Medela Symphony User manual

symphony® &
lactina®
breastpump kit
instructions
for use with symphony & lactina breastpumps
for double or single pumping
Not made with natural rubber latex. DEHP free

2 3
See the instructions provided with your breastpump for additional
safety precautions.
Warning: To avoid health risk and reduce the risk of injury
• Breastpump kits are a personal care item intended for a single-
user.
• Inspect the breastpump kit components prior to each use.
- Do not use the components if they are damaged.
- Do not use the components if dirt, mold, or other contamination is
visible.
• Breastpump kit components that come in contact with breastmilk
must be cleaned after each use.
• Do not modify any breastpump kit components.
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 tubing.
• Do not use the breastpump kit with any non-compatible
breastpumps.
• If pumping is uncomfortable or causing pain, discontinue use
and seek advice from a healthcare professional or breastfeeding
specialist.
• Do not use the breastpump kit for any other purpose than
expressing breastmilk.
• Plastic bottles and component parts become brittle when
frozen and may break when dropped.
• Bottles and component parts may become damaged if
mishandled, e.g. dropped, over-tightened, or knocked over.
• Take appropriate care in handling bottles and components.
• Do not use the breastmilk if bottles or components become
damaged.
SAVE THESE INSTRUCTIONS
Important Safeguards
1. Assembly & Use�����������������������������������������������������4-11
1.1 Correctly fitting breastshields ��������������������������������� 4
1.2 Symphony®Pump Kit Assembly & Use ���������������5-7
1.3 Lactina®Pump Kit Assembly & Use ��������������������8-9
1.4 Manual Breastpumping���������������������������������������� 10
1.5 How do I dissassemble my kit?���������������������������� 11
2. Cleaning ...............................................................12-15
2.1 After Each Use����������������������������������������������������� 12
2.2 Drying & Storing��������������������������������������������������� 13
2.3 Sanitize Daily�������������������������������������������������������� 13
2.4 Piston/Cylinder Cleaning��������������������������������������� 14
2.5 Tubing Cleaning���������������������������������������������������� 14
3. Storing breastmilk .................................................... 15
4. Troubleshooting........................................................ 16
5. Supplemental Information ....................................... 17
Table of Contents

4 5
1.1 Correctly fitting breastshields
Properly tting breastshields will ensure comfort and efcient milk
expression. To determine if you have the correct size, look at the
following diagram:
• The nipple should be centered in the tunnel of the shield.
• The nipple should move freely without rubbing when the pump
is turned on.
• Minimal or no part of your areola should be pulled into
the tunnel of the breastshield.
• You should see a gentle, rhythmic motion in the breast
with each cycle of the pump.
• After pumping, your breast should feel much less full
with no areas of hardness.
Medela offers a range of
breastshields from small to
XX-large which are available
at many local retailers or visit
www.shopmedela.com.
PersonalFit™Breastshields
21 mm (Small) Item 87072
24 mm (Medium) Item 87073
27 mm (Large) Item 87274
30 mm (X-Large) Item 87075
36 mm (XX-Large) Item 87084
Choosing the right size PersonalFitTM breastshield:
1. Determine the size you’re currently using. If you’re
not sure, look for the size embossed on your
breastshield (see picture).
24 mm (M) breastshields
are provided with
Medela breastpumps.
2. While pumping, compare your fit to the images below
as a sizing guideline.
Your breastshield
is too large;
try a smaller size
Correct fit
Your breastshield
is too small;
try a larger size
24 mm
Choosing the right size PersonalFitTM breastshield:
1. Determine the size you’re currently using. If you’re
not sure, look for the size embossed on your
breastshield (see picture).
24 mm (M) breastshields
are provided with
Medela breastpumps.
2. While pumping, compare your fit to the images below
as a sizing guideline.
Your breastshield
is too large;
try a smaller size
Correct fit Your breastshield
is too small;
try a larger size
24 mm
While some discomfort may be felt when first using a breastpump,
using a breastpump should not cause pain� If you are unsure about
breastshield sizing, please contact a healthcare professional or
breastfeeding specialist who can help you get a proper fit�
Caution
1 Assembly & Use
1.2 Symphony®Pump Kit Assembly & Use
1 Securely attach
breastshields to
connectors.
• Wash hands with soap and water prior to handling your kit�
• Always inspect breastshields, connectors, valves, membranes
and tubing prior to use for cleanliness�
• Contact your healthcare professional or breastfeeding specialist if
you can express only minimal or no milk or if expression is painful�
See supplemental information section 5 for more information�
• Do not try and express with vacuum that is too high and
uncomfortable (painful)� The pain, along with potential breast and
nipple trauma may decrease milk output� See section 5 for more
information�
Caution

6 7
7 Fit protective
membranes onto
membrane caps.
6 Insert the triangular
two-toned yellow ends
of tubing into ports on
membrane caps.
4 Screw collection
containers onto
connector bottoms.
5 Insert pale yellow
round ends of tubing
into openings in
back of connectors.
2 Snap white membranes
onto yellow valves until
membranes lie flat.
3 Push yellow valves
onto inner rings of
connector bottoms.
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. After 2 minutes, the
pump will automatically change
to the Expression Phase.
11 Center breastshields over
your nipples and start
pumping. (Caution: pushing
shields too firmly onto breasts
may affect 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 section 2 for cleaning instructions.
1. Assembly & Use (cont.)

