Hollister Moderma Flex One-Piece Closed Flat Colostomy Pouch – Maxi Beige, 15–55mm – Box of 30 (Ref: 2234055)

Hollister Moderma Flex 2234055 is a one-piece closed flat colostomy pouch with a SoftFlex™ skin barrier, designed for people with formed or relatively predictable stoma output.

This Maxi Beige pouch features a 15–55mm cut-to-fit opening, allowing the skin barrier to be individually prepared to fit the size and shape of the stoma.

A key feature of this version is Hollister's Viewing Option, which combines the discretion of a covered Beige pouch with the ability to lift the pouch covering and inspect the stoma and output when required.

The pouch also incorporates an AF300™ filter to help manage intestinal gas and odour.

Key features:

• One-piece closed colostomy pouch

• Hollister Moderma Flex

• Reference 2234055

• Maxi pouch size

• Beige / opaque

• Viewing Option

• Flat SoftFlex™ skin barrier

• Cut-to-fit 15–55mm

• Standard-wear skin barrier

• Integrated AF300™ filter

• Helps manage intestinal gas

• Helps reduce pouch ballooning

• Helps deodorise gas leaving the pouch

• Covered pouch for discretion

• Viewing flap allows inspection when required

• Closed pouch with no drainage outlet

• Complete one-piece appliance

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

• Users requiring a larger Maxi pouch

• Users who prefer an opaque Beige pouch

• Users who want an inspection / viewing option

• Users requiring a flexible standard-wear skin barrier

One-piece closed pouch

Moderma Flex 2234055 is a one-piece appliance.

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

There is:

• No separate baseplate

• No mechanical coupling

• No separate pouch attachment

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

Closed colostomy pouch

Reference 2234055 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

• Relatively predictable

• Produced at manageable intervals

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

For frequent liquid output, a drainable pouch will generally be more practical.

Maxi pouch size

Ref 2234055 is the Maxi version.

This provides more collection capacity than the corresponding Midi Viewing Option pouch.

The closely related Midi version is:

• 2214055 – Midi Beige – Viewing Option – 15–55mm

Ref 2234055 is the larger Maxi alternative.

Viewing Option

The Viewing Option is an important difference between 2234055 and the standard 22300 pouch.

During normal wear, the Beige pouch covering provides discretion.

When required, the viewing section can be opened to allow the user to inspect:

• The stoma

• Stoma colour and appearance

• Output

• Position of the pouch opening

• The seal immediately around the stoma

This can be particularly useful:

• When applying the pouch

• When checking positioning

• When monitoring the stoma

• Where a carer assists with appliance management

• Where occasional visibility is wanted without using a fully transparent pouch

SoftFlex™ skin barrier

Reference 2234055 incorporates Hollister's SoftFlex™ skin barrier.

SoftFlex™ is a flexible, standard-wear barrier designed to provide secure adhesion while remaining gentle to the peristomal skin.

This is particularly relevant with closed pouches because the adhesive is removed whenever the pouch is changed.

The SoftFlex™ barrier is designed to:

• Provide secure skin contact

• Remain flexible during normal movement

• Support comfortable wear

• Allow relatively frequent pouch removal

• Help protect the surrounding skin from stoma output

Correct sizing of the opening remains essential.

Flat skin barrier

Ref 2234055 has a flat barrier.

It does not incorporate convexity.

A flat pouch may be appropriate where:

• The stoma protrudes sufficiently above skin level

• The surrounding abdominal surface provides a suitable sealing area

• Significant inward dips are absent

• Deep folds or creases do not interfere with adhesion

• Convex pressure is not required

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

Reference 2234055 has a 15–55mm cut-to-fit opening.

The opening can be enlarged according to the measured size and shape of the individual stoma.

