Ostomy Product Guide

Transcription

1 Ostomy Guide

2 It all starts with care... I always take the time to help my patients find the products that fit their life. Jenny Very simply, we are here to help you care for your patients. From finding the ideal ostomy system and skin care products, to improving positive outcomes and reducing readmission rates, ConvaTec has the clinically proven products and innovative services to ensure you have all you need to create a successful experience for your patients.

3 My favorite part the day is taking Ramsey to the dog park. Rick Table Contents Ostomy Skin Care & Accessory s Two-Piece Ostomy Systems Natura + s and SUR-FIT Natura SUR-FIT Natura Skin Barriers SUR-FIT Natura Low Pressure Adaptor Natura + Pouches Surgical Post Operative Kits SUR-FIT Natura Pouches Esteem synergy + and Esteem synergy s Esteem synergy Skin Barriers Esteem synergy + Pouches Esteem synergy Pouches me+ supports the whole person for life Healthcare pressionals spend their days helping patients live their best lives. me+ complements this care by surrounding patients with the support, insights and products they need to live life with an ostomy on their own terms. me+ care s, supplies and advice for the first few weeks at home. me+ support Live experts by phone or for any questions you may have. me+ answers An in-depth resource covering everything ostomy. me+ style Clothes that conceal your ostomy pouch and look great too. Live experts are available by phone or for any questions you may have in any language you need. Call us at (M-F, 8:30 AM-7:00 PM EST) or CIC@convatec.com Visit me+ community Inspiring stories and ideas from others living with an ostomy. One-Piece Ostomy Systems Esteem ActiveLife Little Ones Pediatric Ostomy Systems Wound Pouches Ostomy Resources GLOSSARY OF TERMS MEDICARE UTILIZATION CHARTS NUMERICAL INDEX ALPHABETICAL INDEX DISCLAIMER.... BACK COVER 1Table Contents

4 The power to help reduce pain, is in your hands. Fast Acting Adhesive Removal Ostomy Skin Care & Accessory s Soothing, high-quality skin care products that cleanse, moisturize and protect. Long Lasting Skin Protection PROTEC T RELEASE REMOVE Patients with vulnerable skin need a simple, sting free regimen designed to help keep skin healthy, and help prevent red, sore skin- before it starts. Not all Sting Free 1 products are created equal. Talk to your ConvaTec representative to set up a demo and find out how the Release-Remove-Protect system can help you get patients f to the right start. 1. Data on file, ConvaTec Inc. /TM indicates trademarks ConvaTec Inc ConvaTec Inc. AP MM

5 AllKare Protective Barrier 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. HCPCS A Ostomy Skin Care & Accessory s 4 Looking after your skin is an essential part long-term stoma management. But sometimes a simple appliance is not enough. That s why ConvaTec skin care accessories can serve as an important accompaniment to your daily routine. ConvaTec hesive Accessories contain Pectin an ingredient derived from citrus fruits. Used correctly, these accessories can help heal and protect peristomal skin, and that means greater comfort for you. Skin Care & Accessory s DIAMONDS Gelling and Odor Control Sachets Solidifies liquid contents and reduce or eliminate excess gas, enabling the user to achieve a flatter, more discreet pouch. HCPCS A4422 TR5 0 Sachets Sensi-Care Sting-Free Skin Barrier Wipe Non-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects adhesives, body waste and enzyme attack. HCPCS A5120, A6250 es per Case* Non-Sterile * Sold by the case Sensi-Care Sting-Free Barrier Spray (non aerosol) Non-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects adhesives, body waste and enzyme attack. HCPCS A6250, A4369 Spray bottle size es per Case* ml ml 1 12 * Sold by the case. Sensi-Care Sting-Free Barrier Foam Applicator STERILE Non-alcohol, silicone based formula for skin protection. Provides a barrier film layer on the skin that protects it from the damaging effects adhesives, body waste and enzyme attack. HCPCS A5120, A6250 Applicator Individually Packaged Applicators per es per Case* ml ml ml ml 25 4 * Sold by the case. 5Ostomy Skin Care & Accessory s

6 AllKare Adhesive Remover Wipe For the gentle removal all adhesives, including skin barriers, tapes, and hydrocolloid dressings. The AllKare Adhesive Remover Wipe formula effectively removes tape, skin barrier/wafer, and adhesive residues from the skin that can reduce wear times. HCPCS A hesive Strips (Moldable Adhesive) Double sided hesive Strips for use as a filler to protect or fill-in uneven skin surfaces next to an ostomy, fistula, or wound. HCPCS A cards 5 strips each 15 Ostomy Skin Care & Accessory s 6 * Sold by the case. * Sold by the case Sensi-Care Sting-Free Adhesive Remover Wipe Non-alcohol, silicone based formula that fers fast removal adhesive residue while helping minimize painful skin stripping. HCPCS A4456 es per Case* Sensi-Care Sting-Free Skin Adhesive Releaser Non-alcohol, silicone based formula that fers fast release adhesives from the skin while helping minimize painful skin stripping. HCPCS A4455 Non-Sterile Sterile Aerosol can size es per Case* 50 ml ml 1 12 hesive Paste (Pectin-based Protective Skin Barrier) Use as a filler in uneven skin surfaces to help increase ostomy system wear time and protect skin. HCPCS A oz. tube 1 tube hesive Protective Powder Helps form a protective barrier against excoriated or weeping skin. HCPCS A oz. bottle 1 bottle hesive Skin Barrier A multipurpose skin barrier designed to help protect peristomal skin and assist in the management difficult stomas. Available in sterile and non-sterile forms. HCPCS Non-Sterile " x 4" Wafers 8" x 8" Wafers 5 3 A4362 A5122 Sterile " x 4" Wafers 5 A4362 Eakin Cohesive Seals A donut-shape ostomy accessory that can be molded to a variety shapes. It acts as a gasket or barrier, and provides enhanced protection for hard-to-fit stomas. The unique moldable hydrocolloid barrier forms a gel that helps prevent skin damage by sealing the area between the skin and ostomy appliance. HCPCS A Small 2" Large 4" SLIMS 2" Eakin Cohesive Wrap Designed for large or oval shaped stomas and those with limited dexterity, it allows for a quick pouching routine. HCPCS A mm (3 3/8 ) Eakin Cohesive Skin Barrier A moldable and moisture-absorbing skin barrier. 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. HCPCS A Small 4" x 4" Large 4" x 8" 5 DuoLock Curved Tail Closures For use with SUR-FIT Natura, Esteem synergy and ActiveLife Drainable Pouches. HCPCS A ConvaTec Tail Closures For use with SUR-FIT Natura, Esteem synergy and ActiveLife Drainable Pouches. A clicking noise can be heard when closing the tail closure to ensure security. Prior to initial use, open and close several times. HCPCS A Ostomy Skin Care & Accessory s

7 Ostomy Appliance Belt (Adjustable up to 42") May help provide an added sense security. HCPCS A4367 Visi-Flow Irrigation Sleeve Tail Closure HCPCS A Ostomy Skin Care & Accessory s 8 ConvaTec Night Drainage Container Set Set contains: 1 ConvaTec Night Drainage Container with tubing 1 ConvaTec Night Drainage Container Cover 1 universal adapter HCPCS A52 Visi-Flow Irrigation Pouches Visi-Flow Irrigator with Cone HCPCS A4398, A Visi-Flow Irrigation Sleeve Transparent (compatible with SUR-FIT Natura skin barriers) HCPCS A n 1 1/2" (38 mm) n 1 3/4" (45 mm) n 2 1/4" (57 mm) n 2 3/4" (70 mm) 5 One tail closure per box. Visi-Flow Cone set ConvaTec Night Drainage Container Tubing HCPCS A4331 HCPCS A4399 Visi-Flow Irrigation Adapter Faceplate (compatible with SUR-FIT Natura skin barriers) HCPCS A /4" (45 mm) /4" (70 mm) 1 Visi-Flow Irrigation Starter Set Set contains: 1 Visi-Flow Irrigator with Cone 2 SUR-FIT Natura hesive Skin Barriers with 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 HCPCS /4" (45 mm) /4" (70 mm) 1 A4398, A4399 A4397, A5054, A4367 A4414, A4402 A4398, A4399 A4397, A5054, A4367 A4415, A4402 9Ostomy Skin Care & Accessory s

8 Key and Sizing Guides the color the dot on the skin barrier package with the color the dot on the pouch package. Natura + and SUR-FIT Natura n 1 1/4" (32 mm) n 1 1/2" (38 mm) n 1 3/4" (45 mm) n 2 1/4" (57 mm) n 2 3/4" (70 mm) n 4" (0 mm) Key and Sizing Guides Moldable Skin Barrier Sizing STOMA SIZE SKIN BARRIER SIZE COLOR MATCH FLANGE SIZE 1/2" to 7/8" Small n 1 3/4" (45 mm) 7/8" to 1 1/4" Medium n 1 3/4" (45 mm) 1 1/4" to 1 3/4" Large n 2 1/4" (57 mm) Available in Flat only: 1 1/4" x 1 3/4" (wide) to 1 3/4" x 2 1/8" (long) STOMA SIZE NO WIDER THAN X-Large (with OVAL starter hole) Cut-To-Fit Skin Barrier Sizing COLOR MATCH n 2 3/4" (70 mm) FLANGE SIZE 1/2" n 1 1/4" (32 mm) 5/8" n 1 1/4" (32 mm) 3/4" n 1 1/4" (32 mm) 7/8" n 1 1/2" (38 mm) 1" n 1 1/2" (38 mm) 1 1/8" n 1 3/4" (45 mm) 1 1/4" n 1 3/4" (45 mm) 1 3/8" n 2 1/4" (57 mm) 1 1/2" to 1 3/4" n 2 1/4" (57 mm) 1 7/8" to 2 1/4" n 2 3/4" (70 mm) 2 3/8" to 3 1/2" n 4" (0 mm) Two-Piece Ostomy Systems Natura + and SUR-FIT Natura An innovative line pouches and skin barriers for every lifestyle. Convex Insert Sizing STOMA SIZE NO WIDER THAN COLOR MATCH FLANGE SIZE (Outer Diameter) CONVEX INSERT (Inner Diameter) 1/2" n 1 1/2" (38 mm) 3/4" 5/8" n 1 1/2" (38 mm) 7/8" 3/4" n 1 1/2" (38 mm) 1" 7/8" n 1 3/4" (45 mm) 1 1/8" 1" n 1 3/4" (45 mm) 1 1/4" 1 1/8" n 1 3/4" (45 mm) 1 3/8" 1 1/4" n 2 1/4" (57 mm) 1 1/2" 1 3/8" n 2 1/4" (57 mm) 1 5/8" SUR-FIT Natura Disposable Convex Inserts are not available for stoma sizes wider than 1 3/8".