8 9
1. Assembly & Use (cont.)
1.3 Lactina®Pump Kit Assembly & Use
Pump connector
Piston
Cylinder
1 Slide the vacuum
regulator ring
onto cylinder.
Push handle end
of piston into
cylinder.
2 Screw cylinder
tightly into Lactina
pump connector.
3 Attach pump
connector to
Lactina, and rotate
cylinder down into
position.
4 Slip piston into
pumping arm
cradle, and push
down until snug.
5 Securely attach
breastshields to
connectors.
6 Snap membranes
onto yellow valves
until membranes
lie flat.
Wash hands with soap and water
prior to handling your kit.
7 Push yellow valves
onto inner rings of
connector bottoms.
8 Screw collection
containers onto
connector bottoms.
9 Insert pale yellow
round ends
of tubing into
openings in back
of connectors.
10 Insert the
triangular two-
toned yellow ends
of tubing into
ports on pump
connector.
11 Center breastshields
over your nipples
and start pumping.
(Caution: pushing
shields too firmly
onto breasts may
actually affect
milk flow.)
(Note: if single
pumping, insert port
plug into unused port.)
13 When your pumping session is over, store your breastmilk and clean
your kit. See section 2 for cleaning instructions.
12 Turn pump on and
set vacuum regulator
ring to “MIN.” Rotate
vacuum regulator
towards max to
adjust for comfort
once pumping
begins.
• Wash hands with soap and water prior to handling your kit�
• Always inspect breastshields, connectors, valves, membranes
and tubing prior to use for cleanliness�
• Contact your healthcare professional or breastfeeding specialist if
you can express only minimal or no milk or if expression is painful�
See Supplemental Information section 5 for more information�
• Do not try and express with vacuum that is too high and
uncomfortable (painful)� The pain, along with potential breast and
nipple trauma may decrease milk output� See section 5 for more
information�
Caution

10 11
1. Assembly & Use (cont.)
1.4 Manual Breastpumping
Start by following instructions 1-8 from Lactina Pump Kit Assembly,
then proceed with step 10 below.
10 Screw cylinder
into back of
breastshield.
11 Center breastshield
over your nipple and
start pumping by
pushing and pulling
on end of piston.
12 When your pumping session is over, store your breastmilk
and go to the section 2 for cleaning instructions.
1.5 How do I disassemble my kit?
1 Finish pumping.
While the pump
is still running,
disconnect tubing from
breastshields.
(Let pump run for 2minutes
with tubing attached. This will
eliminate condensation that
naturally results from humidity.)
2 Remove collection
container and store
breastmilk.
c Remove the white
membranes from
the valves.
b Twist and pull the
yellow valves off the
breastshields.
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.
a Separate breastshields.

12 13
2. Cleaning
1 Before cleaning, disassemble kit by
following instructions in section 1.5.
Rinse all separated parts that came in
contact with breast and breastmilk in
cool water in order to remove breastmilk
residue.
2
• Soak all separated parts
in warm soapy water for
5minutes.
• Clean with a clean dish-
cloth or soft brush.
• Rinse all separated
parts with clear water.
• Allow all parts to air dry
in a clean area.
• Store dry parts when
not in use.
• Wash all separated parts
on top rack of dishwasher.
• Allow all breastpump parts
to air dry in a clean area.
• Store dry parts when not
in use.
Washing in sink: or Washing in dishwasher:
Caution
• Only use drinking-quality water for cleaning.
• Separate and wash all parts that come in contact with the breast and
breastmilk immediately after use to avoid accumulation of breastmilk
residue and to prevent growth of bacteria.
• Do not store wet or damp parts as mold may develop.
• If mold develops in tubing, discontinue use and replace tubing.
Contact Medela Customer Service at
customer.ser[email protected] or 1-800-435-8316.
2.1 After Each Use
2.2 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.
Wash hands thoroughly.
Options for sanitizing:
Quick Clean Micro-Steam Bag:
You may sanitize your kit parts by following the instructions on
Medela’s Quick Clean™ Micro-Steam™ bag.
Do NOT Micro-Steam the Lactina®piston and cylinder.
Boiling:
Separate all parts that come in contact with your breast and breastmilk.
• Fill a pot with enough water to cover all parts.
• Bring water to a boil.
• Place parts in boiling water for 10 minutes.
• Allow water to cool and gently remove parts from water with tongs.
• Place parts on a clean surface and/or towel.
• Allow all parts to air dry.
• Store dry parts when not in use. Do NOT store wet or damp parts.
• Wash breastpump kit parts after each use�
• Sanitize breastpump kit parts once daily�
• Take care not to damage parts of the pump kit during cleaning�
• Visit www�medela�com for addtional cleaning products�
Note
Note
2.3 Sanitize Daily

