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ConvaTec 2011 Product Guide

2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

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Page 1: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

ConvaTec2011 Product Guide

Page 2: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture
Page 3: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

ConvaTecis dedicated to bettering the lives of patients, their supporting

caregivers and healthcare professionals with innovative, high-quality

products and product-related services for ostomy care, skin care and

advanced wound care. This dedication and commitment to meeting

customers’ needs has been our passion for over 25 years.

Page 4: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Customer Interaction Center.............................................................................................................................6

Disclaimer .........................................................................................................................................................6

SkIn Care ProDuCtS .....................................................................................................................8-12

Patient Bathing ...................................................................................................................................8

Perineal/Skin Cleansers ......................................................................................................................9

Skin Protectants/Moisturizers............................................................................................................10

Skin Protectants/Moisture Barriers....................................................................................................11

antifungals........................................................................................................................................12

Dispensers........................................................................................................................................12

FeCal ManageMent ProDuCtS.......................................................................................................14

Flexi-Seal® Fecal Incontinence Products ......................................................................................13-14

WounD Care ProDuCtS..............................................................................................................15-23

Wound Cleansing....................................................................................................................................16

Wound Hydration ....................................................................................................................................17

Moisture retentive Dressings.............................................................................................................18-19

DuoDerM® Products...................................................................................................................18-19

antimicrobial Dressings ...........................................................................................................................20

aQuaCel® ag Products...................................................................................................................20

exudate Management........................................................................................................................21-23

aQuaCel® Products ........................................................................................................................21

kaltoStat® Products .....................................................................................................................21

Versiva® XC® Products ......................................................................................................................22

CombiDerM® Products...............................................................................................................22-23

CarboFlex® Products.........................................................................................................................23

Compression Products ..........................................................................................................................24

SurePress® Products.........................................................................................................................24

unna-FleX® Products .....................................................................................................................24

WounD PouCHeS anD SPeCIalty ProDuCtS...........................................................................25-27

oStoMy Care ProDuCtS ............................................................................................................28-84

ostomy Skin Care & accessory Products....................................................................................29-31

Sur-FIt natura® two-Piece Products.........................................................................................32-51

Sur-FIt natura® low-Pressure adaptor.....................................................................................40

4

Table of Contents

Page 5: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Convatec Moldable technology™ Post-operative/Surgical kits....................................................52-54

gentle touch® Postoperative Products ........................................................................................55-57

esteem synergy® two-Piece Products .........................................................................................58-66

Sur-FIt ® autolock® two-Piece Products...................................................................................67-71

activelife® one-Piece Products...................................................................................................71-80

esteem® one-Piece Products ......................................................................................................81-82

little ones® Pediatric Care Products ...........................................................................................83-86

Visi-Flow® Irrigation Products .....................................................................................................87-88

ostomy glossary of terms ...............................................................................................................89

3M to Convatec Wound Care Cross-reference guide................................................................90-91 . .

Coloplast to Convatec Wound Care Cross-reference guide ......................................................92-93 . .

Dermarite to Convatec Wound Care Cross-reference guide..........................................................94 . .

Derma Sciences to Convatec Wound Care Cross-reference guide.................................................95 . .

Ferris Manufacturing group to Convatec Wound Care Cross-reference guide................................96 . .

Hollister to Convatec Wound Care Cross-reference guide.........................................................97-98 . .

Systagenix to Convatec Wound Care Cross-reference guide ..................................................99-100 . .

Medline to Convatec Wound Care Cross-reference guide....................................................101-102

Molnlycke to Convatec Wound Care Cross-reference guide.................................................103-104

Smith & nephew to Convatec Wound Care Cross-reference guide.......................................105-109

reFerenCeS ..............................................................................................................................................110

aDDItIonS...................................................................................................................................................111

DeletIonS..................................................................................................................................................109

MeDICare utIlIzatIon CHartS........................................................................................................112-113

nuMerICal InDeX ..............................................................................................................................114-116

alPHaBetICal InDeX .........................................................................................................................117-119

5

Page 6: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Trademark Notice

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

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

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

The reimbursement information provided by ConvaTec is intended to provide general information relevant to

coding and reimbursement of ConvaTec products only. Coverage and payment policies for the same insurer,

such as Medicare, 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. Please confirm HCPCS codes

with the Pricing, Data Analysis and Coding (PDAC) contractor or your local DME MAC before processing

claims. ConvaTec does not guarantee coverage or payment of its products.

6

Disclaimer

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7

Skin Care Products

Page 8: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Sensi-Care® Septi-Soft® ConcentrateSensi-Care® Septi-Soft® Concentrate is a bathing solution enriched with natural coconut oil to soften, condition and

moisturize the skin. It is designed for no-rinse bathing and shampooing and contains a natural soap to cleanse the

skin and hair and reduce body odors. Sensi-Care® Septi-Soft® Concentrate leaves skin and hair clean and fresh.

Aloe Vesta® Body Wash & ShampooGentle and soothing to fragile, dry skin. It is specially formulated to leave skin and hair smelling clean and fresh.

It not only cleanses effectively, but it also moisturizes the skin. It may be used for routine tub and shower bathing

or for no-rinse bathing and shampooing.

8

Product Code Size Qty.

324604 4 oz 48 bottles per case

324609 8 oz 48 bottles per case

324611 4 ltr 4 bottles per case

Patient Bathing

325204 4 oz 24 bottles per case

325208 8 oz 12 bottles per case

Aloe Vesta® Cleansing FoamAloe Vesta® Cleansing Foam is one product for total body cleansing that is extra-gentle and ready to use. It is a no-

rinse cleanser for all-over body, hair and perineum. Its no-rinse formula is pH balanced and enriched with aloe and

emollients designed to leave skin feeling clean and fresh.

325521 8 towelettes per pack 24 packs per case

Aloe Vesta® Bathing ClothsAloe Vesta® Bathing Cloths are a moisturizing cleansing system for no-rinse bed bathing. Each bag contains eight

pre-moistened cloths for cleansing body areas. Aloe Vesta® Bathing Cloths contain natural botanical oils, which

moisturize and condition the skin, making it feel smooth and soft without leaving a sticky residue.

Product Code Size Qty.

324612 1 ltr bottle 8 per case

122101 1 ltr wall mounted dispenser 4 per case

Aloe Vesta® Body Wash & ShampooOne-Touch Wall Mount DispenserThis product features the original Aloe Vesta® Body Wash & Shampoo product in an easy, one-hand, one-touch

dispensing unit. The dispenser unit is easy to install, clean and refill.

Product Code Size Qty.

Product Code Size Qty.

325304 4 oz 48 bottles per case

325309 8 oz 48 bottles per case

Product Code Size Qty.

Patient Bathing

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9

Perineal/Skin Cleansers

Perineal/Skin Cleansers

Sensi-Care® Perineal/Skin Cleanser

Sensi-Care® Perineal/Skin Cleanser is formulated for patients sensitive to irritating fragrances, preservatives, and

harsh cleansers. Its extra-gentle, no-rinse cleanser is designed for incontinence cleansing. Contains special

conditioners and emollients to soothe and moisturize fragile, sensitive skin.

Aloe Vesta® Bathing ClothsAloe Vesta® Bathing Cloths are a moisturizing cleansing system for no-rinse bed bathing. Each bag contains eight

pre-moistened cloths for cleansing body areas. Aloe Vesta® Bathing Cloths contain natural botanical oils, which

moisturize and condition the skin, making it feel smooth and soft without leaving a sticky residue.

325204 4 oz 24 bottles per case

325208 8 oz 12 bottles per case

Aloe Vesta® Cleansing FoamAloe Vesta® Cleansing Foam is one product for total body cleansing that is extra-gentle and ready to use. It is a no-

rinse cleanser for all-over body, hair and perineum. Its no-rinse formula is pH balanced and enriched with aloe and

emollients designed to leave skin feeling clean and fresh.

325521 8 towelettes per pack 24 packs per case

324704 4 oz 48 bottles per case

324709 8 oz 48 bottles per case

Aloe Vesta® Perineal/Skin CleanserAloe Vesta® Perineal/Skin Cleanser is designed for incontinence cleansing. It contains a strong surfactant system to

clean and emollients to moisturize. This liquid skin cleanser deodorizes with a fresh lemon fragrance. Dispensed as

a liquid spray, it is more convenient than soap and water cleansing from a basin.

324504 4 oz 48 bottles per case

324509 8 oz 48 bottles per case

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

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10

Skin Protectants/Moisturizers

Skin Protectants/Moisturizers

Sensi-Care® Moisturizing Body CreamSensi-Care® Moisturizing Body Cream is specially formulated to relieve chronic dry skin. This moisturizing body

cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture.

Concentrated for highly effective dry skin therapy. It is good for hands, heels, elbows and knees.

Aloe Vesta® Skin ConditionerAloe Vesta® Skin Conditioner has been designed for routine moisturizing and skin protection. It was designed with

the needs of people with sensitive skin in mind. It leaves the skin feeling smooth and soft and helps to relieve dry

skin. It helps prevent and temporarily protect chafed, chapped, and cracked skin.

324802 (NDC43553-3248-02) 2 oz 98 bottles per case

324804 (NDC43553-3248-04) 4 oz 48 bottles per case

324809 (NDC43553-3248-09) 8 oz 48 bottles per case

324403 (NDC43553-3244-03) 3 oz 24 tubes per case

Product Code Size Qty.

Product Code Size Qty.

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Sensi-Care® Protective BarrierSensi-Care® Protective Barrier provides extra protection for high-risk skin or weepy and denuded skin. This zinc

oxide-based barrier guards fragile and sensitive skin to help manage and prevent irritation due to urine and fecal

incontinence.

Aloe Vesta® Protective Barrier SprayAloe Vesta® Protective Barrier Spray repels moisture and acts as a barrier to irritants in feces and urine. The product

is petrolatum-based, thus offering moisturization of the skin as well. The clear product is designed to be applied by

spraying it on the skin without the need to rub fragile skin. This reduces the possibility for further damage to the skin

through physical contact.

11

Skin Protectants/Moisture Barriers

413401 (NDC43553-4134-01) 2.1 oz 24 spray bottles per case

324913 (NDC43553-3249-13) 2 oz 24 tubes per case

324908 (NDC43553-3249-08) 8 oz 12 tubes per case

Aloe Vesta® Protective OintmentAloe Vesta® Protective Ointment has been designed to act as a barrier/ointment for routine use in incontinence

care. It performs two key functions: moisturizing and protection of the skin. The petrolatum-based ointment is

easy to apply. It provides a clear and effective barrier that seals out moisture, contains protein-rich emollients to

moisturize and is non-sensitizing and fragrance free.

325614 (NDC43553-3256-14) 4 oz 24 tubes per case

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Skin Protectants/Moisture Barriers

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12

Antifungals

Aloe Vesta® Antifungal OintmentAloe Vesta® Antifungal Ointment cures most superficial fungal infections with 2% miconazole nitrate in a petrolatum

base. The petrolatum, which forms a clear barrier, repels moisture and softens affected skin while it relieves itching,

scaling, cracking, and discomfort.

325102 (NDC43553-3251-02) 2 oz 12 tubes per case

325105 (NDC43553-3251-05) 5 oz 12 tubes per case

Product Code Size

These products may be used only with the dispensers listed below.

Products:324612 Aloe Vesta® Body Wash and Shampoo 1 ltr

Dispensers:122101 1 ltr Wall Mounted Dispenser 1 ltr

Dispensers

Product Code Size Qty.

Antifungals

Page 13: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Product Code Qty.

418000 1 kit

Flexi-Seal® SIGNAL® Fecal Management System (FMS) KitKit contains: 1 soft silicone catheter with SIGNAL indicator, 1 syringe, 3 collection bags withcharcoal filter, 5 labels for clinical notes

Flexi-Seal® SIGNAL® FMS has a unique fill port that indicates when the retention balloon is filled to an appropriate volumeup to a max of 45 mL. The indicator port has a small bubble that rises as the amount of fluid instilled into the balloonapproaches 45 mL, providing additional guidance for the nurse along with the specially marked 45 mL syringe.* Thisexciting product not only brings confidence to the nurses that they are filling the balloon appropriately up to 45 mL, butalso improves ease of use.

*Note that all patients will not require inflation of the balloon to the maximum of 45 mL. Fill volume for each patient is based on clinician judgment andnot to exceed 45 mL.

13

Product Code Qty.

411100 1 kit

Flexi-Seal® Fecal Management System (FMS) KitKit contains: 1 soft silicone catheter, 1 syringe, 3 collection bags

Flexi-Seal® FMS is a temporary containment device, indicated for the fecal management of patientswith little or no bowel control and liquid or semi-liquid stool. It was designed to safely and effectively divert fecal matter,protect patients' wounds from fecal contamination and reduce both the risk of skin breakdown and spread of infection.This easy-to-use system provides an excellent alternative to traditional methods of managing fecal incontinence such aspads, diapers, fecal pouches, and rectal tubes.

Flexi-Seal® FMS kit consists of a silicone catheter with soft and flexible silicone retention balloon, specially labeled syringefor 45ml, and 3 collection bags.

At one end, the soft silicone catheter has a retention balloon. The device is inserted into the rectum. At the opposite end,the catheter has a connector for attaching the collection bag.

Fecal Management Products

Product Code Qty.

411104 1 kit

Flexi-Seal® Fecal Management System (FMS) Advanced Odor ControlKit contains: 1 soft silicone catheter with nylon inner odor barrier, 1 syringe, 3 collection bags with charcoal filter

The Flexi-Seal® FMS Advanced Odor Control is specifically designed to help manage odor*associated with fecal incontinence.

The Flexi-Seal® FMS Advanced Odor Control manages odor in two distinct ways: first, the nylon inner odor barrier HOLDSthe odor molecules within the silicone catheter; second, the device contains a charcoal filter in the collection bag thatdeodorizes gas as it is released.

In addition to promoting skin integrity and reducing the spread of infection, Flexi-Seal® FMS Advanced Odor Control isdesigned to provide a more pleasant environment for both patients and their caregivers.

* Eliminates perceptible naphthalenic (indole) and sulfide odors radiating from the catheter tube.

Fecal Management Prodcts

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14

Skin Protectants/MoisturizersFecal Management Products

Fecal Management Products

411101 10 per box

Flexi-Seal® Fecal Management System (FMS) Collection Bag

Product Code Qty. HCPCS

650078 10 per box A4330

Flexi-Seal® Fecal Collector

Flexi-Seal® Fecal Collector is a fecal collector pouch with an odor filter and a skin-friendly hydrocolloidadhesive. Each box contains 10 individually wrapped fecal collectors with tail closures.

411102 10 per box

Flexi-Seal® Fecal Management System (FMS) Collection Bag with Charcoal Filter

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15

Wound Care Products

Page 16: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Wound Cleansing

Product Code Size Qty.

159712 12 oz 6 bottles per case

121222 20 ml (.68 oz) 100 bottles per case

121253 100 ml (3.4 oz) 24 bottles per case

Wound Cleansing

SAF-Clens® AF Dermal Wound Cleanser

SAF-Clens® AF dermal wound cleanser is an advanced surfactant-containing formula that washes away debris thatsaline may leave behind. Its no-rinse formula saves time and its nozzle adjusts from stream to spray for varyingwound cleansing needs. It is designed to deliver safe PSI.

Shur-Clens® Wound CleanserShur-Clens® Wound Cleanser can be used on acute non-surgical traumatic wounds. Its no-rinse formulation is

designed to easily clean wounds without irritation or sensitization while minimizing further tissue damage. It is also

available in a single-unit dose size for convenience.

OPTIPORE® SpongeOptipore® Sponge is a sterile, soft, highly porous, polyurethane sponge that is designed for low-friction cleansing.

Its butterfly shape makes it easy to handle and use.

125199 1 each 25 per case

Product Code Size Qty.

Product Code Size Qty.

16

Page 17: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

Wound Hydration

DuoDERM® Hydroactive® GelDuoDERM® Hydroactive® Gel is a sterile, clear, single-use, hydrocolloid gel without preservatives. It can be

used as a filler in dry cavity wounds because it provides a moist wound healing environment and aids in

the removal of nonviable tissue from the wound (autolytic debridement). It can also be used on diabetic ulcers and skin

conditions resulting from radiation dermatitis.

187990 15 gm 10 tubes per case A6248

187987 30 gm 3 tubes per case A6248

SAF-Gel® Hydrating Dermal Wound Dressing Gel With Alginate

SAF-Gel® hydrating dermal wound dressing has an alginate-containing formula that remains cohesive as it

absorbs. It is indicated for use on chronic and acute wounds, such as dry wounds, pressure ulcers (Stage II-IV), and

stasis ulcers. Its multiple single patient-use package helps to eliminate waste.

Product Code Size Qty. HCPCS

145730 3 oz tube 12 tubes* per case A6248

* Sold in case quantities only.

