Solving Medical Implant Torque-Limiting Needs with Precision & Trust

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 32 million implant procedures.

In fact, every 20 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
212 Barrel
Small torque-limiting drivers with stainless steel 0.035″ hex shafts Barrel Industry standard for Neuromodulation, DBS and similar implants
214 Barrel
Small torque-limiting drivers with stainless steel 0.035″ hex shafts Barrel Industry standard for Cardiac Rhythm Management (pacemaker & ICD) implants
215 Barrel
Small torque-limiting drivers with stainless steel 0.035″ hex shafts Barrel Industry standard for Cardiac Rhythm Management (pacemaker & ICD) implants
218 Regular
Low torque-limiting drivers with stainless steel shafts Trilobe CRM, Neuro, Cardiovascular, CMF, Trauma
218 Long
Low torque-limiting drivers with stainless steel driver and tips Trilobe CRM, Neuro, Cardiovascular, CMF, Trauma
219 Axial
AO and 1/4″ square connector Axial Cardiovascular
219 Palm
AO connector Palm Cardiovascular
220 Axial
Medium torque range instrument with over mold options Large Axial Handle Used to secure plates and screws, anchors, meshes in CMF, small bone, and general osteosynthesis cases
225 Large Axial
High torque range instrument with over mold options Axial Handle with 1/4″ Square AO or other Coupling Used to secure plates and screws, anchors, meshes in CMF, small bone, large bone, spine, and general osteosynthesis cases
220 T-Handle
High torque range instrument with over mold options T-Handle Used to secure plates and screws, anchors, meshes in CMF, small bone, large bone, spine, and general osteosynthesis cases
225 T-Handle
High torque range instrument with over mold options T-Handle with 1/4″ Square AO or other Coupling Used to secure plates and screws, anchors, meshes in CMF, small bone, large bone, spine, and general osteosynthesis cases
230 Off-Set T-Handle
High torque range instrument with over mold options T-Handle with 1/4″ Square AO or other Coupling Used to secure plates and screws, anchors, meshes in CMF, small bone, large bone, spine, and general osteosynthesis cases

Torque-Fast Instruments

Model Description Polymer Handle Design Procedure/Application
218 Long or Short
AO connector Tri-Lobe Various trauma applications
219 Palm
AO connector Palm Various trauma applications
219 Axial
AO and 1/4″ square connector Axial Various trauma applications
225 Axial
AO and 1/4″ square connector Axial Various trauma applications
225 T-Handle
AO and 1/4″ square connector T-Handle Various trauma applications
230 T-Handle
Integrated shaft or 1/4″ square connector/hub Offset T-Handle (cannulation option) Various trauma applications