Since these pages were converted from PDF, some of the content may appear garbled. To the best of our knowledge, the information contained herein is accurate. However, neither Binson's, or any of its subsidiaries assumes any liability whatsoever for the accuracy or completeness of the information contained herein. This manufacturer information is for educational purposes only.


This is the html version of this file..











Page 1
Ostomy Care


OSTOMY CARE





Page 2
9


www.hollister.com
Hollister Incorporated


Quick Reference/Product Selection Guides........................pages 11-16


New Image Two-Piece Pouching System Skin Barriers....................11
New Image Two-Piece Pouching System Pouches.....................12-13
New Image Two-Piece Pouching System Single Use Kits.................13
Premier One-Piece Pouching System Pouches..........................14-16
Premier One-Piece Pouching System Single-Use Kits......................16


Medicare Utilization Chart.............................................................17-19
New ImageTwo-Piece Pouching System..........................pages 20-29


Skin Barriers..............................................................................20-23
Drainable Pouches.....................................................................23-25
High Output Drainable Pouches.......................................................25
Closed Pouches..............................................................................26
Urostomy Pouches..........................................................................27
Irrigator Sleeve................................................................................27
Stoma Cap......................................................................................27
Non-Sterile and Sterile Kits ........................................................27-29


PremierOne-Piece Pouching System................................pages 30-39


Drainable Pouches.....................................................................30-34
Post-Operative Drainable Pouches...................................................35
High Output Drainable Pouches.......................................................35
Closed Pouches..............................................................................36
Urostomy Pouches ....................................................................37-38
Non-Sterile Kits .........................................................................38-39


Wound Drainage Collectors................................................................39
PouchkinsPediatric Pouching Systems.............................pages 40-43


Premie Pouch.................................................................................40
Newborn Pouch ..............................................................................40
One-Piece Pouches...................................................................40-41
Two-Piece Skin Barrier....................................................................41
Two-Piece Pouches ...................................................................41-42
Accessories ....................................................................................42
OtherPouchkinsProducts........................................................42-43


AdaptAccessories.............................................................pages 44-45


Skin Barrier Accessories..................................................................44
Adapt Barrier Rings....................................................................44
Adapt Convex Barrier Rings........................................................44
Adapt Barrier Strips....................................................................44
Skin Barrier Pastes and Powders.....................................................44
Adapt Paste...............................................................................44
Adapt Stoma Powder .................................................................44
Skin Barriers...................................................................................44
Flextend (extended wear) Skin Barrier ........................................44
Skin Gel Wipes................................................................................44


Table of Contents


•


Ostomy Care





Page 3
Hollister Incorporated
1.800.323.4060


Table of Contents


•


Ostomy Care


10
AdaptAccessories (continued)..........................................pages 44-45


Skin Gel Protective Dressing Wipes .............................................44
Adhesives and Removers...........................................................44-45
Universal Remover Wipes............................................................44
Medical Adhesive........................................................................45
Medical Adhesive Remover .........................................................45
Odor Eliminators & Lubricants .........................................................45
Adapt Lubricating Deodorant......................................................45
Odor Eliminator Spray.................................................................45
Cleaner/Decrystallizer .................................................................45
Ostomy Belt, Drainable Pouch Clamp, and Urostomy
Drain Tube Adapter.....................................................................45


OTHER OSTOMY PRODUCTS
Two-Piece Pouching Systems............................................pages 46-50


CenterPointLock System.........................................................46-50


One-Piece Pouching Systems............................................pages 51-53


Karaya 5 System.....................................................................51-52
Other One-Piece Products...............................................................53


Ostomy Accessories...........................................................pages 54-55


Skin Care Products .........................................................................54
Irrigation Products...........................................................................54
Loop Ostomy Bridge........................................................................54
Replacement Filters.........................................................................55
Bedside Drainage Collector..............................................................55
Skin Barrier Pastes and Powders.....................................................55
Karaya Paste.............................................................................55
Karaya Powder..........................................................................55
Skin Barriers...................................................................................55
Premium (standard wear) Skin Barrier.........................................55
HolliHesive (standard wear) Skin Barrier.....................................55
Odor Eliminator Drops.....................................................................55


Discontinued Products.......................................................pages 56-58
Glossary.............................................................................pages 59-60


A properly fitted pouch is essential to minimize stomal and
skin irritation and to obtain optimum pouch wear time. A stoma
measuring card allows correct measurement of the stoma.
Measure the stoma accurately. Select the smallest barrier
opening which fits comfortably around the stoma without
actually touching it. Too large an opening will leave skin
exposed and could lead to skin irritation or erosion.


How to Size Hollister Ostomy Pouches





Page 4
19


www.hollister.com
Hollister Incorporated


A4426 Ostomy pouch, drainable, for use on barrier with
20 ea/mo
locking flange (2 piece system), each
A4427 Ostomy pouch, drainable, for use on barrier with
20 ea/mo
locking flange, with filter (2 piece system) each
A4428 Ostomy pouch, urinary, with extended wear barrier


.


attached, with faucet-type tap with valve (1 piece), each
A4429 Ostomy pouch, urinary, with barrier attached, with built-in
20 ea/mo
convexity, with faucet-type tap with valve (1 piece), each
A4430 Ostomy pouch, urinary, with extended wear barrier


.


attached, with built-in convexity, with faucet-type tap
with valve (1 piece), each
A4431 Ostomy pouch, urinary, with barrier attached, with
20 ea/mo
faucet-type tap, with valve (1 piece), each
A4432 Ostomy pouch, urinary, for use on barrier with
20 ea/mo
non-locking flange, with faucet-type tap with valve
(2 piece), each
A4433 Ostomy pouch, urinary, for use on barrier with
20 ea/mo
locking flange (2 piece), each
A4434 Ostomy pouch, urinary, for use on barrier with
20 ea/mo
locking flange, with faucet-type tap with valve
(2 piece), each
A4450 Tape, non-waterproof, per 18 square inches
40 ea (18sq in)/mo
A4452 Tape, waterproof, per 18 square inches
40 ea (18sq in)/mo
A4455 Adhesive remover or solvent (for tape, cement, or other
16 oz/6mo
adhesive), per ounce
A5051 Ostomy pouch, closed, with barrier attached
60 ea/mo
(1 piece), each
A5052 Ostomy pouch, closed, without barrier attached,
60 ea/mo
(1 piece), each
A5053 Ostomy pouch, closed, for use on faceplate, each
60 ea/mo
A5054 Ostomy pouch, closed, for use on barrier with flange
60 ea/mo
(2 piece), each
A5055 Stoma Cap
31 ea/mo
A5061 Ostomy pouch, drainable, with barrier attached
20 ea/mo
(1 piece), each
A5062 Ostomy pouch, drainable, without barrier attached
20 ea/mo
(1 piece), each
A5063 Ostomy pouch, drainable, for use on barrier with flange
20 ea/mo
(2 piece system), each
A5071 Ostomy pouch, urinary, with barrier attached
20 ea/mo
(1 piece), each
A5072 Ostomy pouch, urinary, without barrier attached
20 ea/mo
(1 piece), each
A5073 Ostomy pouch, urinary, for use on barrier with flange
20 ea/mo
(2 piece), each
A5081 Continent device, plug for continent stoma
31 ea/mo
A5082 Continent device, catheter for continent stoma
1 ea/mo
A5093 Ostomy accessory, convex insert
10 ea/mo
A5102 Bedside drainage bottle with or without tubing, rigid or
2 ea/6 mo
expandable, each
A5120 Skin barrier, wipes or swabs, each
150/6 mo
A5121 Skin barrier, solid, 6x6 or equivalent, each
20 ea/mo
A5122 Skin barrier, solid, 8x8 or equivalent, each
20 ea/mo
A5126 Adhesive or non-adhesive, disk or foam pad
20 ea/mo
A5131 Appliance cleaner, incontinence and ostomy
1 ea(16-oz btl)/mo
appliances, per 16 oz
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in.
60 ea/mo
or less, without adhesive border, each dressing


HCPCS Long Description
Quantity


*


No established usual maximum, refer to Medicare Utilization Guidelines.





Page 5
11


www.hollister.com
Hollister Incorporated


3/8” T


CONVEX PRODUCT


With
Tape
Without
Tape
With
Tape
Without
Tape
14202
14203
14204
14206


up to 1-1/4" (32mm)
up to 1-3/4" (44mm)
up to 2-1/4" (57mm)
up to 3-1/2" (89mm)


15202
15203
15204
—


up to 1-1/4" (32mm)
up to 1-3/4" (44mm)
up to 2-1/4" (57mm)


1430x
1640x
14307
14308
14309
—
—


1-3/8" (35mm) 1-1/2" (38mm) 1-3/4" (44mm)


16407
16408
—
—


1-3/8" (35mm) 1-1/2" (38mm)


FlexWear
Flextend
Pre-Sized
Cut-to-Fit
With
Tape
Without
Tape
Pre-Sized
Cut-to-Fit
With
Tape
Without
Tape


1-3/4" (44mm)
2-1/4" (57mm)
2-3/4" (70mm)
4" (102mm)


14602
14603
14604
14606


up to 1-1/4" (32mm)
up to 1-3/4" (44mm)
up to 2-1/4" (57mm)
up to 3-1/2" (89mm)


15602
15603
15604
—


up to 1-1/4" (32mm)
up to 1-3/4" (44mm)
up to 2-1/4" (57mm)


1470x
1610x
14707
14708
14709
—
—


1-3/8" (35mm) 1-1/2" (38mm) 1-3/4" (44mm)


16107
16108
—
—


1-3/8" (35mm) 1-1/2" (38mm)


New Image Flat Barriers


New Image Two-Piece Flat Skin Barriers with Floating Flange (see pages 20-21)
New Image Two-Piece Convex Skin Barriers with Floating Flange (see pages 22-23)


With
Tape
With
Tape
Without
Tape
FlexWear
Flextend
Pre-Sized
Cut-to-Fit
With
Tape
Without
Tape
Pre-Sized
Cut-to-Fit
With
Tape
Without
Tape
Without
Tape
1-3/4" (44mm)
2-1/4" (57mm)
2-3/4" (70mm)


New Image
Convex Barriers


14402
14403
14404


up to 1" (25mm)
up to 1-1/2" (38mm)
up to 2" (51mm)


15402
15403
15404


up to 1" (25mm)
up to 1-1/2" (38mm)
up to 2" (51mm)


14802
14803
14804


up to 1" (25mm)
up to 1-1/2" (38mm)
up to 2" (51mm)


15802
15803
15804


up to 1" (25mm)
up to 1-1/2" (38mm)
up to 2" (51mm)


14901 14902 14903 14904


5/8"
3/4"
7/8"
1"
(16mm) (19mm) (22mm) (25mm)


14905 14906 14907 14908
14909
14910
14911


1-1/8"
1-1/4"
1-3/8"
1-1/2"
1-5/8"
1-3/4"
2"
(29mm) (32mm) (35mm)
(38mm)
(41mm)
(44mm)
(51mm)
15903
15904
7/8"
1"
(22mm) (25mm)
15905
15906
—
1-1/8"
1-1/4"
(29mm) (32mm)


14503
14504


7/8" (22mm)
1" (25mm)


14505
14506
—


1-1/8" (29mm)
1-1/4" (32mm)


15503
15504


7/8" (22mm)
1" (25mm)


15505
15506
—


1-1/8" (29mm)
1-1/4" (32mm)