14 15
2. Cleaning (cont.)
Inspect tubing after each pumping session. Clean tubing if there is any
sign of condensation and/or milk.
• Rinse and run cold water through tubing to remove breastmilk.
• Wash tubing in warm soapy water.
• Rinse tubing with clear water.
• Hang to air dry.
• You may also 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 in section 2.3.
• Tubing may appear cloudy after boiling or microsteaming.
Care for your piston and cylinder after every few pumping sessions
with the Lactina breastpump or manual breastpump.
• Wash the cylinder, seal, and vacuum regulator ring with warm soapy
water.
• Rotate the piston in the cylinder.
• If your piston/cylinder comes in contact with breastmilk remove and
wash with breastpump kit.
• Do not use Quick Clean™Micro-Steam™bag to sanitize the piston
and cylinder.
Cylinder Piston
Seal
2.4 Piston/Cylinder Cleaning
2.5 Tubing Cleaning
3. Storing breastmilk
• As soon as you are finished pumping, place the breastmilk
bottle or breastmilk storage bag in the cooler bag with the ice
pack�
• Transfer breastmilk bottles or breastmilk storage bag to the
refrigerator or freezer once you are home�
Note
Caution
• Do not thaw frozen breastmilk in a microwave or in a pan of
boiling water�
• Do not 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�)
References: www�BreastmilkGuidelines�com
Room
Temperature
Cooler with
Ice Pack Refrigerator Thawed
Breastmilk
Freezer
Freshly Expressed Breastmilk Storage Guidelines
(For Healthy Term Babies)
4–6 hours
at 66–78 °F
(19–26 °C)
24 hours
at 59 °F
(15 °C)
3–8 days
at 39 °F
or lower
(4 °C)
use within
24 hrs
6–12
months
0–-4 °F
(-18–-20 °C)

16 17
Low or No Suction Valve and Membrane Check
• Remove and separate valve from membrane
• Inspect the valve for chips or cracks� Inspect
the membrane for holes or tears� If flawed or
damaged replace valve and/or membrane
prior to pumping
• Wash valve and membrane per Cleaning
instructions in section 2�
• Reassemble� Make sure the membrane lays
flat on the valve, and if it does not, replace
the valve and/or membrane prior to pumping
Breastshield and Breastshield
Connector Check
• Inspect breastshield and breastshield
connector to make sure there are no cracks
and they securely attach to each other
Other Checks
Inspect the following to check for damage and
secure connections�
• Tubing adapter to breasthield connector
• Inspect Symphony membranes� If
membranes appear to be worn or
have a tear they need to be replaced
(Article#8200094)�
• Inspect piston/cylinder on Lactina� Refer to
Piston/Cylinder Cleaning in section 2�4 for
further instructions�
• Test vacuum� If suction is not improved,
contact Medela Customer Service at
1-800-435-8316�
Condensation or
milk in tubing
• Refer to “Tubing cleaning” section 2�5�
No “let-down”
or breastmilk
expression
• Ensure your breastpump kit is assembled
correctly and that there is suction�
• Relax and take a 10-15 minute break if let
down is not achieved after 2 consecutive
pumping sessions�
• Consult with your healthcare provider or
breastfeeding specialist if expression does
not occur�
If assistance is still needed after reviewing this booklet, please call Medela
Customer Service at [phone] or [phone].
4. Troubleshooting
Following are some common breastfeeding related conditions�
If you experience any of these symptoms, contact a healthcare
professional or breastfeeding specialist�
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’
up and milk is then
prevented from flowing�
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)�
5. Supplemental Information

www.medela.com
www.medela.com
Medela, Symphony and Lactina are registered trademarks of Medela Holding AG.
PersonalFit, Quick Clean and Micro-steam are trademarks of Medela, Inc.
© 2013 Medela, Inc. Printed in the U.S.A.
Medela, Symphony y Lactina son marcas registradas de Medela Holding AG.
PersonalFit, Quick Clean y Micro-Steam son marcas comerciales de Medela, Inc.
© 2013 Medela, Inc. Impreso en los Estados Unidos de América.
Medela, Inc.
1101 Corporate Drive
McHenry, IL 60050, USA
Tel.: [phone] or [phone]
Fax: [phone]
Email: [email protected]
Medela, Inc.
1101 Corporate Drive
McHenry, IL 60050, USA
Tel.: [phone] o [phone]
Fax: [phone]
Correo electrónico: [email protected]