STOMA CARE PRODUCTS YOUR NEEDS, OUR PRIORITIES

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1 STOMA CARE PRODUCTS YOUR NEEDS, OUR PRIORITIES

2 B. Braun Stoma Care Research constantly aims to improve patient quality of life on a daily basis, by promoting new product technologies designed to answer: Physical needs for optimal skin protection, ensuring security and decreasing the risk of complications that can occur with a stoma. Psychological needs for a soft, comfortable and discreet device, increasing patient s autonomy. Needs of the health care professionals in hospitals and community are also taken into account, with low education and easy to handle products, offering time and cost effectiveness. CONTENT 4 1 PIECE SYSTEMS 6 Flexima Closed Flat Flexima Roll up Flat 7 Flexima High Flow Flat Flexima Uro Silk Flat 8 Flexima Closed Convex Flexima Roll up Convex 9 Flexima Active Closed Flat Flexima Active Roll up Flat 10 Flexima Active O convex Roll up Flexima Active O convex Uro 11 Proxima Closed Flat with filter Proxima Drainable Flat without filter 12 Proxima Border Flat without filter Proxima Urostomy Flat 13 Proxima + Closed Flat with filter Proxima + Drainable Flat without filter Proxima + Drainable Flat with filter 14 2 PIECE SYSTEMS 16 Flexima Key Flat base plates Flexima Key Convex base plates Flexima Key Closed 17 Flexima Key Roll up Flexima Key Maxi Drainable 18 Flexima 3S Flat base plates Flexima 3S Flat with tape border base plates Flexima 3S Convex base plates 19 Flexima 3S Closed Flexima 3S Roll Up 20 Flexima 3S High Flow Flexima 3S Uro 21 Be 1 Capsule cap 23 Proxima 2+ with tape border Flat base plates Proxima 2 Full Hydrocolloid Flat base plates Proxima 2 Full Hydrocolloid Convex base plates 24 Proxima 2 Closed with filter Proxima 2 Drainable without filter Proxima 2 Urostomy 25 Proxima 2+ Closed with filter Proxima 2+ Drainable with filter

3 26 POST-OPERATIVE RANGE 28 Draina S Draina S Vision 29 B. Braun Loop Bridge 30 IRRIGATION 32 IryPump S 33 IryPump S accessories 34 Irrigation by gravity Iryflex Set 35 Iryflex accessories Stoma caps and mini pouches 36 SOLUTIONS 38 Guiding system 40 Be 1 for colostomates 42 Solution for urostomates 44 High Output solution for ileostomates ACCESSORIES 23 Askina Barrier Film B. Braun Adhesive Remover Superfiller 24 B. Braun DeOdour Ileo Gel + B. Braun Stoma Care Belt Clamps

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5 1 PIECE SYSTEMS 1-PIECE SYSTEMS Within a one-piece system, the skin protector and the pouch are bounded together. For people using this type of system, it s recommended to change their appliance everyday. B. Braun offers: The Flexima range is simple to use as no any special training is required. With its flower shaped hydrocolloid skin protector, Flexima standard pouches adapt perfectly to body contours and give added comfort to patients. The Flexima Active is for patients requiring more comfort. Its highly flexible skin protector gives the comfort of a second skin*. Proxima / Proxima + pouches provide an optimal comfort and discretion on a daily basis. *International Post Market User Evaluation of Flexima /Softima Active 1-Piece system - B. Braun internal report 6 Flexima Closed Flat Flexima Roll up Flat 7 Flexima High Flow Flat Flexima Uro Silk Flat 8 Flexima Closed Convex Flexima Roll up Convex 9 Flexima Active Closed Flat Flexima Active Roll up Flat 10 Flexima Active O convex Roll up Flexima Active O convex Uro 11 Proxima Closed Flat with filter Proxima Drainable Flat without filter 12 Proxima Border Flat without filter Proxima Urostomy Flat 13 Proxima + Closed Flat with filter Proxima + Drainable Flat without filter Proxima + Drainable Flat with filter (1) For most countries a specific letter is added at the end of the radical reference 5

6 1 PIECE SYSTEMS Flexima Flexima Closed Flat Size Ø (mm) References (1) Flexima Closed Flat - Box of 30 -Mini Midi Maxi Volume ±275mL ±465mL ±500mL LT (Lamina Technology) filter: Optimised performance of degassing and deodorising F lower shaped skin protector Ergonomic shape for comfort Flexima Roll up Flat Size Ø (mm) References (1) Flexima Roll up Flat - Box of 30 -Mini Midi Maxi HP filter Leak-Proof and permeable to gases Hi-tech breathable membrane Integrated soft Roll Up clamp Easy-to-use outlet 6 Volume ±260mL ±580mL ±710mL

7 Flexima High Flow Flat 1 PIECE SYSTEMS Size Ø (mm) References (1) Volume Flexima High Flow - Box of 30 Maxi ±690mL LKP filter: Leak-Proof and permeable to gases Flow Collector For more information on the solution high output please refer to page 44 Flower shaped hydrocolloid adapts to natural skin folds - Practical to use Specific outlet Evacuates all types of output - Reassuring removal plug - Large emptying outlet: Ø 15mm Secure and easy to handle Highly adaptable to Flow Collector Ensures a good night s sleep and an active life during day - Visual control - Secure and strong emptying outlet Ø (mm) References (1) Volume Flow Collector Box of ±2L Box of ±2L Flexima Uro Silk Flat B. Braun Uribag For more information on the solution for urostomates please refer to page 42 Urimed Tribag Plus Size Ø (mm) References (1) Volume Flexima Uro Silk Flat - Box of 30 Midi ±630mL * with 30 universal connectors Outlet for day Clear position open/closed Snaps perfectly with audible click Easy to handle: no risk of drop Outlet for night Easy to connect to a night drainage bag Audible click at connection Outlet designed to avoid twist and allowed free moment Cut-to-fit Beige Transparent Split Cover / Beige with inspection window Convex (1) For most countries a specific letter is added at the end of the radical reference 7