Quick Reference for Product Selection


Pkt.Cat.07.Fold-outs 1/25/07 7:33 PM Page 1


Page 6
Hollister Incorporated
1.800.323.4060


Quick Reference for Product Selection


12


TRIM


Transparent
18162
18163
18164
—
Beige
18142
18143
18144
—
Transparent
18102
18103
18104
—
Ultra-Clear
18172
18173
18174
18176
Beige
18122
18202
18123
18203
18124
18204
—
Pouch
Clamp
Lock 'n Roll
No
Filter
Filter
1-3/4" (44mm)
2-1/4" (57mm)
2-3/4" (70mm)
4" (102mm)
Transparent
18192
18292
18193
18293
18194
18294
—
Beige
18182
18282
18183
18283
18184
18284
—
Transparent
18132
18133
18134
—
Ultra-Clear
18002
18003
18004
18006
Beige
18112
18113
18114
—
High Output
With
Soft Tap
No
Filter
Filter
No
Filter
Ultra-Clear
18012
18013
18014
18016


New Image Drainable Pouches


New Image Two-Piece Drainable Pouches (see pages 23-25)


9"
(23cm)
Filter
1-3/4" (44mm)
2-1/4" (57mm)
2-3/4" (70mm)
Transparent
18362
18363
18364
Beige
18372
18373
18374
Beige
18332
18732
18333
18733
18334
18734


(box of 60)
(box of 30)
(box of 60)
(box of 30)
(box of 60)
(box of 30)


Transparent
18382
18383
18384
Beige
18392
18393
18394
Beige
18352
18752
18353
18753
18354
18754


(box of 60)
(box of 30)
(box of 60)
(box of 30)
(box of 60)
(box of 30)


New Image Closed Pouches


7"
(18cm)
Filter
No Filter
No Filter


New Image Two-Piece Closed Pouches and Stoma Cap (see pages 26-27)


Beige
18502
18503
18504


New Image Stoma Caps


4-1/2" (11cm)


Pkt.Cat.07.Fold-outs 1/25/07 7:33 PM Page 12


Page 7
13


www.hollister.com
Hollister Incorporated


3/8” T


Quick Reference/Product Selection Guides


Urostomy
(Flextend)
Drainable
(FlexWear)
Pouch
Clamp
Lock
'n Roll
Ultra-Clear
Ultra-Clear
Ultra-Clear
1-3/4" (44mm)
2-1/4" (57mm)
2-3/4" (70mm)
4" (102mm)
19002
19003
19004
19006
19052
19053
19054
19056
19102
19103
19104
19106
19152
19153
19154
19156
19202
19203
19204
—
19252
19253
19254
—
Sterile
Ultra-Clear
Ultra-Clear
Ultra-Clear


New Image Single Use Kits


Sterile
Sterile
Non-
Sterile
Non-
Sterile
Non-
Sterile


New Image Two-Piece Urostomy Pouches and Single Use Kits (see pages 27-29)


Quick Reference for Product Selection


Transparent
18402
18403
18404
Ultra-Clear
18422
18423
18424
Beige
18412
18413
18414


New Image Urostomy Pouches


9" (23cm)


Pkt.Cat.07.Fold-outs 1/25/07 7:33 PM Page 14


Page 8
Hollister Incorporated
1.800.323.4060


Quick Reference for Product Selection


14


TRIM


Premier Pouches
Drainable with Flat Barriers


Pouch
Clamp
9"
(23cm)
SoftFlex,
Filter
Without
Tape
up to 2-1/2"
3/4"
1"
1-3/16" 1-1/4"
1-3/8"
1-1/2" 1-9/16" 1-3/4"
2"
2-1/2"
(64mm)
(19mm) (25mm) (30mm) (32mm) (35mm) (38mm) (40mm) (44mm) (51mm) (64mm)
Transparent
—
—
8532
—
8538
—
8533
—
8539
—
—
Ultra-Clear
8531
—
—
—
—
—
—
—
—
—
—
Beige
8551
—
8552
—
8558
—
8553
—
8559
—
—
Transparent
—
—
—
—
—
—
—
—
—
—
—
Beige
8641
8647
8642
—
8648
—
8643
—
8649
8644
—
Transparent
8631
8637
8632
—
8638
—
8633
—
8639
8634
8635
Ultra-Clear
8651
—
—
—
—
—
—
—
—
—
—
Transparent
88800*
—
88825
88830
—
88835
—
88840
—
—
—
Beige
88700*
—
88725
88730
—
88735
—
88740
—
—
—
Transparent
88400*
—
88425
88430
—
88435
—
88440
—
—
—
Ultra-Clear
88401**
—
—
—
—
—
—
—
—
—
—
Beige
88300*
—
88325
88330
—
88335
—
88340
—
—
—
Ultra-Clear
88501**
—
—
—
—
—
—
—
—
—
—
Flextend,
No Filter,
With Tape
Cut-To-Fit
Pre-Sized
12"
(30cm)
12"
(30cm)
12"
(30cm)


*Cut-to-fit only to 2-1/8" (55mm) **No filter


Lock
'n Roll
Lock
'n Roll
7"
(18cm)
Pouch
Clamp
12"
(30cm)


Premier One-Piece Drainable Pouches with Flat Barriers (see pages 30-33)


Premier Pouches
Drainable with
Convex Barriers


Pouch
Clamp


up to 1" up to 1-1/2" up to 2" 3/4"
7/8"
1"
1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-5/8" 1-3/4"
2"
(25mm)
(38mm)
(51mm) (19mm) (22mm) (25mm) (29mm) (32mm) (35mm) (38mm) (41mm) (44mm) (51mm)


Trans-
parent
8524
8528
85211
8510
8511
8512
8513
8514
8515
—
—
—
—
Beige
8504
8508
85011
8590
8591
8592
8593
8594
8595
—
—
—
—
Trans-
parent
8624
8628
86211
8610
8611
8612
8613
8614
8615
8616
8617
8618
8619
Flextend,
No Filter,
With Tape


Cut-To-Fit
Pre-Sized


Lock
'n Roll
12" (30cm)


Premier One-Piece Drainable Pouches with Convex Barriers (see pages 33-34)


CONVEX PRODUCT


Pkt.Cat.07.Fold-outs 1/25/07 7:33 PM Page 14


Page 9
15


www.hollister.com
Hollister Incorporated


3/8” T


Premier Pouches
High Output Drainable with Flat Barriers


up to 2-3/4" (70mm)
up to 4-1/3" (110mm)
Non-Sterile
Sterile
Flextend,
No Filter,
Without Tape
Cut-To-Fit
With
Soft Tap
12" (30cm)
80070
80110
81070
81110


Premier High-Output Drainable Pouches (see page 35)
Premier One-Piece Closed Pouches (see page 36)


7" (18cm)
SoftFlex, Filter,
Without Tape
Transparent
82400
—
—
—
Beige
82300
82325
82330
82335


Premier Closed Pouches


up to 2-1/8" (55mm)
1" (25mm)
1-3/16" (30mm)
1-3/8" (35mm)
Cut-To-Fit
Pre-Sized
Transparent
82500
—
—
—
Beige
82100
82125
82130
82135
9" (23cm)


Quick Reference for Product Selection


Pkt.Cat.07.Fold-outs 1/25/07 7:33 PM Page 16


Page 10
Hollister Incorporated
1.800.323.4060


Quick Reference for Product Selection


16


TRIM


Urostomy
(Flextend)
Drainable
(SoftFlex)
Drainable
(Flextend)
Pouch
Clamp
Lock
'n Roll
Ultra-Clear
89001
—
up to 2-1/8" (55mm)
up to 2-1/2" (64mm)


Premier Single Use Kits


Non-
Sterile
Non-
Sterile
Non-Sterile
Ultra-Clear
89002
—
Pouch
Clamp
Lock
'n Roll
Ultra-Clear
89001
89004
Non-
Sterile
Non-
Sterile
Ultra-Clear
89002
89003
Ultra-Clear
—
89005


Premier Single Use Kits (see pages 38-39)
Premier One-Piece Urostomy Pouches (see pages 37-38)


Premier
Urostomy
Pouches


Convex
up to 1" up to 1-1/2" up to 2" up to 2-1/2" 1/2"
5/8"
3/4"
7/8"
1"
1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-3/4"
2"


(25mm) (38mm) (51mm) (64mm) (13mm) (15mm) (19mm) (22mm) (25mm) (29mm) (32mm) (35mm) (38mm) (44mm) (51mm


)
Flextend


Cut-To-Fit
Pre-Sized


—
—
—
8460
—
—
8467
—
8462
—
8468
—
8463 8469
8464
8434
8438
84311
—
8490
8491
8492
8493
8494
8495
8496
8497
8498
8499
—


Flat
Beige


8474
8478
84711
—
8480
8481
8482
8483
8484
8485
8486
8487
8488
8489
—


Trans-
parent
Trans-
parent
Ultra-
Clear


—
—
—
8450
—
—
—
—
—
—
—
—
—
—
—


Beige


—
—
—
8440
—
—
8447
—
8442
—
8448
—
8443 8449
8444


CONVEX PRODUCT


Pkt.Cat.07.Fold-outs 1/25/07 7:33 PM Page 16


Page 11
17


www.hollister.com
Hollister Incorporated


Medicare Utilization


HCPCS Long Description
Quantity


Medicare’s Usual Maximum Quantity for Ostomy Supplies


The quantity of ostomy supplies needed by a patient is determined to
a great extent by the type of ostomy, its location, its construction, and
the condition of the skin surface surrounding the stoma. There will be
variation according to individual patient need and their needs may vary
over time. The table below lists the maximum number of items/units of
service that are usually medically necessary. The actual quantity needed
for a particular patient may be more or less than the amount listed
depending on the factors that affect the frequency of barrier and pouch
change. The medical necessity for use of a greater quantity of supplies
than the amounts listed must be clearly documented in the patient's
medical record.


A4331 Extension drainage tubing, any type, any length, with


.


connector/adapter, for use with urinary leg bag
or urostomy pouch, each
A4357 Bedside drainage bag, day or night, with or without
2 ea /mo
anti-reflux device, with or without tube, each
A4361 Ostomy faceplate, each
3 ea/6 mo
A4362 Skin barrier, solid, 4x4 or equivalent, each
20 ea/mo
A4363 Ostomy clamp, any type, replacement only, each


.


A4364 Adhesive, liquid or equal, any type, per oz
4 oz/mo
A4365 Adhesive remover wipes, any type, per 50


.


A4366 Adhesive, liquid or equal, any type, per oz


.


A4367 Ostomy belt, each
1 ea/mo
A4368 Ostomy filter, any type, each


.


A4369 Ostomy skin barrier, liquid (spray, brush, etc), per oz.
2 oz/mo
A4371 Ostomy skin barrier, powder, per oz.
10 oz/6 mo
A4372 Ostomy skin barrier, solid 4 x 4 or equivalent, with


.


built-in convexity, each
A4373 Ostomy skin barrier, with flange (solid, flexible or accordion),


.


with built-in convexity, any size, each
A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each


.


A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each


.


A4377 Ostomy Pouch drainable for use on faceplate,
10 ea/mo
plastic, each
A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each


.


A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each


.


A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each


.


A4381 Ostomy Pouch, urinary, for use with faceplate, plastic, each
10 ea/mo
A4382 Ostomy pouch, urinary, for use on faceplate,


.


heavy plastic, each
A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each


.


A4384 Ostomy faceplate equivalent, silicone ring, each


.


A4385 Ostomy skin barrier, solid 4x4 or equivalent, extended wear,


.


without built-in convexity, each
A4387 Ostomy pouch, closed, with barrier attached, with built-in


.


convexity (1 piece), each
A4388 Ostomy pouch, drainable, with extended wear barrier


.


attached, (1 piece), each
A4389 Ostomy pouch, drainable, with barrier attached, with built-in


.


convexity (1 piece), each
A4390 Ostomy pouch, drainable, with extended wear barrier


.


attached, with built-in convexity (1 piece), each
A4391 Ostomy pouch, urinary, with extended wear barrier


.


attached (1 piece), each


*


No established usual maximum, refer to Medicare Utilization Guidelines.


