Swing - Breast pump MEDELA - Free user manual and instructions

USER MANUAL Swing MEDELA

134–1591. Intended use / Population - Contraindication 5

2. Meaning of symbols 6

5.1 Before using for the rst time and after every use 12

5.2 Before using for the rst time and once a day

6. Preparing for pumping 16

6.1 Mains operation 16

6.2 Battery operation

6.3 Assembling the pump set

7.1 Preparing for single pumping 20

8. Storing and thawing breast milk 24

9. Feeding breast milk 25

12. Complete care during breastfeeding time 28

Table of Contents 44The 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 case 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, are travelling or are otherwise separated from their baby. 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 suckling of a nursing baby. Contraindications There are no known contraindications for the Swing breast pump.

1. Intended use / Population – Contraindication

552. Meaning of symbols

Warning Can lead to serious injury or death. Caution Can lead to minor injury. Note Can lead to material damage. Info Useful or important information that is not related to safety. Symbols on the packaging This symbol indicates that the material is part of a recovery/recycling process.This symbol indicates a carton package.This symbol indicates to keep the device away from sunlight.This symbol indicates to handle the fragile device with care.This symbol indicates the temperature limitation for operation, transport and storage.This symbol indicates the humidity limitation for operation, transport and storage.This symbol indicates the atmospheric pressure limitation for operation, transport and storage.This symbol indicates to keep the device 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)This symbol indicates do not dispose the device together with unsorted municipal waste (for EU only).This symbol indicates to follow instructions for use. Symbols on the device This symbol indicates to follow instructions for use.This symbol indicates the compliance with the essential requirements of the Council Directive 93/42/EEC of 14 June 1993 concerning medical devices.

The warning symbol identies all instructions that are important for 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 symbol stands for:

66This symbol indicates the manufacturer. This symbol indicates do not dispose the device together with unsorted municipal waste (for EU only). This symbol indicates the compliance with additional USA and Canada safety requirements for medical electrical equipment. This symbol indicates a type BF applied part. This symbol indicates manufacturer’s serial number of the device. This symbol indicates the positioning of battery cell. This symbol indicates the 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). Symbols on the mains adapter This symbol indicates that the mains adapter is a class II device. This symbol indicates the compliance with China Compulsory Certication. This symbol indicates that the mains adapter is safety tested. This symbol indicates that the mains adapter is for indoor use only. This symbol indicates the compliance with USA and Canada safety requirements. This symbol indicates the compliance with Federal Communications Commission requirements. This symbol indicates polarity of d.c. power connector. This symbol indicates the compliance with AUS/NZ regulatory requirements (Regulatory compliance mark). This CE-mark indicates the compliance with the low voltage and electromagnetic compatibility directive. This symbol indicates to not dispose the device together with unsorted municipal waste (for EU only). The solid bar symbol indicates that mains adapter is put on the market after 13 August 2005. This symbol indicates the compliance with Japanese safety requirements. This symbol indicates the compliance with energy efciency requirements. This symbol indicates alternating current. This symbol indicates direct current. N136

773. Important safety information

Failure to follow these instructions/safety information can lead to danger from the device. Subject to technical changes. Device Danger of electrocution! Keep the device dry! Never immerse in water or other liquids! The Swing breast pump is not heat-resistant: keep away from radiators and open ames. Do not expose the motor unit to direct sunlight. Repairs must be performed only by an authorised service agency. Do not repair yourself! No modications to the device are permitted. Never use a damaged device. Replace damaged or worn parts. MAX. 275 h The operating life of the Swing breast pump is 275 hours. The service life is two years. Electrical use Separation from the mains is only assured through the disconnection of the mains adapter from the wall socket outlet. Keep the mains adapter away from heated surfaces. Do not reach for any electrical device if it has fallen into water. Unplug immediately. The breast pump should never be left unattended when plugged into a power source. 88Use Use the Swing breast pump only for its intended use as described in this manual. Never operate an electrical device 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. Do not use the Swing breast pump while bathing or showering. Do not use the Swing breast pump while sleeping or overly drowsy. This is a single user product. Use by more than one person may present a health risk. Do not drive whilst hands-free pumping. Supervision is necessary when the Swing breast pump is used in the vicinity of children. Contact your lactation consultant or physician if you experience problems or pain. Portable and mobile radio frequency communications equipment can affect the Swing 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. 991x PersonalFit breast shield M (24mm) (for other breast shield sizes see Chapter 12, page 28) 1x 2-component connector 1x bottle 1x bottle stand