9 Two-Piece Ostomy Systems Natura + and SUR-FIT Natura 12 Natura + and SUR-FIT Natura Two Piece s The Natura + and SUR-FIT Natura Two-Piece Ostomy System is ConvaTec s most extensive two-piece product line. The SUR-FIT Natura System signals a secure, accurate closure with a series audible "clicks." A simple snap-f, snap-on design allows users to change the pouch quickly to match activities without removing the skin barrier from the skin. When it comes to Natura + and 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 hesive and Durahesive adhesives. The SUR-FIT Natura ostomy system fers special moldable skin barriers for a personalized, custom fit around the stoma to help protect skin. The Natura + and SUR-FIT Natura pouches are available in drainable, closed-end, urostomy, transparent and opaque. In addition, they are available with a filter and the InvisiClose clipless tail closure. 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 SUR-FIT Natura wafers and pouches with the same flange size. SUR-FIT Natura Durahesive Skin Barriers (compatible with Natura + and SUR-FIT Natura pouches) Durahesive skin barriers/wafers are designed for people whose stoma output is mostly liquid. Unlike other skin barriers/wafers that can break down around liquid output, Durahesive skin barriers/ wafers swell up to protect the stoma. This special effect, called turtlenecking, helps create a more secure seal without harming the skin. Durahesive skin barriers/wafers are also easy to fit, apply, and remove. They will adhere securely to the skin while showering, bathing, and swimming. SUR-FIT Natura Moldable Durahesive Skin Barrier with Accordion HCPCS A SUR-FIT Natura Moldable Durahesive Skin Barrier with Moldable Opening and white hydrocolloid flexible collar HCPCS A small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n extra-large (1 1/4" - 1 3/4" by 1 3/4" - 2 1/8") n small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n extra-large (1 1/4" - 1 3/4" by 1 3/4" - 2 1/8") small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n n 2 1/4" (57 mm) 2 1/4" (57 mm) 2 3/4" (70 mm) 1 3/4" (45 mm) 1 3/4" (45 mm) 2 1/4" (57 mm) 2 3/4" (70 mm) 1 3/4" (45 mm) 1 3/4" (45 mm) 2 1/4" (57 mm) 2 3/4" (70 mm) SUR-FIT Natura Moldable Durahesive Skin Barrier with Moldable Opening and white acrylic flexible collar HCPCS A4409 Two-Piece Ostomy Systems Natura Skin Barriers 13

10 Go Moldable ConvaTec Moldable Technology Now available in more options, to give your patients the freedom and confidence to live life to the fullest. Moldable Technology creates an elastic-like seal that rebounds to fit any stoma size and shape and then turtlenecks upward to enhance the seal. The result is an incredibly secure, snug fit. 50% ostomates have skin issues 2,3 Only one skin barrier delivers the powerful, proven protection Moldable Technology. 34 % 47 % 52 % have peristomal skin complications within the first 3 weeks post-op 4 within the first within the first 2 months 5 year 3 95 % people who started on Moldable Technology kept their skin healthy. 1 people who switched to Moldable Technology improved 86 % their skin condition. 1 Easy No Cutting or Guesswork Gentle Molds for a Custom Fit References: 1. Szewczyk MT, Majewska GM, Cabral MV, Hölzel-Piontek K. Osmose Study: Multinational Evaluation the Peristomal Condition in Ostomates Using Moldable Skin Barriers. Poster presented at ECET, Paris, France, June Herlufsen P, Olsen AG, Carlsen B, etal, Ostomy skin study: a study peristomal skin disorders in patients with permanent stomas. Br J Nurs. 2006;15(16): Bosio G, Pisani F, Lucibello L. A Proposal for Classifying Peristomal Skin Disorders: Results a Multicenter Observational Study. OWM. 2007; 53(9): Cottam J, Richards K, Hasted A, Blackman A. Results a nationwide prospective audit stoma complications within 3 weeks surgery. ectal Dis. 2007; 9: Ratliff CR. Early Peristomal Skin Complications Reported by WOC Nurses. J Wound Ostomy Continence Nurs. 20; 37(5): TM indicates trademarks ConvaTec Inc ConvaTec Inc. No gaps. Fewer leaks. Healthier skin. Secure Virtually Eliminates Leaks Learn more at or visit

11 Two-Piece Ostomy Systems Natura Skin Barriers SUR-FIT Natura Durahesive Moldable Convex Skin Barrier with Moldable Opening and white tape collar (overall dimension 4.5" x 4.5") HCPCS A4407* small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n 1 3/4" (45 mm) 1 3/4" (45 mm) 2 1/4" (57 mm) SUR-FIT Natura Durahesive Skin Barrier with Pre-Cut Opening, CONVEX-IT and white tape collar (overall dimension 4.5" x 4.5") HCPCS A4407* /2" (13 mm) n 1 3/4" (45 mm) /8" (16 mm) n 1 3/4" (45 mm) /4" (19 mm) n 1 3/4" (45 mm) /8" (22 mm) n 1 3/4" (45 mm) " (25 mm) n 1 3/4" (45 mm) /8" (28 mm) n 1 3/4" (45 mm) /4" (32 mm) n 1 3/4" (45 mm) /8" (35 mm) n 1 3/4" (45 mm) SUR-FIT Natura Durahesive Skin Barrier with Pre-Cut Opening, CONVEX-IT and white tape collar (overall dimension 5" x 5") HCPCS A4407* /2" (38 mm) n 2 1/4" (57 mm) /8" (41 mm) n 2 1/4" (57 mm) /4" (45 mm) n 2 1/4" (57 mm) " (50 mm) n 2 1/4" (57 mm) Natura Durahesive Cut-to-Fit Accordion Skin Barrier with Acrylic Collar HCPCS A SUR-FIT Natura Durahesive Flexible Skin Barrier with Cut-to-Fit Opening and tan tape collar (overall dimension 4" x 4") HCPCS A Cut-to-Fit n 1 1/4" (32 mm) Skin Barrier Sizing Table n 1 1/2" (38 mm) Page n 1 3/4" (45 mm) SUR-FIT Natura Durahesive Flexible Skin Barrier with Cut-to-Fit Opening and tan tape collar (overall dimension 5" x 5") HCPCS A4409* Cut-to-Fit Skin Barrier Sizing Table Page n 2 1/4" (57 mm) n 2 3/4" (70 mm) SUR-FIT Natura Durahesive Flexible Skin Barrier with Cut-to-Fit Opening and white tape collar (overall dimension 4" x 4") HCPCS A4409 small (1/2" - 7/8") (13mm - 21mm) medium (1/2-1 1/8 ) (13mm - 33mm) large (1/2-1 3/4 ) (13mm - 45mm) n 1 3/4 (45 mm) n 2 1/4" (57 mm) n 2 3/4" (70 mm) Cut-to-Fit n 1 1/4" (32 mm) Skin Barrier Sizing Table n 1 1/2" (38 mm) Page n 1 3/4" (45 mm) Two-Piece Ostomy Systems Natura Skin Barriers SUR-FIT Natura Durahesive Flexible Skin Barrier with Cut-to-Fit Opening and white tape collar (overall dimension 5" x 5") HCPCS A4409* Cut-to-Fit Skin Barrier Sizing Table Page n 2 1/4" (57 mm) n 2 3/4" (70 mm) 16 * HCPCS is determined by the size the barrier mass excluding the tape collar. * HCPCS is determined by the size the barrier mass excluding the tape collar. 17

