Medela 67355S User manual

double duet
breastmilk
initiation kit
instructions
for use with symphony breastpump
includes harmony manual breastpump
double or single pumping kit
24 mm and 27 mm PersonalFit™ breastshields
DEHP and Latex free 67355S

Double Duet Breastmilk Initiation Kit
24 mm PersonalFit
™
Breastshield (2)
Connector (2)
Handle (1)
Diaphragm (1)
Stem w/
O-Ring (1)
O-Ring (1)
Let-down Symbol
87073
8107236
8007262
8007034
Yellow
Valve (2)
White
Membrane (2)
Colostrum Collection
Container (2)
80789
27 mm PersonalFit
Breastshield (2) 87074
80 mL Collection
Container
with Lid (2)
To purchase non-sterile replacement parts:
• Locate a Medela retailer at http://medela.findlocation.com
• Email [email protected], or
• Call 1-800-435-8316

Tubing (2)
Membrane (2)
Membrane Cap (2)
Container Lid (2)
8007213
8200094
8100769
8107181
Spare Membranes 87088
Which Container When
Medela’s 35 mL colostrum container has
20 mL of pumping capacity and 35 mL of
storage capacity. The curved bottom minimizes
loss of colostrum or breastmilk during transfer
to a syringe. The small size helps keep mothers
motivated to pump by setting proper expectations
of initial milk production.
Medela’s 80 mL breastmilk collection container
has 65 mL of pumping capacity and 80 mL of
storage capacity.
Visit your Medela retailer or go to www.medela.com
for our selection of larger breastmilk collection
& storage containers.

Pumping Should Be Comfortable
When it comes to nding the
right t in a breastshield every
mother is different. Sizing
may change throughout your
breastfeeding experience as
the breast and nipple tissue
changes. To determine the
correct size breastshield,
you need to watch your
breasts while pumping.
While pumping—
You should see the following if you have the correct size breastshield:
• Pumping feels comfortable, not
painful.
• The nipple is centered and moves
freely in the tunnel.
• Minimal or no areolar tissue is pulled
into the tunnel of the breastshield.
• There is gentle rhythmic motion in
the breast with each cycling of the
pump.
• The breast empties all over. After
pumping gently press around your breast. If an area still
feels full or a bit firmer, you may not have emptied the milk duct in
that area of the breast.
After pumping—
• After a pumping session the nipple is not irritated and is not painful
to the touch.
If you do not see the above, you may need to seek the
advice of a lactation or healthcare professional to assist
you in getting the proper fit.
areola
tunnel
breastshield
27 mm
24 mm

Double Duet Breastmilk
Initiation Kit
• To learn more about storing and caring for your breastmilk:
www.BreastmilkGuidelines.com
• For free advice from a lactation consultant:
www.medelabreastfeedingus.com/for-expectant-mothers/
ask-the-lc
• For breastfeeding tips & solutions including:
• How to breastfeed
• Challenges & solutions
• Going back to work
• Breastpumping
• Choosing the right size breastshield
www.medelabreastfeedingus.com/for-expectant-mothers/tips-and-
solutions
• For help with choosing a breastpump:
www.medelabreastfeedingus.com/product-selector
Online Breastfeeding Resources
Important
This product is sterile. Package must be
inspected for any holes, broken seals, or damage
before opening. If present, you MUST wash
product prior to first use. If you have any other
questions, consult with your healthcare provider
for further cleaning instructions.
If you experience discomfort while pumping,
contact your lactation professional as you may
need a different size breastshield. To locate
Medela products, visit http://medela.findlocation.com
or call 1-800-TELL-YOU.
Single User Caution:
This product is a personal care item
that should not be shared between users.

2
1 Securely attach
breastshields to
connectors.
(Note: See inside
cover for selecting
the proper size
breastshield.)
2 Snap white
membranes
onto yellow
valves until
membranes
lie flat.
3 Push yellow valves
onto inner ring of
connector bottom.
4 Screw collection
containers onto
connector bottom.
(Note: See inside
cover for selecting
the proper size
container.)
7 Fit protective
membranes onto
membrane caps.
6 Insert the triangular
two-toned yellow
ends of tubing into
ports on membrane
caps.
5 Insert pale yellow
round ends
of tubing into
openings in back
of connectors.
Symphony® Pumping Kit Assembly & Use
Wash hands with soap and water
prior to handling your kit.

