Coloplast Brava® Mouldable Ring 4.2mm | [12042]

Product Overview

The Coloplast Brava Mouldable Ring 4.2 mm (REF 12042) is the thicker variant of the Brava barrier ring range, engineered to address significant peristomal skin irregularities including deep creases, folds, retraction sites, and parastomal herniation contours. The ring is manually mouldable at body temperature, enabling precise shaping around the stoma without cutting tools. Its 4.2 mm depth provides substantially more filling material than the 2.0 mm variant, making it the preferred choice for patients with pronounced peristomal topography challenges.

Coloplast formulated the Brava Mouldable Ring with a strengthened hydrocolloid composition that absorbs peristomal moisture while resisting breakdown from high-output stomal effluent. This dissolution resistance is particularly critical for ileostomy patients whose enzymatically active output can rapidly degrade standard barrier rings. The 4.2 mm profile provides a robust seal that maintains structural integrity throughout the wear period, reducing the frequency of emergency appliance changes due to undermining leakage.

Specifications

Clinical Indications

• Deep peristomal creases, folds, and concavities requiring substantial gap-filling to achieve a leak-resistant seal
• Parastomal herniation where elevated skin contour irregularity compromises standard baseplate adhesion
• High-output ileostomy management where enzymatic effluent demands enhanced dissolution-resistant barrier performance
• Post-surgical stoma sites during early adaptation when peristomal oedema and tissue remodelling create variable skin topography
• Patients transitioning from paste-based sealing methods who require a cleaner, easier-to-apply barrier ring alternative
• Use in conjunction with Coloplast SenSura, SenSura Mio, or other one-piece and two-piece ostomy systems

Frequently Asked Questions

When should I choose the 4.2 mm ring over the 2.0 mm variant?

The 4.2 mm ring (12042) is indicated when the peristomal skin has deep creases, folds, or concavities that a thinner ring cannot adequately fill. Patients with parastomal herniation, significant weight fluctuation, or retracted stomas typically benefit from the greater depth. A peristomal skin assessment using the DET (Discolouration, Erosion, Tissue overgrowth) scoring tool can guide ring thickness selection per WOCN clinical practice guidelines.

Can the 4.2 mm ring be used with any ostomy baseplate brand?

Yes. The Brava Mouldable Ring is designed as a universal accessory compatible with all major ostomy appliance systems, including products from Coloplast, Convatec, Hollister, and other manufacturers. It is placed on the skin around the stoma before the baseplate is applied, functioning as a supplementary seal regardless of the pouching system used.

How do I apply the Brava Mouldable Ring correctly?

Warm the ring between your palms for approximately 20-30 seconds to increase pliability. Stretch the starter hole to match your stoma diameter, then shape the ring to conform to peristomal contours. Place it on clean, dry skin around the stoma, pressing gently to ensure full contact. Apply your baseplate directly over the ring. No adhesive remover is required for removal at appliance change.

Is the ring safe for patients with latex allergies?

Yes. The Coloplast Brava Mouldable Ring is not made with natural rubber latex, making it suitable for patients with latex hypersensitivity. The alcohol-free formulation also eliminates sting on application, which is relevant for patients with compromised or irritated peristomal skin.

Where can I purchase the Brava Mouldable Ring 4.2 mm in Singapore?

EMIS+ (Essential Medical International Supplies Pte Ltd) stocks the Coloplast Brava Mouldable Ring 4.2 mm for individual and institutional purchase in Singapore. Healthcare facilities and home care patients can order online or contact EMIS+ directly for volume procurement and delivery arrangements across Singapore.