Medela Symphony User manual

Symphony®
EN Instructions for use | ES Instrucciones de uso | FR Mode d'emploi
Read all instructions before
using this product.
PLEASE SAVE THESE
INSTRUCTIONS
EFFICIENCY
INITIATION
TECHNOLOGY
Lea todas las instrucciones
antes de usar este producto.
CONSERVE ESTAS
INSTRUCCIONES
Veuillez lire toutes les directives
avant d'utiliser ce produit.
VEUILLEZ CONSERVER
CES DIRECTIVES
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2
1. Important Safeguards ...................................................................................................3-6
2. Product Description ....................................................................................................7-11
3. Getting Started ............................................................................................................... 12
4. Cleaning Overview.......................................................................................................... 13
5. Wash – Before first use and after each use* .............................................................14-15
6. Sanitize – Before first use and once per day*...........................................................16-17
7. Tubing & Breast Pump Care .....................................................................................18-19
7A. Tubing care........................................................................................................... 18-19
7B. Cleaning and disinfecting the breast pump................................................................ 19
8. Powering Your Pump.................................................................................................20-21
8A. Card and Cord Protector .......................................................................................... 20
8B. Powering On ........................................................................................................ 20-21
8C. Changing the Program Card...................................................................................... 21
8D. Traveling Outside the U.S. ......................................................................................... 21
9. Assembly of Pump Kit...............................................................................................22-24
10. Breast Shield Sizing ..................................................................................................... 25
11. Determine the Program Card .................................................................................26-27
11A. Determining Program Card by LCD Screen ............................................................. 27
11B. Determining Program Card by Card Image .............................................................. 27
12. Pumping ...................................................................................................................28-30
12A. Before pumping....................................................................................................... 28
12B. Preparing for pumping............................................................................................. 29
12C. Finish Pumping........................................................................................................ 30
13. Program Cards ........................................................................................................31-35
13A. Symphony®Standard Program Card....................................................................... 31
13B. Symphony®Preemie+TM Program Card............................................................... 32-33
13C. Symphony®PLUSTM Program Card .................................................................... 34-35
14. Storing, Preparing & Feeding Breast Milk.................................................................. 36
14A. Storing breast milk................................................................................................... 36
14B. Preparing breast milk............................................................................................... 36
14C. Feeding breast milk................................................................................................. 36
15. Troubleshooting.......................................................................................................37-38
16. Error Codes................................................................................................................... 39
17. Supplemental Information ........................................................................................... 40
18. Warranty ........................................................................................................................ 41
19. Meaning of Symbols................................................................................................42-43
20. EMC/Technical Description ...................................................................................44-49
21. Technical Specifications.............................................................................................. 50
22. Disposal......................................................................................................................... 51
Table of Contents

PLEASE SAVE THESE INSTRUCTIONS.
Intended Use
The Symphony®breast pump is a powered breast pump to be used by lactating women to
express and collect milk from their breast.
Product Description
The Symphony is a hospital grade (multi-user), electric breast pump that is capable of single and
double pumping. There are three different programs cards available for use with the Symphony:
Standard, Preemie+TM, and PLUS TM. The program cards are utilized to generate the pump
suction patterns.
The Standard program card is designed to build and maintain milk production with 2-Phase
Expression®technology. The 2-Phase Expression technology mimics the baby’s natural sucking
rhythm. Short, stimulation cycles in the stimulation phase are followed by longer ones in the
expression phase.
The Symphony Preemie+program card was developed to help mothers of preterm and term
infants initiate their milk supply. Preemie+program card contains two pump programs, Preemie+
and Standard. The Preemie+program is designed to be used during the immediate postnatal
period, to initiate milk production. The Standard program with 2-Phase Expression technology is
utilized after initiation of milk production.
Symphony PLUS program card has the same technology as Preemie+, with INITIATE and
MAINTAIN as the new interface descriptions being inclusive of the preterm and term population.
Research has shown that Initiation TechnologyTM is beneficial for mothers of both preterm and
term infants. The goal of the INITATE program is to initiate milk production with Medela’s Initiation
Technology for both preterm and term infants. The MAINTAIN program is designed to build and
maintain milk production with the 2-Phase Expression technology.
IMPORTANT
• Plastic bottles and component parts become brittle when frozen and may break when dropped.
• Bottles and component parts may become damaged if mishandled, e.g. dropped, over-tightened,
or knocked over.
• Take appropriate care in handling bottles and components.
• Do not use the breast milk if bottles or components become damaged.
Questions? Visit www.medela.com or call us at 1-800-435-8316. 3
T
The warning symbol identifies all instructions that are important to safety. Failure to observe these
instructions can lead to injury or damage to the breast pump. When used in conjunction with the
following words, the warning symbols stand for:
WARNING Can lead to serious injury or death.
CAUTION Can lead to minor injury.
NOTE Can lead to material damage.
TIP Useful or important information that is not related to safety.
1. Important Safeguards

