white tape collar (overall dimension 4” x 4”) white tape collar (overall dimension 5” x 5”) tan tape collar (overall dimension 5” x 5”) (overall dimension 4” x 4”) dimension collar (overall tan tape Code Code Code Code 413164 413166 413168 413165 413167 413163 413160 413161 413162 413159 Product Product Product Product Skin Barrier with cut-to-fit opening Skin Barrier with cut-to-fit opening Barrier with cut-to-fit opening Skin Barrier with cut-to-fit Barrier with cut-to-fit opening with cut-to-fit Barrier Skin SUR-FIT and SUR-FIT and SUR-FIT and SUR-FIT and * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 18 Two-Piece Ostomy Systems – Natura® Skin Barriers * HCPCSCode isdeterminedbythesize ofthebarriermassexcluding thetapecollar. and SUR-FIT and SUR-FIT and SUR-FIT Skin Barrierwithcut-to-fit opening Skin Barrierwithcut-to-fit opening Skin Barrierwithcut-to-fit opening Product Product Product 401905 413157 413156 413155 413154 413153 Code Code Code without tapecollar(overalldimension4”x4”) without tapecollar(overalldimension6”x6”) without tapecollar(overalldimension5”x5”)

® ® ® Sizing Table Sizing Table Sizing Table Skin Barrier Skin Barrier Skin Barrier Natura Natura Natura Cut-to-Fit Cut-to-Fit Cut-to-Fit Refer to Refer to Refer to Stoma Stoma Stoma Size Size Size ® ® ® Durahesive Durahesive Durahesive Match Match Match Color Color Color n n n n n n

2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 1 1/4”(32mm) ® ® ® 4” (100mm)

Flange Flange Flange Size Size Size HCPCS A4410 HCPCS A4410 HCPCS A4409 Box Box Box 10 10 10 10 10 of of of 5 SUR-FIT® Natura® Stomahesive® Skin Barriers (compatible with Natura® + and SUR-FIT® Natura® pouches) Two-Piece Ostomy Systems – Natura

Stomahesive® skin barriers/wafers are ideal for people whose stoma output is 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 feature of the Stomahesive® skin barrier/wafer is an outer protective coating 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.

SUR-FIT® Natura® Moldable Stomahesive® Skin Barrier with Accordion Flange HCPCS A4414 Product Stoma Color Flange Box Code Size Match Size of small 2 1/4” 421033 10 (1/2” - 7/8”) n (57 mm) medium 2 1/4” 421034 10 (7/8” - 1 1/4”) n (57 mm) large 2 3/4” 421035 10 (1 1/4” - 1 3/4”) n (70 mm)

SUR-FIT® Natura® Moldable Stomahesive® Skin Barrier with Mold-to-Fit opening and white hydrocolloid flexible collar

HCPCS A4414 ® Product Stoma Color Flange Box Skin Barriers Code Size Match Size of small 1 3/4” 411801 10 (1/2” - 7/8”) n (45 mm) medium 1 3/4” 411803 10 (7/8” - 1 1/4”) n (45 mm) large 2 1/4” 411805 10 (1 1/4” - 1 3/4”) n (57 mm) extra-large 2 3/4” 411807 (1 1/4” - 1 3/4” 10 n (70 mm) by 1 3/4” - 2 1/8”)

SUR-FIT® Natura® Moldable Stomahesive® Skin Barrier with Mold-to-Fit opening and white acrylic flexible collar HCPCS A4414 Product Stoma Color Flange Box Code Size Match Size of small 1 3/4” 413421 10 (1/2” - 7/8”) n (45 mm) medium 1 3/4” 413422 10 (7/8” - 1 1/4”) n (45 mm) large 2 1/4” 413423 10 (1 1/4” - 1 3/4”) n (57 mm) extra-large 2 3/4” 413424 (1 1/4” - 1 3/4” 10 n (70 mm) by 1 3/4” - 2 1/8”) * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 19 SUR-FIT® Natura® Stomahesive® Skin Barrier with cut-to-fit opening and without tape collar (overall dimension 4” x 4”) HCPCS A4414 Product Stoma Color Flange Box Code Size Match Size of 401573 n 1 1/4” (32 mm) 10 Refer to 401574 1 1/2” (38 mm) 10 Cut-to-Fit n Skin Barrier 401575 Sizing Table n 1 3/4” (45 mm) 10

401576 n 2 1/4” (57 mm) 10

SUR-FIT® Natura® Stomahesive® Skin Barrier with cut-to-fit opening and without tape collar (overall dimension 5” x 5”) HCPCS A4415 Skin Barriers

Product Stoma Color Flange Box

® Code Size Match Size of Refer to Cut-to-Fit 401577 Skin Barrier n 2 3/4” (70 mm) 10 Sizing Table

SUR-FIT® Natura® Stomahesive® Skin Barrier with cut-to-fit opening and without tape collar (overall dimension 6” x 6”) HCPCS A4415 Product Stoma Color Flange Box Code Size Match Size of Refer to Cut-to-Fit 401906 Skin Barrier n 4” (100 mm) 5 Sizing Table

SUR-FIT® Natura® Stomahesive® Skin Barrier with cut-to-fit opening and tan tape collar (overall dimension 4” x 4”) HCPCS A4414* Product Stoma Color Flange Box Code Size Match Size of

125262 1 1/4” (32 mm) 10 Refer to n Cut-to-Fit 125263 Skin Barrier n 1 1/2” (38 mm) 10 Sizing Table 125264 n 1 3/4” (45 mm) 10

SUR-FIT® Natura® Stomahesive® Flexible Two-Piece Ostomy Systems – Natura Skin Barrier with cut-to-fit opening and tan tape collar (overall dimension 5” x 5”) HCPCS A4414* Product Stoma Color Flange Box Code Size Match Size of Refer to 125265 2 1/4” (57 mm) 10 Cut-to-Fit n Skin Barrier 125266 Sizing Table n 2 3/4” (70 mm) 10

20 * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. SUR-FIT® Natura® Stomahesive® Flexible Skin Barrier with cut-to-fit opening and white tape collar (overall dimension 4” x 4”) HCPCS A4414 Product Stoma Color Flange Box Code Size Match Size of 125257 n 1 1/4” (32 mm) 10 Refer to Two-Piece Ostomy Systems – Natura Cut-to-Fit 125258 Skin Barrier n 1 1/2” (38 mm) 10 Sizing Table 125259 n 1 3/4” (45 mm) 10

SUR-FIT® Natura® Stomahesive® Flexible Skin Barrier with cut-to-fit opening and white tape collar (overall dimension 5” x 5”) HCPCS A4414* Product Stoma Color Flange Box Code Size Match Size of Refer to 125260 2 1/4” (57 mm) 10 Cut-to-Fit n Skin Barrier 125261 Sizing Table n 2 3/4” (70 mm) 10

SUR-FIT® Natura® Stomahesive® Flexible Skin Barrier with Pre-cut Opening and tan tape collar (overall dimension 4” x 4”) HCPCS A4414 Product Stoma Color Flange Box Code Size Match Size of 125267 1/2” (13 mm) n 1 3/4” (45 mm) 10

125268 5/8” (16 mm) n 1 3/4” (45 mm) 10

125269 3/4” (19 mm) n 1 3/4” (45 mm) 10

125270 7/8” (22 mm) n 1 3/4” (45 mm) 10

125271 1” (25 mm) n 1 3/4” (45 mm) 10 ®

125272 1 1/8” (28 mm) n 1 3/4” (45 mm) 10 Skin Barriers

125273 1 1/4” (32 mm) n 1 3/4” (45 mm) 10

125274 1 3/8” (35 mm) n 1 3/4” (45 mm) 10

SUR-FIT® Natura® Stomahesive® Flexible Skin Barrier with Pre-cut Opening and tan tape collar (overall dimension 5” x 5”) HCPCS A4414* Product Stoma Color Flange Box Code Size Match Size of 125275 1 1/2” (38 mm) n 2 1/4” (57 mm) 10

125276 1 5/8” (41 mm) n 2 1/4” (57 mm) 10

125277 1 3/4” (45 mm) n 2 1/4” (57 mm) 10

* HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 21 GO MOLDABLE. Accordion Flange with Moldable Technology™. Makes pouch application much easier, more comfortable - while delivering proven skin protection.

Moldable Technology™ creates an elastic-like seal that “rebounds” to fit any stoma size and shape - and then “turtlenecks” upward to enhance the seal. The result is an incredibly secure, snug fit.

Over

95% of patients who started on Moldable Technology™ kept their skin healthy.1

Learn more at 1-800-422-8811 www.ConvaTec.com

It’s time to Go Moldable. No gaps. Fewer leaks. Healthier skin. Now available in more options, to give your patients the freedom and confidence to live life to the fullest.

References: 1. Szewczyk MT, Majewska GM, Cabral MV, Hölzel-Piontek K. Osmose Study: Multinational Evaluation of the Peristomal Condition in Ostomates Using Moldable Skin Barriers. Poster presented at ECET, Paris, France, June 2013. TM indicates trademarks of ConvaTec Inc. © 2014 ConvaTec Inc. AP-014318-MM 4 Two-Piece Ostomy Systems – Natura

SUR-FIT® Natura® Disposable Convex Inserts* Select an insert that is at least 1/4” larger than the maximum diameter of the stoma) HCPCS A5093

Product Color Box Size Code Match of 19 mm (3/4”) Inner Diameter Opening 404006 For use with 1 1/2” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

22 mm (7/8”) Inner Diameter Opening 404007 For use with 1 1/2” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

25 mm (1”) Inner Diameter Opening 404008 For use with 1 1/2” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

29 mm (1 1/8”) Inner Diameter Opening 404009 For use with 1 3/4” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

32 mm (1 1/4”) Inner Diameter Opening 404010 For use with 1 3/4” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

35 mm (1 3/8”) Inner Diameter Opening 404011 For use with 1 3/4” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

38 mm (1 1/2”) Inner Diameter Opening 404012 For use with 2 1/4” SUR-FIT® Natura® n 5 Durahesive® and Stomahesive® Wafers

41 mm (1 5/8”) Inner Diameter Opening ® 404013 For use with 2 1/4” SUR-FIT® Natura® 5 n ® ® Durahesive and Stomahesive Wafers Convex Inserts & Low-Pressure Adapter

* For SUR-FIT® Natura® Skin Barriers only. Not for use with ConvaTec Moldable Technology™ Skin Barriers.

SUR-FIT® Natura® Low-Pressure Adaptor

SUR-FIT® Natura® Low Pressure Adaptor HCPCS A4421 Product Flange Color Box Code Size Match of 401993 1 3/4” (45 mm) n 10

401994 2 1/4” (57 mm) n 10

401995 2 3/4” (70 mm) n 10

401996 4” (100 mm) n 10

23 Natura® + Pouches (compatible with SUR-FIT® Natura® skin barriers)

+ Pouches ConvaTec developed these innovative pouches to be noticeably

® more comfortable and more discreet. The Natura + pouching system offers the latest technologies from ConvaTec including:

- 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 of a closed end pouch

ConvaTec’s latest pouches combined with SUR-FIT® Natura® advanced skin barrier adhesives offer security, comfort and discretion.

Natura® + Drainable Pouch with InvisiClose® Tail Closure System Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A5063 Product Flange Color Box Code Size Match of 416418 1 3/4” (45 mm) n 10

416421 2 1/4” (57 mm) n 10

416424 2 3/4” (70 mm) n 10

416472* 4” (100 mm) n 10 * 416472 pouch length is 14”.

Natura® + Drainable Pouch with InvisiClose®

Two-Piece Ostomy Syste ms – Natura Tail Closure System and Filter Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A4425 Product Flange Color Box Code Size Match of 416414 1 1/2” (38 mm) n 10

416416 1 3/4” (45 mm) n 10

416419 2 1/4” (57 mm) n 10

416422 2 3/4” (70 mm) n 10 10 filter covers per box. 24 Two-Piece Ostomy Systems - Natura® + Pouches 25

of 30 30 30 30 30 of of of ® 30 30 30 30 30 30 30 30 30 10 10 10 10 Box Box Box Box HCPCS A4419 HCPCS A5054 HCPCS A5054 HCPCS A4425

n n n n n n n n n n n n n n n n n n Color Color Color Color Match Match Match Match Size Size Size Size Flange Flange Flange Flange 1 1/4” (32 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) 1 1/4” (32 mm) 1 1/4” (32 mm) 1 1/2” (38 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) 2 1/4” (57 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) 1 3/4” (45 mm)

+ Closed End Pouch with Filter + “Mini” Closed End Pouch + Closed End Pouch Drainable Pouch with InvisiClose Pouch + Drainable

® ® ® ® Code Code Code Code 416401 416410 416413 416404 416407 416402 416400 416415 416403 416406 416409 416412 416405 416408 416411 416420 416423 416417 Product Product Product Product Tail Closure System and Filter and System Tail Closure 30 filter covers per box. Natura Opaque with 2-sided comfort panel Pouch length: 8” Natura Opaque with 2-sided comfort panel Pouch length: 6” Pouch length: 8” Natura Opaque with 2-sided comfort panel 10 filter covers per box. with 2-sided comfort panel comfort with 2-sided Opaque 12” Pouch length: Natura Give your patients a pocket full of 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

Experience the ConvaTec + difference.

