Medela Symphony breastpump User Manual [en, es, fr]
Table of Contents - English
Important Safeguards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Uses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Cleaning & Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Hygiene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Hospital Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Home Sanitizing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
After Each Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Tubing Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Battery Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Symphony Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Symphony Assembly & Operation . . . . . . . . . . . . . . . . . . . . .6-11
Symphony 2-Phase Pumping Protocol . . . . . . . . . . . . . . . . .12-14
Storing Breastmilk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Thawing Breastmilk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Symphony Technical Description . . . . . . . . . . . . . . . . . . . . . . . 17
Índice - Español
Importantes medidas de seguridad . . . . . . . . . . . . . . . . . . . 18-19
Aplicaciones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Limpieza y esterilización . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Higiene . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Preparación . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
Esterilización en el hospital . . . . . . . . . . . . . . . . . . . . . . . . .20
Desinfección en casa . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Después de cada uso . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Cuidado de las mangueras
Cuidado de las baterías . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Lista de piezas de la bomba Symphony . . . . . . . . . . . . . . . . . .23
Armado y operación de la bomba de lactancia Symphony
Protocolo de bombeo en dos fases de la bomba
de lactancia Symphony . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30-32
Almacenamiento de la leche materna . . . . . . . . . . . . . . . . . . . . 33
Descongelación de la leche materna . . . . . . . . . . . . . . . . . . . . 34
Identificación y resolución de problemas . . . . . . . . . . . . . . . . . 35
Descripción técnica de la bomba Symphony . . . . . . . . . . . . . . 36
Table des matières – Français
Avertissements importants . . . . . . . . . . . . . . . . . . . . . . . . . . 37-38
Utilisations du tire-lait . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Désinfection et stérilisation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Hygiène . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Préparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Stérilisation à l’hôpital . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Désinfection à domicile . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Après chaque utilisation . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Entretien de la tubulure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40-41
Entretien de la batterie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Liste des pièces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Assemblage et utilisation du tire-lait Symphony
Protocole d’expression à double phase avec le tire-lait Symphony .49-51
Conservation du lait maternel . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Décongélation du lait maternel . . . . . . . . . . . . . . . . . . . . . . . . . 53
Trucs de dépannage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Description technique du tire-lait Symphony
. . . . . . . . . . . . . . . . . . . . . . . . . 21-22
®
®
. . . . . . . . .43-48
®
. . . . . . . . . . . . .55
. . .24-29
IMPORTANT
SAFEGUARDS
When using electrical devices, basic safety precautions should
always be followed, including the following:
READ ALL INSTRUCTIONS BEFORE USE
DANGER: To reduce the risk of electrocution:
1.
Always unplug electrical devices immediately after using. Separation from the
mains is only assured through the disconnection of the plug and socket connection.
2. Do not use while bathing or showering.
3.
Do not place in or drop motor unit into water or other liquid.
4.
Do not reach for any electrical device if it has fallen into water. Unplug immediately.
5.
Do not store or use this product where it can fall or be pulled into a tub or sink.
WARNING:
1.
2. Use the pump only for its intended use as described in this manual.
3. Do not use accessory attachments not recommended by the manufacturer,
4. Never operate an electrical device if it has a damaged cord or plug, if it is
5. Keep the cord and all components away from heated surfaces.
6. Do not use outdoors.
7.
8. The kits are personal care items and are not to be shared between mothers
9. The pump should be cleaned as needed with soapy water or Cavicide
10.
11.
12.
13. Do not use while sleeping or overly drowsy.
14.
To reduce the risk of burns, electrocution, fire or injury to persons:
The pump should never be left unattended when plugged into an electric outlet.
as this may cause hazards.
not working properly, if it has been dropped or damaged, or if it has been
dropped into water.
Only use the electric cord that comes with the Lactina or Symphon
y
Breastpump.
without proper sterilization to prevent the risk of cross contamination.
solution. Do not spray or pour liquid directly onto the pump.
Supervision is necessary when this product is used in the vicinity of children.
Make sure the voltage of the device is compatible with the power source.
