ConvaTec Natura+ Drainable Transparent Pouch with Filter and InvisiClose - 45mm, REF 416416 (10's)
Product Registration Number: GMD65004773718A

The Natura®+ pouches are compatible with SUR-FIT Natura® Two-Piece Ostomy System which is Convatec’s most extensive two-piece product line. The SUR-FIT Natura® and Natura®+ Flange System signals a secure, accurate closure with a series of audible “clicks”. A simple snap-off, snap on design allows users to change the pouch quickly to match activities without removing the skin barrier from the skin.

Natura®+ pouching system offers the latest technologies from Convatec, including:

• A state-of-the art filter with anti-clogging film layer, soft and quiet materials, and the security of the InvisiClose™ tail closure with Lock-it Pocket™.
• Convatec’s latest pouches combined with SUR-FIT Natura® advanced skin barrier adhesives offer you the security, comfort and discretion you deserve.

Directions For Use:

• Begin by cleansing the peristomal skin with mild soap and water (soaps should be free of oils, cream and aloe).
• Do not use baby wipes.
• Pat dry thoroughly.
• The skin should be free of any solvent or greasy substances.

(a) Preparation of skin barrier/wafer:

• Measure your stoma using the measuring guide provided. Select a skin barrier with a flange (white ring) at least 1/2 inch larger than your stoma size. For flush or retracted stomas, convex skin barriers are recommended.
• Trace the exact same stoma size onto the center white release paper on the back of the skin barrier.
• Cut along the tracing with a curved scissor. If using a pre-cut wafer, no cutting necessary.
• A caulking material can be applied to the back of the skin barrier to further fill gaps between the wafer and the stoma. Allow the paste to set for one minute prior to application to the skin. Do not spread the paste.

(b) Application of skin barrier/wafer:

• Center the skin barrier over the stoma. Press the skin barrier against the skin. If using a tape bordered skin barrier, remove the remaining backing paper one side at a time.
• During application, maintain gentle pressure on the skin barrier for 30 seconds to improve adhesion.

(c) Attachment of pouch:

• Before attaching the pouch, allow a small amount of air to enter the pouch by gently separating it.
  --- If you are using a SUR-FIT Natura® drainable pouch with a clip, for attachment of the tail clip, fold the bottom of the pouch over the tail clip only once. Press firmly on the center of the clip until it snaps securely closed.
  --- If you are using a SUR-FIT Natura® urostomy drainable pouch with a tap, make sure the tap on the pouch is closed before attaching pouch to wafer.
  --- If you are using th InvisiClose® tail closure system, a clip-less system, see below for the instructions for use.
• Align the flange on the pouch with the flange on the skin barrier. Press them together beginning at the bottom and circling around the top side of the flange. You will hear several clicks as the system locks into place.
  

(d) Removal of pouch:

• To easily remove the pouch from the skin barrier, gently pull downward on the plastic pouch tab and lift the pouch off. Anchor the wafer by holding it down with your other hand.
  
• SUR-FIT Natura® closed-end pouches: Remove and discard as needed. Do not flush.
• Filter covers are waterproof and should be used when bathing or swimming to prevent the filter from becoming wet. Remove filter cover after patting pouch dry.
  

(e) Removal of skin barrier/wafer: Gently pull the skin barrier down, away from the skin, while supporting the adjacent skin with your other hand. To assist with the barrier removal, an adhesive remover wipe may be used to remove any adhesive buildup.

InvisiClose® Tail Closure System:
(a) Directions to close the pouch:

• Hold the security flap against the front of the pouch revealing the inter-locking closures.
  
• Fold the tail end up towards you four times and ensure the inter-locking closures overlap.
  
• Press the inter-locking 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 inter-locking closures together until you feel them lock (click) into place.
  

(b) 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 inter-locking 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.
  

Tips:

• For flush or retracted stomas, convex products are recommended to increase wearing time.
  
• SUR-FIT Natura® ostomy system may be worn as long as it remains comfortable and secure.
• Remember to empty your pouch when it is one-third full.
  
• The use of soap or cleansers in the pouch is not recommended. If desired, rinse only with tepid water.
  
• Filter covers are small stickers that can be found in the filtered pouch box. They are waterproof and should be used to cover the pouch filter when bathing or swimming to prevent the filter from becoming wet. Remove the cover after patting the pouch dry.