For more information, call 1-800-422-8811

Product comparisons are internal product comparisons to existing ConvaTec product. ®/™ Indicates trademarks of ConvaTec Inc. ©2011 ConvaTec Inc. AP-011096-MM Two-Piece Ostomy Systems - Natura® + Urostomy Pouches 27 of of 10 10 10 10 10 10 10 10 Box Box HCPCS A5073 HCPCS A5073 HCPCS

n n n n n n n n Color Color Match Match night drainage adapters. night drainage adapters. ® ® Size Size Flange Flange 1 1/4” (32 mm) 1 1/4” (32 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) 1 1/2” (38 mm) 1 3/4” (45 mm) Urostomy Pouch with Soft-Tap Pouch Urostomy Urostomy Pouch with Soft-Tap + Urostomy Pouch with +

™ ™ Code Code 421074 413435 421076 413438 413439 421075 413436 413437 Product Product Each box contains 2 Accuseal with 1-sided comfort panel Transparent with 1-sided comfort panel Pouch length: 9” Each box contains 2 Accuseal Natura Natura panel comfort with 1-sided Transparent 10” Pouch length: difference. + that hides

™ For more information, information, For more call 1-800-422-8811 Experience the ConvaTec Pouches feature an an feature Pouches Lock-It Pocket Lock-It ® Product comparisons are internal product comparisons to existing ConvaTec product. product. Product comparisons are internal product comparisons to existing ConvaTec Inc. ©2011 ConvaTec Inc. ®/™ Indicates trademarks of ConvaTec AP-011096-MM InvisiClose Give your patients a pocket a pocket patients your Give confidence. full of ConvaTec away the tail to provide the security and the security and provide away the tail to pouch comfort of a closed-end ConvaTec Surgical Post Operative Kits

Helping to promote product standardization, improved time management and reduced waste. Featuring the latest technologies ConvaTec has to offer: • Our unique, three layer, ConvaTec Moldable Technology™ with rebounding memory technology™ and turtlenecking • Cut-to-fit double layer adhesive suitable for all ostomy types • ConvaTec + Pouches with more comfort, improved odor control and better security • 4 inch skin barrier size available in a 1 piece system • A low pressure adaptor to help ease post operative tenderness and aid patient satisfaction • Options in Sterile, Non-Sterile, with or without Loop Rods • Five individually labeled and packaged Post-Operative/ Surgical Kits in a box

Natura® Durahesive® ConvaTec Moldable Technology™ Skin Barrier and Drainable Pouch Post-Operative/Surgical Kit 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 HCPCS N/A

Product Flange Color Box Code Size Match of 416917 1 3/4” (45 mm) n 5 Kits Two-Piece Ostomy Systems - Surgical Post Operative Kits 416921 2 1/4” (57 mm) n 5 Kits

416925 2 3/4” (70 mm) n 5 Kits

Kit Components Low Pressure Kit Pouch in Kit Barrier in Kit Adaptor 416917 416418 411802 401993 416921 416421 411804 401994 28 416925 416424 411806 401995 Two-Piece Ostomy Systems – Surgical Post Operative Kits 29

of of Box 5 Kits 5 Kits 5 Kits Box 5 Kits 5 Kits 5 Kits 5 Kits Box of HCPCS N/A HCPCS N/A HCPCS N/A 401993 401994 401995 Adaptor top side) skin top side) ® ® Low Pressure No No Sterile 65 mm Sterile n n n Loop Rod 90 mm Loop Rod

Color Match

411803 411805 411807 n n n Barrier in Kit Color n Match Color ConvaTec Moldable Moldable ConvaTec Cut-to-Fit Match Cut-to-Fit ® ® ® body-side, Durahesive body-side, Durahesive ® ® Flange Size 416418 416421 416424 Size 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) Size Flange Skin Barrier and Drainable Drainable Barrier and Skin Pouch in Kit Flange ™ Tail Closure System Closure Tail Tail Closure System Closure Tail Tail Closure System Closure Tail moldable skin barrier with mold to fit opening barrier with mold to fit opening moldable skin ® ® ® ® 4” (100 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) 1 3/4” (45 mm)

Stomahesive Stomahesive Stomahesive ® ® ® Kit 416918 416922 416926 416918 416922 416926 Code Code 416923 416927 416919 416929 Product Product 1 Double-layer (Stomahesive 1 Stomahesive barrier with cut-to-fit opening with 1-sided comfort panel) 1 Drainable Pouch (12” transparent with InvisiClose 1 Drainable Pouch (12” transparent with 1-sided comfort panel) with 1-sided (12” transparent 1 Drainable Pouch with InvisiClose 1 Low-Pressure Adaptor 1 Low-Pressure 1 Low-Pressure Adaptor 1 Low-Pressure 1 Double-layer (Stomahesive skin barrier with cut-to-fit opening with 1-sided comfort panel) 1 Drainable Pouch (14” transparent with InvisiClose 1 Low-Pressure Adaptor 1 Low-Pressure 1 Sterile Loop Rod Product Code Skin Barrier and Drainable Pouch Post‑Operative/Surgical Kit Natura Kit includes: • Kit Components Kit includes: • Natura • Pouch Post-Operative/Surgical Kit Kit Post-Operative/Surgical Pouch • • Note: Only 2 ¾” (70 mm) kit contains 1 Sterile Loop Rod • Technology Kit includes: • Natura • • • Skin Barrier and Drainable Pouch Post‑Operative/Surgical Kit Natura® Stomahesive® Cut-to-Fit Skin Barrier and Drainable 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 Drainable Pouch (12” transparent with 1-sided comfort panel) with InvisiClose® Tail Closure System • 1 Low-Pressure Adaptor Note: Only 2 ¾” (70 mm) kit contains 1 Sterile Loop Rod HCPCS N/A Product Code Flange Size Color Match Sterile Loop Rod Box of 416920 1 3/4” (45 mm) n No 5 Kits

416924 2 1/4” (57 mm) n No 5 Kits

416928 2 3/4” (70 mm) n 65 mm 5 Kits

Natura® Stomahesive® Cut-to-Fit Skin Barrier and Drainable 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 Drainable Pouch (14” transparent with 1-sided comfort panel) with InvisiClose® Tail Closure System • 1 Low-Pressure Adaptor • 1 Sterile Loop Rod HCPCS N/A

Product Code Flange Size Color Match Sterile Loop Rod Box of 416930 4” (100 mm) n 90 mm 5 Kits

Components of Natura® Cut-to-fit Skin Barrier and Drainable 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:

Comparable Skin Comparable Skin Low Sterile Pouch Kit Barrier in Kit - Barrier in Kit - Pressure Loop in Kit Stomahesive® Durahesive® Adaptor Rod 416919 416418 401575 413155 401993 No 416920 416923 416421 401576 413156 401994 No 416924 416927 416424 401577 413157 401995 022355 416928 416929 416472 410906 401905 401996 022356 416930

Natura® Durahesive® ConvaTec Moldable Technology™ Skin Barrier and Urostomy Pouch Post-Operative/Surgical Kit Kit includes: • 1 Durahesive® moldable skin barrier with mold-to-fit opening • 1 Urostomy Pouch (10” transparent with 1-sided comfort panel) with Accuseal® Swivel Tap • 1 Accuseal® night drainage adaptor • 1 Low-Pressure Adaptor HCPCS N/A

Product Code Flange Size Color Match Box of Two-Piece Ostomy Systems – Surgical Post Operative Kits 416932 1 3/4” (45 mm) n 5 Kits

416940 2 1/4” (57 mm) n 5 Kits

416948 2 3/4” (70 mm) n 5 Kits

Kit Components Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor 416932 401544 411802 401993 416940 401545 411804 401994 30 416948 401546 411806 401995

All urostomy kits contain an Accuseal® Adaptor Two-Piece Ostomy Systems – Surgical Post Operative Kits 31

top ® 5 Kits 5 Kits 5 Kits Low Box of 5 Kits 5 Kits 5 Kits Box of 5 Kits 5 Kits 5 Kits 401993 401994 401995 Box of Adaptor Pressure HCPCS N/A HCPCS N/A HCPCS N/A 401993 401994 401995 Adaptor top side) ®

Low Pressure ® n n n n n n n n n Color Match Color Match 413155 413156 413157 Color Match Adaptor body-side, Durahesive Durahesive 411803 411805 411807 ® ® Barrier in Kit - Comparable Skin Barrier in Kit Cut-to-Fit Skin Barrier Cut-to-Fit Skin Barrier Cut-to-Fit Skin Barrier ConvaTec Moldable Moldable ConvaTec ® ® ® body-side, Durahesive ® ® Flange Size Flange Size Swivel Tap Flange Size 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) ® 1 3/4” (45 mm) 2 1/4” (57 mm) 2 3/4” (70 mm) night drainage adaptor 401544 401545 401546 ® Skin Barrier and Urostomy Urostomy Barrier and Skin 401575 401576 401577 ™ Pouch in Kit moldable skin barrier with mold-to-fit opening barrier with mold-to-fit opening moldable skin ® Swivel Tap Swivel Tap ® ® Stomahesive Barrier in Kit - night drainage adaptor night drainage adaptor night drainage Comparable Skin ® ® Stomahesive Stomahesive Stomahesive ® ® ® 416938 416946 416954 416937 416945 416953 Kit 416934 416942 416950 Cut-to-fit Skin Barrier and Urostomy Pouch Kit ® 416934 416942 416950 Product Code Product Code 401544 401545 401546 Product Code 1 Sterile Accuseal 1 Sterile Double-layer (Stomahesive 1 Double-layer (Stomahesive 1 Stomahesive skin barrier with cut-to-fit opening with 1-sided comfort panel) Pouch (10” transparent 1 Urostomy with Accuseal 1 Low-Pressure Adaptor 1 Low-Pressure 1 Low-Pressure Adaptor 1 Low-Pressure 1 Urostomy Pouch (10” transparent with 1-sided comfort panel) with 1-sided comfort Pouch (10” transparent 1 Urostomy with Accuseal 1 Accuseal 1 Accuseal side) skin barrier with cut-to-fit opening with 1-sided comfort Pouch (10” transparent 1 Sterile Urostomy panel) with Accuseal 1 Sterile Low-Pressure Adaptor 1 Sterile Low-Pressure Pouch in • Kit Components Pouch Post-Operative/Surgical Kit Kit Post-Operative/Surgical Pouch and Urostomy Pouch Post-Operative/ Surgical Kit - STERILE and Urostomy Pouch Post-Operative/ Surgical Kit Technology Natura Kit includes: • All urostomy kits contain an Accuseal Natura Kit includes: • Kit includes: • Natura • • • • • • • • Kit 416937 and 416938 416945 and 416946 416953 and 416954 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: Components of Natura 32 Two-Piece Ostomy Systems – Surgical Post Operative Kits 100 mm(4”)flange For usewithConvaTecSurgicalPostOperativeKits, Technology Technology Surgical Kit Flange andDrainablePouchPost-Operative/ Surgical Kit Flange andDrainablePouchPost-Operative/ Sterile 70 mm(23/4”)flange For usewithConvaTecSurgicalPostOperativeKits, ConvaTec • Kit includes: Natura Kit Components • Kit includes: Natura Kit Components • •

Product Code Product Code 1 Natura 1 Natura with InvisiClose 1 DrainablePouch(12”transpar 1 DrainablePouch(12”transpar with InvisiClose Product Code Product Code 421042 421045 421044 421043 421047 421046 022356 022355 421047 421046 421045 421044 421043 421042

® ® Kit Kit ® ® Package MoldableStomahesive Stomahesive Durahesive MoldableDurahesive ® ® ® LoopOstomyRod- ™ ™ Tail Closure System) Tail Closure System) Skin Barrier with Accordion SkinBarrierwithAccordion SkinBarrierwithAccordion 2 1/4”(57mm) 2 1/4”(57mm) 2 3/4”(70mm) 2 1/4”(57mm) 2 3/4”(70mm) 2 1/4”(57mm) Size Size oc nKtBarrierinKit Pouch inKit oc nKtBarrierinKit Pouch inKit ® ConvaTec Moldable ConvaTecMoldable 416424 416421 416421 416424 416421 416421 90 mm 65 mm ® Size Size ® ConvaTec Moldable ConvaTecMoldable ent with1-sidedcomfortpanel) ent with1-sidedcomfortpanel) skinbarrierwithAccordion Flange ® skinbarrierwithAccordion Flange oo ac Boxof Color Match Boxof Color Match n n n n n n 421041 421040 421039 421035 421034 421033 Box of Box of HCPCS A4421 HCPCS A4421 10 10 5 Kits 5 Kits 5 Kits 5 Kits 5 Kits 5 Kits SUR-FIT® Natura® Two-Piece Ostomy Systems – SUR-FIT Drainable Pouches (compatible with SUR-FIT® Natura® skin barriers)

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” HCPCS A4425 Product Flange Color Box Code Size Match of ® 411360 1 3/4” (45 mm) 10 n Natura

411361 2 1/4” (57 mm) n 10

411362 2 3/4” (70 mm) n 10 10 filter covers per box. SUR-FIT® Natura® Drainable Pouch with ® ®

InvisiClose Tail Closure System and Filter Drainable Pouches Opaque with 2-sided comfort panel Pouch length: 12” HCPCS A4425 Product Flange Color Box Code Size Match of 411309 1 1/2” (38 mm) n 20

411310 1 3/4” (45 mm) n 20

411311 2 1/4” (57 mm) n 20

411312 2 3/4” (70 mm) n 20 20 filter covers per box. SUR-FIT® Natura® Drainable Pouch with InvisiClose® Tail Closure System Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A5063 Product Flange Color Box Code Size Match of 413312 1 3/4” (45 mm) n 10

413313 2 1/4” (57 mm) n 10

413314 2 3/4” (70 mm) n 10 10 filter covers per box. 33 SUR-FIT® Natura® Drainable Pouch with Filter Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A4425

Product Flange Color Box Code Size Match of 411264 1 1/2” (38 mm) n 10

411265 1 3/4” (45 mm) n 10

411266 2 1/4” (57 mm) n 10

411267 2 3/4” (70 mm) n 10 2 tail closures and 10 filter covers per box.

SUR-FIT® Natura® Drainable Pouch with Filter Opaque with 2-sided comfort panel Drainable Pouches Pouch length: 12” HCPCS A4425 ®

Product Flange Color Box Code Size Match of 411489 1 1/4” (32 mm) n 20

411490 1 1/2” (38 mm) n 20 Natura

® 411491 1 3/4” (45 mm) n 20

411492 2 1/4” (57 mm) n 20

411493 2 3/4” (70 mm) n 20 2 tail closures and 20 filter covers per box.

SUR-FIT® Natura® Drainable Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 10” HCPCS A4425

Product Flange Color Box Code Size Match of 411288 1 1/4” (32 mm) n 20

411289 1 1/2” (38 mm) n 20

411290 1 3/4” (45 mm) n 20

411291 2 1/4” (57 mm) n 20

411292 2 3/4” (70 mm) n 20 2 tail closures and 20 filter covers per box.

