in fig2 applicator head 73 of delivery tube 72 engages band 104 as shown in fig3 and drive assembly 76 advances helical fasteners 80 to penetrate band 104 aortic graft 100 and aortic wall 132 shown by arrows g as shown in fig3 aortic graft 100 is fastened to aortic wall 132 of aorta 124 by helical fastener 80 after deployment of a helical fastener 80 delivery tube 72 is rotated to deploy another of the plurality of helical fasteners 80 consequently reloading is not required in another embodiment as illustrated in fig3 51 expandable portion 66 is capable of moving between two extreme positions a relaxed position as shown in fig3 and an expanded position as shown in fig3 in the embodiment illustrated in fig3 expandable portion 66 includes support members 67 that define open interstitial regions 70 as best shown in fig3 outer sleeve 64 operatively engages with expandable portion 66 for controlling operation between the two extreme positions expandable portion 66 has an atraumatic head 200 attached to opening 210 defined at the distal end of expandable portion 66 and opening 212 defined at its proximal end for receiving applicator head 73 of delivery tube 72 applicator head 73 includes ejection mount 250 for deployment of a plurality of helical fasteners 80 from drive assembly 76 ejection mount 250 as shown in fig3 includes yoke 256 and ejection head 260 yoke 256 engages penetration head 200 for coaxial positioning within expandable portion 66 ejection head 260 is pivotally positioned within yoke 256 ejection head 260 includes a cam divider 262 and a saw toothed face 264 ejection head 260 is capable of.