Realization of Active Life for Ostomates Stoma Care Solution Since 1965 when "LAPACK" was launched as the first ostomy appliance manufactured in Japan, Hospital Stay ALCARE, a stoma care pioneer, has served Social Rehabilitation medical needs and ostomates' demands and made Before Operation / During Operation After Operation the most of its unique technology to develop and provide various products. Room Operating ALCARE continues supplying the optimum solutions to meet a large variety of practical needs in the treatment following ostomy and Blood Flow Care urinary diversion. ALCARE also provides total Wound care materials and pouch drainage The medical stockings or the products promote improvement of patients' stoma care solutions before, during and after elastic bandages are used to Blood Flow Care QOL and saving of nursing and treatment in operation through social rehabilitation to improve promote the blood flow in the the postoperative wound and drainage care. ostomates' QOL and realize their active life. lower extremities that tends to stagnate during lying and rest. Wound Care / Drainage Care Ward The icons used in this catalogue are listed below. Refer the icon when you find a product with it. EOG Sterilized It can be used in an operating room. Hydrocolloid Wound Dressing Drainage after Operation γ-ray Sterilized It can be used in an operating room. 〈KARAYAHESIVE〉 〈SURGIDRAIN OPEN-TOP〉 Hypoallergenic Adhesive The skin friendly hypoallergenic acrylic adhesive Stoma Care Non-Adherent Pad The absorptive part of the pad can not adhere to the wound surface. Medical Stocking〈ANSILK-PRO J〉 Water-Proof / Drip-Proof The water-proof and drip-proof structure prevents contamination from outside. A variety of products, such as EOG sterilized bags and skin barriers, specifically developed An ostomy bag and a face plate are integrated into a one-piece 1-Piece Ostomy System appliance. for after operation stoma care management is 2-Piece Ostomy System An ostomy bag and a face plate are separated. available. 1 Day Exchange 2 Days Exchange Open-Ended bag for Mixed-type powder 2 to 3 Days Exchange Rough guide for exchange date Colostomy / Ileostomy made of karaya gum and Stoma Care citrus pectin 〈POSPACK-K STERILE〉 3 to 5 Days Exchange 〈PROCARE POWDER〉 Outpatient Clinic 4 to 7 Days Exchange A large variety of products for stoma care Convex Type A hard convex plate is incorporated in the face plate to give management after social rehabilitation and sufficient height to a stoma. focusing on improvement of ostomates' QOL Safety Plate A soft plate is incorporated in the face plate to ensure both close is available. contact and flexible fitting to the face plate. Pre-Cut A starter hole is cut in advance and scissors are unnecessary The senior-friendly Short-term exchange when you apply. single ring coupling with less skin damage YOUCARE 2 YOUCARE Free-Cut Before applying, cut to fit the stoma size with scissors. 〈 〉 〈 〉 Open-Ended Type An ostomy bag with a fecal removal opening at the end Closed-Ended Type An ostomy bag without a fecal removal opening Vent for Watery Stool It is suitable vent for watery to muddy stool. Vent for Urine It is suitable vent for urine. 3 4 After Operation / Social Rehabilitation Stoma Care ALCARE considers improvement of ostomates'QOL Theme of Development of appliances that can be used as its basic theme of our development and has created Development by the elderly in their self-care processes. many unique products; such as the appliances serving ・Products that could be used for a long Feature 1 Assurance for Skin Friendly for social rehabilitation and safer skin barrier. period of time Skin-Friendly ・Products that could be used by the elderly Skin Barrier of Natural Materials Theme of Projects for development of skin barrier that in their self-care processes Development The main ingredients of the is indispensable for peristomal skin care skin barrier are the natural materials that rarely irritate ALCARE uses karaya gum as the Development 1 CMC-Free Skin Barrier YOUCARE Series ：One-Piece Ostomy System the skin such as "karaya main raw material for skin barrier to The ingredients of hydrophilic polymer are changed from the combination of YOUCARE 2 Series：Two-Piece Ostomy System gum" and "citrus pectin". enhance the skin protecting effects. karaya gum and CMC to the combination of karaya gum and citrus pectin to Karaya gum keeps the improve skin protecting effects. surface of the faceplate Features of Karaya Gum weak acid. ■ Scanning electron micrographs of the horny layer after one month application of a Karaya gum is the natural gum collected from the single hydrophilic polymer (by Tadaoki Kawashima, POLA Chemical Industry Co., Ltd.) sap of karaya tree in India. Because of its Karaya Gum Citrus Pectin