ASR Systems

What ASR Systems does

ASR Systems, Inc. (legal name Advanced Surgical Retractor Systems, Inc.) is a San Antonio-based medical device company founded in 2019 by Dr. Ramon Cestero, a Navy trauma surgeon with seven deployments including three combat zones, and Mike Girouard, a medical device commercialization veteran with 30+ years of experience. The company designs, develops, and commercializes the TITAN CSR® (Cestero Surgical Retractor), a titanium, post-free, ring-based modular surgical retractor system that combines the deployment speed of traditional self-retaining retractors with the exposure quality of table-mounted systems, eliminating the table attachment altogether. The 10-piece titanium core set weighs 2.2 pounds (versus 20 pounds for equivalent stainless steel systems), assembles in under 60 seconds — roughly 50x faster than table-mounted comparators — and is compatible with Bookwalter® blades for deep retroperitoneal exposure. A complementary line of disposable battery-powered lighted retractor blades (90-minute illumination), titanium and stainless steel accessory sets, and sterilization container systems round out the product portfolio.

The company serves two primary customer segments: civilian Level 1 Trauma Centers performing trauma, damage control, and acute care surgery, and U.S. military medical treatment facilities including all branches (Walter Reed, Brooke Army, Naval Medical Center Camp Lejeune). Its go-to-market is enterprise field sales targeting trauma surgeons, OR managers, and hospital procurement, supported by free 2-week clinical evaluations and quote-based pricing in the $25,000-$80,000 range per system. Distribution to military accounts is enabled through Service-Disabled Veteran-Owned Small Business (SDVOSB) channel partners ADS, Inc. and Academy Medical, with the company holding E-Cat Med Surg, DAPA, and GSA/FSS contract vehicles. Co-development relationships with the U.S. Air Force 59th Medical Wing, Naval Medical Research Unit-San Antonio, Brooke Army Medical Center, and UT Health San Antonio's Office of Technology Commercialization support clinical validation and ongoing product refinement. The retractor has won back-to-back AAST Best Instrument (2023) and Best Equipment (2024) awards, and 98% of surgeons surveyed report preferring it to incumbent systems.

Name

ASR Systems

Legal name

Advanced Surgical Retractor Systems, Inc.

Website

https://asrsystemsinc.com

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

1–10 employees

Short description

ASR Systems designs and commercializes the TITAN CSR, a titanium post-free modular surgical retractor that combines rapid deployment with table-mounted exposure quality. The San Antonio company sells direct to U.S. Level 1 Trauma Centers and military medical facilities.

Ownership category

akta.pro rank

Product category

Surgical Retractor Systems / Surgical Instruments

NAICS

Surgical Appliance and Supplies Manufacturing (339113)

SIC

Surgical & Medical Instruments & Apparatus (3841)

akta.pro industry

PRIMARYHLAHADAF

Surgical Robotics & Computer-Assisted Surgery Platforms

Healthcare & Life Sciences/Medical Devices & Diagnostics/Surgical Instruments, Endoscopy & OR Equipment

Keywords

• Surgical retractor systems
• Titanium surgical instruments
• Trauma surgery devices
• Military medical equipment
• Abdominal retractor systems

Headquarters

HQ city

San Antonio

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Hardware or Manufacturing

Cost components

Technology or R&D, Supply Chain, Personnel, Marketing or Sales, Operations

Revenue model

1. TITAN CSR® Retractor System Sales: One-time hardware sale of titanium surgical retractor system. Sold as a complete 10-piece titanium set (TSR-106-100). Additional revenue from blade accessory sets in Titanium or Stainless Steel options, sterilization container systems in 4-inch and 8-inch sizes, and disposable blade lights. Comparably priced with existing retractors in the $25,000 to $80,000 range.

Pricing tiers

Go-to-market motion1 record

Distribution channels2 records

Marketing channels6 records

Core offering

ASR Systems designs, manufactures, and commercializes the TITAN CSR® (Cestero Surgical Retractor) system — a lightweight titanium self-retaining abdominal surgical retractor that delivers rapid retraction and superior exposure without requiring a post or table attachment. The product line includes the core 10-piece titanium retractor set, modular blade accessory sets in titanium and stainless steel, a single-use battery-powered lighted retractor blade, and sterile container systems for sterilization and storage.

Product overview

ASR Systems offers a unified surgical retractor product line centered on the TITAN CSR® (Cestero Surgical Retractor) system. The core offering is the TITAN CSR® surgical retractor—a lightweight titanium self-retaining retractor that combines the speed of traditional portable retractors with superior exposure of table-mounted systems, without requiring post or table attachment. The product portfolio includes the 10-piece titanium retractor set as the primary system, complemented by blade accessory sets (available in titanium and stainless steel variants), a lighted retractor blade option for surgical illumination, and a sterile container system for storage and sterilization. The modular design allows rapid assembly and compatibility with existing surgical instrumentation.

