Abstract: A kit for collecting stool, comprising an adapter (1) for connecting the anus or a perianal stoma of a user to a peripheral device, said adapter comprises a flexible adhesive plate (2) having first through going hole, a flexible tube (3) extending from a first opening (11) to a second opening (12) and a first flexible coupling plate (4) having a second through going hole, wherein the flexible tube is attached to the flexible adhesive plate in an area surrounding the first opening and the flexible tube is attached to the first flexible coupling plate in an area encircling the second opening, allowing fluid communication from the first through going hole to the second through going hole through the flexible tube, and a peripheral device (20, 60) for coupling to the adapter.

Abstract: A method of use of colostomy, ileostomy, urostomy or similar ostomy stoma wafers produced as a final product of use without adhesive backing equipped either with plastic type wafer centers with an innovative center elastic stoma barrier ring or with completely innovative one piece elastic stoma wafer centers both of which plastic or elastic centers are surrounded by washable flexible material, to which adhesive is applied, are applied on a stoma, are removed after use, are washed with hand soap or other cleaning agent, are dried, are coated with fresh adhesive are applied on a stoma again and to repeat the process until the stoma wafers become unusable, or the stoma wafers are washed while adhering on the skin around a stoma of a patient and adhesive is re-applied wherever lost and to repeat the process until the stoma wafers become unusable.

Abstract: The present disclosure concerns a package for an ostomy sealing member for sealing around a stoma in relation to an ostomy appliance, said sealing member comprising a hypoallergenic, mouldable adhesive material, said sealing member having an annular periphery and an opening therein for receiving a stoma, wherein the opening is non-concentric with the periphery.

Abstract: An ostomy appliance body side member or an ostomy appliance comprising an adhesive wafer having a first adhesive surface for securing the appliance to the user's skin, said wafer having a second surface being covered with a carrier sheet which wafer has a hole for receiving a stoma wherein a part of the adhesive wafer surrounding the stoma shows balanced plastic and elastic properties allowing an adaptation of the size of the hole of the ostomy appliance to a stoma by enlarging the hole for accommodating the stoma by rolling up the inner rim thereof forming a torus and wherein a part of the second surface of the wafer surrounding the hole shows surface properties compatible with the first adhesive surface of the adhesive wafer locking the torus to the second surface in its rolled position by the contact between the second surface and the first adhesive surface enables a simple, safe and reliable customisation of the hole of a body side member without the use of tools and at the same time provides means for re

Abstract: A convex shell for use in a base plate of an ostomy appliance includes an annular ring defined by an outer edge and an inner edge of defining a through-going hole. The annular ring has at least four transition sections extending transversely across the annular ring, dividing the annular ring into at least a first, second, third and fourth segment. By changing the characteristics of the convex shell in such sections, it is possible to control the bending of the shell. The shell also makes it possible to keep the area around the stoma more stable and resistant towards collapsing, while providing improved flexibility in the peristomal area for better comfort.

Abstract: Radially divided adhesive wafers are provided for applying to the skins of a human, and which increase the wear time for such adhesive wafers. The adhesive wafer includes a through-going hole for communication with a body opening and an adhesive proximal side for attachment of the wafer to the skin. The adhesive wafer has an inner annular adhesive layer, an outer annular adhesive layer encircling the inner annular adhesive layer, an attachment zone on the distal side of the wafer for attaching a collection bag, and a connecting element for mechanically connecting the first annular adhesive layer to the second annular adhesive layer. The connecting element includes first and second connection areas on the distal side of the respective first and second annular adhesive layers, at least one connection area being radially spaced from the radial edges of the respective annular adhesive layer.

Abstract: The invention relates to an, for patients with faecal/urinary incontinence, auxiliary device in the form of a, on the skin around the anus, glued collection bag made of suitable and skin-friendly plastic that is foldable 180 degrees in the patient's front or back position. The design eliminates or substantially reduces the direct contact with faeces and thereby reduces the instances of possible contamination. The collection bag is equipped with channels for water rinsing 9, ointment application 10 and deodorising filters F. The collection bag can be used continuously for several days. The collection bag can easily be removed from the patient by means of the top 6 being made of light-sensitive adhesives. When the collection bag is removed, the bag can easily be sealed with the lid 8 and transported by means of the carrying handle 7.

