Hollister Moderma Flex One-Piece Closed Colostomy Pouch – Maxi Transparent, Oval 15–65mm/75mm – Box of 30 (Ref: 22401)

Hollister Moderma Flex 22401 is a one-piece closed colostomy pouch with a flat oval SoftFlex™ skin barrier, designed for people with formed or relatively predictable stoma output who require a larger, oval cut-to-fit opening.

This Maxi Transparent pouch has an enlarged 15–65mm/75mm oval cut-to-fit barrier, providing substantially more fitting area than the standard 15–55mm Moderma Flex products. The oval configuration is particularly useful for larger or oval-shaped stomas where a conventional circular opening may not provide the required dimensions.

The pouch incorporates Hollister's SoftFlex™ standard-wear skin barrier and an integrated AF300™ filter to help manage intestinal gas and odour. The transparent design allows continuous visibility of the stoma and pouch contents.

Key features:

• One-piece closed colostomy pouch

• Hollister Moderma Flex

• Reference 22401

• Maxi pouch

• Transparent

• Flat SoftFlex™ skin barrier

• Oval barrier

• Large 15–65mm/75mm cut-to-fit range

• Particularly suitable for larger or oval-shaped stomas

• Standard-wear adhesive

• Designed to be gentle to peristomal skin

• Suitable for frequent pouch changes

• Integrated AF300™ filter

• Helps manage intestinal gas

• Helps reduce pouch ballooning

• Helps control odour

• Odour-barrier pouch construction

• Transparent pouch allows direct visibility

• Closed pouch with no drainage outlet

• Complete one-piece appliance

• 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

• Larger stomas

• Oval or irregularly shaped stomas

• Stomas requiring a larger opening than the standard 15–55mm Moderma Flex range

• Users requiring a Maxi pouch

• Users who prefer a transparent appliance for continuous visibility

• Users requiring a flexible standard-wear skin barrier

One-piece closed appliance

Moderma Flex 22401 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 entire pouch and adhesive barrier are removed together and replaced with a new appliance.

Closed colostomy pouch

Reference 22401 is a closed pouch.

There is no drainage opening at the bottom.

Closed pouches are generally most appropriate for colostomies where 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, an open or drainable pouch will generally be more practical.

Maxi pouch

Ref 22401 is a Maxi appliance.

The larger pouch provides greater collection capacity than smaller Moderma Flex closed pouches and may be preferred where:

• More pouch capacity is required

• Output volume is greater

• A larger appliance is more convenient

• Less frequent pouch changing is preferred

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

Transparent pouch

Reference 22401 is Transparent.

The clear pouch allows direct visibility of:

• The stoma

• Stoma output

• Pouch contents

• Appliance positioning

• The relationship between the stoma and barrier opening

This may be particularly useful:

• Following stoma surgery

• Where the stoma requires regular monitoring

• Where output needs to be observed

• Where a carer assists with stoma management

• Where direct visibility is preferred

For customers wanting the corresponding Beige oval product, the product reference should be checked carefully because Hollister offers separate opaque oval-barrier versions.

Oval SoftFlex™ barrier

The defining feature of Ref 22401 is its oval SoftFlex™ skin barrier.

Most conventional stoma openings are described using a single circular diameter.

An oval opening provides additional flexibility where the stoma itself is:

• Oval

• Elongated

• Large

• Irregular in shape

Current UK dm+d describes the opening as:

Cut-to-fit 15mm–65mm/75mm

The NHS Drug Tariff similarly records:

15–65/75mm

This represents the larger oval fitting range, rather than a conventional circular 75mm opening.

In practical terms, the barrier is designed to accommodate an oval opening extending approximately up to 65mm in one direction and 75mm in the longer direction, within the manufacturer's cutting guide.

Important: 15–65mm/75mm is an oval measurement

This specification should not simply be written as 15–75mm, because that could imply a circular cut-to-fit range.

Ref 22401 has an oval barrier.

For your website, I would retain the manufacturer's/NHS notation:

Oval Cut-to-Fit 15–65mm/75mm

This makes the distinction from standard circular Moderma Flex appliances much clearer.

SoftFlex™ skin barrier

Moderma Flex uses Hollister's SoftFlex™ skin barrier.

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

Hollister describes SoftFlex™ as particularly suitable where the pouch is removed relatively frequently.

The barrier helps:

• Maintain secure adhesion around the stoma

• Move with normal body movement

• Provide comfortable skin contact

• Protect the peristomal area from stoma output

• Support frequent appliance changes

Correct cutting of the opening remains essential.

Flat barrier

Reference 22401 is a flat appliance.

It does not incorporate convexity.

Flat appliances are generally most appropriate where:

• The stoma protrudes adequately above the skin

• The surrounding surface provides a suitable sealing area

• Significant inward dips are absent

• Deep folds or creases do not interfere with adhesion

• Convex support is not required

A flat appliance may not be suitable for all stomas.

Flush or retracted stomas and recurrent leakage may require assessment for a convex or differently shaped appliance.

Large oval cut-to-fit opening

The larger opening range is one of the principal reasons for choosing Ref 22401.

