Why Wide Protective Rings for Enhanced Sealing

The Brava Wide Adhesive Protective Ring provides extended coverage beyond standard protective rings, with its 48 mm outer diameter offering significantly more surface area to fill irregular peristomal contours, deep creases, and skin folds that can compromise barrier adhesion. The 4.2 mm thickness provides substantial absorption capacity for moisture management while creating a smooth, level surface for the barrier to adhere to. This is particularly beneficial for patients with challenging peristomal anatomy where standard rings provide insufficient coverage. The hydrocolloid material is skin-friendly and molds easily with body heat, creating a custom fit that moves naturally with the body while maintaining secure sealing throughout the wear period.

Key Features & Benefits

• Extra-wide 48 mm outer diameter provides extended coverage for challenging anatomy
• 18 mm inner diameter stretches to accommodate various stoma sizes
• 4.2 mm thickness offers superior moisture absorption and protection
• Skin-friendly hydrocolloid material gentle on sensitive peristomal skin
• Flexible, moldable design conforms to body contours and movements
• Fills deep creases, folds, and uneven surfaces around stoma
• Prevents output from contacting skin and causing irritation
• Enhances barrier seal to reduce leakage risk significantly
• Compatible with most ostomy barriers and pouching systems (1-piece and 2-piece)
• Easy to apply and shape with body heat
• Supports extended wear time by improving barrier adhesion

Clinical Applications

Appropriate for:

✓ Colostomy, ileostomy, or urostomy patients with uneven peristomal skin ✓ Deep skin creases or folds around stoma requiring extra coverage ✓ Users experiencing frequent leakage with standard barriers alone ✓ Retracted or flush stomas needing additional sealing support ✓ Peristomal skin exposed to output causing irritation or breakdown ✓ Patients requiring extended barrier wear time (5–7 days) ✓ Post-surgical swelling or changing stoma size requiring adaptable fit ✓ Active users needing extra security during physical activity ✓ Anyone seeking improved confidence and leak prevention

Important: Protective rings are accessories that enhance barrier performance but do not replace proper barrier selection. Consult with ostomy nurse for proper product selection and application technique.

Usage & Application - Patient Guidance

For Protective Ring Application Under Healthcare Provider Direction: This accessory ring is designed to improve ostomy barrier seal and protect peristomal skin as instructed by your healthcare provider or ostomy nurse. Proper training ensures safe, effective use.

Understanding Protective Rings:

• Purpose: Fill gaps, smooth uneven skin, absorb moisture, enhance seal
• Placement: Between peristomal skin and barrier adhesive
• Function: Creates level surface for barrier, prevents skin exposure to output
• Wide design: Provides more coverage than standard rings for challenging anatomy

When to Use Protective Rings:

• Barrier lifts prematurely due to uneven skin
• Output contacts skin causing redness or irritation
• Deep creases or folds around stoma
• Stoma sits flush or below skin level
• Need extended wear time beyond 3–5 days
• Extra security desired for active lifestyle
• Recommended by ostomy nurse for your specific anatomy

Preparation:

• Ensure peristomal skin is clean, dry, and free from residue
• Gather supplies: protective ring, barrier, pouch, measuring guide if needed
• Warm ring between hands for 30–60 seconds to increase pliability
• Remove protective film from both sides of ring

Sizing and Shaping:

• Ring inner diameter starts at 18 mm but stretches significantly
• Gently stretch center opening to match stoma size
• Opening should be approximately same size as stoma (within 1/8")
• If ring is too thick, you can peel it to reduce thickness (pinch edge and separate layers)
• Shape outer edge to match peristomal contours if needed
• Ring should cover problem areas (creases, folds, uneven surfaces)

Application Technique:

