Why Choose Hollister Adapt CeraRing

The ceramide infusion helps maintain your skin's natural moisture barrier during extended barrier wear—particularly valuable when rings are positioned directly against peristomal skin for hours or days. The 4.5mm standard thickness fills deeper creases, folds, and irregular contours that thinner rings cannot adequately address, creating a level surface where barriers can adhere completely. The moldable design allows customization for each individual's unique anatomy by stretching, shaping, or even stacking rings for severe irregularities. Unlike ostomy paste that can be messy and difficult to apply consistently, rings provide clean, predictable sealing with easier handling for users and caregivers.

Key Features & Benefits

Ceramide-Infused Technology:

• Ceramides are natural lipids found in healthy skin that maintain moisture barrier
• CeraRing gradually releases ceramides during wear
• Helps protect peristomal skin health during ring contact
• Particularly beneficial for aging skin (natural ceramide production declines with age)
• May reduce skin irritation from extended ring wear
• Supports skin integrity in areas prone to breakdown

48mm (2") Outer Diameter:

• Standard ring size appropriate for most adult stomas
• Adequate coverage for typical irregular areas around stoma base
• Large enough to fill most creases and depressions
• Comparable to other major brand ring sizes
• Compatible with various barrier sizes

4.5mm Standard Thickness:

• Substantial depth fills deeper creases and folds
• More filling capacity than slim 2.3mm version
• Appropriate for significant peristomal irregularities
• Creates more level surface for barrier adhesion
• Better for soft abdomens with pronounced contours
• Standard choice for most users requiring ring support

Moldable & Flexible:

• Warm in hands to increase pliability
• Stretch to create larger inner opening if needed
• Shape to match specific irregular contours
• Can be torn/cut for partial ring use
• Molds easily to body curves and depressions
• Maintains shape after application

Cleaner Than Paste:

• No messy tubes or applicators
• Pre-shaped ring ready to apply
• Easier handling with clean hands
• More predictable, consistent application
• Less waste than paste
• Simpler for users with limited dexterity

Latex-Free Construction:

• Safe for latex-allergic and latex-sensitive users
• Eliminates rubber latex exposure concerns

Clinical Applications

Ideal for:

• Uneven, creased, or folded peristomal skin
• Retracted or flush stomas with surrounding irregularities
• Scars, dips, or indentations near stoma site
• Post-operative soft abdomens with poor barrier adhesion
• Weight changes causing new skin folds
• Parastomal hernias creating uneven surfaces
• Users experiencing frequent barrier edge lift or leaks

Common Problem-Solving Uses:

• Filling deep creases preventing flat barrier seal
• Leveling uneven skin around convex barriers
• Protecting skin in areas of frequent leakage
• Extending wear time by reinforcing weak seal areas
• Creating smooth foundation where barriers can't conform alone
• Transitioning between barrier sizes during stoma changes

Ostomy Types:

• Colostomy (all consistency levels)
• Ileostomy (liquid to formed output)
• Urostomy (continuous liquid drainage)

4.5mm Standard vs. 2.3mm Slim Thickness

Standard 4.5mm (This Product):

• More filling capacity for deeper irregularities
• Better for pronounced creases and folds
• Appropriate for soft abdomens with significant contours
• Most common thickness choice
• Creates more substantial leveling effect

Slim 2.3mm (Alternative):

• Less bulk for minor irregularities
• Better for shallow depressions
• More discreet profile
• Appropriate when full 4.5mm thickness is excessive

Choose standard 4.5mm for most situations requiring ring support. Consider slim 2.3mm only when depth is specifically an issue or minor filling is needed.

How Barrier Rings Work

Sealing Mechanism:

Barrier rings create a seamless transition between irregular peristomal skin and the flat adhesive surface of barriers by:

1. Filling voids: Ring material flows into creases, folds, and depressions
2. Creating level surface: Irregular topography becomes smooth foundation
3. Preventing channels: Eliminates pathways where output can flow under barrier
4. Enhancing adhesion: Barrier adheres to smooth ring surface better than irregular skin
5. Maintaining flexibility: Ring moves with body without breaking seal

Why Rings vs. Paste:

Rings Advantages:

• Cleaner application (no tubes, no mess)
• Consistent thickness and coverage
• Easier for users with limited dexterity
• Pre-shaped for predictable results
• Faster application

When Paste May Be Better:

• Very irregular shapes requiring custom sculpting
• Personal preference for paste texture
• Extremely deep or complex irregularities

Many users find rings easier and cleaner while achieving similar sealing results.

