ConvaTec Esteem - User Manual

Esteem
™
+ One-Piece Pouch with
ConvaTec Moldable Technology
™
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Moldable disc & pouch come attached.
4
Remove moldable disc from the pouch.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Remove liner marked #1. This is
the molding side.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Roll and mold the disc to the size of the
stoma. Do not stretch, pull or cut. Pinch
into place once desired size is reached.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Check the size of the molding.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Remove liner marked #2.
This side will go on the skin.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Place the disk on the body. Push the roll
of adhesive toward the stoma to ensure
a close fit. Skin should be clean and dry.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Remove liner marked #3.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Separate the sides of the
pouch to allow some air to
enter the pouch.
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Place pouch on the moldable disc
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Smooth/hold skin barrier in place
for about 30 seconds.
Moldable Disc application
1
6. Remove liner 2.
1. In the Box 2. Remove the moldable disk from the pouch.
12. Place the pouch on the body - 2.
10. Remove liner 4.
9. Make place for the stoma.
11. Place the pouch on the body - 1.
4. Molding.
4. Check the size of the molding.
3. Remove liner 1.
7. Place the disk on the body. 8. Remove liner 3.
4
Remove pouch release liner.
Applying pouch to the Moldable Disc
2
Refer to package insert for complete instructions.

Summary

Moldable Disc Application Steps

Initial Disc and Pouch State

The moldable disc and pouch are provided attached and ready for separation.

Disc Preparation and Molding

Remove the disc from the pouch, peel liner #1, and mold to stoma size without stretching.

Liner Removal for Skin Contact

Peel off liner #2, which is the side designed for skin application.

Pouch Airflow Management

Separate pouch sides to allow air entry for proper function.

Disc Application to Skin

Apply the disc to clean, dry skin, centering adhesive towards the stoma for a close fit.

Pouch Attachment and Securing

Remove pouch release liner and place the pouch onto the moldable disc, holding for adhesion.

InvisiClose Tail Closure Method

Securing the Pouch Tail

Fold the pouch tail three times, align closures, and pinch to secure, retaining some air.

Discreet Tail Storage

Turn the Lock-it-Pocket inside-out to conceal the pouch tail for enhanced discretion.

Emptying and Removing Drainable Pouch

Pouch Emptying Procedure

Tilt tail upwards, peel open closure, and unravel tail to empty the pouch.

Pouch Removal

When changing, the disc and pouch can be removed together as a single unit.

Overview

1. Function Description
2. Important Technical Specifications
3. Usage Features
4. Moldable Disc Application
5. Applying Pouch to the Moldable Disc
6. InvisiClose™ Tail Closure
7. Emptying and Removing Drainable Pouch
8. Maintenance Features

The Esteem™ One-Piece Pouch with ConvaTec Moldable Technology™ is a medical device designed for ostomy care, providing a secure and discreet solution for managing stoma output. This device integrates a moldable disc with an attached pouch, offering ease of application and removal, along with features for hygiene and comfort.

Function Description:

The primary function of the Esteem™ One-Piece Pouch is to collect waste from a stoma while maintaining a secure seal against the skin to prevent leakage and protect the surrounding skin. The "One-Piece" design signifies that the skin barrier (moldable disc) and the collection pouch are integrated into a single unit, simplifying the application process compared to two-piece systems where the barrier and pouch are separate. The "Moldable Technology™" refers to the unique characteristic of the skin barrier, which can be custom-molded by the user to fit the exact size and shape of their stoma without the need for cutting. This personalized fit is crucial for preventing leakage and skin irritation, as it minimizes gaps between the stoma and the barrier. The device is designed to be drainable, meaning it can be emptied of its contents without requiring a full pouch change, which is particularly useful for individuals with higher output stomas.

