The simple, low cost SubQ It! Stapler is manufactured, preloaded with the fasteners, sterilized and sealed in a foil laminate pouch. When the stapler is first removed from the packaging, the plunger is in the “up” position and the needles are hidden within the housing. Safety features include a safety tab that must be removed before the plunger can be depressed the first time.  After the last fastener has been dispensed, a safety stop interferes with the plunger to block it from being pushed again.