Two-piece ostomy bag – Flat ostomy baseplate

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A Two-piece ostomy bag – Flat ostomy baseplate is a non-sterile, single-use skin barrier (flange/wafer) that is part of a two-piece ostomy system. It adheres to the peristomal skin and provides a secure mechanical coupling (clip-on) for attaching a separate ostomy pouch, which can be changed multiple times without removing the baseplate . This flat-profile baseplate is indicated for patients with a normal, well-formed stoma where the peristomal skin is level with the abdomen (approximately 50% of ostomates) .

The baseplate features a medical-grade hydrocolloid adhesive that is comfortable on the skin, adherent to both dry and wet skin, and highly durable against liquid output . The cut-to-fit design allows the opening to be trimmed to match the exact stoma size (available for stoma openings from 13mm to 55mm across 45mm, 55mm, and 70mm flange sizes). The floating ring coupling allows for pouch attachment without applying pressure to the abdomen, with an audible “click” confirming secure locking .

The two-piece design offers significant clinical advantages: the baseplate remains in place for 2-3 days (reducing skin trauma) while pouches are changed as needed—making it more practical for patients who must change their pouches frequently . This system is available with a range of pouches (drainable for ileostomies, closed for colostomies, urostomy with anti-backflow valves) and can be used with ostomy belts for additional security .

For the surgeon and stoma care nurse, the two-piece flat baseplate allows for efficient post-operative management with less skin manipulation. For the patient, this appliance provides security, comfort, skin protection, and the flexibility to manage their stoma with confidence across all daily activities—work, school, swimming, sports, and travel—without fear of leakage or pouch detachment.

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Categories: CONSUMABLES AND DISPOSABLES, Incontinence Products, Wound Care Tags: colostomy baseplate, cut-to-fit baseplate, flange, flat ostomy baseplate, ileostomy baseplate, ostomy plate, skin barrier, Two-piece ostomy baseplate, two-piece ostomy system, wafer

Description

Two-piece ostomy bag – Flat ostomy baseplate

PRIMARY CLINICAL & DIAGNOSTIC USES

1. Skin Protection and Stoma Management Following Intestinal or Urinary Diversion Surgery

Primary Use: Provides the skin barrier component of a two-piece ostomy system, which attaches to the peristomal skin and serves as the fixation point for a separate ostomy pouch. This system is used for the collection and management of intestinal or urinary effluent following procedures such as colostomy, ileostomy, or urostomy .
How it helps: For the surgeon and stoma care nurse, the two-piece system allows the baseplate to remain securely adhered to the skin for 2-3 days while pouches can be changed as needed without disturbing the skin seal . This reduces peristomal skin complications and lowers overall supply costs. For the patient, the ability to change pouches without removing the baseplate minimizes skin trauma, provides greater flexibility, and offers the security of an audible “click” confirming that the pouch is properly locked in place .

2. Protection of Peristomal Skin from Corrosive Effluent

Primary Use: Utilizes a medical-grade hydrocolloid adhesive layer that absorbs moisture, adheres to both dry and wet skin, and is highly durable and resistant to liquid output. It is designed for patients with a normal, well-formed stoma where the peristomal skin is level with the abdomen .
How it helps: For the wound ostomy and continence nurse (WOCN), the flat baseplate is indicated for patients with a regular peristomal body profile (approximately 50% of ostomates) . It provides a secure, leak-resistant seal that protects the skin from enzymatic damage, which is critical for preventing Medical Adhesive-Related Skin Injury (MARSI) and contact dermatitis. For the patient, this protection prevents painful irritation, bleeding, and itching around the stoma, directly improving quality of life and reducing the risk of hospital readmission for skin breakdown.

3. Secure Attachment for Active Lifestyles

Primary Use: Features a mechanical coupling system (clip-on or adhesive coupling) with a floating ring that allows the pouch to be attached and removed without applying pressure to the abdomen. The audible click confirms the system is locked in position .
How it helps: For the clinician and patient, the secure coupling mechanism provides peace of mind during daily activities, including work, sports, and social engagements. The floating ring design prevents uncomfortable pressure on the stoma and abdomen during wear. For the patient, this security enables full participation in an active lifestyle without fear of pouch detachment or leakage, significantly improving psychosocial well-being and confidence.