8 Flexima Convex 1 PIECE SYSTEMS Flexima Closed Convex 4mm Ø (mm) References(1) Flexima Closed Convex - Box of Volume ±430mL Gentle slope for optimal pressure distribution Soft and flexible convexity Flexima Roll up Convex 4mm Size Ø (mm) References (1) Flexima Roll up Convex - Box of 10 Midi Midi Volume ±590mL ±580mL Gentle slope for optimal pressure distribution Soft and flexible convexity Flexima Uro Silk Convex For more information on the solution for urostomates please refer to page 42 Size Ø (mm) References (1) Flexima Uro Silk Convex* - Box of 10 Midi Volume ±615mL *with 10 universal connectors Outlet for day Clear position open/closed Snaps perfectly with audible click Easy to handle: no risk of drop B. Braun Uribag Urimed Tribag Plus 8 4mm Outlet for night Easy to connect to a night drainage bag Audible click at connection Outlet designed to avoid twist and allowed free movement

9 1 PIECE SYSTEMS Flexima Active Flexima Active Closed Flat Size Ø (mm) References (1) Flexima Active Closed Flat - Box of 30 Mini Midi Maxi Volume -±220mL ±480mL ±600mL High performance filter Water and oil resistant, permeable to gases Ergonomic bag shape available in 3 sizes B.BraunTech (Skin protector) formulation for highest wearing comfort Flexima Active Roll up Flat Size Ø (mm) References (1) Flexima Active Roll up Flat - Box of 30 Mini Midi Maxi Volume ±260mL ±580mL ±710mL High performance filter Leak-Proof and permeable to gases hi-tech breathable membrane An extensive drainable range available in 3 sizes.brauntech (Skin protector) formulation for highest B wearing comfort Integrated soft Roll Up clamp Easy-to-use outlet Cut-to-fit Beige Transparent Split Cover / Beige with inspection window (1) For most countries a specific letter is added at the end of the radical reference Convex 9

10 Flexima Active O convex 1 PIECE SYSTEMS Ensuring a secure seal around the stoma 3 positions for the belt for an extra security Highly flexible Convex skin protector With split cover Easier pouch fitting Visual control of the stoma at any time Check stool aspect Check quantity of output Gentle slope For an optimum pressure distribution and perfect skin tolerance. Flexima Active O convex Roll up 4mm Size Ø (mm) References (1) Flexima Active O convex Roll Up - Box of 10 Midi Maxi Volume ±600mL Skin friendly hydrocolloid clinically proven * High performance filter Compact shape, in Midi or Maxi size Secure and clean, 7cm outlet Flexima Active O convex Uro 4mm Size Ø (mm) References (1) Flexima Active O convex Uro - Box of 10* Midi For more information on the solution for urostomates please refer to page 42 B. Braun Uribag Urimed Tribag Plus 10 Volume ±670 ml * With 10 universal connectors Outlet for day Clear position open/closed Snaps perfectly with audible click Easy to handle: no risk of drop Outlet for night Easy to connect to a night drainage bag Audible click at connection Outlet designed to avoid twist and allowed free movement

11 Proxima Proxima Closed Flat with filter 1 PIECE SYSTEMS Size Ø (mm) References (1) Volume Proxima Closed Flat - Box of 30* Midi A 55110A ±480mL Full hydrocolloid skin barrier - Optimal skin protection Integrated filter Soft backing material Beige for discretion Available in transparent Proxima Drainable Flat without filter Size Ø (mm) References (1) Volume Proxima Drainable Flat without fliter - Box of 30* Midi A 55510A ±650mL * with 30 soft clamps + 1 rigid clamp Full hydrocolloid skin barrier - Optimal skin protection Large opening: 70mm - For ileostomy or colostomy stool evacuation Large capacity - For longer use of the pouch Adhesive soft clamp Cut-to-fit Beige Transparent Split Cover / Beige with inspection window Convex (1) For most countries a specific letter is added at the end of the radical reference 11

12 1 PIECE SYSTEMS Proxima Proxima Border Flat without filter Size Ø (mm) References (1) Volume Proxima Border Flat without filter - Box of 30* Midi A 56510A ±680mL *with 30 soft clamps +1 rigid clamp Combination of hydrocolloid and acrylic tape border for extra security feeling Easy to empty and clean Large capacity: 680mL Washable and resistant backing material Odourproof plastic film Tape Border Proxima Urostomy Flat For more information on the solution for urostomates please refer to page 42 Size Ø (mm) References (1) Volume Proxima Urostomy - Box of 10 Midi A ±565 ml Quantity References Connector Urostomy pouch connector Box of Urimed B Bag Combination of hydrocolloid and acrylic tape border for extra security feeling Outlet for day Clear position open/closed Snaps perfectly with audible click Easy to handle: no risk of drop Outlet for night Easy to connect to a night drainage bag Audible click at connection Outlet designed to avoid twist and allowed free movement 12

