Intense competition remains in heart pump innovation. The desire to advance the field of ventricular assist devices (VADs) is evident from the many new devices in various stages of research and development. Concepts for the next generation of mechanical circulatory support are in the spotlight. These devices aim to improve cardiac support in patients with heart failure. Development includes attempts at smaller, more efficient and more reliable pumps. Studies and tests are conducted in both laboratories and clinical settings. Innovation continues at full speed without significant slowdown.