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                               February 6, 2024

       Haimei Wu
       Chief Executive Officer
       Baird Medical Investment Holdings Limited
       Room 202, 2/F, Baide Building, Building 11, No.15
       Rongtong Street, Yuexiu District, Guangzhou, People's Republic of China

                                                        Re: Baird Medical
Investment Holdings Limited
                                                            Amendment No. 2 to
Registration Statement on Form F-4
                                                            Filed January 19,
2024
                                                            File No. 333-274114

       Dear Haimei Wu:

            We have reviewed your amended registration statement and have the
following
       comments.

              Please respond to this letter by amending your registration
statement and providing the
       requested information. If you do not believe a comment applies to your
facts and circumstances
       or do not believe an amendment is appropriate, please tell us why in
your response.

              After reviewing any amendment to your registration statement and
the information you
       provide in response to this letter, we may have additional comments.
Unless we note otherwise,
       any references to prior comments are to comments in our December 20,
2023 letter.

       Amendment No. 2 to Registration Statement on Form F-4 filed January 19,
2024

       Risk Factor Summary, page 14

   1.                                                   We note your revised
disclosure in narrative form on page 14 in response to prior
                                                        comment 4, which we
reissue in part. Please reformat your revised disclosure relating to
                                                        the risks that having
the majority of the company   s operations in China pose to investors,
                                                        including but not
limited to the risks arising from the legal and regulatory system in
                                                        China, into a bullet
point format that is consistent with this section. For such risk factors
                                                        describing the
significant regulatory, liquidity, and enforcement risks, please also include
                                                        cross-references to the
more detailed discussion of each of the relevant risks in the
                                                        prospectus.
       Q: What equity stake will current stockholders of ExcelFin and Baird
Medical hold...?, page 22

   2.                                                   We note your response
to prior comment 6, which we reissue in part. Please also expand
 Haimei Wu
FirstName LastNameHaimei   Wu Limited
Baird Medical Investment Holdings
Comapany6,NameBaird
February   2024       Medical Investment Holdings Limited
February
Page 2 6, 2024 Page 2
FirstName LastName
         your disclosure to clarify whether it is possible that more public
shareholders may redeem
         than assumed for the purposes of your maximum redemption scenario.
Manufacture License, page 39

3.       We note your revised disclosure in response to prior comment 9 refers
to the updates and
         revisions to the 2022 Supervisory and Administrative Measures for
Production. Please
         expand your disclosure relating to such updates and revisions to the
2022 Supervisory and
         Administrative Measures for Production and clarify, if true, that you
are subject to and in
         compliance with such regulation. We refer to your disclosure on page
304.
Unaudited Pro Forma Condensed Combined Financial Information, page 67

4.       Please address your accounting for each of the following transactions
as well as what
         consideration was given as to how they should be reflected in your pro
forma financial
         information:

                In connection with the extension of the expiration date of
ExcelFin to October 25,
              2023, the Sponsor agreed to transfer 1,250,000 founder shares
upon the closing of the
              Business Combination to certain parties who agreed not to redeem
their ExcelFin
              public shares in connection with that extension;

                At Closing, the Sponsor will be issued 3,150,00 PubCo Ordinary
Shares and
              1,350,000 Earnout Shares and the transferees will be issued
1,250,000 PubCo
              Ordinary Shares;

                On October 25, 2023, the Sponsor exercised its right to convert
all of the founder
              shares into an equal number of shares of ExcelFin Class A Common
Stock; and

                The Sponsor paid an aggregate of $11,700,000 for 11,700,000
private placement
              warrants in connection with the IPO. In connection with the
Business Combination
              Agreement, the Sponsor has agreed to surrender all of the private
placement warrants
              for no additional consideration.
5.       Regarding your response to prior comment 10, we note your conclusion
that since "the
         change in control provision that accelerates the vesting is not based
on the stock price or
         another fixed-to-fixed adjustment" then equity classification is
precluded. Please provide
         further elaboration regarding the basis for this conclusion. Also,
please clarify for us
         whether there are any circumstances under which the earnout obligation
would be settled
         in cash or whether the number of shares issued because of a change in
control would be
         variable.
Comparative Share Information, page 76

6.       We note your response to comment 11. As previously requested, please
also provide the
         equivalent pro forma per share data required by Item 3(f) of Part I.A
of the Form F-4, or
 Haimei Wu
FirstName LastNameHaimei   Wu Limited
Baird Medical Investment Holdings
Comapany6,NameBaird
February   2024       Medical Investment Holdings Limited
February
Page 3 6, 2024 Page 3
FirstName LastName
         help us understand why it is not provided. Please refer to Instruction
1 to which states that
         equivalent pro forma per share amounts shall be calculated by
multiplying the pro forma
         income (loss) per share, pro forma book value per share, and the pro
forma dividends per
         share of the registrant by the exchange ratio so that the per share
amounts are equated to
         the respective values for one share of the company being acquired.
Certain Unaudited Baird Medical Prospective Financial Information, page 98