13 Proxima + Proxima + Closed Flat with filter 1 PIECE SYSTEMS Size Ø (mm) References (1) Volume Proxima Closed Flat with filter - Box of 30 Midi A 54110A A A A -- ±480mL A A -- Proxima + Drainable Flat without filter Full hydrocolloid skin barrier - Optimal skin protection Integrated filter Soft backing material Beige for discretion Size Ø (mm) References (1) Volume Proxima + Drainable Flat without filter - Box of 30* Midi A 54310A ±650mL * + 30 soft clamps + 1 rigid clamp Soft non-woven Full hydrocolloid skin barrier- Optimal skin protection Large opening: 7cm for ileostomy or colostomy stool evacuation Large capacity for longer use of the pouch Proxima + Drainable Flat with filter Size Ø (mm) References (1) Volume Proxima Drainable with filter - Box of 10* Midi A 54510A A -- ±480mL A A -- *with 1 rigid clamp Soft non-woven LT (Lamina Technology) filter: Optimised performance of degassing and deodorising Cut-to-fit Beige Transparent Split Cover / Beige with inspection window Convex (1) For most countries a specific letter is added at the end of the radical reference 13

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15 2-PIECE SYSTEMS With the two-piece system the base plate is kept on the skin for a few days, whilst the pouch is changed when needed. This system can be quite useful for people with sensitive skin. 2 PIECE SYSTEMS Within the Flexima range 2 piece system, B. Braun offers two types of coupling system appliances: the adhesive Flexima Key and the mechanical Flexima 3S range. The Proxima 2 and Proxima 2 + ranges are a secure 2-piece mechanical coupling system, thanks to its locking system and audible click. 16 Flexima Key Flat base plates Flexima Key Convex base plates Flexima Key Closed 17 Flexima Key Roll up Flexima Key Maxi Drainable 18 Flexima 3S Flat base plates Flexima 3S Flat with tape border base plates Flexima 3S Convex base plates 19 Flexima 3S Closed Flexima 3S Roll Up 20 Flexima 3S High Flow Flexima 3S Uro 21 Be 1 Capsule cap 23 Proxima 2+ with tape border Flat base plates Proxima 2 Full Hydrocolloid Flat base plates Proxima 2 Full Hydrocolloid Convex base plates 24 Proxima 2 Closed with filter Proxima 2 Drainable without filter Proxima 2 Urostomy 25 Proxima 2+ Closed with filter Proxima 2+ Drainable with filter 15

16 2-PIECE ADHESIVE SYSTEM Flexima Key Flexima Key Flat Ø (mm) References (1) Flexima Key Flat - Cut-to-fit - Box of 5 40/ / / / Flexima Key Flat - Pre-cut - Box of 5 40/ / / / Flexima Key Convex 4mm Ø (mm) References (1) Flexima Key Convex - Cut-to-fit - Box of 5 50/ / / Flexima Key Convex - Pre-cut - Box of 5 50/ / / / / Flexima Key Closed Ø (mm) References (1) Volume Midi - Flexima Key Closed - Box of ±440mL ±420mL ±550mL ±520mL For more information on the solution Guiding System please refer to page 38 LT filter: Optimised performances of degassing and deodorising - Ergonomic shape fitting to body contour - Soft, beige non woven for more discretion and more comfort 16

17 2-PIECE ADHESIVE SYSTEM Flexima Key Flexima Key Roll up For more information on the solution Guiding System please refer to page 38 Volume ±250mL ±550mL ±525mL ±670mL ±610mL 2 PIECE SYSTEMS Size Ø (mm) References(1) Flexima Key Roll up- Box of 30 Mini Midi Maxi HP filter: Leak-Proof and permeable to gases A unique offer of outlets Roll Up system: Integrated clamp easy to handle Flexima Key Maxi drainable Size Ø (mm) References(1) Flexima Key Maxi High Flow - Box of 30 Maxi For more information on the solution high output please refer to page 44 ±780mL ±730mL ±655mL Minimum patient education Secure and easy to use outlet LKP filter: Leak-Proof and permeable to gases Large emptying outlet: Ø 15mm Flow Collector Box of 15 Box of 5 Flow Collector Cut-to-fit Beige Transparent Split Cover / Beige with inspection window (1) For most countries a specific letter is added at the end of the radical reference Volume References(1) Volume ±2L ±2L Convex 17

18 2-PIECE MECHANICAL SYSTEM 2 PIECE SYSTEMS Flexima 3S Flexima 3S Flat Ø (mm) References (1) Flexima 3S Flat - Box of 5 45/ / / / / / / / / / Flexima 3S flat with tape border Ø (mm) References (1) Flexima 3S with tape border - Box of 5 45/ / / / / / / / / / Flexima 3S Convex 6mm Ø (mm) References (1) Flexima 3S Convex - Box of 5 45/ / / / / / / / /

19 2-PIECE MECHANICAL SYSTEM Flexima 3S Flexima 3S Closed Volume ±245mL ±230mL ±520mL ±500mL ±465mL ±665mL ±655mL ±630mL ±590mL 2 PIECE SYSTEMS Size Ø (mm) References(1) Flexima 3S Closed - Box of 30 -Mini Midi Maxi Common benefits Ergonomic bag shape fo r more wearing comfort Optimized sizing for an optimized capacity Available in beige for more discretion and in transparent for visual control after surgery. Flexima 3S Roll Up Size Ø (mm) References(1) Flexima 3S Roll up - Box of 30 -Mini Midi Maxi Volume ±320mL ±300mL ±650mL ±635mL ±615mL ±805mL ±785mL ±755mL ±715mL Easy to open & clean thanks to the white opening tabs E asy to use outlet Soft edges for an increased wearing comfort once the Roll Up is closed A large 7cm outlet to facilitate stool evacuation for both colostomates and ileostomates Cut-to-fit Beige Transparent Split Cover / Beige with inspection window (1) For most countries a specific letter is added at the end of the radical reference Convex 19

