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Do not base your order on the picture presented.
The Esteem synergy ostomy system features an innovative adhesive coupling Technology. Instead of plastic rings, a foam adhesive allows the pouch to be securely attached to the skin barrier on a clear plastic “Landing Zone” flange. The result is a low profile, flexible, two-piece system. Pouch is designed for single use. Simply discard when full.
Medex SKU: CNV-403946