Medela Symphony User manual

EN Instructions for use
DE Gebrauchsanweisung
FR Mode d‘emploi
IT Istruzioni per l‘uso
NL Gebruiksaanwijzing
Symphony®

EN Parts List XV
DE Teileliste XV
FR Liste des pièces XV
IT Elenco componenti XV
NL Onderdelenlijst XV
e
c
a
k
l
i
f
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g h
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3
EN
DE
FR
IT
NL
Instructions for use 4
Gebrauchsanweisung 19
Mode d’emploi 34
Istruzioni per l’uso 49
Gebruiksaanwijzing 64
EMC 82

4EN
Symphony®Breastpump
l
Mother‘s milk is the best nutrition for babies. Symphony gives you and your baby optimal
support during the breastfeeding period. The attractive breastpump for hospitals and
home rental is especially suitable for long-term and frequent pumping and encourages
milk production in the long term, too.
Indications For Use
The Symphony Breastpump is a powered breastpump:
• To be used by lactating women to express and collect milk from their breast.
• To initiate and maintain a milk supply as well as collect breastmilk at work or during
other absences from the baby.
• To initiate and maintain a milk supply if direct breastfeeding is not possible.
• To relieve engorgement.
• For use in hospitals or home rental.
ll
Symphony has 2-Phase Expression®,
the only research based breastpump tech-
nology to mimic a baby‘s natural nursing
rhythm.
Stimulation:
Fast pumping rhythm to start your milk flowing.
Expression:
Slower pumping rhythm to express your
milk gently and efficiently.
Comfort Flow ZoneTM:
For maximum comfort and efficiency –
gentle to the breast tissue.
Proven to feel most like your baby and
to reduce your pumping time.
Vacuum (mmHg)
Milk Ejection
Reflex
Comfort
Flow
Zone™
120 60
Stimulation Expression

5EN
Important Safeguards
lII
When using electrical devices, basic safety precautions should always be followed, including
the following:
Read all instructions before use.
• Usetheproductonlyforitsintendeduseasdescribedinthisinstructionmanual.
• OnlyusethepowercordthatcomeswiththeSymphonyBreastpump.
• Makesurethevoltageofthedeviceiscompatiblewiththepowersource.
• PlugthepowercordintotheSymphonyBreastpumpfirstandthenintowallsocket.
• Alwaysunplugelectricaldevicesimmediatelyafterusing.
• Theproductshouldneverbeleftunattendedwhenpluggedintoapowersource.
• Separationfromthemainsisonlyassuredthroughthedisconnectionofthepowercord
fromthewallsocketoutlet.
• Keepthepowercordawayfromheatedsurfaces.
• Neveroperateanelectricaldeviceifithasadamagedpowercordorplug,ifitisnot
workingproperly,ifithasbeendroppedordamaged,ordroppedintowater.
• Donotuseoutdoors.
• Keepappliancedryanddonotplaceindirectsunlight.
• Donotgettheproductwet.
• Donotusewhilebathingorshowering.
• Donotplaceinordroppumpunitintowaterorotherliquidanddonotshower
thediaphragmarea.
• Donotsprayorpourliquiddirectlyontothepump.
• Donotstoreorusethisproductwhereitcanfallorbepulledintoatuborsink.
• Donotreachforanyelectricaldeviceifithasfallenintowater.Unplugimmediately.
• Use Medela original accessories only.
• Checkpumpkitcomponentsforwearordamage.
• Thepumpkitisapersonalcareitemandisnottobesharedbetweenmotherswithout
propersterilizationtopreventtheriskofcross-contamination.
• Pumponlywiththemotorinanuprightposition.
• Donotusewhilesleepingoroverlydrowsy.
• Supervisionisnecessarywhenthisproductisusedinthevicinityofchildren.
• Ifproblemsorpainoccur,consultyourlactationconsultantorphysician.
• Equipmentnotsuitableforuseinthepresenceofaflammableanaestheticmixture
withairorwithoxygenornitrousoxide.
• Portableandmobileradiofrequencycommunicationsequipmentcanaffect
theSymphonyBreastpump.
• TheSymphonyBreastpumpneedsspecialprecautionsregardingEMC(Electromagnetic
compatibility)andneedstobeinstalledandputintoserviceaccordingtotheEMC
informationprovidedintheseinstructionsforuse.
• Therearenouser-serviceablepartsinsidetheSymphony.Donotattempttorepair
theSymphonyBreastpumpyourself.
SAVE THIS INSTRUCTION MANUAL

