Medela Symphony User manual

EFFICIENCY
EN Instructions for use – hospital use | DA Brugsanvisning – hospitalsbrug
NO Bruksanvisning – for sykehus | SV Bruksanvisning – för sjukhusbruk
FI Käyttöohjeet – sairaalakäyttö | PL Instrukcja obsługi – użytkowanie w szpitalu
Symphony
®
INITIATION
TECHNOLOGY

Thank you for choosing the Symphony breast pump. Breast milk is the natural choice for newborns,
but there are reasons and situations where breastfeeding is not possible. For over 50 years, it has
been Medela’s conviction that these mothers and infants can be supported. In close co-operation
with breastfeeding experts, Medela, one of the market leaders, has researched and developed
breast pumps that meet breastfeeding mothers’ needs. For mothers who insist on the best for their
infants and themselves.
Tak, fordi du har valgt Symphony brystpumpen. Brystmælk er det naturlige valg til nyfødte, men
det er ikke under alle forhold og i alle situationer, at amning er muligt. I over 50 år har Medela
været overbevist om, at det er muligt at støtte disse mødre og babyer. I tæt samarbejde med
ammeksperter har Medela, der er et af de førende navne på markedet, forsket i og udviklet
brystpumper, der fuldstændigt opfylder ammende mødres behov. Til mødre, der kræver det
bedste til deres spædbørn og sig selv.
Tack för att du valt Symphony Bröstpump. Bröstmjölk är det naturliga valet för ditt barn, men det
kan finnas olika anledningar till att man inte kan amma och situationer där det inte går att amma.
I över 50 år har det varit Medelas övertygelse att stödja och hjälpa dessa mammor och barn. I nära
samarbete med amningsexperter har Medela, som en av marknadsledarna, bedrivit forskning och
utvecklat bröstpumpar för ammande mammors behov. För mammor som vill ha det bästa för sina
barn och sig själva.
Kiitos, että valitsit Symphony-rintapumpun. Rintamaito on luonnollinen valinta vastasyntyneille,
mutta on syitä ja tilanteita, jotka estävät rintaruokinnan. Medela on jo 50 vuoden ajan ollut
vakuuttunut siitä, että näitä äitejä ja lapsia voidaan tukea. Tiiviissä yhteistyössä rintaruokinnan
asiantuntijoiden kanssa markkinajohtajiin lukeutuva Medela on tutkinut ja kehittänyt rintapumppuja,
jotka sopivat täydellisesti imettävien äitien tarpeisiin. Äideille, jotka vaativat parasta lapsilleen
ja itselleen.
Takk for at du valgte Symphony brystpumpe. Brystmelk er det naturlige valget for nyfødte, men
i enkelte situasjoner er amming ikke mulig. I mer enn 50 år har det vært Medelas overbevisning at
disse mødrene og spedbarna kan hjelpes. Medela er blant de ledende på markedet, og har i tett
samarbeid med eksperter på amming utviklet brystpumper som oppfyller behovene til ammende
mødre. For mødre som insisterer på det beste til sine spedbarn og seg selv.
Dziękujemy za wybranie odciągacza pokarmu Symphony. Mleko matki jest naturalnym pokarmem dla
noworodków, jednak czasami, z różnych przyczyn, bezpośrednie karmienie piersią nie jest możliwe. Już
od ponad 50 lat firma Medela z wielkim zaangażowaniem wspiera matki i ich niemowląt w takiej sytuacji.
Firma Medela, jeden z liderów rynku, we współpracy z ekspertami w dziedzinie karmienia piersią
przeprowadziła badania i opracowała odciągacze pokarmu, które są optymalnie dostosowane do potrzeb
kobiet karmiących piersią. Dla matek, które pragną tego, co najlepsze dla siebie i swoich niemowląt.