Abstract: A convex barrier ring, that includes a generally oval shaped body and tapered peripheral end portions, is provided. In use, the convex barrier ring is sealed against peristomal skin surfaces such that the tapered peripheral end portions are aligned with folds or creases in the skin surfaces to reduce leakage of stomal effluent. The convex barrier can also have an oval stoma-receiving aperture to provide an improved fit for oval or loop stomas.

Abstract: A percutaneous ostomy implant for implantation into the abdominal wall of a patient is provided, which includes a connecting member for mounting an external detachable device thereto; a first tubular ingrowth member depending from the connecting member; and a second tubular ingrowth member depending from the connecting member and being radially outwardly spaced from the first tubular ingrowth member. The first tubular ingrowth member is configured and dimensioned to receive a bowel segment within it to allow the stoma and serosal tissue of that bowel segment to infiltrate the first tubular ingrowth member. The second tubular member is configured and dimensioned to abut dermal tissue to allow the dermal tissue to infiltrate the second tubular ingrowth member, thereby securing and sealing the ostomy implant to the dermis.

Abstract: An ostomy device is provided including an ostomy pouch having an entrance opening, a body attachment wafer having a through-going opening and a coupling layer, which couples the pouch to the body attachment wafer and has a central opening therein. The body attachment wafer includes a plastic film, which is coated with a layer of skin friendly adhesive on the side thereof distal to the ostomy pouch. The coupling layer is affixed to the body attachment wafer along an attachment line extending around the central opening in the coupling layer, the attachment line being distanced from the central opening in the coupling layer. The region around the entrance opening of the pouch is affixed to the coupling layer in a landing zone located between the attachment line and the opening in the body attachment wafer.

Abstract: A perianal support device is provided that is configured to inhibit the formation and/or progression of tissue damage in the perianal region of the body. A method is provided to apply the perianal support device to patients during childbirth to inhibit the formation and/or progression of tissue damage in the perianal region of the body.

Abstract: Ostomy appliance components for cleaning and related maintenance of a surgical stoma. Components take the form of attachments, inserted elements, and/or separate parts in contact with ostomy ports, wafers, and/or other connecting components.

Abstract: A component is suitable for protecting skin around an opening in the skin or around a stoma. The component can be formed from a carrier (2; 2?) that is enclosed between layers of soft and skin-compatible adhesive (3; 3?), and the adhesive has a softness of 8-22 mm. The adherence of the adhesive to dry skin can be 0.2-3 N/25 mm.

Abstract: A component for securing attachment of a medical device, such as a wound dressing or an ostomy bag is disclosed, to the skin of a patient, said component including a first plastic film coated with a skin-friendly adhesive on the lower side thereof. According to the invention a body of soft, compressible and elastic material is disposed between the first plastic film and a second plastic film, said first and second films extending beyond the compressible body around the circumference thereof and are affixed to each other in parts extending around the circumference of the compressible body so that a closed space containing said compressible body is formed, said closed space being in contact with the surrounding atmosphere by a non-return valve, and in that the first plastic film includes through-going openings in a region delimited by the compressible body.

Abstract: An excrement treating apparatus 100 includes an excretion receiver 1 and an apparatus body 2. The excretion receiver 1 includes a receiver body 10 which receives excretions and an excretion sensor 20 which detects the excretions. The apparatus body 2 includes a urine tank 51 which stores urine, a vacuum pump 52 which sucks urine received by the receiver body 10 into the urine tank 51, and a control unit 53. The excretion sensor 20 includes a pair of urine sensor electrodes 21 and 22 which detect urine received by the receiver body 10. The control unit 52 controls so as to reverse the polarity of the urine sensor electrodes 21 and 22 at prescribed time intervals. In the excrement treating apparatus, the excretion sensor's sensitivity is stabilized and urination is accurately detected and treated.

Abstract: Provided are buffered adhesive compositions comprising a high molecular weight non-neutralized polymeric acid and a high molecular weight partially neutralized polymeric acid and products such as wound dressings and ostomy skin barriers incorporating the compositions.

Abstract: The current invention relates to a base plate (1) for an ostomy collection device, the base plate comprises at least one backing layer (3) whereon an outer adhesive layer (4) is disposed on the proximal side of said backing layer, wherein the outer adhesive layer encircles an inner adhesive layer (7) also disposed on the proximal side of at least one backing layer, said inner adhesive layer encircles a through-going hole (5) of the base plate defining a central axis A-A, wherein at least a part of the backing layer whereon the inner adhesive layer is disposed is extendable in a radial direction in respect to the central axis A-A. By allowing the backing layer to be radially extendable with the inner adhesive layer, the backing layer functions as a barrier to output from the stoma.

