Hollister Product Discontinuation Notice

[GeorgeS]

Greetings! I just got an email from Byram noting the following:

Hollister has informed us that the supplier of Quiet Wear, which is used to make some Hollister New Image Two-Piece Ostomy pouches, has opted to stop manufacturing the film material and it is no longer available. According to our records, the Ostomy pouch you currently use contains Quiet Wear and will be discontinued on or before December 31 of this year.

The list that follows shows the pouches that are being discontinued. You can find your pouch product number above and match it with Hollister’s suggested replacement. You may select the suggested replacement or another pouch.

I have been using the New Image Quiet Wear Closed 9" 2-piece pouch with the New Image CeraPlus skin barrier. In the four years I've been down this path, I've found these products to be my favorite. I've tried a few other brands and products and rather not have noisy pouches that sound like I have a candy wrapper under my shirt.

Are there any of you that might have another product you think I should try?

I'm looking forward to looking the board over. I should have signed up sooner!

[Shamrock4806]

Uh Hollister what junk IMO. Never again. Seems hospitals use them because they are cheap. The staff was just ripping the whole appliance off because they failed so much. My skin looked like raw meat.

Try Coloplast products, their belts have four hooks instead of two. Also they carry Brava non sting paste/adhesive remover (if your using paste.) I found out about Coloplast by going to a good hospital that cares about their patients and won awards. They fixed me up right.

No bag noise neither and much better quality. I've never had a defective bag yet from them.

I use their one piece, but supposedly their two piece has a locking system. With Hollister and their belt it was always coming apart requiring me to super glue them together..

And I've been trying Flonaze (yea the nose stuff) as a skin protectant and so far (day two) it's been wonderful, stopped the irritation and pain immediately. But make sure everything is blow dried before ring or paste applied.

https://morethanmyostomy.com/2023/01/23/flonase-rocks/

[GeorgeS]

Interesting! Also thank you for the tips!

I did have issues with the skin turning into raw meat too. Turns out that since my cancer, I've become allergic to isopropyl alcohol (rubbing alcohol). Mainly on any thiner skin areas such as belly, crook of elbow, and shoulder stick areas where they tend to prep before shots. So I had to learn the hard way but found an excellent adhesive remover that is even better than the alcohol pads: Adapt Adhesive Remover Wipes by Hollister 7760 (yeah I know). Silicone-based and alcohol-free, this skin-friendly product helps remove adhesive residues. Evaporates readily and enables the skin to receive a new pouching system.

Wow, Flonaze! I might have to give that a try. I've been okay with Safe-n-Simple Protect - Spray Skin Barrier Prep. Sometimes I use it to extend the life of my wafers.

I have tried some Coloplast products. The last one I tested was from a friend. It was a 2-piece with the locking system you mentioned. It felt very expensive but, having only the one to test wasn't enough to get a good idea of it's longevity.

I never have tried a 1-piece system. Are they somehow better to replace more often? As often as I replace my pouch; sometimes three times on bad days. I think my biggest issue could be the oder from a soggy wafer seal isn't necessarily coming from the pouch. However even a Hollister quiet pouch begins to stink after a long day sometimes.

I've never had issues with failed locking mechanisms though. Only one time I recall having snagged my newly applied 2-piece system on the door and ripped the pouch off the snap ring.

I still have a couple months supply left of the Hollister products. I will look through their products and give them a call to see if I can sample them.

[Shamrock4806]

Yes it seems I'm allergic to alcohol as well, thanks for sharing that!

I use Brava non-alcohol spray adhesive remover, much MUCH easier than wipes. Working from the top down, the spray can hit hard to reach areas and the remaining stays in the crack to keep working as one peels it off.

Brava also makes a pectin based no sting (no alcohol) paste if your using paste which Adapt paste I was using has alcohol which stings and irritates damaged skin.

I use the Adapt paste where it won't touch the skin, like on top of a hydrocolloid sheet. It does flow better, but at a irritation cost if it touches the skin.

Flonaze works great as a skin protectant, it stops any stinging irritation of damaged skin. What I do is spray it vertically into the cap then pour and wipe around, then blow dry. It makes removing appliances easier also, like it coats the skin better. Makes it smooth.

I do admit the two piece Coloplast system is a bit expensive, but I've found a workaround. I use their one piece widemouth and rinse on the toilet using a large mouthwash bottle with 10%/water mix. Sometimes twice as I'll go lay down quickly to get it up around the top. Since I'm changing the wafer for a new one about every three to five days anyway...also I'm dumping my bag quite often, like about 10 times a day, so taking a bag off and cleaning is a pain. Easier to rinse the one piece in place and not risk loosing adhesion or it spewing in between changes. High output otosmy is a pain believe me.

Biggest thing I like about Coloplast system is their four hook belt. Sometimes one hook comes off but the other three hang on. The belt is wider as well which holds the wafer down good. I have an almost flush stoma so with a convex and pressure is required to keep the stoma out and spewing on top instead of trying to force the paste off.

[GeorgeS]

I feel for you Shamrock4806! I have read some of your other posts and just can't imagine having to deal with high output. Ironically I must have eaten something that kept me going most of last evening; not that anybody could sleep much anyway with all the festivities in the night! I ended up having to rinse.

I'm curious how you rinse a 1-piece system. I presume you are able to reapply a seal and with the use of the belt you are good to go longer. I think I would do a 1-piece only with a drainable pouch I guess.