SUR-FIT® Natura® Drainable Pouch with InvisiClose® Tail Closure System Opaque with 1-sided comfort panel Pouch length: 12” HCPCS A5063

Product Flange Color Box Code Size Match of 413334 1 3/4” (45 mm) n 20

Two-Piece Ostomy Systems – SUR-FIT 413335 2 1/4” (57 mm) n 20

413336 2 3/4” (70 mm) n 20

34 SUR-FIT® Natura® Drainable Pouch Two-Piece Ostomy Systems – SUR-FIT Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A5063

Product Flange Color Box Code Size Match of 401510 1 1/4” (32 mm) n 10

401511 1 1/2” (38 mm) n 10

401512 1 3/4” (45 mm) n 10

401513 2 1/4” (57 mm) n 10

401514 2 3/4” (70 mm) n 10 2 tail closures per box.

SUR-FIT® Natura® Drainable Pouch Opaque with 2-sided comfort panel Pouch length: 12” HCPCS A5063

Product Flange Color Box Code Size Match of 404025 1 1/4” (32 mm) n 20

404026 1 1/2” (38 mm) n 20

404027 1 3/4” (45 mm) n 20

404028 2 1/4” (57 mm) n 20

404029 2 3/4” (70 mm) n 20

401500 1 1/4” (32 mm) n 10

401501 1 1/2” (38 mm) n 10

401502 1 3/4” (45 mm) n 10

401503 2 1/4” (57 mm) n 10 ®

401504 2 3/4” (70 mm) n 10 Natura

2 tail closures per box.

® ® ®

SUR-FIT Natura Drainable Pouch Drainable Pouches Opaque with 1-sided comfort panel Pouch length: 12” HCPCS A5063

Product Flange Color Box Code Size Match of

404014 1 1/4” (32 mm) n 20

404015 1 1/2” (38 mm) n 20

404016 1 3/4” (45 mm) n 20

404017 2 1/4” (57 mm) n 20

404018 2 3/4” (70 mm) n 20

401932 1 1/4” (32 mm) n 10

401933 1 1/2” (38 mm) n 10

401934 1 3/4” (45 mm) n 10

401935 2 1/4” (57 mm) n 10

401936 2 3/4” (70 mm) n 10

2 tail closures per box. 35 SUR-FIT® Natura® Drainable Pouch Transparent with 1-sided comfort panel Pouch length: 14” HCPCS A5063

Product Flange Color Box Code Size Match of

401515 4” (100 mm) n 10

2 tail closures per box.

SUR-FIT® Natura® Drainable Pouch Opaque with 2-sided comfort panel Pouch length: 10” HCPCS A5063

Product Flange Color Box Code Size Match of 404030 1 1/4” (32 mm) n 20

Drainable Pouches 404031 1 1/2” (38 mm) n 20 ® 404032 1 3/4” (45 mm) n 20

404033 2 1/4” (57 mm) n 20

404034 2 3/4” (70 mm) n 20

401505 1 1/4” (32 mm) n 10 Natura

® 401506 1 1/2” (38 mm) n 10

401507 1 3/4” (45 mm) n 10

401508 2 1/4” (57 mm) n 10

401509 2 3/4” (70 mm) n 10

2 tail closures per box.

SUR-FIT® Natura® Drainable Pouch For High Output Opaque with 1-sided comfort panel, anti-reflux valve, replaceable filter, and outlet with spout and cap for high liquid output Pouch length: 14” HCPCS A4413

Product Flange Color Box Code Size Match of 401557 1 3/4” (45 mm) n 5

401558 2 1/4” (57 mm) n 5

401559 2 3/4” (70 mm) n 5

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” HCPCS A4413 Product Flange Color Box Code Size Match of Two-Piece Ostomy Systems – SUR-FIT 420695 1 3/4” (45 mm) n 5

420696 2 1/4” (57 mm) n 5

420697 2 3/4” (70 mm) n 5 1 tail closure, 1 night drainage adapter, 36 and 5 replacement filters per box. Two-Piece Ostomy Systems – SUR-FIT SUR-FIT® Natura® Closed-End Pouches (compatible with SUR-FIT® Natura® Skin Barriers)

SUR-FIT® Natura® Closed-End pouches are designed for one-time usage, and may be used everyday, for special occasions or intimate moments. They are available with a filter that is designed to reduce odor and gas buildup. There’s no draining or uncomfortable clip to worry about. When you’re ready, you simply remove the pouch, place it into a disposable bag, then discard it.

SUR-FIT® Natura® Closed-End Pouch Opaque with 2-sided comfort panel Pouch length: 8” HCPCS A5054

Product Flange Color Box Code Size Match of 413169 1 1/2” (38 mm) n 60 ®

413170 1 3/4” (45 mm) n 60 Natura

413171 2 1/4” (57 mm) n 60

413172 2 3/4” (70 mm) n 60

401521 1 1/2” (38 mm) n 30

401522 1 3/4” (45 mm) n 30 ® Closed-End Pouches 401523 2 1/4” (57 mm) n 30

401524 2 3/4” (70 mm) n 30

ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com

37 38 Two-Piece Ostomy Systems – SUR-FIT® Natura® Closed-End Pouches with Filter 60 filtercoversperbox Opaque with2-sidedcomfortpanel SUR-FIT Pouch length:5” Opaque with1-sidedcomfortpanel SUR-FIT 30 filtercoversperbox Pouch length:8” 30 filtercoversperbox Opaque with1-sidedcomfortpanel SUR-FIT Product Product Product Product 413176 413175 413174 401532 401531 401530 401528 401527 401526 401525 413173 401909 401529 Code Code Code Code

® ® ® Natura Natura Natura 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 1 1/2”(38mm) 1 3/4”(45mm) 1 1/4”(32mm) Flange Flange Flange Flange Size Size Size Size ® ® ® Mini-Pouch Closed-EndPouch FlangeCapwithFilter

Match Match Match Match Color Color Color Color n n n n n n n n n n n n n

HCPCS A5054 HCPCS A4419 HCPCS A5055 Box Box Box Box 60 60 60 60 25 20 20 20 20 30 30 30 30 of of of of SUR-FIT® Natura® Two-Piece Ostomy Systems – SUR-FIT Urostomy Pouches (compatible with SUR-FIT® Natura® Skin Barriers)

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 manipulation and emptying.

SUR-FIT® Natura® Urostomy Pouch with Accuseal® Tap with Valve Transparent with 1-sided comfort panel Pouch length: 10” HCPCS A4432 Product Flange Color Box Code Size Match of 401542 1 1/4” (32 mm) n 10

401543 1 1/2” (38 mm) n 10 ® Natura 401544 1 3/4” (45 mm) n 10

401545 2 1/4” (57 mm) n 10

401546 2 3/4” (70 mm) n 10

Each box contains 2 Accuseal® night drainage adapters. ® Urostomy Pouches

SUR-FIT® Natura® Urostomy Pouch with Fold Over Tab Transparent with 1-sided comfort panel Pouch length: 9” HCPCS A5073 Product Flange Color Box Code Size Match of 401538 1 1/4” (32 mm) n 10

401539 1 1/2” (38 mm) n 10

401540 1 3/4” (45 mm) n 10

401541 2 1/4” (57 mm) n 10 Each box contains 2 universal night drainage adapters.

39 40 Two-Piece Ostomy Systems – SUR-FIT® Natura® Urostomy Pouches Accuseal with Accuseal Fold OverTab Transparent with1-sidedcomfortpanel SUR-FIT Each boxcontains2Accuseal Pouch length:9” Opaque with1-sidedcomfortpanel SUR-FIT Each boxcontains2universalnightdrainageadapters. Pouch length:10” Each boxcontains2Accuseal Pouch length:10” Opaque with1-sidedcomfortpanel SUR-FIT Product Product Product 401537 401536 401535 401534 401555 401554 401553 401552 401550 401549 401548 401547 401533 401551 Code Code Code

® ® ® ® Natura Natura Natura TapwithValve 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 2 3/4”(70mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 2 1/4”(57mm) 1 3/4”(45mm) 1 1/2”(38mm) 1 1/4”(32mm) 1 1/4”(32mm) 1 1/4”(32mm) ® TapwithValve Flange Flange Flange Size Size Size ® ® ® UrostomyPouchwith UrostomySmallPouch UrostomyPouchwith ® ® nightdrainageadapters. nightdrainageadapters. Match Match Match Color Color Color n n n n n n n n n n n n n n

HCPCS A4432 HCPCS A5073 HCPCS A4432 Box Box Box 10 10 10 10 10 10 10 10 10 10 10 10 10 10 of of of SUR-FIT® Natura® Unit Dose Kits Two-Piece Ostomy Systems – SUR-FIT SUR-FIT® Natura® Stomahesive® Flexible Skin Barrier and Drainable Pouch Unit Dose Kit Kit includes: • 1 Stomahesive® Flexible Skin Barrier with white tape collar with cut-to-fit opening • 1 Drainable Pouch (12” transparent with 1-sided comfort panel) • 1 tail closure HCPCS A4414, A5063

Product Flange Color Box Code Size Match of 401920 1 3/4” (45 mm) n 5 Kits

402239 2 1/4” (57 mm) n 5 Kits

401921 2 3/4” (70 mm) n 5 Kits

SUR-FIT® Natura® Stomahesive® Skin Barrier and Drainable Pouch Unit Dose Kit Kit includes: • 1 Stomahesive® Skin Barrier with cut-to-fit opening • 1 Drainable Pouch (14” transparent with 1-sided comfort panel) • 1 tail closure HCPCS A4415, A5063

Product Flange Color Box Code Size Match of

401922 4” (100 mm) n 5 Kits ® Natura SUR-FIT® Natura® Durahesive® Flexible Skin Barrier Urostomy Pouch Unit Dose Kit Kit includes: • 1 Durahesive® Flexible Skin Barrier with white tape collar with cut-to-fit opening

• 1 Urostomy Pouch (10” transparent with 1-sided ® ® comfort panel) with Accuseal Tap with valve Unit Dose Kits • 1 Accuseal® night drainage adaptor HCPCS A4409, A4432

Product Flange Color Box Code Size Match of 401923 1 3/4” (45 mm) n 5 Kits

401924 2 1/4” (57 mm) n 5 Kits

ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com 41 GO MOLDABLE. The first-ever one-piece pouch with Moldable Technology™. Combines the convenience of a one-piece with clinically-proven skin and leak protection.

Over

95% of patients who started on Moldable Technology™ kept their skin healthy.1

Learn more at 1-800-422-8811 www.ConvaTec.com

It’s time to Go Moldable. No gaps. Fewer leaks. Healthier skin. Now available in more options, to give your patients the freedom and confidence to live life to the fullest.

™

ostomy ®

and and

+ Two-piece Two-piece ® ® ostomy system is ConvaTec’s ® and Esteem synergy +

ostomy system has a flat, flexible ® ® synergy synergy

system utilizes an innovative Adhesive Coupling Technology together. Esteem synergy the need for plastic rings that must be snapped or lockedthe need for plastic rings that must be snapped that connects the pouch to the skin barrier and eliminatesthat connects the pouch to the skin barrier The Esteem synergy barrier. It is easy to apply and easy to remove. a clear, flat, flexible plastic “Landing Zone” flange on a skin adhesive foam ring on a pouch that securely connects with The Esteem synergy comfort, and flexibility of a conventional one-piece system. comfort, and flexibility of a conventional one-piece versatility of a two-piece system, as well as the low profile,versatility of a two-piece system, as well as innovative product that provides the skin friendliness andinnovative product that provides the skin

Esteem Esteem Esteem Esteem

Ostomy Systems Ostomy . ™

1 ™ ™

. kept their skin healthy. creates an elastic-like seal that “rebounds” to fit any stoma size and shape - and then “turtlenecks” upward to enhance the seal. The result is an incredibly secure, snug fit. Over of patients who started on Moldable Technology Moldable Technology 95% 3

AP-014318-MM Go Moldable

. MOLDABLE gaps. Fewer leaks. Healthier skin. GO The first-ever one-piece pouch with Moldable Technology The first-ever one-piece Combines the convenience of a one-piece with Combines the convenience and leak protection. clinically-proven skin It’s time to No Now available in more options, to give your patients the freedom and confidence to live life to the fullest. Osmose Hölzel-Piontek K. Cabral MV, Majewska GM, Szewczyk MT, 1. References: Multinational Evaluation of the Peristomal Condition in Ostomates Using Study: June 2013. France, Paris, Poster presented at ECET, Moldable Skin Barriers. Inc. TM indicates trademarks of ConvaTec Inc. © 2014 ConvaTec Learn at more 1-800-422-8811 www.ConvaTec.com 44 Color Key and Sizing Guides with thecolorofdotonpouchpackage. Match thecolorofdotonskinbarrierpackage Color KeyandSizingGuides Cut-To-Fit SkinBarrierSizing Moldable Esteem 1 1/4”to3/4” 7/8” to11/4” STOMA SIZE STOMA SIZE Up to13/8” Up to31/2” Up to23/8” Up to17/8” 1/2” to7/8” synergy Skin BarrierSizing ® n n n n

COLOR MATCH COLOR MATCH Extra Large Large Medium Small n n n n n n n SKIN BARRIER SKIN BARRIER Extra-Large Medium Medium Large Large Small Small Esteem synergy® Skin Barriers (compatible with Esteem synergy® + and Esteem synergy® pouches) Two-Piece Ostomy Systems – Esteem synergy

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 necessary.

