Medela Symphony User manual

EN Instructions for use – home use | DE Gebrauchsanweisung – für den Heimgebrauch
FR Mode d’emploi – Usage à domicile | IT Istruzioni per l’uso – Uso domestico
NL Gebruiksaanwzing – voor thuisgebruik
Symphony
®
EFFICIENCY
INITIATION
TECHNOLOGY

Thank you for choosing the Symphony breast pump. Breast milk is the natural choice for your baby,
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 babies can be supported. In close co-operation
with breastfeeding experts, Medela, one of the market leaders, has researched and developed
breast pumps that perfectly meet breastfeeding mothers’ needs. For mothers who insist on the
best for their babies and themselves. Because you care.
Nous vous remercions d’avoir choisi le tire-lait Symphony. Le lait maternel est ce qu’il y a de plus
naturel pour votre enfant, mais dans certaines situations, l’allaitement au sein n’est pas possible.
Voilà plus de 50 ans que Medela s’est donné pour mission d’assister ces mamans et ces bébés
en difficulté. Medela a développé des tire-laits qui répondent de façon optimale aux besoins des
mamans allaitantes, en collaboration avec des experts de l’allaitement et des chercheurs avant-
gardistes. Ces appareils s’adressent aux mamans qui ne veulent que le meilleur pour leur bébé
et pour elles-mêmes. Comme vous.
Grazie per aver scelto il tiralatte Symphony. Il latte materno è la scelta naturale per il tuo bambino, ma
in alcuni casi non è possibile allattare al seno. Da oltre 50 anni Medela è impegnata ad aiutare madri
e bambini che si trovano in questa situazione. In stretta cooperazione con gli esperti dell’allattamento
al seno, Medela, uno dei leader del mercato, ha condotto ricerche volte a sviluppare tiralatte che
soddisfino pienamente le esigenze delle mamme. Per madri che esigono il meglio per i loro bambini
e per loro stesse. „Because you care“.
Hartelijk dank dat je voor de Symphony borstkolf hebt gekozen. Moedermelk is een natuurlijke keuze
voor je baby, maar er zijn redenen en omstandigheden waarin het niet mogelijk is om borstvoeding te
geven. Medela is er al meer dan 50 jaar van overtuigd dat deze moeders en baby’s met speciale
oplossingen ondersteund kunnen worden. In nauwe samenwerking met borstvoedingsdeskundigen
heeft Medela, een van de marktleiders, borstkolven onderzocht en ontwikkeld die perfect aansluiten
bij de behoeften van moeders die borstvoeding geven. Voor moeders die het beste willen voor hun
baby en voor zichzelf. Uit liefde.
Herzlichen Dank, dass Sie sich für die Milchpumpe Symphony entschieden haben. Muttermilch ist
die natürlichste Form der Ernährung für Neugeborene, doch es gibt Situationen, in denen das
Stillen aus verschiedenen Gründen nicht möglich ist. Als einer der Marktführer setzt sich Medela
seit über 50 Jahren mit Überzeugung für das Wohl dieser Babys und Mütter ein. In enger
Zusammenarbeit mit Stillexperten und führenden Forschern hat Medela Milchpumpen entwickelt,
die optimal auf die Bedürfnisse stillender Frauen abgestimmt sind. Für Mütter, die nur das Beste für
sich und ihr Baby wollen. „Because you care.”

EN
04–41
DE
42–79
FR
80–117
IT
118–155
NL
156–193

1. Intended use/population/contraindication 5
2. Meaning of symbols 6
3. Important safety information 8
4. Product description 12
5. Cleaning 14
5.1 Before using for the rst time 14
5.2 After each use 15
5.3 Once a day 16
5.4 Breast pump - Cleaning and disinfection 17
6. Preparing for pumping 18
6.1 Card and cord protector 18
6.2 Mains operation 18
6.3 Changing the program card 19
6.4 Assembling the pump set 20
7. Expression 24
7.1 Selecting the breast shield 24
7.2 Selecting the right program 25
7.3 Operation: Standard program 26
7.4 Set comfort vacuum 27
7.5 Operation: INITIATE program 28
7.6 Operation: MAINTAIN program 30
7.7 Expression by single pumping 32
7.8 Expression by double pumping 34
8. Storing and thawing breast milk 36
8.1 Storage 36
8.2 Freezing 36
8.3 Thawing 36
9. Troubleshooting 37
9.1 Troubleshooting 37
9.2 Error codes 38
10. Warrantyand maintenance /disposal 39
11. Complete care during breastfeeding time 41
12. Technical specications 195
Table of Contents
4

1. Intended use/population/contraindication
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 recommends 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 expres-
sion phase.
* 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. These have the
following meanings:
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.
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

7
This symbol indicates the manufacturer.
This symbol indicates that the device should not be disposed of with
unsorted 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 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 that the cover of the mains socket should be
opened.
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).