EN
04–49
DA
50–95
NO
96–141
SV
142–187
FI
188–233
PL
234–279

41. Intended use/population/contraindication 5
2. Meaning of symbols 6
3. Important safety information 8
4. Product description 12
5. Cleaning 16
6. Preparing for pumping 26
7. Expression 32
8. Storing and thawing breast milk 42
9. Troubleshooting and error codes 43
10. Warranty and maintenance/disposal 45
11. Accessories list 47
12. Cleaning – country-specic instructions 280
13. EMC/technical description 283
14. Technical specications 289
Table of contents

5
The intended use and indications of breast pumps
Breast pumps are intended to be used by lactating women in the hospital or home
environment for expressing breast milk. Breast pumps are indicated to alleviate the
symptoms of engorgement by expressing milk. In cases of mastitis, breast pumps
support the healing process by removing breast milk from the affected breast.
Breast pumps are indicated to relieve sore and cracked nipples and to bring out at or
inverted nipples. Also, breast pumps enable mothers to provide breast milk for babies
who cannot feed directly at the breast for a variety of reasons, such as latch-on
problems, cleft palate or premature babies.
Intended patient population/user
Adolescent paediatric or adult lactating women. Many women nd it convenient, or even
necessary, to use a breast pump to express and store their breast milk once they have
returned to work, if they are travelling, or are otherwise separated from their babies.
Women are often delighted to learn that a breast pump can be used as a supplement to
breastfeeding and that some pumps are designed to mimic the sucking of a nursing baby.
Contraindications
There are no known contraindications for the Symphony* breast pump.
Product description
The Symphony multi-user breast pump is provided with the Symphony PLUS program
card, which generates the pump suction patterns. The program card contains two pump
programs. The goal of the INITIATE program is to initiate milk production with Medela’s
initiation technology. The MAINTAIN program is designed to build and maintain milk
production with the 2-Phase Expression technology.
In some cases, the Symphony breast pump is provided with the Standard program card
to generate the pump suction patterns. This program is designed to build and maintain
milk production with 2-Phase Expression technology. While the Standard card can be
used to initiate lactation, Medela recom mends using the INITIATE program of the
Symphony PLUS program card.
The 2-Phase Expression technology mimics the baby’s natural sucking rhythm. Short,
stimulating cycles in the stimulation phase are followed by longer ones in the expression
phase.
1. Intended use/population/contraindication
* Symphony is a trademark of Medela AG

6
2. Meaning of symbols
The warning symbol identies all instructions that are important for safety. Failure to
observe these instructions can lead to injury to the user or damage to the breast pump.
There are several warning symbols/word combinations. The symbol/word combinations
stand for:
Warning
Can lead to serious injury or death.
Note
Can lead to material damage.
Caution
Can lead to minor injury.
Info
Useful or important information
that is not related to safety.
i
i
Symbols on the packaging
This symbol indicates that the material is part of a recovery/recycling process.
This symbol indicates a cardboard package.
This symbol indicates that the device should be kept away from sunlight.
This symbol indicates a fragile device that should be handled with care.
This symbol indicates the temperature limits for operation, transport and
storage.
This symbol indicates the humidity limits for operation, transport and storage.
This symbol indicates the atmospheric pressure limits for operation,
transport and storage.
This symbol indicates that the device should be kept dry.
This symbol indicates that the packaging contains products intended to
come in contact with food according to regulation 1935/2004.
This symbol indicates unique GSI Global Trade Item Numbers (GTIN).
Symbols on the device
This symbol indicates that the instructions for use should be followed.
This symbol indicates compliance with the essential requirements of Council
Directive 93/42/EEC of 14 June 1993 concerning medical devices.

7
This symbol indicates the manufacturer.
This symbol indicates that the device should not be disposed of with un-
sorted municipal waste (for EU only).
This symbol indicates compliance with additional USA and Canada safety
requirements for medical electrical equipment.
This symbol indicates a type BF applied part.
This symbol indicates the manufacturer's serial number for the device.
This symbol indicates the manufacturer's catalogue number for the device.
This symbol indicates protection against ingress of solid foreign objects
and against harmful effects due to the ingress of water.
This symbol indicates the date of manufacture (four digits for the year and
two digits for the month).
This symbol indicates a class II protection against electric shock with
double or reinforced insulation.
This symbol indicates the fuse (to identify fuse boxes or their location).
This symbol indicates that the fuse box is safety tested.
This symbol indicates where to open the cover of the mains socket.
On/off button Let-down button Vacuum adjustment knob
Symbols on the display
Vacuum level indicator, stimulation phase – Standard program card and
Symphony PLUS program card (MAINTAIN program)
Vacuum level indicator, expression phase – Standard program card and
Symphony PLUS program card (MAINTAIN program)
Vacuum level indicator – Symphony PLUS program card (INITIATE program)

