This topic is about the Vitala continence control device from Convatec, which is a new product designed to help people with colostomies manage their output. The discussion revolves around whether people have started using it, if American insurance plans cover it, and what the out-of-pocket costs might be. Here are some helpful insights and advice:

1. Product Information and Ordering:
- You can find detailed information about how the Vitala device works on the Convatec website. They also provide a phone number for placing an advance order or joining a waiting list.

2. Eligibility and Clinical Restrictions:
- The Vitala device is designed for people with predictable-output colostomies. If you have a transverse colostomy, you might not be eligible because the output is more difficult to regulate.
- Convatec provides specific instructions with several "do not use if..." warnings, which are important to read carefully to ensure the device is suitable for you.

3. Enrollment and Insurance Screening:
- Convatec places interested users on a waiting list and sends out the specific wafers needed for the Vitala system.
- Before they ship the actual device, Convatec conducts a telephone pre-screening. This process is reportedly linked to checking both medical eligibility and insurance coverage.