Symphony Instructions for Use Rev M March 2012

EN

Instructions for use

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DE

Gebrauchsanweisung

19

FR

Mode d’emploi

34

IT

Istruzioni per l’uso

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Gebruiksaanwijzing

64

EMC

82

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Symphony® Breastpump

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Mother‘s milk is the best nutrition for babies. Symphony gives you and your baby optimal support during the breastfeeding period. The attractive breastpump for hospitals and home rental is especially suitable for long-term and frequent pumping and encourages milk production in the long term, too.

Vacuum (mmHg)

120 Stimulation 60 Expression

Milk Ejection Reflex

Comfort Flow Zone™

Symphony has 2-Phase Expression®, the only research based breastpump technology to mimic a baby‘s natural nursing rhythm. Stimulation: Fast pumping rhythm to start your milk flowing. Expression: Slower pumping rhythm to express your milk gently and efficiently. Comfort Flow ZoneTM: For maximum comfort and efficiency – gentle to the breast tissue. Proven to feel most like your baby and to reduce your pumping time.

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Indications For Use

The Symphony Breastpump is a powered breastpump: • To be used by lactating women to express and collect milk from their breast. • To initiate and maintain a milk supply as well as collect breastmilk at work or during other absences from the baby. • To initiate and maintain a milk supply if direct breastfeeding is not possible. • To relieve engorgement. • For use in hospitals or home rental.

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Important Safeguards

When using electrical devices, basic safety precautions should always be followed, including the following:

Read all instructions before use. • Use the product only for its intended use as described in this instruction manual. • Only use the power cord that comes with the Symphony Breastpump. • Make sure the voltage of the device is compatible with the power source. • Plug the power cord into the Symphony Breastpump first and then into wall socket. • Always unplug electrical devices immediately after using. • The product should never be left unattended when plugged into a power source. • Separation from the mains is only assured through the disconnection of the power cord from the wall socket outlet. • Keep the power cord away from heated surfaces. • Never operate an electrical device if it has a damaged power cord or plug, if it is not working properly, if it has been dropped or damaged, or dropped into water. • Do not use outdoors. • Keep appliance dry and do not place in direct sunlight. • Do not get the product wet. • Do not use while bathing or showering. • Do not place in or drop pump unit into water or other liquid and do not shower the diaphragm area. • Do not spray or pour liquid directly onto the pump. • Do not store or use this product where it can fall or be pulled into a tub or sink. • Do not reach for any electrical device if it has fallen into water. Unplug immediately. • Use Medela original accessories only. • Check pump kit components for wear or damage. • The pump kit is a personal care item and is not to be shared between mothers without proper sterilization to prevent the risk of cross-contamination. • Pump only with the motor in an upright position. • Do not use while sleeping or overly drowsy. • Supervision is necessary when this product is used in the vicinity of children. • If problems or pain occur, consult your lactation consultant or physician. • Equipment not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or nitrous oxide. • Portable and mobile radio frequency communications equipment can affect the Symphony Breastpump. • The Symphony Breastpump needs special precautions regarding EMC (Electromagnetic compatibility) and needs to be installed and put into service according to the EMC information provided in these instructions for use. • There are no user-serviceable parts inside the Symphony. Do not attempt to repair the Symphony Breastpump yourself. SAVE THIS INSTRUCTION MANUAL

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Assembly Instructions

1

Snap membrane onto valve until membrane lies completely flat.

c

+ d

2

Make sure breastshield and connector are securely attached.

+ a

b

3

Push assembled valve and membrane onto breastshield. Ensure sidewise position of valve as indicated on pic­ture.

a b

+

c d

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Screw bottle into breastshield.

+ a b c d

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e  1

e  2

5

Insert adapter end of tubing into opening in breastshield.

a b c d e

+ f

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Assemble protective membrane onto membrane cap.

+ g

h

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Push adapter end of tubing into opening on membrane cap.

+ g h

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f To unlock lid, keep pressing the oval release button on top of the Symphony and lift up the handle to get access to breastpump diaphragm.

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Assembly Instructions

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Push membrane tightly into place on breastpump diaphragm. To ensure proper fit, be sure to center the membrane caps‘ tube port directly over the cre­vice on the pump housing. Make sure that the membrane clicks into place and is flush with surrounding surface.

