The Harloff-DEROYAL Top Shelf Holder is a specialized, cart-mountable accessory bracket designed to secure DeRoyal supply trays, tissue dispensers, or procedural boxes directly onto the top work surface of Harloff medical carts. Engineered from high-grade, powder-coated steel, this holder establishes a stable, recessed perimeter that prevents essential supply trays from sliding, tipping, or falling off the cart during rapid movement or emergency transport. Designed for easy attachment to Harloff emergency, anesthesia, and procedure carts, it keeps high-frequency supplies immediately accessible to clinicians while keeping the central work surface organized and clutter-free. Resistant to harsh hospital-grade disinfectants, the Harloff-DEROYAL Top Shelf Holder delivers long-lasting performance in demanding clinical environments.