We want to thank those of you who responded to the survey on our website for the Disposable LACLS-5 tool.  As a result of feedback on the difficulty some persons have using the lace without a needle, we would like to confirm that the LACLS[D] may be administered with or without needles.  However, needles are sold separately. If needles  are used, they should be sanitized following the established protocols of the facility.