Stoma Care Solution. Blood Flow Care Wound Care Drainage Care. Stoma Care

Transcription

1 Stoma Care Solution 2007 Vol.3 Supporting improvement of ostomates' QOL Before, During and After operation until their social rehabilitation Stoma Care Solution Stoma Care Solution Blood Flow Care Wound Care Drainage Care Stoma Care ALCARE Co., Ltd. INTERNATIONAL SALES DIVISION 19F, Arcacentral Bldg Kinshi, Sumida-ku Tokyo , Japan TEL: FAX: Printed in China Mar. 2007

2 Providing best care for all the people hoping for health Innovative Solutions for Best Care ALCARE bridges between medical care and people, actively addresses the challenges existing between them and creates new values. The half-century history of ALCARE is a series of technological progress and challenge of product development based on the fundamental principle of customer loyalty. ALCARE now attempts to reach the next stage with the concept of truly affluent medical and welfare society leading to a better future in mind. Under the corporate message, "Innovative Solutions for Best Care", ALCARE proposes really innovative solutions to create best care for all the people that provide medical care, need medical care and hope for promotion of health. ALCARE is activelyinvolved in solutions in the following fields: Bandage Care Solution Orthopedic Care Solution Supporting improvement of ostomates' QOL Stoma Care Solution During / After Operation Management Solution Wound Care Solution Compression & Gradation Care Solution Stoma Care Solution C O N T E N T S Introduction of Stoma Care Solution 3 [Blood Flow Care] 5 Compression & Gradation Care s Medical Stocking 6 Elastic Bandage 6 [Wound Care / Drainage Care] 7 Wound Care s / Drainage Care s Dressing 8 Drainage Pouch 8 Drainage Pad 8 [Stoma Care] Concept of Development 9 Guide for Selection of OstomyAppliance 11 Digestive System Ostomy Appliances Irrigation Equipments 21 Urology System Ostomy Appliances Appliances for Bathing 26 Accessories Skin Barrier 27 Stoma Care Accessory 28 s Introduction by Solution 31 Index 33 Sports Care Solution ALCARE keeps challenging to achieve our dream. 1 2

3 Realization of Active Life for Ostomates Stoma Care Solution Since 1965 when "LAPACK" was launched as the first ostomy appliance manufactured in Japan, ALCARE, a stoma care pioneer, has served medical needs and ostomates' demands and made the most of its unique technology to develop and Hospital Stay Before Operation / During Operation After Operation Social Rehabilitation provide various products. ALCARE continues supplying the optimum solutions to meet a large variety of practical needs in the treatment following ostomy and urinary diversion. ALCARE also provides total stoma care solutions before, during and after operation through social rehabilitation to improve ostomates' QOL and realize their active life. Operating Room Blood Flow Care The medical stockings or the elastic bandages are used to promote the blood flow in the lower extremities that tends to stagnate during lying and rest. Blood Flow Care Wound Care / Drainage Care Wound care materials and pouch drainage products promote improvement of patients' QOL and saving of nursing and treatment in the postoperative wound and drainage care. EOG Sterilized -ray Sterilized Hypoallergenic Adhesive Non-Adherent Pad Water-Proof / Drip-Proof 1 Day Exchange 2 Days Exchange 2 to 3 Days Exchange 3 to 5 Days Exchange 4 to 7 Days Exchange Convex Safety Plate Open-Ended The icons used in this catalogue are listed below. Refer the icon when you find a product with it. It can be used in an operating room. It can be used in an operating room. The skin friendly hypoallergenic acrylic adhesive The absorptive part of the pad can not adhere to the wound surface. The water-proof and drip-proof structure prevents contamination from outside. An ostomy bag and a face plate are integrated into a one-piece appliance. An ostomy bag and a face plate are separated. Rough guide for exchange date A hard convex plate is incorporated in the face plate to give sufficient height to a stoma. A soft plate is incorporated in the face plate to ensure both close contact and flexible fitting to the face plate. A starter hole is cut in advance and scissors are unnecessary when you apply. Before applying, cut to fit the stoma size with scissors. An ostomy bag with a fecal removal opening at the end Ward Outpatient Clinic Medical Stocking ANSILK-PRO J Open-Ended bag for Colostomy / Ileostomy POSPACK-K STERILE Stoma Care A variety of products, such as EOG sterilized bags and skin barriers, specifically developed for after operation stoma care management is available. Mixed-type powder made of karaya gum and citrus pectin PROCARE POWDER The senior-friendly single ring coupling YOUCARE 2 Hydrocolloid Wound Dressing KARAYAHESIVE Stoma Care Drainage after Operation SURGIDRAIN OPEN-TOP A large variety of products for stoma care management after social rehabilitation and focusing on improvement of ostomates' QOL is available. Short-term exchange with less skin damage YOUCARE Closed-Ended An ostomy bag without a fecal removal opening Vent for Watery Stool It is suitable vent for watery to muddy stool. Vent for Urine It is suitable vent for urine. 3 4