Important Technical Specifications:

The core technical specification lies in the moldable disc. Unlike traditional skin barriers that require precise cutting with scissors, this disc is designed to be rolled and molded by hand. The material of the disc is formulated to be pliable enough to conform to the stoma's contours yet robust enough to maintain its shape and provide a secure, long-lasting seal. The instructions emphasize "Do not stretch, pull or cut," indicating that the material achieves its custom fit through molding rather than physical deformation or removal of material. The adhesive properties of the disc are critical for skin adherence and protection. The pouch itself is designed with an "InvisiClose™ Tail Closure," which is a discreet, integrated closure system. This system involves folding the end of the pouch multiple times until interlocking closures align, securing the contents. For added discretion, the pouch features a "Lock-it-Pocket™" that allows the tail closure to be turned inside-out and hidden within the pouch. The materials used for both the disc and the pouch are chosen to be skin-friendly, odor-resistant, and durable enough for daily wear.

Usage Features:

Moldable Disc Application:

• Preparation: The moldable disc and pouch come pre-attached. The first step involves detaching the moldable disc from the pouch.
• Liner Removal: Three liners are removed sequentially. Liner #1 is removed from the molding side, exposing the moldable material.
• Molding: The user rolls and molds the disc to the exact size of their stoma. The key instruction is "Do not stretch, pull or cut," emphasizing the material's inherent moldability. The disc is pinched into place once the desired size is achieved, and the molding size is checked for accuracy.
• Skin Adherence: Liner #2 is removed, exposing the side that will adhere to the skin. Liner #3 is then removed.
• Pouch Preparation: The sides of the pouch are separated to allow some air to enter, which helps prevent pancaking (the collapse of the pouch due to vacuum, which can impede output flow).
• Placement: The molded disc is placed onto the body, ensuring the skin is clean and dry. The user pushes the roll of adhesive toward the stoma to ensure a close, secure fit.

Applying Pouch to the Moldable Disc:

• Liner Removal: The pouch release liner is removed.
• Attachment: The pouch is then placed onto the moldable disc, which is already adhered to the skin.
• Securing: The skin barrier (moldable disc) is smoothed and held in place for approximately 30 seconds to ensure optimal adhesion to the skin.

InvisiClose™ Tail Closure:

• Closing: To close the pouch, the user folds the end up towards themselves three times until interlocking closures align. A small amount of air should be kept in the pouch. The closure is then pressed and pinched across its entire length to secure it.
• Discretion: For enhanced discretion, the "Lock-it-Pocket™" feature allows the tail to be turned inside-out and hidden within the pouch, making the pouch appear more compact and less noticeable under clothing.

Emptying and Removing Drainable Pouch:

• Emptying: To empty the pouch, the tail is tilted up towards the body. The closure is peeled open, and the tail is unraveled. Pushing the sides together can facilitate easier opening.
• Removal: When it's time to change the pouch (whether it's a drainable or closed-end type), the disc and pouch can be removed as a single unit. This one-piece removal simplifies the process and reduces potential skin trauma from multiple adhesive removals.

Maintenance Features:

• Drainable Design: The drainable nature of the pouch is a key maintenance feature, allowing for regular emptying without requiring a full system change. This extends the wear time of the appliance and reduces the frequency of skin barrier changes, which can be beneficial for skin health and cost-effectiveness.
• Integrated System: The one-piece design inherently simplifies maintenance by reducing the number of components to manage. There's no need to align a separate pouch to a barrier, streamlining daily care routines.
• Skin Protection: The moldable technology itself is a maintenance feature for skin health. By providing a custom, snug fit around the stoma, it minimizes the risk of effluent coming into contact with peristomal skin, thereby preventing irritation, breakdown, and infection.
• Discreet Closure: The InvisiClose™ system, particularly with the Lock-it-Pocket™, contributes to the user's quality of life by offering a discreet way to manage the pouch, which can improve confidence and adherence to care routines.

The Esteem™ One-Piece Pouch with ConvaTec Moldable Technology™ is designed to empower individuals with ostomies by providing a user-friendly, secure, and discreet solution that prioritizes comfort and skin integrity.

ConvaTec Esteem Specifications

General

Brand	ConvaTec
Model	Esteem
Category	Personal Care Products
Language	English