4. Customizable Fit for Individual Stoma Anatomy

Primary Use: The baseplate features a cut-to-fit design, allowing the clinician or patient to trim the hydrocolloid opening to match the exact size and shape of the individual stoma. Available in various flange diameters (45mm, 55mm, 70mm) to accommodate stoma openings from 13mm to 55mm .
How it helps: For the stoma care nurse and patient, the cut-to-fit design ensures a precise, personalized fit around the stoma—no larger than 1-2mm. An opening that is too large would expose fragile peristomal skin to corrosive effluent, leading to maceration and breakdown. For the patient, this customization allows for a secure, comfortable fit that adapts to stoma changes over time (post-operative swelling, weight fluctuations), reducing the frequency of product changes and improving long-term outcomes.

SECONDARY & SUPPORTIVE USES

1. Extended Wear for Cost-Effective Management: The baseplate is designed to remain in place for 2-3 days (standard wear) while the pouches are changed multiple times per day, reducing the number of full appliance changes, lowering material costs, and minimizing skin manipulation .

2. Integration with Night Drainage Systems: Compatible with drainable pouches that can be connected to overnight drainage bags, allowing patients with high-output ileostomies to sleep uninterrupted while the system manages continuous drainage .

3. Use with Convex Baseplates for Challenging Stomas: While the flat baseplate is for regular peristomal profiles, the two-piece system also accommodates convex baseplates (light or deep convexity) for flush or retracted stomas where the skin is below the abdomen level .

4. Compatibility with a Range of Pouches: The baseplate is designed to work with multiple pouch types, including drainable (open-ended) pouches for ileostomies, closed pouches for colostomies with formed stool, and urostomy pouches with anti-backflow valves .

5. Use with Ostomy Belts: Many two-piece systems are compatible with ostomy belts that clip onto the baseplate flange, providing additional security and support during physical activities or for patients with challenging abdominal contours .

6. Post-Operative and High-Output Management: Higher capacity pouches (up to 980 mL) are available for post-operative use and for patients with high-output ileostomies, allowing the baseplate to remain in place while the larger pouch manages increased output volumes .

7. Transparent Options for Clinical Assessment: Transparent baseplates and pouches with measuring scales are available for use in the immediate post-operative period, allowing clinicians to assess stoma health and measure output without removing the appliance .

8. Material Compatibility and Safety: Manufactured without natural rubber latex, making it safe for patients with latex allergies. Complies with ISO 8670-2 (Ostomy collection bags) and ISO 12505 (Skin barrier test methods) quality standards .

9. Single-Use, Non-Sterile Design: The baseplate is a single-use device, intended for use on clean, intact peristomal skin. It is non-sterile and should be stored in a cool, dry place .

10. Hydrocolloid Adhesive Technology: Utilizes moisture-absorbing hydrocolloid technology that is comfortable on the skin during wear, gentle upon removal, and resistant to aggressive liquid output (ileostomies/urostomies) .

KEY PRODUCT FEATURES

1. BASIC IDENTIFICATION ATTRIBUTES

Device Type: A non-sterile, single-use skin barrier (flange/wafer) that is part of a two-piece ostomy system. It adheres to the peristomal skin and provides a mechanical coupling mechanism (clip-on or adhesive) for attaching a separate ostomy pouch .
Designation: Two-piece ostomy baseplate, flat ostomy baseplate, skin barrier, flange, wafer, intestinal ostomy plate .
Key Components:

Hydrocolloid Adhesive Layer: The skin-contacting layer made of gel-forming particles (e.g., carboxymethylcellulose, pectin, gelatin) that absorbs moisture and protects the skin .
Mechanical Coupling (Flange): A plastic ring (typically polypropylene) that snaps or adheres to the matching ring on the ostomy pouch, providing a secure, audible lock .
Floating Ring: A feature that allows the pouch to be attached and removed without applying pressure to the abdomen, enhancing comfort .
Cut-to-Fit Membrane: The central area of the baseplate that can be trimmed to match the exact size and shape of the patient's stoma .
Adhesive Border: The outer edge of the hydrocolloid layer that adheres to the peristomal skin.