Product Code Size Qty. HCPCS

17

Wound Hydration

ConvaTeccustomer interaction center

1-800-422-8811Monday through Friday, 8:30 a.m. - 7:00 p.m. et,

www.convatec.com

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Shapes:

410510 4.5” x 7.5” (Oval) 5 dressings per box A6235

410501 8” x 9” (Sacral) 5 dressings per box A6236

410500 7.5” x 8” (Heel) 5 dressings per box A6235

403332 6” x 7” (Triangle) 5 dressings per box A6238

403333 8” x 9” (Triangle) 5 dressings per box A6238

Squares:

403326 4” x 4” 5 dressings per box A6237

403327 5.5” x 5.5” 5 dressings per box A6238

403328 8” x 8” 5 dressings per box A6238

Moisture Retentive Dressings

DuoDERM Signal® DressingDuoDERM Signal® Dressing combines the proven benefits of the moist wound healing environment of

DuoDERM® CGF® Dressing with the latest technology in dressing design to enhance patient comfort. Its easy-

to-use visual indicator helps simplify dressing changes by signaling when it’s time to change the dressing; its tapered

border edges and smooth, low-friction backing help to minimize the potential for dressing catches and shears. Its thin

profile and translucent design make it a flexible and conformable dressing that enhances placement and initial monitor-

ing of the wound.

DuoDERM® Extra Thin DressingDuoDERM® Extra Thin Dressing is a thin, flexible, conformable, and moisture-resistant wound dressing that

covers and protects susceptible areas anywhere on the body to gently protect newly formed tissue or skin at

risk of breakdown. Its translucent backing is designed to prevent needless dressing changes that can cause discomfort

and disturb healing. Recommended for use on skin tears, superficial wounds, dry-to-lightly exuding dermal ulcers, and

post-op wounds.

Shapes:

187932 1 3/4” x 1 1/2” (Spots) 20 dressings per box A6234

187902 4” x 6” (Oval) 10 dressings per box A6235

187903 6” x 7” (Triangle) 10 dressings per box A6235

Squares/Rectangles:

187900 2” x 4” 20 dressings per box A6234

187961 2” x 8” 10 dressings per box A6234

187901 3” x 3” 20 dressings per box A6234

187955 4” x 4” 10 dressings per box A6234

187957 6” x 6” 10 dressings per box A6235

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

18

Moisture Retentive Dressings

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DuoDERM® CGF® DressingDuoDERM® CGF® Dressing is a hydrocolloid, moisture-retentive wound dressing used for partial and full-

thickness wounds with exudate. Recommended for use on dermal ulcers including full-thickness wounds,

pressure ulcers (Stage II - IV), leg ulcers, superficial wounds, partial thickness burns, and donor sites.

187660 4” x 4” 5 dressings per box A6234

187658 4” x 4” 20 dressings per box A6234

187661 6” x 6” 5 dressings per box A6235

187659 6” x 6” 20 dressings per box A6235

187643 6” x 8” 5 dressings per box A6235

187662 8” x 8” 5 dressings per box A6236

187644 8” x 12” 5 dressings per box A6236

DuoDERM® CGF® Border DressingRecommended for use on dermal ulcers including full-thickness wounds, pressure ulcers (Stage II - IV), leg

ulcers, superficial wounds, partial thickness burns, and donor sites.

Squares:

187970 2.5” x 2.5” plus 3/4” Adhesive Border 5 dressings per box A6237

187971 4” x 4” plus 3/4” Adhesive Border 5 dressings per box A6237

187972 6” x 6” plus 1” Adhesive Border 5 dressings per box A6238

Triangles:

187973 4” x 5” DuoDERM® CGF® Dressing plus 5 dressings per box A6237

1” Adhesive Border

187974 6” x 7” DuoDERM® CGF® Dressing plus 5 dressings per box A6238

1” Adhesive Border

DuoDERM® Hydroactive® DressingThe original DuoDERM® dressing designed for the management of partial and full thickness pressure sores and

leg ulcers.

187611 Sterile dressing 4” x 4” 20 dressings per box A6234

DuoDERM® Hydroactive® PasteDuoDERM® Hydroactive® Paste is a hydrocolloid paste for the management of lightly exuding dermal ulcers.

Use DuoDERM Signal® as the cover dressing for best results.

187930 30 gm tube, Sterile 1 tube per box A6240

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

19

Moisture Retentive Dressings

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AQUACEL® Ag Hydrofiber® Dressing with Ionic SilverAQUACEL® Ag dressing is the only antimicrobial dressing with all the unique gelling benefits of Hydrofiber®

technology. This dressing provides many benefits IN ADDITION to those listed for AQUACEL® dressing. Silveris only bactericidal in its ionic state.9,10 The Hydrofiber® properties of AQUACEL® Ag dressing thoroughly conforms over thewound surface creating an intimate contact that allows for an optimal exposure to bactericidal silver ions.11 Ionic silverstarts killing a broad spectrum of pathogens within 30 minutes of exposure to the dressing as demonstrated by in vitrotesting, including MRSA and VRE.12 In vitro studies with AQUACEL® Ag dressing have demonstrated microbicidal activityagainst a wide range of pathogens up to a period of 14 days.13 AQUACEL® Ag dressing maintained antimicrobial activityeven after reinoculation of microorganisms in laboratory studies.13 Gauze can release bacteria into the air during dressingremoval.14 The moist environment provided through Hydrofiber® technology reduces pain during dressing changes provid-ing a non-traumatic removal of the dressing without damaging newly formed tissue.3-6 In addition, AQUACEL® Ag dress-ing resulted in a 28% reduction in the cost per partial thickness burn healed compared to silver sulfadiazine5 in aprotocol of care.

403706 2” x 2” 10 dressings per box A6196

403765 4” x 4.7” 10 dressings per box A6197

403710 6” x 6” 5 dressings per box A6197

403711 8” x 12” 5 dressings per box A6198

403771 .75” x 18” 5 dressings per box A6199

(ribbon with strengthening fiber)

420128 .39” x 18” 5 dressings per box A6199

(ribbon with strengthening fiber)

Antimicrobial Dressings

Product Code Size Qty. HCPCS

20

Antimicrobial Dressings

412009 3.5” x 4” 10 dressings per box

412010 3.5” x 6” 10 dressings per box

412011 3.5” x 10” 10 dressings per box

412012 3.5” x 14” 10 dressings per box

AQUACEL® Ag SURGICAL Hydrofiber® DressingAQUACEL® SURGICAL cover dressings are an easy-to-use, single product solution to the post-operative

management of surgical incisions. They are designed to enhance clinical outcomes and facilitate patient mobility. Thesedressings combine skin-friendly hydrocolloid technology for comfort during body movement, and proprietary Hydrofiber®

Technology with ionic silver to help prevent wound infections and manage exudate (or drainage). Cover layer ofpolyurethane film provides a viral, waterproof and bacterial barrier (when intact and with no leakage), for a high-performance dressing.

Product Code Size Qty. HCPCS

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21

KALTOSTAT® Alginate Wound Dressing KALTOSTAT® dressing is a soft, sterile dressing made of calcium-sodium alginate fiber that converts to a firm

gel/fiber mat on contact with fluid. It is designed to absorb exudate and to help control minor bleeding. It may beappropriately used for moderately to heavily exuding wounds including Stage II–IV pressure ulcers, venous ulcers,arterial and diabetic ulcers, donor sites, superficial burn wounds, lacerations and abrasions, traumatic wounds, and after-surgical wound debridement.

168210 2” x 2” 10 dressings per box A6196

168240 2” x 2” 10 dressings per box, A6196

5 boxes per case

168212 3” x 4 3/4” 10 dressings per box A6196

168242 3” x 4 3/4” 10 dressings per box, A6196

5 boxes per case

168214 4” x 8” 10 dressings per box A6197

168215 6” x 9 1/2” 10 dressings per box A6198

168219 12” x 24” 5 dressings per box A6198

168117 2 gm (rope) 5 ropes per box A6199

168132 2 gm (rope) 5 ropes per box, A6199

10 boxes per case

168356 4” x 4” 10 dressings per box A6196

KALTOSTAT® Alginate Fortex™ DressingKALTOSTAT® is a soft, sterile dressing made of calcium-sodium alginate fiber that converts to a firm gel/fiber

mat on contact with fluid. It may be appropriately used for moderately to heavily exuding wounds including Stage II–IVpressure ulcers, venous ulcers, arterial and diabetic ulcers, donor sites, superficial burn wounds, lacerations and abra-sions, traumatic wounds, and after-surgery wound debridement. Available in a flat dressing.

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Exudate Management

AQUACEL® Hydrofiber® Wound Dressing AQUACEL® dressing is a soft, nonwoven pad or ribbon dressing that features Hydrofiber® technology, a unique

gelling technology exclusive to ConvaTec. It absorbs and retains exudate and harmful components, such as

bacteria contained within exudate, directly into its fibers.1 In an animal study, AQUACEL® dressing in its gelled state,

conformed to the wound surface, thereby reducing dead space.2 The gelling action of Hydrofiber® technology in

AQUACEL® (and AQUACEL® Ag) reduces wound pain while the dressing is in situ and helps to reduce the pain and trau-

ma upon dressing removal.3-6 In addition, AQUACEL® dressing in its gelled state does not damage tender, granulating

wound tissue or healthy tissue surrounding exudating wounds during dressing changes.7 AQUACEL® dressing absorbs

wound fluid and creates a soft gel, which maintains a moist wound environment that aids autolytic debridement and

supports the body’s healing process8 in a protocol of care.

177901 2” x 2” 10 dressings per box A6196

177902 4” x 4” 10 dressings per box A6196

177903 6” x 6” 5 dressings per box A6197

403770 .75” x 18” 5 dressings per box A6199

(ribbon with strengthening fiber)

420127 .39” x 18” 5 dressings per box A6199

(ribbon with strengthening fiber)

Product Code Size Qty. HCPCS

Exudate Management

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Squares/Rectangles:

651031 4” x 4” (Inner pad 2” x 2”) 10 dressings per box A6237

187725 5.25” x 5.25” (Inner pad 2.95” x 2.95”) 10 dressings per box A6237

651029 6” x 10” (Inner pad 7.2” x 3.3”) 5 dressings per box A6238

401848 8” x 8” (Inner pad 3.3” x 3.3”) 5 dressings per box A6238

Triangles:

651027 6” x 7” (Inner pad 4.3” x 3.3”) 5 dressings per box A6238

401849 8” x 9” (Inner pad 6.1” x 5.2”) 5 dressings per box A6238

CombiDERM® ACD® Dressing (adhesive cover dressing)CombiDERM® ACD® Dressing is a thin-profile cover dressing that wicks and keeps excess moisture away from

the wound, locking in exudate while maintaining a moist wound healing environment. It can be used over

moderately to heavily exuding wounds including pressure ulcers, leg ulcers, diabetic ulcers, abrasions, lacerations,

biopsies, and open and closed surgical wounds.

Product Code Size Qty. HCPCS

Non-Adhesive:

410606 3” x 3” 10 dressings per box A6209

410607 4.25” x 4.25” 10 dressings per box A6209

410608 6” x 6” 5 dressings per box A6210

410614 8” x 8” 5 dressings per box A6211

Adhesive:

410609 4” x 4” 10 dressings per box A6212

410610 5.5” x 5.5” 10 dressings per box A6212

410612 8” x 7” (Heel) 5 dressings per box A6213

410613 10” x 8” (Sacral) 5 dressings per box A6213

410615 7.5” x 7.5” 5 dressings per box A6213

Sizes listed below represent overall dressing dimensions.

Product Code Size Qty. HCPCS

Versiva® XC® Gelling Foam Dressing Versiva® XC® Gelling Foam Dressing is a unique gelling foam dressing that combines the simplicity of foamwith the benefits of Hydrofiber® Technology. It is designed to protect periwound skin and reduce the risk ofmaceration and also offers more for wound management than just a moist wound environment. As a primary

dressing, use Versiva® XC® Gelling Foam Dressing in your current protocol of care. Recommended as secondary dressingover AQUACEL® dressing for deep wounds or over AQUACEL® Ag dressing for deep wounds at risk of infection.

22

Exudate Management

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23

CombiDERM® Non-Adhesive DressingCombiDERM® Non-Adhesive Dressing is a thin-profile cover dressing that keeps excess moisture away from

the wound, locking in exudate while maintaining a moist wound healing environment. It can be used over mod-

erately to heavily exuding wounds including pressure ulcers, leg ulcers, diabetic ulcers, abrasions, lacerations, biopsies,

and open and closed surgical wounds.

187774 3” x 3” (Inner pad 2.1” x 2.1”) 10 dressings per box A6234

187773 5.25” x 5.25” (Inner pad 4.25” x 4.25”) 10 dressings per box A6235

187775 6” x 10” (Inner pad 9.1” x 5.1”) 5 dressings per box A6236

CarboFlex® Odor Control DressingCarboFlex® Odor Control Dressing with Hydrofiber® technology is designed to manage malodorous wounds

through an innovative, multi-layered sterile dressing design. It creates a gel in the presence of drainage and

provides odor control and absorbency in in vitro testing. It is an easy-to-use non-adhesive dressing. It can be used on

venous leg ulcers, fungating carcinomas, fecal fistula, and infected surgical wounds.

403202 4” x 4” 10 dressings per box A6196

403203 3” x 6” 5 dressings per box A6197

403204 6” x 8” 5 dressings per box A6197

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Exudate Management

Sizes listed below represent overall dressing dimensions.

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650947 4” x 3.2 yds 1 bandage per box A6452

SurePress® Absorbent Padding

650948 4” x 3.2 yds 6 paddings per pack A6441

SurePress® High Compression BandageSurePress® high compression bandage is an elastic wrap that provides sustained, graduated compression in

an easy to use format. This reusable bandage has a yellow center line and two rectangular extension indica-

tors for easier application which provide an appropriate amount of compression for a variety of leg sizes. It is indicated

for the management of venous leg ulcers and associated conditions. It can be used alone or in combination with

SurePress® absorbent padding.

Compression

UNNA-FLEX® Elastic Unna BootThe UNNA-FLEX® elastic unna boot provides the benefit of an unna boot without being rigid. It is indicated for

the management of venous leg ulcers and associated conditions. It is contraindicated for the management of arterial and

mixed venous/arterial ulcers.

650940 3” x 10 yds 12 individually packaged A6456

bandages per box

650941 4” x 10 yds 12 individually packaged A6456

bandages per box

UNNA-FLEX® Convenience Pack*The UNNA-FLEX® convenience pack contains both an UNNA-FLEX® elastic unna boot and a compression

bandage.

650944 Each Convenience Pack Contains:

- (1) 4” x 10 yds. Unna-Flex® Elastic Unna Boot A6456

- (1) 4” x 5 yds. Self-Adherent bandage A6454

12 convenience packs per case -

sold only in case quantities

*CautIon: this product contains a natural rubber latex which may cause allergic reactions.

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Product Code Size HCPCS

24

Compression

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25

Wound Pouches andSpecialty Products

Specially designed to offer skin protection

and contain drainage from wounds, fistulas

and difficult stoma sites.

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26

Wound Pouches and Specialty Products

Product Code Size Qty.

839210 1.8” x 1.2” 10 per box

Eakin® Fistula and Wound PouchSuitable for cutting area of 1.8” x 1.2”

839211 4.3” x 3.0” 10 per box

Eakin® Fistula and Wound PouchSuitable for cutting area of 4.3” x 3.0”

839212 6.9” x 4.3” 10 per box

Eakin® Fistula and Wound PouchSuitable for cutting area of 6.9” x 4.3”

839213 9.7” x 6.3” 10 per box

Eakin® Fistula and Wound PouchSuitable for horizontal cutting area of 9.7” x 6.3”

839214 9.7” x 6.3” 10 per box

Eakin® Fistula and Wound PouchOpen-top pouch for easy access to horizontal cutting area of 9.7” x 6.3”

839220 1.8” x 1.2” 10 per box

Eakin® Fistula and Wound PouchSuitable for cutting area of 1.8” x 1.2” with remote drainage attachment

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

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27

Wound Pouches and Specialty Products

839222 6.9” x 4.3” 10 per box

Eakin® Fistula and Wound PouchSuitable for cutting area of 6.9” x 4.3”with remote drainage attachment

839223 9.7” x 6.3” 10 per box

Eakin® Fistula and Wound PouchSuitable for horizontal cutting area of 9.7” x 6.3” with remote drainage attachment

839224 9.7” x 6.3” 10 per box

Eakin® Fistula and Wound PouchOpen-top pouch for easy access to horizontal cutting area of 9.7” x 6.3” with remote drainage attachment

839225 9.7” x 6.3” 10 per box

Eakin® Fistula and Wound PouchSuitable for vertical cutting area of 9.7” x 6.3” withremote drainage attachment

839221 4.3” x 3.0” 10 per box

Eakin® Fistula and Wound PouchSuitable for cutting area of 4.3” x 3.0”with remote drainage attachment

FLEXI-TRAK® (Large)Anchoring Device

FleXI-trak® anchoring device is made of a skin-friendly, modern acrylic adhesive and securely holds tubes, drains andcatheters in place on the skin.

