Abstract: Various implementations include an ultrasound needle guidance device. The device includes a coupling body and at least one needle holder portion. The coupling body is configured to fixedly couple to an ultrasound probe that is able to produce an ultrasonic beam along a scanning plane. The needle holder portion has a rotational axis and defines a needle opening having an opening central axis extending perpendicularly to the rotational axis. The needle holder portion is rotationally coupled to the coupling body such that the needle holder portion is rotatable about the rotational axis relative to the coupling body from a first position to a second position. The needle holder portion is configured such that, when the coupling body is coupled to the ultrasound probe, the opening central axis is disposed within the scanning plane in all positions in a range from the first position to the second position.