Convatec Esteem+ One Piece System InvisiClose Ostomy Pouch with Filter – Soft, Secure & Gentle Skin Barrier (416908) | Box of 10

Product Overview

The Convatec Esteem+ One-Piece Drainable Pouch with InvisiClose Tail Closure (REF 416908) is a transparent cut-to-fit ostomy pouching system designed for colostomy and ileostomy management. The pouch integrates the skin barrier and collection pouch into a single-wear appliance, which simplifies application for both new ostomates and patients with manual dexterity limitations. The transparent film and integrated Lock-It Pocket conceal the InvisiClose tail closure, providing the tactile profile of a closed-end pouch while retaining full drainage functionality.

The Stomahesive skin barrier is a pectin-based hydrocolloid formulated for formed-to-semi-formed stomal output, providing a moisture-resistant seal that protects peristomal skin. The barrier is cut-to-fit across a 10-100mm (3/8 to 4 inch) stoma opening range, enabling precise fitting by the patient or stoma care nurse. The comfort panel is a soft, low-rustle, water-resistant fabric backing that reduces skin friction and audible movement, an important consideration for quality-of-life outcomes documented in the United Ostomy Associations of America (UOAA) patient guidelines.

Specifications

Clinical Indications and Key Applications

• Post-operative management of end or loop colostomy, ileostomy and ileal conduit urostomy conversion sites requiring a drainable transparent pouch
• Patients with liquid-to-semi-formed stomal output where mechanical clip closures are difficult to manipulate (arthritis, limited hand function)
• Early post-surgical stomal oedema management, where cut-to-fit opening allows progressive resizing as oedema resolves (typically 4-8 weeks)
• Ostomy patients requiring discreet pouch profile under fitted clothing (Lock-It Pocket conceals closure tail)
• Inpatient stoma nurse assessment for patients with irregular or oval-shaped stomas within the 10-100mm range
• Hospital and home-care nursing use where transparent film allows monitoring of output colour, consistency and volume

Frequently Asked Questions

When is a one-piece system preferred over a two-piece system?

One-piece systems are preferred for patients who prioritise a thinner, more discreet profile and who change the appliance every 3-4 days (Royal College of Nursing stoma care guidelines). Two-piece systems allow pouch changes without removing the baseplate, which is useful for patients with peristomal skin sensitivity or high-output stomas requiring multiple pouch changes per day. The Esteem+ one-piece is indicated where the skin barrier can remain intact for the full wear period.

How is the cut-to-fit stoma opening sized correctly?

The stoma should be measured using a Convatec stoma-measuring guide at each appliance change during the first 6-8 postoperative weeks, as stomal oedema reduces progressively. The opening should be cut 2-3mm larger than the stoma diameter to prevent friction against the mucocutaneous junction while minimising exposure of peristomal skin to effluent (Wound Ostomy Continence Nurses Society clinical guideline).

Why is the InvisiClose closure clipless?

The InvisiClose closure uses a hook-and-hook fastener that eliminates the plastic clip used in earlier drainable pouches. This reduces mechanical trauma during emptying, is quieter, and eliminates the risk of clip loss. The integrated Lock-It Pocket tucks the fastened tail into the pouch body, producing the external appearance of a closed-end pouch.

Is this pouch suitable for urostomy?

No. REF 416908 is a drainable faecal-output pouch without an anti-reflux urinary outlet. Urostomy patients require a dedicated urostomy pouch with a tap outlet and anti-reflux valve. Refer to Convatec Esteem+ or Natura urostomy-specific product codes.

What regulatory approvals apply for Singapore supply?

Convatec ostomy pouches are supplied under Singapore Health Sciences Authority (HSA) Class A or B medical device registration depending on configuration. Essential Medical International Supplies Pte Ltd is a Singapore-registered medical device dealer. The manufacturer holds ISO 13485 quality-management certification and CE marking under EU MDR 2017/745.