ConvaTec Little Ones Two-Piece Cut-To-Fit 8 Inches Drainable Pouch With Adhesive Coupling Technology

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• How to Use ConvaTec Little Ones Adhesive Coupling Technology system:
  - Begin by cleansing the skin around your childs stoma with a mild, non-oily soap and warm water. If you prefer to use commercial wet wipes on the skin around the stoma, choose a brand that does not contain oils or lotions, since they make it difficult for the pouching system to stick. The skin should be free of any solvent or greasy substances. Pat dry thoroughly.
• Skin Barrier Preparation:
  - Measure the stoma size from the base of the stoma with the measuring guide provided.
  - Trace the stoma outline you have selected onto the release paper on the skin barrier. The small starter hole should be in the center of your tracing. (Gloving may not be necessary; consult with your healthcare professional).
  - Cut the center hole the same size as the stoma. Cut along the tracing with curved, short-blade scissors.
  - Remove the release paper on the skin barrier.
• Application of Skin Barrier:
  - Gently place the skin barrier in place around the stoma holding the skin barrier for 30 seconds to ensure a snug fit around the stoma.
  - If you are using a flexible skin barrier (taped border), you can remove the paper on one side of the skin barrier and smooth onto the skin. Repeat with the other side, making sure the tape is smooth and wrinkle-free.
• Attachment of Pouch-to-Skin Barrier:
  - If you are using a drainable pouch, prior to applying the pouch it is recommended that you close the InvisiClose clipless tail closure system by folding upward and pressing the interlocking closures together until you feel them lock into place. A click indicates a secure closure.
  - Make sure the inner surfaces of the pouch are separated and that the pouch contains a small amount of air.
  - Remove the release paper from the ring on the pouch.
  - Fold the top half of the wafer toward yourself so that you can see the application around the stoma and then roll your fingers over the upper portion to secure the pouch. Always look beneath the top of the pouch at the adhesive to ensure the pouch-to-skin barrier adhesion is secure.
• Pouch Repositioning and Removal:
  - To reposition the pouch, peel the pouch from the clear square landing zone by holding the tab on the pouch ring with one hand and the end of the landing zone with the other hand. Then, peel the pouch away in a rolling motion and reposition as needed.
  - To remove the old pouch-and-skin barrier, have a wet paper towel or soft washcloth ready to clean the skin. Hold the edge of the pouch with one hand and push down gently on the skin with your other hand to release the skin from the pouch and the skin barrier. Go slowly and gently, removing the skin barrier and pouch together. Discard as necessary.
• How to Use InvisiClose Tail Closure System: These instructions apply to the LIttle Ones Extra Small Ostomy System
• Directions to Close the Pouch:
  - The InvisiClose Tail Closure System is comprised of a security flap (A), interlocking closures (B), and outlet end-strips (C).
  - Hold the security flap against the front of the pouch revealing the interlocking closures.
  - Fold the tail end up towards you four times and ensure the interlocking closures overlap.
  - Press the interlocking closures together until you feel them lock (click) into place along their entire length.
  - Wrap the security flap around to the back of the pouch (body side) and press the interlocking closures together until you feel them lock (click) into place.
• Directions for Draining the Pouch:
  - Turn the back of the pouch (body side) towards you. Carefully lift the security flap up towards you to unlock.
  - While holding the security flap up against the front of the pouch, unlock the interlocking closure by lifting at the corner and unraveling the folds four times.
  - To facilitate draining and/or cleaning, you may open the tail end by pushing in both ends of the outlet end-strips with your thumb and forefinger. If desired, pouch tail may be cleaned with gentle soap and water. Pat dry.

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