I've never heard of that device. But researched it, I assume it holds the glands in place with a noose? Anways, you should put on the adapter plate and fix it with the noose, then just attach some rods until you can barely fit the adapter plate to the bars, should be at max tension (showing maybe 1 to none on the balance scale). You may have to hold down the bars at max tension until the adapter plate snaps onto the bars. Once it's on, probably like 30 minutes or so, the tissue in the penis starts stretching out more and should start to see more bars on the balance scale. You can tighten down by rotating the bars clockwise.