Abstract: We disclose a method of providing a user or a healthcare worker with an ostomy device that is shape-adjustable to conform to skin around a stoma associated with a bulge or a hernia. The ostomy device is configured to invert from a storage configuration to a use configuration by inverting a substantially convex shape of a proximal side of a base plate to a substantially concave shape and stabilizing the base plate in the use configuration by contacting the inner radial periphery of the reinforcing structure with a distal surface of the base plate.

Abstract: An adaptable ostomy base plate comprising a flexible top film, having a first section and a second section, and having at least a first elastic skin-friendly adhesive on a proximal surface of said flexible top film, a stoma-receiving through-going hole defining an inner boundary in said first section, said first section being adjacent to and extending radially from said through-going hole and said second section surrounding said first section defining an outer boundary of the base plate, and one or more release liners, the base plate has a substantially convex shape for initial engagement with a peristomal skin surface and can be inverted to a substantially concave shape to fittingly engage to a topography of the peristomal skin surface and the second section of the base plate is in the form of a plurality of petals extending away from the central area; and a plurality of bridges, each bridge formed between adjacent petals of the plurality of petals.

Abstract: An ostomy pouch apparatus including a first and second sheets of flexible sheet material having perimeter edge portions and respective broad surface portions, the first and second sheets joined at the perimeter edge portions to form a pouch having an interior portion between the first and second sheets. The apparatus includes a waste admitting opening on the broad surface portion of the first sheet for admitting and subsequently removing a waste holding bag disposed within the interior portion of the pouch, and a coupling disposed about the waste admitting opening for connecting to a flange secured to a waste releasing opening on a patient. At least one of the broad surface portions of the pouch includes a closable opening for admitting a waste holding bag, and that reduces the risk of spillage of the contents of the waste holding bag as it is removed from the pouch.

Abstract: There is provided a disposable ostomy bag assembly (1) comprising a bag (3) for receiving bodily waste materials; a compactable sheath (2) for closing and sealing the bag (3) after use; and a flange (4) for securing the assembly to the body of a patent and provided with an orifice to enable bodily waste to be received by the bag (3). The ostomy assembly (1) solves the problem of escaping malodour and bodily waste when the patient detaches the ostomy bag from the body (face plate (5)). The compactable sheath (2) can be stretched to acquire a cylindrical sheath (2) extending from the flange (4), whereby the sheath (2) may be closed in order to seal the contents of the bag (3). Closing the sheath (2) may simply be done by tying a knot (6).

Abstract: An apparatus and system for reducing the area of exposure of intestinal effluent on a stoma wafer by 90% to 100%. The apparatus consists of substituting the pouch on a ring of a mechanically connecting ring ostomy pouch and wafer assembly by a membrane. An orifice equal to or smaller than a stoma is made in the center of the installed membrane. An insert is passed with open end first through the top end of the membrane orifice, is pulled through the bottom end of the orifice, is overlapped by ¼ to ½ inches on the outer circumference of the mechanically connecting ring of the membrane. The membrane with the insert in position is slid down the stoma via the orifice, and the mechanically connecting ring of the membrane is mechanically connected to the opposite corresponding mechanically connecting ring of a stoma wafer that is adhering to the skin.

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 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: 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: 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: A body waste collecting device comprising a collecting pouch and an adhesive wafer for attachment to the body, said adhesive wafer comprises a backing layer, a first adhesive, a second adhesive and a release liner, wherein said second adhesive comprises a polar plasticising oil or a combination of polar plasticising oils in the content of above 10% (w/w) of the final second adhesive, and at least one polar polyethylene copolymer, wherein the content of the polyethylene copolymer is 10-50% (w/w) of the final second adhesive, the polyethylene copolymer has a melt flow index below 2 g/10 min (190° C./21.

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: 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: 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 improved ostomy bag comprises an outwardly facing irrigation line attachment adapter. A removable vent housing may be attached to the attachment adapter, where the vent housing is attached during normal operation of the ostomy bag, where the vent housing may comprise a charcoal filter and a scent absorbing medium for reducing odors which may vent from the ostomy bag. The vent housing is attached with quick-connect connectors, and is easily removed so that a conduit may be attached to the attachment adapter, where the conduit is attached to a source of flushing liquid, such as a squeezable reservoir or faucet.

