Philips Breast Pump ISIS iQ UNO User Manual

Warnings and Cautions  
When using electrical products, especially when children are present, basic safety precautions should  
always be followed, including the following.  
READ ALL INSTRUCTIONS BEFORE USINGYOUR PHILIPS AVENT ISIS iQ UNO  
BREAST PUMP.  
WARNING To reduce the risk of fire, electrocution, or other personal injury:  
• ISIS iQ UNO is intended for repeated use by a single user only.  
• Always unplug from the electrical wall socket immediately after use.  
• Do not use while bathing.  
• Do not place or store the product where it can fall or be pulled into a bath or sink.  
• Do not place or drop the control handle, battery pack or mains power lead into water or other liquids.  
• Do not reach for a product that has fallen into water. Unplug from the wall socket immediately.  
• Do not allow children or pets to play with the control handle, battery pack, mains power lead or accessories  
as these parts may pose a choking or strangulation danger.  
Guarantee  
Philips AVENT guarantees that should the ISIS iQ UNO Electronic Breast Pump become  
faulty during twelve months from the date of purchase, it will be replaced free of charge during  
this time. Please return it to the retailer where it was purchased. Please keep your receipt  
as a proof purchase, together with a note of when and where purchased.  
For the Guarantee to be valid, please note:  
The ISIS iQ UNO Electronic Breast Pump must be used according to the instructions  
in this booklet and connected to a suitable electricity supply or the battery pack provided.  
• Before each use inspect the product, including mains power lead, for signs of damage. Never operate  
this product if it has a damaged lead or plug, if it is not working properly or if it has been dropped,  
damaged or submerged in water.  
The claim must not be a result of accident, misuse, dirt, neglect or fair wear and tear.  
This Guarantee does not affect your statutory rights.  
• Only use attachments recommended by Philips AVENT.  
If the retailer is unable to help, please contact Philips AVENT Customer Services.  
Do not use outdoors or where aerosol spray products are being used, or where oxygen is being administered.  
• Equipment not suitable for use in the presence of flammable anaesthetic mixture with air,  
or with oxygen or nitrous oxide.  
• Only use the mains power lead and battery pack supplied with the product.  
• There are no user serviceable parts inside the ISIS iQ UNO. Do not attempt to open, service or repair  
the ISIS iQ UNO yourself.  
• Keep leads away from heated surfaces.  
For our complete catalogue of mother  
and babycare products  
GB: Call FREE on 0800 289 064  
UK ONLY (9am4.30pm Mon-Fri)  
• This product is a personal care item and should not be shared between mothers.  
IRL: Call FREE on 1800 509 021  
Do not attempt to remove the pump body from your breast while under vacuum.Turn the unit off and break  
the seal between your breast and the pump funnel with your finger, then remove the pump from your breast.  
IRL ONLY (9am4.30pm Mon-Fri)  
AU: 1 300 364 474  
• Do not operate control handle unless connected to a pump body.  
• Never use while pregnant, as pumping can induce labour.  
• Never use when sleepy or drowsy.  
• This appliance is intended for use by responsible persons, keep out of reach of small children and the infirm.  
• This appliance is not intended for use by persons with reduced physical, sensory or mental capabilities, or  
lack of experience or knowledge, unless they have been given supervision or instruction concerning use  
of the appliance by a person responsible for their safety.  
CAUTION To reduce the risks of injury, device malfunction or failure:  
• The product should not be left unattended when plugged into an electrical socket.  
• Never drop or insert any foreign object into any opening.  
• Make sure the voltage of the mains power lead is compatible with the power source.  
www.philips.com/AVENT  
Plug the end of the wall plug lead into the control handle first, then securely attach the wall plug into the socket.  
AVENT, Suffolk, CO10 7QS, England  
• Although compliant with applicable EMC directives, this equipment may still be susceptible  
to excessive emissions and/or may interfere with more sensitive material.  
• Wash, rinse and sterilise the appropriate pump parts before each use.  
Philips of Holland.All logos brands and product names are trademarks or registered  
trademarks of their respective holders and are hereby recognised as such.  
• Never put the control handle, battery pack or lead in water or a steriliser as you can cause permanent  
damage to the pump.  
• Do not continue pumping for more than five minutes at a time if no result is achieved.  
• Do not use antibacterial or abrasive cleaners/detergents when cleaning breast pump parts.  