Per LCD for Ostomy Supplies (L11502) TriCenturion, Effective Jan. 1, 2006
Incorporated code changes per Medicare DME PSC Bulletin Bul20061201HCPCS2007





Page 12
Hollister Incorporated
1.800.323.4060


Medicare Utilization


18


*


No established usual maximum, refer to Medicare Utilization Guidelines.


HCPCS Long Description
Quantity


A4392 Ostomy pouch, urinary, with standard wear barrier


.


attached, with built-in convexity (1 piece), each
A4393 Ostomy pouch, urinary, with extended wear barrier


.


attached, with built-in convexity (1 piece), each
A4394 Ostomy deodorant, with or without lubricant, for use in


.


ostomy pouch, liquid, per fluid ounce
A4395 Ostomy deodorant for use in ostomy pouch, solid,


.


per tablet
A4396 Ostomy belt with peristomal hernia support


.


A4397 Irrigation supply, sleeve, each
4 ea/mo
A4398 Ostomy irrigation supply, bag, each
2 ea/6 mo
A4399 Ostomy irrigation supply, cone/catheter, including brush
2 ea/6 mo
A4402 Lubricant, per ounce
4 oz/mo
A4404 Ostomy ring, each
10 ea/mo
A4405 Ostomy skin barrier, non-pectin based, paste, per ounce
4 oz/mo
A4406 Ostomy skin barrier, pectin-based, paste, per ounce
4 oz/mo
A4407 Ostomy skin barrier, with flange (solid, flexible or


.


accordion), extended wear, with built-in convexity,
4x4 inches or smaller, each
A4408 Ostomy skin barrier, with flange (solid, flexible or accordion),


.


extended wear, with built-in convexity, larger than 4x4
inches, each
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion),


.


extended wear, without built-in convexity, 4x4 inches
or smaller, each
A4410 Ostomy skin barrier, with flange (solid, flexible or accordion),


.


extended wear, without built-in convexity, larger than 4x4
inches, each
A4411 Ostomy skin barrier, solid 4x4 or equivalent, extended
wear, with built-in convexity, each


.


A4412 Ostomy pouch, drainable, high output, for use on a
barrier with flange (2 piece system), without filter, each


.


A4413 Ostomy pouch, drainable, high output, for use on a


.


barrier with flange (2 piece system), with filter, each
A4414 Ostomy skin barrier, with flange (solid, flexible or
20 ea/mo
accordion), without built-in convexity, 4x4 inches or
smaller, each
A4415 Ostomy skin barrier, with flange (solid, flexible or
20 ea/mo
accordion), without built-in convexity, larger than
4x4 inches, each
A4416 Ostomy pouch, closed, with barrier attached, with filter
60 ea/mo
(1 piece), each
A4417 Ostomy pouch, closed, with barrier attached, with
60 ea/mo
built-in convexity, with filter (1 piece), each
A4418 Ostomy pouch, closed, without barrier attached, with
60 ea/mo
filter (1 piece), each
A4419 Ostomy pouch, closed, for use on barrier with non-
60 ea/mo
locking flange, with filter (2 piece), each
A4420 Ostomy pouch, closed, for use on barrier with locking
60 ea/mo
flange (2 piece), each
A4422 Ostomy absorbent material (sheet/pad/crystal packet)


.


for use in ostomy pouch to thicken liquid stomal
output, each
A4423 Ostomy pouch, closed, for use on barrier with locking
60 ea/mo
flange, with filter (2 piece), each
A4424 Ostomy pouch, drainable, with barrier attached, with filter
20 ea/mo
(1 piece), each
A4425 Ostomy pouch, drainable, for use on barrier with
20 ea/mo
non-locking flange, with filter (2 piece system), each





Page 13
Hollister Incorporated
1.800.323.4060


20


New ImageTwo-Piece Pouching System


Flat Skin Barriers with Floating Flanges


1460x


(CUT-TO-FIT)


Box of 5
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
HCPCS: A4409
HCPCS for 14606: A4410


Stock No
Color Match
Flange Size
Barrier Opening
14602


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
14603


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
14604


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
14606


•


4" (102mm)
up to 3-1/2" (89mm)


1560x


(CUT-TO-FIT)


Box of 5
Flextend (extended wear) Skin Barrier - Flat
Without Tape Border
HCPCS for 15602 & 15603: A4409
HCPCS for 15604: A4410


Stock No
Color Match
Flange Size
Barrier Opening
15602


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
15603


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
15604


•


2-3/4" (70mm)
up to 2-1/4" (57mm)


1420x


(CUT-TO-FIT)


Box of 5
FlexWear (standard wear) Skin Barrier - Flat
With Tape Border
HCPCS: A4414
HCPCS for 14206: A4415


Stock No
Color Match
Flange Size
Barrier Opening
14202


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
14203


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
14204


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
14206


•


4" (102mm)
up to 3-1/2" (89mm)


1520x


(CUT-TO-FIT)


Box of 5
FlexWear (standard wear) Skin Barrier - Flat
Without Tape Border
HCPCS for 15202 & 15203: A4414
HCPCS for 15204: A4415


Stock No
Color Match
Flange Size
Barrier Opening
15202


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
15203


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
15204


•


2-3/4" (70mm)
up to 2-1/4" (57mm)


Color Matching System


To help you select compatible New Image components, every box label is
color-coded. First, select the proper skin barrier; then select a matching
color-coded pouch (“red” skin barrier box label is compatible to “red”
pouch box label).


1-3/4"


(44mm)


2-1/4"


(57mm)


2-3/4"


(70mm)


4"


(102mm)





Page 14
21


www.hollister.com
Hollister Incorporated


Flat Skin Barriers with Floating Flanges (continued)


1470x


(PRE-SIZED)


Box of 5
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
HCPCS: A4409


Stock No
Color Match
Flange Size
Barrier Opening
14701


•


1-3/4" (44mm)
5/8" (16mm)
14702


•


1-3/4" (44mm)
3/4" (19mm)
14703


•


1-3/4" (44mm)
7/8" (22mm)
14704


•


1-3/4" (44mm)
1" (25mm)
14705


•


1-3/4" (44mm)
1-1/8" (29mm)
14706


•


1-3/4" (44mm)
1-1/4" (32mm)
14707


•


2-1/4" (57mm)
1-3/8" (35mm)
14708


•


2-1/4" (57mm)
1-1/2" (38mm)
14709


•


2-1/4" (57mm)
1-3/4" (44mm)


1610x


(PRE-SIZED)


Box of 5
Flextend (extended wear) Skin Barrier - Flat
Without Tape Border
HCPCS: A4409


Stock No
Color Match
Flange Size
Barrier Opening
16101


•


1-3/4" (44mm)
5/8" (16mm)
16102


•


1-3/4" (44mm)
3/4" (19mm)
16103


•


1-3/4" (44mm)
7/8" (22mm)
16104


•


1-3/4" (44mm)
1" (25mm)
16105


•


1-3/4" (44mm)
1-1/8" (29mm)
16106


•


1-3/4" (44mm)
1-1/4" (32mm)
16107


•


2-1/4" (57mm)
1-3/8" (35mm)
16108


•


2-1/4" (57mm)
1-1/2" (38mm)


1430x


(PRE-SIZED)


Box of 5
FlexWear (standard wear) Skin Barrier - Flat
With Tape Border
HCPCS: A4414


Stock No
Color Match
Flange Size
Barrier Opening
14301


•


1-3/4" (44mm)
5/8" (16mm)
14302


•


1-3/4" (44mm)
3/4" (19mm)
14303


•


1-3/4" (44mm)
7/8" (22mm)
14304


•


1-3/4" (44mm)
1" (25mm)
14305


•


1-3/4" (44mm)
1-1/8" (29mm)
14306


•


1-3/4" (44mm)
1-1/4" (32mm)
14307


•


2-1/4" (57mm)
1-3/8" (35mm)
14308


•


2-1/4" (57mm)
1-1/2" (38mm)
14309


•


2-1/4" (57mm)
1-3/4" (44mm)


1640x


(PRE-SIZED)


Box of 5
FlexWear (standard wear) Skin Barrier - Flat
Without Tape Border
HCPCS: A4414


Stock No
Color Match
Flange Size
Barrier Opening
16401


•


1-3/4" (44mm)
5/8" (16mm)
16402


•


1-3/4" (44mm)
3/4" (19mm)
16403


•


1-3/4" (44mm)
7/8" (22mm)
16404


•


1-3/4" (44mm)
1" (25mm)
16405


•


1-3/4" (44mm)
1-1/8" (29mm)
16406


•


1-3/4" (44mm)
1-1/4" (32mm)
16407


•


2-1/4" (57mm)
1-3/8" (35mm)
16408


•


2-1/4" (57mm)
1-1/2" (38mm)





Page 15
Hollister Incorporated
1.800.323.4060


New ImageTwo-Piece Pouching System


22
Convex Skin Barriers with Floating Flanges


1480x


(CUT-TO-FIT)


Box of 5
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
HCPCS: A4407


Stock No
Color Match
Flange Size
Barrier Opening
14802


•


1-3/4" (44mm)
up to 1" (25mm)
14803


•


2-1/4" (57mm)
up to 1-1/2" (38mm)
14804


•


2-3/4" (70mm)
up to 2" (51mm)


1580x


(CUT-TO-FIT)


Box of 5
Flextend (extended wear) Skin Barrier - Convex
Without Tape Border
HCPCS for 15802 & 15803: A4407
HCPCS for 15804: A4408


Stock No
Color Match
Flange Size
Barrier Opening
15802


•


1-3/4" (44mm)
up to 1" (25mm)
15803


•


2-1/4" (57mm)
up to 1-1/2" (38mm)
15804


•


2-3/4" (70mm)
up to 2" (51mm)


1440x


(CUT-TO-FIT)


Box of 5
FlexWear (standard wear) Skin Barrier - Convex
With Tape Border
HCPCS: A4373


Stock No
Color Match
Flange Size
Barrier Opening
14402


•


1-3/4" (44mm)
up to 1" (25mm)
14403


•


2-1/4" (57mm)
up to 1-1/2" (38mm)
14404


•


2-3/4" (70mm)
up to 2" (51mm)


1540x


(CUT-TO-FIT)


Box of 5
FlexWear (standard wear) Skin Barrier - Convex
Without Tape Border
HCPCS: A4373


Stock No
Color Match
Flange Size
Barrier Opening
15402


•


1-3/4" (44mm)
up to 1" (25mm)
15403


•


2-1/4" (57mm)
up to 1-1/2" (38mm)
15404


•


2-3/4" (70mm)
up to 2" (51mm)


149xx


(PRE-SIZED)


Box of 5
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
HCPCS: A4407


Stock No
Color Match
Flange Size
Barrier Opening
14901


•


1-3/4" (44mm)
5/8" (16mm)
14902


•


1-3/4" (44mm)
3/4" (19mm)
14903


•


1-3/4" (44mm)
7/8" (22mm)
14904


•


1-3/4" (44mm)
1" (25mm)
14905


•


2-1/4" (57mm)
1-1/8" (29mm)
14906


•


2-1/4" (57mm)
1-1/4" (32mm)
14907


•


2-1/4" (57mm)
1-3/8" (35mm)
14908


•


2-1/4" (57mm)
1-1/2" (38mm)
14909


•


2-3/4" (70mm)
1-5/8" (41mm)
14910


•


2-3/4" (70mm)
1-3/4" (44mm)
14911


•


2-3/4" (70mm)
2" (51mm)


CONVEX PRODUCT


New!