4. Product description

Spare parts and accessories available for order can be found on page 28 2x valve membrane 1x sling 1x Swing storage bag 1x valve head 10101x Calma multi lid 1x Calma Solitaire 1x mains adapter 1x motor unit On/Off button Reduce vacuum Increase vacuum Let-down button LED Power adapter port Tubing port Battery compartment Fixing clip 1x Swing tubing

time and after every use Disassemble the pump set into individual parts.Rinse all parts with cold, clear water (approx. 20 °C) for 10 – 15 seconds.l Only use drinking-quality water for cleaning.l Take apart and wash all parts that come in contact with the breast and breast milk immediately after use to avoid dry up of milk residues and to prevent growth of bacteria.l The pump set requires no main-tenance.l Take care not to damage parts of the pump set during cleaning.l If the individual components of the pump set are cleaned in a dish-washer parts may be discoloured by food pigments. This has no impact on the function. Note Caution

Rinse all parts with cold, clear water (approx. 20 °C). If you clean the individual parts of the pump set in the dish- washer, place them on the top rack or in the cutlery section. Clean all parts with plenty of warm soapy water (approx. 30 °C). Dry with a clean cloth or leave to dry on a clean cloth. As an alternative to steps 2, 3 and 4.

the rst time and once a day Disassemble the pump set into individual parts.l Only use drinking-quality water for cleaning.l Take apart and wash all parts that come in contact with the breast and breast milk immediately after use to avoid dry up of milk residues and to prevent growth of bacteria.l When boiling, a tea spoon of citric acid may be added to avoid a build-up of limescale.l Store the pump set in a clean bag/container until next use. Or store it in clean paper or a cloth.Dry with a clean cloth or leave to dry on a clean cloth.Caution Note

Cover all parts with water and boil for ve minutes. Use Quick Clean * microwave bags in accordance with the instructions.

*More information at www.medela.com Wipe off with a clean, damp cloth.

Plug the mains adapter cord into the motor unit.

6. Preparing for pumping

l re 6.2 Battery operation: The batteries do not need to be removed when the main adapter is used for pumping. l Regularly check the condition of the batteries in the motor unit.l If Swing will remain unused for a longer period of time, remove the batteries from the battery compartment.l Batteries last for two to three pump-ing sessions (approx. 1 ½ hours pumping time).

6.2 Battery operation

Open the battery compart-ment on the back in the direction of the arrow.l re 6.1 Mains operation: Follow the exact order of the steps.l Only use the mains adapter supplied with the Swing.l Make sure the voltage of the mains adapter is compatible with the power source. Info Warning

6.2 Battery operation

Plug the mains adapter into the mains socket. Insert four AA Mignon LR6 batteries. Close the battery compartment.

Carefully push the breast shield onto the connector.

6. Preparing for pumping

l Wash hands thoroughly (at least one minute) with soap and water before touching the breast and pump parts. Screw bottle into connector.

the pump set l Carry out all the steps with care and assemble the pump set correctly. Otherwise a good vacuum may not be achieved.l Use Medela original accessories only.l Check pump set components for wear or damage before use and replace if necessary.l Hold the tubing by the connecting piece while attaching and detaching it.l All components must be completely dry before use.Caution Info Note

Carefully push the valve membrane onto the valve head until it engages. Push the yellow connecting piece onto the connector with a slight twist. Insert the other end of the tubing into the motor unit. Push the valve head and mem- brane onto the connector. Position valve head laterally.