Abstract: Disclosed is abase plate 1 for an ostomy collection device, comprising a cover layer 2 whereon an adhesive layer 3 is at least partly disposed. Immediately surrounding a through-going hole 6, the base plate has an inner area wherein the cover layer extends beyond the adhesive layer in a radial direction toward the through-going hole, thereby providing an overlap 7 protecting the adhesive material from contact with stomal output.

Abstract: A personal disposable sanitary toilet system including a primary containment bag and a secondary containment bag formed of sheet-like liquid impermeable material. The primary containment bag is funnel-shaped with a pair of straps formed in the upper periphery for use in securing the bag around one's waist. The top of the primary containment bag has an extended front portion which is adapted to be passed between the legs and cover the genitals for sanitary, splatter-less relief. The lower end provides a waste containment area that may include a hydrophilic compound for absorbing liquid waste and/or effervescent agents and waste control ingredients. The primary bag may be closed and stuffed into the secondary containment bag which is attached to and surrounds the lower end portion of the primary bag. The top edge of the secondary containment bag has a seal that is closed after the primary bag has been stuffed inside.

Abstract: An ostomy body side member with a sealing member is provided. The sealing member has a fixed base member defining an opening having a first diameter and a resilient sealing element comprising a stoma receiving orifice defining an inner boundary. The inner boundary of the stoma receiving orifice has a second diameter that is smaller than the first diameter of the frame. The sealing member is also provided with at least one adjustment member coupled between the fixed base member and the resilient sealing element. Furthermore, an alignment member for adjusting the tension of the at least one adjustment member is provided thereby allowing the diametrical dimension of the stoma sealing orifice to be adjusted from a first diameter to a second diameter.

Abstract: An ostomy appliance includes a base plate having an inner radial boundary defining a stoma receiving opening and an outer radial boundary defining an outer edge of the base plate. The base plate has an adhesive layer with a first surface for attaching the base plate to skin surrounding the stoma and a second surface opposite the first surface, and a first liquid impermeable layer having a first surface covering the second surface of the adhesive layer. A second surface opposite of the first liquid impermeable layer is provided with a wicking material abutting the inner radial boundary of the stoma receiving opening. The wicking material extends in a radial direction towards the outer edge of the base plate and away from the stoma receiving opening.

Abstract: A sealing wafer for use in an ostomy appliance is provided. The sealing wafer has an attachment platform with a distal surface capable of being attached to an ostomy bag, a proximal surface facing towards the user during use, and an opening having an inner boundary defining a stoma receiving opening. The sealing wafer further includes a fixed base member attached to the attachment platform and a rotating member arranged to rotate relative to the fixed base member. A sealing member is coupled between the fixed base member and the rotating member for providing a seal around a stoma and defining a stoma sealing orifice. When the rotating member is rotated relative to the base member, this rotation causes an increased or a decreased tension to be applied to the sealing member so that the diametrical dimensions of the stoma sealing orifice change from a first diameter to a second diameter.

Abstract: A shield that is useful in connection with an ostomy pouching system when changing a wafer or changing a collection pouch. The shield includes a plate adapted to be disposed over the stoma and at least a portion of the ostomy pouching system, an absorbent material adapted to absorb body waste flowing from the stoma, which absorbent material is disposed adjacent to a portion of the plate, and an adhesive or other mechanism for selectively securing the plate and the absorbent material proximate to the stoma such that the plate is disposed over the stoma when portions of the ostomy pouching system are changed. Also disclosed is the combination of an animal body and the shield, as well as a method of containing the flow of body waste from a stoma.

Abstract: A controlled discharge ostomy appliance is described for use with an adhesive body fitment. The body fitment comprises an adhesive wafer having a stomal aperture that is manually shapeable by folding or rolling back a rim portion of the adhesive around the stomal aperture.

Abstract: The ostomy receiving bag comprises a front wall (2) and a rear wall and has a top end and a bottom end. The top end of the rear wall is provided with an inlet to receive a stoma, and one wall is provided with at least one first half of a fixation pair (A), and the same effective wall after closure of the bag, if available, is provided with at least one second half of a fixation pair (B), such that when the first half and the second half of the fixation pair are attached, the volume of the receiving bag is reduced.

