Before I got laid off from the wheelchair joint, we used them. had a shop made "handle with a hard nut welded on to stick the pilot bolt through. Pilot bolt is a grade 8 in this case allen drive, but head only needs to be a good quality head in whatever drive you are using. A few washers for thrust, and some lube, and a method to turn it--low geared drill with clutch, hand tool, whatever. We used 3-in-1 oil
These are either no10 or 12 machine screw thread, the tool all shop made. Washers are for thrust and to get the bolt the right length so you don't have to twist endlessly. We primarily used a clutched air tool but did do some by had or part way with "drill driver" and finished up by hand