4 Before, During, After Operation Compression & Gradation Care s Medical Stocking Elastic Bandage Stockings and bandages to support venous blood return before, during and after operation. Blood Flow Care More safety, easily, and comfortably Stagnation of the blood flow in the lower extremities during lying and rest is effectively prevented and the venous reflux is supported. Medical Stocking ANSILK-PRO J CALF STOCKINGS Medical Stocking The calf stocking type causes no uncomfortable feeling and can be used by many people including those who usually wear no stockings. The material with soft texture assures comfortable fitting. The graduated compression is based on Sigel Theory. Girth of Ankle Girth of Calf Corresponding to various needs and body shapes, the products line provides more appropriate venous return condition. Medical Stocking ANSILK-PRO J Calf Stocking Stocking Calf Stocking(Single Leg) Stocking(Single Leg) 100% Cotton Elastic Bandage ELASCOT Compression & Gradation Care: Supporting venous return Compression and Gradation care is a concept of care which ALCARE proposes. It can be achieved by compression and continuous changes of compression gradation. ANSILK-PRO J STOCKINGS Medical Stocking It rarely slips down from thigh because of the silicone garter. The graduated compression is based on Sigel Theory. The two-way delta stretch reduces feeling of strong pressure on the thigh. Color lines at the ankle and the knee can be a guide for your appropriate application. Girth of Ankle Girth of Calf Girth of Thigh Compression Design of ANSILK-PRO J The three-dimensional structure fitting to the shape of leg and the compression design providing the optimum pressure according to Sigel theory (38% increase in blood flowduring rest) so it constantly gives adequate compression during lying. Continuous Changes of Compression 11hPa 13hPa 11hPa 19hPa 24hPa 8mmHg 10mmHg 8mmHg 14mmHg 18mmHg Elastic Bandage ELASCOT 100% Cotton Elastic Bandage A 100% cotton elastic bandage has soft touch and excellent absorptivity. The original hard twist cotton yarn gives excellent elasticity to the bandage. It can be used as a substitute for medical stockings in the case that medical stocking is insufficient. Width Length (stretched) Venous Blood Flow Quality of ANSILK-PRO J Sigel et al, Arch Surg.Vol. 110 Feb Soft touch achieved without using latex Color lines at the ankle and the knee can be a guide for your appropriate application. (Stocking type only) Two-way delta stretch reduces the feeling of strong pressure on the thigh and assures comfortable fitting. (Stocking type only) The "comfort heel" increases the smooth feeling at the heel. A monitor hole enables observation of blood flowconditions. Readjust the position (cover the toe) after observation. Leaving the toe uncovered may result in inadequate blood flow. 5 6

5 AfterOperation Wound Care s / Drainage Care s Dressing Drainage Pouch Drainage Pad A variety of wet dressings for promotion of wound healing by maintaining the wet environment and drainage products to support drainage care are available. Wound Care / Drainage Care Having goals in improvement of patients' QOL and in nursing treatment, ALCARE provides optimum solutions meeting the clinical needs in after operation wound and drainage care. Dressing KARAYAHESIVE Hydrocolloid Wound Dressing Transparency enables follow-up observation of the wound. It can not slip even if it is applied to the joints or the parts with uneven surfaces because of appropriate flexibility and adherence. Appropriate absorbing exudate reduces maceration of normal skin. Size Base Material EOG Sterilized Water-Proof / Drip-Proof Goal of Development Improvement of Patients' QOL Solution Possible to take a shower Prevention of leakage of blood or drainage (prevention of stain of clothes or linens) Skin Protection (Skin friendly) Relief from Pain (Non-adherent) Waterproof s Wound Care Drainage Care KARAYAHESIVE MULTI FIX-PAD SURGIDRAIN OPEN-TOP SURGIDRAIN ZIPPER KARAYAHESIVE KARAYAHESIVE MULTI FIX-PAD Result Early ambulation can be promoted. Drainage Pouch MULTI FIX-PAD Pad Attached Air Permeable / Waterproof Film Dressing The flexible backing film enables tight application without being wrinkled. Contamination from the outside and the effects of moisture are effectively blocked. Once the rayon pad absorbs the exudate, it curls to prevent its pad from adhering to the wound surface. The transparent adhesive part enables easy observation of the absorbed exudate. EOG Sterilized SURGIDRAIN OPEN-TOP Drainage after Operation Hypoallergenic Adhesive Non-Adherent Pad Water-Proof / Drip-Proof By opening and closing the domed cap, it is possible to observe and treat the wound without removing the appliance. The domed cap can protect the wound from the external impact. A piece of drainage pouch can sufficiently manage 3 to 5 days drainage from the drain. Size of Adhesive Part Size of Absorptive Part Max Available Size EOG Sterilized Water-Proof / Drip-Proof Improvement in Nursing Treatment Easy Observation (Transparency) Labor-Saving KARAYAHESIVE KARAYAHESIVE SURGIDRAIN OPEN-TOP SURGIDRAIN ZIPPER SD PAD SURGIDRAIN ZIPPER Drainage after Operation By opening and closing the zipper, it is possible to observe and treat the wound without removing the appliance. The flat form enables better fitting to body contours and reduces uncomfortable feeling during application. A piece of drainage pouch can sufficiently manage 3 to 5 days drainage from the drain. EOG Sterilized Water-Proof / Drip-Proof Max Available Size Drainage Pad Time-Saving MULTI FIX-PAD SURGIDRAIN OPEN-TOP SURGIDRAIN ZIPPER SD PAD / SD PAD-WP Drainage Pad The absorptivity is equivalent to about 40 gauze layers and its thickness is about half, which reduces uncomfortable feeling during application. A fibrous polymer absorber quickly absorbs drainage to reduce unpleasant feeling. Effective absorption reduces excessive moisture. Size Weight Per Piece -ray Sterilized Water-Proof / Drip-Proof Limited to WP(waterproof)type. 7 8

