The EXCOR® ventricular assist device practically imitates the function
of the human heart. It is a pump causing displacement and operating in
a constant rhythm. This is why the system is known as a pulsatile
system.

The
driving unit (mobile or stationary) rhythmically pumps or rather
ingests air into/ out of the air chamber of the pump. Consequently the
membrane vaults either in the direction of the air or the blood
chamber, causing an overpressure or negative pressure.
Example for biventricular assist
The
oxygen lacking blood flows from the body into the right Atrium. As the
right ventricle is not able to pump into the pulmonary system, the
blood is ingested via a cannula into the right EXCOR® pump and from
there it is pumped via another cannula connected to the pulmonary
artery into the lung with a slight pressure.
The blood sufficiently supplied with oxygen which flows back from
the lung to the heart flows into the left atrium. As the left ventricle
is not able to pump the blood into the artery, the blood is ingested
from the left ventricle via a cannula into the left EXCOR® pump and is
pumped from there via another cannula connected to the artery into the
body under high pressure.