A sterile, hand-held, manual surgical instrument designed to perform an endarterectomy (the removal of plaque deposits from arteriosclerotic arteries) during a vasculature reconstruction procedure. It is typically made of high-grade stainless steel and is available in various designs including an endohelic form (a tubular device with an expanding helical element at the distal tip which is controlled by the surgeon through a sliding mechanism on the handle). Indications for its use include disabling claudication, ischemic pain at rest, ischemic skin lesions, or gangrene. This is a single-use device.