6 After Operation / Social Rehabilitation Stoma Care ALCARE considers improvement of ostomates'qol as its basic theme of our development and has created many unique products; such as the appliances serving for social rehabilitation and safer skin barrier. Theme of Development ALCARE uses karaya gum as the main raw material for skin barrier to enhance the skin protecting effects. Projects for development of skin barrier that is indispensable for peristomal skin care "Ants' nest structure" of "Procare Barrier for Urinary Care" enables both preservation of skin protection and excellent fitting. Chronological changes of "ants'nest structure" following absorption of water Skin barrier Skin barrier Skin barrier Features of Karaya Gum Karaya gum is the natural gum collected from the sap of karaya tree in India. Because of its excellent absorptivity, water-holding capacity, expansivity and safety, karaya gum has been used for various food additives and medicines. 3 Excellent Features 1 Absorbing Action 2 3 Development 2 Skin Hydrophobic substances Skin Hydrophobic substances Skin Hydrophobic substances Buffering Action Bacteriostatic Action Ants' Nest Structure Hydrophilic substances Stoma Hydrophilic substances Stoma Hydrophilic substances Stoma Moisture is absorbed by the hydrophilic substances in the immediate environment around the stoma. Development 1 The hydrophilic substances are expanded to the point where no additional moisture can be absorbed. These Repetition of the above two processes [, ] enables gradual release of hydrophilic substances and the peristomal skin is continuously protected. The hydrophobic substances which do not collapse maintain the close contact with the skin. Scanning electron micrographs of the horny layer after one month application of a single hydrophilic polymer (by Tadaoki Kawashima, POLA Chemical Industry Co., Ltd.) Karaya Gum applied layer Apple Pectin applied layer Normal Layer Citrus Pectin applied layer CMC applied layer The scanning electron micrographs show the conditions of the horny layers (magnification of 2,000). The conditions of the horny layers treated with karaya gum and citrus pectin were similar to those of the normal horny layer but fissures formed over the horny layers treated with CMC and apple pectin definitely showed aggravation when compared with the conditions of the normal horny layer. Development 3 "Skin barrier with excellent buffer action" prevents skin irritation resulting from strong alkaline excretion. ph CMC-Free Skin Barrier The ingredients of hydrophilic polymer are changed from the combination of karaya gum and CMC to the combination of karaya gum and citrus pectin to improve skin protecting effects. Comparison of buffering effects on intestinal fluids 5.5 The human skin is 5.0 physiologically neutral at ph values ranging from 4.5 to 6.5 (weak acid). 4.5 Excellent Buffer Action The skin barrier with excellent buffer action was developed in collaboration with Toyama Medical and Pharmaceutical University, Japan. The ph value of intestinal fluids is approximately 7.4. (Active digestive enzymes are included.) Conventional skin barrier for stoma care (KPBS type) Newly developed skin barrier with excellent buffer action (KPBS type) 4.0 Pretreatment (hours) Measurement data provided by the Adult Care Department, Toyama Medical and Pharmaceutical University, Japan. Theme of Development YOUCARE Series YOUCARE 2 Series Feature 2 Easy and Simple Handling Secure Fitting without Difficulty Single Ring Coupling Aged people having problems in eyes or hands can use YOUCARE 2 Series. The single ring of this series can be fitted smoothly into the groove only by adjusting the two parts and secure fitting is achieved. Feature 3 Comfortable Application No smell, No leakage Development of appliances that can be used by the elderly in their self-care processes. s that could be used for a long period of time s that could be used by the elderly in their self-care processes The new structure consisting of the membrane with excellent air permeability and waterproofing property (air permeable waterproof membrane) and fibrous active Membrane Charcoal Filter Fibrous active carbon carbon with deodorizing Air permeable effects (charcoal) enables waterproof membrane effective protection of accumulated excretion during gas release. Users are no longer afraid of leakage of smell and stool. Excretion Gas Feature 1 Skin-Friendly Assurance for Skin Friendly Skin Barrier of Natural Materials The main ingredients of the skin barrier are the natural materials that rarely irritate the skin such as "karaya gum" and "citrus pectin". Karaya gum keeps the surface of the faceplate weak acid. User-Friendly Clip-less Ostomy Appliances Just turn up the plate along with the blue fold up line and secure the end with Velcro closures attached. Opening and closing are easy. The keep-shaping plate makes discharge and wiping easy. By folding the keep-shaping plate in V shape, open-end can be kept open. Scientific Analysis of Body Movement Diamond Shape Anatomically designed Diamond Shape effectively prevents detachment and leakage by increased flexibility following the curved groin and the abdominal movement. Because of the compact design, he/she hardly notices uncomfortable feeling. It offers higher levels of durability and achieves excellent contact. 7cm Wide Open-end Velcro Closure Fold Up Line Keep-shaping Plate The oval shape flattens the fine wrinkles over the abdomen. The triangle shape achieves excellent fitting to the inguinal region. 9 10