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 coupling including a body-side coupling member, an appliance-side coupling member including plural fastener lugs, and a bracing member. The lugs flex independently of each other to provide plural independent latching fastenings. The bracing member is moved between a bracing position in which the bracing member locks the lugs by resisting flexing movement, and a non-bracing or dismounted position in which the lugs are free to flex. The ostomy coupling is used with an ostomy pouch or with a controlled evacuation device.

Abstract: A mounting structure for installation at a corporeal port opening. The mounting structure includes mounting structure for installation at a corporeal port opening, such mounting structure including a blowmolded article comprising enlarged cylindrical sections interconnected by tube segments, adapted to engage the corporeal port opening at a tube segment intermediate the enlarged cylindrical sections and with the enlarged cylindrical sections being in abutting contact with internal and external corporeal surfaces surrounding said port opening. 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 enlarged sections 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 disposable inner bag liner for an ostomy appliance, the inner bag liner being adhered to a release liner prior to attachment to an outer receiving member. The release liner includes an alignment element and a gripping element. An ostomy appliance including the aforementioned inner bag liner with the gripping element and/or the alignment element is also provided, along with a method of application of the inner bag liner.

Abstract: A single-use ostomy appliance is described including an ostomy coupling for releasable coupling first and second portions at a stomal orifice. The two portions may be separable body-side and non-body-side parts, or the two portions may be portions of a unitary ostomy device such as a controlled evacuation device. The coupling includes a mechanical fastener configured such that the coupling is rendered substantially not resecurable after the fastener is released.

Abstract: A flexible membrane is situated within a rigid or semi-rigid cap. The edge of the cap wall is adhesively fixed to the tissue surrounding the stoma. The interior of the cap is pressurized to press the membrane to seal the stoma against the discharge of solid and semi-solid waste. Gas escapes through a vent with a filter element. The cap can be pressurized by an external pump or an integral pump member situated on top of the cap. A relief valve prevents over pressurization. A collection pouch can be provided as part of a device. The device can be removably mounted on a standard two-piece faceplate.

Abstract: A flexible membrane is situated within a rigid or semi-rigid cap. The edge of the cap wall is adhesively fixed to the tissue surrounding the stoma. The interior of the cap is pressurized to press the membrane to seal the stoma against the discharge of solid and semi-solid waste. Gas escapes through a vent with a filter element. The cap can be pressurized by an external pump or an integral pump member situated on top of the cap. A relief valve prevents over pressurization. A collection pouch can be provided as part of a device. The device can be removably mounted on a standard two-piece faceplate.

Abstract: A controlled evacuation ostomy appliance comprises a membrane that is urged into sealing engagement with a stoma, by the generation of radial tension in the membrane. A tensioning device applies tension, with respect to the stoma, at one or more positions that are (i) outboard of the periphery of the projecting portion of the stoma, and/or (ii) between the level of the peristomal skin and the level of the most projecting part of the stoma. Tension limiting means are disclosed. The membrane may be gas-permeable to allow flatus to be vented.

Abstract: A manifold for ostomy bag irrigation, including an inlet member having a channel defined therein, a T-member having a channel defined therein and in fluid communication with the inlet member, a left tube having a plurality of apertures defined therein and having one end coupled to the T-member, a right tube having a plurality of apertures defined therein and having one end coupled to the T-member, a left cap having a channel defined therein and coupled to the second end of the left tube, and a right cap having a channel defined therein and coupled to the second end of the right tube.

Abstract: An ostomy bag with a filter assembly having a gas filter and a pre-filter for preventing or delaying solid/semisolid matter and liquid from reaching the gas filter. The pre-filter is at least substantially flat and comprises a number of constrictions, such as ribs extending along and between two inner surface parts of the channel. These constrictions/ribs form narrower and wider passages where the gas may more quickly pass a narrow passage and where the wider passages tend to receive and hold the liquid, solid matter and semisolid matter. At least a part of one of the surfaces may comprise an interactive agent adapted to interact with the fluid passing through the gas channel.