Place the breast shield on your breast so that your nipple is properly centred in the tunnel.

single pumping Switch on the breast pump with The stimulation phase lasts a maximum of two minutes. The stimulation phase will then automatically change to the expression phase.

l re step 2 (chapter 7.1): Answer the following questions to nd out whether the available breast shield size will t:l Is your nipple moving freely in the tunnel? l Is minimal or no areolar tissue being pulled into the tunnel of the breast shield? l Do you see a gentle, rhythmical motion in the breast with each cycle of the pump? l Do you feel the breast emptying all over? l Is your nipple pain-free? If the answer to any of these ques-tions is “No” or if you experience problems or pain during expression, consult your breastfeeding and lactation consultant or midwife.Caution l re step 2 (chapter 7.1): Do not hold the pump set by the bottle. This can lead to blockage of the milk ducts and engorgement.l Wipe the breast with a warm washcloth (do not use alcohol). Note

Hold the breast shield onto your breast with your thumb and index nger. Support your breast with the palm of your hand. The vacuum can be adjusted in every phase. Comfort vacuum: Use to increase the vacuum until it is slightly uncomfortable. Then press to dial it back minimally. If your milk starts to ow earlier, press the button to change to the expression phase. Make sure that the milk is owing into the bottle properly. 2121i

Switch off the breast pump with

l Always disconnect the Swing from the power source after expression. l Only ll the bottle to the 150 ml mark. l Contact your midwife or lactation consultant if you can express only minimal or no milk or if expression is painful. l Swing switches off automatically if it has been running for 30 minutes with no manipulations. l Do not kink the tubing during expression. Overview of LEDs lights up Ondoes not light up Offeven, regular ashing Stimulation phaselight constantly on Expression phaserapid ashing Min./Max. vacuum Note Caution Info

Use the stand to prevent the bottle from tipping over. Close the bottle with a lid. Follow the instructions in

Chapter 8 “Storing and thawing

breast milk”. Clean in accordance with Chapter 5, page 12. 23238. Storing and thawing breast milk

Storage guidelines for freshly expressed breast milk (for healthy terms babies) Room temperature Refrigerator Freezer Thawed breast milk 4–6 hours at 19 to 26 °C ( 66 to 78 °F) 3–8 days at 4°C (39 °F) or lower 6–12 months –18 to –20 °C (0 to –4 °F) In refrigerator for 10 h max. Do not refreeze! l Do not store breast milk in the door of the refrigerator. Instead choose the coldest part of the refrigerator (this is at the back of the glass shelf above the vegetable compartment).

l You can freeze expressed breast milk in milk bottles or “Pump & Save”* bags. Do not ll the bottles or bags more than 3/4 full to allow space for possible expansion. l Label the bottles or “Pump & Save” bags with the date of expression.

Do not thaw frozen breast milk or do not warm breast milk in a microwave or a pan of boiling water to avoid loss of vitamins, minerals and other important components and to prevent burns. l ln order to preserve the components of the breast milk, thaw the milk in the refrigerator overnight. Alternatively, you can hold the bottle or “Pump & Save” bag under warm water (max. 37 °C). l Gently swirl the bottle or “Pump & Save” bag to mix any fat that has separated. Avoid shaking or stirring the milk. Warning 24249. Feeding breast milk

BREASTFEEDING MOTHERS Invented by MedelaSupportingbabies feedingbehaviourMoremilk inless time

Info Medela recommends Calma for feeding breast milk. Calma – unique feeding solution for breast milk. As a result of its comprehensive research work, Medela is one of the rst com pa nies in the world to incorporate babies’ breastfeeding behaviour into its 2-Phase Expression and Calma innovations. 2-Phase Expression mimics the baby’s natural sucking rhythm to express more milk in less time. Short, stimulating patterns are followed by longer ones, providing optimal milk ow. The uni que Calma breast milk feeding device allows the baby to pause and breathe during feeding whilst maintaining the suckling behaviour learned at the breast. Deve lo ped for a great breast feeding experience. With Calma l your baby can feed, pause and breathe regularly. l milk will ow when a vacuum is created. l your baby’s natural feeding behaviour will be maintained, supporting easy transition back to the breast. You can nd detailed information about Calma on the Medela website (www.medela.com).

