Ergonomically designed with larger handle to reduce the risk of tendonitis and the pain caused by arthritis.  
Sharper needle specifically designed to penetrate fabric with least amount of damage.
Needle is automatically positioned so there is no guessing which way your needle should face.
Built in thumb indentation makes for comfortable punching.

Includes punch needle tool, medium needle installed, small and large needle, threader, and instructions. Extra threaders available in 2/pack. 
Easier on your hands!