For tools and sewing:
* Needlepoint: A type of embroidery using a needle and yarn.
* Needlework: Any kind of work done with a needle, like sewing, embroidery, knitting.
* Needlestitch: A type of stitch used in embroidery or sewing.
* Needlethreader: A tool that helps thread a needle.
For medical purposes:
* Hypodermic needle: A needle used to inject substances into the body.
* Syringe needle: A needle attached to a syringe for injection.
For other meanings:
* Needlefish: A type of fish with a long, pointed snout.
* Needleleaf: A tree that has long, narrow leaves, like a pine tree.
Which word best fits your context depends on the meaning you are trying to convey.