Pump only with the motor in an upright position.
There are no user-serviceable parts inside the Lactina®or Symphony
Breastpump.
DO NOT ATTEMPT TO REPAIR THE LACTINA OR SYMPHONY
®
BREASTPUMP YOURSELF.
SAVE THESE INSTRUCTIONS
®
1
Uses
• 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. Single pumping with
simultaneous massage is helpful to relieve
engorgement.
Cleaning and Sterilization
Unless instructed otherwise by your health care provider.
IMPORTANT
This product’s kit is a single-user item unless properly
sterilized between users. Use by more than one user
without adequate sterilization may pose a health risk
and voids the warranty
Hygiene
Wash hands before touching breasts
or containers, and avoid touching the
inside of containers or lids.
Preparation
Follow these cleaning instructions unless you are told
otherwise by your healthcare professional. Prior to cleaning, take apart all parts of your breastpump accessory kit.
Be especially sure to remove the yellow valve from the
breastshield and separate the white membrane from the
valve prior to cleaning.
.
Prior To First Use
The Symphony sanitized version does not require wash-
ing before first use.
To Sterilize in the Hospital:
All disassembled parts can be autoclaved to a maximum
of 272° F for 3 minutes at 29 PSIG or 250° F for 15-20
minutes at 15 PSIG. If autoclaved membrane caps may
require more force to attach to pump.
To avoid damage during and immediately after sterilization:
•
Sterilize parts without applying external pressure to them.
• Allow parts to cool before applying external pressure.
If gas sterilization is used, residual testing is recommended to determine the proper length of aeration.
To Sanitize at Home:
Disassemble, refer to diagram on page 6. Sanitize by
boiling for 10 minutes.
After each use:
• Disassemble and wash all parts that come in contact
with the breast and milk in warm soapy water.
• Rinse in clear water.
Air-dry on clean towel and cover parts when not in use.
•
All parts may also be washed in top rack of dishwasher.
For Quicker Cleaning:
Medela offers Quick Clean™Micro-Steam™Bags for daily
kit disinfection.
2 3
Tubing Care:
Inspect tubing after each pumping session for
condensation and or milk.
If condensation appears in tubing:
To eliminate condensation after you have completed
pumping, continue running the pump with the tubing(s)
attached for another 1-2 minutes or until dry, while you
attend to storing your pumped breastmilk.
If milk appears in tubing:
1. Turn off the pump and unplug from power source.
2.
Remove and disassemble the tubing, protective membrane and membrane cap. Wash in soapy water then
rinse in cold clear water.
3.
Shake water droplets out and hang to air-dry. For
faster drying, attach tubings to pump and run pump 1-2
minutes or until dry, or pour a small amount of isopropyl alcohol through the tubings to dry.
4. Make sure that valve membranes are undamaged and
clean. Replace if necessary.
5. Use a damp cloth to wipe the pump and the
diaphragm. Do not immerse the pump in water.
6. When components are completely dry, reassemble
breastpump and kit.
Important Battery Care
Charge Symphony®pump batteries for 12 hours upon receipt.
Pump may be used while charging.
Optimal battery life is achieved when:
• Batteries are not fully drained on a regular basis
• Pump is allowed to charge when not in use
If unable to charge regularly, charge for 12 hours
every 2 months at minimum
Pumping time with a completely charged battery is
approximately 60 minutes.
4
Symphony®Breastpump Parts
Item Order Number
1. PersonalFit™Breastshield, Standard (24mm)....................87073
2. PersonalFit Breastshield Connector ................................87071
3. Valve & Membrane........................................................8000001
4. Collection Connector ....................................................8117009
5. Solid Container Lid ......................................................8107057
6. Tubing............................................................................8107168
7. Membrane Cap ............................................................8100769
8. Protective Membrane....................................................8200094
9. Breastfeeding Information Guide..................................1907200
10. Symphony Instruction Manual ......................................1907724
11. Symphony Container Stand ........................................ 8100552
12. Symphony Vehicle Lighter Adapter ..................................67173
Call for pricing
5
To unlock case, press the oval
Symphony®Assembly & Operation
Kit Assembly
11
Follow cleaning instructions
on pages 2-3.
