High-Precision Tooling Keeps Tolerances Tight for Multi-Axis Medical Work

With profits on the line, machine shops that overlook their tooling investments may find themselves struggling to keep pace with customer demands.
Feb. 16, 2026
5 min read

Key Highlights

  • Increasing the number of axes in CNC machines raises the risk of vibration, especially with toolholding flaws like poor grip and high runout.
  • High-precision toolholders significantly reduce runout, enhancing part accuracy and surface quality.
  • Multi-axis machining of medical parts demands maximum rigidity to prevent vibrations, especially when working with materials like titanium.
  • Advanced toolholding systems improve clamping force and stability, enabling consistent production of complex, tight-tolerance medical components.
  • Proper tooling and machine setup are critical for achieving high-quality finishes and maintaining profitability in precision medical manufacturing.

Simply put, as the number of axes increases for a CNC machine, the risk of vibration from machine instability increases. Exacerbating that risk are toolholding flaws - such as poor holding strength and high levels of runout. It is for these reasons that manufacturers - particularly those in precision-focused sectors like medical devices and systems - perform multi-axis part milling and turning on machines that deliver extremely high positioning accuracy and are equipped with quality toolholders balanced to near-zero levels of runout.

Medical manufacturing describes a wide variety of operations producing complex parts, parts that benefit greatly from multi-axis machine tools - in particular those machines with four axes or full, simultaneous five-axis motion. Medical implants, for example, are often made from titanium and require a variety of complex machined features such as multi-contoured surfaces that must blend together perfectly. Even minor errors resulting from weak or imbalanced toolholding can result in scrapped parts and cost manufacturers tremendous amounts of time already invested in the part and eat away their profit margin.

With profits on the line, machine shops that overlook their tooling investments may find themselves struggling to keep pace with customer demands.

Threats to rigidity in the cut

Unlike machining parts on machine with three linear axes, full simultaneous five-axis machining intensifies the challenge of maintaining rigidity. Besides all the moving axes, five-axis machining typically involves high spindle speeds that magnify even the slightest amount of toolholder runout. Spindle speeds in the neighborhood 20,000 rpm for instance can quickly cause chatter and vibration that lead to poor part surface finishes.

Many common features of medical or surgical parts can themselves dramatically increase the risk of machine vibrations. Parts with thin walls, for example, vibrate much more easily when encountering cutting tool forces.

In some instances, a part’s geometry also makes secure workholding difficult. This can be especially true toward the end of machining a five-axis part, when the shop must machine the features of the section that was held by the vise. At that point, the operator must flip the part and often secure it with workholding that grips the workpiece by its already-finished features, which means using less-than-optimal clamping force that likewise reduces rigidity.

Plus, some materials like titanium require greater cutting forces than aluminum or steel, which can further strain the rigidity of the system.

Certainly, high-quality workholding and the machine’s vibration damping capabilities will help overcome these workpiece feature challenges. However, medical part tolerances are often well under 0.001 inch, which means the machine, workholding, and tooling must all provide maximum rigidity and reduce runout as much as possible. Even the most rigid machine and stable workholding will fail to produce precision parts if subpar toolholders are used.

Run the right toolholders for rigidity

ER-collet type toolholding is common in high-precision machining applications. It provides rigidity by creating a uniform gripping force around the entire circumference of the cutting tool. This design dramatically reduces runout while also providing rigidity, precision, repeatability, and longer tool life.

However, there are more advanced collet designs that deliver even greater precision, one of which is the micRun super-precision collet system from REGO-FIX.

The micRun system is similar to the ER collet in design, but achieves a far greater degree of precision. When assembled, the super-precision system delivers a TIR of 3 micrometers (0.0001 inch) at tool lengths up to 3´D. Such low TIR is possible thanks to the system’s specially engineered nut that holds the collet together.

The nut is balanced by design and dramatically reduces friction along its inner threads and all mating surfaces, while increasing clamping forces. With performance at this level, shops medical components easily achieve excellent surface finishes and tight tolerances with a level of repeatability necessary for higher production volumes.

While solutions like the micRun system provide excellent clamping force and reduced runout, there are other types of toolholders equally as precise. Mechanically based, press-fit systems like powRgrip, also from REGO-FIX, is one example.

The powRgrip system uses pressure along with precision-mating tapers on the holder ID and the collet OD. In use, shops insert a cutting tool into the collet, then place the collet into the holder and load that assembly into a hydraulic press unit that pushes the collet into the toolholder body. As the collet slides in, its taper meshes with that of the holder’s to apply uniform clamping force to the cutting tool shank, locking it into place.

The process of pressing the collet into place takes less than 10 seconds and does not involve heating or cooling the holder assembly.

The design of the collet and holder provides higher clamping forces than shrink-fit tooling and runout that’s well under 0.0001 inch. The result is less vibration for improved tool life and superior surfaces finishes.

Even without multi-axis machining, medical manufacturing can require intense machining strategies to address the competing needs for complexity and precision, especially while trying to consistently keep parts in-tolerance at a profitable rate. The prevalence of difficult-to-machine materials like titanium or intricate features can exacerbate these challenges.

Fortunately, when the toolholder is as precise as these examples, precision machining at production levels can be much easier to achieve.

About the Author

Zach Doleh

Zach Doleh is the Lead Applications and Machining Specialist at REGO-FIX USA. Contact him at LinkedIn.

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