A cut-to-fit appliance can be useful where:

• The stoma does not match a standard pre-cut diameter

• The stoma is irregularly shaped

• Stoma dimensions are changing

• A more 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 it

• Avoid constricting it

• Minimise exposed peristomal skin

• Follow the actual shape of the stoma where required

An opening that is too large can expose surrounding skin to stoma output and increase the risk of:

• Leakage

• Redness

• Soreness

• Skin irritation

• Reduced adhesive security

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

AF300™ filter

Moderma Flex 2234055 incorporates Hollister's AF300™ filter.

The filter allows intestinal gas to leave the pouch gradually while helping deodorise the escaping gas.

This can help:

• Reduce pouch ballooning

• Manage intestinal gas

• Control odour

• Maintain a flatter pouch profile

• Improve discretion beneath clothing

The filter is integrated into the appliance and should not be punctured or modified.

2234055 compared with 22300

These products are particularly easy to confuse because both are:

• Moderma Flex

• Maxi

• Beige

• Flat

• Closed

• 15–55mm cut-to-fit

• Box of 30

The important difference is:

22300

• Standard Beige closed pouch

• 15–55mm cut-to-fit

2234055

• Beige closed pouch

• Viewing Option

• 15–55mm cut-to-fit

If the customer specifically uses the Viewing Option version, the reference number should therefore be checked carefully.

2234055 compared with 2234001

Another similar product is 2234001.

2234055

• Maxi

• Beige

• Viewing Option

• Standard cut-to-fit shape

• 15–55mm

2234001

• Maxi

• Beige

• Viewing Option

• Oval opening

• 15–65mm/75mm

Ref 2234001 is therefore intended where the larger oval fitting range is required.

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.

Use the Viewing Option to help position the appliance accurately.

Centre the prepared opening around the stoma.

Apply the SoftFlex™ barrier to the skin.

Press gently but firmly around the stoma.

Smooth the adhesive outward to establish secure contact.

Check for:

• Gaps

• Folds

• Creases

• Exposed skin

• Areas without complete adhesive contact

Apply gentle hand pressure to help establish the seal.

Always follow Hollister's instructions supplied with the appliance.

Changing the pouch:

Because Ref 2234055 is a closed one-piece appliance, the pouch is removed and replaced rather than emptied through an outlet.

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 pouch 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 2234055

• Maxi

• Beige

• Viewing Option

• Flat SoftFlex™ skin barrier

• 15–55mm cut-to-fit

• Integrated AF300™ filter

• Closed pouch – no drainage outlet

• Complete pouch and adhesive removed together

• 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

• Check surrounding skin for redness, soreness or breakdown

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

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

• Seek advice from a Stoma Care Nurse for recurrent leakage, persistent skin irritation or uncertainty regarding appliance selection

• 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: 2234055

• System: One-piece

• Pouch type: Closed

• Pouch size: Maxi

• Colour: Beige

• Viewing Option: Yes

• Barrier: SoftFlex™

• Barrier profile: Flat

• Opening: 15–55mm cut-to-fit

• Filter: AF300™

• Drainable: No

• Pack size: 30 pouches

• NHS Drug Tariff: Listed

• Classification: Closed colostomy appliance / medical device

Order code:

• 2234055 – Hollister Moderma Flex One-Piece Closed Flat Colostomy Pouch – Maxi – Beige – Viewing Option – 15–55mm Cut-to-Fit – Box of 30

Related Moderma Flex options:

• 2214055 – Midi Beige – Viewing Option – 15–55mm

• 22300 – Maxi Beige – standard closed pouch – 15–55mm

• 2234001 – Maxi Beige – Viewing Option – Oval 15–65mm/75mm

• 22400 – Maxi Transparent – 15–55mm

Hollister Moderma Flex 2234055 combines a Maxi Beige closed pouch, flat SoftFlex™ skin barrier, 15–55mm cut-to-fit opening, AF300™ filter and Viewing Option in a complete one-piece colostomy appliance.

The Viewing Option is particularly useful for users who want the discretion of a covered Beige pouch together with the ability to inspect the stoma and appliance positioning when required.

Always select the pouch 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.