Abstract: The ostomy system includes a pouch that is adhesively coupled to a mounting wafer. The mounting wafer has a landing zone film formed of releasable plastic and the pouch has a face plate with a resealable adhesive that secures to the landing zone of the mounting wafer. The landing zone of the mounting wafer includes one portion that is immovable with respect to the body surface that the mounting wafer is secured to and another portion that is deflectable away from the body surface. The deflectable portion of the landing zone, also referred to as the floating landing zone, is sized for gripping between the fingers during pouch separation from the mounting wafer. Gripping of the floating landing zone during pouch separation helps isolate the pouch separation force from the abdominal area underlying the mounting wafer. The mounting wafer also includes indicia border lines that facilitate alignment of the pouch face plate with the mounting wafer.

Abstract: The present invention relates to a component (1) making it easier to fasten a stoma bandage (6) to skin. According to the invention, the component comprises a plastic film (2) coated with a layer (3) of a soft and skin-compatible silicone elastomer which adheres to skin. The component also has a through-opening (4) intended to be applied around a stoma.

Abstract: A one-piece ostomy appliance includes an adhesive skin barrier for attaching an ostomy pouch to a user to receive stomal effluent. The adhesive skin barrier is attached to the ostomy pouch via a multilayer backing film, which includes a layer formed of a material having good resistance to chemical ingredients of the adhesive, and a layer formed of a material having good heat sealability to the pouch.

Abstract: An ostomy device that comprises an adhesive wafer for attaching to the skin around the stoma. The wafer comprises an adhesive layer having a proximal adhesive side and a distal side, where the distal side is covered with a backing layer. The wafer comprises a central portion and a peripheral portion, and it comprises a proximal section located on the proximal side of the central portion and a distal section visually arranged on the distal side of peripheral portion, wherein the distal section changes colour when the proximal section is exposed to fluid.

Abstract: An adhesive patch configured to attach an ostomy appliance to a patient includes a peripheral rim disposed around a central hole that is attachable to a stoma of the patient; and a band of adhesive extending from the peripheral rim to an inner border of the adhesive patch and having a pattern of curvilinear indentations extending to the peripheral rim of the patch.

Abstract: An ostomy body side member with a sealing member is provided. The sealing member has a fixed base member defining an opening having a first diameter and a resilient sealing element comprising a stoma receiving orifice defining an inner boundary. The inner boundary of the stoma receiving orifice has a second diameter that is smaller than the first diameter of the frame. The sealing member is also provided with at least one adjustment member coupled between the fixed base member and the resilient sealing element. Furthermore, an alignment member for adjusting the tension of the at least one adjustment member is provided thereby allowing the diametrical dimension of the stoma sealing orifice to be adjusted from a first diameter to a second diameter.

Abstract: An ostomy appliance is disclosed with an inflatable seal for sealing against the stoma. The inflatable seal has a first inflatable chamber portion for fitting inside the stoma to seal against the internal tissue. The inflatable seal also has a second inflatable chamber portion for sealing externally against the stoma and peristomal skin. In one embodiment, a tube extends through the inflatable seal to provide a communication passage for discharge of body waste without removing the inflatable seal. The tube floats with respect to an adhesive mounting member to allow a waist between the first and second inflatable chamber portions to self-locate in the stoma.

Abstract: An ostomy coupling is disclosed comprising a floatable coupling part. The coupling part is supported with respect to an adhesive wafer by means of a flexible support collar that permits displacement of the coupling part in a floatable manner. The flexible collar comprises plastics film and has bistable shapes. The collar is configured to hold the coupling part stably in (i) an extended position spaced from the adhesive wafer, to facilitate an ostomate to manually brace the coupling part in order to relieve the attachment force when an ostomy appliance is press fitted to the coupling part, and (ii) in a retracted position close to the adhesive wafer.

Abstract: The present invention is an ostomy-bag cover that provides a waterproof covering for an ostomy bag. This permits a patient wearing an ostomy bag to shower or bathe without getting his or her ostomy bag wet. In some embodiments, the ostomy-bag cover is constructed such that the patient can engage in water related activities, including swimming, while wearing the ostomy-bag cover over the ostomy bag and prevent the ostomy bag from getting wet. In some embodiments, the ostomy-bag cover includes a resealable opening configured to allow the patient to empty the ostomy bag without the need to remove the ostomy-bag cover. In other embodiments, the ostomy-bag cover includes a waterproof exhaust vent to allow air to be removed from the ostomy-bag cover.

