The Cameo Ultra Punchneedle has been called the most popular punchneedle in use in the world today. Includes the space-age plastic handle with medium removable needle (3 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 in a set, or as individual needle tips (see related products below).