The invention discloses a heat tracing cable manufacturing device and a using method thereof. The heat tracing cable manufacturing device comprises a machine head, an active pay-off machine, a conductor pay-off reel, a dancing wheel, a heater, a co-extrusion head, a constant-temperature water tank, a traction device and a take-up reel. The co-extrusion head comprises a composite die set, a shell body, a front pressure cover and a rear pressure cover. The composite die set comprises a die core supporting sleeve, an incoming wire positioning die set, and an inner conductor layer die set, a PTC layer die set and an insulating layer die set. The inner conductor layer die set comprises a fixed die, a rotary die and a first brake assembly. The composite die set further comprises a second brake assembly. The heat tracing cable manufacturing device realizes the one-step coating of metal inner cores with an inner conductor layer, a PTC heating body layer and a composite insulating layer by means of the composite die set, and drives the rotation of fusion coating materials by means of the braking effects of a first linkage portion and a second linkage portion, so that the coating materials are tightly adhered.