Ostomy pouch appliance

1. An ostomy appliance comprising:

a. an ostomy pouch having (i) an interior space; (ii) a stomal aperture communicating with the interior space; (ii) a closable opening distinct from the stomal aperture, and communicating with the interior space; and

b. an adhesive body fitment attached to the ostomy pouch along a region of permanent attachment that extends entirely around the stomal aperture so that the body fitment is permanently sealed to the ostomy pouch all around the stomal aperture, the body fitment having (i) an adhesive body-facing surface and (ii) a non-body-facing surface; and

the body fitment including adhesive having a moldable region integral with a constrained region, the adhesive having a more constrained shape in the constrained region than in the moldable region;

wherein the closable opening of the ostomy pouch is configured for providing when open access to and direct contact with the non-body-facing surface of the adhesive, through the pouch interior, to enable direct molding of the moldable region of the adhesive from the non-body-facing surface of the adhesive;

wherein the pouch comprises a front wall and a rear wall, said stomal aperture being provided in said rear wall, and said closable opening comprising an access aperture provided in said front wall, and said access aperture at least partly overlaps said stomal aperture; and

further comprising a flatus vent formed in said closable opening, and a deodorizing filter carried by said closable opening.

2. The ostomy appliance according to claim 1 , wherein the adhesive includes a starter hole in the moldable region, the moldable region permitting the starter hole to be molded into a stoma aperture.

3. The ostomy appliance according to claim 1 , wherein the constrained region is defined by a backing that is stiffer than the adhesive.

4. The ostomy appliance according to claim 1 , wherein the moldable region of the adhesive of the body fitment is moldable as an adhesive deformable sheet.

5. The ostomy appliance according to claim 1 , wherein the moldable region of the adhesive of the body fitment is moldable as a homogenous mass.

6. The ostomy appliance according to claim 1 , wherein said access aperture is the same shape as the stomal aperture.

7. The ostomy appliance according to claim 1 , wherein said access aperture is the same size as the stomal aperture, or bigger.

8. The ostomy appliance according to claim 1 , further comprising a closure for releasably closing said access aperture.

9. The ostomy appliance according to claim 8 , wherein said closure comprises a panel attachable over said access aperture.

10. The ostomy appliance according to claim 9 , wherein said panel is attachable by a peelable adhesive.

11. The ostomy appliance according to claim 10 , wherein said adhesive is carried on at least one of said panel and a faceplate on said pouch.

12. The ostomy appliance according to claim 8 , wherein said closure comprises a portion of the front wall of the pouch.

13. An ostomy appliance comprising:

a. an ostomy pouch, the pouch comprising:

i. a rear wall having a stomal aperture; the ostomy appliance having a moldable adhesive region surrounding the stomal aperture, the moldable adhesive region having a body side and non-body-side, and

ii. a front wall having an access aperture at least partly overlapping said stomal aperture;

b. said appliance further comprising:

i. a closure for openably closing said access aperture, the closure providing when open access to and direct contact with the non-body side of the adhesive for molding of the moldable adhesive region from the non-body side, said closure comprising a flatus vent and carrying a deodorising filter for deodorising flatus passing through said vent.

14. The ostomy appliance according to claim 13 , wherein said access aperture is the same shape as the stomal aperture.

15. The ostomy appliance according to claim 13 , wherein said access aperture is the same size as said stomal aperture, or bigger.

16. The ostomy appliance according to claim 13 , wherein said closure comprises a panel attachable over said access aperture.

17. The ostomy appliance according to claim 16 , wherein said panel is attachable by a peelable adhesive.

18. The ostomy appliance according to claim 17 , wherein said adhesive is carried on at least one of said panel and a faceplate on said pouch.

19. The ostomy appliance according to claim 13 , wherein at least a portion of said closure is removable and replaceable by a new closure having a new deodorising filter without destroying the remainder of the pouch.

20. A method of preparing an ostomy appliance for application to a patient and applying the ostomy appliance to the patient, the steps comprising:

providing an ostomy pouch having (i) an interior space; (ii) a stomal aperture communicating with the interior space; (ii) a closable opening distinct from the stomal aperture, and communicating with the interior space; and

an adhesive body fitment attached to the ostomy pouch, the body fitment having (i) an adhesive body-facing surface and (ii) a non-body-facing surface; and the adhesive body fitment including adhesive at least a region of which is moldable;

accessing the moldable region of the adhesive, on the non-body-facing side, through the closable opening of the ostomy pouch distinct from the stomal aperture of the ostomy pouch;

molding a stoma receiving aperture in the moldable region of the adhesive by directly manipulating the moldable region through the closable opening and the pouch interior;

and adhering the adhesive body fitment to the patient.