252510. Troubleshooting Problem Solution If the motor is not running Check presence of mains current. Check the position of the batteries in the battery compartment. If there is low or no suction Verify the valve head and membrane are clean and not damaged. Ensure the membrane is attached correctly to the valve head. Check the lateral position of the valve. Check all connections. Check the ends of the tubing t securely into the back of the connector and into the port on the breast pump. Do not kink the tubing during expression. Ensure the breast shield forms a complete seal around the breast. If condensation appears in the tubing Rinse out the tubing. Shake out any water droplets. Hang up the tubing to air-dry. If milk gets into the tubing Turn off the pump and unplug from power source. Remove and clean the tubing. Shake out water droplets and hang to air-dry. If milk gets into the pump Turn off the pump and unplug from power source.

1. Open the battery cover, remove the expanded-plastic liner. Wash

the expanded-plastic liner with clear, lukewarm water and squeeze out well. Allow to dry thoroughly.

2. Pour about 200 ml of warm soapy water into a container.

3. Connect the tubing and the power cable onto the pump.

4. Hold the device with the control button upwards over a basin and

switch on. Press and ensure that the lowest vacuum level is set by pressing twice.

5. Hold the end of the tubing that is not connected to the pump in

the container with the soapy water.

6. The water is pumped through the tubing into the device.

Allow it to pump until all the water has been ushed through.

7. Repeat procedure with 100 ml of clear, warm water.

8. Then leave the device switched on for 3 minutes, until the pump

9. As soon as the expanded-plastic liner is dry, put it in place again

and close the battery cover.

10. If necessary, clean the pump set according to cleaning instruc-

tions „Prior to rst use and once daily“. 2626Warranty The “International Warranty” brochure contains detailed warranty information. Disposal 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 accordance with local regulations. Use your local return and collection system for waste electrical and electronic equipment (incl. batteries). Improper disposal may have harmful effects on the environment and on public health.

150 ml breast milk bottles (3 pcs) 250 ml breast milk bottles (2 pcs)

Cooling Bag CityStyle breast pump bag Other Medela products are available on the www.medela.com web site. The following accessories for Swing are available from Medela distribution partners by specifying the product number.

12. Complete care during breastfeeding time

• If the result of expression is unsatisfactory or expression is painful, contact your midwife or lactation consultant. A different size of PersonalFit breast shield may help make expression more comfortable and successful. 2828Breast care Evidence based research Feeding Breast milk management Collecting Pumping 29291. Verwendungszweck / Zielgruppe – Kontraindikationen 31

Electromagnetic emissions The electric breast pump Swing is intended for use in the electromagnetic environment specied below. The customer or the user of the electric breast pump Swing should assure that it is used in such an environment. Emission tests Compliance Electromagnetic environment – guidance RF emissions CISPR 11 Group 1 The electric breast pump Swing uses RF en- ergy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. RF emissions CISPR 11 Class B The electric breast pump Swing is suitable for use in all establishments, including domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic pur- poses. Harmonic emissions

Class A Voltage uctuations / icker emissions

No signicant voltage changes Warning – The electric breast pump Swing should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the electric breast pump Swing should be observed to verify normal operation in the conguration in which it will be used. 160Electromagnetic immunity The electric breast pump Swing is intended for use in the electromagnetic environment specied below. The customer or the user of the electric breast pump Swing should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment – guidance Electrostatic discharge ( ESD )

± 6 kV contact ± 8 kV air ± 6 kV contact ± 8 kV air Floors should be wood, concrete or ceramic tile. If oors are covered with synthetic material, the relative humidity should be at least 30%. Electrical fast transient / burst

± 2 kV for power supply lines ± 1 kV for input / output lines ± 2 kV for power supply lines Not applicable

Mains power quality should be that of a typical commercial or hospital environment. Surge

± 1 kV line( s ) to line(s) ± 2 kV line( s ) to earth ± 1 kV differential mode Not applicable

Mains power quality should be that of a typical commercial or hospital environment.

