Standard One Piece Appliances

Ileal Bladder - Ureterostomy

Disc: 4"; - Pouch: 9 -1/4"; Length x 6-5/8" Width - Outlet: 2-1/2" long
ADULT	CAT NO.	SIZE	CONVEXITY	LARGEST STOMAL OPENING	PRICE
	UR700FLT	Adult	Absolute Flat	2-1/4"	$78.75
	UR701SHL	Adult	Shallow	2-1/4"	$78.75
	UR702MCN	Adult	Medium Cone	2-1/4"	$78.75
	UR703MCX	Adult	Medium Convex	2-1/4"	$78.75
	UR704MDP	Adult	Medium Deep	1-3/4"	$78.75
	UR705DEP	Adult	Deep	1-1/2"	$80.00

Disc: 4" - Pouch: 7-5/8" Length x 6-7/8" Width - Outlet: 2-1/2" long
PRE-TEEN	CAT NO.	SIZE	CONVEXITY	LARGEST STOMAL OPENING	PRICE
	UR711FLT	Pre-Teen	Absolute Flat	2-1/4"	$78.75
	UR712SHL	Pre-Teen	Shallow	2-1/4"	$78.75
	UR713MCN	Pre-Teen	Medium Cone	2-1/4"	$78.75
	UR714MCX	Pre-Teen	Medium Convex	2-1/4"	$78.75
	UR715MDP	Pre-Teen	Medium Deep	1-3/4"	$78.75
	UR716DEP	Pre-Teen	Deep	1-1/2"	$80.00

Disc: 3-1/4" - Pouch: 6-3/4" Length x 6-1/2" Width - Outlet: 2-1/2" long
INTERMEDIATE	CAT NO.	SIZE	CONVEXITY	LARGEST STOMAL OPENING	PRICE
	UR721FLT	Intermediate	Absolute Flat	1-5/8"	$78.75
	UR722SHL	Intermediate	Shallow	1-5/8"	$78.75
	UR723MCN	Intermediate	Medium Cone	1-5/8"	$78.75
	UR724MCX	Intermediate	Medium Convex	1-5/8"	$78.75
	UR725MDP	Intermediate	Medium Deep	1-3/8"	$78.75
	UR726DEP	Intermediate	Deep	1-3/8"	$78.75

Disc: 2-3/4" - Pouch: 5-1/2" Length x 5-1/4" Width - Outlet: 2-3/4" long
TODDLER	CAT NO.	SIZE	CONVEXITY	LARGEST STOMAL OPENING	PRICE
	UR741FLT	Toddler	Absolute Flat	1-3/8"	$78.75
	UR742SHL	Toddler	Shallow	1-3/8"	$78.75
	UR743MCN	Toddler	Medium Cone	1-3/8"	$78.75
	UR744MCX	Toddler	Medium Convex	1-3/8"	$78.75

Disc: 2-1/2" - Pouch: 4-1/2" Length x 4-1/2" Width - Outlet: 2-3/4" long
INFANT	CAT NO.	SIZE	CONVEXITY	LARGEST STOMAL OPENING	PRICE
	UR751FLT	Infant	Absolute Flat	1-3/8"	$78.75
	UR752SHL	Infant	Shallow	1-3/8"	$78.75
	UR753MCN	Infant	Medium Cone	1-3/8"	$78.75
	UR754MCX	Infant	Medium Convex	1-3/8"	$78.75

Common changes and variations listed below
If not listed below, send pattern or design for quotation.

LONG - (Approximately 10" long - not counting outlet) - APPLIES TO ADULT ONLY

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$8.00

Deviation in Pouch Only

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$22.00

Stoma Opening - Any shape other than round

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$15.00

a.	Disc Variations: To cut and buff one or more sides of the disc for a better fit
b.	For those who need a larger adhering surface over 4", the overall diameter of the disc can be made as large as 6"
c.	Any of the above discs may be interchanged with any of the above pouches

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$6.25

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$15.00

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$8.00