7 Social Rehabilitation Stoma Care Providing a large variety of products based on individual stoma conditions and lifestyles so that ostomates can select optimum ostomy appliances after social rehabilitation. Selection of Ostomy Appliances after Social Rehabilitation Stoma Conditions Flat or retracted Stoma Peristomal Wrinkles and hollows Stoma With sufficient height Peristomal No wrinkles, no hollows The convex plate inside of the face plate gives sufficient height to the stoma and prevents leakage of excretion. One-Piece Ostomy System Skin Barrier Can be changed everyday YOUCARE C Digestive Stoma YOUCARE TD YOUCARE D PROCARE 1 D ILEFINE D ILEFINE D Cap PEDIATRIC PROCARE 1 D YOUCARE TDc YOUCARE Dc PROCARE WAFER PROCARE 1 Dc Can be changed everyday PROCARE SOFT WAFER RING YOUCARE 2 F + YOUCARE 2 Cf PROCARE 2 FA + PROCARE 2 C YOUCARE 2 Fc + YOUCARE 2 Cf PROCARE 2 Fc + PROCARE 2 C Can be used longer days PROCARE SOFT WAFER STICK YOUCARE 2 F + YOUCARE 2 TDf Urinary Stoma 11 For filling the wrinkles and hollows Can be used longer days Two-Piece Ostomy System YOUCARE Cc PROCARE 1 C PROCARE 2 FA + PROCARE 2 D YOUCARE 2 Fc + YOUCARE 2 TDf PROCARE 2 Fc + PROCARE 2 D One-Piece Ostomy System Enhancement of adhesion between face plate and skin YOUCARE U PROCARE 1 U PEDIATRIC PROCARE 1 U YOUCARE Uc PROCARE 1 Uc PROCARE PASTE Two-Piece Ostomy System type is also available. マルチフィックス YOUCARE 2 Fu + YOUCARE パッド 2 U PROCARE 2 FA URO + PROCARE 2 U YOUCARE 2 Fuc + YOUCARE 2 U PROCARE 2 Fc URO + PROCARE 2 U Other ostomy appliances are also available. 12

8 Digestive System Ostomy Appliances Spontaneous Evacuation of Stool Providing a large variety of products based on exchange date and lifestyle. Digestive System Ostomy Appliances Spontaneous Evacuation of Stool POSPACK-K STERILE Open-Ended Bag for Colostomy / Ileostomy The EOG sterilized bag is the optimum appliance to be used immediately after operation. The open-ended bag with a large opening for removal facilitates enables easy peristomal treatment. Maximum acceptable stoma size up to 109 mm. EOG Sterilized Starter Hole Size Max Available Size 1 Day Exchange Open-Ended YOUCARE TD A thin and durable skin barrier is used. The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. (Without filter type is also available.) The clip-less bag can provide easy application and reduce uncomfortable feeling during its application. 2 Days Exchange Starter Hole Size Max Available Size Open-Ended POSPACK-K Open-Ended Bag for Colostomy / Ileostomy The open-ended bag with a large opening for removal facilitates enables easy peristomal treatment. Maximum acceptable stoma size up to 109 mm. 1 Day Exchange Starter Hole Size Max Available Size Open-Ended YOUCARE D A thin and durable skin barrier is used. The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. (Without filter type is also available.) Starter Hole Size Max Available Size 2 Days Exchange Open-Ended POSPACK-B Open-Ended Bag for Colostomy / Ileostomy The capacious open-ended bag with a large opening for removal is suitable for those who require greater capacity for accumulation of stool. 3 to 5 Days Exchange Starter Hole Size Max Available Size Open-Ended YOUCARE D (10 pieces/box) The stoma size can be changed immediately after operation and 10 pieces can be enough at this stage. It is recommended as a starter set. Starter Hole Size Max Available Size 2 Days Exchange Open-Ended POSPACK-LIGHT Open-Ended Bag for Colostomy / Ileostomy A very thin gentle skin barrier. The capacious open-ended bag with a large opening for removal is suitable for those who require greater capacity for accumulation of stool. 1 Day Exchange Starter Hole Size Max Available Size Open-Ended YOUCARE C A very thin skin barrier is used. The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. Starter Hole Size Max Available Size 1 Day Exchange Closed-Ended POSPACK-SIMPLE Open-Ended Bag for Colostomy / Ileostomy A very thin gentle skin barrier. The capacious open-ended bag with a large opening for removal is suitable for those who require greater capacity for accumulation of stool. Starter Hole Size Max Available Size 1 Day Exchange Open-Ended 13 14

9 Digestive System Ostomy Appliances Spontaneous Evacuation of Stool Digestive System Ostomy Appliances Spontaneous Evacuation of Stool YOUCARE C (10 pieces/box) The stoma size can be changed immediately after operation and 10 pieces can be enough at this stage. It is recommended as a starter set. Starter Hole Size Max Available Size PROCARE 1 FREE-CUT D The soft non-woven fabric is attached to both sides of the ostomy bag. Application can be completed by checking the position of the stoma from the slit formed on the front side. The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during Starter Hole Size Max Available Size 1 Day Exchange Closed-Ended 3 to 5 Days Exchange Open-Ended YOUCARE TDc A thin and durable skin barrier is used. The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. The clip-less bag can provide easy application and reduce uncomfortable feeling during its application. Starter Hole Size Max Available Size PROCARE 1 PRE-CUT C The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during Starter Hole Size Max Available Size 2 Days Exchange Convex Open-Ended 1 Day Exchange Closed-Ended YOUCARE Dc A thin and durable skin barrier is used. The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. A convex type face plate is suitable for a flat or a retracted stoma. YOUCARE TRUNK BELT, P29, is available for more Starter Hole Size Max Available Size PROCARE 1 FREE-CUT C The soft non-woven fabric is attached to both sides of the ostomy bag. Application can be completed by checking the position of the stoma from the slit formed on the front side. The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during Starter Hole Size Max Available Size 2 Days Exchange Convex Open-Ended 1 Day Exchange Closed-Ended YOUCARE Cc A very thin skin barrier is used. The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. A convex type face plate is suitable for a flat or a retracted stoma. YOUCARE TRUNK BELT, P29, is available for more Starter Hole Size Max Available Size PROCARE 1 PRE-CUT Dc The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during A convex type face plate is suitable for a flat or a retracted stoma. TRUNK BELT, P29, is available for more secure application. Starter Hole Size Max Available Size 1 Day Exchange Convex Closed-Ended 3 to 5 Days Exchange Convex Open-Ended PROCARE 1 PRE-CUT D The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during Starter Hole Size Max Available Size ILEFINE Ileostomy Bag The skin barrier with excellent buffer action prevents skin irritation resulting from strong alkaline excretion. The safety plate prevents leakage of watery stool into the face plate. D70: Flat face plate with no safety plate. Starter Hole Size Max Available Size 15 3 to 5 Days Exchange Open-Ended 2 to 3 Days Exchange Safety Plate Open-Ended Vent for Watery Stool 16

