A compound barb medical device comprising: an elongate body wherein the elongate body includes an outer surface, and the outer surface is in direct contact with tissue at least one barb extending from the elongated body and defining an inner surface, the elongated body including: a first cut angle of from about 0 degrees to about 90 degrees, preferably from about 30 degrees to 40 degrees, preferably from about 31 degrees to about 38 degrees relative to the longitudinal axis of the elongate body and a second cut angle of from about 0 degrees to about 90 degrees, preferably from about 1 degree to about 10 degrees, preferably from about 1 degree to about 8 degrees relative to the longitudinal axis of the elongate body and wherein the medical device is formed of absorbable materials, non-absorbable materials and combinations thereof.