Page 16
23


www.hollister.com
Hollister Incorporated


CONVEX PRODUCT


Convex Skin Barriers with Floating Flanges (continued)


1590x


(PRE-SIZED)


Box of 5
Flextend (extended wear) Skin Barrier - Convex
Without Tape Border
HCPCS: A4407


Stock No
Color Match
Flange Size
Barrier Opening
15903


•


1-3/4" (44mm)
7/8" (22mm)
15904


•


1-3/4" (44mm)
1" (25mm)
15905


•


2-1/4" (57mm)
1-1/8" (29mm)
15906


•


2-1/4" (57mm)
1-1/4" (32mm)


1450x


(PRE-SIZED)


Box of 5
FlexWear (standard wear) Skin Barrier - Convex
With Tape Border
HCPCS: A4373


Stock No
Color Match
Flange Size
Barrier Opening
14503


•


1-3/4" (44mm)
7/8" (22mm)
14504


•


1-3/4" (44mm)
1" (25mm)
14505


•


2-1/4" (57mm)
1-1/8" (29mm)
14506


•


2-1/4" (57mm)
1-1/4" (32mm)


1550x


(PRE-SIZED)


Box of 5
FlexWear (standard wear) Skin Barrier - Convex
Without Tape Border
HCPCS: A4373


Stock No
Color Match
Flange Size
Barrier Opening
15503


•


1-3/4" (44mm)
7/8" (22mm)
15504


•


1-3/4" (44mm)
1" (25mm)
15505


•


2-1/4" (57mm)
1-1/8" (29mm)
15506


•


2-1/4" (57mm)
1-1/4" (32mm)


Drainable Pouches


1818x/1819x
Box of 10
Drainable Pouch
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4425


Transparent.
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18192
18182


•


1-3/4" (44mm)
12" (30cm)
18193
18183


•


2-1/4" (57mm)
12" (30cm)
18194
18184


•


2-3/4" (70mm)
12" (30cm)


For Your Information


Each box of New Image Pouches includes one disposal bag per
every pouch for discreet disposal.





Page 17
Hollister Incorporated
1.800.323.4060


New ImageTwo-Piece Pouching System


24
Drainable Pouches (continued)


1828x/1829x
Box of 20
Drainable Mini-Pouch
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4425


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18292
18282


•


1-3/4" (44mm)
7" (18cm)
18293
18283


•


2-1/4" (57mm)
7" (18cm)
18294
18284


•


2-3/4" (70mm)
7" (18cm)


1811x/1813x/1800x
Box of 10
Drainable Pouch
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film -Transparent and Beige
Odor-Barrier Film -Ultra-Clear
With Belt Tabs
With ComfortWear Panels
- Transparent and Ultra-Clear - Body Side Only
- Beige - Both Sides
HCPCS: A5063


Transparent.
Beige
Ultra-Clear
Color
Flange
Pouch
Stock No
Stock No
Stock No
Match
Size
Length
18132
18112
18002*


•


1-3/4" (44mm)
12" (30cm)
18133
18113
18003


•


2-1/4" (57mm)
12" (30cm)
18134
18114
18004


•


2-3/4" (70mm)
12" (30cm)
—
—
18006


•


4" (102mm) 12" (30cm)


1814x/1816x
Box of 10
Drainable Pouch
With Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4425


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18162
18142


•


1-3/4" (44mm)
12" (30cm)
18163
18143


•


2-1/4" (57mm)
12" (30cm)
18164
18144


•


2-3/4" (70mm)
12" (30cm)
*coming soon





Page 18
25


www.hollister.com
Hollister Incorporated


Drainable Pouches (continued)


1810x/1812x/1817x
Box of 10
Drainable Pouch
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film -Transparent and Beige
Odor-Barrier Film -Ultra-Clear
With Belt Tabs
With ComfortWear Panels
- Transparent and Ultra-Clear - Body Side Only
- Beige - Both Sides
HCPCS: A5063


Transparent.
Beige
Ultra-Clear
Color
Flange
Pouch
Stock No
Stock No
Stock No
Match
Size
Length
18102
18122
18172*


•


1-3/4" (44mm)
12" (30cm)
18103
18123
18173


•


2-1/4" (57mm)
12" (30cm)
18104
18124
18174


•


2-3/4" (70mm)
12" (30cm)
—
—
18176


•


4" (102mm) 12" (30cm)


1820x
Box of 10
Drainable Mini-Pouch
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Both Sides
HCPCS: A5063


Beige
Color
Flange
Pouch
Stock No
Match
Size
Length
18202


•


1-3/4" (44mm)
9" (23cm)
18203


•


2-1/4" (57mm)
9" (23cm)
18204


•


2-3/4" (70mm)
9" (23cm)


High Output Drainable Pouches


1801x
Box of 10
Drainable Pouch
Without Integrated Filter
Soft Tap
Odor-Barrier Film
With Belt Tabs
With ComfortWear Panel - Body-Side Only
HCPCS: A4412


Ultra-Clear
Color
Flange
Pouch
Stock No
Match
Size
Length
18012


•


1-3/4" (44mm)
12" (30cm)
18013


•


2-1/4" (57mm)
12" (30cm)
18014


•


2-3/4" (70mm)
12" (30cm)
18016


•


4" (102mm)
12" (30cm)
*coming soon





Page 19
Closed Pouches


1836x/1837x
Box of 60
Closed Pouch
With Integrated Filter
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4419


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18362
18372


•


1-3/4" (44mm)
9" (23cm)
18363
18373


•


2-1/4" (57mm)
9" (23cm)
18364
18374


•


2-3/4" (70mm)
9" (23cm)


1838x/1839x
Box of 60
Closed Mini-Pouch
With Integrated Filter
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4419


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18382
18392


•


1-3/4" (44mm)
7" (18cm)
18383
18393


•


2-1/4" (57mm)
7" (18cm)
18384
18394


•


2-3/4" (70mm)
7" (18cm)


1833x
Box of 30
1873x
Box of 60
Closed Pouch
Without Integrated Filter
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Both Sides
HCPCS: A5054


Stock No
Stock No
Color
Flange
Pouch
Box of 30
Box of 60
Match
Size
Length
18332
18732


•


1-3/4" (44mm)
9" (23cm)
18333
18733


•


2-1/4" (57mm)
9" (23cm)
18334
18734


•


2-3/4" (70mm)
9" (23cm)


1835x
Box of 30
1875x
Box of 60
Closed Mini-Pouch
Without Integrated Filter
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Both Sides
HCPCS: A5054


Stock No
Stock No
Color
Flange
Pouch
Box of 30
Box of 60
Match
Size
Length
18352
18752


•


1-3/4" (44mm)
7" (18cm)
18353
18753


•


2-1/4" (57mm)
7" (18cm)
18354
18754


•


2-3/4" (70mm)
7" (18cm)


Hollister Incorporated
1.800.323.4060


New ImageTwo-Piece Pouching System


26


New!


Upgrade
Coming
Soon!


New!





Page 20
27


www.hollister.com
Hollister Incorporated


Urostomy Pouches


1840x/1841x/1842x
Box of 10
Urostomy Pouch
Odor-Barrier Rustle-Free Film -Transparent
Odor-Barrier Film -Ultra-Clear
With Belt Tabs
With ComfortWear Panels
- Transparent and Ultra-Clear - Body Side Only
- Beige - Both Sides
HCPCS: A4432


Transparent
Beige
Ultra-Clear
Color
Flange
Pouch
Stock No
Stock No
Stock No
Match
Size
Length
18402
18412
18422


•


1-3/4" (44mm)
9" (23cm)
18403
18413
18423


•


2-1/4" (57mm)
9" (23cm)
18404
18414
18424*


•


2-3/4" (70mm)
9" (23cm)


Irrigator Sleeve


1815x
Box of 5
Drainable Irrigator Sleeve
Odor-Barrier Film
With Belt Tabs
HCPCS: A4397


Transparent
Color
Flange
Pouch
Stock No
Match
Size
Length
18152


•


1-3/4" (44mm)
30" (76cm)
18153


•


2-1/4" (57mm)
30" (76cm)
18154


•


2-3/4" (70mm)
30" (76cm)


Stoma Cap


1850x
Box of 25
With Integrated Filter
Odor-Barrier, Rustle-Free Film
With ComfortWear Panels
HCPCS: A5055


Beige
Color
Flange
Pouch
Stock No
Match
Size
Length
18502


•


1-3/4" (44mm)
4-1/2" (11mm)
18503


•


2-1/4" (57mm)
4-1/2" (11mm)
18504


•


2-3/4" (70mm)
4-1/2" (11mm)


Non-Sterile Kits - Drainable


1900x
Box of 5
Colostomy/Ileostomy Kit includes:
(1) 1420x (FlexWear) with Tape Border
(1) 1800x (Lock ’n Roll Closure), Ultra-Clear
(1) 7767 Loop Ostomy Bridge (in 19006 only)
Single Use Package
HCPCS for 19003 & 19004: A5063, A4414
HCPCS for 19006: A5063, A4415


Ultra-Clear
Color
Flange
Barrier
Stock No
Match
Size
Opening
19002


•


1-3/4" (44mm)
up to 1-14" (32mm)
19003


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
19004


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
19006


•


4" (102mm)
up to 3-1/2" (89mm)
*coming soon


Coming
Soon!





Page 21
Hollister Incorporated
1.800.323.4060


New ImageTwo-Piece Pouching System


28
Non-Sterile Kits - Drainable (continued)


1910x
Box of 5
Colostomy/Ileostomy Kit includes:
(1) 1420x (FlexWear) with Tape Border
(1) 1817x (Pouch Clamp Closure), Ultra-Clear
(1) 7767 Loop Ostomy Bridge (in 19106 only)
Single Use Package
HCPCS for 19103 & 19104: A5063, A4414
HCPCS for 19106: A5063, A4415


Ultra-Clear
Color
Flange
Barrier
Stock No
Match
Size
Opening
19102*


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
19103


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
19104


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
19106


•


4" (102mm)
up to 3-1/2" (89mm)


Non-Sterile Kits - Urostomy


1920x
Box of 5
Urostomy Kit includes:
(1) 1460x (Flextend) with Tape Border
(1) 1842x (Ultra-Clear Pouch Film)
(1) 7331
Single Use Package
HCPCS: A4432, A4409


Ultra-Clear
Color
Flange
Barrier
Stock No
Match
Size
Opening
19202


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
19203


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
19204*


•


2-3/4" (20mm)
up to 2-1/4" (57mm)


Sterile Kits - Drainable


1905x
Box of 5
Colostomy/Ileostomy Kit includes:
(1) 1420x (FlexWear) with Tape Border
(1) 1800x (Lock ’n Roll Closure), Ultra-Clear
(1) 7767 Loop Ostomy Bridge (in 19056 only)
Sterile, Single Use Package
HCPCS for 19053 & 19054: A5063, A4414
HCPCS for 19056: A5063, A4415


Ultra-Clear
Color
Flange
Barrier
Stock No
Match
Size
Opening
19052*


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
19053


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
19054


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
19056


•


4" (102mm)
up to 3-1/2" (89mm)
*coming soon





Page 22
29


www.hollister.com
Hollister Incorporated


Sterile Kits - Drainable (continued)


1915x
Box of 5
Colostomy/Ileostomy Kit includes:
(1) 1420x (FlexWear) with Tape Border
(1) 1817x (Pouch Clamp Closure), Ultra-Clear
(1) 7767 Loop Ostomy Bridge (in 19156 only)
Sterile, Single Use Package
HCPCS for 19153 & 19154: A5063, A4414
HCPCS for 19156: A5063, A4415


Ultra-Clear
Color
Flange
Barrier
Stock No
Match
Size
Opening
19152*


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
19153


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
19154


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
19156


•


4" (102mm)
up to 3-1/2" (89mm)


