Abstract: An ultrasound guided puncture device and an ultrasound guided puncture apparatus are disclosed. The ultrasound guided puncture device includes a puncture needle tube and an ultrasound transducer. One end of the puncture needle tube has a puncture needle head, and the ultrasonic transducer is housed in the puncture needle tube and extends to the puncture needle head. The ultrasonic transducer includes multiple ultrasonic array elements for transmitting and receiving ultrasonic waves, and the multiple ultrasonic array elements are arranged at the puncture needle head. In actual use, electronic scanning imaging is performed through the multiple ultrasound array elements, hence a wide imaging range. It can effectively recognize the structure of the tissue in front of the puncture needle head, thereby facilitating the planning of the best puncture path.