037449 50 per box A4333

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Product Code Size Qty.

Product Code Qty. HCPCS

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28

Ostomy Care Products

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29

Ostomy Skin Care and Accessory Products

Stomahesive® Protective PowderHelps form a protective barrier against excoriated or weeping skin.

025510 1 oz bottle per bottle A4371

Ostomy Skin Care & Accessory Products

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.

AllKare® Adhesive Remover Wipe

Non-water soluble formula for skin protection. Provides a barrier film layer on the skin under tapes, skin

barriers/wafers, adhesives, and hydrocolloid dressings to help protect against irritation, excoriation and adhesive

build-up.

AllKare® Protective Barrier Wipe

Use as a filler in uneven skin surfaces to help increase ostomy system wear time and protect skin.

Stomahesive® PastePectin-based Protective Skin Barrier

Product Code Qty. HCPCS

037439 50 wipes per box A5120

037444 100 wipes per box A5120

037436 50 wipes per box A4456

037443 100 wipes per box A4456

183910 2 oz tube 1 tube per box A4406

Product Code Qty. HCPCS

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

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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.

Stomahesive® Strips(Moldable Adhesive)

Stomahesive® Skin Barrier

Non-Sterile021712 4” x 4” Wafers 5 per box A4362

021715 8” x 8” Wafers 3 per box A5122

Sterile021901 4” x 4” Wafers 5 per box A4362

Double sided Stomahesive® Strips for use as a filler to protect or fill-in uneven skin surfaces next to an ostomy, fistula,

or wound.

Product Code Qty. HCPCS

025542 3 cards of 5 strips each 15 per box A4362

A donut-shape ostomy accessory that can be molded to a variety of shapes. It acts as a gasket or barrier, and

provides enhanced protection for hard-to-fit stomas. The moldable hydrocolloid barrier forms a gel that helps

prevent skin damage by sealing the area between the skin and ostomy appliance.

Eakin Cohesive® Seals

839002 Small 2” 20 per box A4385

839001 Large 4” 10 per box A4385

839005 Slims® 2” 10 per box A4385

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Ostomy Skin Care and Accessory Products

30

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31

DuoLock® Curved Tail ClosuresFor use with SUR-FIT Natura®, Esteem synergy ®, ActiveLife®, and SUR-FIT® AutoLock® Drainable Pouches

175652 10 per box A4363

A clicking noise can be heard when closing the tail closure to ensure security. Prior to initial use, open and close several

times.

ConvaTec® Tail ClosuresFor use with SUR-FIT Natura®, Esteem synergy ®, ActiveLife®, and SUR-FIT® AutoLock® Drainable Pouches

175635 10 per box A4363

May help provide an added sense of security.

Ostomy Appliance BeltAdjustable up to 42”

175507 1 per box A4367

Eakin Cohesive® Skin Barrier is moldable and moisture-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.

Eakin Cohesive® Skin Barrier

839004 Small 4” x 4” 5 per box A4385

839003 Large 4” x 8” 5 per box A4385

Product Code Size Qty. HCPCS

Product Code Qty. HCPCS

Product Code Qty. HCPCS

Product Code Qty. HCPCS

Ostomy Skin Care and Accessory Products

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32

SUR-FIT Natura® Two Piece Products

When it comes to SUR-FIT Natura® ostomy

products, we recommend you take a look at the

innovative pouch and skin barrier features that

have been combined with our Stomahesive® and

Durahesive® adhesives. The SUR-FIT Natura®

ostomy system offers special moldable skin

barriers for a personalized, snug fit around the

stoma to help protect skin. The SUR-FIT Natura®

drainable pouch is available with a filter that is

designed to reduce odor and ballooning.

Also available for post operative tenderness after

surgery is the SUR-FIT Natura® Low-Pressure

Adaptor. The SUR-FIT Natura® Low-Pressure

Adaptor allows clinicians and patients to attach

the pouch to the skin barrier without having to

press directly on the abdomen. The

SUR-FIT Natura® Low-Pressure Adaptor can be

connected to any combination of SUR-FIT

Natura® wafers and pouches with the same

flange size.

SUR-FIT Natura® Products

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33

SUR-FIT Natura® Products

SUR-FIT Natura® Durahesive® Moldable Convex Skin Barrier with Flangewith white tape collar and Mold-to-Fit opening (overall dimension 4.5" x 4.5")

404592 l small (1/2" - 7/8") stoma (1 3/4") flange 10 per box A4407*

404593 l medium (7/8" - 1 1/4") stoma (1 3/4") flange 10 per box A4407*

404594 l large (1 1/4" - 1 3/4") stoma (2 1/4") flange 10 per box A4407*

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 Hydrocolloid Flexible Collarwith white Hydrocolloid flexible collar and Mold-to-Fit opening

411800 l small (1/2" - 7/8") stoma (1 3/4") flange 10 per box A4409

411802 l medium (7/8" - 1 1/4") stoma (1 3/4") flange 10 per box A4409

411804 l large (1 1/4" - 1 3/4") stoma (2 1/4") flange 10 per box A4409

411806 l extra-large (1 1/4" - 1 3/4" by (2 3/4") flange 10 per box A4409

1 3/4" - 2 1/8") stoma - OVAL

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Durahesive® Skin Barriers

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

Moldable Skin Barrier Sizing

IF YOUR STOMA

SIZE IS

1/2" to 7/8”

7/8" to 1 1/4”

1 1/4" to 1 3/4”

Available in Flat only:

1 1/4" x 1 3/4”

(wide) to 1 3/4” x

2 1/8” (long)

USE THIS

MOLDABLE SKIN

BARRIER

Small

Medium

large

X-large

(with oVal

starter hole)

WITH THIS

FLANGE SIZE

1 3/4” (45mm)

1 3/4” (45mm)

2 1/4” (57mm)

2 3/4” (70mm)

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34

SUR-FIT Natura® Durahesive® Skin Barrier with CONVEX-IT®

with 45 mm. (1 3/4”) Flangewith white tape collar and pre-cut opening (overall dimension 4.5" x 4.5")

413177 l 13 mm (1/2") stoma 10 per box A4407*

413178 l 16 mm (5/8") stoma 10 per box A4407*

413179 l 19 mm (3/4") stoma 10 per box A4407*

413180 l 22 mm (7/8") stoma 10 per box A4407*

413181 l 25 mm (1") stoma 10 per box A4407*

413182 l 28 mm (1 1/8") stoma 10 per box A4407*

413183 l 32 mm (1 1/4") stoma 10 per box A4407*

413184 l 35 mm (1 3/8") stoma 10 per box A4407*

413185 l 38 mm (1 1/2") stoma 10 per box A4407*

413186 l 41 mm (1 5/8") stoma 10 per box A4407*

413187 l 45 mm (1 3/4") stoma 10 per box A4407*

413188 l 50 mm (2”) stoma 10 per box A4407*

SUR-FIT Natura® Durahesive® Skin Barrier with CONVEX-IT®

with 57 mm. (2 1/4”) Flangewith white tape collar and pre-cut opening (overall dimension 5" x 5")

SUR-FIT Natura® Durahesive® Flexible Skin Barrier with Flangewith tan tape collar and cut-to-fit opening (overall dimension 4" x 4")

413164 l 32 mm (1 1/4") flange 10 per box A4409

413165 l 38 mm (1 1/2") flange 10 per box A4409

413166 l 45 mm (1 3/4") flange 10 per box A4409

SUR-FIT Natura® Durahesive® Flexible Skin Barrier with Flangewith tan tape collar and cut-to-fit opening (overall dimension 5" x 5")

413167 l 57 mm (2 1/4") flange 10 per box A4409*

413168 l 70 mm (2 3/4") flange 10 per box A4409*

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

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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35

SUR-FIT Natura® Durahesive® Skin Barrier with Flangewithout tape collar and with cut-to-fit opening (overall dimension 4" x 4")

413153 l 32 mm (1 1/4") flange 10 per box A4409

413154 l 38 mm (1 1/2") flange 10 per box A4409

413155 l 45 mm (1 3/4") flange 10 per box A4409

413156 l 57 mm (2 1/4") flange 10 per box A4409

413157 l 70 mm (2 3/4") flange 10 per box A4410

SUR-FIT Natura® Durahesive® Skin Barrier with Flangewithout tape collar and with cut-to-fit opening (overall dimension 5" x 5")

401905 l 100 mm (4") flange 5 per box A4410

SUR-FIT Natura® Durahesive® Skin Barrier with Flangewithout tape collar and with cut-to-fit opening (overall dimension 6" x 6")

SUR-FIT Natura® Durahesive® Flexible Skin Barrier with Flangewith white tape collar and cut-to-fit opening (overall dimension 4" x 4")

413159 l 32 mm (1 1/4") flange 10 per box A4409

413160 l 38 mm (1 1/2") flange 10 per box A4409

413161 l 45 mm (1 3/4") flange 10 per box A4409

SUR-FIT Natura® Durahesive® Flexible Skin Barrier with Flangewith white tape collar and cut-to-fit opening (overall dimension 5" x 5")

413162 l 57 mm (2 1/4") flange 10 per box A4409*

413163 l 70 mm (2 3/4") flange 10 per box A4409*

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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36

SUR-FIT Natura® Stomahesive® Skin Barriers

Stomahesive® skin barriers/wafers are ideal for people whose stoma output is semi-formed to formed stool. This reliableskin barrier/wafer provides a special formula that enables the skin barrier/wafer to adhere to both dry and moist skin. Itholds firmly to skin while helping to protect against irritating output. Another feature of the Stomahesive® skin barrier/waferis an outer protective coating which helps keep it in place. The skin barriers will maintain adhesion to the skin whenshowering, bathing, and swimming. Plus, Stomahesive® skin barrier/wafers are easy to fit, apply, and remove.

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

411801 l small (1/2" - 7/8") stoma (1 3/4") flange 10 per box A4414

411803 l medium (7/8" - 1 1/4") stoma (1 3/4") flange 10 per box A4414

411805 l large (1 1/4" - 1 3/4") stoma (2 1/4") flange 10 per box A4414

411807 l extra-large (1 1/4" - 1 3/4" by (2 3/4") flange 10 per box A4414

1 3/4" - 2 1/8") stoma - OVAL

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

Moldable Skin Barrier Sizing

IF YOUR STOMA

SIZE IS

1/2" to 7/8”

7/8" to 1 1/4”

1 1/4" to 1 3/4”

Available in Flat only:

1 1/4" x 1 3/4”

(wide) to 1 3/4” x

2 1/8” (long)

USE THIS

MOLDABLE SKIN

BARRIER

Small

Medium

large

X-large

(with oVal

starter hole)

WITH THIS

FLANGE SIZE

1 3/4” (45mm)

1 3/4” (45mm)

2 1/4” (57mm)

2 3/4” (70mm)

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37

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Flangewith tan tape collar and cut-to-fit opening (overall dimension 4" x 4")

125262 l 32 mm (1 1/4") flange 10 per box A4414*

125263 l 38 mm (1 1/2") flange 10 per box A4414*

125264 l 45 mm (1 3/4") flange 10 per box A4414*

125265 l 57 mm (2 1/4") flange 10 per box A4414*

125266 l 70 mm (2 3/4") flange 10 per box A4414*

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Flangewith tan tape collar and cut-to-fit opening (overall dimension 5" x 5")

Product Code Color Size Qty. HCPCSMatch

Cut-To-Fit Skin Barrier Sizing

IF YOUR STOMA SIZE IS

NO WIDER THAN

1/2"

5/8"

3/4"

7/8"

1"

1 1/8"

1 1/4"

1 3/8"

1 1/2" to 1 3/4"

1 7/8" to 2 1/2"

2 5/8" to 3 1/2"

CHOOSE A

FLANGE SIZE

1 1/4"

1 1/4"

1 1/4"

1 1/2"

1 1/2"

1 3/4"

1 3/4"

2 1/4"

2 1/4"

2 3/4"

4"

SUR-FIT Natura® Products

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

SUR-FIT Natura® Stomahesive® Skin Barrier with Flangewithout tape collar and with cut-to-fit opening (overall dimension 4" x 4")

401573 l 32 mm (1 1/4") flange 10 per box A4414

401574 l 38 mm (1 1/2") flange 10 per box A4414

401575 l 45 mm (1 3/4") flange 10 per box A4414

401576 l 57 mm (2 1/4") flange 10 per box A4414

401577 l 70 mm (2 3/4") flange 10 per box A4415

SUR-FIT Natura® Stomahesive® Skin Barrier with Flangewithout tape collar and with cut-to-fit opening (overall dimension 5" x 5")

401906 l 100 mm (4") flange 5 per box A4415

SUR-FIT Natura® Stomahesive® Skin Barrier with Flangewithout tape collar and with cut-to-fit opening (overall dimension 6" x 6")

Product Code Color Size Qty. HCPCSMatch

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38

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with white tape collar and cut-to-fit opening (overall dimension 4" x 4")

125257 l 32 mm (1 1/4") flange 10 per box A4414

125258 l 38 mm (1 1/2") flange 10 per box A4414

125259 l 45 mm (1 3/4") flange 10 per box A4414

125260 l 57 mm (2 1/4") flange 10 per box A4414*

125261 l 70 mm (2 3/4") flange 10 per box A4414*

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Flangewith white tape collar and cut-to-fit opening (overall dimension 5" x 5")

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

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Precut Openings with 45 mm (1 3/4”) Flangewith tan tape collar (overall dimension 4" x 4")

125267 l 13 mm (1/2") stoma 10 per box A4414

125268 l 16 mm (5/8") stoma 10 per box A4414

125269 l 19 mm (3/4") stoma 10 per box A4414

125270 l 22 mm (7/8") stoma 10 per box A4414

125271 l 25 mm (1") stoma 10 per box A4414

125272 l 28 mm (1 1/8") stoma 10 per box A4414

125273 l 32 mm (1 1/4") stoma 10 per box A4414

125274 l 35 mm (1 3/8") stoma 10 per box A4414

125275 l 38 mm (1 1/2") stoma 10 per box A4414*

125276 l 41 mm (1 5/8") stoma 10 per box A4414*

125277 l 45 mm (1 3/4") stoma 10 per box A4414*

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Precut Openings with 57 mm (2 1/4”) Flangewith tan tape collar (overall dimension 5" x 5")

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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39

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

404006 l 19 mm (3/4") Inner Diameter Opening 5 per box A5093

For use with 1 1/2” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404007 l 22 mm (7/8") Inner Diameter Opening 5 per box A5093

For use with 1 1/2” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404008 l 25 mm (1") Inner Diameter Opening 5 per box A5093

For use with 1 1/2” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404009 l 29 mm (1 1/8") Inner Diameter Opening 5 per box A5093

For use with 1 3/4” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404010 l 32 mm (1 1/4") Inner Diameter Opening 5 per box A5093

For use with 1 3/4” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404011 l 35 mm (1 3/8") Inner Diameter Opening 5 per box A5093

For use with 1 3/4” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404012 l 38 mm (1 1/2") Inner Diameter Opening 5 per box A5093

For use with 2 1/4” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

404013 l 41 mm (1 5/8") Inner Diameter Opening 5 per box A5093

For use with 2 1/4” SUR-FIT Natura® Durahesive® and

Stomahesive® Wafers

* For Sur-FIt natura® Skin Barriers only. not for use with Convatec Moldable technology™ Skin Barriers.

IF YOUR STOMA SIZE IS NO

WIDER THAN

1/2"

5/8"

3/4"

7/8"

1"

1 1/8"

1 1/4"

1 3/8"

IF YOU USE FLANGE SIZE

(Outer Diameter)

1 1/2"

1 1/2"

1 1/2"

1 3/4"

1 3/4"

1 3/4"

2 1/4"

2 1/4"

CHOOSE A CONVEX INSERT

(Inner Diameter)

3/4"

7/8"

1"

1 1/8"

1 1/4"

1 3/8"

1 1/2"

1 5/8"

Sur-FIt natura® and Sur-FIt® autolock® Disposable Convex Inserts are not available for

stoma sizes wider than 1 3/8".

Convex Insert Sizing

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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40

SUR-FIT Natura® Low-Pressure Adaptor

The SUR-FIT Natura® Low-Pressure Adaptor allows extra finger space to attach the pouch to the skin barrier without

having to press directly on the abdomen. This feature provides greater comfort to patients who have abdominal tender-

ness after ostomy surgery. This is a temporary and disposable product. For optimal performance the SUR-FIT Natura®

Low-Pressure Adaptor should be changed with every new skin barrier change. The SUR-FIT Natura® Low-Pressure

Adaptor works in conjunction with the SUR-FIT Natura® skin barriers and pouches with the same flange size.

