Convatec Esteem Synergy® Adhesive Coupling With Skin Barrier, Sold As Box Convatec 10001161 Convatec Esteem Synergy® Adhesive Coupling With Skin Barrier Convatec Esteem Synergy® Adhesive Coupling With Skin Barrier Ostomy System Features An Innovative Adhesive Coupling Technology™. Instead Of Plastic Rings, A Patented Foam Adhesive Allows The Pouch To Be Securely Attached To The Skin Barrier On A Clear Plastic “Landing Zone” Flange. The Result Is A Low Profile, Flexible, Two-Piece System. Stomahesive® Skin Barriers Are Designed To Be Gentle On Peristomal Skin. Adhesive Coupling, Pre-Cut, Stomahesive Skin Barrier With Tape Collar, White, 1 1/4" Stoma Opening, 4" X 4", 10/Bx (Continental Us Only)Sku: Ndc-10339192_Bx Mfgr Sku: 10001161Item Id: 10339192Mfgr Id: 991Item Code: Cvt 405478