10 Digestive System Ostomy Appliances Spontaneous Evacuation of Stool Digestive System Ostomy Appliances Spontaneous Evacuation of Stool PEDIATRIC PROCARE 1 POST-OP The open-ended bag with a large opening for removal facilitates peristomal treatment. Starter Hole Size Max Available Size YOUCARE 2 F A whole skin barrier is recommendable to those who have sensitive skin. The thinner margins of the face plate assure close contact with the body and reduce the uncomfortable feeling during application. Starter Hole Size Max Available Size Face Plate Size Applicable Bag 1 Day Exchange Open-Ended 3 to 5 Days Exchange PEDIATRIC PROCARE 1 D The oval face plate can not interfere with the body movement but assures sufficient adhesion. PEDIATRIC TRUNK BELT, P29, is available for more Starter Hole Size Max Available Size YOUCARE 2 Fc The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during A convex type face plate is suitable for a flat or a retracted stoma. Starter Hole Size Max Available Size Face Plate Size Applicable Bag 2 to 3 Days Exchange Open-Ended 3 to 5 Days Exchange Convex YOUCARE 2 TDf The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. The clip-less bag can provide easy application and reduce uncomfortable feeling during its application. YOUCARE TRUNK BELT, P29, is available for more Open-Ended YOUCARE 2 TD This system is a drainable bag (open-ended type) without a deodorizing filter. The clip-less bag can provide easy application and reduce uncomfortable feeling during its application. YOUCARE TRUNK BELT, P29, is available for more Open-Ended YOUCARE 2 Df The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. YOUCARE TRUNK BELT, P29, is available for more Open-Ended 17 18

11 Digestive System Ostomy Appliances Spontaneous Evacuation of Stool Digestive System Ostomy Appliances Spontaneous Evacuation of Stool YOUCARE 2 D This system is a drainable bag (open-ended type) without a deodorizing filter. YOUCARE TRUNK BELT, P29, is available for more PROCARE 2 D Two types are available, a transparent type which allows observation of the stool conditions and a flesh color type which obscures its application. Open-Ended Open-Ended YOUCARE 2 Cf The highly functional deodorizing filter enables smooth gas release and prevention of leakage of smell and stool. YOUCARE TRUNK BELT, P29, is available for more PROCARE 2 C Two types are available, a transparent type which allows observation of the stool conditions and a flesh color type which obscures its application. Closed-Ended Closed-Ended PROCARE 2 F A whole skin barrier type is recommendable to those who have sensitive skin. Maximum acceptable stoma size up to 69 mm in diameter. Starter Hole Size Max Available Size Face Plate Size Applicable Bag 3 to 5 Days Exchange PROCARE 2 FA The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during Starter Hole Size Max Available Size Face Plate Size Applicable Bag 3 to 5 Days Exchange PROCARE 2 Fc The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during A convex type face plate is suitable for a flat or a retracted stoma. TRUNK BELT, P29, is available for more secure application. Starter Hole Size Max Available Size Face Plate Size Applicable Bag 3 to 5 Days Exchange Convex 19 20

12 Irrigation Equipments Evacuation by Irrigation Irrigation Set Stopper for Irrigation Sleeve for Irrigation ALCARE considers safety and ease of use in the process of designing products and provides a total series of appliances for comfortable colon irrigation. Irrigation Equipments Evacuation by Irrigation Irrigation Set COLOCLEAN PC Irrigation Set This set contains all the appliances needed during and after colon irrigation. All parts of the appliances can be put into the attached carrying bag, which is convenient for traveling. ( of Set) MINI POUCH-K SUPER Bag to be used after Irrigation It is recommended when the volume of excretion is limited such as after irrigation. This small, round-shaped bag offers a snug fit, allowing free body movement. Non-woven material applied to the outside of the bag makes the stoma discrete. Starter Hole Size Max Available Size Bag Size [Parts] Name 1 Day Exchange Closed-Ended Name MINI POUCH-K Bag to be used after Irrigation It is recommended when the volume of excretion is limited such as after irrigation. This small, round-shaped bag offers a snug fit, allowing free body movement. Starter Hole Size Max Available Size Bag Size Stopper for Irrigation Sleeve for Irrigation 1-STEP CONE Stopper for Irrigation It is recommendable for those who have hard to fit stomas when using a standard 2-STEP CONE. A tapering cone suitable for a small stoma. It is made of silicon which is flexible and provides a comfortable fit to the stoma. YOUCARE 2 IS Irrigation can be done without removing any face plate of YOUCARE 2. When irrigation, use the parts of COLOCLEAN PC. :DRAINABLE SLEEVE and 2-STEP CONE or 1-STEP CONE YOUCARE 2 M This small, round-shaped bag offers a snug fit, allowing free body movement. This system has the highly functional deodorizing filter that enables smooth gas release and prevention of leakage of smell and stool. This system can be used in combination with the face plate of YOUCARE 2. PROCARE 2 M 1 Day Exchange Closed-Ended This small, round-shaped bag offers a snug fit, allowing free body movement. This system has the highly functional deodorizing filter. This system can be used in combination with the face plate of PROCARE 2. Closed-Ended Bag Size PROCARE 2 IS Irrigation can be done without removing any face plate of PROCARE 2. When irrigation, use the parts of COLOCLEAN PC. :DRAINABLE SLEEVE and 2-STEP CONE or 1-STEP CONE Closed-Ended 21 22