SUR-FIT Natura® Low-Pressure Adaptor

401993 l 45 mm (1 3/4”) 10 pack A4421

401994 l 57 mm (2 1/4”) 10 pack A4421

401995 l 70 mm (2 3/4”) 10 pack A4421

401996 l 100 mm (4”) 10 pack A4421

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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41

SUR-FIT Natura® Drainable Pouches

SUR-FIT Natura® drainable pouches have soft, fabric-like comfort panels. With streamlined body contour panels, low-pro-file design, and less headroom, they distribute pouch content more evenly and away from the stoma. All drainable pouch-es 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 advancedfilter. The InvisiClose® clipless tail closure offers double security, ease of drainage, comfort and cleanliness. The easy toopen outlet end strips and tail design help control flow and reduce splashing. The locking mechanism is enhanced by anadditional security flap for added peace of mind. The advanced air filter is designed to let gasses through while repellingliquids.

SUR-FIT Natura® Drainable Pouch with Filter12” Transparent with 1-sided comfort panel

411264 l 38 mm (1 1/2") flange 10 per box A4425

411265 l 45 mm (1 3/4") flange 10 per box A4425

411266 l 57 mm (2 1/4") flange 10 per box A4425

411267 l 70 mm (2 3/4") flange 10 per box A4425

2 tail closures per box.

SUR-FIT Natura® Drainable Pouch with Filter12” Opaque with 2-sided comfort panel

411489 l 32 mm (1 1/4") flange 20 per box A4425

411490 l 38 mm (1 1/2") flange 20 per box A4425

411491 l 45 mm (1 3/4") flange 20 per box A4425

411492 l 57 mm (2 1/4") flange 20 per box A4425

411493 l 70 mm (2 3/4") flange 20 per box A4425

2 tail closures per box.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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42

SUR-FIT Natura® Drainable Pouch with Filter10” Opaque with 2-sided comfort panel

411288 l 32 mm (1 1/4") flange 20 per box A4425

411289 l 38 mm (1 1/2") flange 20 per box A4425

411290 l 45 mm (1 3/4") flange 20 per box A4425

411291 l 57 mm (2 1/4") flange 20 per box A4425

411292 l 70 mm (2 3/4") flange 20 per box A4425

2 tail closures per box.

SUR-FIT Natura® Drainable Pouch with InvisiClose® Tail Closure System12” Transparent with 1-sided comfort panel

413312 l 45 mm (1 3/4") flange 10 per box A5063

413313 l 57 mm (2 1/4") flange 10 per box A5063

413314 l 70 mm (2 3/4") flange 10 per box A5063

SUR-FIT Natura® Drainable Pouch with Filter with InvisiClose® Tail Closure System12” Transparent with 1-sided comfort panel

411360 l 45 mm (1 3/4") flange 10 per box A4425

411361 l 57 mm (2 1/4") flange 10 per box A4425

411362 l 70 mm (2 3/4") flange 10 per box A4425

SUR-FIT Natura® Drainable Pouch with Filter with InvisiClose® Tail Closure System12” Opaque with 2-sided comfort panel

411309 l 38 mm (1 1/2") flange 20 per box A4425

411310 l 45 mm (1 3/4") flange 20 per box A4425

411311 l 57 mm (2 1/4") flange 20 per box A4425

411312 l 70 mm (2 3/4") flange 20 per box A4425

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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43

SUR-FIT Natura® Drainable Pouch with InvisiClose® Tail Closure System12” Opaque with 1-sided comfort panel

413334 l 45 mm (1 3/4") flange 20 per box A5063

413335 l 57 mm (2 1/4") flange 20 per box A5063

413336 l 70 mm (2 3/4") flange 20 per box A5063

SUR-FIT Natura® Drainable Pouch12” Opaque with 2-sided comfort panel

404025 l 32 mm (1 1/4") flange 20 per box A5063

404026 l 38 mm (1 1/2") flange 20 per box A5063

404027 l 45 mm (1 3/4") flange 20 per box A5063

404028 l 57 mm (2 1/4") flange 20 per box A5063

404029 l 70 mm (2 3/4") flange 20 per box A5063

401500 l 32 mm (1 1/4") flange 10 per box A5063

401501 l 38 mm (1 1/2") flange 10 per box A5063

401502 l 45 mm (1 3/4") flange 10 per box A5063

401503 l 57 mm (2 1/4") flange 10 per box A5063

401504 l 70 mm (2 3/4") flange 10 per box A5063

2 tail closures per box.

SUR-FIT Natura® Drainable Pouch14” Transparent with 1-sided comfort panel

401515 l 100 mm (4") flange 10 per box A5063

2 tail closures per box.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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44

SUR-FIT Natura® Drainable Pouch12” Opaque with 1-sided comfort panel

404014 l 32 mm (1 1/4") flange 20 per box A5063

404015 l 38 mm (1 1/2") flange 20 per box A5063

404016 l 45 mm (1 3/4") flange 20 per box A5063

404017 l 57 mm (2 1/4") flange 20 per box A5063

404018 l 70 mm (2 3/4") flange 20 per box A5063

401932 l 32 mm (1 1/4") flange 10 per box A5063

401933 l 38 mm (1 1/2") flange 10 per box A5063

401934 l 45 mm (1 3/4") flange 10 per box A5063

401935 l 57 mm (2 1/4") flange 10 per box A5063

401936 l 70 mm (2 3/4") flange 10 per box A5063

2 tail closures per box.

SUR-FIT Natura® Drainable Pouch12” Transparent with 1-sided comfort panel

401510 l 32 mm (1 1/4") flange 10 per box A5063

401511 l 38 mm (1 1/2") flange 10 per box A5063

401512 l 45 mm (1 3/4") flange 10 per box A5063

401513 l 57 mm (2 1/4") flange 10 per box A5063

401514 l 70 mm (2 3/4") flange 10 per box A5063

2 tail closures per box.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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45

SUR-FIT Natura® Drainable Pouch10” Opaque with 2-sided comfort panel

404030 l 32 mm (1 1/4") flange 20 per box A5063

404031 l 38 mm (1 1/2") flange 20 per box A5063

404032 l 45 mm (1 3/4") flange 20 per box A5063

404033 l 57 mm (2 1/4") flange 20 per box A5063

404034 l 70 mm (2 3/4") flange 20 per box A5063

401505 l 32 mm (1 1/4") flange 10 per box A5063

401506 l 38 mm (1 1/2") flange 10 per box A5063

401507 l 45 mm (1 3/4") flange 10 per box A5063

401508 l 57 mm (2 1/4") flange 10 per box A5063

401509 l 70 mm (2 3/4") flange 10 per box A5063

2 tail closures per box.

SUR-FIT Natura® Drainable Pouch For High OutputOpaque with 1-sided comfort panel, anti-reflux valve, replaceable filter, and outlet with spout and cap for high liquidity output

401557 l 45 mm (1 3/4") flange 5 per box A4413

401558 l 57 mm (2 1/4") flange 5 per box A4413

401559 l 70 mm (2 3/4") flange 5 per box A4413

1 tail closure, 1 night drainage adapter, and 5 replacement filters per box.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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46

SUR-FIT Natura® Closed-End PouchOpaque with 2-sided comfort panel

413169 l 38 mm (1 1/2") flange 60 per box A5054

413170 l 45 mm (1 3/4") flange 60 per box A5054

413171 l 57 mm (2 1/4") flange 60 per box A5054

413172 l 70 mm (2 3/4") flange 60 per box A5054

401521 l 38 mm (1 1/2") flange 30 per box A5054

401522 l 45 mm (1 3/4") flange 30 per box A5054

401523 l 57 mm (2 1/4") flange 30 per box A5054

401524 l 70 mm (2 3/4") flange 30 per box A5054

SUR-FIT Natura® Closed-End Pouches

SUR-FIT Natura® Closed-End pouches are designed for one-time usage, and may be used everyday, for specialoccasions or intimate moments. They are available with a filter that is designed to reduce odor and gas buildup. There'sno draining or uncomfortable clip to worry about. When you're ready, you simply remove the pouch, place it into adisposable bag, then discard it.

Product Code Color Size Qty. HCPCSMatch

ConvaTeccustomer interaction center

1-800-422-8811Monday through Friday, 8:30 a.m. - 7:00 p.m. et,

www.convatec.com

SUR-FIT Natura® Products

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47

SUR-FIT Natura® Closed-End Pouch with FilterOpaque with 2-sided comfort panel

413173 l 38 mm (1 1/2") flange 60 per box A4419

413174 l 45 mm (1 3/4") flange 60 per box A4419

413175 l 57 mm (2 1/4") flange 60 per box A4419

413176 l 70 mm (2 3/4") flange 60 per box A4419

60 filter covers per box.

401525 l 38 mm (1 1/2") flange 30 per box A4419

401526 l 45 mm (1 3/4") flange 30 per box A4419

401527 l 57 mm (2 1/4") flange 30 per box A4419

401528 l 70 mm (2 3/4") flange 30 per box A4419

30 filter covers per box.

SUR-FIT Natura® Mini-PouchOpaque with 1-sided comfort panel

401529 l 32 mm (1 1/4") flange 20 per box A5054

401530 l 38 mm (1 1/2") flange 20 per box A5054

401531 l 45 mm (1 3/4") flange 20 per box A5054

401532 l 57 mm (2 1/4") flange 20 per box A5054

SUR-FIT Natura® Flange Cap with FilterOpaque with 1-sided comfort panel

401909 l 45 mm (1 3/4") flange 25 per box A5055

30 filter covers per box.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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48

SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with ValveOpaque Small with 1-sided comfort panel

401547 l 32 mm (1 1/4") flange 10 per box A4432

401548 l 38 mm (1 1/2") flange 10 per box A4432

401549 l 45 mm (1 3/4") flange 10 per box A4432

401550 l 57 mm (2 1/4”) flange 10 per box A4432

Each box contains 2 Accuseal® night drainage adapters.

SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with ValveOpaque Standard with 1-sided comfort panel

401551 l 32 mm (1 1/4") flange 10 per box A4432

401552 l 38 mm (1 1/2") flange 10 per box A4432

401553 l 45 mm (1 3/4") flange 10 per box A4432

401554 l 57 mm (2 1/4”) flange 10 per box A4432

401555 l 70 mm (2 3/4”) flange 10 per box A4432

Each box contains 2 Accuseal® night drainage adapters.

SUR-FIT Natura® Urostomy Pouches

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.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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49

SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap with ValveTransparent Standard with 1-sided comfort panel

401542 l 32 mm (1 1/4") flange 10 per box A4432

401543 l 38 mm (1 1/2") flange 10 per box A4432

401544 l 45 mm (1 3/4") flange 10 per box A4432

401545 l 57 mm (2 1/4”) flange 10 per box A4432

401546 l 70 mm (2 3/4”) flange 10 per box A4432

Each box contains 2 Accuseal® night drainage adapters.

SUR-FIT Natura® Urostomy Pouch Transparent Small with 1-sided comfort panel

401538 l 32 mm (1 1/4") flange 10 per box A5073

401539 l 38 mm (1 1/2") flange 10 per box A5073

401540 l 45 mm (1 3/4") flange 10 per box A5073

401541 l 57 mm (2 1/4”) flange 10 per box A5073

Each box contains 2 universal night drainage adapters.

SUR-FIT Natura® Urostomy Pouch Transparent Standard with 1-sided comfort panel

401533 l 32 mm (1 1/4") flange 10 per box A5073

401534 l 38 mm (1 1/2") flange 10 per box A5073

401535 l 45 mm (1 3/4") flange 10 per box A5073

401536 l 57 mm (2 1/4”) flange 10 per box A5073

401537 l 70 mm (2 3/4”) flange 10 per box A5073

Each box contains 2 universal night drainage adapters.

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

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50

ConvaTec® Night Drainage Container SetSet contains:1 ConvaTec® Night Drainage Container with tubing1 ConvaTec® Night Drainage Container Cover1 Universal Adapter

Product Code Qty. HCPCS

027060 1 set per box A5102

ConvaTec® Night Drainage Container Tubing

027062 1 per box A4331

Product Code Qty. HCPCS

SUR-FIT Natura® Products

ConvaTeccustomer interaction center

1-800-422-8811Monday through Friday, 8:30 a.m. - 7:00 p.m. et,

www.convatec.com

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51

SUR-FIT Natura® Durahesive® Flexible Skin Barrier with Flangewith white tape collar with cut-to-fit opening and Urostomy PouchTransparent standard pouch with 1-sided comfort panel and Accuseal® Tap with valve Unit Dose Kit

401923 l 45 mm (1 3/4") flange 5 per box A4409, A4432*

401924 l 57 mm (2 1/4") flange 5 per box A4409, A4432*

Each kit contains one Accuseal® night drainage adapter.

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

SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Flangewith white tape collar with cut-to-fit opening and Drainable Pouch/Tail Closure12” Transparent pouch with 1-sided comfort panelUnit Dose Kit

401920 l 45 mm (1 3/4") flange 5 per box A4414, A5063*

402239 l 57 mm (2 1/4") flange 5 per box A4414, A5063*

401921 l 70 mm (2 3/4") flange 5 per box A4414, A5063*

SUR-FIT Natura® Stomahesive® Skin Barrier with Flange with cut-to-fit openingand Drainable Pouch/Tail ClosureUnit Dose Kit

401922 l 100 mm (4") flange 5 per box A4415, A5063*

SUR-FIT Natura® Unit Dose Kits

Product Code Color Size Qty. HCPCSMatch

SUR-FIT Natura® Products

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

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52

ConvaTec Moldable Technology® Post-Operative/Surgical Kits

ConvaTec Moldable Technology™

Post-Operative/Surgical Kits

ConvaTec Moldable Technology™

Post-Operative Kits

A Simple Solution

ConvaTec Moldable Technology™,now in Post-Operative/ SurgicalKits. Quickly and correctly gettingyour patient into the right systemafter surgery is very important. Nowmore than ever, time is tight - andyou need to focus on nursing, notmatching up the right productoptions.

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53

ConvaTec Moldable Technology® Post-Operative/Surgical Kits

Natura® Durahesive® ConvaTec Moldable Technology™ Post-Operative/Surgical Kit withDrainable Pouch with InvisiClose® Tail Closure System and Low-Pressure Adaptor 12” Transparent Pouch with 1-sided comfort panel Post-Operative/Surgical Kits

416917 l 45 mm (1 3/4") flange 5 per box N/A

416921 l 57 mm (2 1/4") flange 5 per box N/A

416925 l 70 mm (2 3/4") flange 5 per box N/A

Product Code Color Size Qty. HCPCSMatch

Natura® Stomahesive® ConvaTec Moldable Technology™ Post-Operative/Surgical Kit withDrainable Pouch with InvisiClose® Tail Closure System and Low-Pressure Adaptor 12” Transparent Pouch with 1-sided comfort panel Post-Operative/Surgical Kits

416918 l 45 mm (1 3/4") flange 5 per box N/A

416922 l 57 mm (2 1/4") flange 5 per box N/A

416926 l 70 mm (2 3/4") flange 5 per box N/A

Product Code Color Size Qty. HCPCSMatch

Kit416917416921416925

Pouch in Kit416418*416421*416424*

Barrier in Kit411802411804411806

Low Pressure Adaptor401993401994401995

* These pouches are not available in the retail market at this time, please refer to chart below for comparable pouches.

Kit Components

Kit416918416922416926

Pouch in Kit416418*416421*416424*

Barrier in Kit411803411805411807

Low Pressure Adaptor401993401994401995

* These pouches are not available in the retail market at this time, please refer to chart below for comparable pouches.

Kit Components

The enhanced drainable pouches with InvisiClose® in the kits are not currently available in the retail market. Theenhanced pouches will be available in the retail market at a later date but at this time we have comparable pouchesavailable, see chart below:

Kit Pouch in Kit Transparent Opaque Transparent Opaque416917 & 416918 416418 413312 413334 411360 411310416921 & 416922 416421 413313 413335 411361 411311416925 & 416926 416424 413314 413336 411362 411312

Comparable Pouch Comparable Pouch without Filter with Filter

You will receive a new product guide or your Territory Manager will inform you when the new enhanced pouchesare available.

