an instrument and method for performing a surgical fastening procedure at a location remote from the location at which the instrument is manipulated . the instrument is at least partly self - powered by self - powering apparatus adjacent the location at which the fastening procedure is performed , the self - powering apparatus being controlled from the location at which the instrument is manipulated . the relatively large forces required for the surgical fastening procedure are confined to a relatively small portion of the instrument adjacent the location at which the fastening procedure is performed , thereby reducing the cost of the instrument as a whole and making it economical to provide as a disposable item .