12 Two-Piece Ostomy Systems Natura Skin Barriers SUR-FIT Natura Durahesive Skin Barrier with Cut-to-Fit Opening and without tape collar (overall dimension 4" x 4") HCPCS A n 1 1/4" (32 mm) 18 * HCPCS is determined by the size the barrier mass excluding the tape collar Cut-to-Fit Skin Barrier n 1 1/2" (38 mm) Sizing Table Page n 1 3/4" (45 mm) n 2 1/4" (57 mm) SUR-FIT Natura Durahesive Skin Barrier with Cut-to-Fit Opening and without tape collar (overall dimension 5" x 5") HCPCS A44 Cut-to-Fit Skin Barrier Sizing Table Page n 2 3/4" (70 mm) SUR-FIT Natura Durahesive Skin Barrier with Cut-to-Fit Opening and without tape collar (overall dimension 6" x 6") HCPCS A44 Cut-to-Fit Skin Barrier Sizing Table Page n 4" (0 mm) 5 SUR-FIT Natura hesive Skin Barriers (compatible with Natura + and SUR-FIT Natura pouches) hesive skin barriers/wafers are ideal for people whose stoma output is semi-formed to formed stool. This reliable skin barrier/ wafer provides a special formula that enables the skin barrier/wafer to adhere to both dry and moist skin. It holds firmly to skin while helping to protect against irritating output. Another feature the hesive skin barrier/wafer is an outer protective coating which helps keep it in place. The skin barriers will maintain adhesion to the skin when showering, bathing, and swimming. Plus, hesive skin barrier/wafers are easy to fit, apply, and remove. SUR-FIT Natura Moldable hesive Skin Barrier with Accordion HCPCS A SUR-FIT Natura Moldable hesive Skin Barrier with Moldable Opening and white hydrocolloid flexible collar HCPCS A small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n extra-large (1 1/4" - 1 3/4" n by 1 3/4" - 2 1/8") 1 3/4" (45 mm) 1 3/4" (45 mm) 2 1/4" (57 mm) 2 3/4" (70 mm) * HCPCS is determined by the size the barrier mass excluding the tape collar. SUR-FIT Natura Moldable hesive Skin Barrier with Moldable Opening and white acrylic flexible collar HCPCS A small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n small (1/2" - 7/8") n medium (7/8" - 1 1/4") n large (1 1/4" - 1 3/4") n extra-large (1 1/4" - 1 3/4" n by 1 3/4" - 2 1/8") 2 1/4" (57 mm) 2 1/4" (57 mm) 2 3/4" (70 mm) 1 3/4" (45 mm) 1 3/4" (45 mm) 2 1/4" (57 mm) 2 3/4" (70 mm) Two-Piece Ostomy Systems Natura Skin Barriers 19

13 Two-Piece Ostomy Systems Natura Skin Barriers Natura hesive Cut-to-Fit Accordion Skin Barrier with Acrylic Collar HCPCS A SUR-FIT Natura hesive Skin Barrier with Cut-to-Fit Opening and without tape collar (overall dimension 4" x 4") HCPCS A n 1 1/4" (32 mm) Cut-to-Fit n 1 1/2" (38 mm) Skin Barrier Sizing Table n 1 3/4" (45 mm) Page n 2 1/4" (57 mm) SUR-FIT Natura hesive Skin Barrier with Cut-to-Fit Opening and without tape collar (overall dimension 5" x 5") HCPCS A4415 Cut-to-Fit Skin Barrier Sizing Table Page n 2 3/4" (70 mm) SUR-FIT Natura hesive Skin Barrier with Cut-to-Fit Opening and without tape collar (overall dimension 6" x 6") HCPCS A4415 Cut-to-Fit Skin Barrier Sizing Table Page n 4" (0 mm) 5 SUR-FIT Natura hesive Skin Barrier with Cut-to-Fit Opening and tan tape collar (overall dimension 4" x 4") small (1/2" - 7/8") (13mm - 21mm) medium (1/2-1 1/8 ) (13mm - 33mm) large (1/2-1 3/4 ) (13mm - 45mm) n 1 3/4 (45 mm) n 2 1/4" (57 mm) n 2 3/4" (70 mm) HCPCS A4414* Cut-to-Fit n 1 1/4" (32 mm) Skin Barrier Sizing Table n 1 1/2" (38 mm) Page n 1 3/4" (45 mm) SUR-FIT Natura hesive Flexible Skin Barrier with Cut-to-Fit Opening and white tape collar (overall dimension 4" x 4") HCPCS A Cut-to-Fit n 1 1/4" (32 mm) Skin Barrier Sizing Table n 1 1/2" (38 mm) Page n 1 3/4" (45 mm) SUR-FIT Natura hesive Flexible Skin Barrier with Cut-to-Fit Opening and white tape collar (overall dimension 5" x 5") HCPCS A4414* Cut-to-Fit Skin Barrier Sizing Table Page n 2 1/4" (57 mm) n 2 3/4" (70 mm) SUR-FIT Natura hesive Flexible Skin Barrier with Pre-Cut Opening and tan tape collar (overall dimension 4" x 4") HCPCS A /2" (13 mm) n 1 3/4" (45 mm) /8" (16 mm) n 1 3/4" (45 mm) /4" (19 mm) n 1 3/4" (45 mm) /8" (22 mm) n 1 3/4" (45 mm) " (25 mm) n 1 3/4" (45 mm) /8" (28 mm) n 1 3/4" (45 mm) /4" (32 mm) n 1 3/4" (45 mm) /8" (35 mm) n 1 3/4" (45 mm) SUR-FIT Natura hesive Flexible Skin Barrier with Pre-Cut Opening and tan tape collar (overall dimension 5" x 5") HCPCS A4414* /2" (38 mm) n 2 1/4" (57 mm) Two-Piece Ostomy Systems Natura Skin Barriers 20 SUR-FIT Natura hesive Flexible Skin Barrier with Cut-to-Fit Opening and tan tape collar (overall dimension 5" x 5") HCPCS A4414* Cut-to-Fit Skin Barrier n 2 1/4" (57 mm) Sizing Table Page n 2 3/4" (70 mm) * HCPCS is determined by the size the barrier mass excluding the tape collar /8" (41 mm) n 2 1/4" (57 mm) /4" (45 mm) n 2 1/4" (57 mm) * HCPCS is determined by the size the barrier mass excluding the tape collar. 21

14 Go Moldable. Moldable Technology creates an elastic-like seal that rebounds to fit any stoma size and shape and then turtlenecks upward to enhance the seal. The result is an incredibly secure, snug fit. 95 % people who started on Moldable Technology kept their skin healthy. 1 No gaps. Fewer leaks. Healthier skin. Makes pouch application much easier, more comfortable while delivering proven skin protection. Learn more at or visit References: 1. Szewczyk MT, Majewska GM, Cabral MV, Hölzel-Piontek K. Osmose Study: Multinational Evaluation the Peristomal Condition in Ostomates Using Moldable Skin Barriers. Poster presented at ECET, Paris, France, June TM indicates trademarks ConvaTec Inc. TM indicates trademarks ConvaTec Inc ConvaTec Inc. AP MM SUR-FIT Natura Disposable Convex Inserts* Select an insert that is at least 1/4" larger than the maximum diameter the stoma HCPCS A mm (3/4") Inner Diameter Opening for use with 1 1/2" SUR-FIT Natura Durahesive and hesive Wafers 22 mm (7/8") Inner Diameter Opening for use with 1 1/2" SUR-FIT Natura Durahesive and hesive Wafers 25 mm (1") Inner Diameter Opening for use with 1 1/2" SUR-FIT Natura Durahesive and hesive Wafers 29 mm (1 1/8") Inner Diameter Opening for use with 1 3/4" SUR-FIT Natura Durahesive and hesive Wafers 32 mm (1 1/4") Inner Diameter Opening for use with 1 3/4" SUR-FIT Natura Durahesive and hesive Wafers 35 mm (1 3/8") Inner Diameter Opening for use with 1 3/4" SUR-FIT Natura Durahesive and hesive Wafers 38 mm (1 1/2") Inner Diameter Opening for use with 2 1/4" SUR-FIT Natura Durahesive and hesive Wafers 41 mm (1 5/8") Inner Diameter Opening for use with 2 1/4" SUR-FIT Natura Durahesive and hesive Wafers * For SUR-FIT Natura Skin Barriers only. Not for use with ConvaTec Moldable Technology Skin Barriers. SUR-FIT Natura Low-Pressure Adaptor n 5 n 5 n 5 n 5 n 5 n 5 n 5 n 5 SUR-FIT Natura Low Pressure Adaptor HCPCS A /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n " (0 mm) n Two-Piece Ostomy Systems Natura Convex Inserts & Low-Pressure Adapter 23

15 Natura + Pouches (compatible with SUR-FIT Natura skin barriers) Natura + Drainable Pouch with InvisiClose Tail Closure System and Filter Opaque with 2-sided comfort panel HCPCS A /2" (38 mm) n Two-Piece Ostomy Systems Natura + Pouches ConvaTec developed these innovative pouches to be noticeably more comfortable and more discreet. The Natura + pouching system fers the latest technologies from ConvaTec including: A state--the art filter with anti-clogging film layer St and quiet materials InvisiClose tail closure Lock-it Pocket that securely hides away the tail giving the comfort a closed end pouch ConvaTec s latest pouches combined with SUR-FIT Natura advanced skin barrier adhesives fer security, comfort and discretion. Natura + Drainable Pouch with InvisiClose Tail Closure System HCPCS A /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n * 4" (0 mm) n * pouch length is 14". Natura + Drainable Pouch with InvisiClose Tail Closure System and Filter HCPCS A /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n filter covers per box. Natura + Closed-End Pouch Opaque with 2-sided comfort panel Pouch length: 8" HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 30 Natura + Mini Closed-End Pouch Opaque with 2-sided comfort panel Pouch length: 6" HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n 30 Natura + Closed-End Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 8" HCPCS A /4" (32 mm) n /2" (38 mm) n 30 Two-Piece Ostomy Systems Natura + Pouches /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (45 mm) n /4" (70 mm) n /4" (57 mm) n 30 filter covers per box /4" (70 mm) n 24 filter covers per box. 25