Insert the small end of the
22
88
release button on top of the
Symphony
button depressed, lift up on the
handle to open case and access
pumping mechanisms.
®
Breastpump. Keeping
Breastshields into the small end of
the connectors. (Prior to cleaning,
separate these two pieces.)
33
Snap white membranes onto
yellow valves until membrane lies
completely flat. (Prior to cleaning,
separate these two pieces.)
Push api0 9.5ush api0 9.5uwish to ateaGS1 gsqBT/F0 1 Tf8.5 0 0 8.5. For a complete list of kits that ar110 0 0 1 ka cond of the
44
99
Push membrane/cap into place on
pumping mechanism. A “click” will
be heard once properly seated. To
ensure proper fit, be sure to center
the membrane caps’ tube ports
directly over the crevice on the
pump housing.
Power the Symphony Breastpump
1100
(or charge its battery if included)
by connecting the power cord to
a wall outlet and the socket in the
back of the pump.
Center breastshields over nipples.
1111
Switch the breastpump on to
begin the Stimulation phase by
pressing the power button.
Vacuum may be adjusted to your
comfort level by turning the
vacuum regulator knob.
After two minutes, the Stimulation
phase will automatically change to the Expression
phase and you may wish to adjust the vacuum level
for comfort. To single pump, simply remove one of
the breastshields from your breast.
Important Note: Kits sold separately. For a complete list of kits that are
compatible with the Symphony pump, please refer to the Medela Product
Catalog or contact Customer Service at 1-888-633-3528.
Important Note: If you experience discomfort, contact your lactation
professional as you may need a larger breastshield or other advice. To
locate Medela products or a breastfeeding specialist in your area call
1-800-TELL YOU.
6 7
Symphony®Controls
Symphony®Program Cards
There are two versions of the Symphony Program Card:
the Original Symphony Program Card and the Symphony
2.0 Program Card. The following information is instructions for either card.
Original Symphony Program Card
The original Symphony Program Card is programmed to
operate the 2-Phase Expression.
LCD Display.
11
When powered off and connected
to A/C power supply, the LCD
Display will indicate “Mains”.
When batteries are used to power
the Symphony, the LCD Display will
remain blank until powered on.
The vacuum setting is indicated on the LCD Display
with Drops (Stimulation) and Bars (Expression).
22
Begin in Stimulation Phase.
Start the pump by pressing the
on/off button. The pump will
immediately begin pumping in
the Stimulation Phase. The initial
vacuum level will be indicated by
1 drop on the LCD Display.
Stimulation Phase is always limited to two minutes.
33
Switch to Expression Phase.
The pump will switch to Expression
Phase by one of two ways:
1) automatically, after two minute
Stimulation Phase is complete, or
2) by pressing the let-down button.
You should press the let-down
button immediately after milk ejection and continue
pumping in the Expression Phase.
8 9
44 Vacuum Setting.
When switching from Stimulation to
Expression, the pump automatically
increases the vacuum setting by
adding 3 Bars to the last
Stimulation setting. *This vacuum
level can be increased by using the
Vacuum Regulator Knob.
Symphony®2.0 Program Card
The Symphony 2.0 Program Card is the second generation program card. It is programmed to operate the
2-Phase Expression similar to the Original Symphony
Program Card. Additionally, there are some new features
available with the Symphony 2.0 Program Card:
11
Program Card Name Displayed
on LCD Display.
The Symphony 2.0 Program Card
displays the name of the card
(Symphony 2.0) on the LCD display
when the pump is powered off and
connected to A/C power supply.
When batteries are used to power
the Symphony, the LCD Display will
remain blank until powered on.
Ramp-Up Transition from
33
Stimulation to Expression Phase.
When switching from Stimulation
to Expression Phase, the
Symphony 2.0 Program Card
increases the vacuum setting
by adding 3 bars to the last
Stimulation setting in a stairstepped fashion. The 3 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.