7.       We note your revised disclosure in response to comment 15, including
on page 190 that,
         "On April 10, 2023, ExcelFin received a financial package consisting
of Baird Medical
         audit reports for the years 2019-2022 and a financial forecast for
2023-2025 from Baird
         Medical   s advisors." Please clarify whether the forecast received on
April 10, 2023 is the
         same as the prospective financial information described in this
section. If not, please
         disclose the relevant forecast and provide the assumptions underlying
the forecast. In
         addition, please explain the difference in assumptions underlying two
different sets of
         prospective financial information, if applicable.
Risks Related to Doing Business in China, page 107

8.       We note your revised disclosure in response to prior comment 13, which
we reissue in
         part. We are concerned that the noted disclosures below mitigate the
challenges you face
         as you continue to state that the PRC government:

                "has implemented measures emphasizing the utilization of market
forces for
              economic reform and the establishment of improved corporate
governance in
              business enterprises, the PRC government continues to play a
significant role in
              regulating industry development by improving industrial policies,


                intervenes to "optimize China   s economy,"

                has implemented various measures to "encourage economic growth,
   and

                   strengthens" the supervision on overseas listings

         Please remove or revise the disclosure noted above to clearly describe
the material impact
         that intervention or control by the PRC government has or may have on
your business or
         on the value of your securities. You should provide specific
disclosures regarding the
         legal and operational risks associated with your operations,
consistent with the guidance in
         our Sample Letter to China-Based Companies issued on December 20,
2021, and our
         Sample Letter to Companies Regarding China-Specific Disclosures issued
on July 17,
         2023. The Sample Letters to China-Based Companies seek specific
disclosure relating to
         the risk that the PRC government may intervene in or influence your
operations at any
         time, or may exert control over operations of your business, which
could result in a
         material change in your operations and/or the value of the securities
you are registering
         for sale. We do not believe the disclosures noted above sufficiently
convey this risk.
 Haimei Wu
FirstName LastNameHaimei   Wu Limited
Baird Medical Investment Holdings
Comapany6,NameBaird
February   2024       Medical Investment Holdings Limited
February
Page 4 6, 2024 Page 4
FirstName LastName
9.       As a related matter, where you disclose throughout this section that
certain rules and
         regulations that place restrictions on capital raising or other
activities by China
         based companies could adversely affect your business and results of
operations, please
         disclose that these regulations could materially affect your business
and results of
         operations. Make conforming changes to your disclosures throughout
this section.
Background of the Business Combination, page 186

10.      We refer to the third bullet point in your response to prior comment
17 that on June 22,
         2023, ExcelFin agreed to a $20 million increase in valuation based on
the completion of
         due diligence by ExcelFin   s management on Baird Medical   s business
and the results of
         ExcelFin   s comparable company analysis. Please revise your
disclosure on page 194 to
         discuss in more detail the basis for the ExcelFin management   s
decision to agree to a $20
         million increase in valuation as a result of the due diligence and
comparable company
         analysis.
11.      We note your response to prior comment 18, including your response
that the due
         diligence summaries were prepared by ExcelFin   s advisors to assist
ExcelFin in its due
         diligence of certain aspects of Baird Medical   s business based on
each advisor   s
         respective expertise. Please revise to clarify whether each of your
advisors    findings and
         conclusions were those of ExcelFin or of each such advisor. If the
latter, please provide
         additional analysis as to why none of these summaries is a    report,
opinion, or appraisal
         materially relating to the transaction    pursuant to Item 4(b) of
Form F-4 and provide
         additional analysis as to why a consent is not required from each such
professional
         advisor. Refer to Rule 436 and Securities Act Section 7.
12.      We note your revised disclosure in response to comment 16, including
your discussion of
         the breakup fee and limited triggering events. Please disclose the
triggering events and
         amount of the breakup fee, including how each of the same evolved
throughout
         negotiations.
Research and Development, page 273