20 22-PIECE SYSTEMS MECHANICAL SYSTEM Flexima 3S Flexima 3S High Flow For more information on the solution guiding system and high output please refer to page 38 / 44 Ø (mm) References (1) Volume Midi - Flexima 3S High Flow - Box of ±970mL ±940mL ±900mL Large (13.3Ø) and direct flow for easy emptying Compact shape for better comfort Secure connection to the Flow Collector References (1) Volume Flow Collector Box of ±2L Box of ±2L Flow Collector Flexima 3S Uro Ø (mm) References (1) Volume Midi - Flexima 3S Uro - Box of 30* ±675 ml ±635 ml ±620mL For more information on the solution guiding system and for urostomates please refer to page 38 / 42 *with 30 universals connectors Outlet for day Clear position open/closed Snaps perfectly with audible click Easy to handle: no risk of drop B. Braun Uribag Outlet for night Easy to connect to a night drainage bag Audible click at connection Outlet designed to avoid twist and allowed free movement Urimed Tribag Plus 20

21 CAPSULE SYSTEM Be 1 Capsule Cap A concentrate of innovation Latest innovation developed and produced in France at our factory in Saint-Jean-de-Luz, Be 1 is a new concept in colostomy appliances: a capsule that offers security and control. This capsule is composed of: A closed folded pouch with an integrated filter A guiding tab with a safety button A capsule cover A degassing button 2 PIECE SYSTEMS Be 1 For more information on the Be 1 solution please refer to page 40 Ø stoma Ø (mm) References (1) Box of 5 Box of 10 Flat base plate Flexima 3S Be 1 > 30mm mm Ø (mm) References (1) Box of 30 Box of 10 Volume (ISO) Capsule cap BE ±615mL ±635mL Ø (mm) References (1) Volume Mini - Closed pouch Flexima 3S - Box of ±230mL Midi - Closed pouch Flexima 3S - Box of ±500mL ±465mL Maxi - Closed pouch Flexima 3S - Box of ±650mL ±630mL Cut-to-fit Beige Transparent Split Cover / Beige with inspection window Convex (1) For most countries a specific letter is added at the end of the radical reference 21

22 45 mm (1 3/4 ) 25 mm (1 ) 55 mm (2 3/4 ) 45 mm (1 3/4 ) 35 mm (1 3/8 ) 25 mm (1 ) 40 mm (1 1/2 ) 2 ) 2-PIECE MECHANICAL SYSTEM Proxima 2 - Proxima 2+ Proxima - Common features & benefits 2 types of skin protectors Standard With acrylic tape Shape of skin protector Designed to spread traction force out evenly Cuttable up to 70mm max Can be used in immediate post-op SKIN PROTECTORS FOR 1-PIECE SYSTEM 1. Standard 2. Border 100% full hydrocolloid skin protector Optimal skin protection Flexibility and comfort 55 mm (2 3/4 ) 35 mm (1 3/8 ) 20 mm (3/4 ) 30 mm (1 1/4 ) 40 mm (1 1/2 ) 50 mm (2 ) REF : LOT Hydrocolloid with acrylic tape border skin protector Immediate adhesivity and secure feeling Increased wear time Standard skin protector Skin protector with acrylic tape border BASE PLATE FOR 2-PIECE SYSTEM 1. Full hydrocolloid skin barrier for optimal skin protection 2. Combined hydrocolloid & acrylic tape border for extended weartime Discreet flange including belt loops for extra fixation when needed Excellent locking & easy coupling system Easy coupling with minimum pressure on the abdomen Extra reassurance: audible click will assure you that the pouch is securely positioned Release paper with printed cutting-target 1. Full hydrocolloid 2. Combined hydrocolloid + acrylic tape border 55 mm (2 3/4 ) 45 mm (1 3/4 ) 35 mm (1 3/8 ) 20 m m (3/4 ) 25 mm (1 ) 30 mm (1 1/4 ) Extended wear time & skin protection 20 mm (3/4 ) 30 mm (1 1/4 ) 40 mm (1 1/2 ) 50 mm (2 ) Release paper REF Plant N 22

23 2-PIECE MECHANICAL SYSTEM Proxima 2 - Proxima 2+ Proxima 2+ with tape border Flat Ø (mm) References (1) Proxima 2+ with tape border - Box of 10 40/ A 50/ A 60/ A 80/ A Hydrocolloid with acrylic tape border skin protector Immediate adhesivity and secure feeling 2 PIECE SYSTEMS 2 PIECE SYSTEMS Proxima 2 Full Hydrocolloid Flat Ø (mm) References (1) Proxima 2 Full Hydrocolloid - Box of 10 40/ A 50/ A 60/ A 80/ A 100% full hydrocolloid skin protector Flexibility and comfort Designed for frequent changes Proxima 2 Full Hydrocolloid Convex 8mm Ø (mm) References (1) Proxima 2 Full Hydrocolloid Convex - Box of 5 40/ A 50/ A 50/ A 60/ A 80/ A Deep convexity (8mm) for retracted stomas Belt loops for extra security Cut-to-fit Beige Transparent Split Cover / Beige with inspection window Convex (1) For most countries a specific letter is added at the end of the radical reference 23

