Devices and methods are provided for securing fasteners and adjunct materials to tissue. In general, a surgical device can include at least one adjunct material to help improve surgical procedures performed using the surgical device. In one embodiment, an end effector of a surgical device can be configured to deliver an adjunct materials to a surgical site during a surgical procedure to help improve the surgical procedure. When the fasteners are deployed at a treatment site, the adjunct material(s) can remain at the treatment site with the fasteners. The fasteners can be “D” shaped and configured to rotate through the adjunct material when the fastener rotates from the end effector into tissue.