The FLOWMAKER® project has successfully advanced its miniaturized pulsatile cardiac assist system from Technology Readiness Level (TRL) 5 to TRL 8 over the period from October 1, 2022, to Mar 31, 2025. Major achievements include two design iterations with relative manufacturing and verification loops, qualification of industrial processes (including clean rooms), the production of over 50 clinical-grade devices, the first-in-human implantation of the device, and regulatory preparation for a multi-center European feasibility/FIH trial. All deliverables and milestones scheduled up to Jan 8, 2025 (the date of the last intermediate report) were completed as documented in the three intermediate reports (Oct 6, 2023, Jul 4, 2024, and Jan 8, 2025). Activities in the final quarter included: completion of the FIH report; finalization of the improved device (including asymmetric ring components), with all V&V concluded and production documentation made manufacturing-ready; submission of the dossier to ANSM, receipt of formal approval; and sustained efforts in external communication at conferences and in the press, project governance, and IP portfolio management. This report, therefore, recapitulates the progress already reported up to Jan 8, 2025, and outlines the additional results achieved between Jan 9, 2025, and Mar 31, 2025 (the end of the project), demonstrating full alignment with the project objectives.