2. TECHNICAL & PERFORMANCE PROPERTIES

GMDN Term & Definition: Intestinal ostomy base plate, flat. A non-sterile device designed with a flat surface intended to be applied and adhered to peristomal skin (typically of a normal, well-formed stoma) to facilitate the correct positioning and anchorage of the flange of an intestinal ostomy bag .
Flange Diameters: Available in multiple sizes including 45mm, 55mm, and 70mm .
Cut-to-Fit Range:

45mm flange: cut to 13-30mm stoma opening
55mm flange: cut to 13-40mm stoma opening
70mm flange: cut to 13-55mm stoma opening

Skin Barrier Material: Medical-grade hydrocolloid adhesive; highly durable and resistant to liquid output; adherent to dry and wet skin; natural rubber latex free .
Coupling Type: Mechanical (clip-on) with audible click confirmation; available with floating ring for pressure-free attachment .
Baseplate Profile: Flat (designed for regular peristomal body profiles where skin is level with the abdomen) .
Wear Time: Standard wear; designed to remain in place for 2-3 days, depending on output volume and skin condition .
Flexibility: Flexible design conforms to body shape and natural movements .
Sterility: Non-sterile; intended for use on clean, intact peristomal skin .
Single-Use: Intended for single patient use only.
Latex-Free: Manufactured without natural rubber latex to accommodate patients with latex allergies .

3. PHYSICAL & OPERATIONAL PROPERTIES

Configuration: Part of a two-piece system where the baseplate and pouch are separate components that are attached via a mechanical coupling .
Appearance: Opaque, beige, or skin-toned wafer; may also be transparent for clinical assessment .
Flexibility: Flexible to conform to body contours and movement .
Cutability: Cut-to-fit design allows the opening to be trimmed with curved scissors to match the exact stoma size and shape .
Surface: The hydrocolloid adhesive is comfortable on the skin during wear and gentle upon removal .
Compatibility: Compatible with ostomy pouches from the same manufacturer system (drainable, closed, urostomy) .
Packaging: Typically supplied in boxes of 5 or 10 pieces .
Accessories: May be used with ostomy belts, paste, and powder.
Quality Standards: Compliant with ISO 8670-2 (Ostomy collection bags - Part 2: Requirements and test methods) and ISO 12505 (Skin barrier for ostomy aids - Test methods) .

4. SAFETY & COMPLIANCE ATTRIBUTES

Regulatory Status: Class I medical device (FDA Product Code EXB - Collector, Ostomy) .
Quality Standards: Complies with international ostomy standards; manufactured under quality management systems (ISO 13485). CE marked for European market.
Biocompatibility: Manufactured with skin-friendly, hypoallergenic, non-irritating materials; the hydrocolloid barrier is free from natural rubber latex and common sensitizers .
Adhesion: Adherent to both dry and wet skin; highly durable and resistant to liquid output .
Latex-Free: Manufactured without natural rubber latex to accommodate patients with latex allergies .
Storage: Store in a cool, dry place (below 25°C / 77°F recommended). Avoid exposure to direct sunlight, extreme heat, or humidity.
Expiration: Shelf life varies by manufacturer; check packaging for expiration date.

5. STORAGE & HANDLING ATTRIBUTES

Storage: Store in a cool, dry place at room temperature (below 25°C / 77°F recommended). Avoid exposure to direct sunlight, extreme heat, or humidity, which can degrade the adhesive. Keep out of reach of children.
Shelf Life: Check individual packaging for expiration date; typically 2-3 years from manufacture.
Skin Preparation: Peristomal skin must be clean, completely dry, and free of lotions, oils, powders, or adhesive residue before application to ensure proper adhesion .
Cutting Instructions: Use the provided stoma measuring guide to determine correct stoma size. Cut the opening no larger than 1-2 mm (1/16-1/8 inch) larger than the stoma. Use curved scissors for precise cutting .
Application: Remove the protective liner. Center the opening over the stoma. Press the adhesive firmly onto the skin, smoothing from the stoma outward. Warm the baseplate with body heat before applying in cool environments .
Pouch Attachment: Align the coupling rings and press together until an audible "click" confirms secure locking. The floating ring allows attachment without abdominal pressure .
Pouch Removal: To remove the pouch, gently press the release tabs on the coupling ring. The baseplate remains adhered to the skin.
Baseplate Removal: Gently peel the baseplate from the skin, supporting the skin with the other hand. Adhesive remover wipes may be used to facilitate removal.
Disposal: Discard used baseplate in general waste per local regulations. Do not flush.

6. LABORATORY & CLINICAL APPLICATIONS

Primary Application: Management of intestinal or urinary effluent following ostomy surgery by providing a secure, skin-protective baseplate that serves as the attachment point for ostomy pouches .
Clinical Role: Essential post-operative and long-term care device in colorectal surgery, urology, and home healthcare for the management of patients with a colostomy, ileostomy, or urostomy; particularly beneficial for patients who need to change pouches frequently without disturbing the skin seal .