Abstract: An ostomy bag with a filter assembly having a gas filter and a pre-filter for preventing or delaying solid/semisolid matter and liquid from reaching the gas filter. The pre-filter is at least substantially flat and comprises a number of constrictions, such as ribs extending along and between two inner surface parts of the channel. These constrictions/ribs form narrower and wider passages where the gas may more quickly pass a narrow passage and where the wider passages tend to receive and hold the liquid, solid matter and semisolid matter. At least a part of the constrictions may be provided in a random pattern.

Abstract: A high performance flatus gas filter assembly, and a body waste collection pouch with which it may be used, along with a method for making such an assembly, are disclosed. The assembly includes a filter pad having first and second layers of deodorizing filter media with an imperforate gas and odor barrier layer sandwiched therebetween for blocking the direct flow of gases between the opposing inner faces of the filter layers. An envelope of liquid and gas impermeable material defines a chamber for enclosing the pad. The envelope has walls with first and second openings communicating with central portions of the first and second filter layers, and defines a peripheral space about the pad to permit the outward flow of flatus gases from the peripheral edge surface of one of the filter layers inwardly into the peripheral edge surface of the other of the filter layers.

Abstract: The invention relates to an appliance for irrigation and/or drainage, which appliance comprising a body side member comprising an adhesive wafer for securing the appliance to the patient's skin, said wafer can be provided with an aperture for receiving a stoma, surrounding a wound, a fistula or a drainage site, a wall of flexible material, the wall comprising a rear wall and a front wall, the rear wall being attached to the wafer and having an opening suitable for surrounding the surface area of the skin to be cleansed, and the front wall comprising a coupling flange adapted for removable coupling and sealing to matching coupling means, an sealed chamber which, when inflated, provides a distance between the adhesive wafer and the coupling flange.

Abstract: The present invention relates to a set of coupling parts, such as parts for coupling an ostomy bag to a base plate, said base plate being adhered around a stoma. The set of coupling parts provides a connection part that may be interposed between a first coupling part and a second coupling part and where the coupling parts may be connected and disconnected from each other by the same movement of the connection part.

Abstract: An ostomy body side mounting wafer and a method of preparing the ostomy body side mounting wafer, where the wafer is assembled from two parts using laser welding. The laser light is provided through one of the parts having a low or lower absorption of the laser light. The other part has a higher absorption of the laser light, whereby the interface between the two parts is heated at the welding zone(s) of the laser light. In this manner, an assembly is obtained independently of the thicknesses of the materials and even close to openings or other edges.

Abstract: The ostomy bag comprises an outer chamber comprising an upper portion and a lower portion, and an inner chamber. The inner chamber may comprise a one-way valve that limits the back flow of the bodily wastes from the lower portion of the bag to the upper portion. The one-way valve may comprise a biasing member and the biasing member may have a length that is longer then the length of the bottom of the inner chamber walls. The bag may comprise an irrigation system that provides for the flushing of both the inner and the outer chambers simultaneously. The irrigation tube of the irrigation system may comprise slits along the portion of the irrigation tube that resides within the inner chamber and the lower portion of the outer chamber.

Abstract: A drainable ostomy pouch is disclosed which comprises a first or proximal and a second or distal side wall of flexible sheet material sealed to each other for defining a cavity therebetween for receiving human stomal discharge through an aperture in the proximal side wall. It includes an elongate drainage portion extending downwardly in a longitudinal direction and ending in a drainage opening extending transversely to the longitudinal direction, and a first or proximal and a second or distal flexible stiffening strip of relatively stiff material extending immediately adjacent to and along the drainage opening and being attached to the outer surface of the first and second side walls, respectively, of the drainage portion. The pouch further comprises a securing strip having interlocking elements on the wall and corresponding interlocking elements on a flap for securing a coil comprising the first and second stiffening strips rotated upwards at least two times.

Abstract: The present invention relates to a coupling assembly such as a coupling assembly for coupling an ostomy bag to a base plate, said base plate being adhered around a stoma. The present invention especially relates to a coupling assembly comprising a first, second and third coupling part, which are coupled together to form a coupling assembly.