3. Important safety information
83.1 Warnings
Failure to follow the instructions/safety information below can lead to danger
from the device. This information is 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 it
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 it away from radiators and
naked 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 and 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 heating. Microwaving can also change the
composition of breast milk.
IUse only the power cord that comes with the Symphony breast pump. Make sure
that its rated voltage 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 the power cord wires prior to use for damage or exposed wire. If
any damage is found, stop using the power cord immediately. Contact the local
Medela representative or rental agency.

3. Important safety information
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 risks and reduce risk of injury:
IClean all reusable parts that come in contact with the breast and breast milk prior
to rst use as shown in chapter 5.1.
IClean 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.
I Do not continue pumping for more than two consecutive pumping sessions if no
results are achieved.
IIf problems or pain occur, consult a lactation specialist.
I Never use the pump during pregnancy, 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 your-
self! 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
WARNING: To avoid health risks and reduce risk of injury:
l Use only original Medela accessories.
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 while using hands-free pumping.
l Never drop or insert any object into any opening or tubing.
l Do not use the pump outdoors.
l Supervision is necessary when the Symphony breast pump is used in the vicinity of
children.
l Radio frequency communications equipment such as wireless home network
devices, mobile phones, cordless telephones and their base stations as well as
walkie-talkies can affect the Symphony breast pump. Due to electromagnetic
compatibility (EMC), a distance of at least one meter between the Symphony breast
pump and the wireless equipment is recommended.
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 given below can lead to
minor injury. This information is subject to technical changes.
10

3. Important safety information
CAUTION: To avoid risk of contamination:
I Wash your 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.
I Do not store wet or damp parts, as mould may develop.
CAUTION: To avoid health risks 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.
I 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
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 a nger and remove the breast shield
from the breast.
I Do not shorten the tubing between the breast shield and the pump.
I Do not use abrasive washing-up liquids/detergents when cleaning the breast
pump, pump components or pump set parts.
I Never put the breast pump unit in water, as this can cause permanent damage
to the breast pump.
I Do not use Medela Symphony pump sets with a non-compatible breast pump.
I Do not use the Medela Symphony breast pump with non-compatible pump sets.
I Do not use the pump sets for any other purpose than expressing breast milk.
CAUTION: To reduce risk of electrocution:
I Plug the power cord into the breast pump rst and then into the wall socket.
IUnplug the breast pump before cleaning it.
11

4. Product description
Symphony single or double pump set
(applied parts)*
The Symphony single or double pump set is an
accessory for the Symphony breast pump. The pump
set must be used by only one mother; use by more
than one mother could pose a health risk. The double
pump set contains two pieces of each part.
The pump set contains:
The PersonalFit breast shield, size M (24mm).
You can nd more information on the correct
choice of breast shield size in chapter 7.1 or at
www.medela.com/personalt.
1x PersonalFit™
breast shield M (24 mm)
(for other breast shield sizes
see chapter 11) 1x PersonalFit™
connector
1x valve head
2x valve membrane 1x milk bottle
(150 mL, printed)
1x silicon tubing
(105 cm)
1x membrane cap
1x protective
membrane
12
1x protective
cap
1x disc 1x lid with opening

Rental pump required: Symphony
Case
13
For more information on all Medela products, see www.medela.com
* 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 nders.
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 Standard
program card 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
or

5.1 Before using for the
rst time
5. Cleaning
l Only use drinking-quality water for
cleaning.
lTake apart and wash all parts that come
in contact with the breast and breast
milk immediately after use to avoid
drying up of milk residues and prevent
growth of bacteria.
Caution
i
l The pump set requires no maintenance.
lTake care not to damage parts of the
pump set during cleaning.
l If the individual parts of the pump set are
cleaned in a dishwasher, they may be
discoloured by food pigments. This has
no impact on their function.
lInspect the tubing after each pumping
session for milk, condensation or visible
residues. If there is milk, condensation or
visible residues in the tubing, follow the
instructions in step 2 of chapter 5.2.
Note
14
Rinse all parts, except for the tubing, with
cold, clear drinking-quality water (approx.
20 °C) to remove proteins. Clean these
parts with plenty of warm, soapy water
(approx. 30 °C) to wash off fat. Use a
commercially available washing-up liquid,
preferably without articial fragrances and
colouring (pH neutral). Rinse the parts
with cold, clear drinking-quality water
(approx. 20 °C).
3
Before using the pump set for the
rst time, you must clean it
thoroughly. Proceed as follows:
IFirst perform the steps described in
chapter 5.2.
IThen perform the steps described
in chapter 5.3.