13 Urology System Ostomy Appliances ALCARE uses the highly durable skin barrier for urinary care and provides the ostomates with a large variety of products so that they can select according to their stoma conditions and lifestyles. Urology System Ostomy Appliances YOUCARE U The smooth durable thin skin barrier developed specifically for urinary care is used for the face plate. The double lock stopper enables simple and easy urinal discharge. Starter Hole Size Max Available Size PEDIATRIC PROCARE 1 U The oval face plate can not interfere with the body movement but assures sufficient adhesion. PEDIATRIC TRUNK BELT, P29, is available for more Starter Hole Size Max Available Size 2 to 3 Days Exchange Vent for Urine 2 to 3 Days Exchange Vent for Urine YOUCARE Uc The smooth durable thin skin barrier developed specifically for urinary care is used for the face plate. The double lock stopper enables simple and easy urinal discharge. A convex type face plate is suitable for a flat or a retracted stoma. YOUCARE TRUNK BELT, P29, is available for more 2 to 3 Days Exchange Starter Hole Size Max Available Size Convex Vent for Urine YOUCARE 2 Fu A whole skin barrier type is recommendable to those who have sensitive skin. The thinner margins of the face plate assure close contact with the body and reduce the uncomfortable feeling during application. 4 to 7 Days Exchange Starter Hole Size Max Available Size Face Plate Size Applicable Bag PROCARE 1 PRE-CUT U The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during The single lock stopper enables simple discharge of urine. Starter Hole Size Max Available Size YOUCARE 2 Fuc The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during A convex type face plate is suitable for a flat or a retracted stoma. Starter Hole Size Max Available Size Face Plate Size Applicable Bag 4 to 7 Days Exchange Vent for Urine 4 to 7 Days Exchange Convex PROCARE 1 FREE-CUT U The soft non-woven fabric is attached to both sides of the bag. Application can be completed by checking the position of the stoma from the slit formed on the front side of the non-woven fabric. The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during The single lock stopper enables simple discharge of urine. Starter Hole Size Max Available Size YOUCARE 2 U The double lock stopper enables simple and easy urinal discharge. YOUCARE TRUNK BELT, P29, is available for more 4 to 7 Days Exchange Vent for Urine Vent for Urine PROCARE 1 PRE-CUT Uc The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during The single lock stopper enables simple discharge of urine. A convex type face plate is suitable for a flat or a retracted stoma. TRUNK BELT, P29, is available for more secure application. Starter Hole Size Max Available Size 4 to 7 Days Exchange Convex Vent for Urine 23 24

14 Urology System Ostomy Appliances Appliances for Bathing Plaster with Pad The compact and indistinctive appliances effectively support the ostomates while they enjoy bathing and swimming. PROCARE 2 FA URO The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during Starter Hole Size Max Available Size Face Plate Size Applicable Bag MINI CLOSE Bag for Bathing Use of this type of bag is recommended when the volume of excretion is limited such as after irrigation and during A hypo-allergenic adhesive is used for the face plate. This small, oval-shaped bag offers a snug fit, allowing free body movement. The flesh color film makes the stoma discreet. Starter Hole Size Max Available Size 4 to 7 Days Exchange Closed-Ended PROCARE 2 Fc URO The tape around the face plate prevents maceration and collapse of the margins of the skin barrier during A convex type face plate is suitable for a flat or a retracted stoma. TRUNK BELT, P29, is available for more secure application. Starter Hole Size Max Available Size Face Plate Size Applicable Bag YOUCARE 2 BC A compact dome shape suitable for bathing and swimming. This plastic dome is highly durable and allows you to wipe off water on the surface. The flesh color film makes the stoma discreet. This system can be used in combination with the face plate of YOUCARE 2. (Height of Dome) 4 to 7 Days Exchange Convex Closed-Ended PROCARE 2 U Two types are available, a transparent type which allows observation of the urine conditions and a flesh color type which obscures its application. The single lock stopper enables simple discharge of urine. PROCARE 2 BC A compact dome shape suitable for bathing and swimming. This plastic dome is highly durable and allows you to wipe off water on the surface. The flesh color film makes the stoma discreet. This system can be used in combination with the face plate of PROCARE 2. (Height of Dome) Vent for Urine Closed-Ended Plaster with Pad MINI PAD Pad for Bathing Use of this pad is recommended during bathing or at times when transient protection of the stoma is needed. An absorbing pad offering friendly protection of the stoma. The flesh color base material makes the stoma discreet. Size of Adhesive Part Size of Absorbing Part 25 26