New Image Sterile Kits - Urostomy


1925x
Box of 5
Urostomy Kit includes:
(1) 1460x (Flextend) with Tape Border
(1) 1842x (Ultra-Clear Pouch Film)
(1) 7331
Sterile, Single Use Package
HCPCS: A4432, A4410


Ultra-Clear
Color
Flange
Barrier
Stock No
Match
Size
Opening
19252


•


1-3/4" (44mm)
up to 1-1/4" (32mm)
19253


•


2-1/4" (57mm)
up to 1-3/4" (44mm)
19254*


•


2-3/4" (70mm)
up to 2-1/4" (57mm)
*coming soon





Page 23
PremierOne-Piece Pouching System


Hollister Incorporated
1.800.323.4060


30
Premier Drainable Pouches with Flat Barriers


88401


(CUT-TO-FIT)


Box of 10
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Film
With ComfortWear Panels - Body Side Only
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
88401
up to 2-1/2" (64mm)
12" (30cm)


8531/8551


(CUT-TO-FIT)


Box of 10
Drainable Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film - Beige
Odor-Barrier Film -Ultra-Clear
With ComfortWear Panels
- Ultra-Clear - Body Side Only
- Beige - Both Sides
HCPCS: A4388


Ultra-Clear
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8531
8551
up to 2-1/2" (64mm)
12" (30cm)


8631/8651


(CUT-TO-FIT)


Box of 10
Drainable Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film -Transparent
Odor-Barrier Film - Ultra-Clear
With ComfortWear Panels - Body Side Only
HCPCS: A4388


Transparent
Ultra-Clear
Stock No
Stock No
Barrier Opening
Pouch Length
8631
8651
up to 2-1/2" (64mm)
12" (30cm)


8641


(CUT-TO-FIT)


Box of 10
Drainable Mini-Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A4388


Transparent
Stock No
Barrier Opening
Pouch Length
8641
up to 2-1/2" (64mm)
9" (23cm)


New!





Page 24
31


www.hollister.com
Hollister Incorporated


For Your Information


Cut-to-fit products have a 1/2" (13mm) starter hole and can be used as a
pre-sized product for some small stomas.
Cutting guides are provided on all cut-to-fit barriers.
Drainable Pouches without Lock ’n Roll include one pouch clamp per box.
Do not use Skin Gel Wipes (Stock No 7917) or other brands of skin preps
with Flextend skin barriers.


Premier Drainable Pouches with Flat Barriers (continued)


88300/88400


(CUT-TO-FIT)


Box of 10
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4424


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
88400
88300
up to 2-1/8" (55mm)
12" (30cm)


88800/88700


(CUT-TO-FIT)


Box of 20
Drainable Mini-Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4424


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
88800
88700
up to 2-1/8" (55mm)
7" (18cm)


88501


(CUT-TO-FIT)


Box of 10
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Film
With ComfortWear Panels - Body Side Only
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
88501
up to 2-1/2" (64mm)
12" (30cm)


New!





Page 25
Hollister Incorporated
1.800.323.4060


32


PremierOne-Piece Pouching System


Premier Drainable Pouches with Flat Barriers (continued)


883xx/884xx


(PRE-SIZED)


Box of 10
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4424


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
88425
88325
1" (25mm)
12" (30cm)
88430
88330
1-3/16" (30mm)
12" (30cm)
88435
88335
1-3/8" (35mm)
12" (30cm)
88440
88340
1-9/16" (40mm)
12" (30cm)


888xx/887xx


(PRE-SIZED)


Box of 20
Drainable Mini-Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4424


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
88825
88725
1" (25mm)
7" (18cm)
88830
88730
1-3/16" (30mm)
7" (18cm)
88835
88735
1-3/8" (35mm)
7" (18cm)
88840
88740
1-9/16" (40mm)
7’ (18cm)


853x/855x


(PRE-SIZED)


Box of 10
Drainable Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4388


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8532
8552
1" (25mm)
12" (30cm)
8538
8558
1-1/4" (32mm)
12" (30cm)
8533
8553
1-1/2" (38mm)
12" (30cm)
8539
8559
1-3/4" (44mm)
12" (30cm)





Page 26
33


www.hollister.com
Hollister Incorporated


Drainable Pouches with Flat Barriers (continued)


863x


(PRE-SIZED)


Box of 10
Drainable Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A4388


Transparent
Stock No
Barrier Opening
Pouch Length
8637
3/4" (19mm)
12" (30cm)
8632
1" (25mm)
12" (30cm)
8638
1-1/4" (32mm)
12" (30cm)
8633
1-1/2" (38mm)
12" (30cm)
8639
1-3/4" (44mm)
12" (30cm)
8634
2" (51mm)
12" (30cm)
8635
2-1/2" (64mm)
12" (30cm)


864x


(PRE-SIZED)


Box of 10
Drainable Mini-Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Both Sides
HCPCS: A4388


Beige
Stock No
Barrier Opening
Pouch Length
8647
3/4" (19mm)
9" (23cm)
8642
1" (25mm)
9" (23cm)
8648
1-1/4" (32mm)
9" (23cm)
8643
1-1/2" (38mm)
9" (23cm)
8649
1-3/4" (44mm)
9" (23cm)
8644
2" (51mm)
9" (23cm)


Drainable Pouches with Convex Barriers


852x/850x


(CUT-TO-FIT)


Box of 5
Drainable Pouch
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4390


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8524
8504
up to 1" (25mm)
12" (30cm)
8528
8508
up to 1-1/2" (38mm)
12" (30cm)
85211
85011
up to 2" (51mm)
12" (30cm)


CONVEX PRODUCT





Page 27
Hollister Incorporated
1.800.323.4060


PremierOne-Piece Pouching System


34
Drainable Pouches with Convex Barriers (continued)


851x/859x


(PRE-SIZED)


Box of 5
Drainable Pouch
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4390


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8510
8590
3/4" (19mm)
12" (30cm)
8511
8591
7/8" (22mm)
12" (30cm)
8512
8592
1" (25mm)
12" (30cm)
8513
8593
1-1/8" (29mm)
12" (30cm)
8514
8594
1-1/4" (32mm)
12" (30cm)
8515
8595
1-3/8" (35mm)
12" (30cm)


862x


(CUT-TO-FIT)


Box of 5
Drainable Pouch
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Body Side Only
HCPCS: A4390


Transparent
Stock No
Barrier Opening
Pouch Length
8624
up to 1" (25mm)
12" (30cm)
8628
up to 1-1/2" (38mm)
12" (30cm)
86211
up to 2" (51mm)
12" (30cm)


861x


(PRE-SIZED)


Box of 5
Drainable Pouch
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Body Side Only
HCPCS: A4390


Transparent
Stock No
Barrier Opening
Pouch Length
8610
3/4" (19mm)
12" (30cm)
8611
7/8" (22mm)
12" (30cm)
8612
1" (25mm)
12" (30cm)
8613
1-1/8" (29mm)
12" (30cm)
8614
1-1/4" (32mm)
12" (30cm)
8615
1-3/8" (35mm)
12" (30cm)
8616
1-1/2" (38mm)
12" (30cm)
8617
1-5/8" (41mm)
12" (30cm)
8618
1-3/4" (44mm)
12" (30cm)
8619
2" (51mm)
12" (30cm)


CONVEX PRODUCT





Page 28
35


www.hollister.com
Hollister Incorporated


Post-Operative Drainable Pouches


9763/9764


(CUT-TO-FIT)


Box of 5
Drainable Pouch
FlexWear (standard wear) Skin Barrier - Flat
Without Tape Border
Without Integrated Filter
Integrated Wire Closure
Odor-Barrier Film
Without ComfortWear Panels
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
9763 (Non-Sterile)
up to 4" (102mm)
15-1/2" (39cm)
9764 (Sterile)
up to 4" (102mm)
15-1/2" (39cm)


High Output Drainable Pouches


80070/80110


(CUT-TO-FIT)


Box of 10
Non-Sterile, Drainable Pouch
Flextend (extended wear) Skin Barrier - Flat
With Soft Tap
With Access Window
Odor-Barrier Film
With ComfortWear Panel - Body Side Only
HCPCS: A6154


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
80070
up to 2-3/4" (70mm)
12" (30cm)
80110
up to 4-1/3" (110mm)
12" (30cm)


81070/81010


(CUT-TO-FIT)


Box of 5
Sterile, Drainable Pouch
Flextend (extended wear) Skin Barrier - Flat
With Soft Tap
With Access Window
Odor-Barrier Film
With ComfortWear Panel - Body Side Only
HCPCS: A6154


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
81070
up to 2-3/4" (70mm)
12" (30cm)
81010
up to 4-1/3" (110mm)
12" (30cm)





Page 29
Hollister Incorporated
1.800.323.4060


PremierOne-Piece Pouching System


36
Closed Pouches


82300/82400


(CUT-TO-FIT)


Box of 30
Closed Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only & Beige - Both Sides
HCPCS: A4416


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
82400
82300
up to 2-1/8" (55mm)
9" (23cm)


823xx


(PRE-SIZED)


Box of 30
Closed Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Both Sides
HCPCS: A4416


Beige
Stock No
Barrier Opening
Pouch Length
82325
1" (25mm)
9" (23cm)
82330
1-3/16" (30mm)
9" (23cm)
82335
1-3/8" (35mm)
9" (23cm)


82100/82500


(CUT-TO-FIT)


Box of 30
Closed Mini-Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Odor-Barrier Rustle-Free Film
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4416


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
82500
82100
up to 2-1/8" (55mm)
7" (18cm)


821xx


(PRE-SIZED)


Box of 30
Closed Mini-Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Both Sides
HCPCS: A4416


Beige
Stock No
Barrier Opening
Pouch Length
82125
1" (25mm)
7" (18cm)
82130
1-3/16" (30mm)
7" (18cm)
82135
1-3/8" (35mm)
7" (18cm)





Page 30
37


www.hollister.com
Hollister Incorporated


Stoma Cap


1796


(PRE-SIZED)


Stoma Cap
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
With Integrated Filter
Odor-Barrier Film
HCPCS: A5055


Beige
Stock No
Barrier Opening
Size
1796
1-15/16" (50mm)
4" (102mm)


Urostomy Pouches with Flat Barriers


8450/8460/8440


(CUT-TO-FIT)


Box of 10
Urostomy Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Odor-Barrier Rustle-Free Film - Transparent
Odor-Barrier Film - Ultra-Clear
With ComfortWear Panels - Body Side Only
HCPCS: A4428


Transparent
Ultra-Clear
Beige
Stock No
Stock No
Stock No
Barrier Opening
Pouch Length
8460
8450
8440*
up to 2-1/2" (64mm)
9" (23cm)


846x/844x


(PRE-SIZED)


Box of 10
Urostomy Pouch
Flextend (extended wear) Skin Barrier - Flat
With Tape Border
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A4428


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8467
8447*
3/4" (19mm)
9" (23cm)
8462
8442*
1" (25mm)
9" (23cm)
8468
8448*
1-1/4" (32mm)
9" (23cm)
8463
8443*
1-1/2" (38mm)
9" (23cm)
8469
8449*
1-3/4" (44mm)
9" (23cm)
8464
8444*
2" (51mm)
9" (23cm)


Urostomy Pouches with Convex Barriers


847x/843x


(CUT-TO-FIT)


Box of 5
Urostomy Pouch
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Body Side Only
HCPCS: A4430


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8474
8434*
up to 1" (25mm)
9" (23cm)
8478
8438*
up to 1-1/2" (38mm)
9" (23cm)
84711
8434*
up to 2" (51mm)
9" (23cm)
*coming soon


Beige
Coming
Soon!
Beige
Coming
Soon!
Beige
Coming
Soon!





