Multiflow Manual - Breast pump TIGEX - Free user manual and instructions

USER MANUAL Multiflow Manual TIGEX

UK Thank you for choosing a TIGEX product!

Tigex, pregnancy and breast feeding specialist, has developed a complete range of useful and practical products marrying comfort and efficiency. Designed with and for all mothers, Tigex products offer you the greatest of today's innovation to traverse this period with complete peace of mind. So that breast feeding is both a pleasure and an intimate moment between mother and baby.

Description of the breast pump (see diagram A)

1- Handle
2-Slot for lever
3- Handle fixture
4-Lever
5-Pump diaphragm
6- Soft-textured shield
7- Handle anchor point

8 - Anti-reflux valve
9-Bottle
10-Lid
11 - New born ventilated teat
12-Screw ring

When to use your breast pump

To produce a reserve of breast milk to be used in case of an absence or separation, your return to work, or simply to hand over to dad. Breast milk expressed with the breast pump can be collected directly, stored, frozen and reheated in the bottle supplied (see chapter on conserving breast milk).

How to clean and sterilise your breast pump?

Before using the apparatus for the first time and after each usage, you should dismantle your breast pump and wash and sterilize all the parts. Milk residues can damage the materials and lead to the development of bacteria.

To clean the different parts, run them under running water or put them through the dishwasher (the dishwasher however is not recommended for cleaning the teat). The valves are particularly fragile; take care not to use anything that may damage it. Next, sterilise the parts in a steriliser (electronic or microwave) or by boiling them in water for 5 minutes (ensure there is enough water to prevent damage). It is not recommended to sterilise these parts directly in the microwave (that is, except for the microwave steriliser) because this may damage the materials.

Important! Allow the sterilised parts to cool down sufficiently before reusing.

Also make sure that the parts are completely dry before assembling the breast pump.

How to prepare and assemble your breast pump (see Diagram B)

1. Place the lower end of the lever 4 (the part without the Tigex logo) in the opening of the diaphragm 5, so that the diaphragm is positioned inside the slot of the lever.
2. Insert the diaphragm 5 into the upper part of the breast shield 6, making sure that the edges of the diaphragm is snugly slotted inside the shield.
3. Slide the handle 1 between the lever 4 and the diaphragm 5 so that the lever goes into the slot 2. Next, position the head of the lever inside the small space provided for it, on top of the handle 1.
4. Snap the handle fixture 3 into its anchor point 7.
5. Insert the anti-reflux valve 8 under the shield 6.
6. Screw the bottle 9 on under the shield 6.

How to use your breast pump (see Diagram C)

Using a breast pump may require a little practice and you may need to make several attempts. Do not feel discouraged if you don't succeed the first time. If after several minutes you have not managed to express any milk, try again at another time. Under no circumstances should using the breast pump be painful.

Before all usage, wash your hands thoroughly, wash and sterilise your breast pump and assemble it following the instructions given in the previous section.

1. Place the shield 6 on the breast so that the nipple is in the centre. Ensure that there is no space between the shield and the skin, in order to produce good suction. Always keep the breast pump upright if possible.
2. Hold the breast pump by placing your thumb under the shield and the other fingers on the lower part of the handle. Diagram C2 illustrates 2 different hand positions: you are free to choose the one you find most comfortable.
3. Start by pumping the handle 1 with a regular action and then releasing it slowly. To trigger milk production, TIGEX recommends that you begin with a fast action, and then adopt a slower, fuller action to express milk efficiently.

You can regulate suction strength by performing a fairly wide pumping action. The further you press the handle, the greater the suction strength produced. To reduce suction strength therefore, do not press the pump handle as far.

1. When you have finished expressing the milk, carefully unscrew the bottle 9 from the shield 6. Ensure that the bottle is kept upright.

Advice for expressing your milk

During breastfeeding, skin contact between baby and the breast stimulates the milk production reflex. To successfully use your breast pump, the key is to trigger this same reflex, and therefore stimulate the let-down.

• Choose a calm place where you can be completely relaxed when expressing your milk.
• Sit down in a comfortable and relaxed position.
• Ideally, have some visual contact with your baby. If this is not possible, use a photo of your baby or have an item of clothing with his smell to hand.
• Before you begin using the breast pump, you may place a hot compress on your breast for several minutes in order to relax the breast tissue, which facilitates milk flow. You can also express your milk after a hot shower or bath.

• You can also massage your breasts to extract the first drops of milk manually. To do this, you can use the following 2-stage technique (see diagram D):

• 1st stage (stimulating milk flow). Massage the breast with small circular movements, starting from the outer edge and working towards the nipple. Finally, lean forward and shake the breasts with your hands to encourage the ejection of milk by gravity.