24 2-PIECE MECHANICAL SYSTEM Proxima 2 Proxima 2 Closed with filter Ø (mm) References (1) Volume Proxima 2 Closed with filter - Box of A 73240A ±560mL A 73250A ±530mL A 73260A ±490mL A 73280A ±445mL Proxima 2 Drainable without filter Washable micro perfored material Integrated filter - To reduce odour and pouch ballooning - To decrease the risks of staining clothes Beige for discretion Rounded shape without angles Ø (mm) References (1) Volume Proxima 2 Drainable without filter - Box of 30* A 73440A ±775mL A 73450A ±740mL A 73460A ±720mL A 73480A ±640mL *with 30 soft clamps Large opening: 7cm width - For ileostomy or colostomy stool evacuation Large capacity, for longer use of the pouch Beige for discretion Available soft clamp Proxima 2 Urostomy Urimed B Bag For more information on the solution for urostomates please refer to page 42 Ø (mm) References (1) Volume Proxima 2 Urostomy - Box of 10* A ±670mL A ±660mL A ±650mL * with 5 universal connectors Outlet for day Clear position open/closed Snaps perfectly with audible click Easy to handle: no risk of drop Outlet for night Easy to connect to a night drainage bag Audible click at connection Outlet designed to avoid twist and allows free movement 24

25 2-PIECE MECHANICAL SYSTEM Proxima 2+ Proxima 2+ Closed with filter Size Ø (mm) References (1) Volume Proxima 2+ Closed with filter - Box of 30 Midi A ±560mL A ±530mL A ±490mL A ±445mL LT (Lamina Technology) filter: Optimised performance of degassing and deodorising Soft non-woven material on both side of the pouch for more discretion and comfort 2 PIECE SYSTEMS Proxima 2+ Drainable with filter Size Ø (mm) References (1) Volume Proxima 2+ Drainable with filter - Box of 10* Midi A 74440A ±775mL A 74450A ±740mL A 74460A ±720mL A 74480A ±640mL * with 1 rigid clamp LT (Lamina Technology) filter: Optimised performance of degassing and deodorising Large capacity Soft non-woven material on both sides of the pouch for more discretion and comfort Cut-to-fit Beige Transparent Split Cover / Beige with inspection window Convex (1) For most countries a specific letter is added at the end of the radical 25

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27 POST-OPERATIVE RANGE POST-OPERATIVE RANGE B. Braun proposes in the post-operative range the Draina S that is used to drain away any discharge that can occur close to the operated area to avoid wound infection. The Draina S can also be used to collect effluents from fistulae. 28 Draina S Draina S Vision 29 B. Braun Loop Bridge 27

28 POST-OP BAGS AND STERILE ACCESSORIES Draina S Mini Maxi cut (mm) References (1) Volume* Draina S Mini - Box of 30 Up to 30 H08560 ±75mL Draina S Médium - Box of 20 Up to 50 H28555 ±150mL Draina S large - Box of 20 Up to 88 H28556 ±300mL Narrow, small, ideal for drainage in difficult location Small fistulae Children s stomas in Post-Op Médium Drainage of wound and fistulae Immediate Post-Op care of stomas Large Optimised wear time and size Drainage of wound and fistulae Draina S Vision Maxi cut (mm) References (1) Volume* Draina S Vision 50 - Box of 10 Up to 50 H28565 ±150mL Draina S Vision 75 - Box of 10 Up to 75 H28566 ±250mL Easy medical care Allows checking at any time 28

29 POST-OP BAGS AND STERILE ACCESSORIES B. Braun Loop Bridge Length (mm) References (1) Loop Bridge - Box of Soft backing material Easy to insert - Simple and practical for setting up and removal by turning the swiver Atraumatic design - Rounded shape to prevent lesions of fragile peristomal skin POST-OPERATIVE RANGE *According to the instructions for use (1) For most countries a specific letter is added at the end of the radical 29

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31 IRRIGATION Irrigation can be a great solution for left colostomates as it gives them freedom up to 48 hours. The benefits brought by the irrigation system are numerous: facilitates control over stool discharge stimulates the intestine to increase the movement of its contents (peristalsis) by rinsing it regularly results in a complete cleaning of the colon at a desired time =up to 48 hours without irrigation only using a mini stoma pouch for better comfort, discretion and an overall better quality of life. in the case of colostomates for whom treatment is hindered by skin folds, scar tissue or an awkward position, irrigation is often the sole safe method of treatment. IRRIGATION 32 IryPump S 33 IryPump S accessories 34 Irrigation by gravity Iryflex Set 35 Iryflex accessories Stoma caps and mini pouches 31

32 IRRIGATION IryPump S 48 hours of freedom... over and over again Modern medical care products which are gentle on the skin provide colostomates with a high degree of safety and comfort. However, the lack of control over stool discharge and gas emissions, as well as the associated aesthetic and psychological factors, continue to represent a great burden for many patients. The method of flushing the intestine, also called irrigation, is recommended for colostomates in order to facilitate control over stool discharge. This makes it possible for such patients to reduce their usual care needs to a minimum and also benefit from considerably better comfort, discretion and quality of life, not to mention maximum independence. GENERAL CONDITIONS The colostomy is located at the end of the descending or the sigmoid colon. A normal bowel function exists with regular, formed stools. The patient is familiar with the handling of the normal stoma treatment and is personally able to carry this out. The patient can irrigate regularly at the same time. IryPump S Safe and simple to use Adjustable to individual needs Surprisingly compact Totally portable thanks to the integrated high-performance battery the IryPump S will help you to achieve maximum comfort, discretion, quality of life and independence. 32

