The Modified Javid Clamps are used to secure various sized shunts (used) during carotid endarterectomy procedures and are manufactured in three sizes with soft rubber inserts. Also, they are designed to close gradually. On the first ratchet the tips remain open approximately 3 to 4 millimeters and close completely on the last ratchet. This new design will prevent damage to the intima of arteries due to the surgeon’s gradual clamping control and rubber inserts.