A compound barb medical device (620) comprising: an elongate body (610) 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 inner surface including: a first portion (620a) disposed at a first orientation relative to a first longitudinal axis of the elongate body, wherein the first portion is disposed at a first angle from about 31 degrees to about 38 degrees relative to the first longitudinal axis of the elongate body and a second portion (620b) disposed at a second orientation relative to a second longitudinal axis of the elongate body, wherein the second portion is disposed at a second angle from about 1 degree to about 8 degrees relative to the second longitudinal axis of the elongate body and wherein the medical device is formed of absorbable materials, non-absorbable materials and combinations thereof.
