Natura Flexible Stomahesive Skin Barrier 4″ x 4″ Pre-Cut Stoma Opening 1″ Flange 1-3/4″ 10/bx

Why Choose Natura® Flexible Stomahesive® Barrier

This barrier combines pre-cut convenience that eliminates the need for scissors, measuring, or templates with Stomahesive® hydrocolloid that provides reliable adhesion even on moist skin. The flexible 4" × 4" wafer conforms naturally to body contours for comfortable all-day wear, while the 1¾" (45mm) flange—one of the most common coupling sizes—provides secure attachment to a wide range of Natura® pouches. The result is faster, easier barrier changes with dependable protection for routine ostomy care, perfect for users with stable 1" stomas who want simplicity without compromising quality.

Key Features & Benefits

Pre-Cut 1" (25mm) Opening:

• Ready to use—no measuring, cutting, or templates needed
• Precisely manufactured opening ensures consistency every time
• Faster barrier changes with less preparation
• No scissors to carry or manage
• Ideal for travel or on-the-go changes
• Perfect for caregivers managing multiple residents
• Reduces anxiety about cutting wrong size
• More convenient than cut-to-fit for users with stable stoma size

Stomahesive® Hydrocolloid:

• ConvaTec's proven general-purpose adhesive technology
• Adheres reliably to moist or slightly damp skin (doesn't require perfectly dry surface)
• Maintains adhesion during sweating, showering, or humid conditions
• Gentle removal with minimal skin trauma
• Protects peristomal skin from effluent contact
• Appropriate for formed to semi-formed output
• Tan/beige color

Flexible Construction:

• Thin, pliable wafer moves naturally with body contours
• Conforms to bending, twisting, and movement without rigid resistance
• More comfortable during daily activities than stiff wafers
• Reduces pressure points and skin irritation
• Maintains adhesion despite flexibility
• Low-profile design lies flat under clothing

4" × 4" (10cm × 10cm) Wafer:

• Standard size providing adequate adhesive surface for most users
• Compact profile for discreet wear
• Lighter weight than larger wafers
• Comfortable for extended wear
• Appropriate for routine ostomy management

1¾" (45mm) Natura® Flange:

• One of the most common Natura® flange sizes
• Compatible with wide range of Natura® pouches
• Secure snap-on coupling provides tactile and audible "click"
• Two-piece convenience allows pouch changes without barrier removal
• Standard size for majority of ostomy users

Belt Tabs Included:

• Optional belt attachment points for extra security
• Helpful during physical activity or sports
• Can reduce barrier edge lift during movement
• Belt sold separately

Clinical Applications

Ideal For:

Stable 1" Stomas:

• Stomas measuring approximately 1" (25mm) in diameter
• Well-healed stomas with consistent size
• Users whose stoma size doesn't fluctuate significantly
• Stomas that have finished post-operative size changes

Colostomy with Formed Output:

• Primary indication for Stomahesive® (not extended-wear Durahesive®)
• Formed to semi-formed stool
• Lower-moisture output situations
• Standard daily ostomy management

Users Prioritizing Convenience:

• Desire fastest, simplest barrier changes
• Tired of measuring and cutting
• Limited vision or dexterity challenges
• Caregivers needing streamlined routines
• Travel situations where scissors aren't convenient

Routine Ostomy Management:

• Stable, uncomplicated ostomy care
• No high-output or liquid output challenges
• Even peristomal surfaces without severe irregularities
• Standard wear time needs (3-5 days typical)

Users Wanting Flexibility:

• Prefer comfortable, conforming wafers over rigid barriers
• Active lifestyles requiring natural movement
• Need low-profile design under clothing

Understanding Pre-Cut vs. Cut-to-Fit

Pre-Cut (This Product):

• Pros: Faster application, no cutting required, consistent manufactured opening, travel-friendly, caregiver-friendly
• Cons: Must have stoma exactly matching size, less flexibility for irregular shapes, limited to available sizes
• Best For: Stable stomas that measure 1" consistently, users wanting simplicity, experienced ostomates with predictable needs

Cut-to-Fit:

• Pros: Customizable to any stoma size/shape, accommodates size changes, works for irregular/oval stomas
• Cons: Requires measuring and cutting, needs scissors and tools, takes more time, potential for cutting errors
• Best For: Changing stoma sizes, irregular shapes, users needing flexibility

Choosing Pre-Cut: If your stoma consistently measures approximately 1" (25mm) in diameter and you want the convenience of ready-to-use barriers, pre-cut is excellent. If your stoma is larger, smaller, oval, or changes size, you'll need cut-to-fit barriers instead.

Understanding Stomahesive® Technology

What is Stomahesive®?

Stomahesive® is ConvaTec's original hydrocolloid adhesive formulation, developed for general ostomy care:

Reliable Adhesion: Bonds well to peristomal skin, including skin with some moisture present—more forgiving than adhesives requiring perfectly dry surfaces.

Skin Protection: Creates protective barrier between stoma output and vulnerable peristomal skin, preventing contact dermatitis.

Gentle Removal: Formulated to remove cleanly without excessive skin trauma or leaving stubborn residue.

Flexible Yet Stable: Maintains adhesion while conforming to body movement.

Appropriate For: Formed to semi-formed output (colostomy primary), standard moisture conditions, routine wear times of 3-5 days.

