Coloplast Assura® 2-Piece Urostomy Pouch – Midi, Clear, 40mm Coupling – Pack of 30 (Ref: 2854)

Coloplast Assura® 2854 is a two-piece urostomy pouch with a Midi pouch size, clear construction and 40mm mechanical coupling, designed for people with a urostomy requiring continuous collection and drainage of urine.

The pouch connects to a separate compatible 40mm Assura® baseplate, allowing the adhesive baseplate to remain attached around the stoma while the urostomy pouch can be removed and replaced independently.

The Assura® mechanical coupling provides a secure pouch-to-baseplate connection with an audible click to help confirm correct locking. The pouch incorporates a soft drainage outlet and non-return valve, helping provide practical and secure urinary stoma management.

Reference 2854 is the Midi Clear version and has soft backing on the body-facing side for improved comfort.

Key features:

• Two-piece urostomy pouch

• Coloplast reference 2854

• Midi pouch size

• Clear

• 40mm mechanical coupling

• Designed specifically for urostomy

• Suitable for continuous collection of urine from a urinary stoma

• Separate pouch and adhesive baseplate system

• Compatible with appropriate 40mm Assura® baseplates

• Pouch can be changed independently of the baseplate

• Secure mechanical coupling

• Audible click helps confirm secure locking

• Pouch can be positioned before being locked into place

• Integrated non-return valve

• Helps reduce urine flowing back towards the stoma

• Soft drainage outlet

• Designed for repeated emptying throughout the day

• Outlet can be connected to an appropriate overnight drainage system using the correct adaptor

• Soft backing on the body-facing side

• Clear pouch allows visibility of the stoma and urine

• 4 drain-tube adaptors included per pack

• Pack of 30

Suitable for:

• Urostomy

• Ileal conduit urinary stomas

• Users requiring continuous urine collection

• People using the Assura® two-piece ostomy system

• Users requiring a 40mm coupling

• Users requiring a compact Midi pouch

• Users who prefer a clear urostomy pouch

• Users requiring visibility of the stoma and urine

• People who prefer to change the pouch independently of the adhesive baseplate

• Users requiring connection to an appropriate overnight drainage system

Two-piece system

Assura® 2854 forms part of a two-piece ostomy system.

The complete appliance consists of:

• A separate adhesive baseplate

• A removable urostomy pouch

The baseplate adheres to the skin around the urinary stoma while the pouch connects mechanically to the baseplate.

Unlike a one-piece appliance, the pouch can therefore be removed and replaced while the adhesive baseplate remains attached, provided the baseplate continues to provide an appropriate and secure seal.

This can be useful where:

• The pouch requires changing independently of the baseplate

• Repeated removal of adhesive from the skin is undesirable

• A modular pouch and baseplate system is preferred

• Different compatible Assura® pouches are used with the same baseplate

The baseplate is not included with this product and must be purchased separately if required.

40mm coupling size

The 40mm measurement refers to the mechanical coupling between the pouch and Assura® baseplate.

It does not mean that the urinary stoma itself measures 40mm.

Reference 2854 must be paired with a compatible 40mm Assura® baseplate.

The actual opening around the stoma is determined by the baseplate selected.

A 40mm coupling baseplate may therefore have a considerably smaller cut-to-fit or pre-cut opening around the stoma.

Always match:

• 40mm pouch coupling

• With a 40mm Assura® baseplate coupling

A 40mm pouch cannot be securely attached to a 50mm or 60mm Assura® baseplate.

Mechanical coupling

Assura® uses a mechanical coupling system to attach the pouch securely to the baseplate.

The pouch is positioned over the baseplate coupling and locked into place.

An audible click helps confirm that the pouch has been securely attached.

The pouch can be positioned appropriately before final locking.

After attaching the pouch:

• Check the complete circumference of the coupling

• Ensure the pouch is evenly attached

• Confirm that the locking mechanism is engaged

• Gently check that the pouch is secure

Midi pouch

Reference 2854 is the Midi version of the Assura® two-piece urostomy pouch.

The Midi size provides a more compact profile than the Maxi Assura® urostomy pouch and may be preferred where a smaller urinary pouch provides sufficient capacity.

Pouch size should be selected according to:

• Individual urine output

• Frequency of emptying

• Lifestyle

• Body size

• Clothing

• Personal preference

The pouch should be emptied regularly rather than being allowed to become excessively full or heavy.

