Pouchkins Premie One-Piece Closed Pouch Flat Barrier, Pre-Cut Stoma Opening up to 5/8" (16mm), Ultra-Clear - Box of 15This pouching system is intended for low birth weight infants. The skin barrier and pouch are separate and need to be assembled to be used as a one piece pouching system. The SoftFlex barrier is a standard wear skin barrier that is gentle to the skin. The pouch may be removed for emptying or the bottom of the pouch may be cut off and a soft wire closure (included) can be added at the bottom. Image is for illustration purposes only. Please check the