PROBLEM TO BE SOLVED: To enable even a device having a flat distal end surface, such as a dilator, to pass through a lumen wall while the position of the distal end is precisely controlled.SOLUTION: A medical device includes a guide wire 2 inserted into a body, and a cylindrical dilator 3 which has a distal end part 3a formed to be gradually tapered toward the distal end surface, in which the guide wire 2 is inserted so as to be able to move in the longitudinal direction and also the peripheral direction, and the guide wire 2 has a retractable opening in the distal end surface thereof. The guide wire 2 is provided with an externally threaded part 2b, and the dilator 3 is provided with an internally threaded part 3b that is tightened to the externally threaded part 2b and is in communication with the opening.COPYRIGHT: (C)2012,JPO&INPIT【課題】ダイレータなどの先端面が平坦なデバイスであっても、先端の位置を正確に制御しながら腔壁に貫通させることができる。【解決手段】体内に挿入されるガイドワイヤ2と、先端面に向かって漸次先細に形成された先端部3aを有し、ガイドワイヤ2が長手方向にかつ周方向に移動可能に挿入されるとともに、ガイドワイヤ2が出没可能な開口を先端面に有する筒状のダイレータ3とを備え、ガイドワイヤ2が、雄ネジ部2bを備え、ダイレータ3が、雄ネジ部2bに締結され開口と連通した雌ネジ部3bを備える医療用デバイスを提供する。【選択図】図3