Esteem synergy® Moldable Durahesive® Convex Skin Barrier with mold-to-fit opening and white tape collar HCPCS A4407*

Product Stoma Color Barrier Overall Box Code Opening Size Match Dimensions of small: 1/2” - 7/8” 409268 4” x 4” 10 (13 - 22 mm) n medium: 7/8” - 1 1/4” 409269 4 1/2” x 4 1/2” 10 (22 - 33 mm) n large: 1 1/4” - 1 3/4” 409270 5” x 5” 10 (33 - 45 mm) n

Esteem synergy® Moldable Stomahesive® Skin Barrier with mold-to-fit opening and white hydrocolloid flexible collar HCPCS A4414 Product Stoma Color Barrier Overall Box Code Opening Size Match Dimensions of small: 1/2” - 7/8”

411657 4” x 4” 10 ® (13 - 22 mm) n Skin Barriers medium: 7/8” - 1 1/4” 411658 4 1/2” x 4 1/2” 10 (22 - 33 mm) n large: 1 1/4” - 1 3/4” 411659 5” x 5” 10 (33 - 45 mm) n

* HCPCS Code is determined by the size of the barrier mass excluding the tape collar. 45

46 Two-Piece Ostomy Systems – Esteem synergy® Skin Barriers * HCPCS Code is determined by the size of the barrier mass excluding the tape collar. collar. tape the excluding mass barrier the of size the by determined is Code HCPCS * Skin Barrierwith pre-cutopening with cut-to-fitopening Skin Barrierwith cut-to-fitopening and whitetape Esteem and Esteem and Esteem Product Product Product 405467 405456 405473 405480 405479 405478 405477 405476 405475 405474 405483 405468 405457 403948 405458 405482 405481 Code Code Code without white

synergy synergy synergy extra large:upto31/2” tape medium: upto17/8” small: upto13/8”( medium: upto17/8” small: upto13/8” large: upto23/8” 1 3/8”(35mm) 1 1/2”(38mm) 1 1/4”(32mm) 1 1/8”(28mm) 1 3/4”(45mm) 1 5/8”(41mm) tape large: upto23/8” Opening Size 5/8” (16mm) 7/8” (22mm) 3/4” (19mm) Opening Size 1” (25mm) Opening Size medium: medium: medium: collar collar Stoma ( (48 mm) (61 mm) (61 mm) small: small: small: small: small: small: small: 35 Stoma ( (48 mm) (61 mm) (61 mm) 89 mm) Stoma collar mm) mm) ® ® ®

Stomahesive Stomahesive Stomahesive

35 Match Color Match n n n n n n n n n n Color Match n n n Color n n n n

Barrier Overall

4 1/2”x 4 1/2”x 4 1/2”x ® ® ® Barrier Overall 4 1/2”x Dimensions Barrier Overall SkinBarrier 4 1/2”x Dimensions Dimensions 4” x 4” x 4” x 4” x 4” x 4” x 4” x 5” x 4” x 6” x 5” x 4” x HCPCS A4414* HCPCS A4414* HCPCS A4415 Box Box Box 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 of of of Esteem synergy® + Pouches (compatible with Esteem synergy® Skin Barriers) Two-Piece Ostomy Systems – Esteem synergy

ConvaTec developed these innovative pouches to be noticeably more comfortable and more discreet. The Esteem synergy® + pouching system offers the latest technologies from ConvaTec including: • A state-of-the art filter with anti-clogging film layer • Soft and quiet materials • Streamlined rounded shape - Skin Barriers • InvisiClose™ tail closure • Lock-it Pocket™ that securely hides away the tail giving the comfort of a closed end pouch ConvaTec’s latest pouches combined with Esteem synergy® + advanced skin barrier adhesives offer security, comfort and discretion.

Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A5063

Product Code Matches to Skin Barrier With: Box of

416797 n Small stoma opening 10

416900 n Medium stoma opening 10

416903 n Large stoma opening 10

Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Transparent with 1-sided comfort panel Pouch length: 12” HCPCS A4435 ®

Product Code Matches to Skin Barrier With: Box of +

416795 n Small stoma opening 10 Pouches 416798 n Medium stoma opening 10

416901 n Large stoma opening 10 10 filter covers per box.

Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System and Filter Opaque with 2-sided comfort panel Pouch length: 12” HCPCS A4425

Product Code Matches to Skin Barrier With: Box of

416796 n Small stoma opening 10

416799 n Medium stoma opening 10

416902 n Large stoma opening 10 47 10 filter covers per box. 47 48 Two-Piece Ostomy Systems – Esteem synergy® + Pouches with Filter with Filter with Filter Transparent with1-sidedcomfortpanel Esteem 30 filtercoversperbox. 30 filtercoversperbox. 30 filtercoversperbox. Pouch length:8” Opaque with2-sidedcomfortpanel Esteem 30 filtercoversperbox. Pouch length:8” Pouch length:6” Opaque with2-sidedcomfortpanel Esteem Pouch length:6” Transparent with1-sidedcomfortpanel Esteem with Filter Product Code Product Code Product Code Product Code 416780 416783 416779 416782 416778 416781 416777 416776 416775 416774 synergy synergy synergy synergy n n n n n n n n n n Matches toSkinBarrierWith: Matches toSkinBarrierWith: Matches toSkinBarrierWith: Matches toSkinBarrierWith: ® ® ® ®

+ ClosedEnd“Mini”Pouch Medium stomaopening Small stomaopening Large stomaopening Medium stomaopening Small stomaopening Large stomaopening Medium stomaopening Small stomaopening Medium stomaopening Small stomaopening + ClosedEndPouch + ClosedEndPouch + ClosedEnd“Mini”Pouch HCPCS A4419 HCPCS A4419 HCPCS A4419 HCPCS A4419 Box of Box of Box of Box of 30 30 30 30 30 30 30 30 30 30 Two-Piece Ostomy Systems – Esteem synergy® Drainable Pouches 49 10 20 20 10 10 10 20 Box of Box of Box of Box of HCPCS A5063 HCPCS A4425 HCPCS A4425 HCPCS A4425

clipless tail closure ® drainable pouches are ®

Skin Barriers) Drainable Pouch ® ® Drainable Pouch with Drainable Pouch with Filter Drainable Pouch with Extra large stoma opening ® Medium stoma opening Large stoma opening Medium stoma opening Large stoma opening Medium stoma opening Small stoma opening ® ® ®

Matches to Skin Barrier With: n Matches to Skin Barrier With: Matches to Skin Barrier With: Matches to Skin Barrier With: n n n n n n Tail Closure System and Filter Tail Closure System and Filter ® ® synergy synergy synergy synergy 405406

413353 405404 410810 410812 413354 410811 drainable pouches have an advanced air filter which is drainable pouches have the drainable pouches are also available with ® ® Product Code Product Code Product Code Product Code 2 tail closures per box. Esteem Transparent with 1-sided comfort panel - Straight Pouch length: 14” 2 tail closures and 10 filter covers per box. 10 filter covers per box Transparent with 1-sided comfort panel For a stoma on the right side Pouch length: 12” 20 filter covers per box Esteem Opaque with 1-sided comfort panel Pouch length: 12” For a stoma on the right side Esteem For a stoma on the right side Pouch length: 12” Esteem Transparent with 1-sided comfort panel InvisiClose InvisiClose

tail closure system. The InvisiClose tail closure system. The ® synergy synergy

Drainable Pouches Drainable designed to complement body contours and add to ease of emptying.designed to complement Esteem The ergonomically shaped Esteem synergy The ergonomically shaped Esteem designed to let gasses through while repelling liquids. designed to let gasses InvisiClose

(compatible with Esteem synergy (compatible synergy Esteem offers double security, ease of drainage, comfort and cleanliness. Theoffers double security, ease strips and tail design help control flow andeasy to open outlet end mechanism is enhanced by an additionalreduce splashing. The locking of mind. security flap for added peace 50 Two-Piece Ostomy Systems – Esteem synergy® Professional Kits Professional Kits Esteem synergy • 1tailclosure • Sterile Loop OstomySystem Non‑sterile Non‑sterile • Kit includes: Esteem • Kit includes: Esteem • Kit includes: Esteem • 131/2”loopostomyrod • 1tailclosure • • 1tailclosure • Product Product Product opening and tape collar opening andtapecollar 5 extralargeStomahesive 5 smallStomahesive 1 extralargeStomahesive cut-to-fit openingandwithouttapecollar cut-to-fit openingandwithouttapecollar with 1-sidedcomfortpanel 5 12”Straight,Transparent,DrainablePouches with 1-sidedcomfortpanel 1 14”Straight,Transparent,DrainablePouch with 1-sidedcomfortpanel 5 14”Straight,Transparent,DrainablePouches 409277 409345 409275 Code Code Code synergy synergy synergy up to31/2”(89mm) up to31/2”(89mm) Small -upto13/8” Skin BarrierStoma Skin BarrierStoma Skin BarrierStoma Opening Size Opening Size Opening Size Extra Large- Extra Large- ® (35 mm)

® ® ® ProfessionalKit– ProfessionalKit– ProfessionalKit– ® Skin Barriers with cut-to-fit SkinBarrierswithcut-to-fit ® ® SkinBarrierwith SkinBarrierswith Match Match Match Color Color Color n n n

HCPCS A4415,A5063 HCPCS A4414,A5063 HCPCS A4415,A5063 5 SkinBarriers 5 SkinBarriers 1 SkinBarrier 5 Pouches 5 Pouches 1 Pouch Box of Box of Box of Two-Piece Ostomy Systems –Esteem synergy® Closed-End Pouches 51 20 60 60 60 30 30 30 Box of Box of HCPCS A5054 HCPCS A4419

center ostomy system features an ostomy system features ®

Skin Barriers) ® ® Closed End Mini Pouch Closed End Pouch Small stoma opening Small stoma opening Medium stoma opening Large stoma opening Small stoma opening Medium stoma opening Large stoma opening 422-8811 ® ® - Matches to Skin Barrier With: Matches to Skin Barrier With: n n n n n n n ConvaTec synergy synergy 1-800 www.convatec.com 405441 409282 409283 409284 405436 405437 403946 closed-end pouches are designed for one-time closed-end pouches are ® Product Code Product Code customer interaction Opaque with 1-sided comfort panel Pouch length: 6” 30 filter covers per box. Esteem Opaque with 2-sided comfort panel Pouch length: 9” Esteem with Filter Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, synergy

(compatible with Esteem synergy (compatible

synergy Esteem Closed-End Pouches Closed-End advanced filter system designed to absorb and neutralize a broadadvanced filter system designed Four slits on the filter with removablerange of odor-causing agents. control over the speed of the gas release.stickers allow for individual Esteem usage, and may be used for every day use, special occasions or forusage, and may be used Esteem synergy intimate moments. The 52 Two-Piece Ostomy Systems – Esteem synergy® Urostomy Pouches resists the back flow of urine. The pouch has a body-side comfort panel. resists thebackflowofurine.Thepouchhasabody-sidecomfortpanel. for easymanipulationandrapidemptying.Thebuilt-inanti-refluxvalve (compatible withEsteemsynergy Esteem The Esteemsynergy Urostomy Pouches Each boxcontains2Accuseal Each boxcontains2Accuseal Each boxcontains2Accuseal with Accuseal Accuseal Accuseal Pouch length:10” Opaque with1-sidedcomfortpanel Esteem Pouch length:9” Transparent with1-sidedcomfortpane l Esteem Pouch length:10” Transparent with1-sidedcomfortpanel Esteem Product Code Product Code Product Code 405450 405449 405447 405453 405452 405446 405451 405448 synergy ® UrostomyPouchwithAccuseal synergy synergy synergy ® ® TapwithValve TapwithValve n n n n n n n n Matches toSkinBarrierWith: Matches toSkinBarrierWith: Matches toSkinBarrierWith: ® TapwithValve ® ® ® Large stomaopening Medium stomaopening Small stomaopening Medium stomaopening Small stomaopening Large stomaopening Medium stomaopening Small stomaopening UrostomyPouchwith UrostomyPouchwith UrostomyPouch(small) ® ® SkinBarriers)

® ® ® nightdrainageadaptors. nightdrainageadaptors. nightdrainageadaptors.

® is designed tapisdesigned HCPCS A4432 HCPCS A4432 HCPCS A4432 Box of Box of Box of 10 10 10 10 10 10 10 10 One-Piece Ostomy Systems 53

Simplicity and flexibility in a low-profile one-piece system. 54 One-Piece Ostomy Systems - Esteem® + Ostomy System Esteem you the security, comfort, and discretion you deserve. you thesecurity,comfort,anddiscretiondeserve. ConvaTec’s latestpouchesandadvancedadhesivesoffer • • Available withamodifiedStomahesive allowing forasimple,secure,andcomfortableexperience. that combinestheskinbarrierandpouchinasingleunit, • • latest technologiesfromConvaTecincluding: The Esteem it frombreakdown. the Esteem remaining secureandeasytouse!Flexiblediscreet, The one-piecesystemthat’sgentleontheskin,while Plus dries quickly. against theskin,nearlyrustle-freeandresistswater Comfort panelpouchmaterialthatissoftandsmooth to providethecomfortofaclosedendpouch The Lock-ItPocket and hookfastener InvisiClose keeping thepouchflatwhilevirtuallyeliminatingodor A state-of-theartfilterwithananti-cloggingfilmlayer, ® skin barrier that gently adheres to skin and protects skinbarrierthatgentlyadherestoandprotects Moldable Stomahesive Pouch length:12” Opaque with1-sidedcomfortpanel Includes filter.10filtercoversperbox. Pouch length:12” Transparent with1-sidedcomfortpanel Esteem Product Code Product Code ® ® ® ®

413516 413515 413522 413521 413519 413518 + clipless tail closure with a strong hook cliplesstailclosurewithastronghook + + One-Piece one-piece system is the all-in-one solution one-piecesystemistheall-in-onesolution one piece pouching system offers the onepiecepouchingsystemoffersthe ®

+ One-PieceDrainablePouchwith ™ which securely hides away the tail whichsecurelyhidesawaythetail 1 3/16”-9/16”(30-40mm) 1 3/16”-9/16”(30-40 mm) 1 3/16”-9/16”(30-40mm) 13/16” -13/16”(20-30mm) 13/16” -13/16”(20-30 mm) 13/16” -13/16”(20-30mm) Stoma SizeOpening Stoma SizeOpening ® SkinBarrier ® or Durahesive orDurahesive

HCPCS A4424 HCPCS A5061 HCPCS A4424 Box of Box of 10 10 10 10 10 10

One-Piece Ostomy Systems - Esteem® + 55

10 10 10 10 10 Box of Box of Box of Box of Box of HCPCS A4424 HCPCS A4424 HCPCS A5061 HCPCS A5056 HCPCS A5056