Use Let-Down Button to Switch
44
Back to Stimulation Phase.
The Symphony pump can switch
from Stimulation to Expression
Phase in one of two ways: 1)
automatically after 2 minutes, or
2) manually through pressing the
let-down button. With the Symphony 2.0 Program Card,
the let-down button can also be used to switch back to
Stimulation Phase. For more information on this feature,
please review the Symphony 2-Phase Pumping Protocol
information in this booklet.
Note: Stimulation Phase is always limited to two minutes. If milk
ejection occurs before the 2 minute Stimulation Phase is over, press
the let-down button and continue pumping in Expression Phase
Minimum Start Vacuum Setting.
22
The Symphony 2.0 Program
Card will start the pump in the
Stimulation Phase. The initial
vacuum setting when powering on
the pump is visually indicated with
3 drops on the LCD screen. The
vacuum setting can be increased
or decreased by using the Vacuum
Regulator Knob.
10
Program Remembers Last
55
Stimulation Vacuum Setting.
When switching back to
Stimulation Phase, the Symphony
2.0 Program Card remembers the
last Stimulation Phase vacuum
setting prior to switching to
Expression Phase and returns to
this setting in Stimulation Phase.
11
Symphony 2-Phase Pumping Protocol
Maximum Comfort Vacuum
Research has shown that you will pump more efficiently—
meaning get more milk in less time—when pumping at
Maximum Comfort Vacuum in the Expression Phase.
Begin in Stimulation Phase
11
First, start the pump by pressing
the on/off button. The pump will
immediately begin pumping in
Stimulation Phase of the 2-Phase
Expression.
Switch to Expression Phase
22
Once your milk starts to flow,
or you sense milk ejection, press
the let-down button to switch to
the Expression Phase for the most
effective pumping and removal
of milk. If you do not press the
let-down button, the pump will
automatically switch to the Expression Phase after
two minutes.
Setting your Maximum
33
Comfort Vacuum
Maximum Comfort Vacuum is the
highest vacuum you can use and
still feel comfortable; it is different
for every mom. To find your
maximum comfort vacuum,
increase the vacuum by turning the Vacuum
Regulator Knob clockwise until pumping feels slightly
uncomfortable—never painful. Then, decrease the
vacuum one bar by turning the knob counterclockwise.
™
Symphony 2.0 Program Card –
Addressing Special Needs
The Symphony 2.0 Program Card includes a feature that
allows moms to switch back to the Stimulation Phase by
pressing the let-down button. Some moms find this feature beneficial in addressing the following special needs.
Please note that the Stimulation Phase is always limited to
two minutes.
11
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
22
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, pr
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 and expressing 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
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.
for the most effective removal of milk, it may be
ess the let-down button to
12
13
33
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.
Important Note:
For the most effective pumping and removal of milk,
Medela strongly encourages pumping in the Expression
Phase after milk ejection at Maximum Comfort Vacuum™.
Storing Breastmilk
Check with your hospital for specific storage
instructions.
When freezing, do not fill containers more than 3/4 full to
allow space for expansion. Label containers with the date
of pumping.
Breastmilk Storage (For Healthy Term Babies)
Room Cooler with Refrigerator Self-contained Deep
Temperature 3 Frozen Refrigerator Freezer
Freshly 4 hours 24 hours 5 - 7 days 3-4 6-12
expressed at 66-72°F at 59°F at 32-39°F months
breastmilk (19-22°C)
Thawed Do not Do not 24 hours
breastmilk store store refreeze refreeze
(previously
frozen)
1
Hamosh M, Ellis L, Pollock D, Henderson T, and Hamosh P: Pediatrics, Vol. 97, No. 4, April 1996.
pp 492-497. (4 hours at 77° F/25° C).
2
Sosa, Rober
3
Lawrence R, and Lawrence R: Breastfeeding: A Guide For the Medical Profession, 1999, p.894.
