A medical lubricating member in which a lubricating coating is laminated on at least one surface of the silicone substrate, the silicone substrate having a reactive functional group on the surface on which the lubricating coating is laminated, and A medical lubricating member in which the lubricating coating film is a film of a composition containing a hydrophilic polymer and polyisocyanate, a medical device using the medical lubricating member, and a method for producing the medical lubricating member.シリコーン基材の少なくとも一方の面に潤滑性塗膜が積層された医療用潤滑性部材であって、シリコーン基材が、潤滑性塗膜が積層された面に反応性官能基を有し、かつ、潤滑性塗膜が、親水性ポリマーとポリイソシアネートとを含む組成物の膜である医療用潤滑性部材、上記医療用潤滑性部材を用いた医療機器、及び医療用潤滑性部材の製造方法。