Operation

Electrical Power the Symphony (or charge its battery if included) by connecting the socket in the back of the pump and the power cord to a standard electrical outlet. Battery optional (built-in rechargeable battery) Charge Symphony pump batteries for 12 hours upon receipt. Optimal battery life is achieved when: • Batteries are not fully drained on a regular basis • Pump is allowed to charge when not in use When not in use for a lengthy period, recharge batteries for 12 hours every two months. Pumping time (full battery) = approx. 60 minutes Charging time (empty battery) = 12 hours Pump may be used while charging. Note If the pump has been running for 30 minutes without any manipulations (e.g. adjustment of the vacuum), the Symphony will automatically switch off.

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VI

Pumping

Be comfortably seated and relax. Use a footrest, when pumping or when feeding your baby. Elevating your feet puts you into proper sitting position to avoid stress on the lower back and perineum.

1

Center your breastshield over your nipple. • •

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 o not tilt or overfill bottles when pumping. D Take care not to kink tubing while pumping.

Switch on the breastpump by pressing the On/Off button. The pump will begin pumping in the Stimulation Phase. Adjust the vacuum during pumping to your comfort level by turning the one-knob control clockwise (increase) or counterclockwise (decrease). Hospital only: For Preemie+ please refer to separate instruction for use.

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Once your milk starts to flow or you sense milk ejection, press the let-down button to switch to the Expression Phase. If you do not press the let-down button, the pump will automatically switch to the Expression Phase after two minutes. Set your Maximum Comfort Vacuum™ which is the highest vacuum you can use and still feel comfortable (this is different for every mother). To find your Maximum Comfort Vacuum increase vacuum until pumping feels slightly un-­ comfortable (not painful), then decrease slightly.  esearch has shown that you will pump more efficiently R – meaning get more milk in less time – when pumping at Maximum Comfort Vacuum™ in the Expression Phase. Once finished pumping, switch off the breastpump, unplug it, and disassemble the pump kit items. Close the bottle and store it for later use. Use bottle stand to prevent tip over. EN

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VII Breastshield Fitting Choosing the right size of Breastshield A correctly fitted breastshield avoids compression of any milk ducts during pumping to ensure optimal breast emptying and maximum milk output. Your breastshield is the right size if your answer to the following questions is «Yes»: • Is your nipple moving freely in the tunnel? • Is minimal or no areolar tissue being pulled into the tunnel of the breastshield? • Do you see a gentle, rhythmical motion in the breast with each cycle of the pump? • Do you feel the breast emptying all over? • Is your nipple pain-free? If your answer to any of the above questions is «No», try a larger (or smaller) breastshield. Medela PersonalFit™ Breastshield: Available in five sizes – because one size does not fit all.

VIII Symphony® Program Card 2.0

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LCD Display indicates Program Card Name The Symphony Program Card 2.0 dis­plays the name of the card «Symphony 2.0» on the LCD Display when the pump is powered off and connected to wall socket. When batteries are used to power the Symphony, the LCD Display will remain blank until powered on.

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Stimulation Phase starts with Minimum Vacuum Setting The initial vacuum setting is visually indicated with three drops on the LCD Display. Stimulation Phase is limited to two minutes.

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Switch to Expression Phase The pump will switch to Expression Phase by one of two ways: 1) automatically, after the two minute Stimulation Phase is complete, or 2) manually, by pressing the let-down button. Ramp-up Vacuum Transition from Stimulation to Expression Phase When switching from Stimulation to Expression Phase, the Symphony Program Card 2.0 increases the vacuum setting by adding three bars to the last Stimulation setting in a stairstepped fashion. The three additional bars and increased vacuum setting occur gradually over a 4-second period. The ramp-up transition eliminates potential discomfort of an immediate vacuum setting increase.

Switching back and forth between Stimulation and Expression Phase by using the Let-Down Button With the Symphony Program Card 2.0, the let-down button can also be used to switch back from Expression to Stimulation Phase (for more information on this feature see page 11 «Addressing Special Needs»). On the LCD Display the vacuum setting will be indicated by drops in the Stimulation Phase and by bars in the Expression Phase. Program Remembers Last Stimulation Vacuum Setting When switching back to Stimulation Phase, the Symphony Program Card 2.0 remembers the last Stimulation Phase vacuum setting prior to switching to Expression Phase and returns to this setting in Stimulation Phase.

