Erectile dysfunction is more common than you think — and the solution isn't necessarily in pills. Erectile dysfunction affects a large proportion of men during their lives and can have many causes — from diabetes through medication side effects to prostate surgery. The Medintim Manual Erection System is a CE-certified, drug-free medical device that mechanically supports erection by vacuum principle — when and where you need it. Why choose the Manual Erection System? Drug-free, mechanical solution Operates on a vacuum principle without active pharmaceutical ingredients — making it an option for people for whom erection-promoting medications are contraindicated or have not provided the expected result. It is advisable to consult your treating physician before use. In one and a half to two minutes The hand pump creates a vacuum in the tube placed on the penis, which causes local blood engorgement and helps the erection form — typically within one and a half to two minutes. The ring maintains the erection When the tube is removed, sliding the constriction ring to the base of the penis reduces blood outflow, thus maintaining the erection — for up to half an hour — and enabling sexual intercourse. CE medical device EU medical device certification (Class I, MDR). Easily cleaned with warm water, and all parts — including the four different-sized rings — can be replaced separately even after years. Who might this be suitable for? If a chronic illness is the underlying cause Erectile dysfunction often accompanies conditions such as diabetes, high blood pressure, cardiovascular disease, elevated blood lipid levels, or neurological disorders (e.g., multiple sclerosis). In such cases, after medical consultation, the vacuum device can be a drug-free alternative. If medication is unsuitable or contraindicated Some heart medications preclude the use of erection-promoting pills; in other cases the medication does not produce the expected result or causes side effects. The mechanical vacuum solution may be an option here as well — in consultation with your treating physician. After prostate surgery or other causes Prostate disease or surgery, penile vascular disease, hormonal disorders, or lifestyle factors (smoking, alcohol) can also lead to erectile dysfunction. Note: specifically for post-operative rehabilitation, the Rehabi PVT penis trainer was developed. How to use? Step by step 1 Preparation Apply the supplied lubricant gel to the rim of the tube and to the base of the penis — this helps sealing and comfortable use. Select the constriction ring size that suits you. 2 Creating the vacuum Place the penis into the tube and press the tube's end against the body. By repeatedly operating the hand pump a vacuum is created gradually, causing local blood engorgement and producing an erection. 3 Applying the ring After achieving erection, slide the ring on the tube to the base of the penis, then remove the tube. The ring maintains the erection — for a maximum of 30 minutes. 4 Cleaning and storage After use the device is easily cleaned with warm water. All components can be stored in the supplied bag until the next use. How does it work? – Mechanism of action The physiological basis of an erection is blood flowing into the corpora cavernosa of the penis, causing them to expand. The vacuum device mechanically supports this process: the low pressure (vacuum) created in the tube produces negative pressure around the penis, which promotes local inflow of blood and the formation of an erection. After achieving erection, the constriction ring placed at the base of the penis prevents blood outflow, so the erection can persist after the tube is removed — for up to half an hour. Because the device contains no medication, its effect does not impose a pharmaceutical burden on the body. What do you get in the package? 1 pc Vacuum tube (200 mm length, 53 mm inner diameter) 1 pc Manual vacuum pump Penis rings in multiple sizes (9, 12, 15, 18 and 21 mm diameter) 1 pc Lubricant gel (50 ml) 1 pc Carrying bag Spare parts and accessories All components of the device — including the four different-sized constriction rings — can be replaced separately even after years. The lubricant gel is also available as an accessory for regular use. Frequently asked questions How long can I keep the constriction ring on? The constriction ring may be kept in place for a maximum of 30 minutes, never longer. Prolonged or overly tight use should be avoided — if you experience any pain, numbness or discoloration, remove the ring immediately. Can I use it while on anticoagulant therapy? If you are receiving anticoagulant treatment or have a bleeding disorder, using a vacuum device requires extra caution due to the risk of bruising. In such cases, be sure to consult your treating physician before use. Is the use painful? When used correctly it is not painful. The vacuum and the constriction ring may feel unusual at first, but the lubricant gel and selecting the correct ring size help ensure comfortable use. Always build up the vacuum gradually. What is the difference between the manual and motorized model? The Manual Erection System operates with a hand pump, which is simple and reliable. If you prefer one-handed, easier operation, the Active Erection System works with a battery-powered motor pump and can assist erection in as little as one to one and a half minutes. Is the product returnable? The product belongs to the intimate hygiene device category, therefore for health and hygiene reasons we accept returns only in unopened, sealed packaging (45/2014 Government Decree, Section 29 § (1) e)). Product data Product name Medintim Manual Erection System Brand / Manufacturer Medintim GmbH (Germany) Operation Manual vacuum pump Vacuum tube 200 mm length, 53 mm inner diameter Constriction rings Multiple sizes: 9, 12, 15, 18, 21 mm Time to erection approx. 1.5–2 minutes Maximum ring wearing time 30 minutes Accessories 50 ml lubricant gel, carrying bag Certification CE medical device – Class I (MDR) When NOT to use the device? In case of bleeding disorders or while on anticoagulant therapy — only after medical consultation Tendency to prolonged, painful erection (priapism), sickle cell anemia or other hematological disorders Severe penile deformity or active, painful Peyronie’s disease Active skin infection, inflammation or open wound on the treated area Do not keep the constriction ring on for more than 30 minutes Unsure? Consult your treating physician or a urologist before use! Important information Erectile dysfunction often has an underlying treatable disease, so the cause of the symptom should always be investigated by a physician — the vacuum device provides symptomatic relief and does not treat the underlying cause. Use the product only according to the instructions and only as an adult. The product is an intimate hygiene device and can only be accepted for return in unopened packaging. This description does not replace medical advice. In cases of persistent or unexplained erectile dysfunction, consult your treating physician or a urologist. The device has CE medical device certification (Class I). Scientific background Vacuum erection devices (VED) are a recognized, non-invasive solution for erectile dysfunction. Their effectiveness has been examined in numerous clinical trials and review analyses: (2025). Efficacy of vacuum erectile device in refractory erectile dysfunction: a systematic review and meta-analysis. International Journal of Impotence Research. PubMed (2010). Vacuum therapy in erectile dysfunction – science and clinical evidence. International Journal of Impotence Research. Nature Qian SQ, et al. (2020). Satisfaction with a Vacuum Constriction Device for Erectile Dysfunction among Middle-Aged and Older Veterans. PubMed The Use of Vacuum Erection Devices in Erectile Dysfunction After Radical Prostatectomy. PMC. PMC Learn more Active Erection System – motorized pump version → Drug-free treatment of erectile dysfunction → Impotence – the dreaded enemy of men → Penis pump category →