This topic is about the Ostoform Seal, a special barrier ring designed to protect the skin around a stoma by directing output away from it. The seal features a unique "spout" to help manage stoma output, and the originator of the discussion tried it out and shared their experience. They also encouraged others to try free samples and share their results. Here are some insights and advice gathered from users:

1. Availability and Ordering
- You can easily request free samples from Ostoform, and they follow up quickly.
- The company is relatively new and does not have distributors in Canada, so Canadian users need to request samples directly from Ostoform.

2. Fit and Sizing Issues
- Getting the right size is crucial. One user had to wait until their stoma shrank from 44 mm to 40 mm or less to try the seal.
- Some users found it challenging to fit the seal under a flange, likening it to trying to dress a large elephant in a tiny tutu, which led to appliance failure.

3. Output Consistency Matters
- The seal seems to work better with thin, regular output. Thicker output, like oatmeal, tends to sit on the seal's plastic "shelf," making it difficult to empty and causing pooling against the skin.
- Users with mostly liquid output had mixed experiences, with some still experiencing pooling when their output temporarily thickened.

4. Seal Performance and Skin Protection
- Some users experienced the silicone "wings" or the entire spout dislodging, leading to major leaks, raw skin, blisters, and itching.
- For users with a tall and angled stoma, the seal initially helped but failed within 10 hours, causing leakage under the barrier.
- Others found the ring too thin to create a reliable seal, and the added plastic did not effectively divert the output.

5. Overall Impressions
- While the innovative design was appreciated, most users returned to their standard one-piece pouching systems with snug-fitting barriers after poor results with the Ostoform Seal.
- The main takeaway is that a simple, well-fitted pouch often provides better skin protection, especially for those with thick or variable output.