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Program Card 2.0

Addressing Special Needs

The Symphony Program Card 2.0 includes a feature that allows mothers to switch back to the Stimulation Phase by pressing the let-down button. Some mothers find this feature beneficial in addressing the following special needs: No milk ejection occurs in the first two minutes of the Stimulation Phase If your milk ejection has not occurred in the first two minutes of the Stimulation Phase and the pump automatically switches to the Expression Phase, press the let-down button once to return to the Stimulation Phase. If you have not achieved a milk ejection after two consecutive Stimulation Phases, take a break, relax and try again in 15-30 minutes. Engorgement If, due to engorgement, you are experiencing difficulties breastfeeding or expressing milk, careful use of the Stimulation Phase may help to provide some relief. If your milk ejection does not occur in the first two minutes of the Stimulation Phase and the pump automatically switches to the Expression Phase, press the let-down button to return to the Stimulation Phase. Repeat this process until your milk ejection occurs. After milk ejection you may find it beneficial to remain in the Stimulation Phase until enough milk has been expressed so that the nipple and areola area are not as hard and engorged. After initially draining the breast to relieve the discomfort, follow up with breastfeeding or pumping in the Expression Phase to adequately drain the breast. Although Medela strongly encourages pumping in the Expression Phase after milk ejection at Maximum Comfort Vacuum for the most effective removal of milk, it may be necessary to address temporary discomfort issues by pumping in the Stimulation Phase. If your engorgement condition persists or worsens, consult your physician or lactation consultant. Sore Nipples If, due to sore nipples, you are experiencing discomfort while pumping in the Expression Phase, careful use of the Stimulation Phase may help to provide some relief. You can return to the Stimulation Phase at any time by pressing the let-down button. Although Medela strongly encourages pumping in the Expression Phase after milk ejection at Maximum Comfort Vacuum for the most effective removal of milk, it may be beneficial to address temporary discomfort issues by pumping in the Stimulation Phase. If your sore nipple condition persists or worsens, consult your physician or lactation consultant.

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Cleaning and Hygiene Important

Cleaning at home

• Use drinking water quality for any of the following described cleaning procedures. • Clean parts immediately after use to avoid dry up of milk residues and to prevent from growth of bacteria. • Disassemble all parts prior to cleaning. Especially be sure to remove the yellow valve head from the breastshield and separate the white valve membrane from the valve head. Follow these cleaning instructions unless you are told otherwise by your healthcare professional. Prior to first use and once daily • Disassemble, wash and rinse all parts of your pump kit that come in contact with the breast and milk (a+b+c+d+e+i+k+l). • Place parts in a saucepan of sufficient capacity. • Fill with cold water until the parts are well covered. Optionally, a tea spoon of citric acid may be added to avoid a build-up of limescale. • Heat it up and allow to boil for 5 minutes. • Remove from stove and drain water off. • Dry parts with a clean towel. Alternatively, the disassembled parts can be sanitized in top rack of dishwasher, with the Medela Quick Clean Microwave Bags or with the B-Well Steam Sterilizer. Note: Food colorings may discolor components which will not affect performance. After each use • Disassemble and handwash all parts of your pump kit that come in contact with the breast and milk (a+b+c+d+e+i+k+l) in warm, soapy water. • Rinse in clear water. • Dry parts with a clean towel.

Cleaning in hospitals

The following cleaning instructions are general recommendations and may individually be adjusted based on the hospital‘s specific directives and cleaning practices.

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Cleaning and Hygiene

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Important It is recommended to provide each mother an own personal pump set and to clean, disinfect and sterilize (e.g. autoclave) all components after each use or, latest each time they are handed over to the next mother. Use by more than one mother without adequate sterilization may pose a health risk (e.g. risk of cross-contamination) and voids the warranty. Cleaning Disassemble and thoroughly wash all parts in warm, soapy water. Rinse in clear water. Disinfecting Disinfect all parts by washing in a thermic washing machine (at approx. 93° C). Sterilizing Prior sterilizing visually check parts if clean and intact. Sterilize all parts by autoclaving at 134°C for 3 (or 18) minutes or at 125°C for 15 – 20 minutes. Do not stack parts or apply external pressure to avoid damages. Alternatively, the parts can be EO-sterilized (Ethylene Oxide).

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Tubing care

Inspect the tubing after each pumping session for condensation and/or milk. If condensation appears in the tubing Let the pump run after you have completed pumping with tubings attached for 1–2 minutes or until dry. If milk gets into the tubing If milk accidentally gets into the tubing turn off the pump and unplug from power source. Remove and clean the tubing according to the instructions «Prior to first use and once daily». Shake water droplets out and hang to air-dry. For faster drying, attach the tubing to pump and run for 1–2 minutes or until dry.