Cut-to-Fit Cut-to-Fit Skin Barrier, Skin Barrier, Skin ® ® ® ® Tail Closure and Filter Tail Closure ® ® Cut-to-FIt Skin Barrier, ® Can be enlarged to Can be enlarged to Can be enlarged to Can be enlarged to Can be enlarged Can be enlarged to Stoma Size Opening Stoma Size Opening Stoma Size Opening Stoma Size Opening Stoma Size Opening accommodate stoma sizes accommodate stoma sizes accommodate stoma sizes accommodate stoma sizes accommodate accommodate stoma sizes 20 mm (3/4”) to 70 mm (2 3/4”) 20 mm (3/4”) to 70 mm (2 3/4”) 20 mm (3/4”) to 70 mm (2 3/4”) 19 mm (3/4”) to 64 mm (2 1/2”) 19 mm (3/4”) to 19 mm (3/4”) to 64 mm (2 1/2”) Tail Closure and Filter Tail Closure and Filter Tail Closure and Filter Closure and Tail ® ® ® + One-Piece Drainable Pouch with + One-Piece Drainable Pouch + One-Piece Drainable Pouch One-Piece Drainable Pouch with + One-Piece Drainable One-Piece Drainable Pouch with Pouch Drainable + One-Piece

® ® ® ® ® 416718 416719 416721 416975 416976 Product Code Product Code Product Code Product Code Product Code Skin Barrier, InvisiClose Skin Barrier, InvisiClose InvisiClose InvisiClose 10 filter covers per box. 10 filter covers per box. Pouch length: 12” Esteem Opaque with 2-sided comfort panel 10 filter covers per box. Esteem Transparent with 1-sided comfort panel Pouch length: 12” Esteem Transparent with 1-sided comfort panel Pouch length: 12” 10 filter covers per box. Esteem and tape collar Transparent with 1-sided comfort panel Pouch length: 12” Opaque with 2-sided comfort panel and tape collar 2-sided comfort panel Opaque with 12” Pouch length: Esteem Modified Stomahesive with Modified Stomahesive with Modified Stomahesive Cut-to-Fit Durahesive Plus Cut-to-Fit Durahesive Cut-to-Fit Durahesive Plus Durahesive Cut-to-Fit InvisiClose 56 One-Piece Ostomy Systems – Esteem® + InvisiClose InvisiClose and InvisiClose the skinfriendlyaspectsofStomahesive InvisiClose with Stomahesive Durahesive Modified Stomahesive Modified Stomahesive Esteem 10 filtercoversperbox. 10 filtercoversperbox. 10 filtercoversperbox. Pouch length:12” Transparent with1-sidedcomfortpanel Esteem *Double-layer adhesive(Stomahesive Pouch length:14” Transparent with1-sidedcomfortpanel Pouch length:12” Transparent with1-sidedcomfortpanel Esteem Pouch length:12” Opaque with1-sidedcomfortpanel Esteem Product Code Product Code Product Code Product Code 416738 416725 416724 416908 416750 416748 416746 416744 416742 416740 416737 416733 416729 416736 416732 416728 ® ® ® ®

+ One-PieceDrainablePouch + One-PieceDrainablePouchwith + One-PieceDrainablePouchwith + One-PieceDrainablePouchwith ® ® ® ® TailClosureandFilter TailClosureandFilter TailClosureandFilter Pre-CutConvexSkinBarrier, accommodate ® TailClosure Stoma SizeOpening Stoma SizeOpening Stoma SizeOpening Stoma SizeOpening Can beenlargedto ® Cut-to-FitSkinBarrier* 40 mm(19/16”) 30 mm(13/16”) 40 mm(19/16”) 30 mm(13/16”) ® 100 mm(4”) 38 mm(11/2”) 35 mm(13/8”) 32 mm(11/4”) 28 mm(11/8”) 35 mm(13/8”) 35 mm(13/8”) body-side,Durahesive 22 mm(7/8”) 19 mm(3/4”) ® 25 mm(1”) 25 mm(1”) 25 mm(1”) withtheturtleneckingprotection ofDurahesive ® ® Pre-CutSkinBarrier, Pre-CutSkinBarrier, stoma sizes

® top-side)whichcombines HCPCS A4424 HCPCS A5061 HCPCS A5057 HCPCS A4424 Box of Box of Box of Box of 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 ® . One-Piece Ostomy Systems – Esteem® + 57 30 30 30 10 10 10 10 10 10 10 30 30 Box of Box of Box of Box of Box of HCPCS A4416 HCPCS A4416 HCPCS A4416 HCPCS A4416 HCPCS A5057 Cut-to- ®

Skin Barrier Cut-to-Fit Cut-to-Fit ® ® ® stoma sizes stoma sizes stoma sizes 25 mm (1”) 19 mm (3/4”) 22 mm (7/8”) 28 mm (1 1/8”) 32 mm (1 1/4”) 35 mm (1 3/8”) 38 mm (1 1/2”) Can be enlarged to Can be enlarged to Can be enlarged to Stoma Size Opening Stoma Size Opening Stoma Size Opening Stoma Size Opening Stoma Size Opening 13/16” - 1 3/16” (20-30 mm) 1 3/16” - 1 9/16” (30-40 mm) accommodate accommodate accommodate 20 mm (3/4”) to 70 mm (2 3/4”) 20 mm (3/4”) to 70 mm (2 3/4”) 20 mm (3/4”) to 70 mm (2 3/4”) Pre-Cut Convex Skin Barrier, Skin Barrier, Convex Pre-Cut Tail Closure and Filter Closure and Tail ® ® + One-Piece “Mini” Closed-End + One-Piece Closed-End Pouch + One-Piece Closed-End Pouch One-Piece Closed-End Pouch + One-Piece Closed-End One-Piece Drainable Pouch with Pouch Drainable + One-Piece

® ® ® ® ® 416701 416702 416700 416739 416741 416743 416745 416747 416749 416751 413509 413510 Product Code Product Code Product Code Product Code Product Code and Filter Skin Barrier and Filter Skin Barrier and Filter Fit Skin Barrier and Filter 30 filter covers per box. Opaque with 2-sided comfort panel Pouch length: 6” 30 filter covers per box. Esteem Opaque with 2-sided comfort panel Pouch length: 8” 30 filter covers per box. Esteem Pouch length: 8” Esteem Transparent with 1-sided comfort panel 30 filter covers per box. l Opaque with 2-sided comfort pane Pouch length: 8” Esteem 10 filter covers per box. Opaque with 2-sided comfort panel Opaque with 12” Pouch length: Esteem Pouch with Modified Stomahesive with Modified Stomahesive with Modified Stomahesive with Moldable Stomahesive Durahesive InvisiClose OSTO ® Flatterm me.ysecrets

Discover ostomy underwear as beautiful as it is powerful, concealing and supporting your ostomy pouch. } Only revealing the real you. }

Clothing • Swim • Accessories

Learn more at Ostomysecrets.com Have questions? Call us. Our team of ostomates is here to help. 877-613-6246

All trademarks are property of their respective owners. 58©2014 ConvaTec Inc. Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Pre-Cut Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch length: 8” HCPCS A4416

Product Code Stoma Size Opening Box of

416704 25 mm (1”) 30 416707 30 mm (1 3/16”) 30 416710 35 mm (1 3/8”) 30

416713 40 mm (1 9/16”) 30 One-Piece Ostomy Systems – Esteem

416715 50 mm (2”) 30 30 filter covers per box.

Esteem® + One-Piece Drainable Pouch with Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure Post-Operative/ Surgical Kit Transparent with 1-sided comfort panel Pouch length: 14” HCPCS N/A

Product Code Stoma Size Opening Box of Can be enlarged to 5 individually 416915 accommodate stoma sizes wrapped pouches up to 100 mm (4”) ® *Double-layer adhesive (Stomahesive® body-side, Durahesive® top-side) which combines OSTO the skin friendly aspects of Stomahesive® with the turtlenecking protection of Durahesive®. Flatterm me.ysecrets

Esteem® + One-Piece Drainable Pouch with Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure Post-Operative/ Surgical Kit - STERILE Transparent with 1-sided comfort panel Pouch length: 14” HCPCS N/A iscover ostomy underwear D Product Code Stoma Size Opening Box of as beautiful as it is powerful, Can be enlarged to 5 individually 416916 accommodate stoma sizes concealing and supporting wrapped pouches

up to 100 mm (4”) ® your ostomy pouch. *Double-layer adhesive (Stomahesive® body-side, Durahesive® top-side) which combines the skin friendly aspects of Stomahesive® with the turtlenecking protection of Durahesive®. + } Only revealing the real you. }

Clothing • Swim • Accessories

Learn more at Ostomysecrets.com Have questions? Call us. Our team of ostomates is here to help. 877-613-6246

All trademarks are property of their respective owners. ©2014 ConvaTec Inc. 59 60 One-Piece Ostomy Systems – ActiveLife® Ostomy System ActiveLife are availableintransparentandopaquefilms. pouch inonesimple,easy-to-managesystem.Pouches ostomy systemcombinestheskinbarrierand A lightweight,flexible,one-piecesystem,ActiveLife ® One-Piece ®

One-Piece Ostomy Systems – ActiveLife® 61

5 5 5 5 5 5 5 5 5 10 10 10 10 10 10 10 10 20 10 Box of

Box of ® HCPCS A5061 HCPCS A4390 and tape collar Skin Barrier ® stoma sizes stoma sizes 25 mm (1”) 25 mm (1”) 50 mm (2”) 19 mm (3/4”) 22 mm (7/8”) 19 mm (3/4”) 22 mm (7/8”) 28 mm (1 1/8”) 32 mm (1 1/4”) 35 mm (1 3/8”) 38 mm (1 1/2”) 45 mm (1 3/4”) 28 mm (1 1/8”) 32 mm (1 1/4”) 35 mm (1 3/8”) 38 mm (1 1/2”) 45 mm (1 3/4”) Stoma Size Opening Can be enlarged to Can be enlarged to Stoma Size Opening accommodate accommodate 19 mm (3/4”) to 64 mm (2 1/2”) 19 mm (3/4”) to 64 mm (2 1/2”) One-Piece Drainable Cut-to-Fit Convex One-Piece Pre- One-Piece Convex ® ® 022771 125330 125352 125353 125354 125355 125356 125357 125358 125359 175777 175778 175779 175780 175781 175782 175783 175784 175785 Product Code Product Code 1 tail closure per box. ActiveLife Transparent with 1-sided comfort panel Pouch length: 12” 1 tail closure per box. Transparent with 1-sided comfort panel and tape collar with 1-sided comfort panel Transparent 12” Pouch length: ActiveLife Barrier Skin Pouch with Stomahesive Cut Drainable Pouch with Durahesive Pouch with Cut Drainable 62 One-Piece Ostomy Systems – ActiveLife® Pouch with Stomahesive Pouch withDurahesivePlus Pouch withDurahesivePlus Transparent with1-sidedcomfortpanel ActiveLife Pouch length:12” Opaque with1-sidedcomfortpanel ActiveLife Pouch length:12” Pouch length:10” Opaque with1-sidedcomfortpanelandtapecollar ActiveLife 1 tailclosureperbox. 1 tailclosureperbox. 1 tailclosureperbox. Product Code Product Code Product Code 125331 400599 400598 022756 022755 022754 022753 022752 022751 022750 125337 125336 125335 125334 125333 ® ® ® One-PiecePre-CutDrainable One-PieceDrainableCut-to-Fit One-PieceDrainableCut-to-Fit 19 mm(3/4”)to64(21/2”) 19 mm(3/4”)to64(21/2”) accommodate accommodate Stoma SizeOpening Stoma SizeOpening Can beenlargedto Can beenlargedto Stoma SizeOpening 64 mm(21/2”) 45 mm(13/4”) 38 mm(11/2”) 32 mm(11/4”) 64 mm(21/2”) 45 mm(13/4”) 38 mm(11/2”) 32 mm(11/4”) 19 mm(3/4”) 19 mm(3/4”) 50 mm(2”) 25 mm(1”) 50 mm(2”) stoma sizes stoma sizes ® SkinBarrier ® ® SkinBarrier SkinBarrier and tapecollar and tapecollar HCPCS A4388 HCPCS A4388 HCPCS A5061 Box of Box of Box of 10 10 10 10 10 20 20 10 10 10 10 20 20 20 20

One-Piece Ostomy Systems – ActiveLife® 63

20 20 20 20 20 20 20 10 10 10 10 10 10 10 10 10 10 10 10 10 10 Box of Box of HCPCS A5061 HCPCS A5061 Skin Barrier Skin Barrier Skin ® ® 25 mm (1”) 50 mm (2”) 25 mm (1”) 50 mm (2”) 25 mm (1”) 50 mm (2”) 19 mm (3/4”) 19 mm (3/4”) 19 mm (3/4”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) 64 mm (2 1/2”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) 64 mm (2 1/2”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) 64 mm (2 1/2”) Stoma Size Opening Stoma Size Opening One-Piece Pre-Cut Drainable One-Piece Pre-Cut Drainable Drainable Pre-Cut One-Piece ® ® 022764 125338 125339 125340 125341 125342 125343 125344 022757 022758 022759 022760 022761 022762 022763 022765 022766 022767 022768 022769 022770 Product Code Product Code 1 tail closure per box. 1 tail closure per box. ActiveLife Transparent with 1-sided comfort panel and tape collar Pouch length: 12” with 1-sided comfort panel and tape collar panel and comfort with 1-sided Opaque 12” Pouch length: ActiveLife Pouch with Stomahesive with Stomahesive with Pouch 64 One-Piece Ostomy Systems – ActiveLife® Closed‑End Pouch withStomahesive Closed‑End Pouch withStomahesive ActiveLife Pouch length:8” Opaque with1-sidedcomfortpanel ActiveLife 15 filtercoversperbox. Pouch length:8” Opaque with1-sidedcomfortpanel Pouch length:8” Transparent with1-sidedcomfortpanel ActiveLife Closed-End Pouch withStomahesive Skin Barrier andFilter Skin Barrier andFilter Skin BarrierandFilter 30 filtercoversperbox. 30 filtercoversperbox. 60 filtercoversperbox. Product Code Product Code Product Code 650422 650408 175768 413141 ® ® ® One-PieceCut-to-Fit One-PieceCut-to-Fit One-PieceCut-to-Fit 19 mm(3/4”)to64(21/2”) 19 mm(3/4”)to64(21/2”) 19 mm(3/4”)to50(2”) 19 mm(3/4”)to50(2”) accommodate accommodate accommodate accommodate Stoma SizeOpening Stoma SizeOpening Stoma SizeOpening Can beenlargedto Can beenlargedto Can beenlargedto Can beenlargedto stoma sizes stoma sizes stoma sizes stoma sizes and tapecollar and notapecollar and tapecollar HCPCS A4416 HCPCS A4416 HCPCS A4416 ® ® ® Box of Box of Box of

