Sometimes I use it, sometimes I don't. It's fairly noisy and there's no way to adjust the amount of vacuum, it's always full on. It's odd because it uses the same air pump as the hot air gun and you can adjust the air pressure of the hot air gun.
I am using the needle, which is only possible by adding the flux to the solder paste to thin it out. Without the needle the solder paste would come out too much for me. The needle in this ink refiller syringe is fairly big. I've also cut it off so it's only about a centimeter long so I'm not pushing paste through a long needle.
I'm not buying tips because the old ones are used up, I bought other tip shapes that people have recommended, like chisel tips.
