A medical tube inserting device constituted of a combination of at least a balloon catheter, a puncturing needle, a guide wire and an indwelling catheter, said balloon catheter comprising a balloon and a catheter for puncturing which is inserted into a puncture area in a body orifice expanded by a fluid to define a lumen and needled, wherein said balloon is so constituted than when it is needled percutaneously by the puncturing needle, it does not rupture immediately and the lumen can be ensured, wherein the balloon has a thickness of 0.01 to 1 mm, a tensile strength of 8 to 25 MPa, a tear strength of 20 to 60 kg/cm, a 100% modulus of 3 to 6 MPa, an elongation of 300 to 460% and a balloon internal pressure of 2.8 to 75 psi;
- said puncturing needle with a roughen exterior for creating an ultrasonic echo image for guiding the guide wire, the guide wire equipped with a sheath for extending into the puncture area, wherein said puncturing needle is enabled to be inserted even without endoscope or X-ray contrast by using an ultrasonic diagnostic equipment.