It sounds like the Coloplast wafers are better by not getting soggy and stinky making them last as long as you're saying. My routine with the Hollister wafers is 3-4 days. I try to do the full change on Monday and Friday mornings; one 3 day to keep the skin clean and healthy and one 4 day to try extending past the 3 day insurrance expects.

The test Coloplast I got from a friend was also a convex as you use but, it was a little painful as I don't have the flush stoma. I filled out the self exam to get another Coloplast sample and it suggested the star shaped wafer for the 2-piece system as I have the pooched out bulge around my stoma. It's been over a year since seeing my doctor and was getting worried that my intestines were pulling up bunching in that pooch possibly requiring surgery. I'll have to check with my ostomy nurse on that eventually.

[Shamrock4806]

I feel for you Shamrock4806! I have read some of your other posts and just can't imagine having to deal with high output. Ironically I must have eaten something that kept me going most of last evening; not that anybody could sleep much anyway with all the festivities in the night! I ended up having to rinse.

A high output otosmy with a sideways hole flush stoma.

I guess it could be worse, there was someone here that the surgeon put a stoma through a scar.

I'm curious how you rinse a 1-piece system. I presume you are able to reapply a seal and with the use of the belt you are good to go longer. I think I would do a 1-piece only with a drain able pouch I guess.

My one piece is permanently connected to the wafer.

I leave the pouch on and sit on the toilet to dump, then wipe off the flap and pour a 10% mixture of mouthwash and water down the widemouth, close and shake around, then dump. Occasionally I'll do this twice with the second time going and laying down to get the mouthwash up around the top of the bag.

My high output otosmy forced me to use this method because it takes too much time to switch bags and too messy to clean. My appliance lasts about 3-4 days like any other if I get it properly applied. For me once I get a good bag on I want to keep it on as long as possible because it's very difficult for me to get one on due to high flow output. Sometimes I dump and leave the bathroom only to fill right back up again a few minutes later.

It sounds like the Coloplast wafers are better by not getting soggy and stinky making them last as long as you're saying. My routine with the Hollister wafers is 3-4 days. I try to do the full change on Monday and Friday mornings; one 3 day to keep the skin clean and healthy and one 4 day to try extending past the 3 day insurance expects.

I get 3-4 days out of an appliance as well, seems to be the norm..likely has to do with the skin shedding. Can't help that really.

The test Coloplast I got from a friend was also a convex as you use but, it was a little painful as I don't have the flush stoma. I filled out the self exam to get another Coloplast sample and it suggested the star shaped wafer for the 2-piece system as I have the pooched out bulge around my stoma. It's been over a year since seeing my doctor and was getting worried that my intestines were pulling up bunching in that pooch possibly requiring surgery. I'll have to check with my ostomy nurse on that eventually.

My stoma is strange that the hole is off to one side and flush while the rest sticks out about 1/8-1/4 inch.

I'm sorry I don't have any experience with your particular type of stoma, but will think about possible solutions.

I haven't tried any of Coloplast's fancier offerings as what I have works, but can attest their quality and attention to detail is leaps above Hollister in my experience.

Their two piece, two hook belt kept coming apart and leaking all over and caused me months of anguish and grief until I started super gluing the two piece into a one piece. Then had other issues and even an infection which I went to a much better hospital that turned me on to using Coloplast and their four hook belt and the difference was immediate, my appliance was more secure and I started healing.

Going cheap may work for some, but in my difficult case going with quality worked..it may work for you.

Ironically I must have eaten something that kept me going most of last evening

Too much alcohol most likely. I had to give it up. I can handle a shot max through, but nothing more. I eat a alcohol candy once in awhile. I don't need it, but like a taste once in awhile to calm my nerves.

See this list for other diarrhea culprits (like rice, beans, pasta etc.)

It's sometimes not what it is, but the quantity and/or if mixed with a drying agent. It's a learning process.

viewtopic.php?p=230224#p230224

For my high output otosmy, it's necessary to adjust my diet.

Mostly off the list is Chinese (hard and salty) Thai (nuts) Japanese (raw fish) and Mexican (no rice and beans). Italian (one cup of pasta max) seems fine. Big portions of steak, a whole baked potato (eat half) are usually bad but smaller portions more frequently, not fried or overly spiced (like blackened) seems to be the way to go for me. Cooked salmon without a lot of spices seems to be the only seafood I can eat.. all other seafood is a stinky nightmare that I change the bag as soon as it's passed out to remove the smell.

Plant based nutritional drinks are the absolute worst, diarrhea for days and days..went to the hospital for that one because I couldn't get a bag on, neither could they.. Just gave me a sucking tube to hold and starved/dehydrated me to near death without sleep until it stopped spewing.

If someone would invent a device that can handsfree suck away output while I can prepare the bag I would be right on it. I'm almost to the point of trying out a turkey baster taped to a wet vac.

I looked online and saw a stoma cartridge but it's round and I have an oval stoma.

I think I may have a solution. A 1/2 inch wide stiff tube that the end I could shape to my stoma. I would mount this tube so that standing I can press against it and the output would go down the tube. This will leave both hands free to prepare the area for a bag attachment. It will only take a second to attach a bag and my output is frequent but usually not constant. Problem of course is my stoma is flush as it is and I don't want to push it in any further.

I think I'll need to do some sort of tube insertion.

Ahh! An Aspirator Machine...