• 2nd stage (extracting the milk): place your thumb, index finger and middle finger on either side of the nipple, so that the 3 fingers form a C-shape. To eject the milk, firmly press the fingers directly against the rib cage while simultaneously rolling the thumb and fingers forward, without pinching the nipple. Repeat this motion for 3 to 5 minutes on each breast, moving the fingers around the nipple.

How to store and feed your expressed milk?

Take care! Only conserve milk that has been expressed from a sterilised breast pump. Clearly mark the date and time the milk was collected on the container. Always use the oldest first.

Milk storage:

• 4h at room temperature (20-25°C)
• 48h in the fridge at or below 4^ C . Do not keep milk in the fridge door as temperature variations are too great.
• 4 months in the freezer at -19^

Note: if you wish to freeze your milk you should do so immediately. Do not freeze milk that has already been stored in the fridge. If you express your milk away from home, store and transport it in a cool box or in a cool bag with ice packs so the cold chain is respected.

Defrosting and reheating the milk

Never use a microwave: this will reduce the nutritional quality of the milk and increase the risk of burns.

The milk can be defrosted by placing it in the fridge and using it within 24h . It should never be refrozen. It can also be reheated in a bain-marie in a saucepan, in a bottle-warmer or under hot tap water.

Once the milk has been taken out of the fridge, it should be used within one hour if it has been kept at room temperature and within half an hour if it has been reheated.

Note: your milk can look slightly different after it has been stored. Before feeding your baby, shake the milk gently so that the milk fat is thoroughly mixed through and the heat is evenly distributed. Next check the temperature of the milk by pouring a few drops onto the inside of your forearm.

Source: ANSES (French Agency for Food Health Safety) data, July 2005. Data valid for home storage and for children born at full term and in good health.

Frequently asked questions:

• Is using a breast pump painful?
  Under no circumstances should using the breast pump be painful. Do not apply force when expressing milk. If usage is painful, reduce the suction intensity by reducing the width of your hand movements or consult a breast feeding specialist.
• I am unable to pump my milk
  Using a breast pump may require a little practice and several attempts. Do not feel discouraged if you don't succeed the first time. If after several minutes you have not managed to express any milk, try again at another time. Our guidance section will also help you to prepare in the best possible conditions.
• I can't manage to express enough milk.
  Be aware that milk is produced as needed: if you express your milk other than during normal feeds, it may be normal for you to have insufficient milk to express. Try expressing the milk in batches, at other times during the day (for example in the morning when the supply of milk is greater).
  Stress or fatigue may reduce milk production. Rest and relaxation are therefore important. You should also drink a lot of liquid in order to stimulate milk production.

• How long does it take to express milk?
  The duration for expressing milk can vary significantly, according to your physiology, your mood, and the time of day when you express your milk. You can expect a 150 ml bottle to take at least 10 to 15 minutes.

• How often should I express my milk?

If you stop breastfeeding your child directly or you are unable to do so but you wish you sustain your milk production, the normal breastfeeding rhythm should be maintained. You should therefore express your milk at least 4 or 5 times per day. For all other situations, you can express your milk as often as you wish according to your completely individual needs.

• Which breast should I pump milk from?

As with breastfeeding, milk can be expressed alternately from both breasts. Change breasts when the milk flow is low or diminished. Suction should however be maintained for long enough to ensure collection of the "hind" milk at the end of the feed which provides baby with the most nutrition.

• When should I pump my milk?

If you are pumping milk to store, it is better to wait until lactation is well established, after about 4 or 5 weeks. Express your milk ideally 30 to 60 minutes after a feed and at least 1 hour before the next feed to be sure that there is enough milk for baby at feeding time. Never pump your milk just before a feed if you are continuing to breast feed.

If you express milk in order to sustain your milk production when you are unable to breastfeed, it is best to maintain the natural feeding rhythm since the most milk is available at the customary breastfeeding times.

• When I pump milk from one breast, I lose a lot of milk from the other breast, what can I do?

This is normal because when you use a breast pump you stimulate the milk "let-down" reflex in both breasts simultaneously. Tigex recommends you use breastfeeding cups. They should be placed on the other breast while using the breast pump to collect and then store any milk that is released. Ensure they are thoroughly sterilised before use and decant any milk collected immediately.

• I've expressed my milk but baby refuses to feed. What should I do?

The first thing you should do is remain calm and relaxed, and not insist too much when baby refuses. A maximum of 10 minutes each time will suffice.

