High Output Pouch, 14", 1-Sided Comfort Panel, Anti-Reflux Valve, Replaceable Filter, Outlet with Spout and Cap, Transparent, 2 3/4" Flange, 5/bx (420697)System signals a secure, accurate closure with a series of audible clicks. A simple snap off, snap on design allows users to change the pouch quickly to match activities without removing the skin barrier from the skin. The High Output pouches come with a removable filter that reduces pouch ballooning and neutralizes odor, an anti reflux valve that decreases liquid output backflow, and an outlet with spout and cap that quickly and easily drains high