This can be caused by several reasons:

1. The penetration depth is too shallow for your skin. Please select a higher penetration depth setting.
2. The lancing device needs to be pressed firmly against the skin
3. Check to ensure a lancet drum is inserted in the lancing device.

Please also check the instructions of use of the lancing device.

Yes.

Check the lancet window to see whether there are any white bars or numbers visible in the lancet display. If there are no bars visible or the number 1 is displayed, you are using the last lancet and the lancet drum needs to be changed for a new lancet drum.

The Accu-Chek FastClix, Accu-Chek Softclix and Accu-Chek Multiclix lancing devices use the special Clixmotion technology. The Clixmotion technology is the principle of guided lancet motion, meaning that both the forward and return motion of the lancet is precisely controlled, with minimised vibrations and oscillations. This special guided motion is the key to gentle blood sampling. The lancet needs just a few milliseconds to penetrate the skin with a motion designed to minimise lateral movement and reduce the sensation of pain as fewer nerve endings are disturbed. In the skin, the lancet is brought to a precise stop and then actively retracted immediately. This fast, controlled lancet motion helps to reduce the risk of skin and nerve-end damage.

1. Check whether the lancet number (or number of bars) is visible in the window. If not, turn the priming button until the lancet number (or bars) becomes visible.
2. Check whether the yellow area in the transparent release button is visible. If this is the case, the lancing device is already primed and ready for use.

Remove the cap from the lancing device. Remove the lancet drum from the lancing device. Upon removing the lancet drum, the blue ring on the lancet drum separates from the white cylinder. The blue ring on a used lancet drum can rotate freely and you can see two red stripes on the white cylinder. Insert a new lancet drum, white end first.

Clean your lancing device regularly to keep it in good working condition. If any blood gets on it, always wipe it away immediately. Clean the outside of the lancing device only. Wipe it once a week with a cloth lightly moistened with water. To disinfect, use 70 % isopropanol. Check your package insert for detailed instructions on how to clean the lancing device.

Before you decide to use blood from alternative sites, consult your healthcare professional.

You can obtain capillary blood for blood glucose testing not only from the fingertips, but also from other sites (palm, forearm, upper arm, calf or thigh), so-called alternative site testing (abbreviated as: AST). To be able to obtain capillary blood from other sites, you have to replace the regular cap by a special cap, the Accu-Chek Multiclix AST cap. Consult your healthcare professional beforehand if you want to use blood from alternative sites for your blood glucose test. Please follow the instructions of use of the AST Cap insert.

Keep your lancet drums clean and protect them from extremes of temperature. Do not store them in a hot car or in the refrigerator.

The drum can be disposed of in the household waste. Although remember to check your local council regulations as these may vary from state to state.

Rotate the dial until the desired penetration depth setting is lined up with the indicator. Press the priming button down as far as it will go. The lancing device is primed when the center of the release button is yellow. Press the lancing device firmly against the selected puncture site. Press the release button.

Your most comfortable penetration depth setting will depend on a few things:

• Whether you're using a fingertip or alternative site. Talk with your healthcare professional before deciding if alternative site testing is right for you.
• Your skin type. Softer, thinner skin requires a shallower setting than thicker skin.
• The required blood sample. The more blood you require, the higher the setting you'll need.

If you have no experience with this lancing device, we recommend setting a low penetration depth, such as penetration depth 2. For alternative site testing, the puncture at alternative sites must be deeper than at the fingertips. However, these sites are generally less sensitive to pain.

Before you decide to use blood from alternative sites, consult your healthcare professional.