To help baby maintain his routine, give him the bottle heated to 37^ and run hot water over the teat. Be aware that starting with your breast milk is an advantage: in this way, the baby recognizes its taste and smell and this reassures him.

Finally, as baby associates you with breastfeeding, you can't try to bottle feed him in a different position from the one used for breastfeeding so he does not become too unsettled. If baby still refuses to bottle feed, hand him over to daddy or a third person.

• My breast pump is not working properly

If suction is not efficient, check that the breast pump is properly assembled (see diagram B), and check the condition of the parts ensuring airtightness: the diaphragm 5 and the valve 8. If any parts are lost, or have deteriorated, contact the TIGEX customer service department to replace them. Also check that the shield is correctly positioned on the breast without any air passing between the shield and the skin.

Finally, note that the valve 8 ceases to function when the bottle is too full and when it is in contact with the expressed milk. You must therefore change the bottle.

Important safety information

• If the breast milk is for a premature baby, ensure that all directives provided by your doctor are strictly respected.
• This apparatus is not designed for use by any individual (including children) with diminished physical, sensory or mental capacities, or any individual without experience or knowledge, unless they are supervised or given instructions for initial use by an individual that is responsible for their safety.
• Children should be supervised to ensure they do not play with the apparatus.
• Only use the Skin Touch manual breast pump for the purpose for which it was designed as described in this instruction manual.
• If you notice any unexpected reactions, contact your midwife, lactation consultant or doctor.
• Do not leave the apparatus in direct sunlight as UV rays and overheating may weaken the plastic materials.
• Remove any ointment containing grease before pumping milk as this could damage the surface of the shield.
• Keep small parts out of reach of children: risk of swallowing.
• The teat and bottle supplied comply with the EN 14350 standard

Precautions for use bottles and teats

Care and Cleaning :

• Sterilize prior to first use: Place the feeding bottles, teats and accessories in boiling water for 5 minutes and allow to cool before use. This is to ensure hygiene.
• Clean before each use. Carefully clean all parts with hot soapy water, or use top rack of dishwasher.
• For teats: Do not use dishwasher to clean.

• If you wish, sterilize feeding bottles, teats and accessories each time you use them.

• The feeding bottle can be hot or cold sterilized (steam and microwave sterilization). It is suitable for all standard sterilizers and bottle warmers.

• Inspect before each use and pull the feeding teat in all directions. Throw away at the first signs of damage or weakness. Replace feeding bottles and teats at the first signs of damage or weakness. Do not pierce holes in teat.
• Do not leave a feeding teat in direct sunlight or heat, or leave in disinfectant ("sterilising solution") for longer than recommended, as this may weaken the teat.

For the hygiene and safety of your child:

Warning!

Always use this product with adult supervision.
- Never use feeding teats as a soother.
- Continuous and prolonged sucking of fluids will cause tooth decay.
- Always check food temperature before feeding.
- It is not advisable to warm feeding bottles in a microwave oven. If you do so, leave the bottle open and remove the teat and any accessory.
- Shake the bottle well. Heating in a microwave oven may produce localized high temperatures.
- The long-term use of microwave or bottle warmer can damage bottles and teats.
- Do not allow baby to take a bottle to bed or self-feed for long periods. Accidents have occurred when babies have been left alone with drinking equipment due to the baby falling or if the product becomes disassembled.
- Keep all components not in use out of the reach of children.
- The wide-based teat Tigex has to be used with wide-based bottles. Tigex INTUITION and MULTIFLOW.

a a a a a a a a a a a a a a a a a a a a a a a a a a a

ylll jll jao gaaai aia jilai

y

aaii i 1

aill jll

alaii iie 1e jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia jia

a 5 aal 1y

（）

y 1

aaii

(B)

1

aill 6 aill 5

4gjdl jgl 2 5 4 1

1.1

7 13 3 2

.6 8 18 jaiill pall plalll .5

.6 a9 9 6

(CJsill)

y 1

yolbln Jnnl llln y jg aal

Lalaiassaaayjyuyall jyaiy yia

a 1

aai jaae aae ae aee aee eae ee aee

iikay ylll luyu ayy jaiy yjdy aaiy daiy jaiy aaiy

jolpao jaoaaiyaiyai biai

(D kll jill) jiljie aaii iiall kaiy dkiaydikaiy dkiay dkiay dkiay

a a a a a a a a a a a a a a a a a a a a a a a a

a aalaae aee aae aee aee

a

y

j 24 24

jolal oall ayis cai jilabllclllo

Aa aal 100000000000000000000000000000000000000000

1. a 12.