Page 31
CONVEX PRODUCT


Hollister Incorporated
1.800.323.4060


Urostomy Pouches with Convex Barriers (continued)


848x/849x


(PRE-SIZED)


Box of 5
Urostomy Pouch
Flextend (extended wear) Skin Barrier - Convex
With Tape Border
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Body Side Only
HCPCS: A4430


Transparent
Beige
Stock No
Stock No
Barrier Opening
Pouch Length
8480
8490*
1/2" (13mm)
9" (23cm)
8481
8491*
5/8" (16mm)
9" (23cm)
8482
8492*
3/4" (19mm)
9" (23cm)
8483
8493*
7/8" (22mm)
9" (23cm)
8484
8494*
1" (25mm)
9" (23cm)
8485
8495*
1-1/8" (29mm)
9" (23cm)
8486
8496*
1-1/4" (32mm)
9" (23cm)
8487
8497*
1-3/8" (35mm)
9" (23cm)
8488
8498*
1-1/2" (38mm)
9" (23cm)
8489
8499*
1-3/4" (44mm)
9" (23cm)


Non-Sterile Kits - Drainable


89001


(CUT-TO-FIT)


Box of 5 Kits
Colostomy/Ileostomy Kit Includes:
(1) 88401 (SoftFlex)
Without Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Single Use Package
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
89001
up to 2-1/2" (64mm)
12" (30cm)


89002


(CUT-TO-FIT)


Box of 5 Kits
Colostomy/Ileostomy Kit Includes:
(1) 88501 (SoftFlex)
Without Tape Border
Without Integrated Filter
Pouch Clamp Closure
Single Use Package
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
89002
up to 2-1/2" (64mm)
12" (30cm)


89003


(CUT-TO-FIT)


Box of 5 Kits
Colostomy/Ileostomy Kit Includes:
(1) 8651 (Flextend)
With Tape Border
Without Integrated Filter
Pouch Clamp Closure
Single Use Package
HCPCS: A4388


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
89003
up to 2-1/2" (64mm)
12" (30cm)


Coming
Soon


PremierOne-Piece Pouching System


38


*coming soon


New!
New!
New!


Beige
Coming
Soon!





Page 32
39


www.hollister.com
Hollister Incorporated


Non-Sterile Kits - Drainable (continued)


89004


(CUT-TO-FIT)


Box of 5 Kits
Colostomy/Ileostomy Kit Includes:
(1) 8531 (Flextend)
With Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Single Use Package
HCPCS: A4388


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
89004
up to 2-1/2" (64mm)
12" (30cm)


89005


(CUT-TO-FIT)


Box of 5 Kits
Urostomy Kit Includes:
(1) 8450 (Flextend)
With Tape Border
(1) 7331
Single Use Package
HCPCS: A4428


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
89005
up to 2-1/2" (64mm)
9" (23cm)


Wound Drainage Collectors


970x/977x
For Management of Draining Wounds, Fistulae, or
Draining Tube Sites
Available With and Without FlexWear Skin Barriers
Sterile and Non-Sterile Drainable Pouches
Odor-Barrier Film
With Access Window
Reclosable Cap
Without Starter Hole


With Barrier: Non-Sterile
Quantity/
Stock No
HCPCS
Description
Box
9773
A6154
Small (for wounds up to 3")
10
9776
A6154
Medium (for wounds up to 3-3/4")
10
9778
A6154
Large (for wounds up to 4" x 8")
3
With Barrier: Sterile
Quantity/
Stock No
HCPCS
Description
Box
9701
A6154
Small (for wounds up to 3")
5
9702
A6154
Medium (for wounds up to 3-3/4")
5
9703
A6154
Large (for wounds up to 4" x 8")
3
Without Barrier: Sterile
Quantity/
Stock No
HCPCS
Description
Box
9772
A6154
Small (for wounds up to 3")
10
9775
A6154
Medium (for wounds up to 3-3/4")
10
9777
A6154
Large (for wounds up to 4" x 8")
3


Hollister Universal Catheter Access Port


9779
Graduated nipple and punch allows introduction
of catheter or drain through Wound Drainage Collector
Sterile


Stock No
Quantity/Box
9779
8


New!
New!


Wound Drainage Collectors





Page 33
Hollister Incorporated
1.800.323.4060


PouchkinsPediatric Pouching System


40
Premie Pouch


3777


(CUT-TO-FIT)


Box of 15
Use as a Premie Closed or Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
Without Starter Hole
Without Integrated Filter
Odor-Barrier Film
Soft Wire Closure
Without ComfortWear Panels
HCPCS: A5052, A4362


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
3777
up to 5/8" (15mm)
4.5" (11.5cm)


Newborn Pouch


3778


(CUT-TO-FIT)


Box of 15
Newborn Pouch; Use With or Without the Drain Valve
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
Without Integrated Filter
Soft Wire Closure
Odor-Barrier Film
Without ComfortWear Panels
HCPCS: A5062, A4362


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
3778
up to 1-3/8" x 7/8" (35mm x 22mm)
6.5" (16.5cm)


One-Piece Pouches


3796


(CUT-TO-FIT)


Box of 10
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Starter Hole
Without Tape Border
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A5061


Transparent
Stock No
Barrier Opening
Pouch Length
3796
up to 1-1/2" (38mm)
6-1/2" (16cm)


3795


(CUT-TO-FIT)


Box of 10
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Starter Hole
Without Tape Border
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
3795
up to 2" (51mm)
7" (18cm)


New
Upgrade!
New
Upgrade!


New!
New!





Page 34
41


www.hollister.com
Hollister Incorporated


One-Piece Pouches (continued)


3797
Box of 10
Urostomy Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Starter Hole
Without Tape Border
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A5071


Transparent
Stock No
Barrier Opening
Pouch Length
3797
up to 1-1/2" (38mm)
8-3/4" (22cm)


Two-Piece Skin Barrier


3761
Box of 5
SoftFlex (standard wear) Skin Barrier - Flat
Without Starter Hole
Without Tape Border
HCPCS: A4414


Transparent
Stock No
Color Match
Flange Size
Barrier Opening
3761


•


1-3/4" (44mm)
up to 1-1/4" (32mm)


Two-Piece Pouches


3799
Box of 10
Drainable Pouch
Without Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels - Body Side Only
HCPCS: A5063


Ultra-Clear
Stock No
Color Match
Flange Size
Pouch Length
3799


•


1-3/4" (44mm)
6-1/2" (16cm)


18292/18282
Box of 20
Drainable Pouch
With Integrated Filter
Lock ’n Roll Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panel on Body Side
HCPCS: A4425


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18292
18282


•


1-3/4" (44mm)
7" (18cm)


New!
New!
New!
New!





Page 35
Hollister Incorporated
1.800.323.4060


PouchkinsPediatric Pouching System


42


18382/18392
Box of 60
Closed Mini-Pouch
With Integrated Filter
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent - Body Side Only
- Beige - Both Sides
HCPCS: A4419


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18382
18392


•


1-3/4" (44mm)
7" (18cm)


18402/18412
Box of 10
Urostomy Pouch
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panel on Body Side
HCPCS: A4432


Transparent
Beige
Color
Flange
Pouch
Stock No
Stock No
Match
Size
Length
18402
18412


•


1-3/4" (44mm)
9" (23cm)


Accessories


3774
Single Unit
Pediatric Ostomy Belt
HCPCS: A4367


Stock No
Length
3774
10”- 17” (25-43cm)


3779
Single Unit
Drain Tube
For use with Newborn Ostomy Pouch #3778
HCPCS: A4331


Ultra-Clear
Stock No
Length
3779
61" (155cm)


One-Piece Pouches


9766*
Box of 15
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Starter Hole
Without Tape Border
Without Integrated Filter
Soft Wire Closure
Odor-Barrier Rustle-Free Film
Without ComfortWear Panels
HCPCS: A5061


Transparent
Stock No
Barrier Opening
Pouch Length
9766
up to 2" (51mm)
8-1/2" (21cm)
*Plan to Discontinue 12-31-07


OtherPouchkinsProducts





Page 36
43


www.hollister.com
Hollister Incorporated


9768*
Box of 15
Drainable Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Starter Hole
Without Tape Border
Without
Soft Wire Closure
Odor-Barrier Rustle-Free Film
With ComfortWear Panels - Body Side Only
HCPCS: A5061


Ultra-Clear
Stock No
Barrier Opening
Pouch Length
9768
up to 1-1/2" (38mm)
6-1/2" (16cm)


9767*
Box of 15
Urostomy Pouch
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
Odor-Barrier Rustle-Free Film
Without ComfortWear Panels
HCPCS: A5071


Transparent
Stock No
Barrier Opening
Pouch Length
9767
up to 1-1/2" (38mm)
8-1/2" (21cm


Two-Piece Skin Barrier


3770*


(CUT-TO-FIT)


Box of 5
SoftFlex (standard wear) Skin Barrier - Flat
Without Tape Border
HCPCS: A4414


Transparent
Stock No
Letter Match
Flange Size
Pouch Length
3770
I
1-3/4" (44mm)
up to 1-1/4" (32mm)


Two-Piece Pouches


3771*
Box of 10
Drainable Pouch
Without Integrated Filter
Soft Wire Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
Without ComfortWear Panels
HCPCS: A5063


Transparent
Stock No
Letter Match
Flange Size
Pouch Length
3771
I
1-3/4" (44mm)
up to 8-1/2" (21cm)


3772*
Box of 10
Urostomy Pouch
Odor-Barrier Rustle-Free Film
With Belt Tabs
Without ComfortWear Panels
HCPCS: A5073


Transparent
Stock No
Letter Match
Flange Size
Pouch Length
3772
I
1-3/4" (44mm)
up to 8-1/2" (21cm)
*Plan to Discontinue 12-31-07





Page 37
Hollister Incorporated
1.800.323.4060


AdaptAccessories


44
Skin Barrier Accessories


780x
Box of 10
Adapt Barrier Rings (Flat)
HCPCS: A4385


Stock No
Outer Diameter
7805
2" (48mm)
7806
4" (98mm)


795xx
Box of 10
Adapt Convex Barrier Rings
HCPCS: A4411


Stock No
Inner Diameter
79520
13/16" (20mm) - can be stretched to 1" (25mm)
79530
1-3/16" (30mm) - can be stretched to 1-3/8" (35mm)
79540
1-9/16" (40mm) - can be stretched to 1-3/4" (45mm)


79400
Box of 10
Adapt Barrier Strips
HCPCS: A4385


Stock No
Size
Length
79400
60 grams
5-1/8" (13cm)


Skin Barrier Paste


79300/79301
Adapt Paste
HCPCS: A4406


Stock No
Description
Quantity
79300
2 oz. (57gm) tube
Box of 1
79301
0.5 oz (14gm) tube
Box of 20


Skin Barrier Powder


7906
Box of 1
Adapt Stoma Powder
HCPCS: A4371


Stock No
Description
7906
1 oz. (28.3g) puff bottle


Skin Barrier


8800
Box of 5
8801
Box of 3
Flextend (extended wear) Skin Barrier
HCPCS for 8800: A4385
HCPCS for 8801: A5122


Stock No
Size
8800
4" x 4" (10cm x 10cm)
8801
8" x 8" (20cm x 20cm)


Skin Gel Products


7917
12 Cartons of
Skin Gel Protective Dressing Wipes
50 Wipes Each
HCPCS: A5120


Stock No
7917


Adhesives and Removers


7760
12 Cartons of
Universal Remover Wipes
50 Wipes Each
For Adhesives and Barriers
HCPCS: A4365


Stock No
7760


New
Packaging!





