A hyperechogenic needle includes a rigid shaft, which can be a hollow metal cannula, having a hyperechogenic particulate material affixed on an outer surface of the shaft that provides for visualization of the needle in two-dimensional (2D) ultrasound, particularly when the needle is in a position forming a non-90° angle between the longitudinal axis and the direction of the ultrasound waves in the two-dimensional ultrasound plane. The hyperechogenic particulate material can be covered by a polymeric coating or embedded in a polymeric material to provide a hyperechogenic layer. The polymeric coating and polymeric material can be electrically non-conductive or electrically conductive.