33 IRRIGATION IryPump S IryPump S accessories Iryfix Stoma cap with integrated filter IryCone + (cone + tube) Quantity References (1) IryPump S Set Complete starter set, contains 1 set IryPump S (electronical pump, Water container and Power supply) 2 IryCone + (cone + tube) 3 IrySleeve Irrigation sleeves 60mm 4 Iryflex FacePlate 5 B. Braun StomaCare Belt 6 Iryfix 7 B. Braun Petite 8 Flexima Active Mini 9 Travel Bag Same starter set available without Iryfix and Travel Bag 1 set IryPump S Accessories Quantity References (1) 2 IryCone + (cone + tube) IryPump S Power supply IryPump S Water container IrySleeve Irrigation sleeves 60mm Iryflex FacePlate 1 F Stoma Care Belt Travel Bag IRRIGATION Stoma caps, Mini pouches Size Quantity References (1) 6 Iryfix / Stoma cap with integrated filter Ø up to 35mm 15 F mm 30 F B. Braun Petite / Mini pouch 82 x 71mm 35mm 30 F Flexima Active / Mini pouch beige (±220mL) 15-45mm (1) For most countries a specific letter is added at the end of the radical 33

34 IRRIGATION Iryflex Irrigation by gravity Irrigation technique suspends evacuation of stools for 2 or 3 days Allows the ostomate to empty the bowel completely through stoma Left colostomy according to the medical prescription Iryflex gravity set benefits Patient-friendly Easy and secure Allows maximum discretion with mini pouch or stoma cap Iryflex set 6 1 Quantity References (1) Iryflex Gravity Irrigation Set Iryflex Set Iryflex reservoir 1 2 Iryflex cone 1 3 Iryflex irrigation sleeves 50mm 3 Iryflex irrigation sleeves 60mm 5 4 Iryflex FacePlate 1 5 B. Braun StomaCare Belt 1 6 Toilet bag 1 7 Flexima Closed Mini pouches 5 8 B. Braun Petite 2 9 Iryfix Irrigation technique suspends evacuation of stools for 2 or 3 days Allows the ostomate to empty the bowel completely through stoma A comprehensive set for a complete and easy irrigation session

35 IRRIGATION Iryflex Iryflex accessories Iryflex Toilet Bag Iryflex Cone Iryflex Reservoir Locking and approximated graduated water container with temperature approximated control, flow control and roller clamp IrySleeve For 1-piece or 2-piece users Soft integrated clamp Diameter: 50 and 60mm Skin friendly adhesive Iryflex Faceplate 3 fixations Bimaterial for extra comfort Quantity References (1) Iryflex Accessoiries Iryflex reservoir Iryflex cone 1 F05062 Iryflex irrigation sleeves 50mm Iryflex irrigation sleeves 60mm Iryflex FacePlate 1 F05064 Toilet bag (empty) Stoma caps and mini pouches IRRIGATION Flexima Closed Mini pouch Iryfix Stoma cap with integrated filter Flexima Active Closed Mini pouch B. Braun Petite Ø (mm) References (1) Iryfix - Box of 15 35mm (maxi) F00014 Braun Petite - Box of Flexima Closed Mini - Box of 30 F00011 F Flexima Active Closed Mini - Box of (1) For most countries a specific letter is added at the end of the radical 35

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37 SOLUTIONS Ostomy research aims to find solutions to make ostomate lives easier and more enjoyable. Patients are always looking for complete solutions that are discreet, comfortable and safe throughout their busy day. SOLUTIONS 38 Guiding system 40 Be 1 solution for colostomates 42 Solution for urostomates 44 High Output solution for ileostomates 37

38 SOLUTIONS Guiding system Easy positioning, right from the start! Within the 2-piece segment, B. Braun offers two types of coupling system appliances: the adhesive Flexima Key and the mechanical Flexima 3S range, both have an integrated guiding system. Guiding system FLEXIMA KEY adhesive coupling system The key system is a unique concept providing patients with a guided positioning right from the start. Thanks to this guiding system the pouch positioning is precise, simple and decreases the risk of leakages. 2 1 Insert the tab into the base plate slot 2 Stick gently from bottom to top 1 Extra flexibility Soft material - Follows body contours Smooth and low profile track - For an easy cleaning and great discretion Soft convexity to reduce leakage - For flush or slighty retracted stomas - A belt can be used for more security Flexima Key Flat (1) Flexima Key Convex (1) Flexima Key Closed (1) Flexima Key Roll up (1) Flexima Key Maxi Drainable (1) (1) References available page 16 and 17 38