6EN
Assembly Instructions
lV
c d
+
b
1Snap membrane onto valve until
membrane lies completely flat.
2
3Push assembled valve and membrane
onto breastshield. Ensure sidewise
position of valve as indicated on
picture.
c d
+
a b c d
4Screw bottle into breastshield.
+
a
+
Make sure breastshield and connector
are securely attached.
b
a
e1e2

7EN
6Assemble protective membrane onto
membrane cap.
g h
g h
7Push adapter end of tubing into
opening on membrane cap.
8To unlock lid, keep pressing the oval
release button on top of the Symphony
and lift up the handle to get access to
breastpump diaphragm.
+
f
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5Insert adapter end of tubing into
opening in breastshield.
a b c
f
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d e

8EN
Operation
V
Electrical
Power the Symphony (or charge its battery if included) by connecting the socket in the
back of the pump and the power cord to a standard electrical outlet.
Battery optional (built-in rechargeable battery)
Charge Symphony pump batteries for 12 hours upon receipt.
Optimal battery life is achieved when:
• Batteries are not fully drained on a regular basis
• Pump is allowed to charge when not in use
When not in use for a lengthy period, recharge batteries for 12 hours every two months.
Pumping time (full battery) = approx. 60 minutes
Charging time (empty battery) = 12 hours
Pump may be used while charging.
Note
If the pump has been running for 30 minutes without any manipulations (e.g. adjustment
of the vacuum), the Symphony will automatically switch off.
9Push membrane tightly into place on
breastpump diaphragm. To ensure pro-
per fit, be sure to center the membrane
caps‘ tube port directly over the crevice
on the pump housing. Make sure that
the membrane clicks into place and is
flush with surrounding surface.
Assembly Instructions
lV

9EN
Switch on the breastpump by pressing the On/Off button. The
pump will begin pumping in the Stimulation Phase.
Adjust the vacuum during pumping to your comfort level by
turning the one-knob control clockwise (increase) or counter-
clockwise (decrease).
Hospital only: For Preemie+please refer to separate instruc-
tion for use.
Pumping
VI
Becomfortablyseatedandrelax.Useafootrest,whenpumpingorwhenfeedingyour
baby.Elevatingyourfeetputsyouintopropersittingpositiontoavoidstressonthelower
backandperineum.
Once your milk starts to flow or you sense milk ejection, press
the let-down button to switch to the Expression Phase.
If you do not press the let-down button, the pump will auto-
matically switch to the Expression Phase after two minutes.
Set your Maximum Comfort Vacuum™ which is the
highest vacuum you can use and still feel comfortable (this
is different for every mother). To find your Maximum Comfort
Vacuum increase vacuum until pumping feels slightly un-
comfortable (not painful), then decrease slightly.
Research has shown that you will pump more efficiently
– meaning get more milk in less time – when pumping at
Maximum Comfort Vacuum™ in the Expression Phase.
Once finished pumping, switch off the breastpump, unplug
it, and disassemble the pump kit items. Close the bottle and
store it for later use.
Use bottle stand to prevent tip over.
Center your breastshield over your nipple.
• Donottiltoroverfillbottleswhenpumping.
• Takecarenottokinktubingwhilepumping.
1
2
3

10 EN
LCD Display indicates Program Card Name
The Symphony Program Card 2.0 dis plays the name of the
card «Symphony 2.0» on the LCD Display when the pump is
powered off and connected to wall socket.
When batteries are used to power the Symphony, the LCD
Display will remain blank until powered on.
Breastshield Fitting
Symphony®Program Card 2.0
VII
VIII
Choosing the right size of Breastshield
A correctly tted breastshield avoids compression of any milk ducts during pumping to
ensure optimal breast emptying and maximum milk output.
Your breastshield is the right size if your answer to the following questions is «Yes»:
• Is your nipple moving freely in the tunnel?
• Is minimal or no areolar tissue being pulled into the tunnel of the breastshield?
• Do you see a gentle, rhythmical motion in the breast with each cycle of the pump?
• Do you feel the breast emptying all over?
• Is your nipple pain-free?
If your answer to any of the above questions is «No», try a larger (or smaller) breastshield.
MedelaPersonalFit™Breastshield:Availableinvesizes–becauseonesizedoesnott
all.
1