16 NATURA NEW! Cut-to-Fit Accordion UP position Take the pressure f pouch application. The NEW Natura Cut-to-Fit Accordion lifts easily to provide generous finger room so coupling is easy and comfortable. Designed for tender abdomens or for anyone who wants everyday comfort. highlights 2X more finger space than any other lifting flange. 1 Comfortable and discreet. Simple to measure and cut. Compatible with a range Natura DOWN position pouch options. Natura + Urostomy Pouch with St-Tap Pouch length: " Each box contains 2 Accuseal night drainage adapters. HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n Natura + Urostomy Pouch with St-Tap Pouch length: 9" Each box contains 2 Accuseal night drainage adapters. HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n Two-Piece Ostomy Systems Natura + Urostomy Pouches All trademarks are property their respective owners. Natura is a registered trademark in the U.S ConvaTec Inc. AP US References 1. Clinical Evaluation Sur Fit Natura Cut to fit Skin Wafers Gillian Seaton. Data on file. 27

17 Two-Piece Ostomy Systems Surgical Post Operative Kits ConvaTec Surgical Post Operative Kits Helping to promote product standardization, improved time management and reduced waste. Featuring the latest technologies ConvaTec has to fer: Our unique, three layer, ConvaTec Moldable Technology with rebounding memory technology and turtlenecking Cut-to-fit double layer adhesive suitable for all ostomy types ConvaTec + Pouches with more comfort, improved odor control and better security 4 inch skin barrier size available in a 1 piece system A low pressure adaptor to help ease post operative tenderness and aid patient satisfaction Options in Sterile, Non-Sterile, with or without Loop Rods 5 individually labeled and packaged Post-Operative/ Surgical Kits in a box Natura Durahesive ConvaTec Moldable Technology Skin Barrier and Drainable Pouch Post-Operative/Surgical Kit Kit includes: 1 Durahesive moldable skin barrier with moldable opening 1 drainable pouch (12" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System 1 low-pressure adaptor HCPCS N/A /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits Natura hesive ConvaTec Moldable Technology Skin Barrier and Drainable Pouch Post-Operative/Surgical Kit Kit includes: 1 hesive moldable skin barrier with moldable opening 1 drainable pouch (12" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System 1 low-pressure adaptor HCPCS N/A /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits Kit Components Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor Natura hesive Cut-to-Fit Skin Barrier and Drainable Pouch Post Operative/Surgical Kit Kit includes: 1 double-layer (hesive body-side, Durahesive top side) skin barrier with cut-to-fit opening 1 drainable pouch (12" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System 1 low-pressure adaptor Note: Only 2 ¾" (70 mm) kit contains 1 sterile loop rod HCPCS N/A Sterile Loop Rod /4" (45 mm) n No 5 Kits /4" (57 mm) n No 5 Kits /4" (70 mm) n 65 mm 5 Kits Natura hesive Cut-to-Fit Skin Barrier and Drainable Pouch Post Operative/Surgical Kit Kit includes: 1 double-layer (hesive body-side, Durahesive top side) skin barrier with cut-to-fit opening 1 drainable pouch (14" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System 1 low-pressure adaptor 1 sterile loop rod HCPCS N/A Sterile Loop Rod Two-Piece Ostomy Systems Surgical Post Operative Kits /4" (70 mm) n 5 Kits " (0 mm) n 90 mm 5 Kits Kit Components Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor

18 Two-Piece Ostomy Systems Surgical Post Operative Kits Natura hesive Cut-to-Fit Skin Barrier and Drainable Pouch Post- Operative/Surgical Kit STERILE Kit includes: 1 sterile double-layer (hesive body-side, Durahesive top side) skin barrier with cut-to-fit opening 1 sterile drainable pouch (12" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System 1 low-pressure adaptor Note: Only 2 ¾" (70 mm) kit contains 1 sterile loop rod HCPCS N/A Sterile Loop Rod /4" (45 mm) n No 5 Kits /4" (57 mm) n No 5 Kits /4" (70 mm) n 65 mm 5 Kits Natura hesive Cut-to-Fit Skin Barrier and Drainable Pouch Post- Operative/Surgical Kit STERILE Kit includes: 1 sterile double-layer (hesive body-side, Durahesive top side) skin barrier with cut-to-fit opening 1 sterile drainable pouch (14" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System 1 low-pressure adaptor 1 sterile loop rod HCPCS N/A Sterile Loop Rod Components Natura Cut-to-Fit Skin Barrier and Drainable Pouch Surgical Post Operative Kits: The double-layer skin barrier in the kit is not available in the retail market. Comparable skin barriers are in the chart below: Kit " (0 mm) n 90 mm 5 Kits Pouch in Kit Comparable Skin Barrier in Kit - hesive Comparable Skin Barrier in Kit - Durahesive Low Pressure Adaptor Sterile Loop Rod No No Natura Durahesive ConvaTec Moldable Technology Skin Barrier and Urostomy Pouch Post-Operative/Surgical Kit Kit includes: 1 Durahesive moldable skin barrier with moldable opening 1 urostomy pouch (" transparent with 1-sided comfort panel) with Accuseal Swivel Tap 1 Accuseal night drainage adaptor 1 low-pressure adaptor HCPCS N/A /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits Natura hesive ConvaTec Moldable Technology Skin Barrier and Urostomy Pouch Post-Operative/Surgical Kit Kit includes: 1 hesive moldable skin barrier with moldable opening 1 urostomy pouch (" transparent with 1-sided comfort panel) with Accuseal Swivel Tap 1 Accuseal night drainage adaptor 1 low-pressure adaptor HCPCS N/A /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits Kit Components Kit Pouch in Kit Barrier in Kit All urostomy kits contain an Accuseal Adaptor. Low Pressure Adaptor Natura hesive Cut-to-Fit Skin Barrier and Urostomy Pouch Post- Operative/Surgical Kit Kit includes: 1 double-layer (hesive body-side, Durahesive top side) skin barrier with cut-to-fit opening 1 urostomy pouch (" transparent with 1-sided comfort panel) with Accuseal Swivel Tap 1 Accuseal night drainage adaptor 1 low-pressure adaptor HCPCS N/A /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits Natura hesive Cut-to-Fit Skin Barrier and Urostomy Pouch Post- Operative/Surgical Kit STERILE Kit includes: 1 sterile double-layer (hesive body-side, Durahesive top side) skin barrier with cut-to-fit opening 1 sterile urostomy pouch (" transparent with 1-sided comfort panel) with Accuseal Swivel Tap 1 sterile Accuseal night drainage adaptor 1 sterile low-pressure adaptor HCPCS N/A /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits Components Natura Cut-to-Fit Skin Barrier and Urostomy Pouch Surgical Post Operative Kits: The double-layer skin barrier in the kit is not available in the retail market. Comparable skin barriers are in the chart below: Two-Piece Ostomy Systems Surgical Post Operative Kits /4" (70 mm) n 5 Kits Kit Components Kit Pouch in Kit Comparable Skin Barrier in Kit - hesive Comparable Skin Barrier in Kit - Durahesive Low Pressure Adaptor Kit Pouch in Kit Barrier in Kit Low Pressure Adaptor and and and

19 Two-Piece Ostomy Systems Surgical Post Operative Kits ConvaTec Loop Ostomy Rod Package STERILE For use with ConvaTec Surgical Post Operative Kits, 70 mm (2 3/4") flange HCPCS A mm For use with ConvaTec Surgical Post Operative Kits, 0 mm (4") flange HCPCS A mm Natura Durahesive ConvaTec Moldable Technology Skin Barrier with Accordion and Drainable Pouch Post-Operative/ Surgical Kit Kit includes: 1 Natura Moldable Durahesive skin barrier with Accordion 1 drainable pouch (12" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System) /4" (57 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits Kit Components Kit Pouch in Kit Barrier in Kit Natura hesive ConvaTec Moldable Technology Skin Barrier with Accordion and Drainable Pouch Post-Operative/ Surgical Kit Kit includes: 1 Natura Moldable hesive skin barrier with Accordion 1 drainable pouch (12" transparent with 1-sided comfort panel) with InvisiClose Tail Closure System) /4" (57 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits Kit Components Kit Pouch in Kit Barrier in Kit SUR-FIT Natura Drainable Pouches (compatible with SUR-FIT Natura skin barriers) SUR-FIT Natura drainable pouches have st, fabric-like comfort panels. With streamlined body contour panels, low-prile design, and less headroom, they distribute pouch content more evenly and away from the stoma. All drainable pouches have a wide tail opening for easier emptying. The SUR-FIT Natura drainable pouches are also available with the InvisiClose tail closure system and an advanced filter. The InvisiClose clipless tail closure fers double security, ease 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 mind. The advanced air filter is designed to let gasses through while repelling liquids. SUR-FIT Natura Drainable Pouch with InvisiClose Tail Closure System and Filter HCPCS A /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n filter covers per box. SUR-FIT Natura Drainable Pouch with InvisiClose Tail Closure System and Filter Opaque with 2-sided comfort panel HCPCS A /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n filter covers per box. SUR-FIT Natura Drainable Pouch with InvisiClose Tail Closure System HCPCS A5063 Two-Piece Ostomy Systems SUR-FIT Natura Drainable Pouches /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 32 filter covers per box. 33