39 FLEXIMA 3S mechanical coupling system In 2013, B. Braun launched the Flexima 3S two-piece mechanical coupling system, capitalizing on the patented guiding system first used in the Flexima Key. The Flexima 3S was developed based on nurses feedback who require simple and intuitive products, which needs a minimum of patient education being secure and comfortable for the ostomate. The same for the patient who himself looks for the right balance between security, comfort and discretion. Consequently the three S of Flexima 3S stand for: - Simple: right positioning from the start with a minimum patient education required - Secure: enhanced leak proofing thanks to the close fitting mechanical coupling system - Soft: minimum pressure on the abdomen, flexible and high degree of comfort 3 1 Insert the guiding tab into one of the base plate guiding tab slots 2 Snap the pouch to the base plate starting from the bottom moving upward 2 3 Clip the Locking Pinpoint into the upper tab to secure the system A secure guiding system 1 89% 91% Flexima 3S Flat (2) Flexima 3S Flat with tape border (2) Flexima 3S Convex (2) very satisfied or satisfied with flexibility of system (*) of E.T. nurses satisfied or very satisfied (*) SOLUTIONS Flexima 3S Roll Up (2) Flexima 3S High Flow (2) Flexima 3S Uro (2) Flexima 3S Closed (2) (2) References available page 18, 19 and 20 * French survey 2013 Post-Market Surveillance 39

40 SOLUTIONS Be 1 for colostomates Empower your body control! Continence control Good body image Prevent stoma - related noise For left colostomates Be 1 A COMPACT SOLUTION 1 Secured system for automatic or manual opening of the cover depending on the needs of the patient 2 2 Controlled gas evacuation For active degassing Cleanliness Foam to facilitate the base plate cleaning 3 4 Discretion Closed folded pouch with integrated filter 5 5 Guiding device for an easy and secure connection to the base plate A SYSTEM TO FIT YOUR PATIENTS DAILY NEEDS Deployment of the pouch active or passive Ø stoma Ø (mm) References (1) Box of 5 Box of 10 Flat base plate Flexima 3S Be 1 > 30mm mm Ø (mm) References (1) Box of 30 Box of 10 Volume (ISO) Capsule cap Be ±615mL ±635mL This capsule is composed of: A closed folded pouch with an integrated filter A guiding tab with a safety button A capsule cover A degassing button 40

41 CLINICALLY PROVEN BENEFITS 75% of patients say they are able to control their continence for gas and stool emission (2). 60% of patients consider they have good or very good body image while wearing Be 1 (2). 79% of patients judge that Be 1 is quiet and prevents stoma-related noise (2). Compact size of Be 1 on the abdomen Lateral view of the capsule Be 1 A SYSTEM TO FIT YOUR PATIENTS DAILY NEEDS DAY NIGHT At day, the Be 1 can be used as an alternative to a closed pouch, continuously, occasionally as needed For the night, the patient can use a closed pouch. SOLUTIONS Capsule Be 1 back view Capsule Be 1 front view Flexima 3S closed (3) (1) For most countries a specific letter is added at the end of the radical (2) Multicenter, pilot open-label interventional clinical study on 30 colostomates performed in 7 French sites. Ref OPM-G-H-1604 (3) References available page 19 41

42 SOLUTIONS Solution for urostomates All pouches and bags are compatible * Customise your patient solution Universal connection Solution for urostomates POUCHES (1) 1-piece system 2-piece system Flexima Uro silk Flexima Uro silk Convex Flexima active O convex Proxima Uro Flexima 3S Uro Proxima 2 Uro BAGS 500 ml, 800mL, 1.5L & 2L B. Braun Uribag Urimed Tribag Plus Urimed B Bag ACCESSORIES Urimed Fix Urine leg bag fixation Urimed Strap Urine leg bag fixation Urimed Klett Fixation of tubes and catheters Urimed Handle Bed or wheel chair fixation Superfiller Protective skin barrier paste * Use our urostomy pouch connector 42

43 BENEFITS OF THE B. BRAUN S SOLUTION Patients physical and psychological care Comfort Sleep recovery - 9 out of 10 urostomates have trouble sleeping (2) Autonomy Physical, social and mental wellbeing Secure & Easy No residual drop Prevent urine backflow Easy to handle Nurses ensure a good education of patients Facilitate learning of the device - Dexterity disorder - Cancer - Anxiety, refusal of the disease - No attention to advise Help to accept the disease - 2L collector bag - Opportunity to make full nights Facilitate organization of the urinary monitoring in the hospital - Graduation, extension of the spare time interval - Evaluation of the quality and quantity of urine STRENGTHS OF B. BRAUN S SOLUTION OUTLET FOR DAY Clear position open/closed Snaps perfectly stregthened by an audible click and a final locking system Easy handle no risk of wet fingers OUTLET FOR NIGHT Audible click at connection Easy te connect to a night drainage bag Anti-twist design Convexity: - In case of loosening of the skin (obesity, elderly) - Low rate of leakage episodes - Protection against peristomal skin disorder Compatible for daily activities: - Universal connection - Non linking tube & large diameter - Better flow of urine - Anti-reflux value SOLUTIONS Size Quantity References Bags B. Braun Uribag - collection bag 2L Urimed Tribag Plus - 3-Chamber leg bag 800L Urimed Bag Plus - Leg bag 500mL Urimed B Bag Sterile bags with NRV* 2L - 90cm Urimed B Bag Non sterile bags with NRV* 2L - 90cm Urimed B Bag Non sterile bags with NRV* 1.5L - 90cm Urimed B Bag Non sterile bags with NRV* 2L - 90cm Size Quantity References Accessories Superfiller Paste - Tube 60 g F05008 small Urimed Fix - Leg fixation of urine bag medium large Urimed Straps - Leg fixation o urine bag Urimed Handle - Bag hanger at bedside or wheelchaire Urimed Klett - Fixation of tubes small and cacheters large Urostomy pouch connector (1) References available pages 7 to 25 (2) Scandinavian Journal of Urology, Sleep and quality of life in people with ileal conduit Ikbal Cavdar & Al 43