SAFETY HANDLING PRECAUTIONS

1. SAFETY PRECAUTIONS

Contraindications: Do not use it on patients with known hypersensitivity to hydrocolloid components or adhesive materials.
Infected or Wounded Skin: Do not apply to infected, severely denuded, or wounded peristomal skin without appropriate medical evaluation.
Skin Preparation: Peristomal skin must be meticulously cleaned, dried, and free of lotions or barrier creams before application to ensure proper adhesion .
Customization: The opening must be cut to the exact size of the stoma (no larger than 1-2mm). An opening that is too large will expose fragile skin to corrosive effluent, leading to maceration, excoriation, and infection .
Monitor for Leaks: Inspect the baseplate frequently, especially in the early post-operative period. Change the appliance immediately if any effluent is observed leaking under the barrier to prevent skin damage.
Signs of Skin Breakdown: Discontinue use and consult a stoma care nurse if the peristomal skin becomes red, weepy, raw, or itchy, indicating possible fungal infection (candidiasis), contact dermatitis, or adhesive allergy.
Adhesive Allergy: Patients with known adhesive sensitivities should use with caution; discontinue use if signs of allergic contact dermatitis (rash, itching, blistering, spreading redness) occur.
Output Consistency: For patients with very liquid output (ileostomy), consider a more durable baseplate option if the standard hydrocolloid degrades quickly. For high-output stomas, a high-output pouch may be required .
Stoma Protrusion: The flat baseplate is indicated for patients with a normal, well-formed stoma where the peristomal skin is level with the abdomen . For flush or retracted stomas, a convex baseplate is required to provide gentle pressure and help the stoma protrude .
Do Not Reuse: This is a single-use device; do not attempt to wash, resterilize, or reapply a used baseplate.

2. FIRST AID MEASURES

Adhesive Allergy: If signs of an allergic reaction (rash, severe itching, blistering, redness spreading beyond the baseplate area) occur, remove the appliance immediately, gently cleanse the skin with mild soap and water, discontinue use of that product, and consult a clinician.
Peristomal Maceration: If the skin surrounding the stoma appears white, soft, or wrinkled (maceration), remove the baseplate, allow the skin to dry, and consult a stoma care nurse. Consider an alternative baseplate size, cut-to-fit size, or convexity.
Leakage: If a leak occurs, remove the appliance immediately, gently cleanse the skin with warm water, dry thoroughly, and apply a new baseplate and pouch.
Bleeding Stoma: If the stoma bleeds when cleaning or measuring (common due to high vascularity), apply gentle pressure with a clean, dry gauze pad for a few minutes. Contact a clinician if bleeding is profuse or does not stop.
Signs of Infection (Peristomal Skin): If the peristomal skin becomes increasingly red, swollen, warm, or produces purulent discharge, remove the baseplate, cleanse the skin, and seek medical evaluation, as this may indicate fungal or bacterial infection requiring treatment.

3. FIRE FIGHTING MEASURES

Flammability: The plastic coupling and hydrocolloid baseplate are combustible. Keep away from open flames and direct heat sources.
Extinguishing Media: Use water, foam, CO₂, or dry chemical for fires involving combustible material. The baseplate presents no special fire hazard beyond typical medical plastics.
Storage Warning: Do not store ostomy supplies near radiators, heating vents, or in vehicles during hot weather, as extreme heat can degrade the adhesive.

Two-piece ostomy bag – Flat ostomy baseplate

Two-piece ostomy bag – Flat ostomy baseplate

PRIMARY CLINICAL & DIAGNOSTIC USES

1. Skin Protection and Stoma Management Following Intestinal or Urinary Diversion Surgery

2. Protection of Peristomal Skin from Corrosive Effluent

Primary Use: Utilizes a medical-grade hydrocolloid adhesive layer that absorbs moisture, adheres to both dry and wet skin, and is highly durable and resistant to liquid output. It is designed for patients with a normal, well-formed stoma where the peristomal skin is level with the abdomen .

3. Secure Attachment for Active Lifestyles

Primary Use: Features a mechanical coupling system (clip-on or adhesive coupling) with a floating ring that allows the pouch to be attached and removed without applying pressure to the abdomen. The audible click confirms the system is locked in position .