8
3. Important safety information
3.1 Warnings
Failure to follow the instructions/safety information below can lead to danger
from the device. Subject to technical changes.
READ ALL INSTRUCTIONS BEFORE USE
WARNING: To reduce the risk of electrocution:
l Keep the device dry. Never immerse in water or other liquids!
l Do not spray or pour liquid directly onto the pump unit.
l Do not place or store the device where it can fall or be pulled into a sink or tub.
l Do not use the Symphony breast pump while bathing or showering.
l Do not reach for any electrical device if it has fallen into water. Unplug immediately.
l Always unplug the Symphony breast pump immediately after use.
WARNING: To avoid re, electrocution or serious burns:
l The Symphony breast pump is not heat-resistant: keep away from radiators and open
ames.
l Do not expose the motor unit to direct sunlight.
I Do not operate the Symphony breast pump where aerosol (spray) products are being
used or where oxygen is being administered.
I Do not use the device in the presence of a ammable anaesthetic mixture with air,
or with oxygen or nitrous oxide.
I 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.
I Use only the power cord that comes with the Symphony breast pump. Make sure the
voltage of the power cord is compatible with the power source.
l 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.
I 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.

9
l The Symphony breast pump should never be left unattended when plugged into a
power source.
l Separation from the mains is only assured by disconnecting the power cord from the
wall socket.
l Position the pump unit such that it is easy to disconnect the power cord from the wall
socket.
l Keep the power cord away from heated surfaces.
WARNING: To avoid health risk and reduce risk of injury:
I Reprocess all reusable parts that come in contact with the breast and breast milk
prior to rst use as shown in chapter 5.2.
I Clean parts that come in contact with the breast and breast milk immediately after use.
I If breast milk overow occurs, reprocess according to the instructions in chapter 5.2.
IThe pump sets are personal care items intended for use by a single user only. They
should not be shared between mothers without appropriate reprocessing to minimise
the risk of cross-contamination.
I Do not continue pumping for more than 2 consecutive pumping sessions if no results
are achieved.
I If problems or pain occur, consult a lactation specialist.
I Never use while pregnant, unless prescribed/advised by a physician, as pumping can
induce labour.
I For mothers who are infected with Hepatitis B, Hepatitis C or Human Immuno-
deciency Virus (HIV): pumping breast milk will not reduce or remove the risk of
transmitting the virus to the baby through breast milk.
I Inspect all components of the Symphony breast pump as well as all parts of the pump
set(s) before each use.
l Never use a device, components or parts that are damaged.
l Never use a device, components or parts if dirt, mould or other contamination is
visible.
l Replace mouldy, damaged or worn parts.
l There are no user-serviceable parts inside the Symphony pump unit. Repairs must be
performed only by an authorised service agency. Do not repair the parts yourself!
No modications to the device are permitted.
l Use the Symphony breast pump only for its intended use as described in this manual.
3. Important safety information

10
3. Important safety information
WARNING: To avoid health risk and reduce risk of injury:
l Use Medela original accessories only.
l Do not use attachments not recommended by Medela, as this may cause hazards.
l Do not modify any parts of the pump or the pump set.
l Do not use the Symphony breast pump while sleeping or overly drowsy.
l Do not use the Symphony breast pump while operating a motor vehicle.
l Do not drive whilst hands-free pumping.
l Never drop or insert any object into any opening or tubing.
l Do not use outdoors.
l Supervision is necessary when the Symphony breast pump is used in the vicinity of
children.
l Portable and mobile radio frequency communications equipment can affect the
Symphony breast pump.
Important
l Plastic bottles and component parts become brittle when frozen and may break
when dropped.
l Also, bottles and component parts may become damaged if mishandled, e.g.
dropped, over-tightened, or knocked over.
l Take appropriate care in handling bottles and components.
l Do not use the breast milk if bottles or components become damaged.
3.2 Cautions
Failure to follow the instructions/safety information below can lead to minor
injury. Subject to technical changes.
CAUTION: To avoid risk of contamination:
I 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.
I Only use drinking-quality tap or bottled water for cleaning.
IDo not store wet or damp parts as mould may develop.

