Why Pre-Cut with Flextend Matters

Not everyone needs to cut barriers at every change—if your stoma size is stable and falls within a standard pre-cut size, you can eliminate the cutting step entirely and gain significant time and consistency benefits. Pre-cut barriers arrive ready to apply with perfectly round, factory-cut openings that ensure the same fit every time without measuring, marking, or cutting. When you combine this convenience with Flextend's extended-wear formulation designed to resist erosion and maintain adhesion for 5-7 days, you get a barrier system optimized for straightforward, reliable ostomy management. The 45mm compact coupling provides the most discreet profile in the New Image family, while the tape border adds edge security and makes removal gentler on your skin. This combination is ideal when your stoma is stable, you value time-saving convenience, and you need durable extended-wear protection without unnecessary complexity.

Perfect for: Users with stable 19mm (¾") stomas, preference for pre-cut convenience over cutting, need for extended wear (5-7 days), desire for smallest coupling profile (45mm), flat/protruding stomas not requiring convex, or anyone wanting simplified barrier application routine.

Key Features

✓ Pre-cut 19mm (¾") opening — factory-cut opening eliminates measuring and cutting steps
✓ Flextend extended-wear hydrocolloid — resists erosion and maintains adhesion for reliable 5-7 day wear
✓ 45mm (1¾") coupling — smallest New Image flange for most discreet, compact profile
✓ Flat barrier profile — ideal for protruding stomas that don't require convex support
✓ Tape border — additional edge security and gentler removal than hydrocolloid alone
✓ Perfect consistency — same size every application, no variation from hand-cutting
✓ Time-saving — eliminates entire cutting step from application routine
✓ Universal pouch compatibility — works with all New Image 45mm pouches (drainable, closed, urostomy)
✓ Durable adhesion — extended wear time reduces frequency of barrier changes
✓ Low-profile design — comfortable, discreet wear under clothing
✓ Two-piece convenience — change pouches without removing barrier
✓ Latex-free; 5 barriers per box

What You'll Appreciate

Time-saving convenience — No measuring, no marking, no cutting. Remove from package, warm briefly, and apply. You'll save 2-3 minutes per barrier change, which adds up significantly over time.

Perfect consistency — Factory-cut openings are perfectly round and exactly 19mm every time. No variation from hand-cutting technique, tired hands, or less-than-ideal scissors. Consistent sizing means consistent results.

Extended wear time — Flextend hydrocolloid is specifically formulated to resist breakdown from output exposure. Achieve 5-7 days wear time reliably, reducing how often you need to apply new barriers.

Erosion resistance — Output can be corrosive to barrier adhesives. Flextend's advanced formulation maintains integrity even with continuous exposure, preventing the premature erosion that causes early barrier failure.

Smallest profile — At 45mm, this is the most compact New Image coupling available. Minimal bulk means maximum discretion under clothing—ideal for fitted garments or active lifestyles.

Tape border security — The integrated tape border extends beyond the hydrocolloid, providing extra edge anchoring and helping prevent edge lift. Also makes removal easier and gentler on skin.

Fewer barrier changes — Extended wear means fewer applications, which means less adhesive trauma to peristomal skin. Important for maintaining healthy skin long-term.

Ready when you need it — Keep pre-cut barriers on hand and they're always ready to apply without preparation. Perfect for morning rushes, travel, or anytime you want quick application.

Ideal for stable stomas — If your stoma size has been consistent, pre-cut eliminates an unnecessary step while ensuring proper fit every time.

How to Use

Before First Use - Verify Fit:

1. Measure your stoma carefully:
   • Use measuring guide
   • Measure at widest points
   • Verify stoma is actually 19mm (¾")
2. Confirm appropriate clearance:
   • Pre-cut opening should be 1-2mm larger than your stoma
   • If your stoma is 17-18mm, 19mm pre-cut is appropriate
   • If stoma is significantly smaller or larger, pre-cut won't fit properly
3. Test with one barrier:
   • Apply one pre-cut barrier
   • Check fit around stoma
   • Verify no pressure on stoma, no excessive gap
   • If fit is good, continue using pre-cut

Important: If your stoma is not stable at 19mm, choose cut-to-fit barriers instead.

