Patent ID: 8771324

Claim:
A fastener for securing body tissue relative to an implant, the implant having an aperture with a narrowed entry portion, the fastener comprising: an anchor portion configured for passing through the aperture and attaching to body tissue; a head portion extending from the anchor portion; and an insert at least partially received within the head portion, wherein the head portion includes at least one gapped region and at least one ungapped region, wherein the insert includes at least one resilient tab dimensioned to occupy at least a portion of the at least one ungapped region, wherein the insert forms a first dimension sized larger than a dimension of the narrowed entry portion, the at least one resilient tabs bendable allowing the insert to form a second reduced dimension relative to the first dimension, the insert passable past the narrowed entry portion and into the aperture when the tab forms the second dimension wherein the insert includes a first retainer provided with a flange with a gapped region to resiliently bend or deflect to pass over a second retainer located on the head portion.