• If the pressure generated is uncomfortable or causing pain, turn the unit off, break the seal between the  
breast and the pump body with your finger and remove the pump from your breast.  
ISIS iQ UNO Breast Pump  
1
421335410490 (05/07)  
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Congratulations!  
Breastfeeding your baby is a wonderful experience. However, there are times when you  
may need to express your breast milk.At Philips AVENT we have tried to replicate the  
way your baby feeds, making expressing your milk a comfortable and enjoyable experience.  
Relax and enjoy the experience because you’re always in complete control.And when  
you’re relaxed and comfortable, you express more milk, faster.  
Intuitive and intelligent... It’s your iQ.  
Let-down Massage Cushion has petals  
What’s Inside:  
that flex in and out, gently massaging the area  
around the areola, simulating a baby’s feeding  
action.This is intended to help stimulate a fast,  
Expressing with ISIS iQ UNO  
natural milk flow.  
(Battery or Electric)  
Control Button gives you instant control over  
Warnings and Cautions  
1
comfort, right at your fingertips. By changing  
ISIS iQ UNO Pump Parts Guide  
Disassembling ISIS iQ UNO  
2-3  
5
the speed and intensity with which you express,  
you can imitate your baby’s unique feeding  
pattern – fast and shallow at the beginning,  
followed by a slower and stronger rhythm  
as your milk flows.  
Cleaning and Sterilising ISIS iQ UNO  
Assembling the pump body  
6
7-8  
Connecting the Electronics  
Hints to help you succeed  
Expressing with ISIS iQ UNO  
9-10  
11  
Electronic Memory learns from you. Just begin  
a comfortable pumping rhythm, press a button  
and ISIS iQ automates it.  
12-14  
Express, Store, Feed Convenience. Philips  
AVENT products work together so you never  
have to transfer milk between containers.  
Manual Expressing with ISIS  
ISIS Manual Breast Pump Parts Guide 15  
Assembling the ISIS Manual Breast Pump 15  
Using the ISIS Manual Breast Pump 16  
Ultra Comfortable, Quiet and Effective  
making it easier for you to continue giving your  
baby the benefits of breast milk.  
Please take a few minutes to read through this  
entire instruction leaflet before using your  
Philips AVENT ISIS iQ UNO for the first time.  
StoringYour Expressed Breast Milk  
17  
Keeping your pump sterile and  
compact for travel  
18  
18  
PLEASE SAVETHESE INSTRUCTIONS.  
Unless advised otherwise by your health professional it is  
best to wait until your breastfeeding routine is established  
before expressing – usually around 4 weeks.  
Technical Specifications  
Troubleshooting Guide  
19-20  
Need Help? Contact Customer Services (see back page for details)  
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4
Disassembling ISIS iQ UNO  
Before you use your breast pump for the first time and every time before use, you must  
disassemble and clean the parts as described opposite.  
Disassembly  
If you have already used your ISIS iQ UNO, turn  
1 the pump off by pressing and holding down the  
control button until the light goes off. Unplug from  
the wall socket and disconnect the mains power  
or battery pack lead from the control handle.  
You can be quite firm when removing  
2 the control handle. First pull directly upwards  
away from the diaphragm. Now unhook it from  
the stem by moving it towards the funnel.  
Remove the funnel cover and gently pull the  
3 Let-down Massage Cushion away from the funnel.  
Remove the silicone diaphragm and stem, unscrew  
4 the milk container and remove the white valve.  
Need Help? Contact Customer Services (see back page for details)  
5
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Cleaning and Sterilising ISIS iQ UNO  
Clean with a damp cloth when necessary:  
These components DO NOT  
come into contact with your  
breast milk.  
a
j
i
CAUTION: NEVER PUTTHE CONTROL HANDLE, BATTERY PACK OR MAINS POWER LEAD  
INWATER OR A STERILISER,ASYOU CAN CAUSE PERMANENT DAMAGETOTHE PUMP.  
Disassemble and clean before every use (including first use):  
b
c
g
d
e
h
f
Cleaning Instructions:  
Wash in warm soapy water and rinse, or wash on the top rack  
of the dishwasher. Sterilise in a steam steriliser (electronic,  
electric or microwave) or by boiling in water for 5 minutes  
before every use.  