Preparation:

1. Gather supplies:
   • Pre-cut barrier package
   • Adhesive remover
   • Clean water and towels
   • No scissors needed!
2. Remove previous barrier:
   • Use adhesive remover on hydrocolloid and tape
   • Support skin while peeling
   • Remove all residue
3. Clean and assess:
   • Wash peristomal area with water
   • Pat dry completely
   • Check skin condition
   • Verify stoma hasn't changed size significantly

Application:

1. Remove barrier from package:
   • Pre-cut opening is ready to use
   • No measuring or cutting needed
   • Check that opening is intact and clean
2. Warm the barrier:
   • Hold between hands 30-60 seconds
   • Activates adhesive
   • Makes barrier more pliable
   • Warms both hydrocolloid and tape
3. Remove backing paper:
   • Peel carefully
   • Don't touch adhesive surface
   • Can handle by tape border if needed
4. Position yourself:
   • Stand in front of mirror
   • Good lighting
   • Relaxed posture
5. Center over stoma:
   • Position pre-cut opening over stoma
   • Center carefully—opening can't be adjusted
   • Stoma should sit comfortably in center of 19mm opening
   • Take time to position correctly
6. Apply to skin:
   • Press center first
   • Smooth hydrocolloid outward from center in all directions
   • Then press tape border edges firmly
   • Use firm, even pressure across entire surface
7. Ensure complete adhesion:
   • Press hydrocolloid 30-60 seconds
   • Press tape border firmly
   • Run hand over entire barrier
   • No raised areas or gaps
   • All edges adhered completely
8. Hold and warm:
   • Gentle pressure 1-2 minutes
   • Body heat activates full adhesive bond
   • Critical for extended wear

Attaching the Pouch:

1. Select 45mm New Image pouch
2. Align coupling with barrier's 45mm coupling
3. Snap into place firmly around circumference
4. Listen for clicks confirming connection
5. Verify secure attachment with gentle tug

Important Application Tips:

Centering is critical:

• Pre-cut opening can't be adjusted
• Must center carefully during application
• Off-center means improper fit

No adjustment possible:

• Unlike cut-to-fit, you can't trim to adjust
• Opening size is fixed at 19mm
• Position correctly the first time

Tape border application:

• Press tape edges very firmly
• Tape should lay flat without wrinkles
• Complete tape adhesion important for edge security

Skin must be completely dry:

• Both hydrocolloid and tape need dry skin
• Even slight moisture reduces adhesion
• Extra critical with pre-cut (can't reapply easily)

How Long to Wear:

Typical wear time: 5-7 days with Flextend

Change sooner if:

• Edge lifting (hydrocolloid or tape)
• Leakage occurs
• Skin irritation develops
• Adhesive shows erosion
• Barrier feels insecure

Many users achieve 7+ days with proper application.

Understanding Pre-Cut vs Cut-to-Fit

When to choose pre-cut:

Pre-Cut Advantages (This Product):

Convenience:

• No measuring needed
• No marking required
• No cutting step
• Faster application (2-3 minutes saved)
• Less preparation supplies needed
• Ready to use immediately

Consistency:

• Perfect round opening every time
• Exact same size each application
• No variation from cutting technique
• No risk of cutting errors
• Reliable, predictable fit

Simplicity:

• Fewer steps in routine
• Less room for error
• Easier for caregivers
• Better for dexterity challenges
• Streamlined process

When pre-cut is ideal:

• Stable stoma size — hasn't changed in months
• Matches standard size — stoma is close to 19mm
• Values convenience — willing to trade customization for speed
• Consistent routine — same size works every time
• Simple preference — likes straightforward approach

Pre-Cut Considerations:

Limited flexibility:

• Fixed 19mm opening only
• Can't adjust if stoma changes
• Must match one of standard sizes
• No customization possible

Requires stable stoma:

• New stomas still changing size shouldn't use pre-cut
• Post-surgical changes may outgrow pre-cut quickly
• Need consistent size for months

Cut-to-Fit Advantages:

Flexibility:

• Customize to exact stoma size
• Adjust for size changes
• Works for any size stoma
• Accommodate irregular shapes
• Can fine-tune fit

Better for:

• New stomas still stabilizing
• Stomas that change size
• Irregular or oval stomas
• Very large or very small stomas
• Users who want perfect custom fit

Cut-to-Fit Considerations:

• Requires measuring each time
• Need scissors and supplies
• Takes more time
• Cutting technique affects results
• More steps in routine

Can you use both?