Clear pouch

Reference 2854 is Clear.

The transparent construction allows visibility of:

• The urinary stoma

• Urine entering the pouch

• Urine colour

• Pouch contents

• Appliance positioning

This can be useful where the user, carer or healthcare professional needs or prefers direct visibility of the stoma and urine.

The body-facing side incorporates soft backing for improved comfort against the skin.

Non-return valve

The Assura® urostomy pouch incorporates a non-return valve.

The valve is designed to help prevent collected urine from flowing backwards towards the stoma.

This helps keep urine away from the stoma and surrounding skin and reduces unnecessary backflow when the user changes position.

The non-return valve does not remove the need to:

• Empty the pouch regularly

• Keep the drainage outlet securely closed

• Use the appliance according to the manufacturer's instructions

• Ensure overnight drainage tubing is positioned correctly when connected

Soft drainage outlet

The pouch incorporates a soft plastic drainage outlet designed for repeated emptying of urine.

The outlet is designed to be easy to handle and to allow urine to drain effectively from the pouch.

The pouch should be emptied before it becomes excessively full.

Regular emptying helps:

• Reduce weight pulling on the baseplate

• Reduce pressure on the mechanical coupling

• Improve comfort

• Maintain discretion

• Reduce unnecessary tension on the appliance

Always ensure the outlet is securely closed after emptying.

Overnight drainage

The Assura® urostomy pouch can be connected to an appropriate overnight urine drainage system using the correct drainage adaptor.

The NHS Drug Tariff specifies that Assura® urostomy pouch packs include 4 drain-tube adaptors per pack.

Overnight drainage can provide additional capacity while sleeping and reduce the need to wake repeatedly to empty the urostomy pouch.

When connecting overnight drainage:

• Use the appropriate compatible adaptor

• Ensure all connections are secure

• Position the night drainage bag below the level of the urostomy pouch

• Ensure the drainage tubing remains free from kinks

• Avoid trapping tubing beneath the body or bedding

• Ensure the tubing does not pull on the pouch

• Follow the manufacturer's instructions supplied with both drainage systems

Soft body-facing backing

Reference 2854 incorporates soft backing on the body-facing side.

This provides a softer interface between the pouch and skin than exposed pouch film alone.

The backing is designed to improve:

• Comfort during everyday wear

• Contact against the skin

• Discretion

• Handling of the appliance

Because reference 2854 is a clear pouch, visibility of the stoma and urine is retained.

Choosing the correct baseplate

Reference 2854 is the pouch only.

A compatible 40mm Assura® baseplate must be selected separately.

Baseplate selection depends on factors including:

• Stoma diameter

• Stoma shape

• Peristomal skin condition

• Abdominal contours

• Required cut-to-fit or pre-cut opening

• Adhesive requirements

• Whether a flat or convex baseplate is appropriate

The opening should fit closely around the stoma without touching or constricting it.

An opening that is too large may expose surrounding skin to urine and increase the risk of leakage or skin irritation.

40mm coupling versus stoma size

The coupling size and the stoma opening are two separate measurements.

For example, the appliance may have:

• A 40mm mechanical coupling

• A much smaller opening around the actual stoma

Do not select the pouch based solely on the measured diameter of the stoma.

First select an appropriate Assura® baseplate for the individual stoma, then select a pouch with the matching 40mm coupling.

Flat or convex baseplate?

The pouch itself does not provide convexity.

Whether the complete appliance is flat or convex depends on the compatible Assura® baseplate selected.

A flat baseplate may be appropriate where the stoma protrudes adequately and the surrounding abdominal surface provides a reliable sealing area.

Convexity may be considered where the stoma is:

• Flush with the skin

• Retracted

• Located within a dip

• Situated within folds or uneven abdominal contours

• Associated with recurrent leakage using a flat appliance

Convex products should be selected following appropriate stoma assessment.

Attaching the pouch:

Ensure the compatible 40mm Assura® baseplate has been correctly applied.

Check that the coupling ring is clean and unobstructed.

Position the pouch over the baseplate coupling.

Adjust the pouch position if required.

Lock the pouch according to the manufacturer's instructions.

Listen for the audible click confirming secure attachment.

Check around the complete circumference of the coupling.

Gently confirm that the pouch is securely attached.

Ensure the drainage outlet is closed before normal use.

Emptying the pouch:

Empty the pouch before it becomes excessively full or heavy.

Position the drainage outlet over a toilet or suitable receptacle.

