diff --git a/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_forfront_med_equip.py b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_forfront_med_equip.py
new file mode 100644
index 00000000..261ca07c
--- /dev/null
+++ b/ecs/jskult-batch-daily/src/batch/ultmarc/utmp_tables/tables/com_forfront_med_equip.py
@@ -0,0 +1,15 @@
+from src.batch.ultmarc.utmp_tables.tables.ultmarc_table import UltmarcTable
+
+
+class ComForfrontMedEquip(UltmarcTable):
+    """レイアウト区分022: COM_先端医療機器"""
+    hi_medicmach_code: str      # 先進医療機器コード
+    hi_medicmach_name: str      # 先端医療機器名
+    maint_flag: str             # 修正区分
+
+    def __init__(self, record: list[str]):
+        super().__init__(record)
+
+        self.hi_medicmach_code = record[1]
+        self.hi_medicmach_name = record[4]
+        self.maint_flag = record[2]