Hello, This is an AMPIA marcato. It's a great tool for making pasta by hand and without help. (The best way is to work in the garden because you have to flour before each pass). While you're working, the motor will be on your right, so it's the screw (and especially the hole for the screw, to hold the machine to the table) which is on the same side and which decides its orientation. & - I can't add an extra element like the thing for making ravioli. But it's better to do it with a board or with your fingers. There are fewer falls/losses.