20 Two-Piece Ostomy Systems SUR-FIT Natura Drainable Pouches SUR-FIT Natura Drainable Pouch with Filter HCPCS A tail closures and filter covers per box. SUR-FIT Natura Drainable Pouch with Filter Opaque with 2-sided comfort panel HCPCS A tail closures and 20 filter covers per box. SUR-FIT Natura Drainable Pouch with Filter Opaque with 2-sided comfort panel Pouch length: " HCPCS A4425 SUR-FIT Natura Drainable Pouch with InvisiClose Tail Closure System Opaque with 1-sided comfort panel /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 20 2 tail closures and 20 filter covers per box /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 20 HCPCS A /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 20 SUR-FIT Natura Drainable Pouch 2 tail closures per box. SUR-FIT Natura Drainable Pouch Opaque with 2-sided comfort panel 2 tail closures per box. SUR-FIT Natura Drainable Pouch Opaque with 1-sided comfort panel HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n Two-Piece Ostomy Systems SUR-FIT Natura Drainable Pouches 2 tail closures per box

21 Two-Piece Ostomy Systems SUR-FIT Natura Drainable Pouches SUR-FIT Natura Drainable Pouch Pouch length: 14" HCPCS A " (0 mm) n 2 tail closures per box. SUR-FIT Natura Drainable Pouch Opaque with 2-sided comfort panel Pouch length: " 2 tail closures per box. HCPCS A5063 SUR-FIT Natura Drainable Pouch For High Output Opaque with 1-sided comfort panel, anti-reflux valve, replaceable filter, and outlet with spout and cap for high liquid output Pouch length: 14" 1 tail closure, 1 night drainage adapter, and 5 replacement filters per box /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n HCPCS A /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 5 SUR-FIT Natura Drainable Pouch For High Output, anti-reflux valve, replaceable filter, and outlet with spout and cap for high liquid output Pouch length: 14" HCPCS A /4" (45 mm) n /4" (57 mm) n 5 SUR-FIT Natura Closed-End Pouches (compatible with SUR-FIT Natura Skin Barriers) SUR-FIT Natura Closed-End pouches are designed for one-time usage, and may be used everyday, for special occasions or intimate moments. They are available with a filter that is designed to reduce odor and gas buildup. There s no draining or uncomfortable clip to worry about. When you re ready, you simply remove the pouch, place it into a disposable bag, then discard it. SUR-FIT Natura Closed-End Pouch Opaque with 2-sided comfort panel Pouch length: 8" ConvaTec Customer Interaction Center Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, HCPCS A /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n 30 Two-Piece Ostomy Systems SUR-FIT Natura Closed-End Pouches /4" (70 mm) n tail closure, 1 night drainage adapter, and 5 replacement filters per box. 37

22 Two-Piece Ostomy Systems SUR-FIT Natura Closed-End Pouches SUR-FIT Natura Closed-End Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 8" 30 filter covers per box. SUR-FIT Natura Mini Pouch Opaque with 1-sided comfort panel Pouch length: 5" HCPCS A5054 SUR-FIT Natura Cap with Filter Opaque with 1-sided comfort panel HCPCS A filter covers per box. HCPCS A /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n filter covers per box /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (45 mm) n 25 SUR-FIT Natura Urostomy Pouches (compatible with SUR-FIT Natura Skin Barriers) People living with a urostomy have unique needs, which is why ConvaTec fers a pouch product line especially for them. SUR-FIT Natura urostomy pouches have an extended anti-reflux valve, comfort panels and a choice two types taps. The Accuseal tap is designed for easy manipulation and emptying. SUR-FIT Natura Urostomy Pouch with Accuseal Tap with Valve Pouch length: " Each box contains 2 Accuseal night drainage adapters. HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n SUR-FIT Natura Urostomy Pouch with Fold Over Tab Pouch length: 9" Each box contains 2 universal night drainage adapters. HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n Two-Piece Ostomy Systems SUR-FIT Natura Urostomy Pouches 38 39

23 Two-Piece Ostomy Systems SUR-FIT Natura Urostomy Pouches 40 SUR-FIT Natura Urostomy Pouch with Fold Over Tab Pouch length: " SUR-FIT Natura Urostomy Small Pouch with Accuseal Tap with Valve Opaque with 1-sided comfort panel Pouch length: 9" Each box contains 2 Accuseal night drainage adapters. Each box contains 2 Accuseal night drainage adapters. HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n SUR-FIT Natura Urostomy Pouch with Accuseal Tap with Valve Opaque with 1-sided comfort panel Pouch length: " HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n Each box contains 2 universal night drainage adapters. HCPCS A /4" (32 mm) n /2" (38 mm) n /4" (45 mm) n /4" (57 mm) n /4" (70 mm) n SUR-FIT Natura Unit Dose Kits SUR-FIT Natura hesive Flexible Skin Barrier and Drainable Pouch Unit Dose Kit Kit includes: 1 hesive Flexible Skin Barrier with white tape collar with cut-to-fit opening 1 drainable pouch (12" transparent with 1-sided comfort panel) 1 tail closure HCPCS A4414, A5063 SUR-FIT Natura hesive Skin Barrier and Drainable Pouch Unit Dose Kit Kit includes: 1 hesive Skin Barrier with cut-to-fit opening 1 drainable pouch (14" transparent with 1-sided comfort panel) 1 tail closure HCPCS A4415, A5063 SUR-FIT Natura Durahesive Flexible Skin Barrier Urostomy Pouch Unit Dose Kit Kit includes: 1 Durahesive Flexible Skin Barrier with white tape collar with cut-to-fit opening 1 urostomy pouch (" transparent with 1-sided comfort panel) with Accuseal Tap with valve 1 Accuseal night drainage adaptor HCPCS A4409, A4432 ConvaTec Customer Interaction Center Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits /4" (70 mm) n 5 Kits " (0 mm) n 5 Kits /4" (45 mm) n 5 Kits /4" (57 mm) n 5 Kits Two-Piece Ostomy Systems SUR-FIT Natura Unit Dose Kits 41

24 Whenever I call the ostomy nurses, they always take the time to help me and to find the products that fit my life. Whitney singer, artist, volunteer me+ care s, supplies and advice for the first few weeks at home. me+ support Live experts by phone or for any questions you may have. Brings you tools and advice to help make life with an ostomy completely your own. me+ answers An in-depth resource covering everything ostomy. me+ style Clothes that conceal your ostomy pouch and look great too. me+ community Inspiring stories and ideas from others living with an ostomy. Getting the full benefits me+ is easy. Call or visit Esteem synergy + and Esteem synergy Two-piece Ostomy Systems The Esteem synergy + and Esteem synergy ostomy system utilizes an innovative 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 ostomy system is ConvaTec s innovative product that provides the skin friendliness and versatility a two-piece system, as well as the low prile, comfort, and flexibility a conventional one-piece system. The Esteem synergy ostomy system has a flat, flexible adhesive foam ring on the pouch that securely connects with a clear, flat, flexible plastic "Landing Zone" flange on the skin barrier. It is easy to apply and easy to remove. Two-Piece Ostomy Systems Esteem synergy + and Esteem synergy All trademarks are property their respective owners. Me + is a registered trademark in the U.S ConvaTec Inc. 43

25 Key and Sizing Guides the color the dot on the skin barrier package with the color the dot on the pouch package. Esteem synergy Skin Barriers (compatible with Esteem synergy + and Esteem synergy pouches) Key and Sizing Guides Esteem synergy Skin Barrier Sizing n Small n Medium n Large n Extra Large Moldable Skin Barrier Sizing STOMA SIZE COLOR MATCH SKIN BARRIER 1/2" to 7/8" n Small 7/8" to 1 1/4" n Medium 1 1/4" to 1 3/4" n Large Cut-To-Fit Skin Barrier Sizing STOMA SIZE COLOR MATCH SKIN BARRIER Up to 1 3/8" n Small Up to 1 7/8" n Medium Up to 2 3/8" n Large Up to 3 1/2" n Extra-Large 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. The application process is easy and precise alignment is not necessary. Esteem synergy Moldable Durahesive Convex Skin Barrier with Moldable Opening and white tape collar HCPCS A4407* Opening Barrier Overall Dimensions small: 1/2" - 7/8" (13-22 mm) n 4" x 4" medium: 7/8" - 1 1/4" (22-33 mm) n 4 1/2" x 4 1/2" large: 1 1/4" - 1 3/4" (33-45 mm) n 5" x 5" Esteem synergy Moldable hesive Skin Barrier with Moldable Opening and white hydrocolloid flexible collar HCPCS A Opening Barrier Overall Dimensions small: 1/2" - 7/8" (13-22 mm) n 4" x 4" medium: 7/8" - 1 1/4" (22-33 mm) n 4 1/2" x 4 1/2" large: 1 1/4" - 1 3/4" (33-45 mm) n 5" x 5" Two-Piece Ostomy Systems Esteem synergy Skin Barriers 44 * HCPCS is determined by the size the barrier mass excluding the tape collar. 45