30 30 15 60

One-Piece Ostomy Systems – ActiveLife® 65

60 60 60 60 60 15 15 15 15 15 60 60 60 60 60 15 15 15 15 15

15 60

Box of Box of

Box of ® HCPCS A4416 HCPCS A4416 HCPCS A4416 and no tape collar and no tape

Skin Barrier ® ® stoma sizes stoma sizes 25 mm (1”) 50 mm (2”) 25 mm (1”) 50 mm (2”) 25 mm (1”) 50 mm (2”) 25 mm (1”) 50 mm (2”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) 32 mm (1 1/4”) 38 mm (1 1/2”) 45 mm (1 3/4”) Stoma Size Opening Stoma Size Opening Can be enlarged to Can be enlarged to Can be enlarged Stoma Size Opening accommodate accommodate accommodate 19 mm (3/4”) to 64 mm (2 1/2”) 19 mm (3/4”) to 64 mm (2 1/2”) 19 mm (3/4”) to One-Piece Pre-Cut Closed- One-Piece Pre-Cut One-Piece Cut-to-Fit Cut-to-Fit One-Piece One-Piece Pre-Cut Closed- ® ® ® 413148 413149 413150 413151 413152 175762 175763 175764 175765 175766 175761 413147 413142 413143 413144 413145 413146 175769 175770 175771 175772 175773 Product Code Product Code Product Code and no tape collar Skin Barrier and Filter Filter Barrier and Skin End Pouch with Stomahesive 60 filter covers per box. 15 filter covers per box. 60 filter covers per box. 15 filter covers per box. 60 filter covers per box. ActiveLife Transparent with 1-sided comfort panel and filter Pouch length: 8” Pouch length: 8” 15 filter covers per box. ActiveLife and no tape collar Opaque with 1-sided comfort panel l comfort pane Transparent with 1-sided 8” Pouch length: ActiveLife End Pouch with Stomahesive Pouch with Stomahesive Pouch Closed-End 66 One-Piece Ostomy Systems – ActiveLife® Skin Barrier Cut UrostomyPouchwithDurahesive Stomahesive Pouch with Durahesive Opaque withnotapecollar ActiveLife Pouch length:8” Transparent withfoldovertap ActiveLife Pouch length:8” Transparent with1-sidedcomfortpanel ActiveLife Each boxcontainsoneuniversalnightdrainageadapter. Each boxcontainsone universalnightdrainageadapter. Accuseal 30 filtercoversperbox. Product Code Product Code Product Code 175798 175797 175796 175795 650831 650830 650829 650828 175794 175793 175792 175791 175790 125369 125368 125367 125366 125365 125364 125363 125362 125361 175611 650833 650832 ® ® ® ® TapwithValve ConvexOne-PiecePre- One-PieceStomaCapwith One-PiecePre-CutUrostomy ® 19 mm(3/4”)to50(2”) accommodate SkinBarrierandFilter Stoma SizeOpening Can beenlargedto Stoma SizeOpening Stoma SizeOpening 28 mm(11/8”) 38 mm(11/2”) 32 mm(11/4”) 38 mm(11/2”) 35 mm(13/8”) 32 mm(11/4”) 28 mm(11/8”) 38 mm(11/2”) 35 mm(13/8”) 32 mm(11/4”) 28 mm(11/8”) 22 mm(7/8”) 19 mm(3/4”) 22 mm(7/8”) 19 mm(3/4”) 16 mm(5/8”) 13 mm(1/2”) 22 mm(7/8”) 19 mm(3/4”) 16 mm(5/8”) 13 mm(1/2”) 25 mm(1”) 25 mm(1”) 25 mm(1”)

® stoma sizes SkinBarrierand

HCPCS A4393 HCPCS A5055 HCPCS A4428 Box of ® Box of Box of

30 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 5 5 5 5 5 5 5 5 5 ActiveLife® One-Piece Cut-to-Fit Urostomy Pouch with Stomahesive® Skin Barrier Transparent Standard HCPCS A5071

Product Code Stoma Size Opening Box of

Can be enlarged to 064927 accommodate stoma sizes 10 19 mm (3/4”) to 45 mm (1 3/4”) Each box contains one universal night drainage adapter. One-Piece Ostomy Systems – ActiveLife ActiveLife® One-Piece Drainable Pouch with Stomahesive® Skin Barrier and Tail Closure HCPCS A5061 Product Code Stoma Size Opening Box of

Can be enlarged to 025433 accommodate stoma sizes 1 19 mm (3/4”) to 64 mm (2 1/2”) ®

ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com

67 Little Ones® 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 Pediatric Ostomy Systems

® 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! Little Ones Color Key and Sizing Guides Match the color of the dot on the skin barrier package with the color of the dot on the pouch package.

Little Ones® Pediatric Ostomy System

n Stoma Size: 0 - 9/10” (0-23 mm)

n Stoma Size: 1/5 - 1 1/4” (4.8-31 mm)

n Flange Size: 1 1/4” (32 mm)

n Flange Size: 1 3/4” (45 mm)

68 Little Ones® Pediatric Ostomy Systems 69

A product line designed to care for the youngest patients. 70 Little Ones® Pediatric Ostomy Systems Drainable PouchwithInvisiClose Flexible Stomahesive Adhesive Coupling TechnologyStandard Drainable PouchwithStomahesive Coupling Technology Technology Stomahesive Adhesive CouplingTechnology Standard Little Ones Little Ones Pouch length:6” Transparent with1-sidedcomfortpanel Little Ones with cut-to-fitopening with cut-to-fitopening Little Ones with cut-to-fitopening Little Ones Pouch length:6” Transparent with1-sidedcomfortpanel Skin Barrier Tail Closure System Skin Barrier andInvisiClose Tail Closure System Product Product Product Product Product 411633 411631 411632 411641 411642 Code Code Code Code Code

® ® ® ® ® 0-9/10” (0-23mm) 0-9/10” (0-23mm) ™ Two-Piece One-PieceExtraSmall Two-PieceAdhesive Two-PieceAdhesiveCoupling Two-Piece Stoma Opening Stoma Opening Stoma Opening Stoma Opening ExtraSmallStomahesive ® 1/5” -11/4” 1/5” -11/4” (4.8-31 mm) (4.8-31 mm) SkinBarrier 0-9/10” (0-23mm) Stoma Opening ™ ® SkinBarrier ExtraSmall ®

Match Match Match Match Color Color Color Color n n n n ®

HCPCS A5063 HCPCS A4414 HCPCS A4414 HCPCS A4414 HCPCS A5061 ®

Box ® 10 Box Box Box Box of

10 of of of of 5 5 5 Little Ones® Pediatric Ostomy Systems 71

® 5 5 of of of of 20 20 10 10 10 10 Box Box Box Box

HCPCS A5054 HCPCS A4414 HCPCS A4425 HCPCS A4419

™

n n n n n n n n

Color Color Color Color Match Match Match Match Skin Barrier ® Standard Standard ™ Flange Size Flange Size (4.8-31 mm) (4.8-31 mm) (4.8-31 mm) (4.8-31 mm) 1/5” - 1 1/4” 1/5” - 1 1/4” 1/5” - 1 1/4” 1/5” - 1 1/4” 1 1/4” (32 mm) 1 1/4” (32 mm) 1 3/4” (45 mm) 1 3/4” (45 mm) Stoma Opening Stoma Opening Two-Piece Standard Flexible Two-Piece Two-Piece Adhesive Adhesive Two-Piece Two-Piece Standard ® ® ® ®

Code Code Code Code 411639 411638 401930 401925 401931 401926 411637 411640 Opaque Opaque Product Product Product Product Transparent Transparent 10 filter covers per box. Drainable Pouch with InvisiClose Standard Drainable Pouch with Pouch length: 5” Little Ones Opaque with 2-sided comfort panel Little Ones 10 filter covers per box. Little Ones Pouch length: 8” Pouch length: 6” Little Ones Little Tail Closure System and Filter Tail Closure System Closed‑End Pouch Cut-to-Fit Stomahesive Technology Adhesive Coupling Coupling Technology Coupling Closed-End Pouch with Filter with Pouch Closed-End 72 Little Ones® Pediatric Ostomy Systems with Cut-to-FitStomahesive with Cut-to-FitStomahesive Urostomy Pouch Drainable Pouch Transparent with1-sidedcomfortpanel Little Ones 15 tailclosuresperbox. Little Ones Pouch length:6” Transparent with1-sidedcomfortpanel Little Ones 10 tailclosuresperbox. Pouch length:6” Each boxcontainstwonightdrainageadapters. Pouch length:5” Transparent Little Ones Pouch length:6” Transparent with1-sidedcomfortpanel Each boxcontainstwonightdrainageadapters. Product Product 401928 401929 401927 Product Product 020917 020922 Code Code Code Code

® ® ® ® One-PieceUrostomyPouch One-PieceDrainablePouch Two-PieceStandard Two-PieceStandard 1 3/4”(45mm) 1 1/4”(32mm) 1 1/4”(32mm) Flange Size Flange Size 5/16” -1”(8-25mm) 5/16” -2”(8-50mm) Flange Size Flange Size ® ® Match Match Color Color SkinBarrier SkinBarrier n n n

HCPCS A5073 HCPCS A5063 HCPCS A5071 HCPCS A5061 Box Box Box Box 10 10 10 15 15 of of of of Wound Pouches

A variety of products that provide complete and consistent wound and skin management.

73 Wound Pouches

Containing a fistula, handling an exuding wound, protecting vulnerable skin–these situations can be challenging to any healthcare professional. Eakin® Wound Pouches come in a variety of shapes and sizes you need to provide complete and consistent wound and skin management. Wound Pouches

ConvaTec customer interaction center 1-800-422-8811 Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, www.convatec.com

74 Wound Pouches 75 5 of of of of of of 10 10 10 10 10 Box Box Box Box Box Box HCPCS A6154 HCPCS A6154 HCPCS A6154 HCPCS A6154 HCPCS A6154 HCPCS A6154 Size Size Size Size Size Size 1.8” x 1.2” (4.5 cm x 3 cm) 1.8” x 1.2” (4.5 cm x 3 cm) 1.8” x 1.2” (4.5 9.7” x 6.3” (24.6 cm x 16 cm) 4.3” x 3.0” (10.9 cm x 7.9 cm) 4.3” x 3.0” (10.9 cm x 7.6 cm) 6.9” x 4.3” (17.5 cm x 10.9 cm)

Wound Pouch with remote drainage Wound Pouch with remote drainage Wound Pouch with Fold and Wound Pouch with Wound Pouch with Fold and Wound Pouch with Wound Pouch with Fold and with Fold Pouch Wound Wound Pouch with Fold and ® ® ® ® ® ® Code Code Code Code Code Code 839261 839252 839253 839260 839250 839251 Product Product Product Product Product Product Tuck Closure Eakin Suitable for cutting area of 4.3” x 3.0”

Eakin Suitable for cutting area of 1.8” x 1.2” Eakin Suitable for horizontal cutting area of 9.7” x 6.3” Eakin of 6.9” x 4.3” Suitable for cutting area Suitable for cutting area of 4.3” x 3.0” Suitable for cutting area Eakin Eakin x 1.2” area of 1.8” for cutting Suitable attachment and tap closure attachment and tap closure Tuck Closure Tuck Closure Closure Tuck 76 Wound Pouches drainage attachment andtapclosure and Access Window attachment andtapclosure attachment andtapclosure attachment andtapclosure area of9.7”x6.3” Suitable foreasyaccesstohorizontalcutting Eakin Suitable forhorizontalcuttingareaof9.7”x6.3” Eakin Suitable forcuttingareaof6.9”x4.3” Eakin Suitable forverticalcuttingareaof11.4”x5.1” Eakin Suitable forverticalcuttingareaof9.7”x6.3” Eakin Product Product Product Product Product 839266 839265 839264 839263 839262 Code Code Code Code Code ® ® ® ® ® WoundPouchwithremote WoundPouchwithtapclosure WoundPouchwithremotedrainage WoundPouchwithremotedrainage WoundPouchwithremote

6.9” x4.3”(17.5cm10.9cm) 9.7” x6.3”(24.6cm16cm) 9.7” x6.3”(24.6cm16cm) 9.7” x6.3”(24.6cm16cm) 11.4” x5.1”(29cm13cm) Size Size Size Size Size HCPCS A6154 HCPCS A6154 HCPCS A6154 HCPCS A6154 HCPCS A6154 Box Box Box Box Box 10 of of of of of 5 5 5 5 Wound Pouches 77 5 5 of of of 10 Box Box Box HCPCS N/A HCPCS A6154 HCPCS A6154 n/a Size Size Size 2.4” x 3.14” (6.1 cm x 8 cm) 2.4” x 3.14” (6.1 9.7” x 6.3” (24.6 cm x 16 cm) Fistula and Wound Manager to allow ®

Access Window Wound Pouch with tap closure and Wound Pouch with Wound Pouch with remote drainage drainage with remote Pouch Wound ® ® ® Code Code Code 839280 839267 839268 Product Product Product Eakin Add to Eakin Eakin area of 9.7” x 6.3” Suitable for vertical cutting

Eakin x 3.14” area of 2.4” for cutting Suitable Access Window attachment and tap closure and attachment instant access to the wound (may be used with 839252, 839253, 839262, 839263, 839265, 839266) The online support community for people living with an ostomy

“Honestly, the best thing I have done is find this site. It got me through the darkest days and truly inspired me.”

www. ostomy.inspire.com

3 Discuss health and lifestyle issues. 3 Gain emotional support. 3 Inspire and motivate others. 3 Ostomy information and resources.

