Table 2: Comparative attributes of conventional FI management options versus closed-loop automated stool management.

Attribute

Adult diapers

Absorbent pads

IBCs (e.g., Flexi-Seal)

Qoramatic ASM

System type

Open

Open

Semi-closed (balloon-anchored)

Closed-loop

Containment of liquid stool

Poor

Poor to moderate

Variable; balloon migration common

High

Reported leakage

Frequent

Frequent in high-output FI

40-78%

1.8% (≤1% post-implementation)

Mucosal injury risk

None (skin only)

None (skin only)

7-28% device-related injury

None reported

Nursing time per patient per day

High (frequent changes)

174-348 minutes

~66-120 minutes (per IBC literature)

~6.8 min initial; ~0.4 min follow-up

Use in anticoagulated / fragile patients

Permitted

Permitted

Cautionary or contraindicated

Permitted (zero radial pressure)

Environmental contamination footprint

High

High

Moderate

Low

IBC: indwelling balloon catheter. Qoramatic ASM data are from the pivotal 20-patient single-center evaluation and post-market surveillance (data on file). IBC parameters reflect peer-reviewed literature [6].