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Patent portfolio assigned to Puzzle Medical Devices (verified via public assignee records). Montreal medtech developing the ModulHeart modular percutaneous transcatheter heart pump (FDA Breakthrough Device Designation). Company confirms a USPTO-confirmed ModulHeart patent and a growing patent portfolio on its own site (also listed as an assignee on Justia), so has_patents=true, but exact count not visible. Pre-commercial: no named customers. Competitors (mechanical circulatory support) not sourced from a fetched page, left empty to avoid fabrication.