11EN
Stimulation Phase starts with Minimum Vacuum
Setting
The initial vacuum setting is visually indicated with three
drops on the LCD Display. Stimulation Phase is limited to
two minutes.
Switch to Expression Phase
The pump will switch to Expression Phase by one of two ways:
1) automatically, after the two minute Stimulation Phase is
complete, or
2) manually, by pressing the let-down button.
Ramp-up Vacuum Transition from Stimulation
to Expression Phase
When switching from Stimulation to Expression Phase, the
Symphony Program Card 2.0 increases the vacuum setting
by adding three bars to the last Stimulation setting in a stair-
stepped fashion. The three additional bars and increased
vacuum setting occur gradually over a 4-second period.
The ramp-up transition eliminates potential discomfort of
an immediate vacuum setting increase.
Switching back and forth between Stimulation and Expression Phase by using
the Let-Down Button
With the Symphony Program Card 2.0, the let-down button can also be used to switch
back from Expression to Stimulation Phase (for more information on this feature see page
11 «Addressing Special Needs»). On the LCD Display the vacuum setting will be indicated
by drops in the Stimulation Phase and by bars in the Expression Phase.
Program Remembers Last Stimulation Vacuum Setting
When switching back to Stimulation Phase, the Symphony Program Card 2.0 remembers
the last Stimulation Phase vacuum setting prior to switching to Expression Phase and
returns to this setting in Stimulation Phase.
2
3

12 EN
The Symphony Program Card 2.0 includes a feature that allows mothers to switch back
to the Stimulation Phase by pressing the let-down button. Some mothers find this feature
beneficial in addressing the following special needs:
No milk ejection occurs in the first two minutes of the Stimulation Phase
If your milk ejection has not occurred in the first two minutes of the Stimulation Phase
and the pump automatically switches to the Expression Phase, press the let-down button
once to return to the Stimulation Phase. If you have not achieved a milk ejection after two
consecutive Stimulation Phases, take a break, relax and try again in 15-30 minutes.
Engorgement
If, due to engorgement, you are experiencing difficulties breastfeeding or expressing milk,
careful use of the Stimulation Phase may help to provide some relief. If your milk ejection
does not occur in the first two minutes of the Stimulation Phase and the pump auto-
matically switches to the Expression Phase, press the let-down button to return to the
Stimulation Phase. Repeat this process until your milk ejection occurs. After milk ejection
you may find it beneficial to remain in the Stimulation Phase until enough milk has been
expressed so that the nipple and areola area are not as hard and engorged. After initially
draining the breast to relieve the discomfort, follow up with breastfeeding or pumping in the
Expression Phase to adequately drain the breast. Although Medela strongly encourages
pumping in the Expression Phase after milk ejection at Maximum Comfort Vacuum for the
most effective removal of milk, it may be necessary to address temporary discomfort issues
by pumping in the Stimulation Phase.
If your engorgement condition persists or worsens, consult your physician or lactation
consultant.
Sore Nipples
If, due to sore nipples, you are experiencing discomfort while pumping in the Expression
Phase, careful use of the Stimulation Phase may help to provide some relief. You can
return to the Stimulation Phase at any time by pressing the let-down button. Although
Medela strongly encourages pumping in the Expression Phase after milk ejection at
Maximum Comfort Vacuum for the most effective removal of milk, it may be beneficial to
address temporary discomfort issues by pumping in the Stimulation Phase.
If your sore nipple condition persists or worsens, consult your physician or lactation
consultant.
Program Card 2.0 Addressing Special Needs
IX

