PROBLEM TO BE SOLVED: To provide a puncturing and expanding instrument for medical treatment capable of preventing severe damages of a tissue and an organ from occurring even when a sudden change of resistance against penetration is generated, and to be able to execute an operation of an operator simply, in a short time and safely.SOLUTION: The puncturing and expanding instrument for medical treatment includes: a body surface fixing part, and a body surface puncturing and expanding outer cylinder. A movement amount regulating means for regulating the movement of the body surface puncturing and expanding outer cylinder in the puncturing direction is provided on at least one of the body surface fixing part and the body surface puncturing and expanding outer cylinder. As the movement amount of the body surface puncturing and expanding outer cylinder in the puncturing direction is regulated thereby, even when the sudden change of the resistance against the penetration is generated, it is safe as the body surface puncturing and expanding outer cylinder is not advanced more than a distance which has been already advanced.COPYRIGHT: (C)2013,JPO&INPIT【課題】貫通に対する抵抗の突然の変化が発生しても重篤な組織や臓器損傷を防止できる医療用穿刺拡張具を提供し、術者の作業を簡単に短時間で、かつ安全に実施できるようにする。【解決手段】本発明の医療用穿刺拡張具は、体表固定部と体表穿刺拡張外筒とを備える。体表固定部および体表穿刺拡張外筒の少なくとも一方に、体表穿刺拡張外筒の穿刺方向への移動を規制する移動量規制手段が設けている。これにより、体表穿刺拡張外筒の穿刺方向への移動量が規制されているため、貫通に対する抵抗の突然の変化が発生しても体表穿刺拡張外筒が既に穿刺した距離よりも進まないため安全である。【選択図】図1