Hollister Moderma Flex One-Piece Closed Flat Colostomy Pouch – Maxi Transparent, 15–55mm – Box of 30 (Ref

Hollister Moderma Flex 22400 is a one-piece closed flat colostomy pouch designed for people with formed or relatively predictable stoma output who prefer a transparent appliance for direct visibility of the stoma and pouch contents.

This Maxi Transparent pouch features Hollister’s flexible SoftFlex™ flat skin barrier with a 15–55mm cut-to-fit opening, allowing the aperture to be prepared to suit the individual size and shape of the stoma.

An integrated AF300™ filter helps manage intestinal gas and odour, while the odour-barrier pouch film and soft ComfortWear™ panel on the body side help provide comfortable and discreet everyday wear.

Key features:

• One-piece closed colostomy pouch

• Hollister Moderma Flex

• Reference 22400

• Maxi pouch size

• Transparent

• Flat SoftFlex™ skin barrier

• Cut-to-fit 15–55mm

• Standard-wear adhesive

• Designed to be gentle to peristomal skin

• Integrated AF300™ filter

• Helps manage intestinal gas

• Helps reduce pouch ballooning

• Helps deodorise gas leaving the pouch

• Odour-barrier pouch film

• ComfortWear™ panel on the body side

• Transparent design provides direct visibility of the stoma and output

• Anatomically shaped pouch

• Closed pouch with no drainage outlet

• Complete one-piece appliance

• Available for frequent pouch replacement

• Not made with natural rubber latex

• Box of 30

Suitable for:

• Colostomy

• Formed stoma output

• Semi-formed output

• Relatively predictable bowel output

• Users who prefer a closed pouch

• Users requiring a flat appliance

• Stomas measuring within the 15–55mm cut-to-fit range

• Users requiring a larger Maxi pouch

• Users who prefer a transparent appliance

• Users who want continuous visibility of the stoma and pouch contents

• Users requiring a flexible standard-wear skin barrier

One-piece closed appliance

Moderma Flex 22400 is a one-piece pouching system.

The pouch and SoftFlex™ adhesive skin barrier are permanently connected.

There is:

• No separate baseplate

• No mechanical coupling

• No separate pouch attachment

When the pouch requires changing, the complete pouch and adhesive barrier are removed together and replaced with a new appliance.

Closed colostomy pouch

Reference 22400 is a closed pouch.

It does not have a drainage outlet at the bottom.

Closed pouches are generally most appropriate where colostomy output is:

• Formed

• Semi-formed

• Less frequent

• Relatively predictable

When sufficient output has collected, the entire appliance is removed and replaced.

For frequent liquid or semi-liquid output that requires repeated emptying, a drainable pouch may generally be more suitable.

Maxi pouch size

Reference 22400 is a Maxi pouch.

The larger format provides greater collection capacity than the smaller Midi Moderma Flex closed pouch.

Maxi may be preferred where:

• Greater pouch capacity is required

• Output volume is higher

• A larger pouch is more convenient

• Less frequent pouch replacement is preferred

The pouch should nevertheless be changed before it becomes excessively full or heavy.

Transparent design

Reference 22400 is Transparent.

This allows direct visibility of:

• The stoma

• Stoma colour and appearance

• Stoma output

• Pouch contents

• Position of the barrier around the stoma

A transparent pouch may be particularly useful:

• Following stoma surgery

• When monitoring a changing stoma

• When checking appliance positioning

• When assessing output

• Where a carer assists with stoma management

• Where continuous visibility is preferred

Unlike the Beige Moderma Flex options, the pouch contents remain visible during normal wear.

SoftFlex™ skin barrier

Moderma Flex 22400 incorporates Hollister’s SoftFlex™ skin barrier.

SoftFlex™ is a standard-wear flat barrier designed to provide secure adhesion while remaining relatively gentle to the skin.

Hollister specifically describes SoftFlex™ as suitable for the more frequent pouch removal associated with closed pouching systems.

The barrier is designed to:

• Adhere securely around the stoma

• Remain flexible during normal body movement

• Provide comfortable skin contact

• Support frequent appliance changes

• Help protect peristomal skin from stoma output

Correct sizing of the stoma opening remains essential.

