Around 70% of mechanical circulatory devices nd application as bridge to transplantation and 30% as destination devices, but shortage of donor
organs forces up to 85% of these to enter the zone of destination devices. There is an urgent need to do away with drive lines as they contribute
signicantly to morbidity and mortality with device implantation. Hybrid coupled energy transfer system offer advantages of prolonged support
and the redundancy of back up emergency support with retro auricular direct back up which is very essential when considering these devices on
their role as destination therapy devices. Initial use has given promising results and devices that are emerging in the horizon like Saispandan would
pave way for major technological advances in this eld. The power of prescribing a total articial heart as destination therapy would soon be a
reality due to explosion of technology in multiple integrated disciplines.