HTL Strefa Acti-Lance Safety Lancet

By HTL Strefa  |  HCPCS: A4259  |  FSA/HSA Eligible  |  Rx Required  |  Made in Poland

Patented Self-Destructive Mechanism — Single Use Only  |  Silicon-Coated Needle  |  Double-Spring High-Speed Puncture  |  Low Firing Force  |  Two-Step Operation  |  Gamma-Sterilized  |  3 Color-Coded Variants  |  100 per Box

Note: This product is labeled Rx Only by the manufacturer. A valid prescription or professional/business license is required for purchase. Call us at 1-866-218-0902 to discuss ordering options or to provide prescriber information.

The Acti-Lance Safety Lancet by HTL Strefa is a single-use safety lancet featuring a patented self-destructive activation mechanism that permanently disables the lancet needle or blade after a single firing, eliminating the risk of accidental reuse and needlestick injury from used lancets. The silicon-coated needle minimizes tissue friction for a smoother, less painful puncture. A double-spring mechanism delivers high puncture speed while simultaneously eliminating needle vibration — both factors that reduce the sensation of pain during lancing. The two-step operation requires no lancet loading into a separate reusable lancing device: twist off the protective sterility cap, place the lancet body against the puncture site, and press the push button to fire. Available in three color-coded variants to match blood volume requirements and skin type — 100 lancets per box. HCPCS A4259. FSA/HSA eligible.

Variant Comparison — Choose the Right Acti-Lance

How to Use the Acti-Lance

1. Clean the puncture site (fingertip, heel, or palm) with an alcohol prep pad and allow to dry completely.
2. Twist off the protective sterility cap and pull it straight out from the lancet body — do not press the button during this step.
3. Place the open end of the Acti-Lance firmly against the desired puncture site.
4. Press the push button on the top of the lancet body to fire. The double-spring mechanism fires the needle or blade and retracts it automatically.
5. Remove the Acti-Lance from the site. The self-destructive mechanism has activated — the lancet is permanently disabled and cannot be reused or refired.
6. Apply gentle intermittent pressure near (not directly on) the puncture site to encourage blood flow and obtain the required blood volume.
7. Dispose of the used lancet in an approved sharps container.

Key Features

• Patented self-destructive mechanism — prevents reuse — after the lancet fires, an internal self-destructing component permanently disables the device; the needle or blade retracts and locks, and the button cannot be pressed a second time; the lancet cannot accidentally refire during disposal or if handled again; eliminates the risk of needlestick injury from a used lancet and the clinical and regulatory risk of lancet reuse between patients
• Silicon-coated needle — a microscopically thin silicon coating on the needle tip reduces friction as the needle passes through the skin surface, producing a smoother puncture path and less tissue drag — a primary factor in lancet pain perception
• Double-spring high-speed puncture mechanism — the firing mechanism uses two springs to achieve a very high needle velocity at skin contact; high puncture speed reduces pain (slower punctures allow more time for nociceptors to respond) and eliminates needle vibration at the moment of puncture, which is a secondary pain contributor in lower-speed lancing systems
• Low firing force — the force required to press the activation button is calibrated to be low enough to be comfortable and manageable for patients with hand weakness, arthritis, or reduced grip strength
• Two-step operation — no separate lancing device needed — the Acti-Lance is a self-contained device; no separate reusable lancing pen or drum loader is required; remove the cap, place on skin, and press — reducing complexity and eliminating device cleaning and calibration between uses
• Gamma-sterilized needle/blade with protective sterility tab — every lancet is sterilized and the needle or blade tip is protected by the sterility cap until the moment of use; the sterility cap cannot be replaced once removed, providing tamper evidence and maintaining sterility through the twist-off release
• Acti-Lance Special uses a blade (not a needle) — the 17 Gauge Special is designed for neonatal heel sticks and large-volume samples where a blade incision produces a larger, more sustained blood flow than a needle puncture would; appropriate for tests requiring more capillary blood volume than a standard glucose test
• Color-coded for immediate visual identification — purple (Lite/28G), blue (Universal/23G), yellow (Special/17G blade) allow instant differentiation of lancet types on a clinical tray or cart without reading labels
• HCPCS A4259 | FSA/HSA eligible | Rx Only | 100/box | By HTL Strefa | Made in Poland

Clinical FAQs

How do I choose between Acti-Lance Lite (28G), Universal (23G), and Special (17G blade)?

