Medela Symphony User manual

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

Symphony®
Breast pump –
for healthcare professionals
Instructions for use
Milchpumpe
Gebrauchsanweisung für
medizinisches Fachpersonal
Tire-lait –
Pour professionnels de santé
Mode d’emploi
Tiralatte –
per i professionisti sanitari
Istruzioni per l’uso
Borstkolf –
voor professionele zorgverleners
Gebruiksaanwijzing
EN
DE
FR
IT
NL
AR

AR
207–174
NL
140–173
IT
106–139
FR
72–105
DE
38–71
EN
4–37

4
1. Important safety information
Any serious incident that has occurred in relation to the Symphony breast pump should
be reported to Medela AG and the relevant Competent Authority.
Please read all instructions before using this product.
Keep these instructions for future reference.
Warnings identify all instructions that are important for safety. Failure to observe
these instructions can lead to personal injury or damage to the product.
The following symbols and signal words show the significance of the warnings:
WARNING Can lead to serious injury or death.
CAUTION Can lead to minor injury.
Can lead to material damage
(not related to personal injury).
NOTICE
Useful or important information
that is not related to safety.
i Information
WARNING
To reduce the risk of electric shock:
•Plug the power cord into the breast pump first and then into the wall socket.
•Keep the device dry. Never immerse in water or other liquids.
•Do not spray or pour liquid directly onto the pump unit.
•Do not place or store the device where it can fall or be pulled into a sink or tub.
•Do not use the Symphony breast pump while bathing or showering.
•Do not reach for any electrical device if it has fallen into water. Unplug immediately.

5
WARNING
To avoid fire, electric shock or serious burns:
•The Symphony breast pump is not heat-resistant: keep away from radiators and open
flames.
•Do not expose the pump unit to direct sunlight.
•Do not operate the Symphony breast pump where aerosol (spray) products are being
used or where oxygen is being administered.
•Do not use the device in the presence of a flammable anaesthetic mixture with air,
or with oxygen or nitrous oxide.
•Do not thaw frozen breast milk, or do not warm breast milk in a microwave or in a pan
of boiling water. Microwaving can cause severe burns to the baby’s mouth from hot spots
that develop in the milk during microwaving. Microwaving can also change the composition
of breast milk.
•Only use the power cord that comes with the Symphony breast pump.
•Never operate an electrical device if it has a damaged power cord, if it is not working
properly, if it has been dropped or damaged, or dropped into water.
•Always inspect power cord wires prior to use for damage or exposed wire. If any damage
is found, immediately stop using the power cord. Contact the local Medela representative.
•The Symphony breast pump should never be left unattended when plugged into a power
source.
•Separation from the mains is only assured by disconnecting the power cord from the wall
socket.
•Position the pump unit such that it is easy to disconnect the power cord from the wall socket.
•Keep the power cord away from heated surfaces.

6
Important safety information (cont.)
WARNING
To avoid health risk and reduce risk of injury:
•Do not continue pumping for more than two consecutive pumping sessions if no results
are achieved.
•If problems or pain occur, consult a lactation consultant or breastfeeding specialist.
•Never use while pregnant, unless prescribed/advised by a physician, as pumping can
induce labour.
•For mothers who are infected with Hepatitis B, Hepatitis C or Human Immuno-deficiency
Virus (HIV): pumping breast milk will not reduce or remove the risk of transmitting the virus
to the baby through breast milk.
•Inspect all components of the Symphony breast pump as well as all parts of the pump
set(s) before each use.
•Never use a device, components or parts that are damaged.
•Never use a device, components or parts if dirt, mould or other contamination is visible.
•Replace mouldy, damaged or worn parts.
•There are no user-serviceable parts inside the Symphony pump unit. Repairs must only
be performed by an authorised service agency. Do not attempt to repair the pump or
parts by yourself.
•Only use the Symphony breast pump for its intended use as described in these instructions
for use.
•Only use Medela original accessories.
•Do not modify any parts of the pump or the pump set.
•Do not use the Symphony breast pump while operating a motor vehicle.
•Do not drive whilst hands-free pumping.
•Never drop or insert any object into any opening or tubing.
•Do not use outdoors.
•Supervision is necessary when the Symphony breast pump is used in the vicinity of children.
•Portable and mobile radio frequency communications equipment can affect the Symphony
breast pump.
•The Symphony breast pump needs special precautions regarding EMC (Electro Magnetic
Compatibility). Install and put into service according to the EMC information provided in
these instructions for use.