excellent absorptivity, water-holding capacity, applied layer applied layer expansivity and safety, karaya gum has been Feature 2 Easy and Simple Handling used for various food additives and medicines. Secure Fitting without Difficulty User-Friendly 3 Excellent Features Single Ring Coupling Clip-less Ostomy Appliances 1 Buffering Aged people having Just turn up the plate along Action Normal Layer problems in eyes or hands with the blue fold up line and Apple Pectin CMC can use YOUCARE 2 Series. secure the end with Velcro Absorbing Bacteriostatic applied layer applied layer The single ring of this series closures attached. Opening 2 Action 3 Action The scanning electron micrographs show the conditions of the horny layers (magnification of 2,000). can be fitted smoothly into and closing are easy. The Velcro Closure The conditions of the horny layers treated with karaya gum and citrus pectin were similar to those of keep-shaping plate makes the normal horny layer but fissures formed over the horny layers treated with CMC and apple pectin the groove only by adjusting definitely showed aggravation when compared with the conditions of the normal horny layer. the two parts and secure discharge and wiping easy. fitting is achieved. Fold Up Line By folding the Development 2 Ants' Nest Structure Development 3 Excellent Buffer Action keep-shaping plate in V shape, "Ants' nest structure" of "Procare Barrier for Urinary Care" enables "Skin barrier with excellent buffer action" prevents skin irritation open-end can be Keep-shaping Plate both preservation of skin protection and excellent fitting. resulting from strong alkaline excretion. kept open. ■Chronological changes of "ants'nest structure" following absorption of water The skin barrier with excellent buffer action was developed in collaboration with 7cm Wide Open-end Toyama Medical and Pharmaceutical University, Japan. Skin barrier Hydrophilic substances ①Moisture is absorbed by Comfortable Application Stoma the hydrophilic substances Feature 3 in the immediate environment ■Comparison of buffering effects on intestinal fluids around the stoma. No smell, No leakage Scientific Analysis of Body Movement （pH） Skin 9.0 Membrane Charcoal Filter Diamond Shape Hydrophobic substances ● The pH value of intestinal fluids is approximately 7.4. 8.5 (Active digestive enzymes are included.) The new structure consisting Anatomically designed The oval shape flattens the fine 8.0 Fibrous ②The hydrophilic substances of the membrane with active carbon Diamond Shape effectively wrinkles over the abdomen. Skin barrier Hydrophilic substances are expanded to the point 7.5 excellent air permeability prevents detachment and where no additional moisture Conventional skin barrier 7.0 and waterproofing property leakage by increased can be absorbed. These for stoma care (KPBS type) Stoma (air permeable waterproof flexibility following the curved substances are released from 6.5 membrane) and fibrous active groin and the abdominal the skin barrier. Then, moisture Newly developed skin barrier with excellent 6.0 movement. Because of the Skin is absorbed by the remaining buffer action (KPBS type) carbon with deodorizing Air permeable Hydrophobic substances hydrophilic substances in 5.5 effects (charcoal) enables waterproof Gas compact design, he/she membrane sequential order. ●The human skin is effective protection of hardly notices uncomfortable 5.0 physiologically neutral at pH values accumulated excretion during feeling. It offers higher ranging from 4.5 to 6.5 (weak acid). Repetition of the above two 4.5 Skin barrier Hydrophilic substances ③ gas release. Users are no levels of durability and processes [① ,② ] enables 4.0 longer afraid of leakage of achieves excellent contact. gradual release of hydrophilic Excretion Pretreatment 1 2 3 4 6 8 10 12 24(hours) Stoma substances and the peristomal smell and stool. skin is continuously protected. *Measurement data provided by the Adult Care Department, Toyama Medical and Pharmaceutical University, Japan. The triangle shape achieves excellent The hydrophobic substances fitting to the inguinal region. Skin which do not collapse maintain Hydrophobic substances the close contact with the skin. 9 10 Social Rehabilitation Stoma Care Providing a large variety of products based on individual stoma conditions and lifestyles so that ostomates can select optimum ostomy appliances after social rehabilitation. Selection of Ostomy Appliances after Social Rehabilitation Stoma Conditions Stoma Flat or retracted Stoma With sufficient height Peristomal Wrinkles and hollows Peristomal No wrinkles, no hollows The convex plate inside of the face plate gives sufficient height to the stoma and prevents leakage of excretion. Flesh Skin Barrier Can be changed everyday One-Piece