Medela Pump In Style Advanced Manual

Introduction

Take a moment to read through this entire instruction manual before using this product for the first time.

PlEaSE SavE ThESE iNSTRuCTioNS.
It is best to wait until your breastfeeding routine is established (approximately 4 weeks) before expressing breastmilk, unless otherwise advised by your healthcare professional.

Glossary of Terms
2-Phase Expression^® technology – research based technology that mimics a baby's natural nursing rhythm.
Expression Phase – slower sucking/pumping rhythm for gentle and efficient milk removal as quickly as possible.
Maximum Comfort vacuum^™ – highest vacuum setting where a mother still feel comfortable during pumping. It is different for every mother.
Stimulation Phase – fast sucking/pumping rhythm to stimulate the milk ejection reflex and to start the milk flowing.

Intended Use
For lactating women to express and collect milk from their breasts to complement breastfeeding.
If you have medical reasons or other needs for exclusively pumping, it is recommended that you use a hospital grade breastpump such as our Symphony breastpump with 2-Phase Expression technology. To learn more, visit us at www.medelabreastfeedingus.com.

Product Description
Pump In Style ® Advanced (PNSA) is a personal use electric breastpump that includes 2-Phase Expression technology and is capable of single and double pumping.

Product Description

Additional parts included with The Metro Bag^™

27 mm PersonalFit Breastshields: 87274
Metro Bag including:
Flexible, Plastic Workspace: 3007299
2 Mesh Storage Bags

Cleaning

Before using for the first time
Clean and sanitize the parts below before using your pump for the first time.

• Breastshield
  

• Breastshield connector
  

• White membrane
  

• Yellow valve
  

• Breastmilk bottles and lids
  

• Only use drinking-quality tap or bottled water for cleaning.
• Take apart and wash all parts that come in contact with the breast and breastmilk immediately after use to avoid dry up of milk residues and to prevent growth of bacteria.

After each use
Clean all parts that come in contact with your breast and breastmilk.

• Clean Sink or Bowl
• Drinking Quality Water

1. Separate breastshields from breastshield connectors.
   
2. Twist and pull the yellow valves off the breastshield connectors.
   
3. Remove the white membranes from the yellow valves.
   
4. Rinse in cool water all separated parts that came in contact with breast and breastmilk in order to remove breastmilk residue.
   

Washing options:

5. Washing in sink:
   
   • Soak all separated parts in warm soapy water for 5 minutes.
   • Clean with a clean dish-cloth or soft brush.
   • Rinse all separated parts with clear water.
   • Allow all parts to air dry in a clean area.
   • Store dry parts when not in use.
   OR
   Washing in dishwasher:
   
   • Wash all separated parts on top rack of dishwasher.
   • Allow all breastpump parts to air dry in a clean area.
   • Store dry parts when not in use.

Note

• Wash breastpump kit parts after each use.
• Sanitize breastpump kit parts once daily.

Sanitize daily

Wash hands thoroughly.

1. Separate all parts that come in contact with your breast and breastmilk.
   
2. 
   

• Fill a pot with enough water to cover all parts.
• Bring water to a boil.
• Place parts in boiling water for 10 minutes.

3. Allow water to cool and gently remove parts from water with tongs.
   
4. 
   
   • Place parts on a clean surface and/ or towel.
   • Allow all parts to air dry.
   • Store dry parts when not in use. Do NOT store wet or damp parts.
   
   
   or
   You may sanitize your kit parts by following the instructions on Medela's Quick Clean ™ Micro-Steam ™ bag.
   

• Do not store wet or damp parts as mold may develop.
• If tubing becomes moldy, discontinue use and replace tubing. Contact Medela Customer Service at customer.service@medela.com or 1-800-435-8316.

Note

• Tubing should be washed if dirty or milk is present. Follow instructions in.

Tubing and faceplate cleaning

Clean the faceplate monthly. Also, inspect tubing after each pumping session. Clean tubing and faceplate if there is any sign of condensation and/ or milk.

1. Turn off breastpump.
   
2. Unplug breastpump from power source.
   
3. Remove tubing by pulling straight out of tubing ports. Do not wiggle or pull tubing at an angle.
   
4. Remove tubing from breastshield.
   
5. Rinse tubing in cool water to remove breastmilk.
   
6. 
   
   • Wash tubing in warm soapy water.
   • Rinse tubing with clear water.
   • Hang to air dry.

