United States securities and exchange commission logo




                                                                                
                              April 2, 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. 3 to 
Registration Statement on Form F-4
                                                            Filed March 18, 
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 February 6, 2024 
letter.

       Registration Statement on Form F-4/A Filed March 18, 2024

       Risk Factor Summary, page 14

   1.                                                   We note your revised 
disclosure in response to prior comment 1, which we reissue in part.
                                                        For each risk factor 
listed on page 16 describing the significant regulatory, liquidity, and
                                                        enforcement risks 
arising from the legal and regulatory system in China, revise to include
                                                        specific 
cross-references to the more detailed discussion of each of the relevant risks 
in
                                                        the prospectus, 
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.
       Unaudited Pro Forma Condensed Combined Financial Information, page 69

   2.                                                   We note your response 
to comment 4. For adjustment (n) on your pro forma balance
                                                        sheet, please clarify 
why the adjustment amount is different than the amount reflected on
 Haimei Wu
FirstName   LastNameHaimei   Wu Limited
Baird Medical   Investment Holdings
Comapany
April       NameBaird Medical Investment Holdings Limited
       2, 2024
April 22, 2024 Page 2
Page
FirstName LastName
         your pro forma income statement as part of adjustment (bb).
3.       Please update the pro forma financial information provided to included 
a pro forma
         balance sheet as of December 31, 2023 as well as a pro forma statement 
of operations for
         the year ended December 31, 2023. Please also include updated 
financial statements for
         the Registrant and for Tycoon Choice Global Limited in the amended 
filing.
4.       We note your response to comment 5. We acknowledge your analysis that 
the stock price
         and change of control provisions are exercise contingencies that do 
not preclude the
         Sponsor Earnouts from being considered indexed to the entity   s own 
stock (Step 1).
         However, given the Sponsor Earnout Shares can only result in the 
issuance of zero shares
         or a fixed number of shares, it is unclear how you concluded that the 
settlement amount
         would not equal the difference between the fair value of a fixed 
number of the entity   s
         equity shares (1,350,000) and a fixed strike price ($12.50) in the 
Step 2 test outlined in
         ASC 815-40-15-7C. Accordingly, it appears that this arrangement should 
be accounted for
         as an equity instrument instead of as a liability. Please refer to ASC 
815-40-55-27, and
         advise, or revise your presentation accordingly.
5.       It appears that the pro forma adjustments for the Sponsor earnout may 
be double counted.
         Specifically, you present a $13,241 credit to liabilities, a $13,241 
debit to additional paid-
         in capital, and a $13,241 debit to Contingent earnout Sponsor expense. 
Please revise.
Comparative Share Information, page 84

6.       We note your response to comment 6. The equivalent pro forma per share 
amounts
         should be presented in addition to the pro forma per share amounts 
which should be the
         same amounts as presented in your pro forma financial information 
beginning on page 69.
         In regards to the exchange ratio, we remind you it should be based on 
the number of
         shares of the new combined entity that each share of the acquired 
company is being
         exchanged for pursuant to Item 3(f) of Part I.A of the Form F-4.
Risk Factors
Baird Medical's forecasts and projections (particularly those related to the 
size of the market,
target populations for Baird Medical's, page 100

7.       Please update this risk factor to disclose that the 2023 preliminary 
results for Baird
         Medical would not meet the 2023 results indicated in the Unaudited 
Baird Medical
         Prospective Financial Information and revised projections were 
prepared.
U.S. regulatory authorities, including the SEC, have recently enacted and 
proposed..., page 136

8.       We refer to your disclosure in your extension proxy filed on March 11, 
2024 that you
         initiated the process of liquidating the U.S. government treasury 
obligations or money
         market funds held in the Trust Account into cash in an interest 
bearing account on October
         26, 2023. You disclose on page 137 that you will instruct the trustee 
to liquidate your U.S.
         government treasury obligations or money market funds prior to the 24 
month anniversary
 Haimei Wu
FirstName   LastNameHaimei   Wu Limited
Baird Medical   Investment Holdings
Comapany
April       NameBaird Medical Investment Holdings Limited
       2, 2024
April 32, 2024 Page 3
Page
FirstName LastName
         of the effective date of the registration statement and to hold all 
funds in the trust account
         in cash in an interest bearing account. Please revise your disclosure 
here and elsewhere in
         the prospectus to clarify, if true, that you initiated the process of 
liquidating the assets held
         in the Trust Account on October 26, 2023 and that the assets in the 
Trust Account have
         already been moved into cash in a deposit account at a bank. We refer 
to your disclosure
         on pages F-80 and F-94.
Background of the Business Combination, page 191