Flat barrier

Reference 22400 has a flat adhesive profile.

It does not incorporate convexity.

A flat appliance may be suitable where:

• The stoma protrudes adequately above skin level

• The surrounding abdominal surface provides a suitable sealing area

• Significant inward dips are absent

• Deep folds or creases do not compromise the seal

• Additional convex support is not required

A flat appliance may not be suitable for every stoma or body profile.

Flush or retracted stomas, deep inward contours or persistent leakage may require assessment for a convex or differently shaped appliance.

15–55mm cut-to-fit opening

Ref 22400 has a 15–55mm cut-to-fit opening.

The opening can be enlarged to fit the measured size and shape of the individual stoma within the manufacturer’s stated cutting range.

A cut-to-fit appliance may be particularly useful where:

• The stoma does not correspond exactly to a standard pre-cut size

• The stoma is irregular in shape

• Stoma dimensions are changing

• An individually prepared opening is preferred

Do not cut beyond the manufacturer’s stated 55mm maximum.

Choosing the correct opening

Measure the stoma carefully using an appropriate stoma measuring guide.

The finished opening should:

• Fit closely around the stoma

• Avoid rubbing against the stoma

• Avoid constricting it

• Minimise exposed peristomal skin

• Follow the actual shape of the stoma where required

An opening that is too large may allow stoma output to reach exposed skin and increase the risk of:

• Leakage

• Redness

• Soreness

• Skin irritation

• Moisture damage

• Reduced adhesive security

An opening that is too small may rub against or constrict the stoma.

AF300™ filter

Moderma Flex 22400 incorporates Hollister’s AF300™ filter.

The filter is designed to provide a gradual release of intestinal gas while helping deodorise the gas as it leaves the pouch.

This can help:

• Reduce pouch ballooning

• Manage intestinal gas

• Control unwanted odour

• Maintain a flatter pouch profile

• Improve discretion

The filter is integrated into the pouch.

Do not puncture or modify the pouch filter.

Odour-barrier pouch film

The pouch is manufactured using odour-barrier film.

This helps contain stoma output and minimise the transmission of odour through the pouch material.

The pouch film and AF300™ filter perform complementary functions:

• The pouch film contains the output

• The AF300™ filter manages gas leaving the pouch

ComfortWear™ body-side panel

The Transparent Moderma Flex pouch incorporates a ComfortWear™ panel on the body side.

The soft panel sits between the pouch film and the user’s body and is designed to:

• Improve comfort against the skin

• Reduce direct contact with pouch film

• Provide a softer feel

• Improve everyday wear

Because Ref 22400 is transparent, the outer/front side remains clear so the pouch contents can be viewed.

22400 compared with 22300

Refs 22300 and 22400 have essentially the same standard Maxi cut-to-fit configuration, but differ in pouch colour and covering.

Ref 22300

• Maxi

• Beige / opaque

• Flat

• 15–55mm cut-to-fit

• Closed

• Comfort backing on both sides

Ref 22400

• Maxi

• Transparent

• Flat

• 15–55mm cut-to-fit

• Closed

• Comfort backing on the body side only

Choose according to whether discretion or direct visibility is preferred.

22400 compared with 22401

These products are particularly easy to confuse.

Ref 22400

• Maxi

• Transparent

• Flat

• Standard cut-to-fit barrier

• 15–55mm

Ref 22401

• Maxi

• Transparent

• Flat

• Oval barrier

• 15–65mm/75mm

Ref 22401 is intended where a substantially larger or oval-shaped opening is required.

Ref 22400 is the standard 15–55mm version.

Pre-cut Transparent alternatives

The current Moderma Flex Maxi Transparent closed range also contains pre-cut options:

• 22425 – 25mm

• 22430 – 30mm

• 22435 – 35mm

• 22440 – 40mm

Reference 22400 is the 15–55mm cut-to-fit option.

Applying the pouch:

Wash and dry your hands.

Measure the stoma carefully.

Mark the required opening on the SoftFlex™ barrier.

Cut the opening according to the measured size and shape of the stoma.

Do not cut beyond 55mm.

Gently remove the existing appliance while supporting the surrounding skin.

Clean the peristomal area according to the normal stoma-care routine.