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54

ConvaTec Moldable Technology® Post-Operative/Surgical Kits

Natura® Durahesive® ConvaTec Moldable Technology™ Post-Operative/Surgical Kit withUrostomy Pouch with Accuseal® Swivel Tap, Accuseal® Adaptor and Low-Pressure Adaptor 12” Transparent Pouch with 1-sided comfort panel Post-Operative/Surgical Kits

416932 l 45 mm (1 3/4") flange 5 per box N/A

416940 l 57 mm (2 1/4") flange 5 per box N/A

416948 l 70 mm (2 3/4") flange 5 per box N/A

Product Code Color Size Qty. HCPCSMatch

Natura® Stomahesive® ConvaTec Moldable Technology™ Post-Operative/Surgical Kit withUrostomy Pouch with Accuseal® Swivel Tap, Accuseal® Adaptor and Low-Pressure Adaptor 12” Transparent Pouch with 1-sided comfort panel Post-Operative/Surgical Kits

416934 l 45 mm (1 3/4") flange 5 per box N/A

416942 l 57 mm (2 1/4") flange 5 per box N/A

416950 l 70 mm (2 3/4") flange 5 per box N/A

Product Code Color Size Qty. HCPCSMatch

Kit416932416940416948

Pouch in Kit401544401545401546

Barrier in Kit411802411804411806

Low Pressure Adaptor401993401994401995

All urostomy kits contain an Accuseal® Adaptor

Kit Components

Kit416934416942416950

Pouch in Kit401544401545401546

Barrier in Kit411803411805411807

Low Pressure Adaptor401993401994401995

Kit Components

All urostomy kits contain an Accuseal® Adaptor

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55

Gentle Touch® Postoperative Products

Gentle Touch® Post-operative Products

Gentle Touch® Postoperative kits are designed

for post-surgical use following a colostomy,

ileostomy or urostomy procedure. They provide

easy pouch to skin barrier/wafer application and

require less pressure on tender post-surgical

abdomens. They can also be used in the

management of abdominal fistulas or draining

surgical wounds.

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56

Gentle Touch® System - Colostomy/Ileostomy Postoperative System - Sterile

Set includes:• 1 Stomahesive® Skin Barrier with SUR-FIT® Flange• 1 SUR-FIT® Drainable Postoperative Pouch (12” Transparent) with Gentle Touch® Flange• 1 Tail Closure

020931 l 45 mm (1 3/4") flange 2 sets per box A4414, A5063

020932 l 70 mm (2 3/4") flange 2 sets per box A4415, A5063

Gentle Touch® System - Loop Ostomy System - 2 3/4” Sterile

Set includes:• 1 5” x 5” Stomahesive® Skin Barrier with 2 3/4” SUR-FIT® Flange• 1 SUR-FIT® Drainable Postoperative Pouch (12” Transparent) with Gentle Touch® Flange• 1 Tail Closure• 1 21/2” Rod

020933 l 70 mm (2 3/4") flange 2 sets per box A4415, A5063

Gentle Touch® System - Loop Ostomy System - 4” Sterile

Set includes:• 1 6” x 6” Stomahesive® Skin Barrier with 4” SUR-FIT® Flange• 1 SUR-FIT® Drainable Postoperative Pouch (14” Transparent) with Gentle Touch® Flange• 1 Tail Closure• 1 31/2” Rod

020934 l 100 mm (4") flange 2 sets per box A4415, A5063

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Gentle Touch® Postoperative Products

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57

Gentle Touch® System - Colostomy/ Ileostomy Postoperative Kit Non-SterileKit includes:• 5 SUR-FIT® Stomahesive® Flexible Skin Barriers with SUR-FIT® Flange• 5 SUR-FIT® Drainable Postoperative Pouches (12” Transparent) with Gentle Touch® Flange• 1 Tail Closure

020938 l 70 mm (2 3/4") flange 5 per box A4414, A5063*

Gentle Touch® System - Urostomy Postoperative Kit Non-SterileKit includes:• 5 Durahesive® Skin Barriers with SUR-FIT® Flange• 5 SUR-FIT® Urostomy Postoperative Pouches (Transparent Standard) with Gentle Touch® Flange• 1 Night Drainage Adapter

020935 l 45 mm (1 3/4") flange 5 per box A4409, A5073

020936 l 70 mm (2 3/4") flange 5 per box A4410, A5073

Gentle Touch® System - Urostomy Postoperative System - SterileSet includes:• 1 Stomahesive® Skin Barrier with SUR-FIT® flange• 1 SUR-FIT® Urostomy Postoperative Pouch (Transparent Standard) with Gentle Touch® Flange• 1 Night Drainage Adapter

020929 l 45 mm (1 3/4") flange 2 sets per box A4414, A5073

020930 l 70 mm (2 3/4") flange 2 sets per box A4415, A5073

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

Gentle Touch® Postoperative Products

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

ConvaTec® Loop Ostomy Rod - Sterile PackageFor use with SUR-FIT Natura®, SUR-FIT® Autolock® and Gentle Touch® Systems, 70mm (2 1/4”) flange

022355 65 mm 10 per box A4421

Product Code Size Qty. HCPCS

For use with SUR-FIT Natura®, SUR-FIT® Autolock® and Gentle Touch® Systems, 100 mm (4”) flange

022356 90 mm 10 per box A4421

Product Code Size Qty. HCPCS

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58

Esteem synergy® Two-Piece Products

Esteem synergy®

Two-Piece Ostomy System

The Esteem synergy® ostomy system utilizes

an Adhesive Coupling Technology™ that

connects the pouch to the skin barrier and

eliminates the need for plastic rings that must

be snapped or locked together. Esteem

synergy® is ConvaTec's two-piece product that

provides the skin friendliness and versatility of

a two-piece system, as well as the low profile,

comfort, and flexibility of a conventional one-

piece system.

The Esteem synergy® ostomy system has a

flat, flexible adhesive foam ring on a pouch

that securely connects with a clear, flat, flexible

plastic "Landing Zone" flange on a skin barrier.

It is easy to apply and easy to remove.

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59

Esteem synergy® Durahesive® Moldable Convex Skin Barrier with landing zone flangewith white tape collar and mold-to-fit opening

409268 l Small — 13-22 mm (1/2” - 7/8”) 4” x 4” 10 per box A4407*

409269 l Medium — 22-33 mm (7/8” - 1 1/4”) 4 1/2” x 4 1/2” 10 per box A4407*

409270 l Large — 33-45 mm (1 1/4” - 1 3/4”) 5” x 5” 10 per box A4407*

Esteem synergy® Skin Barriers

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.

Product Code Color Stoma Opening Overall Qty. HCPCSMatch Dimensions

Esteem synergy® Two-Piece Products

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

Esteem synergy® Stomahesive® Moldable Skin Barrier with landing zone flangewith white tape collar and cut-to-fit opening

411657 l Small — 13-22 mm (1/2” - 7/8”) 4 1/2” x 4 1/2” 10 per box A4414*

411658 l Medium — 22-33 mm (7/8” - 1 1/4”) 4 1/2” x 4 1/2” 10 per box A4414*

411659 l Large — 33-45 mm (1 1/4” - 1 3/4”) 5” x 5” 10 per box A4414*

Product Code Color Stoma Opening Overall Qty. HCPCSMatch Dimensions

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60

Esteem synergy® Stomahesive® Skin Barrier with landing zone flangewithout tape collar and with cut-to-fit opening

405467 l Small — up to 35 mm (1 3/8”) 4” x 4” 10 per box A4414

405468 l Medium — up to 48 mm (1 7/8”) 4 1/2” x 4 1/2” 10 per box A4415

403948 l Large — up to 61 mm (2 3/8”) 5” x 5” 10 per box A4415

405483 l Extra Large — up to 89 mm (3 1/2”) 6” x 6” 10 per box A4415

Esteem synergy® Stomahesive® Skin Barrier with landing zone flangewith white tape collar and pre-cut opening

Product Code Color Stoma Opening Overall Qty. HCPCSMatch Dimensions (Skin Barrier

4” x 4” or smaller)

405472 l Small — 13 mm (1/2”) 4” x 4” 10 per box A4414*

405473 l Small — 16 mm (5/8”) 4” x 4” 10 per box A4414*

405474 l Small — 19 mm (3/4”) 4” x 4” 10 per box A4414*

405475 l Small — 22 mm (7/8”) 4” x 4” 10 per box A4414*

405476 l Small — 25 mm (1”) 4” x 4” 10 per box A4414*

405477 l Small — 28 mm (1 1/8”) 4” x 4” 10 per box A4414*

405478 l Small — 32 mm (1 1/4”) 4” x 4” 10 per box A4414*

405479 l Small — 35 mm (1 3/8”) 4” x 4” 10 per box A4414*

405480 l Medium — 38 mm (1 1/2”) 4 1/2” x 4 1/2” 10 per box A4414*

405481 l Medium — 41 mm (1 5/8”) 4 1/2” x 4 1/2” 10 per box A4414*

405482 l Medium — 45 mm (1 3/4”) 4 1/2” x 4 1/2” 10 per box A4414*

Product Code Color Stoma Opening Overall Qty. HCPCSMatch Dimensions

Esteem synergy® Two-Piece Products

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

Esteem synergy® Stomahesive® Skin Barrier with landing zone flangewith white tape collar and cut-to-fit opening

405456 l Small — up to 35 mm (1 3/8”) 4” x 4” 10 per box A4414*

405457 l Medium — up to 48 mm (1 7/8”) 4 1/2” x 4 1/2” 10 per box A4414*

405458 l Large — up to 61 mm (2 3/8”) 5” x 5” 10 per box A4414*

Product Code Color Stoma Opening Overall Qty. HCPCSMatch Dimensions

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61

Esteem synergy® Drainable Pouches

The ergonomically shaped Esteem synergy® drainable pouches are designed to complement body contours

and add to ease of emptying. Esteem synergy® drainable pouches have an advanced air filter which is designed

to let gasses through while repelling liquids.

Esteem synergy® drainable pouches are also available with the InvisiClose® tail closure system. 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.

Esteem synergy® Two-Piece Products

Esteem synergy® Drainable Pouch with filter 12” Transparent with 1-sided comfort panelFor a stoma on the right side

405404 l Medium stoma opening 10 per box A4425

2 tail closures and 15 filter covers per box.

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

Esteem synergy® Drainable Pouch with filterand InvisiClose® Tail Closure System 12” Opaque with 1-sided comfort panelFor a stoma on the right side

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

410810 l Small stoma opening 20 per box A4425

410811 l Medium stoma opening 20 per box A4425

410812 l Large stoma opening 20 per box A4425

30 filter covers per box.

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62

Skin Protectants/Moisturizers

413353 l Medium stoma opening 10 per box A4425

413354 l Large stoma opening 10 per box A4425

15 filter covers per box.

Esteem synergy® Drainable Pouch with filterand InvisiClose® Tail Closure System 12” Transparent with 1-sided comfort panelFor a stoma on the right side

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

Esteem synergy® Drainable Pouch 14” Transparent with 1-sided comfort panelStraight

405406 l Extra large stoma opening 10 per box A5063

10 tail closures per box.

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

Esteem synergy® Two-Piece Products

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63

Esteem synergy® Professional Kit - Sterile Loop Ostomy SystemKit includes:• 1 Extra-large Stomahesive® Skin Barrier without tape collar (405483)• 1 Extra-large 14” Straight, Transparent, Drainable Pouch with

1-sided comfort panel (405406)• 1 tail closure• 1 3 1/2” loop ostomy rod

Product Code Color Size HCPCSMatch

409277 l Small - up to 35 mm (1 3/8”) stoma A4414, A5063

Esteem synergy® Professional Kit - Non-sterileKit includes:• 5 small Stomahesive® Skin Barriers with tape collar (405456)• 5 12” Straight, Transparent, Drainable Pouches with

1-sided comfort panel (403997)• 1 tail closure

409276 l Large - up to 61 mm (2 3/8”) stoma A4414, A5063

Esteem synergy® Professional Kit - Non-sterileKit includes:• 5 large Stomahesive® Skin Barriers with tape collar (405458)• 5 12” Straight, Transparent, Drainable Pouches with

1-sided comfort panel (403995)• 1 tail closure

409275 l Extra Large - up to 89 mm (3 1/2”) stoma A4415, A5063

Esteem synergy® Professional Kit - Non-sterileKit includes:• 5 Extra-large Stomahesive® Skin Barriers without tape collar (405483)• 5 14” Straight, Transparent, Drainable Pouches with

1-sided comfort panel (405406)• 1 tail closure

409345 l Extra Large - up to 89 mm (3 1/2”) stoma A4415, A5063

Esteem synergy® Professional Kits

Product Code Color Size HCPCSMatch

Product Code Color Size HCPCSMatch

Product Code Color Size HCPCSMatch

Esteem synergy® Two-Piece Products

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64

Esteem synergy® Closed End Pouch with filterStandard length, 9”, opaque with 2-sided comfort panel

409282 l Small stoma opening 60 per box A4419

409283 l Medium stoma opening 60 per box A4419

409284 l Large stoma opening 60 per box A4419

60 filter covers per box.

405436 l Small stoma opening 30 per box A4419

405437 l Medium stoma opening 30 per box A4419

403946 l Large stoma opening 30 per box A4419

30 filter covers per box.

Esteem synergy® Closed-End Pouches

Esteem synergy® closed-end pouches are designed for one-time usage, and may be used for every day use,

special occasions or for intimate moments. The Esteem synergy® ostomy system features an advanced filter

system designed to absorb and neutralize a broad range of odor-causing agents. Four slits on the filter with

removable stickers allow for individual control over the speed of the gas release.

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

Esteem synergy® Two-Piece Products

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

405441 l Small stoma opening 20 per box A5054

Esteem synergy® Closed End Mini Pouch6” Opaque with 1-sided comfort panel

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65

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

405448 l Small stoma opening 10 per box A4432

405449 l Medium stoma opening 10 per box A4432

405450 l Large stoma opening 10 per box A4432

* Each box contains 2 Accuseal® night drainage adapters.

Esteem synergy® Urostomy Pouch with Accuseal® Tap with ValveStandard length, 10.3”, opaque with 1-sided comfort panel

405451 l Small stoma opening 10 per box A4432

405452 l Medium stoma opening 10 per box A4432

405453 l Large stoma opening 10 per box A4432

* Each box contains 2 Accuseal® night drainage adapters.

Esteem synergy® Urostomy Pouch with Accuseal® Tap with ValveStandard length, 10.3”, transparent with 1-sided comfort panel

Esteem synergy® Urostomy Pouches

The Esteem synergy® Urostomy Pouch with Accuseal® Tap is designed for use with the Esteem synergy®

Durahesive® Moldable Convex Skin Barrier. The Accuseal® Tap is designed for easy manipulation and rapid

emptying. The built-in anti-reflux valve resists the back flow of urine. The pouch has a body-side comfort panel.

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

405446 l Small stoma opening 10 per box A4432

405447 l Medium stoma opening 10 per box A4432

* Each box contains 2 Accuseal® night drainage adapters.

Esteem synergy® Urostomy Pouch with Accuseal® Tap with ValveShort length, 9.3”, transparent with 1-sided comfort panel

Product Code Color Matches to Skin Qty. HCPCSMatch Barrier With:

Esteem synergy® Two-Piece Products

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66

SUR-FIT® AutoLock® Two-Piece Products

SUR-FIT® AutoLock®

Two-Piece Products

The SUR-FIT® AutoLock® flanging system

closes and locks automatically with a single

light touch. An audible click confirms the

attachment. Pouches can be rotated or

repositioned while locked in place, adding

additional emptying convenience. SUR-FIT®

AutoLock® is ideal for both post-op patients

and those with special clinical needs.

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67

Product Code Color Size Qty. HCPCSMatch

401305 l 35 mm (1 3/8”) flange 5 per box A4409*

401306 l 45 mm (1 3/4”) flange 5 per box A4409*

SUR-FIT® AutoLock® Durahesive® Flexible Skin Barrier with Flangewith white tape collar (overall dimension 4” x 4”)

401307 l 57 mm (2 1/4”) flange 5 per box A4409*

401308 l 70 mm (2 3/4”) flange 5 per box A4409*

SUR-FIT® AutoLock® Durahesive® Flexible Skin Barrier with Flangewith white tape collar (overall dimension 5” x 5”)

Product Code Color Size Qty. HCPCSMatch

401429 l 35 mm (1 3/8”) flange 5 per box A4414*

401430 l 45 mm (1 3/4”) flange 5 per box A4414*

SUR-FIT® AutoLock® Stomahesive® Flexible Skin Barrier with Flangewith white tape collar (overall dimension 4” x 4”)

401431 l 57 mm (2 1/4”) flange 5 per box A4414*

401432 l 70 mm (2 3/4”) flange 5 per box A4414*

SUR-FIT® AutoLock® Stomahesive® Flexible Skin Barrier with Flangewith white tape collar (overall dimension 5” x 5”)

Product Code Color Size Qty. HCPCSMatch

401304 l 100 mm (4”) flange 5 per box A4415

SUR-FIT® AutoLock® Stomahesive® Skin Barrier with Flangewithout tape collar (overall dimension 6” x 6”)

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

SUR-FIT® AutoLock® Two-Piece Products

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68

Product Code Size Qty. HCPCS

401614 3/4” Inner Diameter Opening 5 per box A5093

For use with 1 3/8” SUR-FIT® AutoLock® Durahesive® Flexible and

SUR-FIT® AutoLock® Stomahesive® Flexible

401618 1 1/4” Inner Diameter Opening 5 per box A5093

For use with 1 3/4” SUR-FIT® AutoLock® Durahesive® Flexible and

SUR-FIT® AutoLock® Stomahesive® Flexible

* For SUR-FIT® AutoLock® Skin Barriers only.