13.      We note your revised disclosure on page 283 in response to prior
comment 25 that Baird
         Medical sponsored the clinical trials and paid certain hospitals to
conduct such trials
         pursuant to the collaboration agreements. You also disclose on page
278 that you entered
         into collaboration agreements with three hospitals. Please clarify
whether the
         collaboration agreements referenced are separate from the
collaboration agreements
         entered into with Nanjing Huitong Medical Technology Co., Ltd. and
Zhuhai People   s
         Hospital, and if so, please discuss the material terms of
collaboration agreements and file
         such agreements that are currently in effect as exhibits to the
registration statement. Refer
         to Item 601(b)(10) of Regulation S-K.
14.      We note your revised disclosure on page 289 in response to prior
comment 26 that the
         relevant research findings report for your thyroid nodule clinical
trial was finalized on
         July 20, 2020. You also disclose on page 260 that the research and
development and
 Haimei Wu
FirstName LastNameHaimei   Wu Limited
Baird Medical Investment Holdings
Comapany6,NameBaird
February   2024       Medical Investment Holdings Limited
February
Page 5 6, 2024 Page 5
FirstName LastName
         clinical trials for breast lump and thyroid nodule products in the
E.U. is    well-advanced,
         but that additional studies and clinical evaluation research is needed
to meet EU MDR
         requirements. Please revise your disclosure in this section and
elsewhere to clarify the
         status of your clinical studies and research for each of your products
in different
         jurisdictions. Please also revise to disclose, where appropriate, your
plans to appoint
         additional hospitals with respect to your breast lump and pulmonary
nodules clinical trials,
         as disclosed in your response.
15.      We note your revised disclosure relating to your collaboration
agreement with Nanjing
         Forestry University. You disclose on page 282 that pursuant to a
commercial agreement
         with Nanjing Forestry University, you own all rights to the utility
patent relating to a
         device for reducing magnetron power fluctuations that was registered
on August 24, 2021.
         Please expand your disclosure to provide a brief description of the
material terms of such
         commercial agreement and file such agreement as an exhibit to the
registration statement
         or explain to us why you believe you are not required to do so. Refer
to Item 601(b)(10) of
         Regulation S-K.
Baird Medical's Management's Discussion and Analysis of Financial Condition and
Results of
Operations, page 323

16.      We note your revised disclosure on page 324 in response to prior
comment 32 that you
         expect to apply for certification for breast lump and thyroid nodule
products in the E.U. in
         the    near future,    and will seek to launch such product lines
thereafter. Please revise to
         clarify the expected timeline for your breast lump and thyroid nodule
products. We refer
         to your disclosure on pages 91 and 260.
Operating Activities, page 331

17.      We note your response to prior comment 33, which we reissue. Please
revise your
         disclosure to include your response in the registration statement
accordingly.
Executive Compensation of Baird Medical, page 334

18.      Please update your compensation disclosure to reflect the fiscal year
ended December 31,
         2023.
Financial Statements, page F-1

19.      We note your response to comment 36. As previously requested, please
also provide
         financial statements of the registrant, Baird Medical Investment
Holdings Limited
         pursuant to Item 14(h) of the Form F-4. Please also include the
registrant in a separate
         column in the pro forma financial information provided.
Note 21. Subsequent Events, page F-36

20.      We note your response to comment 38. In a similar manner to your
response, please
         clarify in your disclosures which entity these preferred shares are
related to and any
 Haimei Wu
Baird Medical Investment Holdings Limited
February 6, 2024
Page 6
         impact the settlement had on Baird Medical Holdings Limited.
Note 3 - Accounts Receivable, Net, page F-55

21.      We note your response to comment 39. Please address the following:

                Please provide a table in MD&A that disaggregates the aging of
your June 30, 2023
              accounts receivable based on the number of days between the dates
the receivables
              were initially recognized and the Balance Sheet date. In this
regard, it does not appear
              that your standard repayment policy terms are being consistently
applied; and

                We note that all accounts receivable are expected to be
recovered within one year. Of
              the $25 million in accounts receivable at December 31, 2022, you
have collected
              $18.3 million in one year. This results in a remaining balance of
approximately $7
              million compared to an allowance for credit losses of only $1
million. Please help us
              better understand how you determined that your allowance was
adequate given that it
              appears approximately 28% of your accounts receivable balance is
not recovered for
              more than a year. We also note that there are only $205k of
accounts receivable
              which were over a year in the aging analysis provided as of June
30, 2023; this
              indicates that there has been a recent significant decline in the
aging of your accounts
              receivable. Please advise.
Note 19 - Subsequent Events, page F-65

22.      We note your response to comment 40. Please address the following:

                As previously requested, please disclose how you are accounting
for the $1.6 million
              reassignment of Ms. Lu   s loan; and

                It appears that adjustment (L) to the pro forma balance sheet
includes multiple
              components, including the repayment of this loan. Please
separately identify each
              component in your disclosures.
General

23.    We acknowledge your response to prior comment 42, which we reissue in
part. We note
       that your investor presentation discloses 34 pending patent applications
on slide 29.
FirstName LastNameHaimei Wu
       However, we also note your disclosure on pages 257 and 292 that you
currently have 33
Comapany    NameBaird
       pending          Medical Investment
                patent applications.         Holdings
                                     Please advise      Limited
                                                   or revise your disclosure to
address this
       inconsistency
February             accordingly.
          6, 2024 Page  6
FirstName LastName
 Haimei Wu
FirstName LastNameHaimei   Wu Limited
Baird Medical Investment Holdings
Comapany6,NameBaird
February   2024       Medical Investment Holdings Limited
February
Page 7 6, 2024 Page 7
FirstName LastName
       Please contact Nudrat Salik at 202-551-3692 or Al Pavot at 202-551-3738
if you have
questions regarding comments on the financial statements and related matters.
Please contact
Jane Park at 202-551-7439 or Katherine Bagley at 202-551-2545 with any other
questions.



                                                           Sincerely,

                                                           Division of
Corporation Finance
                                                           Office of Industrial
Applications and
                                                           Services
cc:      Stephen Leitzell, Esq.