Coloplast Sensura Mio 2pc: REVIEW (w/ video)

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When I had tested the one-piece SenSura Mio appliance, I was a bit disappointed but found enough strong points to recommend it to most ostomates.  The two-piece system has been something that I’ve been looking forward to trying, and here’s my review!

Disclosure: This review is based on samples I received through the Coloplast customer service dept, as well as samples received during a patient feedback program. No other compensation was provided, and both my experience and opinions are completely my own.

If you’re interested in the video review, check it out below:

https://youtu.be/VWBX65FiIMI
About the Sensura Mio Click
Products I've used for this review

The Sensura Mio Click is an inspired ostomy product line by Coloplast. It holds an impressive feature set and style that sets the bar for what an ostomy appliance should strive to be.

The SenSura Mio Click line comes with a staggering number of options, from opaque to transparent, filtered to filterless, wide outlet to narrow outlet, closed-ended to drainable, flat wafers and convex – you get the idea right? It’s a complete line that caters to any ostomate, including urostomates.

Coloplast is good when it comes to providing a complete package for ostomates, and the wafers are packaged with a reusable stoma measuring guide; the pouches come with small garbage bags and filter stickers.

Coloplast Sensura Mio click package contents
You get everything you need in the package.
The Wafer

The SenSura Mio Click wafers I’ve used are cut-to-fit, which means I have to measure my stoma and cut an opening to fit through the wafer.  These wafers are really easy to cut, and they have measuring guides that you can use if you know your stoma’s size before hand.

Sensura Mio click wafer back
The guides on the back of the baseplate make it easy to cut the right size hole for your stoma.

They do come with a single release liner, but the wafers are not individually sealed, which I find more difficult to carry in my travel bag.

For those looking for added security, the wafer does have four belt hook loops (vs. two you’d find on most other appliances), but it requires a special four-hooked accessory belt to take advantage of.

Sensura Mio click wafer top
The SenSura Mio Click has four loops to hook a support band too.

One of the benefits to the Sensura Mio Click is that the wafer is highly flexible and will work well with many body shapes. Patients with hernias, for example, may find that the Mio will form-fit along curves better than some of the more rigid plastic wafers.

The thing that I like most about the Sensura Mio wafers, is the fact that my skin does really well with them! I don’t find any irritation under the wafer or around the edges of the wafer (which were a problem on the Xpro and Assura line), and the skin around my stoma remains intact and healthy. My results are great even without the use of barrier rings, barrier wipes, stoma powder, or anything else to help my skin. Kudos to Coloplast!

Peristomal skin Before sensura mio
This is what my skin looked like before using the SenSura Mio Click.
Peristomal skin After two weeks sensura mio
This is what my skin looked like after approx. 2 weeks of using the SenSura Mio Click (no additional supplies used).

My wear time has been a consistent three days with zero to minimal wafer erosion. This is actually much better than I had expected, and it did perform better than the one-piece; I experienced NO LEAKS while using these wafers.

Unfortunately, wafers in the Sensura Mio line are manufactured using gelatin, so these would personally not be a product I’d choose first, since I have alternatives that are free of animal-based ingredients.  One can only hope that Coloplast will replace gelatin in the future.

The SenSura Mio is also available in convex, although it’s not a style that I’ve tried before.
The Pouch

I’ll be honest, the SenSura Mio bags are the best looking ostomy bags on the market right now, and they are the only one I’d confidently wear without a pouch cover.

The fabric cloth that’s used on the product is unlike anything you traditionally find on an ostomy bag. The color is a neutral grey and it does a great job of repelling water; I often find that after showers it takes very little effort to dry my pouch and it would often be dry before I even finished using the bathroom.

Wearing the Coloplast SenSura Mio Click
The best looking ostomy bag around.

Unlike many other brands that use opaque cloth bags, the fabric used on the Mio is durable and modern looking, and it’s nice and smooth.  As a bonus (which really should be a necessity on any opaque pouch), the fabric conceals the contents of my bag quite nicely.