Abstract: An ostomy appliance is described in the form of a controlled discharge device for controlling discharge from the stoma and/or an ostomy pouch for collecting discharged waste. The appliance may include one or more of: an elastomeric stoma seal for providing a seal around or directly against the stoma; a stoma occluder for occluding the stoma without passing internally into the stoma; a peristomal foam wall; a confinement seal for confining at least solid excreta to a confinement region adjacent to the stoma; a stowable collector bag; and interchangeable controlled discharge devices and ostomy pouches. The foam wall may provide a barrier to stool, but allow escape of flatus. The foam wall and/or the stoma occluder and/or the confinement seal may apply a force in a direction to increase the sealing force on the stoma seal.

Abstract: A collecting bag for an ostomy appliance, said collecting bag having a front wall and a rear wall, the rear wall having an opening through which waste material may enter the collecting bag, and wherein a manipulation pocket is defined in the front and/or the rear wall of the collecting bag, said manipulation pocket extending into the collecting bag and comprising transfer means adapted to sealed transfer of mechanical movement from the surroundings to the interior of the collecting bag. The sealed transfer of movement can be used to open a passage inside the collecting bag such that flatus gasses may pass through a deodorizing filter, which prior to opening of the passage is protected such that it is not contaminated.

Abstract: A closed drainage system for irrigating colostomy bags wherein the bag is irrigated and cleaned while in its operable position associated with the person. More specifically, the invention mounts a manifold within the colostomy bag with an access to a water pressure from outside, the manifold providing a spray dispersion of fluid, or water preferably, at the top of the bag and gravity then drips it down through the bag and out the open bottom, preferably with the residue of the bag being washed out by the water and passing into a toilet where the user flushes the bag to completion of cleaning with all residue from the bag passing into the toilet. A water source from the toilet itself, or other suitable water supply, provides the pressured water to the manifold inside the top of the colostomy bag.

Abstract: Described herein is a transcecal ileostomy set including a balloon catheter equipped with a blocking balloon, which serves for obstruction of a small intestine, and a fixation balloon, which serves for fixation of the balloon catheter inside the large intestine when inflated. Furthermore, it includes a holder, adapted to be fixed to a patient's body from the outside, which serves for closing a large intestine wall by tightening a bioresorbable loop passing through the large intestine wall and abdominal wall. A rotary part of the plastic holder may be affixed with a protrusion serving as a block when turning to tighten the bioresorbable loop.

Abstract: An ostomy appliance comprising a base plate, said base plate having a first hole for receiving a stoma, ureter, or catheter and an adhesive wafer having a first surface to be attached to the wearer's abdomen back, or chest; a receiving member or bag releasably attached to the base plate, said bag having a second hole for receiving wastes exiting the stoma, ureter or catheter; and a disposable inner bag liner forming a second bag inside the receiving member and being releasably attachable to the base plate in a first coupling area by first coupling means, said disposable inner bag liner having a third hole for receiving wastes exiting the stoma, ureter or catheter and the receiving wastes exiting the stoma, ureter or catheter and the receiving member being releasably attachable to the base plate by second coupling means wherein the first coupling means is in the form of an adhesive flange projecting from the rim of the third hole and having a surface for releasable sealing against a second surface of the base

Abstract: The invention relates to an adapter attached to a human or animal body at a stoma, a detachable lid on the adapter, and a connector for connecting an ostomy bag to the adapter. The adapter includes a protruding section extending from the stoma, and a member for mounting a detachable lid onto the end of the protruding section. The adapter and lid are arranged such that the lid can be slid onto and off the adapter in a direction relatively perpendicular to the axis of the protruding section of the adapter. The connector is arranged to connect the ostomy bag to the adapter and to slide the lid off the adapter. In this way, there is no risk of odors or waste leaking from the adapter or the ostomy bag while the bag is being connected to the adapter.