Note

• Make sure faceplate and diaphragm are completely dry before reseating.
• The faceplate must be seated correctly and snapped together at all connection points. This ensures the pump will have adequate vacuum and optimum performance.

7. Snap off the faceplate using the thumb tab.
   
8. 
   
   • Soak in warm soapy water for 5 minutes.
   • Clean with a clean dish-cloth or soft brush
   • Rinse parts with clear water.
   • Allow to air dry in a clean area.
9. 
   
   • Wipe diaphragm with a clean (no soap), damp cloth.
   • Allow to air dry in a clean area.

10. Locate the 3 connection points on the reverse side of the faceplate and on the pump.
    
11. Align connection points and hold back of pump with one hand while pushing on the faceplate until it snaps into place.
    

Cleaning your breastpump bag
Use a damp (not wet) cloth to wipe the breastpump bag after each use.

Assembly

Parts you will need for this step:

Note

• Inspect valves for cracks or chips and inspect membranes for holes, tears or warping. If you notice any damage to these parts, replace them immediately.

Assembly of pump kit

1. Wash hands before touching breastpump, kit and breasts and avoid touching the inside of containers or lids.
   
2. Place your breastpump on a clean and dry surface. Ensure that the surface is solid and secure so your breastpump will not tip over or fall.
   
3. Securely attach breastshield to breastshield connector.
   
4. Snap membranes onto valves until membranes lie completely flat on valve.
   
5. Push assembled yellow valves and white membranes onto bottom of breastshield connectors.
   
6. Screw bottles onto breastshield connectors.
   

• Use only the power adaptor supplied with the Pump In Style Advanced.
• Always inspect the 9 volt power adaptor and Battery Pack cords prior to use for damaged, kinked, twisted, frayed or exposed wires. If damaged, immediately discontinue use and call Medela Customer Service at 1-800-435-8316.
  

Note

• See Section Battery Pack Assembly for instructions on the use of the Battery Pack.
• See Section Traveling Outside the U.S. for information on using your device internationally.

7. Insert hard yellow adapter ends of tubing into hole on the back of breashield connectors.
   

8. Double pumping: Insert free ends of tubing onto both ports on front of breastpump faceplate.
   
9. Single pumping: Insert free end of tubing onto one port on front of breastpump faceplace. Place port cap over the unused port.
   
10. Plug the metal fitting on end of 9 volt power adaptor or Battery Pack cord into the power jack on front of breastpump faceplate.
    
11. Plug 9 volt power adaptor into a standard electrical outlet.
    

• While some discomfort may be felt when first using a breastpump, using a breastpump should not cause pain. If you are unsure about breastshield sizing, please contact a healthcare professional or breastfeeding specialist who can help you get a proper fit.

Correctly fitting breastshields
Properly fitting breastshields will ensure comfort and efficient milk expression. To determine if you have the correct size, look at the following diagram:

• The nipple should be centered in the tunnel of the shield.
• The nipple should move freely without rubbing when the pump is turned on.
• Minimal or no part of your areola should be pulled into the tunnel of the breastshield.
  Correct fit
  
• You should see a gentle, rhythmic motion in the breast with each cycle of the pump.
• After pumping, your breast should feel much less full with no areas of hardness.

Medela offers smaller and larger sizes which are available at many local retailers or visit www.shopmedela.com.

PersonalFit Breastshields
21 mm (Small) Item 87072
24 mm (Medium) Item 87073
27 mm (large) Item 87274
30 mm (X-large) Item 87075
36 mm (XX-large)
Item 87084

Choosing the right size PersonalFit

1. Determine the size you're currently using. If you're not sure, look for the size embossed on your breastshield (see picture). 24 mm (M) breastshields are provided with Medela breastpumps.
   
2. While pumping, compare your fit to the images below as a sizing guideline.
   Correct fit
   
   Your breastshield is too small; try a larger size
   
   Your breastshield is too large; try a smaller size
   

Power options
Power adaptor care
To care for your adaptor be sure to follow these storage directions.
Do not wrap cord of power adaptor around the plug body. Your breastshield is too large;

Correct!

Do not unplug power adaptor by pulling on the cord.

Correct!

Note

• Remove the batteries if the Battery Pack is not going to be used for an extended period of time.
• If breastpump does not turn on, make sure the batteries have been inserted properly. If this does not solve the problem refer to the troubleshooting section of this instruction booklet or contact Medela Customer Service at 1-800-435-8316.
• Each set of batteries will provide approximately 2 hours of pumping time.