13EN
Cleaning and Hygiene
X
Important • Use drinking water quality for any of the following described
cleaning procedures.
• Clean parts immediately after use to avoid dry up of milk
residues and to prevent from growth of bacteria.
• Disassemble all parts prior to cleaning. Especially be sure
to remove the yellow valve head from the breastshield and
separate the white valve membrane from the valve head.
Cleaning at
home Follow these cleaning instructions unless you are told otherwise by
your healthcare professional.
Prior to first use and once daily
• Disassemble, wash and rinse all parts of your pump kit that
come in contact with the breast and milk (a+b+c+d+e+i+k+l).
• Place parts in a saucepan of sufficient capacity.
• Fill with cold water until the parts are well covered. Optionally,
a tea spoon of citric acid may be added to avoid a build-up of
limescale.
• Heat it up and allow to boil for 5 minutes.
• Remove from stove and drain water off.
• Dry parts with a clean towel.
Alternatively, the disassembled parts can be sanitized in top rack
of dishwasher, with the Medela Quick Clean Microwave Bags or
with the B-Well Steam Sterilizer.
Note:Foodcoloringsmaydiscolorcomponentswhichwillnot
affectperformance.
After each use
• Disassemble and handwash all parts of your pump kit that
come in contact with the breast and milk (a+b+c+d+e+i+k+l)
in warm, soapy water.
• Rinse in clear water.
• Dry parts with a clean towel.
Cleaning in
hospitals The following cleaning instructions are general recommendations and may individually be adjusted based on the hospital‘s specific
directives and cleaning practices.

14 EN
Tubing care Inspect the tubing after each pumping session for condensation
and/or milk.
If condensation appears in the tubing
Let the pump run after you have completed pumping with tubings
attached for 1–2 minutes or until dry.
If milk gets into the tubing
If milk accidentally gets into the tubing turn off the pump and unplug
from power source. Remove and clean the tubing according to the
instructions «Prior to first use and once daily». Shake water droplets
out and hang to air-dry. For faster drying, attach the tubing to pump
and run for 1–2 minutes or until dry.
Hints After cleaning, when parts are not in use, put in a clean zip lock
bag or store in a container with lid. Alternatively, the parts can be
wrapped in a clean paper or cloth towel.
Important
It is recommended to provide each mother an own personal pump
set and to clean, disinfect and sterilize (e.g. autoclave) all compo-
nents after each use or, latest each time they are handed over to
the next mother. Use by more than one mother without adequate
sterilization may pose a health risk (e.g. risk of cross-contamination)
and voids the warranty.
Cleaning
Disassemble and thoroughly wash all parts in warm, soapy water.
Rinse in clear water.
Disinfecting
Disinfect all parts by washing in a thermic washing machine
(at approx. 93° C).
Sterilizing
Prior sterilizing visually check parts if clean and intact. Sterilize all
parts by autoclaving at 134°C for 3 (or 18) minutes or at 125°C
for 15 – 20 minutes. Do not stack parts or apply external pressure
to avoid damages. Alternatively, the parts can be EO-sterilized
(Ethylene Oxide).
Hygiene • Wash hands thoroughly with soap and water before touching
the breast and pump parts.
• Avoid touching the inside of bottles and lids.
• Clean the breast and surrounding area with a damp cloth.
• Do not use soap or alcohol which can dry the skin and cause
cracked nipples.
Cleaning and Hygiene
X

15EN
Storing / Thawing Breastmilk
XI
Refrigerator
Freezer
Compartment
Room
Temperature Refrigerator Deep Freezer
Freshly expressed
breastmilk
Thawed breastmilk
(previously frozen) Donotstore
3–5daysat
approx.4°C
10 hours
6monthsat
approx.-16°C
12monthsat
approx.-18°C
Check with your hospital for specific instructions.
Breastmilk Storage (For Healthy Term Babies)
• Whenfreezingdonotfillbottles/bagsmorethan3/4fulltoallowspaceforexpansion.
• Labelbottles/bagswiththedateofpumping.
• Donotstorebreastmilkinthedooroftherefrigerator.
• Inordertopreservethecomponentsofthebreastmilk,thawintherefrigeratorovernight
orbyholdingthebottle/bagunderrunningwarmwater(max.37°C).
• Gentlyshakethebottle/bagtoblendanyfatthathasseparated.
• Donotthawfrozenbreastmilkinamicrowaveovenorinapanofboilingwater
(dangerofburning).
Donotleaveatroom
temperature
Neverrefreeze
Breastpump
care Unplug breastpump prior to cleaning
At home Daily or when spills occur
In hospitals Immediately when spills occur
In between each mother and/or on a regular
basis, e.g. daily
• Use a damp (not wet) cloth to wipe over the breastpump.
Optionally, soapy water or a non-abrasive detergent may be
used.
• Do not spray or pour liquid directly onto the pump.
• Do not immerse the pump unit in water or shower the
diaphragm area.