The Mio Click, like many other Coloplast products, comes with a mechanical coupling that uses a locking mechanism to secure the bag. The style of the lock is slightly different from the SenSura Click, and it’s been improved to allow for easier access in a more reliable design.

Coloplast Sensura Mio Click wafer and bag
The coupling mechanism can easily be seen in this photo.

The lock does add a bit more bulk to the appliance, but when unlocked it allows you to easily rotate your bag horizontally or diagonally before locking it back into place. This is something that you’d have trouble doing on other appliances, since freely rotating the bag isn’t as easy as it is with the Mio and it’s often less reliable.

https://youtu.be/KTGesd5QbNw

While the mechanical coupling on the Mio is great for convenience I found that it was useless if I needed to burp my appliance to release gas from the coupling. Attempting to burp my appliance basically causes the bag to completely come off! I was over a toilet the first time I tried that, but I can’t imagine what kind of trouble I’d be in had I attempted that in bed on in my car! If you must burp this appliance, do it from the outlet while laying flat on your back.

Coloplast offers both a wide and narrow outlet to the SenSura Mio Click, with the narrow outlet designed specifically for ileostomates (I’ll refer to this as the “ileostomy bag” throughout the rest of the review).

The narrow outlet pouch differs from the wide outlet version in a few ways, which I’ve detailed in THIS post. Basically, you have no velcro tabs from which to hold the outlet flap open while you empty your pouch, and you also have a different filter design, which I’ll explain more of in the next section.

Coloplast SenSura Mio wide vs narrow outlet
(top) Narrow outlet. (bottom) Wide outlet. Notice the extra velcro tabs on the wide outlet?

While I do prefer the wide outlet, the exclusion of the velcro tabs on the narrow outlet bags really made it difficult for me to empty my pouch, or clean it without getting my hands dirty (quite literally!).  I’m sure ileostomates with liquid output might find it easier to empty with this design, but I found it quite a challenge that easily added another 20 seconds to my routine as I struggled to clean the opening and the flap.

You will still find Velcro fasteners at the end of the outlet, which keeps the outlet securely closed, and you can tuck that outlet neatly on the bottom, or fold it in half for a more compact look.

Like the one-piece, I really appreciate the attention to detail on these bags, and you can easily find the model number and lot number on the top of the pouch, under the fabric flap.

A nice touch that Coloplast added on the Sensor Mio bag is the inspection window which allows you to see what’s happening inside your pouch without having to resort to wearing a clear pouch.

Coloplast SenSura Mio Click inspection window
The inspection window offers a great balance between transparent and opaque pouches.
The Filter

As I mentioned previously, the wide and narrow outlet bags both feature different filters, or more accurately: pre-filters.

If you look closely at the two styles, you’ll notice the wide outlet pre-filter has many small holes in it; this can help to remove gas from your pouch, provided your output is dry enough not to clog it up!  The narrow outlet bags have pre-filters with only a few holes, and that should help to keep ileostomy output from clogging it.

Sensura Mio prefilter comparison
Fewer holes on the ileostomy bag mean fewer chances for the filter to get clogged.

But does it work??

I do find that the ileostomy bags work better than the colostomy bags (wide outlet bags) when it came to minimizing ballooning, however the results are still inconsistent; I found that on certain days I would have pouch balloon within 24 hours, while at other times I could go a full 3 days without ever having any pouch ballooning.

If ballooning is an issue with these bags, considering using the Osto EZ-Vent. I’ve got special instructions on how to get it working with this bag HERE.  I’ve also got an entire article on ways to prevent ballooning HERE.

Since my output tends to be thick (for an ileostomate) this is a little concerning as I know that liquid output will probably clog this filter up much faster than the output that I’ve got.