As an alternative to the previous
steps 3 and 4, you can also clean the
pump set in the dishwasher. Place all
parts, except for the tubing, on the
top rack or in the cutlery section. Use
a commercially available dishwashing
detergent.
5
15
5.2 After each use
2
INo milk, condensation or visible
residues in the tubing
No cleaning needed.
IWith milk, condensation or visible
residues
Clean the tubing as described in step 3,
then disinfect it by boiling it in water for 5
minutes. Shake out any water drops. Let
the pump run with the tubing attached
until the tubing is dry.
Disassemble the pump set into its individual
parts (bottle, breast shield, connector, valve
head, valve membrane, membrane cap,
protective membrane and tubing). To remove
the white membrane from the yellow valve
head, use two ngers with one gently
pushing onto the “knob”. Check all parts for
damage. Replace damaged or worn parts.
4
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 / storageDrying / storage or
1step 3
Dishwasher

5. Cleaning
5.3 Once a day
3
l Do not spray or pour liquid directly onto
the pump.
l Only use drinking-quality water for
cleaning.
lTake apart and wash all parts that come
in contact with the breast and breast
milk immediately after use to avoid
drying up of milk residues and prevent
growth of bacteria.
lFor chapter 5.4 Breast pump
- Cleaning and disinfection:
Unplug the breast pump before cleaning.
Caution
i
lFor step 2a (chapter 5.3):
When boiling, a teaspoon of citric acid
may be added to the water to avoid a
build-up of limescale.
Note
16
Clean the individual parts as explained in
chapter 5.2, steps 1, 2 and 3.
1
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 / storageDrying / storage

21
To disinfect the breast pump, wipe the
pump housing with a clean, damp (not
wet) cloth. You may use an alcohol-
based disinfecting agent.
To clean the breast pump, wipe the housing
with a clean, damp (not wet) cloth. You may
use drinking-quality water and basic washing-
up liquid or a non-abrasive detergent.
5.4 Breast pump – Cleaning and disinfection
2b
Use Quick Clean bags* in the microwave
in accordance with the instructions.
2a
Cover all parts, except the tubing, with
water and boil for ve minutes. If there is
visible milk, condensation or residue in
the tubing, follow step 2 in chapter 5.2.
or
17
* Accessories available for order: see chapter 11.
For more information, see www.medela.com
Clean and disinfect the pump as needed.

6. Preparing for pumping
lFor chapter 6.2 Mains operation:
Use only the power cord that comes
with the Symphony.
l Make sure the voltage of the power cord
is compatible with the power source.
Warning
lUse the pump only with the appropriate
program card (Symphony Standard or
Symphony PLUS).
Optional for pump with battery:
l The built-in battery must be charged for
12 hours on receipt of the device.
lThe pump can be used during charging.
lIf the pump is to remain unused for a
long time, charge the battery every two
months (for 12 hours each time).
l The optimum service life of the battery is
ensured if it is not fully discharged on a
regular basis or if the pump is charged
while not in use.
Info
i
1
6.1 Card and cord protector
To remove, unscrew the card
and cord protector and slide it
out of the guide rail.
1
Insert the power cord into the
power socket on the back of
the pump.
6.2 Mains operation
Pumping time
(fully-charged battery) approx. 60 min.
Charging time
(for full charge) 12 hours
18

6. Preparing for pumping
23
Insert the cord into the card and
cord protector in a loop around
the pin.
Make sure there is enough play
to plug the cord in.
Push the card and cord protector
over the guide rail on the back until
it stops. Tighten the screw.
6.1 Card and cord protector
6.3 Changing the program card
1
2
Plug the power cord into
the mains socket.
19
As soon as the card compartment
is revealed, the card can be removed
and replaced or changed.

6. Preparing for pumping
l Wash hands thoroughly (at least one
minute) with soap and water before
touching the breast, the clean pump
parts and clean pump set. Dry your
hands with a fresh towel or a single-use
paper towel.
Caution
i
lUse Medela original accessories only.
lCheck pump set parts for wear or
damage before use. Replace damaged
or worn parts.
l All parts must be completely dry
before use.
Note
lCarry out all the steps with care and
assemble the pump set correctly.
Otherwise a good vacuum may not be
achieved.
Info
i
20 6.4 Assembling the pump set
Carefully push the breast shield
onto the connector. Choose a
breast shield size that suits your
needs.
 See chapter 7.1 to choose the
right size.
Screw a Medela bottle onto the
connector. Choose a size that
suits your needs.
1
4