4
1. Important Safeguards (cont.)
When using electrical devices, basic safety precautions shall always be followed,
including the following:
READ ALL INSTRUCTIONS BEFORE USING THIS PRODUCT.
WARNING: To avoid fire, electrocution, or serious burns:
• Always unplug electrical product immediately after use.
• Do not use while bathing or showering.
• Do not place or store product where it can fall or be pulled into a tub or sink.
• Do not submerge pump unit into water or other liquid.
• Do not reach for a product if it has fallen into water or other liquid. Immediately unplug from electrical
outlet and contact manufacturer.
• Do not spray or pour liquid directly onto the pump unit.
• Do not leave product unattended when plugged into an electrical outlet.
• Close supervision is necessary when this product is used near children.
• Use the product only for its intended use as described in this manual.
• Do not use attachments not recommended by the manufacturer, as this may cause hazards.
• Never operate this product if it has a damaged cord or plug, if it is not working properly, if it has been
dropped or damaged, or dropped into water.
• The Symphony breast pump is not heat resistant. Keep away from radiators and open flames.
• Never use while sleeping or when drowsy.
• Never drop or insert any object into any opening or tubing.
• Do not use outdoors.
• Keep appliance dry and do not place in direct sunlight.
• Do not operate where aerosol (spray) products are being used or where oxygen is being
administered.
• Equipment not suitable for use in the presence of a flammable anesthetic mixture with air or with
oxygen or nitrous oxide.
• Separation from the mains is only assured through the disconnection of the power cord from the wall
socket outlet.
• Position the device to ensure easy disconnection of the power cord from the supply mains.
• Use Medela original authentic accessories only.
• There are no user-serviceable parts inside the Symphony. DO NOT ATTEMPT TO REPAIR THE
Symphony breast pump YOURSELF. No modifications to the device are permitted.
• Always inspect power cord wires prior to use for damage or exposed wire. If damage is found,
immediately discontinue use of power cord and call Medela Customer Service at 1-800-435-8316.
• Only use the power cord that comes with the Symphony. Make sure the voltage of the power cord is
compatible with the power source.

Questions? Visit www.medela.com or call us at 1-800-435-8316. 5
• Breast pump kits are personal care items intended for use by a single user only and
should not be shared between users.
• Inspect the breast pump kit components prior to each use.
o Do not use the components if they are damaged.
o Do not use the components if dirt, mold or other contamination is visible.
• Inspect all appropriate pump components before each use.
• Clean and sanitize all parts that come in contact with your breast and breast milk prior to
first use.
• Do not modify any breast pump kit components.
• Do not drive while pumping.
• Do not use the Symphony breast pump while operating a motor vehicle.
• Never use while pregnant, as pumping can induce labor.
• Wash all parts that come in contact with your breast and breast milk after every use.
• Do NOT continue pumping for more than 2 consecutive pumping sessions if no results are
achieved.
• Do not thaw frozen breast milk in a microwave or in a pan of boiling water. Do not
microwave breast milk. Microwaving can cause severe burns to baby’s mouth from hot
spots that develop in the milk during microwaving. (Microwaving can also change the
composition of breast milk.)
• If you are a mother who is infected with Hepatitis B, Hepatitis C or Human
Immunodeficiency Virus (HIV), pumping breast milk will not reduce or remove the risk of
transmitting the virus to your baby through your breast milk.
• If problems or pain occurs, consult your lactation consultant or physician.
WARNING: To avoid health risk and reduce the risk
of injury:

6
• Pump only with the breast pump in an upright position.
• Do NOT shorten tubing between breast shield and pump.
• Make sure the voltage of the device is compatible with the power source.
• Plug the power cord into the breast pump first and then into the wall socket.
• Do NOT use abrasive cleaners/detergents when cleaning breast pump or breast pump
parts.
• Never put breast pump in water or in a sterilizer, as you can cause permanent damage
to the breast pump.
• Do not attempt to remove the breast shield from your breast while pumping. Turn the
breast pump off and break the seal between your breast and breast shield with your
finger, then remove breast shield from your breast.
• If pumping is uncomfortable or causing pain, turn the unit off, break the seal between
the breast and the breast shield with your finger and remove the breast shield from your
breast.
• Do not store wet or damp parts as mold may develop.
• Inspect the tubing for condensation or milk after each use. Wash or replace the tubing
immediately after use, if milk is observed in the tubing.
• If tubing becomes moldy, discontinue use and replace tubing.
• Do not use the Medela Symphony breast pump kit with a non-compatible breast pump.
• Do not use the breast pump kit for any other purpose than expressing breast milk.
• Separate and wash all parts that come in contact with breast milk immediately after use
to avoid dry up of breast milk residue and prevent growth of bacteria.
• Portable and mobile radio frequency communications equipment can affect the
Symphony breast pump.
• The Symphony breast pump 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.
• Wash hands thoroughly with soap and water before touching breast pump, kit and
breasts and avoid touching the inside of containers or lids.
• Pressing shields too firmly onto breasts may affect milk flow.
• Only use drinking-quality tap or bottled water for cleaning.
• Unplug breast pump before cleaning.
• Contact your healthcare professional or lactation professional if you can only express
only minimal or no milk or if expression is painful.
• Do not try and express with vacuum that is too high and uncomfortable (painful). The
pain, along with potential breast and nipple trauma, may decrease milk output.
1. Important Safeguards (cont.)
CAUTION: Can lead to minor injury:

Questions? Visit www.medela.com or call us at 1-800-435-8316. 7
2. Product Description
French and Spanish
Program Cards
(sold separately)
LCD-Display
On/Off Button
Vacuum
Adjustment
Let-down Button
Card & Cord
Protector
8100589
Replacement Screw
4130003
Socket for 12 Volt
Vehicle Lighter
Adaptor (sold separately)
67173
Case
6007080
(sold separately)
Container Stand
8100552
Power cord
9280043
Program Card
Standard
67208 - English
(Included with 0240108 and 0240208)
67209 - French
67210 - Spanish
Program Card Preemie+
67227 - English
(Included with 0240110)
Program Card PLUS
67242 - English
(Included with 0240215)
2009190 - Spanish
Symphony®Breast Pump
0240108 Standard breast pump
0240208 Standard with rechargeable batteries
0240110 Preemie+TM breast pump
0240215 PLUSTM breast pump

AUTHENTIC
medela spare parts
Quality &performance
you can trust
Authentic Medela Spare Parts are made with the quality materials
and workmanship you expect and trust, only from Medela.
Non-Medela spare parts can vary signicantly in terms of
product design, materials, and workmanship; all of
which may affect the performance of your
Medela breast pump.
Breast pump kit
Sold Separately
Replacement parts can
be ordered by visiting
shopmedela.com.
8
Lid
8107183
2. Product Description (cont.)
Bottle
8117018
White Membrane
8207013
Yellow Valve Head
8100475
24 mm PersonalFit
™
Breast Shield
8107084
(For other breast shield sizes see
Section 10)
Connector
8107088
Tubing with
Adapter
8007213
Symphony®
Membrane Cap
8100769
Symphony
Protective
Membrane
8200094
Spare White
Membranes
8207013

Questions? Visit www.medela.com or call us at 1-800-435-8316. 9
Symphony®Hard Case 6007080
Symphony Trolley 6007092
Symphony Vehicle Lighter Adaptor 67173
Symphony Cooler Carrier - Black 37002
Breast Milk Transport Bag™ - NICU 67235-06
Symphony Double Pumping Kit - Retail 67099-06
Symphony Double Pumping Kit - Retail - (Not Case Qty) 67099
Symphony & Lactina®Double Pumping Kit - Sterile 67316S
Symphony Double Pumping Kit - Sterile 67399S
Symphony Breast Milk Initiation Kit - Sterile 67350S
Symphony HarmonyTM Double Duet Breast Pump Kit - Sterile 67115S
Symphony Harmony Double Duet Breast Milk Initiation Kit - Sterile 67355S
Symphony Lactina Breast Milk Initiation Kit - Sterile 67340S
Symphony Single Pumping Kit - Sterile 67026S
Symphony Harmony Duet Breast Pump Kit - Sterile 67114S
Symphony Lactina Double Pumping Kit - Retail 67116-06
Symphony Lactina Double Pumping Kit - Retail - (Not Case Qty) 67116
Symphony & Lactina Carrier Kit 67206-03
Symphony & Lactina Carrier Kit - (Not Case Qty) 67206
Symphony to Lactina Conversion Kit 67090
Lactina to Symphony Conversion Kit 67091
Harmony to Symphony Conversion Kit 67023
Optional Accessories
Breast Pump Kits