7
CAUTION
To avoid risk of contamination:
•Wash hands thoroughly with soap and water before touching the breast pump,
the pump set(s) and breasts. Avoid touching the inside of containers or lids.
•Do not use the Symphony breast pump while sleeping or overly drowsy.
•Only use drinking-quality tap or bottled water for cleaning.
•Do not store wet or damp parts as mould may develop.
To avoid health risk and reduce risk of injury:
•Only pump with the breast pump in an upright position.
•Pressing shields too firmly onto the breasts may affect the milk flow.
•Do not express with a vacuum that is too high and uncomfortable (painful).
Pain, along with potential breast and nipple trauma, may decrease the milk output.
•Do not attempt to remove the breast shield from the breast while pumping. Turn the
breast pump off and break the seal between the breast and the breast shield with
a finger, then remove the breast shield from the breast.
•If pumping is uncomfortable or causing pain, turn the unit off, break the seal between
breast and breast shield with a finger and remove the breast shield from the breast.
•Do not shorten the tubing between breast shield and pump.
•Do not use abrasive washing-up liquids/detergents when cleaning the breast pump,
pump components or pump set parts.
•Never put the pump unit in water or in a steriliser, as this can cause permanent damage
to the breast pump.
•Do not use Medela Symphony pump sets with non-compatible breast pumps.
•Do not use the Medela Symphony pump sets for any other purpose than expressing
breast milk.
NOTICE
•Plastic bottles and component parts become brittle when frozen and may break when
dropped.
•Also, 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 breast milk if bottles or components show signs of damage.

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Contents
1. Important safety information 4
2. Intended use/indications 10
2.1 Intended purpose 10
2.2 Indications for use 10
2.3 Contraindications 10
3. Product description 10
3.1 Symphony hospital breast pump and accessories 10
3.2 Symphony hospital breast pump – product parts 12
3.3 Reusable pump set – product parts (applied parts) 13
3.4 Disposable pump set – product parts (applied parts) 13
4. Cleaning 14
4.1 Breast pump – cleaning and disinfection 14
4.2 Cleaning pump sets 14
5. Preparing for pumping 15
5.1 Installation of the program card 15
5.2 Installation of the card and cord protector (optional) 15
5.3 Mains operation 16
5.4 Assembling the Symphony pump set 16
5.5 Connecting the pump set to the pump housing 17
6. Expression 18
6.1 Selecting the correct Medela breast shield size 18
6.2 Selecting the right program 20
6.3 Operation: INITIATE program 21
6.4 Operation: MAINTAIN program 22
6.5 Set maximum comfort vacuum 24
6.6 Expression by single pumping 24
6.7 Expression by double pumping 25
7. Storing and thawing breast milk 26
7.1 Storage and thawing guidelines 26

9
8. Troubleshooting and error codes 27
8.1 Troubleshooting 27
8.2 Error codes 28
9. Warranty and maintenance 29
10. Disposal 30
11. Accessories list 31
12. Meaning of symbols 34
13. Electromagnetic compatibility (EMC) 36
14. Technical specifications 37
15. Appendix 208
15.1 EMC/technical description (English only) 208

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2. Intended use/indications
2.1 Intended purpose
The Symphony breast pump is a powered breast pump to be used by lactating women
to express and collect milk from their breasts.
2.2 Indications for use
The Symphony breast pump is indicated to express and collect milk from the breasts of
a lactating woman. It is also indicated to initiate, build and maintain a mother’s milk supply
to support the provision of human milk for infants who are not able to directly or effectively
breastfeed (e.g. latch-on problems such as flat or inverted nipples, cleft palate and
prematurity). The breast pump removes milk from affected breast/s to alleviate the
symptoms of engorgement and milk stasis as well as support the healing process of sore
or cracked nipples and mastitis.
2.3 Contraindications
There are no known contraindications for the Symphony breast pump.
3. Product description
3.1 Symphony hospital breast pump and accessories
Medela’s Symphony hospital-grade breast pump is a multi-user breast pump with
research-based pumping programs which were developed specifically to support mothers
of preterm and term infants to initiate, build and maintain an adequate milk production.
For adequate initiation and building of milk supply, the breasts should be drained
•early: within 1-3 hours after birth
•frequently: every 2 -3 hours
•effectively: baby with a healthy sucking behaviour or double pumping.
It is recommended to record the date, time and volumes pumped.
The Symphony breast pump is provided with the Symphony PLUS program card,
which contains two pump suction pattern programs.