Abstract: An adapter is disclosed for an ostomy coupling. The adapter provides a floatable coupling characteristic to an ostomy body fitment that has a non-floatable coupling part. The adapter comprises a first coupling part for attaching to the non-floating coupling part of the body fitment, a second coupling part for releasably attaching to an ostomy appliance, and a flexible collar between the first and second coupling parts. The flexible collar permits the second coupling part to be displaced away from the first coupling part, thereby creating a space for an ostomate to manually brace the second coupling part against an attachment force when an appliance is fitted.

Abstract: An ostomy device (1) has an implant (10) arranged, in use, to be located inside the body of person near the site of a stoma (S). A discharge device (20) is arranged, in use, to provide means for intestinal waste to exit to the exterior of the body of the person. In addition, there is means, in use, to be operatively associated with the implant (10) and removably locate the discharge device (20) at the site of the stoma (S). The discharge device (20) is retained at the site of the stoma (S) by magnetic attraction between the implant (10) and the discharge device (20).

Abstract: Provided is a cap device for home use to temporarily cover the stoma resulting from a urostomy, colostomy or ileostomy procedure. It provides a favorable means of preventing leakage during routine cleaning around the stoma during the ostomy pouch replacement process. The device may include, in any combination, use of a flexible elastomeric material for creating low suction to assist with retention, a shaped lip for comfort and sealing, a disposable liner, or internal absorption material to help avoid spillage and leakage.

Abstract: A device and method for creating a connection with the left ventricle of a heart are provided. A seal member capable of moving between a folded position and an open position is attached to the end of a conduit. An introducer capable of moving between a first and second position allows for the expansion of the seal member into an open position. A clamp component is positioned outside of the heart to provide an axial clamping force with the wall of the heart so that a seal is created between the seal member and the wall of the heart.

Abstract: A mounting assembly for an ostomy pouch. The assembly includes a body flange having an adhesive coating on one side adapted to be adhered to the peristomal skin surface of an osteomate. Diametrically opposed loops project from the edge of the flange and form pockets. Also included is an ostomy pouch having a stoma receiving opening surrounded by a stiffly flexible ring having diametrically opposed loops that cooperate with the pockets on the flange loops. An adhesive coating is provided on the flexible ring and there is a mechanical interlock between the ring and flange. When the loops on the flexible ring are aligned with the pockets on the flange the flange and ring may be adhesively interlocked to attach the pouch to the body flange.

Abstract: An ostomy appliance includes a base plate having an inner radial boundary defining a stoma receiving opening and an outer radial boundary defining an outer edge of the base plate. The base plate has an adhesive layer with a first surface for attaching the base plate to skin surrounding the stoma and a second surface opposite the first surface, and a first liquid impermeable layer having a first surface covering the second surface of the adhesive layer. A second surface opposite of the first liquid impermeable layer is provided with a wicking material abutting the inner radial boundary of the stoma receiving opening. The wicking material extends in a radial direction towards the outer edge of the base plate and away from the stoma receiving opening.

Abstract: The present invention provides methods and devices for the abatement of noise emanating from surgically created abdominal stomas. In one embodiment, the present invention provides a sound abatement device for an abdominal stoma. The device includes a noise suppressor formed of sound dampening material, which defines an opening and cavity suitable in size and shape for receiving and enveloping a stoma formed through a body wall of an individual. The device further includes a support arm extending from the noise suppressor, which includes a first end connected to the noise suppressor and a second end disposed opposite thereof. The device further includes a base member disposed proximate the second end of the support arm, which includes an attachment for connection to an individual. The device also includes an attachment feature for releasable attachment of the second end of the support arm to the base.

Abstract: An adhesive wafer for an ostomy faceplate or wound dressing comprising a backing layer, said backing layer having one surface facing the skin, said surface comprising a first and a second adhesive zone being separated from each others by a void volume, said void volume being defined by the backing layer, the first and the second adhesive zones and the skin surface and wherein the first and the second adhesive zones are capable of moving independently of each others with respect to the lateral plane of the backing layer.

