An instrument needle valve uses a tapered pin to gradually open a space for fine control of flow.
Since it takes many turns of the fine-threaded screw to retract the plunger, precise regulation of the flow rate is easily possible.
A long travel axially (the control input) makes for a very small and precise change radially (affecting the resultant flow).
Since the orifice is small and the force advantage of the fine-threaded stem is high, needle valves are usually easy to shut off completely, with merely "finger-tight" pressure.
The spindle and/or seat of a needle valve, especially one made from brass, are easily damaged by excessive turning force when shutting off the flow.