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Each needle is a tool they use to effectively extract blood from people.
Two of the needles have serrated teethes around the end, which they use to saw into your skin. They are so sharp, you never even feel it.
Two needles are used to hold that wound open while initiate extraction
One needle is used to probe for blood and begin the succ
And the last needle pumps in chemicals that makes the blood flow better so they can finish their work faster. This chemical is what causes the itchy bumps we know and hate.