The Esteem synergy® + system features an innovative Adhesive Coupling Technologyâ„¢. Instead of plastic rings, a foam adhesive securely couples the pouch to the skin barrier's clear plastic “Landing Zone." The result is a low profile, flexible, secure system, with the convenience of a one piece and the versitility of a two-piece. Esteem synergy® skin barriers feature Stomahesive® or Durahesive® technologies and are designed to be gentle yet durable to protect sensitive peristomal skin.- Closed-End Pouch, 8", 1-Sided Comfort Panel, Filter, Transparent, Small, 30/bx (Continental US Only) 14-21 Days