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About Us

Advanced Surgical Retractor Systems, Inc. is dedicated to the design, development, and commercialization of innovative surgical retractor systems. Our mission is to advance the way surgeons operate and help improve patient outcomes.


Mike Girouard

CEO, President

  • 30+ years leading teams in medical device development and commercialization

  • Past CEO, President, Director, Co-Founder, Brain Sentinel, Inc.

  • Past Managing Director, GXC Global LLC

  • Past Director, Global Portfolio Management, KCI

  • Inventor, over 20 U.S. issued patents


Ramon F. Cestero,

Chief Medical Officer

  • Professor of Surgery, UT Health San Antonio

  • Trauma and General Surgeon with combat surgery experience

  • Inventor, TITAN CSR® Surgical Retractor

  • Past Director, Navy Combat Casualty Care Research, NAMRU-SA

  • Past Director, University Hospital Surgical Trauma ICU

  • Past Director, UTHSA Trauma Fellowship Program

  • Commander, US Navy Reserves


Tracy Biltz

VP, Sales

  • 30+ years selling and managing medical device sales teams

  • Past VP, Sales, Brain Sentinel, Inc.

  • Past Principal, Biltz Medical Sales, Inc.

  • Past Director, Sales & Marketing, Prism Technologies

  • Results-oriented business leader in medical capital equipment

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