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Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stac

Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The various embodiments may be variously combined together in a single device. The methods generally include the following steps: forming a fastener by placing it over a single focal point anvil and pressing the fastener against the single focal point anvil using a slide.

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Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stac

Apparatus and methods for applying fasteners during endoscopic surgery. The apparatus generally comprises a handle portion, a triggering mechanism and a fastener applicator. One embodiment of the invention forms the fastener around a single focal point on an anvil. Another embodiment vertically stacks the fasteners in a fastener applicator which is readily detachable from the handle portion by virtue of a rotational locking system and which may be replaced with a new fastener applicator having a fresh load of vertically stacked fasteners. The various embodiments may be variously combined together in a single device. The methods generally include the following steps: forming a fastener by placing it over a single focal point anvil and pressing the fastener against the single focal point anvil using a slide. engage a spinous process; a plurality of connection rods; whereby the connection rods are selectively movably connected with the spacer; and whereby the engagement members are fastened to the connection rods, and further are positionably located along the length of the connection rods. 15. The device according to claim 14, whereby the spacer is substantially circular in shape. 16. The device according to claim 14, whereby the spacer is substantially egg-shaped. 17. The device according to claim 14, whereby the engagement elements further have a tapered front end adapted for urging the engagement elements between adjacent spinous process. 18. The device according to claim 14, whereby the connection rods pivot about the longitudinal axis of the spacer. 19. The device according to claim 18, whereby the connection rods pivot independently of each other. 20. The device according to claim 14, whereby the engagement members can further be positioned at any angle relative to the connection rods. 21. The device according to claim 17, whereby the engagement members further have a hook element that is adapted for engaging the spinous process once the tapered front end has been urged between spinous process. 22. The device according to claim 14, wherein at least one of said engagement elements is rotatable. 23. The device of claim 14, wherein the spacer is elliptical in shape. 24. The device of claim 14, wherein the spacer has anatomically compatible contours. 25. An implant device for rigidly fixing adjacent spinous process, the device comprising: at least one spacer, wherein the spacer further contains a tapered front end adapted for urging the spacer between adjacent spinous process; a plurality of rotatable engagement elements each adapted to engage a spinous process; a plurality of connection rods; whereby the connection rods are movably connected with the spacer; and whereby the engagement members are selectively locatable at positions along the length of the connection rods. 26. The device according to claim 25, whereby the spacer is substantially circular in shape. 27. The device according to claim 25, whereby the spacer is substantially elliptical in shape. 28. The device according to claim 25, whereby the rotatable engagement elements further have a tapered front end adapted for urging the engagement elements between adjacent spinous process. 29. The device according to claim 25, whereby the connection rods pivot about a longitudinal axis of the spacer. 30. The device according to claim 29, whereby the connection rods pivot independently of each other. 31. The device according to claim 25, whereby the engagement members can further be positioned at any angle relative to the connection rods. 32. The device according to claim 28, whereby the engagement members further have a hook element that is adapted for engaging the spinous process once the tapered front end has been urged between spinous process. 33. The device according to claim 25, wherein said spacer is rotatable. 34. The device of claim 25, wherein the spacer is elliptical in shape. 35. The device of claim 25, wherein the spacer has anatomically compatible contours. 36. An implant device for rigidly fixing adjacent spinous process, the device comprising: at least one spacer, wherein the spacer is adapted for being urged between adjacent spinous process; a plurality of rotatable engagement elements, each adapted to each engage a spinous process; a plurality of connection rods; whereby the spacer is connected with the connection rods; and whereby the engagement members are fastened to the connection rods, and further can be positioned at any location along the length of the connection rods. 37. The device according to claim 36, whereby the spacer is substantially circular in shape. 38. The device according to claim 36, whereby the spacer is substantially elliptical in shape. 39. The device according to claim 36, whereby the rotatable engagement eleme