8 Ostomy Resources and Support for Your Patient ConvaTec Customer Interaction Center Team of WOC Nurses available to provide ostomy care support. Toll Free: 1-800-422-8811 www.convatec.com/cic

The Ostomy Inspire Network The online support community for people living with an ostomy. www.ostomy.inspire.com

Ostomysecrets® Peer to peer lifestyle support and everyday apparel for ostomates. Toll Free: 1-877-613-6246 www.ostomysecrets.com Ostomy Resources

Great Comebacks® Program Information and inspiration for people living with serious intestinal diseases and ostomy surgery. www.greatcomebacks.com

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. 79 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 digestive organs

Adhesive Coupling TechnologyTM — a two-piece ostomy pouching system that attaches with a tape-like adhesive rather than plastic rings snapping together

Closed-end pouch — a pouch that has no opening at the bottom and is removed and discarded after each use

Colostomy— a surgically-created opening between the large intestine (colon) and the abdominal surface

Comfort panels — ConvaTec pouches are available with 1-sided and 2-sided comfort panels for your convenience

Convexity — Convex products may be used when a stoma empties at or below the skin surface; when there 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

Durahesive® — is an extended wear barrier that provides Glossary of Terms the ultimate in security and adhesion for people with liquid to semi-liquid outputs

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

80 Ostomy Glossary of Terms (cont’d)

One-piece ostomy pouching system — the skin barrier/wafer and pouch are made as one

Ostomy — a surgically-created opening (called a stoma) in the gastrointestinal system to allow the passage of stool or in the urinary system to pass urine

Peristomal skin — the skin surrounding a stoma

Pouch with spout — drainage tap or spout at the bottom of the pouch to empty urine or liquid stool

Pre-cut — some ConvaTec skin barriers are available pre-cut to certain stoma sizes Glossary of Terms Skin barrier/wafer — round or square-shaped with a sticky side that is applied to the skin around the stoma (called peristomal skin). Helps protect the skin from stool or urine, which can be very irritating

Stoma — a surgically-created opening on the abdomen surface. Also commonly called an ostomy. Stool or urine leaves the body through this opening instead of the anus or urethra

Stomahesive® — is a skin barrier that provides excellent security for people with semi-formed to formed output because of its special formulation that enables it to adhere to both dry and wet skin

Tape collar — ConvaTec skin barriers are available with or without tape collars. Most skin barriers with tape collars are available in white, dye-free tape or tan tape

Two-piece ostomy pouching system — skin barrier/ wafer and pouch are separate and attached together with a round, plastic ring (called a flange). Pouch can be easily removed without also having to remove the skin barrier/wafer

Urostomy — a surgically created opening which allows urine to pass

81 Medicare Utilization Charts Medicare Usual HCPCS HCPCS Descriptors Maximum Qty. A4331 Extension Drainage Tube 1 per 6 months A4330 Stool Collection Pouch As needed A4333 Urinary Catheter Anchoring Device As needed A4335 Urinary Supply, Miscellaneous As needed 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 A4365 Adhesive Remover Wipes, per 50 As needed A4367 Ostomy Belt 1 per month A4371 Ostomy Skin Barrier Powder 10 oz per 6 months Skin Barrier, Solid 4x4 or Equivalent, A4385 As needed Extended Wear Pouch, Drainable, w/Extended Wear Barrier A4388 As needed Attached Pouch, Drainable, w/Extended Wear Barrier, A4390 As needed Attached, w/convexity A4397 Irrigation Sleeve 4 per month A4398 Ostomy Irrigation Bag 2 per 6 months A4399 Ostomy Irrigation Cone/Catheter, and Brush 2 per 6 months A4406 Ostomy Skin Barrier, Pectin-Based, Paste 4 oz per month Skin Barrier, w/Flange, Extended Wear A4407 As needed w/ Convexity A4409 Skin Barrier, w/Flange, Extended Wear <= 4x4 As needed A4410 Skin Barrier, w/Flange, Extended Wear > 4x4 As needed Pouch, Drainable, High Output, for Barrier A4413 As needed w/Flange 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 Pouch, closed for use on Barrier w/Flange, A4419 60 per month w/Filter A4421 Ostomy Supply, Miscellaneous As needed Pouch, closed, for use on Barrier w/Locking A4423 60 per month Flange, w/Filter A4425 Pouch, Drainable, with filter for use w/Flange 20 per month Medicare Utilization Charts Pouch, Drainable for use on Barrier A4426 20 per month w/Locking Flange Pouch, Urinary, w/ Extended Wear Barrier A4428 As needed w/Faucet-type Tap Pouch, Urinary, for use on Barrier w/Flange, A4432 20 per month w/Faucet-type Tap Pouch, Urinary for use on Barrier w/Locking A4434 20 per month Flange, w/Faucet-type Tap A5054 Pouch Closed, for Barrier w/Flange 60 per month A5055 Stoma Cap, each 31 per month Pouch, Drainable, w/Extended Wear Barrier A5056 40 per month Attached, w/filter Pouch, Drainable, w/Extended Wear Barrier, A5057 40 per month w/convexity, w/filter A5061 Pouch, Drainable, w/Barrier Attached 20 per month A5063 Pouch, Drainable, for use w/Flange 20 per month A5071 Pouch, Urinary, w/Barrier Attached 20 per month A5073 Pouch, Urinary, for Barrier w/Flange 20 per month A5093 Ostomy Accessory, Convex Insert 10 per month Bedside Drainage Bottle w/ or wo/ tubing, A5102 2 per 6 months rigid or expandable A5120 Skin Barrier, Wipes, each 150 per 6 months 82 A5122 Skin Barrier, Solid, 8 X 8 or Equivalent 20 per month Numerical Index 83 7 9 7 6 35 35 36 36 36 36 36 35 35 35 35 35 36 37 37 37 37 38 38 38 38 38 38 38 38 40 40 40 40 40 39 39 39 39 39 39 39 39 39 40 40 40 40 40 40 40 40 40 36 36 36 20 20 66 65 65 65 65 65 65 64 65 65 65 65 65 61 61 61 61 61 61 61 61 61 66 66 66 66 66 66 66 66 66 62 62 35 35 35 401503...... 401504...... 401505...... 401506...... 401507...... 401508...... 401509...... 401510...... 401511...... 401512...... 401513...... 401514...... 401515...... 401521...... 401522...... 401523...... 401524...... 401525...... 401526...... 401527...... 401528...... 401529...... 401530...... 401531...... 401532...... 401533...... 401534...... 401535...... 401536...... 401537...... 401538...... 401539...... 401540...... 401541...... 401542...... 401543...... 401544...... 401545...... 401546...... 401547...... 401548...... 401549...... 401550...... 401551...... 401552...... 401553...... 401554...... 401555...... 401557...... 401558...... 401559...... 401573...... 401574...... 175611...... 175635...... 175650...... 175652...... 175761...... 175762...... 175763...... 175764...... 175765...... 175766...... 175768...... 175769...... 175770...... 175771...... 175772...... 175773...... 175777...... 175778...... 175779...... 175780...... 175781...... 175782...... 175783...... 175784...... 175785...... 175790...... 175791...... 175792...... 175793...... 175794...... 175795...... 175796...... 175797...... 175798...... 183910...... 400598...... 400599...... 401500...... 401501...... 401502......

6 6 6 8 6 7 8 8 6 5 6 5 7 72 72 32 32 62 62 62 62 62 62 62 63 63 63 63 63 63 63 63 63 63 63 63 63 63 61 67 67 21 21 21 21 21 20 20 20 20 20 21 21 21 21 21 21 21 21 21 21 21 61 62 62 62 62 62 62 63 63 63 63 63 63 63 61 61 61 61 61 61 61 61 66 66 66 66 66 66 66 66 66

