A compound barb medical device (12) comprising: an elongated body (14) at least one barb (12) extending from the elongated body and defining an inner surface, the inner surface including: a first portion (12a) disposed at a first orientation defining first angle α relative to a longitudinal axis of the elongated body, a second portion (12b) disposed at a second orientation defining second angle β relative to the longitudinal axis, and a third portion (12c) disposed at a third orientation defining third angle γ relative to the longitudinal axis, wherein the second angle β is less than the first angle α and the third angle γ is less than the second angle β.