• Center ring opening over stoma while standing or in preferred position
• Press ring gently onto peristomal skin starting at stoma and working outward
• Use fingers to smooth ring into skin folds and creases
• Mold ring with body heat for 1–2 minutes, pressing gently
• Ensure ring adheres completely with no air pockets or gaps
• Ring should lie flat and smooth against skin
• Allow ring to warm and conform before applying barrier

Applying Barrier Over Ring:

• Center barrier opening over stoma and ring
• Press barrier adhesive firmly onto ring and surrounding skin
• Start at stoma and work outward in circular motion
• Hold pressure for 30–60 seconds to ensure good adhesion
• The ring acts as transition between skin and barrier
• Barrier adhesive bonds with ring surface for enhanced seal

Using with Different Systems:

• 1-piece systems: Apply ring first, then apply barrier/pouch combination
• 2-piece systems: Apply ring first, then barrier, then attach pouch
• Convex barriers: Ring can be used with convex for additional support
• Flat barriers: Ring provides convexity effect without rigid convex barrier

Changing Schedule:

• Change ring with each barrier change (every 3–7 days)
• Do not reuse rings—single use only
• Some users change ring more frequently if heavy output dissolves it
• Ring typically lasts full barrier wear period (3–5 days minimum)
• Change immediately if ring loses integrity or adhesion

Removing Ring and Barrier:

• Support skin with one hand while gently peeling barrier and ring
• Remove slowly to minimize skin trauma
• Use barrier removal spray or wipes if recommended
• Clean any residual hydrocolloid from skin with warm water
• Pat skin dry completely before applying new ring

Adjusting Ring Thickness:

• 4.2 mm thickness may be too much for some users
• Ring can be "peeled" to reduce thickness
• Pinch edge between fingers and gently separate into thinner layers
• Use full thickness for deep creases; reduced thickness for minor unevenness
• Experiment to find optimal thickness for your anatomy

Troubleshooting Common Issues:

• Ring won't stick: Ensure skin completely dry, warm ring more before applying
• Ring too thick: Peel to reduce thickness, or try standard ring instead
• Ring dissolves quickly: May indicate high output; change more frequently
• Difficult to stretch: Warm more thoroughly between hands
• Ring won't mold to contours: Apply when skin is warm (after shower ideal)
• Barrier won't stick to ring: Ensure ring surface is dry and smooth

Storage:

• Store rings in cool, dry place away from direct sunlight
• Keep in original packaging until ready to use
• Do not refrigerate or freeze
• Check expiration date before use
• Properly stored rings maintain effectiveness until expiration

When to Contact Healthcare Provider or Ostomy Nurse:

• Persistent leakage despite using protective ring
• Skin irritation or breakdown despite ring protection
• Difficulty achieving proper ring fit or application
• Ring not conforming to body contours adequately
• Allergic reaction to ring material
• Questions about ring thickness or sizing
• Need for different ring diameter or thickness
• Uncertainty about when to use rings vs. other accessories

Product Specifications

• Brand: Coloplast
• Product Line: Brava
• Product Type: Wide Adhesive Protective Ring
• Inner Diameter (ID): 18 mm (stretchable to accommodate larger stomas)
• Outer Diameter (OD): 48 mm (extra-wide coverage)
• Thickness: 4.2 mm (provides substantial absorption and protection)
• Material: Skin-friendly hydrocolloid
• Flexibility: Moldable with body heat
• Compatibility: Works with most 1-piece and 2-piece ostomy systems
• Color: Typically beige/tan hydrocolloid
• Wear Time: Change with each barrier change (3–7 days)
• Sterility: Not sterile (external use only)
• Latex: Latex-free
• Unit Sold: Single ring
• Original Packaging: 10 rings per box
• Stoma Types: Colostomy, ileostomy, urostomy

The Coloplast Brava Wide Adhesive Protective Ring combines extra-wide 48 mm coverage with substantial 4.2 mm thickness—providing users with challenging peristomal anatomy enhanced sealing, superior moisture absorption, and comprehensive skin protection for confident, extended-wear ostomy management.