Symphony®Diaphragm Kit 8007199
Symphony Container Stand 8100552
Symphony Membrane Cap 8100769
Symphony Protective Membrane 8200094
Symphony Power Cord 9280043
Battery Cover 8100551
Slotted Screw 4120017
Rubber Foot 8120025
Fuse 9310035
Trolley Repair Kit 6007116
Strap for Symphony Carry Case 8417009
Symphony Standard Program Card - English 67208
Symphony Standard Program Card - French 67209
Symphony Standard Program Card - Spanish 67210
Symphony Preemie+TM Program Card English 67227
Symphony PLUSTM Program Card English 67242
Symphony PLUS Program Card, Spanish 2009190
Symphony Program Card/Power Cord Protector 8100589
Symphony Program Card/Power Cord Protector
Replacement Screw 4130003
PersonalFitTM Connector 87071
PersonalFit 21mm Breast shield 87072
PersonalFit 24mm Breast shield 87073
PersonalFit 27mm Breast shield 87274
PersonalFit 30mm Breast shield 87075
PersonalFit 36mm Breast shield 87084
Replacement White Membranes 87088
Replacement Yellow Valve Heads & White Membranes 87089
10
Replacement Parts
2. Product Description (cont.)

Questions? Visit www.medela.com or call us at 1-800-435-8316. 11
Sticker Symphony PLUS, English 2009092
Symphony Standard Quick Start Card (cable tie sold separate) 1907703
Symphony Preemie+Quick Start Card (cable tie sold separate) 1908078
Symphony PLUS Quick Start Card (cable tie sold separate) 1908524
Cable Tie for Quick Start Cards 6997004
Symphony Maintenance & Technical Guide 1907555
Replacement Parts cont.

12
3. Getting Started
Parts to clean:
• Breast shields
• Breast milk bottles
• Lids
• Connectors
• Yellow Valve Heads
• White Membranes
Breast shield assemblies come
assembled. Separate all parts that will
come into contact with the breast and
breast milk before cleaning.
Note
It's important for you to do the following before using Symphony®for the first time:
1. For models that include a rechargeable battery, fully charge the battery 12 hours
uninterrupted. For further battery care information see Section 8.
2. Separate all parts
3. Clean – see instructions:
• Wash – Section 5
• Sanitize – Section 6

Breast pump kits are a personal care item intended for use by a single user only and should
not be shared between users.
Warning
Note
Sterile kits are ready to use and do not require washing prior to first use.
Questions? Visit www.medela.com or call us at 1-800-435-8316. 13
4. Cleaning Overview
Detailed cleaning instructions on pages 14-19:
• Wash – page 14-15
• Sanitize – page 16-17
• Tubing & Breast Pump Care – pages 18-19
Breast pump
kit & bottles Tubing Symphony®
breast pump
and case
Before 1st use 3 wash
3 sanitize
After each use 3 wash
Once per day 3 sanitize
As needed
3 wash only if
milk is in tubing or
tubing is soiled
3 wipe with clean, damp
cloth

Breast pump kits are a personal
care item intended for use by a
single user only and should not be
shared between users.
Warning
14
Supplies needed:
• Mild dish soap
• Clean dish towel or soft
brush
• Clean sink or bowl
• Drinking-quality water
Parts to wash:
• Breast shields
• Breast milk bottles
• Lids
• Connectors
• Yellow Valve Heads
• White Membranes
5. Wash – Before first use and after each use*
4
Note
Store the pump kit in a clean bag/container until next use.
• Place parts on a clean surface and/or towel.
• Allow all parts to air dry.
• Store dry parts in a clean, cool place when
not in use. Do NOT store wet or damp parts.
Separate and wash all parts that come in contact with
breast and breast milk immediately after use to avoid
dry up of breast milk residue and prevent growth of
bacteria.
Caution
1
• Separate parts for washing
Note
• Wash breast pump kit parts after each use.
• Take care not to damage parts of the pump kit
during cleaning.
• It is not necessary to wash tubing, membrane
cap or protective membrane prior to first use.
• Only wash tubing if milk is present or tubing is
soiled.
Note
*Sterile kits are ready to use and do
not require washing prior to first use.

Questions? Visit www.medela.com or call us at 1-800-435-8316. 15
You may also wash your kit parts by
following the instructions on the Quick
Clean™Breast Milk Removal Soap
bottle. (sold separately)
Rinse all separated parts that came in
contact with breast and breast milk in cool
water in order to remove breast milk residue.
• Soak all separated parts in warm, soapy
water for 5minutes.
• Wash each part with a clean dish-cloth or
soft brush.
• Rinse all separated parts with clear water.
Wash in sink
Only use drinking-quality tap or bottled water
for cleaning.
Caution
2 3
Note
If the individual components of the pump kit are
cleaned in a dishwasher, parts may be discolored
by food pigments. This will not impact part function.
Alternatively,
wash in dishwasher
1
• Wash all separated parts on top rack of dishwasher.
• Allow all breast pump parts to air dry in a clean area.
• Store dry parts in a clean, cool place when not in use.

