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About MiniArc

The MiniArc® Single-Incision Sling System is a revolutionary procedure for the treatment of female stress urinary incontinence that uses a single-incision approach designed to reduce invasiveness and enhance patient recovery.

One Slim Needle. One Incision. One simple solution for stress urinary incontinence.

Total Transvaginal Approach - Frontal View
MiniArc Sling Placement

Total Transvaginal Approach - Side View
Location of self-fixating tip in obturator internus muscle

MiniArc is inspired by the market-leading Monarc® Subfascial Hammock, following its familiar transobturator trajectory for placement and featuring the same proven mesh used in over 550,000 procedures. MiniArc uses a slim 2.3mm needle and requires only a single 1.5cm vaginal incision.

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MiniArc Features and Benefits

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In a prospective clinical study, 6 month data showed:*

  • 94% negative CST (68/72)
  • At 6 weeks, 95.3% would recommend to a friend
  • High patient satisfaction

Pull-Out Force in Pounds

AMS is committed to collecting ongoing clinical data to ensure patient safety and physician confidence.

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MiniArc Procedure

Animation Video

Surgical Video


  • Locate and make a midurethral vaginal incision of approximately 1.5cm.


  • Dissect bilaterally up to the interior portion of the inferior pubic ramus (1 - 1.5cm).


  • To visualize needle insertion orientation, locate insertion of adductor longus tendon on the patient’s pubic ramus. Palpate the notch along the internal edge of ischiopubic ramus where the adductor longus tendon and the inferior pubic ramus meet. The needle insertion should be aimed at the location of this notch.


  • Place one of the integrated self-fixating tips onto the needle by sliding it over the end of the needle. Ensure that the integrated self-fixating tip is oriented such that the mesh wraps along the outside of the needle bend.


  • Insert the needle/sling assembly toward the location identified in Step 3 such that the flat of the handle is perpendicular to the desired path. Track the needle along the posterior surface of the ischiopubic ramus until the midline mark on the mesh is approximately at the midline position under the urethra.


  • Remove the needle and repeat on the contralateral side until the appropriate sling tension under the urethra is achieved. Ensure that the mesh lays flat.


  • Remove needle and close vaginal incision.

If the sling appears to be too loose after placing both tips, more tension can be added by utilizing the optional redocking feature. To use this feature the first sling tip must be prepared with a 2.0 polypropylene suture prior to the first sling placement.

Thread a 2.0 polypropylene suture through sling tip, knot the distal suture end.

Thread unknotted suture end through needle tip and advanc needle toward sling tip.

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Training Opportunities

Training opportunities are available. Please contact your AMS sales representative or AMS Physician Training Department at 1-800-328-3881 for more information.

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Risks and Precautions

Summary of Warnings, Precautions and Contraindications
for the MiniArc Single-Incision Sling System

As with any surgical procedure, inherent risks are present. Although rare, some of the most severe risks with sling procedures include infection, erosion and vessel or urethra perforation. Some of the most common risks include urinary tract infections, urge symptoms and urinary retention. Sling procedures should not be performed on pregnant patients.

For a complete list of indications, contraindications, warnings and precautions, refer to the product Instructions for Use or contact your AMS representative. This document is written for professional medical audiences. Contact AMS for lay publications. AMS periodically updates product literature. If you have questions regarding the currency of this information, please contact AMS.

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Patient Information

Millions of women suffer from stress urinary incontinence (SUI). This condition results in the accidental loss of urine when you cough, laugh, sneeze, during heavy lifting, or simply getting up from a chair.

If you are living with incontinence there is good news. New, minimally invasive treatment options are available to restore your continence and your life.

Learn more at solutionsforurinaryincontinence.com.

Patient Information Video

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AMS Healthcare Affairs (HCA) is continuously working with public and private healthcare companies, Centers for Medicare & Medicaid Services (CMS), industry advocates, and others to ensure appropriate reimbursement for our products.

Call HCA at 1-888-865-3373 to speak with a dedicated reimbursement analyst.

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Contact AMS

AMS serves patients across the globe. Our world headquarters are located in Minnetonka, Minnesota, USA. Contact with us today.

American Medical Systems, Inc.

World Headquarters

10700 Bren Road West

Minnetonka, MN 55343


Tel: 800 328 3881

AMS Australia Pty. Ltd.

Unit 39, Building F

16 Mars Road

Lane Cove NSW 2066


Tel: 61 2 9425 6800

American Medical Systems Canada Inc.

P.O. Box 461

Guelph, Ontario


Tel: 519 826 5333

American Medical Systems Europe B.V.

Straatweg 66H

3621 BR Breukelen


Tel: 31 346 258 100

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