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

IF YOUR STOMA SIZE IS NO

WIDER THAN

1/2"

5/8"

3/4"

7/8"

1"

1 1/8"

1 1/4"

1 3/8"

IF YOU USE FLANGE SIZE

(Outer Diameter)

1 3/8"

1 3/8"

1 3/8"

1 3/4"

1 3/4"

1 3/4"

2 1/4"

2 1/4"

CHOOSE A CONVEX INSERT

(Inner Diameter)

3/4"

7/8"

1"

1 1/8"

1 1/4"

1 3/8"

1 1/2"

1 5/8"

Sur-FIt natura® and Sur-FIt® autolock® Disposable Convex Inserts are not available for

stoma sizes wider than 1 3/8".

Convex Insert Sizing

SUR-FIT® AutoLock® Two-Piece Products

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69

Product Code Color Size Qty. HCPCSMatch

401434 l 35 mm (1 3/8”) flange 10 per box A4426

401435 l 45 mm (1 3/4”) flange 10 per box A4426

401436 l 57 mm (2 1/4”) flange 10 per box A4426

401437 l 70 mm (2 3/4”) flange 10 per box A4426

1 tail closure per box.

SUR-FIT® AutoLock® Drainable Pouchwith two-sided comfort panel12” Opaque

401439 l 35 mm (1 3/8”) flange 10 per box A4426

401440 l 45 mm (1 3/4”) flange 10 per box A4426

401441 l 57 mm (2 1/4”) flange 10 per box A4426

401442 l 70 mm (2 3/4”) flange 10 per box A4426

14” Transparent with one-sided comfort panel

401443 l 100 mm (4”) flange 10 per box A4426

1 tail closure per box.

SUR-FIT® AutoLock® Drainable Pouchwith one-sided comfort panel12” Transparent

401677 l 35 mm (1 3/8”) flange 15 per box A4423

401678 l 45 mm (1 3/4”) flange 15 per box A4423

401679 l 57 mm (2 1/4”) flange 15 per box A4423

401680 l 70 mm (2 3/4”) flange 15 per box A4423

15 filter covers per box.

SUR-FIT® AutoLock® Closed-End Pouch with FilterOpaque with two-sided comfort panel

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT® AutoLock® Two-Piece Products

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70

Product Code Color Size Qty. HCPCSMatch

401452 l 35 mm (1 3/8”) flange 10 per box A4434

401453 l 45 mm (1 3/4”) flange 10 per box A4434

401460 l 57 mm (2 1/4”) flange 10 per box A4434

401461 l 70 mm (2 3/4”) flange 10 per box A4434

Each box contains 2 Accuseal® night drainage adapters.

SUR-FIT® AutoLock® Urostomy Pouch with Accuseal® Tap with ValveTransparent standard with one-sided comfort panel

401462 l 35 mm (1 3/8”) flange 10 per box A4434

401463 l 45 mm (1 3/4”) flange 10 per box A4434

401464 l 57 mm (2 1/4”) flange 10 per box A4434

401465 l 70 mm (2 3/4”) flange 10 per box A4434

Each box contains 2 Accuseal® night drainage adapters.

SUR-FIT® AutoLock® Urostomy Pouch with Accuseal® Tap with ValveOpaque standard with one-sided comfort panel

401687 l 45 mm (1 3/4”) flange 5 per box A4409, A4434*

SUR-FIT® AutoLock® Durahesive® Flexible Skin Barrierwith Urostomy Pouch/Accuseal® Adapter Unit Dose Kit

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

Product Code Color Size Qty. HCPCSMatch

Product Code Color Size Qty. HCPCSMatch

SUR-FIT® AutoLock® Two-Piece Products

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71

ActiveLife® One-Piece Ostomy System

ActiveLife®

One-Piece Ostomy System

A lightweight, flexible, one-piece system, ActiveLife®

combines the skin barrier and the pouch in one

simple, easy-to-manage system. Pouches are

available in transparent and opaque films.

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72

Product Code Size Qty. HCPCS

125352 19 mm (3/4”) 10 per box A4390

125353 22 mm (7/8”) 10 per box A4390

125354 25 mm (1”) 10 per box A4390

125355 28 mm (1 1/8”) 10 per box A4390

125356 32 mm (1 1/4”) 10 per box A4390

125357 35 mm (1 3/8”) 10 per box A4390

125358 38 mm (1 1/2”) 10 per box A4390

125359 45 mm (1 3/4”) 10 per box A4390

125360 50 mm (2”) 10 per box A4390

175777 19 mm (3/4”) 5 per box A4390

175778 22 mm (7/8”) 5 per box A4390

175779 25 mm (1”) 5 per box A4390

175780 28 mm (1 1/8”) 5 per box A4390

175781 32 mm (1 1/4”) 5 per box A4390

175782 35 mm (1 3/8”) 5 per box A4390

175783 38 mm (1 1/2”) 5 per box A4390

175784 45 mm (1 3/4”) 5 per box A4390

175785 50 mm (2”) 5 per box A4390

1 tail closure per box.

ActiveLife® Convex One-Piece Pre-Cut Drainable Pouchwith Durahesive® Skin Barrierwith one-sided comfort panel and tape collar12” Transparent

125330 Can be enlarged to accommodate 20 per box A5061

stoma sizes 19 mm (3/4”) to 64 mm

(2 1/2”)

022771 Can be enlarged to accommodate 10 per box A5061

stoma sizes 19 mm (3/4”) to 64 mm

(2 1/2”)

1 tail closure per box.

ActiveLife® One-Piece Drainable Cut-to-Fit Pouchwith Stomahesive® Skin Barrierwith one-sided comfort panel and tape collar12” Transparent

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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73

Product Code Size Qty. HCPCS

400598 Can be enlarged to accommodate 10 per box A4388

stoma sizes 19 mm (3/4”) to 64 mm

(2 1/2”)

1 tail closure per box.

ActiveLife® One-Piece Drainable Cut-to-Fit Pouchwith Durahesive Plus® Skin Barrierwith one-sided comfort panel and tape collar12” Transparent

Product Code Size Qty. HCPCS

400599 Can be enlarged to accommodate 10 per box A4388

stoma sizes 19 mm (3/4”) to 64 mm

(2 1/2”)

1 tail closure per box.

ActiveLife® One-Piece Drainable Cut-to-Fit Pouchwith Durahesive Plus® Skin Barrierwith one-sided comfort panel and tape collar12” Opaque

ActiveLife® One-Piece Ostomy System

ConvaTeccustomer interaction center

1-800-422-8811Monday through Friday, 8:30 a.m. - 7:00 p.m. et,

www.convatec.com

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74

Product Code Size Qty. HCPCS

125331 19 mm (3/4”) 20 per box A5061

125333 32 mm (1 1/4”) 20 per box A5061

125334 38 mm (1 1/2”) 20 per box A5061

125335 45 mm (1 3/4”) 20 per box A5061

125336 50 mm (2”) 20 per box A5061

125337 64 mm (2 1/2”) 20 per box A5061

022750 19 mm (3/4”) 10 per box A5061

022751 25 mm (1”) 10 per box A5061

022752 32 mm (1 1/4”) 10 per box A5061

022753 38 mm (1 1/2”) 10 per box A5061

022754 45 mm (1 3/4”) 10 per box A5061

022755 50 mm (2”) 10 per box A5061

022756 64 mm (2 1/2”) 10 per box A5061

One tail closure per box.

ActiveLife® One-Piece Pre-Cut Drainable Pouchwith Stomahesive® Skin Barrierwith one-sided comfort panel and tape collar10” Opaque

125338 19 mm (3/4”) 20 per box A5061

125339 25 mm (1”) 20 per box A5061

125340 32 mm (1 1/4”) 20 per box A5061

125341 38 mm (1 1/2”) 20 per box A5061

125342 45 mm (1 3/4”) 20 per box A5061

125343 50 mm (2”) 20 per box A5061

125344 64 mm (2 1/2”) 20 per box A5061

022757 19 mm (3/4”) 10 per box A5061

022758 25 mm (1”) 10 per box A5061

022759 32 mm (1 1/4”) 10 per box A5061

022760 38 mm (1 1/2”) 10 per box A5061

022761 45 mm (1 3/4”) 10 per box A5061

022762 50 mm (2”) 10 per box A5061

022763 64 mm (2 1/2”) 10 per box A5061

One tail closure per box.

ActiveLife® One-Piece Pre-Cut Drainable Pouchwith Stomahesive® Skin Barrierwith one-sided comfort panel and tape collar12” Opaque

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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Product Code Size Qty. HCPCS

022764 19 mm (3/4”) 10 per box A5061

022765 25 mm (1”) 10 per box A5061

022766 32 mm (1 1/4”) 10 per box A5061

022767 38 mm (1 1/2”) 10 per box A5061

022768 45 mm (1 3/4”) 10 per box A5061

022769 50 mm (2”) 10 per box A5061

022770 64 mm (2 1/2”) 10 per box A5061

1 tail closure per box.

ActiveLife® One-Piece Pre-cut Drainable Pouchwith Stomahesive® Skin Barrierwith one-sided comfort panel and tape collar12” Transparent

413141 Can be enlarged to accommodate 60 per box A4416

stoma sizes 19 mm (3/4”) to 64 mm

(2 1/2”)

175768 Can be enlarged to accommodate 15 per box A4416

stoma sizes 19 mm (3/4”) to 64 mm

(2 1/2”)

15 filter covers per box.

ActiveLife® One-Piece Cut-to-Fit Closed-End Pouchwith Skin Barrier and Filterwith one-sided comfort panel and no tape collarOpaque

650408 Can be enlarged to accommodate 30 per box A4416

stoma sizes 19 mm (3/4”) to

50 mm (2”)

30 filter covers per box.

ActiveLife® One-Piece Cut-to-Fit Closed-End Pouchwith Skin Barrier and Filterwith one-sided comfort panel and tape collarOpaque

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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650422 Can be enlarged to accommodate 30 per box A4416

stoma sizes 19 mm (3/4”) to

50 mm (2”)

30 filter covers per box.

ActiveLife® One-Piece Cut-to-Fit Closed-End Pouchwith Skin Barrier and Filterwith one-sided comfort panel and tape collarTransparent

413147 Can be enlarged to accommodate 60 per box A4416

stoma sizes 19 mm (3/4”) to

64 mm (2 1/2”)

60 filter covers per box.

175761 Can be enlarged to accommodate 15 per box A4416

stoma sizes 19 mm (3/4”) to

64 mm (2 1/2”)

15 filter covers per box.

ActiveLife® One-Piece Cut-to-Fit Closed-End Pouchwith Skin Barrier and Filterwith one-sided comfort panel and no tape collarTransparent

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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413148 25 mm (1”) 60 per box A4416

413149 32 mm (1 1/4”) 60 per box A4416

413150 38 mm (1 1/2”) 60 per box A4416

413151 45 mm (1 3/4”) 60 per box A4416

413152 50 mm (2”) 60 per box A4416

60 filter covers per box.

175762 25 mm (1”) 15 per box A4416

175763 32 mm (1 1/4”) 15 per box A4416

175764 38 mm (1 1/2”) 15 per box A4416

175765 45 mm (1 3/4”) 15 per box A4416

175766 50 mm (2”) 15 per box A4416

15 filter covers per box.

ActiveLife® One-Piece Pre-Cut Closed End Pouchwith Skin Barrier and no tape collarwith one-sided comfort panel and filterTransparent

413142 25 mm (1”) 60 per box A4416

413143 32 mm (1 1/4”) 60 per box A4416

413144 38 mm (1 1/2”) 60 per box A4416

413145 45 mm (1 3/4”) 60 per box A4416

413146 50 mm (2”) 60 per box A4416

60 filter covers per box.

175769 25 mm (1”) 15 per box A4416

175770 32 mm (1 1/4”) 15 per box A4416

175771 38 mm (1 1/2”) 15 per box A4416

175772 45 mm (1 3/4”) 15 per box A4416

175773 50 mm (2”) 15 per box A4416

15 filter covers per box.

ActiveLife® One-Piece Pre-Cut Closed-End Pouchwith Skin Barrier and Filterwith one-sided comfort panel and no tape collarOpaque

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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Product Code Size Qty. HCPCS

175611 Can be enlarged to accommodate 30 per box A5055

stoma sizes 19 mm (3/4”) to

50 mm (2”)

30 filter covers per box.

ActiveLife® One-Piece Stoma Capwith Skin Barrier and Filterwith no tape collarOpaque

125361 13 mm (1/2”) 10 per box A4393

125362 16 mm (5/8”) 10 per box A4393

125363 19 mm (3/4”) 10 per box A4393

125364 22 mm (7/8”) 10 per box A4393

125365 25 mm (1”) 10 per box A4393

125366 28 mm (1 1/8”) 10 per box A4393

125367 32 mm (1 1/4”) 10 per box A4393

125368 35 mm (1 3/8”) 10 per box A4393

125369 38 mm (1 1/2”) 10 per box A4393

175790 13 mm (1/2”) 5 per box A4393

175791 16 mm (5/8”) 5 per box A4393

175792 19 mm (3/4”) 5 per box A4393

175793 22 mm (7/8”) 5 per box A4393

175794 25 mm (1”) 5 per box A4393

175795 28 mm (1 1/8”) 5 per box A4393

175796 32 mm (1 1/4”) 5 per box A4393

175797 35 mm (1 3/8”) 5 per box A4393

175798 38 mm (1 1/2”) 5 per box A4393

Each box contains one universal night drainage adapter.

ActiveLife® Convex One-Piece Pre-Cut Urostomy Pouchwith Durahesive® Skin Barrier Transparent Standard

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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650828 19 mm (3/4”) 10 per box A4428

650829 22 mm (7/8”) 10 per box A4428

650830 25 mm (1”) 10 per box A4428

650831 28 mm (1 1/8”) 10 per box A4428

650832 32 mm (1 1/4”) 10 per box A4428

650833 38 mm (1 1/2”) 10 per box A4428

Each box contains one Accuseal® night drainage adapter.

ActiveLife® One-Piece Pre-Cut Urostomy Pouchwith Durahesive® Skin Barrier and Accuseal® Tap with ValveTransparent with one-sided comfort panel

064927 Can be enlarged to accommodate 10 per box A5071

stoma sizes 19 mm (3/4”) to

45 mm (1 3/4”)

ActiveLife® One-Piece Cut-to-Fit Urostomy Pouchwith Stomahesive® Skin BarrierTransparent Standard

025433 Can be enlarged to accommodate 1 per box A5061

stoma sizes 19 mm (3/4”) to

64 mm (2 1/2”)

ActiveLife® One-Piece Drainable Pouchwith Stomahesive® Skin Barrier and Tail ClosureUnit Dose Kit

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

ActiveLife® One-Piece Ostomy System

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Esteem®

One-Piece Ostomy System

Esteem® One-Piece Ostomy System offersone step application, which means no needto attach pouches to barriers. It is easy toteach and use and the InvisiClose® tailclosure eliminates the need for a clip.ConvaTec utilizes a modified Stomahesive®

skin barrier to achieve desirable adhesivesecurity while being gentle to the skin. Itsflexible oval-shaped barrier molds to thecontour of the body and the curved pouchshape provides maximum comfort duringwear.

Esteem® One-Piece Ostomy System

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Esteem® One-Piece Drainable Pouch with InvisiClose® Tail Closure and FilterTransparentwith cut-to-fit opening

411203 medium (20-70 mm) 10 per box A4424

Esteem® One-Piece Drainable Pouch with InvisiClose® Tail Closure and FilterOpaquewith cut-to-fit opening

411204 medium (20-70 mm) 10 per box A4424

Product Code Size Qty. HCPCS

Product Code Size Qty. HCPCS

Esteem® One-Piece Ostomy System

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82

Little Ones®

Pediatric Ostomy System

With the ConvaTec Little Ones® OstomySystem, finding the right ostomy system is ele-mentary. With all the challenges that go withraising a child, finding the right ostomy productneedn’t be one of them. That’s becauseConvaTec has a line of products designed justfor kids. The line features products for childrenwho have had colostomy, ileostomy, orurostomy surgery. As with our adult line, LittleOnes® offers a full range of products to meetany child’s need or parent’s preference. Eachhas been scaled down in size to comfortably fita child’s unique body contour. Little Ones®

products are designed with an active child inmind. They’re flexible, durable, and easy toremove, so there’s minimal discomfort andparents love them because they let kids get onwith the business of just being kids!