3
10 Close lid before
pumping.
(If lid does not
close, check to see
that membrane
caps are properly
seated.)
8 To open lid, hold
down the oval
button on the top of
the Symphony
breastpump and
lift up on the
handle.
9 Push membrane
caps into place on
the pump. A “click”
will be heard once
properly seated.
(Note: If single
pumping, only seat
one membrane cap.)
12 To turn the pump
on, press the power
button. You will be
starting in the
Stimulation Phase.
11 Center breastshields
over your nipples
and start pumping.
(Caution: pushing
shields too firmly into
breasts may reduce
milk flow.)
13 If let-down
occurs before the
Expression Phase
begins, press the
let-down button
to begin the
Expression Phase.
14 When your pumping session is over, store your breastmilk and
clean your kit. See the Breastpump Kit Care section for cleaning
instructions.
For breastmilk storage guidelines go to
www.BreastmilkGuidelines.com

4
Correct Incorrect
5 Place oval shaped
base of the stem
into diaphragm.
Hint: Make sure the oval shape is lined up
correctly in the diaphragm.
6 Align silicone
diaphragm/stem
with tab on pump
handle. Press down
firmly around entire
edge to ensure a
proper seal.
Harmony™ Kit Assembly & Use
1 Securely attach
breastshield to
connector.
2 Snap white
membrane onto
yellow valve until
membrane lie flat.
3 Push yellow valve
onto inner ring of
connector.
4 Screw collection
container onto
connector.
Wash hands with soap and water
prior to handling your kit.

5
10 Start pumping in
the Stimulation
Phase by pressing
down on the milk
drops symbol
on front of
the pump handle.
Press and release
quickly until you
see milk flow
begin. This mode
mimics baby’s
initial rapid sucking
and is designed to
stimulate milk flow/
let-down.
7 Insert stem of
handle assembly
into opening on top
of connector and
push until you feel
it snap in.
8 Center breastshield
over nipple.
(Caution: pushing
shield too firmly into
breast may reduce
milk flow.)
9 Rotate the
adjustable handle
for your maximum
pumping comfort.
The level of vacuum
is controlled by the
compression and
the speed of the
handle stroke. You
decide the pumping
rhythm that is best
for you.
11 Once let-down
has begun, switch
to the Expression
Phase by pressing
the back of the
pump handle.
This mode mimics
baby’s deeper,
more relaxed
sucking and
is designed to
maximize milk flow.
12 When your pumping session is over, store your breastmilk and
clean your kit. See the Breastpump Kit Care section for cleaning
instructions.
For breastmilk storage guidelines go to
www.BreastmilkGuidelines.com

6
Converting to the Symphony® Breastpump
Good hygiene will help protect the
breastmilk that you give to your baby. For
the best protection when handling your
breastmilk, wash your hands with soap
and water, and follow the guidelines for
cleaning, drying, and storing your kit.
Breastpump Kit Care
1 Remove handle assembly from
connector.
See Symphony Kit Assembly on page 2 and refer to steps 6-14 to
complete assembly.
2 Insert pale yellow round end of tubing into
opening on top of connector.

2 Remove collection container(s)
and store breastmilk.
For breastmilk storage
guidelines go to www.
BreastmilkGuidelines.com.
3. Disassemble.
All parts that come in contact with your breast and
breastmilk must be disassembled and washed for the kit
and pump to function efficiently.
While the pump is still
running, disconnect
tubing from connector.
a Remove the pump
handle assembly from the
connector. Check to see if
it needs cleaning.
(Note: It is important to let pump
run for 2minutes with tubing
attached. This will eliminate
condensation that naturally
results from humidity.)
Harmony:
Note: Under normal use, the pump
handle and diaphragm/stem only
need to be cleaned periodically
or when it is apparent they have
become soiled. (Hint: Do not remove
small white o-ring from stem.)
Continue to step b on next page. 7
Symphony:
Both Symphony and Harmony:
How do I disassemble my kit?
1 Finish pumping.

8
1 Wash parts.
Rinse all separated parts in cool
water to remove breastmilk.
2 Wash and Rinse -or- Dishwasher
• Wash all separated
parts in warm,
soapy water.
• Rinse all separated
parts with clear water.
• Wash all separated
parts on top rack
of dishwasher.
Cleaning
d Remove the white
membrane(s) from
the valve(s).
c Twist and pull the
yellow valve(s) off the
connector(s).
b Separate breastshield(s)
from connector(s).
Separate remaining parts of your kit that come in contact with your
breast and breastmilk.
How do I disassemble my kit? (cont’d.)
Both Symphony® and Harmony™:

9
Drying & Storing
Allow all breastpump kit parts to air dry in a clean area and store dry
parts when not in use. Do NOT store wet or damp parts.
Sanitizing
In addition to washing, you may sanitize your kit parts that come in
contact with breast and breastmilk once per day by following the
instructions on Medela’s Quick Clean™ Micro-Steam™ bag or boiling.
Note: Do NOT use Quick Clean Micro-Steam bags with the Harmony
pump handle, diaphragm/stem and breastshield connectors.
If boiling your kit:
1 Separate all parts that come in contact with your breast and
breastmilk.
2 Choose a pot that is large enough so the kit parts DO NOT
rest on the sides or bottom while boiling.
3 Fill the pot with water and bring to a boil.
4 Carefully drop parts into boiling water, and boil for 10 minutes.
5 Gently remove parts from water with tongs and place on a clean
surface.
6 See Drying & Storing section (above) for further instructions.
Quicker Cleaning
You can use Medela’s QuickClean
wipes in between pumping sessions
and then clean your kit once you get
home. Follow instructions on Quick
Clean package.

10
Tips for Success
• Prior to pumping, relax, take a few deep breaths and think of
your baby.
• Using a breastpump should be easy and comfortable. The first few
times may seem a bit awkward, but you will quickly find your best
position and pumping speed.
• Many new mothers find that in the first week or two of breastfeeding,
they may experience nipple tenderness and soreness. This is
normal and will improve as both mom and baby learn this new skill.
If soreness persists, contact a lactation consultant or healthcare
provider to assist in proper breastshield sizing or comfortable
breastfeeding techniques.
• To soothe sore nipples, you may purchase Tender Care products
by visiting your Medela retailer. To locate a retailer visit
www.medela.com or call 1-880-TELL YOU.
To Sterilize Kits in the Hospital
Important Note: Do NOT autoclave Harmony handle, diaphragm/
stem and breastshield connectors.
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.
To avoid damage during and immediately after sterilization:
• Sterilize parts without applying external pressure.
• Allow parts to cool before applying external pressure.
Note: If gas sterilization is used, residual testing is recommended to
determine the proper length of aeration.
Tubing Care
It is not necessary to clean tubing after each use. If your tubing comes
in contact with breastmilk, clean it by following these directions.
• Rinse and run cold water through tubing to remove breastmilk.
• Dry tubing by attaching it to pump and running for 2minutes or
until dry. This will eliminate condensation that naturally results from
humidity.
• In addition to washing, you may sanitize by following the
instructions on page 9.
• Tubing may appear cloudy after boiling or microsteaming.
Breastpump Kit Care

Troubleshooting
If you feel the pump is not giving sufficient suction, you can check
several things:
• Make sure the white membrane is clean and lies completely flat on
the yellow valve.
• Verify that yellow valve on breastpump kit is fitted correctly into the
breastshield connector.
Symphony® Breastpump Troubleshooting
• Make sure breastpump is plugged in.
• Check and secure all connections of kit and breastpump.
• Ensure that the pale yellow ends of the tubing fit securely into
connectors and the triangular two-tone yellow ends into the
membrane caps. (Refer to Symphony kit assembly instructions.)
• Inspect Symphony membranes. If membranes appear to be worn or
have a tear they need to be replaced (Article#8200094).
Harmony™ Breastpump Troubleshooting
• Make sure the stem assembly on the
pump handle is seated all the way
into the pump body until it will go no
further. Make sure the white o-ring is in
place in the stem handle.
• Make sure the oval base of the stem is
properly seated in the oval base of the
diaphragm.
• Finally, make sure the diaphragm is pushed all the way onto the
circular rim on the underside of the handle.
• If pump handle does not release smoothly or sticks, check
diaphragm assembly to correct. (Refer to step 6 of the Harmony Kit
Assembly Instructions on page 4.)
If assistance is still needed after reviewing this booklet, please email
Medela Customer Service at [email protected] or call
[phone] or [phone].
11

www.medela.com
Medela and Symphony are registered trademarks of Medela in the USA.
PersonalFit, Quick Clean and Micro-steam are trademarks of Medela,
Inc. in the USA and in other countries. Applications for registration of
Medela is pending in other countries.
© 2011 Medela, Inc. Printed in the U.S.A.
Medela, Symphony y Lactina son marcas registradas de Medela en
EE.UU. PersonalFit, Quick Clean y Micro-steam son marcas comerciales
de Medela, Inc. en EE. UU. y en otros países. Solicitudes de registro de
Medela en trámite en otros países.
© 2011 Medela, Inc. Impreso en los EE.UU.
© 2011 Medela, Inc.
Medela, Inc.
P.O. Box 660
1101 Corporate Drive
McHenry, IL 60051-0660, USA
Ph: [phone] or [phone]
Fax: [phone]
Email: [email protected]