Ceramide Technology Benefits

What Ceramides Do:

Ceramides are natural skin lipids that:

• Form protective layer in outermost skin
• Prevent moisture loss from skin
• Maintain skin barrier function
• Support healthy skin cell structure

Why Ceramides Matter for Ostomy:

Peristomal skin faces unique challenges:

• Adhesive contact hours/days at a time
• Potential exposure to output if leaks occur
• Repeated barrier changes causing trauma
• Aging skin with declining ceramide production

CeraRing Benefits:

• Gradual ceramide release during wear
• Helps maintain skin moisture where ring contacts skin
• May reduce irritation from extended ring wear
• Supports healthier peristomal skin over time

Usage & Application

Application Methods:

Method 1 - Apply to Barrier First (Most Common):

1. Prepare barrier: Cut barrier opening to appropriate stoma size
2. Warm ring: Hold CeraRing in hands 30-60 seconds to increase moldability
3. Remove backing: Peel off protective paper from ring
4. Shape if needed: Stretch, mold, or customize ring shape for your anatomy
5. Apply to barrier: Press ring onto adhesive side of barrier, centered around cut opening
6. Apply to skin: Position barrier with ring against clean, dry peristomal skin
7. Seal: Press firmly to ensure ring fills irregularities and barrier adheres completely

Method 2 - Apply Directly to Skin:

1. Warm ring in hands 30-60 seconds
2. Remove backing and shape as needed
3. Apply to skin: Press ring directly onto clean, dry peristomal skin around stoma
4. Fill contours: Press ring into creases and irregularities
5. Apply barrier: Position skin barrier over ring
6. Seal: Press to ensure barrier and ring create unified seal

Application Tips:

• Clean and dry skin completely before application
• Warming ring in hands makes it more pliable
• For very deep creases, consider stacking two rings
• Can cut ring if full circle not needed
• Press and hold for 30-60 seconds to activate adhesive with body warmth

Wear Time:

• Change ring with each barrier change
• Typical barrier wear: 3-7 days depending on output
• Don't reuse rings—single use per barrier application

Sizing & Customization

48mm Outer Diameter:

• Standard ring size for most users
• Inner opening can be stretched or shaped as needed
• Typically accommodates stomas up to approximately 30-35mm
• Can stretch larger opening if needed for bigger stomas

Customization Options:

• Stretch inner opening: Warm and gently stretch for larger stomas
• Shape to contours: Mold to match specific body curves
• Partial ring: Cut/tear ring to use only portion needed
• Stack rings: Use two rings for extra depth in severe cases
• Trim outer diameter: Cut smaller if 48mm is too large (less common)

Box of 10 Value

Supply Duration:

• Approximately 10-70 days depending on barrier change frequency
• One ring per barrier change typical
• 3-day barrier wear = 30 days supply
• 5-day barrier wear = 50 days supply
• 7-day barrier wear = 70 days supply

Convenient Quantity:

• Good starter supply to determine if rings work for you
• Adequate for 1-2 months typical use
• Manageable inventory for home storage
• Easy to track and rotate stock

Product Specifications

• Product Type: Ostomy barrier ring / moldable ring accessory
• Outer Diameter: 48mm (approximately 2 inches)
• Thickness: 4.5mm (standard thickness)
• Alternative Thickness: 2.3mm slim version available separately
• Technology: Ceramide-infused (skin moisture barrier support)
• Material: Moldable hydrocolloid-based ring
• Latex Status: Latex-free
• Compatibility: All ostomy barrier brands (universal accessory)
• Use: Single-use (one ring per barrier change)
• Packaging: 10 rings per box
• Manufacturer: Hollister Incorporated
• Product Line: Adapt CeraRing
• HCPCS Code: A4385