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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.