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INITIATION
TECHNOLOGY
The INITIATE program with Medela’s initiation technology
The INITIATE program mimics the irregular and more rapid sucking and pausing
pattern of a term born infant in the first few days of lactation. This program is
intended for use in the first few days after birth before secretory activation to
support pump-dependent mothers to initiate milk production.
The MAINTAIN program with Medela’s 2-Phase Expression technology
The MAINTAIN program mimics the term born infant’s sucking pattern during
established lactation. This program is designed to optimise milk output after
secretory activation to support all mothers to build and maintain lactation.
In some cases, the Symphony breast pump is provided with the Standard program card.
This program card contains the MAINTAIN program. While the Standard card can be used
to initiate lactation, Medela recommends using the INITIATE program of the Symphony
PLUS program card.
Required accessories
Only operate the Symphony breast pump with Medela pump sets and milk bottles.
Pump sets and bottles are available as reusable or as disposable products.
Reusable products:
Symphony Hospital Multibox (25 reusable pump sets in sizes S or M).
Disposable products:
Medela’s disposable products are intended for single-use or one-day use in hospitals,
without a need for cleaning prior to first use:
Medela’s Ready-to-Use products are hygienically safe to use without prior
cleaning, for all hospitals where the use of non-sterile products is allowed.
Medela’s sterile products are EO sterile and fulfil the EN/ISO standards
for medical devices ISO 11607-1, ISO 11607-2, ISO 11135.

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Product description (cont.)
Available disposable products:
•Sterile single-use Symphony Pump Set (size S, M, L or XL).
•Ready-to-Use one-day Symphony Pump Set (size S, M, L or XL).
•Colostrum container (35 ml).
•Sterile single-use bottle (available sizes: 80, 150 and 250 ml).
•Ready-to-Use single-use bottle (available sizes: 80, 150 and 250 ml).
Optional accessories and other products to be used in combination
Mobile stand for the breast pump, hard case for the pump unit, card and cord protector.
3.2 Symphony hospital breast pump – product parts
On/off
button
LCD display
Let-down button
Vacuum adjustment knob
Bottle holder
Card and cord protector
Socket for car connection cable
Power cord
Symphony PLUS
program card Symphony Standard
program card
PLUS
Standard
or
Pump unit
Accessories available for order can be found in chapter 11. Articles may not be available
in all countries. For further information about Medela products, visit www.medela.com and
look for location finder.

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3.3 Reusable pump set – product parts (applied parts)
Membrane
Breast milk bottle
(150 ml)
Tubing
Multi lid Symphony cap
Connector and
connector lid
Breast shield
Symphony reusable pump sets are available with different size breast shields.
3.4 Disposable pump set – product parts (applied parts)
150ml
250ml
200
150
100
50
10
80ml
70
60
50
40
30
20
10
100
125
50
75
10
25
Connector with
connector lid
Tubing and
Symphony cap
Breast shield
Disposable
bottle 250ml
Disposable
bottle 150ml
Disposable
bottle 80ml
Colostrum
container 35ml
Membrane
Symphony disposable pump sets are available with different size breast shields.
i Information
All pictures shown are for illustration purpose only. Actual product may vary due to product
enhancement. Refer to the instructions for use provided with the Symphony pump sets for
product description and instruction on handling.
See chapter 11 for ordering information.

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4. Cleaning
CAUTION
•Unplug the breast pump before cleaning.
•These recommendations are not substitutes for official hospital procedures that may
differ among institutions. Refer to hospital policy for cleaning of shared capital equipment.
•In the event of conflicting national cleaning and disinfection requirements, these shall
prevail over the Medela recommendations.
•Surface disinfectant agents for medical devices will not cause mechanical damage to the
Symphony breast pump.
•Follow the instructions provided by the supplier of the surface disinfectant agent.
•Provide personal protection for operators in accordance with the supplier’s instructions
and safety data sheets.
•Check the suitability of the surface disinfectant agents for medical devices by reference
to the supplier’s information and/or physical testing.
4.1 Breast pump – cleaning and disinfection
Clean and disinfect the breast pump as needed.
1. To clean the breast pump, wipe the pump housing
with a clean, damp (not wet) cloth. Drinking-quality
water and a basic washing-up liquid or non-abrasive
detergent may be used.
2. To disinfect the pump, wipe the pump housing with
a clean, damp (not wet) cloth that is impregnated
with a surface disinfectant agent for medical devices.
Medela recommends using an alcohol-based surface
disinfectant agent.
4.2 Cleaning pump sets
Refer to the instructions for use provided with the Symphony pump sets for product
description and instruction on handling.

15
5. Preparing for pumping
WARNING
•Only use the power cord that comes with the Symphony breast pump.
•Make sure the voltage of the power cord is compatible with the power source.
i Information
Optional for pump with battery:
•The built-in battery must be charged for 12 hours on receipt of the device.
•The pump can be used during charging.
•If the pump is to remain unused for a long time, charge the battery every two months
(for 12 hours each time).
•The optimum service life of the battery is achieved if it is not fully discharged on a regular
basis or if the pump is charged while not in use
Pumping time (fully charged battery):
approx. 60 minutes
Charging time (for full charge):
12 hours
5.1 Installation of the program card
PLUS
1. The program card must be inserted in the card
compartment on the back of the breast pump.
ÆFor more information on the use of the program
card and the selection of the appropriate program,
see section 6.2.
5.2 Installation of the card and cord protector (optional)
1. Insert the cord into the card and cord protector
in a loop around the pin.
ÆEnsure that there is sufficient cord length to insert
the power cord into the power socket in the back
of the pump.