CAUTION: DO NOT USE ANTIBACTERIAL OR ABRASIVE CLEANERS/DETERGENTS.  
TO CLEANTHEVALVE, RUB GENTLY BETWEENYOUR FINGERS INWARM SOAPYWATER –  
DO NOT INSERT OBJECTS ASTHIS MAY CAUSE DAMAGE.  
HELPFULTIP!  
The Philips AVENT Electronic, Electric and Microwave  
Steam Sterilisers are designed to hold the washable  
components of the ISIS iQ UNO and the entire  
ISIS Manual Breast Pump.  
6
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Assembling the pump body of ISIS iQ UNO  
Before assembling, make sure that your hands are clean and you have correctly washed and  
sterilised the pump (see ‘Cleaning and Sterilising ISIS iQ’ on page 6).Also check that none of  
the pump components are damaged.  
Parts you will need for steps 1-4:  
Pump body  
White valve  
Silicone diaphragm with stem  
Let-down Massage Cushion  
Milk container  
White stand  
Insert the white valve into the pump  
body, so that it fits securely into the  
small round hole. Make sure the pointed  
side of the valve is facing down.  
1
7
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Assembling the pump body of ISIS iQ UNO  
Fit the clear silicone diaphragm with stem  
2 into the pump body. Ensure a perfect seal  
around the rim by pressing down with your  
fingers. (This is easier if assembled while the  
diaphragm is wet.)  
Screw the pump body onto the milk  
3
4
container until securely in place.  
To ensure that the pump is completely  
stable, you can use the stand with the  
125ml/4oz milk container.  
Insert the Let-down Massage Cushion and  
secure the rim around the funnel making sure  
there are no gaps. Run your thumb on the flat  
surface between each petal to ensure there are  
no air pockets. (This is easier if assembled while  
the Let-down Massage Cushion is wet.)  
HELPFULTIP!  
Some women may prefer to use the pump without the  
Let-down Massage Cushion. It has been shown that in  
most cases, the massaging effect of the petals flexing  
in and out around the areola, stimulates the let-down  
reflex and allows you to express more milk, faster.  
Need Help? Contact Customer Services (see back page for details)  
8
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Connecting the Electronics of ISIS iQ UNO  
Parts you will need for steps 5-7:  
Assembled  
Control handle  
pump body  
(see pages 7-8)  
Mains power lead  
Battery pack  
Firmly push the control handle onto  
5 the pump body so that it sits securely  
on top of the silicone diaphragm.  
Need Help? Contact Customer Services (see back page for details)  
9
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Connecting the Electronics of ISIS iQ UNO  
For electric use connect the mains  
6 power lead to the control handle,  
plug into an electrical wall socket  
and switch on.  
i
For battery use, open the top of  
the battery pack and insert 4 x AA  
batteries. (For a list of compatible  
batteries, see page 3.)  
7
Connect the power lead  
to the control handle.  
HELPFULTIP!  
Batteries will last for approximately 6 hours.The light  
on the control handle will display a continuous RED  
pulsing flash to warn you when it is time to replace  
them.There will be enough power for approximately  
1 more pumping session, with no drop-off in  
performance, before the pump switches itself off.  
10  
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Hints to help you succeed  
Using a breast pump takes practice.You may need to make several attempts before you  
succeed, but because ISIS iQ UNO is so simple and comfortable to use, you will soon  
get used to expressing milk.  
1. Choose a quiet time when you’re not rushed and  
unlikely to be disturbed.  
2. Having your baby or a photograph of your baby  
nearby can help encourage your milk to flow.  
3. Warmth and relaxation can also help so you might  
like to try expressing after a warm bath or shower.  
4. Placing a warm cloth on your breasts for a few  
minutes before you start pumping can encourage  
your milk flow and soothe painful breasts.  
5. Try expressing from one breast while your baby  
is feeding from the other, or continue expressing  
just after a feed.  
6. Repositioning the pump on your breast from time  
to time can help stimulate your milk ducts.  
7. Some women may prefer to use the pump without the Let-down Massage Cushion.  
However, it has been shown that, in most cases, the massaging effect of the petals  
flexing in and out around the areola stimulates the let-down reflex and allows you  
to express more milk, faster.  
8. To relieve engorgement, we recommend gentle, slow pumping to relieve  
the pressure.  