Open the soft drainage outlet according to the manufacturer's instructions.

Allow the urine to drain completely.

Avoid allowing the outlet to contact the toilet or receptacle.

Wipe the outlet if necessary.

Close the outlet securely.

Check that it is completely closed before repositioning clothing.

Changing the pouch:

The pouch can be removed independently while the adhesive baseplate remains attached.

Wash and dry your hands.

Release the mechanical coupling according to the manufacturer's instructions.

Carefully remove the pouch from the baseplate.

Inspect the existing baseplate for:

• Leakage

• Lifting

• Urine beneath the adhesive

• Damage

• Deterioration of the seal

If the baseplate remains secure and appropriate to continue wearing, attach a new compatible 40mm Assura® urostomy pouch.

If leakage or adhesive failure is present, replace the baseplate as well.

Important information:

• For urostomy use

• Reference 2854

• Two-piece pouch

• Baseplate is not included

• Midi

• Clear

• 40mm mechanical coupling

• 40mm refers to the coupling size, not the stoma diameter

• Must be paired with a compatible 40mm Assura® baseplate

• Do not connect to a different coupling size

• Integrated non-return valve

• Soft drainage outlet

• Designed for repeated emptying

• Soft backing on the body-facing side

• 4 drain-tube adaptors included per pack

• Suitable for connection to an appropriate overnight drainage system

• Check that the coupling is securely locked after attaching the pouch

• Ensure the drainage outlet is completely closed after emptying

• Empty the pouch regularly before it becomes excessively full or heavy

• Check the baseplate regularly for signs of leakage

• Check peristomal skin for redness, soreness, maceration or breakdown

• Persistent leakage may indicate that the baseplate opening, profile or appliance fit requires reassessment

• If using overnight drainage, ensure tubing remains free from kinks and excessive tension

• Convexity should be selected following appropriate stoma assessment

• Seek advice from a Stoma Care Nurse for recurrent leakage, persistent skin irritation, poor appliance fit or difficulty managing the drainage system

• Cloudy or unusually foul-smelling urine, fever, flank pain or other symptoms suggesting urinary infection require appropriate clinical assessment

• Significant changes in stoma colour or appearance should also be assessed appropriately

• Always follow the manufacturer's instructions for use

Product details:

• Product: Assura® 2-Piece Urostomy Pouch

• Manufacturer: Coloplast Ltd

• Reference / order code: 2854

• Product type: Two-piece urostomy pouch

• Pouch size: Midi

• Colour: Clear

• Coupling size: 40mm

• Coupling type: Mechanical

• Audible locking confirmation: Yes

• Non-return valve: Yes

• Drainable: Yes

• Outlet: Soft urostomy drainage outlet

• Soft backing: Body-facing side

• Baseplate included: No

• Compatible baseplate: Assura® 40mm coupling

• Drain-tube adaptors: 4 per pack

• Overnight drainage compatible: Yes, using appropriate adaptor/system

• Pack size: 30 pouches

• NHS Drug Tariff: Listed

• Classification: Two-piece urostomy appliance / medical device

Order code:

• 2854 – Assura® 2-Piece Urostomy Pouch – Midi – Clear – 40mm coupling – Pack of 30

Related Assura® urostomy options:

• 2854 – Midi Clear – 40mm coupling – Pack of 30

• 2855 – Midi Clear – 50mm coupling – Pack of 30

• 2874 – Maxi Clear – 40mm coupling – Pack of 30

• 2875 – Maxi Clear – 50mm coupling – Pack of 30

• 2876 – Maxi Clear – 60mm coupling – Pack of 30

Paediatric Assura® urostomy options:

• 2170 – Paediatric Opaque – 40mm coupling – Pack of 30

• 2175 – Paediatric Clear – 40mm coupling – Pack of 30

Coloplast Assura® 2854 combines a Midi clear urostomy pouch, secure 40mm mechanical coupling, non-return valve, soft drainage outlet and soft body-facing backing in a two-piece system that allows the pouch to be changed independently while a compatible Assura® baseplate remains in place.

Always ensure that the 40mm pouch is paired with a compatible 40mm Assura® baseplate. The 40mm measurement describes the mechanical coupling and should not be confused with the size of the stoma opening.

Always follow the manufacturer's instructions for use. Persistent leakage, skin irritation, difficulties with drainage or problems obtaining an appropriate appliance fit should be discussed with a Stoma Care Nurse.