4. Customizable Fit for Individual Stoma Anatomy

Primary Use: The baseplate features a cut-to-fit design, allowing the clinician or patient to trim the hydrocolloid opening to match the exact size and shape of the individual stoma. Available in various flange diameters (45mm, 55mm, 70mm) to accommodate stoma openings from 13mm to 55mm .

SECONDARY & SUPPORTIVE USES

1. Extended Wear for Cost-Effective Management: The baseplate is designed to remain in place for 2-3 days (standard wear) while the pouches are changed multiple times per day, reducing the number of full appliance changes, lowering material costs, and minimizing skin manipulation .

2. Integration with Night Drainage Systems: Compatible with drainable pouches that can be connected to overnight drainage bags, allowing patients with high-output ileostomies to sleep uninterrupted while the system manages continuous drainage .

3. Use with Convex Baseplates for Challenging Stomas: While the flat baseplate is for regular peristomal profiles, the two-piece system also accommodates convex baseplates (light or deep convexity) for flush or retracted stomas where the skin is below the abdomen level .

4. Compatibility with a Range of Pouches: The baseplate is designed to work with multiple pouch types, including drainable (open-ended) pouches for ileostomies, closed pouches for colostomies with formed stool, and urostomy pouches with anti-backflow valves .

5. Use with Ostomy Belts: Many two-piece systems are compatible with ostomy belts that clip onto the baseplate flange, providing additional security and support during physical activities or for patients with challenging abdominal contours .

6. Post-Operative and High-Output Management: Higher capacity pouches (up to 980 mL) are available for post-operative use and for patients with high-output ileostomies, allowing the baseplate to remain in place while the larger pouch manages increased output volumes .

7. Transparent Options for Clinical Assessment: Transparent baseplates and pouches with measuring scales are available for use in the immediate post-operative period, allowing clinicians to assess stoma health and measure output without removing the appliance .

8. Material Compatibility and Safety: Manufactured without natural rubber latex, making it safe for patients with latex allergies. Complies with ISO 8670-2 (Ostomy collection bags) and ISO 12505 (Skin barrier test methods) quality standards .

9. Single-Use, Non-Sterile Design: The baseplate is a single-use device, intended for use on clean, intact peristomal skin. It is non-sterile and should be stored in a cool, dry place .

10. Hydrocolloid Adhesive Technology: Utilizes moisture-absorbing hydrocolloid technology that is comfortable on the skin during wear, gentle upon removal, and resistant to aggressive liquid output (ileostomies/urostomies) .

1. BASIC IDENTIFICATION ATTRIBUTES

Device Type: A non-sterile, single-use skin barrier (flange/wafer) that is part of a two-piece ostomy system. It adheres to the peristomal skin and provides a mechanical coupling mechanism (clip-on or adhesive) for attaching a separate ostomy pouch .

Designation: Two-piece ostomy baseplate, flat ostomy baseplate, skin barrier, flange, wafer, intestinal ostomy plate .

Key Components:

Hydrocolloid Adhesive Layer: The skin-contacting layer made of gel-forming particles (e.g., carboxymethylcellulose, pectin, gelatin) that absorbs moisture and protects the skin .

Mechanical Coupling (Flange): A plastic ring (typically polypropylene) that snaps or adheres to the matching ring on the ostomy pouch, providing a secure, audible lock .

Floating Ring: A feature that allows the pouch to be attached and removed without applying pressure to the abdomen, enhancing comfort .

Cut-to-Fit Membrane: The central area of the baseplate that can be trimmed to match the exact size and shape of the patient's stoma .

Adhesive Border: The outer edge of the hydrocolloid layer that adheres to the peristomal skin.

2. TECHNICAL & PERFORMANCE PROPERTIES

Flange Diameters: Available in multiple sizes including 45mm, 55mm, and 70mm .

Cut-to-Fit Range:

45mm flange: cut to 13-30mm stoma opening

55mm flange: cut to 13-40mm stoma opening

70mm flange: cut to 13-55mm stoma opening

Skin Barrier Material: Medical-grade hydrocolloid adhesive; highly durable and resistant to liquid output; adherent to dry and wet skin; natural rubber latex free .

Coupling Type: Mechanical (clip-on) with audible click confirmation; available with floating ring for pressure-free attachment .

Baseplate Profile: Flat (designed for regular peristomal body profiles where skin is level with the abdomen) .

Wear Time: Standard wear; designed to remain in place for 2-3 days, depending on output volume and skin condition .

