Medela Supplemental Nursing System User manual

Supplemental
Nursing System™ (SNS™)
EN Instructions for use |ES Instrucciones de uso |FR Mode d’emploi

2
Important Safeguards
READ ALL INSTRUCTIONS BEFORE USING THIS PRODUCT.
The warning symbol identifies all instructions that are important to safety.
Failure to observe these instructions can lead to injury or damage to the
breastpump. When used in conjunction with the following words, the
warning symbols stand for:
WARNING Can lead to serious injury or death.
CAUTION Can lead to minor injury.
NOTE Can lead to material damage.
WARNING: To avoid health risk and reduce the risk of injury:
• The packaging should be inspected for holes, tears, broken seals, etc.
• If the sterile packaging is damaged, the contents must be cleaned prior
to use (refer to cleaning instructions).
• This product is intended for use by a single user only and should not be
shared between users.
• Sanitize all parts that come in contact with breastmilk or supplement
once daily.
• Wash all parts that come in contact with breastmilk or supplement after
every use.
• Inspect all components before each use.
• Do not use the components if they are damaged.
• Do not use the components if dirt, mold or other contamination is visible.
• Do not thaw frozen breastmilk in a microwave or in a pan of boiling water.
• Do not use the breastmilk or supplement if bottles or components
become damaged.
• Always check the temperature of breastmilk or supplement before
feeding to your baby.
SAVE THESE INSTRUCTIONS
CAUTION: Can lead to minor injury:
• Do not store wet or damp parts as mold may develop
• If tubing becomes moldy, discontinue use and replace.

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1.Cleaning .................................................................... 6-11
1.1 Disassemble..............................................................6
1.2 After each use....................................................... 6-9
1.3 Sanitize once daily............................................. 10-11
2.Assembly & Use ..................................................... 12-15
2.1 Assembly .......................................................... 12-14
2.2 Use ................................................................... 14-15
3.Tubing Guidelines................................................... 16-17
3.1 Tube position...........................................................16
3.2 Tubing size guidelines........................................ 16-17
4.Supplemental Information...........................................18
Table of Contents
The intended use of the Supplemental Nursing System:
The Supplemental Nursing System is designed to administer
supplemental nutrition to babies while they are being fed at the
breast. Its intended use is to assist mothers in increasing and
maintaining their milk supply.

4
Product Description
1x Feeding bottle
8110007
1x Attachment ring
8100500
1x Valve holder
2006620
Complete SNS
00901S(US)
Complete SNS
SNS20901(Canada)
SNS Container
with lid
8000794

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1x Neck Cord
6000155
1x Valve (translucent)
with large tubing
2006620
1x Valve (red)
with small tubing
2006620
1x Valve (white)
with medium tubing
2006620
1x hypoallergenic
papertape roll
with holder
67138
1x hypoallergenic
papertape roll
8990007
1x Cover
8100502

6
1. Cleaning
Supplies needed:
• Mild Dish Soap
• Clean Dish Cloth
• Clean Sink or Bowl
• Drinking Quality Water
• Clean Towel
Parts to wash:
• Valve Holder
• Attachment Ring
• Feeding Bottle
• Valve with Tubing
• Cover
• Neck cord
1.1 Disassemble:
Before cleaning, dissassemble the
parts below. Follow the cleaning and
sanitizing instructions in Sections
1.2 and 1.3 that follow.
• Only use drinking-quality tap or
bottled water for cleaning.
• Separate and wash all parts
that come in contact with the
breast, breastmilk or supplement
immediately after use to avoid
dry up of milk residues and to
prevent growth of bacteria.
• Follow these cleaning
instructions unless advised
otherwise by your Healthcare
Professional.
• Contents are sterile unless the
package has been damaged or
opened.
Caution
Warning
1
1.2 After each use
Clean all parts that come
in contact with your breast,
breastmilk or supplement.
Refer to Section1.1.
Rinse all separated parts that
came in contact with breast,
breastmilk or supplement in
cool water in order to remove
breastmilk residue.
4
Replace attachment ring and
valve with tubing and force
water through tubing.