Abstract: A method of providing a stoma with a removable connection for a receptacle includes securing an implant onto the stoma of a patient, wherein the implant has an axial interior section for fixation inside the body and an axial exterior section extending outwards from the body, a free end of the exterior section accommodates mounting of a detachable device, and a distal portion of the interior section includes an anchoring section, extending radially from the distal portion of the interior section. The anchoring section has an inner anchoring ring, an outer anchoring ring and at least one connection member configured and dimensioned for resiliently connecting the inner and outer anchoring rings in a manner to provide axial resilience and anchorage to the anchoring section such that the anchoring section is able to respond to movements and absorb the shear of the implant in relation to adjacent organs.

Abstract: A controlled evacuation ostomy appliance comprises a pouch having a non-entrant stoma seal and a retainer for retaining the lower portion of the pouch in the folded-up condition. The appliance optionally includes a body fitment that may include a region of manually moldable adhesive for forming a custom fit at the stoma.

Abstract: The present invention relates to an in situ cleanable filter for an ostomy appliance comprising a pathway for leading gases to a vent in an ostomy bag and a protective element contained in said pathway to prevent solid or semi-liquid waste from blocking the pathway where a channel or compartment formed by liquid impermeable layer(s) is defining at least part of the pathway and at least a part of said compartment or channel contain a protective element of an open celled compressible material having a memory and having a pore size of at least 60 PPI, said protective element extending in the same direction as the gas flow within the channel or compartment, said channel or compartment having an opening providing access to the pathway from the interior of the bag, said pathway having another opening being connected to a vent in the ostomy bag, optionally via a deodorizing filter. The invention relates to an ostomy appliance comprising a filter as above and a method for emptying and cleaning the filter.

Abstract: An ostomy faceplate and its method of application are disclosed in which the faceplate comprises an annular adhesive wafer of soft, moisture-absorbent, memory-free, essentially non-elastic and finger-moldable adhesive skin barrier material, the wafer's distal surface having an outer zone terminating at the outer periphery of the wafer and an inner zone extending inwardly from the inner limits of the outer zone to a stoma-receiving opening at the inner periphery of the wafer. The faceplate also includes a flexible backing layer covering the outer zone and a removable cover member having a smooth surface releasably covering the proximal bodyside surface of the wafer.

Abstract: An ostomy barrier seal comprising an open-ended conical base 1; and a flange portion 2 extending radially from the base; wherein the conical base 1 has a top opening 3 and a bottom opening 5 for receiving a stoma of a user and the top opening diameter 9 is smaller than the bottom opening diameter 11; such that the stoma of the user fits through the bottom opening and the top opening expands to snuggly fit around and seal along the stoma wall; a related ostomy appliance incorporating the barrier seal; and a related method using the barrier seal to reduce the incidence of waste leakage in an ostomy patients.

Abstract: A percutaneous ostomy implant for implantation into the abdominal wall of a patient. The implant has a cylindrical part for mounting an external detachable device thereto, an ingrowth mesh and a circular flange for anchoring the implant. The cylindrical part and circular flange are attached to opposite ends of the ingrowth mesh. The ingrowth mesh is arranged such that when the implant is implanted in the abdominal wall of a patient, the epidermis meets the ingrowth mesh and is able to attach therethrough directly to serosal tissue of a bowel segment inside the implant.

Abstract: A mounting structure for installation at a corporeal port opening. The mounting structure includes a reentrant tube on an exterior surface of which is disposed at least one balloon, with a proximal everted portion of the tubing extending from the distal portion of the tubing, with a gas flow passage associated with the tubing, for selective inflation of the balloon. A vacuum thermoforming process for making such mounting structure is described. The mounting structure is useful employed for anchoring of a therapeutic device such as an ostomy bag at a corresponding port of the body, with the balloon(s) of the device providing effective anchoring of the mounting structure and permitting the mounting structure to be comfortably worn by a patient during therapeutic intervention.

Abstract: A layered adhesive construction comprising a backing layer and a first and second layer of hydrocolloid adhesive, where the first and second layer of hydrocolloid adhesive have different composition, and the second layer of hydrocolloid adhesive is at least partly interposed between the first layer of hydrocolloid adhesive and the backing layer, the first and second adhesive layers consisting of a continuous phase and a discontinuous phase where the discontinuous phase of the first adhesive layer comprises a hydrocolloids providing a higher moisture absorption capacity and higher initial rate of absorption to the adhesive layer than the hydrocolloids in the discontinuous phase of the second adhesive layer, and the discontinuous phase of second layer of adhesive comprises hydrocolloids providing a higher cohesion following moisture absorption to the adhesive compared to the hydrocolloid in the discontinuous phase of the first adhesive layer.