The Cameo Ultra Punchneedle has been called the most popular punchneedle in use in the world today. The set includes the space-age plastic handle with three removable needles (small 1-2 strand, medium 3-strand and large 6-strand) plus two threaders and instructions. The Cameo Ultra Punchneedle has a slide loop adjustment and an ergonomically designed handle for long hours of comfort. Cameo punchneedles are also available as individual needles in a handle, or as individual needle tips (see related products below).