11
CAUTION: To avoid health risk and reduce risk of injury:
IPump only with the breast pump in an upright position.
I Pressing shields too rmly onto the breasts may affect the milk ow.
I Do not express with a vacuum that is too high and uncomfortable (painful). The pain,
along with potential breast and nipple trauma, may decrease the milk output.
IDo 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 the
nger, then remove the breast shield from the breast.
IIf pumping is uncomfortable or causing pain, turn the unit off, break the seal between
the breast and the breast shield with the nger and remove the breast shield from the
breast.
IDo not shorten the tubing between the breast shield and the pump.
IDo not use abrasive washing-up liquids/detergents when cleaning the breast pump,
pump components or pump set parts.
INever put the breast pump unit in water or in a steriliser, as this can cause permanent
damage to the breast pump.
IDo not use the Medela Symphony pump sets with a non-compatible breast pump.
IDo not use the pump sets for any other purpose than expressing breast milk.
CAUTION: To reduce risk of electrocution:
IPlug the power cord into the breast pump rst and then into the wall socket.
IUnplug the breast pump before cleaning.
I 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.
3. Important safety information

12
4. Product description
4.1 Symphony hospital breast pump and accessories
The Symphony multi-user breast pump is provided with the Symphony PLUS program
card, which generates the pump suction patterns. The program card contains the
INITIATE program with Medela’s initiation technology and the MAINTAIN program with the
2-Phase Expression technology.
It is possible that the Symphony Standard program card is installed in your Symphony
breast pump. This program card contains the Standard 2.0 program with 2-Phase
Expression technology.
Required accessories*
The Symphony breast pump should be operated with Medela pump sets and milk bottles.
The pump sets and the bottles are available as reusable or as disposable products.
Reusable products:
I Symphony Hospital Multibox (20 reusable pump sets in size M, L or XL).
Disposable products:
Medela’s disposable products are intended for single-use or one-day use in hospitals,
without a need for cleaning prior to rst 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 fulll the EN/ISO standards for medical
devices ISO 11607-1, ISO 11607-2, ISO 11135-1.
Available disposable products:
I Symphony One-Day Pump Set with PersonalFit breast shield (size M, L or XL).
I Sterile Single-Use Symphony Pump Set (size M, L or XL).
I Ready-to-Use One-Day Symphony Pump Set (size M, L or XL).
I Colostrum Container (35 mL)
I Sterile Single-Use Bottle (available sizes: 80, 150 and 250 mL)
I Ready-to-Use Single-Use Bottle (available sizes: 80, 150 and 250 mL)
Optional accessories*
Mobile stand for the breast pump, hard case for the pump unit, card and cord protector.

13
* See chapter 11 for ordering information for accessories
4.2 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
Bottle holder Symphony PLUS
program card
symphony®
200.9186
English
Symphony PLUS program card
for use with the Symphony breastpump
Medela AG
Lättichstrasse 4b
6341 Baar, Switzerland
www.medela.com
© Medela AG 200.9105/2015-05/A
SAMPLE – Not for clinical use
PLUS

14
4. Product description
1x membrane cap 1x protective membrane
1x silicone tubing
(105 cm)
1xPersonalFit™
breast shield
1x PersonalFit™
connector
1x valve head
2x valve membrane 1x breast milk bottle
(150 mL)
1x protective
cap
1x disc 1x lid with opening
4.3 Reusable pump set – Product parts*
* See chapter 11 for ordering information

15
1x breast shield
1x connector
1x PVC tubing1x membrane
1x membrane cap
1x protective membrane
disposable
bottle 250mL
disposable
bottle 150mL
disposable
bottle 80mL
colostrum
container
35mL
4.4 Disposable pump set – Product parts*
* See chapter 11 for ordering information
4. Product description

16
5. Cleaning
16 5.1 Breast pump – Cleaning and
disinfection
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.
1
l Unplug the breast pump before cleaning.
IThese recommendations are not sub-
stitutes for ofcial hospital procedures
that may differ among institutions. Refer
to hospital policy for cleaning of shared
capital equipment.
ISurface disinfectant agents for medical
devices will not cause mechanical
damage to the Symphony.
I Follow the instructions provided by the
supplier of the surface disinfectant agent.
I Provide personal protection for operators
in accordance with the supplier’s
instructions and safety data sheets.
ICheck the suitability of the surface
disinfectant agents for medical devices
by reference to the supplier’s information
and/or physical testing.
Caution
Clean and disinfect the breast pump
as needed.