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32
Soak all separated parts in
warm soapy water for
5 minutes.
5
Fill SNS feeding bottle
full of warm soapy water.
Refill feeding bottle with
clean water.
6
Force water through
tubing.
You may also wash SNS parts by the
following the instructions on the Quick
Clean™Breastmilk Removal Soap
bottle. (sold separately)

8
10
• Allow parts to air dry
in a clean area.
• Store dry parts when
not in use.
• Do not store wet or damp parts
as mold may develop.
• If parts become moldy
discontinue use and replace
parts. Contact Medela Customer
Service at customer.service@
medela.com or 800-435-8316.
• When you are cleaning the
SNS, check feeding bottle and
components for damage. Throw
away and replace at the first sign
of damage or weakness.
Caution
1. Cleaning (cont.)
7
Squeeze the empty feeding
bottle a few times to remove
water droplets from the
tubing.

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8
Clean remaining parts
with a clean dish cloth in
warm soapy water.
9
Rinse all separated
parts with clear water.
Reassemble dry parts
and store when not in use.
11

10
1. Cleaning (cont.)
4
Allow water to cool in
open pot and gently
remove parts from
water with tongs.
• Take care not to damage SNS
parts during cleaning.
• Store dry SNS parts in a clean
bag or container until next use.
• Wash SNS parts after each use.
• Sanitize SNS parts once daily.
Note
1
1.3 Sanitize once daily
Wash hands thoroughly.

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• Place parts on a clean surface
and/or towel.
• Allow all parts to air dry.
• Store dry parts when not in use
(in a clean bag/container).
• Do NOT store wet or
damp parts.
5
3
• Fill a pot with enough
water to cover all parts.
• Bring water to a boil.
• Place parts in boiling water
for 5 minutes.
2
Separate all parts that
come in contact with
your breast, breastmilk or
supplement. Be sure to
separate valve and valve
holder.
Refer to Section 1.1

12
2. Assembly & Use
1
4
Wash hands thoroughly.
• Slide tubing and valve
holder through attachment
ring and push into the ring
until it snaps.
• Do not pull on tubing.
• Inspect parts for cracks, chips,
holes, tears or warping. If you
notice any damage to these
parts, throw away and replace
them immediately.
Note
• Do not pull on tubing.
Caution
2.1 Assembly

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2 23
Choose proper size tubing.
Refer to section 3.2 and
consult with your
Healthcare Professional.
Push valve with attached
tubing over valve holder.
5
Fill feeding bottle with
breastmilk or supplement
recommended by your
Healthcare Professional.
6
Screw attachment ring
onto feeding bottle.

10
Position baby at breast and release just the tubing on the breast you are
about to nurse. Place all your fingers underneath the breast and off the
areola. Place your thumb on top of the breast and gently on the tube (don’t
press hard with your thumb or the tube will point upward). Tickle baby’s
lower lip with your nipple and wait till the baby opens wide. Position the tube
under the baby’s upper lip as you pull baby close to the breast so that baby
accepts both the breast and the tube. The tip of the baby’s nose should just
touch the breast. This should help baby accept both your breast and the
tube at the same time. If you have difficulty, don’t worry as this may take a
little practice. Remove baby and start again.
accepts both the breast and the tube. The tip of the baby’s nose should justaccepts both the breast and the tube. The tip of the baby’s nose should just
touch the breast. This should help baby accept both your breast and thetouch the breast. This should help baby accept both your breast and the
tube at the same time. If you have difficulty, don’t worry as this may take atube at the same time. If you have difficulty, don’t worry as this may take a
2. Assembly & Use (cont.)
14
87
2.1 Assembly (cont.) 2.2 Use
Hang the assembled
SNS feeding bottle
around your neck.
Gently clamp both
tubings into attachment
ring to avoid milk
flow as you place the
system around your
neck.
Do not stretch or
pull on tubing.

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Questions?Questions?
11
9
12
2.2 Use
Place tubing on the top of the nipple making sure it extends
about 1/4” inch beyond nipple and secure vertically with a
piece of tape down to the base of the areola. Another piece of
tape may be placed horizontally at base of areola. Put tape on
breast and areola but not on the nipple itself.
If the flow is not started
by infant’s suck, it may be
necessary to prime the
system by squeezing gently
on the feeding bottle. This
will cause the tubing to
be filled with breastmilk or
supplement and prevent the
infant from swallowing air.
Follow cleaning instructions
in Section 1.