44 High output for ileostomates SOLUTIONS Making management of high output stomas easier! Secure connection between Flexima pouch and Flow Collector Enhanced autonomy thanks to the 2L distal collecting pouch High Output solution YOUR PATIENTS ARE LOOKING FOR Good sleep at night Better recovery and QoL Security and freedom Flow Collector Box of 15 Box of 5 Specific outlet with notches to ensure strong connection FLOW COLLECTOR FLOW COLLECTOR Approx. ml 44 Up to 1.5 m tube Approx. ml Approx. ml References(1) Volume ±2L ±2L Discrete - Adjustable (every 30 cm) white opaque tube - White opaque backing Easy monitoring - Clear printed approximative graduate scale - Indications every 250 ml - Up to 2L approx. (72h collection) - Reduce nursing time Practical & hygienic outlet - Outlet located at the bottom end: 2 grips to facilitate the opening System to hold the cap when emptying - Individually wrapped for an easy handling in outpatient line

45 MADE BY NURSES APPROVED BY PATIENTS 85.7% of patients feel more secure.** SECURITY 66.6% enhanced their autonomy & for 90% 87.5% of patients use it at night SLEEP RECOVERY AUTONOMY of patients it provides optimum freedom of movements! ** 93.7% of patients enhanced their Quality of Life. ** COMPATIBLE WITH HIGH FLOW STOMA POUCHES Secure & hygienic outlet: - Atraumatic edges thanks to the soft material - Compact shape of the outlet for better comfort - Secure connection to the Flow Collector - Large (50mm) & direct flow for an easy SOLUTIONS 1-Piece* Flexima 2-Piece* adhesive Flexima Key 2-Piece* mechanical Flexima 3S Both versions are compatible with the Flow Collector Large 13,3mm diameter to evacuate debris (1) For most countries a specific letter is added at the end of the radical * Availability may vary from one country to another, References available pages 7, 17 and 20 ** Calculation based on an output from 2L to 8L with an emptying every 300 to 600mL. Evaluation Folw Collector, report on Post Market User 45

46 46

47 ACCESSORIES For more than 40 years, B. Braun has been actively involved in ostomy research, offering patients, clinicians and caregivers simple and innovative solutions with its wide range of ostomy pouches, irrigation solutions and ostomy accessories. Our range of accessories is designed to bring to your patient more comfort while protecting the skin. 23 Askina Barrier Film B. Braun Adhesive Remover Superfiller 24 B. Braun DeOdour Ileo Gel + B. Braun Stoma Care Belt Clamps ACCESSORIES 47

48 ACCESSORIES Skin protection Askina Barrier Film Quantity References (1) Askina Barrier Film Spray - Box of 1 28 ml Skin barrier No sting, rapid drying, breathable Protects patients peristomal skin from body fluids and irritations due to repetitive pouch removal Protects skin at risk from maceration and excoriation Maintains the integrity of newly healed skin and stops secondary breakdown Completely sting free, can be used on damaged skin B. Braun Adhesive Remover Sting free adhesive remover Quantity References (1) B. Braun Adhesive Remover 50 ml AR5001 Very simple to use even on hard to reach areas No pain as the spray is silicone based and alcohol free No waste thanks to the integrated cap Superfiller Protective skin barrier paste Quantity References (1) Superfiller Paste Tube 60 g F05008 Ideal for uneven peristomal skin surfaces Easy to form and to spread the paste Prevents leakages Prevents skin irritations Creates a perfect seal for increased security Residues are easy to clean 48

49 ACCESSORIES Daily Comfort B. Braun DeOdour Quantity References (1) B. Braun DeOdour 28mL Immediate efficiency 100% natural mineral zeolite Large absorption capacity, providing a longer efficiency time Easy handling Easy to introduce into the pouch, single unit; small and discreet sachet Ileo Gel + Ileo Gel+ Quantity References (1) Box of B. Braun Stoma Care Belt Clamps Efficient Optimal dose: one sachet for about 150mL Fast action: within 7 minutes* Discretion Odour proof Increases efficiency of the filter No liquid mouvement in the pouch Easy to use A single compact 100% soluble sachet that is easy to introduce Easy pouch emptying Easy to use dispenser box Quantity References (1) B. Braun Stoma Care Belt 1 unit 5028 For extra fixation Latex free Info References (1) Clamp Flexible soft adhesive clamp -Box of 30 F00726A Rigid clamp (small) - Box of 10 F00727A Rigid clamp (large) -Box of 10 F00728A Rigid reusable clamp Self-adhesive flexible single use clamp ACCESSORIES SOLUTIIONS 49

50 For most countries a specific letter is added at the end of the radical reference. All volumes are measured according to ISO standard. These medical devices are regulated health care products and on the basis of this regulation is certified CE. The products commercialized by B. BRAUN MEDICAL shall exclusively be used in accordance with the package inserts which have been updated and included in the boxes. Non binding documents and photographs. This document, its contents, including institutional data, information, trademarks and logos mentioned herein are the exclusive property of B. Braun. Any representation and / or reproduction, total or partial, of this document and its contents without the express prior consent of B. Braun, is strictly prohibited and constitutes an infringement of the intellectual property rights of B. Braun. Manufacturers contract details are indicated on products pocket. B. Braun Medical SAS 26 rue Armengaud Saint-Cloud - France Tél Fax or B. Braun Medical SAS with a share capital of RCS Nanterre For healthcare professional use - October Non binding documents and photographs - ZB00313 _ Photo credits: Getty Images ; Design and production by sevanova.com

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