Please Do Follow the Instructions. STEP 1 Aim at the bite place the suction, tool on one of the bites, and ensure is covering over the bites. STEP 2 Push down on the pump slowly to create suction, hold for 10-30 seconds. STEP 3 Remove Venom Extractor by lifting the plunger with the tip of your thumb. Repeat from step 2 if the pain does not disappear with the first application. Suitable for all kinds of people and occasions. Let Itch Away Anywhere You Go.