Smart punch is ergonomically designed with a larger handle to reduce the risk of tendonitis, pain of arthritis and carpal tunnel syndrome. Designed for comfortable punching you will also enjoy the thumb indentation on the front of the punch needle that lines up perfectly with the front of your needle, always keeping it in the proper punching position. With five different loop heights that can be easily adjusted you will find yourself creating beautiful punch needle projects in no time at all.  Smart Punch comes with the most commonly used medium size needle already loaded in the handle. It now comes with the brand new small needle, large needle, and 2 needle threader.