CAMEO-Ultra Punch Needle-Medium. A Punch needle is an easy to use tool that quickly and easily produces one-level or exciting three dimensional designs for many uses. Easier and faster than other needlework! Punch needles are stay- sharp, highly polished stainless steel hollow tubes (in varying sizes-sold separately) with an eye, inserted into a shaped comfort-fit handle for punching special yarn or threads into a woven fabric to create dramatic textures and combinations, for example: flat...looped...contoured... sculpted...brushed...or velvety plush raised pile! Made in the USA.