4
Arnold L; Recommendations for Collection, Storage and Handling of a Mother's Milk for Her Own Infant
in the Hospital Setting, 3rd Edition.The Human Milk Banking Association of North America, Inc. 1999, p. 18.
ness, Lewis: AJDC, V
to; Bar
Important Note: If the temperature in the room, car or
outdoors exceeds 77° F / 25° C, chill milk immediately to
preserve freshness.
Ice Packs Freezer Unit
1
(15°C) 1(0°-4°C)
ol. 141, Jan. 1987.
2
4
3
months
at 0°F
(-19°C)
Never Never
thawed thawed
milk milk
3
14
15
Defrosting
• Thaw milk overnight in the refrigerator, or hold the bottle
under warm running water to quickly thaw. You can also
place the sealed container in a bowl of warm water for 20
minutes to bring it to body temperature.
• Thawed milk is safe in the refrigerator for 24 hours.
Do not refreeze.
Caution:
• Do not thaw frozen breastmilk in a microwave or in a
pan of boiling water.
• Never microwave breastmilk. Microwaving can cause
severe burns to baby’s mouth from hot spots that develop
in the milk during microwaving. Microwaving can also
change the composition of breastmilk.
• If adding expressed breastmilk to container of already
frozen breastmilk, make sure to add a lesser amount
than the already frozen amount.
Troubleshooting
If There Is Low or No Suction
• Make sure all connections of kit and breastpump are
secure.
• If using a unit with a battery, make sure the battery
is charged.
• Make sure membrane is lying flat against valve head.
Refer to the assembly instructions.
• Make sure the hard yellow ends of the tubing fit securely
into breastshield connectors and the other ends into the
ports on the pump connector or membrane caps.
In the US, call Medela at 800-435-8316 or 815-363-1166.
•
In Canada, call Medela at 800-435-8316 or 905-608-7272.
In other countries, contact your local distributor or the
location where you purchased your pump. Visit us on the
internet at www.medela.com.
Symphony®Technical Description
SAFETY INSTRUCTIONS
PROTECTION CLASS II
VACUUM:
-50mmHg – -250mmHg
-7kPa – -33kPa
POWER SUPPLY:
Conventional Outlet:
100-240 V
50/60 Hz
0.5 A
DC Connection:
12 VDC
25 W
T2.5A
Battery:
2 x 6 V, 1.2 Ah Type: Yuasa NP 1.2-6
Batter
DC powered
Charging time=12 hours
Full battery pumping
time=approx. 60 minutes
DISPOSAL:
This breastpump is made of technical plastics and metals that cannot be
separated. It must be disposed of in accor
WARRANTY:
3-years for the unit fr
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.
Medical Electrical Equipment, Breastpump Model Symphony®600.0837 and 600.0838
CLASSIFIED WITH RESPECT TO ELECTRIC SHOCK, FIRE AND MECHANICAL
HAZARDS ONLY IN ACCORDANCE WITH UL60601-1/CAN/CSA C22.2
No. 601.1 22PL.
DIMENSIONS:
(Double
Insulation)
Type B
y(optional): Battery,
om the date of deliver
With Stand Without Stand
Length 16.1” 8.5”
Width 16.1” 6.1”
Height 35.4” 9.6”
WEIGHT:
With Battery: 6 lbs. 7 oz.
Without Battery: 5 lbs. 1 oz.
ENVIRONMENTAL CONDITIONS
FOR OPERATION:
Temperature: +41°F to +104°F
Relative Humidity: 20% to 80%
Atmospheric Pressure: 70 kPa to 106 kPa
ENVIRONMENTAL CONDITIONS
TRANSPORT AND STORAGE:
e: -4°F to +122°F
Temperatur
Relative Humidity: 20% to 95%
Atmospheric Pressure: 70 kPa to 106 kPa
STANDARDS:
FDA (GMP)
ISO 9001
ISO 13485
CE (93/42/EEC)
ELECTROMAGNETIC OR
OTHER INTERFERENCE:
Complies with IEC 60601-1-2. Unlikely to
interfere with other electrical equipment.
dance with local regulations.
y, excluding pump set and batteries.
16
17
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