There is provided an automatic analysis device that can appropriately sort and discard expendable items. The automatic analysis device includes a common transport mechanism that transports a plurality of types of expendable items by common mechanism, a plurality of transport paths that is provided separately from the common transport mechanism, a type determination portion that determines the type of expendable item being transported by the common transport mechanism. The automatic analysis device controls to select one of a plurality of transport paths according to a determination result of the type determination portion and to transport the expendable items transported from the common transport mechanism via the selected transport path.