pasta maker, or a wine press
Several different kinds of gadget can be called a torchio: a device like a meat-grinder that squeezes out long pasta, or the familiar sort of pasta machine that presses out sheets, or a grooved rolling-pin that cuts a sheet into spaghetti. A dish called al torchio is only saying it's made with fresh, home-made pasta. There's also a specific twisty shape of dry pasta that manufacturers slyly call maccheroni al torchio.
In addition to the traditional wine press, an old manual printing press or any sort of press with a corkscrew gear can be called a torchio.