Page 38
45


www.hollister.com
Hollister Incorporated


7730
Box of 4
Medical Adhesive
Improves adhesive contact between skin and barrier
HCPCS: A4364


Stock No
Description
7730
3.2 oz. (90g) spray can


7731
Box of 4
Medical Adhesive Remover
HCPCS: A4455


Stock No
Description
7731
2.7 oz. (76g) spray can


Odor Eliminators and Lubricants


78500/78501
Adapt Lubricating Deodorant
HCPCS Code: A4394


Stock No
Description
Quantity
78500
8 oz. (236mL) bottle
Box of 1
78501
0.27 oz. (8mL) packet
50 Packets/Box


773x
m9 Odor Eliminator Spray
HCPCS: No Code


Stock No (unscented)
Description
Quantity
7732
2 oz. (60mL) pump spray
Box of 12
7733
8 oz. (240mL) pump spray
Box of 6
Stock No (scented)
Description
Quantity
7734
2 oz. (60mL) pump spray
Box of 12
7735
8 oz. (240mL) pump spray
Box of 6


Cleaner/Decrystallizer


7736
Box of 12
m9 Cleaner/Decrystallizer
Cleans Urinary Drainage Systems
pH balanced and non-acidic
Free wash bottle included
HCPCS: A5131


Stock No
Description
7736
16 oz. (480mL) bottle


Ostomy Belts


7300/7299
Box of 10
Ostomy Belts
HCPCS: A4367


Stock No
Size
7300
26"-43" (66 - 109cm) Medium
7299
29"-49" (74 - 125cm) Large


Drainable Pouch Clamp


8770
Box of 20
Drainable Pouch Clamp
HCPCS: A4363


Stock No
Color
8770
Beige


Urostomy Drain Tube Adapter


7331
Box of 10
Urostomy Drain Tube Adapter
HCPCS: A4421


Stock No
7331





Page 39
Hollister Incorporated
1.800.323.4060


CenterPointLockTwo-Piece Pouching System


46
Letter Matching System


To help you select compatible CenterPointLock Two-Piece System
components, every CenterPointLock System product box label
features a letter designation: H, I, J, K or L. Once you’ve
selected a CenterPointLock Two-Piece System skin barrier, select a
pouch, irrigator drain or stoma cap with a matching letter on the
box label.


Flat Skin Barriers with Floating Flanges


872x


(CUT-TO-FIT)


Box of 5
Flextend Skin Barrier, Flat, Tape Border
HCPCS: A4409


Stock No
Letter Match
Flange Size
Barrier Opening
8727
H
1-1/2" (38mm)
up to 1" (25mm)
8722
I
1-3/4" (44mm)
up to 1-1/4" (32mm)
8723
J
2-1/4" (57mm)
up to 1-3/4" (44mm)
8724
K
2-3/4" (70mm)
up to 2-1/4" (57mm)


875x


(CUT-TO-FIT)


Box of 5
Flextend Skin Barrier, Flat, Without Tape Border
HCPCS FOR 8752, 8753 & 8757: A4409
HCPCS FOR 8754: A4410


Stock No
Letter Match
Flange Size
Barrier Opening
8752
I
1-3/4" (44mm)
up to 1-1/4" (32mm)
8753
J
2-1/4" (57mm)
up to 1-3/4" (44mm)
8754
K
2-3/4" (70mm)
up to 2-1/4" (57mm)


372x


(CUT-TO-FIT)


Box of 5
FlexWear Skin Barrier, Flat, Tape Border
HCPCS FOR 3722-3724 & 3727: A4414
HCPCS FOR 3726: A4415


Stock No
Letter Match
Flange Size
Barrier Opening
3727
H
1-1/2" (38mm)
up to 1" (25mm)
3722
I
1-3/4" (44mm)
up to 1-1/4" (32mm)
3723
J
2-1/4" (57mm)
up to 1-3/4" (44mm)
3724
K
2-3/4" (70mm)
up to 2-1/4" (57mm)
3726
L
4" (102mm)
up to 3-1/2" (89mm)


376x


(CUT-TO-FIT)


Box of 5
SoftFlex Skin Barrier, Flat, Without Tape Border
HCPCS FOR 3762-3764 & 3767: A4414
HCPCS FOR 3766: A4415


Stock No
Letter Match
Flange Size
Barrier Opening
3767
H
1-1/2" (38mm)
up to 1" (25mm)
3762
I
1-3/4" (44mm)
up to 1-1/4" (32mm)
3763
J
2-1/4" (57mm)
up to 1-3/4" (44mm)
3764
K
2-3/4" (70mm)
up to 2-1/4" (57mm)
3766
L
4" (102mm)
up to 3-1/2" (89mm)


370x


(CUT-TO-FIT)


Box of 5
HolliHesive Skin Barrier, Flat, Tape Border
HCPCS FOR 3702-3704 & 3707: A4414
HCPCS FOR 3706: A4415


Stock No
Letter Match
Flange Size
Barrier Opening
3707
H
1-1/2" (38mm)
up to 3/4" (19mm)
3702
I
1-3/4" (44mm)
up to 1" (25mm)
3703
J
2-1/4" (57mm)
up to 1-1/2" (38mm)
3704
K
2-3/4" (70mm)
up to 2" (51mm)
3706
L
4" (102mm)
up to 3-1/2" (89mm)





Page 40
CONVEX PRODUCT


47


www.hollister.com
Hollister Incorporated


Flat Skin Barriers with Floating Flanges (continued)


874x


(PRE-SIZED)


Box of 5
Flextend Skin Barrier, Flat, Tape Border
HCPCS: A4409


Stock No
Letter Match
Flange Size
Barrier Opening
8743
H
1-1/2" (38mm)
7/8" (22mm)
8744
H
1-1/2" (38mm)
1" (25mm)
8745
I
1-3/4" (44mm)
1-1/8" (29mm)
8746
I
1-3/4" (44mm)
1-1/4" (32mm)
8747
J
2-1/4" (57mm)
1-3/8" (35mm)
8748
J
2-1/4" (57mm)
1-1/2" (38mm)


374x


(PRE-SIZED)


Box of 5
FlexWear Skin Barrier, Flat, Tape Border
HCPCS: A4414


Stock No
Letter Match
Flange Size
Barrier Opening
3747
H
1-1/2" (38mm)
3/4" (19mm)
3742
H
1-1/2" (38mm)
1" (25mm)
3748
I
1-3/4" (44mm)
1-1/4" (32mm)
3743
J
2-1/4" (57mm)
1-1/2" (38mm)
3749
J
2-1/4" (57mm)
1-3/4" (44mm)


Convex Skin Barriers with Floating Flanges


877x


(CUT-TO-FIT)


Box of 5
Flextend Skin Barrier, Convex, Tape Border
HCPCS: A4407


Stock No
Letter Match
Flange Size
Barrier Opening
8774
I
1-3/4" (44mm)
up to 1" (25mm)
8778
J
2-1/4" (57mm)
up to 1-1/2" (38mm)
87711
K
2-3/4" (70mm)
up to 2" (51mm)


873x


(PRE-SIZED)


Box of 5
Flextend Skin Barrier, Convex, Tape Border
HCPCS: A4407


Stock No
Letter Match
Flange Size
Barrier Opening
8731
H
1-1/2" (38mm)
5/8" (15mm)
8732
H
1-1/2" (38mm)
3/4" (19mm)
8733
I
1-3/4" (44mm)
7/8" (22mm)
8734
I
1-3/4" (44mm)
1" (25mm)
8735
J
2-1/4" (57mm)
1-1/8" (29mm)
8736
J
2-1/4" (57mm)
1-1/4" (32mm)
8737
J
2-1/4" (57mm)
1-3/8" (35mm)
8738
J
2-1/4" (57mm)
1-1/2" (38mm)


373x


(PRE-SIZED)


Box of 5
FlexWear Skin Barrier, Convex, Tape Border
HCPCS: A4373


Stock No
Letter Match
Flange Size
Barrier Opening
3730
H
1-1/2" (38mm)
1/2" (13mm)
3731
H
1-1/2" (38mm)
5/8" (15mm)
3732
H
1-1/2" (38mm)
3/4" (19mm)
3733
I
1-3/4" (44mm)
7/8" (22mm)
3734
I
1-3/4" (44mm)
1" (25mm)
3735
J
2-1/4" (57mm)
1-1/8" (29mm)
3736
J
2-1/4" (57mm)
1-1/4" (32mm)
3737
J
2-1/4" (57mm)
1-3/8" (35mm)
3738
J
2-1/4" (57mm)
1-1/2" (38mm)
3739
K
2-3/4" (70mm)
1-5/8" (41mm)
37310
K
2-3/4" (70mm)
1-3/4" (44mm)
37311
K
2-3/4" (70mm)
2" (51mm)





Page 41
Hollister Incorporated
1.800.323.4060


48


CenterPointLockTwo-Piece Pouching System


Drainable Pouches


389x/383x
Box of 10
Drainable Pouch, Replaceable Filter,
Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs,
Without ComfortWear Panels. Includes 1 Bag of 20 Hollister
Replacement Filters and 2 Plugs, #7766
HCPCS: A4425, A4368


Transparent
Beige
Letter
Flange
Pouch
Stock No
Stock No
Match
Size
Length
3897
3837
H
1-1/2" (38mm)
12" (30cm)
3892
3832
I
1-3/4" (44mm)
12" (30cm)
3893
3833
J
2-1/4" (57mm)
12" (30cm)
3894
3834
K
2-3/4" (70mm)
12" (30cm)


881x
Box of 10
Drainable Pouch, Without Integrated Filter,
Clamp Closure, Odor-Barrier Rustle-Free Film,
Belt Tabs, ComfortWear Panels - Both Sides
HCPCS: A5063


Beige
Letter
Flange
Pouch
Stock No
Match
Size
Length
8817
H
1-1/2" (38mm)
12" (30cm)
8812
I
1-3/4" (44mm)
12" (30cm)
8813
J
2-1/4" (57mm)
12" (30cm)
8814
K
2-3/4" (70mm)
12" (30cm)


380x/381x
Box of 10
Drainable Pouch, Without Integrated Filter,
Clamp Closure, Odor-Barrier Rustle-Free Film,
Belt Tabs, Without ComfortWear Panels
HCPCS: A5063


Transparent
Beige
Letter
Flange
Pouch
Stock No
Stock No
Match
Size
Length
3807
3817
H
1-1/2" (38mm)
11" (28cm)
3802
3812
I
1-3/4" (44mm)
11" (28cm)
3803
3813
J
2-1/4" (57mm)
11" (28cm)
3804
3814
K
2-3/4" (70mm)
11" (28cm)
3806
–
L
4" (102mm)
11" (28cm)


387x
Box of 10
Drainable Pouch, Without Integrated Filter,
Clamp Closure, Odor-Barrier Film, Belt Tabs
Without ComfortWear Panels
HCPCS: A4412


Transparent
Letter
Flange
Pouch
Stock No
Match
Size
Length
3872
I
1-3/4" (44mm)
16" (40cm)
3873
J
2-1/4" (57mm)
16" (40cm)
3874
K
2-3/4" (70mm)
16" (40cm)


384x
Box of 10
Drainable Mini-Pouch, Without Integrated
Filter,Clamp Closure, Odor-Barrier Rustle-Free Film,
Belt Tabs, Without ComfortWear Panels
HCPCS: A5063


Beige
Letter
Flange
Pouch
Stock No
Match
Size
Length
3847
H
1-1/2" (38mm)
9" (23cm)
3842
I
1-3/4" (44mm)
9" (23cm)
3843
J
2-1/4" (57mm)
9" (23cm)
3844
K
2-3/4" (70mm)
9" (23cm)





Page 42
49


www.hollister.com
Hollister Incorporated


Closed Pouches


834x
Box of 15
Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film,
Belt Tabs, ComfortWear Panels - Both Sides
HCPCS: A4419