15 Accessories Skin Barrier ALCARE provides the skin barrier containing the natural raw materials with excellent skin protecting and a large variety of pouch accessories so that the ostomates can enjoy more comfortable daily life. Accessories Skin Barrier Stoma Care Accessory Skin Barrier Skin Barrier PROCARE WAFER Wafer Skin Barrier (Karaya Gum + Citrus Pectin) It is most suitable for partial use on wrinkles or hollows in the peristomal area. It can be freely cut to the shape of the hollow or the wrinkled area, or it can be used in layers if necessary. (L W) PROCARE POWDER Powder Skin Barrier (Karaya Gum + Citrus Pectin) This powder fills the gap between the stoma and the face plate, protecting the skin from discharge. It is easy to apply, even to a small gap. The powder offers excellent water absorption. (Net Weight) Stoma Care Accessory PROCARE SOFT WAFER RING Wafer Skin Barrier (Karaya Gum + Citrus Pectin) It is most suitable for partial use on wrinkles or hollows in the peristomal area. A moderately soft wafer that can be molded with the hands (no scissors needed). A ring-shaped wafer that is easy to apply to the peristomal skin area. A double-sides adhesive wafer that adheres well to the face plate of various appliances. (Diameter of Hole) REMOIS CLEANSE Skin Moisture Cleansing Cream Natural oil-in makes the dirt detach from skin and just wiping off makes the skin clean. Cleansing with this cream assures refreshed feeling and ostomy appliances can be applied immediately after wiping off the cream properly. Moisturizer added cream will make the skin moist and prevent from dryness. (Net Weight) PROCARE SOFT WAFER STICK Wafer Skin Barrier (Karaya Gum + Citrus Pectin) It is most suitable for partial use on wrinkles or hollows in the peristomal area. An extremely soft wafer that can be freely molded. A double-sides adhesive wafer that adheres well to the face plate of various appliances. Ideal for application to uneven hard-to-apply surfaces such as the area around the fistula. (L W) PROCARE REMOVER Ostomy Appliance Remover It reduces the peeling pain when removing the face plate of ostomy appliance from the skin. It can be effectively used when an appliance needs immediate removal. It is individually packed in a foil pack. (Fluid Measure) PROCARE MF PATE Paste Skin Barrier (Karaya Gum + Citrus Pectin) It fills the gap between the stoma and face plate, protecting the skin from discharge. An alcohol-free paste which will not make the skin sting but will remain soft. (Net Weight) FLANGE CUTTER Cutter for Flange A starter hole on the flange can be easily made using this FLANGE CUTTER. The finishes, smooth cut edges of the flange reduce aggravation of the stoma. (Length) PROCARE PASTE Paste Skin Barrier (Karaya Gum + Citrus Pectin) By applying this paste on the inside of the face plate, the adhesion of appliances can be improved. A laminate tube keeps the paste moist, making it easy to squeeze the tube down to the last. (Net Weight) 27 28

16 Accessories Accessories Stoma Care Accessory Stoma Care Accessory Stoma Care Accessory Stoma Care Accessory TRUNK BELT WITH FACE PLATE Belt for One-Piece Bag Provides a securer application, preventing the flange from slipping or falling off with the body movement. It is recommendable for active athletes or for those who have difficulty in adhering the appliances to the skin. Waist Size Applicable Bag Per Pack DEOFINE POWDER Powdery Deodorant For Ostomates Plant ingredient inhibits the generation and diffusion of odors. Refreshing mint ingredient makes stoma care more comfortable. Stick-type individual packaging can provide portability. (Net Weight) YOUCARE TRUNK BELT WITH FACE PLATE Belt for One-Piece Bag Provides a securer application, preventing the flange from slipping or falling off with the body movement. It is recommendable for active athletes or for those who have difficulty in adhering the appliances to the skin. Waist Size Applicable Bag Per Pack GASCLEAN Deodorant Gas Filter Prevents the bag from swelling with gas and the pressure on the adhesive part is effectively reduced. A charcoal filter deodorizes the released gas. Self-adhesive makes for easy handling. Outer Diameter Thickness TRUNK BELT Belt for Ostomy Appliance Provides a securer application, preventing the flange from slipping or falling off with the body movement. Most suitable for active athletes or for those who have difficulty in adhering the appliances to the skin. Waist Size Applicable Bag Per Pack DRAINAGE BAG Bag for Drainage This bag can be connected to SURGIDRAIN Series. The bag can be used during sleep by connecting it to ILEFINE D Cap of the bag for watery to soft stool. Concomitant use of the drainage bag is recommended in case of watery stool. Its concomitant use in case of muddy to soft stool may block the tube and prevent smooth flow. Capacity YOUCARE TRUNK BELT Belt for Ostomy Appliance Provides a securer application, preventing the flange from slipping or falling off with the body movement. Most suitable for active athletes or for those who have difficulty in adhering the appliances to the skin. Not applicable to ILEFINE D-70 Waist Size Applicable Bag Per Pack YOUCARE LEG BAG Leg Bag for Urinary Bag A leg bag that connects with the ostomy bag for an easy and convenient way to increase the capacity of urine collection. A leg bag that collects urine at the lower leg and reduces weight on the bag adhesive. A non-woven lining on the skin-side of the leg bag absorbs sweat and offers greater wearer comfort. (Capacity) PEDIATRIC TRUNK BELT Belt for One-Piece Bag This belt can be used with PEDIATRIC PROCARE 1 only. Provides a securer application, preventing the flange from slipping or falling off with the body movement. The hooks at both ends provide easy handling. They are to be set at the belt holders for stabilization and are to be removed for detachment. Waist Size Applicable Bag Per Pack URINARY BAG Closed-Ended Urinary Bag A urinary bag that connects to all types of stoma bags for easy and convenient collection of urine during the night. A one-way valve prevents back-flow of urine into the bag. An easy, one-touch connection mechanism with ALCARE's urinary pouch. Capacity 29 30