1717
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 a surface dis-
infectant agent that is alcohol based.
5.2 Cleaning pump sets –
Overview
The table on the following pages shows
when to clean, disinfect and sterilise the
bottles, pump sets and the tubing.
These are general instructions. For
country-specic regulations and
guidelines, see chapter 12.
The listed automated reprocessing
procedures are tested, validated and
recommended by Medela. In the case of
automated cleaning, an internal
validation of the preferred procedure by
the hospital is necessary, too.
In the event of conicting national
cleaning and sterilisation requirements,
these shall prevail over the Medela
recommendations.

18
Disposable bottles1) and disposable pump sets
(breast shield, connector, membrane, PVC tubing,
membrane cap, protective membrane)
Single-use pump set and
single-use bottles One-day pump sets
Before rst use No cleaning needed No cleaning needed
After every
use2) Dispose of after use (§5.3)
I Manual cleaning (§5.4)
Note: Tubing, membrane cap
and protective membrane must
not be cleaned.
Once a day n/a
Dispose of after a maximum of
8 pumping sessions within 24 hours
(§5.6).
Before passing
on to the next
mother
n/a n/a
5. Cleaning
5.2 Cleaning pump sets – Overview
1) All disposable bottles (sterile and Ready-to-Use) are single-use products. They must not be reprocessed.
2) As long as the pump sets stay with the mother.

19
Reusable bottles and
reusable pump sets
(breast shield, connector, valve head,
valve membrane, membrane cap,
protective membrane)
Reusable pump sets
(silicone tubing)
Before rst use
IAutomated cleaning and disinfection
(§5.8) or
IAutomated cleaning and disinfection
(§5.8) and sterilisation4) (§5.9)
Wipe disinfection (§5.7)
After every use2)
I Manual cleaning (§5.7) or automated
cleaning and disinfection (§5.8)
ISterilisation4) (§5.9)
No cleaning needed3)
Once a day2)
I Manual cleaning (§5.7) or automated
cleaning and disinfection (§5.8)
ISterilisation4) (§5.9)
No cleaning needed3)
Before passing
on to the next
mother
IAutomated cleaning and disinfection
(§5.8)
ISterilisation4) (§5.9)
Wipe disinfection3) (§5.7)
2) As long as the pump sets stay with the mother.
3) If there is milk, condensation or visible residues in the tubing, the tubing must be disposed of and replaced.
Medela recommends that the tubing is disposed of and replaced after max. 6 months.
4) If required by national, regional or in-house regulations.

20
5. Cleaning
5.3 Disposable single-use pump
sets and bottles – Cleaning
The sterile pump set and disposable
bottles (sterile and Ready-to-Use)
are single-use products that may
not be reused or reprocessed.
Dispose of the pump set and bottle
after use. Use a new pump set and
bottle for each pumping session.
l Only use drinking-quality water for cleaning.
Caution
lThe pump sets require no maintenance.
lTake care not to damage parts of the
one-day pump set during cleaning.
lYou can use a one-day pump set for up to
8 pumping sessions within 24 hours. For
details, see the pump set’s instructions.
Note
lThe sterile single-use pump set is a
single-use product and may not be reused
or reprocessed.
lThe one-day pump set is a single-user
product. It is not possible to disinfect and
autoclave the pump set for safe re-use
between multiple users. Use by more than
one person may present a health risk and
could cause cross-contamination.
l The disposable bottles (sterile and Ready-
to-Use) are single-use products that may
not be reused or reprocessed.
l Take apart and wash all parts that come
into contact with the breast and breast
milk immediately after use to avoid milk
residues drying up and to prevent growth
of bacteria.
Warning
3
Dry with a clean cloth or leave to
dry on a clean cloth.
Put the clean parts in a clean storage
bag or a clean environment. It is
important that all residual moisture
dries. Do not store parts in an airtight
container/bag.
Drying/storage