16 EN
Troubleshooting
XII
If the motor is
not running Check • mains/battery power is present
• the device is switched on
• program card is inserted at the back of the breastpump
If there is low
or no suction Make sure
• the breastshield forms a complete seal around the breast.
• all connections of the kit and breastpump are secure.
• the white valve membrane is laying flat against the yellow valve
head. Check that the valve head and membrane are clean and
not damaged. See «Assembly Instructions».
• the ends of the tubing are fit securely into the back of the
breastshield and into the opening on membrane cap.
• the protective membrane / membrane cap are correctly
assembled and are pushed firmly into place on breastpump
diaphragm.
• the protective membrane is intact.
Take care not to kink or pinch tubing.
If there is an
overflow If milk accidentally gets into the tubing
• Turn off the pump and unplug from power source.
• Use a damp (not wet) cloth to wipe the pump and diaphragm.
• Refer to cleaning instructions «Tubing care and Breastpump
care».
• If necessary clean the pump kit.
• When components are completely dry, reassemble breast-
pump and kit.

17EN
Disposal
XIV
The unit is made of various metal and plastics. Before disposal, the device is to be
rendered unusable and it must not be disposed of as unsorted municipal waste in accor-
dance with local regulations. Use your local return and collection system for waste electri-
cal and electronic equipment (incl. batteries). Improper disposal may have harmful effects
in the environment and on public health.
Warranty
XIII
3-year warranty for the unit from the date of purchase, excluding pump set and accessories.
6 months warranty for the batteries. The manufacturer is not liable for any damage or
consequential damage caused by incorrect operation, inappropriate usage or use by un-
authorized persons. Routine checks, servicing and battery exchange may only be carried
out by Medela authorized personnel.

18 EN
Parts List
XV
Article numbers
Breastshield ( 24 mm ) 810.7084
Connector 810.7088
Valve head 810.0475
Valve membrane 820.7013
Bottle (150 ml), hospital use, embossed 811.0020
For cleaning instructions refer to section „Cleaning and Hygiene“ à Cleaning in hospitals
Bottle (150 ml), home use, colour print 811.0021
For cleaning instructions refer to section „Cleaning and Hygiene“ à Cleaning at home
Silicone tubing (105 cm ) 811.0828
Membrane cap 810.0667
Protective membrane 820.0094
Cap 810.0474
Lid 810.7062
Disc 810.0473
Accessories (sold separately)
• One-Day Pump Set for a limited number of uses 800.0830/200.0235
(max. 24 hours or 8 pumping sessions)
• Disposable Bottles (80 ml/150 ml) 800.0835/200.1153
for one-time use only
• Car adapter 928.1017
Does not contain Bisphenol-A, DEHP (Phthalate) or Latex.
Subject to change.
Content may vary from picture.
a
b
c
d
e
1
e2
f
g
h
i
k
l

19DE
Symphony®Milchpumpe
l
Muttermilch ist die beste Nahrung für Babys. Symphony unterstützt Sie und Ihr Kind
optimal während der Stillzeit. Die attraktive Milchpumpe für Krankenhaus und Vermietung
eignet sich besonders gut für langfristiges und regelmässiges Abpumpen und fördert die
Milchproduktion auch längerfristig.
Indikationen für die Anwendung
Die Symphony Milchpumpe ist eine elektrische Milchpumpe:
• Für stillende Mütter zum Abpumpen und Auffangen von Muttermilch.
• Zur Anregung und Aufrechterhaltung der Milchproduktion sowie zum Auffangen von
Muttermilch während der Arbeit oder bei anderen Trennungen vom Baby.
• Zur Anregung und Aufrechterhaltung der Milchproduktion, wenn Stillen nicht möglich ist.
• Zur Linderung bei Milchstau.
• Zum Gebrauch in Krankenhäusern oder zur Vermietung nach Hause.
ll
Symphony hat 2-Phase Expression
®
, die
einzige forschungsbasierte Milchpumpen-
Technologie, die den natürlichen Saug-
rhythmus eines Babys nachahmt.
Stimulation:
Schneller Pumprhythmus zur Anregung Ihres
Milchflusses.
Abpumpen:
Langsamerer Pumprhythmus für sanftes und
effizientes Abpumpen Ihrer Milch.
Comfort Flow ZoneTM
(Komfort Fliess-Zone)
Für maximalen Komfort und Effizienz – sanft
zum Brustgewebe.
Fühlt sich nachweislich wie Ihr eigenes
Baby an und verkürzt Ihre Abpumpzeit.
Vakuum (mmHg)
Milchspende-
reflex
Comfort
Flow ZoneTM
(Komfort
Fliess-Zone)
120 60
Stimulation Abpumpen