020917...... 020922...... 021712...... 021715...... 021901...... 022355...... 022356...... 022736...... 022750...... 022751...... 022752...... 022753...... 022754...... 022755...... 022756...... 022757...... 022758...... 022759...... 022760...... 022761...... 022762...... 022763...... 022764...... 022765...... 022766...... 022767...... 022768...... 022769...... 022770...... 022771...... 025433...... 025510...... 025542...... 027060...... 027062...... 037436...... 037439...... 037443...... 037444...... 064927...... 125257...... 125258...... 125259...... 125260...... 125261...... 125262...... 125263...... 125264...... 125265...... 125266...... 125267...... 125268...... 125269...... 125270...... 125271...... 125272...... 125273...... 125274...... 125275...... 125276...... 125277...... 125330...... 125331...... 125333...... 125334...... 125335...... 125336...... 125337...... 125338...... 125339...... 125340...... 125341...... 125342...... 125343...... 125344...... 125352...... 125353...... 125354...... 125355...... 125356...... 125357...... 125358...... 125359...... 125361...... 125362...... 125363...... Numerical Index Numerical 401575...... 20 409270...... 45 401576...... 20 409275...... 50 401577...... 20 409277...... 50 401905...... 18 409282...... 51 401906...... 20 409283...... 51 401909...... 38 409284...... 51 401911...... 8 409345...... 50 401912...... 8 410810...... 49 401913...... 8 410811...... 49 401914...... 8 410812...... 49 401916...... 9 411264...... 34 401917...... 9 411265...... 34 401918...... 9 411266...... 34 401919...... 9 411267...... 34 401920...... 41 411288...... 34 401921...... 41 411289...... 34 401922...... 41 411290...... 34 401923...... 41 411291...... 34 401924...... 41 411292...... 34 401925...... 71 411309...... 33 401926...... 71 411310...... 33 401927...... 72 411311...... 33 401928...... 72 411312...... 33 401929...... 72 411360...... 33 401930...... 71 411361...... 33 401931...... 71 411362...... 33 401932...... 35 411489...... 34 401933...... 35 411490...... 34 401934...... 35 411491...... 34 401935...... 35 411492...... 34 401936...... 35 411493...... 34 401989...... 8 411631...... 70 401993...... 23 411632...... 70 401994...... 23 411633...... 70 401995...... 23 411637...... 71 401996...... 23 411638...... 71 402239...... 41 411639...... 71 403946...... 51 411640...... 71 403948...... 46 411641...... 70 404006...... 23 411642...... 70 404007...... 23 411657...... 45 404008...... 23 411658...... 45 404009...... 23 411659...... 45 404010...... 23 411800...... 13 404011...... 23 411801...... 19 404012...... 23 411802...... 13 404013...... 23 411803...... 19 404014...... 35 411804...... 13 404015...... 35 411805...... 19 404016...... 35 411806...... 13 404017...... 35 411807...... 19 404018...... 35 413141...... 64 404025...... 35 413142...... 65 404026...... 35 413143...... 65 Numerical Index 404027...... 35 413144...... 65 404028...... 35 413145...... 65 404029...... 35 413146...... 65 404030...... 36 413147...... 65 404031...... 36 413148...... 65 404032...... 36 413149...... 65 404033...... 36 413150...... 65 404034...... 36 413151...... 65 404592...... 16 413152...... 65 404593...... 16 413153...... 18 404594...... 16 413154...... 18 405404...... 49 413155...... 18 405406...... 49 413156...... 18 405436...... 51 413157...... 18 405437...... 51 413159...... 17 405441...... 51 413160...... 17 405446...... 52 413161...... 17 405447...... 52 413162...... 17 405448...... 52 413163...... 17 405449...... 52 413164...... 17 405450...... 52 413165...... 17 405451...... 52 413166...... 17 405452...... 52 413167...... 17 405453...... 52 413168...... 17 405456...... 46 413169...... 37 405457...... 46 413170...... 37 405458...... 46 413171...... 37 405467...... 46 413172...... 37 405468...... 46 413173...... 38 405473...... 46 413174...... 38 405474...... 46 413175...... 38 405475...... 46 413176...... 38 405476...... 46 413177...... 16 405477...... 46 413178...... 16 405478...... 46 413179...... 16 405479...... 46 413180...... 16 405480...... 46 413181...... 16 405481...... 46 413182...... 16 405482...... 46 413183...... 16 405483...... 46 413184...... 16 409268...... 45 413185...... 16 84 409269...... 45 413186...... 16 Numerical Index 85 5 5 6 7 7 7 7 7 48 48 48 48 48 48 48 47 47 47 47 47 47 47 47 47 56 59 59 28 29 29 30 28 29 29 30 28 29 29 30 29 30 30 31 31 31 32 32 32 27 27 30 31 31 31 30 31 31 31 55 55 36 36 36 19 19 19 13 13 13 32 32 32 27 64 64 66 66 66 66 66 66 75 75 75 75 75 75 76 76 76 76 76 77 77 77 ...... 416777...... 416778...... 416779...... 416780...... 416781...... 416782...... 416783...... 416795...... 416796...... 416797...... 416798...... 416799...... 416900...... 416901...... 416902...... 416903...... 416908...... 416915...... 416916...... 416917...... 416918...... 416919...... 416920...... 416921...... 416922...... 416923...... 416924...... 416925...... 416926...... 416927...... 416928...... 416929...... 416930...... 416932...... 416934...... 416937...... 416938...... 416940 416942...... 416945...... 416946...... 416948...... 416950...... 416953...... 416954...... 416975...... 416976...... 420695...... 420696...... 420697...... 420793...... 420797...... 420798...... 421033...... 421034...... 421035...... 421039...... 421040...... 421041...... 421042 421043 421044 421045...... 421046...... 421047...... 421074...... 421075 421076 650408...... 650422...... 650828...... 650829...... 650830...... 650831...... 650832...... 650833...... 839001...... 839002...... 839003...... 839004...... 839005...... 839250...... 839251...... 839252...... 839253...... 839260...... 839261...... 839262...... 839263...... 839264...... 839265...... 839266...... 839267...... 839268...... 839280...... 6 6 5 16 16 33 33 33 34 34 34 49 49 13 13 13 13 19 19 19 19 27 27 27 27 27 57 57 54 54 54 54 54 54 25 25 25 25 25 25 25 25 25 25 25 25 25 25 24 25 24 25 24 24 25 24 24 25 24 24 57 57 57 59 59 59 59 59 55 55 55 56 56 56 56 56 56 56 56 56 57 56 57 56 57 56 57 56 57 56 57 56 57 48 48 48 413187...... 413188...... 413312...... 413313...... 413314...... 413334...... 413335...... 413336...... 413353...... 413354...... 413417...... 413418...... 413419...... 413420...... 413421...... 413422...... 413423...... 413424...... 413435...... 413436...... 413437...... 413438...... 413439...... 413499...... 413500...... 413501...... 413509...... 413510...... 413515...... 413516...... 413518...... 413519...... 413521...... 413522...... 416400...... 416401...... 416402...... 416403...... 416404...... 416405...... 416406...... 416407...... 416408...... 416409...... 416410...... 416411...... 416412...... 416413...... 416414...... 416415...... 416416...... 416417...... 416418...... 416419...... 416420...... 416421...... 416422...... 416423...... 416424...... 416472...... 416700...... 416701...... 416702...... 416704...... 416707...... 416710...... 416713...... 416715...... 416718...... 416719...... 416721...... 416724...... 416725...... 416728...... 416729...... 416732...... 416733...... 416736...... 416737...... 416738...... 416739...... 416740...... 416741...... 416742...... 416743...... 416744...... Alphabetical Index A ActiveLife® Convex One-Piece Pre-Cut Drainable Pouch with Durahesive® Skin Barrier. . . .61 ActiveLife® Convex One-Piece Pre-Cut Urostomy Pouch with Durahesive® Skin Barrier. . . .66 ActiveLife® One-Piece Cut-to-Fit Closed-End Pouch with Stomahesive® Skin Barrier and Filter...... 64–65 ActiveLife® One-Piece Cut-to-Fit Urostomy Pouch with Stomahesive® Skin Barrier . . . . . 67 ActiveLife® One-Piece Drainable Cut-to-Fit Pouch with Durahesive Plus® Skin Barrier. . . . 62 ActiveLife® One-Piece Drainable Cut-to-Fit Pouch with Stomahesive® Skin Barrier...... 61 ActiveLife® One-Piece Drainable Pouch with Stomahesive® Skin Barrier and Tail Closure . . .67 ActiveLife® One-Piece Pre-Cut Closed-End Pouch with Stomahesive® Skin Barrier and Filter. 65 ActiveLife® One-Piece Pre-Cut Closed-End Pouch with Stomahesive® Skin Barrier and no tape collar...... 65 ActiveLife® One-Piece Pre-Cut Drainable Pouch with Stomahesive® Skin Barrier. . . . . 62-63 ActiveLife® One-Piece Pre-Cut Urostomy Pouch with Durahesive® Skin Barrier and Accuseal® Tap with Valve...... 66 ActiveLife® One-Piece Stoma Cap with Stomahesive® Skin Barrier and Filter...... 66 C ConvaTec® Loop Ostomy Rod – Sterile Package...... 32 ConvaTec® Night Drainage Container Set ...... 8 ConvaTec® Night Drainage Container Tubing...... 8 D DuoLock™ Curved Tail Closures...... 7 E Eakin® Access Window...... 77 Eakin® Wound Pouch with Fold and Tuck Closure...... 75 Eakin® Wound Pouch with remote attachment and tap closure ...... 76 Eakin® Wound Pouch with remote drainage attachment and tap closure...... 75–77 Eakin® Wound Pouch with tap closure and Access Window...... 76-77 Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter ...... 57 Esteem® + One-Piece Closed-End Pouch with Modified Stomahesive® Pre-Cut Skin Barrier and Filter...... 59 Esteem® + One-Piece Closed-End Pouch with Moldable Stomahesive® Skin Barrier and Filter...... 57 Esteem® + One-Piece Drainable Pouch with Cut-to-Fit Durahesive Plus® Skin Barrier, InvisiClose® Tail Closure and Filter...... 55 Esteem® + One-Piece Drainable Pouch with Durahesive® Pre-Cut Convex Skin Barrier, InvisiClose® Tail Closure and Filter...... 56–57 Esteem® + One-Piece Drainable Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier, InvisiClose® Tail Closure ...... 55 Esteem® + One-Piece Drainable Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier, InvisiClose® Tail Closure and Filter...... 55 Esteem® + One-Piece Drainable Pouch with Modified Stomahesive® Pre-Cut Skin Barrier, InvisiClose® Tail Closure and Filter...... 56 ® + ® Alphabetical Index Esteem One-Piece Drainable Pouch with Moldable Stomahesive Skin Barrier . . . . . 54 Esteem® + One-Piece Drainable Pouch with Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure...... 56 Esteem® + One-Piece Drainable Pouch with Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure Post-Operative/ Surgical Kit...... 59 Esteem® + One-Piece Drainable Pouch with Stomahesive® Cut-to-Fit Skin Barrier* and InvisiClose® Tail Closure Post-Operative/Surgical Kit – STERILE. . . . .59 Esteem® + One-Piece “Mini” Closed-End Pouch with Modified Stomahesive® Cut-to-Fit Skin Barrier and Filter ...... 57 Esteem synergy® Closed End Mini Pouch ...... 51 Esteem synergy® + Closed End “Mini” Pouch with Filter...... 48 Esteem synergy® + Closed End Pouch with Filter...... 48 Esteem synergy® Closed End Pouch with Filter...... 51 Esteem synergy® Drainable Pouch...... 49 Esteem synergy® Drainable Pouch with Filter ...... 49 Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System...... 47 Esteem synergy® + Drainable Pouch with InvisiClose® Tail Closure System and Filter. . . . 47 Esteem synergy® Drainable Pouch with InvisiClose® Tail Closure System and Filter . . . . . 49 Esteem synergy® Moldable Durahesive® Convex Skin Barrier with mold-to-fit opening. . . . 45 Esteem synergy® Moldable Stomahesive® Skin Barrier with mold-to-fit opening...... 45 Esteem synergy® Professional Kit – Non‑sterile...... 50 Esteem synergy® Professional Kit – Sterile Loop Ostomy System ...... 50 Esteem synergy® Stomahesive® Skin Barrier with cut-to-fit opening...... 46 Esteem synergy® Stomahesive® Skin Barrier with pre-cut opening...... 46 Esteem synergy® Urostomy Pouch (small) with Accuseal® Tap with Valve...... 52 Esteem synergy® Urostomy Pouch with Accuseal® Tap with Valve...... 52 L Little Ones® One-Piece Drainable Pouch with Cut-to-Fit Stomahesive® Skin Barrier. . . . . 72 Little Ones® One-Piece Extra Small Drainable Pouch with Stomahesive® Skin Barrier and InvisiClose® Tail Closure System...... 70 Little Ones® One-Piece Urostomy Pouch with Cut-to-Fit Stomahesive® Skin Barrier. . . . . 72 Little Ones® Two-Piece Adhesive Coupling Technology Standard Flexible Stomahesive® Skin Barrier...... 70 Little Ones® Two-Piece Adhesive Coupling Technology Standard Stomahesive® Skin Barrier ...... 70 86 Alphabetical Index 87 8 9 8 8 5 6 9 9 6 6 16 34 38 38 13 19 71 70 27 25 25 25 70 72 71 72 33 40 71 41 18 17 21 41 20 41 16 23 38 37 36 23 24 31 31 29 30 28 30 32 13 29 31 32 19 71 39–40 33–34 20–21 39–40 35–36 24–25 ...... ® ......

......

...... Skin Barrier

® Tap with Valve Tap ® Skin Barrier and Skin Barrier and Skin Barrier with Extra Small Extra Small Standard Standard ...... ™ ™ ™ ™ ™ ™ ™ Skin Barrier and Skin Barrier and Skin Barrier with ™ ™ ™ ...... Tail Closure System and Filter Closure Tail Tail Closure System...... Closure Tail ® ® Tap with Valve Tap ...... ® ...... Tail Closure System Closure Tail System and Filter Closure Tail ® ® ...... Barrier with Accordion Flange Skin Barrier with Accordion Skin Barrier with Mold-to-Fit opening...... ® ® ...... Barrier with Accordion Flange...... Skin Barrier with Accordion Skin Barrier with Mold-to-Fit opening ® ® ...... Filter ...... System and Closure Tail Closure System...... Closure Tail ® ® ...... Flexible Skin Barrier with cut-to-fit opening...... Opening...... Flexible Skin Barrier with Pre-cut Skin Barrier and Drainable Pouch Unit Dose Kit Skin Barrier with cut-to-fit opening...... Flexible Skin Barrier and Drainable Pouch ® ® ® ® ® ...... Skin Barrier with cut-to-fit opening opening, CONVEX-IT Skin Barrier with pre-cut Flexible Skin Barrier Urostomy Pouch Unit Dose Kit Flexible Skin Barrier Urostomy Flexible Skin Barrier with cut-to-fit opening Moldable Convex Skin Barrier with ...... ® ® ® ® ® ...... Cut-to-Fit Skin Barrier and Urostomy Pouch Cut-to-Fit Skin Barrier and Urostomy Pouch Cut-to-Fit Skin Barrier and Urostomy ConvaTec Moldable Technology ConvaTec Moldable Technology ConvaTec Moldable Technology ConvaTec Cut-to-Fit Skin Barrier and Drainable Pouch Cut-to-Fit Skin Barrier and Drainable Pouch ® ® ® ® ® ® ® ConvaTec Moldable Technology ConvaTec Moldable Technology ConvaTec Moldable Technology ConvaTec ® ® ® Stomahesive Pouch with Accuseal Urostomy Pouch with Fold Over Tab Urostomy Small Pouch with Accuseal Urostomy Moldable Stomahesive Stomahesive Stomahesive Stomahesive Stomahesive Low Pressure Adaptor Low Pressure Mini-Pouch Moldable Durahesive Moldable Durahesive Moldable Stomahesive Durahesive Durahesive Durahesive Durahesive Flange Cap with Filter...... Drainable Pouch For High Output Drainable Pouch with Filter...... Drainable Pouch with InvisiClose Drainable Pouch with InvisiClose Durahesive Closed-End Pouch Closed-End Pouch with Filter...... Disposable Convex Inserts* Drainable Pouch ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® Skin Barrier ® ...... Skin Barrier ...... ® Sting-Free Skin Barrier Wipe...... Sting-Free Sting-Free Adhesive Remover Wipe Sting-Free Skin Adhesive Releaser Sting-Free Two-Piece Standard Flexible Cut-to-Fit Stomahesive Flexible Cut-to-Fit Standard Two-Piece . . . . Pouch...... Urostomy Standard Two-Piece Two-Piece Adhesive Coupling Technology Two-Piece Adhesive Coupling Technology Two-Piece ‑End Pouch Closed Standard Two-Piece Pouch Drainable Standard Two-Piece Two-Piece Adhesive Coupling Technology Adhesive Coupling Two-Piece Adhesive Coupling Technology Two-Piece ™ ™ ™ Urostomy Pouch with Soft-Tap Pouch with Urostomy Drainable Pouch with InvisiClose Drainable Pouch with InvisiClose “Mini” Closed End Pouch Closed End Pouch ...... Closed End Pouch with Filter...... ® ® ® ® ® ® ® ® Irrigation Adapter Faceplate Irrigation Sleeve...... Closure Irrigation Sleeve Tail Irrigation Starter Set Irrigator with Stoma Cone...... Stoma Cone...... Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura Natura ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® + + + + + +

Stomahesive Stomahesive Stomahesive Stomahesive Stomahesive Stomahesive Durahesive Stomahesive Durahesive Durahesive

™ ® ® ® ® ® ® ® ® ® ® ® ® ® ® ® Mold-to-Fit opening Closed-End Pouch with Filter Closed-End Pouch Drainable Pouch with InvisiClose Drainable Pouch Stomahesive with InvisiClose Drainable Pouch ...... Unit Dose Kit...... Kit . Post-Operative/Surgical Kit – STERILE Post-Operative/Surgical ...... Kit . Post‑Operative/Surgical ...... Kit – STERILE Post-Operative/Surgical Accordion Flange and Drainable Pouch Post-Operative/Surgical Kit Flange and Drainable Pouch Post-Operative/Surgical Accordion ...... Kit ...... Drainable Pouch Post-Operative/Surgical . . . . . Kit ...... Pouch Post-Operative/Surgical Urostomy Accordion Flange and Drainable Pouch Post-Operative/Surgical Kit Flange and Drainable Pouch Post-Operative/Surgical Accordion ...... Kit ...... Drainable Pouch Post-Operative/Surgical . . . . . Kit ...... Pouch Post-Operative/Surgical Urostomy SUR-FIT SUR-FIT SUR-FIT SUR-FIT Visi-Flow Visi-Flow Visi-Flow Stomahesive SUR-FIT SUR-FIT Little Ones Little Ones Natura Natura Natura SUR-FIT SUR-FIT Little Ones Little Ones Little Ones SUR-FIT SUR-FIT V Visi-Flow S Sensi-Care N Natura Little Ones Little Ones SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT SUR-FIT Natura Natura Natura Natura Natura Natura Natura Natura Natura Visi-Flow Visi-Flow Sensi-Care Sensi-Care SUR-FIT Natura Natura Natura SUR-FIT Little Ones Customer Interaction Center The ConvaTec Customer Interaction Center (CIC) has Product Specialists, including WOC (ET) nurses available five days a week to answer ConvaTec product-related questions and provide reimbursement information (HCPCS codes and utilization limits) for ConvaTec products to patients and professionals. To contact the CIC department, call toll free 1-800-422-8811, M-F 8:30am-7:00pm ET, or via the ConvaTec website at: www.convatec.com

Disclaimer The reimbursement information provided by ConvaTec is intended to provide general information relevant to coding and reimbursement of ConvaTec’s products only. Coverage and payment policies for the same insurer can vary from one region to another and may change from time to time because of ongoing changes in government and insurance industry rules and regulations. Therefore, please confirm HCPCS codes with your local DME-MAC, private insurer, or Medicaid agency before processing claims. ConvaTec does not guarantee coverage or payment of its products listed herein.

Trademark Notice

Eakin, Eakin Cohesive and Eakin Cohesive Slims are registered trademarks of T.G. Eakin Limited.

Unless otherwise indicated, all other marks are registered trademarks or trademarks of ConvaTec Inc.