Stomahesive® vs. Durahesive®

Stomahesive® (This Product):

• General-purpose hydrocolloid
• Tan/beige color
• Appropriate for formed to semi-formed output
• Standard wear time (3-5 days typical)
• Best for colostomy with formed output
• More economical for lower-moisture situations
• Excellent baseline option for routine needs

Durahesive®:

• Extended-wear hydrocolloid for liquid/high-output
• White or tan color (depending on variant)
• Engineered for liquid output resistance
• Longer wear time (5-7 days with liquid output)
• Best for ileostomy or high-output situations
• Essential when liquid erosion is a concern

Choose Stomahesive® (This Product) if:

• You have colostomy with formed output
• Your output is not liquid or high-volume
• You don't experience premature barrier erosion
• Standard wear time (3-5 days) meets your needs
• You want reliable, economical routine protection

Choose Durahesive® if:

• You have ileostomy with liquid output
• High-output situations (>1000mL daily)
• You experience frequent barrier erosion
• You need extended wear time beyond 5 days

Flexible Wafer Technology

What Makes This Barrier "Flexible"?

The flexible construction refers to the thin, pliable wafer that moves naturally with your body:

Thin Profile: Thinner than standard rigid wafers, creating more natural movement.

Conforming Design: Bends and flexes with body contours without losing adhesion.

Comfort Benefits:

• Less "board-like" feeling
• More natural sensation during wear
• Reduces pressure points
• Better for users who move frequently

Maintained Protection: Flexibility doesn't compromise the protective seal—Stomahesive® adhesion remains effective.

1¾" (45mm) Flange Sizing

Why 1¾" (45mm)?

The 1¾" (45mm) flange is one of the most common sizes in the Natura® system:

Standard Size: Appropriate for small to medium stomas up to approximately 1-1⅛"

Wide Compatibility: Works with extensive range of Natura® 45mm pouches (drainable, closed, urostomy)

Compact Profile: Smaller than 57mm or 70mm flanges—more discreet

Common Availability: Most retailers stock 45mm products

Natura® 1¾" (45mm) Coupling System

This barrier uses ConvaTec's Natura® 1¾" (45mm) coupling.

Compatible With:

• ConvaTec Natura® 45mm drainable pouches
• ConvaTec Natura® 45mm closed pouches
• ConvaTec Natura® 45mm urostomy pouches
• All Natura® 45mm pouch styles

NOT Compatible With:

• Other ConvaTec flange sizes (38mm, 57mm, 70mm)
• Other manufacturers' systems (Hollister, Coloplast, etc.)
• Hollister New Image™ 1¾" (different coupling mechanism)

⚠ Important: While multiple manufacturers make 1¾" (45mm) products, they use different coupling mechanisms and are NOT interchangeable.

Usage & Application

Preparing Skin:

1. Cleanse peristomal skin with mild soap and water
2. Pat completely dry—any moisture reduces adhesion
3. Assess skin condition before each barrier application
4. Apply skin prep if recommended by clinician

Verifying Fit:

1. Before opening package, confirm your stoma measures approximately 1" (25mm)
2. If stoma is larger or smaller, you'll need a different barrier size
3. Pre-cut barriers work best when stoma matches opening size closely
4. Barrier should have approximately ⅛" gap around stoma (slightly larger opening than stoma)

Applying the Barrier:

1. Remove barrier from packaging
2. Remove paper backing
3. Warm flexible barrier between hands for 15-30 seconds—becomes more pliable
4. Center pre-cut 1" opening over stoma
5. Ensure opening accommodates entire stoma with small gap
6. Press barrier onto skin, starting at stoma and working outward
7. Smooth with hand for 30-60 seconds, allowing body heat to activate adhesion
8. The flexible wafer should conform naturally to body contours
9. Ensure no air bubbles or wrinkles
10. Press firmly around all edges

Coupling the Pouch:

1. Align pouch flange with barrier coupling ring
2. Press around entire ring perimeter until you hear/feel audible "click"
3. Gently tug pouch to confirm secure attachment
4. If using belt, thread through belt tabs and adjust

Daily Monitoring:

• Check barrier edges daily for signs of lifting
• Monitor peristomal skin condition when changing barriers
• Verify that 1" opening continues to fit properly (stomas can change size)

When to Replace:

• Typical wear time: 3-5 days (depends on output type and skin condition)
• Replace if barrier edges begin to lift
• Replace if leakage occurs
• Replace if skin irritation develops

When Pre-Cut May Not Be Appropriate

Consider Cut-to-Fit Instead if:

• Your stoma measures significantly different from 1"
• Your stoma is oval or irregularly shaped
• Your stoma size fluctuates day-to-day
• You're in early post-operative period when stoma is changing size
• You need custom fitting for unique anatomy

Pre-cut barriers work beautifully for stable, round stomas that consistently measure the specified size. For other situations, cut-to-fit barriers provide necessary flexibility.

Product Specifications

• System: 2-piece ostomy skin barrier (pouch sold separately)
• Material: Stomahesive® hydrocolloid
• Construction: Flexible wafer
• Wafer Size: 4" × 4" (10cm × 10cm)
• Opening: Pre-cut 1" (25mm) diameter
• Flange/Coupling Size: 1¾" (45mm) Natura® system
• Profile: Flexible, low-profile
• Border: Standard hydrocolloid edge
• Belt Tabs: Yes (belt sold separately)
• Color: Tan/beige (Stomahesive®)
• Latex Status: Not made with natural rubber latex
• Sterility: Non-sterile
• Typical Wear Time: 3-5 days (standard for Stomahesive® with formed output)
• Packaging: Box of 10 barriers
• Manufacturer: ConvaTec
• Product Line: Natura® Flexible Stomahesive®