It may be particularly useful where:

• A standard 55mm maximum opening is too small

• The stoma is relatively large

• The stoma is oval

• The stoma has an irregular profile

• An elongated opening is required

• The stoma dimensions are changing

Always follow the cutting guide supplied with the pouch.

Do not cut beyond the manufacturer's indicated cutting area.

Choosing the correct opening

Measure the stoma carefully using an appropriate measuring guide.

For an oval stoma, measure both:

• The shorter dimension

• The longer dimension

The finished opening should:

• Follow the actual shape of the stoma

• Fit closely around the stoma

• Avoid rubbing against it

• Avoid constricting it

• Minimise exposed peristomal skin

Avoid simply cutting a large circular opening around an oval stoma where this would expose unnecessary skin.

An opening that is too large can expose peristomal skin to stoma output 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 closed pouches incorporate Hollister's AF300™ filter.

The filter is designed to allow intestinal gas to leave the pouch gradually while helping deodorise the escaping gas.

This helps:

• Manage intestinal gas

• Reduce pouch ballooning

• Control unwanted odour

• Maintain a flatter pouch profile

• Improve discretion beneath clothing

The filter is integrated into the pouch.

Do not puncture or modify the filter.

Odour-barrier pouch

Moderma Flex uses odour-barrier pouch material designed to contain stoma output and minimise odour transmission through the pouch.

The pouch material and AF300™ filter work together:

• The pouch contains the output

• The filter manages gas leaving the pouch

22401 compared with 22400

These references are easy to confuse, but they are not the same product.

Ref 22400

• Maxi

• Transparent

• Flat

• Standard barrier

• 15–55mm cut-to-fit

Ref 22401

• Maxi

• Transparent

• Flat

• Oval SoftFlex™ barrier

• 15–65mm/75mm cut-to-fit

Ref 22401 is therefore the better option where the customer specifically needs the larger oval barrier.

22401 compared with 22301

The closely related Ref 22301 is:

• Maxi

• Beige

• Oval barrier

• 15–65mm/75mm

Ref 22401 is the corresponding:

• Maxi

• Transparent

• Oval barrier

• 15–65mm/75mm

The pouch colour is therefore an important distinction when ordering.

Applying the pouch:

Wash and dry your hands.

Measure both dimensions of the stoma carefully if it is oval.

Mark the required shape on the SoftFlex™ barrier.

Cut the opening according to the measured size and shape of the stoma and the manufacturer's cutting guide.

Do not cut beyond the marked safe cutting area.

Gently remove the existing pouch while supporting the surrounding skin.

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

Ensure the skin is clean and appropriately dry.

Remove the protective backing from the adhesive.

Because the pouch is transparent, use the visibility through the pouch to help position the opening accurately.

Centre the prepared oval opening around the stoma.

Apply the barrier to the skin.

Press gently but firmly around the stoma.

Smooth the adhesive outward.

Check for:

• Gaps

• Folds

• Creases

• Exposed skin

• Areas where the barrier has not achieved full contact

Apply gentle hand pressure to help establish the seal.

Always follow Hollister's instructions supplied with the appliance.

Changing the pouch:

Because Ref 22401 is a closed one-piece pouch, the complete 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 22401

• Maxi

• Transparent

• Flat oval SoftFlex™ barrier

• Cut-to-fit 15–65mm/75mm

• Larger oval fitting range

• Particularly useful for larger or oval stomas

• Standard-wear SoftFlex™ adhesive

• Integrated AF300™ filter

• Helps manage gas and odour

• Closed pouch – no drainage outlet

• Complete pouch and adhesive removed together

• Not made with natural rubber latex

• Box of 30

• Measure both dimensions of an oval stoma before cutting

• Do not cut beyond the manufacturer's marked cutting area

• Ensure the opening fits closely without constricting the stoma

• Avoid unnecessarily exposing peristomal skin

• 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 about 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: 22401

• System: One-piece

• Pouch type: Closed

• Pouch size: Maxi

• Colour: Transparent

• Barrier: SoftFlex™

• Barrier profile: Flat

• Barrier shape: Oval

• Opening: 15–65mm/75mm cut-to-fit

• Filter: Integrated AF300™ filter

• Odour-barrier pouch: Yes

• 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:

• 22401 – Hollister Moderma Flex One-Piece Closed Colostomy Pouch – Maxi – Transparent – Oval 15–65mm/75mm Cut-to-Fit – Box of 30

Related Moderma Flex options:

• 22400 – Maxi Transparent – Flat standard barrier – 15–55mm cut-to-fit

• 22301 – Maxi Beige – Oval barrier – 15–65mm/75mm

• 2234001 – Maxi Beige with Viewing Option – Oval SoftFlex™ barrier – 15–65mm/75mm

Hollister Moderma Flex 22401 combines a Maxi Transparent closed pouch with a large flat oval SoftFlex™ barrier and 15–65mm/75mm cut-to-fit opening, making it particularly suitable for larger or oval-shaped colostomies.

The transparent pouch provides continuous visibility of the stoma and output, while the SoftFlex™ barrier and integrated filter provide secure, discreet everyday stoma management.

Always select the opening according to the actual dimensions and shape of the stoma. Persistent leakage or peristomal skin problems should be discussed with a Stoma Care Nurse.

Always follow the manufacturer's instructions for use.