Differentiator

Problem solved

Functional benefit

Brands

• TITAN CSR: The award-winning TITAN CSR (Cestero Surgical Retractor) is a lightweight, post-free surgical retractor system designed for abdominal surgery, combining speed and functionality in one device.

Products and services

• TITAN CSR® Surgical Retractor System A 10-piece titanium self-retaining abdominal surgical retractor (SKU TSR-106-100) weighing 2.2 lbs that delivers rapid retraction and exposure equivalent to table-mounted systems in under 60 seconds, without requiring a post or table attachment. Designed for trauma, damage control, combat, emergency general, and specialty abdominal surgery at Level 1 Trauma Centers and military medical facilities.
• TITAN CSR® Blade Accessory Set

Quantifiable outcome

• Achieves equivalent surgical exposure 50x faster - in under 60 seconds
• +4 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature5 records

Partnerships

Six partnerships are on record, tiered core and strategic.

• ADS, Inc.coreChannel Partner/ Reseller/ DistributorNational distributor for military procurement. Holds E-Cat Med Surg contract (SPE2DE23DA012) and DAPA contract (SP0200-10-H-0092). Provides National Stock Numbers (NSNs) for TITAN CSR® products including the 10-piece titanium set (NSN 6515017174970).
• Academy MedicalcoreChannel Partner/ Reseller/ DistributorGovernment contractor holding GSA/FSS contract (36F79718D0372) for distribution of TITAN CSR® products to military and government healthcare facilities.
• UT Health San Antonio - Office of Technology CommercializationcoreStrategic or Co-development PartnerPartnership with university technology commercialization office to develop and patent the TITAN CSR® retractor. Dr. Cestero worked with this office after returning from military deployments to develop his invention.
• U.S. Air Force 59th Medical WingcoreStrategic or Co-development PartnerCooperative research and development agreement to evaluate and develop the TITAN CSR® retractor for various surgical applications. Conducted independent research comparing TITAN CSR® to Bookwalter®, Alexis™, and Balfour retractors.
• Brooke Army Medical CentercoreStrategic or Co-development PartnerCooperative research and development agreement with Naval Medical Research Unit-San Antonio and 59th Medical Wing. Evaluating TITAN CSR® for integration into deployed surgical units.
• LINK (Design/Development Partner)strategicStrategic or Co-development PartnerPartnership with LINK (likely a product development/design firm) to design and develop the novel surgical retractor system for invasive abdominal surgeries.

Scale indicators5 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• Symmetry Surgical (now part of Integer Holdings): Owner of the Bookwalter® and Balfour retractor brands — the directly-competing surgical retractor systems ASR Systems explicitly benchmarks against. Most direct peer given shared trauma/abdominal retractor category and overlapping Bookwalter® blade compatibility.
• CooperSurgical: Public surgical device company with a portfolio of retractors, surgical instruments, and abdominal/wound care products used in hospital and surgical-center settings. Comparable in OR instrumentation and hospital procurement motion.
• Applied Medical: Privately held surgical device manufacturer with a broad portfolio of self-retaining retractors (Alexis™ family) and abdominal surgery instruments used in trauma and general surgery. Directly comparable in product category and target customer (hospital ORs).
• Integra LifeSciences: Public surgical-instruments and neurosurgery company with a portfolio of self-retaining retractors, table-mounted systems, and surgical instruments. Comparable in product category, hospital customer base, and trauma/general surgery use cases.
• ConMed: Public medical device company with surgical instruments and retractor systems sold to hospitals, ambulatory surgery centers, and trauma programs. Comparable in surgical-instrument portfolio and target customer.
• Scanlan International: Privately held surgical instrument maker specializing in titanium and stainless steel retractors, clamps, and cardiovascular/thoracic instruments. Directly comparable in product category (high-quality surgical retractors) and premium-material positioning.
• Teleflex: Public medical device company selling surgical instruments including retractors and wound retractor systems (e.g., Alexis-O™ competitor products) to hospitals and trauma centers globally. Comparable customer base and overlapping OR surgical-instrument portfolio.

Broad incumbents

• Stryker: Large diversified medical device company with broad surgical instruments and retractor offerings across many specialties. Provides a broader-portfolio alternative for hospital procurement and a likely acquirer profile for niche retractor assets.
• Olympus Corporation: Global medical device company with surgical instruments, endoscopic platforms, and OR equipment sold to hospitals and trauma centers. Comparable end-customer base and OR-focused sales motion, though not a direct retractor specialist.
• Medtronic: Diversified med-tech leader with surgical instruments and OR equipment (including the Bookwalter® line historically via Covidien) addressing trauma and abdominal surgery. Comparable end-customer base but operates as a multi-product platform rather than a retractor specialist.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights6 records

Customer concentration

• YouTubeyoutube.com/@titanretractor
• Facebookfacebook.com/TitanRetractor
• LinkedInlinkedin.com/company/asrsystemsinc

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ASR Systems