I’m also not a fan of the large pre-filter that either of these pouches come with. One of the reasons for this is because I find that no matter how empty my pouch is, it always feels like it still has something in it. This happens because over time the pre-filter will collect fluid without giving it any place to go so it’s basically like you’re carrying a sponge in your bag.

Sensura Mio Click saturated prefilter
Unfortunately, as the pre-filter becomes saturated, it makes the bag feel weighed down, even when empty.

For some, the feeling this causes may be annoying, considering you have to wear an appliance 24 hours a day, and I do find it frustrating to have to double-check and triple-check to make sure that my bag really is empty.

I would have preferred no pre-filter and simply a small filter like what you’ll find on Hollister, ConvaTec, B. Braun and other ostomy bags. While there is an option to go with a filterless bag, this defeats the purpose for anyone who has ballooning issues.

There is one advantage to having a pre-filter, though, and it’s the fact that I’ve never noticed the pouch sagging when it got full.

But the large pre-filter is also a problem if you’re the type of person who wears stoma guards. Some stoma guards simply don’t have enough room for everything to fit under them comfortably with pre-filter there – it’s overcrowding to say the least!

Some ostomates may also find that the large pre-filter creates pancaking issues or makes pancaking worse for people who already struggle with that problem.  I noticed this happening a lot, where I wouldn’t normally notice it on other appliances.

One thing I do need to point out is that the outer filter is not waterproof, so you do need to use the included filter stickers if you plan on having a shower or going for a swim with this appliance; not covering the filter can lead to water clogging it from the outside.

Conclusion

At the time of this writing (Dec 2015), the SenSura Mio Click is available worldwide.  I find that the prices on these are about average, but still more than a one-piece.

Coloplast is great for sending samples, and you can request them from your local Coloplast office.

Pros
  • Comfortable.
  • Gentle on the skin.
  • Flexible wafers.
  • Locking mechanical coupling is very secure.
  • The pouch fabric is in a class of its own, both in quality and aesthetics.
  • The inspection window is a really nice touch.
  • The velcro closure locks are convenient and secure.
  • The fabric cover is the most water-resistant I’ve seen on any appliance.
  • Available pretty much everywhere.
  • The filter on the ileostomy bag does work fairly well.
  • The wafer is easy to cut and contains a measuring guide on the release liner.
  • Wafer holds out great during showers.
  • Wafer held up very nicely, even after 3 days.
Cons
  • I found the lack of velcro tabs on the ileostomy bag to be challenging.
  • Contains animal ingredients.
  • The large pre-filter can feel quite bulky.
  • The pre-filter often exaggerates pancaking.
  • The pre-filter makes it hard to wear a stoma guard.
  • Can’t burp the bag from the coupling.
  • The outlet flap on the narrow outlet often makes it difficult to clean.
Recommended

The Coloplast SenSura Mio Click is a well-rounded appliance, and you can tell that a lot of work went into the design of this product; it’s worth checking out if you didn’t have much success with the one-piece Mio.

For those who have been disappointed with the filter performance on the wide outlet bags, you will have the option to use the ileostomy bags for better results.

While the system does have a few flaws, mostly coming from the size of the pre-filter, may ostomates may overlook them in favor of the next-level fabric and design.

For more information, please visit the Coloplast website at www.coloplast.com
Bonus: A Review on the Convex Urostomy Mio Click System

The following review was shared to me by a urostomate, Stephen, who’s been able to write about his experience with the Convex Urostomy version of this system. This is information that I could never provide first-hand, so I am grateful for his effort in putting this together.

Bag pt no. (11498), backing plate pt no. (16911)

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19 thoughts on “Coloplast Sensura Mio 2pc: REVIEW (w/ video)

  1. My mom is a recent addition to the ostomate community, and I was able to get some samples of this product from Coloplast. I also ended up purchasing a box of the Mio One-Piece to test out.