Little Ones® Pediatric Ostomy System

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83

Product Code Color Stoma Opening Qty. HCPCSMatch

411632 l 0-9/10” (0-23mm) 5 per box A4414

Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small Skin Barrierwith cut-to-fit opening

Product Code Color Stoma Opening Qty. HCPCSMatch

411631 l 0-9/10” (0-23mm) 10 per box A5063

Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small Drainable Pouchwith InvisiClose® Tail Closure SystemTransparent with one-sided comfort panel

Product Code Color Stoma Opening Qty. HCPCSMatch

411641 l 1/5” - 1 1/4” (4.8-31mm) 5 per box A4414

Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Skin Barrierwith cut-to-fit opening

Product Code Color Stoma Opening Qty. HCPCSMatch

411642 l 1/5” - 1 1/4” (4.8-31mm) 5 per box A4414

Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Flexible Skin Barrierwith cut-to-fit opening

Product Code Stoma Opening Qty. HCPCS

411633 0” - 9/10” (0-23mm) 10 per box A5061

Little Ones® One-Piece Extra Small Drainable Pouch with InvisiClose® Tail Closure SystemTransparent with one-sided comfort panel

Little Ones® Pediatric Ostomy System

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84

Product Code Color Stoma Opening Qty. HCPCSMatch

Opaque

411639 l 1/5” - 1 1/4” (4.8-31mm) 10 per box A4419

Transparent

411640 l 1/5” - 1 1/4” (4.8-31mm) 10 per box A4419

Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Closed-End Pouch and filter

Product Code Color Stoma Opening Qty. HCPCSMatch

Opaque

411638 l 1/5” - 1 1/4” (4.8-31mm) 10 per box A5063

Transparent

411637 l 1/5” - 1 1/4” (4.8-31mm) 10 per box A5063

Little Ones® Two-Piece Adhesive Coupling Technology™

Standard Drainable Pouch with InvisiClose® Tail Closure System and filter

401925 l 1 1/4” (32mm) flange 5 per box A4414

401926 l 1 3/4” (45mm) flange 5 per box A4414

Little Ones® Two-Piece Standard Flexible Skin Barrierwith cut-to-fit opening

401930 l 1 1/4” (32mm) flange 20 per box A5054

401931 l 1 3/4” (45mm) flange 20 per box A5054

Little Ones® Two-Piece Standard Closed-End PouchOpaque with two-sided comfort panel

Product Code Color Stoma Opening Qty. HCPCSMatch

Product Code Color Stoma Opening Qty. HCPCSMatch

Little Ones® Pediatric Ostomy System

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85

Product Code Color Size Qty. HCPCSMatch

401927 l 1 1/4” (32mm) flange 10 per box A5063

401928 l 1 3/4” (45mm) flange 10 per box A5063

Little Ones® Two-Piece Standard Drainable PouchTransparent with one-sided comfort panel

Product Code Color Size Qty. HCPCSMatch

401929 l 1 1/4” (32mm) flange 10 per box A5073

Each box contains two night drainage adapters.

Little Ones® Two-Piece Standard Urostomy Pouch Transparent Standard with one-sided comfort panel

Product Code Stoma Opening Qty. HCPCS

020922 5/16” - 2” (8-50mm) 15 per box A5061

Little Ones® One-Piece Cut-to-fit Drainable PouchTransparent Standard with one-sided comfort panel

020917 5/16” - 1” (8-25mm) 15 per box A5071

Each box contains two night drainage adapters.

Little Ones® One-Piece Cut-to-fit Urostomy PouchTransparent Standard

Product Code Stoma Opening Qty. HCPCS

Little Ones® Pediatric Ostomy System

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86

Product Code Qty. HCPCS

401989 1 per box A4398, A4399

Visi-Flow® Irrigator with Stoma Cone

Product Code Color Size Qty. HCPCSMatch

401911 l 38 mm (1 1/2”) flange 5 per box A4397

401912 l 45 mm (1 3/4”) flange 5 per box A4397

401913 l 57 mm (2 1/4”) flange 5 per box A4397

401914 l 70 mm (2 3/4”) flange 5 per box A4397

One tail closure per box.

Visi-Flow® Irrigation SleeveTransparent

022736 1 per box A4399

Visi-Flow® Stoma Cone

175650 10 per box A4363

Visi-Flow® Irrigation Sleeve Tail Closure

Product Code Qty. HCPCS

Product Code Qty. HCPCS

Visi-Flow® Irrigation ProductsVisi-Flow® Irrigation Products

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401918 45 mm (1 3/4”) flange 1 per box A4361

401919 70 mm (2 3/4”) flange 1 per box A4361

Visi-Flow® Irrigation Adapter Faceplate

Product Code Size Qty. HCPCS

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

401916 45 mm (1 3/4”) flange 1 per box A4398, A4399

A4397, A5054

A4367, A4414

A4402

401917 70 mm (2 3/4”) flange 1 per box A4398, A4399

A4397, A5054

A4367, A4415

A4402

Visi-Flow® Irrigation Starter Set

Questionsabout irrigation?

ask a healthcare professional, or call our

Customer Interaction Center at

1-800-422-8811Monday through Friday, 8:30 a.m. - 7:00 p.m. et,

www.convatec.com

Product Code Size Qty. HCPCS

Visi-Flow® Irrigation Products

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88

Abdomen —area of the body between the chest andthe hips in the front part of the body that contains the digestive organs

Adhesive Coupling TechnologyTM —a two-pieceostomy pouching system that attaches with a tape-likeadhesive rather than plastic rings snapping together

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

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

Comfort panels— Convatec pouches are availablewith 1-sided and 2-sided comfort panels for yourconvenience

Convexity— Convex products may be used when astoma empties at or below the skin surface; whenthere are creases, wrinkles or scars near the stoma,and/or when the abdomen is very soft around thestoma.

Drainable pouch —has an opening at the bottomwhich allows stool or urine to be drained and re-closed with a clip or self-gripping fastener hooktape

Durahesive® — is an extended wear barrier thatprovides the ultimate in security and adhesion forpeople with liquid to semi-liquid outputs

Durahesive Plus®— is an extended wear barrier avail-able in a one-piece cut-to-fit pouch

Film — all Convatec pouches have built in layers thathelp reduce the rustling noise under clothing, and abuilt in odor-barrier

Filter — some Convatec pouches have an integralfilter that helps reduce gas buildup within the pouch

Fistula — an abnormal tube-like passageway betweenone hollow organ in the body and another holloworgan, or the skin

Ileostomy — a surgically-created opening betweenthe small intestine (ileum) and the abdominal surface

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

Ostomy — a surgically-created opening (called astoma) in the gastrointestinal system to allow thepassage 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 thebottom of the pouch to empty urine or liquid stool

Pre-cut — some Convatec skin barriers are availablepre-cut to certain stoma sizes

Skin barrier/wafer —round or square-shaped with asticky side that is applied to the skin around the stoma(called peristomal skin). Helps protect the skin fromstool or urine, which can be very irritating

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

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

Tape collar — Convatec skin barriers are availablewith or without tape collars. Most skin barriers withtape collars are available in white, dye-free tape or tantape

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

Urostomy — a surgically created opening whichallows urine to pass

Ostomy Glossary of TermsOstomy Glossary of Terms

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References

References

1. Walker M, Hobot JA, Newman GR, Bowler PG. Scanning electron microscopic examination of bacterial

immobilisation in a carboxymethyl cellulose (AQUACEL®) and alginate dressings. Biomaterials. 2003;24:883-890.

2. Hoekstra MJ, Hermans MH, Richters CD, Dutrieux RP. A histological comparison of acute inflammatory responses

with a hydrofibre or tulle gauze dressing. J Wound Care. 2002 Mar;11(3):113-7.

3. Armstrong SH, Brown DA, Hill E, Ruckley CV. A randomized trial of a new Hydrofiber™ dressing, AQUACEL™, and

an alginate in the treatment of exuding leg ulcers. Presented at: 5th European Conference on Advances in Wound

Management; Harrogate, UK: November 1995.

4. Barnea Y, Amir A, Leshem D, et al. Clinical comparative study of Aquacel and paraffin gauze dressing for split-skin

donor site treatment. Ann Plast Surg. 2004 Aug;53(2):132-6.

5. Caruso DM, Foster KN, Blome-Eberwein SA, et al. Randomized clinical study of Hydrofiber dressing with silver or

silver sulfadiazine in the management of partial-thickness burns. J Burn Care Res. 2006 May-Jun;27(3):298-309.

6. Kogan L, Moldavsky M, Szvalb S, Govrin-Yehudain J. Comparative study of Aquacel and Silverol treatment in burns.

Ann Burns Fire Disasters. 2004;17(4):201-207.

7. [Claim based on gelling properties of the dressing.]

8. AQUACEL® Hydrofiber® Wound Dressing [US package insert ConvaTec 1109469A3]. Princeton, NJ: ER Squibb &

Sons LLC; 2004.

9. Demling RH, De Santi L. Effects of silver on wound management. WOUNDS. 2001;13 (suppl A):4-15.

10. Simonetti N, Simonetti G, Bougnol F, Scalzo M. Electrochemical Ag+ for preservative use. Appl Environ Microbiol.

1992 Dec;58(12):3834-6.

11. Jones S et. al. Antimicrobial Activity of Silver-Containing Dressings is influenced by Dressing Conformability with a

Wound Surface. WOUNDS. 2005; 17:263-270

12. Jones SA, Bowler PG, Walker M, Parsons D. Controlling wound bioburden with a novel silver containing Hydrofiber®

dressing. Wound Repair Regen. 2004 May-Jun;12(3):288-94.

13. Bowler PG, Jones SA, Walker M, Parsons D. Microbicidal properties of a silver-containing hydrofiber dressing

against a variety of burn wound pathogens. J Burn Care Rehabil. 2004 Mar-Apr;25(2):192-6. 14. Lawrence JC, Lilly HA, Kidson A. Wound dressings and airborne dispersal of bacteria. Lancet. 1992 Mar 28; 339

(8796):807.

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Additions

(since last Product Guide publication, January 1, 2010)

420128 AQUACEL® Ag Ribbon Dressing with Strengthening Fiber .39” x 18”

420127 AQUACEL® Ribbon Dressing with Strengthening Fiber .39” x 18”

839005 Eakin® Slims® 2”

Additions

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91

Deletions

(since last Product Guide publication, January 1, 2010)

401673 SUR-FIT® AutoLock® Stomahesive® Flexible Skin Barrier with Drainable Pouch/Tail Closure

403997 Esteem synergy® Drainable Pouch

403995 Esteem synergy® Drainable Pouch

405400 Esteem synergy® Drainable Pouch with filter

405401 Esteem synergy® Drainable Pouch with filter

405402 Esteem synergy® Drainable Pouch with filter

410804 Esteem synergy® Drainable Pouch with filter

410805 Esteem synergy® Drainable Pouch with filter

410809 Esteem synergy® Drainable Pouch with filter

410813 Esteem synergy® Drainable Pouch with filter and InvisiClose® Tail Closure System

410814 Esteem synergy® Drainable Pouch with filter and InvisiClose® Tail Closure System

410815 Esteem synergy® Drainable Pouch with filter and InvisiClose® Tail Closure System

Deletions

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92

Medicare Utilization Charts

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

A4385 Skin Barrier, Solid 4x4 or Equivalent, Extended Wear As needed

A4388 Pouch, Drainable, w/Extended Wear Barrier Attached As needed

A4390 Pouch, Drainable, w/Extended Wear Barrier, w/convexity As needed

A4393 Pouch, Urinary, w/Extended Wear Barrier Attached, w/convexity As needed

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

A4407 Skin Barrier, w/Flange, Extended Wear w/ Convexity As needed

A4409 Skin Barrier, w/Flange, Extended Wear <= 4x4 As needed

A4410 Skin Barrier, w/Flange, Extended Wear > 4x4 As needed

A4413 Pouch, Drainable, High Output, for Barrier w/Flange As needed

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

A4419 Pouch, closed for use on Barrier w/Flange, w/Filter 60 per month

A4421 Ostomy Supply, Miscellaneous As needed

A4423 Pouch, closed, for use on Barrier w/Locking Flange, w/Filter 60 per month

A4424 Pouch, Drainable, w/Filter w/Barrier Attached 20 per month

A4425 Pouch, Drainable, with filter for use w/Flange 20 per month

A4426 Pouch, Drainable for use on Barrier w/Locking Flange 20 per month

A4428 Pouch, Urinary, w/ Extended Wear Barrier w/Faucet-type Tap As needed

A4432 Pouch, Urinary, for use on Barrier w/Flange, w/Faucet-type Tap 20 per month

A4434 Pouch, Urinary for use on Barrier w/Locking Flange, w/Faucet-type Tap 20 per month

A5054 Pouch Closed, for Barrier w/Flange 60 per month

A5055 Stoma Cap, each 31 per month

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

HCPCS HCPCS Medicare Usual (Universal Product Code) Descriptors Maximum Qty.

Medicare Utilization Charts

Page 93: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

93

A5093 Ostomy Accessory, Convex Insert 10 per month

A5102 Bedside Drainage Bottle w/ or wo/ tubing, rigid or expandable 2 per 6 months

A5120 Skin Barrier, Wipes, each 150 per 6 months

A5122 Skin Barrier, Solid, 8 X 8 or Equivalent 20 per month

A6196 Alginate or other fiber gelling dressing, wound cover, 1 per day

pad size <= 16 sq. in., each

A6197 Alginate or other fiber gelling dressing, wound cover, pad size >16, 1 per day

but < =48 sq. in., each

A6198 Alginate or other fiber gelling dressing, wound cover, pad size 1 per day

>48 sq. in., each

A6199 Alginate or other fiber gelling dressing, wound filler, per 6 inches 12” per day

A6209 Foam dressing, wound cover, pad size <= 16 sq. in. wo/adhesive border, each 3 per week

A6210 Foam dressing, wound cover, pad size >16 but <= 48 sq. in. wo/adhesive 3 per week

border, each

A6211 Foam dressing, wound cover, pad size > 48 sq. in. wo/adhesive border, each 3 per week

A6212 Foam dressing, wound cover, pad size <= 16 sq. in. w/adhesive border, each 3 per week

A6213 Foam dressing, wound cover, pad size >16 but <= 48 sq. in. w/adhesive 3 per week

border, each

A6214 Foam dressing, wound cover, pad size > 48 sq. in. w/adhesive border, each 3 per week

A6234 Hydrocolloid dressing, wound cover pad <= 16 sq. in., wo/adhesive border, each 3 per week

A6235 Hydrocolloid dressing, wound cover pad >16 but <= 48 sq. in., wo/adhesive 3 per week

border, each

A6236 Hydrocolloid dressing, wound cover pad > 48 sq. in., wo/ adhesive border, each 3 per week

A6237 Hydrocolloid dressing, wound cover pad <= 16 sq. in., w/adhesive border, each 3 per week

A6238 Hydrocollo id dressing, wound cover pad >16 but <= 48 sq. in., w/adhesive 3 per week

border, each

A6240 Hydrocolloid dressing, wound filler, paste, per oz 3 per week

A6248 Hydrogel dressing, wound filler, gel, per oz 3 oz per month

A6441 Padding bandage, non-elastic, non-woven/non-knitted, width >= 3” but < 5”, 1 per week

per yard

A6446 Conforming bandage, non-elastic, knitted/woven,sterile, width >= 3” but < 5”, 1 per week

per yard

A6452 High compression bandage, elastic/woven, load resistance >= 1.35 foot 1 per week

pounds at 50% max stretch, width >= 3” but < 5”, per yard

A6456 Zinc paste impregnated bandage, non-elastic, knitted/woven, 1 per week

width >= 3” but < 5”, per yard

HCPCS HCPCS Medicare Usual (Universal Product Code) Descriptors Maximum Qty.

