1 x IMZ Twin Plus Torque Ratchet Ref: 51-4090.The ratchet has three defined torques: 8.5 Ncm, 14.5 Ncm and 18 Ncm. This rare to find in the box!! Like new. Packaging maybe damaged but not opened. All our stock comes from people like you and me that have drawers full of left over implant parts and are happy to part with them for less.