This application provides a medical device having a visual puncture apparatus. The visual puncture apparatus comprises a puncture needle, an ultrasound probe, an imaging assembly, and a display device, wherein a distal end of the puncture needle has a puncture tip and is provided with a working channel therein, the imaging assembly is used for image processing and a part thereof is arranged in the working channel, and the display device is used to display images from the imaging assembly and images from the ultrasound probe. The medical device having a visual puncture apparatus of the present application can puncture to a lesion under direct vision, and the entire puncture process is visible. The details of the puncture path are intuitively reflected on the monitor like a camera, which is intuitive and real-time. The safety and accuracy of the conventional interventional puncture process is improved.