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ConvaTec2011 Product Guide
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.
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
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
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
7
Skin Care Products
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
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.
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.
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
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
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
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
15
Wound Care Products
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
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
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
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
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
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
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
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.
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
25
Wound Pouches andSpecialty Products
Specially designed to offer skin protection
and contain drainage from wounds, fistulas
and difficult stoma sites.
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.
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
28
Ostomy Care Products
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
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
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
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
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)
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
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
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)
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
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
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
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
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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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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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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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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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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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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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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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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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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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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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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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.
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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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
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.
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
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
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.
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
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
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.
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
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
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
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
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.
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
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
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
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
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.
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
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
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
75
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
76
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
77
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
78
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
79
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
80
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
81
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
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
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
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
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
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
87
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
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
89
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.
90
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
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
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
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
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
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
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
97
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
98
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
99
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
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