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Conventional laparoscopic needle holders differ from most other laparoscopic instruments in that they do not rotate around the axis of the instruments in order to provide stability. Articulating and rotating needle drivers have been introduced but have been criticized for creating imprecision in needle exit and for being more difficult to learn to use than conventional needle drivers [5].

The handles are often of a straight axial design, placing the needle in line with the surgeon's hands to allow greater maneuverability and more natural motion of the wrist when suturing. The jaws are often single action and are usually operated by means of an ergonomic spring‐loaded palm grip on the handle.

Several handle types are available, and the efficacies of four of them were compared. [6] It was found that a pistol grip (ssss1) was superior for experienced operators but not for novices, who preferred a palmed straight grip. Neither experienced or novice users performed well nor preferred a thumb–ring finger grip (ssss1) [6].