26 Two-Piece Ostomy Systems Esteem synergy Skin Barriers Esteem synergy hesive Skin Barrier with Cut-to-Fit Opening and white tape collar Opening HCPCS A4414* Esteem synergy hesive Skin Barrier with Cut-to-Fit Opening and without tape collar HCPCS A Esteem synergy hesive Skin Barrier with Pre-Cut Opening and white tape collar Barrier Overall Dimensions small: up to 1 3/8" (35 mm) n 4" x 4" medium: up to 1 7/8" (48 mm) n 4 1/2" x 4 1/2" large: up to 2 3/8" (61 mm) n 5" x 5" Opening Barrier Overall Dimensions small: up to 1 3/8" (35 mm) n 4" x 4" medium: up to 1 7/8" (48 mm) n 4 1/2" x 4 1/2" large: up to 2 3/8" (61 mm) n 5" x 5" extra large: up to 3 1/2" (89 mm) n 6" x 6" Opening Barrier Overall Dimensions HCPCS A4414* small: 5/8" (16 mm) n 4" x 4" small: 3/4" (19 mm) n 4" x 4" small: 7/8" (22 mm) n 4" x 4" small: 1" (25 mm) n 4" x 4" small: 1 1/8" (28 mm) n 4" x 4" small: 1 1/4" (32 mm) n 4" x 4" small: 1 3/8" (35 mm) n 4" x 4" medium: 1 1/2" (38 mm) n 4 1/2" x 4 1/2" medium: 1 5/8" (41 mm) n 4 1/2" x 4 1/2" medium: 1 3/4" (45 mm) n 4 1/2" x 4 1/2" Esteem synergy + Pouches (compatible with Esteem synergy Skin Barriers) ConvaTec developed these innovative pouches to be noticeably more comfortable and more discreet. The Esteem synergy + pouching system fers the latest technologies from ConvaTec including: A state--the art filter with anti-clogging film layer St and quiet materials Streamlined rounded shape skin barriers InvisiClose tail closure Lock-it Pocket that securely hides away the tail giving the comfort a closed end pouch ConvaTec s latest pouches combined with Esteem synergy + advanced skin barrier adhesives fer security, comfort and discretion. Esteem synergy + Drainable Pouch with InvisiClose Tail Closure System HCPCS A5063 es to Skin Barrier with: n Small stoma opening n Medium stoma opening n Large stoma opening Esteem synergy + Drainable Pouch with InvisiClose Tail Closure System and Filter HCPCS A4435 es to Skin Barrier with: n Small stoma opening n Medium stoma opening n Large stoma opening filter covers per box. Esteem synergy + Drainable Pouch with InvisiClose Tail Closure System and Filter Opaque with 2-sided comfort panel HCPCS A4425 Two-Piece Ostomy Systems Esteem synergy + Pouches es to Skin Barrier with: n Small stoma opening n Medium stoma opening 46 * HCPCS is determined by the size the barrier mass excluding the tape collar n Large stoma opening filter covers per box

27 Two-Piece Ostomy Systems Esteem synergy + Pouches Esteem synergy + Closed-End Pouch with Filter Pouch length: 8" HCPCS A4419 es to Skin Barrier with: n Small stoma opening n Medium stoma opening n Large stoma opening filter covers per box. Esteem synergy + Closed-End Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 8" HCPCS A4419 es to Skin Barrier with: n Small stoma opening n Medium stoma opening n Large stoma opening filter covers per box. Esteem synergy + Closed-End Mini Pouch with Filter Pouch length: 6" HCPCS A4419 es to Skin Barrier with: n Small stoma opening n Medium stoma opening filter covers per box. Esteem synergy + Closed-End Mini Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 6" HCPCS A4419 es to Skin Barrier with: n Small stoma opening n Medium stoma opening filter covers per box. Esteem synergy Drainable Pouches (compatible with Esteem synergy Skin Barriers) The ergonomically shaped Esteem synergy drainable pouches are designed to complement body contours and add to ease 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 fers double security, ease 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 mind. Esteem synergy Drainable Pouch with Filter For a stoma on the right side HCPCS A4425 es to Skin Barrier with: n Medium stoma opening 2 tail closures and filter covers per box. Esteem synergy Drainable Pouch with InvisiClose Tail Closure System and Filter Opaque with 1-sided comfort panel For a stoma on the right side HCPCS A4425 es to Skin Barrier with: 48 n Small stoma opening n Medium stoma opening n Large stoma opening filter covers per box. Esteem synergy Drainable Pouch with InvisiClose Tail Closure System and Filter For a stoma on the right side HCPCS A4425 es to Skin Barrier with: n Medium stoma opening n Large stoma opening filter covers per box. Esteem synergy Drainable Pouch - straight Pouch length: 14" HCPCS A5063 Two-Piece Ostomy Systems Esteem synergy Drainable Pouches es to Skin Barrier with: n Extra large stoma opening 2 tail closures per box. 49

28 Two-Piece Ostomy Systems Esteem synergy Pressional Kits Esteem synergy Pressional Kits Esteem synergy Pressional Kit Non Sterile Kit includes: 5 small hesive Skin Barriers with cut-to-fit opening and tape collar 5-12" straight, transparent, drainable pouches with 1-sided comfort panel 1 tail closure HCPCS A4414, A Skin Barrier Opening Small - up to 1 3/8" (35 mm) n 5 skin barriers 5 pouches Esteem synergy Pressional Kit Non Sterile Kit includes: 5 extra large hesive Skin Barriers with cut-to-fit opening and without tape collar 5-14" straight, transparent, drainable pouches with 1-sided comfort panel 1 tail closure HCPCS A4415, A Skin Barrier Opening Extra Large - up to 3 1/2" (89 mm) n 5 skin barriers 5 pouches Esteem synergy Pressional Kit Loop Ostomy System STERILE Kit includes: 1 extra large hesive Skin Barrier with cut-to-fit opening and without tape collar 1-14" straight, transparent, drainable pouch with 1-sided comfort panel 1 tail closure 1-3 1/2" loop ostomy rod HCPCS A4415, A Skin Barrier Opening Extra Large - up to 3 1/2" (89 mm) n 1 skin barrier 1 pouch Esteem synergy Closed-End Pouches (compatible with Esteem synergy Skin Barriers) 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 odor-causing agents. Four slits on the filter with removable stickers allow for individual control over the speed the gas release. Esteem synergy Closed-End Pouch with Filter Opaque with 2-sided comfort panel Pouch length: 9" ConvaTec Customer Interaction Center Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, HCPCS A4419 es to Skin Barrier with: n Small stoma opening n Medium stoma opening n Large stoma opening n Small stoma opening n Medium stoma opening n Large stoma opening filter covers per box. Esteem synergy Closed-End Mini Pouch Opaque with 1-sided comfort panel Pouch length: 6" HCPCS A5054 es to Skin Barrier with: n Small stoma opening 20 Two-Piece Ostomy Systems Esteem synergy Closed-End Pouches 50 51

29 Two-Piece Ostomy Systems Esteem synergy Urostomy Pouches Esteem synergy Urostomy Pouches (compatible with Esteem synergy Skin Barriers) The Esteem synergy Urostomy Pouch with Accuseal tap is designed for easy manipulation and rapid emptying. The built-in anti-reflux valve resists the back flow urine. The pouch has a body-side comfort panel. Esteem synergy Urostomy Pouch with Accuseal Tap with Valve Opaque with 1-sided comfort panel Pouch length: " HCPCS A4432 es to Skin Barrier With: n Small stoma opening n Medium stoma opening n Large stoma opening Each box contains 2 Accuseal night drainage adaptors. Esteem synergy Urostomy Pouch with Accuseal Tap with Valve Pouch length: " HCPCS A4432 es to Skin Barrier With: n Small stoma opening n Medium stoma opening n Large stoma opening Each box contains 2 Accuseal night drainage adaptors. Esteem synergy Urostomy Pouch with Accuseal Tap with Valve (small) Pouch length: 9" HCPCS A4432 es to Skin Barrier With: n Small stoma opening n Medium stoma opening One-Piece Ostomy Systems Simplicity and flexibility in a low-prile one-piece system. Each box contains 2 Accuseal night drainage adaptors. 52

30 Esteem + One-Piece Ostomy System Esteem + One-Piece Drainable Pouch with Cut-to-Fit Durahesive Plus Skin Barrier, InvisiClose Tail Closure and Filter Opaque with 2-sided comfort panel and tape collar HCPCS A5056 Opening mm (3/4") to 64 mm (2 1/2") filter covers per box. One-Piece Ostomy Systems Esteem + The one-piece system that s gentle on the skin, while remaining secure and easy to use! Flexible and discreet, the Esteem + one-piece system is the all-in-one solution that combines the skin barrier and pouch in a single unit, allowing for a simple, secure, and comfortable experience. Available with a modified hesive or Durahesive Plus skin barrier that gently adheres to skin and protects it from breakdown. The Esteem + one piece pouching system fers the latest technologies from ConvaTec including: A state--the art filter with an anti-clogging film layer, keeping the pouch flat while virtually eliminating odor InvisiClose clipless tail closure with a strong hook and hook fastener The Lock-It Pocket which securely hides away the tail to provide the comfort a closed end pouch Comfort panel pouch material that is st and smooth against the skin, nearly rustle-free and resists water and dries quickly. ConvaTec s latest pouches and advanced adhesives fer you the security, comfort, and discretion you deserve. Esteem + One-Piece Drainable Pouch with Moldable hesive Skin Barrier HCPCS A4424 Opening /16" - 1 3/16" (20-30 mm) /16" - 1 9/16" (30-40 mm) / /16 (40-50mm) Esteem + One-Piece Drainable Pouch with Cut-to-Fit Durahesive Plus Skin Barrier, InvisiClose Tail Closure and Filter and tape collar HCPCS A5056 Opening filter covers per box. 19 mm (3/4") to 64 mm (2 1/2") Esteem + One-Piece Drainable Pouch with Modified hesive Cut-to-Fit Skin Barrier, InvisiClose Tail Closure HCPCS A5061 Opening mm (3/4") to 70 mm (2 3/4") Esteem + One-Piece Drainable Pouch with Modified hesive Cut-to-Fit Skin Barrier, InvisiClose Tail Closure and Filter HCPCS A4424 Opening filter covers per box. 20 mm (3/4") to 70 mm (2 3/4") One-Piece Ostomy Systems Esteem + 54 Includes filter. filter covers per box. Opaque with 1-sided comfort panel Pouch length: 12 HCPCS A4424 Opening /16" - 1 3/16" (20-30 mm) /16" - 1 9/16" (30-40 mm) / /16 (40-50mm) Includes filter. filter covers per box. HCPCS A /16" - 1 3/16" (20-30 mm) /16" - 1 9/16" (30-40 mm) / /16 (40-50mm) Esteem + One-Piece Drainable Pouch with Modified hesive Cut-to-Fit Skin Barrier, InvisiClose Tail Closure and Filter Opaque with 2-sided comfort panel HCPCS A4424 Opening filter covers per box. 20 mm (3/4") to 70 mm (2 3/4") 55