Medicare Utilization Charts

Page 94: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

94

020917.........................85020922.........................85020929.........................57020930.........................57020931.........................56020932.........................56020933.........................56020934.........................56020935.........................57020936.........................57020938.........................57021712.........................30021715.........................30021901.........................30022355.........................57022356.........................57022736.........................86022750.........................74022751.........................74022752.........................74022753.........................74022754.........................74022755.........................74022756.........................74022757.........................74022758.........................74022759.........................74022760.........................74022761.........................74022762.........................74022763.........................74022764.........................75022765.........................75022766.........................75022767.........................75022768.........................75022769.........................75022770.........................75022771.........................72025433.........................79025510.........................29025542.........................30027060.........................50027062.........................50037436.........................29037439.........................29037443.........................29037444.........................29037449.........................27064927.........................79121222.........................16121253.........................16122100.........................12122101......................8,12125199.........................16

125257.........................38125258.........................38125259.........................38125260.........................38125261.........................38125262.........................37125263.........................37125264.........................37125265.........................37125266.........................37125267.........................38125268.........................38125269.........................38125270.........................38125271.........................38125272.........................38125273.........................38125274.........................38125275.........................38125276.........................38125277.........................38125330.........................72125331.........................74125333.........................74125334.........................74125335.........................74125336.........................74125337.........................74125338.........................74125339.........................74125340.........................74125341.........................74125342.........................74125343.........................74125344.........................74125352.........................72125353.........................72125354.........................72125355.........................72125356.........................72125357.........................72125358.........................72125359.........................72125360.........................72125361.........................78125362.........................78125363.........................78125364.........................78125365.........................78125366.........................78125367.........................78125368.........................78125369.........................78145730.........................17159712 ........................16

168117.........................21168132.........................21168210.........................21168212.........................21168214.........................21168215.........................21168219.........................21168240.........................21168242.........................21168356.........................21175507.........................31175611.........................78175635.........................31175650.........................87175652.........................31175761 ........................76 175762 ........................77 175763 ........................77 175764 ........................77 175765 ........................77 175766 ........................77 175768 ........................75 175769 ........................77 175770 ........................77 175771 ........................77 175772 ........................77 175773.........................77175777.........................72175778.........................72175779.........................72175780.........................72175781.........................72175782.........................72175783.........................72175784.........................72175785.........................72175790.........................78175791.........................78175792.........................78175793.........................78175794.........................78175795.........................78175796.........................78175797.........................78175798.........................78177901.........................21177902.........................21177903.........................21183910.........................29187611.........................19187643.........................19187644.........................19187658.........................19187659.........................19187660.........................19

187661.........................19187662.........................19187725.........................22187773.........................23187774.........................23187775.........................23187900.........................18187901.........................18187902.........................18187903.........................18187930.........................19187932.........................18187955.........................18187957.........................18187961.........................18187970.........................19187971.........................19187972.........................19187973.........................19187974.........................19187987.........................17187990.........................17324403.........................10324504...........................9324509...........................9324604...........................8324609...........................8324611......................8,12324612......................8,12324704...........................9324709...........................9324802.........................10324804.........................10324809.........................10324908.........................11324913.........................11325102.........................12325105.........................12325204........................8,9325208........................8,9325304...........................8325309...........................8325521 .......................8,9 325614.........................11400598.........................73400599.........................73401304.........................67401305.........................67401306.........................67401307.........................67401308.........................67401429.........................67401430.........................67401431.........................67401432.........................67

Numerical Index

Page 95: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

95

401434.........................69401435.........................69401436.........................69401437.........................69401439.........................69401440.........................69401441.........................69401442.........................69401443.........................69401452.........................70401453.........................70401460.........................70401461.........................70401462.........................70401463.........................70401464.........................70401465.........................70401500.........................43401501.........................43401502.........................43401503.........................43401504.........................43401505.........................45401506.........................45401507.........................45401508.........................45401509.........................45401510.........................44401511.........................44401512.........................44401513.........................44401514.........................44401515.........................43401521.........................46401522.........................46401523.........................46401524.........................46401525.........................47401526.........................47401527.........................47401528.........................47401529.........................47401530.........................47401531.........................47401532.........................47401533.........................49401534.........................49401535.........................49401536.........................49401537.........................49401538.........................49401539.........................49401540.........................49401541.........................49401542.........................49401543.........................49401544.........................49401545.........................49

401546.........................49401547.........................48401548.........................48401549.........................48401550.........................48401551.........................48401552.........................48401553.........................48401554.........................48401555.........................45401557.........................45401558.........................45401559.........................45401573.........................37401574.........................37401575.........................37401576.........................37401577.........................37401614.........................68401618.........................68401677.........................69401678.........................69401679.........................69401680.........................69401687.........................70401848.........................22401849.........................22401905.........................35401906.........................37401909.........................47401911.........................86401912.........................86401913.........................86401914.........................86401916.........................87401917.........................87401918.........................87401919.........................87401920.........................51401921.........................51401922.........................51401923.........................51401924.........................51401925.........................85401926.........................85401927.........................85401928.........................85401929.........................85401930.........................85401931.........................85401932.........................44401933.........................44401934.........................44401935.........................44401936.........................44401989.........................86401993.........................40401994.........................40

401995.........................40401996.........................40402239.........................51403202.........................23403203.........................23403204.........................23403326.........................18403327.........................18403328.........................18403332.........................18403333.........................18403706.........................20403710.........................20403711.........................20403765 ........................20403770.........................21403771.........................20403946.........................64403948.........................60404006.........................39404007.........................39404008.........................39404009.........................39404010.........................39404011.........................39404012.........................39404013.........................39404014.........................44404015.........................44404016.........................44404017.........................44404018.........................44404025.........................43404026.........................43404027.........................43404028.........................43404029.........................43404030.........................45404031.........................45404032.........................45404033.........................45404034.........................45404592.........................33404593.........................33404594.........................33405404.........................62405406.........................63405436.........................64405437.........................64405441.........................64405446.........................65405447.........................65405448.........................65405449.........................65405450.........................65405451.........................65405452.........................65405453.........................65

405456.........................59405457.........................59405458.........................59405467.........................60405468.........................60405472.........................60405473.........................60405474.........................60405475.........................60405476.........................60405477.........................60405478.........................60405479.........................60405480.........................60405481.........................60405482.........................60405483.........................60409268.........................59409269.........................59409270.........................59409275.........................63409276.........................63409277.........................63409282.........................64409283.........................64409284.........................64409345.........................63410500.........................18410501.........................18410510.........................18410606.........................22410607.........................22410608.........................22410609.........................22410610.........................22410612.........................22410613.........................22410614.........................22410615.........................22410810.........................62410811.........................62410812.........................62411100.........................13411101.........................14411102.........................14411104.........................13411203.........................78411204.........................78411264.........................41411265.........................41411266.........................41411267.........................41411288.........................42411289.........................42411290.........................42411291.........................42411292.........................42411309.........................42

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96

411203.........................81411204.........................81411264.........................41411265.........................41411266.........................41411267.........................41411288.........................42411289.........................42411290.........................42411291.........................42411292.........................42411309.........................42411310.........................42411311.........................42411312.........................42411360.........................42411361.........................42411362.........................42411489.........................41411490.........................41411491.........................41411492.........................41411493.........................41411631.........................83411632.........................83411633.........................83411637.........................84411638.........................84411639.........................84411640.........................84411641.........................83411642.........................83411657.........................59411658.........................59411659.........................59411800.........................33411801.........................36411802.........................35411803.........................36411804.........................33411805.........................36411806.........................33411807.........................36412009.........................20412010.........................20412011.........................20412012.........................20413141.........................75413142.........................77413143.........................77413144.........................77413145.........................77413146.........................77413147.........................76413148.........................77413149.........................77413150.........................77413151.........................77

413152.........................77413153.........................35413154.........................35413155.........................35413156.........................35413157.........................35413159.........................35413160.........................35413161.........................35413162.........................35413163.........................35413164.........................34413165.........................34413166.........................34413167.........................34413168.........................34413169.........................46413170.........................46413171.........................46413172.........................46413173.........................47413174.........................47413175.........................47413176.........................47413177.........................34413178.........................34413179.........................34413180.........................34413181.........................34413182.........................34413183.........................34413184.........................34413185.........................34413186.........................34413187.........................34413188.........................34413312.........................42413313.........................42413314.........................42413334.........................43413335.........................43413336.........................43413353.........................63413354.........................63413401.........................11416917.........................53416918.........................53416921.........................53416922.........................53416925.........................53416926.........................53416932.........................54416934.........................54416940.........................54416942.........................54416948.........................54416950.........................54418000.........................13

420127.........................21420128.........................20650078.........................14650408.........................75650422.........................76650828.........................79650829.........................79650830.........................79650831.........................79650832.........................79650833.........................79650940.........................24650941.........................24650944.........................24650947.........................24650948.........................24651027.........................22651029.........................22651031.........................22839001.........................30839002.........................30839003.........................31839004.........................31839210.........................26839211.........................26839212.........................26839213.........................26839214.........................26839220.........................26839221.........................27839222.........................27839223.........................27839224.........................27839225.........................27

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A ActiveLife® Convex One-Piece Pre-Cut Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72ActiveLife® Convex One-Piece Pre-Cut Urostomy Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78ActiveLife® One-Piece Cut-to-Fit Closed-End Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75-76ActiveLife® One-Piece Cut-to-Fit Urostomy Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76ActiveLife® One-Piece Drainable Cut-To-Fit Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72-73ActiveLife® One Piece Drainable Pouch Unit Dose Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79ActiveLife® One-Piece Pre-Cut Closed-End Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77ActiveLife® One-Piece Pre-Cut Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74-75ActiveLife® One-Piece Stoma Cap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .78ActiveLife® One-Piece Pre-Cut Urostomy Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79AllKare® Adhesive Remover Wipe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29AllKare® Protective Barrier Wipe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29Aloe Vesta® Antifungal Ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12Aloe Vesta® Bathing Cloths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,9Aloe Vesta® Body Wash & Shampoo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8Aloe Vesta® Body Wash & Shampoo Wall Dispenser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8Aloe Vesta® Cleansing Foam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8,9Aloe Vesta® Perineal/Skin Cleanser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9Aloe Vesta® Protective Barrier Spray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Aloe Vesta® Protective Ointment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Aloe Vesta® Skin Conditioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10AQUACEL® Hydrofiber® Wound Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21AQUACEL® Hydrofiber® Wound Dressing (Ribbon with Strengthening Fiber) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21AQUACEL® Ag Hydrofiber® Wound Dressing with Ionic Silver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20AQUACEL® Ag Hydrofiber® Wound Dressing with Ionic Silver (Ribbon with Strengthening Fiber) . . . . . . . . . . . . . . .20AQUACEL® Ag SURGICAL Hydrofiber Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20

CCarboFLEX® Odor Control Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23CombiDERM® ACD® Sterile Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22CombiDERM® Non Adhesive Sterile Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23ConvaTec® Loop Ostomy Rod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57ConvaTec Moldable Technology™ Post-Operative/Surgical Kits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53-54ConvaTec® Night Drainage Container Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50ConvaTec® Night Drainage Container Tubing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50ConvaTec® Tail Closures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

DDISPENSERS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12DuoDERM® CGF® Control Gel Formula Border Sterile Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19DuoDERM® CGF® Sterile Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19DuoDERM® Extra Thin CGF® Sterile Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18DuoDERM® Hydroactive® Sterile Gel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17DuoDERM® Signal® Sterile Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18DuoDERM® Hydroactive Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19DuoDERM® Hydroactive Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19DuoLock® Curved Tail Closures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

EEakin Cohesive® Seals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Eakin Cohesive® Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31Eakin® Fistula and Wound Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25-27Esteem® One-Piece Drainable Pouch with Filter and InvisiClose® Tail Closure System . . . . . . . . . . . . . . . . . . . . . . .82Esteem synergy® Closed End Mini-Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64Esteem synergy® Closed End Pouch with filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64Esteem synergy® Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63Esteem synergy® Drainable Pouch with filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61-62Esteem synergy® Drainable Pouch with filter and InvisiClose® Tail Closure System . . . . . . . . . . . . . . . . . . . . . . . . . .62Esteem synergy® Durahesive® Moldable Convex Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59Esteem synergy® Professional Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .63Esteem synergy® Stomahesive® Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59-60Esteem synergy® Urostomy Pouch with Accuseal Tap with Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65

Alphabetical Index

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FFlexi-Seal® Fecal Collector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Flexi-Seal® Fecal Management System (FMS) Advanced Odor Control Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13Flexi-Seal® Fecal Management System (FMS) Advanced Odor Control Replacement Collection Bags with Charcoal Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14

Flexi-Seal® Fecal Management System (FMS) Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13Flexi-Seal® Fecal Management System (FMS) Replacement Collection Bags . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14Flexi-Seal® SIGNAL Fecal Management System (FMS) Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13FLEXI-TRAK® (Large) Anchoring Device . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27

GGentle Touch® Colostomy / Ileostomy Postoperative Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57Gentle Touch® Colostomy / Ileostomy Postoperative System Sterile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56Gentle Touch® Loop Ostomy System - 2 3⁄4" Sterile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56Gentle Touch® Loop Ostomy System - 4" Sterile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56Gentle Touch® Urostomy Postoperative Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57Gentle Touch® Urostomy Postoperative System Sterile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

KKALTOSTAT® Alginate Wound Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21KALTOSTAT® Alginate Fortex™ Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21KALTOSTAT® Alginate Wound Dressing Rope . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

LLittle Ones® One-Piece Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85Little Ones® One-Piece Extra Small Drainable Pouch with InvisiClose® Tail Closure System . . . . . . . . . . . . . . . . . . . .83Little Ones® One-Piece Urostomy Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . .83Little Ones® Two-Piece Adhesive Coupling Technology™ Extra Small Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . .83Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Closed End Pouch . . . . . . . . . . . . . . . . . . . . . . . .84Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . .84Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83Little Ones® Two-Piece Standard Closed-End Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84Little Ones® Two-Piece Standard Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85Little Ones® Two-Piece Adhesive Coupling Technology™ Standard Flexible Skin Barrier . . . . . . . . . . . . . . . . . . . . . . .83Little Ones® Two-Piece Standard Urostomy Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85

OOPTIPORE® Sponge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Ostomy Appliance Belt . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31

SS-AF-Clens® AF Dermal Wound Cleanser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16S-AF-Gel® Hydrating Dermal Wound Dressing With Alginate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17Sensi-Care® Moisturizing Body Cream . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Sensi-Care® Perineal / Skin Cleanser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9Sensi-Care® Protective Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11Sensi-Care® Septi-Soft® Concentrate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8Shur-Clens® Wound Cleanser . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16Stomahesive® Paste . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29Stomahesive® Protective Powder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29Stomahesive® Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Stomahesive® Skin Barrier — Sterile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30Stomahesive® Strips (Moldable Adhesive) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30SurePress® Absorbent Padding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24SurePress® High Compression Bandage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24SUR-FIT® AutoLock® Closed-End Pouch with Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69SUR-FIT® AutoLock® Disposable Convex Inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68SUR-FIT® AutoLock® Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69SUR-FIT® AutoLock® Durahesive® Flexible Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67SUR-FIT® AutoLock® Durahesive® Flexible Skin Barrier Unit Dose Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70SUR-FIT® AutoLock® Stomahesive® Flexible Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67SUR-FIT® AutoLock® Stomahesive® Flexible Skin Barrier Unit Dose Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

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SSUR-FIT® AutoLock® Stomahesive® Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67SUR-FIT® AutoLock® Urostomy Pouch with Accuseal® Tap with Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70SUR-FIT Natura® Closed-End Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46SUR-FIT Natura® Closed-End Pouch with Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47SUR-FIT Natura® Disposable Convex Inserts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39SUR-FIT Natura® Drainable Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43-45SUR-FIT Natura® Drainable Pouch with Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41-42SUR-FIT Natura® Drainable Pouch with Filter with InvisiClose® Outlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42SUR-FIT Natura® Drainable Pouch with InvisiClose® Outlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42-43SUR-FIT Natura® Drainable Pouch for High Output . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45SUR-FIT Natura® Durahesive® Flexible Skin Barrier Unit Dose Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51SUR-FIT Natura® Durahesive® Skin Barrier with CONVEX-IT® . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34SUR-FIT Natura® Durahesive® Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35SUR-FIT Natura® Durahesive® Flexible Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34-35SUR-FIT Natura® Durahesive® Moldable Convex Skin Barrier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33SUR-FIT Natura® Flange Cap with Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47SUR-FIT Natura® Low-Pressure Adaptor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40SUR-FIT Natura® Mini-Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47SUR-FIT Natura® Moldable Durahesive® Skin Barrier with Hydrocolloid Flexible Flange . . . . . . . . . . . . . . . . . . . . . . . .33SUR-FIT Natura® Moldable Stomahesive® Skin Barrier with Hydrocolloid Flexible Flange . . . . . . . . . . . . . . . . . . . . . . .36SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37SUR-FIT Natura® Stomahesive® Flexible Skin Barrier with Pre-Cut Openings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38SUR-FIT Natura® Stomahesive® Skin Barrier with Flange . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37SUR-FIT Natura® Stomahesive® Skin Barrier with Flange Unit Dose Kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51SUR-FIT Natura® Urostomy Pouch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49SUR-FIT Natura® Urostomy Pouch with Accuseal® Tap and Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48-49

UUNNA-FLEX® Elastic Unna Boot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24UNNA-FLEX® PLUS Venous Ulcer Convenience Pack . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24

VVersiva® XC® Gelling Foam Dressing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22Visi-Flow® Irrigation Adapter Faceplate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87Visi-Flow® Irrigation Sleeve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86Visi-Flow® Irrigation Sleeve Tail Closure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86Visi-Flow® Irrigation Starter Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87Visi-Flow® Irrigator with Stoma Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86Visi-Flow® Stoma Cone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

Page 100: 2007 Product Guide Sample 1 - ERAC International€¦ · Wound Cleansing ... cream contains emollients that smooth and soften the skin, and humectants that attract and retain moisture

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