Yes! Many users keep:

• Pre-cut for routine — when stoma is stable
• Cut-to-fit as backup — for size changes or irregularities
• Both provide flexibility for different situations

When Your Stoma is Right for Pre-Cut

Determining if 19mm pre-cut fits:

Measure your stoma:

• 17-18mm stoma → 19mm pre-cut is appropriate (1-2mm clearance)
• 19mm stoma → 19mm pre-cut may work but tight
• 20mm+ stoma → 19mm pre-cut too small, choose larger pre-cut or cut-to-fit
• 16mm or smaller stoma → 19mm pre-cut too large, choose cut-to-fit

Stoma stability indicators:

• At least 6 months post-surgery (stomas stabilize)
• Consistent measurements for several months
• No significant weight changes
• No stoma complications causing size changes

Signs pre-cut isn't working:

• Pressure on stoma from tight opening
• Output leaking around barrier (gap too large)
• Stoma irritation or bleeding
• Difficulty centering during application

If pre-cut doesn't fit well, switch to cut-to-fit barriers.

Other pre-cut sizes available:

If 19mm doesn't fit:

• Smaller pre-cut sizes (13mm, 16mm, etc.)
• Larger pre-cut sizes (22mm, 25mm, 32mm, etc.)
• Check with Hollister for full size range
• Or use cut-to-fit for any size

Flextend Extended-Wear Benefits

Why Flextend for pre-cut:

Extended wear important with pre-cut:

• Pre-cut eliminates application steps
• Extended wear reduces how often you apply
• Together: maximum convenience

Flextend characteristics:

Erosion resistance:

• Maintains integrity against output exposure
• Advanced hydrocolloid formulation
• Resists breakdown better than standard adhesives
• Critical for 5-7 day wear

Durable adhesion:

• Strong initial tack
• Maintains bond throughout wear
• Resists edge lift
• Reliable day after day

Extended wear capability:

• Most users achieve 5-7 days
• Some reach 7+ days
• Longer than standard adhesives (3-4 days)
• Fewer barrier changes overall

Skin-friendly:

• Gentle despite long wear
• Removes cleanly with adhesive remover
• Low residue
• Suitable for normal to slightly sensitive skin

Perfect pairing:

• Pre-cut saves time during application
• Flextend extends time between applications
• Result: maximum convenience and minimum changes

Tape Border Benefits

Why this barrier includes tape:

Additional security:

• Extends beyond hydrocolloid edge
• Extra anchoring at perimeter
• Reduces edge lift risk
• Improves wear time

Gentler removal:

• Tape lifts easier than hydrocolloid
• Can start removal from tape edge
• Reduces skin trauma
• Important for frequent applications

Moisture protection:

• Tape provides additional moisture barrier
• Protects hydrocolloid edges
• Helps prevent lifting from perspiration
• Extends wear in humid conditions

Enhanced stability:

• Extra peace of mind
• Better for active lifestyles
• Improved security during movement
• Particularly helpful with 45mm compact coupling

Application considerations:

• Tape needs dry skin
• Press tape edges firmly
• Smooth out wrinkles
• Check tape adhesion during wear

Flat Barrier for Protruding Stomas

This is a flat (non-convex) barrier:

When flat is appropriate:

Ideal for:

• Protruding stomas — extends ½ inch or more above skin
• Even peristomal plane — relatively flat, firm skin around stoma
• No retraction — stoma doesn't sink below skin level
• Standard anatomy — no unusual curves or folds

Flat barrier advantages:

• Most comfortable profile
• No pressure on surrounding skin
• Simplest option
• Lower profile than convex
• First choice for most new ostomates with good stoma protrusion

When to use flat:

• Stoma protrudes adequately
• No leakage issues with flat barriers
• Even skin around stoma
• Stoma maintains protrusion during movement

When convex is needed:

Consider convex if:

• Stoma is flush with skin or retracted
• Frequent undermining leaks
• Soft abdomen where stoma sinks in
• Uneven peristomal plane
• Ostomy nurse recommends convex

This flat barrier won't work if you need convex support. Have proper fitting assessment if experiencing leaks.