20 DE
Wichtige Sicherheitshinweise
lII
BeiVerwendungelektrischerGeräteiststetsaufdieEinhaltungdergrundlegenden
Sicherheitsvorkehrungen–einschliesslichderFolgenden–zuachten:
Lesen Sie bitte alle Anweisungen vor dem Gebrauch.
• DasProduktausschliesslichfürdenindieserGebrauchsanweisungbeschriebenen
Verwendungszweckbenutzen.
• AusschliesslichdasmitderSymphonyMilchpumpegelieferteNetzkabelverwenden.
• Sicherstellen,dassdieSpannungdesGerätesmitderStromquellekompatibelist.
• DasNetzkabelzuerstindieSymphonyMilchpumpeunddannindieSteckdoseeinstecken.
• NachdemGebrauchdenNetzadaptersofortherausziehen.
• DasGerätniemalsunbeaufsichtigtlassen,wennesaneineStromquelleangeschlossenist.
• DieTrennungvomVersorgungsnetzistnurdurchTrennendesNetzkabelsvonderSteckdose
gewährleistet.
• DasNetzkabelvonheissenOberflächenfernhalten.
• EinelektrischesGerätnieinBetriebnehmen,wenndasNetzkabelbeschädigtist,wennesnicht
korrektfunktioniert,wennesheruntergefallen,beschädigtoderinsWassergefallenist.
• GerätnichtimFreienverwenden.
• GerättrockenhaltenundnichtdirektemSonnenlichtaussetzen.
• DasGerätnichtnasswerdenlassen.
• GerätnichtwährenddemBadenoderDuschenbenützen.
• DiePumpenichtinWasseroderandereFlüssigkeitenstellenoderfallenlassenundden
Membranbereichnichtabduschen.
• KeineFlüssigkeitdirektaufdiePumpesprühenoderschütten.
• DasGerätnichtaneinemOrtaufbewahrenoderverwenden,woesineineBadewanneoder
einWaschbeckenfallenoderhineingezogenwerdenkann.
• NiemalsnacheineminsWassergefallenenelektrischenGerätgreifen,ohnezuvorden
Steckerherauszuziehen.
• NurOriginalzubehörvonMedelaverwenden.
• DieTeiledesPumpsetsaufAbnutzungoderBeschädigungkontrollieren.
• DasPumpsetisteinpersönlicherGebrauchsgegenstandunddarfnichtohnegenügende
SterilisationmitanderenMütternausgetauschtwerden,umdasRisikoeinerKreuz-
kontaminationzuvermeiden.
• NurpumpenwenndasGerätaufrechtsteht.
• DasGerätnichtverwenden,wennSieschlafenoderübermässigmüdesind.
• BeiVerwendungdiesesProduktsinderNähevonKindernisteineentsprechende
Beaufsichtigungnotwendig.
• WennProblemeoderSchmerzenauftreten,wendenSiesichbitteanIhreStill-und
LaktationsberaterinoderIhrenArzt.
• DasGerätistnichtfürdenBetriebimexplosionsgefährdetenBereichgeeignet.
• TragbareundmobileRadiofrequenz-KommunikationsgerätekönnendieSymphony
Milchpumpebeeinflussen.
• DieSymphonyMilchpumpeerfordertbesondereVorsichtsmassnahmeninBezugaufEMV
(ElektromagnetischeVerträglichkeit)undmussentsprechenddenindieserGebrauchs-
anweisunggegebenenEMV-InformationeninstalliertundinBetriebgenommenwerden.
• DieSymphonyMilchpumpeenthältkeinedurchdenBenutzerzuwartendenTeile.
 VersuchenSienicht,dieSymphonyMilchpumpeselbstzureparieren.
BEWAHRENSIEDIESEGEBRAUCHSANWEISUNGSORGFÄLTIGAUF