Castroviejo Needle Holder Straight 18 cm TC (180 mm / 7") is the premier microsurgical needle holding instrument engineered for microvascular anastomosis, reconstructive plastic surgery, ophthalmic procedures, and deep periodontal suturing. Designed with straight, delicate jaws reinforced with Tungsten Carbide (TC) inserts featuring a 0.4 mm micro-pyramid serration pattern, it eliminates needle rotation, slippage, and distortion when manipulating fine 5-0 to 8-0 sutures. Features an extended 18 cm reach with a pencil-grip spring-loaded handle and a feather-touch multi-step ratchet lock. Available in three certified manufacturing quality tiers: German Industry Grade, UK Industry Grade, and Pakistani First-Grade (Grade A+). 100% resilient to 134°C steam autoclaving, UPA coded, backed by registered tax e-invoicing and Alreda Medical's unconditional Direct Replacement Warranty in Cairo.