Provided are a metal medical device that is excellent in sliding properties, low protein adsorption properties, low cell adsorption properties, and the durability of these properties (the ability to reduce deterioration of sliding properties, low protein adsorption properties, and low cell adsorption properties), and a method for producing the device. The present invention relates to a metal medical device having a surface treatment layer on at least a part of its metal surface, the surface treatment layer including a primer layer formed of an alkoxysilane or a modified alkoxysilane containing a substituted alkoxy group, and a functional layer on the primer layer, the functional layer being formed of a silane compound containing a polyoxyalkylene group, a metal salt-containing hydrophilic group, a halogen salt-containing hydrophilic group, or a fluorine-containing hydrophobic group.
