A device is provided for treatment of female urinary incontinence, which can be used as part of a sling application system. The device comprises a handle (2012) connected to a shaft (2014), the shaft preferably including an engaging member near its distal end. The device includes a sling (1418) having an attachment member at one end for connection to the distal end of the shaft (2014). In this manner, the shaft (2014) is preferably connectable via a suture (1428) to the sling (1418).