This was an interesting session to say the least. Riding the "Cock Rocker" is entertaining for the girl but a bit cruel for the patient because in order for him to get off, he has to thrust forward in her lubed-up hand but by doing that, the attached dildo gets forced deeper into his ass. It's the "Catch 22" session. In order for the patient to cum, he needs to get mechanically fucked by the rocker.
The deep penetration and curved shape of the rocker dildo provides constant stimulation on the patient's prostate which produces a bigger than normal load. Watch and see what I mean.