Flexibility: Flexible design conforms to body shape and natural movements .

Sterility: Non-sterile; intended for use on clean, intact peristomal skin .

Single-Use: Intended for single patient use only.

Latex-Free: Manufactured without natural rubber latex to accommodate patients with latex allergies .

3. PHYSICAL & OPERATIONAL PROPERTIES

Configuration: Part of a two-piece system where the baseplate and pouch are separate components that are attached via a mechanical coupling .

Appearance: Opaque, beige, or skin-toned wafer; may also be transparent for clinical assessment .

Flexibility: Flexible to conform to body contours and movement .

Cutability: Cut-to-fit design allows the opening to be trimmed with curved scissors to match the exact stoma size and shape .

Surface: The hydrocolloid adhesive is comfortable on the skin during wear and gentle upon removal .

Compatibility: Compatible with ostomy pouches from the same manufacturer system (drainable, closed, urostomy) .

Packaging: Typically supplied in boxes of 5 or 10 pieces .

Accessories: May be used with ostomy belts, paste, and powder.

Quality Standards: Compliant with ISO 8670-2 (Ostomy collection bags - Part 2: Requirements and test methods) and ISO 12505 (Skin barrier for ostomy aids - Test methods) .

4. SAFETY & COMPLIANCE ATTRIBUTES

Regulatory Status: Class I medical device (FDA Product Code EXB - Collector, Ostomy) .

Quality Standards: Complies with international ostomy standards; manufactured under quality management systems (ISO 13485). CE marked for European market.

Biocompatibility: Manufactured with skin-friendly, hypoallergenic, non-irritating materials; the hydrocolloid barrier is free from natural rubber latex and common sensitizers .

Adhesion: Adherent to both dry and wet skin; highly durable and resistant to liquid output .

Latex-Free: Manufactured without natural rubber latex to accommodate patients with latex allergies .

Storage: Store in a cool, dry place (below 25°C / 77°F recommended). Avoid exposure to direct sunlight, extreme heat, or humidity.

Expiration: Shelf life varies by manufacturer; check packaging for expiration date.

5. STORAGE & HANDLING ATTRIBUTES

Storage: Store in a cool, dry place at room temperature (below 25°C / 77°F recommended). Avoid exposure to direct sunlight, extreme heat, or humidity, which can degrade the adhesive. Keep out of reach of children.

Shelf Life: Check individual packaging for expiration date; typically 2-3 years from manufacture.

Skin Preparation: Peristomal skin must be clean, completely dry, and free of lotions, oils, powders, or adhesive residue before application to ensure proper adhesion .

Cutting Instructions: Use the provided stoma measuring guide to determine correct stoma size. Cut the opening no larger than 1-2 mm (1/16-1/8 inch) larger than the stoma. Use curved scissors for precise cutting .

Application: Remove the protective liner. Center the opening over the stoma. Press the adhesive firmly onto the skin, smoothing from the stoma outward. Warm the baseplate with body heat before applying in cool environments .

Pouch Attachment: Align the coupling rings and press together until an audible "click" confirms secure locking. The floating ring allows attachment without abdominal pressure .

Pouch Removal: To remove the pouch, gently press the release tabs on the coupling ring. The baseplate remains adhered to the skin.

Baseplate Removal: Gently peel the baseplate from the skin, supporting the skin with the other hand. Adhesive remover wipes may be used to facilitate removal.

Disposal: Discard used baseplate in general waste per local regulations. Do not flush.

6. LABORATORY & CLINICAL APPLICATIONS

Primary Application: Management of intestinal or urinary effluent following ostomy surgery by providing a secure, skin-protective baseplate that serves as the attachment point for ostomy pouches .

1. SAFETY PRECAUTIONS

Contraindications: Do not use it on patients with known hypersensitivity to hydrocolloid components or adhesive materials.

Infected or Wounded Skin: Do not apply to infected, severely denuded, or wounded peristomal skin without appropriate medical evaluation.

Skin Preparation: Peristomal skin must be meticulously cleaned, dried, and free of lotions or barrier creams before application to ensure proper adhesion .

Customization: The opening must be cut to the exact size of the stoma (no larger than 1-2mm). An opening that is too large will expose fragile skin to corrosive effluent, leading to maceration, excoriation, and infection .

Monitor for Leaks: Inspect the baseplate frequently, especially in the early post-operative period. Change the appliance immediately if any effluent is observed leaking under the barrier to prevent skin damage.