Allow water to cool and gently
remove parts from water with tongs.
4
16
Supplies needed:
• Clean pot for boiling water
• Drinking-quality water
• Tongs
Parts to sanitize:
• Breast shields
• Breast milk bottles
• Lids
• Connectors
• Yellow Valve Heads
• White Membranes
6. Sanitize – Before first use and once per day*
Note
Sanitize breast pump kit parts once
daily.
• Separate all parts that come in contact
with breast milk.
Breast pump kits are a personal
care item intended for use by a
single user only and should not be
shared between users.
Warning
1
Note
*Sterile kits are ready to use and
do not require washing or sanitizing
prior to first use.

5
Note
Store the pump kit in a clean bag/
container until next use.
Questions? Visit www.medela.com or call us at 1-800-435-8316. 17
• Place parts on a clean surface and/or towel.
• Allow all parts to air dry.
• Store dry parts in a clean, cool place when
not in use. Do NOT store wet or damp parts.
• Fill a pot with enough water to cover all parts.
• Bring water to a boil.
• Place parts in boiling water for 10 minutes.
2 3
• Wash hands thoroughly.
Note
If you notice a white residue on your parts after
boiling, you may have a high mineral content
in your water. Remove residue by wiping
parts with a clean washcloth and air dry. We
recommended that you boil parts with distilled
water to prevent substantial mineral build-up
over time which may compromise your parts.

7
4
3
18
Caution
• Do not store wet or damp parts as mold may develop.
• Inspect the tubing for condensation or milk after each use.
Wash or replace the tubing immediately after use if soiled
or milk is observed in the tubing.
• If tubing becomes moldy, discontinue use and replace
tubing. Replacement parts can be purchased at www.
medela.com.
7A. Tubing care
7. Tubing & Breast Pump Care
Use a damp (not wet) cloth to wipe the
pump and membrane area.
Remove, tubing, protective membrane,
and membrane cap. Clean protective
membrane and membrane cap by
following steps in section 5.
Remove tubing from breast shield.
Supplies needed:
• Mild dish soap
• Clean dish towel
• Clean sink or bowl
• Drinking quality water
• Damp (not wet cloth)
Parts needed:
• Tubing
• Symphony®pump
• Membrane cap
• Protective membrane
• Inspect tubing after each pumping session.
Note
If there is condensation in the tubing: Shake water
droplets out of the tubing and hang it up to dry or let the
pump run with tubing attached for 1–2 minutes or until dry.
Breast pump kits are a personal
care item intended for use by a
single user only and should not be
shared between users.
Warning
Note
• Tubing should be washed if milk
is present or tubing is soiled.
• Cleaning tubing is not necessary
if condensation present is
from previous washings or
atmospheric conditions.

1
5 6
1
2
Questions? Visit www.medela.com or call us at 1-800-435-8316. 19
Unplug breast pump from power
source.
Rinse tubing in cool water to
remove breast milk.
Caution
Unplug breast pump before cleaning.
• Wash tubing in warm soapy water.
• Rinse tubing with clear water.
• Hang to air dry.
• Or shake out any drops of water from the tubing and
let the pump run with tubing attached until dry.
Wipe off with a clean, damp (not wet) cloth.
Water and basic dishwashing agent or non-
abrasive detergent may be used.
Turn off breast pump.
7B. Cleaning and disinfecting the
breast pump
disinfect
Wipe off with a clean, damp (not wet) cloth. Alcohol
based disinfecting agent may be used. Do not
immerse the pump in water; do not run water over
the pump.

20
8. Powering Your Pump
Pumping time
(fully-charged battery) approx. 60 min.
Charging time
(for full charge) 12 hours
1
8A. Card and Cord Protector
To remove, unscrew the card
and cord protector and slide
it out of the guide rail.
1
8B. Powering On
Insert the power cord into the
power socket on the back of the
pump.
Note
• Only use the pump with the
appropriate program card
(Standard, Preemie+ or PLUS).
Optional for pump with battery:
• 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,
charge the battery every two
months (for 12 hours each time).
• For optimum service life of the
battery, charge the battery
while breast pump is not in use
and avoid fully discharging the
battery on a regular basis.