Practice with your pump to find the best pumping techniques for you. Don’t worry  
if your milk doesn’t flow immediately, relax and continue pumping.  
CAUTION: IF AFTER 5 MINUTES NO RESULT IS ACHIEVED,TRY AGAIN AT ANOTHERTIME  
OF DAY. IFYOU EXPERIENCE ANY PAIN INTHE BREAST AREA, STOP AND CONSULTYOUR  
BREASTFEEDING ADVISOR.  
How much milk can you expect?  
On average you will need to pump for 10 minutes to express 60-125mls or 2-4ozs  
of milk. However, this is just a guide and varies from woman to woman. If you find that  
you regularly express more than 125mls/4ozs of milk per session, attach a 260ml/9oz  
milk container to the pump body.  
11  
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Expressing with ISIS iQ UNO  
Before you begin pumping, make sure that you have correctly washed, sterilised and assembled  
the pump. Consult the ‘Hints to help you succeed’ opposite for tips on stimulating let-down and milk  
flow.Wash your hands thoroughly and make sure your breasts are clean. Relax in a comfortable chair  
and lean slightly forward so that your milk flows easily down the pump funnel into the milk container  
(you can use cushions to support your back).  
Turn on pump: Connect the power lead to the control  
1 handle and plug into an electrical wall socket if necessary.  
Press and hold the control button until the light flashes  
ORANGE and you hear the pump turn on (this can take  
up to 5 seconds). Once the light turns solid GREEN, the  
pump is ready to use.  
If the light is flashing RED, refer to the ‘Troubleshooting  
Guide’ on pages 19-20.  
Create a reliable vacuum: Press the pump against your  
2
breast to form a complete seal, ensuring that your nipple  
fits into the funnel. Check you have a reliable vacuum  
by compressing and releasing the control handle so  
you can feel suction.  
HELPFULTIP!  
Control Handle Light  
Flashing ORANGE – Control Handle Setting Up  
Solid GREEN – Motor Ready/Pump in Manual  
Control Mode  
Flashing GREEN – Pump in Automatic Mode  
Flashing RED – Warning  
(seeTroubleshooting Guide on pages 19-20)  
Need Help? Contact Customer Services (see back page for details)  
12  
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Expressing with ISIS iQ UNO  
Initiate let-down:To encourage let-down, lightly press  
the handle in a way that feels comfortable and similar  
to your baby’s initial rapid suckling action.The petals  
on the Let-down Massage Cushion will flex in and  
out around the areola, creating a massaging effect,  
similar to baby’s natural mouth and jaw movements  
during breastfeeding.You can choose to automate  
this let-down phase by pressing the control button  
after two compressions (flashing GREEN light). Once  
your milk begins to flow, press the control button to  
return to manual control (solid GREEN light).  
3
CAUTION: LET-DOWN CAN OCCUR IMMEDIATELY, EVEN AFTER  
JUST A FEW STROKES AND SHOULD NOTTAKE LONGERTHAN 5  
MINUTES (REFERTO HINTSTO HELPYOU SUCCEED ON PAGE 11).  
Milk expression:To create a natural and effective breast  
4 pumping rhythm that can be maintained for the rest  
of your pumping session, compress the handle slowly  
and more fully (to increase the intensity of the suction),  
hold for 2-3 seconds and then slowly release. Once  
you are happy with the level of suction and rhythm,  
after two compressions, press the control button and  
ISIS iQ will continue your personal pumping rhythm  
(flashing GREEN light).  
Note:You do not need to compress the handle fully, only  
until it feels comfortable.The further you compress the  
handle, the more suction the pump will provide. If the  
pressure is uncomfortable, stop and change your  
pumping rhythm.  
HELPFULTIP!  
Let-down is your body’s physiological response to the suckling action of your  
baby on the breast.This stimulates the breast to produce milk and send it  
towards the nipple where it is available for baby.  
Milk expression occurs after let-down is achieved and milk begins to flow.  
It is the phase that is induced by the baby’s deeper more comfortable  
suckling rhythm.  
Need Help? Contact Customer Services (see back page for details)  
13  
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Expressing with ISIS iQ UNO  
Changing or ending your automated pumping session:  
5
To change your pumping rhythm at any time,  
press the control button to revert to manual control  
(solid GREEN light) and set a new pattern.  