Beige
Letter
Flange
Pouch
Stock No
Match
Size
Length
8347
H
1-1/2" (38mm)
7-1/2" (19cm)
8342
I
1-3/4" (44mm)
7-1/2" (19cm)
8343
J
2-1/4" (57mm)
7-1/2" (19cm)
8344
K
2-3/4" (70mm)
7-1/2" (19cm)


334x
Box of 15
Closed Pouch, Integrated Filter, Odor-Barrier
Rustle-Free Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A4419


Beige
Letter
Flange
Pouch
Stock No
Match
Size
Length
3347
H
1-1/2" (38mm)
9" (23cm)
3342
I
1-3/4" (44mm)
9" (23cm)
3343
J
2-1/4" (57mm)
9" (23cm)
3344
K
2-3/4" (70mm)
9" (23cm)


Urostomy Pouches


890x
Box of 10
Urostomy Pouch, Odor-Barrier Rustle-Free
Film, Belt Tabs, ComfortWear Panels - Both Sides
HCPCS: A4432


Beige
Letter
Flange
Pouch
Stock No
Match
Size
Length
8902
I
1-3/4" (44mm)
9" (23cm)
8903
J
2-1/4" (57mm)
9" (23cm)


390x
Box of 10
Urostomy Pouch, Odor-Barrier Rustle-Free
Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A4432


Transparent
Letter
Flange
Pouch
Stock No
Match
Size
Length
3907
H
1-1/2" (38mm)
9" (23cm)
3902
I
1-3/4" (44mm)
9" (23cm)
3903
J
2-1/4" (57mm)
9" (23cm)
3904
K
2-3/4" (70mm)
9" (23cm)


Stoma Cap


340x
Box of 25
Stoma Cap, Integrated Filter, Odor-Barrier
Rustle-Free Film Without ComfortWear Panels
HCPCS: A5055


Beige
Letter
Flange
Pouch
Stock No
Match
Size
Length
3407
H
1-1/2" (38mm)
4-1/2" (11cm)
3402
I
1-3/4" (44mm)
4-1/2" (11cm)
3403
J
2-1/4" (57mm)
4-1/2" (11cm)
3404
K
2-3/4" (70mm)
4-1/2" (11cm)





Page 43
Hollister Incorporated
1.800.323.4060


CenterPointLockTwo-Piece Pouching System


50
Irrigator Sleeve


382x
Box of 5
Irrigator Sleeve, Belt Tabs
HCPCS: A4397


Transparent
Letter
Flange
Pouch
Stock No
Match
Size
Length
3827
H
1-1/2" (38mm)
30" (76cm)
3822
I
1-3/4" (44mm)
30" (76cm)
3823
J
2-1/4" (57mm)
30" (76cm)
3824
K
2-3/4" (70mm)
30" (76cm)
3826
L
4" (102mm)
30" (76cm)


For Two-Piece Pouching System Kits,
refer to pages 27 -29.





Page 44
51


www.hollister.com
Hollister Incorporated


Karaya 5One-Piece Pouching System


Drainable Pouches


366x


(PRE-SIZED)


Box of 10
Drainable Pouch, Karaya 5 Skin Barrier,
Tape Border, Replaceable Filter, Pouch Clamp Closure,
Odor-Barrier Rustle-Free Film, Belt Tabs, Without
ComfortWear Panels, Includes 1 Bag of 20 Hollister
Replacement Filters and 2 Plugs, #7766
HCPCS: A4424, A4368


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
3662
1" (25mm)
5/8" (15mm)
12" (30cm)
3668
1-1/4" (32mm)
7/8" (22mm)
12" (30cm)
3663
1-1/2" (38mm)
1-1/8" (29mm)
12" (30cm)
3669
1-3/4" (44mm)
1-3/8" (35mm)
12" (30cm)
3664
2" (51mm)
1-1/2" (38mm)
12" (30cm)
3665
2-1/2" (64mm)
2" (51mm)
12" (30cm)


360x


(PRE-SIZED)


Box of 10
Drainable Pouch, Karaya 5 Skin Barrier,
Tape Border, Without Integrated Filter, Pouch Clamp
Closure, Odor-Barrier Rustle-Free Film, Belt Tabs,
Without ComfortWear Panels
HCPCS: A5061


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
3608
1-1/4" (32mm)
7/8" (22mm)
12" (30cm)
3603
1-1/2" (38mm)
1-1/8" (29mm)
12" (30cm)
3609
1-3/4" (44mm)
1-3/8" (35mm)
12" (30cm)
3604
2" (51mm)
1-1/2" (38mm)
12" (30cm)
3605
2-1/2" (64mm)
2" (51mm)
12" (30cm)
3606
3" (76mm)
2-1/2" (64mm)
12" (30cm)


323x


(PRE-SIZED)


Box of 30
Drainable Mini-Pouch, Karaya 5 Skin Barrier,
Tape Border, Without Integrated Filter, Pouch Clamp Closure,
Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A5061


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
3232
1" (25mm)
5/8" (15mm)
9" (23cm)
3238
1-1/4" (32mm)
7/8" (22mm)
9" (23cm)
3233
1-1/2" (38mm)
1-1/8" (29mm)
9" (23cm)
3239
1-3/4" (44mm)
1-3/8" (35mm)
9" (23cm)
3234
2" (51mm)
1-1/2" (38mm)
9" (23cm)


322x


(PRE-SIZED)


Box of 30
Drainable Pouch, Karaya 5 Skin Barrier,
Tape Border, Without Integrated Filter, Pouch Clamp Closure,
Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A5061


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
3222
1" (25mm)
5/8" (15mm)
12" (30cm)
3228
1-1/4" (32mm)
7/8" (22mm)
12" (30cm)
3223
1-1/2" (38mm)
1-1/8" (29mm)
12" (30cm)
3229
1-3/4" (44mm)
1-3/8" (35mm)
12" (30cm)
3224
2" (51mm)
1-1/2" (38mm)
12" (30cm)
3225
2-1/2" (64mm)
2" (51mm)
12" (30cm)
3226
3" (76mm)
2-1/2" (64mm)
12" (30cm)





Page 45
Hollister Incorporated
1.800.323.4060


Karaya 5One-Piece Pouching System


52
Drainable Pouches (continued)


327x


(PRE-SIZED)


Box of 30
Drainable Pouch, Karaya 5 Skin Barrier,
Tape Border, Without Integrated Filter, Pouch Clamp
Closure, Odor-Barrier Film, Belt Tabs, Without
ComfortWear Panels
HCPCS: A5061


Transparent
Pouch Barrier
Pouch
Stock No
Size Opening
Length
3278
1-1/4" (32mm)
7/8" (22mm)
16" (40cm)
3273
1-1/2" (38mm)
1-1/8" (29mm)
16" (40cm)
3279
1-3/4" (44mm)
1-3/8" (35mm)
16" (40cm)
3274
2" (51mm)
1-1/2" (38mm)
16" (40cm)
3275
2-1/2" (64mm)
2" (51mm)
16" (40cm)
3276
3" (76mm)
2-1/2" (64mm)
16" (40cm)


Closed Pouches


332x


(PRE-SIZED)


Box of 30
Closed Pouch, Karaya 5 Skin Barrier,
Tape Border, Integrated Filter, Odor-Barrier Film,
Belt Tabs, Without ComfortWear Panels
HCPCS: A4416


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
3328
1-1/4" (32mm)
7/8" (22mm)
9" (23cm)
3323
1-1/2" (38mm)
1-1/8" (29mm)
9" (23cm)
3329
1-3/4" (44mm)
1-3/8" (35mm)
9" (23cm)
3324
2" (51mm)
1-1/2" (38mm)
9" (23cm)
3325
2-1/2" (64mm)
2" (51mm)
9" (23cm)
3326
3" (76mm)
2-1/2" (64mm)
9" (23cm)


716x


(PRE-SIZED)


Box of 30
Closed Pouch, Karaya 5 Skin Barrier,
Without Tape Border, Without Integrated Filter,
Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A5051


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
7168
1-1/4" (32mm)
7/8" (22mm)
9" (23cm)
7163
1-1/2" (38mm)
1-1/8" (29mm)
9" (23cm)
7169
1-3/4" (44mm)
1-3/8" (35mm)
9" (23cm)
7164
2" (51mm)
1-1/2" (38mm)
9" (23cm)
7165
2-1/2" (64mm)
2" (51mm)
9" (23cm)
7166
3" (76mm)
2-1/2" (64mm)
9" (23cm)


Urostomy Pouches


143x


(PRE-SIZED)


Box of 10
Urostomy Pouch, Karaya 5 Skin Barrier,
Tape Border, Odor-Barrier Film, Belt Tabs,
Without ComfortWear Panels
HCPCS: A4431


Transparent
Pouch
Barrier
Pouch
Stock No
Size
Opening
Length
1432
1" (25mm)
5/8" (16mm)
9" (23cm)
1438
1-1/4" (32mm)
7/8" (22mm)
9" (23cm)
1433
1-1/2" (38mm)
1-1/8" (29mm)
9" (23cm)
1439
1-3/4" (44mm)
1-3/8" (35mm)
9" (23cm)
1434
2" (51mm)
1-1/2" (38mm)
9" (23cm)





Page 46
53


www.hollister.com
Hollister Incorporated


Closed Pouches


314x


(PRE-SIZED)


Box of 30
Closed Mini-Pouch, Tape Adhesive, Integrated Filter,
Odor-Barrier Film, Without ComfortWear Panels
HCPCS: A4418


Transparent
Stock No
Barrier Opening
Pouch Length
3142
1" (25mm)
7" (18cm)
3148
1-1/4" (32mm)
7" (18cm)
3143
1-1/2" (38mm)
7" (18cm)
3149
1-3/4" (44mm)
7" (18cm)
3144
2" (51mm)
7" (18cm)


Stoma Cap


318x


(PRE-SIZED)


Box of 30
Stoma Cap, Tape Adhesive, Integrated Filter,
Odor-Barrier Film, Without ComfortWear Panels
HCPCS: A5055


White
Stock No
Opening
Size
3184
2" (51mm)
4-1/4" (11cm)
3186
3" (76mm)
4-1/4" (11cm)


Other One-Piece Products





Page 47
Hollister Incorporated
1.800.323.4060


Skin Care Products


517210
Box of 12
Restore Skin Cleanser
HCPCS: No Code


Stock No
Description
517210
8 oz. (237mL) pump spray


517220
Box of 12
Restore Skin Conditioning Creme
HCPCS: A6250


Stock No
Description
517220
4 oz. (120mL) bottle


Irrigation Products


7721
Box 1
Cone Irrigator Kit includes:
(1) Irrigator
(1) Stoma Cone with Connector
(1) Cleaning Brush
HCPCS: A4398, A4399


Stock No
7721


7723
Box of 10
Stoma Cone with Connector
Replacement Unit
HCPCS: A4399


Stock No
7723


7728/7724
Box of 20
Irrigator Sleeve with Belt Tabs
HCPCS: A4397


Stock No
Opening Size
Length
7728
2" (51mm)
22" (56cm)
7724
3" (76mm)
22" (56cm)


7740
Box of 10
Adapt Stoma Lubricant
HCPCS: A4402


Stock No
Description
7740
4 oz. (120mL) bottle


Loop Ostomy Bridge


7767
Box of 20
Loop Ostomy Bridge - Sterile
HCPCS: A4421


Stock No
7767


Ostomy Accessories


54





Page 48
55


www.hollister.com
Hollister Incorporated


Replacement Filters


7766
Box of 5 Packs
Hollister Replacement Filters
For use with 366x, 383x and 389x
1 pack contains 20 Filters and 2 Plugs
HCPCS: A4368


Stock No
7766


Bedside Drainage Collection System with Anti-Reflux Valve


9839
Box of 20