steved,
My choice has never been very popular, but I don't know why. I got a U. S. Gear exhaust brake for my 1995 truck when it was new. I used it on that truck and later on my 2000 truck until November of 2007 when I wrecked the 2000 truck.
The U. S. Gear unit is controlled and operated by electricity. It uses a large solenoid to open and close a butterfly valve in the exhaust pipe. The solenoid has a pull coil and a hold coil, just like the fuel shutoff solenoid.
Mine always worked well and provided excellent braking. The only time I ever had any problem was when the pivots got stiff from carbon build-up after about seven years of continuous use. I cleaned the carbon myself and it has worked well ever since.
The control was very simple, using a wireless push button that can be mounted almost anywhere. I mounted mine to the gear shifter with black plastic tape. The tape was almost invisible against the black shift lever and the black case.
The wireless button sends a signal to a control box mounted in the cab. I mounted mine to the bottom of the dash, next to the brake controller. The control box signals the relays to open or close the valve.
One installation issue was that it requires a large current to operate. I used 10-gauge wire for the run back to the brake. It also requires an excellent ground.
Another issue is the time delay before it actually engages. I believe that most exhaust brakes use some kind of time delay. I think that's so the turbo can spool down a bit, decreasing the possibility of a turbo stall (where the exhaust air actually flows backwards through the turbine portion of the turbocharger).
I see you are in Pennsylvania. I am about six hours from Pittsburgh. If you want to drive down to southeastern Indiana, I'll sell you my unit and help you install it. The installation is straightforward, but somewhat complicated, with a circuit breaker, two relays, a throttle switch (to prevent a closed exhaust brake with the throttle open), and a controller.
No matter where you get it, you'll like the U. S. Gear unit if you choose that one.
Good luck.