1. Introduction
This manual provides comprehensive instructions for the proper use, application, and maintenance of the ConvaTec Natura Ostomy Barrier, Model 421640. This product is designed to provide a secure and comfortable seal around a stoma, protecting the skin and facilitating ostomy management. Please read all instructions carefully before use.
2. Product Overview
The ConvaTec Natura Ostomy Barrier 421640 is a medium, trim-to-fit ostomy barrier featuring a convex design and Durahesive Hydrocolloid adhesive. It is designed for a 57 mm flange size and can accommodate stoma openings up to 35 mm. The hydrocolloid adhesive is formulated to provide a secure seal and protect peristomal skin.

Image 1: ConvaTec Natura Ostomy Barrier 421640. This image displays the circular ostomy barrier, highlighting its central opening and the adhesive backing designed for secure attachment to the skin around a stoma.
Key Features:
- Medium, Trim-to-Fit: Allows customization for various stoma sizes.
- 57 mm Flange Size: Compatible with corresponding ostomy pouches.
- Up to 35 mm Stoma Opening: Accommodates a range of stoma diameters.
- Convex Design: Provides gentle pressure to help protrude flush or retracted stomas.
- Durahesive Hydrocolloid Adhesive: Designed for extended wear and skin protection.
3. Safety Information
Always consult with a healthcare professional for personalized advice regarding ostomy care. This product is for external use only. Do not use if the packaging is damaged or opened. Discontinue use and consult a healthcare professional if skin irritation, redness, or discomfort occurs. Keep out of reach of children.
4. Setup and Application
Preparation:
- Wash hands thoroughly with soap and water.
- Gather all necessary supplies: new ostomy barrier, ostomy pouch, measuring guide, scissors, stoma paste or barrier rings (if recommended by your healthcare professional), and waste bag.
- Gently remove the used ostomy barrier and pouch. Clean the peristomal skin with water and dry thoroughly. Ensure the skin is clean, dry, and free of any residue.
Measuring and Cutting:
- Using a stoma measuring guide, determine the exact size and shape of your stoma. The opening in the barrier should be approximately 1/8 inch (3 mm) larger than the stoma to avoid constriction, but small enough to protect the surrounding skin.
- Trace the measured stoma size onto the center of the adhesive side of the new barrier.
- Carefully cut the opening with curved scissors. Ensure the edges are smooth.
Application:
- Remove the protective release paper from the adhesive side of the barrier.
- If using stoma paste or a barrier ring, apply it around the stoma as directed by your healthcare professional.
- Center the cut opening over your stoma.
- Press the barrier firmly onto the skin, starting from the stoma and working outwards. Ensure there are no wrinkles or creases, as these can lead to leakage. Hold in place for a few moments to allow the adhesive to warm and adhere.
- Attach your ostomy pouch to the flange of the barrier, ensuring a secure connection.
5. Operating (Usage)
Once applied, the ConvaTec Natura Ostomy Barrier provides a secure and protective seal. The Durahesive adhesive is designed for extended wear, typically lasting for several days. The specific wear time will vary based on individual factors such as stoma output, skin condition, and activity level. Regularly check the seal for any signs of lifting or leakage. Empty your ostomy pouch as needed, and change the pouch and barrier according to your healthcare professional's recommendations or when the barrier shows signs of wear.
6. Maintenance and Removal
Care During Wear:
- Keep the peristomal skin clean and dry.
- Avoid using oil-based products on or near the barrier, as they can compromise the adhesive.
- Monitor the barrier for signs of leakage or skin irritation.
Removal:
- Gently peel the barrier away from the skin, starting from the top and working downwards. You may use an adhesive remover wipe if recommended by your healthcare professional.
- Support the skin with one hand while gently pulling the barrier with the other to minimize skin trauma.
- Once removed, dispose of the used barrier and pouch in a sealed waste bag according to local regulations. Do not flush down the toilet.
- Clean the peristomal skin thoroughly and inspect it for any changes before applying a new barrier.
7. Troubleshooting
Leakage:
- Cause: Improperly sized opening, creased barrier, worn-out adhesive, or uneven skin surface.
- Solution: Re-measure stoma and cut barrier accurately. Ensure smooth application without creases. Consider using stoma paste or barrier rings to fill in uneven areas. Change barrier more frequently if adhesive is failing.
Skin Irritation/Redness:
- Cause: Stoma opening too large, allowing output to contact skin; allergic reaction to adhesive; improper removal technique; fungal infection.
- Solution: Ensure barrier opening fits snugly around the stoma. Consult a healthcare professional if irritation persists or worsens, as a different product or treatment may be needed. Practice gentle removal.
Poor Adhesion:
- Cause: Oily skin, hair around stoma, moisture on skin during application, or expired product.
- Solution: Ensure skin is completely clean and dry before application. Shave hair around the stoma if present. Use skin prep wipes if recommended. Check product expiration date.
8. Specifications
| Attribute | Detail |
|---|---|
| Model Number | 421640 |
| Product Type | Ostomy Barrier |
| Brand | ConvaTec |
| Flange Size | 57 mm |
| Stoma Opening | Up to 35 mm (trim-to-fit) |
| Adhesive Type | Durahesive Hydrocolloid |
| Design | Convex |
| Package Dimensions | 6.26 x 6.1 x 5.31 inches |
| Weight | 13.05 ounces |
| Date First Available | January 25, 2023 |
9. Warranty and Support
For specific warranty information, please refer to the product packaging or contact ConvaTec directly. ConvaTec is committed to providing high-quality ostomy care products. If you have any questions, concerns, or require technical assistance, please contact ConvaTec customer support through their official website or the contact information provided on the product packaging.
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