Hints

After cleaning, when parts are not in use, put in a clean zip lock bag or store in a container with lid. Alternatively, the parts can be wrapped in a clean paper or cloth towel.

Hygiene

• Wash hands thoroughly with soap and water before touching the breast and pump parts. • Avoid touching the inside of bottles and lids. • Clean the breast and surrounding area with a damp cloth. • Do not use soap or alcohol which can dry the skin and cause cracked nipples.

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Breastpump care

Unplug breastpump prior to cleaning At home In hospitals

Daily or when spills occur Immediately when spills occur In between each mother and/or on a regular basis, e.g. daily

• Use a damp (not wet) cloth to wipe over the breastpump. Optionally, soapy water or a non-abrasive detergent may be used. • Do not spray or pour liquid directly onto the pump. • Do not immerse the pump unit in water or shower the diaphragm area.

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Storing / Thawing Breastmilk

Check with your hospital for specific instructions. Breastmilk Storage (For Healthy Term Babies)

Freshly expressed breastmilk Thawed breastmilk (previously frozen)

Room Temperature Do not leave at room temperature Do not store

Refrigerator

Refrigerator Freezer Compartment

3 – 5 days at approx. 4° C

6 months at 12 months at approx. -16° C approx. -18° C

10 hours

Deep Freezer

Never refreeze

• • • •

When freezing do not fill bottles/bags more than 3/4 full to allow space for expansion. Label bottles/bags with the date of pumping. Do not store breastmilk in the door of the refrigerator. In order to preserve the components of the breastmilk, thaw in the refrigerator overnight or by holding the bottle/bag under running warm water (max. 37° C). • Gently shake the bottle/bag to blend any fat that has separated. • Do not thaw frozen breastmilk in a microwave oven or in a pan of boiling water (danger of burning).

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XII Troubleshooting If the motor is not running

Check • mains/battery power is present • the device is switched on • program card is inserted at the back of the breastpump

If there is low or no suction

Make sure • the breastshield forms a complete seal around the breast. • all connections of the kit and breastpump are secure. • the white valve membrane is laying flat against the yellow valve head. Check that the valve head and membrane are clean and not damaged. See «Assembly Instructions». • the ends of the tubing are fit securely into the back of the breastshield and into the opening on membrane cap. • the protective membrane / membrane cap are correctly assembled and are pushed firmly into place on breastpump diaphragm. • the protective membrane is intact. Take care not to kink or pinch tubing.

If there is an overflow

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If milk accidentally gets into the tubing • Turn off the pump and unplug from power source. • Use a damp (not wet) cloth to wipe the pump and diaphragm. • Refer to cleaning instructions «Tubing care and Breastpump care». • If necessary clean the pump kit. • When components are completely dry, reassemble breastpump and kit.

XIII Warranty 3-year warranty for the unit from the date of purchase, excluding pump set and accessories. 6 months warranty for the batteries. The manufacturer is not liable for any damage or consequential damage caused by incorrect operation, inappropriate usage or use by unauthorized persons. Routine checks, servicing and battery exchange may only be carried out by Medela authorized personnel.

XIV Disposal The unit is made of various metal and plastics. Before disposal, the device is to be rendered unusable and it must not be disposed of as unsorted municipal waste in accordance with local regulations. Use your local return and collection system for waste electrical and electronic equipment (incl. batteries). Improper disposal may have harmful effects in the environment and on public health.

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XV Parts List

Article numbers

a

Breastshield ( 24 mm ) 

810.7084

b

Connector

810.7088

c

Valve head

810.0475

d

Valve membrane

820.7013

e 1 Bottle (150 ml), hospital use, embossed

811.0020

e 2 Bottle (150 ml), home use, colour print

811.0021

f

Silicone tubing (105 cm )

811.0828

g

Membrane cap

810.0667

h

Protective membrane

820.0094

i

Cap

810.0474

k

Lid 

810.7062

l

Disc

810.0473

For cleaning instructions refer to section „Cleaning and Hygiene“ à Cleaning in hospitals  For cleaning instructions refer to section „Cleaning and Hygiene“ à Cleaning at home

Accessories (sold separately) • One-Day Pump Set for a limited number of uses (max. 24 hours or 8 pumping sessions) • Disposable Bottles (80 ml/150 ml) for one-time use only • Car adapter Does not contain Bisphenol-A, DEHP (Phthalate) or Latex. Subject to change. Content may vary from picture.

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800.0830/200.0235 800.0835/200.1153 928.1017

Notes

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Notes

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Notes

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