PROBLEM TO BE SOLVED: To more surely puncture a puncture needle only to the pericardium by maintaining the pericardium in the state of being stably separated from a surface of the heart.SOLUTION: A medical sheath 1 comprises: a cylindrical sheath body 3 having a tip opening 2; and circular arc needle-like members 4 disposed along a circumferential direction at an interval in a radial direction to an inner wall surface near the tip opening 2 of the sheath body 3.