45mm Compact Coupling

Smallest New Image option:

45mm advantages:

Most discreet:

• Smallest flange in system
• Least bulk under clothing
• Most compact hardware
• Ideal for fitted garments

Best for smaller stomas:

• Appropriate when using 19mm opening
• Works well with compact systems
• Petite adults often prefer
• Children/pediatric use

Lightweight:

• Less coupling weight
• More comfortable for some users
• Less awareness of system

When 45mm ideal:

• Using 19mm pre-cut (good match)
• Want most discreet option
• Smaller body frame
• Stoma location suits smaller coupling

Other coupling sizes available:

• 57mm (2¼") — medium, more versatile
• 70mm (2¾") — largest, maximum coverage

Verify your coupling size:

• Check current barrier packaging
• Must match pouch coupling size
• 45mm barriers only work with 45mm pouches

Troubleshooting Pre-Cut Barriers

"The 19mm opening feels too tight on my stoma."

This indicates:

• Your stoma may be larger than 19mm
• Need to measure stoma accurately
• May need larger pre-cut size (22mm, 25mm)
• Or switch to cut-to-fit for exact sizing

Never force stoma through too-small opening.

"There's a gap between stoma and barrier opening."

Gap too large if:

• Your stoma is significantly smaller than 19mm
• Choose smaller pre-cut size
• Or use cut-to-fit for precise fit
• Can use barrier ring to fill gap as temporary solution

Ideally want 1-2mm clearance, not large gaps.

"I'm getting leaks even with pre-cut."

Investigate:

• Is 19mm correct size? (measure stoma)
• Is barrier centered properly during application?
• Is adhesion complete? (press firmly)
• Is stoma protrusion adequate? (may need convex)
• Is output undermining edges? (may need accessories)

Pre-cut eliminates cutting variables but doesn't solve all leak causes.

"My stoma size varies throughout the day."

This is normal:

• Stomas can swell slightly
• Changes with activity, hydration, time of day
• Pre-cut less forgiving of size variation

If variation is significant:

• Choose pre-cut size that accommodates largest size
• Or use cut-to-fit for flexibility
• Use barrier rings to adjust fit as needed

"The tape border lifts before the hydrocolloid."

Solutions:

• Ensure skin completely dry before application
• Press tape edges very firmly
• Consider skin prep wipe for better tape adhesion
• Check for excessive perspiration (may need skin prep)

"How do I know if I should switch to cut-to-fit?"

Switch if:

• Pre-cut size doesn't match your stoma well
• Stoma size is changing
• You need more flexibility
• Leaks persist despite proper application
• Stoma becomes irregular shape

Many users start with pre-cut and switch to cut-to-fit if needs change.

Application Best Practices

For optimal results with pre-cut Flextend:

Verify fit regularly:

• Measure stoma every few months
• Stomas can change size over time
• Ensure 19mm still appropriate
• Switch sizes if needed

Perfect centering:

• Most critical with pre-cut
• Opening can't be adjusted
• Take extra time positioning
• Use mirror for visual confirmation

Complete skin drying:

• Absolutely critical
• Both hydrocolloid and tape need dry skin
• Pat dry and wait 30 seconds if needed
• Moisture = poor adhesion

Firm application:

• Press hydrocolloid 30-60 seconds minimum
• Press tape border firmly
• Ensure complete adhesion
• Don't rush this step

Allow adhesive to set:

• Stay still 2-3 minutes after application
• Let adhesive develop full bond
• Avoid immediate bending or activity
• Patience here extends wear time

Technical Specifications

Product Name: Hollister New Image Flat Barrier with Flextend
System: Two-piece with plastic coupling flange
Manufacturer: Hollister Incorporated

Barrier Profile:

• Type: Flat (no convexity)
• Best for: Protruding stomas, even peristomal planes

Adhesive:

• Type: Flextend extended-wear hydrocolloid
• Characteristics: Erosion-resistant, durable, long-lasting
• Typical wear time: 5-7 days
• Formulation: Advanced hydrocolloid for extended wear

Opening:

• Type: Pre-cut (factory-cut)
• Size: 19mm (¾ inch) diameter
• Precision: Perfectly round, consistent
• No customization: Fixed size, no cutting possible

Coupling/Flange:

• Size: 45mm (1¾ inches) diameter—smallest New Image coupling
• Type: Snap-on plastic coupling
• Compatibility: All Hollister New Image 45mm pouches (drainable, closed, urostomy)

Perimeter:

• Tape border: Integrated tape extending beyond hydrocolloid
• Function: Additional edge security, gentler removal

Materials:

• Adhesive: Flextend hydrocolloid
• Border: Medical-grade adhesive tape
• Backing: Low-profile, comfortable
• Latex: Not made with natural rubber latex (latex-free)

Wear Time:

• Expected: 5-7 days for most users
• Some achieve: 7+ days
• Change sooner if: Lifting, leakage, irritation noted

Skin Suitability:

• Normal to slightly sensitive skin
• Flat barrier appropriate for stoma type
• Stoma size stable at approximately 19mm

Sterility and Use:

• Sterility: Individually packaged sterile
• Use: Single-use, replace every 5-7 days or as needed
• Patient: Single-patient use only
• Shelf life: Check package for expiration date

Packaging: 5 barriers per box
Storage: Store in cool, dry place; keep sealed until use

Clinical Applications: ✓ Protruding stomas (not retracted/flush)
✓ Stable stoma size at approximately 19mm (17-18mm ideal)
✓ Even peristomal planes
✓ Users wanting pre-cut convenience
✓ Extended wear needs (5-7 days)
✓ Smallest coupling profile preference (45mm)
✓ Two-piece system users

Ordering Guidance

When to choose this barrier:

• Your stoma is stable at approximately 19mm (17-18mm ideal)
• You prefer pre-cut convenience over cutting
• Your stoma protrudes (doesn't need convex)
• You want extended wear time (5-7 days)
• You prefer smallest coupling (45mm)
• You value time-saving simplified application
• Your stoma size has been consistent for months

Before ordering pre-cut:

Verify:

1. Measure stoma accurately — must be close to 19mm
2. Confirm stoma stability — size hasn't changed recently
3. Test with one box — ensure 19mm fits well before bulk order
4. Have cut-to-fit backup — in case stoma changes

Product specifications:

This product features:

• Opening: Pre-cut 19mm (¾")
• Adhesive: Flextend extended-wear
• Profile: Flat (not convex)
• Coupling: 45mm (smallest size)
• Border: Tape border included

Other options if this doesn't fit:

• Different pre-cut sizes (if stoma is different size)
• Cut-to-fit barriers (if stoma varies or isn't standard size)
• Different coupling sizes (57mm, 70mm)
• Convex barriers (if stoma is retracted)

Quantity considerations:

Typical usage:

• Replace barrier every 5-7 days
• 4-6 barriers per month typically
• One box (5 barriers) = approximately one month supply

For complete system:

• Barriers: 4-6 per month (this product)
• Pouches: 10-30 per month (changed more frequently)
• Accessories: Adhesive remover, possibly rings or paste

Ordering frequency:

• Monthly orders typical
• Order 1-2 boxes per month
• Keep backup box on hand
• Also keep cut-to-fit barriers as backup

Cost considerations:

• Pre-cut may cost slightly more than cut-to-fit
• Convenience value often worth difference
• Extended-wear formulation reduces monthly usage
• Factor in time saved (worth calculating)
• Consider cost per day, not per unit

Insurance coverage:

• Most plans cover ostomy barriers
• Pre-cut covered same as cut-to-fit typically
• Verify coverage for specific product
• Work with supply company for coordination

Building your barrier supply:

Essential:

• Pre-cut barriers (this product)
• New Image 45mm pouches
• Adhesive remover

Backup supplies:

• Cut-to-fit barriers (same system) for size changes
• Barrier rings (if gaps develop)
• Measuring guide (to monitor stoma size)

Transitioning to pre-cut:

If new to pre-cut:

• Order one box initially to test fit
• Verify 19mm works well for several changes
• Keep cut-to-fit available during transition
• Once confirmed, can order in larger quantities

Monitor stoma:

• Check size periodically
• Be alert to fit changes
• Switch back to cut-to-fit if needed
• Pre-cut works best when stoma is very stable

Pro tip: Pre-cut barriers are perfect for travel, busy mornings, or anytime you want quick application. Many users keep both pre-cut (for routine) and cut-to-fit (for backup) on hand. This gives you convenience most of the time with flexibility when needed. The time saved with pre-cut really adds up—2-3 minutes per change × 5 changes per month = 10-15 minutes saved monthly, plus less mess and fewer supplies needed.

For questions about whether 19mm pre-cut is right for your stoma size, transitioning from cut-to-fit to pre-cut, proper sizing assessment, or determining if you need different size or cut-to-fit instead, consult with your ostomy care nurse or contact Hollister customer service for fitting guidance and size recommendations.