Esteem synergy® Adhesive Coupling Technology™ Stomahesive® Skin Barrier, 45 mm

Availability:Varies by option — see options table
Shipping: Priced in cart
Estimated Delivery:Varies by option*

List Price: $101.05

Savings: $

Product Code: 405456BX

UPC Code: 300034054568

Brand / Series:: Esteem synergy
Application:: Ostomy Barrier
Color:: White

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Esteem synergy® Adhesive Coupling Technology™ Stomahesive® Skin Barrier, 45 mm

This listing covers every variant of this product (sizes: Small, Medium). Choose yours from the dropdown above — the options table below shows all differences.

This Esteem synergy® Ostomy Barrier is manufactured by ConvaTec, part of the Barriers category. Multiple configurations are available to match your needs. Trusted for home-care and clinical ostomy management, it is suitable for caregivers, clinicians, and patients alike.

Features

Flat, trim-to-fit barrier for standard wear
Small flange
Stomahesive, white tape adhesive
Overall dimension 4½ by 4½ Inches
2-Piece Ostomy

Specifications

Specification	Detail
Manufacturer	ConvaTec
Brand	Esteem synergy®
Manufacturer Part #	405456
Application	Ostomy Barrier
Category	Barriers
Adhesive Type	Stomahesive® Adhesive
Barrier Material	Hydrocolloid
Barrier Shape	Flat Shape
Barrier Type	Trim to Fit, Standard Wear
Color	White
Flange Size	45 mm Flange
Opening Size	Up to 1-3/8 Inch Opening
System Match	Universal System
Pack Quantity	10 per Box
UPC	300034054568
Country of Origin	Dominican Republic
Shipping Dimensions	5.9 × 2.1 × 6.1 in
Shipping Weight	0.52 lb

Care & Compatibility

FSA/HSA eligible: Yes — can be purchased with HSA or FSA funds.

Ideal For

Ostomates managing daily care
Caregivers supporting post-surgical recovery
Home-care and long-term-care settings
Clinical wound and stoma nurses

Available Options

Select your preferred option from the dropdown above. The table below shows every difference between the options so you can choose with confidence.

Option	Dimensions	Flange Size	Opening Size	Barrier Type	System Match	SKU	Availability
22 mm Stoma — 4 X 4" — Small Flange — 7/8" Opening — Precut, Standard Wear — Esteem Synergy System	4 X 4 Inch	Small Flange	7/8 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405475BX	Non-Stocked (ships direct)
25 mm Stoma — 4 X 4" — Small Flange — 1" Opening — Precut, Standard Wear — Esteem Synergy System	4 X 4 Inch	Small Flange	1 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405476BX	Non-Stocked (ships direct)
28 mm Stoma — 4 X 4" — Small Flange — 1-1/8" Opening — Precut, Standard Wear — Esteem Synergy System	4 X 4 Inch	Small Flange	1-1/8 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405477BX	Non-Stocked (ships direct)
32 mm Stoma — 4 X 4" — Small Flange — 1-1/4" Opening — Precut, Standard Wear — Esteem Synergy System	4 X 4 Inch	Small Flange	1-1/4 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405478BX	Non-Stocked (ships direct)
35 mm Stoma — 4 X 4" — Small Flange — 1-3/8" Opening — Precut, Standard Wear — Esteem Synergy System	4 X 4 Inch	Small Flange	1-3/8 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405479BX	Non-Stocked (ships direct)
38 mm Stoma — 4-1/2 X 4-1/2" — Medium Flange — 1-1/2" Opening — Esteem Synergy System	4-1/2 X 4-1/2 Inch	Medium Flange	1-1/2 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405480BX	Non-Stocked (ships direct)
41 mm Stoma — 4-1/2 X 4-1/2" — Medium Flange — 1-5/8" Opening — Esteem Synergy System	4-1/2 X 4-1/2 Inch	Medium Flange	1-5/8 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405481BX	Non-Stocked (ships direct)
45 mm Stoma — 4-1/2 X 4-1/2" — 45 mm Flange — Up to 1-3/8" Opening — Universal System	4-1/2 X 4-1/2 Inch	45 mm Flange	Up to 1-3/8 Inch Opening	Trim to Fit, Standard Wear	Universal System	405456BX	Non-Stocked (ships direct)
45 mm Stoma — 4-1/2 X 4-1/2" — Medium Flange — 1-3/4" Opening — Esteem Synergy System	4-1/2 X 4-1/2 Inch	Medium Flange	1-3/4 Inch Opening	Precut, Standard Wear	Esteem Synergy™ System	405482BX	In Stock
48 mm Stoma — 4-1/2 X 4-1/2" — 1-7/8" Flange — Up to 1-7/8" Opening — Esteem Synergy System	4-1/2 X 4-1/2 Inch	1-7/8 Inch Flange	Up to 1-7/8 Inch Opening	Trim to Fit, Standard Wear	Esteem Synergy™ System	405457BX	In Stock

What You'll Receive

1 box of 10 Esteem synergy adhesive coupling technology Stomahesive skin barriers
Configured to your selection above

Why Buy From Peak Health and Wellness

Expert support: Our team understands medical equipment. Email us at [email protected] with any question and a real specialist responds.
Free shipping on orders $95+ — standard ground delivery, typically arriving in 1–2 business days for stocked items.
Authentic manufacturer products — sourced directly from authorized distributors, never grey market.
Easy returns & replacements — questions or issues? We make it right.

Options & Ordering SKUs

Every variant of this product with its exact ordering SKU — what you select above is what we ship.

405475BX - 22 mm Stoma — 4 X 4" — Small Flange — 7/8" Opening — Precut, Standard Wear — Esteem Synergy System
405476BX - 25 mm Stoma — 4 X 4" — Small Flange — 1" Opening — Precut, Standard Wear — Esteem Synergy System
405477BX - 28 mm Stoma — 4 X 4" — Small Flange — 1-1/8" Opening — Precut, Standard Wear — Esteem Synergy System
405478BX - 32 mm Stoma — 4 X 4" — Small Flange — 1-1/4" Opening — Precut, Standard Wear — Esteem Synergy System
405479BX - 35 mm Stoma — 4 X 4" — Small Flange — 1-3/8" Opening — Precut, Standard Wear — Esteem Synergy System
405480BX - 38 mm Stoma — 4-1/2 X 4-1/2" — Medium Flange — 1-1/2" Opening — Esteem Synergy System
405481BX - 41 mm Stoma — 4-1/2 X 4-1/2" — Medium Flange — 1-5/8" Opening — Esteem Synergy System
405456BX - 45 mm Stoma — 4-1/2 X 4-1/2" — 45 mm Flange — Up to 1-3/8" Opening — Universal System
405482BX - 45 mm Stoma — 4-1/2 X 4-1/2" — Medium Flange — 1-3/4" Opening — Esteem Synergy System
405457BX - 48 mm Stoma — 4-1/2 X 4-1/2" — 1-7/8" Flange — Up to 1-7/8" Opening — Esteem Synergy System