The choice of Acti-Lance variant depends on the volume of blood required for the test, the patient's skin characteristics, and the patient population. The Acti-Lance Lite (purple, 28G, 1.5mm) is the smallest gauge and shallowest penetration in the line — it produces the smallest puncture and lowest blood volume, appropriate for blood glucose monitoring with a modern glucometer that requires only 0.6 to 1.5 microliters of blood. It is specifically recommended for patients with delicate or thin skin, children, and adults who experience significant pain or callus buildup from routine lancing. For patients who test blood glucose multiple times daily, the Lite's smaller puncture reduces cumulative fingertip tissue damage over time. The Acti-Lance Universal (blue, 23G, 1.8mm) produces a larger puncture and more blood volume — appropriate for blood glucose meters that require larger samples, and for clinical tests that need more capillary blood than a standard glucose strip uses, such as cholesterol point-of-care testing, hemoglobin testing, blood type classification, coagulation point-of-care testing, and virology rapid tests. It is suitable for patients with normal (non-delicate) skin. The Acti-Lance Special (yellow, 17G blade, 2.0mm) uses a blade rather than a needle, creating a larger incision with a more sustained blood flow — appropriate for neonatal heel stick blood collection, where the target is the heel rather than the fingertip and larger blood volumes are required for the test panel, and for adult finger sticks on callused skin or in situations where the test requires substantially more capillary blood than a standard glucose strip.

What does the self-destructive mechanism do and why is it important for patient safety?

The Acti-Lance's self-destructive mechanism is an internal component that permanently disables the lancet immediately after firing — the needle or blade retracts into the housing and the mechanism locks in a way that prevents the push button from being activated a second time. The locked lancet cannot refire even if someone accidentally presses the button during disposal. This addresses two distinct safety concerns. The first is needlestick injury during disposal: a used lancet with an exposed, retracted but accessible needle tip poses a needlestick risk to the user, to any person handling waste, or to a child or animal that encounters a discarded lancet. The self-destructive mechanism ensures the needle tip is permanently inaccessible after use, substantially reducing this disposal risk even before the used lancet reaches a sharps container. The second concern is accidental or deliberate reuse — using a lancet more than once on the same patient (which dulls the needle, increases pain, and increases infection risk) or, more seriously, using a lancet on multiple patients (which is an infection control violation that risks transmitting blood-borne pathogens including HIV and hepatitis). The self-destructive mechanism makes single-use compliance structural rather than behavioral — the lancet physically cannot be reused regardless of whether the user knows or follows the single-use protocol. This is particularly relevant in clinical settings where high patient volume creates time pressure, and in any setting where a used lancet might be accessed by someone other than the original user.

Is a prescription required to purchase lancets, and what is HCPCS A4259?

The Acti-Lance Safety Lancet is labeled Rx Only by HTL Strefa, meaning a valid prescription from a licensed prescriber or a professional/business license is required for purchase. Most safety lancets used in clinical settings are purchased by healthcare facilities, DME suppliers, and licensed medical professionals on this basis. For individual patients who use lancets for home blood glucose monitoring prescribed by their physician, the lancet purchase is covered under the prescription program — if you do not have a prescription in hand, call us at 1-866-218-0902 and we can request one from your prescriber on your behalf. HCPCS code A4259 is the standard billing code for lancets used with blood glucose meters — it covers lancets as DMEPOS supplies under Medicare Part B and most commercial insurance plans' diabetes supply benefits. Medicare and most insurers cover lancets for patients who are actively monitoring blood glucose under a physician's order; the allowed quantity depends on the patient's testing frequency and insulin regimen. As a licensed DMEPOS supplier, Medical Department Store can assist with insurance coverage verification and claim documentation for lancet orders under A4259.

Questions about the Acti-Lance, variant selection, Rx requirements, or insurance coverage? Call our product specialists: 1-866-218-0902  |  Mon–Fri 9am–5pm, Sat 9am–3pm EST