Abstract: A colostomy bag provided with a stoma ring, a gas outlet and an external deodorizing filter in which a vertical baffle is provided intermediate the stoma ring and the gas outlet and extending from the upper marginal wall of the bag and a level slightly below the lowest point of the stoma ring. The baffle is designed to prevent feces from being squeezed sideways and upwardly into the gas outlet and clogging it.

Abstract: A lesion or fistula isolating bag, the bag defining a first chamber having a closeable entrance and a second chamber for application to a lesion or fistula and wherein access to the second chamber is made through the first chamber via a valve, the valve being arranged to inhibit passage of fluid from the second chamber to the first, and to allow said access from the first chamber to the second, the bag further comprising a closure for said closeable entrance.

Abstract: An arrangement at a stoma bag of the type used by persons or animals with a colostoma, including a flexible bag (flexibag) and a ring fastener/magazine ring, where the ring fastener/magazine ring is designed to be connected to a stoma plate, and where, in its initial position, the entire flexibag is located in or in close proximity to the ring fastener/magazine ring.

Abstract: An ostomy appliance is provided with inner and outer pouches separably joined together by peelable seams. A vent passage and deodorizing filter are also provided, most advantageously located externally of the pouches, and a pre-filter is preferably positioned in advance of the deodorizing filter.

Abstract: An ostomy appliance including a body side member having an adhesive wafer for securing the appliance to the user's skin, and a separate sealing member for sealing against the stoma, the separate sealing member being in the form of a disc having a centre hole for accommodating the stoma. The disc is made from a material that may be detached, rinsed and reapplied such that the disc has a service time at least as long as the body side member. The disc reduces the frequency of stressing the skin around the stoma due to exchange of the body side member by protecting the surface of the adhesive wafer from soiling by and attack from the aggressive visceral contents and facilitates the cleaning of the body side member.

Abstract: An ostomy pouch for both one and two-piece ostomy appliances having an integral closure at the bottom of the pouch to allow the pouch to be emptied and re-sealed without the use of a separate closure. The integral closure has mating parts that are locked together and provides the ostomy appliance with a leak-proof, odor-proof seal when in a closed, sealed, and locked position. A slider, when the appliance is closed, can be moved along the integral closure, thereby separating the mated male and female parts to provide an opening through which the stored contents within the ostomy pouch can be emptied. After the stored contents have been emptied, the slider can reseal the pouch by rejoining the male and female parts. The integral closure is manufactured from material that is different and more rigid than the material used to manufacture the ostomy pouch.

Abstract: A feces control device includes a tubular member in which an inflatable balloon is positioned on one interior sidewall for closing the passageway to movement of feces when the balloon is expanded and allowing flow when the balloon is contracted against the sidewall to which it is attached. A second balloon on the inner end of the tubular member when inflated presses against the inner end of an umbrella mounted on the inner end of the tubular member thereby expanding the umbrella to a radially outwardly and forwardly extending sealing position in the stoma or rectum. When the umbrella balloon is deflated, the umbrella memory causes it to collapse to a position coaxial with the tubular member. Inflation passageways in the sidewall of the tubular member may include tube portions for inflating the balloons or removing the device from the rectum.

Abstract: An improved ostomy face plate. The improved face plate includes a ring seal of silicone foam, a blotter ring disposed between the ring seal and the barrier seal, and an improved barrier seal compound with a low isobutylene content.

Abstract: A faecal management device. The device has a bag. The bag has an aperture defining a plane and allowing the entry of faecal material. The bag is constructed of two pieces of material joined at a seam, which may lie in a plane parallel that of the aperture. This two-piece construction advantageously allows for a bag geometry which is not long or narrow, thus providing increased comfort for the active wearer.

Abstract: The invention relates to an ostomy appliance comprising a body side member comprising an adhesive wafer or pad for securing the appliance to the user's skin, the wafer or pad having a hole for receiving a stoma, and a separately exchangeable receiving member or bag secured to the body side ostomy member for receiving secretions from the ostomy, the ostomy appliance further comprising a separate sealing member disposed in the hole of the wafer or pad surrounding the stoma wherein the separately exchangeable receiving member or bag is secured releasably to the body side ostomy member by a mechanical fastening means.