To end your pumping session, press the control  
button to revert to manual control (solid GREEN  
light). Break the seal between your breast and the  
pump funnel with your finger and remove the  
pump from your breast.Turn the pump off by  
pressing and holding the control button until the  
light goes off. Remove the plug from the electrical  
socket if necessary, then remove the power lead  
from the control handle.  
Storing your milk: Make sure that you have not  
6 over-filled the milk container and carefully unscrew  
it from the pump body.Add a sterilised screw ring  
and sealing disc to safely store your breast milk in  
the refrigerator or freezer.  
Next time you turn your pump on:  
7 Resuming saved session? Even after ISIS iQ is  
turned off, it will remember the last programmed  
rhythm. If you have had a short break and your milk  
is still flowing, ensure you have a good seal against  
your breast, press the control button and ISIS iQ  
will continue as before.  
Need to re-establish let-down? If you need to  
re-establish let-down, refer to the beginning of  
‘Expressing with ISIS iQ UNO’on page 12.  
CONSULTTHE GUIDELINES FOR STORING EXPRESSED BREAST MILK ON PAGE 17  
14  
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Using your ISIS iQ UNO as a manual breast pump  
ISIS Manual Breast Pump – parts guide  
Your ISIS iQ UNO can also be used as a manual  
pump. In this case, you simply need to replace  
the control handle with the manual handle  
and pump cover included in a separate bag.  
p
Pump cover  
q
p
q
Handle  
Assembling your ISIS Manual Breast Pump  
Ensure you have disassembled, washed and sterilised all the parts (see Cleaning  
Instructions on page 6) and then follow steps 1-4 as described on pages 7-8:  
1
2
3
4
But this time:  
Position the forked end of the handle (q) under  
5 the diaphragm stem and push down gently  
on the handle until you hear it ‘click’ into place.  
Click the pump cover (p) onto the pump body.  
6  
15  
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Using your ISIS iQ UNO as a manual breast pump  
Before you begin pumping, make sure that you have correctly washed, sterilised and assembled  
the ISIS Manual Breast Pump. Consult the ‘Hints to help you succeed’ section on page 11 for tips  
on stimulating let-down and milk flow.Wash your hands thoroughly and make sure your breasts  
are clean. Relax in a comfortable chair and lean slightly forward so that your milk flows easily  
down the pump funnel into the milk container (you can use cushions to support your back).  
Create a reliable vacuum: Press the pump against your  
1 breast to form a complete seal, ensuring that your  
nipple fits into the funnel. Check you have a reliable  
vacuum by compressing and releasing the handle so  
you can feel suction.  
Initiate let-down:To encourage let-down, lightly press  
2 the handle in a way that feels comfortable and similar  
to your baby’s initial rapid suckling action.  
CAUTION: LET-DOWN CAN OCCUR IMMEDIATELY, EVEN  
AFTER JUST A FEW STROKES AND SHOULD NOTTAKE  
LONGERTHAN 5 MINUTES (REFERTO HINTSTO HELP  
YOU SUCCEED ON PAGE 11).  
Milk expression:To create a natural and effective breast  
3 pumping rhythm that can be maintained for the rest of  
your pumping session, compress the handle slowly and  
more fully (to increase the intensity of the suction),  
hold for 2-3 seconds and then slowly release.  
Note:You do not need to compress the handle fully, only  
until it feels comfortable.The further you compress the  
handle, the more suction the pump will provide.  
Storing your milk: Make sure that you have not  
4 over-filled the milk container and carefully unscrew  
it from the pump body.Add a sterilised screw ring  
and sealing disc to safely store your breast milk in  
the refrigerator or freezer.  
CONSULTTHE GUIDELINES FOR STORING EXPRESSED BREAST MILK ON PAGE 17  
Need Help? Contact Customer Services (see back page for details)  
16  
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Storing your expressed breast milk  
Philips AVENT products are interchangeable,  
so you can express, store and feed with the  
same container, preserving valuable nutrients  
that can get lost if breast milk is transferred.  
After expressing milk into an AVENT Breast Milk  
Container, insert a sealing disc into the screw ring  
and twist onto the container.To feed, just replace  
the sealing disc with an AVENT Airflex Teat.  
Guidelines for storing expressed breast milk  
Breast milk can be stored in the fridge or freezer  
in either sterile AVENT Breast Milk Containers  
(125ml/4oz or 260ml/9oz fitted with sealing discs)  
or in pre-sterilisedVIA Cups.  
