PROBLEM TO BE SOLVED: To provide an instrument for forming an esophageal fistula that enables accurate puncture work by reflecting an ultrasonic wave to indicate a puncture area properly, and enhancing the visibility of the reflection wave.SOLUTION: An instrument for forming an esophageal fistula is used for puncturing of a guide needle for passing a guide wire for forming an esophageal fistula. The instrument for forming an esophageal fistula includes a flexible tube 2, a reflection member 3 connected to the tube 2 for reflecting an ultrasonic wave percutaneously irradiated, and a balloon 4 for covering at least part of the reflection member 3 and being punctured with the guide needle. The reflection member 3 includes a reflection surface on a principal surface 3c, and the reflection surface is arranged so as to straddle one virtual line 2d extending in a direction orthogonal to an axis line of the tube 2.SELECTED DRAWING: Figure 2COPYRIGHT: (C)2020,JPO&INPIT【課題】穿刺領域を好適に示すように超音波を反射させてその反射波の視認性を高めて、正確な穿刺作業を可能とする食道瘻形成用器具を提供する。【解決手段】食道瘻形成用器具は、食道瘻形成のためのガイドワイヤを通すための案内針の穿刺に用いられるである。食道瘻形成用器具は、可撓性を有するチューブ2と、チューブ2に接続され、経皮的に照射させた超音波を反射させる反射部材3と、反射部材3の少なくとも一部を覆って、案内針の穿刺がされるバルーン4と、を備える。反射部材3は、反射面を主面3cに有し、反射面は、チューブ2の軸線に対して直交する方向に延在する一の仮想線2dに跨るように配設されている。【選択図】図2