16
Preparing for pumping (cont.)
2. Push the card and cord protector over the guide
rail on the back until it stops and tighten the screw.
3. To remove, unscrew the card and cord protector
and slide out of the guide rail.
5.3 Mains operation
1. Insert the power cord into the power socket
on the back of the pump.
2. Plug the power cord into the mains socket.
5.4 Assembling the Symphony pump set
CAUTION
•Wash hands thoroughly (at least one minute) with soap and water before touching the
breast, the clean pump and the clean pump set parts.
•Dry your hands with a fresh towel or a single-use paper towel.

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NOTICE
•Use Medela original accessories only.
•Refer to instructions for use provided with the Symphony pump set for description and
instruction on handling the pump set.
•Check pump set parts for wear or damage before use. Replace damaged or worn parts.
•All parts must be completely dry before use.
1. Carefully assemble the Symphony pump set according
to the instructions for use provided with the pump set.
2. Screw a bottle into the connector. Use a bottle according
to the individual needs (various bottle sizes available).
5.5 Connecting the pump set to the pump housing
1. Open the lid of the breast pump: Press the oval button
on the top of the Symphony pump and lift the handle.
2. Position the Symphony cap firmly on the breast pump
membrane to form a seal.
ÆMake sure that the Symphony cap engages and lies
flush to the surface.
3. Centre the tubing connector in the recess in the pump
housing.
i Information
Always close the lid when pumping. The lid keeps the
membrane cap pushed down to prevent a loss of vacuum
that could occur if the membrane cap came off.
4. Close the lid.

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6. Expression
6.1 Selecting the correct Medela breast shield size
Make sure to use the correct breast shield size. It is an essential component of effective
pumping, helping to optimise milk flow.
Understanding Medela’s breast shield sizing
Pumping should not hurt. For maximum comfort and pumping efficiency, Medela offers five
breast shield sizes.
This guide is a starting point to help determine the optimal size based on the nipple diameter.
•Step 1
Using a ruler or measuring tape, measure the diameter of the nipple at the base
(across the middle) in millimeters (mm). Do not include the areola.
•Step 2
Based on the measurement, determine the Medela breast shield size.
Example: If the nipple size measures 16mm in diameter, the recommended Medela breast
shield size is 21 mm.
Measure
nipple diameter
(Ømm)
Breast shield size
(Ømm)
Up to 17 Up to 20 Up to 23 Up to 26 Up to 32
21 24 27 30 36 *
Nipple base
Areola
Nipple
measure
See chapter 11 for ordering information.

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Optimising the breast shield size
•Centre the nipple and gently hold the breast shield against the breast.
•Adjust for Maximum Comfort Vacuum to achieve optimum suction level.
•Refer to the images below while pumping in the expression phase
(after the stimulation phase).
Nipple
Areola
too small
Nipple
correct fit
Areola
Nipple
too large
Areola
•The nipple rubs along
the side of the tunnel.
•Try a larger size.
•The nipple is centred
and moves freely.
•The nipple and excessive
areola are pulled into
the tunnel.
•Try a smaller size.
Reasons for trying a new size
•If the nipple rubs against the tunnel sides to the point of causing discomfort.
•If excessive areola is being pulled into the tunnel.
•If there is any redness.
•If the nipple or areola is turning white.
•If the mother feels unexpressed milk after pumping.
•As levels of tissue edema subside post birth.
If any of these conditions occur, consider trying a different size by following the measuring
instructions above.

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Expression (cont.)
6.2 Selecting the right program
The Symphony breast pump is installed with the Symphony PLUS program card, which
contains two pump programs.
The goal of the INITIATE program is to initiate milk production. The MAINTAIN program
is designed to build and maintain milk production.
Until secretory activation (milk coming in)
or a maximum of 5 days:
Use the INITIATE program directly after
birth until the mother has reached secretory
activation:
•For fully pump-dependent mothers:
This can be indicated by pumping
at least 20 ml in total in each of her
last three pumping sessions. If not
all pumping volumes have been
recorded, this can be indicated by
other physiological markers of secretory
activation, such as breast fullness.
•When the mother is breastfeeding
and pumping: This can be indicated by
other physiological markers of secretory
activation, such as breast fullness
OR
•Throughout the first five days. If milk
production has not started after five
days, change to the MAINTAIN
program.
After secretory activation (milk coming in): Use the MAINTAIN program after
secretory activation:
•Once the mother has pumped at
least 20ml in total in each of her
last three pumping sessions, OR
•Beginning on day six, whichever
of the two options comes first.
For more detailed information on the program card refer to the card’s instructions for use.