ConvaTec Esteem synergy®+ Closed-End Pouch is a two-piece closed ostomy pouch designed for use with compatible Esteem synergy® skin barriers. The system uses ConvaTec's Adhesive Coupling Technology™, providing a flexible, low-profile connection without the rigid plastic coupling rings used in conventional two-piece systems. A soft foam adhesive on the pouch attaches securely to the clear Landing Zone of the compatible Esteem synergy® baseplate. This combines the flexibility and low profile associated with a one-piece appliance with the versatility of a two-piece system, allowing the pouch to be changed separately from the skin barrier. The closed-end pouch is particularly suitable for people with a colostomy and formed or predictable output. Key features: Two-piece closed-end ostomy pouch Designed for compatible Esteem synergy® skin barriers ConvaTec Adhesive Coupling Technology™ Soft adhesive coupling rather than a rigid plastic ring Creates a flexible, low-profile pouching system Pouch can be changed separately from the skin barrier Integrated filter Filter incorporates anti-clogging film layers Helps reduce gas accumulation and pouch ballooning Helps control odour Soft, quiet pouch materials for comfort and discretion Materials resist water and are designed to dry quickly Available in Opaque and Clear versions Available with 35mm, 48mm and 61mm coupling sizes Small opaque option also available Box of 30 pouches Available options: Small Opaque with Filter Coupling size: 35mm Compatible barrier/stoma range: up to approximately 35mm Code: 416777 Box of 30 Standard Opaque with Filter – 35mm Coupling size: 35mm Code: 416775 Box of 30 Standard Opaque with Filter – 48mm Coupling size: 48mm Code: 416779 Box of 30 Standard Opaque with Filter – 61mm Coupling size: 61mm Code: 416783 Box of 30 Standard Clear with Filter – 35mm Coupling size: 35mm Code: 416774 Box of 30 Standard Clear with Filter – 48mm Coupling size: 48mm Code: 416778 Box of 30 Standard Clear with Filter – 61mm Coupling size: 61mm Code: 416782 Box of 30 Suitable for: People with a colostomy Formed or relatively predictable faecal output Users of compatible Esteem synergy® two-piece skin barriers People who prefer a closed disposable pouch rather than a drainable pouch Users who prefer a two-piece appliance but want to avoid a rigid mechanical coupling ring Opaque versions where discretion is preferred Clear versions where direct observation of the stoma and output is useful Closed-end pouches are generally most appropriate where output is sufficiently formed and predictable for the complete pouch to be removed and replaced when required. A drainable pouch may be more suitable for frequent, loose or liquid output. Directions: Apply the compatible Esteem synergy® skin barrier according to the manufacturer's instructions. Ensure the clear Landing Zone on the skin barrier is clean and ready for pouch attachment. Select a pouch with the correct coupling size for the fitted baseplate. Remove the protective material from the adhesive coupling area of the pouch. Carefully align the pouch over the baseplate's Landing Zone. Press the adhesive coupling securely around the entire circumference to create an even attachment. Check that the pouch is completely secured before use. When the closed pouch requires changing, gently peel the pouch away from the Landing Zone while leaving the skin barrier in place if it remains clinically suitable. Attach a new compatible pouch according to the same procedure. Important information: This listing is for the pouch only – the skin barrier/baseplate is supplied separately This is a two-piece system, not a one-piece appliance Select the correct 35mm, 48mm or 61mm coupling size The coupling size refers to the connection between pouch and baseplate; it is not simply the stoma diameter Do not attempt to attach different coupling sizes together Check that the adhesive coupling is securely attached around the full circumference This is a closed, non-drainable pouch Replace the pouch when required rather than attempting to empty it Monitor the appliance for leakage or loss of adhesion Persistent leakage may indicate that the pouch, barrier or overall appliance fit requires reassessment Monitor peristomal skin for redness, soreness or breakdown Seek advice from a Stoma Care Nurse if leakage, skin problems or appliance-fit difficulties persist Always follow the manufacturer's instructions for use Product details: Product: Esteem synergy®+ Closed-End Pouch Manufacturer: ConvaTec Ltd Product type: Two-piece closed ostomy pouch Coupling technology: Adhesive Coupling Technology™ Coupling sizes: 35mm, 48mm and 61mm Colour options: Opaque and Clear Small pouch option: Yes – 35mm opaque Filter: Yes Anti-clogging filter layers: Yes Drainable: No Baseplate included: No Compatible baseplates: Esteem synergy® skin barriers with matching coupling size Pack size: 30 pouches Classification: Ostomy appliance / medical device ConvaTec Esteem synergy®+ Closed-End Pouches provide a flexible, low-profile two-piece pouching option using adhesive coupling technology rather than a rigid plastic ring, with filtered opaque and clear pouch options for everyday colostomy management. Always follow the manufacturer's instructions for use. If leakage, poor pouch attachment or persistent peristomal skin problems occur, seek advice from a Stoma Care Nurse or other appropriate healthcare professional.