Ensure the skin is appropriately clean and dry.

Remove the protective backing from the adhesive.

The Transparent pouch can help provide direct visibility while positioning the appliance.

Centre the prepared opening carefully around the stoma.

Apply the SoftFlex™ barrier to the skin.

Press gently but firmly around the stoma.

Smooth the adhesive outward to establish secure skin contact.

Check for:

• Gaps

• Creases

• Folds

• Exposed skin

• Areas where the adhesive has not contacted the skin correctly

Apply gentle hand pressure to help establish the seal.

Always follow Hollister’s instructions supplied with the appliance.

Changing the pouch:

Because Ref 22400 is a closed one-piece pouch, the entire appliance is removed when it requires changing.

To remove:

• Wash and dry your hands

• Gently lift an edge of the adhesive

• Support the surrounding skin

• Slowly peel the SoftFlex™ barrier away

• Avoid rapidly pulling the adhesive from the skin

• Dispose of the used appliance appropriately

• Clean and inspect the peristomal skin

• Apply a replacement pouch

Important information:

• Designed primarily for colostomy

• One-piece closed appliance

• Hollister Moderma Flex

• Reference 22400

• Maxi

• Transparent

• Flat SoftFlex™ skin barrier

• 15–55mm cut-to-fit

• Integrated AF300™ filter

• Odour-barrier pouch film

• ComfortWear™ backing on the body side

• Anatomically shaped pouch

• Closed pouch – no drainage outlet

• Complete pouch and adhesive removed together

• Not made with natural rubber latex

• Box of 30

• Measure the stoma carefully before preparing the opening

• Do not cut beyond 55mm

• Ensure the opening fits closely without constricting the stoma

• Check regularly for leakage

• Inspect the surrounding skin for redness, soreness or breakdown

• Persistent leakage may indicate that opening size or appliance profile requires reassessment

• A flat appliance may not be appropriate for every stoma or abdominal profile

• Seek advice from a Stoma Care Nurse for recurrent leakage, persistent skin irritation or difficulty obtaining a secure fit

• Significant changes in stoma colour or appearance, severe abdominal pain or other concerning symptoms require appropriate clinical assessment

• Always follow the manufacturer’s instructions for use

Product details:

• Product: Moderma Flex One-Piece Closed Colostomy Pouch

• Manufacturer: Hollister Ltd

• Reference / order code: 22400

• System: One-piece

• Pouch type: Closed

• Pouch size: Maxi

• Colour: Transparent

• Barrier: SoftFlex™

• Barrier profile: Flat

• Barrier shape: Standard

• Opening: 15–55mm cut-to-fit

• Filter: Integrated AF300™ filter

• Odour-barrier film: Yes

• ComfortWear™ panel: Body side

• Drainable: No

• Natural rubber latex: Not made with natural rubber latex

• Pack size: 30 pouches

• NHS Drug Tariff: Listed

• Classification: Closed colostomy appliance / medical device

Order code:

• 22400 – Hollister Moderma Flex One-Piece Closed Flat Colostomy Pouch – Maxi – Transparent – 15–55mm Cut-to-Fit – Box of 30

Related Moderma Flex options:

• 22300 – Maxi Beige – Flat – 15–55mm cut-to-fit

• 22401 – Maxi Transparent – Flat Oval – 15–65mm/75mm cut-to-fit

• 22425 – Maxi Transparent – 25mm pre-cut

• 22430 – Maxi Transparent – 30mm pre-cut

• 22435 – Maxi Transparent – 35mm pre-cut

• 22440 – Maxi Transparent – 40mm pre-cut

Hollister Moderma Flex 22400 combines a Maxi Transparent closed pouch, flat SoftFlex™ skin barrier, 15–55mm cut-to-fit opening and integrated AF300™ filter in a complete one-piece colostomy appliance.

It is particularly suitable for people with formed or relatively predictable colostomy output who require a flat, cut-to-fit appliance and prefer continuous visibility of the stoma and pouch contents.

Always select the appliance according to the measured stoma and surrounding body profile. Persistent leakage or peristomal skin problems should be discussed with a Stoma Care Nurse.

Always follow the manufacturer’s instructions for use.