While I’m a fan of two-piece ostomy appliances, I have used one-piece systems from time to time. In this review, I’ll be looking at the Hollister Premier 1pc appliance, which I’ve purchased through my local supplier.
If you’re interested in my video review, please check it out below:
Products I’ve used for this review:
The Hollister #8331 appliance is a one-piece, drainable system that features a Lock n’ Roll closure (think plastic velcro), AF300 filter and transparent cover. Currently, there is only one size available (for stomas up to 64 mm) in this appliance, but Hollister does offer far more products with different features and sizes, as well as convexity, filter/non-filter, transparent/cloth-covered, clip/Lock n’ Roll closure, etc.
The Hollister #8531 is the opaque version of this system, and it does not have a filter on it. Hollister does offer pre-cut sizes, but they are all on a 64mm wafer.
This appliance is packaged in Hollister’s traditional white and red box, and in the box you will find a stoma measuring guide, disposal bags and instructions.
The Premier appliance comes with a large wafer which can accommodate stomas up to 64mm. The actual size of the wafer is 120mm(!!!), which is quite a bit larger than what I’m used to seeing, but it will accommodate small and larger stomas.
The adhesive used on the wafer is Hollister’s “Flextend”, which is an extended wear product designed to cope with aggressive output (like what you’d find coming out of an ileostomy). I have been able to get my usual three to four days of wear with this appliance, and it hasn’t eroded like I’d expect it to. Kudos to Hollister for this!
Durability aside, I did experience some itching under the wafer around day three, which would normally suggest that I need to change my appliance. This is quite puzzling, as I’d normally have that sensation when my appliance has leaked or when there’s moderate erosion of the wafer. Considering that my skin remained healthy throughout my time wearing this appliance, I won’t think much of it.
The wafer on this system features a tape border, very much like some of the New Image 2pc systems by Hollister. I love tape borders since they are comfortable, more resistant to edge peeling, and don’t irritate my skin like harder wafers do.
But on the side of comfort, I would notice that it would “pinch” a bit when I bent over (probably due to the huge size of the wafer); this is not an issue on their 2pc system, but I’d normally have a much smaller wafer with those.
The tape border on this appliance is also quite resistant to water, so I never experienced edge peeling or a loose adhesive after showers.
The pouch on the Premier system is nice and large, and it also comes in both beige (#8531) and transparent (#8331); there is also an “ultra-clear” (#8531), but note that the opaque and ultra-clear do not include filters. If you’re confused over this “transparent vs. ultra-clear” business, have a look at THIS article.
These bags are high-quality, but the fabric on the opaque pouches (and the fabric on the back of the transparent bags) is cheap and eventually falls apart after several days of wear. I complained about this in my 2pc New Image review, but it’s not a deal-breaker.
The outlet has some great features, but it also has some concerns. On the plus side, the Lock ‘N Roll system is reliable and fairly easy to use, although some people with dexterity challenges may find that it needs a bit of extra effort to secure. One benefit of the Lock ‘N Roll system vs. a traditional Velcro closure is that it can easily be cleaned if you accidentally got some stool on it.
The outlet is easy to clean, but some people may find it frustrating to open at first. I would suggest putting a crease in it to save your sanity!
I should note that there are no belt hooks on either the wafer or pouch (most one-piece systems don’t include them), but the appliance still felt good, even with a full bag – I suspect the huge wafer has something to do with that!
If you are a pouch cover user like me, you’ll be disappointed to know that pouch covers don’t work well with this system because the top part of the bag tends to sag as the pouch fills, which means your pouch cover has nothing to hold on to.
Because this is a one-piece, it has a very low profile and hides well under clothing (until the bag fills).
The filter on this system is called the AF300. Hollister has these on pretty much all their filtered bags, and it works really well for me. That’s not to say that “ballooning” still isn’t a problem from time to time, but it does work better than most other systems I’ve used.
One reason why the AF300 filter works so well is because it has a special membrane that keeps water out while still allowing gas to pass through. Because of this, you don’t even need to cover the filter when showering!
I also like the fact that this filter is pretty small (I’m looking at you Sensura Mio Click!), so it works great under stoma guards and other accessories.
At the time of this writing (April 2016), the Premier 1pc system seems to only be available in North America. Based on the cost from my local, Canadian supplier, these bags sell for under $7 each, which is very reasonable!
Hollister is good with sending free samples, so don’t be shy about asking!
Overall, this is a great 1pc appliance (assuming it’s not too big for you!). If you like wearing a one-piece, give this one a try.