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Advanced Surgical Retractor Systems, Inc. Announces First Exploratory Laparotomy with the New TITAN Cestero Surgical Retractor (CSR)™

AUG. 11, 2021

Advanced Surgical Retractor Systems, Inc. Announces First Exploratory Laparotomy with the New TITAN Cestero Surgical Retractor (CSR)™

New Surgical Retractor Now Provides Trauma and Emergency Surgeons 50x Faster Setup Speed and Optimal Exposure Without a Post or Table Attachment

Advanced Surgical Retractor Systems, Inc, the medical device company that launched the first major advancement in surgical retractor technology in nearly 50 years, today announced the first exploratory laparotomy with the new TITAN CSR™. The TITAN CSR is a lightweight titanium surgical retractor for emergency and trauma surgeries delivering the speed of traditional self-retaining retractors and equivalent exposure of table-mounted systems, without a post or table attachment. The first exploratory laparotomy using the TITAN CSR has been recently performed at University Hospital, part of University Health in San Antonio, Texas, where Brian Eastridge, MD, serves as Division Chief of Trauma and Emergency General Surgery, Professor of Surgery at UT Health San Antonio, and Jocelyn and Joe Straus Endowed Chair in Trauma Research.

“I am impressed by the functionality and intuitive, easy-to-use modular design of the TITAN CSR,” said Dr. Eastridge, an internationally recognized civilian and military trauma surgeon. “Our trauma surgeons have achieved rapid access to the patient’s abdominal cavity with superior exposure, allowing them to quickly identify and control life-threatening sources of bleeding. As a result of its speed of deployment and the excellent exposure afforded, I expect the TITAN CSR will significantly change the future of trauma and emergency operations, ultimately improving patient outcomes.”

The TITAN CSR combines the advantages of multiple retractors in one novel device, boasting a 50x faster set up speed compared to table-mounted systems, while still providing equivalent exposure. Designed to seamlessly integrate with Bookwalter®* blades, the TITAN CSR maximizes use of current O.R. inventory delivering turnkey operating solutions with faster speed. The TITAN CSR provides optimal exposure of deep and retroperitoneal structures with 35% more attachment points for Bookwalter® blades.

Inspired by personal surgical exposure challenges as an active-duty Navy surgeon with combat deployment experience, the TITAN CSR was invented by trauma surgeon Ramon Cestero, MD, Professor of Surgery at UT Health San Antonio. The TITAN CSR now offers surgeons a novel retractor which provides rapid exposure and superior functionality in a device that can be used in all surgical environments without a post or table attachment.

“I am thrilled to use my experience as both a civilian and military trauma surgeon to develop a surgical retractor that we expect will improve patient outcomes,” said Ramon Cestero, MD. “Until now, surgeons are forced to choose between speed and exposure when selecting which retractor to use for surgery. With the novel TITAN CSR, surgeons can quickly identify bleeding sources in the abdomen while achieving optimal exposure. We are excited to be delivering the first major advancement in surgical retractor technology in nearly 50 years.”

For more information on Advanced Surgical Retractor Systems’ TITAN CSR, please visit

Advanced Surgical Retractor Systems, Inc. (ASR) is a medical device company specializing in the design, development, and commercialization of innovative surgical retractors. ASR is committed to optimizing the way surgeons operate, ultimately improving patient outcomes through superior functionality of surgical retractors. ASR's innovative surgical retractor, the TITAN CSR, inspired by surgical exposure challenges during combat surgery experience, now provides surgeons rapid retraction and superior exposure, without a post or table attachment. For more information, please visit and follow Advanced Surgical Retractor Systems, Inc. on LinkedIn.

Dr. Ramon Cestero is a Professor of Surgery at UT Health San Antonio who specializes in trauma surgery and surgical critical care. He has used his years as an active-duty Navy surgeon and multiple surgical deployments to design surgical retractors that further improve patient care. Dr. Cestero is the inventor of the TITAN CSR surgical retractor, and Founder/Chief Medical Officer at Advanced Surgical Retractor Systems, Inc. Connect with Dr. Cestero on LinkedIn.

University Health is San Antonio’s only locally owned and operated health system. It is also South Texas’ only academic medical center, including a Level I adult and pediatric trauma center and the only civilian Level I trauma center in the region at University Hospital. It is state-designated at the highest level for both its Maternity Center and Neonatal Intensive Care Unit. Outpatient care is provided through a comprehensive network of urgent, primary and specialty care centers. For more than 100 years, University Health has been committed to delivering patient-centered, culturally competent and high-quality and compassionate healthcare, based on a strong foundation of outcomes‐based research and innovative teaching. Learn more at Follow us on Twitter and Facebook.

*The Bookwalter® trademark is a registered trademark of Symmetry Surgical, Inc., and ASR Systems makes no claim to it. ASR Systems is not an authorized seller of Bookwalter® branded products.

Amy Bailey
(310) 709 - 4743


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