31 Esteem + One-Piece Drainable Pouch with hesive Cut-to-Fit Skin Barrier* and InvisiClose Tail Closure Pouch length: 14" HCPCS A5061 Esteem + One-Piece Drainable Pouch with Durahesive Pre-Cut Convex Skin Barrier, InvisiClose Tail Closure and Filter Opaque with 1-sided comfort panel HCPCS A5057 Opening Opening mm (4") mm (3/4") mm (7/8") *Double-layer adhesive (hesive body-side, Durahesive top-side) which combines the skin friendly aspects hesive with the turtlenecking protection Durahesive mm (1") mm (1 1/8") One-Piece Ostomy Systems Esteem + Esteem + One-Piece Drainable Pouch with Modified hesive Pre-Cut Skin Barrier, InvisiClose Tail Closure and Filter HCPCS A4424 Opening mm (1") mm (1 3/16") mm (1 3/8") mm (1 9/16") filter covers per box. Esteem + One-Piece Drainable Pouch with Modified hesive Pre-Cut Skin Barrier, InvisiClose Tail Closure and Filter Opaque with 1-sided comfort panel HCPCS A4424 Opening mm (1") mm (1 3/16") mm (1 3/8") mm (1 9/16") filter covers per box. Esteem + One-Piece Drainable Pouch with Durahesive Pre-Cut Convex Skin Barrier, InvisiClose Tail Closure and Filter HCPCS A mm (1 1/4") mm (1 3/8") mm (1 1/2") filter covers per box. Esteem + One-Piece Closed-End Pouch with Moldable hesive Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch length: 8" Opening /16" - 1 3/16" (20-30 mm) /16" - 1 9/16" (30-40 mm) / /16 (40-50mm) filter covers per box. Esteem + One-Piece Closed-End Pouch with Modified hesive Cut-to-Fit Skin Barrier and Filter Pouch length: 8" HCPCS A4416 Opening filter covers per box. 20 mm (3/4") to 70 mm (2 3/4") HCPCS A4416 Esteem + One-Piece Closed-End Pouch with Modified hesive Cut-to-Fit Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch length: 8" 30 HCPCS A4416 Opening One-Piece Ostomy Systems Esteem + Opening mm (3/4") mm (7/8") filter covers per box. 20 mm (3/4") to 70 mm (2 3/4") mm (1") mm (1 1/8") mm (1 1/4") mm (1 3/8") mm (1 1/2") filter covers per box. Esteem + One-Piece Mini Closed-End Pouch with Modified hesive Cut-to-Fit Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch length: 6" HCPCS A4416 Opening filter covers per box. 20 mm (3/4") to 70 mm (2 3/4") 30 57

32 Giving people the confidence to live life their way ESTEEM TM The Esteem + system is our one-piece solution, combining the skin barrier and pouch in a single unit. Easy and convenient, it s one simple step to attach or remove and provides a fresh start every time. highlights Trust and reassurance advanced filter helps minimize odor and ballooning. Peace mind via an easyview window. Comfort and discretion with st, quiet fabric. Simple, secure fastening with the InvisiClose Tail Closure and Lock-It-Pocket. Esteem + One-Piece Closed-End Pouch with Modified hesive Pre-Cut Skin Barrier and Filter Opaque with 2-sided comfort panel Pouch length: 8" HCPCS A4416 Opening mm (1") mm (1 3/16") mm (1 3/8") mm (1 9/16") mm (2") filter covers per box. Esteem + One-Piece Drainable Pouch with hesive Cut-to-Fit Skin Barrier* and InvisiClose Tail Closure Post-Operative/ Surgical Kit Pouch length: 14" HCPCS N/A Opening up to 0 mm (4") 5 individually wrapped pouches *Double-layer adhesive (hesive body-side, Durahesive top-side) which combines the skin friendly aspects hesive with the turtlenecking protection Durahesive. Esteem + One-Piece Drainable Pouch with hesive Cut-to-Fit Skin Barrier* and InvisiClose Tail Closure Post-Operative/ Surgical Kit STERILE Pouch length: 14" HCPCS N/A Opening up to 0 mm (4") 5 individually wrapped pouches *Double-layer adhesive (hesive body-side, Durahesive top-side) which combines the skin friendly aspects hesive with the turtlenecking protection Durahesive. One-Piece Ostomy Systems Esteem + Try the Esteem + family products today! With cut-to-fit, pre-cut and ConvaTec moldable technology. All trademarks are property their respective owners. Esteem plus is a registered trademark in the U.S ConvaTec Inc. 59

33 ActiveLife One-Piece Ostomy System ActiveLife Convex One-Piece Pre-Cut Drainable Pouch with Durahesive Skin Barrier and tape collar HCPCS A4390 Opening mm (3/4") mm (7/8") mm (1") One-Piece Ostomy Systems ActiveLife A lightweight, flexible, one-piece system, ActiveLife ostomy system combines the skin barrier and the pouch in one simple, easy-to-manage system. Pouches are available in transparent and opaque films mm (1 1/8") mm (1 1/4") mm (1 3/8") mm (1 1/2") mm (1 3/4") mm (3/4") mm (7/8") mm (1") mm (1 1/8") mm (1 1/4") mm (1 3/8") mm (1 1/2") mm (1 3/4") mm (2") 5 1 tail closure per box. ActiveLife One-Piece Drainable Cut-to-Fit Pouch with hesive Skin Barrier and tape collar HCPCS A5061 Opening mm (3/4") to 64 mm (2 1/2") 19 mm (3/4") to 64 mm (2 1/2") 20 One-Piece Ostomy Systems ActiveLife mm (3/4") to 64 mm (2 1/2") 1 1 tail closure per box

34 ActiveLife One-Piece Drainable Cut-to-Fit Pouch with Durahesive Plus Skin Barrier and tape collar HCPCS A4388 Opening tail closure per box. 19 mm (3/4") to 64 mm (2 1/2") ActiveLife One-Piece Pre-Cut Drainable Pouch with hesive Skin Barrier Opaque with 1-sided comfort panel and tape collar HCPCS A5061 Opening mm (3/4") mm (1") mm (1 1/4") mm (1 1/2") 20 One-Piece Ostomy Systems ActiveLife ActiveLife One-Piece Drainable Cut-to-Fit Pouch with Durahesive Plus Skin Barrier Opaque with 1-sided comfort panel and tape collar HCPCS A4388 Opening tail closure per box. 19 mm (3/4") to 64 mm (2 1/2") ActiveLife One-Piece Pre-Cut Drainable Pouch with hesive Skin Barrier Opaque with 1-sided comfort panel and tape collar Pouch length: " HCPCS A5061 Opening mm (3/4") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") mm (2 1/2") mm (3/4") mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") mm (2 1/2") mm (3/4") mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") mm (2 1/2") 1 tail closure per box. ActiveLife One-Piece Pre-Cut Drainable Pouch with hesive Skin Barrier and tape collar HCPCS A5061 Opening mm (3/4") mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") mm (2 1/2") 1 tail closure per box. One-Piece Ostomy Systems ActiveLife mm (1 3/4") mm (2") mm (2 1/2") 1 tail closure per box

35 ActiveLife One-Piece Cut-to-Fit Closed End Pouch with hesive Skin Barrier and Filter Opaque with 1-sided comfort panel and no tape collar Pouch length: 8" HCPCS A4416 ActiveLife One-Piece Cut-to-Fit Closed-End Pouch with hesive Skin Barrier and Filter and no tape collar Pouch length: 8" HCPCS A4416 Opening Opening mm (3/4") to 64 mm (2 1/2") mm (3/4") to 64 mm (2 1/2") 60 One-Piece Ostomy Systems ActiveLife 60 filter covers per box filter covers per box. 19 mm (3/4") to 64 mm (2 1/2") ActiveLife One-Piece Cut-to-Fit Closed End Pouch with hesive Skin Barrier and Filter Opaque with 1-sided comfort panel and tape collar Pouch length: 8" HCPCS A4416 Opening filter covers per box. 19 mm (3/4") to 50 mm (2") ActiveLife One-Piece Cut-to-Fit Closed-End Pouch with hesive Skin Barrier and Filter and tape collar Pouch length: 8" HCPCS A4416 Opening filter covers per box. 19 mm (3/4") to 50 mm (2") filter covers per box filter covers per box. 19 mm (3/4") to 64 mm (2 1/2") ActiveLife One-Piece Pre-Cut Closed- End Pouch with hesive Skin Barrier and Filter Opaque with 1-sided comfort panel and no tape collar Pouch length: 8" HCPCS A4416 Opening mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") filter covers per box mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") filter covers per box. ActiveLife One-Piece Pre-Cut Closed-End Pouch with hesive Skin Barrier and No Tape Collar and filter Pouch length: 8" HCPCS A4416 Opening 15 One-Piece Ostomy Systems ActiveLife mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") filter covers per box mm (1") mm (1 1/4") mm (1 1/2") mm (1 3/4") mm (2") filter covers per box. 65