Do not overfill the milk container and be sure to  
keep it upright.  
Expressed milk should be refrigerated immediately.  
Only milk collected with a sterile pump should be stored to be fed to your baby.  
Expressed breast milk can be stored in the refrigerator for up to 48 hours (not in  
the door) or in the freezer for up to 3 months.  
If you are storing freshly expressed milk in the fridge to add to during the day, only  
add milk which has been expressed into a sterile container. Milk can only be kept  
like this for a maximum of 48 hours from first expression, after which it must be used  
immediately or frozen for future use.  
Frozen breast milk can be defrosted overnight in the refrigerator, heated gradually in  
warm water or heated on the lowest setting of the Philips AVENT Bottle and Baby  
Food Warmer. Never heat milk in a microwave as this may destroy valuable nutrients  
and antibodies and uneven heating could cause hot spots.  
NB: NEVER refreeze breast milk. DO NOT add fresh breast milk to already frozen milk.  
ALWAYS discard any milk that is left over at the end of a feed.  
CAUTION: NEVER IMMERSE A FROZEN MILK CONTAINER ORVIA CUP IN BOILINGWATER  
ASTHIS MAY CAUSE ITTO CRACK/SPLIT.  
Need Help? Contact Customer Services (see back page for details)  
17  
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Keeping your pump sterile and compact for travel  
After sterilising all parts insert the white valve and fit  
the diaphragm with stem onto the pump body. Clip  
the funnel cover over the Let-down Massage Cushion  
and screw the sealing base onto the bottom of the  
n
pump body.  
d
g
h
Key to Control Handle Symbols  
TYPE B APPLIED PART  
GENERAL WARNING  
ONLY INDOOR USE  
EUROPEAN STANDARD  
CLASS II EQUIPMENT  
FOLLOW OPERATING  
INSTRUCTIONS  
DISPOSE OF THROUGH  
SEPARATE COLLECTION  
ROUTE FOR WASTE  
ELECTRICAL EQUIPMENT  
Technical Specifications  
Mains InputVoltage 100 - 240VAC  
Mains Input Frequency 50 - 60 Hz  
Atmospheric Pressure: 700 to 1060hPa  
Equipment rated for continuous operation  
Maximum speed at maximum vacuum is  
60 cycles per minute  
°
°
°
°
°
°
Supply voltage fluctuations not exceeding  
+/- 10% of the nominal voltage  
Ambient Temperature range: +10˚C to +40˚C  
°
18  
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Troubleshooting Guide  
Check for any damaged pump parts and replace if necessary.  
°
°
Check that all the pump components have been assembled  
correctly and that the white valve is positioned correctly.  
Ensure that the silicone diaphragm and Let-down Massage Cushion  
are fitted securely to the pump body and that a perfect seal is  
created around your breast.  
°
°
Lack of, or no suction  
Make sure the Let-down Massage Cushion is pushed far enough  
down the centre of the funnel and run your thumb on the flat  
surface between each petal to ensure there are no air pockets.  
Make certain that the control handle is firmly in place.  
°
°
Ensure the pump is correctly assembled and that suction  
is being created.  
No milk being  
expressed  
Relax and try again, as expression may improve after practice.  
Refer to the ‘Hints to help you succeed’ section on page 11.  
°
°
You may be squeezing too hard.You do not need to use all the suction  
the pump can generate.Try compressing the handle halfway.  
°
Pain in the  
breast area  
when expressing  
Try squeezing the handle more gently and remember the 2-3 second  
pumping rhythm. (Refer to ‘Expressing with ISIS iQ UNO’ on page 13).  
°
°
Consult your health professional/breastfeeding advisor.  
Try leaning slightly forward so your milk flows easily down the pump funnel  
and into the milk container (you can use cushions to support your back).  
°
°
Remove and re-fit the Let-down Massage Cushion to ensure it is firmly  
attached and pushed far enough down the centre of the funnel (this is  
easier if assembled while wet).  
Milk is drawn up the  
Let-down Massage  
Cushion  
Some women may prefer to use the pump without the Let-down Massage  
Cushion. Extensive trials show that in most cases, the massaging effect of  
the petals flexing in and out around the areola, stimulates the let-down  
reflex and allows you to express more milk, faster.  
°
19  
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