This needle holder is completely revised in all details and unmatched in its precision. It allows a firm seat of smaller needles and provides and easy handling of suture diameters in a range of 5-0 to 9-0. The instrument is equipped with a lock that facilitates finger rotation without applying pressure, leading to a more precise execution of finger and hand movements. Additionally, the low locking forces reduce hand tremor while grasping the needles.