Compound barb medical device and method
A compound barb medical device is provided which includes an elongated body having at least one barb formed along the length of the body, the barb defining an inner surface with a first portion disposed at a first orientation relative to a longitudinal axis of the elongated body, and a second portion disposed at a second orientation relative to the longitudinal axis. Optionally, the barb defines a third portion disposed at a third orientation relative to the longitudinal axis. A method for forming a compound barb on a medical device is also provided.
1. A method of forming a compound barb on a medical device, comprising the steps of:
applying ultrasonic energy to a cutting element of a barb cutting apparatus;
moving a medical device against the cutting element at a first angle relative to a longitudinal axis of the medical device to form a first cut in the medical device, the first cut having a first ratio of cut depth to diameter of the medical device;
increasing ultrasonic amplitude of the ultrasonic energy to the cutting element after forming the first cut;
moving the medical device against the cutting element at a second angle relative to a longitudinal axis of the medical device to form a second cut in the medical device, the second cut having a second ratio of cut depth to diameter of the medical device; and
discontinuing the application of ultrasonic energy to the cutting element prior to moving the medical device out of contact with the cutting element.
2. The method according to claim 1 , wherein moving the medical device against the cutting element at the first angle includes contacting the medical device at the first angle of from about 0 degrees to about 90 degrees.
3. The method according to claim 2 , wherein contacting the medical device at the first angle includes forming the first angle at about 30 degrees to about 50 degrees.
4. The method according to claim 3 , wherein moving the medical device against the cutting element at the first angle includes cutting a surface of the medical device at the first ratio of cut depth to diameter of about 1% to about 40%.
5. The method according to claim 2 , wherein contacting the medical device at the first angle includes forming the first angle at about 30 degrees to about 40 degrees.
6. The method according to claim 2 , wherein contacting the medical device at the first angle includes forming the first angle at about 31 degrees to about 38 degrees.
7. The method according to claim 1 , wherein moving the medical device against the cutting element at the second angle includes contacting the medical device at the second angle of from about 0 degrees to about 90 degrees.
8. The method according to claim 7 , wherein contacting the medical device at the second angle includes forming the second angle at from about 2 degrees to about 25 degrees.
9. The method according to claim 8 , wherein moving the medical device against the cutting element at the second angle includes cutting a surface of the medical device at the second ratio of cut depth to diameter of about 5% to about 50%.
10. The method according to claim 7 , wherein contacting the medical device at the second angle includes forming the second angle at from about 1 degrees to about 10 degrees.
11. The method according to claim 7 , wherein contacting the medical device at the second angle includes forming the second angle at from about 1 degrees to about 8 degrees.
12. The method according to claim 1 , wherein moving the medical device against the cutting element at the first and second angles includes forming the first angle such that it is greater than the second angle.
13. The method according to claim 12 , wherein moving the medical device against the cutting element at the first angle includes cutting a surface of the medical device at the first ratio of cut depth to diameter of about 1% to about 40%, and wherein moving the medical device against the cutting element at the second angle includes cutting the surface of the medical device at the second ratio of cut depth to diameter of about 5% to about 50%.
14. The method according to claim 1 , further comprising the step of forming the second cut while the cutting element is still in contact with the medical device after forming the first cut.
15. The method according to claim 1 , further comprising the steps of axially moving the medical device a specified length after discontinuing the application of ultrasonic energy, and forming a barb thereon.
16. The method according to claim 1 , further comprising the step of selecting a medical device from the group consisting of monofilament sutures, braided sutures, multifilament sutures, surgical fibers, anchors, slit sheets, ribbons, tapes, meshes, stents, scaffolds, pledgets, and vascular grafts.