17 ALCARE s Solution for all the people hoping for health For the medical staff and the patients who seek for Best Medical Care, ALCARE takes a proactive stance on a broad range of issues in various clinical fields. Supporting improvement of ostomates' QOL Stoma Care Solution Pursuing of promotion of patient's early recovery and treatment efficiency During / After Operation Management Solution Open-Ended Bag for Colostomy / Ileostomy LAPACK SUPER G Open-Ended Bag for Colostomy / Ileostomy POSPACK-K YOUCARE D PROCARE 2 FA, PROCARE 2 C Hydrocolloid Wound Dressing KARAYAHESIVE Drainage after Operation SURGIDRAIN ZIPPER Pad Attached Moisture Permeable / Waterproof Film Dressing MULTI FIX-PAD Adhesive Dressing for Wound Care SILKYPORE DRESSING Improving patients' QOL by providing better continence care Incontinence Care Solution Providing optimum materials for prevention and treatment Wound Care Solution Male Incontinence Appliance YUNIBON Male Incontinence Appliance LEG BAG Make it possible to perfectly choose through the stage in prevention, treatment and rehabilitation Orthopedic Care Solution Absorbent Pad for Wound DERMA AID Floatation Pad for Decubitus Prevention BONMAT Pursuing a total support of blood flow care Compression & Graduation Care Solution Glass Fiber Casting Tape CASTLIGHT- Plaster of Paris Bandage PLASRUN Water-Activated Glass Fiber Splint LIGHT SPLINT- Servical Collar POLYNECK HARD Medical Stocking 100% Cotton Elastic Bandage ANSILK PANTY HOSE ELASCOT Pad for Compression CG PAD Medical Stocking ANSILK-PRO J CALF STOCKINGS Rib Belt BUSTBAND-ACE Lumbar Supporter SACRO LIGHT-DX Realizing best care by providing a large variety of products Bandage Care Solution Protecting athletes from being injured Sports Care Solution Spandex Elastic Bandage HIGHSPAN Elastic Net Bandage PRESNET Elastic Adhesive Bandage ELATEX Flexible Adhesive Gauze Bandage SILKYPORE Permeable / Waterproof Film Roll MULTI FIX-ROLL ANKLE GUARD EX LUMBAR GUARD KNEE GUARD REGUARD SKIN CARE 31 32

18 33 Index A ANSILK-PRO J CALF STOCKINGS 6 ANSILK-PRO J STOCKINGS 6 C COLOCLEAN PC 21 COLOCLEAN PC 1-STEP CONE 21 D DEOFINE POWDER 30 DRAINAGE BAG 30 E ELASCOT 6 F FLANGE CUTTER 28 G GASCLEAN 30 I ILEFINE 16 K KARAYAHESIVE 8 M MINI CLOSE 26 MINI PAD 26 MINI POUCH-K 22 MINI POUCH-K SUPER 22 MULTI FIX-PAD 8 P PEDIATRIC PROCARE 1 D 17 PEDIATRIC PROCARE 1 POST-OP 17 PEDIATRIC PROCARE 1 U 24 PEDIATRIC TRUNK BELT 29 POSPACK-B 13 POSPACK-K 13 POSPACK-K STERILE 13 POSPACK-LIGHT 13 POSPACK-SIMPLE 13 PROCARE 1 FREE-CUT C 16 PROCARE 1 FREE-CUT D 16 PROCARE 1 FREE-CUT U 23 PROCARE 1 PRE-CUT C 16 PROCARE 1 PRE-CUT D 15 PROCARE 1 PRE-CUT Dc 16 PROCARE 1 PRE-CUT U 23 PROCARE 1 PRE-CUT Uc 23 PROCARE 2 BC 26 PROCARE 2 C 20 PROCARE 2 D 20 PROCARE 2 F 19 PROCARE 2 FA 19 PROCARE 2 FA URO 25 PROCARE 2 Fc 19 PROCARE 2 Fc URO 25 PROCARE 2 IS 21 PROCARE 2 M 22 PROCARE 2 U 25 P PROCARE MF PATE 27 PROCARE PASTE 27 PROCARE POWDER 28 PROCARE REMOVER 28 PROCARE SOFT WAFER RING 27 PROCARE SOFT WAFER STICK 27 PROCARE WAFER 27 R REMOIS CLEANSE 28 S SD PAD/SD PAD-WP 8 SURGIDRAIN OPEN-TOP 8 SURGIDRAIN ZIPPER 8 T TRUNK BELT 29 TRUNK BELT WITH FACE PLATE 29 U URINARY BAG 30 Y YOUCARE C YOUCARE C (10 pieces/box) YOUCARE Cc YOUCARE D YOUCARE D (10 pieces/box) YOUCARE Dc YOUCARE TD YOUCARE TDc YOUCARE U YOUCARE Uc YOUCARE 2 BC YOUCARE 2 Cf YOUCARE 2 D YOUCARE 2 Df YOUCARE 2 F YOUCARE 2 Fc YOUCARE 2 Fu YOUCARE 2 Fuc YOUCARE 2 IS YOUCARE 2 M YOUCARE 2 TDf YOUCARE 2 TD YOUCARE 2 U YOUCARE LEG BAG YOUCARE TRUNK BELT 29 YOUCARE TRUNK BELT WITH FACE PLATE 29