36 ActiveLife One-Piece Cap with hesive Skin Barrier and Filter Opaque with no tape collar HCPCS A5055 Opening filter covers per box. 19 mm (3/4") to 50 mm (2") 30 ActiveLife One-Piece Cut-to-Fit Urostomy Pouch with hesive Skin Barrier Transparent Standard Pouch length: 12 HCPCS A5071 Opening mm (3/4") to 45 mm (1 3/4") Each box contains one universal night drainage adapter. One-Piece Ostomy Systems ActiveLife ActiveLife Convex One-Piece Pre-Cut Urostomy Pouch with Durahesive Skin Barrier with Acrylic Tape Collar Transparent with fold over tap Pouch length: 8" HCPCS A4393 Opening mm (1/2") mm (5/8") mm (3/4") mm (7/8") mm (1") mm (1 1/8") mm (1 1/4") mm (1 3/8") mm (1 1/2") mm (1/2") mm (5/8") mm (3/4") mm (7/8") mm (1") mm (1 1/8") mm (1 1/4") mm (1 3/8") mm (1 1/2") 5 Each box contains one universal night drainage adapter. ActiveLife One-Piece Pre-Cut Urostomy Pouch with Durahesive Skin Barrier and Accuseal Tap with Valve Pouch length: 8" HCPCS A4428 One-Piece Ostomy Systems ActiveLife Opening mm (3/4") mm (7/8") mm (1") mm (1 1/8") mm (1 1/4") mm (1 1/2") Each box contains one universal night drainage adapter. ConvaTec Customer Interaction Center Monday through Friday, 8:30 a.m. - 7:00 p.m. ET,

37 Little Ones Pediatric Ostomy System Little Ones Pediatric Ostomy Systems With all the challenges that go with raising a child, finding the right ostomy product needn t be one them. That s because ConvaTec has a line products designed just for kids. The line features products for children who have had colostomy, ileostomy, or urostomy surgery. As with our adult line, ConvaTec Little Ones Ostomy System products fer a full range products to meet any child s need or parent s preference. Each has been scaled down in size to comfortably fit a child s unique body contour. Little Ones products are designed with an active child in mind. Key and Sizing Guides the color the dot on the skin barrier package with the color the dot on the pouch package. Little Ones Pediatric Ostomy System n : 0-9/" (0-23 mm) n : 1/5-1 1/4" ( mm) n : 1 1/4" (32 mm) n : 1 3/4" (45 mm) Little Ones Pediatric Ostomy Systems A product line designed to care for the youngest patients. 68

38 Little Ones Two-Piece Adhesive Coupling Technology Extra Small hesive Skin Barrier with cut-to-fit opening HCPCS A4414 Opening /" (0-23 mm) n 5 Little Ones Two-Piece Adhesive Coupling Technology Standard Closed- End Pouch with Filter Pouch length: 6" Opaque Transparent Opening HCPCS A4419 1/5" - 1 1/4" ( mm) n 1/5" - 1 1/4" ( mm) n Little Ones Pediatric Ostomy Systems Little Ones Two-Piece Adhesive Coupling Technology Extra Small Drainable Pouch with InvisiClose Tail Closure System Pouch length: 6" HCPCS A5063 Opening /" (0-23 mm) n Little Ones One-Piece Extra Small Drainable Pouch with hesive Skin Barrier and InvisiClose Tail Closure System Pouch length: 6" Opening HCPCS A /" (0-23 mm) n Little Ones Two-Piece Adhesive Coupling Technology Standard Flexible hesive Skin Barrier with cut-to-fit opening HCPCS A4414 Opening filter covers per box. Little Ones Two-Piece Adhesive Coupling Technology Standard Drainable Pouch with InvisiClose Tail Closure System and Filter Pouch length: 8" HCPCS A4425 Opaque Transparent filter covers per box. Opening 1/5" - 1 1/4" ( mm) n 1/5" - 1 1/4" ( mm) n Little Ones Two-Piece Standard Flexible Cut-to-Fit hesive Skin Barrier HCPCS A /4" (32 mm) n /4" (45 mm) n 5 Little Ones Two-Piece Standard Closed End Pouch Opaque with 2-sided comfort panel Pouch length: 5" HCPCS A5054 Little Ones Pediatric Ostomy Systems /5" - 1 1/4" ( mm) n /4" (32 mm) n 20 Little Ones Two-Piece Adhesive Coupling Technology Standard hesive Skin Barrier with cut-to-fit opening HCPCS A /4" (45 mm) n Opening 1/5" - 1 1/4" ( mm) n

39 Little Ones Two-Piece Standard Drainable Pouch Pouch length: 6" HCPCS A /4" (32 mm) n /4" (45 mm) n tail closures per box. Little Ones Pediatric Ostomy Systems Little Ones Two-Piece Standard Urostomy Pouch Pouch length: 6" HCPCS A /4" (32 mm) n Each box contains two night drainage adapters. Little Ones One-Piece Drainable Pouch with Cut-to-Fit hesive Skin Barrier Pouch length: 6" HCPCS A /16" - 2" (8-50 mm) tail closures per box. Little Ones One-Piece Urostomy Pouch with Cut-to-Fit hesive Skin Barrier Transparent Pouch length: 5" HCPCS A5071 Wound Pouches A variety products that provide complete and consistent wound and skin management /16" - 1" (8-25 mm) 15 Each box contains two night drainage adapters. 72

40 Wound Pouches Eakin Wound Pouch with Fold and Tuck Closure Suitable for cutting area 1.8" x 1.2" HCPCS A " x 1.2" (4.5 cm x 3 cm) Eakin Wound Pouch with Fold and Tuck Closure Suitable for cutting area 4.3" x 3.0" HCPCS A " x 3.0" (.9 cm x 7.6 cm) Wound Pouches Eakin wound pouches can help you contain a fistula, handle an exuding wound and help protect vulnerable skin. They come in a variety shapes and sizes to provide complete and consistent wound and skin management. Eakin Wound Pouch with Fold and Tuck Closure Suitable for cutting area 6.9" x 4.3" HCPCS A " x 4.3" (17.5 cm x.9 cm) Eakin Wound Pouch with Fold and Tuck Closure Suitable for horizontal cutting area 9.7" x 6.3" HCPCS A6154 Wound Pouches " x 6.3" (24.6 cm x 16 cm) 5 Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for cutting area 1.8" x 1.2" HCPCS A " x 1.2" (4.5 cm x 3 cm) ConvaTec Customer Interaction Center Monday through Friday, 8:30 a.m. - 7:00 p.m. ET, Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for cutting area 4.3" x 3.0" HCPCS A " x 3.0" (.9 cm x 7.9 cm) 74 75

41 Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for cutting area 6.9" x 4.3" HCPCS A6154 Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for cutting area 2.4" x 3.14" HCPCS A " x 4.3" (17.5 cm x.9 cm) " x 3.14" (6.1 cm x 8 cm) Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for horizontal cutting area 9.7" x 6.3" HCPCS A6154 Eakin Wound Pouch with Tap Closure and Access Window Suitable for vertical cutting area 9.7" x 6.3" HCPCS A " x 6.3" (24.6 cm x 16 cm) " x 6.3" (24.6 cm x 16 cm) 5 Wound Pouches Eakin Wound Pouch with Tap Closure and Access Window Suitable for easy access to horizontal cutting area 9.7" x 6.3" HCPCS A " x 6.3" (24.6 cm x 16 cm) 5 Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for vertical cutting area 9.7" x 6.3" HCPCS A6154 Eakin Access Window Add to Eakin wound and fistula pouches to allow instant access to the wound (may be used with , , , , , ) HCPCS N/A n/a 5 Wound Pouches " x 6.3" (24.6 cm x 16 cm) 5 Eakin Wound Pouch with Remote Drainage Attachment and Tap Closure Suitable for vertical cutting area 11.4" x 5.1" HCPCS A " x 5.1" (29 cm x 13 cm)

42 Designed to help you have less leaks and healthier skin. Ostomy Resources and Support for Your Patient ConvaTec Developing ostomy products and solutions for over 30 years. Team WOC Nurses available to provide ostomy care support. Toll Free: me+ Support, insights & product information for those living with an ostomy. Enrolling in me+ is fast, easy and free. Toll Free: Eakin Cohesive Seals can help solve the most common problems facing ostomates, leakage and skin irritation! The Cohesive Seal is st and moldable and fits snugly around the base your stoma to provide a leak pro seal and help prevent effluent from coming in contact with the skin. Everyday Use Extra Protection Cohesive Greater Coverage Time Savings Ostomysecrets A ConvaTec company, fers a full line stylish and functional undergarments, swim wear and accessories designed to support your ostomy solution. Toll Free: The United Ostomy Associations America (UOAA) National organization providing support, information and advocacy. Toll Free: Great Comebacks Program Information and inspiration to people living with serious intestinal diseases and ostomy surgery. Wound Ostomy Continence Nurses Society (WOCN ) Pressional nursing society dedicated to providing expert health care to individuals with wound, ostomy and continence concerns. Toll Free: American Cancer Society Nationwide community-based, voluntary healthcare organization. Toll Free: ACS Ostomy Resources Cohesive SLIMS Small Cohesive Seal All trademarks are property their respective owners. Eakin Cohesive is a registered trademark in the U.S ConvaTec Inc. Large Cohesive Seal Cohesive Wrap Crohn s & Colitis Foundation America Non-prit, volunteer-driven organization dedicated to finding a cure for Crohn s Disease and ulcerative colitis. Toll Free: All trademarks are property their respective owners. 79