9.       We note your revised disclosure in response to prior comment 7 
relating to changes to the
         assumptions underlying the revised projections. With respect to the 
first bullet point on
         page 197, please revise to further clarify the impact of revised 
underlying assumptions
         with respect to the projections. For example, revise to further 
specifically explain how
         your projections changed taking into account the tier market strategy. 
In addition, you
         disclose in the second bullet point that expenses as a percentage of 
sales and marketing
         revenue were increased from 9% to 10% in the revised projections. 
Please revise to
         explain the reason for this change to help investors better understand 
the reasonableness of
         the assumptions underlying the projections.
10.      You disclose on page 213 that from February 18, 2024 to February 26, 
2024,
         representatives of ExcelFin, including Brian Sun, Max Moskovitz and 
Ken Wu, and
         representative from Baird Medical, including Chris Ng, Haimei Wu, 
Wenyuan Wu, Ted
         Wu and Eric Fang conducted an in-depth analysis of historical sales 
and revised 2024
         projection based on a multi-year trend analysis of hospital usage and 
year end inventory.
         Based on this analysis, you further disclose that for 2024 MWA needle 
sales, (i) the MWA
         needles used by hospitals end users to is projected to grow from 
51,072 in 2023 to 58,072
         in 2024, reflecting a net increase of 7,000, or a 13.7% increase, and 
(ii) the 2024 year end
         needles purchased-yet-unused by hospitals and distributor would 
normalize to
         approximately 9,000, resulting in approximately 2,000 new needle 
purchases for the year.
         In light of the preliminary 2023 results, please revise to disclose 
the multi-year trend
         analysis of hospital usage and provide a reasonable basis for the 
projected needle sales
         growth from 51,072 in 2023 to 58,072 in 2024.
Financial Summary of Revised Results, page 208

11.      For the medical device focused companies charts on pages 209-212, 
please revise to
         include a brief narrative to describe each respective chart.
12.      Please explain why a number of comparable companies included in the 
charts on pages
         209-212 differ from the comparable companies listed on page 219.
Opinion of Financial Advisor to the ExcelFin Board, page 214

13.      We note the disclosure that Houlihan Capital reviewed, among other 
things, projected US
         revenue for Baird Medical for the calendar years ended 2024 through 
2030. Please revise
         to clarify whether management provided the revenue projections to 
Houlihan Capital and
 Haimei Wu
Baird Medical Investment Holdings Limited
April 2, 2024
Page 4
      disclose the information reviewed which informed Houlihan Capita's 
fairness opinion.
Expand our Presence in Foreign and Emerging Markets, page 275

14.   Please revise to update your disclosures in regard to your recent 
developments, including
      your plans to (i) complete the ethics review of the breast lump clinical 
trials by March
      2024, (ii) execute the clinical research contracts with the relevant 
research collaborators
      and/or the hospital institutions to carry out the specific tasks of the 
clinical research, and
      (iii) have each of the hospital institutions start the clinical trials 
stage by enrolling research
      participants and performing medical diagnoses.
Note 4. Accounts Receivable, Net, page F-28

15.   We note your response to comment 21. As previously noted, your 
disclosures on page F-
      28 indicate that all of the accounts receivable are expected to be 
recovered within one
      year. Of the $25 million in accounts receivable at December 31, 2022, you 
collected only
      $18.3 million in one year. We continue to have difficulty understanding 
how you
      determined your allowance of $.6 million was adequate given that it 
appears
      approximately 28% of your accounts receivable balance is not recovered 
for more than a
      year (approximately $7 million). Please further explain and address the 
following:
          Please tell us how much of your accounts receivable balance as of 
December 31,
          2022 has subsequently been collected through March 31, 2024 or the 
latest date as of
          which this data is available; and
          Of the remaining unrecovered balances as of December 31, 2022, please 
address how
          much was from the two publicly listed companies in China you 
identified in your
          response. Please tell us whether you have been in communications with 
these two
          customers, when you expect repayment, as well as the last time you 
received any
          payment from them.

       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 Lauren Nguyen at 202-551-3642 with any other 
questions.



                                                               Sincerely,

FirstName LastNameHaimei Wu                          Division of Corporation 
Finance
                                                     Office of Industrial 
Applications and
Comapany NameBaird Medical Investment Holdings Limited
                                                     Services
April 2, 2024 Page 4
cc:       Stephen Leitzell, Esq.
FirstName LastName