A lancet device including a lancet having a puncturing element disposed within a two-piece housing including a rear housing and a forward housing. Relative axial movement of the rear housing toward the forward housing directly drives the lancet to a puncturing position wherein the puncturing element extends through the forward housing. During such relative axial movement, a drive structure applies a driving force against the lancet and disengages from the lancet based on deflecting structure in the housing, thereby releasing the driving force applied to the lancet. A retention member then retracts the lancet back within the housing, with the drive structure maintained disengaged from the lancet to prevent re-use.