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                          May 31, 2024

       Jeffrey M. Soinski
       Chief Executive Officer
       Avinger, Inc.
       400 Chesapeake Drive
       Redwood City, CA 94063

                                                        Re: Avinger, Inc.
                                                            Registration 
Statement on Form S-1
                                                            Filed May 24, 2024
                                                            File No. 333-279738

       Dear Jeffrey M. Soinski:

              This is to advise you that we have not reviewed and will not 
review your registration
       statement.

               Please refer to Rules 460 and 461 regarding requests for 
acceleration. We remind you
       that the company and its management are responsible for the accuracy and 
adequacy of their
       disclosures, notwithstanding any review, comments, action or absence of 
action by the staff.

                                                        Please contact Benjamin 
Richie at 202-551-7857 with any questions.



                                                                                
                          Sincerely,

                                                                                
                          Division of Corporation Finance
                                                                                
                          Office of Industrial Applications and
                                                                                
                          Services
       cc:                                              David Marx