    My mom has had quite a few issues thus far with her ileostomy. She was in a rehab/skilled nursing facility after leaving the hospital, so she ended up with a lot of “mix n match” systems put on by personnel who were not at all familiar with ileostomies and issues with liquid output. Your site has been INVALUABLE to me. Since moving to Assisted Living, mom has begun to start learning how to empty her bag (she suffers some retention and memory issues due to a brain surgery some years ago). This is the first pouch system she’s been able to open and close no problem. She essentially learned in one day – TODAY – how to empty this pouch pretty successfully, and she is able to close it and tuck the tail up inside the pouch without issue.

    I’m still VERY new at putting her wafers on, so I can’t say I have much experience, but the size of the two-piece is about perfect for her body size. She is very small-framed and has lost a lot of weight, but has quite a few folds that were making other wafers suffer many, many issues. So far we’re at two days and everything is adhered as it should be (for us that might be a record). I tried putting on a one-piece last week and it leaked within a day. With that one I used barrier paste, with the two piece I tried an Eakin Seal (which seems to be working so much better). Any input on how one of those would work with the one-piece?

    Thanks for your articles! I show them to my mom often and have supplied many of her nurses and aids with them. We like hearing “real world” experiences instead of simply another marketing ploy.

    • Hi Arminda,

      I’m glad the site has been helpful!

      One-piece appliances can be tricky to get on because you align them easily. If you are using an Eakin seal, you can apply it directly to the skin before the wafer goes on, or you can apply the Eakin seal directly to the back of the wafer and then put the entire appliance on the skin. I have photos of how I do this in this article: https://www.veganostomy.ca/guide-to-ostomy-barrier-rings/

      Good luck, and let me know if you have any other questions! I would highly recommend posting questions on the community forums so that others may add more feedback and learn from the answers: https://www.veganostomy.ca/community/

      Take care,

      Eric

  2. Hi Alison I cant get my bag to rotate, also I have to click the bag on the wafer before applying to skin other wise I cant get the bag to click on the wafer. any suggestions , thank you

  3. I have received samples of Mio Click pouches and wafers. I practiced clicking the pouch to lock it, but I can not get it to unlock. I’ve tried pushing the back side of the blue tab, but nothing gives or moves. Any advice?

    • Hey Alison, the Mio clicks are a little tricky to unlock, but pushing that button should do it – you may need to push along the side of the button, not just in the middle of it. Do you already have the appliance on or are you holding it in your hands when trying?

          • Thanks. If I can’t figure out, my ostomy meeting with the WOCN is Monday, so I can take it with me and find out what I’m doing (not doing). Appreciate all your help.

              • It worked! I was pressing the back side (as the instruction sheet said to do), but I need to press the blue tab side — and presto . . . it unlocked. That was really nice of you to make a video so I could see you do it. I have both a urostomy and a colostomy, vertically stacked, so will change out both tomorrow (from the Hollister product). And, I so look forward to showering and not having to “press and seal” and Hy Tape everything as the Hollister pouches get soaking wet and the wafer seals become compromised. Again, thank you!!

              • Yay!!! That’s wonderful to hear!! Funny enough, the older Sensura Click has the button on the back – I wonder if they need to revise those instuructions!

  4. I love this product. I especially like the waterproof pouch. I hate stepping out of the shower and the sopping wet bag is flopping around. I especially love the clickable closure.

    • I really with other pouch manufacturers change their fabric to be more like the Mio’s! And you’re right – having a wet bag after a shower isn’t the greatest feeling in the world!

  5. I’m lucky if I get to 12-15 hours with a bag. Pan making is an issue for me and I was disappointment to see this bag makes it worse because everything else sounded so positive. I’ve an illeostomy and I also like to use the half moon things to help keep the bag on longer. Would you suggest I try this bag or am I wasting my time!! Thanks

  6. I have an ileostomy and I use the the Sensura Mio Click with the cohesive slims barrier rings from Convatec, I change my pouch every 12 to 15 days, my skin is very healthy, no leaking problems. Thank you for sharing your review.
    Víctor

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