Battery Pack

1. Use 8 AA rechargeable batteries or alkaline batteries.
   
2. Slide off both battery covers. Four (4) batteries are placed on each side of battery pack.
   
3. Place the NEGATIVE (-) end of the battery against the front of the spring by pushing the battery in and down in one motion until the battery snaps into place.
   The POSITIVE (+) end of the battery should be near the positive sign on the battery pack.
   
4. Replace battery cover.
   

Traveling outside the u. S.
When traveling outside of the U.S., there are 2 power options:
Use the Battery Pack that was included with your Pump In Style
Advanced breastpump.

or
Purchase the 9 volt Vehicle Lighter Adaptor (sold separately). Locate a Medela Retailer at: http://medela.findlocation.com or visit our online store at www.shopmedela.com.

Pumping

• Always inspect breastshield, breastshield connectors, white membranes, yellow valves, and tubing prior to use for cleanliness. If dirty.
• If you experience pain or other symptoms while pumping seek advice from your healthcare professional or breastfeeding specialist. for more information.
• 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.
• Make sure tubing is not kinked or pinched while pumping.

info

• Research has shown that you will pump more efficiently – get more milk in less time – when pumping at Maximum Comfort Vacuum ™ during the Expression Phase.
• You should reassess your Maximum Comfort Vacuum throughout your pumping experience because it can change during the different stages of lactation.
• Do not tilt or overfill containers when pumping.

Device operation

1. Wash hands before touching breastpump, kit and breasts and avoid touching the inside of containers or lids.
   
2. Center the assembled breastshields over your nipples.
   
3. To begin pumping, turn dial clockwise from the off position. Your pumping session will start in the Stimulation Phase. While pumping, adjust the speed/vacuum by turning the dial to your comfort level.
   
4. After two minutes, the pump will automatically change to the Expression Phase.

5. To find your Maximum Comfort Vacuum, increase speed/ vacuum until pumping feels slightly uncomfortable (not painful), then decrease slightly.
   
6. When your pumping session is over unplug tubing from the back of the breastshield(s) before setting down the bottles.
   

7. Allow the pump to continue to run while you store your breastmilk. This will allow any condensation that has formed from the natural results of humidity to dry in the tubing.
   
8. Turn off breastpump.
   
9. Unplug breastpump from power source.
   
10. Prior to storing your pump remove tubing by pulling straight out of tubing ports. Do not wiggle or pull tubing at an angle.
    
11. Disassemble and clean per Cleaning Instructions in.
    

Storing Breastmilk

• Check with your hospital or healthcare provider if you require specific storage instructions.
• Do not thaw frozen breastmilk in a microwave or in a pan of boiling water.

• Do not microwave breastmilk. 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 breastmilk.)

Note

• If the ice pack is frozen solid, it will safely cool your breastmilk for up to 12 hours in a room temperature environment.

Storing breastmilk in Pump In Style ® Advanced cooler bag
The Pump In Style Advanced cooler bag requires one contoured ice pack (#87092, included) for cooling up to four 5 oz bottles of breastmilk.

• As soon as you are finished pumping, place the breastmilk bottle or breastmilk storage bag in the cooler bag with the ice pack.
• Transfer breastmilk bottles or breastmilk storage bag to the refrigerator or freezer once you are home.

Preparing and Feeding Breastmilk

Preparing breastmilk

• Thaw breastmilk overnight in the refrigerator. Thawed breastmilk is safe in the refrigerator for 24 hours. Do not refreeze thawed breastmilk.
• Quickly thaw breastmilk by holding the bottle under warm running water.
• Place the sealed bottle in a bowl of warm water for 20 minutes to bring it to body temperature.
• If you are adding expressed breastmilk to a container of already frozen breastmilk, make sure to add a lesser amount than the already frozen amount.

Feeding breastmilk
It is recommended that breastfeeding is well established prior to bottle feeding your baby.

• Always inspect the bottle, nipple and other components immediately before and after each use. If nipple appears cracked or torn, discontinue use immediately.
• To prevent possible choking hazard, test strength of nipple by pulling on bulb portion of the nipple.
• Do not attempt to enlarge the nipple hole.
• Infants must not be bottle fed without adult supervision.
• Nipple should not be used as a pacifier.

Troubleshooting

If you have not resolved the problem with your breastpump or your have further questions, please contact Medela Customer Service at 1-800-435-8316 or email customer.service@medela.com.

Supplemental information

Following are some common breastfeeding related conditions. If you experience any of these symptoms, contact a healthcare professional or breastfeeding specialist.