16
3.1 Tube position
Position the tube such that the baby keeps the tube in the center of
its upper lip or in the corner of its mouth.
3.2 Tubing size guidelines
Consult with your Healthcare Professional to choose the proper
tubing size.
Small Size Suggestions (red valve):
1. Baby gaining well but sucking needs to be improved
2. Thinner fluids
Medium Size Suggestions (white valve):
1. Beginning Use
2. Adopted Babies
3. Slow Weight Gaining Babies
4. Most Sucking Problems
5. Premature Babies
Large Size Suggestions (translucent valve):
1. Sucking Problems characterized by a tight mouth
(Faster flow prevents tightening of mouth)
2. Poor action by the mouth
3. Weak, Lazy Sucking Babies
3. Tubing Guidelines

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The versatility of the Medela SNS allows you to vary the rate of flow:
To summarize
Increase Flow Decrease flow
1. Use larger tubing 1. Smaller size tubing
2. Raise device 2. Lower device
3. Squeeze feeding bottle
4. Warm supplement

18
4. Supplemental Information
Breastfeeding conditions
Following are some common breastfeeding related conditions.
If you experience any of these symptoms, contact a healthcare professional
or breastfeeding specialist.
NOTE: Symptom Potential Causes
Engorgement • Breasts are hard and
uncomfortable, possibly
with reddened areas.
• Milk not draining properly from
breast.
• Milk can drain back into the
tissue causing areas to swell
and become tender.
Blocked/
Plugged Ducts
• Area of breast will look
reddened and may be
tender to touch.
• Milk not being drained from a
specific duct.
• The area becomes ‘clogged’
and milk is then prevented from
fl o w i n g .
Mastitis • It often follows on from
engorgement but can just
occur suddenly.
• The initial symptoms are
similar to flu – fatigue,
headache and muscle
aches, fever and localized
breast tenderness.
• It can be in one or even
both breasts and needs
immediate treatment.
• A bacterial infection in the
breast tissue which is often
accompanied by cracked
nipples.
A Healthcare Professional or Breastfeeding Specialist can give you guidance in
breastfeeding your baby and using a breastpump. Their guidance is valuable
in terms of the lifetime of health benefits for both you and your baby. A listing
of Lactation Professionals are available at www.medelalocator.com or call
1-800-TELL-YOU (1-800-835-5968).

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20
Medidas de seguridad importantes
LEA TODAS LAS INSTRUCCIONES ANTES DE USAR ESTE PRODUCTO.
El símbolo de advertencia identifica todas las instrucciones que son importantes
para la seguridad. La inobservancia de estas instrucciones puede provocar lesiones
o daños en el extractor de leche. Cuando los símbolos de advertencia se utilizan
junto con los siguientes términos, tienen el significado a continuación:
ADVERTENCIA Puede provocar lesiones graves o la muerte.
PRECAUCIÓN Puede provocar lesiones menores.
NOTA Puede provocar daños materiales.
ADVERTENCIA: Para evitar riesgos en la salud y reducir el riesgo de sufrir lesiones:
• Inspeccione el embalaje para detectar la presencia de agujeros, roturas,
sellos rotos, etc.
• Si el embalaje estéril está dañado, limpie el contenido del paquete antes
de utilizarlo (consultar las instrucciones de limpieza).
• Este producto ha sido diseñado para ser utilizado únicamente por una
sola persona y no debe compartirse con otros.
• Sanitice una vez al día todas las partes que están en contacto con la
leche materna o con el suplemento.
• Lave todas las piezas que están en contacto con la leche materna o con
el suplemento después de cada uso.
• Inspeccione todos los componentes que va a utilizar antes de cada uso.
• No utilice los componentes si están dañados.
• No utilice los componentes si tienen suciedad, moho o cualquier otro
tipo de contaminación visible.
• No descongele la leche materna en un horno de microondas o en una
olla con agua hirviendo.
• No utilice la leche materna o el suplemento si los biberones o las
piezas presentan daños.
• Siempre verifique la temperatura de la leche materna o del suplemento
antes de dársela a su bebé.
GUARDE ESTAS INSTRUCCIONES
PRECAUCIÓN: Puede provocar lesiones menores:
• No almacene las piezas húmedas o con agua, ya que se pueden
producir hongos.
• Si aparecen hongos en el tubo, interrumpa su uso y reemplácelo.