Esteem synergy Adhesive Coupling Technology Drainable Pouch. The newly improved Esteem synergy pouches employ our innovative Adhesive Coupling Technology. Instead of plastic rings, a foam adhesive securely couples the pouch to the skin barrier's clear plastic Landing Zone.". The result is a low profile, flexible, secure system, with the convenience of a one-piece and the versatility of a two-piece. The newly designed filter reduces clogging, allowing it to work longer and keep the pouch flat while virtually eliminating odor. And the new soft, quiet pouch material is smooth, comfortable and water resistent. Esteem synergy skin barriers feature Stomahesive or Durahesive technologies and are designed to be gentle yet durable to protect sensitive peristomal skin. Pouch allows for draining at bottom.