A medical device comprises a medical monitoring or treatment device configured to provide a monitoring or treatment operation on a user, the medical monitoring or treatment device operable with an insertion needle (5635; 5735); and a pierceable membrane (5640; 5740) containing an agent (5650; 5750), the pierceable membrane (5640; 5740) positioned to be pierced by the insertion needle (5635; 5735) during operation of the medical monitoring or treatment device and to allow the insertion needle to cause some of the agent to be carried from the pierceable membrane (5640; 5740) to the user.