No earth, class II equipment Electromagnetic Compatibility (EMC, IEC 60601-1-2:2007, Table 2) 161Voltage dips, short interruptions and voltage variations on power supply input lines

for 5 s Mains power qual- ity should be that of a typical commercial or hospital environment. If the user of the electric breast pump Swing requires continued op- eration during power mains interruptions, it is recommended that the electric breast pump Swing is powered from an uninterruptible power supply or a battery. Power frequency (50/60 Hz) magnetic eld

3 A/m 3 A/m Power frequency mag- netic elds should be at levels characteristic of a typical location in a typical commercial or hospital environment. NOTE U

is the a.c. mains voltage prior to application of the test level.

13. EMC / Technical description

162Electromagnetic Compatibility (EMC, IEC 60601-1-2:2007, Table 4) Electromagnetic immunity The electric breast pump Swing is intended for use in the electromagnetic environment specied below. The customer or the user of the electric breast pump Swing should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment – guidance Conducted RF

3 Vrms 150 kHz to 80 MHz 3 V/m 80 MHz to 2,5 GHz 3 Vrms 3 V/m Portable and mobile RF communi- cations equipment should be used no closer to any part of the electric breast pump Swing, including cables, than the recommended separation distance calculated from the equation applicable to the fre- quency of the transmitter. Recommended separation distance d = 1,2√P d = 1,2√P 80 MHz to 800 MHz d = 2,3√P 800 MHz to 2,5 GHz where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manu- facturer and d is the recommended separation distance in metres (m). Field strengths from xed RF trans- mitters, as determined by an electro- magnetic site survey,

should be less than the compliance level in each fre- quency range.

Interference may occur in the vicinity of equipment marked with the follow- ing symbol: 163a Field strengths from xed transmitters, such as base stations for radio (cellular/cordless) tele- phones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to xed RF transmitters, an electromagnetic site survey should be considered. If the meas- ured eld strength in the location in which the electric breast pump Swing is used exceeds the applicable RF compliance level above, the electric breast pump Swing should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the electric breast pump Swing.

Over the frequency range 150 kHz to 80 MHz, eld strengths should be less than 3 V/m. Note 1 At 80 MHz and 800 MHz, the higher frequency range applies. Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reection from structures, objects and people.

13. EMC / Technical description

164Electromagnetic Compatibility (EMC, IEC 60601-1-2:2007, Table 6) Recommended separation distances between portable and mobile RF communications equipment and the electric breast pump Swing The electric breast pump Swing is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the electric breast pump Swing can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the electric breast pump Swing as recommended below, according to the maximum output power of the communications equipment. Rated maximum output power of transmitter W Separation distance according to frequency of transmitter M 150 kHz to 80 MHz d = 1,2√P 80 MHz to 800 MHz d = 1,2√P 800 MHz to 2,5 GHz d = 2,3√P 0,01 0,12 0,12 0,23 0,1 0,37 0,37 0,74 1 1,2 1,2 2,3 10 3,7 3,7 7,4

For transmitters rated at a maximum output power not listed above, the recommen- ded separation distance d in metres (m) can be estimated using the equation ap- plicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer. Note 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2 These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reection from structures, objects and people. 165vacuum (approx.) -15....-295 mmHg -2....-39 kPa 45 … 120 cpm 4 x 1.5V, Alkaline AA, Mignon, LR6 121 x 121 x 57 mm 300 g 200 g Operation/ Transport / Storage Betrieb/ Transport / Lagerung En Service/ Transport / Stockage Utilizzo/ Transport / Stoccaggio Gebruik/ Transport / Opslag Pengoperasian/ Pengangkutan / Penyimpanan In Out 100-240V~ 50/60Hz 230-240V~ 50Hz AUS/NZ only