One Instrument, One Patient at a Time

Solving Medical Implant Torque-Limiting Needs with Precision & Trust

Torque-Limiting & Torque Fast Instruments
Perfect torque to secure a medical implant is critical to achieving the needed outcome. For over 30 years, leading medical device OEMs have trusted ECA Medical Instruments for their precision single-procedure torque-limiting solutions across more than 35 million implant procedures.

In fact, every 15 seconds of every day an ECA torque-limiting instrument or kit is being used to secure a medical implant – One Instrument, One Patient at a Time.™

If you’re an implant OEM and suffering from the many chronic pains associated with reusable torque-limiters including high purchase price, cost center and life cycle reprocessing charges, spares and repairs, out of calibration risk, recalibration hassles, instrument cleaning mandates and more, ECA can help.


As the world leader in single-procedure torque-limiters, ECA offers modified standard and custom precision torque-limiting instruments with torque set points as low as 2 oz. in. (0.014 Nm) for low torque CRM and Neuromodulation applications to as much as 106 lb. in. (12 Nm) for securing plates, screws, connectors, and fasteners in demanding orthopaedic and spine procedures. And by converting your reusable instrument to a single procedure TLI, annual savings are over $500 per instrument per procedure, and present an annuity revenue stream with sale of the instrument.

Applications include:

  • Cardiac Rhythm Management (CRM)
  • Neuromodulation / DBS
  • Cardiovascular (L/VAD)
  • Orthopaedic
  • Spine
  • Joint Reconstruction
  • Trauma & CMF

ECA Medical Instruments Torque-Limiting & Torque-Fast Instruments:

Torque-Limiting Instruments

Model Description Polymer Handle Design Procedure/Application
Model 212 Barrel
Model 212 Barrel
Small torque-limiting drivers with stainless steel 0.035″ hex shafts Barrel Handle Industry standard for Neuromodulation, DBS and similar implantable pulse generators
Model 214 Barrel
Model 214 Barrel
Small torque-limiting drivers with stainless steel 0.035″ hex shafts Barrel Handle Industry standard for Cardiac Rhythm Management (Pacemaker & ICD) Implants
Model 215 Barrel
Model 215 Barrel
Bi-directional small torque-limiting drivers with stainless steel 0.035″ hex shafts Barrel Handle Industry standard for Cardiac Rhythm Management (pacemaker & ICD) Implants
Model 218 Regular
Model 218 Regular
Low torque-limiting drivers with stainless steel shafts Tri-lobe Handle CRM, Neuro, Cardiovascular, CMF, Trauma and Extremity Applications
218 Long
218 Long
Low torque-limiting drivers with stainless steel driver and tips Tri-lobe Handle CRM, Neuro, Cardiovascular, CMF, Small Bone, Trauma, Extremities
219 Axial
219 Axial
Low to Medium Torque with customer specified integrated driver shaft and tip Axial Handle Cardiovascular, CMF, Small Bone, Trauma, Extremities
219 Palm
219 Palm
Low to Medium Torque with customer specified integrated driver shaft and tip Axial Handle Cardiovascular, CMF, Small Bone, Trauma, Extremities
Model 225 T-Handle
Model 225 T-Handle
Medium to High torque range instrument with over mold options Standard T-Handle Spine, Large Bone, Trauma, Extremity, and Joint Procedures
Model 230 Off-Set T-Handle
Model 230 Off-Set T-Handle
High torque- limiting instrument with over mold options. Cannulation option. T-Handle with customer specified integrated driver shaft and tip or with 1/4″ Square hub Spine, Large Bone, Trauma, Extremity, and Joint Procedures

Torque-Fast Instruments

Model Description Polymer Handle Design Procedure/Application
Model 218 Long or Short
Model 218 Long or Short
Low torque with AO connector Tri-Lobe Handle Trauma, extremity, CMF applications
Model 219 Palm
Model 219 Palm
Low to Medium torque with AO connector Palm Handle Trauma, extremity, sternal, shoulder applications
Model 219 Axial
Model 219 Axial
Low to Medium torque with AO connector Axial Handle Trauma, extremity, sternal, shoulder applications
Model 225 T-Handle
Model 225 T-Handle
Medium to High Torque with AO and 1/4″ square connector Standard T-Handle Spine, joint reconstruction, large bone trauma applications
Model 230 Offset T-Handle
Model 230 T-Handle
High torque with 1/4″ square connector/hub Offset T-Handle (cannulation option) Spine, joint reconstruction, large bone trauma applications